Quality in Ageing and Older Adults最新文献

{"title":"Community living older adults’ appraisal of future health and care needs: a cross-sectional study","authors":"Marian J T van Het Bolscher-Niehuis, S. Jansen-Kosterink, M. Vollenbroek-Hutten","doi":"10.1108/qaoa-09-2021-0067","DOIUrl":"https://doi.org/10.1108/qaoa-09-2021-0067","url":null,"abstract":"\u0000Purpose\u0000Efficacious self-management at older ages requires the ability to make an accurate appraisal of one’s current and future health situation. Therefore, the purpose of this study is to explore how community living older adults, with different self-perceived health status, appraise their future health status and their future health-care and housing needs.\u0000\u0000\u0000Design/methodology/approach\u0000The study population, 555 community living older adults, aged 65–75, completed a questionnaire for self-screening of their general health status.\u0000\u0000\u0000Findings\u0000The results show that over 70% of the older adults, even many of those who perceive their own health status to be “poor” or “fair” and those who are “frail”, do not expect deterioration in their physical or mental health nor extra health-care or housing needs within the next half year. In addition, a substantial part of the respondents, particularly those who perceive their general health as less favourable, tend to have a “wait-and-see” attitude and want to live their life day-to-day.\u0000\u0000\u0000Practical implications\u0000Community living older adults may not always be able or motivated to monitor their own health condition and prepare themselves for changing needs. Supporting older adults by motivating and teaching them to monitor their condition and overcome barriers to engage in pro-active coping can help older adults to manage the negative consequences of ageing while they have still sufficient resources available.\u0000\u0000\u0000Originality/value\u0000The findings of this study can help health-care professionals to tailor the support of older adults’ self-management.\u0000","PeriodicalId":44916,"journal":{"name":"Quality in Ageing and Older Adults","volume":"1 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42040517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating a transitional care program for the oldest adults: results from the quantitative phase of a mixed-methods study","authors":"Wilma van der Vlegel-Brouwer, Marjolein van der Vlegel, J. Duckworth, H. Partington, A. de Jong","doi":"10.1108/qaoa-03-2022-0018","DOIUrl":"https://doi.org/10.1108/qaoa-03-2022-0018","url":null,"abstract":"\u0000Purpose\u0000This quantitative phase of a mixed-methods study aims to describe the effect of the Transitional Care Bridge (TCB) programme on functional decline, mortality, health-care utilisation and health outcomes compared to usual care in a regional hospital in the Netherlands.\u0000\u0000\u0000Design/methodology/approach\u0000In a pre- and post-cohort study, patients aged ≥70 years, admitted to the hospital for ≥48 h and discharged home with an Identification of Seniors at Risk score of ≥2, were included. The TCB programme, started before discharge, encompassed six visits by the community nurse (CN). Data were obtained from the hospital registry and by three questionnaires over a three months period, addressing activities of daily living (ADL), self-rated health, self-rated quality of life and health-care utilisation.\u0000\u0000\u0000Findings\u0000In total, 100 patients were enrolled in this study, 50 patients in the TCB group and 50 patients in the usual care group. After three months, 36.7% was dependent on ADL in the TCB group compared to 47.1% in the usual care group. Mean number of visits by the CN in the TCB group was 3.8. Although the TCB group had a lower mortality, this study did not find any statistically significant differences in health outcomes and health-care utilisation.\u0000\u0000\u0000Research limitations/implications\u0000Challenges in the delivery of the programme may have influenced patient outcomes. More research is needed on implementation of evidence-based programmes in smaller research settings. A qualitative phase of the study needs to address these outcomes and explore the perspectives of health professionals and patients on the delivery of the programme.\u0000\u0000\u0000Originality/value\u0000This study provides valuable information on the transitional care programme in a smaller setting.\u0000","PeriodicalId":44916,"journal":{"name":"Quality in Ageing and Older Adults","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2023-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45563592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From the ground up: assessing the face validity of the Quality of Life – Aged Care Consumers (QOL-ACC) measure with older Australians","authors":"J. Cleland, C. Hutchinson, Candice McBain, J. Khadka, R. Milte, I. Cameron, J. Ratcliffe","doi":"10.1108/qaoa-07-2022-0046","DOIUrl":"https://doi.org/10.1108/qaoa-07-2022-0046","url":null,"abstract":"\u0000Purpose\u0000This paper aims to assess the face validity to inform content validity of the Quality of Life – Aged Care Consumers (QOL-ACC), a new measure for quality assessment and economic evaluation in aged care.\u0000\u0000\u0000Design/methodology/approach\u0000Semi-structured interviews were conducted with older adults (66–100 years) receiving aged care services at home (n = 31) and in residential care (n = 28). Participants provided feedback on draft items to take forward to the next stage of psychometric assessment. Items were removed according to several decision criteria: ambiguity, sensitive wording, not easy to answer and/or least preferred by participants.\u0000\u0000\u0000Findings\u0000The initial candidate set was reduced from 34 items to 15 items to include in the next stage of the QOL-ACC development alongside the preferred response category. The reduced set reflected the views of older adults, increasing the measure’s acceptability, reliability and relevance.\u0000\u0000\u0000Originality/value\u0000Quality of life is a key person-centred quality indicator recommended by the recent Royal Commission into Aged Care Quality and Safety. Responding to this policy reform objective, this study documents a key stage in the development of the QOL-ACC measure, a new measure designed to assess aged care specific quality of life.\u0000","PeriodicalId":44916,"journal":{"name":"Quality in Ageing and Older Adults","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2023-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45445351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Occupational social class differences in the impact of COVID-19 related employment disruptions on retirement planning amongst older workers in England","authors":"Tatiana S. Rowson, V. Beck, M. Hyde, E. Evans","doi":"10.1108/qaoa-02-2022-0013","DOIUrl":"https://doi.org/10.1108/qaoa-02-2022-0013","url":null,"abstract":"\u0000Purpose\u0000This paper aims to examine the impact of COVID-19 related employment disruption on individuals’ retirement planning and whether these experiences differ by occupational social class.\u0000\u0000\u0000Design/methodology/approach\u0000To explore these issues, this study linked data from those who were employed in wave 9 of the English Longitudinal Study of Ageing (ELSA) main study with wave 1 of the ELSA COVID-19 study (N = 1,797). Multinominal regression analyses were conducted to explore whether the interaction between employment disruption and occupational social class was associated with planning to retire earlier or later than previously planned.\u0000\u0000\u0000Findings\u0000The results show that stopping work because of COVID-19 is associated with planning to retire earlier. However, there were no statistically significant interactions between occupational social class and employment disruptions on whether respondents planned to retire earlier or later.\u0000\u0000\u0000Originality/value\u0000This paper’s original contribution is in showing that the pandemic has had an impact on retirement decisions. Given the known negative effects of both involuntary early labour market exit, the findings suggest that the COVID-19 related employment disruptions are likely to exacerbate social inequalities in health, well-being in later life and, consequently, can help anticipate where there will be need for additional support in later life.\u0000","PeriodicalId":44916,"journal":{"name":"Quality in Ageing and Older Adults","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2022-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47310152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Constructions of childlessness and ageing: legitimising dependency on unpaid care?","authors":"Alex Hall, G. Spiers, B. Hanratty","doi":"10.1108/qaoa-10-2021-0078","DOIUrl":"https://doi.org/10.1108/qaoa-10-2021-0078","url":null,"abstract":"\u0000Purpose\u0000A narrative has developed in recent years to link ageing without children to support needs in later life. Social care has long been viewed as a private, familial responsibility, whilst health care is a societal, public good. Childlessness is framed negatively in terms of increased demands on care services and wider family networks. As governments tackle the issue of how to fund and deliver an equitable and sustainable long-term care sector, this paper aims to argue that it is more critical than ever to evaluate views of childlessness in the context of ageing.\u0000\u0000\u0000Design/methodology/approach\u0000Policy-oriented commentary paper.\u0000\u0000\u0000Findings\u0000If the focus on childlessness and ageing is through a lens of a potential care deficit, this continues to frame ageing without children as a risk and does little to challenge increasing reliance on unpaid care. Research and policy need to explore how to make access to social care more equitable and reduce expectations of unpaid care. They also need to increasingly emphasise exploration of aspects of later life beyond the issue of care, for example, by more of a focus on communities, what matters to people to age well and lives that extend beyond traditional views of nuclear families.\u0000\u0000\u0000Originality/value\u0000This paper uses the UK as a contextual example to argue that the research and policy communities have a role to play in evaluating their constructions of childlessness and ageing and questioning whether they do little more than legitimise government’s unwillingness to take responsibility for social care.\u0000","PeriodicalId":44916,"journal":{"name":"Quality in Ageing and Older Adults","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2022-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45531361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial","authors":"F. Poland","doi":"10.1108/qaoa-09-2022-093","DOIUrl":"https://doi.org/10.1108/qaoa-09-2022-093","url":null,"abstract":"","PeriodicalId":44916,"journal":{"name":"Quality in Ageing and Older Adults","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2022-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45956363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimizing older adult co-researchers’ involvement in PAR: proposed evaluation tool","authors":"Émilie Raymond, Christopher W. Tremblay, Jean-Guy Lebel","doi":"10.1108/qaoa-12-2021-0092","DOIUrl":"https://doi.org/10.1108/qaoa-12-2021-0092","url":null,"abstract":"\u0000Purpose\u0000This paper aims to share a practical evaluation tool intended to guide and support the participation of older people in PAR projects. Participatory action research (PAR) studies with older adults have been increasing over the past ten years. Scientific evidence provides key principles for PAR projects to achieve meaningful participation by older people; however, respecting the ideals of PAR is not always straightforward.\u0000\u0000\u0000Design/methodology/approach\u0000This paper presents a case study that evaluated the involvement of nonacademic researchers in a PAR project using an evaluation tool derived from a literature review of PAR undertaken with this population (Corrado et al., 2020). The study goals were first to assess the assets and limits of the older co-researchers’ participation within the PAR project, and second to provide a revised version of the evaluation tool to support future PAR with older people. First, the authors designed an evaluation tool for nonacademic participation in PAR studies by older people that covers three main themes: older people positioned as prominent research partners; symmetrical power relations between academic and nonacademic researchers; and commitment regarding inclusiveness and long-term collaboration. Second, the authors performed an evaluation using this tool within the Active Aging with Dignity PAR Project.\u0000\u0000\u0000Findings\u0000Third, the authors used the results of this experiment to suggest improvements for an enhanced version of the evaluation tool aiming at supporting fuller involvement of older nonacademic researchers in PAR studies.\u0000\u0000\u0000Originality/value\u0000To the authors’ knowledge, this evaluative tool is a methodological innovation in gerontology.\u0000","PeriodicalId":44916,"journal":{"name":"Quality in Ageing and Older Adults","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2022-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49156165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Agreement and participants’ preferences comparing: self-rated falls risk questionnaire (FRQ) and activities-specific balance confidence (ABC) scale in community-dwelling older adults using the Bland–Altman method","authors":"H. Kooshiar, J. Macdermid, D. Walton, R. Grewal","doi":"10.1108/qaoa-03-2022-0020","DOIUrl":"https://doi.org/10.1108/qaoa-03-2022-0020","url":null,"abstract":"\u0000Purpose\u0000Screening for fall risks is an important part of fall and fracture prevention. This study aims to investigate cross-sectional inter-instrumental agreement and participants’ preferences of the self-rated Falls Risk Questionnaire (FRQ) and Activities Specific Balance Confidence 6 items (ABC-6). This study also aimed to compare FRQ and ABC-6 scores in older adults with and without a history of falls.\u0000\u0000\u0000Design/methodology/approach\u0000Through an online and snowball sampling survey, 114 respondents were recruited from six countries. Respondents were asked to perform FRQ and ABC-6 surveys.\u0000\u0000\u0000Findings\u0000The mean respondent age was 67 years, and 44.8% reported falls in the past year. The mean of rescored FRQ and ABC-6 scores were 68.6% and 66.2%, respectively. The FRQ and ABC-6 scores for fallers were lower than non-fallers. Bland and Altman’s method indicated the mean −2.6 and two standard deviations 20.9 differences between ABC-6 and FRQ, which means an overall agreement between these tools. Most of the respondents, 36% had no preference between ABC-6 and FRQ, 34% preferred none, 21% preferred the ABC-6 and 9% preferred the FRQ for screening future falls risk.\u0000\u0000\u0000Originality/value\u0000Both ABC-6 and FRQ can distinguish between fallers and non-fallers, and findings of this study can be used to support the use of the FRQ for falls screening in older adults.\u0000","PeriodicalId":44916,"journal":{"name":"Quality in Ageing and Older Adults","volume":"1 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2022-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41362562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An international qualitative feasibility study to explore the process of using social innovation (co-production) strategies with older people: the SAIL project","authors":"Holly Crossen-White, A. Hemingway, A. Ladkin, Andrew Jones, Amanda Burke, O. Timmermans","doi":"10.1108/qaoa-02-2022-0012","DOIUrl":"https://doi.org/10.1108/qaoa-02-2022-0012","url":null,"abstract":"\u0000Purpose\u0000This paper aims to present the feasibility study findings from a four-year project funded by the European Union Commission (the SAIL project, Staying Active and Independent for Longer). The funding stream was Interreg 2Seas which offers opportunities for coastal areas on both sides of the English Channel to work together on complex practical issues. The project focused on enabling older people to stay active and independent for longer using social innovation (co-production) approaches.\u0000\u0000\u0000Design/methodology/approach\u0000Ten pilot projects were developed, and each of the pilots worked with an academic partner to undertake a feasibility study that included 10 pilots across the four countries involved, France, Belgium, Holland and England.\u0000\u0000\u0000Findings\u0000This paper presents barriers and facilitators (using logic models) to the social innovation process with older people, which has wider relevance in terms of social innovation and its application.\u0000\u0000\u0000Research limitations/implications\u0000The findings which inform this paper are extensive, and this is a longitudinal qualitative study with much of the data collection being done using an online wiki (complemented by interviews and documentary analysis) which is a relatively new method for data collection. However, the consistency of the findings when analysed by three researchers was clear and pragmatically this complex method was required to examine complexity in the process of implementing social innovation in practice.\u0000\u0000\u0000Practical implications\u0000This project has enabled greater understanding of how social innovation can be applied and has highlighted contextual issues that can undermine or enable attempts to adopt the approach.\u0000\u0000\u0000Social implications\u0000For the 10 pilot projects generated, there were obviously important cultural and geographical differences in terms of engagement and practical implementation of social innovation. Some of which, as mentioned in this paper, are very important for the successful implementation of social innovation in a particular setting and indeed may be a strength or a barrier in terms of engaging with local people and agencies.\u0000\u0000\u0000Originality/value\u0000The development of logic models is a useful approach when the topic under study is complex and likely to produce a diverse set of process outcomes. The logic model focuses upon the relationships between the resources that are used to create the intervention and what is produced in terms of outcomes. Ultimately, this enables the identification of the factors that contribute to a successful intervention. Thus, in relation to this study, logic models have helped to provide an evidence-based framework that can support decision-making regarding the most effective use of limited resources to support successful social innovation processes in the future. The logic model for each area of the findings presented here can in the future be used to help implement social innovation; also, to consider how it can be improved in future research.\u0000","PeriodicalId":44916,"journal":{"name":"Quality in Ageing and Older Adults","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2022-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46377620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aging all over the place: a multidisciplinary framework that considers place and life trajectories of older adults within their communities","authors":"M. Levasseur, Daniel Naud, N. Presse, N. Delli-Colli, P. Boissy, B. Cossette, Y. Couturier, Julien Cadieux Genesse","doi":"10.1108/qaoa-07-2021-0057","DOIUrl":"https://doi.org/10.1108/qaoa-07-2021-0057","url":null,"abstract":"\u0000Purpose\u0000This conceptual paper aims to describe aging all over the place (AAOP), a federative framework for action, research and policy that considers older adults’ diverse experiences of place and life trajectories, along with person-centered care.\u0000\u0000\u0000Design/methodology/approach\u0000The framework was developed through group discussions, followed by an appraisal of aging models and validation during workshops with experts, including older adults.\u0000\u0000\u0000Findings\u0000Every residential setting and location where older adults go should be considered a “place,” flexible and adaptable enough so that aging in place becomes aging all over the place. Health-care professionals, policymakers and researchers are encouraged to collaborate around four axes: biopsychosocial health and empowerment; welcoming, caring, mobilized and supportive community; spatiotemporal life and care trajectories; and out-of-home care and services. When consulted, a Seniors Committee showed appreciation for flexible person-centered care, recognition of life transitions and care trajectories and meaningfulness of the name.\u0000\u0000\u0000Social implications\u0000Population aging and the pandemic call for intersectoral actions and for stakeholders beyond health care to act as community leaders. AAOP provides opportunities to connect environmental determinants of health and person-centered care.\u0000\u0000\u0000Originality/value\u0000Building on the introduction of an ecological experience of aging, AAOP broadens the concept of care as well as the political and research agenda by greater integration of community and clinical actions. AAOP also endeavors to avoid patronizing older adults and to engage society in strengthening circles of benevolence surrounding older adults, regardless of their residential setting. AAOP’s applicability is evidenced by existing projects that share its approach.\u0000","PeriodicalId":44916,"journal":{"name":"Quality in Ageing and Older Adults","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47932217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}