EXPLORING FACTORS THAT CONTRIBUTE TO JOINING AND REGULARLY PRACTICING IN COGNITIVE TRAINING AMONG HEALTHY OLDER ADULTS: A ONE-YEAR FOLLOW-UP QUALITATIVE STUDY

2020 ◽  
pp. 1-7
Author(s):  
P. Srisuwan ◽  
D. Nakawiro ◽  
S. Chansirikarnjana ◽  
O. Kuha ◽  
S. Kengpanich ◽  
...  
Keyword(s):  
Older Adults ◽  
Qualitative Study ◽  
Cognitive Training ◽  
Individual Characteristics ◽  
Community Dwelling ◽  
Notification System ◽  
Healthy Older Adults ◽  
Effective Program ◽  
One Year ◽  
At Home

BACKGROUND: Cognitive interventions have the potential to enhance cognition among healthy older adults. However, little is known of the factors associated with the joining and participating of older people in group-based multicomponent cognitive training (CT). OBJECTIVES: To explore factors that contribute to joining and regularly practicing CT over 1 year among healthy older adults. DESIGN: A qualitative study. SETTING: Geriatric clinic in Bangkok, Thailand. PARTICIPANTS: 40 nondemented community-dwelling older adults INTERVENTION: The CT of executive functions, attention, memory and visuospatial functions (TEAM-V) program was conducted over 5 sessions, with a 2-week interval between each session. MEASUREMENTS: An inductive qualitative approach, based on semi-structure interviews with 40 healthy older adults, was employed. The interviews explored factors of joining CT at baseline, factors of regularly participating in class at 6 months and at home at 1 year. Data were coded and analyzed using and the thematic analysis approach. RESULTS: After analyzing factors concerning joining CT, 3 core themes emerged: (1) individual characteristics with 3 subthemes of “health status”, “time arrangement”, and “financial status”; (2) individual perceptions with 2 subthemes of “perceived susceptibility to dementia” and “perceived severity of dementia” and (3) encouragement from families and friends. After analyzing factors of practicing CT in class, 3 core themes emerged: (1) program with 3 subthemes of “session”, “group facilitators” and “notification before class”; (2) accessibility with 2 subthemes of “distance” and “transportation” and (3) encouragement from families and friends. After analyzing factors of practicing CT at home, 2 core themes emerged: (1) contents of the training program and (2) encouragement from families and friends. CONCLUSIONS: Increased awareness of holistic factors including older adults’ characteristic and perceptions, support from families and friends and accessibility should be emphasized in planning CT. Designing the content of CT that could be applied or adapted in daily living and effective program components such as a notification system could increase practicing.

scholarly journals COMPUTERIZED COGNITIVE TRAINING, WITH OR WITHOUT EXERCISE, TO PROMOTE COGNITIVE FUNCTION: A RANDOMIZED TRIAL

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S55-S56
Author(s):  
Lisanne F ten Brinke ◽  
John R Best ◽  
Joey L Chan ◽  
Cheyenne Ghag ◽  
Kirk I Erickson ◽  
...  
Keyword(s):  
Older Adults ◽  
Physical Exercise ◽  
Executive Functions ◽  
Cognitive Training ◽  
Verbal Learning ◽  
Stroop Test ◽  
Community Dwelling ◽  
Computerized Cognitive Training ◽  
Improved Performance ◽  
At Home

Abstract Given the world’s aging population, it is important to identify strategies that promote healthy cognitive aging. Computerized cognitive training (CCT) may be a promising method to combat cognitive decline in older adults. Moreover, physical exercise immediately prior to CCT might provide additional cognitive benefits. We conducted a randomized controlled trial to examine the effect of a CCT intervention, alone or preceded by physical exercise, on memory and executive functions in older adults. 124 community-dwelling older adults aged 65-85 years were randomly assigned to either 8-weeks of: 1) 3x/week group-based CCT plus 3x/week CCT sessions at home; 2) 3x/week group-based CCT combined with a 15-minute brisk walk (Ex-CCT) plus 3x/week Ex-CCT sessions at home; or 3)3x/week group-based sham exercise and education sessions (CON). At baseline and 8-weeks standard neuropsychological tests of verbal memory and learning and executive functions were administered, including the Rey Auditory Verbal Learning Test (RAVLT), Stroop test, Flanker test, Trail Making Tests (TMT B-A), and Dimensional Change Card Sort (DCCS) Test. At trial completion, there were no differences in RAVLT performance. Compared with CON, FBT and Ex-FBT participants significantly improved performance on the Stroop test (p = .001 and p = .023, respectively). Additionally, those randomized to Ex-CCT improved performance on the Flanker test (p = .002), TMT B-A (p = .047), and the DCCS Test (p = .023) compared with BAT. These findings suggest that an 8-week CCT program could benefit executive functions, and that implementing exercise immediately prior to CCT could provide broader benefits.

One-year predictors of turnover among personal-care workers for older adults living at home in Italy

2010 ◽  
Vol 31 (4) ◽  
pp. 611-624 ◽  
Author(s):  
CLAUDIO BILOTTA ◽  
PAOLA NICOLINI ◽  
CARLO VERGANI
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Multivariate Logistic Regression Analysis ◽  
Community Dwelling ◽  
Care Staff ◽  
Personal Care ◽  
Care Workers ◽  
Informal Carers ◽  
One Year ◽  
At Home

ABSTRACTThis paper reports a study that aimed to identify the predictors of the turnover of privately-employed personal-care staff that provide community-dwelling older adults in Italy with assistance in the activities of daily living. The prospective cohort study enrolled 121 older adults (mean age 85.6 years) living at home, along with their personal-care workers and 107 informal carers. The older participants underwent a comprehensive geriatric assessment. At a one-year follow-up between May 2006 and June 2008, 12 of the older participants had been placed in a nursing home and 26 had died. Of the 83 still living at home, 22 had changed their personal-care staff (26.5% turnover). Multivariate logistic regression analysis identified one characteristic of the personal-care staff, living far away from their families (odds ratio (OR) 16.30, p=0.01), and two characteristics of the elders, namely being widowed (OR 0.09, p=0.01) and having cognitive impairment (OR 0.10, p=0.01), as one-year predictors of turnover and of the retention of personal-care workers, respectively. Further studies are needed both to evaluate whether immigration politics that enable family reconjunction would reduce the turnover of personal-care workers, and to investigate the lower turnover among personal-care staff caring for widowed elders and older adults with cognitive impairment.

scholarly journals Perceptions About Technologies That Help Community-Dwelling Older Adults Remain at Home: Qualitative Study

10.2196/17930 ◽  
2020 ◽  
Vol 22 (6) ◽  
pp. e17930 ◽  
Author(s):  
Henk Verloo ◽  
Thomas Kampel ◽  
Nicole Vidal ◽  
Filipa Pereira
Keyword(s):  
Older Adults ◽  
Qualitative Study ◽  
Home Health Care ◽  
High Performance ◽  
Functional Decline ◽  
Community Dwelling ◽  
Surveillance Systems ◽  
Convenience Sample ◽  
Community Dwelling Older Adults ◽  
At Home

Background The population of Europe is aging rapidly. Most community-dwelling older adults (CDOAs) want to remain in their homes, particularly those experiencing functional decline. Politicians and academics repeatedly praise technological instruments for being the preferred solution for helping older adults with deteriorating health to remain at home. Objective This study aimed to understand the perceptions of CDOAs and their informal caregivers (ICs) and professional caregivers (PCs) about technologies that can help keep older adults at home. Methods This qualitative study used personal interviews, focus groups, and photo-elicitation interviews to better understand the perceptions of a convenience sample of 68 CDOAs, 21 ICs, and 32 PCs. Results A fraction of CDOAs did not perceive technological instruments to be a very useful means of helping them remain at home. However, the ICs and PCs were more positive. The CDOAs preferred and were more willing to adopt technologies related to their mobility and safety and those that would help slow down their cognitive decline. The ICs preferred technological aids that assist in the activities of daily living as well as safety-related technologies for detecting falls and helping to locate disoriented older adults. The PCs preferred integrated communication and information systems to improve collaboration between all stakeholders, housing equipped with technologies to manage complex care, high-performance ancillary equipment to transfer people with reduced mobility, and surveillance systems to ensure safety at home. Conclusions Although our study reports that CDOAs have limited interest in innovative technologies to help them remain at home, their technological skills will undoubtedly improve in the future, as will those of ICs and PCs. Technological tools will play an increasingly important role in home health care.

scholarly journals Exploring Factors Contribute to Adhering in Computerized Cognitive Training Among Healthy Older Adults in China

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 487-487
Author(s):  
Siman Lv ◽  
Cuiping Ni ◽  
Yu Liu
Keyword(s):  
Older Adults ◽  
Cognitive Training ◽  
Brain Function ◽  
Peer Group ◽  
Structured Interview ◽  
Cognitive Intervention ◽  
Individual Characteristics ◽  
Healthy Older Adults ◽  
Computerized Cognitive Training ◽  
Factors Associated

Abstract Computerized cognitive intervention has the potential to enhance cognition among healthy older adults. However, little is known of the factors associated with adherence in computerized cognitive training among healthy older adults in China. This study was designed to explore these factors utilizing a descriptive qualitative method. A semi-structured interview was used to interview 13 informants. The analysis suggested that factors associated with adherence to the computerized cognitive intervention, included 3 core themes:(1) individual characteristics, with three subthemes of “having free time”, “emotion”, and “persistence characteristics”; (2) encouragement, with three subthemes of “peer group support”, “support from healthcare professional”, and “supervision from facilitators”; and (3) self-recognized improvement related to training, with two subthemes of “better brain function” and “emotion improved”. The results revealed multi-factors promote adherence including personal and social aspects.

scholarly journals Perceptions About Technologies That Help Community-Dwelling Older Adults Remain at Home: Qualitative Study (Preprint)

2020 ◽  
Author(s):  
Henk Verloo ◽  
Thomas Kampel ◽  
Nicole Vidal ◽  
Filipa Pereira
Keyword(s):  
Older Adults ◽  
Qualitative Study ◽  
Home Health Care ◽  
High Performance ◽  
Functional Decline ◽  
Community Dwelling ◽  
Surveillance Systems ◽  
Convenience Sample ◽  
Community Dwelling Older Adults ◽  
At Home

BACKGROUND The population of Europe is aging rapidly. Most community-dwelling older adults (CDOAs) want to remain in their homes, particularly those experiencing functional decline. Politicians and academics repeatedly praise technological instruments for being the preferred solution for helping older adults with deteriorating health to remain at home. OBJECTIVE This study aimed to understand the perceptions of CDOAs and their informal caregivers (ICs) and professional caregivers (PCs) about technologies that can help keep older adults at home. METHODS This qualitative study used personal interviews, focus groups, and photo-elicitation interviews to better understand the perceptions of a convenience sample of 68 CDOAs, 21 ICs, and 32 PCs. RESULTS A fraction of CDOAs did not perceive technological instruments to be a very useful means of helping them remain at home. However, the ICs and PCs were more positive. The CDOAs preferred and were more willing to adopt technologies related to their mobility and safety and those that would help slow down their cognitive decline. The ICs preferred technological aids that assist in the activities of daily living as well as safety-related technologies for detecting falls and helping to locate disoriented older adults. The PCs preferred integrated communication and information systems to improve collaboration between all stakeholders, housing equipped with technologies to manage complex care, high-performance ancillary equipment to transfer people with reduced mobility, and surveillance systems to ensure safety at home. CONCLUSIONS Although our study reports that CDOAs have limited interest in innovative technologies to help them remain at home, their technological skills will undoubtedly improve in the future, as will those of ICs and PCs. Technological tools will play an increasingly important role in home health care.

scholarly journals Quality of Diet Among Community-Dwelling Elders Participating in the Mobility and Vitality Lifestyle Program

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 841-841
Author(s):  
Jessica Cheng
Keyword(s):  
Older Adults ◽  
Disease Prevention ◽  
Diet Quality ◽  
Group Intervention ◽  
Health Workers ◽  
Effective Means ◽  
Quality Score ◽  
Community Dwelling ◽  
Total Quality ◽  
One Year

Abstract Dietary choices play an important role in disease prevention both through its effect on weight and independent of it. Improving diet can be an effective means of disease prevention among older adults. Participants (n=303) were recruited from the Allegheny County, PA area and received nutritional education in group sessions led by trained community health workers over one year. Diet quality was captured at baseline and final endpoint (either 9 or 13 months) using the Rate Your Plate (RYP) instrument for assessing healthfulness of diet and includes 24 items that can be summed to generate a total quality score. The mean RYP diet quality score improved from baseline (RYP=50.87) to endpoint (RYP=54.85) (p<.001). Over the course of the intervention, 30.9% of participants made enough improvement in diet to move to a better RYP category. A community-based group intervention for older adults was effective in inducing improvements in diet quality.

scholarly journals Using Everyday Technology Independently When Living with Forgetfulness: Experiences of Older Adults in Barcelona

2021 ◽  
Vol 7 ◽  
pp. 233372142199375
Author(s):  
Samuel Briones ◽  
Louise Meijering
Keyword(s):  
Older Adults ◽  
Qualitative Methodology ◽  
Local Community ◽  
Phenomenological Study ◽  
Later Life ◽  
Learning Opportunities ◽  
Individual Characteristics ◽  
Community Dwelling ◽  
Community Dwelling Older Adults ◽  
The Capability Approach

Older adults living with forgetfulness encounter difficulties when engaging with changing and dynamic everyday technology (ET). The capability to use ET is important for independence in later life and is affected by the contextual and individual characteristics of older adults. Using the capability approach as a theoretical lens, this phenomenological study aims to explore the experiences of older adults living with forgetfulness, in order to identify contextual and individual factors that facilitate the use of ET in everyday life. A qualitative methodology was used to interview 16 community-dwelling older adults participating in memory and technology workshops at local community centres in Barcelona. Findings show that motivation and openness to learning played a facilitating role in our participants’ use of ET. The presence of social support in the form of “technology experts” and community centres offering learning opportunities were also enhancing factors that encourage independence when engaging with ET. In conclusion, our study demonstrates the importance of expanding intergenerational ET learning opportunities, through the creation of age-friendly spaces.

scholarly journals Quantifying Habitual Physical Activity and Sedentariness in Older Adults—Different Outcomes of Two Simultaneously Body-Worn Motion Sensor Approaches and a Self-Estimation

Sensors ◽  
2020 ◽  
Vol 20 (7) ◽  
pp. 1877
Author(s):  
Rieke Trumpf ◽  
Wiebren Zijlstra ◽  
Peter Haussermann ◽  
Tim Fleiner
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Community Dwelling ◽  
Habitual Physical Activity ◽  
Motion Sensor ◽  
Motion Sensors ◽  
Healthy Older Adults ◽  
Lower Back ◽  
Hybrid Motion ◽  
Accurate Quantification

Applicable and accurate assessment methods are required for a clinically relevant quantification of habitual physical activity (PA) levels and sedentariness in older adults. The aim of this study is to compare habitual PA and sedentariness, as assessed with (1) a wrist-worn actigraph, (2) a hybrid motion sensor attached to the lower back, and (3) a self-estimation based on a questionnaire. Over the course of one week, PA of 58 community-dwelling subjectively healthy older adults was recorded. The results indicate that actigraphy overestimates the PA levels in older adults, whereas sedentariness is underestimated when compared to the hybrid motion sensor approach. Significantly longer durations (hh:mm/day) for all PA intensities were assessed with the actigraph (light: 04:19; moderate to vigorous: 05:08) when compared to the durations (hh:mm/day) that were assessed with the hybrid motion sensor (light: 01:24; moderate to vigorous: 02:21) and the self-estimated durations (hh:mm/day) (light: 02:33; moderate to vigorous: 03:04). Actigraphy-assessed durations of sedentariness (14:32 hh:mm/day) were significantly shorter when compared to the durations assessed with the hybrid motion sensor (20:15 hh:mm/day). Self-estimated duration of light intensity was significantly shorter when compared to the results of the hybrid motion sensor. The results of the present study highlight the importance of an accurate quantification of habitual PA levels and sedentariness in older adults. The use of hybrid motion sensors can offer important insights into the PA levels and PA types (e.g., sitting, lying) and it can increase the knowledge about mobility-related PA and patterns of sedentariness, while actigraphy appears to be not recommendable for this purpose.

scholarly journals Physical Restraint of Older Adults at Home: Preliminary Analysis of a Prospective Cohort Study

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 683-683
Author(s):  
Asa Inagaki ◽  
Ayumi Igarashi ◽  
Maiko Noguchi-Watanabe ◽  
Mariko Sakka ◽  
Chie Fukui ◽  
...  
Keyword(s):  
Older Adults ◽  
Online Survey ◽  
Physical Restraint ◽  
Community Dwelling ◽  
Physical Restraints ◽  
Care Nurse ◽  
Factors Associated ◽  
Home Care Nurse ◽  
Community Dwelling Older Adults ◽  
At Home

Abstract Our study aimed to explore the prevalence and factors of physical restraints among frail to dependent older adults living at home. We conducted an online survey to ask about the physical/mental conditions, demographics, service utilization, and physical restraints of community-dwelling older adults. Either home care nurse or care managers who were responsible for the older adult answered the survey that were conducted at baseline and one month later. We obtained data from 1,278 individuals. Physical restraint was reported for 53 (4.1%) participants. Multiple logistic regression revealed the factors associated with physical restraints at home: having been restrained at baseline, having pneumonia or heart failure, receiving home bathing, or using rental assistive devices were associated with physical restraints at one month. The findings could be used to promote discussion about which services prevent physical restraints and what we should do to support clients and their family to stay at home safely.

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