scholarly journals Identifying Psychosocial Variables of the Interactive Mobile Interface for Geriatric Persons

2021 ◽  
Author(s):  
Njeri Ngaruiya ◽  
Daniel Orwa ◽  
Peter Wagacha
Keyword(s):  
Informed Consent ◽  
Older People ◽  
Sense Of Belonging ◽  
Older Persons ◽  
Exploratory Research ◽  
Research Protocol ◽  
Psychosocial Variables ◽  
Community Based ◽  
Psychological Wellness ◽  
Mobile Interface

<p>This is qualitative exploratory research that looked into the gap between gerontechnology and psychosocial wellness. The physical and psychological wellness of geriatric persons has been developed over the few decades. This has made older people consumers of the different technologies. This, though, is not satisfactory enough as the older generation yearns for the worth and sense of belonging that existed in the traditional world, with the different roles that they played. With the modernization and the recent pandemic, it distances the older persons from their loved ones and society, therefore, disengaging from activities. </p> <p> </p> <p>This research identified this gap, and under a research protocol from a legally authorized organization in Kenya, we approached a philanthropic social home and a community-based daycare where eight participants gave verbal informed consent to take part in the 10-week study</p> <p> </p><br>

scholarly journals Identifying Psychosocial Variables of the Interactive Mobile Interface for Geriatric Persons

2021 ◽  
Author(s):  
Njeri Ngaruiya ◽  
Daniel Orwa ◽  
Peter Wagacha
Keyword(s):  
Informed Consent ◽  
Older People ◽  
Sense Of Belonging ◽  
Older Persons ◽  
Exploratory Research ◽  
Research Protocol ◽  
Psychosocial Variables ◽  
Community Based ◽  
Psychological Wellness ◽  
Mobile Interface

<p>This is qualitative exploratory research that looked into the gap between gerontechnology and psychosocial wellness. The physical and psychological wellness of geriatric persons has been developed over the few decades. This has made older people consumers of the different technologies. This, though, is not satisfactory enough as the older generation yearns for the worth and sense of belonging that existed in the traditional world, with the different roles that they played. With the modernization and the recent pandemic, it distances the older persons from their loved ones and society, therefore, disengaging from activities. </p> <p> </p> <p>This research identified this gap, and under a research protocol from a legally authorized organization in Kenya, we approached a philanthropic social home and a community-based daycare where eight participants gave verbal informed consent to take part in the 10-week study</p> <p> </p><br>

scholarly journals The architecture of the primary mental healthcare system for older people in India: what public policies tell us

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Tom Kafczyk ◽  
Kerstin Hämel
Keyword(s):  
Mental Health ◽  
Older People ◽  
Old Age ◽  
Healthcare System ◽  
General Health ◽  
Older Persons ◽  
Mental Healthcare ◽  
Community Based ◽  
The Family ◽  
Policy Fields

Abstract Background Old age mental healthcare is an issue that cuts across old age, general health, and mental healthcare policies. While strengthening the primary mental healthcare system in India is a common strategy across policy fields to improve the mental health of older persons, very little is known about the system’s planned architecture. This study explores public policy strategies for and approaches to the mental health of older persons, focusing on the primary healthcare (PHC) level and the role of the family. Methods A document analysis of 39 key public national policy documents (2007 – 2019) from three thematically grouped policy fields (mental health, old age, and general health) was conducted. Results Comprehensive community-based primary mental healthcare – focusing on vulnerable population groups including older persons – has been strengthened significantly since 2007. The promulgated approaches and strategies build on traditional community-based approaches to mental healthcare in India. They focus on (a) integrating community health workers into primary mental healthcare, (b) empowering the community to participate in healthcare planning, implementation, and monitoring, (c) supporting the family through a family-led approach to mental healthcare, and (d) integrating traditional Ayurveda, Yoga and Naturopathy, Unani, Siddha, Sowa-Rigpa and Homeopathy (AYUSH) services into primary mental healthcare. Conclusions While all policy fields address mental PHC, they do so in different ways, and approaches and strategies that promote an integrated perspective across policy fields are lacking. To realize the policies vision, strengthening PHC will be essential. Further research should evaluate strategies and approaches in light of social developments, such as eroding family norms and the poor state of the public health system in India, in order to assess their opportunities, challenges, and overall feasibility, with the benefits older people would experience taking centre stage in these inquiries.

scholarly journals The Architecture of the Primary Mental Healthcare System for Older People in India – What Public Policies Tell Us

2021 ◽  
Author(s):  
Tom Manuel Kafczyk ◽  
Kerstin Haemel
Keyword(s):  
Mental Health ◽  
Older People ◽  
Old Age ◽  
Healthcare System ◽  
General Health ◽  
Older Persons ◽  
Mental Healthcare ◽  
Community Based ◽  
The Family ◽  
Policy Fields

Abstract Background: Old age mental healthcare is an issue that cuts across old age, general health, and mental healthcare policies. While strengthening the primary mental healthcare system in India is a common strategy across policy fields to improve the mental health of older persons, very little is known about the system’s planned architecture. This study explores public policy strategies for and approaches to the mental health of older persons, focusing on the primary healthcare (PHC) level and the role of the family.Methods: A document analysis of 39 key public national policy documents (2007-2019) from three thematically grouped policy fields (mental health, old age, and general health) was conducted.Results: Comprehensive community-based primary mental healthcare – focusing on vulnerable population groups including older persons – has been strengthened significantly since 2007. The promulgated approaches and strategies build on traditional community-based approaches to mental healthcare in India. They focus on (a) integrating community health workers into primary mental healthcare, (b) empowering the community to participate in healthcare planning, implementation, and monitoring, (c) supporting the family through a family-led approach to mental healthcare, and (d) integrating traditional Ayurveda, Yoga and Naturopathy, Unani, Siddha, Sowa-Rigpa and Homeopathy (AYUSH) services into primary mental healthcare.Conclusions: While all policy fields address mental PHC, they do so in different ways, and approaches and strategies that promote an integrated perspective across policy fields are lacking. Further research should evaluate strategies and approaches in light of social developments such as eroding family norms and the poor state of the public health system in India in order to assess their opportunities, challenges, and overall feasibility, with the benefits older people would experience taking center stage in these inquiries.

scholarly journals Older people living at home: experiences of healthy ageing

2021 ◽  
Vol 22 ◽  
Author(s):  
Astrid Fjell ◽  
Kristin Ådnøy Eriksen ◽  
Monica Hermann ◽  
Anne-Marie Boström ◽  
Seiger Berit Cronfalk
Keyword(s):  
Health Care ◽  
Older People ◽  
Older Persons ◽  
Health Care Services ◽  
Healthy Ageing ◽  
Group Discussions ◽  
Care Services ◽  
Manifest Content ◽  
Professional Perspective ◽  
At Home

Abstract Aim: The purpose of this study was to investigate how old persons perceived their life to be, how they viewed the ageing process and their need of health care and societal support. Background: The purpose of WHO’s Healthy Ageing strategy and development of age-friendly environments is to support physiological and psychosocial changes in old persons by facilitating basic needs. Interventions to operationalize these needs in older people living at home are often developed from a professional perspective and to a small extent involves the perceptions, experience and expectations of the older persons. Method: This qualitative study has an explorative design using focus group discussions to collect data. In all, 34 persons between 69 and 93 years of age participated in seven group discussions. The interviews were analyzed using inductive manifest content analysis. Findings: The main results suggest that most old persons enjoyed life and wished it to continue for as long as possible. Important was to sustain networks and to feel useful. Unexpected changes were described as threats and the need to use health care services was associated with illness and being dependent. The result is presented in three categories with sub-categories: ‘Embracing life’, ‘Dealing with challenges’ and ‘Considering the future’.

scholarly journals Impact of an integrated community-based model of care for older people with complex conditions on hospital emergency presentations and admissions: a step-wedged cluster randomized trial

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jennifer Mann ◽  
Fintan Thompson ◽  
Robyn McDermott ◽  
A. Esterman ◽  
Edward Strivens
Keyword(s):  
Older People ◽  
Older Persons ◽  
Hospital Admissions ◽  
Community Dwelling ◽  
Trial Registration ◽  
Significant Finding ◽  
Complex Needs ◽  
Primary Practice ◽  
The Impact ◽  
Open Arch

Abstract Background Health systems must reorient towards preventative and co-ordinated care to reduce hospital demand and achieve positive and fiscally responsible outcomes for older persons with complex needs. Integrated care models can improve outcomes by aligning primary practice with the specialist health and social services required to manage complex needs. This paper describes the impact of a community-facing program that integrates care at the primary-secondary interface on the rate of Emergency Department (ED) presentation and hospital admissions among older people with complex needs. Methods The Older Persons Enablement and Rehabilitation for Complex Health Conditions (OPEN ARCH) study is a multicentre randomised controlled trial with a stepped wedge cluster design. General practitioners (GPs; n = 14) in primary practice within the Cairns region are considered ‘clusters’ each comprising a mixed number of participants. 80 community-dwelling persons over 70 years of age if non-Indigenous and over 50 years of age if Indigenous were included at baseline with no new participants added during the study. Clusters were randomly assigned to one of three steps that represent the time at which they would commence the OPEN ARCH intervention, and the subsequent intervention duration (3, 6, or 9 months). Each participant was its own control. GPs and participants were not blinded. The primary outcomes were ED presentations and hospital admissions. Data were collected from Queensland Health Casemix data and analysed with multilevel mixed-effects Poisson regression modelling to estimate the effectiveness of the OPEN ARCH intervention. Data were analysed at the cluster and participant levels. Results Five clusters were randomised to steps 1 and 2, and 4 clusters randomised to step 3. All clusters (n = 14) completed the trial accounting for 80 participants. An effect size of 9% in service use (95% CI) was expected. The OPEN ARCH intervention was found to not make a statistically significant difference to ED presentations or admissions. However, a stabilising of ED presentations and a trend toward lower hospitalisation rates over time was observed. Conclusions While this study detected no statistically significant change in ED presentations or hospital admissions, a plateauing of ED presentation and admission rates is a clinically significant finding for older persons with complex needs. Multi-sectoral integrated programs of care require an adequate preparation period and sufficient duration of intervention for effectiveness to be measured. Trial registration The OPEN ARCH study received ethical approval from the Far North Queensland Human Research Ethics Committee, HREC/17/QCH/104–1174 and is registered on the Australian and New Zealand Trials Registry, ACTRN12617000198325p.

scholarly journals Sex with robots: A not-so-niche market for disabled and older persons

2020 ◽  
Vol 11 (1) ◽  
pp. 228-232
Author(s):  
Adamantios Koumpis ◽  
Thomas Gees
Keyword(s):  
Artificial Intelligence ◽  
Older People ◽  
Older Persons ◽  
Well Being ◽  
The Elderly ◽  
Deep Roots ◽  
Value System ◽  
Sex Robots ◽  
Per Se ◽  
Sex Toys

AbstractIn this article, we present our experiences from research into the healthy ageing and well-being of older people and we report on our personal opinions of robots that may help the elderly to have sex and to cope with isolation and loneliness. However, and while there is a growing industry for sex robots and other sex toys and gadgets, there is also a growing concern about the ethics of such an industry. As is the case with pornography, the concept of sex robots may be criticized, yet it has deep roots in human civilization, with erotic depictions that date back to the Palaeolithic and Mesolithic Ages. So the need for an artefact that would offer sexually relevant functionality is not new at all. But what might be new and worrying is the potential for using artificial intelligence in sex robots in ways that might cause a repositioning of our entire value system. Such a threat is not related to the proliferation of sex robots per se but to the use of robots in general and in a variety of other fields of application.

BMI calculation in older people: The effect of using direct and surrogate measures of height in a community-based setting

2017 ◽  
Vol 22 ◽  
pp. 112-115 ◽  
Author(s):  
Rose Butler ◽  
Jane McClinchy ◽  
Claudia Morreale-Parker ◽  
Wendy Marsh ◽  
Kirsten L. Rennie
Keyword(s):  
Older People ◽  
Community Based ◽  
Surrogate Measures

scholarly journals The Active Aging Agenda, Old Folk Devils and a New Moral Panic

2011 ◽  
Vol 28 (2) ◽  
pp. 209-225 ◽  
Author(s):  
Elizabeth C.J. Pike
Keyword(s):  
Physical Activity ◽  
Older People ◽  
Older Persons ◽  
Later Life ◽  
Conclusive Evidence ◽  
Social Benefits ◽  
Active Aging ◽  
Moral Panics ◽  
International Policy ◽  
Policy Agendas

The proposal that older people should engage in “active aging” has come to dominate local, national, and international policy agendas. This encompasses a variety of ways that older persons might maintain active citizenship, but invariably promotes physical activity and exercise as having health and social benefits, despite a lack of conclusive evidence to support such claims. In this paper, I further examine the meaning of these claims through an analysis of policy documents, reports, and media articles which promote the perceived benefits of physical activity in later life. I revisit Cohen’s (2002) concepts of folk devils and moral panics to understand how these messages simultaneously problematize older people while creating a market for emergent moral entrepreneurs who claim to have the solution to the problem they have in part created. I conclude with recommendations for improved understanding of the benefits and appropriate provision for active aging.

Evaluating a Model of Service Integration for Older People with Complex Health Needs

2005 ◽  
Vol 4 (1-2) ◽  
pp. 34-41 ◽  
Author(s):  
Steve Bird ◽  
William Kurowski ◽  
Gillian Dickman
Keyword(s):  
Health Care ◽  
Older People ◽  
Service Integration ◽  
Evaluation Process ◽  
Target Population ◽  
Multiple Chronic Conditions ◽  
Health Care Needs ◽  
Care Needs ◽  
Community Based ◽  
Quantitative And Qualitative Methods

Background Older people with multiple chronic conditions and complex health care needs require a comprehensive, accessible and well-coordinated system of services. To address this growing problem, a consortium of acute and community-based health care organisations implemented a ‘Patients First’ model of service integration for the target population. The project evaluation utilised a combination of quantitative and qualitative methods in an action research framework. Findings The evaluation process not only demonstrated the benefits of the project to patients and the health care system, but also contributed to the identification of pivotal components in the model, aspects requiring attention and consequently their refinement. It was also a vehicle for the development of a sense of ownership amongst staff and has evolved into an integral part of the model.

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