scholarly journals Factors affecting physician implementation of hospital pharmacists’ medication appropriateness recommendations in older adults

2021 ◽  
Author(s):  
Kieran Dalton ◽  
Aoife Fleming ◽  
Denis O’Mahony ◽  
Stephen Byrne
Keyword(s):  
Older Adults ◽  
Hospital Pharmacists ◽  
Factors Affecting ◽  
Medication Appropriateness

scholarly journals Clinical features and outcomes of COVID-19 in older adults: a systematic review and meta-analysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sunny Singhal ◽  
Pramod Kumar ◽  
Sumitabh Singh ◽  
Srishti Saha ◽  
Aparajit Ballav Dey
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Critically Ill ◽  
Clinical Features ◽  
Older Patients ◽  
Clinical Characteristics ◽  
Meta Analysis ◽  
Severe Infection ◽  
Factors Affecting ◽  
Pooled Prevalence

Abstract Background Few studies have focused on exploring the clinical characteristics and outcomes of COVID-19 in older patients. We conducted this systematic review and meta-analysis to have a better understanding of the clinical characteristics of older COVID-19 patients. Methods A systematic search of PubMed and Scopus was performed from December 2019 to May 3rd, 2020. Observational studies including older adults (age ≥ 60 years) with COVID-19 infection and reporting clinical characteristics or outcome were included. Primary outcome was assessing weighted pooled prevalence (WPP) of severity and outcomes. Secondary outcomes were clinical features including comorbidities and need of respiratory support. Result Forty-six studies with 13,624 older patients were included. Severe infection was seen in 51% (95% CI– 36-65%, I2–95%) patients while 22% (95% CI– 16-28%, I2–88%) were critically ill. Overall, 11% (95% CI– 5-21%, I2–98%) patients died. The common comorbidities were hypertension (48, 95% CI– 36-60% I2–92%), diabetes mellitus (22, 95% CI– 13-32%, I2–86%) and cardiovascular disease (19, 95% CI – 11-28%, I2–85%). Common symptoms were fever (83, 95% CI– 66-97%, I2–91%), cough (60, 95% CI– 50-70%, I2–71%) and dyspnoea (42, 95% CI– 19-67%, I2–94%). Overall, 84% (95% CI– 60-100%, I2–81%) required oxygen support and 21% (95% CI– 0-49%, I2–91%) required mechanical ventilation. Majority of studies had medium to high risk of bias and overall quality of evidence was low for all outcomes. Conclusion Approximately half of older patients with COVID-19 have severe infection, one in five are critically ill and one in ten die. More high-quality evidence is needed to study outcomes in this vulnerable patient population and factors affecting these outcomes.

scholarly journals Do millennials value travel time differently because of productive multitasking? A revealed-preference study of Northern California commuters

2021 ◽  
Author(s):  
Aliaksandr Malokin ◽  
Giovanni Circella ◽  
Patricia L. Mokhtarian
Keyword(s):  
Older Adults ◽  
Young Adults ◽  
Willingness To Pay ◽  
Travel Time ◽  
Choice Model ◽  
Mode Choice ◽  
Revealed Preference ◽  
Northern California ◽  
Factors Affecting ◽  
The Impact

AbstractMillennials, the demographic cohort born in the last two decades of the twentieth century, are reported to adopt information and communication technologies (ICTs) in their everyday lives, including travel, to a greater extent than older generations. As ICT-driven travel-based multitasking influences travelers’ experience and satisfaction in various ways, millennials are expected to be affected at a greater scale. Still, to our knowledge, no previous studies have specifically focused on the impact of travel multitasking on travel behavior and the value of travel time (VOTT) of young adults. To address this gap, we use an original dataset collected among Northern California commuters (N = 2216) to analyze the magnitude and significance of individual and household-level factors affecting commute mode choice. We estimate a revealed-preference mode choice model and investigate the differences between millennials and older adults in the sample. Additionally, we conduct a sensitivity analysis to explore how incorporation of explanatory factors such as attitudes and propensity to multitask while traveling in mode choice models affects coefficient estimates, VOTT, and willingness to pay to use a laptop on the commute. Compared to non-millennials, the mode choice of millennials is found to be less affected by socio-economic characteristics and more strongly influenced by the activities performed while traveling. Young adults are found to have lower VOTT than older adults for both in-vehicle (15.0% less) and out-of-vehicle travel time (15.7% less), and higher willingness to pay (in time or money) to use a laptop, even after controlling for demographic traits, personal attitudes, and the propensity to multitask. This study contributes to better understanding the commuting behavior of millennials, and the factors affecting it, a topic of interest to transportation researchers, planners, and practitioners.

scholarly journals Factors Affecting the Initial Engagement of Older Adults in the Use of Interactive Technology

2021 ◽  
Vol 18 (6) ◽  
pp. 2847
Author(s):  
Lina Lee ◽  
Mary Lou Maher
Keyword(s):  
Older Adults ◽  
Interactive Technology ◽  
Key Factors ◽  
Group Discussions ◽  
Interactive Technologies ◽  
Factors Affecting ◽  
Diary Studies ◽  
User Focus ◽  
Depth Interviews

Smart environments and the use of interactive technology has the potential to improve the quality of life for the senior community as well as to support the connections among the senior community and the world outside their community. In addition to the increasing number of studies in the field of aging and technologies, research is needed to understand the practical issues of user focus, adoption, and engagement for older adults to accept interactive technologies in their lives. In this study, we use two commercial technological interventions (uDraw and GrandPad) to understand technology-related perceptions and behaviors of older adults. We present five case studies that emerge from empirical observations of initial engagement with technology through research methods such as focus group discussions, in-depth interviews, observations, and diary studies. The contributions of this study are identification of the key factors that influence the initial engagement with interactive technology for older adults.

Factors Affecting the Extent and Quality of Nature Engagement of Older Adults Living in a Range of Home Types

2018 ◽  
Vol 52 (8) ◽  
pp. 799-829 ◽  
Author(s):  
Yolanda van Heezik ◽  
Claire Freeman ◽  
Yvette Buttery ◽  
Debra L. Waters
Keyword(s):  
Older Adults ◽  
Older People ◽  
Health Issues ◽  
Factors Affecting ◽  
Frailty Status ◽  
Nature Contact ◽  
Nature Connectedness ◽  
Nature Experience ◽  
Access To Nature

Nature interaction is seen as a potentially inexpensive intervention to address many health issues. Aging is associated with declining health and mobility. Older people are known to benefit from nature contact; however, less is known about how aging limits access to nature. We investigated older adults occupying family, downsized, and rest homes to determine factors driving changes in nature engagement, and the quality of available nature. Less time was spent in natural places as people aged, depending on the extent of nature connectedness, frailty status, home type, and whether they lived alone or not. Most reported reduced nature engagement and expressed feelings of sadness, frustration, and anger. Gardens assumed an important role in enabling nature contact to continue, in that time spent in gardens was unrelated to age or frailty. Garden variability meant the quality of the nature experience was likely lower for those living in downsized and rest homes.

The Acceptance Behavior of New Media Entertainment Among Older Adults: Living Arrangement as a Mediator

2019 ◽  
Vol 91 (3) ◽  
pp. 274-298
Author(s):  
Dawei Liu ◽  
Anqi Liu ◽  
Wanying Tu
Keyword(s):  
Older Adults ◽  
New Media ◽  
Technology Acceptance ◽  
Technology Acceptance Model ◽  
Living Arrangement ◽  
Value Orientations ◽  
Perceived Usefulness ◽  
Factors Affecting ◽  
Business Practitioners ◽  
Acceptance Model

New media entertainment is currently being spotlighted by business practitioners and researchers. This article highlighted this issue of elder online users and explored the factors affecting their acceptance decisions in new media entertainment. Older adults prefer to status and value orientations, so their online acceptance of new media entertainment is significantly influenced by the perceived usefulness and social benefits. In addition, types of living arrangement significantly affect technology acceptance model of older adults.

scholarly journals Understanding immunesenescence

2018 ◽  
pp. 107-130
Author(s):  
Anna C. Whittaker ◽  
Jane Upton ◽  
Niharika Arora Duggal ◽  
Chadni Deb ◽  
Charanjit Randhawa ◽  
...  
Keyword(s):  
Older Adults ◽  
Hip Fracture ◽  
Health Service ◽  
Physical Function ◽  
Illness Perceptions ◽  
Stress Hormones ◽  
Policy And Practice ◽  
Factors Affecting ◽  
Rehabilitation Facilities ◽  
The Impact

This chapter discusses the impact of hip fracture in older age and in particular factors affecting recovery of physical function and wellbeing. It focuses particularly on a study of the impact of depression following hip fracture in older adults, and the influence of this depression on a range of outcomes including immune function, stress hormones, illness perceptions, physical function, and length of stay in health service and rehabilitation facilities. It shows that depression is common following hip fracture among older people, and is the biggest predictor of a slower recovery and poorer function in terms of immunity, wellbeing and physical ability. A pilot study associated with this research showed that illness perceptions following hip fracture did not differ between UK and Punjabi older adults, but that Punjabi speakers in India had greater levels of distress. Implications for health service policy and practice resulting from this research are discussed in this chapter, including potential intervention strategies to improve outcomes after hip fracture.

scholarly journals Analysis of Factors Affecting Self-Acceptance in Older Adult Living in Nursing Homes

2021 ◽  
Vol 6 (2) ◽  
pp. 64
Author(s):  
Dessy Syahfitri Pohan ◽  
Elida Ulfiana ◽  
Ariina Qona'ah
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Nursing Home ◽  
Nursing Homes ◽  
Family Support ◽  
Older Adult ◽  
Aged Care ◽  
Essential Factor ◽  
Factors Affecting ◽  
Self Acceptance

Introduction: Self-acceptance among older adult who lives in the nursing home tends to be poor. It is because they feel abandoned by their families and their inability to accept any changes that occur to them. Thus, older adults find it challenging to adapt to their new environment and cause various physical and psychological problems. The purpose of this study was to determine the factors of self-acceptance in older adults living in aged care based on an empirical study of the last ten years.Method: This study used a literature review design with electronic sources from 4 databases, namely Scopus, PubMed, Google Scholar, and Science Direct, which were published in the period 2010-2020. The keywords used are factors that influence or self-acceptance, older adults or elderly or aged, and nursing homes or nursing home.Results: Thirteen articles were analyzed in this study. Six research articles discuss social support as the most important factor of self-acceptance in older adults living in nursing homes. Other factors that influence self-acceptance in the older adult who lives in the nursing home include spirituality, religiosity, family support, and positive thinking.Conclusion: Social support is the essential factor in self-acceptance in older adults living in nursing homes.

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