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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 0 GERONTOLOGY 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 0 GERONTOLOGY 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
Promoting Active and Healthy Ageing at Day Centers for Older People 在老年人日间中心促进积极和健康的老龄化
IF 2.8 0 GERONTOLOGY Pub Date : 2022-02-22 DOI: 10.1080/01924788.2022.2028050
Åsa Larsson Ranada, J. Österholm
ABSTRACT Day centers provide opportunities for older people to achieve active and healthy aging. Staff play a significant role in day centers, although evidence is lacking concerning their role. To explore the experiences of staff in promoting active and healthy aging at social day centers, interviews with 12 staff working at day centers for older people were carried out. The findings present two categories: the actions of the staff and conditions affecting activities at the day centers. Staff at day centers may play an important role in providing opportunities for older people to maintain health and participation in meaningful activities.
日托中心为老年人提供了实现积极健康老龄化的机会。工作人员在日托中心发挥着重要作用,尽管缺乏证据表明他们的作用。为探讨社会日托中心工作人员在促进老年人积极健康老龄化方面的经验,对12名老年人日托中心工作人员进行了访谈。调查结果分为两类:工作人员的行为和影响日托中心活动的条件。日托中心的工作人员在为老年人提供保持健康和参加有意义活动的机会方面可以发挥重要作用。
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引用次数: 10
The Perceived Long-Term Impact of an Ageing Well Program 老龄化油井计划的长期影响
IF 2.8 0 GERONTOLOGY Pub Date : 2022-02-22 DOI: 10.1080/01924788.2022.2028051
Emma Timmermans, K. Robson, Michael Curtin
ABSTRACT A focus on healthy aging can enhance activity participation, and reduce the impact of chronic diseases and decline in function. Interpretive phenomenological analysis was used to explore the perspectives of nine participants of a university run Aging Well Program (AWP) 12 months following its completion. Analysis of the semi-structured interviews conducted, identified three key themes: 1) Using strategies to keep your mind alert; 2) I now know what to do to maintain my physical wellbeing; and 3) Connections with others. The findings indicated that the AWP had long-term positive cognitive, physical and social impacts, from the perspectives of the participants.
关注健康老龄化可以提高活动参与度,减少慢性疾病和功能下降的影响。本研究采用解释性现象学分析方法,探讨了大学老化井项目(AWP)完成12个月后9名参与者的观点。通过分析所进行的半结构化面试,确定了三个关键主题:1)使用策略来保持头脑清醒;2)我现在知道该怎么做才能保持身体健康;3)与他人的联系。研究结果表明,从参与者的角度来看,AWP具有长期的积极的认知、身体和社会影响。
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引用次数: 4
Toward a Theory of Social Influence in the New Normal 论新常态下的社会影响
IF 2.8 0 GERONTOLOGY Pub Date : 2022-01-02 DOI: 10.1080/01924788.2022.2031165
Weng Marc Lim
ABSTRACT Acknowledging that social influence is complex and multifaceted, this article introduces a new theory to account for the complex relationships among the manifestations of social influence. The new theory, which is called the theory of social influence, theorizes the relationships between social connectedness, social distancing, social norms, social identification, social interaction, social inclusion, and social isolation. The theory is also accompanied by the latest research in the journal related to social influence on aging.
认识到社会影响是复杂和多方面的,本文引入了一种新的理论来解释社会影响表现形式之间的复杂关系。这一新理论被称为社会影响理论,它将社会联系、社会距离、社会规范、社会认同、社会互动、社会包容和社会孤立之间的关系理论化。这一理论还伴随着该杂志上有关社会对老龄化影响的最新研究。
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引用次数: 31
How to Avoid Ageist Language in Aging Research? An Overview and Guidelines 老龄化研究中如何避免使用老年主义语言?概述和指南
IF 2.8 0 GERONTOLOGY Pub Date : 2021-10-02 DOI: 10.1080/01924788.2021.1992712
Carmen Bowman, Weng Marc Lim
Language carries and conveys meaning that feeds assumptions and judgments. However, ageist language is problematic because it perpetuates prejudice (affect), stereotyping (cognition), and discrimination (behavior) against people based on their age. Ageism and ageist language are significant problems in society. Of particular interest in this article is the widespread use of ageist language in research on aging and the need for guidelines to mitigate it. Generally speaking, research on aging intends to improve the quality of life for older people. However, this well-meaning intention may be futile if ageist language continues to be used. The United Nations Committee on Economic, Social, and Cultural Rights (1995) has rejected the term “elderly” in preference for “older persons.” However, a search on Google Scholar for the term “elderly” in the titles of articles published between 2000 and 2020 returns more than 140,000 results, and a search for the term anywhere within articles returns more than 2,000,000 results. These observations highlight the prevalence of ageist language in the literature. Thus, in this article, we suggest guidelines for and provide exemplars of age-related language in two areas: language describing older people and language describing activities. In doing so, we hope to address the problem of ageist language and to promote dignified and respectful language use in commentaries and studies on aging. This is in line with the World Health Organization (2021) decade plan of action for combating ageism, in conjunction with the United Nations Decade of Healthy Aging (2021– 2030).
语言承载和传达的含义为假设和判断提供了依据。然而,年龄歧视语言是有问题的,因为它使基于年龄的人的偏见(影响)、刻板印象(认知)和歧视(行为)永久化。年龄歧视和年龄歧视语言是当今社会存在的重大问题。本文特别感兴趣的是在老龄化研究中广泛使用的年龄歧视语言,以及制定指南以减轻这种语言的必要性。一般来说,研究老龄化的目的是为了提高老年人的生活质量。然而,如果继续使用年龄歧视的语言,这种善意的意图可能是徒劳的。联合国经济、社会和文化权利委员会(1995年)拒绝使用“老年人”一词,而是使用“老年人”。然而,在谷歌Scholar上搜索2000年至2020年间发表的文章标题中的“老年人”一词,返回的结果超过14万个,在文章中的任何地方搜索该词,返回的结果超过200万个。这些观察结果突出了文学中普遍存在的年龄歧视语言。因此,在这篇文章中,我们提出了与年龄相关的语言的指导方针,并提供了两个方面的例子:描述老年人的语言和描述活动的语言。通过这样做,我们希望解决年龄歧视语言的问题,并促进在关于老龄化的评论和研究中使用有尊严和尊重的语言。这符合世界卫生组织(2021年)打击年龄歧视十年行动计划以及联合国健康老龄化十年(2021 - 2030年)。
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引用次数: 16
Impact of a Psychosocial Intervention on Social Interactions between People with Dementia: An Observational Study in a Nursing Home 心理社会干预对痴呆症患者社会交往的影响:一项养老院的观察性研究
IF 2.8 0 GERONTOLOGY Pub Date : 2021-09-16 DOI: 10.1080/01924788.2021.1966574
Jean-Bernard Mabire, Marie-Claire Gay, K. Charras, M. Vernooij-Dassen
ABSTRACT Social activities contribute to social engagement of people with dementia in nursing homes. An observational study was conducted to examine how a multicomponent psychosocial intervention could impact social interactions of people with dementia living in a nursing home. Thirty-six people with moderate to moderately severe dementia received a five-week multicomponent psychosocial intervention. The length of interactions was measured during eight minutes before and after each workshop. Codes, categories and themes of interaction were specified with a content analysis. The mean length of interaction significantly increased after the intervention by 67% between residents (p = .027) and by 151% with care staff (p = .023). Seventeen codes of interaction were observed. Four categories of interactions were identified: memories, feeling about others and self-expression, life in the nursing home, and factual interactions. These categories have been grouped into two themes: small talk (uninvolved conversations) and substantive talk (involved conversations). Substantive talk increased significantly after the intervention (p = .002). Our multicomponent psychosocial intervention seemed to have an impact on social interactions of people with dementia. They were able to speak about several topics and in a substantive way. This kind of intervention promotes social interactions and strengthens social health.
社会活动有助于养老院痴呆症患者的社会参与。一项观察性研究旨在研究多成分心理社会干预如何影响住在养老院的痴呆症患者的社会互动。36名中度至中度痴呆症患者接受了为期5周的多成分社会心理干预。在每次研讨会之前和之后的8分钟内测量交互的长度。通过内容分析指定了交互的代码、类别和主题。干预后,居民之间的平均互动时间显著增加67% (p = 0.027),护理人员之间的平均互动时间显著增加151% (p = 0.023)。观察到17种相互作用代码。他们确定了四类互动:记忆、对他人的感觉和自我表达、养老院的生活和事实互动。这些类别被分为两个主题:闲聊(不涉及的谈话)和实质性谈话(涉及的谈话)。实质性谈话在干预后显著增加(p = 0.002)。我们的多成分社会心理干预似乎对痴呆症患者的社会互动有影响。他们能够就几个主题进行实质性的讨论。这种干预促进了社会互动,加强了社会健康。
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引用次数: 9
The Engage-Disengage Model as an Inclusive Model for the Promotion of Healthy and Successful Aging in the Oldest-old 参与-脱离模式作为促进老年人健康和成功老龄化的包容性模式
IF 2.8 0 GERONTOLOGY Pub Date : 2021-09-01 DOI: 10.1080/01924788.2021.1970892
Freda N. Gonot-Schoupinsky, G. Garip, D. Sheffield
ABSTRACT Theories relating to healthy and successful aging do not specifically cater for the oldest-old. This predominantly theoretical research considers the relevance of existing healthy and successful aging theories in the oldest-old. It explores a small sample of interviews of independently living oldest-old using Differential Qualitative Analysis. The Activity Theory and the Disengagement Theory were particularly relevant to investigate differences. The Engage-Disengage model was conceived as a pragmatic holistic model to address specific challenges facing the oldest-old. Engage-Disengage reflects attainable healthy and successful aging in the oldest-old according to individual abilities (intrinsic physical and mental capacities), values, and external resources (social, material, and environmental).
有关健康和成功老龄化的理论并不专门针对老年人。这项主要的理论研究考虑了现有的健康和成功的衰老理论在老年人中的相关性。它探索了一个小样本的访谈独立生活的老人使用差分定性分析。活动理论和脱离理论与研究差异特别相关。参与-脱离模式被认为是一种实用的整体模式,用于解决老年人面临的具体挑战。参与-脱离反映了根据个人能力(内在的身体和心理能力)、价值观和外部资源(社会、物质和环境)在老年人中可以实现的健康和成功的老龄化。
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引用次数: 14
Preventing Alzheimer's and Other Dementias 预防阿尔茨海默氏症和其他痴呆症
IF 2.8 0 GERONTOLOGY Pub Date : 2021-07-03 DOI: 10.1080/01924788.2021.1915677
M. Maclagan, Boyd H. Davis
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引用次数: 0
Bipolar, Not So Much: Understanding Your Mood Swings and Depression 躁郁症,不是那么多:了解你的情绪波动和抑郁
IF 2.8 0 GERONTOLOGY Pub Date : 2021-07-03 DOI: 10.1080/01924788.2021.1917260
Robin Treistman
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引用次数: 0
期刊
Activities Adaptation & Aging
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