Evaluating the use of standardized health measures with older people: the example of social support

1999 ◽  
Vol 9 (4) ◽  
pp. 371-382 ◽  
Author(s):  
Christina R Victor ◽  
Lynne M Henderson ◽  
Donna L Lamping

In his book ‘Effectiveness and Efficiency’ Cochrane drew attention to the need to evaluate the effectiveness of health service intervention. Despite his plea for more evaluative research in health services, it has been suggested that only 20% of health care interventions have been rigorously evaluated. Changes in the structure and philosophy of the NHS in the past decade have stimulated interest in the evaluation of health services interventions at both local and national levels.

2021 ◽  
pp. 089198872199681
Author(s):  
Kerry Hanna ◽  
Clarissa Giebel ◽  
Hilary Tetlow ◽  
Kym Ward ◽  
Justine Shenton ◽  
...  

Background: To date, there appears to be no evidence on the longer-term impacts caused by COVID-19 and its related public health restrictions on some of the most vulnerable in our societies. The aim of this research was to explore the change in impact of COVID-19 public health measures on the mental wellbeing of people living with dementia (PLWD) and unpaid carers. Method: Semi-structured, follow-up telephone interviews were conducted with PLWD and unpaid carers between June and July 2020. Participants were asked about their experiences of accessing social support services during the pandemic, and the impact of restrictions on their daily lives. Results: 20 interviews were conducted and thematically analyzed, which produced 3 primary themes concerning emotional responses and impact to mental health and wellbeing during the course of the pandemic: 1) Impact on mental health during lockdown, 2) Changes to mental health following easing of public health, and 3) The long-term effect of public health measures. Conclusions: The findings from this research shed light on the longer-term psychological impacts of the UK Government’s public health measures on PLWD and their carers. The loss of social support services was key in impacting this cohort mentally and emotionally, displaying a need for better psychological support, for both carers and PLWD.


Author(s):  
Chengxu Long ◽  
Ruoxi Wang ◽  
Da Feng ◽  
Lu Ji ◽  
Zhanchun Feng ◽  
...  

Background: Due to the household registration system, Chinese elderly migrants have insufficient access to health services and social support. Thus, this study examined the use of health services, the access to social support, and the interaction among the elderly migrating within China. Methods: Data were obtained from the China Migrant Dynamic Monitoring Survey in 2015, adopting probability proportionate to size as the sampling strategy. Structural equation modeling and mediating effect tests were employed to explore the associations. Results: Approximately 45.9% of elderly migrants did not seek health services when needed. The use of outpatient and inpatient services was more common than free essential public health services. The use of health services was negatively associated with migrating duration and migrating for offspring, while it was positively associated with outer social support. The mediating effects of outer social support were discovered on the relationships between the use of health services and independent variables such as migrating duration and migrating for offspring, respectively. Conclusion: Elderly migrants with a longer migrating duration or migrated for offspring seem to obtain less outer social support, resulting in a decreased use of health services. Outer social support was suggested as a key effort to improve the equalization of health services in Chinese elderly migrants.


Author(s):  
Susan Jane Bretherton

This study investigated the influence of predisposing factors (social support, help-seeking attitudes and help-seeking intentions) on older Australian adults’ use of mental health services for depression and/or anxiety symptoms. Participants were 214 older Australian adults (61% female; aged between 60 and 96 years; M  =  75.15 years, SD  =  8.40 years) who completed a self-report questionnaire that measured predisposing factors and lifetime mental health service use for depression and/or anxiety symptoms. Higher levels of social support predicted non-use of mental health services. When this relationship was serially mediated by help-seeking attitudes and help-seeking intentions, it predicted mental health service use for depression and/or anxiety. Older adults are less likely to seek help for depression and/or anxiety symptoms unless members of their social support network encourage positive help-seeking attitudes, which lead to positive help-seeking intentions and the subsequent use of mental health services.


Author(s):  
E. Kharitonova

The article focuses on the task of measuring and evaluating a state's soft power. While the soft power concept developed by Joseph Nye is currently widely accepted and used, its theoretical understanding and practical application remains challenging. Both international relations scholars and those responsible for soft power in governmental and non-state agencies are looking for the tools to assess their work and the country's standing in the world in terms of soft power. As the author of the concept and other researchers noted, evaluation and measurement may be difficult due to the number of influencing factors including the use of hard power that can overshadow soft power efforts, and also because soft power efforts can bring results only in a distant period of time. However, in response to the researchers' and policy makers' need to evaluate, measure and compare soft power related parameters, a number of international ratings evolved during the past several years, such as various ratings of soft power, nation brands, countries' reputation and presence. At the same time, such rankings have several weaknesses. First of all, they present mainly the western point of view which focuses on the parameters important for western audiences and may overlook characteristics important for other, non-western cultures. They also may be subjective due to financial reasons. Besides that, while some of the ratings aim to evaluate resources or assets of nations' soft power, other focus on results like influence or reputation. Evaluation of instruments used to enhance a country's soft power and their effectiveness is also important. In many cases, even significant resources of soft power do not guarantee strong positions in this context. Comparing certain countries' positions in different ratings helps to understand a country's standing in terms of soft power, identify strong sides and analyze whether a state's soft power potential transforms into the desired outcomes.


2006 ◽  
Vol 14 (5) ◽  
pp. 427-435 ◽  
Author(s):  
Taina Taskila ◽  
Marja-Liisa Lindbohm ◽  
Rami Martikainen ◽  
Ulla-Sisko Lehto ◽  
Jari Hakanen ◽  
...  

2021 ◽  
Vol 122 (1) ◽  
pp. 46-57
Author(s):  
Kate Bayliss ◽  
Ben Fine

This article is concerned with the ways that diet-related health outcomes (including increased incidence and severity of Covid-19) are linked to the system of provision for food. Worldwide obesity has tripled in the past three decades, creating an immense strain on health services, with poor diet associated with 22 per cent of global deaths in 2017. We show that neoliberal and financialised global systems of food production have intensified dysfunctional practices such as land grabs and price speculation. Moreover, capitalist expansion of production inevitably creates pressures to increase consumption such that malnutrition from overeating runs neck and neck with undernutrition on a global scale. It is shown how food corporates (producers, retailers, and so on) are instrumental in creating avenues to affect our diets in ways that are far more effective than government campaigns to promote healthy eating. It is these powerful systemic corporate interests that need to be addressed in order to improve diets and consequent health outcomes.


2010 ◽  
Vol 42 (4) ◽  
pp. 549-562 ◽  
Author(s):  
MELLISSA WITHERS ◽  
MEGUMI KANO ◽  
GDE NGURAH INDRAGUNA PINATIH

SummaryExploring fertility preferences in relation to contraceptive use can increase the understanding of future reproductive behaviour and unmet family planning needs. This knowledge can help assist women in meeting their reproductive goals. The influences on the desire for more children and current contraceptive use were examined among 1528 married women of reproductive age in an isolated community in Bali, Indonesia, using multivariate logistic regression analysis. Women who were younger, had fewer living children, had given birth in the past year and had regular access to health services were more likely to desire children. Being older, having fewer living children, not having regular access to health services, having given birth in the past year and having the desire for more children were associated with a lower likelihood of using contraception. Women with regular access to health care are more likely to desire more children, probably because they are confident in their ability to have successful birth outcomes. However, specialized clinics or family planning outreach workers may be required to reduce barriers to service utilization among some groups. The findings of this study identify key target populations for family planning, including older women and postpartum women – groups that may not perceive themselves to be at risk for unintended pregnancy. Meeting unmet need for family planning among these groups could help women meet their fertility goals, as well as reduce maternal morbidity and mortality.


Author(s):  
Bahadir Bozoglan ◽  
Veysel Demirer

The past decade has seen plenty of studies focusing on Internet use and Internet addiction. This is because the Internet provides information about variety of topics all over world and is easily accessed. Arguments concerning the association between excessive use and Internet addiction are ongoing. There is not yet a clear, consensus definition of Internet addiction. In this chapter, we discuss previous research and implications for future studies regarding Internet addiction and its most studied psychosocial variables: depression, loneliness, social anxiety, self-esteem, life satisfaction, and social support.


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