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Lunt C, Dowrick C, Lloyd-Williams M. What is the impact of day care on older people with long-term conditions: A systematic review. HEALTH & SOCIAL CARE IN THE COMMUNITY 2021; 29:1201-1221. [PMID: 33332714 DOI: 10.1111/hsc.13245] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/25/2019] [Revised: 11/04/2020] [Accepted: 11/06/2020] [Indexed: 06/12/2023]
Abstract
There is a lack of robust evidence regarding outcomes for day care use among older people living with long-term conditions (LTCs). Day care is provided by independent, private and voluntary and charitable sectors. This systematic review aims to establish current evidence of outcomes for older people with LTCs attending day care services and outcomes on carers, across all service models. Narrative synthesis of quantitative and qualitative data was undertaken. The review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A systematic literature search was carried out across eight electronic databases and reference lists of key journals between 2004 and October 2020 were searched. Searches returned 1,202 unique titles. Forty-five articles from 16 countries met the criteria on review of title, abstract and full article. There is limited evidence suggesting improved levels of perceived psychological health, quality of life, perceived general health, physical health and functioning for older people attending day care who have LTCs. The respite function of day care resulted in positive outcomes for carers. Studies evaluating outcomes for participants or carers were limited in quantity and quality. There is limited information regarding outcomes for day care attendance for older people with multiple LTCs from existing literature. Further research focusing on LTCs and day care attendance would benefit this field.
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Affiliation(s)
- Catherine Lunt
- Academic Palliative and Supportive Care Studies Group (APSCSG), Institute of Psychology Health and Society, University of Liverpool, Liverpool, UK
| | - Christopher Dowrick
- Academic Palliative and Supportive Care Studies Group (APSCSG), Institute of Psychology Health and Society Block B Waterhouse Building, University of Liverpool, Liverpool, UK
| | - Mari Lloyd-Williams
- Academic Palliative and Supportive Care Studies Group (APSCSG), University of Liverpool / Honorary Consultant Liverpool CCG (Liverpool Health Partners), Liverpool, UK
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Waterworth S, Raphael D, Gott M, Arroll B, Jarden A. Uncovering strengths within community dwelling older adults: What does it mean for health care practice? HEALTH & SOCIAL CARE IN THE COMMUNITY 2020; 28:932-940. [PMID: 31840318 DOI: 10.1111/hsc.12924] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/28/2019] [Revised: 11/10/2019] [Accepted: 11/28/2019] [Indexed: 06/10/2023]
Abstract
The aim of this paper is to present the psychological strengths we identified from interviews with community dwelling older adults. Data for this paper is drawn from participants in a community dwelling older adult study. The latter involved qualitative in-depth interviews with the participants exploring their well-being. All participants were community dwelling and living in a region in the North Island of New Zealand. Interviews took place between March 2017 to September 2017. Thirty-seven older adults between the ages of 66-99 took part in semi-structured interviews and all interviews were audio-recorded. Interviews ranged from 1 to 3 hr. Analysis was informed by the Values in Action Character strengths framework. We were able to identify strengths within the VIA conceptual framework comprising; cognitive strengths, emotional strengths, social and community strengths, protective strengths and transcendental strengths. Throughout this study we found that participants experienced difficulties in identifying and talking about their strengths. In many ways this may reflect participants' strength of humility, demonstrating modesty in talking about themselves. This study has highlighted the challenges older adults experienced in identifying their own strengths. However, the study has demonstrated how narratives can be one way of uncovering psychological strengths with older adults. In particular, these findings highlight the range of strengths, for example, bravery, gratitude, hope, humour, kindness, perseverance, spirituality, that older adults have and give a voice in highlighting these. However, more practical ways of making strength-based practices workable in daily practice, for example, in clinical assessment and health promotion programs are required.
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Affiliation(s)
- Susan Waterworth
- School of Nursing, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand
| | - Deborah Raphael
- School of Nursing, The University of Auckland, Auckland, New Zealand
| | - Merryn Gott
- School of Nursing, The University of Auckland, Auckland, New Zealand
| | - Bruce Arroll
- School of Population Health, The University of Auckland, Auckland, New Zealand
| | - Aaron Jarden
- Melbourne Graduate School of Education, University of Melbourne, Melbourne, Vic, Australia
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Hedlund Å, Nordström T, Kristofferzon M, Nilsson A. New insights and access to resources change the perspective on life among persons with long-term illness-An interview study. Nurs Open 2019; 6:1580-1588. [PMID: 31660186 PMCID: PMC6805306 DOI: 10.1002/nop2.363] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2019] [Accepted: 08/05/2019] [Indexed: 11/10/2022] Open
Abstract
AIM The aim was to describe individuals' experiences of living with long-term illness. METHODS A qualitative approach with a descriptive design was used. Semi-structured interviews were conducted with 16 persons (50-80 years). They were also asked to self-rate their perceptions of their current health status and confidence in their ability to cope with everyday life. RESULTS One main theme was identified: new insights and access to resources change the perspective on life. Personal characteristics and support from others were advantageous in finding ways to deal with limitations related to the illness. Most of the persons experienced a changed approach to life, in that they now valued life more than they had before. However, some persons also experienced lost values and found it difficult to accept medications. The persons rated their current health status as slightly above average, but their confidence in their ability to cope with everyday life as high.
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Affiliation(s)
- Åsa Hedlund
- Department of Health and Caring SciencesUniversity of GävleGävleSweden
| | - Tina Nordström
- Department of Health and Caring SciencesUniversity of GävleGävleSweden
| | - Marja‐Leena Kristofferzon
- Department of Health and Caring SciencesUniversity of GävleGävleSweden
- Department of Public Health and Caring Sciences,Section of Caring SciencesUppsala UniversityUppsalaSweden
| | - Annika Nilsson
- Department of Health and Caring SciencesUniversity of GävleGävleSweden
- Department of Public Health and Caring Sciences,Section of Caring SciencesUppsala UniversityUppsalaSweden
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Waterworth S, Raphael D, Gott M, Arroll B, Benipal J, Jarden A. An exploration of how community‐dwelling older adults enhance their well‐being. Int J Older People Nurs 2019; 14:e12267. [DOI: 10.1111/opn.12267] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2019] [Revised: 05/08/2019] [Accepted: 07/18/2019] [Indexed: 01/01/2023]
Affiliation(s)
- Susan Waterworth
- School of Nursing, Faculty of Medical and Health Sciences The University of Auckland Auckland New Zealand
| | - Deborah Raphael
- School of Nursing The University of Auckland Auckland New Zealand
| | - Merryn Gott
- School of Nursing The University of Auckland Auckland New Zealand
| | - Bruce Arroll
- School of Population Health The University of Auckland Auckland New Zealand
| | | | - Aaron Jarden
- Melbourne Graduate School of Education University of Melbourne Melbourne VIC Australia
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Arbour C, Gosselin N, Levert MJ, Gauvin-Lepage J, Michallet B, Lefebvre H. Does age matter? A mixed methods study examining determinants of good recovery and resilience in young and middle-aged adults following moderate-to-severe traumatic brain injury. J Adv Nurs 2017; 73:3133-3143. [DOI: 10.1111/jan.13376] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2017] [Indexed: 11/28/2022]
Affiliation(s)
- Caroline Arbour
- Faculty of Nursing; Université de Montréal; Montréal QC Canada
| | - Nadia Gosselin
- Department of Psychology; Université de Montréal; Montréal QC Canada
| | | | | | - Bernard Michallet
- Department of Speech and Language Therapy; Université du Québec à Trois-Rivières; Trois-Rivières QC Canada
| | - Hélène Lefebvre
- Faculty of Nursing; Université de Montréal; Montréal QC Canada
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Martindale J, Kashefi E, Goodacre L. An Exploratory Study of the Experience of Ageing with Ankylosing Spondylitis: 'Same Backdrop but a Changing Scene'. Musculoskeletal Care 2015; 14:156-65. [PMID: 26632092 DOI: 10.1002/msc.1126] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
OBJECTIVES People are living longer with a long-term health condition. Our aim was to develop a greater understanding of the experience and needs of people as they age with ankylosing spondylitis (AS). METHODS Ethical approval was obtained for six focus groups, with participants over 60 years of age, to explore experiences through peer group discussion. The groups were recorded and transcribed. Transcripts were coded and a thematic analysis was conducted using NVIVO 10. RESULTS Four women and 28 men, with an average age of 68 (range 60-83) years, consented to participate. Analysis identified a central organizing concept, 'same backdrop but a changing scene', which conceptualizes the continued impact of AS set against a backdrop of people transitioning into a new phase of their lives and facing differing challenges. Five themes underpin this concept: 'it doesn't go away' (AS remains active with continuing functional and symptomatic challenges); 'wheels fall off after 60' (perceptions of disease progression within the context of 'normal ageing'); 'keep on pushing, keep on doing' (challenges of remaining active and motivated); 'living a fulfilling life' (actively engaging with life) and a 'price to pay' (significant psychological, physical and financial consequences on participants and their families). CONCLUSIONS As people living with AS make the transition into retirement, many aspire to live active lives while facing new challenges in relation to their lifestyles and priorities. There is a need to offer tailored interventions to enable older people to remain active and continue to lead the lives they choose within the context of an active and often debilitating condition. Copyright © 2015 John Wiley & Sons, Ltd.
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Affiliation(s)
- J Martindale
- Wrightington Wigan and Leigh NHS Foundation Trust, Wigan, UK. .,Lancaster University Faculty of Health and Medicine, Lancaster, UK.
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Hedman M, Pöder U, Mamhidir AG, Nilsson A, Kristofferzon ML, Häggström E. Life memories and the ability to act: the meaning of autonomy and participation for older people when living with chronic illness. Scand J Caring Sci 2015; 29:824-33. [DOI: 10.1111/scs.12215] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2014] [Accepted: 12/17/2014] [Indexed: 12/24/2022]
Affiliation(s)
- Maria Hedman
- Department of Public Health and Caring Sciences; Faculty of Medicine; Uppsala University; Uppsala Sweden
- Department of Health and Caring Sciences; Faculty of Health and Occupational Studies; University of Gävle; Gävle Sweden
| | - Ulrika Pöder
- Department of Public Health and Caring Sciences; Faculty of Medicine; Uppsala University; Uppsala Sweden
| | - Anna-Greta Mamhidir
- Department of Public Health and Caring Sciences; Faculty of Medicine; Uppsala University; Uppsala Sweden
- Department of Health and Caring Sciences; Faculty of Health and Occupational Studies; University of Gävle; Gävle Sweden
| | - Annika Nilsson
- Department of Public Health and Caring Sciences; Faculty of Medicine; Uppsala University; Uppsala Sweden
- Department of Health and Caring Sciences; Faculty of Health and Occupational Studies; University of Gävle; Gävle Sweden
| | - Marja-Leena Kristofferzon
- Department of Public Health and Caring Sciences; Faculty of Medicine; Uppsala University; Uppsala Sweden
- Department of Health and Caring Sciences; Faculty of Health and Occupational Studies; University of Gävle; Gävle Sweden
| | - Elisabeth Häggström
- Department of Public Health and Caring Sciences; Faculty of Medicine; Uppsala University; Uppsala Sweden
- Department of Health and Caring Sciences; Faculty of Health and Occupational Studies; University of Gävle; Gävle Sweden
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Roe B, McCormick S, Lucas T, Gallagher W, Winn A, Elkin S. Coffee, Cake & Culture: Evaluation of an art for health programme for older people in the community. DEMENTIA 2014; 15:539-59. [DOI: 10.1177/1471301214528927] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
Arts for health initiatives and networks are being developed in a number of countries and an international literature is emerging on the evidence of their benefits to people's health, wellbeing and quality of life. Engagement in cultural and creative arts by older people can increase their morale and self-confidence and provides opportunities for social connection. Museums and galleries are increasingly required to justify their expenditure, reach and impact and some are working in partnership with local councils, hospitals, schools and communities to improve access to their collections. There is a body of literature emerging that describes such initiatives but empirical evidence of their benefits is less developed. This article reports an evaluation of an art for health initiative – Coffee, Cake & Culture organised and delivered by Whitworth Art Gallery and Manchester Museum in 2012 for older people living in a care home and a supported living facility. The study has identified the benefits and impacts of the arts for health programme and its feasibility for older people, with or without diagnosed memory loss – dementia, living in a care home or supported living facility and their care staff. The findings demonstrate there were benefits to the older people and their care staff in terms of wellbeing, social engagement, learning, social inclusion and creativity. These benefits were immediate and continued in the short term on their return home. The majority of older people and care staff had not previously been to the art gallery or museum and the programme encouraged creative arts and cultural appreciation which promoted social inclusion, wellbeing and quality of life. The programme is feasible and important lessons were identified for future planning. Further research involving partnerships of researchers, arts for health curators, artists, care staff, older people and their families is warranted.
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Affiliation(s)
- Brenda Roe
- Evidence-based Practice Research Centre, Faculty of Health & Social Care, Edge Hill University, Lancashire, UK; Personal Social Services Research Unit, University of Manchester, Manchester, UK
| | - Sheila McCormick
- Performing Arts, Faculty of Arts & Science, Edge Hill University, Lancashire, UK
| | - Terri Lucas
- Whitworth Art Gallery, University of Manchester, Manchester, UK
| | - Wendy Gallagher
- Whitworth Art Gallery, University of Manchester, Manchester, UK
| | - Andrea Winn
- The Manchester Museum, University of Manchester, Manchester, UK
| | - Sophie Elkin
- Irwell Valley Housing Association, Manchester, UK
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Martinez-Marcos M, De la Cuesta-Benjumea C. How women caregivers deal with their own long-term illness: a qualitative study. J Adv Nurs 2013; 70:1825-36. [DOI: 10.1111/jan.12341] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/23/2013] [Indexed: 01/01/2023]
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Roe B. Arts for health initiatives: an emerging international agenda and evidence base for older populations. J Adv Nurs 2013; 70:1-3. [DOI: 10.1111/jan.12216] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
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Roe B. Editor's Choice. J Adv Nurs 2012; 68:1197. [DOI: 10.1111/j.1365-2648.2012.06039.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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12
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Roe B. Editor’s Choice. J Adv Nurs 2011. [DOI: 10.1111/j.1365-2648.2011.05913.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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