scholarly journals EXPLORING THE EFFICACY AND EFFECTIVENESS OF REMINISCENCE USING THREE-DIMENSIONAL PRINTED OBJECTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S308-S308
Author(s):  
Keith A Anderson ◽  
Marla Berg-Weger ◽  
Tom Plocher ◽  
Anne Farina ◽  
Joseph E Gaugler
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Phase I ◽  
Phase Ii ◽  
Social Engagement ◽  
Three Dimensional ◽  
3D Object ◽  
3D Objects ◽  
Centered Care

Abstract Reminiscence therapy (RT) is a form of person-centered care that involves the exploration of past activities, events, and experiences with another person or in a small group. Research on RT has found an array of benefits for older adults, including improvements in mood, quality of life, social interaction, cognition, and memory. In this presentation, the researchers report on Phases I and II of an evaluation of a reminiscence using three-dimensional (3D) printed objects from older adults’ pasts. Advances in 3D printing technology now allow researchers to create scale replicas of cherished items from peoples’ pasts, such as toys, bicycles, pets, automobiles, boats, and houses. In Phase I, the researchers evaluated the efficacy of incorporating 3D objects in reminiscence using a parallel convergent mixed methods design. Participants agreed or strongly agreed that the 3D object reminiscence was well-received (88.9%), facilitated reminiscence (83.3%), increased engagement and alertness (72.3%). Qualitative data identified additional benefits of the use of 3D objects in reminiscence, including increases in social engagement and interactions with staff and family members. In Phase II, the researchers are evaluating the effectiveness of a formal 3D reminiscence intervention using a randomized control trial of 175 older adults. The researchers hypothesize that 3D object reminiscence will be more effective than reminiscence using verbal cues in stimulating memory and enhancing cognition, engagement, mood, and quality of life. Preliminary findings from Phase II will be reported along with the findings from Phase I.

scholarly journals Last Place of Care and End-of-Life Quality of Life in the United States: Evidence From a National Representative Data Set

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 17-17
Author(s):  
Yifan Lou ◽  
Nan Jiang ◽  
Katherine Ornstein
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
End Of Life ◽  
End Of Life Care ◽  
The United States ◽  
Life Care ◽  
Person Centered Care ◽  
Centered Care ◽  
The Relationship

Abstract Background: Quality of life (QoL) during last stage of life has raised expanded interests as an important aspect of person-centered care. Last place of care (LPC), refer to the last place decedents received their formal end-of-life care (EOLC), has been identified as a key indicator of older adults’ end-of-life QoL, but the relationship was understudied. This study explores the association between LPC and end-of-life QoL among American older adults. Methods: Data used seven waves of Last Month of Life data with a total sample of 3068 Medicare decedents in NHATS. Outcome is end-of-life QoL assessed by eleven measures on four domains: pain and symptoms management (SP), quality of healthcare encounter (HE), person-centered care (PC), and overall quality of care (QC). LPC was categorized into home, hospital, nursing home, and residential hospice. Multivariate logistic regression analyses were used to examine the relationship with covariates. Results: LPC varied by most demographic characteristics, except immigration status and education. Older adults whose LPC is hospital, compared to those who had home-care, were less likely to have great experiences on HE, PC, and QC. People dying at nursing homes are more likely to receive care meeting their dyspnea and spiritual needs. Residential hospice is negatively related to respected care, clear coordination, and keeping family informed, but are more likely to provide PS and spiritual care. Discussion: Home-based end-of-life care has certain advantages but still has room to improve on SP and religious concerns. Hospitals should keep reforming their service delivery structure to improve patients’ QoL.

scholarly journals TECHNOLOGY DESIGN TO SUPPORT SOCIAL ENGAGEMENT FOR OLDER ADULTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S211-S211
Author(s):  
Wendy Rogers
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Social Networking ◽  
Social Engagement ◽  
Health Issues ◽  
Mobility Limitations ◽  
Older Adulthood ◽  
Technology Innovations ◽  
And Training

Abstract Evidence that loneliness and isolation are precursors to myriad negative health issues is accumulating. For older adults, social engagement may be particularly important due to life-changing events that can accompany older adulthood, including retirement, disease, or mobility limitations. Individuals vary in their levels of social engagement, and these differences may have consequential effects on quality of life. Technology has the potential to create and enhance social engagement opportunities for older adults at risk for social isolation. For such technology innovations to be effective and widely adopted, designers must consider the unique needs, capabilities, limitations, and preferences of older adults. I will describe technologies that currently exist (e.g., apps, mobile devices, social networking) or are being developed (e.g., robotics, telepresence, virtual reality) to support social engagement, connectedness, and community participation. I will discuss the potential of these technologies as well as the design and training challenges unique to older adults.

Quality of life assessment in patients above 60, below 50 years of age during and after curative radiotherapy in head and neck cancers

2006 ◽  
Vol 24 (18_suppl) ◽  
pp. 5552-5552 ◽  
Author(s):  
A. Turaka ◽  
B. K. Mohanti ◽  
S. Chander ◽  
S. V. Deo ◽  
R. Jena ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Elderly Patients ◽  
Phase I ◽  
Head And Neck ◽  
Phase Ii ◽  
Younger Patients ◽  
Curative Radiotherapy ◽  
Group A ◽  
Group B

5552 Background: To evaluate the Quality of life in patients above 60 and below 50 years during and after curative radiotherapy in head and neck cancers. Methods: Head and Neck cancer patients who are to undergo curative radiotherapy (RT) were divided into two groups, 49 patients (Group A,above 60 years) and 40 patients (Group B,below 50). Quality of life assessment was done using EORTC QLQ C-30 version-2 at 4 phases;Pretreatment-Phase I,during RT-Phase II,1-month post RT-Phase III and 6 months post RT-Phase IV.Statistical analysis was done with mean scores using ’t’ test. Results: Physical functioning (PF)scores in both groups were highest in phase I (69.4;77.5, p < 0.035) and lowest in phase II (40; 50, p < 0.008) and the difference was statistically significant. Although PF scores declined in both groups in phase II, overall PF score remained higher in group B than in group A in all phases.Role functioning score remained low in both groups and the difference were not statistically significant at all phases. Emotional functioning score was highest in phase I (68.37; 69.15), but declined as treatment progressed, consequent to depression.The values improved over time, restored to near pretreatment values at phase IV. Cognitive functioning scores in both groups was also highest in phase I (70.07; 79.17). Social functioning of both groups declined during RT (42.52; 45)compared to pre RT values (73.47; 77.09). The mean Global Health Status score was higher in group B compared to group A at all phases, yet there was no statistical significance.The scores declined during RT (66.87 vs 35.62 & 64.79 vs 34.01), improved overtime but did not reach pre RT scores.The symptom scores were all higher for elderly patients compared with younger patients at all phases, implying elderly patients experienced more symptoms, with greater experience of symptoms during RT. Conclusions: Quality of Life of elderly patients was lower compared to younger patients at phase II in terms of physical functioning, social and emotional functioning. Global Health Status score was higher for younger patients than elderly at all phases, and declined in phase II. No significant financial relationships to disclose.

scholarly journals Health-Related Quality of Life in Older Coastal Residents After Multiple Disasters

2016 ◽  
Vol 11 (1) ◽  
pp. 90-96 ◽  
Author(s):  
Katie E. Cherry ◽  
Laura Sampson ◽  
Sandro Galea ◽  
Loren D. Marks ◽  
Kayla H. Baudoin ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Social Support ◽  
Older Adults ◽  
Social Engagement ◽  
Health Related Quality ◽  
Sf 36 ◽  
Related Quality ◽  
Health Related ◽  
Coastal Residents

AbstractObjectiveExposure to multiple disasters, both natural and technological, is associated with extreme stress and long-term consequences for older adults that are not well understood. In this article, we address age differences in health-related quality of life in older disaster survivors exposed to the 2005 Hurricanes Katrina and Rita and the 2010 BP Deepwater Horizon oil spill and the role played by social engagement in influencing these differences.MethodsParticipants were noncoastal residents, current coastal residents, and current coastal fishers who were economically affected by the BP oil spill. Social engagement was estimated on the basis of disruptions in charitable work and social support after the 2005 hurricanes relative to a typical year before the storms. Criterion measures were participants’ responses to the SF-36 Health Survey which includes composite indexes of physical (PCS) and mental (MCS) health.ResultsThe results of logistic regressions indicated that age was inversely associated with SF-36 PCS scores. A reduction in perceived social support after Hurricane Katrina was also inversely associated with SF-36 MCS scores.ConclusionsThese results illuminate risk factors that impact well-being among older adults after multiple disasters. Implications of these data for psychological adjustment after multiple disasters are considered. (Disaster Med Public Health Preparedness. 2017;11:90–96)

scholarly journals Stress, Coping Strategies, Quality of Life and Lived Experiences of Women with Pregnancyinduced Hypertension

2009 ◽  
Vol 1 (1) ◽  
pp. 65-68 ◽  
Author(s):  
Randhir Puri ◽  
A Raddi Sudha ◽  
S Nayak Baby ◽  
Prakash Ratna ◽  
MC Metgud
Keyword(s):  
Quality Of Life ◽  
Phase I ◽  
Coping Strategies ◽  
Phase Ii ◽  
Lived Experiences ◽  
World Health ◽  
Research Centre ◽  
Second Phase ◽  
Quality Of Life Scale

ABSTRACT Objectives To explore and assess the levels of stress and its manifestation and different stressors in women with pregnancy-induced hypertension and to identifying the coping strategies used by women with PIH in response to stress. Methods The research approach for the first phase of study was corelational and the subjects were selected by convenience sampling technique and for the second phase qualitative using phenomenology to study the lived experiences. The study comprised of 65 women with PIH, in the Phase I and 6 women with PIH in the Phase II, who were admitted in antenatal wards of KLES Hospital and Medical Research Centre and District Hospital Belgaum. The data on coping strategies was collected using a standardized tool, the Jalowiec coping scale and data on quality of life of women with PIH was collected using another standardized tool — the World Health Organization Quality of Life scale (WHOQOL-BREF). The qualitative data was collected using a semistructured interview schedule and the audiotaping of the verbatum of lived experiences. Results In the Phase I it was found that majority (64.61%) of women had moderate stress levels. The finding indicated that there was no correlation between levels of stress and use and effectiveness of coping strategies. (r1 (65) = 0.1226, P > 0.05, r2 (65) = 0.1805, P > 0.01). The association between levels of stress and quality of life of women with PIH showed that quality of life was independent of levels of stress. The chi-square value (l2effect =12.137) between age and effectiveness of coping strategies was significant which showed that effectiveness of coping strategies were dependent on the age of the women with PIH. In the Phase II based on the analysis of data four themes emerged from the women's perspective of the phenomenon under study. Theme 1 Impact of bed rest. Theme 2 Unaware of PIH and its effect on self and unborn child. Theme 3 Fear of outcome of pregnancy. Theme 4 Psychological impact of symptoms of PIH. Conclusion All these four dimensions depict the importance of holistic and comprehensive care.

scholarly journals The Ties That Bind: How Online and Offline Interactions Affect Social Support and Quality of Life for Older Adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 301-301
Author(s):  
Shelia Cotten
Keyword(s):  
Quality Of Life ◽  
Social Support ◽  
Older Adults ◽  
Social Media ◽  
Information And Communication Technologies ◽  
Social Engagement ◽  
Social Ties ◽  
Media Use ◽  
Social Media Use

Abstract Though a digital divide still exists, older adults are increasingly using a range of information and communication technologies (ICTs) – smartphones, apps, tablets, and computers – to communicate and engage with social ties. This symposium focuses on modalities of interaction – whether online or offline – that older adults use to interact with social ties. The research projects detailed examine the frequency of different interaction modalities, as well as impacts of these interaction modalities on older adults’ perceptions of social support and quality of life. Kadylak and colleagues focus on social robots and how older adults may engage with this evolving technology to improve social engagement and aging in place. Kim and Fingerman investigate whether daily social media use is associated with same-day negative or positive mood in later life. Xie and colleagues examine older adults’ patterns of both online and offline social interaction during COVID-19, and how older adults perceive these interactions. Schuster and Cotten, using a national sample of individuals aged 65 and older, examine whether social media use may be related to a range of quality of life indicators. Each of these studies provides additional insights into the ways through which older adults interact and communicate with social ties, and potential impacts of the different ways through which they interact, which may provide insights into groups seeking to increase social engagement among older adults in general and during times when social isolation may be exacerbated due to societal stressors, such as pandemics.

Quality of Life Trajectories of Older Adults Living in Senior Housing

2017 ◽  
Vol 40 (6) ◽  
pp. 511-534 ◽  
Author(s):  
Amy Restorick Roberts ◽  
Kathryn Betts Adams
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Social Engagement ◽  
Leisure Activities ◽  
Panel Study ◽  
Senior Housing ◽  
Life Trajectories ◽  
The Face ◽  
Over Time

Quality of life (QoL) in the face of declining health, mobility, and social losses is a central issue for older adults. Our study examined changes in QoL over time for older adults residing in independent senior housing within continuing care retirement communities (CCRCs) and estimated how residents’ social engagement during their first year influenced QoL over the next 4 years. Data were drawn from a 5-year panel study of 267 older adults who moved into senior housing within four CCRCs. Although initial QoL varied between individuals, QoL declined for the group over time. One component of early social engagement—participating in a greater number of formal social activities organized by the CCRC—significantly slowed the rate of decline in QoL. Findings suggest that senior housing residents may benefit from early participation in organized social and leisure activities soon after move-in to forestall declines in QoL over the long term.

Development of a Japanese Quality of Life Instrument for Older Adults Experiencing Dementia (QLDJ)

2002 ◽  
Vol 55 (1) ◽  
pp. 71-95 ◽  
Author(s):  
Noriko Yamamoto-Mitani ◽  
Toshiko Abe ◽  
Yuko Okita ◽  
Kunihiko Hayashi ◽  
Chieko Sugishita ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Three Dimensional ◽  
Reliability And Validity ◽  
Negative Behaviors ◽  
Formal Caregivers ◽  
Life Instrument ◽  
Initial Item ◽  
Using Data

This study develops a quality of life instrument for older Japanese people experiencing dementia (QLDJ). Quality of life (QL) for these older adults is defined as a three dimensional construct including 1) interacting with surroundings, 2) expressing self, and 3) experiencing minimum negative behaviors. From 53 items in the initial item pool, 24 were selected based on item reliability and validity using data from 3 studies that involve ten dementia-care experts (Study A) and 36 and 623 older persons and their formal caregivers in various care settings (Study B & C). Factor analysis of these items identified three domains that correspond to the conceptual definition of QL for older adults with dementia. The domain and total QL scores were calculated considering the relative weights of each item. Resultant domain and total scores of the QLDJ showed satisfactory reliability and evidence of validity.

scholarly journals Improvisational Movement to Improve Quality of Life in Older Adults With Early-Stage Dementia: A Pilot Study

2022 ◽  
Vol 3 ◽  
Author(s):  
Deepthi Thumuluri ◽  
Robert Lyday ◽  
Phyllis Babcock ◽  
Edward H. Ip ◽  
Robert A. Kraft ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Alzheimer’S Disease ◽  
Older Adults ◽  
Clinical Trial ◽  
Pilot Study ◽  
Social Engagement ◽  
Early Stage ◽  
Brain Network ◽  
Dance Intervention

Alzheimer's disease has profound effects on quality of life, affecting not only cognition, but mobility and opportunities for social engagement. Dance is a form of movement that may be uniquely suited to help maintain quality of life for older adults, including those with dementia, because it inherently incorporates movement, social engagement, and cognitive stimulation. Here, we describe the methods and results of the pilot study for the IMOVE trial (NCT03333837, www.clinicaltrials.gov), a clinical trial designed to use improvisational dance classes to test the effects of movement and social engagement in people with mild cognitive impairment (MCI) or early-stage dementia. The pilot study was an 8-week investigation into the feasibility and potential effects of an improvisational dance intervention on people with MCI or early-stage dementia (PWD/MCI) and their caregivers (CG). The pilot aimed to assess changes in quality of life, balance, mood, and functional brain networks in PWD/MCI and their CG. Participants were recruited as dyads (pairs) that included one PWD/MCI and one CG. Ten total dyads were enrolled in the pilot study with five dyads assigned to the usual care control group and five dyads participating in the dance intervention. The intervention arm met twice weekly for 60 min for 8 weeks. Attendance and quality of life assessed with the Quality of Life in Alzheimer's disease (QoL-AD) questionnaire were the primary outcomes. Secondary outcomes included balance, mood and brain network connectivity assessed through graph theory analysis of functional magnetic resonance imaging (fMRI). Class attendance was 96% and qualitative feedback reflected participants felt socially connected to the group. Increases in quality of life and balance were observed, but not mood. Brain imaging analysis showed increases in multiple brain network characteristics, including global efficiency and modularity. Further investigation into the positive effects of this dance intervention on both imaging and non-imaging metrics will be carried out on the full clinical trial data. Results from the trial are expected in the summer of 2022.

scholarly journals Increasing quality of life for older adults living in collective dwellings using virtual reality: a feasibility study

2021 ◽  
Author(s):  
Laura Krieger
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Virtual Reality ◽  
Social Engagement ◽  
Well Being ◽  
Small Sample ◽  
Control Group ◽  
Virtual Tourism ◽  
Study Results

The number of older adults living in collective dwellings is increasing. It is important to research effective strategies to maintain and enhance quality of life for older adults living in collective dwellings. Meaningful leisure, such as the ability to travel, is associated with increases in quality of life for older adults. Unfortunately, many older adults, especially those living in collective dwellings, face barriers to travel. Virtual reality (VR) may help older adults living in collective dwellings overcome barriers to travel. The present study examined whether older adults living in collective dwellings tolerated and enjoyed immersive VR, and whether six weeks of virtual tourism affected their quality of life, social engagement, and loneliness. Fourteen older adults living in retirement homes in Toronto participated in this study. Results suggested that participants tolerated immersive VR without experiencing cybersickness, and that they were happier, more excited, and less anxious immediately following VR exposure. Levels of social engagement increased following the six-week virtual tourism program. These quantitative findings were further supported by qualitative interviews. No changes in quality of life or loneliness were found. Limitations include a lack of a control group and small sample size. Addressing these limitations will help to isolate the effects of the virtual tourism program on indices of well-being.

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