Exploring Impact of Independent Living Programme on Activity Participation Of Elderly People with Chronic Conditions

2012 ◽  
Vol 19 (3) ◽  
pp. 154-162 ◽  
Author(s):  
Hassan Dugow ◽  
Deirdre Connolly
Keyword(s):  
Elderly People ◽  
Chronic Conditions ◽  
Independent Living ◽  
Activity Participation

User-Centered Design Enhances Usability of an mHealth System for Users with Dexterity Impairments (Preprint)

2020 ◽  
Author(s):  
Kuntal Chowdhary ◽  
Daihua Xie Yu ◽  
Gede Pramana ◽  
Andrea Fairman ◽  
Brad Edward Dicianno ◽  
...  
Keyword(s):  
User Interface ◽  
Mobile Health ◽  
Chronic Conditions ◽  
Independent Living ◽  
Health Interventions ◽  
Self Management ◽  
User Centered Design ◽  
Entire Study ◽  
Efficiency And Effectiveness ◽  
User Centered

BACKGROUND Mobile health (mHealth) systems have been shown to be useful in supporting self-management by promoting adherence to schedules and longitudinal health interventions, especially in people with disabilities (PwD). The Interactive Mobile Health and Rehabilitation (iMHere) System was developed to empower PwD and those with chronic conditions with supports needed for self-management and independent living. Since the first iteration of the iMHere 1.0 app, several studies have evaluated accessibility and usability of the system. Potential opportunities to improve and simplify the user interface (UI) were identified, and the iMHere modules were redesigned accordingly. OBJECTIVE The aim of this study was to evaluate the usability of the redesigned modules within iMHere 1.0. METHODS This study evaluated the original and redesigned MyMeds and SkinCare modules. To assess the participants’ dexterity levels, the Purdue Pegboard Test (PPBT) was administered. Participants were then asked to perform a set of tasks using both the original and redesigned MyMeds and SkinCare modules to assess efficiency and effectiveness. Usability was measured using the Telehealth Usability Questionnaire (TUQ) to evaluate 10 new accessibility features that were added to the redesigned app. Participants were also asked which version they preferred. RESULTS Twenty-four participants with disabilities and varied degrees of dexterity impairments completed the entire study protocol. Participants displayed improved efficiency and effectiveness of use when using the redesigned modules, as compared to the original modules. Participants also reported improved usability and preferred the redesigned modules. CONCLUSIONS This study demonstrated that the iMHere System became more efficient, effective, and usable for individuals with dexterity impairments after redesigning it according to user-centered principles.

Living Arrangement Preferences of Elderly People in Taiwan as Affected by Family Resources and Social Participation

2012 ◽  
Vol 37 (4) ◽  
pp. 381-394 ◽  
Author(s):  
Yen-Jong Chen ◽  
Ching-Yi Chen
Keyword(s):  
Elderly People ◽  
Social Participation ◽  
Living Arrangements ◽  
Independent Living ◽  
Choice Theory ◽  
Living Arrangement ◽  
Large Family ◽  
The Elderly ◽  
Elderly Persons ◽  
Family Resources

This article investigates living arrangement preferences of elderly people in Taiwan, including coresidence with family (their children or spouse), coresidence with spouse only, living alone, and living in an institution. The authors consider the effects of three factors: the elderly persons’ health situation, their family resources, and their social participation, such as community workshops or political activities. Accordingly, the authors propose empirical logit models based on the well-developed discrete choice theory. Empirical results reveal that (1) elderly people with higher socioeconomic status, prefer either independent living arrangements or coresidence with their children, (2) elderly people with more family resources, such as large family size, prefer to coreside with their children, and (3) elderly people with adequate social support and/or contact networks prefer independent living arrangements.

Impact of Pharmacist Interventions on Medication Management by the Elderly: A Review of the Literature

1993 ◽  
Vol 27 (1) ◽  
pp. 80-86 ◽  
Author(s):  
Susan E. Tett ◽  
Gwen M. Higgins ◽  
Carol L. Armour
Keyword(s):  
Elderly People ◽  
Independent Living ◽  
Data Extraction ◽  
Medication Management ◽  
Cost Savings ◽  
The Elderly ◽  
Computer Search ◽  
Self Medication ◽  
Pharmacist Interventions ◽  
The Impact

OBJECTIVE: To review the impact of pharmacist interventions designed to assist older people in managing their medication regimens. DATA SOURCES: A computer search of literature published between 1975 and 1990 was conducted using MEDLINE. References were also identified from the bibliographies of pertinent articles. STUDY SELECTION: Studies included in the review were those evaluating pharmacist interventions that were designed to assist in medication management by people over 65 years of age. Only nine studies were identified by these criteria. Interventions that have not been evaluated are discussed briefly. The studies included were chosen by consensus of the authors. DATA EXTRACTION: A data extraction form was used to summarize the information in each study. RESULTS: This was a qualitative review. Some studies evaluating the effects of short verbal medication counseling episodes showed positive benefits; others showed no benefit. Written medication information, some memory devices, and audiovisual techniques have also been found to be of limited use. Self-medication programs for hospitalized elderly people need to be evaluated. CONCLUSIONS: This review identified the lack of published evaluations of pharmacist interventions in medication management by elderly people. Well-designed studies need to be performed to determine the effects of individualized advice and counseling. The cost-effectiveness of such interventions should be assessed, with consideration of long-term outcomes, such as readmission rates to the hospital and cost savings accruing from increased duration of independent living.

scholarly journals Evaluation of Treatment in the Smart Home IRIS in terms of Functional Independence and Occupational Performance and Satisfaction

2013 ◽  
Vol 2013 ◽  
pp. 1-10 ◽  
Author(s):  
Julija Ocepek ◽  
Anne E. K. Roberts ◽  
Gaj Vidmar
Keyword(s):  
Elderly People ◽  
Independent Living ◽  
Smart Home ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Performance Measure ◽  
Assistive Technologies ◽  
Occupational Performance ◽  
Convenience Sample ◽  
Persons With Disabilities

The development of assistive technologies, home modifications, and smart homes has rapidly advanced in the last two decades. Health professionals have recognised the benefits of these technologies in improving individual’s quality of life. The Smart Home IRIS was established in 2008 within the University Rehabilitation Institute in Ljubljana with the aim to enable persons with disabilities and elderly people to test various assistive technologies and technical solutions for their independent living. We investigated the effect of treatments in the Smart Home IRIS. A convenience sample of 59 persons with disabilities and elderly people (aged 24–81 years) who were treated in the Smart Home IRIS from April to December 2011 participated. Standardised instruments—the Canadian Occupational Performance Measure (COPM) and the Functional Independence Measure (FIM)—were administered at the first assessment in the Smart Home IRIS and at a second assessment at the participant’s home after 6–12 months. All the outcomes statistically significantly improved from the first to the second assessment. The treatments in the Smart Home IRIS appeared to contribute to higher occupational performance and satisfaction with performance and higher functional independence of persons with disabilities and elderly people.

scholarly journals Understanding the Spatial Requirements that Facilitate Personal Leisure Activities of the High-Needs Elderly

2020 ◽  
Author(s):  
Yukiko Kuboshima ◽  
Jacqueline McIntosh
Keyword(s):  
Elderly People ◽  
Independent Living ◽  
Leisure Activities ◽  
The Elderly ◽  
Ageing Population ◽  
Limited Information ◽  
Care Needs ◽  
Ageing In Place ◽  
Housing Design ◽  
Spatial Use

The growth of the ageing population and the desires for ageing-in-place have resulted in an ever-increasing need for housing that can support the independent living of the elderly with care needs. As impairments and care needs increase, spatial use typically changes. However, there is limited information on how to accommodate leisure activities and spatial use in private dwellings to inform housing design. Through an ethnographic investigation of 30 high-needs elderly people living independently, patterns of spatial use for personal leisure activities were established. Seven key themes for residents’ perceptions were revealed, which include; comfort in posture, access to sunshine and warmth, facilitating activities to occupy residents, views to outside, control for doing everything from one space, and keeping active. In the design of housing for the high-needs elderly, greater attention should be given to the micro-environment of the main sitting space, to improve occupant control while enhancing comfort and warmth. This paper provides key considerations for housing design, which will help elderly people continue their fulfilled life in their own home as long as possible.  

scholarly journals Understanding the Spatial Requirements that Facilitate Personal Leisure Activities of the High-Needs Elderly

2020 ◽  
Author(s):  
Yukiko Kuboshima ◽  
Jacqueline McIntosh
Keyword(s):  
Elderly People ◽  
Independent Living ◽  
Leisure Activities ◽  
The Elderly ◽  
Ageing Population ◽  
Limited Information ◽  
Care Needs ◽  
Ageing In Place ◽  
Housing Design ◽  
Spatial Use

The growth of the ageing population and the desires for ageing-in-place have resulted in an ever-increasing need for housing that can support the independent living of the elderly with care needs. As impairments and care needs increase, spatial use typically changes. However, there is limited information on how to accommodate leisure activities and spatial use in private dwellings to inform housing design. Through an ethnographic investigation of 30 high-needs elderly people living independently, patterns of spatial use for personal leisure activities were established. Seven key themes for residents’ perceptions were revealed, which include; comfort in posture, access to sunshine and warmth, facilitating activities to occupy residents, views to outside, control for doing everything from one space, and keeping active. In the design of housing for the high-needs elderly, greater attention should be given to the micro-environment of the main sitting space, to improve occupant control while enhancing comfort and warmth. This paper provides key considerations for housing design, which will help elderly people continue their fulfilled life in their own home as long as possible.  

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