scholarly journals Perceived Effectiveness of Elder Abuse Interventions in Psychological Distress and the Design of Culturally Adapted Interventions: A Qualitative Study in the Chinese Community in Chicago

2013 ◽  
Vol 2013 ◽  
pp. 1-9 ◽  
Author(s):  
XinQi Dong ◽  
E-Shien Chang ◽  
Esther Wong ◽  
Melissa Simon
Keyword(s):  
Older Adults ◽  
Psychological Distress ◽  
Qualitative Study ◽  
Elder Abuse ◽  
Well Being ◽  
Community Dwelling ◽  
Perceived Effectiveness ◽  
Chinese Community ◽  
Community Based ◽  
Chinese Older Adults

This qualitative study examines US Chinese older adults’ views on the perceived effectiveness, challenges, and cultural adaptations of elder abuse interventions to psychological distress in the Chinese community in Chicago. A community-based participatory research approach was implemented to partner with the Chinese community. A total of 37 community-dwelling Chinese older adults (age 60+) participated in focus group discussions. Data analysis was based on grounded theory framework. Our findings suggest that older adults perceived social support, empowerment, and community-based interventions design as most effective to promote psychological well-being of victims. The perceived preferences were similar between elder abuse victims and non-victims. Strategies to culturally adapt evidence-based interventions were proposed with respect to nurturing filial piety values, familial integrations, and increased independence. Research and educational outreach initiatives were also discussed. This study has wide policy and practice implications for designing and deploying interventions to reduce psychological distress with respect to elder abuse outcome. Cultural relevancy of health interventions is important in the context of the Chinese communities. Collective federal, state, and community efforts are needed to support the culturally appropriate design and implementation of interventions suitable for the needs of the Chinese older adults.

scholarly journals Validation of the detection of elder abuse through emergency care technicians (DETECT) screening tool: a study protocol

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e037170
Author(s):  
Brad Cannell ◽  
Julie Weitlauf ◽  
Melvin D Livingston ◽  
Jason Burnett ◽  
Megin Parayil ◽  
...  
Keyword(s):  
Older Adults ◽  
Emergency Care ◽  
Screening Tool ◽  
Elder Abuse ◽  
Well Being ◽  
Living Environment ◽  
Community Dwelling ◽  
Screening Tools ◽  
Semistructured Interview

IntroductionElder mistreatment (EM) is a high prevalence threat to the health and well-being of older adults in the USA. Medics are well-positioned to help with identification of older adults at risk for EM, however, field robust screening tools appropriate for efficient, observation-based screening are lacking. Prior work by this team focused on the development and initial pilot testing of an observation-based EM screening tool named detection of elder abuse through emergency care technicians (DETECT), designed to be implemented by medics during the course of an emergency response (911) call. The objective of the present work is to validate and further refine this tool in preparation for clinical dissemination.Methods and analysisApproximately 59 400 community-dwelling older adults who place 911 calls during the 36-month study observation period will be screened by medics responding to the call using the DETECT tool. Next, a random subsample of 2520 of the 59 400 older adults screened will be selected to participate in a follow-up interview approximately 2 weeks following the completion of the screening. Follow-up interviews will consist of a medic-led semistructured interview designed to assess the older adult’s likelihood of abuse exposure, physical/mental health status, cognitive functioning, and to systematically evaluate the quality and condition of their physical and social living environment. The data from 25% (n=648) of these follow-up interviews will be presented to a longitudinal, experts and all data panel for a final determination of EM exposure status, representing the closest proxy to a ‘gold standard’ measure available.Ethics and disseminationThis study has been reviewed and approved by the Committee for the Protection of Human Subjects at the University of Texas School of Public Health. The results will be disseminated through formal presentations at local, national and international conferences and through publication in peer-reviewed scientific journals.

scholarly journals CHARACTERISTICS OF RESILIENCE IN HONG KONG OLDER ADULTS: A QUALITATIVE STUDY

2021 ◽  
Author(s):  
Pak Kwong Chung ◽  
◽  
Chun Hu ◽  
Chun-Qing Zhang ◽  
◽  
...  
Keyword(s):  
Older Adults ◽  
Hong Kong ◽  
Qualitative Study ◽  
Qualitative Content Analysis ◽  
The Elderly ◽  
Community Dwelling ◽  
Government Support ◽  
Chinese Older Adults ◽  
Environmental Support ◽  
Positive Attitudes

"Introduction: Resilience, which is defined as the process of adapting well in the face of adversity, trauma, tragedy, threats or significant sources of stress, is important for older adults to maintain a healthy life. This qualitative study aimed to identify the characteristics that contribute to resilience among a group of community-dwelling older adults in Hong Kong. Methods: Individual and focus group interviews were conducted to collect information on life adverse events, attitudes towards adversity, and beliefs underlying the approaches to overcoming adversity among 25 Chinese older adults (2M and 23F) aged 69 to 100 years old (M=80.00, SD=39.08). The transcripts were analyzed using qualitative content analysis. Results: Seven characteristics were emerged under the three factors, including equanimity, positive attitudes towards life, meaningfulness, and self-reliance (internal factor), social support and environmental support (external factor), and spirituality and faith (existential factor). Conclusion: In addition to identifying the seven characteristics that contribute to resilience, this study also identified “taking part in physical activity” as an individual resource contributing to resilience. The study also found “government support” is an important environmental factor contributing to positive adaptation to stressful life of the elderly in Hong Kong. The results and findings may facilitate the development of interventions on enhancing older adults’ resilience."

scholarly journals LONELINESS SHAPES THE RELATIONSHIP BETWEEN ICT USE AND PSYCHOLOGICAL ADJUSTMENT AMONG OLDER ADULTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S530-S530
Author(s):  
Yang Fang ◽  
Anson Chau ◽  
Helene H Fung ◽  
Jean Woo
Keyword(s):  
Older Adults ◽  
Psychological Distress ◽  
Psychological Adjustment ◽  
Psychosocial Adjustment ◽  
Well Being ◽  
Smart Devices ◽  
Chinese Older Adults ◽  
Ict Use ◽  
Hong Kong Sar ◽  
The Relationship

Abstract Background: Given findings that generally support the benefits of information and communication technology (ICT) for older adults’ psychosocial adjustment, one might surmise that lonely older adults, who have a stronger need for psychological support, would reap more psychosocial benefits from ICT use. However, scant research has examined this view, much less the likelihood that ICT use might worsen the psychological well-being of lonely older adults, as has been shown to be the case in younger adults. Objective: To examine whether the association between ICT use and psychological adjustment (i.e., psychological distress and sense of community [SOC]) among older adults depends on their loneliness levels. Methods: A representative sample of 738 Hong Kong SAR Chinese older adults aged 60 years or older (56% female) was interviewed in 2017 on loneliness, frequency of ICT use (i.e., Internet and smart devices), psychological distress (6-item Kessler scale; K6), and SOC. Results: Regression analyses showed that loneliness significantly moderated the relationship between ICT use frequency and psychological adjustment (psychological distress and SOC); more frequent ICT use was associated with more psychological distress and less SOC, with higher levels of loneliness. Conclusion: These findings suggest that ICT use may be a mixed blessing for older adults, i.e., using more ICT might predict worse psychological adjustment among lonelier older adults. Efforts that promote ICT use among older adults should take their loneliness levels into account.

Perceived barriers and facilitators to implement elder abuse intervention for victims and perpetrators: views from US Chinese older adults

2014 ◽  
Vol 16 (5) ◽  
pp. 307-321 ◽  
Author(s):  
XinQi Dong ◽  
E-Shien Chang ◽  
Esther Wong ◽  
Melissa A. Simon
Keyword(s):  
Older Adults ◽  
Elder Abuse ◽  
Community Dwelling ◽  
Perceived Barriers ◽  
Barriers And Facilitators ◽  
Research Approach ◽  
Theory Approach ◽  
Structural Barriers ◽  
Content Type ◽  
Chinese Older Adults

Purpose – The purpose of this paper is to explore US Chinese older adults’ views regarding elder abuse interventions in order to understand barriers and facilitators of help-seeking behaviors. Design/methodology/approach – The study design was qualitative, using a grounded theory approach to data collection and analysis. Community-based participatory research approach was implemented to partner with the Chicago Chinese community. A total of 37 community-dwelling Chinese older adults (age 60+) participated in focus group discussions. Findings – Participants viewed many benefits of intervention programs. Perceived barriers were categorized under cultural, social, and structural barriers. Facilitators to implement interventions included increasing education and public health awareness, integrating social support with existing community social services, as well as setting an interdisciplinary team. Perpetrators intervention strategies were also discussed. Originality/value – This study has wide policy and practice implications for designing and deploying interventions with respect to elder abuse outcome. Modifying the cultural, social, and structural barriers that affect health behavior of Chinese older adults contribute to the salience of elder abuse interventions in this under-served.

scholarly journals Elder abuse as a risk factor for psychological distress among older adults in India: a cross-sectional study

BMJ Open ◽  
2017 ◽  
Vol 7 (10) ◽  
pp. e017152 ◽  
Author(s):  
Maria Evandrou ◽  
Jane C Falkingham ◽  
Min Qin ◽  
Athina Vlachantoni
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Psychological Distress ◽  
Emotional Abuse ◽  
Tamil Nadu ◽  
Elder Abuse ◽  
Well Being ◽  
Household Wealth ◽  
Cross Sectional ◽  
Indian States

ObjectivesThis study examines the association between elder abuse and psychological distress among older adults in India and explores whether this association varies by the level of psychosocial and material resources.DesignThe study uses a cross-sectional survey design.SettingThe data are drawn from a representative sample of 9589 adults aged 60 and above in seven Indian states—Himachal Pradesh, Punjab, West Bengal, Odisha, Maharashtra, Kerala and Tamil Nadu—in 2011.Statistical analysesSecondary analysis, using bivariate and multivariate logistic regression models, is conducted using the United Nations Population Fund project Building Knowledge Base on Ageing in India survey. Elder abuse (physical and/or emotional) emanating from family members in the previous month before the survey is examined. Multivariate models are run on the total analytical sample and for men and women separately.ResultsThe overall prevalence of psychological distress among persons aged 60 and over living in the seven Indian States is 40.6%. Among those older persons who experienced some form of physical or emotional abuse or violence in the last month, the prevalence of psychological distress is much higher than that in the general older population, at 61.6% (p<0.001). The results show that the experience of abuse is negatively associated with the mental health of older adults, and this relationship persists even after controlling for demographic and socioeconomic factors (OR=1.60, 95% CI 1.22 to 2.09). The findings also suggest that household wealth has an inverse relationship with mental health, with the association between experiencing elder abuse and reporting poor mental health being strongest among older people in wealthy households.ConclusionsElder abuse in India is currently a neglected phenomenon, and greater recognition of the link between abuse and mental health is critical to improve the well-being of vulnerable older adults, some of whom may be ‘hidden’ within well-off households.

scholarly journals Older Portuguese And Mexican Adults And Sexual Well-Being? A Cross-Cultural Qualitative Study

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 909-909
Author(s):  
Sofia von Humboldt ◽  
Neyda Ma Mendoza-Ruvalcaba ◽  
José Alberto Ribeiro-Gonçalves ◽  
Gail Low ◽  
Isabel Leal
Keyword(s):  
Older Adults ◽  
Qualitative Study ◽  
Old Age ◽  
Demographic Data ◽  
Self Care ◽  
Well Being ◽  
Structured Interview ◽  
Cross Cultural ◽  
Community Dwelling

Abstract Objectives Sexual well-being (SWB) refers to the subjective emotional and cognitive evaluation of the quality of the individual's sexuality, it plays a relevant role in quality of life and health promotion on old age and has cross-cultural implications. The aim of this study is to analyse comparatively the perspectives of older adults on their SWB in Portugal and Mexico. Methods Data were collected from 86 Portuguese and 80 Mexican community-dwelling participants aged 65 years and older, using a semi-structured interview protocol. Older adults were inquired about their perceptions on what contributes to their sexual well-being. Socio-demographic data were also enquired. Content analysis was used to identify key themes. Results Outcomes indicated eight themes: eroticism, supportive relationship, positive self-concept, health and self-care, romance, active life, tenderness and care, and no pain and no pregnancy restrictions, for both samples. Eroticism was the most frequent theme reported by Portuguese participants (31.4%) and health and self-care were the most frequent theme reported by Mexican participants (26.5%). Conclusions The empirical results of this study indicated that SWB is strongly influenced by socio-cultural and psychosocial values. This cross-cultural comparison between Portugal and Mexico contributes to understand this concept in old age with different perspectives and place a scenario for future culture-adapted interventions and comprehensive policies. Keywords: Mexican, older adults; Portuguese; qualitative study; sexual well-being

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