Background: The global increase in the ageing population underscores the importance of a holistic approach to gerontological research. Social frailty, a state of vulnerability, is a growing concern that significantly affects the well-being and health outcomes of older people. With Hong Kong projected to have the world’s largest ageing population by 2050, research on social frailty within this demographic is crucial. This study aimed to assess the prevalence of social frailty among older adults in Hong Kong and examine its association with demographic characteristics. Methodology: A cross-sectional survey was conducted using data from an online survey on older adults in Hong Kong, yielding 200 respondents. The survey encompassed demographic details, the Social Frailty Scale (SFS-8), and health-related factors. Results: Participants were categorized into three groups: social non-frailty (SNF, 41.5%), social pre-frailty (SPF, 34.5%), and social frailty (SF, 24%). Spearman’s rank correlation analysis revealed that self-rated health status negatively correlates with social frailty (SF) (r = −0.19, p < 0.001) and the number of diagnosed health conditions (r = −0.29, p < 0.001) but positively correlates with education level (r = 0.14, p < 0.05). Notably, the SPF group exhibited the highest prevalence of high cholesterol, hypertension, visual impairments, and diabetes, followed by the SF and SNF groups. No significant relationship was found between gender and SF, the total number of diagnosed health conditions and SF, or individual chronic diseases and SF. Conclusion: This survey on social frailty among older people in Hong Kong found a higher prevalence of pre-frail and socially frail individuals compared to other regions. While many benefit from strong social support, socially pre-frail and socially frail individuals have reduced interactions, highlighting the importance of social connectedness. The higher incidence of social frailty, especially among the pre-frail, underscores the need to consider Hong Kong’s unique socio-cultural and economic contexts. As the first of its kind in the region, this study paves the way for further research and emphasizes the need for culturally appropriate assessment tools to better understand and address social frailty.
背景：全球老龄人口的增加凸显了老年学研究采用综合方法的重要性。社会脆弱性是一种易受伤害的状态，是一个日益受到关注的问题，严重影响着老年人的福祉和健康状况。预计到 2050 年，香港将成为世界上老龄化人口最多的地区，因此对这一人群的社会脆弱性进行研究至关重要。本研究旨在评估社会脆弱性在香港老年人中的普遍程度，并探讨其与人口特征之间的关联。研究方法：我们利用香港老年人在线调查的数据进行了一项横断面调查，共有 200 名受访者。调查内容包括人口统计学细节、社会虚弱量表（SFS-8）和健康相关因素。结果显示受访者被分为三组：社会非虚弱（SNF，41.5%）、社会前期虚弱（SPF，34.5%）和社会虚弱（SF，24%）。斯皮尔曼等级相关分析表明，自评健康状况与社会虚弱（SF）（r = -0.19，p < 0.001）和确诊健康状况的数量（r = -0.29，p < 0.001）呈负相关，但与教育水平（r = 0.14，p < 0.05）呈正相关。值得注意的是，SPF 组的高胆固醇、高血压、视力障碍和糖尿病发病率最高，其次是 SF 组和 SNF 组。性别与 SF、确诊健康状况总数与 SF 或个别慢性病与 SF 之间均无明显关系。结论这项关于香港老年人社交脆弱的调查发现，与其他地区相比，香港老年人的前期脆弱和社交脆弱发生率较高。虽然许多人受益于强大的社会支持，但社交前期衰弱和社交衰弱者的互动减少，这凸显了社会联系的重要性。社交脆弱的发生率较高，尤其是在前期体弱者中，这突出表明有必要考虑香港独特的社会文化和经济背景。作为本地区的首个同类研究，本研究为进一步的研究铺平了道路，并强调了需要适合不同文化背景的评估工具，以更好地了解和解决社交脆弱问题。
{"title":"Social Frailty Prevalence among Older People in Hong Kong","authors":"Jed Montayre, Kay Kuo, Ka Man Carman Leung","doi":"10.3390/jal4030016","DOIUrl":"https://doi.org/10.3390/jal4030016","url":null,"abstract":"Background: The global increase in the ageing population underscores the importance of a holistic approach to gerontological research. Social frailty, a state of vulnerability, is a growing concern that significantly affects the well-being and health outcomes of older people. With Hong Kong projected to have the world’s largest ageing population by 2050, research on social frailty within this demographic is crucial. This study aimed to assess the prevalence of social frailty among older adults in Hong Kong and examine its association with demographic characteristics. Methodology: A cross-sectional survey was conducted using data from an online survey on older adults in Hong Kong, yielding 200 respondents. The survey encompassed demographic details, the Social Frailty Scale (SFS-8), and health-related factors. Results: Participants were categorized into three groups: social non-frailty (SNF, 41.5%), social pre-frailty (SPF, 34.5%), and social frailty (SF, 24%). Spearman’s rank correlation analysis revealed that self-rated health status negatively correlates with social frailty (SF) (r = −0.19, p < 0.001) and the number of diagnosed health conditions (r = −0.29, p < 0.001) but positively correlates with education level (r = 0.14, p < 0.05). Notably, the SPF group exhibited the highest prevalence of high cholesterol, hypertension, visual impairments, and diabetes, followed by the SF and SNF groups. No significant relationship was found between gender and SF, the total number of diagnosed health conditions and SF, or individual chronic diseases and SF. Conclusion: This survey on social frailty among older people in Hong Kong found a higher prevalence of pre-frail and socially frail individuals compared to other regions. While many benefit from strong social support, socially pre-frail and socially frail individuals have reduced interactions, highlighting the importance of social connectedness. The higher incidence of social frailty, especially among the pre-frail, underscores the need to consider Hong Kong’s unique socio-cultural and economic contexts. As the first of its kind in the region, this study paves the way for further research and emphasizes the need for culturally appropriate assessment tools to better understand and address social frailty.","PeriodicalId":73588,"journal":{"name":"Journal of ageing and longevity","volume":"36 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141815038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tania Madera-Cimadevilla, María Cantero-García, María Rueda-Extremera
Alzheimer’s disease (AD) is a neurocognitive disorder characterized by gradual onset and gradual progression, presenting a wide range of symptoms, with one of its main features being episodic memory impairment, present from the early stages of the disease. Currently, there is no cure for AD, so a multidimensional approach combining pharmacology with other non-pharmacological treatments is recommended to halt or delay cognitive and functional decline in patients. In this regard, music therapy emerges as a promising non-pharmacological treatment for memory in patients with AD, as musical memory appears to be preserved, retaining the ability to recall familiar songs and the memories associated with them. Therefore, the aim of this study is to conduct a systematic review of the current state of scientific research on the effects of music therapy on the memory of patients with AD in mild and moderate stages. A search was conducted in the Google Scholar, ProQuest, Summon, Web of Science, and Scopus databases, finding 15 articles that met the inclusion and exclusion criteria. The results seem to support the use of music-based interventions for memory in patients with AD, especially regarding autobiographical memory. However, given the limitations encountered, we consider that the results pave the way for future research rather than providing solid conclusions about their effectiveness.
阿尔茨海默病（AD）是一种神经认知障碍疾病，其特点是逐渐发病和逐渐进展，表现出多种症状，主要特征之一是发作性记忆障碍，从疾病的早期阶段就开始出现。目前，注意力缺失症尚无根治方法，因此建议采用药物治疗与其他非药物治疗相结合的多维方法，以阻止或延缓患者认知能力和功能的衰退。在这方面，音乐疗法被认为是一种很有前景的非药物治疗方法，因为音乐记忆似乎可以得到保留，患者能够回忆起熟悉的歌曲和与之相关的记忆。因此，本研究旨在对音乐疗法对轻度和中度 AD 患者记忆力影响的科学研究现状进行系统回顾。我们在 Google Scholar、ProQuest、Summon、Web of Science 和 Scopus 数据库中进行了检索，发现有 15 篇文章符合纳入和排除标准。研究结果似乎支持对注意力缺失症患者的记忆进行音乐干预，尤其是在自传体记忆方面。然而，鉴于所遇到的局限性，我们认为这些结果为未来的研究铺平了道路，而不是为其有效性提供可靠的结论。
{"title":"Music Therapy as Non-Pharmacological Treatment in Alzheimer’s Disease—Effects on Memory—Systematic Review","authors":"Tania Madera-Cimadevilla, María Cantero-García, María Rueda-Extremera","doi":"10.3390/jal4030015","DOIUrl":"https://doi.org/10.3390/jal4030015","url":null,"abstract":"Alzheimer’s disease (AD) is a neurocognitive disorder characterized by gradual onset and gradual progression, presenting a wide range of symptoms, with one of its main features being episodic memory impairment, present from the early stages of the disease. Currently, there is no cure for AD, so a multidimensional approach combining pharmacology with other non-pharmacological treatments is recommended to halt or delay cognitive and functional decline in patients. In this regard, music therapy emerges as a promising non-pharmacological treatment for memory in patients with AD, as musical memory appears to be preserved, retaining the ability to recall familiar songs and the memories associated with them. Therefore, the aim of this study is to conduct a systematic review of the current state of scientific research on the effects of music therapy on the memory of patients with AD in mild and moderate stages. A search was conducted in the Google Scholar, ProQuest, Summon, Web of Science, and Scopus databases, finding 15 articles that met the inclusion and exclusion criteria. The results seem to support the use of music-based interventions for memory in patients with AD, especially regarding autobiographical memory. However, given the limitations encountered, we consider that the results pave the way for future research rather than providing solid conclusions about their effectiveness.","PeriodicalId":73588,"journal":{"name":"Journal of ageing and longevity","volume":" 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141830885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Self-perceptions of aging are important predictors of physical and mental health, longevity, and quality of life. The Brief Ageing Perceptions Questionnaire (B-APQ) is the most promising scale of self-perceptions about aging and has been translated into many languages. This study aimed to develop a Japanese version of the B-APQ and examine its validity and reliability. Methods: A web-based survey of 1500 people aged 65 and older was conducted in Japan. Of the participants, 651 were men and 849 were women. The average age was 72.97 years. Results: No significant distributional biases were found for any items of the Japanese version of the B-APQ. A confirmatory factor analysis (CFA) was conducted using the same model as the previous studies. The results of CFA showed that the goodness of fit indices met the acceptability criteria. Two-tailed Pearson correlations showed significant relationships between each factor of the Japanese version of the B-APQ as well as the cognitive and physical functioning, depression, and well-being of older adults. Conclusions: The Japanese version of the B-APQ has high internal consistency and significant factorial and construct-related validity. The Japanese version of the B-APQ is expected to be used to measure the self-perceptions of aging for further study in Japan.
{"title":"Development of a Japanese Version of the Brief Ageing Perceptions Questionnaire and Its Validity and Reliability","authors":"Koji Abe, Kana Tomiyama","doi":"10.3390/jal4030014","DOIUrl":"https://doi.org/10.3390/jal4030014","url":null,"abstract":"Background: Self-perceptions of aging are important predictors of physical and mental health, longevity, and quality of life. The Brief Ageing Perceptions Questionnaire (B-APQ) is the most promising scale of self-perceptions about aging and has been translated into many languages. This study aimed to develop a Japanese version of the B-APQ and examine its validity and reliability. Methods: A web-based survey of 1500 people aged 65 and older was conducted in Japan. Of the participants, 651 were men and 849 were women. The average age was 72.97 years. Results: No significant distributional biases were found for any items of the Japanese version of the B-APQ. A confirmatory factor analysis (CFA) was conducted using the same model as the previous studies. The results of CFA showed that the goodness of fit indices met the acceptability criteria. Two-tailed Pearson correlations showed significant relationships between each factor of the Japanese version of the B-APQ as well as the cognitive and physical functioning, depression, and well-being of older adults. Conclusions: The Japanese version of the B-APQ has high internal consistency and significant factorial and construct-related validity. The Japanese version of the B-APQ is expected to be used to measure the self-perceptions of aging for further study in Japan.","PeriodicalId":73588,"journal":{"name":"Journal of ageing and longevity","volume":"3 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141640612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R. Knight, A. Chalabaev, K. Mackintosh, M. Mcnarry, Joanne Hudson
Intergenerational contact offers an under-explored strategic approach to challenging age stereotypes and positively influencing health behaviors in older adults and children. It is postulated that through the application of the constructs of Contact Theory, an effective platform for change could be established. Using an instrumental case study, the experiential effects of the intergenerational contact phenomenon were pragmatically explored from the perspective of a single familial dyad (61-year-old woman; 9-year-old boy). Semi-structured interviews were conducted with each participant, both during and following engagement with a remote, 12-week, technology-driven physical activity intervention focused on using daily step counts (acquired via any activity of their choice, using physical activity trackers) to collaboratively complete virtual walk routes during the COVID-19 pandemic. Through reflexive thematic analysis and interpretation of the data in line with the study’s aim and propositions, four core themes were identified: Reciprocal Encounter; Opportunity for Reflection and Re-evaluation; Platform for Change; and COVID-19. In addition to the perceived positive effects on targeted health outcomes (physical activity, sedentary behavior, health-related quality of life), facilitating intergenerational contact through virtual methods could also, through opportunities to nurture and build relationships, challenge age stereotypes.
{"title":"Technology-Driven Intergenerational Physical Activity Intervention: An Instrumental Case Study","authors":"R. Knight, A. Chalabaev, K. Mackintosh, M. Mcnarry, Joanne Hudson","doi":"10.3390/jal4030013","DOIUrl":"https://doi.org/10.3390/jal4030013","url":null,"abstract":"Intergenerational contact offers an under-explored strategic approach to challenging age stereotypes and positively influencing health behaviors in older adults and children. It is postulated that through the application of the constructs of Contact Theory, an effective platform for change could be established. Using an instrumental case study, the experiential effects of the intergenerational contact phenomenon were pragmatically explored from the perspective of a single familial dyad (61-year-old woman; 9-year-old boy). Semi-structured interviews were conducted with each participant, both during and following engagement with a remote, 12-week, technology-driven physical activity intervention focused on using daily step counts (acquired via any activity of their choice, using physical activity trackers) to collaboratively complete virtual walk routes during the COVID-19 pandemic. Through reflexive thematic analysis and interpretation of the data in line with the study’s aim and propositions, four core themes were identified: Reciprocal Encounter; Opportunity for Reflection and Re-evaluation; Platform for Change; and COVID-19. In addition to the perceived positive effects on targeted health outcomes (physical activity, sedentary behavior, health-related quality of life), facilitating intergenerational contact through virtual methods could also, through opportunities to nurture and build relationships, challenge age stereotypes.","PeriodicalId":73588,"journal":{"name":"Journal of ageing and longevity","volume":" 27","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141677785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anittha Mappanasingam, Katelyn Madigan, M. Kalu, Melody Maximos, V. D. Dal Bello-Haas
Introduction: Physical activity (PA) and exercise (EX) participation rates have not been increasing among older adults, with many not meeting recommended guidelines. This qualitative descriptive study examined factors influencing engagement in PA within and outside an older adult fitness club context, using self-determination theory (SDT). Methods: Thirty-seven community-dwelling adults 65 years and older participated in focus groups or telephone interviews. Two researchers independently coded and analyzed transcript data inductively and deductively using SDT. Results: Two broad themes, The Spectrum of Motivating Factors and Facilitators and Barriers, and nine sub-themes, Physical Activity and Exercise Brings Me Joy; Meaningful Personal Impetuses; I Get Active with a Little Help from my Spouse and Others; I See Changes and Improvements (Theme 1); I Can Do This; Connections and Sense of Belonging; I Cannot Do This; Setting, Environment, and People Supports; and Pragmatics (Theme 2), emerged from the data. All participants discussed several motivating factors: enjoyment, managing health conditions, being held ‘to account’ by others, opportunities for socialization, and seeing improvements in health and well-being. A lack of supportive environments, knowledgeable staff and suitable settings and programs were cited as barriers by participants who were not older adult fitness club members. Discussion: Factors along the extrinsic to intrinsic regulation continuum facilitated or hindered community-dwelling older adults to engage in and sustain PA within and outside an older adult fitness club context. The findings underscore the need for programs, settings, environments, and related components to be expressly older-adult-tailored to enhance motivation through competence, autonomy, and relatedness support for maximal engagement and participation in PA or EX.
{"title":"Engaging in and Sustaining Physical Activity and Exercise: A Descriptive Qualitative Study of Adults 65 Years and Older Using the Self-Determination Theory","authors":"Anittha Mappanasingam, Katelyn Madigan, M. Kalu, Melody Maximos, V. D. Dal Bello-Haas","doi":"10.3390/jal4020011","DOIUrl":"https://doi.org/10.3390/jal4020011","url":null,"abstract":"Introduction: Physical activity (PA) and exercise (EX) participation rates have not been increasing among older adults, with many not meeting recommended guidelines. This qualitative descriptive study examined factors influencing engagement in PA within and outside an older adult fitness club context, using self-determination theory (SDT). Methods: Thirty-seven community-dwelling adults 65 years and older participated in focus groups or telephone interviews. Two researchers independently coded and analyzed transcript data inductively and deductively using SDT. Results: Two broad themes, The Spectrum of Motivating Factors and Facilitators and Barriers, and nine sub-themes, Physical Activity and Exercise Brings Me Joy; Meaningful Personal Impetuses; I Get Active with a Little Help from my Spouse and Others; I See Changes and Improvements (Theme 1); I Can Do This; Connections and Sense of Belonging; I Cannot Do This; Setting, Environment, and People Supports; and Pragmatics (Theme 2), emerged from the data. All participants discussed several motivating factors: enjoyment, managing health conditions, being held ‘to account’ by others, opportunities for socialization, and seeing improvements in health and well-being. A lack of supportive environments, knowledgeable staff and suitable settings and programs were cited as barriers by participants who were not older adult fitness club members. Discussion: Factors along the extrinsic to intrinsic regulation continuum facilitated or hindered community-dwelling older adults to engage in and sustain PA within and outside an older adult fitness club context. The findings underscore the need for programs, settings, environments, and related components to be expressly older-adult-tailored to enhance motivation through competence, autonomy, and relatedness support for maximal engagement and participation in PA or EX.","PeriodicalId":73588,"journal":{"name":"Journal of ageing and longevity","volume":" 31","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141374596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Faizan Imtiaz, Thomas I. Vaughan‐Johnston, Li‐Jun Ji
When engaging in a task, individuals may prioritize the task’s results (i.e., the outcome), or they may focus on the task in and of itself (i.e., the process). Previous conceptualizations of outcome and process orientations have focused on population- and context-specific motives rather than people’s general proclivity toward these orientations across diverse tasks. Using a context-generalized outcome and process measure, we examined whether older adults (Mage = 72.8) and younger adults (Mage = 18.0) varied in their outcome and process orientations, and explored how these differences were related to temporal focus. The results indicated that, compared to their younger counterparts, older adults were more process oriented, and focused more on the present. Meanwhile, younger adults were more outcome oriented and focused more on the past and the future compared to older adults. Mediation analyses further revealed that older adults were more present focused due to their heightened process orientation, while younger adults were more past and future focused due to their outcome orientation. The implications of these findings in applied settings such as the workplace, health promotion, and business are discussed.
{"title":"Motivation and Age Revisited: The Impact of Outcome and Process Orientations on Temporal Focus in Older and Younger Adults","authors":"Faizan Imtiaz, Thomas I. Vaughan‐Johnston, Li‐Jun Ji","doi":"10.3390/jal4020010","DOIUrl":"https://doi.org/10.3390/jal4020010","url":null,"abstract":"When engaging in a task, individuals may prioritize the task’s results (i.e., the outcome), or they may focus on the task in and of itself (i.e., the process). Previous conceptualizations of outcome and process orientations have focused on population- and context-specific motives rather than people’s general proclivity toward these orientations across diverse tasks. Using a context-generalized outcome and process measure, we examined whether older adults (Mage = 72.8) and younger adults (Mage = 18.0) varied in their outcome and process orientations, and explored how these differences were related to temporal focus. The results indicated that, compared to their younger counterparts, older adults were more process oriented, and focused more on the present. Meanwhile, younger adults were more outcome oriented and focused more on the past and the future compared to older adults. Mediation analyses further revealed that older adults were more present focused due to their heightened process orientation, while younger adults were more past and future focused due to their outcome orientation. The implications of these findings in applied settings such as the workplace, health promotion, and business are discussed.","PeriodicalId":73588,"journal":{"name":"Journal of ageing and longevity","volume":" 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141371255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-01Epub Date: 2024-04-30DOI: 10.3390/jal4020005
Raymond L Ownby, Michael Simonson, Joshua Caballero, Kamila Thomas-Purcell, Rosemary Davenport, Donrie Purcell, Victoria Ayala, Juan Gonzlez, Neil Patel, Kofi Kondwani
The purpose of this study was to evaluate the effects of a mobile app designed to improve chronic disease self-management in patients 40 years and older with low health literacy and who had at least one chronic health condition, and to assess the impact of delivering information at different levels of reading difficulty. A randomized controlled trial was completed at two sites. Individuals aged 40 years and older screened for low health literacy who had at least one chronic health condition were randomly assigned to a tailored information multimedia app with text at one of three grade levels. Four primary outcomes were assessed: patient activation, chronic disease self-efficacy, health-related quality of life, and medication adherence. All groups showed overall increases in activation, self-efficacy, and health-related quality of life, but no change in medication adherence. No between-group differences were observed. The mobile app may have been effective in increasing participants' levels of several psychosocial variables, but this interpretation can only be advanced tentatively in light of lack of control-experimental group differences. Reading difficulty level was not significantly related to outcomes.
{"title":"A mobile app for chronic disease self-management for individuals with low health literacy: A multisite randomized controlled clinical trial.","authors":"Raymond L Ownby, Michael Simonson, Joshua Caballero, Kamila Thomas-Purcell, Rosemary Davenport, Donrie Purcell, Victoria Ayala, Juan Gonzlez, Neil Patel, Kofi Kondwani","doi":"10.3390/jal4020005","DOIUrl":"10.3390/jal4020005","url":null,"abstract":"<p><p>The purpose of this study was to evaluate the effects of a mobile app designed to improve chronic disease self-management in patients 40 years and older with low health literacy and who had at least one chronic health condition, and to assess the impact of delivering information at different levels of reading difficulty. A randomized controlled trial was completed at two sites. Individuals aged 40 years and older screened for low health literacy who had at least one chronic health condition were randomly assigned to a tailored information multimedia app with text at one of three grade levels. Four primary outcomes were assessed: patient activation, chronic disease self-efficacy, health-related quality of life, and medication adherence. All groups showed overall increases in activation, self-efficacy, and health-related quality of life, but no change in medication adherence. No between-group differences were observed. The mobile app may have been effective in increasing participants' levels of several psychosocial variables, but this interpretation can only be advanced tentatively in light of lack of control-experimental group differences. Reading difficulty level was not significantly related to outcomes.</p>","PeriodicalId":73588,"journal":{"name":"Journal of ageing and longevity","volume":"4 2","pages":"51-71"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11567679/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Samuel Turcotte, Marie-Ève Lapointe, Carolann Shea, Jacqueline Rousseau, J. Masse, Johanne Higgins, Pierre Rainville, David Lussier, F. Dubé, Catherine Genest, Kami Sarimanukoglu, Lucile Agarrat, Maria Varganici, J. Filiatrault
Introduction: Up to 50% of community-dwelling older adults report living with some chronic pain that interferes with their daily functioning and leads to disabilities. Hence, it is crucial to provide these individuals with strategies to effectively manage pain. An interdisciplinary approach is warranted considering the numerous factors contributing to pain among older adults. Although several studies have been conducted on various interdisciplinary pain self-management programs, little effort has been made to synthesize knowledge about such programs for older adults. Objective: The objective of this review was to synthesize the characteristics and effects of interdisciplinary chronic pain self-management interventions targeting community-dwelling older adults. Methods: A scoping review was conducted following the steps recommended by Arksey and O’Malley (2005) and Levac et al. (2010). Keyword searches were performed in MEDLINE, CINAHL, EMBASE, and the Cochrane Library. Results: Sixty-six articles were included. Most interventions were based on a cognitive-behavioral group approach and used a combination of modalities, including education and training on the use of self-management strategies. The professionals most frequently involved in group interventions were psychologists, physiotherapists, and occupational therapists. Several benefits of these programs have been reported concerning pain intensity, independence in daily functioning, mental health, and quality of life. Conclusions: Interdisciplinary chronic pain self-management programs appear promising in guiding clinical and rehabilitation interventions for older adults living with chronic pain.
{"title":"Outcomes and Characteristics of Interdisciplinary Self-Management Interventions for Older Adults Living with Chronic Pain: Insights from a Scoping Review","authors":"Samuel Turcotte, Marie-Ève Lapointe, Carolann Shea, Jacqueline Rousseau, J. Masse, Johanne Higgins, Pierre Rainville, David Lussier, F. Dubé, Catherine Genest, Kami Sarimanukoglu, Lucile Agarrat, Maria Varganici, J. Filiatrault","doi":"10.3390/jal4020007","DOIUrl":"https://doi.org/10.3390/jal4020007","url":null,"abstract":"Introduction: Up to 50% of community-dwelling older adults report living with some chronic pain that interferes with their daily functioning and leads to disabilities. Hence, it is crucial to provide these individuals with strategies to effectively manage pain. An interdisciplinary approach is warranted considering the numerous factors contributing to pain among older adults. Although several studies have been conducted on various interdisciplinary pain self-management programs, little effort has been made to synthesize knowledge about such programs for older adults. Objective: The objective of this review was to synthesize the characteristics and effects of interdisciplinary chronic pain self-management interventions targeting community-dwelling older adults. Methods: A scoping review was conducted following the steps recommended by Arksey and O’Malley (2005) and Levac et al. (2010). Keyword searches were performed in MEDLINE, CINAHL, EMBASE, and the Cochrane Library. Results: Sixty-six articles were included. Most interventions were based on a cognitive-behavioral group approach and used a combination of modalities, including education and training on the use of self-management strategies. The professionals most frequently involved in group interventions were psychologists, physiotherapists, and occupational therapists. Several benefits of these programs have been reported concerning pain intensity, independence in daily functioning, mental health, and quality of life. Conclusions: Interdisciplinary chronic pain self-management programs appear promising in guiding clinical and rehabilitation interventions for older adults living with chronic pain.","PeriodicalId":73588,"journal":{"name":"Journal of ageing and longevity","volume":"55 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141016570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Demographic changes have led to an increase in older people in prisons. Whereas the rehabilitative process of younger offenders is geared towards their reintegration into the labour market, successful ageing should be a policy aim for older prisoners. This study explores how older incarcerated persons view their ageing. A qualitative study using a written survey with only the single question What does ageing in prison mean to you? was conducted in Bavaria, Germany. A total of 64 prisoners (61 male, 3 female) supplied answers varying in length from a few words to several pages. The thematic analysis revealed that together with health concerns, social relations and everyday activities, the uncertainty of the future was a central focus point for the older adults in prison. The authors propose that a positive vision of the future needs to be included in any model of successful ageing. If successful ageing is used as an aim for older prisoners, more attention needs to be paid to support interventions during and after the release process.
{"title":"‘Successful Ageing’ Needs a Future: Older Incarcerated Adults’ Views on Ageing in Prison","authors":"Andrea Kenkmann, Christian Ghanem","doi":"10.3390/jal4020006","DOIUrl":"https://doi.org/10.3390/jal4020006","url":null,"abstract":"Demographic changes have led to an increase in older people in prisons. Whereas the rehabilitative process of younger offenders is geared towards their reintegration into the labour market, successful ageing should be a policy aim for older prisoners. This study explores how older incarcerated persons view their ageing. A qualitative study using a written survey with only the single question What does ageing in prison mean to you? was conducted in Bavaria, Germany. A total of 64 prisoners (61 male, 3 female) supplied answers varying in length from a few words to several pages. The thematic analysis revealed that together with health concerns, social relations and everyday activities, the uncertainty of the future was a central focus point for the older adults in prison. The authors propose that a positive vision of the future needs to be included in any model of successful ageing. If successful ageing is used as an aim for older prisoners, more attention needs to be paid to support interventions during and after the release process.","PeriodicalId":73588,"journal":{"name":"Journal of ageing and longevity","volume":"8 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141018689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Conor Cunningham, Maeve O’Doherty, R. Neill, Michael Adams, Frank Kee, Margaret E. Cupples, Wendy Hardeman, Ellen Elizabeth Anne Simpson, Marie H. Murphy, Chris Callaghan, Roger O’Sullivan, Colette Brolly, A. Agus, C. McDowell, Bob Laventure, Siobhan Casey, Suzanne M. McDonough, M. Tully
Background: The proportion of the population aged 65 years or older is increasing. Typically, physical activity and health decline with age, which is why action to promote active ageing is a major public health priority, particularly due to health inequalities in older adults. The aim of this study is to assess the effectiveness and cost-effectiveness of the Walk with Me peer-led walking intervention for older adults. Methods: This study is a two-arm, assessor-blind, randomised controlled trial. The intervention is a 12-week peer-led walking intervention based on social cognitive theory. Participants in the control group will receive information on active ageing and healthy nutrition. The study will target 348 community-dwelling older adults, aged 60 years or over living in areas of socio-economic disadvantage communities. Trained peer mentors will deliver the intervention. The primary outcome will be a mean between-group change in moderate-to-vigorous physical activity at 12 months from baseline, measured using an Actigraph accelerometer. Secondary outcomes will include quality of life, mental wellbeing, blood pressure, BMI and waist circumference. An embedded process evaluation will involve focus groups and participant diaries. Discussion: Evidence-based, cost-effective interventions to promote physical activity in older adults living in socio-economically disadvantaged communities are needed to address health inequalities.
{"title":"The Effectiveness and Cost-Effectiveness of the ‘Walk with Me’ Peer-Led Walking Intervention to Increase Physical Activity in Inactive Older Adults: Study Protocol for a Randomised Controlled Trial","authors":"Conor Cunningham, Maeve O’Doherty, R. Neill, Michael Adams, Frank Kee, Margaret E. Cupples, Wendy Hardeman, Ellen Elizabeth Anne Simpson, Marie H. Murphy, Chris Callaghan, Roger O’Sullivan, Colette Brolly, A. Agus, C. McDowell, Bob Laventure, Siobhan Casey, Suzanne M. McDonough, M. Tully","doi":"10.3390/jal4010003","DOIUrl":"https://doi.org/10.3390/jal4010003","url":null,"abstract":"Background: The proportion of the population aged 65 years or older is increasing. Typically, physical activity and health decline with age, which is why action to promote active ageing is a major public health priority, particularly due to health inequalities in older adults. The aim of this study is to assess the effectiveness and cost-effectiveness of the Walk with Me peer-led walking intervention for older adults. Methods: This study is a two-arm, assessor-blind, randomised controlled trial. The intervention is a 12-week peer-led walking intervention based on social cognitive theory. Participants in the control group will receive information on active ageing and healthy nutrition. The study will target 348 community-dwelling older adults, aged 60 years or over living in areas of socio-economic disadvantage communities. Trained peer mentors will deliver the intervention. The primary outcome will be a mean between-group change in moderate-to-vigorous physical activity at 12 months from baseline, measured using an Actigraph accelerometer. Secondary outcomes will include quality of life, mental wellbeing, blood pressure, BMI and waist circumference. An embedded process evaluation will involve focus groups and participant diaries. Discussion: Evidence-based, cost-effective interventions to promote physical activity in older adults living in socio-economically disadvantaged communities are needed to address health inequalities.","PeriodicalId":73588,"journal":{"name":"Journal of ageing and longevity","volume":"13 50","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140237219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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