The Effectiveness of Music and/or Massage on Satisfaction, Wellbeing and Quality of Life Indicators for Lucid Older Adults in Residential Aged Care

Abstract Background The number of older adults in residential aged care is increasing. Aged care residents have been shown to spend most of the day sedentary and have many co-morbidities. This review aimed to systematically explore the effectiveness of reablement strategies in residential aged care for older adults’ physical function, quality of life and mental health, the features of effective interventions and feasibility (compliance, acceptability, adverse events and cost effectiveness). Method This scoping review was undertaken according to PRISMA guidelines (extension for scoping reviews). Five e-databases (Medline, Embase, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews and CINAHL) were searched from 2010 onwards. Randomised controlled trials investigating reablement strategies addressing physical deconditioning for older adults (mean age ≥ 65 yrs) in residential aged care on physical function, quality of life or mental health were included. Feasibility of the interventions (compliance, acceptability, satisfaction, adverse events and cost effectiveness) was explored. Results Five thousand six hundred thirty-one citations were retrieved, and 63 studies included. Sample sizes ranged from 15 to 322 and intervention duration from one to 12 months. Exercise sessions were most often conducted two to three times per week (44 studies) and physiotherapist-led (27 studies). Interventions were predominately multi-component (28 studies, combinations of strength, balance, aerobic, functional exercises). Five interventions used technology. 60% of studies measuring physical function reported significant improvement in the intervention versus control, 40% of studies measuring quality of life reported significant improvements in favour of the intervention, and 26% of studies measuring mental health reported significant intervention benefits. Over half of the studies measured compliance and adverse events, four measured acceptability and none reported cost effectiveness. Conclusions There has been a research surge investigating reablement strategies in residential aged care with wide variability in the types and features of strategies and outcome measures. Few studies have measured acceptability, or cost effectiveness. Exploration of core outcomes, mapping stakeholders and co-designing a scalable intervention is warranted. Trial registration Prospectively registered review protocol (Open Science Framework: DOI 10.17605/OSF.IO/7NX9M).

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Biography work in in long-term residential aged care with tablet support to improve the quality of life and communication – study protocol for app development and evaluation / Biografiearbeit in Senioreneinrichtungen mit Tablet-Unterstützung zur Verbesserung der Lebensqualität und Kommunikation (BaSeTaLK) – Studienprotokoll zur App-Entwicklung und Evaluation

International Journal of Health Professions ◽

10.2478/ijhp-2020-0002 ◽

2020 ◽

Vol 7 (1) ◽

pp. 13-23

Author(s):

Sabine Corsten ◽

Norina Lauer

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Aged Care ◽

Life Assessment ◽

World Health ◽

Residential Aged Care ◽

Care Facilities ◽

Senior Volunteers

AbstractBackgroundOlder adults in care facilities face a high risk of experiencing depression. The impact that early interventions like biographical work have on the quality of life for older adults in such facilities is unknown.AimTo develop and evaluate a tablet-supported intervention for biographical work in long-term residential aged care to increase the quality of life for older adults.DesignThe study will be conducted in a randomized pretest–posttest control group design with follow-up testing in group and single settings. Participants will be randomized to the experimental intervention (tablet-supported biographic work) or the control intervention (planned tablet-supported game playing), each guided by senior volunteers. A total of 80 residents and 16 volunteers will be recruited. The primary outcome for the residents and volunteers will be quality of life as measured with the World Health Organization Quality of Life Assessment-for older adults. Secondary measures will be self-esteem and life satisfaction. In addition, we will examine residents’ ability to communicate and their functional independence.MethodThe first stage of the project involves developing an app. The app is developed in a user-centered, agile development process. It will use multimedia to prepare life history topics and links them to key questions. Next, a workshop is developed for the volunteers who accompany the use of the app in the institutions. During the second phase, biographic work stimulated by the app will be conducted in groups or individually with residents.DiscussionThis is the first known program tailored to older adults in care facilities and senior volunteers that aims to prevent depression by providing digitally supported biographic work.

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Clustered domestic residential aged care in Australia: fewer hospitalisations and better quality of life

The Medical Journal of Australia ◽

10.5694/mja17.00861 ◽

2018 ◽

Vol 208 (10) ◽

pp. 433-438 ◽

Cited By ~ 13

Author(s):

Suzanne M Dyer ◽

Enwu Liu ◽

Emmanuel S Gnanamanickam ◽

Rachel Milte ◽

Tiffany Easton ◽

...

Keyword(s):

Quality Of Life ◽

Aged Care ◽

Residential Aged Care

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Effects of T'ai Chi Training on Function and Quality of Life Indicators in Older Adults with Osteoarthritis

Journal of the American Geriatrics Society ◽

10.1111/j.1532-5415.2000.tb03863.x ◽

2000 ◽

Vol 48 (12) ◽

pp. 1553-1559 ◽

Cited By ~ 134

Author(s):

Catherine A. Hartman ◽

Tina M. Manos ◽

Christa Winter ◽

Dwight M. Hartman ◽

Baiqing Li ◽

...

Keyword(s):

Quality Of Life ◽

Older Adults ◽

T'ai Chi ◽

Quality Of Life Indicators ◽

T’Ai Chi

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People living in residential aged care need to BE outside not just SEE outside: associations between quality of life and outdoor access: a cross-sectional study

10.21203/rs.2.13597/v1 ◽

2019 ◽

Author(s):

Suzanne Marie Dyer ◽

Enwu Liu ◽

Emmanuel Gnanamanickam ◽

Stephanie Louise Harrison ◽

Rachel Milte ◽

...

Keyword(s):

Quality Of Life ◽

Aged Care ◽

Cross Sectional Study ◽

Care Homes ◽

Residential Aged Care ◽

Small Scale ◽

Sectional Study ◽

Model Of Care ◽

Cross Sectional

Abstract Background The value of providing access to outdoor areas for people living in residential aged care, including those living with dementia, in terms of mood, behaviour and well-being is increasingly acknowledged. This study examines associations between provision of independent access to outdoor areas and frequency of residents going outdoors with the quality of life (QoL) of nursing home residents and compares use of outdoor areas between alternative models of residential aged care. Methods A cross-sectional study was conducted including 541 participants from 17 residential aged care homes in four states in Australia, mean age 85 years, 84% with cognitive impairment. Associations between having independent access to outdoors and the frequency of going outdoors and QoL (EQ-5D-5L) were examined using multi-level models. The odds of going outdoors in a small-scale home-like model of care compared to standard Australian models of care were examined. Results After adjustment for potential confounders (including comorbidities and facility level variables), living in an aged care home with independent access to the outdoors was not significantly associated with QoL (β=-0.01, 95% Confidence Interval (CI) -0.09 to 0.07, P=0.80). However, going outdoors daily (β=0.13 95%CI 0.06 to 0.21), but not multiple times a week (β=0.03, 95%CI -0.03 to 0.09), was associated with a better QoL. Residents living in a home-like model of care had greater odds of going outdoors daily (odds ratio 15.1, 95%CI 6.3 to 36.2). Conclusions Going outdoors frequently is associated with higher QoL for residents of aged care homes and residents are more likely to get outside daily if they live in a small-scale home-like model of care. However, provision of independent access to outdoor areas alone may be insufficient to achieve these benefits. Increased availability of models of residential aged care with staffing structures, training and design which increases support for residents to venture outdoors frequently is needed to maximise resident quality of life.

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How does accreditation influence staff perceptions of quality in residential aged care?

Quality in Ageing and Older Adults ◽

10.1108/qaoa-07-2016-0028 ◽

2017 ◽

Vol 18 (2) ◽

pp. 131-144 ◽

Cited By ~ 1

Author(s):

Anne Hogden ◽

David Greenfield ◽

Mark Brandon ◽

Deborah Debono ◽

Virginia Mumford ◽

...

Keyword(s):

Quality Of Life ◽

Service Quality ◽

Aged Care ◽

Residential Aged Care ◽

Content Type ◽

Consumer Expectations ◽

Care Facilities ◽

Accreditation Programme ◽

Aged Care Facilities

Purpose Quality of care in the residential aged sector has changed over the past decade. The purpose of this paper is to examine these changes from the perspectives of staff to identify factors influencing quality of residential aged care, and the role and influence of an aged care accreditation programme. Design/methodology/approach Focus groups were held with 66 aged care staff from 11 Australian aged care facilities. Data from semi-structured interviews were analysed to capture categories representing participant views. Findings Participants reported two factors stimulating change: developments in the aged care regulatory and policy framework, and rising consumer expectations. Four corresponding effects on service quality were identified: increasing complexity of resident care, renewed built environments of aged care facilities, growing focus on resident-centred care and the influence of accreditation on resident quality of life. The accreditation programme was viewed as maintaining minimum standards of quality throughout regulatory and social change, yet was considered to lack capacity of itself to explicitly promote or improve resident quality of life. Research limitations/implications For an increasingly complex aged care population, regulatory and societal change has led to a shift in service provision from institutional care models to one that is becoming more responsive to consumer expectations. The capacity of long-established and relatively static accreditation standards to better accommodate changing consumer needs comes into question. Originality/value This is the first study to examine the relationship between accreditation and residential aged care service quality from the perspectives of staff, and offers a nuanced view of “quality” in this setting.

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