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COVID-19 Pandemic Experiences across the Shelter-Care Continuum in Older Adults 避难所的新冠肺炎大流行经历——老年人的护理持续
IF 2 Q2 Social Sciences Pub Date : 2022-12-19 DOI: 10.1080/26892618.2022.2153958
P. Gill, G. Gutman, M. Karbakhsh, R. Beringer, B. de Vries
The COVID-19 pandemic's impact on older adults (55+) living at the mid-point of the shelter-care continuum, in seniors housing (SH) and assisted living (AL), remains largely unexplored. This study compares survey responses of SH and AL residents with those of age peers living in private conventional community-based dwellings (CD) in British Columbia, Canada. Despite more SH/AL residents reporting feelings of isolation and changes to social support access, the pandemic appears to have had a greater negative impact on the routines of CD older adults. AL residents were more likely to engage in advance care planning discussions before and since the COVID-19 outbreak. These data are important for improving response to current and future disasters across the shelter-care continuum, particularly in ways to reduce the psychosocial effects of isolation or routine disruption, and strategies to increase advance care planning engagement.
新冠肺炎大流行对老年人(55岁以上)的影响在很大程度上仍未得到探索,这些老年人生活在避难所-住房连续性的中点,在老年人住房(SH)和辅助生活(AL)中。本研究比较了加拿大不列颠哥伦比亚省SH和AL居民与居住在私人传统社区住宅(CD)的同龄人的调查结果。尽管越来越多的SH/AL居民报告了隔离感和社会支持渠道的变化,但疫情似乎对CD老年人的日常生活产生了更大的负面影响。在新冠肺炎爆发之前和之后,AL居民更有可能参与预先护理规划讨论。这些数据对于改善整个庇护所护理连续体对当前和未来灾害的反应非常重要,特别是在减少隔离或日常干扰的心理社会影响方面,以及在增加提前护理规划参与度的策略方面。
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引用次数: 0
Renovations of a Long-Term Care Center for Residents with Advanced Dementia—Impact on Residents and Staff 一家老年痴呆患者长期护理中心的翻新——对居民和工作人员的影响
IF 2 Q2 Social Sciences Pub Date : 2022-12-12 DOI: 10.1080/26892618.2022.2151544
M. Porter, Barbara Borges, N. Dunn, L. Funk, L. Guse, Christine Kelly, S. Mallory-Hill, K. Roger
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引用次数: 0
Predicting The Risk of Fall in Community-Dwelling Older Adults in Iran 伊朗社区老年人跌倒风险预测
IF 2 Q2 Social Sciences Pub Date : 2022-11-25 DOI: 10.1080/26892618.2021.1918813
Sahar Keyvanloo Shahrestanaki, F. Sharifi, H. Shahsavari, Fatemeh Ghonoodi, I. Philp, F. Bahramnezhad, E. Navab
Abstract Background The European Assessment System (EASY) Care Standard is a self-report fall screening tool for the community-dwelling older adults. A study demonstrated that the EASY-Care Standard 2010’s fall subscale (ECSF) is a valid tool for predicting the risk of fall in a nursing home; however, the validity of ECSF in community-dwelling older adults is still not clear. We aimed to evaluate the performance of the instrument as a screening tool to predict the risk of fall among community-dwelling older adults in Iran for a six-month follow-up period. If this tool is useful for the prediction of fall, it can be used for primary health-care services to detect subjects at a higher risk of fall. Method This is a longitudinal validation study that was carried out among 101 community residents ≥60 in Tehran, Iran. The participants were selected using a convenience cluster sampling based on Performance-Oriented Mobility Assessment (POMA) score categorization. The follow-up period of this study was 6 months. The ECFS scores at the baseline of the study were compared between subjects who had fallen and those who had not fallen during the six-month follow-up period. The cutoff was determined using a Receiver Operating Characteristics (ROC) curve analysis. Internal consistency and the sufficient intra-rater reliability were determined. Results The mean age of the participants was 71.87 years. The Spearman’s correlation coefficient between ECSF and POMA scores was equal to 0.829. There was also a correlation coefficient >0.8 between ECFS scores and Timed Up and Go test (TUG) seconds. Two components were detected in the factor analysis of the ECSF. The ECSF cutoff point was four out of eight with the sensitivity and specificity of 76.6 and 87.5%, respectively. The total Kuder-Richardson 20 (KR-20) coefficient was calculated as 0.852. Conclusion It seems that the EASY-Care Standard 2010 is a valid and reliable tool to predict the risk of fall in the next 6 months in the community-dwelling older adults. A valid simple and useful tool that is a good predictor of fall might help the health providers at primary health care level to easily recognize the older adults who are at a high risk of falling. What is already known about this topic? (Including key points and/or knowledge gaps Several tools exist for the predication of fall among older people. The ESAY–Care has been translated into numerous languages. In Iran, there is not a report assessing the validity and reliability of this tool. What this paper adds: (research findings/key new information The Persian version of ESAY-Care tool has a high inter-rater reliability and specificity. The Persian version of ESAY-Care tool could predict the risk of fall for the next six months. The ESAY Care tool is used to identify the risk of fall for the older adults who live in the community. The implications of this paper ESAY-Care can be incorporated into health providers and family caregivers’ measures, especially at
摘要背景欧洲评估系统(EASY)护理标准是一种针对社区老年人的自我报告秋季筛查工具。一项研究表明,EASY Care Standard 2010的跌倒分量表(ECSF)是预测养老院跌倒风险的有效工具;然而,ECSF在居住在社区的老年人中的有效性仍然不清楚。我们旨在评估该仪器作为筛查工具的性能,以预测伊朗社区老年人在六个月的随访期内跌倒的风险。如果这一工具对跌倒的预测有用,那么它可以用于初级保健服务,以检测跌倒风险较高的受试者。方法这是一项纵向验证研究,在伊朗德黑兰101名≥60岁的社区居民中进行。参与者是使用基于面向绩效的移动性评估(POMA)评分分类的方便聚类抽样进行选择的。本研究的随访期为6 月。在六个月的随访期内,比较研究基线时跌倒和未跌倒的受试者的ECFS评分。使用受试者工作特性(ROC)曲线分析来确定截止值。确定了内部一致性和足够的评分者内部可靠性。结果参与者的平均年龄为71.87岁 年。ECSF和POMA评分之间的Spearman相关系数为0.829。ECFS分数与定时上下测试(TUG)秒数之间的相关系数也>0.8。在ECSF的因子分析中检测到两个成分。ECSF的截止点为八分之四,敏感性和特异性分别为76.6%和87.5%。Kuder Richardson 20(KR-20)的总系数计算为0.852。结论EASY Care Standard 2010似乎是预测未来6年跌倒风险的有效和可靠的工具 在社区居住的老年人中待了几个月。一个有效、简单、有用的工具可以很好地预测跌倒,这可能有助于初级卫生保健级别的卫生服务提供者轻松识别跌倒风险高的老年人。关于这个话题,我们已经知道了什么?(包括关键点和/或知识差距有几种预测老年人跌倒的工具。ESAY–Care已被翻译成多种语言。在伊朗,没有评估该工具有效性和可靠性的报告。本文补充道:(研究结果/关键新信息波斯版ESAY Care工具具有很高的评分者间可靠性和特异性。波斯版ESAY Care工具可以预测未来六个月的跌倒风险提供者和家庭照顾者的措施,特别是在初级预防层面。未来每个社区的老年人数量都可以预测。ESAY Care将提供一种有效的方法,在日常社区评估中识别有跌倒风险的老年人。
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引用次数: 0
Older Social Housing Tenants’ Experiences of Rehousing Programs: A Systematic Scoping Review 老年社会住房租户安置计划的经验:一个系统的范围审查
IF 2 Q2 Social Sciences Pub Date : 2022-11-17 DOI: 10.1080/26892618.2022.2140375
C. Mattocks, L. Blank, S. Buckner
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引用次数: 0
Using Delphi Technique to Develop a Shared Vision for Dementia-Friendly Singapore 利用德尔菲技术为痴呆症友好型新加坡发展共同愿景
IF 2 Q2 Social Sciences Pub Date : 2022-11-10 DOI: 10.1080/26892618.2022.2140374
Belinda Yuen, Anna P. Lane, Špela Močnik
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引用次数: 0
Home Modification for Older Adults Aging in Place: Evidence from the American Housing Survey 老年人居家改造:来自美国住房调查的证据
IF 2 Q2 Social Sciences Pub Date : 2022-11-03 DOI: 10.1080/26892618.2022.2140466
L. Green, Axton E. Betz-Hamilton, Bonnie Albright, Sung-Jin Lee, Kathy Vasquez, Randolph L. Cantrell, G. Peek, Andrew T. Carswell
What is the impact of housing adequacy on recent home modification, controlling for demographics and housing characteristics? This study examined home modifications of households with a member aged 65 or older, focusing on relationships between selected demographic and housing variables and home modification. Binary logistic regression analysis was used on a sample of 6,627 homeowners from the newly released 2019 American Housing Survey (AHS) dataset. This analysis of the 2019 AHS data is important because of its pre-COVID pandemic era perspective in terms of home modifications and older adults aging in place. Results showed that recent housing modifications were significantly affected by select demographic and housing factors.
住房充足性对最近的房屋改造、人口统计和住房特征的控制有什么影响?这项研究调查了有65岁或65岁以上成员的家庭的家庭改造,重点关注选定的人口和住房变量与家庭改造之间的关系。在最新发布的2019年美国住房调查(AHS)数据集中,对6627名房主进行了二元逻辑回归分析。这项对2019年AHS数据的分析很重要,因为它从新冠肺炎疫情前的角度看待家庭改造和老年人的老龄化。结果表明,最近的住房改造受到选定的人口和住房因素的显著影响。
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引用次数: 2
How Do Older Adults Living in the Community in Brazil Perceive Walkability in the Context of Sidewalks? 生活在巴西社区的老年人如何看待人行道的可步行性?
IF 2 Q2 Social Sciences Pub Date : 2022-10-22 DOI: 10.1080/26892618.2022.2131677
Maria do Carmo Correia de Lima, Amanda Fernandes da Silva, Renato Barbosa dos Santos, E. d’Orsi, M. Bestetti, M. Rodrigues Perracini
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引用次数: 0
Architecture of Person-Centered Psychiatric Geriatric Hospitals 以人为本的老年精神病医院结构
IF 2 Q2 Social Sciences Pub Date : 2022-09-21 DOI: 10.1080/26892618.2022.2125476
N. Norouzi
There is a gap in the literature on the architectural design of Psychiatric Geriatric Care (PGC) centers and their impact on patients’ wellbeing and recovery. The objectives of this study are to explore the role of the built environment on staff’s work satisfaction, geriatric psychiatric patients’ wellbeing, and assess the importance of treating mental and physical illness of older adults in the same clinical setting. Data were obtained from behavior observation/mapping of existing spaces and interviews with staff and patients. Interview data were analyzed, coded, and juxtaposed with themes from behavior observation/mapping. This study identified specific architectural conditions of autonomy, atmosphere, boundary, and safety for patients and visibility, accessibility, and rejuvenation for staff. The findings of this study resulted in creating a replicable design model and architectural base for future PGC centers that include a psychiatric geriatric unit and a medical unit. This provides an opportunity for patients to be involved in their own recovery and receive complete mental and physical care at the same hospital. Additionally, this design model offers the possibility of separating and closing one hospital wing in case of emergencies or a pandemic such as COVID19. © 2022 Taylor & Francis Group, LLC.
关于精神病学老年护理中心的建筑设计及其对患者健康和康复的影响的文献存在空白。本研究旨在探讨建筑环境对员工工作满意度、老年精神病患者幸福感的影响,并评估在同一临床环境中治疗老年人精神和身体疾病的重要性。数据来自对现有空间的行为观察/绘图以及对工作人员和患者的访谈。对访谈数据进行分析、编码,并与行为观察/映射的主题并置。该研究确定了患者的自主性、氛围、边界和安全性以及员工的可见性、可达性和活力的特定建筑条件。这项研究的结果为未来的PGC中心创建了一个可复制的设计模型和建筑基础,其中包括一个精神病学老年科和一个医疗科。这为患者提供了一个参与自己康复的机会,并在同一家医院接受完整的精神和身体护理。此外,这种设计模式还提供了在紧急情况或covid - 19等大流行情况下分离和关闭一个医院翼楼的可能性。©2022 Taylor & Francis Group, LLC
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引用次数: 0
Evaluation of the Elderly Balcony Usage in Terms of Socialization During the Covid-19 Outbreak 新冠肺炎疫情期间老年人阳台使用情况的社会化评估
IF 2 Q2 Social Sciences Pub Date : 2022-08-17 DOI: 10.1080/26892618.2022.2109793
Şebnem Beşir Ertaş, Ayşan Ilgın Polat, Özgü Özturan
Abstract Older adults have been negatively affected by the COVID-19 pandemic. They started to use the balcony as a socialization tool by rediscovering its usage purposes. The study revealed the socialization tools and habits of older adults concerning the use of balconies during the COVID-19 pandemic in two stages. In the first stage, studies including socialization activities of older individuals in their residences during COVID-19 were analyzed using Scopus, and keywords were identified. In the second stage, the word codes were determined as socialization tools searched using the Google search engine to better understand the use of the pandemic and balcony. The search was conducted on sample photographs that had been published on online news sites and had a place in the world literature. Thus, 4 socialization tools for the use of balconies and 11 new usage habits under them were identified in the new normal period of COVID-19. The study’s goal is to provide a wider perspective on the concept of the balcony not only as an extension of the residence but also as an effective and versatile space for the socialization of older adults.
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引用次数: 1
Neighborhood Land Use, Work Participation, and Quality of Life Among Workers in Mid and Late Life: Exploratory Analysis of Singapore’s Public Housing Neighborhoods 社区土地利用、工作参与与中晚期工人生活质量——新加坡公共住房社区的探索性分析
IF 2 Q2 Social Sciences Pub Date : 2022-08-16 DOI: 10.1080/26892618.2022.2092928
Michelle Cheam, R. Bozovic-Stamenovic
Abstract Neighborhood environments have been positively associated with older adults’ engagement outcomes. As mid- and late-life work participation gains traction, the scope of productive engagement in later life expands concomitantly. However, current age-friendly neighborhood paradigms remain largely retirement-centric, with minimal applicability for older adults with work aspirations. Therefore, the objective of this research was to examine whether neighborhood land use had significant impact on older adults’ work participation and well-being while working. Neighborhood variables were measured at the postal code level and statistically analyzed in relation to work participation and quality of life (QOL) scores for 850 older adults in Singapore. Significant variables were evaluated again for 28 planning areas, and statistically analyzed in relation to workforce participation rates. The findings suggest that neighborhood spatial attributes are significant for mid- and late-life work participation: Strategic provision of amenities was associated with individual work participation and well-being, while density and distribution of specific land-use types were associated with workforce participation rates. The article concludes with a discussion on the gaps in planning approaches for work-supportive and age-friendly neighborhood paradigms.
摘要邻里环境与老年人的参与结果呈正相关。随着中后期工作参与的增加,晚年生产性参与的范围也随之扩大。然而,目前的老年友好型社区模式在很大程度上仍然以退休为中心,对有工作愿望的老年人的适用性很低。因此,本研究的目的是检验社区土地使用是否对老年人的工作参与和工作时的幸福感有显著影响。在邮政编码水平上测量了社区变量,并对新加坡850名老年人的工作参与度和生活质量(QOL)得分进行了统计分析。对28个规划区域的重要变量进行了再次评估,并对劳动力参与率进行了统计分析。研究结果表明,社区空间属性对中后期工作参与具有重要意义:设施的战略性提供与个人工作参与和幸福感有关,而特定土地使用类型的密度和分布与劳动力参与率有关。文章最后讨论了工作支持型和老年友好型社区模式在规划方法上的差距。
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引用次数: 0
期刊
Journal of Aging and Environment
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