scholarly journals Effects of a person-centred and health-promoting intervention in home care services– a non-randomized controlled trial

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kristina Lämås ◽  
Karin Bölenius ◽  
Per-Olof Sandman ◽  
Marie Lindkvist ◽  
David Edvardsson
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Home Care ◽  
Negative Emotions ◽  
Intervention Group ◽  
Self Determination ◽  
Care Staff ◽  
Control Group ◽  
Health Promoting

Abstract Background Home care recipients have reported little self-determination and opportunity to influence their own care. Person-centred care focusing on involvement has improved the quality of life of older adults in health care and nursing homes; however, knowledge about the effects of person-centred interventions in aged care at home is sparse. The aim of this study was to study the effects of a person-centred and health-promoting intervention, compared with usual care, on health-related quality of life, thriving and self-determination among older adults, and on job satisfaction, stress of conscience and level of person-centred care among care staff. Methods This is a non-randomized controlled trial with a before/after design. Participants from five home care districts in one municipality in northern Sweden were recruited to an intervention or control group. We evaluated health-related quality of life, thriving and self-determination among older home care recipients, and job satisfaction, person-centred care and stress of conscience among care staff. Evaluation was performed by questionnaires and responses were analysed using parametric and non-parametric statistical analyses. Results Eighty-one older adults and 48 staff were included in the study. A clinically moderate and statistically significant difference between the intervention and control groups was found in thriving and negative emotions among older adults. The intervention contributed to maintaining high thriving levels, in contrast to decreased thriving in the control group (intervention: + 1, control: − 4, p 0.026, CI: − 10. 766, − 0.717). However, the intervention group rated an increase in negative emotions, while the control group was unchanged (intervention: − 7 control: + − 0, p 0.048, CI: − 17.435, − 0.098). No significant effects were found among staff. Conclusions The intervention contributed to maintaining high levels of thriving in contrast to low levels found in the control group, and it seems reasonable to consider the intervention focus on staff as more person-centred and health-promoting. The finding that the intervention group had increase in negative emotions is difficult to interpret, and warrants further exploration. Even though the results are sparse, the challenges discussed may be of importance for future studies in the context of HCS. Trial registration NCT02846246. Date of registration: 27 July 2016.

scholarly journals Implementation and effectiveness of a multi-domain program for older adults at risk of cognitive impairment at neighborhood senior centres

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Pei Ern Mary Ng ◽  
Sean Olivia Nicholas ◽  
Shiou Liang Wee ◽  
Teng Yan Yau ◽  
Alvin Chan ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
At Risk ◽  
Cognitive Impairment ◽  
Mobile Application ◽  
Intervention Group ◽  
Blood Parameters ◽  
Attrition Rate ◽  
Control Group

AbstractTo address the paucity of research investigating the implementation of multi-domain dementia prevention interventions, we implemented and evaluated a 24-week, bi-weekly multi-domain program for older adults at risk of cognitive impairment at neighborhood senior centres (SCs). It comprised dual-task exercises, cognitive training, and mobile application-based nutritional guidance. An RCT design informed by the Reach, Effectiveness, Adoption, Implementation, Maintenance framework was adopted. Outcome measures include cognition, quality of life, blood parameters, and physical performance. Implementation was evaluated through questionnaires administered to participants, implementers, SC managers, attendance lists, and observations. The program reached almost 50% of eligible participants, had an attrition rate of 22%, and was adopted by 8.7% of the SCs approached. It was implemented as intended; only the nutritional component was re-designed due to participants’ unfamiliarity with the mobile application. While there were no between-group differences in cognition, quality of life, and blood parameters, quality of life reduced in the control group and physical function improved in the intervention group after 24 weeks. The program was well-received by participants and SCs. Our findings show that a multi-domain program for at-risk older adults has benefits and can be implemented through neighborhood SCs. Areas of improvement are discussed.Trial registration: ClinicalTrials.gov NCT04440969 retrospectively registered on 22 June 2020.

AwareCare: a pilot randomized controlled trial of an awareness-based staff training intervention to improve quality of life for residents with severe dementia in long-term care settings

2012 ◽  
Vol 25 (1) ◽  
pp. 128-139 ◽  
Author(s):  
Linda Clare ◽  
Rhiannon Whitaker ◽  
Robert T Woods ◽  
Catherine Quinn ◽  
Hannah Jelley ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Controlled Trial ◽  
Care Home ◽  
Intervention Group ◽  
Well Being ◽  
Care Staff ◽  
Control Group ◽  
Severe Dementia ◽  
Term Care

ABSTRACTBackground: The extent to which care home residents with severe dementia show awareness is influenced by the extent to which the environment provides opportunities for engagement and by the way in which care staff interact with them. We aimed to establish whether training care staff to observe and identify signs of awareness in residents with severe dementia resulted in improved quality of life for residents.Methods: In this pilot cluster randomized trial, care staff in four homes (n = 32) received training and supervision and carried out structured observations of residents using the AwareCare measure (n = 32) over an eight-week period, while staff in four control homes (n = 33) had no training with regard to their residents (n = 33) and no contact with the research team. The primary outcome was resident quality of life. Secondary outcomes were resident well-being, behavior and cognition, staff attitudes and well-being, and care practices in the home.Results: Following intervention, residents in the intervention group had significantly better quality of life as rated by family members than those in the control group, but care staff ratings of quality of life did not differ. There were no other significant between-group differences. Staff participating in the intervention identified benefits in terms of their understanding of residents’ needs.Conclusions: Staff were able to use the observational measure effectively and relatives of residents in the intervention homes perceived an improvement in their quality of life.

scholarly journals “Where-There-Is-No-Psychiatrist Integrated Personal Therapy” among Community-Dwelling Older Adults: A Randomized Pilot Study

2021 ◽  
Vol 18 (18) ◽  
pp. 9514
Author(s):  
Shefaly Shorey ◽  
Ee Heok Kua ◽  
Wilson Tam ◽  
Valerie Chan ◽  
Yong Shian Goh ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Pilot Study ◽  
Intervention Group ◽  
Well Being ◽  
Small Sample ◽  
Community Dwelling ◽  
Control Group ◽  
Community Dwelling Older Adults

In Singapore, many older adults suffer from subsyndromal depression and/or subsyndromal anxiety, which can negatively impact their physical and mental well-being if left untreated. Due to the general public’s reluctance to seek psychological help and the low psychiatrist-to-population ratio in Singapore, this study aims to examine the preliminary efficacy, perceptions, and acceptability of a trained volunteer-led community-based intervention on community-dwelling older adults. Twenty-one participants (control: n = 11; intervention: n = 10) completed the randomized pilot study. A mixed-methods approach (questionnaires, semistructured interviews, examining blood samples, intervention fidelity) was adopted. No significant differences were found between the intervention and the control groups in depression, anxiety, life satisfaction, friendship, and quality of life. However, there was a positive change in quality-of-life scores from baseline to 6 months in the intervention group. The control group had significantly higher cortisol levels and lower annexin-A1 levels at 6 months, while the intervention group did not. Three themes emerged from the interviews: (1) impact of the intervention on older adults’ well-being, (2) attitudes toward intervention, and (3) a way forward. However, intervention efficacy could not be established due to small sample size caused by the coronavirus pandemic. Future randomized controlled trials should evaluate volunteer-led, technology-based psychosocial interventions to support these older adults.

scholarly journals Calidad De Vida Y El Equilibrio Dinámico En El Adulto Mayor

2018 ◽  
Vol 14 (14) ◽  
pp. 110
Author(s):  
Orlando David Mazón Moreno ◽  
Pablo Luis Lomas Badillo ◽  
Danilo Ortiz Fernández ◽  
Santillan Obregon Rodrigo Roberto ◽  
Dennys Germán Palacios Valdiviezo
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Dynamic Balance ◽  
Intervention Group ◽  
Exercise Program ◽  
Control Group ◽  
Calidad De Vida ◽  
Post Test ◽  
Tinetti Test

The objective of the present investigation was to relate quality of life and dynamic balance in older adults. To this end, an intentional sample of older adults was taken from the gerontological centers of Chambo and Guano cantons, for which 35 people make up the control group (Chambo); while 71 people make up the intervention group (Guano). In order to reach the goal of the research, the quality of life was evaluated, through a pre-test called WHOQOL - BREF, followed by the Tinetti test that refers to the march - balance, ending with the Timed get up and go test, which determines the mobility measures of people who can walk on their own. To the intervention group, an exercise program was applied to improve the dynamic balance that lasted ten weeks. Finally, by means of a post test, the entire sample was evaluated, which allowed us to analyze whether there was an incidence. In other words, a slight improvement in both dynamic balance and gait after ten weeks of intervention was evidenced.

Health-promoting behaviors and quality of life in older adults with hypertension as compared to a community control group

2018 ◽  
Vol 32 (8-9) ◽  
pp. 540-547 ◽  
Author(s):  
Wenjun Cao ◽  
Guoqiang Hou ◽  
Chongzheng Guo ◽  
Ying Guo ◽  
Jianzhong Zheng
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Community Control ◽  
Control Group ◽  
Health Promoting Behaviors ◽  
Health Promoting

eSeniorCare: Technology for Promoting Well-Being of Older Adults in Independent Living Facilities (Preprint)

2020 ◽  
Author(s):  
Dipanwita Dasgupta ◽  
Beenish Chaudhry ◽  
Kimberly Greeves ◽  
Joyce Long ◽  
Mayra Duarte ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Mobile Technology ◽  
Successful Aging ◽  
Intervention Group ◽  
Community Dwelling ◽  
Control Group ◽  
Health Goals

BACKGROUND Successful Aging is a multidimensional concept that encompasses mental and physical health, chronic disease management and social engagement of older adults. A number of mobile health interventions have been designed to promote Successful Aging, but the majority focus on only one dimension. Moreover, there is a dearth of research studies that explore the feasibility and long-term acceptance of these interventions in community-dwelling older adults from lower socioeconomic strata (SES), who can derive the greatest health and economic benefits from such interventions. OBJECTIVE To study the long-term feasibility of an integrated intervention, which combined mobile technology with social relationships, in improving perceptions of Successful Aging in community-dwelling low-SES older adults. METHODS The intervention combined mobile technology with social relationships. The mobile technology component of the intervention consisted of a tablet-based application, eSeniorCare, that allowed older adults to track their medications and health activities and play proprietary gaming apps from the online app store. Whereas the social component consisted of weekly technology workshops and meetups. Study Design. We used a pre-test post-test experimental design approach with two groups (intervention and control). 25 older adults were recruited in each group. Each participant in the intervention group received a tablet PC pre-installed with the eSeniorCare app and various gaming apps. The control group received usual care. Participants completed self-reported outcomes consisting of SF12v2 and Older Person Quality of Life (OPQOL) questionnaires both at the beginning and at the end of the study. The study lasted for 42 weeks during which the intervention group used the eSeniorCare app to track their medications and health activities, and they also played the installed gaming apps. In addition, they received technology training via weekly workshops, where they interacted with participants in the intervention group and the study staff. RESULTS The results indicate that the integrated intervention significantly improved participants’ perceptions of their mental health and health-related quality of life. Specifically, they found that the eSeniorCare app improved their adherence to medication regimen and motivated them to pursue their health goals. They also thought that playing tablet games was men- tally stimulating and it improved their overall cognitive health. By the end of the study, the intervention group preferred technology over paper for managing their medications and health goals, while no one in the control group wanted to preferred technology over paper. CONCLUSIONS An integrated mobile health intervention is feasible for long-term use by community-dwelling older adults from lower SES and community-based caregivers. It improved perceptions of mental health and health related quality of life among the study participants.

scholarly journals Effectiveness of a health-social partnership program for discharged non-frail older adults: a pilot study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Arkers Kwan Ching WONG ◽  
Frances Kam Yuet WONG ◽  
Jenny Sau Chun NGAI ◽  
Shirley Yu Kan HUNG ◽  
Wah Chun LI
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Depressive Symptoms ◽  
Daily Living ◽  
Intervention Group ◽  
Community Dwelling ◽  
Control Group ◽  
Social Partnership ◽  
Frail Older Adults

Abstract Background Previous studies supporting discharged patients are hospital-based which admission criteria tend to include mainly those with complex needs and/or specific disease conditions. This study captured the service gap where these non-frail older patients might have no specific medical problem upon discharge but they might encounter residual health and social issues when returning home. Methods Discharged community-dwelling non-frail older adults from an emergency medical ward were recruited and randomized into either intervention (n = 37) or control (n = 38) group. The intervention group received a 12-week complex interventions that included structured assessment, health education, goal empowerment, and care coordination supported by a health-social team. The control group received usual discharge care and monthly social call. The primary outcome was health-related quality of life (HRQoL). Secondary outcomes included activities of daily living (ADL), the presence of depressive symptoms, and the use of health services. The outcomes were measured at pre-intervention (T1) and at three months post-intervention (T2). The independent t-test or the Mann-Whitney U test was used to analyze the group differences in HRQoL, ADL, and presence of depressive symptoms according to the normality of data. Results Analysis showed that the intervention group experienced a statistically significantly improvement in the mental component scale of quality of life (p = .036), activities of daily living (p = .005), and presence of depressive symptoms (p = .035) at T2 compared with at T1. No significant differences were found in the control group. Conclusions Supporting self-care is necessary to enable community-dwelling non-frail older adults to be independent to the fullest extent possible in the community. The promising results found in this pilot study suggested that the integration of the health-social partnership into transitional care practice is effective and can be sustained in the community. Future studies can draw on these findings and maximize the integrated care quality during the transition phase. Trial registration NCT04434742 (date: 17 June 2020, retrospectively registered).

scholarly journals Effectiveness of Deep Breathing and Body Scan Meditation Combined with Music to Improve Sleep Quality and Quality of Life in Older Adults

2020 ◽  
Vol 13 (1) ◽  
pp. 232-239
Author(s):  
Nitayapa Nanthakwang ◽  
Penprapa Siviroj ◽  
Anuchart Matanasarawoot ◽  
Ratana Sapbamrer ◽  
Peerasak Lerttrakarnnon ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Sleep Quality ◽  
Intervention Group ◽  
Daily Practice ◽  
Control Group ◽  
Deep Breathing ◽  
Body Scan ◽  
Improve Sleep Quality

Background: In older adults, physiological changes affect sleep and may cause impaired daily function and Reduced Quality of Life (QOL). This study aimed to investigate the effectiveness of deep breathing exercises and body scan meditation combined with music to improve sleep quality and QOL. Methods: A randomized controlled trial with allocation concealment method was conducted. Fifty-nine older adults with poor sleep quality were recruited using block randomization to intervention and control groups. The intervention group was instructed to do deep breathing and body scan meditation while listening to music through Bluetooth speakers once a day for thirty minutes before sleeping, a daily practice to last for eight weeks. The Pittsburgh Sleep Quality Index (PSQI) and Pictorial Thai Quality of Life (PTQL) were administered to both groups prior to the intervention and 8-week post-baseline of the intervention. Results: The global PSQI in the intervention group significantly decreased following the intervention, whereas the control group showed no difference. There was a decrease in individual PSQI components as well for the intervention group, namely, sleep efficiency, perceived sleep quality, and daily disturbance. The intervention group did not differ from the control group in sleep efficiency or perceived sleep quality, but there was a significant difference in the daily disturbance. Additionally, the total PTQL in the intervention group significantly increased between the two time periods, whereas there was no difference in the controls. The intervention group scored higher in each domain of PTQL, except for the economic domain. Conclusion: A daily practice of deep breathing and body scan meditation combined with music has a positive effect on improving sleep quality and QOL among older adults. Hence, this intervention should be implemented to improve sleep quality and promote QOL in older adults.

scholarly journals Effect of Health-Promoting Lifestyle Modification Education on Knowledge, Attitude, and Quality of Life of Postmenopausal Women

2020 ◽  
Vol 2020 ◽  
pp. 1-11
Author(s):  
Nirmala Rathnayake ◽  
Gayani Alwis ◽  
Janaka Lenora ◽  
Iresha Mampitiya ◽  
Sarath Lekamwasam
Keyword(s):  
Quality Of Life ◽  
Intervention Group ◽  
Control Group ◽  
Lifestyle Modifications ◽  
Control Groups ◽  
Health Promoting ◽  
Health Promoting Lifestyle ◽  
And Control

Limited knowledge and negative attitudes about menopause among postmenopausal women (PMW) create a multitude of health-related issues leading to impaired quality of life (QOL) among them. This study evaluated the impact of a health-promoting lifestyle education intervention (HPLEI) on knowledge, attitude, and QOL in a group of PMW in Sri Lanka. A quasi-experimental study was conducted with 72 PMW, matched for sociodemographic status of the community from two geographically separated areas in Galle, and they were allocated to intervention (n=37) and control (n=35) groups. HPLEI is comprised of health education sessions focused on postmenopausal health management with lifestyle modifications provided only for the intervention group for 8 weeks and follow-up for 6 months. The control group was not given any planned education programme and was allowed to proceed with the usual lifestyle during this period. Knowledge, attitude, menopause-specific QOL (MENQOL), and overall QOL were evaluated in both groups with self-administered questionnaires at the baseline, after 8 weeks of education sessions and at the end of 6 months of follow-up. The mean (SD) ages of the intervention and control groups were 54.6 (4.5) and 56.5 (3.4) (p=0.06) years, respectively. All evaluated variable scores were not different between the intervention and control groups (p>0.05) at the baseline. In the intervention group, knowledge (mean±SD; 21.70±1.05) and attitude (mean±SD; 44.02±5.33) scores increased at the end (p<0.001). In the control group, a marginal increase in all dimensions of knowledge scores (mean±SD; 9.71±2.21) and unchanged attitude scores (mean±SD; 23.91±7.56) were seen. All MENQOL scores decreased during the follow-up in the intervention group (mean±SD; 138.51±18.47) (p<0.001) except the sexual domain (p=0.32). MENQOL scores were increased in the control group (mean±SD; 92.05±28.87) (p<0.001) with time. Overall QOL scores increased (mean±SD; 74.85±9.71) (p<0.001) in the intervention group during the study period and in the control group overall QOL (mean±SD; 51.03±13.61) showed a reduction (p<0.001) at the end. Health education focused on health-promoting lifestyle modifications was effective in improving knowledge, attitude, MENQOL, and overall QOL of PMW.

scholarly journals Efficacy of the self-mutual-group model targeting quality of life improvement among empty-nest older adults in Taiyuan, China: an intervention study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Chichen Zhang ◽  
Yaqing Xue ◽  
Yuan Cai ◽  
Jiao Lu ◽  
Xiao Zheng ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Intervention Study ◽  
Health Management ◽  
Intervention Group ◽  
Health Concern ◽  
Control Group ◽  
Empty Nest ◽  
And Control

Abstracts Background In China, more and more older people have encountered a situation called “empty nest.” Meanwhile, the health status of empty-nest older adults is an increasing public health concern. This research aims to examine the effectiveness of Self-Mutual-Group (SMG) model in improving quality of life of the empty-nest older adults to provide a scientific evidence for improving their health. Methods A prospective intervention study was conducted among empty-nest older adults in Taiyuan, Shanxi. Multi-stage stratified random cluster sampling was employed to selected participants. A total of 396 empty nesters were enrolled as participants, of which 204 and 192 were in the intervention and control group, respectively. The intervention group received a seven-month SMG-based intervention. A participant’s quality of life was measured at the baseline and seven months after using the Short Form 36-Item Health Survey (SF-36). Results No significant difference was found between the intervention and control groups in terms of participant characteristics at baseline (P > 0.05). After the intervention, participants’ scores on Mental Component Summary (MCS), Physical Component Summary (PCS), role emotional (RE), vitality (VT), social function (SF), mental health (MH) and general health (GH) increased significantly in the intervention group. Additionally, these scores differed significantly from those in the control group (P < 0.05). Conclusion This study showed that the SMG-based health management is effective in improving quality of life among empty-nest older adults after seven months. Trial registration Study on the ‘SMG’ Health Management Model Based on Community Organization Theory among empty-nest older adults (ChiCTR1800015884). Registration date: 26-04-2018. Retrospectively registered.

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