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Dino MJS, Dion KW, Abadir PM, Budhathoki C, Huang CM, Ong I, Vital JC, Cotter VT, Himmelfarb CRD, Davidson PM. Mixed reality technology for older adults: Evaluating the impact of a novel virtual humanoid coach in a community-based physical exercise program in the Philippines. Health Informatics J 2024; 30:14604582241267793. [PMID: 39096029 DOI: 10.1177/14604582241267793] [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] [Indexed: 08/04/2024]
Abstract
Physical inactivity among older adults remains a global burden, leading to a variety of health challenges and even mortality. This study evaluated the impact of a novel virtual humanoid coach-driven physical exercise program among older adults. A non-randomized (quasi) experimental research was conducted in two community senior centers. The recruited participants (n = 130) were primarily female older adults with a mean age of 66.40 and agreed to be purposively assigned either experimental or control groups. Trained healthcare providers performed health assessments in three time points using valid and reliable tools. Descriptive statistics, t-tests, and RM-ANOVA were used to quantitatively analyze the data using SPSS version 22. There are significant mean differences between the groups across all functional capacity assessments and Time 2-3 assessment of sleep quality. RM-ANOVA revealed significant differences in physical assessment over time between the two groups. The analyses of time and group interaction revealed significant improvement in health assessments among the members of the mixed reality group compared to the traditional groups. The impact of virtual coaches in community-based enhancing physical activity programs is comparable to the traditional mode and introduces a novel approach to promoting physical activity among older adults.
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Affiliation(s)
- Michael Joseph S Dino
- School of Nursing, Johns Hopkins University, Baltimore, MD, USA
- Research, Development, and Innovation Center, Our Lady of Fatima University, Valenzuela City, Philippines
- Sigma Theta Tau, International Honor Society of Nursing, Indianapolis, IN, USA
| | - Kenneth W Dion
- School of Nursing, Johns Hopkins University, Baltimore, MD, USA
- Sigma Theta Tau, International Honor Society of Nursing, Indianapolis, IN, USA
| | - Peter M Abadir
- School of Medicine, Johns Hopkins University, Baltimore, MD, USA
| | | | - Chien-Ming Huang
- Department of Computer Science, Johns Hopkins University, Baltimore, MD, USA
| | - Irvin Ong
- School of Nursing, Johns Hopkins University, Baltimore, MD, USA
- Research, Development, and Innovation Center, Our Lady of Fatima University, Valenzuela City, Philippines
- Sigma Theta Tau, International Honor Society of Nursing, Indianapolis, IN, USA
| | - Joseph Carlo Vital
- Research, Development, and Innovation Center, Our Lady of Fatima University, Valenzuela City, Philippines
| | - Valerie T Cotter
- School of Nursing, Johns Hopkins University, Baltimore, MD, USA
- Sigma Theta Tau, International Honor Society of Nursing, Indianapolis, IN, USA
| | - Cheryl R Dennison Himmelfarb
- School of Nursing, Johns Hopkins University, Baltimore, MD, USA
- Sigma Theta Tau, International Honor Society of Nursing, Indianapolis, IN, USA
| | - Patricia M Davidson
- School of Nursing, Johns Hopkins University, Baltimore, MD, USA
- The Vice-Chancellor's Unit, University of Wollongong, Wollongong, NSW, Australia
- Sigma Theta Tau, International Honor Society of Nursing, Indianapolis, IN, USA
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Moncatar TJRT, Vo MTH, Siongco KLL, Han TDT, Seino K, Gomez AVD, Canila CC, Javier RS, Vo TV, Tashiro Y, Lorenzo FME, Nakamura K. Gaps and opportunities in addressing the needs of older adults in the Philippines and Vietnam: a qualitative exploration of health and social workers' experiences in urban care settings. Front Public Health 2024; 12:1269116. [PMID: 38584931 PMCID: PMC10996917 DOI: 10.3389/fpubh.2024.1269116] [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: 07/29/2023] [Accepted: 02/19/2024] [Indexed: 04/09/2024] Open
Abstract
Background Despite numerous government initiatives, concerns and disparities among older adults have continually been growing. Empirical studies focused on older adults in the Philippines and Vietnam appear minimal and mostly regarding perceptions of aging. An effective geriatric care strongly relies on functional service providers requiring their perspectives to be explored toward inclusive service delivery. Objective To investigate the perceived gaps and opportunities in geriatric care service delivery among health and social care workers in selected urban areas in the Philippines and Vietnam. Methods A qualitative case study approach drawn on social constructivism theory, examined working experiences, observed characteristics of older adults, geriatric services and needs, difficulties on service delivery, and recommended solutions. A total of 12 semi-structured interviews and 29 focus group discussions were conducted in the Philippines, with 174 health and social care workers, while in Vietnam, there were 23 semi-structured interviews and 29 focus group discussions with 124 participants. An inductive thematic analysis was employed. Results Interview participants highlighted the increasing unmet needs such as accessibility, availability, and acceptability of geriatric care services. The implementation of interventions on the older population faced multiple challenges, including issues related to older adult conundrums and dilemmas in geriatric care providers and facilities. The participants from the two countries felt that strengthening implementation of collaboration toward an integrated geriatric care structure and expansion of training and capability in handling older adults can be potential in addressing the gaps at both individual and institutional levels. Additionally, a committed leadership was viewed to be the important step to effectively operationalize the strategy. Conclusion Health and social workers emphasized that the needs of older adults are exacerbated by various challenges within a fragmented geriatric care system. To address this issue, an establishment of an integrated service delivery mechanism with dedicated leadership is needed. The findings from this study may help develop appropriate solutions for addressing the health and social care needs of older adults in similar settings across Southeast Asia. Further examination of the impact of these challenges and solutions on service delivery and the wellbeing of older adults is essential.
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Affiliation(s)
- TJ Robinson T. Moncatar
- Department of Health Policy and Administration, College of Public Health, University of the Philippines Manila, Manila, Philippines
| | - Man Thi Hue Vo
- College of Public Health Sciences, Chulalongkorn University, Bangkok, Thailand
| | | | - Tran Dai Tri Han
- Faculty of Public Health, Hue University of Medicine and Pharmacy, Hue University, Hue, Vietnam
| | - Kaoruko Seino
- World Health Organization Collaborating Centre for Healthy Cities and Urban Policy Research, Tokyo, Japan
- Department of Global Health Entrepreneurship, Division of Public Health, Tokyo Medical and Dental University, Tokyo, Japan
| | | | - Carmelita C. Canila
- Department of Health Policy and Administration, College of Public Health, University of the Philippines Manila, Manila, Philippines
| | - Richard S. Javier
- Department of Health Policy and Administration, College of Public Health, University of the Philippines Manila, Manila, Philippines
| | - Thang Van Vo
- Faculty of Public Health, Hue University of Medicine and Pharmacy, Hue University, Hue, Vietnam
- Institute for Community Health Research, Hue University of Medicine and Pharmacy, Hue, Vietnam
| | - Yuri Tashiro
- World Health Organization Collaborating Centre for Healthy Cities and Urban Policy Research, Tokyo, Japan
- Department of Global Health Entrepreneurship, Division of Public Health, Tokyo Medical and Dental University, Tokyo, Japan
| | | | - Keiko Nakamura
- World Health Organization Collaborating Centre for Healthy Cities and Urban Policy Research, Tokyo, Japan
- Department of Global Health Entrepreneurship, Division of Public Health, Tokyo Medical and Dental University, Tokyo, Japan
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Absor MU, McDonald P, Utomo A, Houle B. Care arrangements of older persons in rural Indonesia: a study of six villages. ASIAN POPULATION STUDIES 2023. [DOI: 10.1080/17441730.2023.2193520] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/03/2023]
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Giang LT, Nguyen NT, Pham TTH, Phi PM. Factors associated with receipt of informal care among the Vietnamese older persons: Evidence from a national survey. Front Public Health 2023; 11:1065851. [PMID: 36969636 PMCID: PMC10031064 DOI: 10.3389/fpubh.2023.1065851] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2022] [Accepted: 02/08/2023] [Indexed: 03/10/2023] Open
Abstract
BackgroundThe rapidly growing older population in Vietnam poses an increasing need for care among the older persons, who have mainly relied on informal care at homes and communities. This study examined the Vietnamese older persons' individual and household factors determining their receipt of informal care.MethodsThis study provided cross-tabulations and multivariable regression analyses to identify who provided assistance to the Vietnamese older people along with their individual and household characteristics.DataThe nationally representative survey on older persons, namely Vietnam Aging Survey (VNAS) in 2011 was used in this study.ResultsWe found that proportions of older persons having difficulty in activities of daily living (ADLs) were different in regard to their age, sex, marital status, health status, working status, and living arrangements. In care provision, gender differences were clear, in which females generally had significantly higher rates of providing care to older persons than their male counterparts.ConclusionCare for older persons in Vietnam has been mainly provided by their families, and thus changes in socio-economic, demographic factors along with differences among generations in family values will be a key challenge to maintain such care arrangements.
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Affiliation(s)
- Long Thanh Giang
- National Economics University, Hanoi, Vietnam
- *Correspondence: Long Thanh Giang
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Filipino Aging within Global North Diasporas: A Scoping Review. J Cross Cult Gerontol 2023; 38:39-81. [PMID: 36622513 DOI: 10.1007/s10823-022-09466-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/22/2022] [Indexed: 01/10/2023]
Abstract
Drawing on international research, this article examines and navigates through the existing social gerontological and ethnogerontological literature to assess how Filipino aging is understood within Global North societies. A scoping review was conducted in 2018 and in 2022 to offer key insights into how Filipinos age in both the ancestral homeland and increasingly within Global North diasporas. While the existing literature on Filipino aging does mirror existing ethnogerontological literature, which heavily focuses on indicators of cognitive, physical and mental health, and access and provision to formal services, the Filipino-specific literature calls attention to emerging dynamics distinctly related to transnational aging, and renegotiated caring dynamics within intergenerational Filipino families and kinship networks. This paper considers a future research agenda of the growing realities for aging Filipino communities across Global North contexts.
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Montayre J, Saravanakumar P, Zhao I, Holroyd E, Adams J, Neville S. Holding on and letting go: Views about filial piety among adult children living in New Zealand. J Clin Nurs 2022; 31:2797-2804. [PMID: 34687112 DOI: 10.1111/jocn.16098] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2021] [Revised: 09/07/2021] [Accepted: 10/11/2021] [Indexed: 12/15/2022]
Abstract
AIMS AND OBJECTIVES The study aimed to explore the perspectives of adult children about late-life living and care arrangements for their ageing immigrant parents living in New Zealand. BACKGROUND Older immigrants' well-being is closely associated with filial relations and is often reliant on families as a main source of social, financial and emotional support. Research among migrant Asian adults has reported mixed findings regarding intergenerational perspectives of filial practices. DESIGN Qualitative design using focused ethnographic lens. METHODS Semi-structured individual interviews were undertaken with 45 adult children of older immigrants living in New Zealand to explore their views about filial piety. The CoREQ checklist was used in reporting methods and findings. RESULTS Two major themes were identified in this study of adult children's view of filial piety and late-life care for their ageing parents. The first theme, 'holding on-reconfiguring values', referred to a process described by the participants as upholding the core values and cultural familial expectations, looking after their ageing parents, yet modifying the ways in which they provide care. The second major theme 'letting go-reconfigured expectations', described participants' views of aged care for themselves, which meant they no longer held traditional values that needed to be enacted by their children. CONCLUSIONS Adult children from immigrant families were positioned as intermediaries of these shifting values of their own and within younger generations. The adult children's shift of thinking and acceptance of reconfigured expression of filial duties impact care and living arrangements of older people from immigrant and culturally diverse backgrounds, which also influences health and well-being in later life. RELEVANCE TO CLINICAL PRACTICE Healthcare professionals including nurses working in the ageing and aged care sector need to accommodate the changing generational perspectives about filial piety to cater to the unique late-life care requirements and health needs of older people and their families.
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Affiliation(s)
- Jed Montayre
- School of Nursing and Midwifery, Western Sydney University, Penrith, NSW, Australia
| | - Padmapriya Saravanakumar
- School of Clinical Sciences, Nursing Department, Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand
| | - Ivy Zhao
- WHO Collaborating Centre for Community Health Services, School of Nursing, The Hong Kong Polytechnic University, Hong Kong, Hong Kong SAR
| | - Eleanor Holroyd
- School of Clinical Sciences, Nursing Department, Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand
| | - Jeffery Adams
- SHORE & Whariki Research Centre, College of Health, Massey University, Auckland, New Zealand
| | - Stephen Neville
- School of Clinical Sciences, Nursing Department, Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand
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Navallo K. “Let my hands be your hands”: Constructions of intimacy among Filipina migrants in the care of the elderly in Japan. GENDER WORK AND ORGANIZATION 2022. [DOI: 10.1111/gwao.12763] [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]
Affiliation(s)
- Katrina Navallo
- Graduate School of Asian and African Area Studies Kyoto University Kyoto Japan
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Cheng KJG, Rivera AS, Miguel RTDP, Lam HY. A cross-sectional study on the determinants of health-related quality of life in the Philippines using the EQ-5D-5L. Qual Life Res 2021; 30:2137-2147. [PMID: 33677770 DOI: 10.1007/s11136-021-02799-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/13/2021] [Indexed: 10/22/2022]
Abstract
PURPOSE The purpose of this study was to identify the determinants of Filipinos' health-related quality of life (HRQoL). METHODS Data were collected from 1000 Filipinos across the nation who reported that they did not have known active disease or disability. HRQoL was measured through EuroQoL's (EQ) 5-level tool (EQ-5D-5L) and the EQ Visual Analog Scale (EQ-VAS). Both were implemented via the EQ Valuation Technology software. HRQoL was regressed on socioeconomic characteristics (age, sex, marital status, educational attainment, employment, poverty status, and availability of savings), social support factors (religion, religious attendance, and caregiving status), community- or societal-level factors (type and major island group of residence), and disease status. RESULTS Majority of respondents reported that they did not have any problems across all EQ-5D-5L dimensions, namely mobility, self-care, usual activity, pain or discomfort, and anxiety or depression. Pain or discomfort had the highest rate of respondents reporting slight to extreme problems followed by anxiety or depression. Having savings was positively associated with HRQoL, while religious attendance, caregiver status, living in an urban area, living in Visayas or Mindanao, and having a diagnosed disease were negatively associated with HRQoL. CONCLUSION This current study confirms that HRQoL varied across socioeconomic statuses and communities in the Philippines.
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Affiliation(s)
- Kent Jason G Cheng
- Social Science Department, Maxwell School of Citizenship and Public Affairs, Syracuse University, Syracuse, NY, USA
| | - Adovich S Rivera
- Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
| | | | - Hilton Y Lam
- Institute of Health Policy and Development Studies, National Institutes of Health, University of the Philippines, Manila, Philippines
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Factors Associated with the Need for Assistance among the Elderly in Malaysia. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18020730. [PMID: 33467781 PMCID: PMC7829784 DOI: 10.3390/ijerph18020730] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/01/2020] [Revised: 01/11/2021] [Accepted: 01/13/2021] [Indexed: 11/18/2022]
Abstract
The need for assistance among the elderly is rising, which poses challenges for healthcare systems. Thus, this study aims to determine the factors associated with the need for assistance in the daily living activities of Malaysia’s elderly population. A total of 1204 elderly individuals, aged 60 years and above, were recruited. An interview was conducted using the Bahasa Malaysia version of the Japan Gerontological Evaluation Study (JAGES-BM) questionnaire. Overall, 7.7% of the elderly participants required assistance. A logistic regression model showed that difficult financial statuses (aOR 4.56), hearing difficulties (aOR 1.78), and severe limitations in daily activity over the past 6 months (aOR 11.99) were associated with a higher likelihood of needing assistance. In addition, daily activities such as an inability to feed (aOR 8.46), stand without support (aOR 2.06), or walk for 15 min without stopping (aOR 1.99) were significantly associated with the need for assistance. Factors associated with the need for assistance are health status, disability, and the financial status of the elderly. Preventive measures should be included in policies to ensure the sustainability of the care provided to the elderly in terms of promoting healthy ageing and a good quality of life.
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Andersen HE, Hoeck B, Nielsen DS, Ryg J, Delmar C. A phenomenological-hermeneutic study exploring caring responsibility for a chronically ill, older parent with frailty. Nurs Open 2020; 7:951-960. [PMID: 32587713 PMCID: PMC7308672 DOI: 10.1002/nop2.467] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2019] [Revised: 12/17/2019] [Accepted: 02/16/2020] [Indexed: 11/07/2022] Open
Abstract
Aim To provide lifeworld insights into experiences of adult children with caring responsibility for an 80+-year-old chronically ill parent with frailty. Background Informal care is common in Nordic welfare countries; however, little is known about adult children's experience of caring responsibility in this setting. Design A phenomenological-hermeneutic study based on Reflective Lifeworld Research. Methods Diaries and semi-structured interviews with 12 adult children. Results Caring responsibility is identified as "a condition of life, filled with uncertainty." Three constituents contribute to this phenomenon: (a) balancing love, duty and reciprocity; (b) being the parent's advocate and manager; and (c) experiencing concerns and bodily strain. Conclusion Adult children work hard to provide care and enhance the well-being of their parent. Heidegger's concept 'Fürsorge' may help us understand how by showing how caring responsibility means balancing different roles vis-à-vis the parent, one's own life and the health and social systems. Caring responsibility changes the relationship between parent and child.
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Affiliation(s)
- Helle Elisabeth Andersen
- Department of Public Health NursingAarhus UniversityAarhusDenmark
- Health Sciences Research CentreUCLOdenseDenmark
| | - Bente Hoeck
- Department of Public HealthUniversity of Southern DenmarkOdenseDenmark
| | - Dorthe Susanne Nielsen
- Health Sciences Research CentreUCLOdenseDenmark
- Department of Clinical ResearchUniversity of Southern DenmarkOdenseDenmark
- Migrant Health ClinicOdense University HospitalOdenseDenmark
| | - Jesper Ryg
- Department of Clinical ResearchUniversity of Southern DenmarkOdenseDenmark
- Department of Geriatric MedicineOdense University HospitalOdenseDenmark
| | - Charlotte Delmar
- Department of Public Health NursingAarhus UniversityAarhusDenmark
- Institut for Helse‐ og omsorgsfagNorway's Artic UniversityTromsøNorway
- VIDHelsefagBergenOsloNorway
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Abalos JB. Older Persons in the Philippines: a Demographic, Socioeconomic and Health Profile. AGEING INTERNATIONAL 2018. [DOI: 10.1007/s12126-018-9337-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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12
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Yeung WJJ, Thang LL. Long-Term Care for Older Adults in ASEAN Plus Three: The Roles of Family, Community, and the State in Addressing Unmet Eldercare Needs. J Aging Health 2018; 30:1499-1515. [PMID: 30239253 DOI: 10.1177/0898264318796345] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
OBJECTIVE To introduce this Special Issue that focuses on understanding the issues surrounding the long-term care (LTC) in selected societies in Southeast and East Asian countries. METHOD We first provide demographic and socioeconomic context for these countries and then summarize the seven articles in this issue. RESULTS The articles highlight the rapidly rising demand for LTC in this region in the next few decades given the declining fertility, lengthening life expectancy, and increasing migration. They also discuss challenges and strategies in meeting these demands. Most countries are ill prepared to cope with the demand for LTC with older adults heavily rely upon female family members for care. Elderly women in low-income households have the greatest unmet need. DISCUSSION Home-based and community-based services are set to become an integral part of the LTC system. It is important to incorporate older adults' cultural norms and wishes in their care plan and provision.
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