Educational intervention and functional decline among older people: The modifying effects of social capital

2014 ◽  
Vol 42 (3) ◽  
pp. 295-303 ◽  
Author(s):  
Tine Poulsen ◽  
Volkert Dirk Siersma ◽  
Rikke Lund ◽  
Ulla Christensen ◽  
Mikkel Vass ◽  
...  
Keyword(s):  
Social Capital ◽  
Older People ◽  
Educational Intervention ◽  
Functional Decline

Rapid Emergency Department Intervention for Older People Reduces Risk of Functional Decline: Results of a Multicenter Randomized Trial

2001 ◽  
Vol 49 (10) ◽  
pp. 1272-1281 ◽  
Author(s):  
Jane McCusker ◽  
Josee Verdon ◽  
Pierre Tousignant ◽  
Louise Poulin de Courval ◽  
Nandini Dendukuri ◽  
...  
Keyword(s):  
Emergency Department ◽  
Older People ◽  
Randomized Trial ◽  
Functional Decline ◽  
Multicenter Randomized Trial

Maintaining independence in older people

2010 ◽  
Vol 20 (2) ◽  
pp. 128-153 ◽  
Author(s):  
AD Beswick ◽  
R Gooberman-Hill ◽  
A Smith ◽  
V Wylde ◽  
S Ebrahim
Keyword(s):  
Older People ◽  
Social Engagement ◽  
Hospital Admissions ◽  
Meta Analysis ◽  
Functional Decline ◽  
Complex Interventions ◽  
Preventive Strategies ◽  
Health And Social Care ◽  
Quality Trial ◽  
High Quality Trial

SummaryAppropriate social and medical interventions may help maintain independence in older people. Determinants of functional decline, disability and reduced independence are recognized and specific interventions target the treatment of clinical conditions, multiple health problems and geriatric conditions, prevention of falls and fractures, and maintenance of physical and cognitive function and social engagement.Preventive strategies to identify and treat diverse unmet needs of older people have been researched extensively. We reviewed systematically recent randomized controlled trials evaluating these ‘complex’ interventions and incorporated the findings of 21 studies into an established meta-analysis that included 108,838 people in 110 trials. There was an overall benefit of complex interventions in helping older people to live at home, explained by reduced nursing home admissions rather than death rates. Hospital admissions and falls were also reduced in intervention groups. Benefits were largely restricted to earlier studies, perhaps reflecting general improvements in health and social care for older people. The wealth of high-quality trial evidence endorses the value of preventive strategies to help maintain independence in older people.

scholarly journals Social Participation and Functional Decline: A Comparative Study of Rural and Urban Older People, Using Japan Gerontological Evaluation Study Longitudinal Data

2020 ◽  
Vol 17 (2) ◽  
pp. 617 ◽  
Author(s):  
Kazushige Ide ◽  
Taishi Tsuji ◽  
Satoru Kanamori ◽  
Seungwon Jeong ◽  
Yuiko Nagamine ◽  
...  
Keyword(s):  
Longitudinal Data ◽  
Older People ◽  
Social Participation ◽  
Urban Areas ◽  
Proportional Hazards Model ◽  
Functional Decline ◽  
Evaluation Study ◽  
Cox Proportional Hazards ◽  
Cox Proportional Hazards Model ◽  
Rural And Urban

This study compared the relationship between social participation, including work, and incidence of functional decline in rural and urban older people in Japan, by focusing on the number and types of organizations older people participated in. The longitudinal data of the Japan Gerontological Evaluation Study (JAGES) that followed 55,243 individuals aged 65 years or older for six years were used. The Cox proportional hazards model was employed to calculate the hazard ratio (HR) of the incidence of functional decline over six years and the stratification of rural and urban settings. In this model, we adjusted 13 variables as behavioral, psychosocial, and functional confounders. The more rural and urban older people participated in various organizations, the more they were protected from functional decline. Participation in sports (HR: rural = 0.79; urban = 0.83), hobby groups (HR: rural = 0.76; urban = 0.90), and work (HR: rural = 0.83; urban = 0.80) significantly protected against the incidence of decline in both rural and urban areas. For both rural and urban older people, promoting social participation, such as sports and hobby groups and employment support, seemed to be an important aspect of public health policies that would prevent functional decline.

Social capital and health care access among the older adults in Bangladesh

2019 ◽  
Vol 23 (1) ◽  
pp. 54-63
Author(s):  
Md. Shahidul Islam
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Social Capital ◽  
Logistic Regression ◽  
Older People ◽  
Health Care Access ◽  
Economic Hardship ◽  
Content Type ◽  
Care Access ◽  
Access Problem

Purpose The purpose of this paper is to investigate the association between social capital (SC) and health care access problem among the older people in Bangladesh. Design/methodology/approach This study applied a random sampling method to select 310 older adults (all aged 60 years) in Bangladesh. Exploratory factor analysis was employed to extract SC dimensions. Logistic regression was applied to measure the association of SC dimensions and access. Findings The logistic regression result shows that with a one-unit increase in social network, norms of reciprocity, and civic participation, health care access problem will be decreased by OR= 0.732 (95% CI =0.529–1.014); OR=0.641 (95% CI = 0.447–0.919); and OR=0.748 (95% CI = 0.556–1.006) units. Respondents who have economic hardship were 3.211 (OR=3.211, CI = 0.84–5.59) times more likely to say that they had health care access problem compared with who had no economic hardship. Research limitations/implications The study showed that the lower level of SC and presence of economic hardship increased the probability to health care access problem among the older people. Improving SC may be helpful in reducing health care access problem. However, economic hardship reductions are also important to reduce the health care access problem. Improving SC and reducing economic hardship thus should be implemented at the same time. Practical implications The study showed that low SC and economic hardship increased the probability to health care access problem. Improving SC may be helpful in reducing health inequity. However, economic hardship reductions also important to health care access. Therefore, improving SC and reducing economic hardship should be implemented at the same time. Originality/value This study has a great policy importance in regard to reducing health care access problem among the older adult in Bangladesh as SC has a potential to bring about a concomitant improvement in the condition of the health care access.

scholarly journals Developing A Model of Mobility Capital for An Ageing Population

2019 ◽  
Vol 16 (18) ◽  
pp. 3327 ◽  
Author(s):  
Charles Musselwhite ◽  
Theresa Scott
Keyword(s):  
Social Capital ◽  
Older People ◽  
Cultural Capital ◽  
Ageing Population ◽  
Policy And Practice ◽  
Health And Wellbeing ◽  
Barriers And Enablers ◽  
Willingness To Change ◽  
Technology Services

Driving a car meets older people’s needs, providing utility (getting from A to B), psychosocial (providing identity and roles and feelings of independence and normality) and aesthetic (mobility for its own sake) mobilities. Giving up driving is related to poorer health and wellbeing. This paper addresses how older people cope when they give up driving, using Bourdieu’s theory of capital as a way of categorising different barriers and enablers to managing without a car in a hypermobile society. Older people are most likely to mention barriers and enablers to mobility relating to infrastructure capital (technology, services, roads, pavements, finance and economics), followed by social capital (friends, family, neighbourhood and community). Cultural capital (norms, expectations, rules, laws) and individual capital (skills, abilities, resilience, adaptation and desire and willingness to change) are less important but still significantly contribute to older people’s mobility. Implications for policy and practice suggest that provision for older people beyond the car must explore capital across all four of the domains.

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