Health and Social Support of Older Adults in the Community

Author(s):  
M. Black

ABSTRACTStructured interviews were conducted with forty-eight older clients discharged from a public health nursing service in order to: (1) describe their social support network and (2) identify specific components of social support related to physical, social and emotional health. The sample was comprised primarily of older widows living alone to whom family and relatives contributed the largest amount of support. Correlation analyses revealed that: (1) age, emotional support given by older persons to their supporters and aid given and received by older persons were related to physical functioning; (2) emotional, decisional and aid support given by older persons to their supports (total reciprocity) and femaleness were related to emotional functioning and; (3) emotional and aid support received by older persons and reciprocity were related to social functioning.

2014 ◽  
Vol 23 (2) ◽  
pp. 460-468 ◽  
Author(s):  
Bruna Caroline Rodrigues ◽  
Verônica de Azevedo Mazza ◽  
Ieda Harumi Higarashi

This exploratory descriptive study, using a qualitative approach, aimed to characterize the social support of nurses in the care of their own children. The participants were ten nurses who were mothers, selected through a snowball method. Data collection occurred from November 2011 to January 2012 through semi-structured interviews and construction of families' genograms and ecomaps. Data were analyzed through Bardin content analysis, leading to the establishment of two categories: (1) Returning to work: the importance of family support and (2) The family and their interactive contexts: types of bonds. The social support network of the family is essential to the lives of these women, who need support, assistance and guidance in directing their activities in everyday overload.


2021 ◽  
Author(s):  
Alexandra Burton ◽  
Alison McKinlay ◽  
Joanna Dawes ◽  
Anna Roberts ◽  
Wendy Fynn ◽  
...  

ObjectivesWhen followed, there is evidence that social distancing measures play a major role in reducing the transmission of viruses such as COVID-19. However, not all individuals follow the guidance. This study aimed to explore barriers and facilitators to compliance with United Kingdom social distancing guidelines during the COVID-19 pandemic.MethodSemi-structured interviews with 116 adults. Data were analysed using reflexive thematic analysis and themes mapped to domains of the Capability, Opportunity and Motivation Model of Behaviour (COM-B).Main Outcome MeasuresWe identified 12 themes affecting compliance to UK social distancing guidelines.ResultsBarriers to compliance included inconsistent rules, caring responsibilities, fatigue, unintended consequences of control measures, and the need for emotional support. Facilitators were informational support and social responsibility. Six themes acted both as a barrier or facilitator: lived environment and shared spaces, beliefs about consequences of non-compliance, influence of others, practical social support, and trust in government. Conclusions Participants experienced a range of barriers and facilitators to compliance, often dependent on individual circumstances. Reflective motivation, psychological capability and social opportunity were important drivers for compliance. Measures that enable social support alongside strategies that help maintain motivation to comply, provide clear guidance and optimise social cohesion should be promoted.


Author(s):  
Rosario Fernández-Peña ◽  
José Molina ◽  
Oliver Valero

In the context of chronic illness, the individual’s social and relational environment plays a critical role as it can provide the informal support and care over time, beyond healthcare and social welfare institutions. Social Network Analysis represents an appropriate theoretical and methodological approach to study and understand social support since it provides measures of personal network structure, composition and functional content. The aim of this mixed method study is to present the usefulness of Personal Network Analysis to explore social support in the context of chronic pain. Personal and support network data of 30 people with chronic pain (20 alters for each ego, 600 relationships in total) were collected, obtaining measures of personal network structure and composition as well as information about social support characteristics. Also, semi-structured interviews with participants were conducted to identify the context of their experience of pain, their limitations as regards leading an autonomous life, their social support needs and other aspects concerning the effect of pain on their social and relational lives. This approach shows the importance of non-kin social support providers and the significant role of non-providers in the personal networks of people suffering chronic pain.


2020 ◽  
Vol 8 (8) ◽  
pp. 338-344
Author(s):  
Nathan Davies ◽  
Rosie Cooper ◽  
Manpreet Bains

School readiness is a strong predictor of educational attainment and future health, but its meaning to parents is uncertain. This study aimed to generate an understanding of how parents conceptualise school readiness, and the forms of support they would find most acceptable and effective. Semi-structured interviews were undertaken with 17 parents and were analysed thematically. Parents appeared conflicted in their beliefs about the most important school readiness factors (physical, social and emotional health) and those they perceived schools to prioritise (numeracy and literacy). Parents reported orienting children towards developing cognitive skills because they believed schools favoured these over socio-emotional aspects of school readiness. Parents valued health visitors' input in developing understanding of school readiness. Parental understanding of school readiness could be better supported, along with information on how best to prepare children. Health visitors could play a pivotal role in school readiness and have opportunities to educate and empower parents of young children.


Author(s):  
Glòria Reig-Garcia ◽  
Cristina Bosch-Farré ◽  
Rosa Suñer-Soler ◽  
Dolors Juvinyà-Canal ◽  
Núria Pla-Vila ◽  
...  

Background: Fibromyalgia is a chronic and complex disease whose management by patients requires a high level of commitment. Patient empowerment therefore represents an important milestone in chronic disease treatment and control. We explored the impact of a peer social support network from the perspective of women with fibromyalgia. Methods: A generic qualitative design was proposed for the study, for which women who had been diagnosed with fibromyalgia were purposefully selected. Six semi-structured interviews were conducted, and the collected data were thematically analysed. Results: Three key themes emerged regarding the peer social support network: (1) empowerment (facilitating acceptance of the diagnosis and acting as a source of information); (2) effects on well-being and quality of life (attenuated the stigma, improved physical well-being, provided emotional support and was a socialization medium); and (3), valuable aspects (transmitted feelings of being understood and listened to and increased personal feelings of satisfaction). Conclusions: A peer social support network for women with fibromyalgia exerts positive effects on their physical, mental, and social well-being and empowers them to better manage their disease. Healthcare for women with fibromyalgia should include strategies that connect them through peer social support networks.


2017 ◽  
Vol 21 (4) ◽  
Author(s):  
Luiza Cremonese ◽  
Laís Antunes Wilhelm ◽  
Lisie Alende Prates ◽  
Cristiane Cardoso de Paula ◽  
Graciela Dutra Sehnem ◽  
...  

Abstract Objective: To know the social support received in the pregnancy and postpartum period in the perception of postpartum adolescents. Method: Qualitative research, carried out between May and August 2016 through semi-structured interviews and speaking map with 11 postpartum adolescents, and who had had their children at a teaching hospital in the interior of the state of Rio Grande do Sul, Brazil. Data were analyzed by means of thematic content analysis. Results: The social support received by the postpartum adolescents had the predominance of instrumental support, followed by information and emotional support, which were provided mainly by family members. They also reported lack of social support, which reflected in alienation and disappointment. Conclusion: The need for monitoring was identified so as to meet the demands of adolescents in their routine, which implies sensitive actions by the Family Health Strategy units, a model that seeks care comprehensiveness.


2014 ◽  
Vol 32 (30_suppl) ◽  
pp. 66-66
Author(s):  
Echo L. Warner ◽  
Kathrine Parnell ◽  
Adam Louis Cohen ◽  
Howard Colman ◽  
Maija Reblin

66 Background: The role of family caregivers (FCGs) is expanding in the U.S. health care system, but caregiver burden may adversely affect health. A functional social network of friends, family, and other acquaintances may alleviate FCG burden and improve FCG health by providing support resources. Ecomaps are visualizations that are created to organize and depict information on the size, quality and function of a person’s social network; and, thus, may be a useful tool for highlighting existing support and identifying where additional support is needed. Our objective was to test the feasibility of ecomapping to identify support networks within a sample of neuro-oncology caregivers. Methods: Participants included 4 spouse caregivers of neuro-oncology patients undergoing treatment at a national cancer hospital. Semi-structured interviews were conducted in person (n=3) and by phone (n=1). Participants either completed or were sent example ecomaps and, using the “think-aloud” approach, were asked to describe their social network. Participants were also asked about the process and usefulness of the ecomap. Interviews were recorded and transcribed and then content analyzed by two members of the research team. Results: All participants were female, mean age 35.5 (SD=5.5) years, caring for husbands whose mean age was 38.2 (SD=7.4) years. The mean length of relationship was 13 years (SD=2.2). All participants found ecomapping to be feasible, acceptable, and useful for identifying sources and types of social support. Network structure and sources of support varied by participant but consistently included religious networks and family. Quality and types of support also varied; each participant identified strengths and weaknesses within their networks. Participants were in favor of using ecomaps to explore their support networks with providers in a clinical setting and desired clinical guidance on developing and interpreting their ecomap. Conclusions: Despite a small sample, this pilot shows evidence for the feasibility and utility of ecomapping. This cost-effective tool could be more widely implemented to identify and harness existing social support and improve neuro-oncology caregiver quality of life.


Author(s):  
Jeremiah W. Jaggers ◽  
David C. Kondrat ◽  
Kelli E. Candida ◽  
Keith Miller

People with serious mental illness are disproportionately represented among prison/jail populations. Mental health courts (MHC) serve as an alternative to incarceration. In this study, we explore the extent to which MHC participants have members of their social network who were reported as having a history of arrests. Multilevel logistic regression demonstrated friends who used drugs, race, and network density were all predictive of MHC participants’ friends who have a history of arrest. Results demonstrate an association between MHC participation and arrest among individuals in their social network. Given the importance of social support in recovery from mental illness and in desisting from crime, such limitations can be problematic. MHC participants may be disinclined to engage with the very individuals who are able to provide social and emotional support.


10.2196/24618 ◽  
2021 ◽  
Vol 9 (1) ◽  
pp. e24618
Author(s):  
Yingjie Lu ◽  
Shuwen Luo ◽  
Xuan Liu

Background In recent years, people with mental health problems are increasingly using online social networks to receive social support. For example, in online depression communities, patients can share their experiences, exchange valuable information, and receive emotional support to help them cope with their disease. Therefore, it is critical to understand how patients with depression develop online social support networks to exchange informational and emotional support. Objective Our aim in this study was to investigate which user attributes have significant effects on the formation of informational and emotional support networks in online depression communities and to further examine whether there is an association between the two social networks. Methods We used social network theory and constructed exponential random graph models to help understand the informational and emotional support networks in online depression communities. A total of 74,986 original posts were retrieved from 1077 members in an online depression community in China from April 2003 to September 2017 and the available data were extracted. An informational support network of 1077 participant nodes and 6557 arcs and an emotional support network of 1077 participant nodes and 6430 arcs were constructed to examine the endogenous (purely structural) effects and exogenous (actor-relation) effects on each support network separately, as well as the cross-network effects between the two networks. Results We found significant effects of two important structural features, reciprocity and transitivity, on the formation of both the informational support network (r=3.6247, P<.001, and r=1.6232, P<.001, respectively) and the emotional support network (r=4.4111, P<.001, and r=0.0177, P<.001, respectively). The results also showed significant effects of some individual factors on the formation of the two networks. No significant effects of homophily were found for gender (r=0.0783, P=.20, and r=0.1122, P=.25, respectively) in the informational or emotional support networks. There was no tendency for users who had great influence (r=0.3253, P=.05) or wrote more posts (r=0.3896, P=.07) or newcomers (r=–0.0452, P=.66) to form informational support ties more easily. However, users who spent more time online (r=0.6680, P<.001) or provided more replies to other posts (r=0.5026, P<.001) were more likely to form informational support ties. Users who had a big influence (r=0.8325, P<.001), spent more time online (r=0.5839, P<.001), wrote more posts (r=2.4025, P<.001), or provided more replies to other posts (r=0.2259, P<.001) were more likely to form emotional support ties, and newcomers (r=–0.4224, P<.001) were less likely than old-timers to receive emotional support. In addition, we found that there was a significant entrainment effect (r=0.7834, P<.001) and a nonsignificant exchange effect (r=–0.2757, P=.32) between the two networks. Conclusions This study makes several important theoretical contributions to the research on online depression communities and has important practical implications for the managers of online depression communities and the users involved in these communities.


Author(s):  
Nayara Girardi Baraldi ◽  
Angelina Lettiere-Viana ◽  
Diene Monique Carlos ◽  
Natália Rejane Salim ◽  
Daniela Taysa Rodrigues Pimentel ◽  
...  

Objective: to understand the meanings attributed to the social support network of women breastfeeding and in situations of violence by an intimate partner. Method: a qualitative study, carried out with 21 women, through semi-structured interviews and data analyzed by the Method of Interpretation of the Senses in the light of the conceptual framework of Social Support Network. Results: all women suffered violence by the partner in the puerperium and only one of them maintained exclusive breastfeeding until 180 days postpartum. In the analysis, the category entitled “The action of the social support network in the face of breastfeeding in the context of intimate partner violence” emerged, with two subcategories: “Interpersonal support network” and “Institutional support network”. In the interpersonal network, the partner was little mentioned, on the other hand, there was a greater participation of other women. In the institutional network, non-resolution and actions centered on biological character were evident. Conclusions: the search for help in the interpersonal network stood out in comparison to the institutional network, both with regard to the issue of violence and breastfeeding and the actions related to it, mostly ineffective, characterized by counseling and referrals.


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