International Journal of Older People Nursing最新文献_第8页

Psychometric validation of the Chinese digital health literacy instrument among Chinese older adults who have internet use experience 在有互联网使用经验的中国老年人中对中国数字健康素养工具的心理测量验证。

IF 2.2 4区医学 Q2 Nursing

International Journal of Older People Nursing

Pub Date : 2023-10-13 DOI: 10.1111/opn.12568

Luyao Xie MMed, Huahua Hu PhD, Jiaer Lin BA, Phoenix K. H. Mo PhD

Introduction

In this digital age, the Internet has become a major source of health information, and electronic health (eHealth) literacy becomes increasingly important for older individuals to properly use the extensive eHealth resources for self-care. A valid and reliable tool for assessing older people's eHealth literacy would help healthcare workers identify those disadvantaged groups in digital health and provide relevant health education.

Objectives

This study aimed to evaluate the psychometric properties of the Chinese version of DHLI in assessing eHealth literacy among older adults in China.

Methods

A web-based, cross-sectional study was conducted among 277 Chinese older adults from September to November 2021. Two weeks after the first completion, 62 of them answered the C-DHLI again. The reliability (e.g. internal consistency and test–retest reliability), factorial structure and validity (i.e. content validity and convergent validity) of the C-DHLI were evaluated based on the survey data.

Results

The results demonstrated good internal consistency (Cronbach's alpha: 0.94) and test–retest reliability (total intraclass correlation coefficient [ICC]: 0.94) of the C-DHLI. Principal component analysis revealed that the 18 items of C-DHLI loaded on three factors, accounting for 74.69% of the total variance; CFA supported its three-factor structure with good model fits. Convergent validity was examined by the significant associations between C-DHLI and C-eHEALS (r = 0.61), health literacy (r = 0.56), and whether having used the Internet for health information (ρ = 0.43) (ps <.001). A cut-off score of 45 was recommended for determining higher and lower literacy using the C-DHLI, with the area under curve of 0.82 (95% CI = 0.77–0.88).

Conclusions and Implications for Practice

The C-DHLI showed good psychometric performance in assessing eHealth literacy among Chinese older adults. The findings can support healthcare professionals to effectively measure eHealth literacy among older adults and conduct tailored eHealth interventions or training.

引言：在这个数字时代，互联网已经成为健康信息的主要来源，电子健康（eHealth）知识对于老年人正确使用广泛的电子健康资源进行自我护理变得越来越重要。一个有效可靠的评估老年人电子健康素养的工具将帮助医护人员识别数字健康中的弱势群体，并提供相关的健康教育。目的：本研究旨在评估中国版DHLI在评估中国老年人电子健康素养方面的心理测量特性。方法：2021年9月至11月，在277名中国老年人中进行了一项基于网络的横断面研究。在第一次完成两周后，其中62人再次回答了C-DHLI。基于调查数据评估C-DHLI的信度（如内部一致性和重测信度）、因子结构和有效性（即内容有效性和收敛有效性）。结果：结果显示C-DHLI具有良好的内部一致性（Cronbachα=0.94）和重测可靠性（总组内相关系数[ICC]:0.94）。主成分分析显示，C-DHLI的18个项目受三个因素影响，占总方差的74.69%；CFA支持其三因素结构，模型拟合良好。C-DHLI和C-eHEALS之间的显著相关性检验了收敛有效性（r = 0.61），健康素养（r = 0.56），以及是否使用互联网获取健康信息（ρ = 0.43）（ps 结论和实践意义：C-DHLI在评估中国老年人的电子健康素养方面表现出良好的心理测量性能。这些发现可以支持医疗保健专业人员有效测量老年人的电子健康素养，并进行量身定制的电子健康干预或培训。

{"title":"Psychometric validation of the Chinese digital health literacy instrument among Chinese older adults who have internet use experience","authors":"Luyao Xie MMed, Huahua Hu PhD, Jiaer Lin BA, Phoenix K. H. Mo PhD","doi":"10.1111/opn.12568","DOIUrl":"10.1111/opn.12568","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>In this digital age, the Internet has become a major source of health information, and electronic health (eHealth) literacy becomes increasingly important for older individuals to properly use the extensive eHealth resources for self-care. A valid and reliable tool for assessing older people's eHealth literacy would help healthcare workers identify those disadvantaged groups in digital health and provide relevant health education.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study aimed to evaluate the psychometric properties of the Chinese version of DHLI in assessing eHealth literacy among older adults in China.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A web-based, cross-sectional study was conducted among 277 Chinese older adults from September to November 2021. Two weeks after the first completion, 62 of them answered the C-DHLI again. The reliability (e.g. internal consistency and test–retest reliability), factorial structure and validity (i.e. content validity and convergent validity) of the C-DHLI were evaluated based on the survey data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The results demonstrated good internal consistency (Cronbach's alpha: 0.94) and test–retest reliability (total intraclass correlation coefficient [ICC]: 0.94) of the C-DHLI. Principal component analysis revealed that the 18 items of C-DHLI loaded on three factors, accounting for 74.69% of the total variance; CFA supported its three-factor structure with good model fits. Convergent validity was examined by the significant associations between C-DHLI and C-eHEALS (<i>r</i> = 0.61), health literacy (<i>r</i> = 0.56), and whether having used the Internet for health information (<i>ρ</i> = 0.43) (<i>ps</i> <.001). A cut-off score of 45 was recommended for determining higher and lower literacy using the C-DHLI, with the area under curve of 0.82 (95% CI = 0.77–0.88).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions and Implications for Practice</h3>\u0000 \u0000 <p>The C-DHLI showed good psychometric performance in assessing eHealth literacy among Chinese older adults. The findings can support healthcare professionals to effectively measure eHealth literacy among older adults and conduct tailored eHealth interventions or training.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12568","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41216640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Health effects of social connectedness in older adults living in congregate long-term care settings: A systematic review of quantitative and qualitative evidence 长期护理环境中老年人社会联系对健康的影响：定量和定性证据的系统综述。

IF 2.2 4区医学 Q2 Nursing

International Journal of Older People Nursing

Pub Date : 2023-10-07 DOI: 10.1111/opn.12577

Emily Lim MS, Natalia Nielsen MPH, Lucienne Lapane BA, Adrita Barooah MS, MSc, Shu Xu MS, MA, Shan Qu MS, Emily McPhillips BA, Catherine E. Dubé EdD, Kate Lapane PhD, MS

Background

The overall impact of social connectedness on health outcomes in older adults living in nursing homes and assisted living settings is unknown. Given the unclear health impact of social connectedness for older adults in congregate long-term care settings worldwide, a comprehensive systematic review is required to evaluate the overall relationship between social connectedness and health outcomes for them.

Objectives

The purpose of this article was to synthesize the literature regarding the health impact of social connectedness among older adults living in nursing homes or assisted living settings.

Methods

Using PRISMA guidelines, we identified eligible studies from Scopus, MEDLINE, PsycINFO, CINAHL and Cochrane databases (1990–2021). Bias and quality reporting assessment was performed using standardized criteria for cohort, cross sectional and qualitative studies. At each stage, ≥ 2 researchers conducted independent evaluations.

Results

Of the 7350 articles identified, 25 cohort (follow-up range: 1 month–11 years; with two also contributing to cross sectional), 86 cross sectional, eight qualitative and two mixed methods were eligible. Despite different instruments used, many residents living in nursing homes and assisted living settings had reduced social engagement. Quantitative evidence supports a link between higher social engagement and health outcomes most studied (e.g. depression, quality of life). Few studies evaluated important health outcomes (e.g. cognitive and functional decline). Most cohort studies showed that lack of social connectedness accelerated time to death.

Conclusions

Social connectedness may be an important modifiable risk factor for adverse health outcomes for older adults living in nursing homes and assisted living facilities. Most studies were cross sectional and focused on quality of life and mental health outcomes. Longitudinal studies suggest that higher social engagement delays time to death. Evidence regarding other health outcomes important to older adults was scant and requires further longitudinal studies.

背景：社会联系对居住在养老院和辅助生活环境中的老年人健康结果的总体影响尚不清楚。鉴于社会联系对世界各地聚集性长期护理环境中老年人的健康影响尚不清楚，需要进行全面的系统审查，以评估社会联系与他们的健康结果之间的总体关系。目的：本文的目的是综合有关养老院或辅助生活环境中老年人社会联系对健康影响的文献。方法：使用PRISMA指南，我们从Scopus、MEDLINE、PsycINFO、CINAHL和Cochrane数据库（1990-2021）中确定了符合条件的研究。使用队列、横断面和定性研究的标准化标准进行偏差和质量报告评估。在每个阶段，≥ 2名研究人员进行了独立评估。结果：在确定的7350篇文章中，25篇为队列（随访范围：1个月-11 年；其中两种也有助于横截面），86种横截面，8种定性和两种混合方法是合格的。尽管使用了不同的工具，但许多住在疗养院和辅助生活环境中的居民减少了社会参与。定量证据支持较高的社会参与度与大多数研究的健康结果（如抑郁症、生活质量）之间的联系。很少有研究评估重要的健康结果（如认知和功能下降）。大多数队列研究表明，缺乏社会联系会加速死亡。结论：对于居住在养老院和辅助生活设施中的老年人来说，社会联系可能是不良健康结果的一个重要的可改变风险因素。大多数研究都是跨部门的，重点关注生活质量和心理健康结果。纵向研究表明，更高的社会参与度会延迟死亡时间。关于其他对老年人重要的健康结果的证据很少，需要进一步的纵向研究。

{"title":"Health effects of social connectedness in older adults living in congregate long-term care settings: A systematic review of quantitative and qualitative evidence","authors":"Emily Lim MS, Natalia Nielsen MPH, Lucienne Lapane BA, Adrita Barooah MS, MSc, Shu Xu MS, MA, Shan Qu MS, Emily McPhillips BA, Catherine E. Dubé EdD, Kate Lapane PhD, MS","doi":"10.1111/opn.12577","DOIUrl":"10.1111/opn.12577","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The overall impact of social connectedness on health outcomes in older adults living in nursing homes and assisted living settings is unknown. Given the unclear health impact of social connectedness for older adults in congregate long-term care settings worldwide, a comprehensive systematic review is required to evaluate the overall relationship between social connectedness and health outcomes for them.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The purpose of this article was to synthesize the literature regarding the health impact of social connectedness among older adults living in nursing homes or assisted living settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Using PRISMA guidelines, we identified eligible studies from Scopus, MEDLINE, PsycINFO, CINAHL and Cochrane databases (1990–2021). Bias and quality reporting assessment was performed using standardized criteria for cohort, cross sectional and qualitative studies. At each stage, ≥ 2 researchers conducted independent evaluations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 7350 articles identified, 25 cohort (follow-up range: 1 month–11 years; with two also contributing to cross sectional), 86 cross sectional, eight qualitative and two mixed methods were eligible. Despite different instruments used, many residents living in nursing homes and assisted living settings had reduced social engagement. Quantitative evidence supports a link between higher social engagement and health outcomes most studied (e.g. depression, quality of life). Few studies evaluated important health outcomes (e.g. cognitive and functional decline). Most cohort studies showed that lack of social connectedness accelerated time to death.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Social connectedness may be an important modifiable risk factor for adverse health outcomes for older adults living in nursing homes and assisted living facilities. Most studies were cross sectional and focused on quality of life and mental health outcomes. Longitudinal studies suggest that higher social engagement delays time to death. Evidence regarding other health outcomes important to older adults was scant and requires further longitudinal studies.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41172023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

‘I don't want to impose on anybody’: Older people and their families discuss their perceptions of risk, cause and care in the context of falls “我不想强加给任何人”：老年人和他们的家人讨论他们对跌倒风险、原因和护理的看法。

IF 2.2 4区医学 Q2 Nursing

International Journal of Older People Nursing

Pub Date : 2023-09-30 DOI: 10.1111/opn.12578

Lucille Kerr PhD, Paula Newman BN, Philip Russo PhD

Background

Falls in hospitalised patients remain an ongoing challenge for healthcare systems internationally. Limited research exists on the perspectives of older people on falls risk, cause and care.

Objectives

This study explored the experiences of patients and their families after a fall in a healthcare facility.

Methods

Semi-structured interviews were conducted with patients and families to explore the experience of having a fall. Data were analysed thematically.

Results

The themes that emerged from the 14 interviews included the following: explanations; physical environment; communication; experiences of care; perceptions of risk; ageism; feelings towards the fall; and independence and dignity.

Conclusions

This research emphasises the diversity in older people's experiences after experiencing a fall. Falls prevention should be incorporated as one part of healthy, dignified ageing.

Implications for practice

Falls prevention and management strategies should be multifactorial, including enhanced communication with the patient and their families. When engaging in education and awareness, falls prevention should be positioned as one component of independent and dignified healthy ageing.

背景：住院患者的减少仍然是国际医疗系统面临的一个持续挑战。关于老年人跌倒风险、原因和护理的观点研究有限。目的：本研究探讨了患者及其家人在医疗机构摔倒后的经历。方法：对患者及其家属进行半结构化访谈，探讨跌倒的经历。对数据进行了专题分析。结果：14次访谈的主题包括：解释；物理环境；表达护理经验；风险认知；年龄歧视；对秋天的感觉；以及独立和尊严。结论：这项研究强调了老年人跌倒后经历的多样性。预防跌倒应作为健康、有尊严的老龄化的一部分。实践意义：跌倒预防和管理策略应是多因素的，包括加强与患者及其家人的沟通。在进行教育和提高认识时，预防跌倒应被定位为独立和有尊严的健康老龄化的一个组成部分。

{"title":"‘I don't want to impose on anybody’: Older people and their families discuss their perceptions of risk, cause and care in the context of falls","authors":"Lucille Kerr PhD, Paula Newman BN, Philip Russo PhD","doi":"10.1111/opn.12578","DOIUrl":"10.1111/opn.12578","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Falls in hospitalised patients remain an ongoing challenge for healthcare systems internationally. Limited research exists on the perspectives of older people on falls risk, cause and care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study explored the experiences of patients and their families after a fall in a healthcare facility.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Semi-structured interviews were conducted with patients and families to explore the experience of having a fall. Data were analysed thematically.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The themes that emerged from the 14 interviews included the following: <i>explanations; physical environment; communication; experiences of care; perceptions of risk; ageism; feelings towards the fall</i>; and <i>independence and dignity</i>.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This research emphasises the diversity in older people's experiences after experiencing a fall. Falls prevention should be incorporated as one part of healthy, dignified ageing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for practice</h3>\u0000 \u0000 <p>Falls prevention and management strategies should be multifactorial, including enhanced communication with the patient and their families. When engaging in education and awareness, falls prevention should be positioned as one component of independent and dignified healthy ageing.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12578","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41160989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Testing a frailty prevention program for older men during COVID-19: A 2-year mixed-methods pilot study 测试新冠肺炎期间老年男性的虚弱预防计划：一项为期2年的混合方法试点研究。

IF 2.2 4区医学 Q2 Nursing

International Journal of Older People Nursing

Pub Date : 2023-09-29 DOI: 10.1111/opn.12575

Michiyo Hirano Ph.D, Risa Takashima Ph.D, Ryuta Onishi Ph.D, Hiroki Abe PHN, M.S, Kazuko Saeki Ph.D

Background

Frailty is a syndrome related to declining functioning attributed to aging. As a reversible, often improved condition, preventive measures for frailty can be effective.

Objective

This study aimed to evaluate a frailty prevention program for older men comprising face-to-face meetings and an original social mobile application. We also examined the effect of COVID-19-associated social isolation on the implementation of this program.

Methods

We conducted a mixed-methods pilot study featuring a single group before and after comparison of 11 man participants, ≥65 years, living in Japanese cities with a spouse or relatives. Program outcome measures included frailty, loneliness, grip strength, step count and mental health status. Process evaluation considered the experience of participants through a semi-structured interview.

Results

The intervention period included an interval of self-isolation owing to the spread of COVID-19. Among the outcomes, grip strength decreased after intervention. No significant negative changes were observed in other items. Themes emerging from participant experiences with the program included ‘Cooperation with researchers and contributing to research’, ‘Greater awareness of health’, ‘Interest in and experience of “newness”’, ‘Hesitation over active engagement’, ‘Casual ties with members’ and ‘Relationships that do not breach personal boundaries’.

Conclusions

Although the COVID-19 pandemic overlapped with the intervention, participants maintained their mental health. The program was a novel, stimulating experience for older men and demonstrated the usefulness of information and communication technology in supporting their social activities.

Implications for practice

As a community health nursing initiative for older people, we propose activities that combine group and online support. Frailty prevention programs for older men must contain content that stimulates their interests, such as ‘health’ and ‘newness’.

背景：虚弱是一种与衰老引起的功能下降有关的综合征。作为一种可逆的、经常得到改善的疾病，针对虚弱的预防措施可能是有效的。目的：本研究旨在评估一项针对老年男性的虚弱预防计划，该计划包括面对面会议和一个原创的社交移动应用程序。我们还研究了与COVID-19相关的社会隔离对该计划实施的影响。方法：我们进行了一项混合方法的试点研究，在对11名≥65岁的男性参与者进行比较之前和之后，以单个组为特征年，与配偶或亲戚住在日本城市。项目结果测量包括虚弱、孤独、握力、步数和心理健康状况。过程评估通过半结构化访谈考虑了参与者的经验。结果：由于新冠肺炎的传播，干预期包括自我安慰的间隔。在结果中，干预后握力下降。在其他项目中未观察到显著的负面变化。参与者参与该项目的经历中出现的主题包括“与研究人员合作并为研究做出贡献”、“提高健康意识”、“对“新鲜感”的兴趣和体验”、，“与成员的随意联系”和“不违反个人界限的关系”。结论：尽管新冠肺炎大流行与干预重叠，但参与者保持了他们的心理健康。该项目对老年男性来说是一次新颖、刺激的体验，展示了信息和通信技术在支持他们的社交活动方面的有用性。实践意义：作为一项针对老年人的社区健康护理倡议，我们建议将团体和在线支持相结合的活动。针对老年男性的虚弱预防计划必须包含刺激他们兴趣的内容，如“健康”和“新奇”。

{"title":"Testing a frailty prevention program for older men during COVID-19: A 2-year mixed-methods pilot study","authors":"Michiyo Hirano Ph.D, Risa Takashima Ph.D, Ryuta Onishi Ph.D, Hiroki Abe PHN, M.S, Kazuko Saeki Ph.D","doi":"10.1111/opn.12575","DOIUrl":"10.1111/opn.12575","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Frailty is a syndrome related to declining functioning attributed to aging. As a reversible, often improved condition, preventive measures for frailty can be effective.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aimed to evaluate a frailty prevention program for older men comprising face-to-face meetings and an original social mobile application. We also examined the effect of COVID-19-associated social isolation on the implementation of this program.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a mixed-methods pilot study featuring a single group before and after comparison of 11 man participants, ≥65 years, living in Japanese cities with a spouse or relatives. Program outcome measures included frailty, loneliness, grip strength, step count and mental health status. Process evaluation considered the experience of participants through a semi-structured interview.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The intervention period included an interval of self-isolation owing to the spread of COVID-19. Among the outcomes, grip strength decreased after intervention. No significant negative changes were observed in other items. Themes emerging from participant experiences with the program included ‘Cooperation with researchers and contributing to research’, ‘Greater awareness of health’, ‘Interest in and experience of “newness”’, ‘Hesitation over active engagement’, ‘Casual ties with members’ and ‘Relationships that do not breach personal boundaries’.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Although the COVID-19 pandemic overlapped with the intervention, participants maintained their mental health. The program was a novel, stimulating experience for older men and demonstrated the usefulness of information and communication technology in supporting their social activities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for practice</h3>\u0000 \u0000 <p>As a community health nursing initiative for older people, we propose activities that combine group and online support. Frailty prevention programs for older men must contain content that stimulates their interests, such as ‘health’ and ‘newness’.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41152538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prevalence and associated factors of cognitive frailty in community-dwelling older adults: Results from the Korean longitudinal study of aging 居住在社区的老年人认知脆弱的患病率和相关因素：韩国老龄化纵向研究的结果。

IF 2.2 4区医学 Q2 Nursing

International Journal of Older People Nursing

Pub Date : 2023-09-29 DOI: 10.1111/opn.12576

Taewha Lee PhD, RN, FAAN, Jane Chung PhD, RN, Kijun Song PhD, Yoonjung Ji PhD, RN

Background

Cognitive frailty, a condition characterized by physical frailty with cognitive impairment, is emerging as a determinant of adverse health outcomes in older adults. However, its prevalence and correlation with associated factors are unknown in the aging population of Korea.

Objectives

To estimate the prevalence of cognitive frailty and identify factors associated with it among older Korean adults.

Methods

A secondary analysis was performed using the Korean Longitudinal Study of Aging seventh survey dataset collected in 2018. Multinomial logistic regression analyses were conducted to examine the association between cognitive frailty and demographic, psychosocial, oral health and physical function factors. Individuals aged ≥65 years and without dementia were included (N = 1024). Participants were classified into four groups based on the presence or absence of physical frailty and mild cognitive impairment. This article is executed in accordance with the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement.

Results

The prevalence of cognitive frailty in the study sample was 11.2%. The results of multinomial logistic regression showed that advanced age, being female, lower education levels, heart disease, arthritis or rheumatoid arthritis, underweight, depression, non-social activity, poor oral health and functional limitation were significantly associated with cognitive frailty.

Conclusions

Cognitive frailty is prevalent among community-dwelling older adults in Korea. The findings provide primary care providers with insights about effective strategies for identifying at-risk individuals and will guide the development of population-level interventions to prevent or delay the onset of physical frailty and cognitive impairment in older adults.

Implications for practice

The findings provide practical information to healthcare providers for identifying cognitive frailty in older adults. The risk factors of cognitive frailty, such as psychosocial, oral health, and physical function factors, should be thoroughly monitored for older adults. Health personnel working in primary care have a crit

背景：认知脆弱是一种以身体虚弱和认知障碍为特征的疾病，正在成为老年人不良健康结果的决定因素。然而，其在韩国老龄化人群中的患病率及其与相关因素的相关性尚不清楚。目的：估计韩国老年人认知脆弱的患病率，并确定与之相关的因素。方法：使用2018年收集的韩国老龄化纵向研究第七次调查数据集进行二次分析。进行多项逻辑回归分析，以检验认知脆弱性与人口统计学、心理社会、口腔健康和身体功能因素之间的关系。年龄≥65岁的个人年龄和无痴呆的患者（N = 1024）。根据是否存在身体虚弱和轻度认知障碍，参与者被分为四组。本文根据《加强流行病学观察研究报告》（STROBE）声明执行。结果：研究样本中认知脆弱的患病率为11.2%。多项逻辑回归结果显示，高龄、女性、低教育水平、心脏病、关节炎或类风湿性关节炎、体重不足、抑郁、不参加社交活动、口腔健康不佳和功能受限与认知脆弱显著相关。结论：认知脆弱在韩国居住在社区的老年人中普遍存在。这些发现为初级保健提供者提供了关于识别高危人群的有效策略的见解，并将指导制定人群层面的干预措施，以预防或延迟老年人身体虚弱和认知障碍的发作。实践意义：研究结果为医疗保健提供者识别老年人认知脆弱性提供了实用信息。老年人应彻底监测认知脆弱的风险因素，如心理社会、口腔健康和身体功能因素。从事初级保健工作的卫生人员在识别风险和有益因素以及促进提高健康结果的预防策略方面发挥着关键作用。

{"title":"Prevalence and associated factors of cognitive frailty in community-dwelling older adults: Results from the Korean longitudinal study of aging","authors":"Taewha Lee PhD, RN, FAAN, Jane Chung PhD, RN, Kijun Song PhD, Yoonjung Ji PhD, RN","doi":"10.1111/opn.12576","DOIUrl":"10.1111/opn.12576","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Cognitive frailty, a condition characterized by physical frailty with cognitive impairment, is emerging as a determinant of adverse health outcomes in older adults. However, its prevalence and correlation with associated factors are unknown in the aging population of Korea.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To estimate the prevalence of cognitive frailty and identify factors associated with it among older Korean adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A secondary analysis was performed using the Korean Longitudinal Study of Aging seventh survey dataset collected in 2018. Multinomial logistic regression analyses were conducted to examine the association between cognitive frailty and demographic, psychosocial, oral health and physical function factors. Individuals aged ≥65 years and without dementia were included (<i>N</i> = 1024). Participants were classified into four groups based on the presence or absence of physical frailty and mild cognitive impairment. This article is executed in accordance with the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The prevalence of cognitive frailty in the study sample was 11.2%. The results of multinomial logistic regression showed that advanced age, being female, lower education levels, heart disease, arthritis or rheumatoid arthritis, underweight, depression, non-social activity, poor oral health and functional limitation were significantly associated with cognitive frailty.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Cognitive frailty is prevalent among community-dwelling older adults in Korea. The findings provide primary care providers with insights about effective strategies for identifying at-risk individuals and will guide the development of population-level interventions to prevent or delay the onset of physical frailty and cognitive impairment in older adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for practice</h3>\u0000 \u0000 <p>The findings provide practical information to healthcare providers for identifying cognitive frailty in older adults. The risk factors of cognitive frailty, such as psychosocial, oral health, and physical function factors, should be thoroughly monitored for older adults. Health personnel working in primary care have a crit","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12576","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41162247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Live bedside music for hospitalized older adults: A qualitative descriptive interview study 住院老年人的现场床边音乐：一项定性描述性访谈研究。

IF 2.2 4区医学 Q2 Nursing

International Journal of Older People Nursing

Pub Date : 2023-09-20 DOI: 10.1111/opn.12574

Hanneke van der Wal-Huisman MSc, RN, Nina M. van den Berg MSc, Wolter Paans PhD, Laura Bezold MA, Thomas Stegemann MD, PhD, Pauline de Graeff MD, PhD, Barbara L. Van Leeuwen MD, PhD

Introduction

Hospitalization may have a major impact on older patients as it is often a period of psychosocial vulnerability. Music is one of the most described art forms used in healthcare. Applied in clinical settings, it can affect a patients' emotional and psychosocial well-being. Incorporating a wider perspective of health promotion that aims to advance not only physical health, but a patients' overall well-being, is part of a person-centred approach to care. We developed an innovative participatory music practice in which professional musicians and music therapists visited patients at their bedside for 10–15 min in a Dutch and Austrian hospital. This qualitative study explores the added value of live bedside music practice for older hospitalized patients in Austria and the Netherlands.

Methods

Semi-structured interviews were conducted between October 2020 and February 2022 with 23 hospitalized patients aged ≥60 years. Due to the COVID-19 pandemic, the music sessions in Austria were facilitated by establishing a live connection between musicians and patients using a tablet. Data were transcribed verbatim and performed qualitative content analysis following the steps of thematic analysis. The COnsolidated criteria for REporting Qualitative research (COREQ) checklist was applied to report data collection, analysis and results.

Results

Four themes emerged from the data analysis. Participants described the perceived influences of live bedside music in terms of (1) emotional release, (2) positive distraction, (3) alterations in contact and (4) shared humanity. Overall, participants positively valued the live bedside music practice and expressed a desire for its continuation.

Conclusion

This study explores the experiences and the added value of live bedside music for older hospitalized patients. By facilitating distraction and emotional release and enhancing nurse–patient interactions, live bedside music can significantly improve hospital experiences for older patients. Results reveal that live bedside music provides a positive patient experience and can be part of integrative and holistic care for hospitalized older patients. Live bedside music can attend to the emotional needs of older patients which are often under addressed in clinical settings but are crucial for enhancing their well-being.

引言：住院治疗可能会对老年患者产生重大影响，因为这通常是一个心理脆弱的时期。音乐是医疗保健中使用最多的艺术形式之一。在临床应用中，它会影响患者的情绪和心理健康。纳入更广泛的健康促进视角，不仅旨在促进身体健康，还旨在促进患者的整体福祉，是以人为本的护理方法的一部分。我们开发了一种创新的参与式音乐实践，专业音乐家和音乐治疗师在患者床边探访患者10-15分钟 min在荷兰和奥地利的一家医院。这项定性研究探讨了现场床边音乐练习对奥地利和荷兰老年住院患者的附加值。方法：在2020年10月至2022年2月期间，对23名年龄≥60岁的住院患者进行了半结构化访谈年。由于新冠肺炎大流行，通过使用平板电脑在音乐家和患者之间建立现场连接，促进了奥地利的音乐课程。数据逐字逐句转录，并按照主题分析的步骤进行定性内容分析。重新报告定性研究的合并标准（COREQ）检查表用于报告数据收集、分析和结果。结果：数据分析得出四个主题。参与者从（1）情绪释放、（2）积极的分心、（3）接触的改变和（4）共同的人性等方面描述了现场床边音乐的感知影响。总的来说，参与者积极评价现场床边音乐练习，并表示希望继续下去。结论：本研究探讨了现场床边音乐对老年住院患者的体验和附加值。通过促进分心和情绪释放，并加强护士与患者的互动，现场床边音乐可以显著改善老年患者的医院体验。结果表明，现场床边音乐提供了积极的患者体验，可以作为住院老年患者综合和整体护理的一部分。现场床边音乐可以满足老年患者的情感需求，这些需求在临床环境中往往得不到充分解决，但对提高他们的幸福感至关重要。

{"title":"Live bedside music for hospitalized older adults: A qualitative descriptive interview study","authors":"Hanneke van der Wal-Huisman MSc, RN, Nina M. van den Berg MSc, Wolter Paans PhD, Laura Bezold MA, Thomas Stegemann MD, PhD, Pauline de Graeff MD, PhD, Barbara L. Van Leeuwen MD, PhD","doi":"10.1111/opn.12574","DOIUrl":"10.1111/opn.12574","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Hospitalization may have a major impact on older patients as it is often a period of psychosocial vulnerability. Music is one of the most described art forms used in healthcare. Applied in clinical settings, it can affect a patients' emotional and psychosocial well-being. Incorporating a wider perspective of health promotion that aims to advance not only physical health, but a patients' overall well-being, is part of a person-centred approach to care. We developed an innovative participatory music practice in which professional musicians and music therapists visited patients at their bedside for 10–15 min in a Dutch and Austrian hospital. This qualitative study explores the added value of live bedside music practice for older hospitalized patients in Austria and the Netherlands.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Semi-structured interviews were conducted between October 2020 and February 2022 with 23 hospitalized patients aged ≥60 years. Due to the COVID-19 pandemic, the music sessions in Austria were facilitated by establishing a live connection between musicians and patients using a tablet. Data were transcribed verbatim and performed qualitative content analysis following the steps of thematic analysis. The COnsolidated criteria for REporting Qualitative research (COREQ) checklist was applied to report data collection, analysis and results.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Four themes emerged from the data analysis. Participants described the perceived influences of live bedside music in terms of (1) emotional release, (2) positive distraction, (3) alterations in contact and (4) shared humanity. Overall, participants positively valued the live bedside music practice and expressed a desire for its continuation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study explores the experiences and the added value of live bedside music for older hospitalized patients. By facilitating distraction and emotional release and enhancing nurse–patient interactions, live bedside music can significantly improve hospital experiences for older patients. Results reveal that live bedside music provides a positive patient experience and can be part of integrative and holistic care for hospitalized older patients. Live bedside music can attend to the emotional needs of older patients which are often under addressed in clinical settings but are crucial for enhancing their well-being.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12574","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41177242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Preliminary effects of a WeChat-based educational intervention on social participation among older adults in a community 基于微信的教育干预对社区老年人社会参与的初步影响

IF 2.2 4区医学 Q2 Nursing

International Journal of Older People Nursing

Pub Date : 2023-09-04 DOI: 10.1111/opn.12573

Jiagui Liang BS, Jun-E Liu PhD, Yim Wah Mak PhD, Liu Sun MS, PhD

Background

The social participation of older people should be encouraged, as it is fundamental to their well-being and the practice of aged care. Therefore, the ability of older persons to participate in society should be strengthened.

Objective

To evaluate the preliminary effects of a WeChat-based educational intervention on the social participation of community-dwelling older adults in China.

Methods

This study was a quasi-experimental design. Twenty-eight community-dwelling older adults participated in a WeChat-based educational intervention. The intervention contents included concepts and preparation of social participation, analysis of participation resources and capabilities, technological adaptation, emotional management, setting of to-do lists, etc. Social participation, self-worth and subjective well-being were measured via the WeChat application on smartphones at baseline, immediately after the intervention, and a 3-month follow-up. We analysed data using paired t-tests and analysis of variance (ANOVA).

Results

We found statistically significant improvements in social participation (active aging) (F = 4.408; p < .05) as well as the self-worth dimensions of moral worth (F = 4.135; p < .05) and psychological worth (F = 3.234; p < .05), and the negative-affect dimension of subjective well-being being decreased (F = 2.484; p < .05).

Conclusions

The WeChat-based education intervention can effectively improve social participation and self-worth, and may provide effective preventive healthcare solutions for older adults in China.

Implications for Practice

The enormous value of the social participation of independent older adults must be recognised. Nurses can use smartphones to deliver health and social participation information in routine programs in aged care.

背景:应鼓励老年人的社会参与，因为这对他们的福祉和老年护理实践至关重要。因此，老年人参与社会的能力应该得到加强。目的:评价微信教育干预对中国社区老年人社会参与的初步影响。方法:本研究采用准实验设计。28名居住在社区的老年人参与了一项基于微信的教育干预。干预内容包括社会参与的概念与准备、参与资源与能力分析、技术适应、情绪管理、待办事项设置等。通过智能手机上的微信应用程序在基线、干预后立即和3个月的随访中测量社会参与、自我价值和主观幸福感。我们使用配对t检验和方差分析(ANOVA)分析数据。结果:我们发现社会参与(积极老龄化)有统计学意义的改善(F = 4.408;p结论:基于微信的教育干预可以有效提高社会参与度和自我价值感，可能为中国老年人提供有效的预防保健解决方案。对实践的影响:必须认识到独立老年人社会参与的巨大价值。护士可以使用智能手机在老年护理的常规项目中提供健康和社会参与信息。

{"title":"Preliminary effects of a WeChat-based educational intervention on social participation among older adults in a community","authors":"Jiagui Liang BS, Jun-E Liu PhD, Yim Wah Mak PhD, Liu Sun MS, PhD","doi":"10.1111/opn.12573","DOIUrl":"10.1111/opn.12573","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The social participation of older people should be encouraged, as it is fundamental to their well-being and the practice of aged care. Therefore, the ability of older persons to participate in society should be strengthened.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To evaluate the preliminary effects of a WeChat-based educational intervention on the social participation of community-dwelling older adults in China.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study was a quasi-experimental design. Twenty-eight community-dwelling older adults participated in a WeChat-based educational intervention. The intervention contents included concepts and preparation of social participation, analysis of participation resources and capabilities, technological adaptation, emotional management, setting of to-do lists, etc. Social participation, self-worth and subjective well-being were measured via the WeChat application on smartphones at baseline, immediately after the intervention, and a 3-month follow-up. We analysed data using paired <i>t</i>-tests and analysis of variance (ANOVA).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We found statistically significant improvements in social participation (active aging) (<i>F</i> = 4.408; <i>p</i> < .05) as well as the self-worth dimensions of moral worth (<i>F</i> = 4.135; <i>p</i> < .05) and psychological worth (<i>F</i> = 3.234; <i>p</i> < .05), and the negative-affect dimension of subjective well-being being decreased (<i>F</i> = 2.484; <i>p</i> < .05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The WeChat-based education intervention can effectively improve social participation and self-worth, and may provide effective preventive healthcare solutions for older adults in China.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>The enormous value of the social participation of independent older adults must be recognised. Nurses can use smartphones to deliver health and social participation information in routine programs in aged care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10152001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

When snowball sampling leads to an avalanche of fraudulent participants in qualitative research 当滚雪球抽样导致定性研究中欺诈性参与者的雪崩。

IF 2.2 4区医学 Q2 Nursing

International Journal of Older People Nursing

Pub Date : 2023-08-26 DOI: 10.1111/opn.12572

Justine S. Sefcik PhD, RN, Zachary Hathaway MPH, Rose Ann DiMaria-Ghalili PhD, RN, FASPEN, FAAN, FGSA

Background

Fraudulent research participants create negative consequences for the rigour and soundness of research.

Aims

A case study is presented from a qualitative study where the research team believed several fraudulent participants fabricated information during an interview about being a caregiver for a person living with dementia and chronic wounds.

Materials & Methods

Participants were recruited through a free online research registry. Individual semi-structured interviews were held virtually.

Results

The study was paused after the nurse scientist with qualitative methodology experience identified that participants were giving illogical and repetitive responses across interviews. The team developed a revised screening tool to help reduce fraudulent participants from enrolling in the study. None of the data collected were used for analysis.

Discussion

Information is provided on how the team dealt with the situation, lessons learned for future studies, and recommendations for gerontological nurse researchers.

Conclusion

Researchers should be aware that some participants are misrepresenting themselves for financial incentives and this can compromise the soundness of findings. Thorough screening tools are one way to identify and prevent fraud.

背景:欺诈性研究参与者对研究的严谨性和可靠性产生负面影响。目的:从定性研究中提出了一个案例研究，研究小组认为几个欺诈性参与者在接受采访时伪造了关于照顾患有痴呆症和慢性伤口的人的信息。材料与方法:参与者通过免费的在线研究注册表招募。个别半结构化访谈以虚拟方式进行。结果:在具有定性方法论经验的护士科学家确定参与者在访谈中给出不合逻辑和重复的回答后，研究暂停。该团队开发了一种改进的筛选工具，以帮助减少欺诈参与者参加研究。收集的数据均未用于分析。讨论:提供了关于团队如何处理这种情况的信息，为未来的研究提供了经验教训，并为老年护理研究人员提供了建议。结论:研究人员应该意识到，一些参与者为了经济激励而歪曲自己，这可能会损害研究结果的可靠性。彻底的筛选工具是识别和防止欺诈的一种方法。

{"title":"When snowball sampling leads to an avalanche of fraudulent participants in qualitative research","authors":"Justine S. Sefcik PhD, RN, Zachary Hathaway MPH, Rose Ann DiMaria-Ghalili PhD, RN, FASPEN, FAAN, FGSA","doi":"10.1111/opn.12572","DOIUrl":"10.1111/opn.12572","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Fraudulent research participants create negative consequences for the rigour and soundness of research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>A case study is presented from a qualitative study where the research team believed several fraudulent participants fabricated information during an interview about being a caregiver for a person living with dementia and chronic wounds.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials & Methods</h3>\u0000 \u0000 <p>Participants were recruited through a free online research registry. Individual semi-structured interviews were held virtually.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The study was paused after the nurse scientist with qualitative methodology experience identified that participants were giving illogical and repetitive responses across interviews. The team developed a revised screening tool to help reduce fraudulent participants from enrolling in the study. None of the data collected were used for analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Information is provided on how the team dealt with the situation, lessons learned for future studies, and recommendations for gerontological nurse researchers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Researchers should be aware that some participants are misrepresenting themselves for financial incentives and this can compromise the soundness of findings. Thorough screening tools are one way to identify and prevent fraud.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10448799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Older family caregivers' diet-related disparities: Cross-sectional evidence from Finland 老年家庭照顾者的饮食相关差异:来自芬兰的横断面证据。

IF 2.2 4区医学 Q2 Nursing

International Journal of Older People Nursing

Pub Date : 2023-08-17 DOI: 10.1111/opn.12570

Roosa-Maria Savela MSc, Irma Nykänen PhD, Sohvi Koponen MHSc, Anna Liisa Suominen PhD, Ursula Schwab PhD, Tarja Välimäki PhD

Background

Some older family caregivers experience financial vulnerabilities due to their caregiving role, which may affect their ability to afford appropriate food. This study aimed to assess the extent to which there are diet-related disparities among older family caregivers in Eastern Finland.

Methods

This study is based on the multidisciplinary LifEstyle, NutriTion and Oral health in caregivers (LENTO) study. In total, 125 family caregivers were included. Data were collected between June and December 2019. Participants were assessed on health, nutritional status and sociodemographic factors. The associations and predictors of diet-related disparities were assessed using the independent samples t-test, ANOVA-test, χ²-tests and binary logistic regression.

Results

The mean age of family caregivers was 74 years (SD = 8). Most were female (72%), 20% had malnutrition risk and 30% reported having ‘moderately enough money’ or less, which was identified as ‘subjective poverty’. Family caregivers experiencing subjective poverty were less likely to consume two or more portions of fruit and vegetables daily and were more likely overweight. Study participants' diet-related disparities were further associated with several health inequalities, including comorbidity, depression, diabetes (Type I or II) and osteoporosis.

Conclusions

Older family caregivers have diet-related disparities, further associated with health inequalities. Family caregivers' diet-related disparities require increasing attention in healthcare. Addressing family caregivers' food insecurity risk would enhance their health equity. Lack of assessment of diet-related disparities will only deepen health inequalities.

背景:一些老年家庭照顾者由于其照顾角色而经历经济脆弱性，这可能影响他们负担适当食物的能力。本研究旨在评估芬兰东部老年家庭照顾者之间饮食相关差异的程度。方法:本研究以多学科的护理人员生活方式、营养和口腔健康(LENTO)研究为基础。总共包括125名家庭照顾者。数据收集于2019年6月至12月。对参与者的健康、营养状况和社会人口因素进行了评估。采用独立样本t检验、方差分析检验、χ2检验和二元logistic回归对饮食相关差异的相关性和预测因素进行评估。结果:家庭照顾者的平均年龄为74岁(SD = 8)。大多数是女性(72%)，20%有营养不良的风险，30%的人报告有“适度足够的钱”或更少，这被确定为“主观贫困”。经历主观贫困的家庭照顾者不太可能每天食用两份或两份以上的水果和蔬菜，而且更有可能超重。研究参与者的饮食相关差异进一步与几种健康不平等相关，包括合并症、抑郁症、糖尿病(I型或II型)和骨质疏松症。结论:老年家庭照顾者存在与饮食相关的差异，进一步与健康不平等相关。家庭照顾者与饮食相关的差异需要在医疗保健方面得到更多关注。解决家庭照顾者的粮食不安全风险将增强他们的健康公平。缺乏对饮食相关差异的评估只会加深健康不平等。

{"title":"Older family caregivers' diet-related disparities: Cross-sectional evidence from Finland","authors":"Roosa-Maria Savela MSc, Irma Nykänen PhD, Sohvi Koponen MHSc, Anna Liisa Suominen PhD, Ursula Schwab PhD, Tarja Välimäki PhD","doi":"10.1111/opn.12570","DOIUrl":"10.1111/opn.12570","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Some older family caregivers experience financial vulnerabilities due to their caregiving role, which may affect their ability to afford appropriate food. This study aimed to assess the extent to which there are diet-related disparities among older family caregivers in Eastern Finland.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study is based on the multidisciplinary LifEstyle, NutriTion and Oral health in caregivers (LENTO) study. In total, 125 family caregivers were included. Data were collected between June and December 2019. Participants were assessed on health, nutritional status and sociodemographic factors. The associations and predictors of diet-related disparities were assessed using the independent samples <i>t</i>-test, ANOVA-test, <i>χ</i><sup>2</sup>-tests and binary logistic regression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The mean age of family caregivers was 74 years (SD = 8). Most were female (72%), 20% had malnutrition risk and 30% reported having ‘moderately enough money’ or less, which was identified as ‘subjective poverty’. Family caregivers experiencing subjective poverty were less likely to consume two or more portions of fruit and vegetables daily and were more likely overweight. Study participants' diet-related disparities were further associated with several health inequalities, including comorbidity, depression, diabetes (Type I or II) and osteoporosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Older family caregivers have diet-related disparities, further associated with health inequalities. Family caregivers' diet-related disparities require increasing attention in healthcare. Addressing family caregivers' food insecurity risk would enhance their health equity. Lack of assessment of diet-related disparities will only deepen health inequalities.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12570","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10374705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Psychometric evaluation of the Indonesian version of the Person-centered Care Assessment Tool 印尼版以人为本的照护评估工具之心理测量评估。

IF 2.2 4区医学 Q2 Nursing

International Journal of Older People Nursing

Pub Date : 2023-08-16 DOI: 10.1111/opn.12565

Woro Mustika Weni MHS, Megumi Shimizu RN, PHN, PhD, Chiaki Ando-Ohmura RN, PhD, Yuki Ohashi RN, PHN, PhD, David Edvardsson RN, PhD, Annica Backman RN, PhD, Rebecca Baxter RN, PhD, Noortje Kloos PhD, Akiko Ozaki RN, PHN, PhD

Background

The number of Indonesian care staff working in hospitals and long-term care facilities caring for persons with dementia in Japan is increasing; however, there is no instrument available in the Indonesian language to assess their dementia care practice.

Objectives

This study aimed to translate the Person-centered Care Assessment Tool (P-CAT) and evaluate its psychometric properties in a sample of Indonesian care staff working in dementia care and long-term care facilities in Japan.

Methods

This is a descriptive, methodological, and cross-sectional study. The P-CAT was translated into the Indonesian language. The draft was administered to Indonesian care staff (n = 218) working at long-term care facilities in Japan. Data were analysed using exploratory factor analysis (EFA), confirmatory factor analysis (CFA), known-group validity, internal consistency, and test–retest reliability.

Results

EFA showed three-factor and CFA of the three-factor indicated that the model had an acceptable fit (chi-squared statistics/degree of freedom = 1.78, comparative fit index = 0.94, root mean square error of approximation = 0.06) with a slightly different structure compared to the original P-CAT. Regarding known-group validity, the P-CAT total score was significantly higher for those who had training in dementia, who knew about person-centred care, and who showed satisfaction in the job. Internal consistency (Cronbach's α) of the total scale was 0.68 which is considered acceptable, and the test–retest reliability intraclass correlation coefficient was 0.61 which is considered moderate.

Conclusion

The Indonesian P-CAT indicated sound validity and reliability to measure person-centred care among Indonesian care staff working in dementia care and long-term care facilities in Japan.

Implication for Practice

The development of Indonesian P-CAT allows the evaluation of dementia care, promotes and further improves person-centred care for persons with dementia provided by Indonesian care staff working in long-term care facilities in Japan.

背景:在日本的医院和长期护理机构工作的印度尼西亚护理人员照顾痴呆症患者的人数正在增加;然而，没有可用的印尼语工具来评估他们的痴呆症护理实践。目的:本研究旨在翻译以人为本的护理评估工具(P-CAT)，并评估其在日本痴呆症护理和长期护理机构工作的印度尼西亚护理人员样本中的心理测量特性。方法:这是一项描述性、方法学和横断面研究。P-CAT被翻译成印尼语。该草案对在日本长期护理机构工作的印度尼西亚护理人员(n = 218)进行了管理。采用探索性因子分析(EFA)、验证性因子分析(CFA)、已知组效度、内部一致性和重测信度对数据进行分析。结果:EFA显示三因素，三因素的CFA表明模型具有可接受的拟合(卡方统计量/自由度= 1.78，比较拟合指数= 0.94，近似均方根误差= 0.06)，结构与原P-CAT略有不同。在已知组效度方面，那些接受过痴呆症培训、了解以人为本的护理以及对工作表现出满意度的人的P-CAT总分明显更高。总量表的内部一致性(Cronbach’s α)为0.68，可接受，重测信度类内相关系数为0.61，属中等。结论:印度尼西亚的P-CAT量表在衡量在日本痴呆症护理和长期护理机构工作的印度尼西亚护理人员以人为本的护理方面具有良好的效度和信度。实践意义:印度尼西亚P-CAT的发展允许对痴呆症护理进行评估，促进并进一步改善在日本长期护理机构工作的印度尼西亚护理人员为痴呆症患者提供的以人为本的护理。

{"title":"Psychometric evaluation of the Indonesian version of the Person-centered Care Assessment Tool","authors":"Woro Mustika Weni MHS, Megumi Shimizu RN, PHN, PhD, Chiaki Ando-Ohmura RN, PhD, Yuki Ohashi RN, PHN, PhD, David Edvardsson RN, PhD, Annica Backman RN, PhD, Rebecca Baxter RN, PhD, Noortje Kloos PhD, Akiko Ozaki RN, PHN, PhD","doi":"10.1111/opn.12565","DOIUrl":"10.1111/opn.12565","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The number of Indonesian care staff working in hospitals and long-term care facilities caring for persons with dementia in Japan is increasing; however, there is no instrument available in the Indonesian language to assess their dementia care practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study aimed to translate the Person-centered Care Assessment Tool (P-CAT) and evaluate its psychometric properties in a sample of Indonesian care staff working in dementia care and long-term care facilities in Japan.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This is a descriptive, methodological, and cross-sectional study. The P-CAT was translated into the Indonesian language. The draft was administered to Indonesian care staff (<i>n</i> = 218) working at long-term care facilities in Japan. Data were analysed using exploratory factor analysis (EFA), confirmatory factor analysis (CFA), known-group validity, internal consistency, and test–retest reliability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>EFA showed three-factor and CFA of the three-factor indicated that the model had an acceptable fit (chi-squared statistics/degree of freedom = 1.78, comparative fit index = 0.94, root mean square error of approximation = 0.06) with a slightly different structure compared to the original P-CAT. Regarding known-group validity, the P-CAT total score was significantly higher for those who had training in dementia, who knew about person-centred care, and who showed satisfaction in the job. Internal consistency (Cronbach's <i>α</i>) of the total scale was 0.68 which is considered acceptable, and the test–retest reliability intraclass correlation coefficient was 0.61 which is considered moderate.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The Indonesian P-CAT indicated sound validity and reliability to measure person-centred care among Indonesian care staff working in dementia care and long-term care facilities in Japan.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implication for Practice</h3>\u0000 \u0000 <p>The development of Indonesian P-CAT allows the evaluation of dementia care, promotes and further improves person-centred care for persons with dementia provided by Indonesian care staff working in long-term care facilities in Japan.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10367844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

首页上一页

2
3
4
5
6
7
8
9
...
10

下一页尾页