scholarly journals Selecting a theoretical framework to guide a research study of older adults' perceptions and experiences of falling in the hospital

2019 ◽  
Vol 47 ◽  
pp. 38-40
Author(s):  
Hanne Dolan ◽  
Ruth Taylor-Piliae
Keyword(s):  
Older Adults ◽  
Research Study ◽  
Theoretical Framework

scholarly journals A Theoretical Framework for the Development of Views of One’s Own Aging

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 6-6
Author(s):  
Sarah Marrs ◽  
Jennifer Inker ◽  
Madeline McIntyre ◽  
Leland Waters ◽  
Tracey Gendron
Keyword(s):  
Older Adults ◽  
Medical Students ◽  
Assisted Living ◽  
Health Professions ◽  
Theoretical Framework ◽  
Community Dwelling ◽  
Mentoring Program ◽  
Term Care ◽  
Before And After ◽  
Students Attitudes

Abstract Senior mentoring programs have been established that provide medical students exposure to a community-dwelling older adult mentor. The goal of these programs is to expose students to healthy older adults, increase knowledge of geriatrics, and prepare them to care for an aging population. However, even while participating in a senior mentoring program, health professions students still demonstrate some discriminatory language towards older adults (e.g., Gendron, Inker, & Welleford, 2018). In fact, research suggests ageist practices occur, intentionally or not, among all health professions and within assisted living and long-term care facilities (e.g., Bowling, 1999; Dobbs et al., 2008; Kane & Kane, 2005). There is reason to believe that how we feel about other older adults is a reflection of how we feel about ourselves as aging individuals. As part of an evaluation of a Senior Mentoring program, we found that students’ attitudes towards older adults were not significantly improved (t (92) = .38, p = .70). To further explore this, we collected subsequent qualitative data. Specifically, we asked students to respond to the open-ended prompt before and after completing their senior mentoring program: How do you feel about your own aging? Our findings have revealed just how complex students’ views towards aging and elderhood are, pointing to a need to develop a theoretical framework for how these views are formed. Thus, the results of this qualitative grounded theory study illustrate the stages of development medical students’ progress through as they come to accept themselves as aging humans.

scholarly journals 1012. Efficacy, safety and tolerability of switching to bictegravir/emtricitabine/tenofovir alafenamide (B/F/TAF) in HIV-1 infected virologically-suppressed older adults in a real-world setting

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S534-S535
Author(s):  
Charlotte-Paige M Rolle ◽  
Vu Nguyen ◽  
Kiran Patel ◽  
Dan Cruz ◽  
Federico Hinestrosa ◽  
...  
Keyword(s):  
Older Adults ◽  
Drug Interactions ◽  
Real World ◽  
Research Study ◽  
Panel Member ◽  
Median Number ◽  
Research Support ◽  
Review Panel ◽  
Study Investigator ◽  
Hiv 1

Abstract Background Approximately 50% of people living with HIV (PLWH) in the United States are ≥50 years old. Efforts are ongoing to identify antiretrovirals associated with fewer drug-drug interactions (DDIs) and long-term side effects in this group. Clinical trials of B/F/TAF demonstrated favorable efficacy and safety in older adults, however, data from real-word settings are needed to validate these results. Methods This retrospective analysis evaluated records from PLWH aged ≥ 50 years at the Orlando Immunology Center who were switched to B/F/TAF between 2/7/2018 and 5/31/2019. Eligible patients had baseline HIV-1 RNA< 50 copies/mL and were followed for 48 weeks post-switch. The primary endpoint was maintenance of HIV-1 RNA< 50 copies/mL at week 48. The impact of switching to B/F/TAF on DDIs, adverse events (AEs) and safety parameters were analyzed throughout the study. Results 306 patients met inclusion criteria. 62 (20%) were female, 126 (41%) were non-white, median age was 58 years (range [r] 50-81), median duration of HIV infection was 19.5 years (r 2-40), median number of chronic co-morbid conditions was 5 (r 0-20), and median number of baseline concomitant medications was 4 (r 0-23). 159 (52%) patients were switched from regimens containing ritonavir or cobicistat. The most commonly documented reason for switch was simplification (Table 1). At Week 48, 287 (94%) patients maintained an HIV-1 RNA< 50 copies/ml and 19 (6%) had an HIV-1 RNA between 50-200 copies/mL (Figure 1). 1 patient discontinued due to lack of efficacy. A total of 123 potential DDIs were identified in 104 (34%) patients taking a boosting agent or rilpivirine at baseline (Table 2). At Week 48, there was a significant median decline in total cholesterol (15.5 mg/dL, 95% confidence interval [CI]: 9.5; 21.5), LDL cholesterol (9.5 mg/dL, 95% CI: 4; 15.5) and triglycerides (20 mg/dL, 95% CI: 9.5; 32.5), and median weight increased by 2.5 pounds (95% CI: 1.5; 3.5). Treatment-related AEs occurred in 33 (11%) patients (all Grade 1-2) and led to 7 (2%) discontinuations. Table 1-Baseline demographic and clinical characteristics Table 2-Avoidance of Drug-Drug Interactions (DDIs) following switch to B/F/TAF Figure 1-Subgroup analysis of virologic outcomes at Week 48 Conclusion In this real-world cohort, switching to B/F/TAF was associated with maintenance of virologic control, improvement in lipid parameters, and avoidance of DDIs in a large proportion of patients. These data support use of B/F/TAF as a treatment option in older PLWH. Disclosures Charlotte-Paige M. Rolle, MD MPH, Gilead Sciences (Grant/Research Support, Scientific Research Study Investigator, Speaker’s Bureau)Janssen Infectious Disease (Grant/Research Support)ViiV Healthcare (Grant/Research Support, Scientific Research Study Investigator, Advisor or Review Panel member, Speaker’s Bureau) Kiran Patel, PharmD, Gilead Sciences (Employee) Federico Hinestrosa, MD, AbbVie (Speaker’s Bureau)Gilead Sciences (Speaker’s Bureau)Merck (Speaker’s Bureau)Theratechnologies (Speaker’s Bureau) Edwin DeJesus, MD, Gilead Sciences (Advisor or Review Panel member)

scholarly journals Pré-implantation de l’Accompagnement-citoyen personnalisé d’intégration communautaire (APIC): Adaptabilité, collaboration et financement, les déterminants d’une implantation réussie

2019 ◽  
Vol 38 (03) ◽  
pp. 315-327
Author(s):  
Laurie Piché ◽  
Sophie Arsenault ◽  
Mathilde Leblanc ◽  
Nathalie Croteau ◽  
Mélanie Levasseur
Keyword(s):  
Older Adults ◽  
Action Research ◽  
Social Participation ◽  
Research Study ◽  
Scientific Evidence ◽  
Leisure Activities ◽  
Economic Context ◽  
New Knowledge ◽  
Facilitators And Barriers

ABSTRACTThis study aimed to identify the facilitators and barriers to as well as the feasibility of Implementing Personalized Citizen Assistance for social participation (IPCA) in older adults with disabilities living in the community. The IPCA is a three-hour, weekly follow-up achieved by trained and supervised non-professional assistants that aims to increase engagement in social and leisure activities of people living with disabilities. An action research study was conducted with 16 people from the community. The adaptability of the IPCA, the presence of scientific evidence, the acknowledgement of a need for such an intervention, as well as expertise and collaboration, were the main facilitators in implementation of the IPCA. Meanwhile, funding, associated with an unfavorable political and economic context, was a barrier. Overall, the majority of the participants perceived that the IPCA could be offered in the community by volunteers. This new knowledge will facilitate the implementation of IPCA or other similar interventions.

scholarly journals Altruistic and Anomic Suicide: A Durkheimian Analysis of Palestinian Suicide Bombers

2016 ◽  
Vol 9 (4) ◽  
pp. 30
Author(s):  
Reem A. Abu-Lughod ◽  
Eduardo L. Montoya
Keyword(s):  
Logistic Regression ◽  
Research Study ◽  
Theoretical Framework ◽  
Suicide Terrorism ◽  
Suicide Bombers ◽  
The Past ◽  
Suicide Bombings ◽  
The World ◽  
History Of

In the past two decades, suicide terrorism in its different forms has become a popular topic of research and debate. It has contributed to a different sense of normalcy and regularity in various societies across the world given that suicide bombings are relatively inexpensive and effective, compared with other kinds of terrorist methods. This study primarily focuses on suicide bombings in the Palestinian/Israeli territories, an area that has experienced conflict and tension for over six decades. In doing so, the research study uses Durkheim’s typology of suicide as a theoretical framework to trace the history of suicide bombings in the Palestinian/Israeli territories, outline the characteristics of suicide bombers, their motivations, and how suicide bombings have been used as a form of resistance to occupation. The data collected cover suicide bombings that have occurred from April 1994 to February 2008. The research study uses logistic regression to examine the characteristics of the suicide bombers and their attacks. The results show, among other things, that the attacks possess elements of both altruistic and anomic types of suicide in the Durkheimian sense of the word.

Retooling Information Systems for Aging

1973 ◽  
Vol 4 (4) ◽  
pp. 361-374 ◽  
Author(s):  
Vincent M. Rue
Keyword(s):  
Older Adults ◽  
Information Systems ◽  
Communication Networks ◽  
Aging Process ◽  
Aging Population ◽  
Theoretical Framework ◽  
Developmental Learning ◽  
Rates Of Change

In an era characterized by rapid rates of change, information escalation, and vast communication networks, little concern has been evidenced on behalf of our aging population and how these forces affect them. This paper stresses the importance of adult developmental learning via continuous informational opportunities to counter the stigma of “social obsolescence” of the aging. In this respect, a tentative theoretical framework is presented. A brief examination is made of the contributions of telephone, radio, and television to the aging process, and how greater imaginative design and coordinated operation of these information systems can better assist older adults.

Using photovoice with older adults: some methodological strengths and issues

2011 ◽  
Vol 32 (3) ◽  
pp. 451-470 ◽  
Author(s):  
SHEILA NOVEK ◽  
TONI MORRIS-OSWALD ◽  
VERENA MENEC
Keyword(s):  
Older Adults ◽  
Participatory Research ◽  
Older Persons ◽  
Research Study ◽  
Research Process ◽  
Community Characteristics ◽  
Group Discussions ◽  
Community Based ◽  
Gerontological Research ◽  
Strategies For Change

ABSTRACTPhotovoice is a qualitative research technique in which participants record and reflect on their community through photography. The technique is gaining popularity as a participatory research methodology. Few studies, however, have described the use of photovoice with older adults. This paper examines the application of photovoice in a qualitative, participatory research study examining age-friendly community characteristics in four communities in Manitoba, Canada. Thirty older adults were provided with cameras and took photographs to illustrate how age-friendly their communities are and participated in group discussions to identify priorities in becoming more age-friendly. The research process and results were analysed in order to assess the application of the methodology with older adults. Photovoice is an effective tool for eliciting older persons’ perceptions of their communities, giving voice to the unique concerns of older adults, and identifying strategies for change. If adapted to accommodate the needs of seniors, this methodology provides an innovative approach to community-based gerontological research. On the other hand, there are a number of challenges to be overcome if photovoice is to be a truly effective research instrument, including recruitment, photography training, retrieving consent forms, and issues of time and distance.

Bruising in older adults: what do social workers need to know?

2015 ◽  
Vol 17 (6) ◽  
pp. 351-359
Author(s):  
Sarah A. O. Matthews ◽  
Janet Reynolds
Keyword(s):  
Older Adults ◽  
Social Work ◽  
Older People ◽  
Research Study ◽  
Relevant Literature ◽  
Small Scale ◽  
Accidental Injury ◽  
Content Type ◽  
Social Work Practitioners ◽  
Non Accidental Injury

Purpose – The purpose of this paper is to discuss a research study exploring one aspect of adult safeguarding, that of non-accidental injury in older adults, specifically bruising. The study was undertaken with a view to analysing the current relevant literature and examining current practitioners’ views concerning bruising in older adults in order to understand social work practitioners’ awareness of and training in bruising. Design/methodology/approach – The paper describes a small-scale research study including two focus groups of social work and nursing practitioners. Themes arising from transcripts are coded by the analyst and are discussed in light of the summary and explanation of the literature reviewed following an initial scoping and exclusion exercise. Findings – The paper found that there is some evidence of typical and atypical non-accidental bruising emerging in older adults similar to that of children, but this tends to be treated as a clinical matter and mostly directed at medical staff. Research limitations/implications – Because of the chosen research aim, the research results focus on social work practitioners. Researchers are encouraged to explore other constituents further and to extend the scope of the literature review in terms of date and type. Practical implications – This paper will be of interest to all those concerned with the effective understanding of bruising as a sign of non-accidental injury in older people and especially the extent to which social work practitioners and others have to consider bruising during the course of their work with older people. Originality/value – This paper fulfils an identified need to study what social work practitioners and others need to know during the course of their work with older adults.

scholarly journals DEVELOPMENT OF EFL TEACHERS´ PEDAGOGICAL CONTENT KNOWLEDGE THROUGH ACTION RESEARCH IN A MASTER’S PROGRAM

2020 ◽  
Vol 78 (4) ◽  
pp. 533-552
Author(s):  
Julio Cesar Gomez
Keyword(s):  
Action Research ◽  
Pedagogical Content Knowledge ◽  
Content Knowledge ◽  
Research Study ◽  
Theoretical Framework ◽  
Master's Program ◽  
Pedagogical Content ◽  
Action Research Study ◽  
The Impact

This longitudinal, 2-year study explored the experience of a cohort of seven in-service teachers in an English Language Teaching master’s program as they carried out action research studies to determine the impact of the stages of the research process on the various components of their pedagogical content knowledge. The research design followed a qualitative multiple case study model. Data were gathered through semi-structured interviews, written reflections, and participant observation journal notes. Main findings highlight the way specific components of the thesis linked to stages of the action research study contributed to developing certain types of knowledge integral to pedagogical content knowledge. Knowledge of the students was highly impacted by the needs analysis and the design and implementation of the intervention. In terms of pedagogical knowledge, building the state of the art and theoretical framework along with the intervention clarified and further developed knowledge of teaching methodologies and strategies. Subject matter knowledge was highly impacted by the theoretical framework and the socialization opportunities. Establishing the setting of the study contributed to further understand the constraints and affordances of their teaching contexts. Overall, this action research study became an insightful experience that helped participants promote effective classroom practices to address their students’ needs. Keywords: action research, longitudinal case study, master’s thesis, pedagogical content knowledge, second language teacher education.

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