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Perceived Quality of Online Music Therapy Sessions by Older Adults Aging at Home. 老年人在家中的在线音乐治疗课程的感知质量。
IF 1.9 4区 医学 Q3 GERONTOLOGY Pub Date : 2023-12-01 Epub Date: 2023-07-26 DOI: 10.1017/S0714980823000260
Chrissy Pearson, Rosalind Sham, Sandra Gardner, Sarah Klapman, Aviva Altschuler

Online delivery is new to the field of music therapy (MT). This research investigated older adults' perceived quality of MT online by certified music therapists. In this feasibility study, applying both process and outcome assessments, nine older adults volunteered to participate. Zoom was used, and a virtual music therapy (VMT) kit was developed as a resource. Surveys and observed technical difficulties revealed that perceived quality varied slightly by level of technical difficulty experienced; however, overall mean perceived quality was 7.2 out of 9. Post-study interviews revealed three main themes: (a) individual experiences with VMT, (b) individuals' suggestions for further development of VMT sessions, and (c) individuals' personal outcomes from VMT sessions. Participants reported overall positive experiences with VMT. Despite a slight decline in perceived quality when more technical difficulties were present, each participant reported a desire for more sessions, and they would recommend it to others.

在线交付是音乐治疗(MT)领域的新事物。这项研究调查了经认证的音乐治疗师对老年人在线MT的感知质量。在这项可行性研究中,应用过程和结果评估,九名老年人自愿参与。使用Zoom,并开发了一个虚拟音乐治疗(VMT)工具包作为资源。调查和观察到的技术困难表明,感知质量因所经历的技术困难程度略有不同;然而,总体平均感知质量为7.2(满分9)。研究后访谈揭示了三个主要主题:(a)VMT的个人经历,(b)个人对VMT课程进一步发展的建议,以及(c)个人从VMT课程中获得的个人成果。参与者报告了VMT的总体积极经验。尽管当出现更多的技术困难时,感知质量略有下降,但每个参与者都表示希望参加更多的课程,他们会向其他人推荐。
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引用次数: 0
Exploring Constraints to Well-Being for Older Adults in Transition Into an Assisted Living Home: A Qualitative Study. 探索老年人在过渡到辅助生活之家的幸福感的限制:一项定性研究。
IF 1.9 4区 医学 Q3 GERONTOLOGY Pub Date : 2023-12-01 Epub Date: 2023-07-13 DOI: 10.1017/S0714980823000284
Kaitlin E Mueller, Marieke Van Puymbroeck, Brandi M Crowe, Nicole J Davis

Transitions into an assisted living home (ALH) are difficult and may impact the well-being of older adults. A thematic analysis guided by grounded theory was employed to better understand how a transition into an ALH influenced older adults' overall well-being. Individual, face-to-face interviews were conducted with a convenience sample of 14 participants at an ALH in the rural, southeastern U.S. Two central findings that influenced well-being during the transition process were revealed: loss of independence (sub-themes include loss of physical and mental health and loss of driving) and downsizing in space and possessions. The themes support and broaden the Hierarchical Leisure Constraints Theory, a Modified Constraints to Wellbeing model is proposed, and implications for older adult health care practitioners in ALHs are recommended. Further research is needed on the Modified Constraints to Wellbeing model and how to better describe these constraints to older adults' well-being when relocating into ALHs.

过渡到辅助生活之家(ALH)是困难的,可能会影响老年人的福祉。采用基于基础理论的主题分析来更好地理解向ALH的过渡如何影响老年人的整体幸福感。在美国东南部农村的一家ALH,对14名参与者进行了个人面对面访谈。揭示了在过渡过程中影响幸福感的两个核心发现:失去独立性(子主题包括身心健康和驾驶能力的丧失)以及空间和财产的缩减。这些主题支持并拓宽了分层休闲约束理论,提出了一个改进的健康约束模型,并推荐了对ALH中老年医疗保健从业者的启示。需要进一步研究改良的幸福约束模型,以及如何更好地描述这些约束对老年人在搬迁到ALH时的幸福感。
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引用次数: 1
[Importance de la nature, des opportunités d'activités, de leur accessibilité et de leur publicisation pour favoriser la santé positive, la participation sociale et l'équité en santé d'Estriens âgés]. [自然、活动机会、可及性和宣传对促进老年人积极健康、社会参与和健康公平的重要性]。
IF 1.9 4区 医学 Q3 GERONTOLOGY Pub Date : 2023-12-01 Epub Date: 2023-07-28 DOI: 10.1017/S0714980823000193
Macha Maclure, Alyssa Bouffard, Marie-Kristine Morin, Clémence Renaud, Isabelle Tessier-Buisson, Mélanie Levasseur

Cette étude visait à explorer comment les composantes clés de l'environnement des communautés favorisent les résultantes de santé d'Estriens âgés, plus précisément leur santé positive, leur participation sociale et leur équité en santé. Une étude de cas multiples a été réalisée auprès de cinq communautés estriennes (cas) à l'aide de groupes de discussion focalisée (1/communauté) regroupant un total de 49 participants connaissant bien les communautés respectives, soit 47 aînés, 1 conseillère municipale et 1 technicienne en loisir. En rendant accessible et équitable la réalisation d'activités importantes pour les aînés, la nature, une offre d'activités variée, des moyens de communication efficace et les mesures favorisant l'équité avaient une influence positive sur les résultantes de santé. Des facteurs individuels tels qu'un niveau élevé de scolarité et un statut socioéconomique favorable avaient aussi une influence positive. Ces résultats permettent d'outiller les décideurs souhaitant favoriser un vieillissement actif et en santé.

本研究旨在探讨社区环境的关键组成部分如何促进老年东部城镇居民的健康结果,特别是他们的积极健康、社会参与和健康公平。在五个东部城镇社区(CAS)进行了多个案例研究,重点小组(1/社区)共有49名熟悉各自社区的参与者,包括47名老年人、1名市议员和1名娱乐技术员。通过使老年人能够获得和公平地开展重要活动,自然、各种活动、有效的沟通和公平措施对健康结果产生了积极影响。高教育水平和有利的社会经济地位等个人因素也产生了积极影响。这些结果为希望促进积极健康老龄化的决策者提供了工具。
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引用次数: 1
Negotiating Experiences of Belonging Alongside Age-Related Life Transitions. 在与年龄相关的生活转变中谈判归属感的经历。
IF 1.9 4区 医学 Q3 GERONTOLOGY Pub Date : 2023-12-01 Epub Date: 2023-07-31 DOI: 10.1017/S0714980823000338
Darla Fortune, Brittany Weisgarber

Belonging is a pervasive human need that is vital to our well-being as we age. Ageist attitudes, stereotyping, and life transitions tend to jeopardise older adults' experiences of belonging. Although community involvement can lead to the development of social relationships that support belonging in older adulthood, little is known about how belonging is perceived and experienced by older adults. The purpose of this article is to share findings from research conducted with members of a community centre for people 50 years of age and older who shared their perceptions and experiences of belonging. Findings highlight the ways that age-related life transitions affect experiences of belonging. Findings also reveal that features of a belonging experience include feeling worthwhile, being welcomed and accepted, having opportunities for connection, and seeking to belong. We draw from these findings to suggest ways to enhance belonging for older adults.

归属感是人类普遍存在的需求,随着年龄的增长,它对我们的幸福至关重要。老年主义的态度、刻板印象和生活转变往往会危及老年人的归属感。尽管社区参与可以促进社会关系的发展,支持老年人的归属感,但人们对老年人如何感知和体验归属感知之甚少。本文的目的是分享与50岁及以上人群社区中心成员进行的研究结果,这些人分享了他们对归属感的看法和经历。研究结果强调了与年龄相关的生活转变对归属感体验的影响。研究结果还表明,归属感体验的特征包括感觉有价值、受到欢迎和接受、有机会建立联系以及寻求归属感。我们从这些发现中提出了增强老年人归属感的方法。
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引用次数: 0
Older Adults' Quality of Life in Long-Term Care: A Cross-Sectional Comparison Before and During the COVID-19 Pandemic. 老年人在长期护理中的生活质量:COVID-19大流行之前和期间的横断面比较
IF 1.9 4区 医学 Q3 GERONTOLOGY Pub Date : 2023-12-01 Epub Date: 2023-07-10 DOI: 10.1017/S0714980823000272
Danielle Cruise, Danielle Sinden, Mirou Jaana

This study aims to assess changes in long-term care (LTC) residents' quality of life (QoL) before and during the COVID-19 pandemic. A pre-test post-test study of 49 QoL measures, across four dimensions from the interRAI self-reported QoL survey, was conducted. Secondary data from 2019 (n = 116) and 2020 (n = 128) were analysed to assess the change in QoL. A significant decline in 12 measures was observed, indicating a change in QoL of LTC residents during the pandemic. Social life was the dimension mostly affected with residents reporting less opportunities to spend time with like-minded residents, explore new skills and interests, participate in meaningful religious activities, and have enjoyable things to do in the evenings. Several measures of personal control, staff responsiveness and care, and safety also demonstrated a significant change. The results can inform future strategies for pandemic and outbreak preparedness. Balancing the safety of residents with attention to their QoL should be a priority moving forward.

本研究旨在评估新冠肺炎大流行之前和期间长期护理(LTC)居民生活质量(QoL)的变化。对来自RAI自我报告的生活质量调查的四个维度的49项生活质量指标进行了测试前-测试后研究。分析了2019年(n=116)和2020年(n=128)的二次数据,以评估生活质量的变化。观察到12项指标显著下降,表明LTC居民的生活质量在疫情期间发生了变化。社交生活是最受影响的方面,居民报告说,与志同道合的居民相处、探索新技能和兴趣、参加有意义的宗教活动以及晚上做愉快事情的机会较少。个人控制、员工反应能力和护理以及安全方面的一些措施也显示出了重大变化。研究结果可以为未来的大流行和疫情准备策略提供信息。平衡居民的安全和关注他们的生活质量应该是前进的优先事项。
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引用次数: 0
[Les retraités au Canada : portrait comparatif selon le statut d'immigrant]. [加拿大退休人员:移民身份的比较肖像]。
IF 1.9 4区 医学 Q3 GERONTOLOGY Pub Date : 2023-12-01 Epub Date: 2023-07-13 DOI: 10.1017/S0714980823000223
Rafael Silva-Ramirez, Yves Carrière, Alain Gagnon

La retraite au Canada a fait l'objet de plusieurs recherches, mais peu d'études ont comparé le passage de la vie active à la retraite des natifs et des immigrants ainsi que leurs caractéristiques une fois à la retraite, une lacune importante compte tenu de l'augmentation de la part des immigrants parmi les futures cohortes canadiennes de retraités. Cette étude descriptive vise à pallier cette lacune à l'aide des données de l'Enquête sociale générale de 2016. Les résultats montrent, entre autres, que les femmes et les hommes natifs ont plus de chances de prendre leur retraite que les immigrants, quel que soit le groupe d'âge étudié, et que l'âge moyen à la retraite des femmes et hommes immigrants est de deux ans supérieur à celui des natifs. Cette étude suggère que le statut d'immigrant implique une transition vers la retraite différente de celle vécue par les natifs ; différence qui devrait être considérée dans la structure du système de revenus de retraite.

加拿大的退休一直是许多研究的主题,但很少有研究比较本地人和移民从工作到退休的过渡及其退休后的特征,这是一个重大差距,因为移民在未来加拿大退休人群中的比例不断增加。本描述性研究旨在利用2016年一般社会调查的数据解决这一差距。结果表明,除其他外,无论所研究的年龄组如何,土著男女退休的可能性都高于移民,移民男女的平均退休年龄比土著男女高两年。这项研究表明,移民身份意味着向退休的过渡与本地人经历的不同;退休收入体系结构中应考虑的差异。
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引用次数: 0
Cisan and Malahang: Indigenous Older Adults' Voices on Active Aging - Findings from a Qualitative Study in Taiwan. 台湾原住民长者对积极老化之声音:质性研究之结果。
IF 1.9 4区 医学 Q3 GERONTOLOGY Pub Date : 2023-12-01 Epub Date: 2023-07-28 DOI: 10.1017/S0714980823000363
Wasiq Silan, Mai Camilla Munkejord

The Taiwan Government follows the policy of active aging to prevent frailty. However, the current services lack cultural safety toward the Indigenous peoples and would benefit from a broader perspective on what active aging may entail. In this research, we study local perceptions of active aging among older Indigenous Tayal taking part in a local day club. The study identifies two formal activities that foster active aging: (a) information meetings about health and illness and (b) physical activities. In addition, two informal activities highlighted by the participants themselves were identified as necessary for promoting healthy and active aging: Cisan and Malahang. While Cisan means "social care," Malahang means "interrelational care practices." In conclusion, we argue for the relevance of listening to Indigenous older adults' voices to develop long-term care services adapted to their cultural values, linguistic competence, and cosmology.

台湾政府奉行积极老龄化政策,以防止虚弱。然而,目前的服务缺乏对土著人民的文化安全,并将从更广泛的角度受益于积极老龄化可能带来的后果。在这项研究中,我们研究了参加当地日间俱乐部的老年土著Tayal对积极老龄化的当地看法。该研究确定了两种促进积极衰老的正式活动:(a)关于健康和疾病的信息会议和(b)体育活动。此外,与会者自己强调的两项非正式活动被认为是促进健康和积极老龄化所必需的:Cisan和Malahang。Cisan的意思是“社会护理”,Malahang的意思是是“相互关联的护理实践”。总之,我们认为倾听土著老年人的声音有助于发展适应他们文化价值观、语言能力和宇宙观的长期护理服务。
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引用次数: 0
Multi-Level Factors Associated with Relationship-Centred and Task-Focused Mealtime Practices in Long-Term Care: A Secondary Data Analysis of the Making the Most of Mealtimes Study. 与长期护理中以关系为中心和以任务为中心的用餐时间实践相关的多层次因素:充分利用用餐时间研究的二次数据分析。
IF 1.9 4区 医学 Q3 GERONTOLOGY Pub Date : 2023-12-01 Epub Date: 2023-06-06 DOI: 10.1017/S0714980823000156
Sarah A Wu, Jill M Morrison-Koechl, Carrie McAiney, Laura Middleton, Christina Lengyel, Susan Slaughter, Natalie Carrier, Minn-Nyoung Yoon, Heather H Keller
Abstract Mealtimes in long-term care (LTC) can reinforce relationships between staff and residents through relationship-centred care (RCC) practices; however, meals are often task-focused (TF). This cross-sectional study explores multi-level contextual factors that contribute to RCC and TF mealtime practices. Secondary data from residents in 32 Canadian LTC homes were analyzed (n = 634; mean age 86.7 ± 7.8; 31.1% male). Data included resident health record review, standardized mealtime observation tools, and valid questionnaires. A higher average number of RCC (9.6 ± 1.4) than TF (5.6 ± 2.1) practices per meal were observed. Multi-level regression revealed that a significant proportion of variation in the RCC and TF scores was explained at the resident- (intraclass correlation coefficient [ICC]RCC = 0.736; ICCTF = 0.482), dining room- (ICCRCC = 0.210; ICCTF = 0.162), and home- (ICCRCC = 0.054; ICCTF = 0.356) levels. For-profit status and home size modified the associations between functional dependency and practices. Addressing multi-level factors can reinforce RCC practices and reduce TF practices.
长期护理(LTC)可以通过以关系为中心的护理(RCC)实践来加强员工和居民之间的关系;然而,膳食往往是以任务为中心的。这项横断面研究探讨了有助于RCC和TF用餐时间实践的多层次背景因素。对32所加拿大长期护理院的居民的二次数据进行了分析(n=634;平均年龄86.7±7.8;31.1%为男性)。数据包括居民健康记录审查、标准化用餐时间观察工具和有效问卷。观察到每餐RCC的平均数量(9.6±1.4)高于TF(5.6±2.1)。多水平回归显示,RCC和TF评分的显著差异在居民水平(组内相关系数[ICC]RCC=0.736;ICCTF=0.482)、餐厅水平(ICCRCC=0.210;ICCTF=0.162)和家庭水平(ICCRC=0.054;ICCTF=0.356)上得到了解释。对于利润状况和家庭规模,修改了功能依赖性和实践之间的关联。解决多层次因素可以加强RCC实践,减少TF实践。
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引用次数: 1
Understanding the Patient Experience of Foreign-Born Older Adults: A Scoping Review of Older Immigrants Receiving Health Care in Canada. 了解外国出生的老年人的患者体验:对加拿大老年移民接受医疗保健的范围审查。
IF 1.7 4区 医学 Q3 GERONTOLOGY Pub Date : 2023-12-01 Epub Date: 2023-07-10 DOI: 10.1017/S0714980823000235
Jessica Wood, Paul Stolee, Catherine Tong

In Canada, foreign-born older adults (FBOAs) have a higher prevalence of chronic conditions and poorer self-reported physical and mental health than their Canadian-born peers. However, very little research has explored FBOAs' experiences of health care after immigration. This review aims to understand the patient experiences of older immigrants within the Canadian health care system. Employing Arksey and O'Malley's framework for scoping reviews, we searched six databases and identified 12 articles that discussed the patient experience of this population. Although we sought to understand patient experience, the studies largely focused on barriers to care, including: communication difficulties, lack of cultural integration, systematic barriers in health care, financial barriers, and intersecting barriers related to culture and gender.This review provides insight into new areas of research and advocates for strengthened policy and/or programming. Our review also highlights that there is a paucity of literature for an ever-growing segment of the Canadian population.

在加拿大,与加拿大出生的同龄人相比,外国出生的老年人(FBOA)的慢性病患病率更高,自我报告的身心健康状况较差。然而,很少有研究探讨FBOA移民后的医疗保健经历。本综述旨在了解加拿大医疗保健系统中老年移民的患者经历。采用Arksey和O'Malley的范围界定审查框架,我们搜索了六个数据库,确定了12篇讨论该人群患者体验的文章。尽管我们试图了解患者体验,但研究主要集中在护理障碍上,包括:沟通困难、缺乏文化融合、医疗保健的系统性障碍、经济障碍以及与文化和性别相关的交叉障碍。这篇综述深入了解了新的研究领域,并倡导加强政策和/或方案编制。我们的评论还强调,对于越来越多的加拿大人口来说,文献匮乏。
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引用次数: 0
[Implantation de l'Accompagnement-citoyen personnalisé d'intégration communautaire (APIC) : vers l'optimisation de la mise en œuvre de cette approche novatrice visant la participation sociale des aînés]. [实施社区整合个性化公民支持(APIC):优化实施这一旨在老年人社会参与的创新方法]。
IF 1.9 4区 医学 Q3 GERONTOLOGY Pub Date : 2023-12-01 Epub Date: 2023-05-19 DOI: 10.1017/S0714980823000132
Janie Gobeil, Véronique Gaumond, Stéphanie Germain, Audrey Vézina, Anne-Marie Duguay, Mélanie Levasseur

La présente étude visait à documenter l'implantation de l'Accompagnement-citoyen personnalisé d'intégration communautaire (APIC), lors duquel des bénévoles soutiennent la participation sociale d'aînés, dans des organismes communautaires en identifiant les facteurs favorables et défavorables ainsi que ses conditions essentielles. Soutenu par un devis qualitatif descriptif de type recherche clinique, une rencontre et six entretiens semi-dirigés ont été réalisés afin de documenter cette implantation dans six organismes communautaires œuvrant en milieu urbain au Québec (Canada). Selon les six coordonnatrices de l'APIC, les cinq directeurs généraux et l'agente de recherche, le principal facteur favorable est la conviction des responsables de l'implantation en la valeur ajoutée de l'intervention, incluant sa concordance avec la mission et les valeurs des organismes et les besoins de la population qu'ils desservent. Les facteurs défavorables sont principalement la répartition aléatoire et le temps accordé pour l'implantation. Ces résultats permettront de mieux guider l'implantation de l'APIC à plus grande échelle.

本研究旨在记录社区生活个性化公民支持(APIC)的实施情况,志愿者通过确定有利和不利因素及其基本条件,支持老年人参与社区组织。在定性描述性临床研究工作的支持下,举行了一次会议和六次半结构化访谈,以记录在魁北克(加拿大)城市环境中工作的六个社区组织的实施情况。根据APIC的六名协调员、五名总干事和一名研究干事的说法,主要的有利因素是实施者相信干预措施的附加值,包括其与组织的使命和价值观以及他们所服务的人口的需求的一致性。不利因素主要是随机分布和植入时间。这些结果将更好地指导APIC的大规模实施。
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引用次数: 0
期刊
Canadian Journal on Aging-Revue Canadienne Du Vieillissement
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