scholarly journals Motivational Determinants of Exergame Participation for Older People in Assisted Living Facilities: Mixed-Methods Study

2017 ◽  
Vol 19 (7) ◽  
pp. e238 ◽  
Author(s):  
Wytske Meekes ◽  
Emma Kate Stanmore
Keyword(s):  
Mixed Methods ◽  
Older People ◽  
Assisted Living ◽  
Mixed Methods Study ◽  
Assisted Living Facilities

scholarly journals How Assisted Living Staff Conceive of Dementia Care

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 676-677
Author(s):  
Debra Dobbs ◽  
Sheryl Zimmerman ◽  
Stephanie Miller ◽  
Paula Carder ◽  
Anna Beeber ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Assisted Living ◽  
Medication Management ◽  
Mixed Methods Study ◽  
Organizational Characteristics ◽  
Medical Interventions ◽  
Person Centered Care ◽  
Outcomes Of Care ◽  
Centered Care ◽  
Care Practices

Abstract For those who provide care to the more than 40% of persons with dementia in assisted living (AL) communities, behavioral expressions (BEs) can be challenging. The objective of this mixed-methods study was to understand how AL staff conceive of BEs and what strategies they use to address them. Staff from 250 AL communities in seven states were asked to describe one successful and unsuccessful case of care. A conceptual model related to antecedents, behaviors, and consequences was developed and expanded to include staff strategies and outcomes of care; organizational characteristics associated with care practices were examined. Anxiety/restlessness, combativeness and resistance to care were the most prevalent BEs. Medical interventions (e.g., inpatient psychiatric assessment, medication management) were used in two-thirds of cases. Person-centered care was used more often in successful cases. Respondents in dementia-only communities identified antecedents to BEs more often than those in other communities.

Assisted-living for older people in Israel: market control or government regulation?

2003 ◽  
Vol 23 (6) ◽  
pp. 779-795 ◽  
Author(s):  
ISRAEL DORON ◽  
ERNIE LIGHTMAN
Keyword(s):  
Older People ◽  
Assisted Living ◽  
Government Regulation ◽  
A Priori ◽  
Self Regulation ◽  
Legal Regulation ◽  
Rapid Expansion ◽  
Assisted Living Facilities ◽  
History Of ◽  
Legitimate Interests

In recent decades there has been a rapid expansion of assisted-living facilities for older people in many different countries. Much of this growth has occurred with only limited or no government regulation, but many problems have arisen, typically around the quality of care, which have led to demands that governments act to protect vulnerable residents. This paper examines whether formal legal regulation is the optimal policy to protect the needs and rights of frail residents, while respecting the legitimate interests of others, such as operators and owners. It presents the case for and against direct legal regulation (as in institutions), and suggests that no overall a priori assessment is possible. The analysis is based on the case of Israel, where proposed regulations for assisted-living have been introduced but not implemented. After a brief history of assisted-living in Israel – its recent dramatic growth and why this occurred – the paper concludes that formal direct regulation is not the best route to follow, but that the better course would be to develop totally new ‘combined’ regulatory legislation. This would define the rights of residents and encourage self-regulation alongside minimal and measured mechanisms of deterrence. Such an approach could promote the continued development of the assisted-living industry in Israel and elsewhere, while guaranteeing that the rights, needs and dignity of older residents are protected.

scholarly journals Ringing the changes: the role of telephone communication in a helpline and befriending service targeting loneliness in older people

2018 ◽  
Vol 39 (7) ◽  
pp. 1528-1551 ◽  
Author(s):  
CLAIRE PRESTON ◽  
STEPHEN MOORE
Keyword(s):  
Mixed Methods ◽  
Older People ◽  
Thematic Analysis ◽  
Emotional Support ◽  
Mixed Methods Study ◽  
Structured Interviews ◽  
Voice Communication ◽  
Telephone Communication ◽  
The United Kingdom

ABSTRACTThe drive to deliver services addressing loneliness in older people by telephone and online makes it increasingly relevant to consider how the mode of communication affects the way people interact with services and the capacity of services to meet their needs. This paper is based on the qualitative strand of a larger mixed-methods study of a national phoneline tackling loneliness in older people in the United Kingdom. The research comprised thematic analysis of four focus groups with staff and 42 semi-structured interviews with callers. It explored the associations between telephone-delivery, how individuals used the services and how the services were able to respond. To understand these associations, it was useful to identify some constituent characteristics of telephone communication in this context: namely its availability, reach and non-visual nature. This enabled various insights and comparison with other communication media. For example, the availability of the services attracted people seeking frequent emotional support but this presented challenges to staff. More positively, the ability of the services to connect disparate individuals enabled them to form different kinds of satisfying relationships. The evolution of mixed communication forms, such as internet-based voice communication and smartphone-based visual communication, makes analysis at the level of a technology's characteristics useful. Such a cross-cutting perspective can inform both the design of interventions and assessment of their suitability for different manifestations of loneliness.

scholarly journals Health status, sexual activity and satisfaction among older people in Britain: A mixed methods study

PLoS ONE ◽  
2019 ◽  
Vol 14 (3) ◽  
pp. e0213835 ◽  
Author(s):  
Bob Erens ◽  
Kirstin R. Mitchell ◽  
Lorna Gibson ◽  
Jessica Datta ◽  
Ruth Lewis ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Health Status ◽  
Older People ◽  
Sexual Activity ◽  
Mixed Methods Study

scholarly journals A Web-Based Psychosocial Intervention for Family Caregivers of Older People: Results from a Mixed-Methods Study in Three European Countries

2016 ◽  
Vol 5 (4) ◽  
pp. e196 ◽  
Author(s):  
Francesco Barbabella ◽  
Arianna Poli ◽  
Frida Andréasson ◽  
Benjamin Salzmann ◽  
Roberta Papa ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Older People ◽  
Family Caregivers ◽  
Psychosocial Intervention ◽  
Mixed Methods Study ◽  
European Countries ◽  
Web Based

scholarly journals Feasibility of Implementing Therapeutic Yoga in Assisted Living Facilities

2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Em V Adams ◽  
◽  
Marieke Van Puymbroeck ◽  
Brandi M Crowe ◽  
Cynthia LS Pury ◽  
...  
Keyword(s):  
Assisted Living ◽  
Treatment Fidelity ◽  
Mixed Methods Study ◽  
Future Research ◽  
Assisted Living Facilities ◽  
Staff Support ◽  
Yoga Intervention ◽  
Field Notes ◽  
Quantitative Results ◽  
Practical Implications

The purpose of this convergent mixed methods study was to explore the feasibility of implementing a chair yoga intervention in assisted living facilities (ALFs), evaluating reach, demand, acceptability, practicality, treatment fidelity, and safety. A yoga intervention was implemented twice a week for eight weeks at four different ALFs. Feasibility data were collected in the form of observational data, reflective field notes, and focus groups. Quantitative and qualitative data strands were compared to determine if results were convergent or divergent. Quantitative benchmarks were met for reach, demand, acceptability, practicality, treatment fidelity, and safety. A directed content analysis revealed qualitative results were convergent with quantitative results. Yoga appears to be feasible, but practicality varied widely and was largely dependent on the resources (i.e., staff support and space) available at individual facilities. Recommendations for future research and practical implications are discussed.

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