scholarly journals Improving mental health and wellbeing in elderly people isolated at home due to architectural barriers: A community health intervention

2021 ◽  
Vol 53 (5) ◽  
pp. 102020
Author(s):  
Ferran Daban ◽  
Irene Garcia-Subirats ◽  
Victoria Porthé ◽  
MªJosé López ◽  
Begoña de-Eyto ◽  
...  
2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Katie Rose M. Sanfilippo ◽  
Bonnie McConnell ◽  
Victoria Cornelius ◽  
Buba Darboe ◽  
Hajara B. Huma ◽  
...  

Abstract Background Perinatal mental health problems affect up to one in five women worldwide. Mental health problems in the perinatal period are a particular challenge in low- and middle-income countries (LMICs) where they can be at least twice as frequent as in higher-income countries. It is thus of high priority to develop new low-cost, low-resource, non-stigmatising and culturally appropriate approaches to reduce symptoms of anxiety and depression perinatally, for the benefit of both mother and child. Music-centred approaches may be particularly useful in The Gambia since a range of musical practices that specifically engage pregnant women and new mothers already exist. Methods This protocol is for a study to examine the feasibility of undertaking a stepped wedge trial to test how a Community Health Intervention through Musical Engagement (CHIME) could be beneficial in alleviating perinatal mental distress in The Gambia. In this study, we plan to recruit 120 pregnant women (n = 60 intervention, n = 60 control) at four antenatal clinics over two 6-week stepped sequences. Women in the intervention will participate in weekly group-singing sessions, led by local Kanyeleng singing groups, for 6 weeks. The control group will receive standard care. We will assess symptoms of anxiety and depression using the Edinburgh Postnatal Depression Scale (EPDS) and the Self-Reporting Questionnaire (SRQ-20). The feasibility of the design will be assessed through recruitment, retention and attrition rates of participants, clinics' adherence to the schedule and completeness of data by site. Qualitative interviews and video and audio recordings will be used to evaluate the acceptability of the intervention. Discussion This feasibility trial will allow us to determine whether a larger trial with the same intervention and target group is feasible and acceptable in The Gambia. Trial registration Retrospectively registered (24/01/2019) with Pan African Clinical Trials Registry (PACTR): PACTR201901917619299.


Salmand ◽  
2020 ◽  
Vol 15 (2) ◽  
pp. 176-187 ◽  
Author(s):  
Roya Marsa ◽  
◽  
Seyed Jalal Younesi ◽  
Somaye Barekati ◽  
Maryam Ramshini ◽  
...  

Objectives: The increase in the aging population along with a variety of diseases and problems threatening their health and, on the other hand, socio-economic developments and changes in individual and family lifestyles, has increased the number of nursing homes. Considering the importance of the impact of living environment on various aspects of mental health, this study aimed to compare stress, anxiety and depression of the elderly living in nursing homes and those living at home. Methods & Materials: This is a descriptive comparative study with a cross-sectional design conducted in 2017. Using a convenience sampling method, 436 elderly people in Tehran including 218 home dwellers and 218 nursing-home residents were selected. Participants were evaluated through interview by the short-form version of Depression Anxiety Stress Scale (DASS-21). Comparisons between the two groups were made using independent t-test in SPSS v.20 software. Results: Mean and standard deviation of the DASS-21 score in elderly residents of nursing homes (37.75±11.34) was higher than in home dwellers (26.68±5.64). There were statistically significant differences in stress, anxiety and depression between the two groups (P≤0.05). Conclusion: Stress, anxiety and depression in the elderly living in nursing homes are more than in those living at home. Family participation in providing welfare and mental health care, supporting with appropriate insurance coverage, establishing day care centers, and supporting family caregivers can be very helpful to enhance their mental health.


Author(s):  
Johanna Gustavsson ◽  
Linda Beckman

Background (1): In the wake of COVID-19, elderly people have been labelled a risk group. As the pandemic is a new crisis in Sweden, we have no knowledge on how this group perceives the information and recommendations being provided. Complying with these recommendations entails physical distancing and, for some, isolation at home. Methods (2): From 16 April to 15 May 2020, we conducted an online survey targeting people aged 70 and older in Sweden (n = 1854). Results (3): A vast majority of the participants find the information and recommendations clear and reliable. Half of the participants report staying at home all the time, and up to half report decreased mental health in terms of, e.g., feeling depressed, having sleeping problems and that isolation makes them feel bad. However, elderly people are not a homogenous group, and there are gender and demographic differences. (4) Conclusion: At this point, we do not know the full extent of the ongoing pandemic, either in terms of duration or in terms of losses. The Swedish model for action on COVID-19 has not included a lock down. However, elderly people seem to comply with recommendations and practice social distancing to a high degree. This might lead to decreased mental health and long-term effects.


2017 ◽  
Author(s):  
Alicia Papas ◽  
Anthony D. LaMontagne ◽  
Allison J. Milner ◽  
Amanda Allisey ◽  
Andrew J. Noblet ◽  
...  

2012 ◽  
Author(s):  
Theresa Betancourt ◽  
Katrina Hann ◽  
Elizabeth Newnham ◽  
Adeyinka Akinsulure-Smith ◽  
Nathan Hansen

2012 ◽  
Author(s):  
Fiona Mathieson ◽  
Kara Mihaere ◽  
Sunny Collings ◽  
Anthony Dowell ◽  
James Stanley

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