scholarly journals Push and Pull Factors Surrounding Older Adults’ Relocation to Supportive Housing: A Scoping Review

2020 ◽  
pp. 1-19
Author(s):  
Bryan B. Franco ◽  
Jason Randle ◽  
Lauren Crutchlow ◽  
Janet Heng ◽  
Arsalan Afzal ◽  
...  
Keyword(s):  
Older Adults ◽  
Scoping Review ◽  
Assisted Living ◽  
Web Of Science ◽  
Supportive Housing ◽  
Theoretical Frameworks ◽  
Push And Pull Factors ◽  
Functional Deficits ◽  
Push And Pull ◽  
Growing Population

ABSTRACT Supportive housing, including retirement homes and assisted living, is increasingly touted as a suitable living option for Canadian older adults. This scoping review describes the nature and content of studies that explore underlying factors that motivate older adults to relocate to supportive housing. We conducted a search of PubMed, Cumulative Index of Nursing and Allied Health Literature (CINAHL), Web of Science, and PsycINFO, which identified 34 articles for review. Articles reviewed employed a variety of methods and guiding theoretical frameworks, of which the push and pull framework appeared to be most common. This review suggests that health and functional deficits are important reasons for relocation to supportive housing for older adults. Further longitudinal data are required to more comprehensively describe medical and social determinants for relocation and its consequences, in order to better describe this growing population and better align policies with the needs of older adults contemplating or undergoing relocation.

Becoming a Home Care Worker: Job-Seekers’ Push and Pull Factors

2019 ◽  
Vol 42 (2) ◽  
pp. 62-71 ◽  
Author(s):  
Shiri Shinan-Altman ◽  
Varda Soskolne ◽  
Liat Ayalon
Keyword(s):  
Older Adults ◽  
Home Care ◽  
Personal Relationship ◽  
Job Seekers ◽  
Pull Factors ◽  
Push And Pull Factors ◽  
The Past ◽  
Care Workers ◽  
Home Care Workers ◽  
Push And Pull

This study examined “push and pull” factors associated with the decision to become home care workers among job-seekers in Israel. Participants completed measures of ageism, anxiety about aging, attitudes toward the home care profession, and personal relationship with older adults. Of 1,492 participants, 32.0% accepted the offer to become home care workers and were no longer in the job market, 36.7% accepted the offer but worked in the past, and 31.2% refused the offer. Compared to participants currently employed, the odds of being employed in the past were higher for participants who were younger, with poorer health and higher ageism; the odds of refusal were higher for males, Arabs, younger participants, with more education, lower ageism, and fewer personal relationship with older adults. The findings have implications for practice with job-seekers and for retaining current home care workers in the field. This may assist in expanding the home care workforce.

scholarly journals Occupational Therapy and the Use of Technology on Older Adult Fall Prevention: A Scoping Review

2021 ◽  
Vol 18 (2) ◽  
pp. 702
Author(s):  
María del Carmen Miranda-Duro ◽  
Laura Nieto-Riveiro ◽  
Patricia Concheiro-Moscoso ◽  
Betania Groba ◽  
Thais Pousada ◽  
...  
Keyword(s):  
Older Adults ◽  
Occupational Therapy ◽  
Scoping Review ◽  
Fall Prevention ◽  
Fall Risk ◽  
Daily Living ◽  
Web Of Science ◽  
Research Question ◽  
Use Of Technology ◽  
Falls In Older Adults

Introduction: Falls are the second leading cause of accidental or non-intentional deaths worldwide and are the most common problem as people age. The primary purpose of addressing falls is to detect, prevent, treat, and reduce their incidence and consequences. Previous studies identified that multifactorial programs, an interprofessional team, and assistive technology are required to address falls in older adults effectively. Accordingly, the research question is as follows: what are the scope, type of studies, and approaches and strategies to fall risk using technology in the existing occupational therapy literature regarding interventions to address the effects of falls in older adults on daily living? Methods: This scoping review was carried out in January 2020 through Biblioteca Virtual de Salud España, C.I.N.A.H.L., Cochrane Plus, OTSeeker, PubMed, Scopus, and Web of Science. Results: Twelve papers were included. We analyzed the year and journal of publication, authors’ affiliation, and design of the study, and thematic categories. There were three themes: participants’ characteristics, type of intervention, and fall approach and type of technology used. Discussion and Conclusions: The literature obtained is scarce. It is considered to still be an emerging theme, especially when considering the use of technology for occupational therapy.

scholarly journals Dementia Care, Fall Detection, and Ambient-Assisted Living Technologies Help Older Adults Age in Place: A Scoping Review

2021 ◽  
pp. 073346482110058
Author(s):  
Cameron J. Gettel ◽  
Kevin Chen ◽  
Elizabeth M. Goldberg
Keyword(s):  
Older Adults ◽  
Scoping Review ◽  
Assisted Living ◽  
Full Text ◽  
Data Extraction ◽  
Ambient Assisted Living ◽  
Fall Detection ◽  
Well Being ◽  
Cognitive Status ◽  
Dementia Care

Objectives: We aimed to describe recent technologic advances in the three domains of dementia care, falls, and home supports; summarize existing literature on usability; and identify knowledge gaps. Methods: A comprehensive search of five databases for recent peer-reviewed publications was conducted in May 2020. Independent reviewers performed title/abstract review, full-text screening, data extraction, and study characteristic summarization. Results: Out of 2,696 citations, 151 articles were retrieved for full-text evaluation, after which 54 studies were included in this scoping review. For each domain, different technologies are available to enhance the health and well-being of older adults; many users deemed them usable and useful. Technologies targeted improving function, psychosocial and cognitive status, home safety, and caregiver burden. Barriers to widespread uptake include privacy concerns, suboptimal user experience, and willingness to accept assistance. Conclusion: Technologic innovations directed toward dementia care, fall detection, and ambient-assisted living can aid older adults “aging in place.”

scholarly journals Unobtrusive Sensors for the Assessment of Older Adult’s Frailty: A Scoping Review

Sensors ◽  
2021 ◽  
Vol 21 (9) ◽  
pp. 2983
Author(s):  
Antonio Cobo ◽  
Elena Villalba-Mora ◽  
Rodrigo Pérez-Rodríguez ◽  
Xavier Ferre ◽  
Leocadio Rodríguez-Mañas
Keyword(s):  
Older Adults ◽  
Scoping Review ◽  
Web Of Science ◽  
Daily Activities ◽  
Inertial Measurement Units ◽  
Inertial Measurement ◽  
Monitoring Applications ◽  
Healthcare Monitoring ◽  
Measurement Units ◽  
Hospitalized Older Adults

Ubiquity (devices becoming part of the context) and transparency (devices not interfering with daily activities) are very significant in healthcare monitoring applications for elders. The present study undertakes a scoping review to map the literature on sensor-based unobtrusive monitoring of older adults’ frailty. We aim to determine what types of devices comply with unobtrusiveness requirements, which frailty markers have been unobtrusively assessed, which unsupervised devices have been tested, the relationships between sensor outcomes and frailty markers, and which devices can assess multiple markers. SCOPUS, PUBMED, and Web of Science were used to identify papers published 2010–2020. We selected 67 documents involving non-hospitalized older adults (65+ y.o.) and assessing frailty level or some specific frailty-marker with some sensor. Among the nine types of body worn sensors, only inertial measurement units (IMUs) on the waist and wrist-worn sensors comply with ubiquity. The former can transparently assess all variables but weight loss. Wrist-worn devices have not been tested in unsupervised conditions. Unsupervised presence detectors can predict frailty, slowness, performance, and physical activity. Waist IMUs and presence detectors are the most promising candidates for unobtrusive and unsupervised monitoring of frailty. Further research is necessary to give specific predictions of frailty level with unsupervised waist IMUs.

Internal migration in Italy. Long-run analysis of push and pull factors across regions and macro-areas of the country.

2016 ◽  
Vol 13 (3) ◽  
pp. 443-454
Author(s):  
Piras Romano
Keyword(s):  
Gravity Model ◽  
Internal Migration ◽  
Empirical Studies ◽  
Great Majority ◽  
Pull Factors ◽  
Push And Pull Factors ◽  
Long Run ◽  
Italian Regions ◽  
Migration Flows ◽  
Push And Pull

The great majority of empirical studies on internal migration across Italian regions either ignores the long-run perspective of the phenomenon or do not consider push and pull factors separately. In addition, Centre-North to South flows, intra-South and intra-Centre-North migration have not been studied. We aim to fill this gap and tackle interregional migration flows from different geographical perspectives. We apply four panel data estimators with different statistical assumptions and show that long-run migration flows from the Mezzogiorno towards Centre-Northern regions are well explained by a gravity model in which per capita GDP, unemployment and population play a major role. On the contrary, migration flows from Centre-North to South has probably much to do with other social and demographic factors. Finally, intra Centre-North and intra South migration flows roughly obey to the gravity model, though not all explicative variables are relevant.

Foreign Labour Migration, Economic Growth and Remittances in Nepal

Patan Pragya ◽  
2019 ◽  
Vol 5 (1) ◽  
pp. 122-132
Author(s):  
Laxman Singh Kunwer
Keyword(s):  
Working Environment ◽  
Labour Migration ◽  
Sources Of Information ◽  
Pull Factors ◽  
Push And Pull Factors ◽  
Secondary Sources ◽  
Foreign Labour ◽  
Increasing Trend ◽  
Push And Pull

This paper examines the history and current situation of foreign labour migration in Nepal, which is in increasing trend. This paper highlights on some major push and pull factors, impacts of labour migration and remittances. The role and impacts of remittances in Nepal are also another key issue of this paper. The objective of paper is to discuss historical aspects and highlights the role of remittances in Nepal. The paper is developed with the help of secondary sources of information and discussed only on Nepalese foreign labours. The existing exploitative working environment in destinations of Nepalese migrations labpurs, lack of skills and trainings among labour migrants including government to government agreement between labour sending (Nepal) and labour receiving countries to protect rights of labour migrants also has been discussed. This paper also highlights the need of effective foreign labour policies based on scientific research. There is need of reliable and proper environment of investment of remittances in productive sectors as well as use of migrant's skills and knowledge to achieve prosperity of nation.

scholarly journals Vulnerable Older Adults in Disasters: Effects of Hurricane Irma on Nursing Homes and Assisted Living

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 733-734
Author(s):  
Lindsay Peterson ◽  
David Dosa ◽  
Patricia D’Antonio
Keyword(s):  
Older Adults ◽  
Assisted Living ◽  
Gulf Coast ◽  
Secondary Data ◽  
Morbidity And Mortality ◽  
Term Care ◽  
The Face ◽  
Qualitative Methodologies ◽  
Hurricane Irma

Abstract Preparedness of residents in long-term care (LTC) in the face of hurricane emergencies is a contested and largely unanswered question. Our prior work involving the U.S. Gulf Coast hurricanes of 2005-08 showed that exposure to various storms on nursing home (NH) residents resulted in significantly more deaths than reported by health care officials. This work also highlighted that evacuation of NH residents, compared to sheltering in place, was independently associated with morbidity and mortality. Hurricane Irma struck Florida on Sept. 10, 2017, prompting the evacuation of thousands of NH and assisted living community (ALC) residents. This symposium will discuss the effects of Hurricane Irma on vulnerable older adults residing in NHs and ALCs using mixed quantitative and qualitative methodologies. The first presentation will discuss morbidity and mortality of NH residents exposed to Hurricane Irma and will stratify by long stay/short stay status and hospice enrollment. The second presentation will discuss improvements and continued barriers to NH preparedness based on interviews with 30 administrators following Hurricane Irma. Using a novel methodology to identify residents of ALCs using secondary data sources, the third presentation will document AL resident morbidity and mortality risk following Hurricane Irma. The final presentation will highlight results of interviews with 70 stakeholders from small and large ALCs concerning the hurricane experiences of residents, including those with dementia. This symposium offers a multi-faceted view of a disaster’s effects on LTC residents across Florida, including novel data from the NH environment and lesser-examined ALCs.

scholarly journals Hypnotherapy for Procedural Pain and Distress in Children: A scoping Review Protocol

Pain Medicine ◽  
2021 ◽  
Author(s):  
Daly Geagea ◽  
Zephanie Tyack ◽  
Roy Kimble ◽  
Lars Eriksson ◽  
Vince Polito ◽  
...  
Keyword(s):  
Scoping Review ◽  
Grey Literature ◽  
Cochrane Library ◽  
Procedural Pain ◽  
Future Research ◽  
Theoretical Frameworks ◽  
Eligibility Criteria ◽  
Pharmacological Agents ◽  
Review Protocol ◽  
Meta Analyses

Abstract Objective Inadequately treated pain and distress elicited by medical procedures can put children at higher risks of acute and chronic biopsychosocial sequelae. Children can benefit from hypnotherapy, a psychological tailored intervention, as an adjunct to pharmacological agents to address the multiple components of pain and distress. Despite providing evidence on the effectiveness and potential superiority of hypnotherapy to other psychological interventions, research on hypnotherapy for paediatric procedural pain and distress has been predominantly limited to oncology and needle procedures. Plus, there is a lack of reporting of intervention manuals, factors influencing hypnotic responding, pain unpleasantness outcomes, theoretical frameworks, adverse events, as well as barriers and facilitators to the feasibility of delivering the intervention and study procedures. The proposed review aims to map the range and nature of the evidence on hypnotherapy for procedural pain and distress in children to identify gaps in literature and areas requiring further investigation. Methods This review will follow the Arksey and O'Malley (2005) methodology and incorporate additional scoping review recommendations by The Joanna Briggs Institute and Preferred Reporting Items for Systematic reviews and Meta-Analyses. Relevant studies will be identified through searching published literature databases (PubMed, Cochrane Library, PsycINFO, Embase, CINAHL, Scopus and Web of Science) and grey literature in addition to hand-searching of reference lists and key journals. Two authors will independently screen titles and abstracts of search results followed by full-texts review against eligibility criteria. Conclusion Findings are anticipated to guide future research and inform the development of tailored hypnotic interventions in children.

Falls and fear of falling among older adults in an assisted-living facility: A qualitative and foundational study for intervention development in a developing country

2021 ◽  
Vol 94 ◽  
pp. 104375
Author(s):  
Emmanuel Chiebuka Okoye ◽  
Christopher Olusanjo Akosile ◽  
Fatai Adesina Maruf ◽  
Ifeoma Uchenna Onwuakagba ◽  
Ukamaka Gloria Mgbeojedo
Keyword(s):  
Older Adults ◽  
Developing Country ◽  
Assisted Living ◽  
Fear Of Falling ◽  
Intervention Development ◽  
Assisted Living Facility

scholarly journals Effectiveness of Tai Chi for Health Promotion of Older Adults: A Scoping Review of Meta-Analyses

2021 ◽  
pp. 155982762110012
Author(s):  
Fei-Chi Yang ◽  
Aishwarya B. Desai ◽  
Pelareh Esfahani ◽  
Tatiana V. Sokolovskaya ◽  
Doreen J. Bartlett
Keyword(s):  
Older Adults ◽  
Health Promotion ◽  
Health Outcomes ◽  
Scoping Review ◽  
General Health ◽  
Tai Chi ◽  
Well Being ◽  
Cochrane Library ◽  
Care Providers ◽  
Meta Analyses

Background. Tai Chi is a form of exercise that is accessible to people from different socioeconomic backgrounds, making it a potentially valuable activity for health promotion of older adults. Purpose. The objective of this scoping review was to summarize the current knowledge about the effectiveness of Tai Chi for older adults across a range of general health outcomes from published, peer reviewed, unique meta-analyses. Methods. Meta-analyses were retrieved from Medline, Embase, AMED, CINAHL, SPORTDiscus, PsychINFO, Web of Science, PubMed Health, and the Cochrane Library from database inception to late August 2019. Multistage deduplication and screening processes identified eligible full-length meta-analyses. Two people independently appraised 27 meta-analyses based on the GRADE system and organized results into 3 appendices subsequently collated into heterogeneous, statistically significant, and statistically insignificant tables. Results. “High” and “moderate” quality evidence extracted from these meta-analyses demonstrated that practicing Tai Chi can significantly improve balance, cardiorespiratory fitness, cognition, mobility, proprioception, sleep, and strength; reduce the incidence of falls and nonfatal stroke; and decrease stroke risk factors. Conclusions. Health care providers can now recommend Tai Chi with high level of certainty for health promotion of older adults across a range of general health outcomes for improvement of overall well-being.

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