scholarly journals Designing Personalized Treatment Engagement Interventions for Depressed Older Adults

2011 ◽  
Vol 34 (2) ◽  
pp. 489-500 ◽  
Author(s):  
Patrick J. Raue ◽  
Jo Anne Sirey
2012 ◽  
Author(s):  
M. Oldham ◽  
S. Kellett ◽  
E. Miles ◽  
P. Sheeran

BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e048558
Author(s):  
Mathilde Bendix Søgaard ◽  
Katrine Andresen ◽  
Maria Kristiansen

IntroductionPerson-centred care based on systematic and comprehensive patient-engagement is gaining momentum across healthcare systems. Providing care that is responsive to the needs, values and priorities of each patient is important for patients, relatives and providers alike, not least for the growing population of older patients living with multi-morbidity and associated complex care trajectories.ObjectivesThe aim of this systematic review is to investigate the effects of patient engagement interventions for older patients with multimorbidity.MethodsSystematic review conducted in August 2021. Two reviewers independently screened the international databases Embase and PubMed. Reviewers carried out duplicate and independent data extraction and assessment of study quality. Grading of Recommendations Assessment, Development and Evaluation was used to assess the quality of the evidence for each study.ResultsWe included twelve studies from primary care setting and hospitals. The included studies were heterogeneous in terms of characteristics of populations, types of interventions to enhance patient-engagement, outcome measures and length of follow-up. Nine of the 12 included studies found significant improvements in health and patient-reported outcomes such as higher quality-adjusted life-years, fewer hospital visits and disease specific symptoms. Quality of the included studies was of low to moderate.ConclusionThis review identifies potential beneficial effects of interventions to enhance patient-engagement in older adults with multimorbidity. Nevertheless, the limited and very diverse evidence-based calls for more robust studies into efficient approaches to engaging older adults with multimorbidity in care trajectories.


2013 ◽  
Vol 36 (3) ◽  
pp. 260-273 ◽  
Author(s):  
Erin L. Woodhead ◽  
Iulia I. Ivan ◽  
Erin E. Emery

Author(s):  
Hanna Köttl ◽  
Ella Cohn-Schwartz ◽  
Liat Ayalon

Abstract Objectives Everyday information and communication technologies (EICTs), involving digital services, such as online shopping, e-banking, and video calling, are perceived to be associated with youth and a modern lifestyle. On the other hand, older adults are often portrayed as technology-alienated, less willing, and incapable of using EICT. The internalization of potentially negative age stereotypes may compromise actual later life engagement and the ability to perform EICT. At the same time, low engagement in EICT may also contribute to negative self-perceptions of aging (SPA), for example, related to physical loss, social loss, and personal competence. This study was, hence, designed to evaluate the temporal reciprocal associations of SPA and older adults’ EICT use. Methods The article was based on 2 waves (2014 and 2017) from the German Ageing Survey (DEAS), a nationally representative survey of middle-aged and older individuals aged 40 and older. A cross-lagged model (N = 3,600) was estimated to examine the reciprocal associations of SPA and EICT. Results The lagged effect of SPA on EICT engagement was nonsignificant, whereas the lagged effect of EICT engagement on SPA in the domain personal competence was significant, indicating that greater EICT engagement predicted more positive SPA related to personal competence 3 years later. Discussion These findings encourage researchers and policymakers to put further emphasis on the empowerment of older individuals in their EICT engagement. Interventions that promote lifelong learning and age-friendly environments can enhance a more positive aging experience.


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