Suffering in silence: a qualitative study of older adults’ experiences of living with long-term musculoskeletal pain at home

BACKGROUND: Cognitive interventions have the potential to enhance cognition among healthy older adults. However, little is known of the factors associated with the joining and participating of older people in group-based multicomponent cognitive training (CT). OBJECTIVES: To explore factors that contribute to joining and regularly practicing CT over 1 year among healthy older adults. DESIGN: A qualitative study. SETTING: Geriatric clinic in Bangkok, Thailand. PARTICIPANTS: 40 nondemented community-dwelling older adults INTERVENTION: The CT of executive functions, attention, memory and visuospatial functions (TEAM-V) program was conducted over 5 sessions, with a 2-week interval between each session. MEASUREMENTS: An inductive qualitative approach, based on semi-structure interviews with 40 healthy older adults, was employed. The interviews explored factors of joining CT at baseline, factors of regularly participating in class at 6 months and at home at 1 year. Data were coded and analyzed using and the thematic analysis approach. RESULTS: After analyzing factors concerning joining CT, 3 core themes emerged: (1) individual characteristics with 3 subthemes of “health status”, “time arrangement”, and “financial status”; (2) individual perceptions with 2 subthemes of “perceived susceptibility to dementia” and “perceived severity of dementia” and (3) encouragement from families and friends. After analyzing factors of practicing CT in class, 3 core themes emerged: (1) program with 3 subthemes of “session”, “group facilitators” and “notification before class”; (2) accessibility with 2 subthemes of “distance” and “transportation” and (3) encouragement from families and friends. After analyzing factors of practicing CT at home, 2 core themes emerged: (1) contents of the training program and (2) encouragement from families and friends. CONCLUSIONS: Increased awareness of holistic factors including older adults’ characteristic and perceptions, support from families and friends and accessibility should be emphasized in planning CT. Designing the content of CT that could be applied or adapted in daily living and effective program components such as a notification system could increase practicing.

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INTERGENERATIONAL RELATIONSHIPS AMONG OLDER ADULTS AND GRANDCHILDREN: SUPPORTIVE AND CONFLICTUAL RELATIONSHIPS

Innovation in Aging ◽

10.1093/geroni/igz038.637 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S179-S179

Author(s):

Sofia von Humboldt ◽

Ana Monteiro ◽

Isabel Leal

Keyword(s):

Older Adults ◽

Data Analysis ◽

Qualitative Study ◽

Intergenerational Relationships ◽

Two Dimensions ◽

Interaction Quality ◽

Depth Interviews ◽

At Home

Abstract Objectives: To analyze how older adults conceptualize these intergenerational relationships. Methods: In this qualitative study, in-depth interviews were carried out with 316 older adults, aged 65-102, from three different nationalities who lived at home. Verbatim transcripts were examined. Results: Data analysis generated six themes representing intergenerational relationships: affection and reward; interest and integration; grandparent-grandchild interaction quality; privacy and boundaries definition; provision of support; and obligation of providing childcare, on two dimensions of ambivalence concerning their intergenerational relationships (supportive and conflictual). Conclusions: The empirical findings from this research indicate how ambivalence in intergenerational relationships is experienced by older adults and stress the contradictory expectations of older adults with grandchildren. Keywords: Ambivalence; conflict; intergenerational relationships; older adults; support.

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Social Participation in Older Adults after Relocation to Long-Term Care Institutions in China: A Qualitative Study

Journal of Community Health Nursing ◽

10.1080/07370016.2020.1780046 ◽

2020 ◽

Vol 37 (3) ◽

pp. 164-176

Author(s):

Honghui Pan ◽

Sarah Dury ◽

Daan Duppen ◽

Vilhelmiina Lehto ◽

Renfeng Wang ◽

...

Keyword(s):

Older Adults ◽

Qualitative Study ◽

Social Participation ◽

Long Term Care ◽

Term Care

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The Successful Aging Experiences of the Older Adults on the In-Home Benefits of Long-term Care Insurance: Living My Life at Home using Remaining Abilities

Korean Journal of Adult Nursing ◽

10.7475/kjan.2019.31.3.269 ◽

2019 ◽

Vol 31 (3) ◽

pp. 269

Author(s):

Moon Hee Kang ◽

Jeong Sook Park

Keyword(s):

Older Adults ◽

Successful Aging ◽

Long Term Care ◽

Term Care ◽

Long Term Care Insurance ◽

At Home

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Effects of the Intervention “Reflective STRENGTH-Giving Dialogues” for Older Adults Living with Long-Term Pain: A Pilot Study

Journal of Aging Research ◽

10.1155/2020/7597524 ◽

2020 ◽

Vol 2020 ◽

pp. 1-10

Author(s):

Lena Hedén ◽

Mia Berglund ◽

Catharina Gillsjö

Keyword(s):

Older Adults ◽

Pilot Study ◽

Musculoskeletal Pain ◽

Rating Scale ◽

Short Form ◽

Intervention Group ◽

Community Dwelling ◽

Control Group ◽

Depression Symptoms

Background. Long-term musculoskeletal pain is a major, often undertreated, disabling health problem among an increasing number of older adults. Reflective STRENGTH-giving dialogues (STRENGTH) may be a tool to support older adults living with long-term pain. The main aim of this pilot study was to investigate the immediate and longitudinal effect of the intervention STRENGTH on levels of pain, wellbeing, occurrence of depression symptoms, and sense of coherence (SOC) among community-dwelling older adults suffering from musculoskeletal pain compared to a control group. Methods. The study was semiexperimental with an intervention group and a control group. The effect of a single STRENGTH intervention was reported on the Numeric Rating Scale (NRS) regarding pain and wellbeing. To evaluate the longitudinal effect of STRENGTH, using the Brief Pain Inventory-Short Form (BPI-SF), the Geriatric Depression Scale-20 (GDS-20), SOC-13 at baseline (T1), and six months after the intervention/no intervention (T2), a total of 30 older adults, aged 72 to 97 years (Mdn 86 years), were included consecutively and fulfilled the intervention series (n = 18) or untreated controls (n = 12). Results. The intervention with STRENGTH decreases pain (NRS 6 Mdn versus NRS 4 Mdn, p<0.001) and increases wellbeing (NRS 7 Mdn versus NRS 8 Mdn, p<0.001). After a six-month study period with STRENGTH, no longitudinal effect difference was found compared to baseline. Compared to the control group, there was an increasing trend between decreased pain level and increased SOC level for STRENGTH intervention. Conclusions. This pilot study supports STRENGTH’s effect as a pain-alleviating model that provides a decrease in pain levels and an increase of wellbeing in older adults with long-term pain. STRENGTH dialogues could be a useful intervention to provide individually holistic care in older adults living with long-term pain.

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Caring Near and Far: Investigating the use of home-based remote monitoring technology with chronic care older adults to see if the technology helps people to remain safely at home and put off admission to hospital or long term care

http://isrctn.com/ ◽

10.1186/isrctn79884651 ◽

2016 ◽

Author(s):

Lorie Donelle ◽

Sandra Regan

Keyword(s):

Older Adults ◽

Remote Monitoring ◽

Chronic Care ◽

Long Term Care ◽

Term Care ◽

Monitoring Technology ◽

Home Based ◽

At Home

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Children’s Views and Experiences of Treatment Adherence and Parent/Child Co-Management in Eczema: A Qualitative Study

Children ◽

10.3390/children8020158 ◽

2021 ◽

Vol 8 (2) ◽

pp. 158

Author(s):

Emma Teasdale ◽

Katy Sivyer ◽

Ingrid Muller ◽

Daniela Ghio ◽

Amanda Roberts ◽

...

Keyword(s):

Qualitative Study ◽

Treatment Adherence ◽

Symptom Relief ◽

Substantial Impact ◽

Face To Face ◽

Topical Treatments ◽

Children’S Views ◽

Treatment Use ◽

At Home

Eczema affects one in five children and can have a substantial impact on quality of life. This qualitative study aimed to explore children’s views and experiences of eczema and what may affect treatment adherence from their perspective. We conducted semi-structured, face-to-face interviews with children with eczema aged 6–12 years from March to July 2018. Interviews were transcribed verbatim and analysed using inductive thematic analysis. We found that children do not typically view eczema as a long-term condition, and topical treatments (predominately emollients) were seen to provide effective symptom relief. Uncertainty around co-managing at home was expressed as children typically felt that parental reminders and assistance with applying different types of topical treatments were still needed. For some children, eczema can be difficult to manage at school due to a lack of convenient access and appropriate spaces to apply creams and psychosocial consequences such as attracting unwanted attention from peers and feeling self-conscious. Treatment adherence could be supported by reinforcing that eczema is a long-term episodic condition, providing clear information about regular emollient use, practical advice such as setting reminders to support co-management at home, and working with schools to facilitate topical treatment use when necessary.

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