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Gibson K, Brittain K, McLellan E, Kingston A, Wilkinson H, Robinson L. 'It's where I belong': what does it mean to age in place from the perspective of people aged 80 and above? A longitudinal qualitative study (wave one). BMC Geriatr 2024; 24:524. [PMID: 38886645 PMCID: PMC11184740 DOI: 10.1186/s12877-024-05139-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2024] [Accepted: 06/11/2024] [Indexed: 06/20/2024] Open
Abstract
BACKGROUND Most people want to remain at home as they age. Ageing in place - remaining at home and connected to the community - is a national and international policy priority; however, to better understand how policy might be implemented, a more nuanced understanding is required about older adults' lived experiences of ageing in place, especially the experiences of those aged 80 and above. OBJECTIVE To describe and explore the social processes which enable ageing in place from the perspective of community-dwelling older people (80+). METHODS Forty-six respondents (80-100+ years) participated in the first wave of a longitudinal qualitative study set in North East England. Semi-structured interviews were conducted in participants' homes between June 2022 and January 2023. Interviews were analysed using reflexive thematic analysis. RESULTS Participants positioned their homes as a place of freedom and as the antithesis of a 'care home'. Remaining in place was important for all participants; a key priority for them was to remain physically active to enable this. However, many participants faced significant hurdles to remaining in place. These were primarily related to health and mobility issues. Some participants were able to overcome such barriers by drawing on financial resources and available social networks. CONCLUSION The home is central to understanding older peoples' (80+) experiences of ageing. In a socio-political context which promotes ageing in place, the social factors shaping experiences of ageing in place must be considered. This involves attending to the challenges of later life, particularly health and especially mobility and physical function. Currently, those with resources (social and economic) are better equipped to respond to such challenges, thus potentially exacerbating widening inequalities in ageing. By foregrounding the perspectives of those ageing in place alongside social factors shaping their experiences, our study has important implications for policy and health and social care. We show that a more equitable allocation of resources is vital to fulfil the ageing in place policy agenda. Furthermore, we highlight a need to recognise commitments to ageing in place displayed by people aged 80 and above, especially when remaining in place becomes difficult to achieve.
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Affiliation(s)
- Kate Gibson
- Population Health Sciences Institute, Health Innovation Neighbourhood, Newcastle University, Newcastle upon Tyne, UK.
| | - Katie Brittain
- Population Health Sciences Institute, Health Innovation Neighbourhood, Newcastle University, Newcastle upon Tyne, UK
| | - Emma McLellan
- Population Health Sciences Institute, Health Innovation Neighbourhood, Newcastle University, Newcastle upon Tyne, UK
| | - Andrew Kingston
- Population Health Sciences Institute, Health Innovation Neighbourhood, Newcastle University, Newcastle upon Tyne, UK
| | - Heather Wilkinson
- Advanced Care Research Centre, Edinburgh University, Usher Building, Edinburgh Bioquarter, UK
| | - Louise Robinson
- Population Health Sciences Institute, Health Innovation Neighbourhood, Newcastle University, Newcastle upon Tyne, UK
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Ross SD, Kreß J, Rodriguez FS. Self-perceived problems in daily activities and strategy building in people with different stages of dementia. Psychogeriatrics 2024; 24:108-116. [PMID: 38014476 DOI: 10.1111/psyg.13047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/10/2022] [Revised: 04/05/2023] [Accepted: 11/06/2023] [Indexed: 11/29/2023]
Abstract
BACKGROUND People with dementia experience severe problems in their daily lives. However, little is known about self-perceived problems in the course of dementia. The aim of our study was to assess self-perceived problems with daily activities as well as individually developed strategies of older people of different cognitive status. METHODS Semi-structured interviews were conducted with 25 participants (mean age 67.6 years, 56% female, 24% healthy, 28% mild dementia, 48% severe dementia). Questions addressed problems in daily activities, their occurrence and the behaviour toward them, and their developed strategies. Information was summarized quantitatively and evaluated using the chi-squared and Kruskal-Wallis tests. RESULTS Self-perceived problems included awareness of physical and cognitive deficits in managing daily life, disturbing factors, and lost autonomy. Increased cognitive impairment was associated with more problems in daily life, even though people with severe dementia seemed not to recognize them. The most frequently reported strategies included orderliness, doing things immediately, and the use of external aids. While healthy people and those with mild dementia developed strategies, those with severe dementia reported only few strategies. CONCLUSION Our findings indicate that self-perceived problems in daily life and strategy development are strongest in mild dementia, while people with more severe dementia tend to perceive no problems at all while correctly reflecting their current state of dependency. Importantly, despite memory loss during early stages of dementia, strategies are still being developed. Accordingly, strategies for daily living should be taught in early dementia to sustain an independent lifestyle.
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Affiliation(s)
- Sabrina D Ross
- German Center for Neurodegenerative Diseases (DZNE), Research Group Psychosocial Epidemiology and Public Health, Greifswald, Germany
| | - Jennifer Kreß
- Darmstadt University of Applied Science, Darmstadt, Germany
| | - Francisca S Rodriguez
- German Center for Neurodegenerative Diseases (DZNE), Research Group Psychosocial Epidemiology and Public Health, Greifswald, Germany
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Knightbridge L, Bourke-Taylor HM, Hill KD. Healthy ageing through participation in community situated activities: A scoping review of assessment instruments to support occupational therapy practice. Aust Occup Ther J 2022; 69:493-509. [PMID: 35445413 PMCID: PMC9546241 DOI: 10.1111/1440-1630.12802] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2021] [Revised: 03/24/2022] [Accepted: 04/02/2022] [Indexed: 11/29/2022]
Abstract
Introduction The occupational therapy profession has an essential role to play in healthy ageing that includes enabling participation, a construct that according to The International Classification of Functioning, Disability and Health (ICF), incorporates an environmental context. Environmental barriers and enablers of participation in community‐situated activities for people over the age of 65 have been identified. To support practice, occupational therapists require assessments with demonstrated content validity including comprehensive coverage of the construct. The purpose of this scoping review study was to investigate what instruments are available to assess community participation for people over the age of 65 that included environmental factors. Methods A scoping review of the literature was conducted, utilising the Joanna Briggs Institute (JBI) scoping review methodology. The evidence source was review articles and inclusion criteria were that they reviewed instruments to assess participation that could be used for people over the age of 65. Items extracted from included instruments were evaluated against a preset list of community‐participation and environment categories that had been developed from the ICF. Results Twenty‐three review studies met inclusion criteria and from these 240 instruments were extracted. Twenty instruments were retained after exclusions and from these, 540 instrument items were extracted. Of these, 280 (47%) were coded as community‐participation, and only 20 (3.4%) as environment items. Fourteen of the instruments included no environment items. Conclusions No instrument was identified that comprehensively assessed community participation including the related environmental factors. Such an instrument is required to enable occupational therapy practitioners to support healthy ageing. The development of such an instrument will strengthen the profession's capacity to develop new ways of delivering services to older adults in line with emerging ways that aged care will be delivered and to advance its essential role in healthy ageing.
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Affiliation(s)
- Lisa Knightbridge
- School of Primary and Allied Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University-Peninsula Campus, Frankston, VIC, Australia
| | - Helen M Bourke-Taylor
- School of Primary and Allied Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University-Peninsula Campus, Frankston, VIC, Australia
| | - Keith D Hill
- School of Primary and Allied Health Care, Rehabilitation Ageing and Independent Living (RAIL) Research Centre, Faculty Medicine Nursing and Health Sciences, Monash University (Peninsula Campus), Frankston, VIC, Australia
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Toye F, Jenkins C, Barker K. Understanding the experience of living well, beyond the age of 85 years: a qualitative analysis using themes from a meta-ethnography. Age Ageing 2021; 50:2238-2245. [PMID: 34673923 DOI: 10.1093/ageing/afab179] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2021] [Revised: 07/12/2021] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND Increase in life-expectancy is not necessarily matched by an increase in quality of life. OBJECTIVE (1) To explore the quality of life of patients over the age of 85 in the second decade following unicompartmental knee replacement surgery (2) To understand the usefulness of a priori themes from an evidence synthesis as a framework for primary qualitative analysis. DESIGN Qualitative Research. A hermeneutic phenomenological approach, using a priori themes as sensitising concepts. PARTICIPANTS Adults over the age of 85 who were part of an outcomes study in the second decade following unicompartmental knee joint replacement. METHODS Semi-structured interviews in people's homes. Transcripts were coded and data sorted using a priori themes as sensitising concepts. Data that did not fit these themes, or that added nuance, were analysed thematically through constant comparison. RESULTS We interviewed seven white women and five white men, aged 85-100. Data resonated with a priori themes and supported additional themes that help us to understand older peoples' experience: (1) losing our autonomy can be challenging, so be kind; (2) we must take care of our own bodies and the NHS; (3) I am more afraid of not dying. CONCLUSIONS Findings indicate that health outcomes for older people should incorporate measures of participation and well-being; they highlight the importance of kindness in healthcare; they indicate that older people do not want to place additional burden on the NHS, and this can act as a barrier to care; they support the need for open conversations about dying well.
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Affiliation(s)
- Francine Toye
- Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford OX37LD, UK
- Oxford University Hospitals NHS Foundation Trust, Oxford, UK
| | - Cathy Jenkins
- Oxford University Hospitals NHS Foundation Trust, Oxford, UK
| | - Karen Barker
- Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford OX37LD, UK
- Oxford University Hospitals NHS Foundation Trust, Oxford, UK
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Leisure and Productivity in Older Adults with Cancer: A Systematic Review. Occup Ther Int 2021; 2021:8886193. [PMID: 33880113 PMCID: PMC8041549 DOI: 10.1155/2021/8886193] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2020] [Revised: 03/13/2021] [Accepted: 03/20/2021] [Indexed: 01/11/2023] Open
Abstract
Introduction Self-care, leisure, and productivity are important occupational domains for older adults' quality of life, which might be affected by cancer and its treatment. A great number of publications about older adults focus on function or self-care, so we aimed to analyse how cancer and its treatments affect leisure and productivity. Secondary objectives were to identify whether particular clinical and/or sociodemographic factors were associated with occupational disruptions and to assess the impact of rehabilitation approaches on leisure and productivity in this population. Methods A systematic review of the 2009-2019 literature performed on Medline, Embase, and the Cochrane Central Register of Controlled Trials. Results 1471 publications were retrieved: 48 full texts were assessed; seven of these (four cross-sectional studies, two cohort studies, and a case report) were reviewed, including data on 16668 people (12649 healthy controls, 3918 cancer survivors, and 101 ill patients). Older adults with comorbidities and a low level of activity before cancer diagnosis may be more at risk of occupational disruptions. However, studies focused more on physical activity than leisure and productivity. Two studies mentioned occupational therapy. Discussion. As cancer can become a chronic disease, it appears important to also offer occupation-centred assessments and follow-up. Conclusion An occupation-centred approach could be developed; its effectiveness must be assessed.
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Nielsen TL, Nielsen LM. Can strengthening older adults' problem-solving skills through occupational therapy improve their occupational performance? A protocol for a systematic review and meta-analysis. Scand J Occup Ther 2020; 28:348-353. [PMID: 32544358 DOI: 10.1080/11038128.2020.1775886] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
BACKGROUND Older adults' occupational performance is challenged due to chronic health conditions, aging processes, and deteriorating functioning. Thus, their occupational performance cannot be expected to remain stable in the long term after an occupational therapy intervention. Older adults may therefore need to strengthen their problem-solving skills during occupational therapy not only to solve current occupational performance issues but also to maintain their improvements and deal with new such issues a later point in time. AIMS This systematic review and meta-analysis aims to identify, analyse and present current scientific knowledge about the effectiveness and contents of occupational therapy interventions aimed at improving older adults' occupational performance by strengthening their problem-solving skills. METHODS MEDLINE, EMBASE, CINAHL and PsycINFO will be searched systematically to identify trials of occupational therapy interventions aimed at improving older adults' occupational performance by strengthening their problem-solving skills. We will include randomized controlled trials and quasi-experimental trials in populations aged 65+. Three reviewers will independently screen and select references, extract data and assess the quality of included studies using the Cochrane Collaboration's risk of bias tool. SIGNIFICANCE The findings can inform and inspire clinical practice and will help to identify the need for further research.
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Affiliation(s)
- Tove Lise Nielsen
- Department of Occupational Therapy, VIA University College, Aarhus, Denmark.,Programme for rehabilitation, VIA University College Research Centre for Health and Welfare Technology, Aarhus, Denmark
| | - Louise Moeldrup Nielsen
- Department of Occupational Therapy, VIA University College, Aarhus, Denmark.,Programme for rehabilitation, VIA University College Research Centre for Health and Welfare Technology, Aarhus, Denmark
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Toye F, Jenkins C, Barker KL. The Experience of Living to an Extreme Age: A Meta-Ethnography. QUALITATIVE HEALTH RESEARCH 2020; 30:3-22. [PMID: 31631748 DOI: 10.1177/1049732319880537] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
Abstract
Advances in health care mean that we can now treat diseases that once cut lives short. However, the increase in life expectancy has not been matched by improvements in quality of life. The World Health Organization warns us that all countries should prepare to meet the challenges of an aging population and this is integral to the United Nations 2030 Agenda for Sustainable Development. This may require a shift in attitude toward aging. We aimed to use meta-ethnography to explore the experience of adults living beyond the age of 80. Our conceptual model illuminates the phenomenon of connection in older age and reflects on the paradox of time: ephemeral, yet interminable. Our findings encourage us to reflect on the influence of enlightenment philosophies that underpin the desire for autonomy at all costs. Our study challenges the stereotypes of old age and has the potential to influence people's perspectives toward aging.
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Affiliation(s)
- Francine Toye
- Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom
| | - Cathy Jenkins
- Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom
| | - Karen L Barker
- Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom
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Jessen-Winge C, Petersen MN, Morville AL. The influence of occupation on wellbeing, as experienced by the elderly: a systematic review. ACTA ACUST UNITED AC 2019; 16:1174-1189. [PMID: 29762312 DOI: 10.11124/jbisrir-2016-003123] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
OBJECTIVE The objective of this review was to synthesize knowledge regarding which types of occupations the elderly perceive as important to and supporting their overall wellbeing. INTRODUCTION Being active is an important part of managing the daily challenges of advanced old age. Occupational therapy and occupational science are based on the premise that a person's occupations are intertwined with their health and are thus needed for them to experience a meaningful life and improve their wellbeing. INCLUSION CRITERIA This review, which included independently living elderly people aged 65 and over living in Europe, the USA, Canada and Australia, sought to uncover if the elderly see any specific types of occupations as enhancing their wellbeing. This review included qualitative studies with designs including, but not limited to, phenomenology, grounded theory, ethnography and action research. METHODS A three-step search strategy using Joanna Briggs Institute methodology was utilized. Both published and unpublished studies were searched. The following databases were searched for studies up to 2017: CINAHL, Nursing and Allied Health Source, Web of Science, PubMed and OpenGrey. Using the JBI Critical Appraisal Checklist for Qualitative Research, two independent reviewers assessed whether each study had the methodological quality required to be included in the review. Any disagreements were resolved through discussion with a third reviewer. The standardized JBI data extraction tool for interpretive and critical research was used to extract data from the included studies. JBI tools were used to pool the qualitative research findings. The findings were then aggregated through a process of rating according to quality, and categorized according to similarity in meaning, which generated a set of statements for each category. These categories were then subjected to a meta-synthesis to produce a single comprehensive set of synthesized findings useful as a basis for evidence-based practice. RESULTS All three of the included studies utilized qualitative interviews and followed a phenomenological approach. The studies included only participants aged 85 and over. Thirty-five findings were extracted and grouped into four categories, which were synthesized into two meta-syntheses: 1) The importance of "doing" alone - to feel good, I have to be the master of my own life; and 2) Old habits never die - a structured day is a good day. Based on the dependability and credibility of the three studies, the ranking was high (see Summary of Findings). CONCLUSIONS The present review shows that two factors enhance elderly people's wellbeing: first, variation and independence in undertaking activities; second, having a choice between the occupations and a structure of activities that make up daily life. The two factors are influenced by a balance between having activities alone and with others. This review is not intended to identify specific occupations that enhance elderly people's wellbeing, but rather to indicate which types of occupations enhance the wellbeing of the elderly, and provide value and meaning to their daily lives.Both the dependability and the credibility of the studies have been rated as moderate.
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Affiliation(s)
- Christina Jessen-Winge
- Institute of Physiotherapy and Occupational Therapy, Metropolitan University College, Copenhagen, Denmark
| | - Mille Nyboe Petersen
- Faculty of Health and Technology, Department of Nursing, Metropolitan University College, Copenhagen, Denmark
| | - Anne-Le Morville
- Department of Rehabilitation, School of Health and Welfare, Jönköping University, Sweden
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Križaj T, Roberts A, Warren A, Slade A. Early Hour, Golden Hour: an Exploration of Slovenian Older People's Meaningful Occupations. J Cross Cult Gerontol 2019; 34:201-221. [PMID: 31062170 DOI: 10.1007/s10823-019-09369-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
People are occupational beings and enabling older people to engage in meaningful occupations contributes to their health and well-being. Experiences of engagement and meaning in an occupation may differ in different socio-cultural contexts. The aim of this study was to explore Slovenian older people's individual experiences of engagement in occupation, with a particular emphasis on their meaningful occupations. The study employed a phenomenological research approach. Semi-structured interviews were conducted with ten Slovenian older adults, living independently in their home environment. Interpretative Phenomenological Analysis was used to approach and analyze the data. The findings highlighted that meaningful occupations and daily rituals represented an important part of the participants' identities. The meanings they attached to their occupations were informed by Slovenian socio-cultural, historical and physical context. A range of people and places were identified as significant in generating and maintaining these meanings. Participants gave particular significance to the role of productive, health-promoting and family-related occupations. The study contributes new occupational science knowledge and the findings support the case for increased recognition of the importance of meaningful occupation for older people.
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Affiliation(s)
- Tanja Križaj
- Faculty of Health and Human Sciences, School of Health Professions, University of Plymouth, PAHC, Derriford Road, Plymouth, Devon, PL6 8BH, UK.
| | - Anne Roberts
- Faculty of Health and Human Sciences, School of Health Professions, University of Plymouth, PAHC, Derriford Road, Plymouth, Devon, PL6 8BH, UK
| | - Alison Warren
- Faculty of Health and Human Sciences, School of Health Professions, University of Plymouth, PAHC, Derriford Road, Plymouth, Devon, PL6 8BH, UK
| | - Anita Slade
- Institute of Applied Health Research, College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK
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Perception of Oldest Older Adults About Pain in Performing Daily Activities. TOPICS IN GERIATRIC REHABILITATION 2018. [DOI: 10.1097/tgr.0000000000000209] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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von Heideken Wågert P, Nygård S, Cederbom S. Everyday life in older men living alone - a complex view needing a biopsychosocial perspective. Disabil Rehabil 2018; 42:44-52. [PMID: 30010439 DOI: 10.1080/09638288.2018.1492030] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
Purpose: To explore how older men living alone, describe their everyday activities and their abilities as well as how they could be helped in everyday life.Materials and methods: Qualitative semi-structured interviews were analysed with inductive content analysis. Eight men aged 65+ years were included. They were all living alone, albeit with home help services. They were able to walk and had sufficient cognitive ability.Results: The analysis resulted in one theme "A driving force of managing activities and overcome hindering factors requires a broad spectrum of prerequisites for participating in everyday life" with the following four categories: Importance of everyday activities; individual prerequisites enabling everyday activities; body and mind inhibit, and react to the decreased, abilities; and importance of the environment.Conclusions: The results generate a complex view of older men's everyday life. It is important for older men's independence that health care and rehabilitation staff adopt a comprehensive view and work from a biopsychosocial (BPS) perspective. Implications for rehabilitationTo be an older man living alone might mean a decreased health and good health is a strong predictor for increased abilities in everyday activities. The living situation of older men living alone is not well studied and needs to be explored to a greater extend, especially from their own perspective.An interaction of biological, psychological, and social factors was expressed as important for older men's everyday life, in accordance with the biopsychosocial (BPS) model.The expressed importance of participation as well as performing both physical and social activities reflects the need of individualised goals in rehabilitation according to the behavioural medicine approach.It is of outmost importance that health care and rehabilitation staff in contact with this group has a comprehensive view and works from a biopsychosocial (BPS) perspective, for maintenance of the older men's independence in everyday life.
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Affiliation(s)
- Petra von Heideken Wågert
- Division of Physiotherapy, School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden
| | | | - Sara Cederbom
- Division of Physiotherapy, School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden.,Department of Physiotherapy, Faculty of Health Sciences, OsloMet - Oslo Metropolitan University, Oslo, Norway
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Bergland A, Slettebø Å. Older Women’s Experience Of Everyday Life In Old Age: Past, Present And Future. PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS 2018. [DOI: 10.1080/02703181.2018.1508169] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Astrid Bergland
- Faculty of Health Sciences, Department of Physiotherapy, OsloMet - Oslo Metropolitan University, Oslo, Norway
| | - Åshild Slettebø
- Faculty of Health and Sport Sciences, Department of Health and Nursing Science/Centre of Care Research, University of Agder, Kristiansand, Norway
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Mondaca M, Josephsson S, Borell L, Katz A, Rosenberg L. Altering the boundaries of everyday life in a nursing home context. Scand J Occup Ther 2018; 26:441-451. [PMID: 29938554 DOI: 10.1080/11038128.2018.1483426] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
BACKGROUND Despite global and local policy frameworks that explicitly aim to privilege participation and active engagement of older adults living in nursing homes, this group often has limited possibilities to engage in occupations and to have influence in their everyday lives. AIM To explore how older adults' engagement and influence in an occupation can emerge in everyday life in a nursing home setting. MATERIAL AND METHODS A participatory qualitative approach was applied. Older adults living in a nursing home participated in a Book Club that was created collaboratively between researchers, residents, and the nursing home community. FINDINGS The analysis identified qualities of altering the boundaries of everyday life and addressing the uncertain conditions for influence and engagement as processes actualized by the residents when engaging in the Book Club. Further analysis identified how these processes involved ordinariness, familiarity, fellowship, and connectedness. CONCLUSION AND SIGNIFICANCE Engagement and influence in occupation in a nursing home is possible when enabling partnerships and resourcefulness among the residents. However, such enablement is not guaranteed and needs to be actively upheld by the nursing home community in order to build practices aligned with policy frameworks of participation.
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Affiliation(s)
- Margarita Mondaca
- a Karolinska Institutet , Department of Neurobiology, Care Sciences and Society, Division of Occupational therapy , SE-14183 , Huddinge
| | - Staffan Josephsson
- a Karolinska Institutet , Department of Neurobiology, Care Sciences and Society, Division of Occupational therapy , SE-14183 , Huddinge.,b Norway University of Technology and Science , Department of Applied Social Sciences, NTNU , NO-7491 , Trondheim , Norway
| | - Lena Borell
- a Karolinska Institutet , Department of Neurobiology, Care Sciences and Society, Division of Occupational therapy , SE-14183 , Huddinge
| | - Arlene Katz
- c Department of Global Health and Social Medicine , Harvard Medical School , 641 Huntington Ave., Boston, MA, 02138, 02115, 256 Concord Avenue , Cambridge , MA , USA
| | - Lena Rosenberg
- a Karolinska Institutet , Department of Neurobiology, Care Sciences and Society, Division of Occupational therapy , SE-14183 , Huddinge
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Mulholland F, Jackson J. The experience of older adults with anxiety and depression living in the community: Aging, occupation and mental wellbeing. Br J Occup Ther 2018. [DOI: 10.1177/0308022618777200] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
Introduction As life expectancy grows so does the need for mental health services for older people. Occupational science and therapy literature demonstrates how occupation supports older adults' wellbeing, but there has been little research into the relationship between occupation and health for those with anxiety and depression. The aim of this study was to understand the occupational experience of Irish older adults with anxiety and depression so as to inform therapeutic programmes. Method A qualitative research design with a phenomenological framework was adopted. A total of five community-dwelling people with diagnoses of anxiety and/or depression were purposively selected to participate in semi-structured interviews. The interviews were analysed using thematic analysis. Findings The themes which emerged – ‘Occupation as a marker for wellness’ and ‘Sustaining a sense of occupational identity’ – support existing literature and reveal new information about interactions between occupational identity crisis and mental health. Personally meaningful occupation which connects a person to their life worlds and sense of self has the potential to consolidate recovery from anxiety and depression. Conclusion The study contributes to knowledge on how occupation supports an older person's wellbeing and identity in the face of life changes, and has implications for occupational therapists working with older adults.
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Affiliation(s)
- Fiona Mulholland
- Senior Occupational Therapist, Psychiatry of Old Age, Dublin North City Mental Health Service, Health Service Executive, Dublin, Ireland
| | - Jeanne Jackson
- Professor and Head of School of Clinical Therapies and Department of Occupational Science and Occupational Therapies, University College Cork, Cork, Ireland
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Cederbom S, Denison E, Bergland A. A behavioral medicine intervention for community-dwelling older adults with chronic musculoskeletal pain: protocol for a randomized controlled trial. J Pain Res 2017; 10:845-853. [PMID: 28435321 PMCID: PMC5391824 DOI: 10.2147/jpr.s129648] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Chronic musculoskeletal pain is a major health problem among older adults, particularly those who live alone and/or those who are dependent on formal care. Chronic pain is associated with mobility problems, falls, fear of falling, catastrophizing thoughts, and a lower quality of life. Research shows that physical therapy interventions based on behavioral medicine approaches are beneficial for middle-aged adults with chronic pain. However, there appears to be no previous randomized controlled trials (RCTs) based on this theoretical framework that have examined the effect on older adults with chronic musculoskeletal pain who live alone at home and are dependent on formal care to manage their everyday lives. The aim of the planned study is to evaluate the effect of an individually tailored integrated physical therapy intervention based on a behavioral medicine approach compared with the effect of standard care. METHODS/DESIGN The planned study is an RCT that will include one intervention and one control group involving a total of 150 adults aged ≥75 years with chronic musculoskeletal pain who live alone at home and are dependent on formal care to manage their everyday lives. The intervention will involve a 12-week home-based individually tailored intervention that will be designed to enhance the participants' ability to perform everyday activities by improving physical function and reducing pain-related disability and beliefs. The control group will be given standard care, including general advice about physical activity. The participants will be assessed at baseline and at 3 and 6 months after baseline. The primary outcome will be pain-related disability and physical performance. DISCUSSION The intervention, if effective, will have the potential to be the basis of the first evidence-based guidelines for physical therapists who work with older adults with chronic musculoskeletal pain.
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Affiliation(s)
- Sara Cederbom
- Department of Physiotherapy, Faculty of Health Sciences, Oslo and Akershus University College of Applied Sciences, Oslo, Norway
| | - Eva Denison
- Department of Physiotherapy, School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden
| | - Astrid Bergland
- Department of Physiotherapy, Faculty of Health Sciences, Oslo and Akershus University College of Applied Sciences, Oslo, Norway
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Mahrs Träff A, Cedersund E, Nord C. Perceptions of physical activity among elderly residents and professionals in assisted living facilities. Eur Rev Aging Phys Act 2017; 14:2. [PMID: 28203305 PMCID: PMC5303292 DOI: 10.1186/s11556-017-0171-9] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2016] [Accepted: 01/19/2017] [Indexed: 12/04/2022] Open
Abstract
Background Physical activity is often described as being important for people of all ages, but what different people mean when they talk about physical activity is unclear. Method A phenomenographic method was used to analyze how 13 older people and 17 professionals answer the question, “If I say physical activity, what does the concept mean to you?” as part of semi-structured interviews conducted in four assisted living facilities in two different municipalities. Results We identified a number of different perceptions of physical activity, with the older people and professionals having different responses. Elderly and professionals alike, define physical activity as a requirement for life and as an opportunity to maintain the body although they define the concepts in different ways. Elderly define the concept as a way to create meaning and the professionals have the attitude that the concept means everyday activities. Conclusion The concept of physical activity may be defined in many different ways. This study has shown that elderly and professionals do not define physical activity in the same way. Therefore, professionals need to be aware of these differences when talking with elderly about individual needs in everyday life.
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Affiliation(s)
- Annsofie Mahrs Träff
- Department of Social and Welfare Studies, National Institute for the Study of Ageing and Later Life, Division of Ageing and Social Change, Linköping university, 60174 Norrköping, Sweden
| | - Elisabet Cedersund
- Department of Social and Welfare Studies, National Institute for the Study of Ageing and Later Life, Division of Ageing and Social Change, Linköping university, 60174 Norrköping, Sweden
| | - Catharina Nord
- Department of Spatial Planning, Faculty of Engineering, Blekinge Institute of Technology, 371 79 Karlskrona, Sweden
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Glännfjord F, Hemmingsson H, Larsson Ranada Å. Elderly people's perceptions of using Wii sports bowling - A qualitative study. Scand J Occup Ther 2016; 24:329-338. [PMID: 27960603 DOI: 10.1080/11038128.2016.1267259] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
The Nintendo Wii is a gaming console with motion-sensitive controls that is making inroads into health care and rehabilitation. However, there is still limited knowledge on how elderly people perceive the use of such a product. The aim of this study was to examine how the use of the Wii Sports Bowling in an activity group was perceived by elderly people. The data consisted of observations and interviews with participants who used Wii Sports Bowling and was analysed with content analysis. The findings are described in three themes; 'The use of the Wii Sports game', 'Engagement in the game' and 'Social interaction around the activity'. Wii Sports Bowling was described as easier to play compared to real-life bowling and was enjoyable and a social activity. The opportunity to meet the group each week was important for the participants. Playing the game resulted in signs of immersion and a flow-like state. The Wii was perceived to be easy to use, to provide a way to socialize with peers and to give opportunities to participate in activities in a new way. More studies regarding elderly people's experiences and apprehensions regarding new technology such as gaming consoles and virtual reality are needed.
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Affiliation(s)
- Fredrik Glännfjord
- a Department of Social and Welfare studies , Linköping University , Norrköping , Sweden
| | - Helena Hemmingsson
- a Department of Social and Welfare studies , Linköping University , Norrköping , Sweden
| | - Åsa Larsson Ranada
- a Department of Social and Welfare studies , Linköping University , Norrköping , Sweden
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Algilani S, Östlund-Lagerström L, Schoultz I, Brummer RJ, Kihlgren A. Increasing the qualitative understanding of optimal functionality in older adults: a focus group based study. BMC Geriatr 2016; 16:70. [PMID: 27007861 PMCID: PMC4806442 DOI: 10.1186/s12877-016-0244-z] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2015] [Accepted: 03/19/2016] [Indexed: 12/17/2022] Open
Abstract
Background Decreased independence and loss of functional ability are issues regarded as inevitably connected to old age. This ageism may have negative influences on older adults’ beliefs about aging, making it difficult for them to focus on their current ability to maintain a good health. It is therefore important to change focus towards promoting Optimal Functionality (OF). OF is a concept putting the older adult’s perspective on health and function in focus, however, the concept is still under development. Hence, the aim was to extend the concept of optimal functionality in various groups of older adults. Methods A qualitative study was conducted based on focus group discussions (FGD). In total 6 FGDs were performed, including 37 older adults from three different groups: group 1) senior athletes, group 2) free living older adults, group 3) older adults living in senior living homes. All data was transcribed verbatim and analyzed following the process of deductive content analysis. Results The principal outcome of the analysis was “to function as optimally as you possibly can”, which was perceived as the core of the concept. Further, the concept of OF was described as multifactorial and several new factors could be added to the original model of OF. Additionally the findings of the study support that all three cornerstones comprising OF have to occur simultaneously in order for the older adult to function as optimal as possible. Conclusions OF is a multifaceted and subjective concept, which should be individually defined by the older adult. This study further makes evident that older adults as a group are heterogeneous in terms of their preferences and views on health and should thus be approached as such in the health care setting. Therefore it is important to promote an individualized approach as a base when caring for older adults. Electronic supplementary material The online version of this article (doi:10.1186/s12877-016-0244-z) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Samal Algilani
- Nutrition and Physical Activity Research Centre, School of Health and Medical Sciences, Örebro University, S-701 82, Örebro, Sweden.
| | - Lina Östlund-Lagerström
- Nutrition and Physical Activity Research Centre, School of Health and Medical Sciences, Örebro University, S-701 82, Örebro, Sweden.,Nutrition Gut Brain Interactions Research Centre, School of Health and Medical Sciences, Örebro University, S-701 82, Örebro, Sweden
| | - Ida Schoultz
- Nutrition and Physical Activity Research Centre, School of Health and Medical Sciences, Örebro University, S-701 82, Örebro, Sweden.,Nutrition Gut Brain Interactions Research Centre, School of Health and Medical Sciences, Örebro University, S-701 82, Örebro, Sweden
| | - Robert J Brummer
- Nutrition and Physical Activity Research Centre, School of Health and Medical Sciences, Örebro University, S-701 82, Örebro, Sweden.,Nutrition Gut Brain Interactions Research Centre, School of Health and Medical Sciences, Örebro University, S-701 82, Örebro, Sweden
| | - Annica Kihlgren
- Nutrition and Physical Activity Research Centre, School of Health and Medical Sciences, Örebro University, S-701 82, Örebro, Sweden
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Ahlqvist A, Nyfors H, Suhonen R. Factors associated with older people's independent living from the viewpoint of health and functional capacity: a register-based study. Nurs Open 2015; 3:79-89. [PMID: 27708818 PMCID: PMC5047332 DOI: 10.1002/nop2.39] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2014] [Accepted: 09/28/2015] [Indexed: 11/17/2022] Open
Abstract
Aim The aim of this study was to identify factors associated with independent living of older people from the point of view of health and functional capacity. Background Living independently at home is major wish for older people but is depending on health and functional capacity among others. Objective and subjective assessments have been considered important in determining threats for independent living but both of these views have rarely included in the same study. Design Descriptive, cross‐sectional register‐based study was conducted. Methods Data were collected using the Health and Functional Capacity survey by identifying the factors of health examinations of a cohort (N = 292) of 75‐year old's, born in 1936 (N = 388), in one Finnish medium‐sized municipality in 2011. This study is part of the Functional Ageing project Kaste 2013. The data were analysed statistically by using descriptive analysis, cross‐tabulation and logistic regression. Results Partly, different factors were associated with subjective and objective health and functional capacity showing wide range of individuality. Worsening subjective health was associated with worsened self‐assessment of life situation. Worsening subjective health threatens independent living. Factors statistically significantly associated with worsening subjective health were low physical activity, falls during the last 6 months, not managing heavy housework, being sometimes lonely or dejected, having diagnosed diseases or health problems and polypharmacy.
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Affiliation(s)
- Anette Ahlqvist
- Department of Nursing Science University of Turku 20014 Turku Finland
| | - Hanna Nyfors
- Ministry of Social Affairs and Health 00031 Government 00023 Helsinki Finland
| | - Riitta Suhonen
- Department of Nursing Science University of Turku 20014 Turku Finland
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Esbensen BA, Hvitved I, Andersen HE, Petersen CM. Growing older in the context of needing geriatric assessment: a qualitative study. Scand J Caring Sci 2015; 30:489-98. [PMID: 26331276 DOI: 10.1111/scs.12267] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2014] [Accepted: 06/24/2015] [Indexed: 12/01/2022]
Abstract
AIM The number of older adults will increase worldwide in the next 30 years, with many expected to develop chronic diseases and consequently require additional medical assessments and adequate care. The aim of this study was to describe how a group of older adults who need geriatric assessment experience growing older. METHODOLOGY A qualitative study was performed. The empirical data consisted of qualitative in-depth interviews with eight older persons referred to geriatric assessment (median age 76, range 65-86). The interviews were analysed based on Giorgi's descriptive phenomenological methodology. RESULTS The results led to an overall essence and five themes. The five themes were identified: (i) considerations to avoid weakness, (ii) compensation for the inability to perform certain activities, (iii) aides - a symbol of freedom or limitation, (iv) lifestyle considered being particularly significant and (v) considerations about the end of life as a component of growing older. The essence was defined as: illness essential for the experience of growing older and pointed to the experience of growing older that highlighted that experiencing illnesses and limitations served as reminders of their advancing age. CONCLUSION Growing older while in need of comprehensive geriatric assessment led to participants feeling they were no longer able to do the same things, they used to do. Consequently, compensation became an essential part of adaption to the altered situation. Aides that helped to overcome limitations in every daily life had the status of either creating freedom or being limiting in things they wished to do. Considerations about lifestyle were focused on housing and change of dwelling. This also led to thoughts about the future and end of life. Additional research regarding accommodations in older age is warranted to offer the best solutions for older people.
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Affiliation(s)
- Bente Appel Esbensen
- Copenhagen Centre for Arthritis Research, Centre for Rheumatology and Spine Diseases, VRR, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.,Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark
| | - Ida Hvitved
- HR - Quality, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark
| | - Hanne Elkjaer Andersen
- Department of Medicine, Hvidovre Hospital, University of Copenhagen, Copenhagen, Denmark
| | - Charlotte Møller Petersen
- Copenhagen Centre for Arthritis Research, Centre for Rheumatology and Spine Diseases, VRR, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark
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Tomsone S, Haak M, Löfqvist C. Experiences of mobility device use over time: A multiple case study among very old Latvian women. Scand J Occup Ther 2015. [PMID: 26200247 DOI: 10.3109/11038128.2015.1068850] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
AIM To explore the experiences over time of using mobility devices (MDs) among very old women in the context of everyday life in Latvia. METHODS This study utilized a multiple case-study design that employed an explanatory mixed-methods approach. A combination of quantitative survey data on home and health and qualitative interview data for each participant were used to create three narratives to describe the experiences of MD use in everyday life over time, followed by a cross-case analysis. RESULTS The three cases illustrate that very old women accept and use MDs due to walking difficulties and related needs. Over time, functional decline combined with physical environmental barriers and changes in their social networks limited the supportive role that available MDs could offer these women. CONCLUSIONS The findings contribute to the understanding of the complexity of MD use in everyday life among very old women in Latvia and the need for different kinds of MDs. These findings illustrate the importance of considering the interaction between people's everyday life situation and their physical environment for their optimal use of MDs. This is important information for policy-makers who can optimize the services for old people in Latvia and support the need for occupational therapists' professional competence for the planning and development of MD provision.
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Affiliation(s)
- Signe Tomsone
- a a Department of Health Sciences, Faculty of Medicine, Lund University , Lund, Sweden ;,b b Department of Rehabilitation, Faculty of Rehabilitation, Rīga Stradiņš University , Riga, Latvia
| | - Maria Haak
- a a Department of Health Sciences, Faculty of Medicine, Lund University , Lund, Sweden
| | - Charlotte Löfqvist
- a a Department of Health Sciences, Faculty of Medicine, Lund University , Lund, Sweden
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Gustavsson M, Liedberg GM, Larsson Ranada Å. Everyday doings in a nursing home – described by residents and staff. Scand J Occup Ther 2015; 22:435-41. [DOI: 10.3109/11038128.2015.1044907] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Larsson Ranada Å, Hagberg JE. All the things I have — Handling one's material room in old age. J Aging Stud 2014; 31:110-8. [DOI: 10.1016/j.jaging.2014.09.004] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2014] [Revised: 09/16/2014] [Accepted: 09/17/2014] [Indexed: 11/30/2022]
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Ness TM, Hellzen O, Enmarker I. "Embracing the present and fearing the future": the meaning of being an oldest old woman in a rural area. Int J Qual Stud Health Well-being 2014; 9:25217. [PMID: 25361532 PMCID: PMC4216815 DOI: 10.3402/qhw.v9.25217] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 09/29/2014] [Indexed: 11/23/2022] Open
Abstract
In Western countries, the number of older people receiving home nursing care is increasing, and in rural areas they are at additional risk because of the distance between people and health care facilities. The aim of this study was therefore to illuminate the meaning of being an oldest old woman living alone in a rural area and receiving home nursing care. A sample of 11 oldest old women living in rural areas in the middle of Norway was chosen for this study. Narrative interviews were conducted, and the data were analyzed using the phenomenological hermeneutic method. After a naïve reading and a structural analysis of the text, we identified four themes: being satisfied with life, being thankful, feeling vulnerable, and feeling secure. The comprehensive understanding implied that being an oldest old woman living alone in a rural area meant living in the intersection between embracing the present in solitude and fearing the future with additional declining health. Living in this complex situation meant to enjoy the present, but still fear the future, as the oldest old women knew their present life situations were limited. This challenging emotional situation meant using their inner strength by trying to be optimistic and seeing opportunities in present life, even if losses were many and extensive. By using their inner strength in facing losses and declining health, the oldest old women managed to appreciate aloneness as solitude, and find new meaning in life.
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Affiliation(s)
- Tove M Ness
- Department of Nursing, Mid-Sweden University, Østersund, Sweden; Department of Health Sciences, Nord-Trøndelag University College, Namsos, Norway;
| | - Ove Hellzen
- Department of Nursing, Mid-Sweden University, Østersund, Sweden
| | - Ingela Enmarker
- Department of Health Sciences, Nord-Trøndelag University College, Namsos, Norway; Centre of Care Research, Steinkjer, Mid-Norway
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Algilani S, Ostlund-Lagerström L, Kihlgren A, Blomberg K, Brummer RJ, Schoultz I. Exploring the concept of optimal functionality in old age. J Multidiscip Healthc 2014; 7:69-79. [PMID: 24516333 PMCID: PMC3916639 DOI: 10.2147/jmdh.s55178] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Background Aging is characterized by loss of function and represents a perspective that puts the focus on the negative aspects of aging. Thus, it is fundamental to shift the focus from loss of function to maintaining good health and personal satisfaction through life; in other words, to promote optimal functionality at a level appropriate for older adults. However, it is not yet known what constitutes optimal functionality from the older adult’s own perspective. Objective To explore the concept of optimal functionality in old age from the older adult’s perspective (ie, people over 65 years of age) in industrialized Western countries. Methods We undertook a scoping review and searched two electronic databases (PubMed and the Cumulative Index to Nursing and Allied Health Literature [CINAHL]) from January 2002 to July 2013 for scientific studies, using the key search term personal satisfaction. In total, 25 scientific studies were analyzed. Results Only six of the included articles applied a qualitative methodology. By analyzing the results of these articles, three major themes were identified as cornerstones in the concept of optimal functionality at old age: 1) self-related factors (eg, mental well-being); 2) body-related factors (eg, physical well-being); and 3) external factors equal to demographic and environmental factors. Conclusion There is a lack of qualitative studies in the current literature, and hence of what constitutes optimal functionality from the older adult’s perspective. The results outlined in this review identify three cornerstones (self-related factors, body-related factors, and external factors) of what constitutes optimal functionality at old age. However, it is vital that these findings are taken further and are evaluated through qualitative studies to reflect older adults’ opinions.
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Affiliation(s)
- Samal Algilani
- Nutrition and Physical Activity Research Centre, Örebro University, Örebro, Sweden
| | - Lina Ostlund-Lagerström
- Nutrition and Physical Activity Research Centre, Örebro University, Örebro, Sweden ; Nutrition Gut Brain Interactions Research Centre, School of Health and Medicine, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
| | - Annica Kihlgren
- Nutrition and Physical Activity Research Centre, Örebro University, Örebro, Sweden
| | - Karin Blomberg
- Nutrition and Physical Activity Research Centre, Örebro University, Örebro, Sweden
| | - Robert J Brummer
- Nutrition and Physical Activity Research Centre, Örebro University, Örebro, Sweden ; Nutrition Gut Brain Interactions Research Centre, School of Health and Medicine, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
| | - Ida Schoultz
- Nutrition and Physical Activity Research Centre, Örebro University, Örebro, Sweden ; Nutrition Gut Brain Interactions Research Centre, School of Health and Medicine, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
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Hsu KJ, Lee HE, Wu YM, Lan SJ, Huang ST, Yen YY. Masticatory factors as predictors of oral health-related quality of life among elderly people in Kaohsiung City, Taiwan. Qual Life Res 2013; 23:1395-405. [DOI: 10.1007/s11136-013-0574-7] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/05/2013] [Indexed: 11/29/2022]
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Kylberg M, Löfqvist C, Phillips J, Iwarsson S. Three very old men's experiences of mobility device use over time. Scand J Occup Ther 2013; 20:397-405. [DOI: 10.3109/11038128.2013.779321] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Hersch G, Hutchinson S, Davidson H, Wilson C, Maharaj T, Watson KB. Effect of an Occupation-Based Cultural Heritage Intervention in Long-Term Geriatric Care: A Two-Group Control Study. Am J Occup Ther 2012; 66:224-32. [DOI: 10.5014/ajot.2012.002394] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Abstract
OBJECTIVE. We investigated the effectiveness of an occupation-based cultural heritage intervention to facilitate adaptation to relocation into long-term care (LTC) facilities as measured by quality of life, activity engagement, and social participation.
METHOD. We used a quasi-experimental nonequivalent control group design with pre- and posttests. Residents receiving the cultural intervention were compared with residents in a typical activity group. Eight sessions, two per week for 4 wk, were facilitated by certified occupational therapy assistants.
RESULTS. Twenty-nine participants completed the group sessions. Quality-of-life scores improved significantly over time for both groups. Statistically, a greater percentage of time was spent in discretionary than obligatory time, pretest and posttest, with no significant difference between groups.
CONCLUSION. The study demonstrated effectiveness of a structured, occupation-based social group intervention that improved quality of life, an indicator of adaptation. It also provided a description of activity patterns and social participation of LTC residents.
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Affiliation(s)
- Gayle Hersch
- Gayle Hersch, PhD, OTR, is Professor, School of Occupational Therapy, Texas Woman’s University, 6700 Fannin Street, Houston, TX 77030, and served as Principal Investigator on the grant;
| | - Shirley Hutchinson
- Shirley Hutchinson, DrPH, RN, is Associate Professor, Nelda C. Stark College of Nursing, Texas Woman’s University, Houston, and served as Co-Principal Investigator
| | - Harriett Davidson
- Harriett Davidson, MA, OTR, is Associate Professor, School of Occupational Therapy, Texas Woman’s University, Houston, and served as Co-Principal Investigator
| | - Christine Wilson
- Christine Wilson, OTR, is Former Clinical Rehabilitation Director, Park Plaza Hospital, Houston, and served as Project Coordinator and Recruiter on the grant
| | - Teresa Maharaj
- Teresa Maharaj, MSN, RN, is Assistant Clinical Professor, Nelda C. Stark College of Nursing, Texas Woman’s University, Houston, and served as Data Collector
| | - Kathleen B. Watson
- Kathleen B. Watson, PhD, was Instructor, Baylor College of Medicine, Houston, TX, at the time of the grant and served as Statistician
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Abstract
ABSTRACTThe onset of ill-health and frailty in later life, within the context of the policy of ageing-in-place, is increasingly being responded to through the provision of home care. In the philosophy of ageing-in-place, the home provides for continuity of living environment, maintenance of independence in the community and social inclusion. The provision of assistance to remain at home assumes continuity in the living environment and independence in the organisation of daily life and social contact. This paper explores the changes that occur as a result of becoming a care recipient within the home and concludes that the transition into receiving care is characterised by discontinuity and upheaval which tends to reinforce social exclusion. We draw on the rites of passage framework, which highlights social processes ofseparation, liminality and reconnection, in analysing this transition to enhance understanding of the experience and gain insights to improve the policy and practice of home care. Separation from independent living leads to a state of liminality. The final stage in the rites of passage framework draws attention to reconnections, but reconnection is not inevitable. Reconnection is, however, an appropriate goal for the care sector when supporting frail or disabled older people through the transition into becoming a home-care recipient.
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Eek M, Wressle E. Everyday technology and 86-year-old individuals in Sweden. Disabil Rehabil Assist Technol 2010; 6:123-9. [DOI: 10.3109/17483107.2010.507858] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Witsø AE, Eide AH, Vik K. Professional carers' perspectives on participation for older adults living in place. Disabil Rehabil 2010; 33:557-68. [DOI: 10.3109/09638288.2010.499490] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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