scholarly journals Maintaining Mental Wellbeing of Elderly at Home

Author(s):  
Emmanouela Vogiatzaki ◽  
Artur Krukowski
Keyword(s):  
2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M Ådnanes ◽  
L Melby ◽  
J Kaasbøll ◽  
J Kalseth

Abstract Background People 80 plus are the fastest growing age-group in Europe. While research is focusing on health deficiencies and losses and need for medical care and follow up, life conditions and mental health of older people are fields with insufficient knowledge. The promotion, maintenance, and improvement of well-being in this group is a great public health concern. This study aimed to explore differences in perspectives of what contributes to mental wellbeing (MWB) within three groups of persons 80 plus: 1) living at home, 2) living at home and attending day center some weekdays, 3) living in nursing home. Methods A qualitative approach was followed, with six focus groups - two in each of the three categories. 35 persons were recruited from senior community centers, adult day care centers, and nursing homes. Data was assessed using qualitative content analysis. Results The preliminary results from our study show significant variations between the three groups of participants in their perspectives on what contributes to MWB for them. In group 1 and partly group 2, engagement in fruitful or inspiring activities and insightful experiences with friends strongly associated with MWB. While the relevance of these factors also was mentioned by participants in group 3, they at the same time pointed at the limitations of living in a nursing home. Staying healthy and maintaining independence positively contributed to MWB in all three groups, however highly relatively, based on the person’s actual health situation. Having close relationships with family and friends were considered important in all three groups. Conclusions Perspectives on what contributes to MWB among persons 80 plus varies a lot as they control for what is possible based on own health and functionality, but also on what is accessible depending on institutional limitations. While such conditions are partly accepted, there is a potential for better MWB, simply based on more and/or better initiatives. Key messages Perspectives on what contributes to mental wellbeing among the oldest old varies a lot based on health and functionality, and on what is possible and accessible within institutions for elderly. There is a potential for better mental wellbeing based on more and/or better initiatives.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sarah Denford ◽  
Kate Morton ◽  
Jeremy Horwood ◽  
Rachel de Garang ◽  
Lucy Yardley

Abstract Background Within-household transmission of Covid-19 is responsible for a significant number of infections. Efforts to protect at risk communities are needed. This study explored the acceptability of offering accommodation to support self-isolation among at risk populations, to prevent transmission of Covid-19 within vulnerable households. Methods Mixed methods design structured in two phases. Phase 1: Survey of 545 individuals who had provided consent to be contacted about ongoing research projects into infection control. Phase 2: Semi-structured interviews with 19 participants from ethnic minority and low income communities. Results Many survey and interview participants viewed the provision of accommodation as important and necessary in certain contexts. Of the 110 survey respondents, 85 (77%) said that they were not able to isolate at home. Among this group, 24 (28%) said they would accept accommodation and 23 (27%) said that they would probably accept. Of those unable to isolate at home, and at high risk if they caught the virus (N = 36) or living with someone at high risk (N 18), 19 (35%) said that they would accept, and 12 (22%) said they would probably accept accommodation. Factors influencing uptake of accommodation included perceived 1) household vulnerability 2) virus exposure and 3) lack of isolation at home options. Barriers to accepting the accommodation offer included 1) able to isolate at home 2) wanting to be with family 3) caring responsibilities 4) mental wellbeing concerns 5) concerns about moving when ill and 6) infection control concerns. Participants raised issues that should be addressed before accommodation is offered, including questions regarding who should use temporary accommodation and when, and how infection control in temporary accommodation would be managed. Conclusion The provision of accommodation to prevent within household transmission of Covid-19 is viewed as acceptable, feasible and necessary by some people who are concerned about infection transmission in the home and are unable to self-isolate or socially distance at home. Different households will have different requirements, e.g., those with caring responsibilities, and to overcome these challenges additional support may be needed for the provision of accommodation to be feasible to those who could benefit most.


2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Mai Sabry Saleh

Purpose Mental health is one of the aspects seriously affected by the COVID-19 pandemic. Governmental preventive measures worldwide disturbed people’s daily routine, social activities, access to education and even impacted their working environment. The present work aims at screening the expected negative effects on mental and psychological wellbeing. Design/methodology/approach An online survey was introduced through an internet-based platform to assess mental wellbeing (MW) and stress among Egyptian adults using SHORT Warwick-Edinburgh Mental Wellbeing Scale and Falsification of Type Scale, respectively. Socio-demographics were also collected. Data from 150 respondents through the period from May 25 till June 1 were tabulated and statistical analyses were performed. Findings More than 70% of respondents declared jobs being affected by the pandemic. Females showed deteriorated state of mental health, together with the youth (≤44 years) and those who lost their jobs or suffered reduced income. In conclusion, mental health as expressed by MW and stress showed to be affected among the Egyptian adults due to the “stay at home” orders. Prompt actions are highly recommended to save vulnerable populations at the time being and from the aggravation of their mental problems in the long term. Originality/value The study is the first in Egypt figuring out affected populations and vulnerable categories that need extra care in the future. It provides valuable data and expresses reasonable explanations to the obtained findings. The study also introduces recommendations and highlights hot topics for future research.


Author(s):  
Rosendo Berengüí ◽  
José María López-Gullón ◽  
Salvador Angosto

The coronavirus disease 2019 (COVID-19) pandemic has led to the paralysis of the worldwide economy caused by the population’s lockdown to stop the virus spreading, making it difficult to do exercise. The aim of this study is to analyse the commitment to and feeling of insecurity related to practising sport, sports habits and the profile of the Spanish population during lockdown according to the level of addiction to exercise. The sample consisted of 1019 subjects with a mean age of 35 years old. The variables analysed were exercise addiction, commitment to and feeling of insecurity related to sport, and sport habits. Three groups were identified according to their addiction level to exercise: asymptomatic (n = 202), symptomatic (n = 756), and at risk of addiction (n = 61). The main results indicated that a higher addiction level was associated with a higher number of days and time spent on exercise per week. Six percent of the subjects were at addiction risk, and they had a lower feeling of insecurity towards sport. These findings provide information to governments on the need to promote physical activity programmes at home to promote adequate fitness and mental wellbeing in the population.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Lars H. Andersen ◽  
Peter Fallesen ◽  
Tim A. Bruckner

Abstract Background Existing estimates of the impact of the COVID-19 burden on mental wellbeing come from countries with high mortality rates. This study therefore aimed to investigate the impact of the first COVID-19 lockdown (March–April 2020) on risk for stress/depression and functional impairment in a representative sample of adult individuals in Denmark, which had lower infection rates, and whether the impact of lockdown was heterogeneous across living situation. Methods Using a representative, randomly drawn sample from the complete Danish adult population interviewed in March 2 to April 13, 2020 (n = 2836) and again in July 2020 (n = 1526, 54% retention rate), we study how the imposed lockdown announced March 11 following the onset of the first Danish wave of COVID-19 infections affected mental wellbeing. We use the World Health Organization Five Well-being Index (WHO-5) and the Work and Social Adjustment Scale (WSAS) to capture risk for stress/depression (WHO-5 < 50) and functional impairment (WSAS > 10). Using covariate adjusted ordinary least squares linear probability models and exploiting variation in the timing of responses occurring just before and just after the introduction of lockdown, we compare respondents before lockdown to respondents that answered during lockdown, as well as to answers in re-interviews in July. Results In our fully controlled models, we find reduced depressive symptoms among adults immediately after the shutdown, concentrated in adults with children living at home (−.089, p < .01 (from pre lockdown baseline .273)). Measures of functional impairment also declined immediately after the March shutdown among adults with children living at home (−.066, p < .05 (from pre lockdown baseline .150)). Impairment intensified for the entire sample between March and July (+.199, p < .001 (from pre lockdown baseline .248)), but depressive symptoms remained at lower rate in July (−.033, p < .05 (from pre lockdown baseline .332). Conclusions Findings in Denmark indicate that living with children at home may have, in the short term, buffered the potential mental health sequelae of the COVID-19 shutdown.


2021 ◽  
Vol 11 (8) ◽  
pp. 435
Author(s):  
Tanja Linnavalli ◽  
Mirjam Kalland

In the spring of 2020, as a result of the lockdown caused by the COVID-19 pandemic, many children dropped out of daycare and early education in Finland, and parents had to balance work and childcare for months. The wellbeing of families during the lockdown has been studied to some extent, but few studies have focused on children under school age. In May 2020, we sent a survey to the 82 families originally recruited in our study on supporting social-emotional development in early childhood education units, which had been interrupted by the pandemic. Twenty families responded to questionnaires about the impacts of the lockdown on the wellbeing of the children and their parents. Parents reported a decline in children’s prosocial behavior compared to the time before the pandemic and assessed that the children who stayed at home were lonelier than children who remained in daycare. Otherwise, being at home or in care was not associated with children’s physical or mental wellbeing. Parents had experienced increased mental strain and increased problems in marital relationships and the disruption of children’s participation in daycare was associated with deterioration in the parent–child relationship. Due to the small sample size, these results should be interpreted with caution.


2020 ◽  
Author(s):  
Sarah Denford ◽  
Kate S Morton ◽  
Jeremy Horwood ◽  
Rachel de Garang ◽  
Lucy Yardley

Background Within-household transmission of COVID-19 is responsible for a significant number of infections. The risk of within-household infection is greatly increased among those from Black Asian and minority ethnic (BAME) and low income communities. Efforts to protect these communities are urgently needed. The aim of this study is to explore the acceptability of the availability of accommodation to support isolation among at risk populations. Methods Our study used a mixed methods design structured in two phases. In phase 1, we conducted a survey study of a sample of volunteers from our existing database of 300 individuals who had provided consent to be contacted about ongoing research projects into infection control. In phase 2, we conducted semi-structured interviews with 19 participants from BAME communities and low income communities recruited through social media. Results Participants from the survey and interview phase of the study viewed the provision of accommodation as important and necessary. Factors influencing likely uptake of accommodation included perceived 1) vulnerability of household 2) exposure to the virus and 3) options for isolation at home. Barriers to accepting the offer of accommodation included 1) being able to isolate at home 2) wanting to be with family 3) caring responsibilities 4) concerns about mental wellbeing 5) upheaval of moving when ill and 6) concerns about infection control. Participants raised a series of issues that should be addressed before accommodation is offered. These included questions regarding who should use temporary accommodation and at what stage to effectively reduce transmission in the home, and how infection control in temporary accommodation would be managed. Conclusion This research provides evidence that the provision of accommodation to prevent within household transmission of the virus is viewed as acceptable, feasible and necessary by many people who are concerned about infection transmission in the home. We explore ways in which accommodation might be offered. In particular, vulnerable members of the household could be protected if accommodation is offered to individuals who are informed through test trace and isolate that they have been in contact with the virus.


1998 ◽  
Vol 39 (3) ◽  
pp. 355-363 ◽  
Author(s):  
Laurie Eisenberg ◽  
Bruce L. Baker ◽  
Jan Blacher

1981 ◽  
Vol 12 (1) ◽  
pp. 4-12 ◽  
Author(s):  
Barbara Culatta ◽  
Donna Horn

This study attempted to maximize environmental language learning for four hearing-impaired children. The children's mothers were systematically trained to present specific language symbols to their children at home. An increase in meaningful use of these words was observed during therapy sessions. In addition, as the mothers began to generalize the language exposure strategies, an increase was observed in the children's use of words not specifically identified by the clinician as targets.


2020 ◽  
Vol 51 (2) ◽  
pp. 371-389 ◽  
Author(s):  
Xigrid Soto ◽  
Yagmur Seven ◽  
Meaghan McKenna ◽  
Keri Madsen ◽  
Lindsey Peters-Sanders ◽  
...  

Purpose This article describes the iterative development of a home review program designed to augment vocabulary instruction for young children (ages 4 and 5 years) occurring at school through the use of a home review component. Method A pilot study followed by two experiments used adapted alternating treatment designs to compare the learning of academic words taught at school to words taught at school and reviewed at home. At school, children in small groups were taught academic words embedded in prerecorded storybooks for 6 weeks. Children were given materials such as stickers with review prompts (e.g., “Tell me what brave means”) to take home for half the words. Across iterations of the home intervention, the home review component was enhanced by promoting parent engagement and buy-in through in-person training, video modeling, and daily text message reminders. Visual analyses of single-subject graphs, multilevel modeling, and social validity measures were used to evaluate the additive effects and feasibility of the home review component. Results Social validity results informed each iteration of the home program. The effects of the home program across sites were mixed, with only one site showing consistently strong effects. Superior learning was evident in the school + home review condition for families that reviewed words frequently at home. Although the home review program was effective in improving the vocabulary skills of many children, some families had considerable difficulty practicing vocabulary words. Conclusion These studies highlight the importance of using social validity measures to inform iterative development of home interventions that promote feasible strategies for enhancing the home language environment. Further research is needed to identify strategies that stimulate facilitators and overcome barriers to implementation, especially in high-stress homes, to enrich the home language environments of more families.


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