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Tam CH, Ho EQY, Hewage SS, Tyagi S, Koh GCH. Medical and social domains of ageing research in Singapore (2008-2018): a scoping review. Singapore Med J 2024; 65:30-37. [PMID: 34717301 PMCID: PMC10863733 DOI: 10.11622/smedj.2021172] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2019] [Accepted: 11/19/2020] [Indexed: 11/18/2022]
Abstract
INTRODUCTION This scoping review examined the number, types and characteristics of journal publications on ageing in Singapore from 2008 to 2018 to determine how ageing research in medical and social domains in Singapore has transformed over time. METHODS Using relevant search terms, articles were extracted from multiple databases and then screened and reviewed for eligibility and inclusion by independent reviewers. Data such as article title, authors, year of publication, name of journal, type of journal, study design and the kind of data used were charted from the included articles for evidence synthesis. RESULTS Since 2008, there has been a steady increase in the number of publications on ageing in medical and social domains in Singapore. In the medical domain, publications on Ophthalmology (22%) made up the largest proportion of the existing medical literature on ageing in Singapore, followed by Physical Functioning (17%), which involved physiological measurements of physical well-being, and Geriatrics (16%). Non-medical publications comprised 38% of all the included publications, with publications on the social aspects of ageing (43%) forming the largest group in this cluster, followed by publications on Prevention (19%) and Healthcare services (18%). The study design was mostly observational (82%), with only 3% of interventional studies. CONCLUSION While ageing research had expanded in Singapore in the last decade, it was predominantly discipline specific and observational in design. As ageing issues are complex, with biology intersecting with psychology and sociology, we call for greater interdisciplinary collaboration, the conduct of more interventional studies, as well as more research in understudied and emerging areas.
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Affiliation(s)
- Chen Hee Tam
- Saw Swee Hock School of Public Health, National University of Singapore, Singapore
| | - Elaine Qiao Ying Ho
- Saw Swee Hock School of Public Health, National University of Singapore, Singapore
| | | | - Shilpa Tyagi
- Saw Swee Hock School of Public Health, National University of Singapore, Singapore
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Yaghi N, El Hayeck R, Boulos C, Abifadel M, Yaghi C. Effect of Mediterranean Dietary Pattern on Cognitive Status in Community-Dwelling Older Adults. Nutrients 2023; 15:3911. [PMID: 37764695 PMCID: PMC10537047 DOI: 10.3390/nu15183911] [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: 08/07/2023] [Revised: 08/27/2023] [Accepted: 08/28/2023] [Indexed: 09/29/2023] Open
Abstract
Modifiable factors associated with cognitive decline (CD) require more attention, particularly dietary patterns. This study aimed to investigate the link between cognitive decline and associated factors, particularly dietary patterns (DPs), in community-dwelling older Lebanese of modest economic status. Our cross-sectional national study included 352 participants above 60 years old, from the medico-social centers of the ministry of social affairs all over the country. CD was screened based on literacy. Nutritional and dietary data were collected through a validated food frequency questionnaire. DPs were extracted by the K-mean cluster analysis. CD was found in 32.7% and 61.5% of literate and illiterate groups, respectively. Identified DPs included a Westernized type and Mediterranean type, with high and moderate food intakes. In the context of literacy, independent factors associated with CD were age above 80 years, living in Beirut, frailty, and adopting a Westernized (OR = 3.08, 95% CI: 1.22-7.8) and a high-intake Mediterranean DP (OR = 2.11, 95% CI: 1.05-4.22). In the context of illiteracy, the same factors were associated with CD, but not DP nor frailty, with an age cut-off at 78 years. In a Lebanese sample of older adults, factors associated with CD depend on the level of literacy, with DP only associated with CD in the context of literacy.
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Affiliation(s)
- Nathalie Yaghi
- Department of Nutrition & Dietetics, Faculty of Pharmacy, Saint Joseph University, Beirut 1107 2180, Lebanon;
| | - Rita El Hayeck
- Department of Geriatrics, Working Group on Dementia at Saint Joseph University (GTD-USJ), Faculty of Medicine, Saint Joseph University, Beirut 1107 2180, Lebanon;
| | - Christa Boulos
- Department of Nutrition & Dietetics, Faculty of Pharmacy, Saint Joseph University, Beirut 1107 2180, Lebanon;
| | - Marianne Abifadel
- Laboratory of Biochemistry and Molecular Therapeutics, Faculty of Pharmacy, Pôle Technologie-Santé, Saint Joseph University, Beirut 1004 2020, Lebanon
| | - César Yaghi
- Department of Gastroenterology, Faculty of Medicine, Saint Joseph University, Beirut 1107 2020, Lebanon;
- Hôtel-Dieu de France of Beirut University Hospital, Beirut P.O. Box 166830, Lebanon
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Lo TW, Chan GH. Understanding the life experiences of elderly in social isolation from the social systems perspective: using Hong Kong as an illustrating example. Front Psychiatry 2023; 14:1114135. [PMID: 37476537 PMCID: PMC10355048 DOI: 10.3389/fpsyt.2023.1114135] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/06/2022] [Accepted: 06/02/2023] [Indexed: 07/22/2023] Open
Abstract
Aim The elderly in social isolation often referred to as older people who experience social alienation with little social support from their family, peers, and community suffer from a poor quality of life and well-being. Since their life experiences are affected by a range of factors from different levels, this study seeks to investigate their current life situations and experiences from a social systems perspective. Methods A qualitative study was conducted to enrich the understanding of their current life situations and experiences and to generate corresponding practice implications. In this study, there were 13 elderly participants in social isolation, which were users of a social service agency in Hong Kong. They took part in a semi-structured individual interview, sharing their life stories about their daily lives, social relationships, and sense of well-being. Qualitative results were analyzed based on these dimensions. Results Results showed that the elderly participants in social isolation had a low level of social support and participation in social activities. Their life experiences and situations were affected by multiple levels of factors that were interrelated. Conclusion The results support the application of the social systems perspective in investigating the living conditions of the elderly in social isolation. The corresponding practice implications were also discussed.
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Affiliation(s)
- T. Wing Lo
- Caritas Institute of Higher Education, Tseung Kwan O, New Territories, Hong Kong SAR, China
| | - Gloria Hongyee Chan
- Department of Social and Behavioral Sciences, City University of Hong Kong, Kowloon Tong, Hong Kong SAR, China
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Xu Y, Koh XH, Chua YTS, Tan CGI, Aloweni FAB, Yap BEJ, Tan PC, Chua X, Lim YKS, Oh HC, Teo SHS, Lim SF. The impact of community nursing program on healthcare utilization: A program evaluation. Geriatr Nurs 2022; 46:69-79. [DOI: 10.1016/j.gerinurse.2022.04.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2022] [Revised: 04/21/2022] [Accepted: 04/21/2022] [Indexed: 11/04/2022]
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A Study on Singapore’s Ageing Population in the Context of Eldercare Initiatives Using Machine Learning Algorithms. BIG DATA AND COGNITIVE COMPUTING 2021. [DOI: 10.3390/bdcc5040051] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Ageing has always directly impacted the healthcare systems and, more specifically, the eldercare costs, as initiatives related to eldercare need to be addressed beyond the regular healthcare costs. This study aims to examine the general issues of eldercare in the Singapore context, as the population of the country is ageing rapidly. The main objective of the study is to examine the eldercare initiatives of the government and their likely impact on the ageing population. The methodology adopted in this study is Cross-Industry Standard Process for Data Mining (CRISP-DM). Reviews related to the impact of an ageing population on healthcare systems in the context of eldercare initiatives were studied. Analysis methods include correlation and machine learning algorithms, such as Decision Tree, Logistic Regression and Receiver Operating Characteristics curve analysis. Suggestions have been provided for various healthcare and eldercare systems’ initiatives and needs that are required to transform to cope with the ageing population.
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Thilo FJ, Hahn S, Halfens RJ, Heckemann B, Schols JM. Facilitating the use of personal safety alerting device with older adults: The views, experiences and roles of relatives and health care professionals. Geriatr Nurs 2021; 42:935-942. [PMID: 34130125 DOI: 10.1016/j.gerinurse.2021.05.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2021] [Revised: 05/21/2021] [Accepted: 05/24/2021] [Indexed: 11/24/2022]
Abstract
To explore relatives', community nurses' and general practitioners' perspectives and experiences in promoting Personal Safety Alerting Device (PSAD) use among community-dwelling older adults, we applied a qualitative study design. Altogether 15 focus groups and 11 semi-structured interviews were conducted. Data-analysis followed the Qualitative Analysis Guide of Leuven. PSAD use was considered to be complex. Relatives and health care professionals are involved in a negotiation process comprising three phases: A) waiting for a critical event in the older adult's everyday life; B) introducing the idea of a PSAD; C) deciding on and supporting PSAD use. In conclusion, the actors involved in PSAD use should be aware of the negotiation process, which is complex, dynamic, iterative and needs time. While nurses play a crucial role, they lack sufficient knowledge for comprehensive PSAD counselling. The negotiation process could serve as an example for other technologies in the context of aging in place.
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Affiliation(s)
- Friederike Js Thilo
- Applied Research & Development in Nursing, Department of Health Professions, Bern University of Applied Sciences, Bern, Switzerland; School CAPHRI, Department of Health Services Research, Maastricht University, Maastricht, The Netherlands.
| | - Sabine Hahn
- Applied Research & Development in Nursing, Department of Health Professions, Bern University of Applied Sciences, Bern, Switzerland.
| | - Ruud Jg Halfens
- School CAPHRI, Department of Health Services Research, Maastricht University, Maastricht, The Netherlands
| | - Birgit Heckemann
- Applied Research & Development in Nursing, Department of Health Professions, Bern University of Applied Sciences, Bern, Switzerland; Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden; Department of Anaesthesiology, Surgery and Intensive Care, Sahlgrenska University Hospital, Gothenburg, Sweden.
| | - Jos Mga Schols
- School CAPHRI, Department of Health Services Research, Maastricht University, Maastricht, The Netherlands; School CAPHRI, Department of Family Medicine, Maastricht University, Maastricht, The Netherlands.
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Ng AW, Leung TCH, Ka Tat Tsang A. Social Enterprise for Elderly Housing: Policy for Accountability and Public-Private Responsible Financing. JOURNAL OF POPULATION AGEING 2020. [DOI: 10.1007/s12062-018-9235-5] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Lucero RJ, Romero S, Fieo R, Cortes Y, Cimiotti JP, Poghosyan L. Language equivalence of the modified falls efficacy scale (MFES) among English- and Spanish-speaking older adults: Rasch analysis. BMC Geriatr 2020; 20:286. [PMID: 32787777 PMCID: PMC7422612 DOI: 10.1186/s12877-020-01627-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2020] [Accepted: 06/22/2020] [Indexed: 11/21/2022] Open
Abstract
BACKGROUND To investigate item-level measurement properties of the Modified Falls Efficacy (MFES) Scale among English- and Spanish-speaking urban-dwelling older adults as a means to evaluate language equivalence of the tool. METHODS Secondary analysis of survey data from 170 English (n = 83) and Spanish (n = 87) speaking older adults who reported to the emergency department of a quaternary medical center in New York City between February 2010 and August 2011. The Rasch rating scale model was used to investigate item statistics and ordering of items, item and person reliability, and model performance of the Modified Falls Efficacy Scale. RESULTS The Modified Falls Efficacy Scale, for English- and Spanish-speakers, demonstrated acceptable fit to the Rasch model of a unidimensional measure. While the range of the construct is more limited for the Spanish group, the interval between tasks are much closer, reflecting little to no construct under-representation. CONCLUSION There is rationale for continued testing of a unidemsional English- and Spanish-MFES among urban community-dwelling older adults. Large-scale international studies linking the unidemsional MFES to patient outcomes will support the validity of this tool for research and practice.
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Affiliation(s)
- Robert J Lucero
- Department of Family, Community, and Health System Science, Center for Latin American Studies, College of Nursing, University of Florida, 1225 Center Drive, Gainesville, Florida, 32610, USA.
| | - Sergio Romero
- North Florida/South Georgia Veterans Health System, Center of Innovation on Disability and Rehabilitation Research, 300 E. University Avenue, Gainesville, FL, 32601, USA
| | - Robert Fieo
- Department of Epidemiology, College of Public Health and Health Professions, University of Florida, 1225 Center Drive, Gainesville, Florida, NY, 32610, USA
| | - Yamnia Cortes
- The University of North Carolina at Chapel Hill, School of Nursing, S. Columbia Street, Chapel Hill, NC, 27599, USA
| | - Jeannie P Cimiotti
- Department of Family, Community, and Health Systems Science, Nell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Road, NE, Atlanta, GA, 30322, USA
| | - Lusine Poghosyan
- Columbia University, School of Nursing, Center for Health Policy, 560 W. 168th Street, New York, NY, 10032, USA
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Malhotra R, Bautista MAC, Müller AM, Aw S, Koh GCH, Theng YL, Hoskins SJ, Wong CH, Miao C, Lim WS, Malhotra C, Chan A. The Aging of a Young Nation: Population Aging in Singapore. THE GERONTOLOGIST 2018; 59:401-410. [DOI: 10.1093/geront/gny160] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2018] [Indexed: 11/13/2022] Open
Affiliation(s)
- Rahul Malhotra
- Health Services and Systems Research
- Centre for Ageing Research and Education, Duke-NUS Medical School
| | | | - Andre Matthias Müller
- Saw Swee Hock School of Public Health, National University of Singapore, Singapore
- Centre for Sport and Exercise Sciences, University of Malaya, Malaysia
| | - Su Aw
- Saw Swee Hock School of Public Health, National University of Singapore, Singapore
| | - Gerald Choon Huat Koh
- Health Services and Systems Research
- Saw Swee Hock School of Public Health, National University of Singapore, Singapore
| | - Yin-Leng Theng
- Ageing Research Institute for Society and Education, Nanyang Technological University
| | | | - Chek Hooi Wong
- Health Services and Policy Program, Geriatric Education and Research Institute
| | - Chunyan Miao
- Joint Nanyang Technological University–The University of British Columbia (NTU–UBC) Research Centre of Excellence in Active Living for the Elderly
| | - Wee-Shiong Lim
- Institute of Geriatrics and Active Aging, Tan Tock Seng Hospital
| | - Chetna Malhotra
- Lien Centre for Palliative Care, Duke-NUS Medical School, Singapore
| | - Angelique Chan
- Health Services and Systems Research
- Centre for Ageing Research and Education, Duke-NUS Medical School
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