scholarly journals Exploring the Psychometric Properties of the Questionnaire on Family Members Adapting to an Older Adult’s Admission to a Nursing Home (CAFIAR-15) in a Colombian Sample

2021 ◽  
Vol 12 (1) ◽  
pp. 4
Author(s):  
Marta Martín-Carbonell ◽  
Antonio Riquelme-Marín ◽  
Martha Fernández-Daza ◽  
Juan Manuel Ortigosa-Quiles ◽  
Inmaculada Méndez-Mateo
Keyword(s):  
Older Adults ◽  
Nursing Home ◽  
Psychometric Properties ◽  
Cultural Differences ◽  
Older Adult ◽  
Low Income ◽  
Traumatic Events ◽  
Family Members ◽  
Factorial Structure ◽  
The Family

Institutionalization to a nursing home can be one of the most significant and traumatic events in a senior’s life, and for their family. For this reason, it is especially important to have validated instruments that evaluate the family member’s adaptation to admitting the senior to a nursing home. The study included 139 family members recruited equally in two types of institutions (low-income nursing home (LINH) vs. high-income nursing home (HINH)). A sociodemographic questionnaire with questions to study antecedents and conditions for care and the Questionnaire for Admitting an Older Adult to a Nursing Home (CAFIAR-15) were used. Examining the communalities indicated that four of the five items in factor 3 presented communalities lower than 0.30 and differences in the factorial structure of the CAFIAR-15 were found. There were differences in the antecedents and conditions for care between the relatives of the older adults at LINH and HINH. Cultural differences and differences between LINH and HINH may be the basis for flaws in the conceptual validity of the CAFIAR-15 in the Colombian sample.

scholarly journals Discrepancy in the perception of symptoms of cognitive decline between older adults and their family members: results of the Toyama dementia survey

BMC Neurology ◽  
2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Nobue Nakahori ◽  
Michikazu Sekine ◽  
Masaaki Yamada ◽  
Takashi Tatsuse ◽  
Hideki Kido ◽  
...  
Keyword(s):  
Older Adults ◽  
Cognitive Function ◽  
Cognitive Decline ◽  
Older Adult ◽  
Family Members ◽  
Kappa Statistic ◽  
The Family ◽  
Perception Gap ◽  
The Mean ◽  
Loss Of Appetite

Abstract Background Early consultation is important to delay the onset of dementia. The present study aimed to explore the reasons for delaying a consultation of dementia while focusing on the differences in the perception of cognitive decline between older adults and their family members. Methods A group of 663 older adults aged ≥65 years and living with family members in Toyama Prefecture was surveyed. The questionnaires included items that measured changes in cognitive function noticed by older adults and their family members, and the Revised Hasegawa Dementia Scale (HDS-R). The degrees of consistency on the perception of mental changes that accompanied cognitive decline were measured using the Kappa statistic. Results Both older adults and their family members were well aware of “forgetfulness” as a symptom of cognitive decline. Only the perception of “loss of appetite” at the late stage of cognitive decline was consistent between older adults and their family (κ = 0.707). When older adults often noticed their own forgetfulness, their mean HDS-R score was 22.7, whereas that of the family members was 14.7. The combinations of perception of forgetfulness by older adults and their family members, and the mean HDS-R scores were unaware/unaware (mean HDS-R score = 27.0), aware/unaware (mean HDS-R score = 24.9), aware/aware (mean HDS-R score = 15.5), and unaware/aware (mean HDS-R score = 13.0). Conclusions There were discrepancies in the perception of cognitive decline between older adults and their family members. Cognitive decline had progressed by the time that family members had noticed the symptom of forgetfulness in their older adult relatives. The perception gap regarding cognitive decline deters consultation of dementia.

scholarly journals Development and Exploration of Psychometric Properties of the Family Adjustment Questionnaire for Admitting an Older Adult to a Nursing Home (CAFIAR)

2020 ◽  
Vol 17 (20) ◽  
pp. 7597
Author(s):  
Antonio Riquelme-Marín ◽  
Marta Martín-Carbonell ◽  
Juan M. Ortigosa-Quiles ◽  
Inmaculada Méndez
Keyword(s):  
Nursing Home ◽  
Psychometric Properties ◽  
Older Adult ◽  
Well Being ◽  
Structured Interview ◽  
Assessment Instrument ◽  
Family Adjustment ◽  
Positive Health ◽  
Self Assessment ◽  
The Family

Background: Admitting an older adult to a nursing home involves significant adjustment efforts by the family. Our goal was to prepare an assessment instrument for this, given that there was none to date. Method: Participants—134 relatives from different nursing homes in the region of Murcia. Instruments—structured interview for socio-demographic information, satisfaction with the nursing home, well-being and health self-assessment, Radloff’s Depression Questionnaire (CES-D), and the first version of CAFIAR. Results: A 15-item instrument with three factors was obtained: Factor 1 (Unease due to admitting an older adult to a nursing home), Factor 2 (Relief), and Factor 3 (Nostalgia and concern for the older adult), in addition to a general adjustment index, with a Cronbach’s alpha of 0.74. The general adjustment index and the subscales that demonstrate poor adjustment were significantly correlated with depression and a worse health self-assessment, while the Relief subscale, which indicates better adjustment, was significantly correlated with well-being and a positive health self-assessment. Conclusions: The family adjustment in admitting an older adult to a nursing home questionnaire (CAFIAR) has adequate psychometric properties to assess family adaptation in admitting an older adult to an institution.

scholarly journals Analysis of Factors Affecting Self-Acceptance in Older Adult Living in Nursing Homes

2021 ◽  
Vol 6 (2) ◽  
pp. 64
Author(s):  
Dessy Syahfitri Pohan ◽  
Elida Ulfiana ◽  
Ariina Qona'ah
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Nursing Home ◽  
Nursing Homes ◽  
Family Support ◽  
Older Adult ◽  
Aged Care ◽  
Essential Factor ◽  
Factors Affecting ◽  
Self Acceptance

Introduction: Self-acceptance among older adult who lives in the nursing home tends to be poor. It is because they feel abandoned by their families and their inability to accept any changes that occur to them. Thus, older adults find it challenging to adapt to their new environment and cause various physical and psychological problems. The purpose of this study was to determine the factors of self-acceptance in older adults living in aged care based on an empirical study of the last ten years.Method: This study used a literature review design with electronic sources from 4 databases, namely Scopus, PubMed, Google Scholar, and Science Direct, which were published in the period 2010-2020. The keywords used are factors that influence or self-acceptance, older adults or elderly or aged, and nursing homes or nursing home.Results: Thirteen articles were analyzed in this study. Six research articles discuss social support as the most important factor of self-acceptance in older adults living in nursing homes. Other factors that influence self-acceptance in the older adult who lives in the nursing home include spirituality, religiosity, family support, and positive thinking.Conclusion: Social support is the essential factor in self-acceptance in older adults living in nursing homes.

scholarly journals Towards Older Adults Cognitive and Emotional Stimulation via Robotic Cognitive Games

2019 ◽  
Vol 8 (11) ◽  
pp. 298
Author(s):  
Patrícia Cesário ◽  
Samuel Santos ◽  
Bernardo Lourenço ◽  
Inês Martins ◽  
Paulo J. S. Gonçalves
Keyword(s):  
Older Adults ◽  
Nursing Home ◽  
Older Adult ◽  
Ground Truth ◽  
Experimental Tests ◽  
Emotional Aspects ◽  
Cognitive Robotic

The paper presents and discusses a framework to promote older adults cognitive and emotional stimulation via Robotic Cognitive Games. The work is based on classic games for older adults, e.g., to place objects in pre-defined positions in an arena, where the authors introduce a robot in the games. The paper not only presents the robotic games, but also the methodology developed to properly introduce them to older adults in a nursing home. As such, the paper proposes three cognitive robotic games, a methodology to assess the success of its introduction to older adults, keeping in mind cognitive and emotional aspects. To validate the proposed robotic solution, experimental tests were performed in a nursing home. A prior cognitive and emotional test was done with older adults to have a ground truth to compare with after a batch of games was completed by each older adult. The results and their discussion validate the robotic games approach, and also the methodology used for its introduction in the nursing home.

scholarly journals Pre-frailty, frailty and associated factors in older caregivers of older adults

2020 ◽  
Vol 54 ◽  
pp. 17
Author(s):  
Roberta De Oliveira Máximo ◽  
Ingrid Cristina Lopes ◽  
Allan Gustavo Brigola ◽  
Bruna Moretti Luchesi ◽  
Aline Cristina Martins Gratão ◽  
...  
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Low Income ◽  
Associated Factors ◽  
Multinomial Logistic Regression ◽  
Community Dwelling ◽  
Clinical Aspects ◽  
Frailty Phenotype ◽  
Cross Sectional ◽  
Older Caregivers

INTRODUCTION: Providing care to an older adult is an activity that requires considerable physical effort and can cause stress and psychological strain, which accentuate factors that trigger the cycle of frailty, especially when the caregiver is also an older adult. However, few studies have analyzed the frailty process in older caregivers. OBJECTIVES: To investigate the prevalence of pre-frailty, frailty and associated factors in older caregivers of older adults. METHODS: A cross-sectional study was conducted including 328 community-dwelling older caregivers. Frailty was identified using frailty phenotype. Socio-demographic, behavioral and clinical aspects, characteristics related to care and functioning were covariables in the multinomial logistic regression. RESULTS: The prevalence of pre-frailty and frailty were 58.8% and 21.1%, respectively. An increased age, female sex, not having a conjugal life, depressive symptoms and pain were commonly associated with pre-frailty and frailty. Sedentary lifestyle was exclusively associated with pre-frailty, whereas living in an urban area, low income and the cognitive decline were associated with frailty. A better performance on instrumental activities of daily living reduced the chance of frailty. CONCLUSION: Many factors associated with the frailty syndrome may be related to the act of providing care, which emphasizes the importance of the development of coping strategies for this population.

scholarly journals CONSTRUCTION AND VALIDATION OF AN EDUCATIONAL MANUAL FOR FAMILY CAREGIVERS OF OLDER ADULTS AFTER A STROKE

2021 ◽  
Vol 30 ◽  
Author(s):  
Ana Cláudia Fuhrmann ◽  
Carla Cristiane Becker Kottwitz Bierhals ◽  
Naiana Oliveira dos Santos ◽  
Diani de Oliveira Machado ◽  
Fernanda Peixoto Cordova ◽  
...  
Keyword(s):  
Older Adults ◽  
Focus Group ◽  
Family Caregivers ◽  
Older Adult ◽  
Family Members ◽  
Target Population ◽  
Methodological Study ◽  
Second Stage ◽  
Specialist Nurses ◽  
Face Validation

ABSTRACT Objective to construct and validate an educational manual for family caregivers of older adult dependent on care after a stroke. Method a methodological study with four stages: focus group with five family caregivers, to identify doubts and difficulties regarding home care for older adults with stroke; preparation of the manual by six researchers; content validation by 18 specialist nurses, and face validation by 12 family caregivers. For data analysis, thematic analysis was performed, the Content Validity Index (CVI) was calculated, and the consensus of the target population was verified. Results from the focus group, the experiences and challenges faced by the caregivers in caring for aged family members with a stroke were identified, which supported the elaboration of an educative manual, in the second stage. In the expert consensus, a global CVI of 0.97 was obtained and, in face validation, a consensus of 95.51% by the target population. Conclusion an educational manual for family caregivers of older adults after a stroke was built, which was validated in terms of content and appearance. In view of this, it can be used as complementary material to the guidelines of the professionals, enabling improvement of the care provided by family members to the older adult dependent on care after a stroke.

scholarly journals Providing Nursing Home Care in an Era of Increasing Scarcity: The Case of Pennsylvania

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 504-504
Author(s):  
Edward Miller ◽  
Molly Wylie ◽  
Elizabeth Simpson ◽  
Marc Cohen
Keyword(s):  
Older Adults ◽  
Nursing Home ◽  
Low Income ◽  
Quality Care ◽  
State Level ◽  
Safety Net ◽  
Nursing Home Care ◽  
Population Projections ◽  
Term Care ◽  
Over Time

Abstract Medicaid financing of nursing home (NH) care provides the strongest safety net for low income older adults, persons who have high-intensity long-term care (LTC) needs, and consumers with exorbitant LTC costs. Yet, NHs currently face serious threats to their financial viability, particularly in the context of the COVID-19 pandemic, where the costs of caring for residents in a safe way have increased significantly, even as the ability to recoup these costs from the Medicaid program has been constrained. The purpose of this study is to assess key demand and supply factors affecting the performance of the NH industry in Pennsylvania over time. It draws from several large, national data sources, including NH Compare, LTCFocus.org, the U.S. Bureaus of the Census and Labor Statistics, and Certification and Survey Provider Enhanced Reports, as well as state-level population projections and Departments of Health and Human Services data. An aggregate database was constructed with historical data points at the facility, regional, and state level. Annual total and regional trends were examined from 2010 to 2020. Findings suggest a growing gap between what NHs require to meet the needs of residents and the level of reimbursement paid by the largest funder: Medicaid. Considering demographic trends, this gap will only grow over time in the absence of policy change. The pandemic has further highlighted the existing challenges resulting from an underfunded service infrastructure and the need for additional investment if NHs are to provide high quality care to a growing cohort of older adults requiring support.

scholarly journals ALEXA, ASSESS MY MEMORY: THE FEASIBILITY OF EXTENDED HEALTH MONITORING IN AN OLDER-ADULT-LIVING COMMUNITY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S337-S337
Author(s):  
Jensen Davis ◽  
Shannon Howard ◽  
Gregory King ◽  
Phanidar Boddu ◽  
Kiran Jyothi ◽  
...  
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Health Monitoring ◽  
Low Income ◽  
Wearable Sensors ◽  
Voice Recognition ◽  
Positive Attitudes ◽  
Before And After ◽  
Housing Complex ◽  
The Individual

Abstract The goal of most older adults is to live independently in their own homes, for as long as possible. There are many advantages to aging in place for the individual, but also challenges as changes in cognitive and physical health can occur over time. Especially for older adults living alone, tracking these changes is critical for early intervention and prevention. The relatively easy availability of consumer technology may provide one mechanism for monitoring older adults in their homes. We designed a pilot study to test the feasibility and acceptability of using wearable sensors (Fitbit sensors), in conjunction with automated interactive voice recognition technology (Amazon Echo), to monitor older adults’ physical and cognitive health during daily activities. Participants (7 females, 2 males; 65-80 years of age) were recruited from a housing complex for older adults with low income. They were interviewed about health monitoring technology before and after a 2-week measurement period during which they were expected to wear the Fitbit daily and interact with the Amazon Echo for 8 consecutive days. Feasibility challenges included limited skill in Echo interactions, remembering to do the assessments, and charging/uploading Fitbit data. Qualitative analysis of interviews revealed generally positive attitudes about technology, but low comfort operating the devices. These preliminary findings suggest that with additional training for older adults, sensors and voice recognition technologies could have significant roles in maintaining older adult quality of life by contributing to early detection of decline and timely intervention.

scholarly journals The 6-Month Prevalence of Posttraumatic Stress Syndrome (PTSS) among Older Adults: Validity and Reliability of the PTSS Scale

2014 ◽  
Vol 59 (10) ◽  
pp. 548-555 ◽  
Author(s):  
Michel Préville ◽  
Catherine Lamoureux-Lamarche ◽  
Helen-Maria Vasiliadis ◽  
Sébastien Grenier ◽  
Olivier Potvin ◽  
...  
Keyword(s):  
Older Adults ◽  
Posttraumatic Stress ◽  
Social Functioning ◽  
Older Adult ◽  
Adult Population ◽  
Traumatic Events ◽  
Validity And Reliability ◽  
Posttraumatic Stress Syndrome ◽  
Services De Santé ◽  
Stress Syndrome

Objective: To document the 6-month prevalence of posttraumatic stress syndrome (PTSS) in the older adult population and the validity of a PTSS Scale in an epidemiologic setting. Method: Data came from the Enquête sur la santé des aînés et l'utilisation des services de santé (ESA Services Study) conducted during 2012–2013 using a probability sample of older adults seeking medical services in primary health clinics. Results: Results showed that a first-order PTSS measurement model consisting of 3 indicators—the number of lifetime traumatic events, the frequency of reactions and symptoms of distress associated with the traumatic events, and the presence of consequences on the social functioning—was plausible. Reliability of the PTSS was 0.82. According to the PTSS, 11.1% of the older adult patients presented with PTSS, but only 21.7% of them reported an impact of their symptoms on their social functioning. The prevalence of older adults meeting the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, criteria for full posttraumatic stress disorder (PTSD) reached 1.8%, and 1.8% of older adults reached criteria for partial PTSD. Our results also showed that women were more at risk to report PTSS than men and that older adults aged 75 years and older were less likely to report these symptoms than those aged between 65 and 74 years. Conclusions: PTSS is a common mental health problem among adults aged 65 and older and seeking health services in the general medical sector.

scholarly journals Analysis of the Demand for Older Adult Care Services and Related Influencing Factors among Older Adults Living Alone in China

2020 ◽  
Author(s):  
Yanbing Zeng ◽  
Chenxi Lin ◽  
Ya Fang
Keyword(s):  
Older Adults ◽  
Influencing Factors ◽  
Older Adult ◽  
Living Arrangements ◽  
Family Members ◽  
Living Alone ◽  
Health Concern ◽  
Adult Care ◽  
Income Source ◽  
Care Services

Abstract Background: The number of older adults living alone in China is rising sharply and their care needs have become an increasing public health concern. This study aimed to explore the anticipated living arrangements and demand for home and community-based care services (HCBS) of older adults living alone and examine the related influencing factors.Methods: The data of 2217 participants living alone were extracted from the 2018 Chinese Longitudinal Health Longevity Survey (CLHLS). A chi-square test was used to examine the differences in older adult care services between respondents with different characteristics. Using the Andersen model as the analysis framework, multinomial and binary logistic regressions were used to analyze the influencing factors of anticipated living arrangements and HCBS, respectively. Results: 75.4% of the respondents hoped to maintain living alone when considering the future. Those who were older, had more children, income source was family members, always felt lonely and isolated and had limitation in activities of daily living (ADL) were inclined to choose the arrangement of “co-residence with children”. Childless and loneliness had significant impact on older adults’ willingness to live in institution. There were significant differences between urban and rural areas for provision of HCBS and the demand exceeds supply in all service types. Those who were younger, lived in urban areas, farmers, income source was family members, had poor economic status, had access to social services, with higher sense of loneliness and chronic diseases tend to show anticipated demands for various HCBS.Conclusions: The demand for older adult care services were affected by predisposing, enabling and need variables. There is a need for an overall improvement of the community care system to create a supportive environment for older adults living alone.

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