Search results for ‘Subject term:"older people"’ Sort:
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Instruments to evaluate mental well-being in old age: a systematic review
- Authors:
- MARTIN-MARIA Natalia, et al
- Journal article citation:
- Aging and Mental Health, 25(7), 2021, pp.1191-1205.
- Publisher:
- Taylor and Francis
Objective: The aim of this study is to identify and appraise existing instruments to evaluate mental well-being in old age. Method: Systematic literature searches in PubMed, PsycINFO, ProQuest Research Library, AgeLine and CINAHL databases were performed. The COnsensus‐based Standards for the selection of health Measurement INstruments (COSMIN) guideline was used to assess the measurement properties, reported according to the Preferred Reporting Items for Systematic Reviews and meta-Analysis (PRISMA) statement. For each measurement property, results were classified as positive, negative or indeterminate. The quality level of evidence was rated as high, moderate, low or very low following the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. Results: A total of 28 instruments were found. Most instruments evaluated different dimensions of mental well-being, including various subscales. The quality was adequate overall. Six instruments showed high quality (Perceived Well-Being Scale-PWB, Salamon-Conte Life Satisfaction in the Elderly Scale-SCLSES, Herth Hope Scale-HHS, Life Satisfaction Index Third Age-LSITA, Meaning in Life Scale-MLS, and SODdisfazione dell’Anziano-SODA), and other six a moderate level (Scale of Happiness of the Memorial University of Newfoundland-MUNSH, Six Scales of Psychological Well-Being-PWBS, Valuation Of Life-VOL, Life Satisfaction Scale for Chinese Elders-LSS-C, Meaningful Activity Participation Assessment-MAPA and Will To Life-WTL). Conclusion: This review provides the first comprehensive synthesis of instruments assessing mental well-being in older populations. The PWB, SCLSES, HHS, LSITA, MLS and SODA were the most appropriated instruments. An instrument that specifically measures mental well-being in the oldest old age group (aged 80 plus) and that considers its multidimensional nature is needed. (Edited publisher abstract)
Systematic review of the impact of arts for health activities on health, wellbeing and quality of life of older people living in care homes
- Authors:
- CURTIS Amy, et al
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 17(6), 2018, pp.645-669.
- Publisher:
- Sage
Care home populations frequently feature older people who often experience poor physical health and cognitive difficulties, along with vulnerability to psychological and social stressors. To date there has been no systematic review which focuses on the impact of arts for health activities to the care home population. Evidence was sourced from several databases and 71 studies were deemed eligible for inclusion in this review. These studies underwent data extraction and quality appraisal and the findings associated with health, wellbeing and quality of life are presented within this paper.
Interventions to improve the health and wellbeing of older people living alone: a mixed-methods systematic review of effectiveness and accessibility
- Authors:
- JOHNSTONE Georgina, et al
- Journal article citation:
- Ageing and Society, 41(7), 2021, pp.1587-1636.
- Publisher:
- Cambridge University Press
The global population is ageing and the likelihood of living alone increases with age. Services are necessary to help older people living alone to optimise health and wellbeing. This systematic review aimed to summarise the effectiveness and accessibility of interventions to improve the health and wellbeing of older people living alone. Relevant electronic databases (CINAHL, MEDLINE, PsycINFO and Scopus) were searched for all years up to August 2018. Studies were included if they involved older people (aged ⩾55 years) living alone, and an intervention with measured health and wellbeing outcomes. All study types were included. The Theory of Access was used to assess interventions across dimensions of accessibility, availability, acceptability, affordability, adequacy and awareness. Twenty-eight studies met the eligibility criteria; 17 studies focused on ageing safely in place and 11 on psychological and social wellbeing. Studies comprised quantitative (N = 19), qualitative (N = 4) and mixed-methods (N = 5) approaches. Dimensions from the Theory of Access were poorly addressed in the studies, particularly those of higher-quality methodology. Studies were heterogeneous, preliminary in scope and lacked consistent study design, methodology or measurement. Services that do not address user accessibility in design or evaluation may be limited in their uptake and impact. It is recommended that dimensions of access and co-creation principles be integrated into service design processes and be evaluated alongside clinical effectiveness. (Edited publisher abstract)
Understanding the neighbourhood environment and the health and wellbeing of older Chinese immigrants: a systematic literature review
- Authors:
- GAO Siyao, DUPRE Karine, BOSMAN Caryl
- Journal article citation:
- Ageing and Society, 41(4), 2021, pp.815-835.
- Publisher:
- Cambridge University Press
Neighbourhood environment has a significant impact on the health and wellbeing of older people. In recent years, the increase in older Chinese immigrants globally has attracted a growing amount of research which has investigated the health and wellbeing of these elderly residents. The aim of this study is to provide a systematic literature review of empirical findings on the health and wellbeing of older Chinese immigrants and the ways in which the neighbourhood environment impacts them. A systematic search was conducted using online databases where 52 articles met specific criteria and were subsequently reviewed critically. An inductive approach was undertaken to analyse the data extracted from the selected articles. The review was categorised according to the following themes: neighbourhood social environment, neighbourhood physical environment and place attachment. The findings show that the majority of research has investigated the health status of older immigrants, and in particular, the impacts related to the social environments in which they live. The literature review indicated that there is scope for future studies to investigate the impact of the physical neighbourhood environment on this group of people. (Edited publisher abstract)
Emotion-regulation strategies in older people: a systematic review
- Authors:
- RAMIREZ-RUIZ Blanca, QUINN Kathryn, FERREIRA Nuno
- Journal article citation:
- Working with Older People, 24(1), 2020, pp.1-18.
- Publisher:
- Emerald
Purpose: Emotion regulation (ER) has been identified as an important factor influencing psychological and health problems of adult populations. The purpose of this paper is to address a gap in the literature by examining available evidence relating to the use of ER strategies (avoidance, problem solving, reappraisal, rumination and suppression) on the well-being of older people (OP). Design/methodology/approach: A systematic search for peer-reviewed articles published from 1985 to 2015 was conducted in PsycINFO, CINAHL, Medline, Psychological and Behavioural Sciences Collections and ASSIA and resulted in 1746 titles. In total, 20 studies met full inclusion criteria (the cross-sectional association between well-being and ER was reported, participants were 60 years or older, without cognitive impairment and the article was written in English, Portuguese or Spanish). Findings: Rumination was found to be the ER strategy most strongly associated with symptoms of anxiety and depression in OP populations, while mixed result were found for avoidance, problem solving, suppression and reappraisal. Research limitations/implications: Given the scarcity of research examining the association between ER and positive psychological concepts only a conclusion about ER and negative mood measures could be made. Questions for future research on ER and well-being in OP are proposed. Originality/value: This paper addresses a significant gap in the literature regarding the use of ER strategies in older adults. (Publisher abstract)
Electronic assistive technology for community-dwelling solo-living older adults: a systematic review
- Authors:
- SONG Yu, van der CAMMEN Tischa J.M.
- Journal article citation:
- Maturitas, 125, 2019, pp.50-56.
- Publisher:
- Elsevier
The proportion of older adults who live alone in single households is growing continuously. In the care of these solo-living older adults, electronic assistive technology (EAT) can play an important role. The objective of this review is to investigate the effects of EAT on the wellbeing of community-dwelling older adults living alone in single households. A systematic review of English articles was conducted based on PMC, Scopus, Web of Science and the Cochrane database. Additional studies were identified from the references. In total, 16 studies were identified, six of them with follow-up. There is evidence that EAT can improve the physical and mental wellbeing of older adults. There was little evidence that EAT can improve social wellbeing. We conclude that more personalized designs and interventions, and more user engagement could be embedded in the design of EAT for solo-living community-dwelling older adults and that more evidence is needed regarding the effects of those interventions. (Edited publisher abstract)
Specifying the content of home-based health behaviour change interventions for older people with frailty or at risk of frailty: an exploratory systematic review
- Authors:
- GARDNER Benjamin, et al
- Journal article citation:
- BMJ Open, 7(2), 2017, Online only
- Publisher:
- BMJ Publishing Group
Objectives: To identify trials of home-based health behaviour change interventions for frail older people, describe intervention content and explore its potential contribution to intervention effects. Design: 15 bibliographic databases, and reference lists and citations of key papers, were searched for randomised controlled trials of home-based behavioural interventions reporting behavioural or health outcomes. Setting Participants' homes. Participants: Community-dwelling adults aged ≥65 years with frailty or at risk of frailty. Primary and secondary outcome measures: Trials were coded for effects on thematically clustered behavioural, health and well-being outcomes. Intervention content was described using 96 behaviour change techniques, and 9 functions (eg, education, environmental restructuring). Results: 19 eligible trials reported 22 interventions. Physical functioning was most commonly assessed (19 interventions). Behavioural outcomes were assessed for only 4 interventions. Effectiveness on most outcomes was limited, with at most 50% of interventions showing potential positive effects on behaviour, and 42% on physical functioning. 3 techniques (instruction on how to perform behaviour, adding objects to environment, restructuring physical environment) and 2 functions (education and enablement) were more commonly found in interventions showing potential than those showing no potential to improve physical function. Intervention content was not linked to effectiveness on other outcomes. Conclusions: Interventions appeared to have greatest impact on physical function where they included behavioural instructions, environmental modification and practical social support. Yet, mechanisms of effects are unclear, because impact on behavioural outcomes has rarely been considered. Moreover, the robustness of our findings is also unclear, because interventions have been poorly reported. Greater engagement with behavioural science is needed when developing and evaluating home-based health interventions. (Edited publisher abstract)
Exploring the relation between positive emotions and the functional status of older adults living independently: a systematic review
- Authors:
- CABRITA Miriam, et al
- Journal article citation:
- Aging and Mental Health, 21(11), 2017, pp.1121-1128.
- Publisher:
- Taylor and Francis
Objectives: Literature suggests that positive emotions positively influence physiological parameters but their relation to functioning in the daily life of older adults living independently remains unclear. The present work aims to investigate the relation between positive emotions and functional status in daily life of older people living independently. Method: A systematic literature review was conducted using the PubMed, PsycINFO and Scopus electronic databases. Included works were peer-reviewed empirical studies that analysed the relation between positive emotions and ability to perform activities of daily living with older adults living independently. Results: After removal of duplicates, 10 out of 963 papers met the inclusion criteria. Cross-sectional studies (n = 6) provided limited evidence about a relation between positive emotions and functioning in daily life. However, longitudinal studies (n = 4) provide significant evidence for an interaction between the two factors, suggesting that time influences this interaction. Conclusion: The variety on the design and samples of the studies included in this review does not allow a cohesive conclusion of the results. Nevertheless, limited evidence suggests that higher frequency in the experience of positive emotions might be associated with lower functional limitations. The issue of causality in emotions-functioning remains unclear from the review. Further observational studies are highly recommended, supported by innovative technologies. (Publisher abstract)
Carers' experiences when the person for whom they have been caring enters a residential aged care facility permanently: a systematic review
- Authors:
- JACOBSON Janelle, et al
- Journal article citation:
- JBI Database of Systematic Reviews and Implementation Reports, 13(7), 2015, Online only
- Publisher:
- Wolters Kulwer
Background: Research has identified the mixed feelings carers experience when the person they have been caring for is admitted into a residential aged care facility permanently and the importance of understanding these experiences as a means to implementing policies and programs that enhance carers' well-being. This systematic review was motivated by the need to use evidence to inform effective and feasible interventions to support carers. Objectives: The objective of this qualitative systematic review was to identify and synthesise the evidence on the experiences of carers of older people when the person they had been providing care for is admitted permanently into a residential aged care facility, and to draw recommendations from the synthesis of the evidence on these experiences to enhance policy and programming aimed at supporting affected caregivers. Types of participants: All carers of people who had experienced the person they had been caring for at home being moved into a residential aged care facility permanently. Phenomena of interest: Experiences of the caregiver of the older person when the person they have been caring for at home is admitted into a residential aged care facility permanently. Search Strategy: Comprehensive searches were conducted on leading databases. The search considered studies reported in English and published from the database inception to 10 November 2013. Types of studies: The review considered qualitative studies, including but not limited to designs such as phenomenology, grounded theory, ethnography and action research. Types of outcomes: The outcomes are in the form of synthesised findings pertaining to carers’ experiences when the person they have been caring for is admitted into a residential aged care facility permanently. (Edited publisher abstract)
Food activities and identity maintenance in old age: a systematic review and meta-synthesis
- Authors:
- PLASTOW Nicola Ann, ATWAL Anita, GILHOOLY Mary
- Journal article citation:
- Aging and Mental Health, 19(8), 2015, pp.667-678.
- Publisher:
- Taylor and Francis
Objectives: Services provided to older people should be developed based on active ageing policies. Nutrition is one aspect of active ageing, but little is known about how food activities contribute to psychological well-being in later life. This is a systematic review of qualitative and quantitative research that answers the question ‘What is known about the relationship between food activities and the maintenance of identities in old age?’. Methods: The authors followed the preferred reporting items for systematic reviews and meta-analyses guidelines and used quality assessment parameters to complete a systematic review and narrative synthesis. Academic Search Premier, MEDLINE, CINAHL Plus, and PsycINFO databases were searched. Results: 8016 articles were initially identified, of which 167 full-text articles were screened for inclusion. Twenty-two articles were included in the review. There was moderate evidence from nine qualitative and two quantitative studies, of variable quality, that food activities contribute to the maintenance of women's gendered identities, the ethnic identities of men and women, and community identities. There was moderate evidence from 10 qualitative studies, of variable quality, that a change in food choice and deteriorating health changed food activity participation. These changes threatened identities. Most studies included both younger adults and older adults. Conclusion: In later life, there are many life experiences leading to change. Further research is needed to develop understanding of how identity and mental well-being are maintained, despite changes in everyday activities like cooking and eating. This may enable health care professionals to meet psychological needs alongside biological needs during nutritional interventions. (Edited publisher abstract)