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The Impact of FFC-AL-EIT-D in Assisted Living during the COVID-19 Pandemic COVID-19大流行期间FFC-AL-EIT-D对辅助生活的影响
IF 2.8 Q1 Health Professions Pub Date : 2022-06-15 DOI: 10.1080/01924788.2022.2087284
B. Resnick, E. Galik, Rachel McPherson, Erin Vigne, Sarah D. Holmes
ABSTRACT The purpose of this study was to test the preliminary effectiveness and feasibility of implementation of Function Focused Care for Assisted Living Using the Evidence Integration Triangle in Assisted Living Communities with Residents with Dementia (FFC-AL-EIT-D) during the pandemic. This was a single group pre-post study design including 51 communities in a single state. The communities ranged in size from 8 to 50 residents with a mean of 13 (SD = 7). The majority (99%) were for profit. Following implementation of FFC-AL-EIT-D there was significant improvement in environments and policies supporting physical activity and some evidence suggesting they used new supplies to engage residents in physical activity. There was no change in falls, emergency room, hospital, or nursing home transfers.
摘要:本研究的目的是在大流行期间,使用证据整合三角(FFC-AL-EIT-D)在痴呆居民辅助生活社区实施功能聚焦护理的初步有效性和可行性。这是一个单组前后研究设计,包括单个州的51个社区。这些社区的规模从8到50人不等,平均为13人(SD = 7)。大多数(99%)以营利为目的。在FFC-AL-EIT-D实施后,支持体育活动的环境和政策有了显著改善,一些证据表明他们使用了新的供应品来吸引居民参加体育活动。在跌倒、急诊室、医院或养老院的转移中没有变化。
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引用次数: 2
Older Adults’ Experiences of the Covid-19 Restrictions on Religious Gatherings 老年人对新冠肺炎宗教集会限制的体验
IF 2.8 Q1 Health Professions Pub Date : 2022-04-12 DOI: 10.1080/01924788.2022.2065436
Andrea Kenkmann, Joachim Burkard
ABSTRACT Attending church services is an important experience for many older adults. Social distancing measures during the Covid-19 pandemic prompted a temporary suspension of church services. During this lockdown period, churches provided a range of alternative service formats. This study investigates how older people experienced these. Telephone interviews were conducted with 12 regular churchgoers between the ages of 67 and 94 during the lockdown period in three Roman Catholic parishes in Southern Germany. Participants missed church services, but valued various alternative formats. The cemetery became a focal meeting point for some older parishioners. Flexibility in the organization of spiritual support was appreciated.
摘要参加教堂礼拜对许多老年人来说是一种重要的体验。新冠肺炎大流行期间的社交距离措施导致教堂服务暂时暂停。在封锁期间,教堂提供了一系列替代服务形式。这项研究调查了老年人是如何经历这些的。在封锁期间,在德国南部的三个罗马天主教教区,对12名年龄在67岁至94岁之间的经常去教堂的人进行了电话采访。参与者错过了教堂服务,但重视各种替代形式。墓地成为一些年长的教区居民的焦点。在组织精神支持方面的灵活性受到赞赏。
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引用次数: 4
Promising Practices for Social Connectedness, Fall Prevention, and Improved Cognition: Should Social Care Be Prescribed? Should Life Be Medicalized? 社会联系、预防跌倒和改善认知的有前途的实践:应该规定社会护理吗?生命应该医学化吗?
IF 2.8 Q1 Health Professions Pub Date : 2022-04-03 DOI: 10.1080/01924788.2022.2070947
Carmen Bowman, Weng Marc Lim
The life of older adults is multi-faceted and the same can be said about the efforts to improve older adults’ quality of life. In this latest issue of Activities, Adaptations and Aging: Purposeful and Dignified Living for Older Adults, we present four exciting articles contributed by scholars from Mexico and the UK. Using a systematic literature review guided by the PRISMA protocol, Shoesmith, Charura, and Surr (2022) consolidated extant evidence on the effective components of visual arts that support older people with dementia. Their review reveals many positive outcomes for older people who have attended visual arts sessions. The benefits include but are not limited to improvements in cognition, communication, confidence, engagement, health, morale, quality of life, self-esteem, social connection, and wellbeing. Visual arts are well known for uncovering and exploring emotions, something desperately needed at least as an option for older people yearning to express emotion. Visual arts also bring pleasure, new knowledge, and new skills while facilitating self-expression. The review highlighted a profound observation by Walsh et al. (2011) that older people “seemed to be thirsting for contact” during visual arts sessions. More importantly, through this review, the authors discovered that the effectiveness of visual arts can be shaped by session content, participant choice, artistic ability, the role of the facilitator/therapist, group work, and setting. Specifically, the authors found one-hour sessions that are conducted weekly and that provide older people with decision-making opportunities such as the choice of art mediums to be highly encouraging. In addition, the authors observed that sessions that include both art viewing and art making together positively affect older people’s wellbeing. Noteworthily, visual arts sessions provide a natural setting for socialization, whereby participants talk with each other and compliment each other’s work. Also discovered was that visual arts experience by participants is not necessary whereas, and not surprising, skilled facilitation does make a positive difference when facilitators are skilled in both arts and serving older people with dementia. This work fits well with Lim’s (2022) theory of social influence as older people living with dementia are “thirsting for contact.” Thus, visual arts sessions can be considered in attempts to satisfy the need for social connectedness. ACTIVITIES, ADAPTATION & AGING 2022, VOL. 46, NO. 2, 91–95 https://doi.org/10.1080/01924788.2022.2070947
老年人的生活是多方面的,提高老年人生活质量的努力也是如此。在最新一期的《活动、适应和老龄化:老年人有目的和有尊严的生活》中,我们介绍了墨西哥和英国学者撰写的四篇令人兴奋的文章,Surr(2022)整合了支持老年痴呆症患者的视觉艺术有效成分的现有证据。他们的评论揭示了参加过视觉艺术课程的老年人的许多积极成果。这些好处包括但不限于改善认知、沟通、信心、参与度、健康、士气、生活质量、自尊、社会联系和幸福感。视觉艺术以揭示和探索情感而闻名,这是渴望表达情感的老年人迫切需要的一种选择。视觉艺术在促进自我表达的同时,也带来了快乐、新知识和新技能。该评论强调了Walsh等人(2011)的一项深刻观察,即老年人在视觉艺术课程中“似乎渴望接触”。更重要的是,通过这篇综述,作者发现视觉艺术的有效性可以由会话内容、参与者选择、艺术能力、促进者/治疗师的角色、小组工作和环境来塑造。具体而言,作者发现,每周进行一小时的会议,为老年人提供决策机会,如选择艺术媒介,非常令人鼓舞。此外,作者观察到,包括艺术观看和艺术制作在内的课程对老年人的健康有积极影响。值得注意的是,视觉艺术课程为社会化提供了一个自然的环境,参与者可以在这里相互交谈并称赞对方的工作。另一项发现是,参与者的视觉艺术体验是不必要的,而当促进者精通艺术并为患有痴呆症的老年人服务时,熟练的引导确实会产生积极的影响,这也就不足为奇了。这项工作非常符合Lim(2022)的社会影响理论,因为患有痴呆症的老年人“渴望接触”。因此,视觉艺术课程可以被视为满足社会联系的需要。活动,适应与衰老2022,第46卷,第2期,91-95https://doi.org/10.1080/01924788.2022.2070947
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引用次数: 9
Therapeutic Choirs for Families Living with Dementia: A Phenomenological Study 痴呆家庭治疗性唱诗班:现象学研究
IF 2.8 Q1 Health Professions Pub Date : 2022-03-27 DOI: 10.1080/01924788.2022.2056682
Zara Thompson, J. Tamplin, I. Clark, F. Baker
ABSTRACT This paper seeks to represent the perspectives of community-dwelling people who are living with dementia and their family care-partners, who participated community-based, therapeutic choirs that were formed as part of the Remini-Sing project. Interpretative Phenomenological Analysis (IPA) was used to analyze data from interviews with fourteen participants (7 people living with dementia [4 women, mean age = 82] and 7 care-partners [5 women, mean age = 68]). Eight themes identified the perceived benefits of choir singing and elements of the choirs and research project more broadly that influenced participation. Findings support past research that suggests choir singing is an accessible and enjoyable activity that can support the health and wellbeing of people living with dementia and their family care-partners. Challenges with recruitment and sustainability of programs post-research are highlighted.
摘要本文旨在代表社区痴呆症患者及其家庭护理伙伴的观点,他们参与了作为Remini Sing项目一部分成立的社区治疗合唱团。解释性现象学分析(IPA)用于分析对14名参与者(7名痴呆症患者[4名女性,平均年龄=82]和7名护理伙伴[5名妇女,平均年龄=68])的访谈数据。八个主题确定了唱诗班唱歌的感知益处以及影响参与的唱诗班和研究项目的更广泛元素。研究结果支持了过去的研究,该研究表明,唱诗班是一种方便和愉快的活动,可以支持痴呆症患者及其家庭护理伙伴的健康和福祉。强调了研究后项目的招聘和可持续性方面的挑战。
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引用次数: 10
Factors Associated with Physical Activity in Jordanian Older People 约旦老年人体育活动的相关因素
IF 2.8 Q1 Health Professions Pub Date : 2022-03-25 DOI: 10.1080/01924788.2022.2056681
Jennifer Muhaidat, L. Al-Khlaifat, Emad Al-Yahya, Maha T. Mohammad, R. Okasheh, Dania Qutishat, H. Dawes
ABSTRACT This study aimed to explore factors associated with Physical Activity (PA) in Jordanian older people. Global Physical Activity Questionnaire was used to measure PA in 120 adults aged ≥ 60 years. Physical and psychosocial factors related to PA were measured including gait and balance, cognition, health-related quality of life, self-reported health, fear of falling and sociodemographic factors. Multiple linear regression analysis showed that longer sedentary time (Beta = −0.23, p = .009) and female gender (Beta = −0.36, p < .001) predicted lower PA. Use of walking aids (Beta = 0.21, p = .02) and poorer perceived general health (Beta = −0.25, p = .01) predicted longer sedentary time. Only small variance (adjusted R2 = 0.25 for PA and 0.22 for sedentary time, p < .001) was explained by the variables. Larger scale studies should explore cultural and environmental factors that could explain PA in this population.
本研究旨在探讨约旦老年人身体活动(PA)的相关因素。采用全球身体活动问卷对120名年龄≥60岁的成年人进行PA测量。测量了与PA相关的生理和心理因素,包括步态和平衡、认知、健康相关的生活质量、自我报告的健康状况、对摔倒的恐惧和社会人口因素。多元线性回归分析显示,久坐时间越长(Beta = - 0.23, p = 0.009)和女性(Beta = - 0.36, p < 0.001)预测PA降低。使用助行器(Beta = 0.21, p = 0.02)和较差的总体健康状况(Beta = - 0.25, p = 0.01)预示着久坐的时间更长。只有很小的方差(调整后的R2 = 0.25 PA和0.22久坐时间,p < 0.001)被变量解释。更大规模的研究应该探索文化和环境因素可以解释这一人群的PA。
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引用次数: 1
Older Adults’ Relocation Transitions: Relation of Place, Leisure and Identity 老年人的搬迁变迁:地点、休闲与身份的关系
IF 2.8 Q1 Health Professions Pub Date : 2022-03-25 DOI: 10.1080/01924788.2022.2056679
K. Prentice, C. Hand, L. Misener, J. Hopkins
ABSTRACT Research and theory suggest that leisure, sense of home, and identity are all implicated in older adults moving to new residences. An integrative review was conducted to provide a more in-depth understanding of how these concepts inter-relate and shape older adults’ moving to new homes. Seventeen studies were included, and thematic analysis showed that older adults continued, adapted, and changed their leisure activities and used leisure to develop a sense of home and maintain identity. This review can inform practice and policy initiatives, and further research could enhance understanding of leisure’s role in older adults’ transition to new homes.
研究和理论表明,休闲、家的感觉和身份认同都与老年人搬到新的住所有关。进行了一项综合审查,以提供更深入的了解这些概念如何相互关联并影响老年人搬到新家。17项研究被纳入其中,主题分析表明,老年人继续、适应和改变他们的休闲活动,并利用休闲来培养一种家的感觉和保持身份。这一综述可以为实践和政策举措提供信息,进一步的研究可以增强对休闲在老年人过渡到新家中的作用的理解。
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引用次数: 6
Digital Compensatory Cognitive Training for Older Adults with Memory Complaints 老年记忆障碍患者的数字补偿认知训练
IF 2.8 Q1 Health Professions Pub Date : 2022-03-02 DOI: 10.1080/01924788.2022.2044989
L. Klaming, L. Robbemond, P. Lemmens, Evelijne Hart de Ruijter
ABSTRACT Many older people experience everyday memory complaints which can be a precursor condition to mild cognitive impairment and dementia. Research has consistently shown that compensatory cognitive training (CCT) benefits cognition in older adults. Providing CCT in a computerized format makes it more accessible and reduces its costs. We studied a newly developed digital CCT for older adults with everyday memory complaints that is multi-factorial and based on empirically supported techniques to improve memory. 55 older adults with self-reported everyday memory complaints participated in a study with outcomes assessed at baseline and post-intervention. We found that participants in the experimental condition improved significantly on the main objective outcome measure assessing associative memory compared to participants in a waitlist control condition. Specifically, after correcting for learning effects, 28% of participants in the experimental condition showed a reliable improvement. No effects were found on other objective outcome measures, most notably those assessing transfer to novel tasks. Participants in the experimental condition scored higher on measures of memory satisfaction, use of internal memory strategies, and quality of life. These findings contribute to existing knowledge on CCT by providing partial evidence for the efficacy of a digital CCT for older adults with everyday memory complaints. We recommend the use of digital CCT for older adults who experience memory complaints in their everyday life, but who do not qualify for medical treatment. Particular attention needs to be given to enhancing transfer of the learned strategies to everyday life.
摘要许多老年人每天都会出现记忆障碍,这可能是轻度认知障碍和痴呆的前兆。研究一致表明,补偿性认知训练(CCT)有利于老年人的认知。以计算机化格式提供CCT使其更容易访问并降低成本。我们研究了一种新开发的针对有日常记忆抱怨的老年人的数字CCT,该数字CCT是多因素的,基于经验支持的改善记忆的技术。55名自我报告日常记忆抱怨的老年人参加了一项研究,在基线和干预后评估了结果。我们发现,与等待名单对照条件下的参与者相比,实验条件下的受试者在评估联想记忆的主要客观结果测量方面显著改善。具体来说,在校正了学习效果后,28%的参与者在实验条件下表现出了可靠的改善。没有发现对其他客观结果指标的影响,尤其是那些评估向新任务转移的指标。实验条件下的参与者在记忆满意度、内部记忆策略的使用和生活质量方面得分更高。这些发现为数字CCT对有日常记忆主诉的老年人的疗效提供了部分证据,从而为现有的CCT知识做出了贡献。我们建议在日常生活中遇到记忆问题但不符合医疗条件的老年人使用数字CCT。需要特别注意加强将学到的策略转移到日常生活中。
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引用次数: 7
Social Media Usage among Older Adults: Insights from Nigeria 老年人使用社交媒体的情况:来自尼日利亚的见解
IF 2.8 Q1 Health Professions Pub Date : 2022-02-27 DOI: 10.1080/01924788.2022.2044975
O. Oyinlola
ABSTRACT There has been very little research and policy regarding the inclusion of older adults in new technological applications in Nigeria and other sub-Saharan African region. The study examined the use of social media among older adults in Ibadan, South-West, Nigeria using a semi-structured interview. A qualitative explorative study was set-up, involving six consenting members of the Nigerian Union of Pensioners (NUP), Ibadan branch whose age is above 55 years. Purposive sampling technique was used to include the participants who have access to a social media-enabled phone. A semi-structured was conducted to obtain information about the social media usage among the older adults. Thematic analysis was used to analyze interview transcripts. The mean age of the older adults is 58.5. Two themes emerged from the interview session: experience and barriers to social media use. Participants had an exciting experience using social media to maintain social connectedness and barriers associated with privacy, poor access to the internet, illiteracy, and frustration. The study concludes that social media use is essential to sustaining social connectedness among older adults. Desire to use social media among the older adults is embedded in their social, personal, and cognitive context. The study advocates for inclusive digital programming for older adults.
摘要在尼日利亚和其他撒哈拉以南非洲地区,关于将老年人纳入新技术应用的研究和政策很少。这项研究采用半结构化访谈的方式,调查了尼日利亚西南部伊巴丹的老年人对社交媒体的使用情况。建立了一项定性探索性研究,涉及尼日利亚养老金领取者联盟(NUP)伊巴丹分会的六名年龄在55岁以上的成员。有目的的抽样技术被用于包括可以使用社交媒体手机的参与者。进行了一项半结构化调查,以获取有关老年人社交媒体使用情况的信息。专题分析用于分析访谈记录。老年人的平均年龄为58.5岁。采访中出现了两个主题:经验和社交媒体使用的障碍。参与者在使用社交媒体来保持社交联系以及与隐私、难以上网、文盲和沮丧相关的障碍方面有着令人兴奋的经历。该研究得出结论,社交媒体的使用对维持老年人的社会联系至关重要。老年人使用社交媒体的愿望植根于他们的社交、个人和认知环境中。该研究倡导为老年人提供包容性的数字节目。
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引用次数: 7
Identifying Sensory Preferences in People with Changes in Cognition: The SPACE Tool 识别认知变化人群的感官偏好:空间工具
IF 2.8 Q1 Health Professions Pub Date : 2022-02-23 DOI: 10.1080/01924788.2022.2044988
K. Laver, Fotini Yannelis, Stephen Flatman, Heather Block, Miia Rahja
ABSTRACT People with changes in cognition and changes in sensory function often feel uncomfortable in hospital and residential care home environments. Understanding the person’s sensory preferences and aversions is important in providing high-quality care but current assessments have limitations. Our objective was to develop a tool to identify the sensory preferences and aversions of people experiencing cognitive changes while staying in hospital or residential care homes. The working group developed a tool comprising 11 items, which was named the “Sensory Preferences and Aversions questionnaire for the Care of older adults with dementia in residential Environments” (SPACE) tool. The tool was administered with 56 people with cognitive changes (mean age 78, mean MMSE score 16/30). Data elicited from the tool revealed the varied preferences of individuals, which demonstrates the importance of eliciting this information. For example, while 82% of participants liked listening to music, the remainder did not. Information elicited from the tool was useful in guiding care planning including identifying activities that may be of interest to the person. It was able to effectively elicit information about preferences, aversions, and strategies that could be applied when the person became distressed.
摘要认知和感觉功能发生变化的人在医院和疗养院的环境中经常感到不舒服。了解患者的感官偏好和厌恶对于提供高质量的护理很重要,但目前的评估存在局限性。我们的目标是开发一种工具来识别在医院或养老院经历认知变化的人的感官偏好和厌恶。工作组开发了一个由11个项目组成的工具,名为“居住环境中老年痴呆症患者护理的感官偏好和厌恶问卷”(SPACE)工具。该工具适用于56名有认知变化的人(平均年龄78岁,平均MMSE评分16/30)。从该工具获得的数据揭示了个人的不同偏好,这表明了获取这些信息的重要性。例如,82%的参与者喜欢听音乐,其余的则不喜欢。从该工具中获得的信息有助于指导护理规划,包括确定个人可能感兴趣的活动。它能够有效地引出有关偏好、厌恶和策略的信息,这些信息可以在患者感到痛苦时应用。
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引用次数: 5
Unsupervised Home-based Exercise for Rural Frail Elderly: An Evidence-based Case-report 农村体弱老年人无监督家庭锻炼:一份基于证据的案例报告
IF 2.8 Q1 Health Professions Pub Date : 2022-02-23 DOI: 10.1080/01924788.2022.2028052
G. Lazarus, C. H. Soejono
ABSTRACT To summarize the literature investigating the efficacy of unsupervised home-based exercise (UHBE) in managing rural community-dwelling pre-frail and frail elders, we searched, appraised, and ranked eligible studies published until February 18, 2021 according to the level of evidence (LOE). From six randomized trials, we discovered that UHBE yielded favorable effects on frailty by improving strength (LOE II), quality-of-life (LOE II), and flexibility (LOE I–II). Furthermore, UHBE was generally non-inferior to supervised exercise, except in terms of strength (LOE II–III), balance (LOE IV), and physical function (LOE III–IV). As no trials were conducted in rural underdeveloped settings, future studies are warranted.
摘要:为了总结研究无监督家庭锻炼(UHBE)在管理农村社区居住的体弱前期老年人方面的有效性的文献,我们根据证据水平(LOE)对截至2021年2月18日发表的符合条件的研究进行了搜索、评估和排名。从六项随机试验中,我们发现UHBE通过提高力量(LOE II)、生活质量(LOEⅡ)和灵活性(LOE I–II)对虚弱产生了有利的影响。此外,除了在力量(LOE II-III)、平衡(LOE IV)和身体功能(LOE III-IV)方面,UHBE通常不劣于有监督的锻炼。由于没有在欠发达的农村环境中进行试验,未来的研究是有必要的。
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引用次数: 4
期刊
Activities Adaptation & Aging
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