Developing a Movement Program with Music for Older Adults

1999 ◽  
Vol 7 (4) ◽  
pp. 400-413 ◽  
Author(s):  
Cynthia S. Teel ◽  
Paula Carson ◽  
Janet Hamburg ◽  
Alicia Ann Clair
Keyword(s):  
Older Adults ◽  
Program Implementation ◽  
Self Report ◽  
Original Music ◽  
Environment Interaction ◽  
Spatial Awareness ◽  
Focus Group Interviews ◽  
Program Satisfaction ◽  
Attendance Pattern ◽  
Group Interviews

The authors developed a program for older adults to improve spatial awareness and sense of balance while promoting person-environment interaction. Motivating Moves, a 20-min program of 14 movement sequences set to original music, was offered to 4 groups of older adults (N = 66, mean age = 80.97, SD = 7.34) during 6 weekly 1-hr sessions. Participants learned new movements during the First 5 weeks, and all movements were reviewed in the 6th week. Program evaluation was based on attendance-pattern data, self-report measures of program satisfaction, and focus-group interviews. Approximately 64% of enrollees (n = 42) completed the program, and attendance rates were high (>89%) for these individuals. Participants reported benefits of Motivating Moves’, such as enhanced posture awareness, improved sense of balance, and increased social interaction. Issues related to developing and offering a movement program with music are reviewed, with attention to potential difficulties and suggestions for program implementation.

scholarly journals Clinician Perspectives on the Design and Application of Wearable Cardiac Technologies for Older Adults: Qualitative Study

JMIR Aging ◽  
10.2196/17299 ◽  
2020 ◽  
Vol 3 (1) ◽  
pp. e17299
Author(s):  
Caleb Ferguson ◽  
Sally C Inglis ◽  
Paul P Breen ◽  
Gaetano D Gargiulo ◽  
Victoria Byiers ◽  
...  
Keyword(s):  
Older Adults ◽  
Focus Group ◽  
Allied Health ◽  
Clinical Care ◽  
Cardiac Monitoring ◽  
Health Staff ◽  
Tertiary Level ◽  
Focus Group Interviews ◽  
Clinician Perspectives ◽  
Group Interviews

Background New wearable devices (for example, AliveCor or Zio patch) offer promise in detecting arrhythmia and monitoring cardiac health status, among other clinically useful parameters in older adults. However, the clinical utility and usability from the perspectives of clinicians is largely unexplored. Objective This study aimed to explore clinician perspectives on the use of wearable cardiac monitoring technology for older adults. Methods A descriptive qualitative study was conducted using semistructured focus group interviews. Clinicians were recruited through purposive sampling of physicians, nurses, and allied health staff working in 3 tertiary-level hospitals. Verbatim transcripts were analyzed using thematic content analysis to identify themes. Results Clinicians representing physicians, nurses, and allied health staff working in 3 tertiary-level hospitals completed 4 focus group interviews between May 2019 and July 2019. There were 50 participants (28 men and 22 women), including cardiologists, geriatricians, nurses, and allied health staff. The focus groups generated the following 3 overarching, interrelated themes: (1) the current state of play, understanding the perceived challenges of patient cardiac monitoring in hospitals, (2) priorities in cardiac monitoring, what parameters new technologies should measure, and (3) cardiac monitoring of the future, “the ideal device.” Conclusions There remain pitfalls related to the design of wearable cardiac technology for older adults that present clinical challenges. These pitfalls and challenges likely negatively impact the uptake of wearable cardiac monitoring in routine clinical care. Partnering with clinicians and patients in the co-design of new wearable cardiac monitoring technologies is critical to optimize the use of these devices and their uptake in clinical care.

Which Aspects of Functioning Are Relevant for Patients with Ankylosing Spondylitis: Results of Focus Group Interviews

2009 ◽  
Vol 36 (11) ◽  
pp. 2501-2511 ◽  
Author(s):  
ANNELIES BOONEN ◽  
MONIQUE van BERKEL ◽  
ALARCOS CIEZA ◽  
GEROLD STUCKI ◽  
DÉSIRÉE van der HEIJDE
Keyword(s):  
Health Status ◽  
Ankylosing Spondylitis ◽  
Focus Group ◽  
Self Report ◽  
International Classification Of Functioning ◽  
Personal Factors ◽  
Focus Group Interviews ◽  
Group Sessions ◽  
Group Interviews ◽  
Disease Specific

Objective.To investigate whether concepts important to patients with ankylosing spondylitis (AS) are covered by disease-specific self-report health status instruments.Methods.A qualitative focus group study was conducted with AS patients on problems in daily functioning. Group sessions with 4 to 5 patients each were organized up to the point that no new information was brought forward. Group sessions were tape-recorded, transcribed, and divided into meaning units. Concepts contained in the meaning units were extracted. Self-report instruments on health status specific for AS were identified in a literature search. Using the International Classification of Functioning, Disability and Health (ICF) as a common reference, it was determined whether the concepts identified in the focus groups were covered by the instruments.Results.Nineteen patients participated in 4 focus group interviews. In total, 332 unique meaning units were linked to 90 second-level ICF categories, of which 25 referred to body functions, 10 to body structures, 35 to activities and participation and 30 to environmental factors. In addition, several concepts relating to personal factors were identified. Only 47 categories were also covered by one of the self-report instruments in AS. Only a minority of concepts addressed by the AS-specific questionnaires were not revealed as relevant in the interviews.Conclusion.Relevant aspects of the influence of AS are not covered by the classic disease-specific instruments. In particular, the influence of AS on socializing and leisure and the relevance of environmental and personal factors are not adequately assessed by available instruments.

scholarly journals Physical Activity: Exploring Views of Older Russian-Speaking Slavic Immigrants

2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
Janet Purath ◽  
Catherine Van Son ◽  
Cynthia F. Corbett
Keyword(s):  
Physical Activity ◽  
Cardiovascular Disease ◽  
Older Adults ◽  
Chronic Conditions ◽  
Environmental Safety ◽  
Future Research ◽  
Culturally Appropriate ◽  
Focus Group Interviews ◽  
The Us ◽  
Group Interviews

Many of the 1.3 million Russian-speaking immigrants in the US have chronic conditions such as cardiovascular disease, diabetes, obesity, and depression. They engage in physical activity less often than other groups, and little is known about their views of physical activity. This qualitative study explored physical activity attitudes, beliefs, motivators, and barriers among older Russian-speaking immigrants. In four focus group interviews, 23 participants discussed physical activity. “Movement is life” was a theme throughout all interviews. Walking was the most frequently mentioned activity. Increased energy and decreased pain were described as health benefits. Motivators for physical activity were maintaining function, improved health, and the support of God and family. Barriers included poor health and environmental safety concerns. Participants suggested community walking groups and church-supported programs as useful methods to promote physical activity. Future research includes developing culturally appropriate interventions that utilize physical activity to prevent and manage chronic illness with ethnic minority older adults.

Developing a Social-Ecological Model for Promoting Physical Activity Among Older Adults Based on the Experiences of 50+ Adults

SAGE Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. 215824402110329
Author(s):  
Peeter Lusmägi ◽  
Kadri Aavik
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Focus Group ◽  
Ecological Model ◽  
Social Ecological Model ◽  
Older Age ◽  
Focus Group Interviews ◽  
Social Ecological ◽  
Group Interviews ◽  
Definition Of

Various programs have been developed in different countries to encourage physical activity (PA) of older adults; however, older adults themselves have rarely been included in the development of such interventions. This article explores the meanings that people aged 50 years and above attribute to PA and their own engagement in PA, in the framework of a social-ecological model (SEM). In particular, we focus on the motivations and barriers they identified to their PA. We draw on focus group interviews with 44 older adults between the ages of 50 and 80 years, based in Estonia. Our findings suggest that it is important to use an expanded definition of PA (in older age), to include the diverse and perhaps unexpected ways in which people use their bodies and keep fit in different contexts. Based on our findings, we offer developments to existing versions of the SEM, highlighting the interconnectedness of all of its levels and propose ways to encourage PA of older adults.

scholarly journals Clinicians and Older Adults’ Perceptions of the Utility of Patient-Generated Health Data in Caring for Older Adults: Exploratory Mixed Methods Study

JMIR Aging ◽  
10.2196/29788 ◽  
2021 ◽  
Vol 4 (4) ◽  
pp. e29788
Author(s):  
Ben Kim ◽  
Peyman Ghasemi ◽  
Paul Stolee ◽  
Joon Lee
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Mixed Methods ◽  
Focus Group ◽  
Data Quality ◽  
Health Data ◽  
Perceived Usefulness ◽  
Mixed Methods Study ◽  
Focus Group Interviews ◽  
Group Interviews

Background Many people are motivated to self-track their health and optimize their well-being through mobile health apps and wearable devices. The diversity and complexity of these systems have evolved over time, resulting in a large amount of data referred to as patient-generated health data (PGHD), which has recently emerged as a useful set of data elements in health care systems around the world. Despite the increased interest in PGHD, clinicians and older adults’ perceptions of PGHD are poorly understood. In particular, although some clinician barriers to using PGHD have been identified, such as concerns about data quality, ease of use, reliability, privacy, and regulatory issues, little is known from the perspectives of older adults. Objective This study aims to explore the similarities and differences in the perceptions of older adults and clinicians with regard to how various types of PGHD can be used to care for older adults. Methods A mixed methods study was conducted to explore clinicians and older adults’ perceptions of PGHD. Focus groups were conducted with older adults and health care providers from the Greater Toronto area and the Kitchener-Waterloo region. The participants were asked to discuss their perceptions of PGHD, including facilitators and barriers. A questionnaire aimed at exploring the perceived usefulness of a range of different PGHD was also embedded in the study design. Focus group interviews were transcribed for thematic analysis, whereas the questionnaire results were analyzed using descriptive statistics. Results Of the 9 participants, 4 (44%) were clinicians (average age 38.3 years, SD 7 years), and 5 (56%) were older adults (average age 81.0 years, SD 9.1 years). Four main themes were identified from the focus group interviews: influence of PGHD on patient-provider trust, reliability of PGHD, meaningful use of PGHD and PGHD-based decision support systems, and perceived clinical benefits and intrusiveness of PGHD. The questionnaire results were significantly correlated with the frequency of PGHD mentioned in the focus group interviews (r=0.42; P=.03) and demonstrated that older adults and clinicians perceived blood glucose, step count, physical activity, sleep, blood pressure, and stress level as the most useful data for managing health and delivering high-quality care. Conclusions This embedded mixed methods study generated several important findings about older adults and clinicians’ perceptions and perceived usefulness of a range of PGHD. Owing to the exploratory nature of this study, further research is needed to understand the concerns about data privacy, potential negative impact on the trust between older adults and clinicians, data quality and quantity, and usability of PGHD-related technologies for older adults.

scholarly journals Clinician Perspectives on the Design and Application of Wearable Cardiac Technologies for Older Adults: Qualitative Study (Preprint)

2019 ◽  
Author(s):  
Caleb Ferguson ◽  
Sally C Inglis ◽  
Paul P Breen ◽  
Gaetano D Gargiulo ◽  
Victoria Byiers ◽  
...  
Keyword(s):  
Older Adults ◽  
Focus Group ◽  
Allied Health ◽  
Clinical Care ◽  
Cardiac Monitoring ◽  
Health Staff ◽  
Tertiary Level ◽  
Focus Group Interviews ◽  
Clinician Perspectives ◽  
Group Interviews

BACKGROUND New wearable devices (for example, AliveCor or Zio patch) offer promise in detecting arrhythmia and monitoring cardiac health status, among other clinically useful parameters in older adults. However, the clinical utility and usability from the perspectives of clinicians is largely unexplored. OBJECTIVE This study aimed to explore clinician perspectives on the use of wearable cardiac monitoring technology for older adults. METHODS A descriptive qualitative study was conducted using semistructured focus group interviews. Clinicians were recruited through purposive sampling of physicians, nurses, and allied health staff working in 3 tertiary-level hospitals. Verbatim transcripts were analyzed using thematic content analysis to identify themes. RESULTS Clinicians representing physicians, nurses, and allied health staff working in 3 tertiary-level hospitals completed 4 focus group interviews between May 2019 and July 2019. There were 50 participants (28 men and 22 women), including cardiologists, geriatricians, nurses, and allied health staff. The focus groups generated the following 3 overarching, interrelated themes: (1) the current state of play, understanding the perceived challenges of patient cardiac monitoring in hospitals, (2) priorities in cardiac monitoring, what parameters new technologies should measure, and (3) cardiac monitoring of the future, “the ideal device.” CONCLUSIONS There remain pitfalls related to the design of wearable cardiac technology for older adults that present clinical challenges. These pitfalls and challenges likely negatively impact the uptake of wearable cardiac monitoring in routine clinical care. Partnering with clinicians and patients in the co-design of new wearable cardiac monitoring technologies is critical to optimize the use of these devices and their uptake in clinical care.

scholarly journals Attitudes and Perspectives of Older Adults on Technologies for Assessing Frailty in Home Settings: A Focus Group Study

2020 ◽  
Author(s):  
Chao Bian ◽  
Bing Ye ◽  
Anna Hoonakker ◽  
Alex Mihailidis
Keyword(s):  
Older Adults ◽  
Focus Group ◽  
Rapid Development ◽  
Consumer Involvement ◽  
Focus Group Interviews ◽  
Focus Group Study ◽  
Use Of Technology ◽  
Positive Attitudes ◽  
Attitudes And Perceptions ◽  
Group Interviews

Abstract Background The rapid development of technology such as sensors and artificial intelligence in recent years enables monitoring frailty criteria to assess frailty early and accurately from a remote location such as a home. However, research shows technologies being abandoned or rejected by users due to a lack of compatibility and consumer involvement with the technologies. This study aims to understand older adult’s perceptions and preferences of technologies that can be potentially used to assess frailty in home settings. Methods This study is a qualitative study in which data were collected through focus group interviews. We recruited 15 older participants. Questions were asked to achieve the goal of understanding their attitudes on the technologies. These questions include 1) the concerns or barriers of installing and using the presented technology in daily life at home, 2) the reasons participants like or dislike a particular technology, 3) what makes a particular technology more acceptable, and 4) participants’ preferences in choosing technologies. Data were transcribed, coded and categorized, and finally synthesized to understand the attitudes towards presented technologies.Results A total of 15 older adults aged 65 and older were recruited. Three focus group sessions were conducted with five participants in each session. In the findings, the attitudes and perspectives of participants on the technologies for assessing frailty were presented in four areas: A) general attitude towards using the technologies, B) concerns about the technologies, C) existing living habits or patterns related to using the technologies, and D) constructive suggestions related to the technologies.Conclusions This study focuses on understanding the attitudes and perceptions of older adults on several technologies that could potentially be used to assess frailty in home settings. Participants generally have positive attitudes towards allowing the technologies to be installed and used at their home. Some technologies were found to be more acceptable if used under certain conditions. However, questions and concerns still remain. The study also found the living habits or patterns of older adults could affect the design and use of technology. Lastly, many valuable suggestions have been made by participants.

Digitising the wisdom of our elders: connectedness through digital storytelling

2018 ◽  
Vol 39 (12) ◽  
pp. 2714-2734 ◽  
Author(s):  
Simone Hausknecht ◽  
Michelle Vanchu-Orosco ◽  
David Kaufman
Keyword(s):  
Older Adults ◽  
Social Connectedness ◽  
Digital Storytelling ◽  
Focus Group Interviews ◽  
Social And Emotional ◽  
Metro Vancouver ◽  
Adult Participants ◽  
Digital Story ◽  
Digital Stories ◽  
Group Interviews

AbstractDigital storytelling provides older adults with an opportunity to become digital producers, connect with others through story and explore their life history. The authors report on the results of a digital storytelling project for older adults. The study investigated the experiences and perceived benefits of older adults who created digital stories during a ten-week course and explored the reactions of story viewers to the digital stories they viewed during a special sharing event. Eighty-eight older adult participants in Metro Vancouver who attended one of 13 courses offered were included in the study. Most of the participants were female and over half were immigrants. Results from the focus group interviews demonstrated a rich array of reported social and emotional benefits experienced through the process of creating a digital story within the course. Three main themes emerged: social connectedness through shared experience and story, reminiscence and reflecting on life, and creating a legacy. Viewers who attended a ‘Sharing Our Stories’ event reported that the stories were meaningful, well constructed and invoked a range of emotions. The researchers conclude that digital storytelling may help digital storytellers increase connectedness to others and to self. Additionally, this connectedness may extend over time through the process of examining the past to create a digital story that can serve as a legacy to connect to future generations.

scholarly journals PROTOTYPE OF A VIRTUAL REALITY APPROACH TO INTEGRATE MENTAL HEALTH ACROSS GERONTOLOGICAL ENVIRONMENTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S513-S513
Author(s):  
Daniel Velez Ortiz
Keyword(s):  
Older Adults ◽  
Virtual Reality ◽  
Puerto Rican ◽  
Community Dwelling ◽  
Persuasive Communication ◽  
Focus Group Interviews ◽  
Literacy Curriculum ◽  
Culturally Grounded ◽  
Depression Literacy ◽  
Group Interviews

Abstract Background: Puerto Ricans have the highest likelihood of psychiatric disorders among Latinos. This study developed and evaluated a prototype depression literacy curriculum; culturally grounded with perspectives and narratives of Puerto Rican older adults. The way a person determines need for services and decides to seek help has been found to be influenced by their perceptions of services and providers. McGuire (1989) presents the Communication Persuasion Model (CPM) that takes into account how persuasive communication changes attitudes and behaviors of consumers. Using the CPM as a theoretical foundation, this study presented a culturally grounded story through a Virtual Reality (VR) platform. Methods: A script was developed based on narratives of Puerto Rican older adults about depression. Filmed in 360° format and enhanced with supporting imagery, participants were presented two versions of the video, one with a VR headset and the other with a smartphone. Two focus group interviews were conducted with community-dwelling Puerto Rican older adults (n=14) in Orlando, FL. Results: Participants preferred the VR headset and found it was beneficial to educate about depression because it felt more immersive and encouraged an environment conducive to identifying their own experiences about depression. They noted that presenting the material with a case narrative was more culturally sensitive for the population. All participants needed minor assistance with operating technology. Conclusions and Implications: A narrative approach to depression literacy may be effective in personalizing messages. Assisted VR technology with supporting imagery may be efficacious and standardize positive messages to underrepresented and low resource populations.

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