Health & Social Care in the Community最新文献

{"title":"Unveiling Digital Pathways to Active Aging: An Exploratory Mixed Methods Study of Older Adults’ Experiences and the Impact of Person-Level Factors on mHealth Intervention Engagement","authors":"Iris Maes,&nbsp;Stéphanie Carlier,&nbsp;Julie Latomme,&nbsp;Femke De Backere,&nbsp;Greet Cardon,&nbsp;Delfien Van Dyck","doi":"10.1155/2024/5055630","DOIUrl":"https://doi.org/10.1155/2024/5055630","url":null,"abstract":"<div>\u0000 <p><i>Background</i>. Mobile health (mHealth) interventions hold promise in assisting older adults to meet physical activity (PA) guidelines. Yet, little is known about how older adults perceive using smartphones to enhance their PA. This study explored older adults’ experiences with the “My Health Plan” mHealth intervention and examined which person-level factors were associated with adherence. <i>Methods</i>. Forty older adults (52.5% female, mean age: 72.6 years) were instructed to use the My Health Plan application, which provided up to six stretch- and strengthening exercises per day and to wear a Fitbit Charge activity monitor for seven consecutive days. Person-level factors (e.g., gender and age) and psychosocial factors (e.g., intention and motivation) were assessed using a questionnaire. Afterwards, semistructured interviews were conducted to gather participants’ experiences with the application and Fitbit. Deductive thematic analysis (qualitative data) and regression analyses (quantitative data) were conducted. <i>Results</i>. Key themes emerging from the interviews were (1) smartphone notifications (including timing and number) and carrying the smartphone throughout the day, (2) suggested stretch- and strengthening exercises, (3) providing feedback, (4) experiences with Fitbit, and (5) overall suggestions for improving the application and mHealth interventions. Overall, participants reported positive experiences with the application and Fitbit. Being male, having higher baseline PA, lower anxiety, and greater ability to participate in social roles and activities were related to increased engagement with the proposed exercises. <i>Conclusions</i>. This study provides valuable insights to optimize future mHealth interventions tailored to older adults’ specific needs, aligning with their perceptions of the digital transformation in health promotion.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2024 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/5055630","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142174294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Applying the Relational Job Design Theory to the Retail Industry: The Association between Perceived Social Impact and Job Satisfaction, Turnover Intention, and Persistence","authors":"Hiroshige Matsumoto,&nbsp;Yasuhiro Hagiwara,&nbsp;Noriko Yamamoto-Mitani,&nbsp;Ayumi Igarashi","doi":"10.1155/2024/5536949","DOIUrl":"https://doi.org/10.1155/2024/5536949","url":null,"abstract":"<div>\u0000 <p>Retail workers contribute to the daily wellbeing of customers, including those living with disabilities or diseases. The relational job design theory suggests that one’s perceived social impact (PSI) of their job contributes to improvements in job satisfaction, turnover intention, and persistence. Confirming such an association could encourage organization managers to commit more to community care for the purpose of improving the work outcomes of their employees. However, how convenience store workers perceive the social contributions of their work and the perception’s impact on their work outcomes remains unclear. Thus, the first objective of this study was to examine the association between retail workers’ PSI and work outcomes (job satisfaction, turnover intention, and hours worked). The second objective was to evaluate the effect of an intervention aimed at increasing the PSI on work outcomes. This study was part of a project to evaluate a dementia-friendly program for convenience store workers. All participants completed a baseline survey after randomization. The intervention group was then required to complete a multicomponent e-learning intervention program within one month. One month later, both groups completed a postintervention survey. The e-learning program included lectures on dementia, virtual contact with people living with dementia, and information on the positive impact of retail store jobs on customers living with dementia. A total of 161 and 145 participants were analyzed in the baseline study and the postintervention survey, respectively. Cross-sectional analysis of baseline data showed that the workers’ PSI was significantly correlated with job satisfaction (<i>β</i> = 0.203, <i>p</i> &lt; 0.001) and turnover intentions (<i>β</i> = −0.305, <i>p</i> = 0.006). However, the e-learning intervention did not change PSI and work outcomes. Interventions that highlight workers’ prosocial contributions more effectively and are successful in changing their PSI may improve their engagement and work outcomes. For retail workers, intervention based on a relational job design framework may be effective; however, designing such interventions remains challenging. This trial is registered with UMIN000043623.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2024 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/5536949","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142165677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Male Survivors’ Disclosure of Conflict-Related Sexual Violence in Mental Health Care Settings: Results from a Phenomenological Study with Clinical Experts in Germany","authors":"Kim Hella Schönenberg,&nbsp;Heide Glaesmer,&nbsp;Yuriy Nesterko","doi":"10.1155/2024/5245177","DOIUrl":"https://doi.org/10.1155/2024/5245177","url":null,"abstract":"<div>\u0000 <p>Conflict-related sexual violence (CRSV) can severely impair survivors’ mental health and prompt their need for mental health care. Male survivors face gender-related barriers to disclosing experiences of sexual violence, yet the understanding of factors impeding or promoting disclosure is limited. This knowledge gap is even more pronounced regarding male disclosure in refugee settings. The high prevalence of CRSV experiences in male refugees in European host countries points to the urgency of understanding male disclosure processes along with its barriers and facilitators, in order to provide for adequate mental health care. 10 clinical experts working with male survivors of CRSV in Germany were interviewed adopting an explorative phenomenological approach and using the Problem-Centered Interview. Qualitative content analysis yielded five themes describing male disclosure of CRSV: 1. Experiences of CRSV commonly remain nonverbalized, 2. Disclosure of CRSV is a dialogical and iterative process, 3. The process of (non-)disclosure is a negotiation of agency, 4. Disclosure of CRSV affects the survivor’s psychoemotional state, and 5. Disclosure and recovery are interdependent processes. Additionally, seven categories describing barriers to and facilitators of male disclosure were extracted: 1. trauma characteristics, 2. survivor variables, 3. clinician variables, 4. interpreter variables, 5. interpersonal variables, 6. contextual variables, and 7. sociocultural variables. Clinical experts emphasize the effectivity of a gender-specific communicative taboo for male refugee survivors that intersect with socio-cultural norms. Variables characterizing survivors who are at risk of not disclosing CRSV are identified. A discussion of clinical approaches to address the taboo surrounding CRSV and to support male refugee survivors in agentic disclosure and recovery is provided.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2024 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/5245177","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142165676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Acculturation in Self-Care Behaviours among Chinese Immigrants Living with Cardiovascular Disease: A Qualitative Study","authors":"Ling Zeng,&nbsp;Xiaoyue Xu,&nbsp;Lin Perry","doi":"10.1155/2024/2120099","DOIUrl":"https://doi.org/10.1155/2024/2120099","url":null,"abstract":"<div>\u0000 <p><i>Aims</i>. To understand what domains of acculturation are experienced by Chinese immigrants with cardiovascular disease (CVD) in Australia and how these domains of acculturation influence their CVD self-care behaviours. <i>Design</i>. A qualitative descriptive design. <i>Methods</i>. Individual phone interviews were conducted among Chinese immigrants with CVD in Sydney, recruited from Chinese Community associations and social media. Inductive and deductive thematic analysis was employed, guided by the Middle-Range Theory of Self-Care of Chronic Illness and the conceptual model of acculturation. <i>Results</i>. Twenty participants, mean age 69.9 years, were interviewed. The domains of acculturation in relation to CVD self-care behaviours encompassed cultural practices, cultural values, healthcare system navigation, and new living environment. Retaining their Chinese culture and integrating into Australian culture regarding dietary practices, social networks, traditional values and family relationships served as both enablers and barriers of self-care maintenance through factors such as heart-healthy diets, physical activity, stress management and medication adherence. Many participants denied encountering difficulties to utilize primary care services, but language barriers deterred them from accessing acute services and heart-health information from mainstream sources. Some preserved beliefs and practices in Traditional Chinese Medicine may complicate their self-care maintenance (medication adherence) and self-care management (responding to acute angina episodes). <i>Conclusion</i>. The influence of acculturation on CVD self-care behaviours among Chinese immigrants is multifaceted and individualized. Clinicians and community health workers should assess patients’ acculturation experiences to enable culturally sensitive practices. The lack of culturally and linguistically appropriate heart health information in the community should be addressed urgently to mitigate the cardiac health disparity. Collaboration with Chinese community associations offers an opportunity for co-design and dissemination of information about Australian healthcare systems and heart health education to upskill CVD self-care practices and mitigate the health inequities experienced by Chinese immigrants.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2024 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/2120099","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142165350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mapping Community-Based Services for Social Prescribing for Children and Young People Living with Obesity across South Yorkshire","authors":"Megan Garside,&nbsp;Catherine Homer,&nbsp;Christopher Dayson,&nbsp;Lorna Dowrick,&nbsp;Katie Pickering,&nbsp;Neil Wright","doi":"10.1155/2024/3566729","DOIUrl":"https://doi.org/10.1155/2024/3566729","url":null,"abstract":"<div>\u0000 <p><i>Background</i>. High numbers of young people are living with obesity in England, with associated negative impacts on their mental and physical health. Social prescribing involves professionals referring individuals to community-based services to provide additional health and well-being support. Social prescribing may be a helpful way to provide holistic support to young people living with obesity alongside weight management services. However, there is a need to better understand the availability of community-based services that could provide this support. <i>Aims</i>. This study aimed to explore the process for mapping community-based services to be part of a social prescribing offer within children’s specialist weight management services in one region of England and to provide an understanding of the availability of community-based services in this region that are accessible for this population. <i>Method</i>. Community-based services providing physical activity opportunities to young people in an area local to a specialist weight management service (South Yorkshire) were mapped using a mixed methods approach, including scoping of online resources and meetings with relevant contacts. Services were identified and reviewed against criteria developed through stakeholder engagement to assess suitability for young people living with obesity. <i>Results</i>. A total of 933 community-based services were identified across South Yorkshire between January and June 2023. Scoping and suitability assessment of these services took 6 months. There was often limited information provided about services, particularly relating to costs. Nineteen services met all suitability criteria. <i>Conclusion</i>. It requires time and capacity to identify relevant community-based services as part of a social prescribing offering. Although a high number of services were identified, few of these were suitable for young people living with obesity. Consideration should be given to how young people can be supported to access services, as well as how services can be supported to meet the needs of young people living with severe obesity.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2024 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/3566729","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142152142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Realist Evaluation of Mechanisms and Contexts for Facilitating the Implementation of Supported Self-Management in Community Stroke Care (The IMPETUS Study)","authors":"Lisa Kidd,&nbsp;Julie Brown,&nbsp;Helen Mason,&nbsp;Terry Quinn,&nbsp;Katie I. Gallacher,&nbsp;Fiona Jones,&nbsp;Rebecca Fisher,&nbsp;Therese Lebedis,&nbsp;Mark Barber,&nbsp;Katrina Brennan,&nbsp;Betty Gilmour,&nbsp;Colin Fraser,&nbsp;Patricia Mooney,&nbsp;Audrey Taggart","doi":"10.1155/2024/9198768","DOIUrl":"https://doi.org/10.1155/2024/9198768","url":null,"abstract":"<div>\u0000 <p>The past decade has seen a growing recognition of the role of supported self-management in the provision of long-term care and support for stroke survivors in primary and community care. However, its implementation and delivery across different contexts and models of community stroke care is inconsistent and patchy. This realist evaluation explored how and in which circumstances supported self-management is enacted and delivered within community stroke rehabilitation. Specifically, the study aimed to identify and explore contexts, mechanisms, and outcomes related to the delivery of collaborative supported self-management. It comprised a realist synthesis, Q-methodology study, and realist-informed interviews and focus groups with stroke survivors (<i>n</i> = 20), community-based stroke practitioners (<i>n</i> = 20), and community service delivery managers/clinical leads (<i>n</i> = 8) in stroke. The findings revealed that delivering supported self-management effectively and consistently in community stroke rehabilitation starts with <i>embedding the ethos of collaborative supported self-management</i> across staff, teams, and the organisation and involves collaborative relationships with stroke survivors that aim to <i>build trust, confidence,</i> and <i>resilience</i>. The findings identified specific mechanisms and facilitatory and inhibitory contexts that influence how well this is enacted and achieved in practice. A realist approach in this study is novel and has helped to generate new insights and perspectives how and when supported self-management approaches work in community stroke rehabilitation. The findings expand on and complement existing research on the efficacy of supported self-management in stroke and are of clinical importance for informing how collaborative, relational supported self-management approaches can be implemented, personalised, and tailored to people’s needs and evaluated within current healthcare systems.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2024 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/9198768","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142137704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Acceptance Factors for Welfare Technology among Nurses in Non-Clinical Care for Older Adults: A Scoping Review","authors":"Simona Hvalič-Touzery,&nbsp;Mojca Šetinc,&nbsp;Vesna Dolničar","doi":"10.1155/2024/5595930","DOIUrl":"https://doi.org/10.1155/2024/5595930","url":null,"abstract":"<div>\u0000 <p>Welfare technologies are becoming a necessity for health and long-term care, but little is known about their acceptance by nurses working with older adults in institutional, home, or community setting. The aim of this five-stage scoping review was to address this knowledge gap by identifying factors influencing nurses’ acceptance of welfare technologies, both before and after using them. A search of seven bibliographic databases and grey literature was conducted in December 2022, and based on defined selection criteria, 27 sources published between 2007 and 2022 were then considered. The data were examined with ATLAS.ti 9 using content-based analysis, and five groups of acceptance factors were identified: individual, organisational, patient, technological, and social influence. Post-use acceptance factors were found to be more nuanced than pre-use factors. While the pre-use factors included mainly attitudes, needs, outcome expectations, and ethical concerns, the post-use factors more prominently featured experience, usefulness, technical issues, device characteristics, effort expectancy, and organisational factors. Nevertheless, patient-centeredness was reflected in both. This study contributes to a better understanding of the factors affecting nurses’ acceptance of welfare technologies in the care of older adults in non-clinical settings, and it underscores the patient’s pivotal role in all aspects of nursing practice. By offering insights into both pre-use and post-use factors, this study gives an enriched perspective on the acceptance of welfare technologies in nursing care and provides guidance for future research and practice.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2024 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/5595930","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142100510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Working Metaphors: Cross-Sector Collaboration between Domestic Violence and Substance Use Services","authors":"Van Callaly,&nbsp;Margaret Kertesz,&nbsp;Anne-Marie Laslett,&nbsp;Jennifer Davidson,&nbsp;Cathy Humphreys","doi":"10.1155/2024/8000663","DOIUrl":"https://doi.org/10.1155/2024/8000663","url":null,"abstract":"<div>\u0000 <p>Collaboration between services addressing domestic violence and substance use presents scope for enhancement. This study presents the first stage of an Australian action research project that aimed to investigate cross-sector collaboration between domestic violence and substance use services. The study employed purposive sampling for data collection, with the primary author conducting semistructured interviews with 26 senior policy workers, practitioners, and managers about their previous experiences in promoting collaboration between these two sectors. Employing metaphor analysis as a heuristic tool, the authors identified the metaphorical concepts that interviewees used to frame their understanding of cross-sector collaboration. These metaphorical concepts reveal the diverse approaches to conceptualizing and implementing cross-sector collaboration. Collaboration was understood by participants as <i>engaging with geopolitics</i>, <i>fixing infrastructure</i>, <i>running a business</i>, <i>and playing a game</i>. Each metaphorical concept has implications for how professionals understand and perform cross-sector collaboration. The predominant language of cross-sectoral collaboration illuminates the discursive field in which policymakers and senior managers are situated. Certain metaphorical concepts hindered participants’ capacity to engage and sustain collaborative practice, while others held potential to promote collaboration. Researchers identified potential opportunities to promote collaborative practices between substance use and domestic violence sectors. By gaining insight into how professionals conceptualized cross-sector collaboration, leverage points were identified that supported the development of a policy stakeholder group working to address systemic issues of cross-sectoral practice.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2024 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/8000663","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142100279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Important Issues about Chinese Rural Older Adults’ Pandemic Crisis Coping: A Qualitative Study by Grounded Theory","authors":"Yuhui Ruan,&nbsp;Dianjiang Li","doi":"10.1155/2024/5571626","DOIUrl":"https://doi.org/10.1155/2024/5571626","url":null,"abstract":"<div>\u0000 <p><i>Background</i>. Rural older adults are an important vulnerable group facing the pandemic crisis. They are at a greater risk and have suffered more. They need more support and have challenged the society more. Thus, their pandemic crisis coping is essential for national emergency management. <i>Objectives</i>. This study was designed to address issues of rural older adults’ pandemic crisis coping, with the aim of better protecting rural older adults’ health and supporting national emergency management. <i>Methods</i>. Grounded theory was employed in this study. Open questions were designed by theoretical sampling and theoretical coding processes until theoretical saturation. In total, 56 participants were recruited via a snowballing process, from ZX city, Hubei Province, China. <i>Results</i>. Rural older adults’ pandemic crisis coping was impacted by many limitations, including less coping awareness, lower coping capacity, and insufficient coping support. Pandemic crisis coping awareness was difficult to initiate and lagged. The older adults’ pandemic crisis coping capacity was impacted by limited knowledge, weak personal finances, and a deficient ability to obtain and stockpile materials. Social support for coping with the pandemic crisis was limited to life support, official support, and health support. <i>Conclusion</i>. Much attention needs to be paid in strengthening the pandemic crisis coping of rural older adults. Thus, future works should focus on raising rural older adults’ pandemic crisis coping awareness, improving their pandemic crisis coping capacity, and providing them with appropriate pandemic crisis coping support.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2024 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/5571626","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142100186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determining an Indicator of Physical Fitness Age for Middle-Aged and Older Adults Based on a Nationwide Population-Based Study in China","authors":"Xiaoguang Zhao,&nbsp;Huan Tang,&nbsp;Yihan Pan,&nbsp;Jin Wang,&nbsp;Shaoshuai Shen","doi":"10.1155/2024/3202152","DOIUrl":"https://doi.org/10.1155/2024/3202152","url":null,"abstract":"<div>\u0000 <p>To better determine the rate of aging and offer tailored intervention or medical care, it is essential to create a comprehensive indicator that can evaluate physical fitness in middle-aged and older people. This study aimed to create an indicator of physical fitness age (PFA) that can be used to comprehensively evaluate physical performance and to confirm its validity. There were 5,368 participants in the constructing PFA group and 1,846 participants in the validating PFA group (aged ≥40 for all). We measure five physical fitness items to develop PFA by using principal component analysis. To assess the validity of PFA, we compared chronological age (CA) and PFA in participants with and without possible sarcopenia and used receiver operating characteristic (ROC) curve analysis to assess the discriminating power of the CA and PFA in identifying possible sarcopenia. We established an indicator of PFA which was expressed as PFA = 24.857 − 0.034 × peak expiratory flow − 0.609 × handgrip strength + 9.238 × walking speed + 1.238 × 5-time chair stand test + 0.742 × CA for men, and PFA = 22.171 − 0.051 × peak expiratory flow − 0.735 × handgrip strength + 7.603 × walking speed + 1.108 × 5-time chair stand test + 0.753 × CA for women. The validation test demonstrated that PFA was statistically lower than CA in participants without possible sarcopenia, while the PFA was significantly greater than CA in those with possible sarcopenia. ROC analysis showed that PFA had a larger area under the curve than CA. The findings suggest that PFA is a valid predictor of physical performance in Chinese middle-aged and older adults, which can discriminate persons of the same CA but different levels of physical performance.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2024 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/3202152","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142100276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}