An Occupational Therapy Fall Reduction Home Visit Program for Community-Dwelling Older Adults in Hong Kong After an Emergency Department Visit for a Fall

2016 ◽  
Vol 65 (2) ◽  
pp. 364-372 ◽  
Author(s):  
Mary Man-Lai Chu ◽  
Kenneth Nai-Kuen Fong ◽  
Albert Chau-Hung Lit ◽  
Timothy Hudson Rainer ◽  
Stella Wai-Chee Cheng ◽  
...  
Keyword(s):  
Older Adults ◽  
Emergency Department ◽  
Hong Kong ◽  
Occupational Therapy ◽  
Emergency Department Visit ◽  
Home Visit ◽  
Community Dwelling ◽  
Community Dwelling Older Adults

scholarly journals Understanding of Resilience of Older Adults in Hong Kong: A Qualitative Investigation

2020 ◽  
Vol 6 ◽  
pp. 233372142096690
Author(s):  
Chun Hu ◽  
Pak-Kwong Chung ◽  
Chun-Qing Zhang ◽  
Yiqun Gan ◽  
Rui Hu
Keyword(s):  
Older Adults ◽  
Hong Kong ◽  
Qualitative Content Analysis ◽  
Community Dwelling ◽  
Chinese Older Adults ◽  
Environmental Support ◽  
Positive Attitudes ◽  
Important Trait ◽  
Positive Experiences ◽  
Community Dwelling Older Adults

Purpose: Resilience is an important trait for older adults facing adversity. This qualitative study aimed to identify the characteristics that contribute to resilience in a group of community-dwelling older adults in Hong Kong. Methods: Twenty-five Chinese older adults were invited. Interviews were conducted to collect information about the adverse events in their lives, their attitudes towards adversity and the beliefs underlying their approaches to overcoming adversity. The transcripts were analyzed using qualitative content analysis. Results: Seven themes emerged from the interviews: equanimity, positive attitudes towards life; meaningfulness, self-reliance, social support, environmental support, and spirituality and faith. Conclusion: Our qualitative analysis found that resilience among older adults in Hong Kong is characterized by internal, external and existential factors. The results may be useful for the development of proactive interventions aimed at assisting older adults to enhance the positive experiences in their lives.

scholarly journals Prevalence of anxiety disorders in community dwelling older adults in Hong Kong

2016 ◽  
Vol 29 (2) ◽  
pp. 259-267 ◽  
Author(s):  
Ada Wai Tung Fung ◽  
Wai-Chi Chan ◽  
Corine Sau-Man Wong ◽  
Eric Yu-Hai Chen ◽  
Roger Man-Kin Ng ◽  
...  
Keyword(s):  
Older Adults ◽  
Hong Kong ◽  
Anxiety Disorders ◽  
Common Mental Disorders ◽  
Female Gender ◽  
Community Dwelling ◽  
Delayed Recall ◽  
Physical Burden ◽  
Community Dwelling Older Adults ◽  
Physical Functioning Score

ABSTRACTBackground:Anxiety disorders are prevalent yet under-recognized in late life. We examined the prevalence of anxiety disorders in a representative sample of community dwelling older adults in Hong Kong.Method:Data on 1,158 non-demented respondents aged 60–75 years were extracted from the Hong Kong Mental Morbidity survey (HKMMS). Anxiety was assessed with the revised Clinical Interview Schedule (CIS-R).Result:One hundred and thirty-seven respondents (11.9%, 95% CI = 10–13.7%) had common mental disorders with a CIS-R score of 12 or above. 8% (95% CI = 6.5–9.6%) had anxiety, 2.2% (95% CI = 1.3–3%) had an anxiety disorder comorbid with depressive disorder, and 1.7% (95% CI = 1–2.5%) had depression. Anxious individuals were more likely to be females (χ2 = 25.3, p < 0.001), had higher chronic physical burden (t = −9.3, p < 0.001), lower SF-12 physical functioning score (t = 9.2, p < 0.001), and poorer delayed recall (t = 2.3, p = 0.022). The risk of anxiety was higher for females (OR 2.8, 95% C.I. 1.7–4.6, p < 0.001) and those with physical illnesses (OR 1.4, 95% C.I. 1.3–1.6, p < 0.001). The risk of anxiety disorders increased in those with disorders of cardiovascular (OR 1.9, 95% C.I. 1.2–2.9, p = 0.003), musculoskeletal (OR 2.0, 95% C.I. 1.5–2.7, p < 0.001), and genitourinary system (OR 2.0, 95% C.I. 1.3–3.2, p = 0.002).Conclusions:The prevalence of anxiety disorders in Hong Kong older population was 8%. Female gender and those with poor physical health were at a greater risk of developing anxiety disorders. Our findings also suggested potential risk for early sign of memory impairment in cognitively healthy individuals with anxiety disorders.

scholarly journals Frailty and healthcare utilisation across care settings among community-dwelling older adults in Singapore

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Lixia Ge ◽  
Chun Wei Yap ◽  
Bee Hoon Heng ◽  
Woan Shin Tan
Keyword(s):  
Older Adults ◽  
Emergency Department ◽  
Outpatient Clinic ◽  
Healthcare Utilisation ◽  
Day Surgery ◽  
Community Dwelling ◽  
Emergency Department Visits ◽  
Care Clinic ◽  
Community Dwelling Older Adults ◽  
Clinic Visits

Abstract Background Frailty is frequently found to be associated with increased healthcare utilisation in western countries, but little is known in Asian population. This study was conducted to investigate the association between frailty and healthcare utilisation in different care settings among community-dwelling older adults in Singapore. Methods Data from a population health survey among community-dwelling adults were linked with an administrative database to retrieve data of healthcare utilisation (including government primary care clinic visits, specialised outpatient clinic visits, emergency department visits, day surgery and hospitalisations) occurred during a six-month look-back period and six-month post-baseline respectively. Baseline frailty status was measured using the five-item FRAIL scale, which was categorised into three groups: robust (0), pre-frail (1–2), and frail (3–5). Negative binomial regression was applied to examine the association between frailty with respective healthcare utilisation (dependent variables), controlling for other confounding variables. Results In our sample of 701 older adults, 64.8% were of robust health, 27.7% were pre-frail, and 7.6% were frail. Compared to the robust group, frail individuals had a higher rate of specialised outpatient clinic visits (incidence rate ratio (IRR): 2.8, 95% confidence interval (CI): 1.2–6.5), emergency department visits (IRR: 3.1, 95%CI: 1.1–8.1), day surgery attendances (IRR: 6.4, 95%CI: 1.3–30.9), and hospitalisations (IRR: 6.7, 95%CI: 2.1–21.1) in the six-month period prior to the baseline and in subsequent 6 months (IRR: 3.3, 95%CI: 1.6–7.1; 6.4, 2.4–17.2; 5.8, 1.3–25.8; 13.1, 4.9–35.0; respectively), controlling for covariates. Conclusions Frailty was positively associated with the number of specialised outpatient clinic visits, emergency department visits, day surgeries and hospitalisations occurred during 6 months prior to and after the baseline. As frailty is a potentially reversible health state with early screening and intervention, providing preventive activities that delay the onset or progression of frailty should have potential effect on delaying secondary and tertiary care utilisation.

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