scholarly journals Application of the 18-Item Dementia Elderly Odayaka Scale in Japan: Evaluation before and after Intervention

2021 ◽  
pp. 10-15
Author(s):  
Hiromi Tsujimura ◽  
Makoto Osawa ◽  
Setsuko Makita
Keyword(s):  
Social Interaction ◽  
Older People ◽  
Well Being ◽  
Psychosocial Aspects ◽  
Before And After ◽  
Field Notes ◽  
Expression Of Emotions ◽  
Facility Staff ◽  
Over Time

<b><i>Introduction:</i></b> We have developed the Dementia Elderly Odayaka Scale (DEOS) to evaluate psychosocial aspects in older people. The DEOS can be used to assess well-being, such as personhood and social interaction. <b><i>Objective:</i></b> The aim of this study was to apply the 18-item DEOS in participants with dementia and to examine the characteristics and usefulness of this scale. <b><i>Methods:</i></b> Facility staff provided care for the participants while taking into consideration each participant’s individuality and strong points. The DEOS was applied at the beginning of the interventions and at 1 and 2 months after the start of the interventions. The changes in the participants’ behaviors and their DEOS scores were then evaluated over time. <b><i>Results:</i></b> We examined 13 participants (2 men, 11 women) between the ages of 68 and 91 years. In 60% of the participants the DEOS score increased over time. When care interventions were tailored toward communication and leadership for the 2 men, according to each of their individualities, we observed increases in their scores for “social interaction” at 1 and 2 months thereafter. We also observed increases in the scores for “Expression of emotions” category in 2 of the 5 cases who received an aromatherapy massage. <b><i>Discussion/Conclusion:</i></b> The changes in the scores over time and the contents of the field notes were consistent with each other, suggesting that the DEOS can be used both to evaluate the effects of interventions and to plan care that takes advantage of each participant’s positive aspects.

Supporting creative ageing through the arts: the impacts and implementation of a creative arts programme for older people

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Simon Chester Evans ◽  
Jennifer Bray ◽  
Claire Garabedian
Keyword(s):  
Social Interaction ◽  
Older People ◽  
Well Being ◽  
Care Staff ◽  
Successful Implementation ◽  
Creative Arts ◽  
Standard Format ◽  
Content Type ◽  
The Impact

Purpose The purpose of this paper is to report on an independent evaluation of a three-year “Creative Ageing” programme, focussing on the impacts for participants and factors promoting successful delivery of sessions. Design/methodology/approach Artists provided feedback through reflective journals and questionnaires, while the views of care staff and participants were also captured in a standard format at the end of each arts session. Thematic analysis of the qualitative data identified common themes. Findings Twenty-three arts projects were delivered across a range of settings and through diverse art forms including dance, drama, music, visual arts and poetry. They reached nearly 2,200 participants who recorded over 8,100 session attendances in total. Participation in high quality creative experiences improved well-being for older people, as well as increasing social interaction and reducing isolation. Several factors facilitated successful implementation and delivery of the activities, particularly the need to hold planning meetings with staff to provide guidance around participant numbers and suitability, minimising disruption of the sessions and the supportive role of staff during the sessions. Opportunities for reflection enabled artists to address potential challenges and adapt their practice to meet the needs and preferences of participants and to the complexities of diverse settings. Originality/value Previous research has largely focussed on the impact of activities in a single setting. This study supports the role of creative arts in increasing social interaction as an attempt to tackle isolation and loneliness, both for older people living in the community and for those living in a communal setting such as care homes and supported living schemes.

Home care packages: insights into the experiences of older people leading up to the introduction of consumer directed care in Australia

2017 ◽  
Vol 23 (2) ◽  
pp. 162 ◽  
Author(s):  
Jenny Day ◽  
Ann Clare Thorington Taylor ◽  
Peter Summons ◽  
Pamela Van Der Riet ◽  
Sharyn Hunter ◽  
...  
Keyword(s):  
Home Care ◽  
Older People ◽  
Study Data ◽  
Care Quality ◽  
Two Phase ◽  
Face To Face ◽  
Before And After ◽  
Qualitative Descriptive ◽  
Care Coordinators ◽  
Field Notes

This paper reports phase one, conducted from March to June 2015, of a two-phase, qualitative descriptive study designed to explore the perceptions and experiences of older people before and after the introduction of consumer directed care (CDC) to home care packages (HCP) in Australia. Eligible consumers with a local HCP provider were mailed information about the study. Data collection occurred before the introduction of CDC and included face-to-face, in-depth interviews, summaries of interviews, field notes and reflective journaling. Semi-structured questions and ‘emotional touchpoints’ relating to home care were used to guide the interview conversation. Line-by-line data analysis, where significant statements were highlighted and clustered to reveal emergent themes, was used. Five older people, aged 81 to 91 years, participated in the study. The four emergent themes were: seeking quality and reciprocity in carer relationships; patchworking services; the waiting game; and technology with utility. Continuity of carers was central to the development of a trusting relationship and perceptions of care quality among older consumers. Care coordinators and workers should play a key role in ensuring older people receive timely information about CDC and their rights and responsibilities. Participants’ use of contemporary technologies suggests opportunities to improve engagement of HCP clients in CDC.

scholarly journals Loneliness as a Biographical Disruption—Theoretical Implications for Understanding Changes in Loneliness

2020 ◽  
Vol 75 (9) ◽  
pp. 2029-2039
Author(s):  
Deborah J Morgan ◽  
Vanessa Burholt
Keyword(s):  
Risk Factors ◽  
Social Network ◽  
Older People ◽  
Later Life ◽  
Well Being ◽  
Narrative Interviews ◽  
Biographical Disruption ◽  
Stability And Change ◽  
Life Study ◽  
Over Time

Abstract Objectives While a great deal is known about the risk factors that increase vulnerability to loneliness in later life, little research has explored stability and change in levels of loneliness. Methods Narrative interviews were conducted with 11 participants who were identified as being lonely during Wave 1 of the Maintaining Function and Well-being in Later Life Study Wales (CFAS Wales). The interviews were used to explore stability and change in levels of loneliness from the perspective of older people themselves. The interviews focused on participant’s perspectives of the events that triggered loneliness, stability, and change in levels of loneliness over time as well as participant’s responses to loneliness. Results The findings show that participants experienced losses and loneliness as biographical disruption. How participants and their wider social network responded to these losses had implications for the individual’s trajectory through loneliness. Discussion Drawing on a biographical lens, the study reframed the events that triggered loneliness as disruptive events. This article discusses the utility of biographical disruption in understanding stability and change in loneliness. The findings suggest how drawing on valued identities may help lonely adults transition out of loneliness.

Extending the Comfort Zone: Building Resilience in Older People With Long-Term Conditions

2017 ◽  
Vol 38 (6) ◽  
pp. 825-848 ◽  
Author(s):  
Mark Robinson ◽  
Esmée Hanna ◽  
Gary Raine ◽  
Steve Robertson
Keyword(s):  
Older People ◽  
Peer Support ◽  
Social Engagement ◽  
Well Being ◽  
Significant Drop ◽  
Long Term Conditions ◽  
Before And After ◽  
And Gender ◽  
Ongoing Support

This article examines how a 6-week mental health resilience course for people with long-term conditions (LTCs; diabetes, heart disease, and arthritis) increased perceived resilience of older participants. This article examines how peer support assisted participants to develop resilience, considers gender issues, examines the importance of course activities, and explores how resilience enhances quality of life. A mixed methods approach was used. A before-and-after questionnaire was administered 3 times, including 3-month follow-up. Interviews were held with 24 program participants, aged 45 to 80 years. Diaries were kept by participants over 3 months. Survey findings showed significant gains in perceived resilience, at the end of the course, with no significant drop-off after 3 months. Interview and diary narratives highlighted positive experiences around well-being, condition management, and social engagement. Peer support was key to effective processes. Challenges concern ongoing support in communities, and considering age and gender variables when researching what improved resilience means to older people with LTCs.

Resistance Training and Older Adults’ Beliefs about Psychological Benefits: The Importance of Self-Efficacy and Social Interaction

2007 ◽  
Vol 29 (6) ◽  
pp. 723-746 ◽  
Author(s):  
Rylee Dionigi
Keyword(s):  
Older Adults ◽  
Social Interaction ◽  
Resistance Training ◽  
Older People ◽  
Self Efficacy ◽  
Well Being ◽  
Psychological Benefits ◽  
Psychological Well Being ◽  
Training Interventions ◽  
Quantitative Studies

The purpose of this study was to determine the perceived psychological benefits and explore the mechanisms underlying the link between exercise and psychological well-being for a group of older adults (65-72 years; 6 women; 4 men) who participated in a 12-week program of moderate-to-high intensity resistance training. They were interviewed in-depth at 1 week preintervention, 1 month after commencement, and 1 week after completion. The participants believed that resistance training enhanced their well-being, and they gave various physical, mental, and social reasons to explain this link. In particular, self-efficacy and social interaction were found to be key mechanisms underlying this relationship. This study exposed meaningful perceived improvements in psychological well-being that have not been uncovered in quantitative studies of healthy older people undertaking resistance training. The findings highlight the importance of using qualitative methods to enrich understandings of the positive effect of exercise on psychological well-being. The findings also have implications for designing effective resistance training interventions for older people.

scholarly journals Forma mentis networks map how nursing and engineering students enhance their mindsets about innovation and health during professional growth

2020 ◽  
Vol 6 ◽  
pp. e255 ◽  
Author(s):  
Massimo Stella ◽  
Anna Zaytseva
Keyword(s):  
Group Dynamics ◽  
Professional Growth ◽  
Professional Training ◽  
Engineering Students ◽  
Health Sector ◽  
Well Being ◽  
Group Level ◽  
Cognitive Representations ◽  
Before And After ◽  
Over Time

Reconstructing a “forma mentis”, a mindset, and its changes, means capturing how individuals perceive topics, trends and experiences over time. To this aim we use forma mentis networks (FMNs), which enable direct, microscopic access to how individuals conceptually perceive knowledge and sentiment around a topic, providing richer contextual information than machine learning. FMNs build cognitive representations of stances through psycholinguistic tools like conceptual associations from semantic memory (free associations, i.e., one concept eliciting another) and affect norms (valence, i.e., how attractive a concept is). We test FMNs by investigating how Norwegian nursing and engineering students perceived innovation and health before and after a 2-month research project in e-health. We built and analysed FMNs by six individuals, based on 75 cues about innovation and health, and leading to 1,000 associations between 730 concepts. We repeated this procedure before and after the project. When investigating changes over time, individual FMNs highlighted drastic improvements in all students’ stances towards “teamwork”, “collaboration”, “engineering” and “future”, indicating the acquisition and strengthening of a positive belief about innovation. Nursing students improved their perception of ‘robots” and “technology” and related them to the future of nursing. A group-level analysis related these changes to the emergence, during the project, of conceptual associations about openness towards multidisciplinary collaboration, and a positive, leadership-oriented group dynamics. The whole group identified “mathematics” and “coding” as highly relevant concepts after the project. When investigating persistent associations, characterising the core of students’ mindsets, network distance entropy and closeness identified as pivotal in the students’ mindsets concepts related to “personal well-being”, “professional growth” and “teamwork”. This result aligns with and extends previous studies reporting the relevance of teamwork and personal well-being for Norwegian healthcare professionals, also within the novel e-health sector. Our analysis indicates that forma mentis networks are powerful proxies for detecting individual- and group-level mindset changes due to professional growth. FMNs open new scenarios for data-informed, multidisciplinary interventions aimed at professional training in innovation.

scholarly journals Does a social prescribing ‘holistic’ link-worker for older people with complex, multimorbidity improve well-being and frailty and reduce health and social care use and costs? A 12-month before-and-after evaluation

2019 ◽  
Vol 20 ◽  
Author(s):  
Julian Elston ◽  
Felix Gradinger ◽  
Sheena Asthana ◽  
Caroline Lilley-Woolnough ◽  
Sue Wroe ◽  
...  
Keyword(s):  
Older People ◽  
Service Use ◽  
Social Care ◽  
Patient Activation ◽  
Well Being ◽  
Long Term Conditions ◽  
Social Prescribing ◽  
Health And Social Care ◽  
Before And After ◽  
The Impact

Abstract Aim: To evaluate the impact of ‘holistic’ link-workers on service users’ well-being, activation and frailty, and their use of health and social care services and the associated costs. Background: UK policy is encouraging social prescribing (SP) as a means to improve well-being, self-care and reduce demand on the NHS and social services. However, the evidence to support this policy is generally weak and poorly conceptualised, particularly in relation to frail, older people and patient activation. Torbay and South Devon NHS Foundation Trust, an integrated care organisation, commissioned a Well-being Co-ordinator service to support older adults (≥50 years) with complex health needs (≥2 long-term conditions), as part of its service redesign. Methods: A before-and-after study measuring health and social well-being, activation and frailty at 12 weeks and primary, community and secondary care service use and cost at 12 months prior and after intervention. Findings: Most of the 86 participants achieved their goals (85%). On average health and well-being, patient activation and frailty showed a statistically significant improvement in mean score. Mean activity increased for all services (some changes were statistically significant). Forty-four per cent of participants saw a decrease in service use or no change. Thirteen high-cost users (>£5000 change in costs) accounted for 59% of the overall cost increase. This was largely due to significant, rapid escalation in morbidity and frailty. Co-ordinators played a valuable key-worker role, improving the continuity of care, reducing isolation and supporting carers. No entry-level participant characteristic was associated with change in well-being or service use. Larger, better conceptualised, controlled studies are needed to strengthen claims of causality and develop national policy in this area.

Taking Stock of Happiness and Meaning in Everyday Life

2016 ◽  
Vol 8 (6) ◽  
pp. 641-651 ◽  
Author(s):  
Jongan Choi ◽  
Rhia Catapano ◽  
Incheol Choi
Keyword(s):  
Social Interaction ◽  
Sampling Method ◽  
Well Being ◽  
Time Of Day ◽  
Demographic Variables ◽  
Daily Activities ◽  
Interaction Partners ◽  
Daily Events ◽  
Momentary Happiness ◽  
Over Time

The present study examines momentary experiences of happiness and meaning, two components of well-being, by using an experience sampling method. Participants included 603 Korean adults, who generated 24,430 responses over the course of 2–4 weeks. Results revealed that reported levels of happiness and meaning fluctuated substantially over the course of a day and that contextual factors, such as daily activities, social interaction partners, day of week, and time of day, along with demographic variables, were significant predictors of momentary happiness and meaning. In addition, we observe that people often experienced happiness and meaning independently of each other during a single daily event. In sum, momentary experiences of happiness and meaning were dynamic, related but distinct, and varied by individuals across daily events and over time.

scholarly journals Older people’s perceptions of the impact of Dance for Health sessions in an acute hospital setting: a qualitative study

BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e044027
Author(s):  
Hilary Bungay ◽  
Suzanne Hughes
Keyword(s):  
Physical Activity ◽  
Social Interaction ◽  
Older People ◽  
Hospital Setting ◽  
Well Being ◽  
Acute Hospital ◽  
Emotional Impact ◽  
Psychological Benefits ◽  
The Impact ◽  
Acute Hospital Setting

ObjectivesTo explore the perceptions of hospitalised older people and their relatives of the impact of taking part in group dance sessions in an acute hospital setting.DesignA qualitative descriptive approach was used.SettingAn acute hospital trust in the East of England.ParticipantsPurposive sample of dance group participants.InterventionWeekly music and movement sessions for frail older people on Department of Elderly Medicine Wards and the Stroke Rehabilitation Unit. Sessions take place in the ward and are facilitated by a dance artist supported by ward staff.ResultsTwenty-one semistructured interviews were conducted with older people and/or their relatives. Thematic analysis of the data identified three overarching themes: (1) dance as a physical activity, (2) dance as an opportunity for social interaction and (3) the dance group as a source of emotional support. Sessions were valued as an enjoyable way to undertake physical activity and provided an opportunity for social interaction between patients. This is important as loneliness and boredom are a common occurrence during hospitalisation and are detrimental to overall health and well-being. Patients reported an emotional impact though taking part; happiness from engaging with the group and the release of pent up emotions through the triggering of memories by the music and conversations within the group.ConclusionDance for Health provides a range of physical, social and emotional benefits for hospitalised older people. Further research is required to investigate the effectiveness of group dance sessions in increasing physical activity on an acute ward and the potential psychological benefits for hospitalised older people.

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