The effects of an intervention group with the support of non-pharmacological Chinese medicine on older Chinese adults with insomnia

2006 ◽  
Vol 49 (6) ◽  
pp. 791-803 ◽  
Author(s):  
Kai-fong Chan ◽  
Petrus Ng ◽  
Ka-ying Ng
Keyword(s):  
Hong Kong ◽  
Chinese Medicine ◽  
Group Intervention ◽  
Behavioral Treatment ◽  
Intervention Group ◽  
Work Practice ◽  
Social Work Practice ◽  
Chinese Adults ◽  
Older Chinese ◽  
Older Chinese Adults

English This article reports a pilot study on an intervention group which integrated behavioral treatment and non-pharmacological Chinese medicine to reduce the problem of insomnia for older Chinese adults. Findings showed that the six-session group intervention was effective. The highlight of each session was presented and implications for social work practice discussed. French Cet article présente les résultats d'un projet pilote en intervention de groupe, mené pour répondre aux problèmes d'insomnie de la population âgée de Hong Kong. Ce projet a fait appel à des traitements comportementaux et à la pharmacopée traditionnelle chinoise. Les résultats indiquent que les interventions de groupe ont été concluantes. On aborde également les implications pour le travail social en Chine et ailleurs. Spanish Se informa sobre un estudio piloto de una intervención de grupo para tratar los problemas de insomnio entre personas mayores en Hong Kong. Esta intervención integra los tratamientos de conducta y medicina china no farmacológica. Los resultados sugieren que la intervención de grupo fue efectiva. Se exponen las implicaciones para el trabajo social en China y en otros lugares.

scholarly journals Narrative Group Intervention to Rediscover Life Wisdom among Hong Kong Chinese Older Adults: A Single-Blind Randomized Waitlist-Controlled Trial

2021 ◽  
Author(s):  
Esther Oi Wah Chow ◽  
Sai-Fu Fung
Keyword(s):  
Older Adults ◽  
Hong Kong ◽  
Narrative Therapy ◽  
Group Intervention ◽  
Controlled Trial ◽  
Intervention Group ◽  
Social Work Practice ◽  
Control Group ◽  
Older Chinese ◽  
Over Time

Abstract Background and Objectives We developed a new group practice using strength- and meaning-based Narrative Therapy (NT) for older Chinese living in Hong Kong (HK), to enhance their life wisdom. This paper reports on the intervention and its short- and longer-term effectiveness. Research Design and Methods A randomized waitlist-controlled trial (RCT) was conducted. A total of 157 older adults were randomly recruited, of whom 75 were randomly assigned to the intervention group which received four two-hour bi-weekly NT sessions using the ‘Tree of Life’ (ToL) metaphor. The others were placed on a waitlist. Perceived wisdom was assessed using the Brief Self-Assessed Wisdom Scale (BSAWS). Assessment occurred at baseline (T0), end of treatment (T1), and four (T2) and eight months later (T3). Over-time effects of NT on wisdom scores were assessed using latent growth curve models with time-invariant covariates for impact. Results The intervention (NT) group showed significant, sustainable over-time within-group improvement in perceived wisdom. Moreover, compared with the control group, the NT group showed significant immediate improvements in perceived wisdom [F(2.726, p = 0.041)], which were maintained at all follow-up points. This effect remained after controlling for age, gender and educational level [TML(11) = 17.306, p = 0.098, RMSEA = 0.079, CFI = 0.960]. No adverse reaction was recorded. Discussion and Implications NT underpinned by a ToL methodology offers a new theory to understand, promote and appreciate perceived wisdom in older Chinese living in HK. It contributes to psychotherapy and professional social work practice for older Chinese.

scholarly journals Malnutrition risks and their associated factors among home-living older Chinese adults in Hong Kong: hidden problems in an affluent Chinese community

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Martin M. H. Wong ◽  
Winnie K. W. So ◽  
Kai Chow Choi ◽  
Regina Cheung ◽  
Helen Y. L. Chan ◽  
...  
Keyword(s):  
Hong Kong ◽  
Associated Factors ◽  
Chinese Community ◽  
Chinese Adults ◽  
Older Chinese ◽  
Home Living ◽  
Older Chinese Adults

Depressive Symptoms Among Rural “Left-Behind” Older Adults: A Test of the High Outmigration Penalty Hypothesis

2021 ◽  
Author(s):  
Qian Song ◽  
Haowei Wang ◽  
Jeffery A Burr
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Rural Communities ◽  
Older Adult ◽  
Psychological Health ◽  
Economic Conditions ◽  
Adult Density ◽  
Chinese Adults ◽  
Older Chinese ◽  
Older Chinese Adults

Abstract Objectives We investigated whether there was a “high outmigration penalty” for psychological health among older adults in rural China by assessing 2 potential community stressors associated with major sociodemographic changes in the community—increased outmigration and older adult density. We also investigated whether disparities in community economic conditions moderated the association between community stressors and depressive symptoms. Methods We employed 3 waves of data from the China Health and Retirement Longitudinal Study (2011–2015), using multilevel negative binomial models to address our research questions. Results Our results supported the “high outmigration penalty” hypothesis. Older adults living in low-income rural communities may experience an aggravated mental health penalty compared to those living in high-income rural communities. Higher older adult density was also associated with more depressive symptoms but only in less wealthy communities. Community differences in economic conditions were key factors buffering the high outmigration disadvantage associated with the psychological health of older Chinese adults. Discussion Rural outmigration may have deepened existing intercommunity health disparities among older adults. Policies should be developed to address community-level factors negatively associated with the well-being of older Chinese adults living in high outmigration and less wealthy rural communities.

scholarly journals Systemic Inflammation (C-Reactive Protein) in Older Chinese Adults Is Associated with Long-Term Exposure to Ambient Air Pollution

2021 ◽  
Vol 18 (6) ◽  
pp. 3258
Author(s):  
Mona Elbarbary ◽  
Artem Oganesyan ◽  
Trenton Honda ◽  
Geoffrey Morgan ◽  
Yuming Guo ◽  
...  
Keyword(s):  
Air Pollution ◽  
Systemic Inflammation ◽  
Ambient Air ◽  
Ambient Air Pollution ◽  
Chinese Adults ◽  
Reactive Protein ◽  
Hs Crp ◽  
Older Chinese ◽  
Older Chinese Adults

There is an established association between air pollution and cardiovascular disease (CVD), which is likely to be mediated by systemic inflammation. The present study evaluated links between long-term exposure to ambient air pollution and high-sensitivity C reactive protein (hs-CRP) in an older Chinese adult cohort (n = 7915) enrolled in the World Health Organization (WHO) study on global aging and adult health (SAGE) China Wave 1 in 2008–2010. Multilevel linear and logistic regression models were used to assess the associations of particulate matter (PM) and nitrogen dioxide (NO2) on log-transformed hs-CRP levels and odds ratios of CVD risk derived from CRP levels adjusted for confounders. A satellite-based spatial statistical model was applied to estimate the average community exposure to outdoor air pollutants (PM with an aerodynamic diameter of 10 μm or less (PM10), 2.5 μm or less (PM2.5), and 1 μm or less (PM1) and NO2) for each participant of the study. hs-CRP levels were drawn from dried blood spots of each participant. Each 10 μg/m3 increment in PM10, PM2.5, PM1, and NO2 was associated with 12.8% (95% confidence interval; (CI): 9.1, 16.6), 15.7% (95% CI: 10.9, 20.8), 10.2% (95% CI: 7.3, 13.2), and 11.8% (95% CI: 7.9, 15.8) higher serum levels of hs-CRP, respectively. Our findings suggest that air pollution may be an important factor in increasing systemic inflammation in older Chinese adults.

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