Aging in community: home- and community-based services clients’ use of computers as a protective factor for social isolation and loneliness

2018 ◽  
Vol 44 (10) ◽  
pp. 648-661 ◽  
Author(s):  
Kari M. Nilsen ◽  
Louis J. Medvene ◽  
Samuel Ofei-Dodoo ◽  
Rachel Smith ◽  
Anthony DiLollo ◽  
...  
Keyword(s):  
Social Isolation ◽  
Protective Factor ◽  
Community Based ◽  
Aging In Community ◽  
Community Based Services

scholarly journals Social Isolation and Loneliness: Strengthening Education and Training

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 714-714
Author(s):  
Tracy Lustig
Keyword(s):  
Health Care ◽  
Best Practices ◽  
Social Isolation ◽  
Social Care ◽  
Education And Training ◽  
Community Based ◽  
Health Care Workforce ◽  
New Evidence ◽  
Community Based Services ◽  
And Training

Abstract This paper reviews recommendations for a variety of opportunities to improve education and training of the health care workforce on the health impacts of SIL and clinical approaches for assessment as well as testing different approaches for such education and training. The fifth goal of the NASEM study is to “strengthen ties between the health care system and community-based networks and resources.” Similar to other social determinants of health, addressing SIL will require coordinated efforts among a variety of stakeholders. This paper reviews recommendations for improving coordination, including team-based care and promotion of tailored community-based services, as well as the creation of a centralized repository for new evidence and best practices. Finally, connections between this NASEM study and the 2019 report Integrating Social Care into the Delivery of Health Care are discussed. Part of a symposium sponsored by Loneliness and Social Isolation Interest Group.

scholarly journals Social isolation and loneliness among older people: issues and future challenges in community and residential settings

2008 ◽  
Vol 32 (3) ◽  
pp. 468 ◽  
Author(s):  
Linda Grenade ◽  
Duncan Boldy
Keyword(s):  
Older People ◽  
Social Isolation ◽  
Protective Factor ◽  
Community Dwelling ◽  
Intervention Programs ◽  
Community Based ◽  
Residential Settings ◽  
Number Of Factors ◽  
Future Challenges ◽  
Community Dwelling Older People

Although often associated with older age, loneliness and social isolation are not well understood in terms of their prevalence, risk and protective factors. Evidence suggests that only a minority of community-dwelling older people are ?severely? lonely or isolated, however a number of factors need to be considered to fully understand the extent and significance of the problem. Community- based studies have identified a variety of risk factors for loneliness/isolation including widowhood, no (surviving) children, living alone, deteriorating health, and life events (eg, loss and bereavement). Having a confidant has been identified as a protective factor for loneliness. However, evidence is often unclear or inconclusive, especially within residential settings. We identified the need to conduct more residential care-focused research; the importance of addressing a variety of methodological concerns; and the need for practitioners to develop intervention programs that are appropriately targeted, evidence-based and evaluated.

scholarly journals Remain Independence and Neighborhood Social Cohesiveness Among Older Adults Participating in Three Community-Based Programs Promoting Aging-in-Community in the USA

2020 ◽  
Vol 6 ◽  
pp. 233372142096025
Author(s):  
Su-I Hou
Keyword(s):  
Older Adults ◽  
Inverse Relationship ◽  
Group Differences ◽  
Learning Program ◽  
Community Based ◽  
Community Based Programs ◽  
Aging In Community ◽  
The Usa ◽  
Lunch Program ◽  
Community Based Services

Objectives: Aging-in-community has been a preferred way to aging. This study examines and compares remain independence (RI) and neighborhood social cohesiveness (NSC) among three programs promoting aging-in-community (AIC). Methods: Older adults from three AIC programs were surveyed: a village program, a county neighborhood lunch program, and a university-based lifelong learning program. Previously validated RI (3-item) and NSC (4-items) measures were used. Results: Mean age was 72.4 ( SD = 8.68) years ( n = 289). Both the RI and NSC scales showed satisfactory reliabilities, with Cronbach’s alphas of .81 and .88, respectively. Analyses showed significant inter-group differences on both RI and NSC. After controlling for demographics, regressions showed inter-group differences remained for RI, while disappeared for NSC. Education level had an inverse relationship with RI, whereas married status had a positive relationship with NSC scores. Discussion: Findings call attentions to RI among higher education and NSC among single older adults for community-based services and programs promoting aging-in-community.

A Study on the Estimation of Community-Based Services Demands for the Management of Patients with Alcohol Use Disorder

2019 ◽  
Vol 23 (1) ◽  
pp. 33-39
Author(s):  
Bo Hye Lee ◽  
Hae Kook Lee ◽  
Keun-Ho Joe ◽  
Sulki Chung ◽  
Hong Seok Oh ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Alcohol Use Disorder ◽  
Community Based ◽  
Community Based Services

scholarly journals Are the needs of people with multiple long-term conditions being met? Evidence from the 2018 General Practice Patient Survey

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e041569
Author(s):  
Lucina Rolewicz ◽  
Eilís Keeble ◽  
Charlotte Paddison ◽  
Sarah Scobie
Keyword(s):  
General Practice ◽  
Unmet Need ◽  
Patient Survey ◽  
Secondary Outcome ◽  
Community Based ◽  
Long Term Conditions ◽  
Local Services ◽  
Community Based Services ◽  
Practice Patient

ObjectivesTo investigate individual, practice and area level variation in patient-reported unmet need among those with long-term conditions, in the context of general practice (GP) appointments and support from community-based services in England.DesignCross-sectional study using data from 199 150 survey responses.SettingPrimary care and community-based services.ParticipantsRespondents to the 2018 English General Practice Patient Survey with at least one long-term condition.Primary and secondary outcome measuresThe primary outcomes were the levels of unmet need in GP and local services among patients with multiple long-term conditions. Secondary outcomes were the proportion of variation explained by practice and area-level factors.ResultsThere was no relationship between needs being fully met in patients’ last practice appointment and number of long-term conditions once sociodemographic characteristics and health status were taken into account (5+conditions−OR=1.04, 95% CI 0.99 to 1.09), but there was a relationship for having enough support from local services to manage conditions (5+conditions−OR=0.84, 95% CI 0.80 to 0.88). Patients with multimorbidity that were younger, non-white or frail were less likely to have their needs fully met, both in GP and from local services. Differences between practices and local authorities explained minimal variation in unmet need.ConclusionsLevels of unmet need are high, particularly for support from community services to manage multiple conditions. Patients who could be targeted for support include people who feel socially isolated, and those who have difficulties with their day-to-day living. Younger patients and certain ethnic groups with multimorbidity are also more likely to have unmet needs. Increased personalisation and coordination of care among these groups may help in addressing their needs.

Screening and Priority-Setting to Determine Home- and Community-Based Aging Services for Older Floridians

2021 ◽  
pp. 073346482110125
Author(s):  
Lawrence Schonfeld ◽  
Jesse Bell ◽  
Mary Goldsworthy ◽  
Kevin Kip ◽  
Amber M. Gum ◽  
...  
Keyword(s):  
Service Delivery ◽  
National Standards ◽  
Third Party ◽  
Community Based ◽  
Older Americans ◽  
Caregiver Support ◽  
Aging Services ◽  
Optimal Health ◽  
Aging Network ◽  
Community Based Services

The National Aging Network serves millions of older Americans seeking home- and community-based services, but places others on waitlists due to limited resources. Little is known about how states determine service delivery and waitlists. We therefore conducted a process evaluation and analyzed data from one five-county Area Agency on Aging in Florida, where an algorithm calculates clients’ priority scores for service delivery. From 23,225 screenings over 5.5 years, clients with higher priority scores were older, married, living with caregivers, and had more health problems and needs for assistance. Approximately 51% received services (e.g., meals/nutrition, case management, caregiver support), 11% were eligible/being enrolled, and 38% remained on waitlists. Service status was complex due to multiple service enrollments and terminations, funding priorities, and transfers to third-party providers. More research is needed regarding how other states determine eligibility and deliver services, potentially informing national standards that promote optimal health in older Americans.

scholarly journals All Is Good, but Not Really: Daily Reports of Satisfaction With Home- and Community-Based Services

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 639-640
Author(s):  
Jyoti Savla ◽  
Karen Roberto ◽  
Aubrey Knight ◽  
Rosemary Blieszner ◽  
Brandy Renee McCann ◽  
...  
Keyword(s):  
Service Use ◽  
Service Providers ◽  
Theory And Practice ◽  
Community Based ◽  
Daily Diaries ◽  
Rural Caregivers ◽  
Service Expectations ◽  
Extensive Body ◽  
Barriers To Health ◽  
Community Based Services

Abstract An extensive body of literature documents correlates of and barriers to health service use, yet much less is known about satisfaction with home- and community-based services for persons with dementia (PwD). Daily diary data from 122 rural caregivers (CG) of PwD (814 daily diaries) were used to assess everyday service use experiences. At the last diary interview, CG identified areas where service use expectations were and were not being met. CGs reported problems with services used on fewer than 5% of study days (e.g., service provider was delayed because of car trouble). In contrast, 82% of CG identified areas where service expectations were not being met. Their most common concerns were lack of control over service availability and lack of adequate training among service providers. Recommendations for alternative ways for capturing service use satisfaction will be offered, and implications for theory and practice will be discussed.

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