scholarly journals A Scoping Review of Digital Solutions that Might be Used as Cognitive Screening Instruments of Community-Dwelling Older Adults

2022 ◽  
Vol 196 ◽  
pp. 956-963
Author(s):  
Rute Bastardo ◽  
João Pavão ◽  
Ana Isabel Martins ◽  
Anabela G. Silva ◽  
Nelson Pacheco Rocha
Keyword(s):  
Older Adults ◽  
Scoping Review ◽  
Community Dwelling ◽  
Screening Instruments ◽  
Cognitive Screening ◽  
Community Dwelling Older Adults

scholarly journals Technological interventions for loneliness and social isolation among older adults: a scoping review protocol

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Andrew Wister ◽  
Ian Fyffe ◽  
Eireann O’Dea
Keyword(s):  
Older Adults ◽  
Social Isolation ◽  
Scoping Review ◽  
English Language ◽  
Data Extraction ◽  
Community Dwelling ◽  
Technological Interventions ◽  
Information And Communication ◽  
Evaluation Trial ◽  
Community Dwelling Older Adults

Abstract Background Loneliness and social isolation are prevalent public health concerns among community-dwelling older adults. One approach that is becoming an increasingly popular method of reducing levels of loneliness and social isolation among older adults is through technology-driven solutions. This protocol outlines a research trajectory whereby a scoping review will be initiated in order to illustrate and map the existing technological approaches that have been utilized to diminish levels of loneliness and social isolation among community-dwelling older adults aged 60 years or older. We will address the question: what are the most common and less used technological approaches to reduce loneliness and social isolation among community-dwelling older adults? Methods A scoping review of Academic Search Premier, AGEline, Global Health, MEDLINE, PsycINFO, and Web of Science databases will take place using our search terms including the following: loneliness, social isolation, older adults, elderly, Aged, Aged 80 and over, program, evaluation, trial, intervention, technology, computer, information and communication technology, internet, and robot. The initial electronic search will be supplemented by reviewing the reference lists and review articles to identify any missing studies. To meet study inclusion criteria, intervention studies had to pertain to community-dwelling adults aged 60 years or older, include technological interventions, include loneliness and/or social isolation as outcome variables, and be written in the English language. Two parallel independent assessments of study eligibility will be conducted for the title, abstract, and full-text screens. Any disagreement will be resolved by consensus and a third reviewer consulted to make a decision if consensus is not achieved initially. Finally, the amalgamation of results will be an iterative process whereby reviewers will refine the plan for presenting results after data extraction is completed so that all of the contents of the extraction may be included in the results. Discussion The information gleaned in this scoping review will be essential to understand the degree to which technological interventions influence social isolation and loneliness among older adults and identify gaps for further research.

scholarly journals A Scoping Review of Psychological Sense of Community among Community Dwelling Older Adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 965-965
Author(s):  
Thomas Buckley
Keyword(s):  
Older Adults ◽  
Thematic Analysis ◽  
Sense Of Community ◽  
Scoping Review ◽  
Well Being ◽  
Community Dwelling ◽  
Psychological Sense Of Community ◽  
Psychological Sense ◽  
Community Dwelling Older Adults ◽  
Health And Well Being

Abstract Psychological sense of community (PSOC) is an important construct for health and well-being outcomes for older adults. Drawing on the Ecological Theory of Aging and the Age-Friendly Cities (AFC) framework, this scoping review explored how PSOC has been used in research with community dwelling older adults. I followed Arksey and O’Malley's (2005) scoping review guidelines. Initial database searches yielded 860 articles. I included 33 in the final sample. I grouped articles based on study populations and conceptualization and operationalization of PSOC. I used thematic analysis to explore topic areas and main findings. The AFC framework guided development of themes and others emerged during analysis. Results show most studies used Asian or White samples and focused on geographic community or neighborhoods. Among the several measures of PSOC, the Brief Sense of Community Scale performed best with older adults. Topical research areas in the thematic analysis were built (1) built environment and neighborhoods, (2) social participation and connection, (3) civic participation, (4) PSOC as a protective factor, (5) health and well-being, (6) relocation, and (7) scale development. PSOC was a consistent predictor of health and well-being and served as a mediator to link neighborhood or environmental characteristics with health and well-being. Future research needs to examine PSOC in geographically and culturally diverse samples and conduct further psychometric testing of PSOC scales with older adults. PSOC is conceptually related to the AFC framework and serves as a mechanism that links AFC features and well-being outcomes. These results can inform practice and refine theory.

scholarly journals Understanding transitional care programmes for older adults who experience delayed discharge: a scoping review protocol

BMJ Open ◽  
2019 ◽  
Vol 9 (12) ◽  
pp. e032149
Author(s):  
Katherine S McGilton ◽  
Shirin Vellani ◽  
Jessica Babineau ◽  
Jennifer Bethell ◽  
Susan E Bronskill ◽  
...  
Keyword(s):  
Older Adults ◽  
Narrative Analysis ◽  
Scoping Review ◽  
Transitional Care ◽  
Community Dwelling ◽  
Term Care ◽  
Delayed Discharge ◽  
Review Protocol ◽  
Delayed Discharges ◽  
Community Dwelling Older Adults

IntroductionMany hospitalised older adults experience delayed discharges due to increased postacute health and social support needs. Transitional care programmes (TCPs) provide short-term care to these patients to prepare them for transfer to nursing homes or back to the community with supports. There are knowledge gaps related to the development, implementation and evaluation of TCPs. The aims of this scoping review (ScR) are to identify the characteristics of older patients served by TCPs; criteria for transfer, components and services provided by TCPs; and outcomes used to evaluate TCPs.Methods and analysisThe study involves six-step ScR and is informed by a collaborative/participatory approach whereby stakeholders engage in the development of the research questions, identification of literature, data abstraction and synthesis; and participation in consultation workshop. The search for scientific literature will be done in the Medline, PsychINFO, Emcare and CINAHL databases; as well, policies and reports that examined models of transitional care and the outcomes used to evaluate them will be reviewed. Records will be selected if they involve community dwelling older adults aged 65 years or older, or indigenous persons 45 years or older; and presented in English, French, Dutch and German languages. Records will be screened, reviewed and abstracted by two independent reviewers. Extracted data will be analysed using descriptive statistics and a narrative analysis, and organised according to Donabedian’s model of structure (characteristics of older adults experiencing delayed discharge and served by TCPs), process (TCP components and services) and outcome.Ethics and disseminationThis ScR does not require ethics approval. Dissemination activities include integrated knowledge translation (KT) (consultation with stakeholders throughout the study) and end-of-grant KT strategies (presentations at national and international conferences; and publication in peer-reviewed interdisciplinary journal).

scholarly journals High prevalence of dementia among community dwelling older adults in receipt of state funded home care packages: implications for health care planning

2017 ◽  
Vol 36 (2) ◽  
pp. 139-144 ◽  
Author(s):  
I. O’Brien ◽  
K. Smuts ◽  
C. W. Fan ◽  
M. O’Sullivan ◽  
A. Warters
Keyword(s):  
Older Adults ◽  
Home Care ◽  
Independent Living ◽  
Community Dwelling ◽  
Cognitive Screening ◽  
Health Care Planning ◽  
Cross Sectional ◽  
High Prevalence ◽  
Community Dwelling Older Adults ◽  
Prevalence Of Dementia

ObjectivesThe majority of people living with dementia in Ireland reside in their own homes, some supported by formal or informal home care. This audit aimed to estimate the prevalence of dementia and suspected cognitive impairment (CI) among older adults, 65+ years, in receipt of formal home care (domiciliary care) in a defined health service area in North Dublin. A secondary objective of the audit was to explore factors associated with dementia or CI in this cohort.MethodsA cross-sectional audit was conducted on all clients aged 65+ years actively receiving publicly funded home care packages (HCPs) during May 2016 in Healthcare Service Executive CHO9 Dublin North Central. A total of 935 urban community dwelling older adults were included in the study [mean age 83.7 (s.d. 7.4) years and 65% female]. Basic socio-demographic and health data were extracted from common summary assessment reports. Service users were categorised as having (a) dementia if a diagnosis of dementia or cognitive decline which impacts on independent living, was documented by a health professional or (b) suspected CI where a validated cognitive screening tool was applied and the score was indicative of mild CI.ResultsOverall, the estimated prevalence of dementia and suspected CI was 37.1% and 8.7%, respectively. Factors significantly associated with dementia and suspected CI were higher dependency and home care hours, communication difficulty and being non-self-caring (p<0.001). Notably, half (51.6%) of those with either dementia or suspected CI group lived alone.ConclusionsOur findings suggest a high prevalence dementia among HCP users, highlighting a need and opportunity for dementia-specific approaches to support older people in their homes.

scholarly journals Health and social interventions to restore physical function of older adults post-hip fracture: a scoping review

BMJ Open ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. e053992
Author(s):  
Abeer Omar ◽  
Alexia Cumal ◽  
Shirin Vellani ◽  
Alexandra Krassikova ◽  
Julie Lapenskie ◽  
...  
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Hip Fracture ◽  
Outcome Measures ◽  
Scoping Review ◽  
Inpatient Rehabilitation ◽  
Community Dwelling ◽  
Inpatient Setting ◽  
Social Interventions ◽  
Community Dwelling Older Adults

ObjectivesDespite inpatient rehabilitation, many older adults post-hip fracture have difficulty returning to their prefracture levels of function and activity. This scoping review aims to identify interventions for community-dwelling older adults discharged from inpatient rehabilitation and examine the function and activity outcomes associated with these interventions.DesignThis scoping review followed Arksey and O’Malley’s five-stage framework.Data sourcesWe searched MEDLINE, CINAHL, PsycINFO, EMBASE and Ageline electronic databases for English-language articles published between January 1946 and January 2020.Eligibility criteriaWe included studies with health and social interventions involving community-dwelling older adults and their caregivers after hip fracture and inpatient rehabilitation. The interventions were selected if initiated within 60 days post-hip fracture surgery.Data extraction and synthesisTwo independent reviewers screened abstracts and full texts and extracted the data based on the inclusion criteria. A third reviewer adjudicated any disagreement and collated the extracted data.ResultsOf the 24 studies included in the review, most studies (79%) used exercise-based interventions, over half (63%) included activities of daily living training and/or home assessment and environment modification as intervention components, and three studies used social intervention components. Over half of the interventions (58%) were initiated in the inpatient setting and physiotherapists provided 83% of the interventions. Only seven studies (29%) involved tailored interventions based on the older adults’ unique needs and progress in exercise training. Six studies (25%) enrolled patients with cognitive impairment, and only one study examined caregiver-related outcomes. Exercise-based interventions led to improved function and activity outcomes. 29 different outcome measures were reported.ConclusionWhile exercise-based multicomponent interventions have evidence for improving outcomes in this population, there is a paucity of studies, including social interventions. Further, studies with standardised outcome measures are needed, particularly focusing on supporting caregivers and the recovery of older adults with cognitive impairment.

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