Pub Date : 2020-11-30DOI: 10.1108/qaoa-09-2020-0043
J. Cohen-Mansfield
Purpose The impact of COVID-19 has most dramatically affected the older population, and nursing homes have become infection hotspots. As a response, governments have ordered isolation of older adults in geriatric institutions owing to the high risk of critical illness and mortality. The purpose of this paper is to discuss the potential impact of current policies on nursing homes and community-based care and provide suggestions for improvement in care. Design/methodology/approach Taking the situation in Israel as an example, the author discussed major systemic problems pertaining to long-term care facilities and to community based care; the neglect of mental health; systemic deficiencies in end of life care; and the need to revise communications concerning COVID-19. Findings Within each of the identified areas, recommended changes in strategy, policy and practice can help mitigate the dramatic impact of COVID-19 on the living experience of the older population. Originality/value Drawing on the Israeli experience, this paper presents current shortcomings in the policy response to COVID-19 regarding nursing homes and community-based care and provides recommendations that are applicable to other contexts as well. Although some of these have been suggested or even practiced in some locations, many continue to be neglected and have not been discussed even as COVID-19 continues to infect societies around the globe.
{"title":"COVID-19 and older adults in Israel – common challenges and recommendations","authors":"J. Cohen-Mansfield","doi":"10.1108/qaoa-09-2020-0043","DOIUrl":"https://doi.org/10.1108/qaoa-09-2020-0043","url":null,"abstract":"\u0000Purpose\u0000The impact of COVID-19 has most dramatically affected the older population, and nursing homes have become infection hotspots. As a response, governments have ordered isolation of older adults in geriatric institutions owing to the high risk of critical illness and mortality. The purpose of this paper is to discuss the potential impact of current policies on nursing homes and community-based care and provide suggestions for improvement in care.\u0000\u0000\u0000Design/methodology/approach\u0000Taking the situation in Israel as an example, the author discussed major systemic problems pertaining to long-term care facilities and to community based care; the neglect of mental health; systemic deficiencies in end of life care; and the need to revise communications concerning COVID-19.\u0000\u0000\u0000Findings\u0000Within each of the identified areas, recommended changes in strategy, policy and practice can help mitigate the dramatic impact of COVID-19 on the living experience of the older population.\u0000\u0000\u0000Originality/value\u0000Drawing on the Israeli experience, this paper presents current shortcomings in the policy response to COVID-19 regarding nursing homes and community-based care and provides recommendations that are applicable to other contexts as well. Although some of these have been suggested or even practiced in some locations, many continue to be neglected and have not been discussed even as COVID-19 continues to infect societies around the globe.\u0000","PeriodicalId":44916,"journal":{"name":"Quality in Ageing and Older Adults","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2020-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44272800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-11-23DOI: 10.1108/qaoa-03-2020-0010
J. Hughes, Saima Ahmed, P. Clarkson, S. Davies, K. Stewart, D. Challis
Purpose It was hypothesised that there were variations in health and social care services available for older people with dementia and their carers, and that measurement of this between localities was possible. The purpose of this paper is to present a framework for examining this. Design/methodology/approach Using a case study approach, data from national surveys of local authorities providing social care and National Health Services Trusts providing old age mental health services conducted in 2014/2015 in England were used. From these, indicators of variation in services for people with dementia and their carers in different geographical areas were created. Measurement of the presence/absence of each service permitted the creation of a service mix score for each area. Findings The framework comprised 16 attributes each with indicators describing the characteristics of the organisations providing the services; the skill mix of community mental health teams for older people; and the health care and social care services available in localities. Variation was evident, confirmed by quartile analysis and exemplars, suggesting that older people with dementia and their carers in different localities are likely to experience differences in the range of provision available, particularly social care services. Originality/value The case study approach used achieved its objectives, and the resultant framework has potential for generalisability and utility, given acceptable ecological validity and discriminant validity in identifying variations in service mix. It could be used in both research and practice.
{"title":"Development and preliminary testing of a framework for quantifying local service provision for people with dementia","authors":"J. Hughes, Saima Ahmed, P. Clarkson, S. Davies, K. Stewart, D. Challis","doi":"10.1108/qaoa-03-2020-0010","DOIUrl":"https://doi.org/10.1108/qaoa-03-2020-0010","url":null,"abstract":"\u0000Purpose\u0000It was hypothesised that there were variations in health and social care services available for older people with dementia and their carers, and that measurement of this between localities was possible. The purpose of this paper is to present a framework for examining this.\u0000\u0000\u0000Design/methodology/approach\u0000Using a case study approach, data from national surveys of local authorities providing social care and National Health Services Trusts providing old age mental health services conducted in 2014/2015 in England were used. From these, indicators of variation in services for people with dementia and their carers in different geographical areas were created. Measurement of the presence/absence of each service permitted the creation of a service mix score for each area.\u0000\u0000\u0000Findings\u0000The framework comprised 16 attributes each with indicators describing the characteristics of the organisations providing the services; the skill mix of community mental health teams for older people; and the health care and social care services available in localities. Variation was evident, confirmed by quartile analysis and exemplars, suggesting that older people with dementia and their carers in different localities are likely to experience differences in the range of provision available, particularly social care services.\u0000\u0000\u0000Originality/value\u0000The case study approach used achieved its objectives, and the resultant framework has potential for generalisability and utility, given acceptable ecological validity and discriminant validity in identifying variations in service mix. It could be used in both research and practice.\u0000","PeriodicalId":44916,"journal":{"name":"Quality in Ageing and Older Adults","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2020-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42881595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-11-19DOI: 10.1108/qaoa-04-2020-0014
Holly Crossen-White, A. Hemingway, A. Ladkin
Social innovation has received increasing attention in recent decades (Agostini et al., 2017). This study aims to consider how the concept has been applied to the issue of ageing and what can be learnt about effective policy responses.,The acknowledged lack of understanding generally about the concept makes it timely to undertake a scoping review of the current evidence from social innovation projects associated with older people. A scoping review is considered appropriate where there is a need to “identify and analyse knowledge gaps” (Munn et al., 2018, p. 2).,Findings from the scoping review indicate that, as yet, the concept of social innovation is not fully defined. However, it has widespread appeal across a diverse range of disciplines and has the potential to generate innovative policy responses.,A key argument identified is the need to change the public’s perceptions of ageing and devise public policies that encourage and nurture age-friendly communities. In summation, although social innovation has the potential to act as a policy driver, but to be effective, it is necessary to devise robust strategies to ensure full user-engagement and active involvement of communities. Therefore, it is the process of delivery that needs urgent attention in any future research into social innovation.
近几十年来，社会创新受到越来越多的关注(Agostini et al.， 2017)。这项研究的目的是考虑如何将这一概念应用于老龄化问题，以及可以从有效的政策反应中学到什么。由于人们普遍缺乏对这一概念的理解，因此对与老年人有关的社会创新项目的现有证据进行一次范围审查是及时的。在需要“识别和分析知识差距”的情况下，范围界定审查被认为是适当的(Munn等人，2018年，第2页)。范围界定审查的结果表明，到目前为止，社会创新的概念还没有完全定义。然而，它在不同的学科范围内具有广泛的吸引力，并有可能产生创新的政策反应。一个关键的论点是需要改变公众对老龄化的看法，并制定公共政策，鼓励和培育老年人友好社区。总而言之，虽然社会创新具有作为政策驱动因素的潜力，但要想有效，就必须制定强有力的战略，以确保用户的充分参与和社区的积极参与。因此，在未来的社会创新研究中，迫切需要关注的是交付的过程。
{"title":"The application of social innovation as it relates to older people and the implications for future policymaking: a scoping review","authors":"Holly Crossen-White, A. Hemingway, A. Ladkin","doi":"10.1108/qaoa-04-2020-0014","DOIUrl":"https://doi.org/10.1108/qaoa-04-2020-0014","url":null,"abstract":"Social innovation has received increasing attention in recent decades (Agostini et al., 2017). This study aims to consider how the concept has been applied to the issue of ageing and what can be learnt about effective policy responses.,The acknowledged lack of understanding generally about the concept makes it timely to undertake a scoping review of the current evidence from social innovation projects associated with older people. A scoping review is considered appropriate where there is a need to “identify and analyse knowledge gaps” (Munn et al., 2018, p. 2).,Findings from the scoping review indicate that, as yet, the concept of social innovation is not fully defined. However, it has widespread appeal across a diverse range of disciplines and has the potential to generate innovative policy responses.,A key argument identified is the need to change the public’s perceptions of ageing and devise public policies that encourage and nurture age-friendly communities. In summation, although social innovation has the potential to act as a policy driver, but to be effective, it is necessary to devise robust strategies to ensure full user-engagement and active involvement of communities. Therefore, it is the process of delivery that needs urgent attention in any future research into social innovation.","PeriodicalId":44916,"journal":{"name":"Quality in Ageing and Older Adults","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2020-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/qaoa-04-2020-0014","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44839500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-11-17DOI: 10.1108/QAOA-09-2020-0046
J. Pringle, R. Jepson, A. Dawson, L. McCabe, A. Bowes
Purpose One limitation of research that assesses the effectiveness of physical activity interventions for people with dementia is that most do not describe the intervention in sufficient detail to ascertain a theoretical basis or mechanism of action that determines the effective components. This paper aims to identify studies which evaluate the mechanisms of action of physical activity interventions for people with dementia, to further inform effective intervention development. Design/methodology/approach Papers were screened for evidence of evaluation of specific forms of physical activity, using pre-defined inclusion criteria. Analysis was conducted to ascertain if mechanisms of action were corroborated by data within and between studies. Findings The authors identified 26 studies with a measured mechanism of action; these related to the effects of physical activity on either neurological structure or endocrinal markers, including hormones. Physical activity had potential to reduce hippocampal atrophy, increase neural recruitment, activate the noradrenergic system and improve anti-inflammatory responses. While individual studies were hampered by small sample sizes, the body of evidence indicated that physical activity may have potential to delay cognitive decline. Practical implications Mechanisms of action in relation to dementia and physical activity are likely to be multifaceted, and physical activity may be protective against progression in the early stages of cognitive decline. Physical activity may be of greatest benefit if incorporated into on-going lifestyle, rather than engaged in for short periods, and combined with social interaction. Originality/value This paper is unique in its focus on the mechanisms of action of physical activity interventions for people with dementia.
{"title":"How does physical activity benefit people living with dementia? A systematic review to identify the potential mechanisms of action","authors":"J. Pringle, R. Jepson, A. Dawson, L. McCabe, A. Bowes","doi":"10.1108/QAOA-09-2020-0046","DOIUrl":"https://doi.org/10.1108/QAOA-09-2020-0046","url":null,"abstract":"\u0000Purpose\u0000One limitation of research that assesses the effectiveness of physical activity interventions for people with dementia is that most do not describe the intervention in sufficient detail to ascertain a theoretical basis or mechanism of action that determines the effective components. This paper aims to identify studies which evaluate the mechanisms of action of physical activity interventions for people with dementia, to further inform effective intervention development.\u0000\u0000\u0000Design/methodology/approach\u0000Papers were screened for evidence of evaluation of specific forms of physical activity, using pre-defined inclusion criteria. Analysis was conducted to ascertain if mechanisms of action were corroborated by data within and between studies.\u0000\u0000\u0000Findings\u0000The authors identified 26 studies with a measured mechanism of action; these related to the effects of physical activity on either neurological structure or endocrinal markers, including hormones. Physical activity had potential to reduce hippocampal atrophy, increase neural recruitment, activate the noradrenergic system and improve anti-inflammatory responses. While individual studies were hampered by small sample sizes, the body of evidence indicated that physical activity may have potential to delay cognitive decline.\u0000\u0000\u0000Practical implications\u0000Mechanisms of action in relation to dementia and physical activity are likely to be multifaceted, and physical activity may be protective against progression in the early stages of cognitive decline. Physical activity may be of greatest benefit if incorporated into on-going lifestyle, rather than engaged in for short periods, and combined with social interaction.\u0000\u0000\u0000Originality/value\u0000This paper is unique in its focus on the mechanisms of action of physical activity interventions for people with dementia.\u0000","PeriodicalId":44916,"journal":{"name":"Quality in Ageing and Older Adults","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2020-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42989713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-11-13DOI: 10.1108/qaoa-09-2020-0045
Madhura Sen, V. D’Souza, Shambhavi Sharma, R. Shenoy
PurposeThis paper aims to discuss and urge further deliberation on possible strategies to help geriatric and special needs patients to receive dental care during the pandemic.Design/methodology/approachThis paper contains literature review of published research articles related to past epidemics, COVID-19 and older persons.FindingsAccurate prediction of adverse outcomes, detection of unidentified problems, improved estimation of residual life expectancy and appropriate use of geriatric interventions is required to understand the necessity of the treatment and effect of possible COVID-19 contraction during the treatment.Research limitations/implicationsThe authors reviewed the only published literature and collated the lessons learnt from past epidemics, as the natural history of the COVID-19 is not known.Practical implicationsFuture dentists must be trained in crisis management to deal with pandemics more effectively. The dental fraternity should be equipped to provide some sort of “psychological counseling and reassurance” prior to dental care to vulnerable individuals with comorbidities and special needs.Originality/valueThere are very few published articles focused on unique dental care plans for geriatric and special needs patients.
{"title":"Adapting new strategies in dental care to help geriatric and special needs patients during COVID-19 pandemic","authors":"Madhura Sen, V. D’Souza, Shambhavi Sharma, R. Shenoy","doi":"10.1108/qaoa-09-2020-0045","DOIUrl":"https://doi.org/10.1108/qaoa-09-2020-0045","url":null,"abstract":"PurposeThis paper aims to discuss and urge further deliberation on possible strategies to help geriatric and special needs patients to receive dental care during the pandemic.Design/methodology/approachThis paper contains literature review of published research articles related to past epidemics, COVID-19 and older persons.FindingsAccurate prediction of adverse outcomes, detection of unidentified problems, improved estimation of residual life expectancy and appropriate use of geriatric interventions is required to understand the necessity of the treatment and effect of possible COVID-19 contraction during the treatment.Research limitations/implicationsThe authors reviewed the only published literature and collated the lessons learnt from past epidemics, as the natural history of the COVID-19 is not known.Practical implicationsFuture dentists must be trained in crisis management to deal with pandemics more effectively. The dental fraternity should be equipped to provide some sort of “psychological counseling and reassurance” prior to dental care to vulnerable individuals with comorbidities and special needs.Originality/valueThere are very few published articles focused on unique dental care plans for geriatric and special needs patients.","PeriodicalId":44916,"journal":{"name":"Quality in Ageing and Older Adults","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2020-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43408316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-11-13DOI: 10.1108/qaoa-07-2020-0029
A. Sixsmith
Purpose This paper aims to provide an overview of the emerging AgeTech sector and highlight key areas for research and development that have emerged under COVID-19, as well as some of the challenges to real-world implementation Design/methodology/approach The paper is a commentary on emerging issues in the AgeTech sector, with particular reference to COVID-19 Information used in this paper is drawn from the Canadian AGE-WELL network Findings The COVID-19 pandemic has particularly impacted older adults Technology has increasingly been seen as a solution to support older adults during this time AgeTech refers to the use of existing and emerging advanced technologies, such as digital media, information and communication technologies (ICTs), mobile technologies, wearables and smart home systems, to help keep older adults connected and to deliver health and community services Research limitations/implications Despite the potential of AgeTech, key challenges remain such as structural barriers to larger-scale implementation, the need to focus on quality of service rather than crisis management and addressing the digital divide Practical implications AgeTech helps older adults to stay healthy and active, increases their safety and security, supports independent living and reduces isolation In particular, technology can support older adults and caregivers in their own homes and communities and meet the desire of most older adults to age in place Social implications AgeTech is helpful in assisting older adults to stay connected The COVID-19 pandemic has shown the importance of the informal social connections and supports within families, communities and voluntary organizations Originality/value The last months have seen a huge upsurge in COVID-19-related research and development, as funding organizations, research institutions and companies pivot to meet the challenges thrown up by the pandemic This paper looks at the potential role of technology to support older adults and caregivers
{"title":"COVID-19 and AgeTech","authors":"A. Sixsmith","doi":"10.1108/qaoa-07-2020-0029","DOIUrl":"https://doi.org/10.1108/qaoa-07-2020-0029","url":null,"abstract":"Purpose This paper aims to provide an overview of the emerging AgeTech sector and highlight key areas for research and development that have emerged under COVID-19, as well as some of the challenges to real-world implementation Design/methodology/approach The paper is a commentary on emerging issues in the AgeTech sector, with particular reference to COVID-19 Information used in this paper is drawn from the Canadian AGE-WELL network Findings The COVID-19 pandemic has particularly impacted older adults Technology has increasingly been seen as a solution to support older adults during this time AgeTech refers to the use of existing and emerging advanced technologies, such as digital media, information and communication technologies (ICTs), mobile technologies, wearables and smart home systems, to help keep older adults connected and to deliver health and community services Research limitations/implications Despite the potential of AgeTech, key challenges remain such as structural barriers to larger-scale implementation, the need to focus on quality of service rather than crisis management and addressing the digital divide Practical implications AgeTech helps older adults to stay healthy and active, increases their safety and security, supports independent living and reduces isolation In particular, technology can support older adults and caregivers in their own homes and communities and meet the desire of most older adults to age in place Social implications AgeTech is helpful in assisting older adults to stay connected The COVID-19 pandemic has shown the importance of the informal social connections and supports within families, communities and voluntary organizations Originality/value The last months have seen a huge upsurge in COVID-19-related research and development, as funding organizations, research institutions and companies pivot to meet the challenges thrown up by the pandemic This paper looks at the potential role of technology to support older adults and caregivers","PeriodicalId":44916,"journal":{"name":"Quality in Ageing and Older Adults","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2020-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/qaoa-07-2020-0029","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42204360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-11-09DOI: 10.1108/qaoa-09-2020-0042
Gillian Toms, S. Green, A. Orrell, F. Verity
Purpose Research can be an influential driver in raising care home standards and the well-being and human rights of residents. This paper aims to present a case for how a relational research capacity building programme could advance this agenda. Design/methodology/approach This study uses Axel Honneth’s Recognition Theory as a lens through which to explore organisational and institutional factors (such as research capacity and investment) that can either enable or limit “recognition” in the context of research in care homes. This paper draws on recent evidence from the COVID-19 pandemic in the UK and worldwide, to argue that such a relational capacity building agenda is even more pressing in the current context, and that it resonates with evidence from existing relational capacity building initiatives. Findings A lack of relevant research arguably contributed to the crisis experienced by the care home sector early in the pandemic, and there are only tentative signs that residents, care home providers and staff are now informing the COVID-19 research agenda. Evidence from pre COVID-19 and insights from Honneth’s Recognition Theory suggest that relational approaches to building research capacity within the care home sector can better generate evidence to inform practice. Originality/value This is a novel application of recognition theory to research in the care home sector. Drawing on theory, as well as evidence, has enabled the authors to provide a rationale as to why relationship-based research capacity building in care homes warrants further investment.
{"title":"Building relational research capacity in care homes in the COVID-19 era: applying recognition theory to the research agenda","authors":"Gillian Toms, S. Green, A. Orrell, F. Verity","doi":"10.1108/qaoa-09-2020-0042","DOIUrl":"https://doi.org/10.1108/qaoa-09-2020-0042","url":null,"abstract":"Purpose\u0000Research can be an influential driver in raising care home standards and the well-being and human rights of residents. This paper aims to present a case for how a relational research capacity building programme could advance this agenda.\u0000\u0000\u0000Design/methodology/approach\u0000This study uses Axel Honneth’s Recognition Theory as a lens through which to explore organisational and institutional factors (such as research capacity and investment) that can either enable or limit “recognition” in the context of research in care homes. This paper draws on recent evidence from the COVID-19 pandemic in the UK and worldwide, to argue that such a relational capacity building agenda is even more pressing in the current context, and that it resonates with evidence from existing relational capacity building initiatives.\u0000\u0000\u0000Findings\u0000A lack of relevant research arguably contributed to the crisis experienced by the care home sector early in the pandemic, and there are only tentative signs that residents, care home providers and staff are now informing the COVID-19 research agenda. Evidence from pre COVID-19 and insights from Honneth’s Recognition Theory suggest that relational approaches to building research capacity within the care home sector can better generate evidence to inform practice.\u0000\u0000\u0000Originality/value\u0000This is a novel application of recognition theory to research in the care home sector. Drawing on theory, as well as evidence, has enabled the authors to provide a rationale as to why relationship-based research capacity building in care homes warrants further investment.","PeriodicalId":44916,"journal":{"name":"Quality in Ageing and Older Adults","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2020-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/qaoa-09-2020-0042","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49532022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-11-09DOI: 10.1108/qaoa-02-2020-0002
A. Bosco, J. Schneider, Donna Maria Coleston-Shields, M. Orrell
Purpose This study aims to explore the coping styles that can be inferred from the discourse of dyads with dementia, and how these appear to impact on care management. Design/methodology/approach This was a case study approach. Participants were recruited from two teams managing crisis in dementia in the UK. The authors conducted multiple qualitative interviews with people with dementia and their family carers over the course of one month. The analysis was first performed through thematic analysis. Data were further analysed through narrative inquiry to create a story line, or play in our case, for our findings. Findings Five dyads were interviewed and a total of 16 interviews were conducted. Three dyads were husband–wife and two were daughter–mother relationships. The mean age was 67.4 years for carers and 79.8 years for people with dementia. In these cases, the carer assumed responsibility for managing the episode and was more likely to seek formal help if a pre-existing plan was in place. Otherwise, when a crisis arose, dyads preferred to avoid involving professionals. Practical implications Psychosocial interventions should aim to identify and replace unhelpful strategies used by dyads to manage crisis episodes. Originality/value To the best of the authors’ knowledge, this is the first study using qualitative interviews of dyads to inquire into their experience of mental health crisis.
{"title":"Narrative inquiry on case studies of crisis in dementia","authors":"A. Bosco, J. Schneider, Donna Maria Coleston-Shields, M. Orrell","doi":"10.1108/qaoa-02-2020-0002","DOIUrl":"https://doi.org/10.1108/qaoa-02-2020-0002","url":null,"abstract":"\u0000Purpose\u0000This study aims to explore the coping styles that can be inferred from the discourse of dyads with dementia, and how these appear to impact on care management.\u0000\u0000\u0000Design/methodology/approach\u0000This was a case study approach. Participants were recruited from two teams managing crisis in dementia in the UK. The authors conducted multiple qualitative interviews with people with dementia and their family carers over the course of one month. The analysis was first performed through thematic analysis. Data were further analysed through narrative inquiry to create a story line, or play in our case, for our findings.\u0000\u0000\u0000Findings\u0000Five dyads were interviewed and a total of 16 interviews were conducted. Three dyads were husband–wife and two were daughter–mother relationships. The mean age was 67.4 years for carers and 79.8 years for people with dementia. In these cases, the carer assumed responsibility for managing the episode and was more likely to seek formal help if a pre-existing plan was in place. Otherwise, when a crisis arose, dyads preferred to avoid involving professionals.\u0000\u0000\u0000Practical implications\u0000Psychosocial interventions should aim to identify and replace unhelpful strategies used by dyads to manage crisis episodes.\u0000\u0000\u0000Originality/value\u0000To the best of the authors’ knowledge, this is the first study using qualitative interviews of dyads to inquire into their experience of mental health crisis.\u0000","PeriodicalId":44916,"journal":{"name":"Quality in Ageing and Older Adults","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2020-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/qaoa-02-2020-0002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41522574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-08-31DOI: 10.1108/qaoa-11-2019-0066
J. Iparraguirre
This paper aims to whether current public expenditure on adult social care services might be associated with the number of delayed days of care attributable to the social care system in England.,Panel econometric models on data from local authorities with adult social care responsibilities in England between 2013–2014 and 2018–2019.,After controlling for other organisational sources of inefficiency, the level of demand in the area and the income poverty amongst the resident older population, this paper finds that a 4.5% reduction in current spending per head on adult social care per older person in one year is associated with an increase by 0.01 delayed days per head the following year.,Given the costs of adverse outcomes of delayed transfers of care reported in the literature, this paper suggests that budgetary constraints to adult social care services would represent a false economy of public funds.,This is the first paper that models the association between public spending on adult social care and delayed transfers of care due to issues originating in the social care system in England.
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