scholarly journals Health Promotion Behavior among Older Korean Family Caregivers of People with Dementia

2021 ◽  
Vol 18 (8) ◽  
pp. 4123
Author(s):  
Aram Cho ◽  
Chiyoung Cha
Keyword(s):  
Older Adults ◽  
Health Promotion ◽  
Univariate Analysis ◽  
Family Members ◽  
Capital City ◽  
Care Plan ◽  
Term Care ◽  
Health Promotion Behaviors ◽  
People With Dementia ◽  
Health Promotion Behavior

People adopt health promotion behaviors to promote their health as they interact within the environment. The purpose of this study was to examine factors influencing health promotion behaviors among older adults caring for family members with dementia. For this cross-sectional study, data from 135 older adults who were the main caregivers were collected at an outpatient clinic at a university hospital in the capital city of South Korea between September and October in 2020. Sociodemographic characteristics, caregiver-related characteristics, dementia knowledge, fear of dementia, and health promotion behaviors were measured. Univariate analysis revealed that the level of health promotion behaviors differed by age, sex, educational level, monthly income, relationship with the family member with dementia, and cohabitation with family members with dementia. In the multivariate analysis, a hierarchical multiple regression model explained 33.9% of the variance. Sex, duration of caregiving, use of long-term care service, and fear of dementia predicted health promotion behavior. A strategic tailored care plan for target population is needed to improve the health promotion behavior of older adults caring for family members with dementia.

CAUSAL STRUCTURE MODELING OF HEALTH PROMOTION BEHAVIOR IN HEALTHY OLDER ADULTS

1999 ◽  
Vol 31 (Supplement) ◽  
pp. S387
Author(s):  
T. Nishijima ◽  
K. Tanaka ◽  
H. Miki ◽  
K. Ichimura ◽  
Y. Noda ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Promotion ◽  
Causal Structure ◽  
Structure Modeling ◽  
Healthy Older Adults ◽  
Health Promotion Behavior

Long-Term Care for Older Adults in ASEAN Plus Three: The Roles of Family, Community, and the State in Addressing Unmet Eldercare Needs

2018 ◽  
Vol 30 (10) ◽  
pp. 1499-1515 ◽  
Author(s):  
Wei-Jun Jean Yeung ◽  
Leng Leng Thang
Keyword(s):  
Older Adults ◽  
Low Income ◽  
Long Term Care ◽  
Elderly Women ◽  
Unmet Need ◽  
Care Plan ◽  
Cultural Norms ◽  
Term Care ◽  
Home Based

Objective: To introduce this Special Issue that focuses on understanding the issues surrounding the long-term care (LTC) in selected societies in Southeast and East Asian countries. Method: We first provide demographic and socioeconomic context for these countries and then summarize the seven articles in this issue. Results: The articles highlight the rapidly rising demand for LTC in this region in the next few decades given the declining fertility, lengthening life expectancy, and increasing migration. They also discuss challenges and strategies in meeting these demands. Most countries are ill prepared to cope with the demand for LTC with older adults heavily rely upon female family members for care. Elderly women in low-income households have the greatest unmet need. Discussion: Home-based and community-based services are set to become an integral part of the LTC system. It is important to incorporate older adults’ cultural norms and wishes in their care plan and provision.

scholarly journals The Decision-Making and Communication Capacities of Older Adults with Dementia: A Population-Based Study

2014 ◽  
Vol 8 (1) ◽  
pp. 17-24 ◽  
Author(s):  
Kazuko Mitoku ◽  
Setsu Shimanouchi
Keyword(s):  
Older Adults ◽  
Decision Making ◽  
Long Term Care ◽  
Population Based ◽  
Term Care ◽  
Daily Lives ◽  
People With Dementia ◽  
Decision Making Capacity ◽  
One Year

The present study assessed the decision-making and communication capacities of older adults with dementia who required assistance and care and measured the subsequent changes in these capacities. Of 845 older adults who received long-term care between April 2003 and December 2004, about half of them without dementia were excluded and the remaining 448 were finally included in the analyses. These individuals were completed follow-up for assessment for two years. The data were obtained from the Long-Term Care Insurance Certification Committee for Eligibility in Gujo City. A total of 73.7% of people with dementia were somewhat capable of making decisions (32.4% were reported as being “always capable”; 41.3% were reported as being “sometimes capable”). A total of 93.7% were somewhat capable of communicating with others (78.3% were reported as being “always capable”; 15.4% were reported as being “sometimes capable”). The results indicate that older adults with dementia can participate in their own care decisions, even if they require assistance and support in their daily lives. The present study shows, however, that baseline decision-making capacity declined to about half what they were after one year and to about one-third of what they were after two years, suggesting that earlier efforts are needed to ensure that the preferences of individuals with dementia are reflected in their care.

scholarly journals Depression, Self-efficacy and Health Promotion Behaviors of Health University College Students

2021 ◽  
Vol 46 (4) ◽  
pp. 435-441
Author(s):  
Kyung Hee Kim
Keyword(s):  
College Students ◽  
Health Promotion ◽  
Self Efficacy ◽  
Significant Positive Correlation ◽  
Significant Negative Correlation ◽  
Descriptive Study ◽  
Health Promotion Behaviors ◽  
Health Promotion Behavior ◽  
Health Promotion Programs ◽  
The Relationship

Objectives: The Purpose of this study is to find out the relationship among depression, self-efficacy, and health promotion behaviors of health college students and to develop programs and mediate strategies to improve desirable health promotion behaviors.Methods: This descriptive study examined the correlation between the depression, self-efficacy, and health promotion behaviors of health college students located in Daegu Metropolitan City participated in the study from October to December. The collected data were analyzed using IBM SPSS 25.0. The general characteristics of the subjects were presented in frequency and percentage, and depression, self-efficacy and health promotion behaviors were presented in average and standard deviation. The results of this study were as follows: First, the correlation between depression, self-efficacy and health promotion behavior was analyzed by t-test and ANOVA. Multiple regression analysis was conducted to identify the effects of general characteristics, depression, and self-efficacy on health promotion behaviors.Results: The depression of health college students was 14.94 ± 11.51, the total score of self-efficacy was 74.60 ± 12.92, and the health promotion behavior was 74.85 ± 18.62. As a result of analyzing the correlation between depression, self-efficacy and health promotion behavior, depression had a statistically significant negative correlation with health promotion behavior, and self-efficacy and health promotion behavior had a statistically significant positive correlation. The factors that depression and self-efficacy have influence on health promotion behavior were gender, depression (-0.15, p= 0.048), and self-efficacy (0.59, p< 0.001).Conclusions: The depression, self-efficacy, and health promotion behaviors of health college students were found to be correlated; development of health promotion programs to improve desirable health promotion behaviors is required.

scholarly journals HEALTH AND WELL-BEING OF OLDER ADULTS IN LONG-TERM CARE FACILITIES: LESSONS FROM LONGITUDINAL STUDIES.

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S242-S242
Author(s):  
Robert O Barker ◽  
Andrew Kingston ◽  
Fiona Matthews ◽  
Barbara Hanratty
Keyword(s):  
Older Adults ◽  
Longitudinal Studies ◽  
Long Term Care ◽  
Well Being ◽  
Cross Sectional ◽  
Term Care ◽  
Complex Needs ◽  
People With Dementia ◽  
Care Facilities

Abstract Older adults in long-term care facilities (LTCF) have complex needs for health care and support. There is a perception that residents’ needs are increasing over time, but little research evidence to back this up. In this study we brought together data on 1640 residents in LTCFs from three longitudinal studies, and conducted repeated cross-sectional analyses across a 25 year period. We found that the prevalence of severe disability amongst residents has increased from 56% to 80% over a 20 year period, driven by increases in difficulties in bathing and dressing. The prevalence of multimorbidity also increased from 29% to 56% between 2006 and 2014. A growth in the number of people with dementia, cardiovascular and cerebrovascular diseases contributed to this. We conclude that residents in LTCFs have become a selected subset of the population, characterised by increasing needs for support. This poses an important challenge for future care provision.

scholarly journals Development and Field Testing of a Long-Term Care Decision Aid Website for Older Adults: Engaging Patients and Caregivers in User-Centered Design

2019 ◽  
Vol 60 (5) ◽  
pp. 935-946 ◽  
Author(s):  
Aubri S Hoffman ◽  
Daniel R Bateman ◽  
Craig Ganoe ◽  
Sukdith Punjasthitkul ◽  
Amar K Das ◽  
...  
Keyword(s):  
Older Adults ◽  
Decision Making ◽  
Decision Aid ◽  
Long Term Care ◽  
Action Plan ◽  
Family Members ◽  
Field Testing ◽  
Decisional Conflict ◽  
Term Care

Abstract Background and Objectives Decisions about long-term care and financing can be difficult to comprehend, consider, and communicate. In a previous needs assessment, families in rural areas requested a patient-facing website; however, questions arose about the acceptability of an online tool for older adults. This study engaged older adults and family caregivers in (a) designing and refining an interactive, tailored decision aid website, and (b) field testing its utility, feasibility, and acceptability. Research Design and Methods Based on formative work, the research team engaged families in designing and iteratively revising paper drafts, then programmed a tailored website. The field test used the ThinkAloud approach and pre-/postquestionnaires to assess participants’ knowledge, decisional conflict, usage, and acceptability ratings. Results Forty-five older adults, family members, and stakeholders codesigned and tested the decision aid, yielding four decision-making steps: Get the Facts, What Matters Most, Consider Your Resources, and Make an Action Plan. User-based design and iterative storyboarding enhanced the content, personal decision-making activities, and user-generated resources. Field-testing participants scored 83.3% correct on knowledge items and reported moderate/low decisional conflict. All (100%) were able to use the website, spent an average of 26.3 min, and provided an average 87.5% acceptability rating. Discussion and Implications A decision aid website can educate and support older adults and their family members in beginning a long-term care plan. Codesign and in-depth interviews improved usability, and lessons learned may guide the development of other aging decision aid websites.

SELF-EFFICACY AND HEALTH PROMOTION BEHAVIORS OF OLDER ADULTS IN IRAN

2006 ◽  
Vol 34 (7) ◽  
pp. 759-768 ◽  
Author(s):  
Mohammad Ali Morowatisharifabad ◽  
Fazlollah Ghofranipour ◽  
Alireza Heidarnia ◽  
GholaMreza Babaee Ruchi ◽  
Mohammad Hassan Ehrampoush
Keyword(s):  
Older Adults ◽  
Health Promotion ◽  
Self Efficacy ◽  
Community Dwelling ◽  
Health Promotion Model ◽  
Level Of Education ◽  
Healthy Behaviors ◽  
Health Promotion Behaviors ◽  
And Gender ◽  
Pender's Health Promotion Model

Increasing healthy behaviors is the major challenge facing health professionals and populations globally. The purpose of this study was to ascertain if a relationship exists between selfefficacy and health promotion behaviors in a sample of older Iranian adults. The organizing framework for the study was Pender's revised Health Promotion Model (Pender, 1996). The study participants were 102 community-dwelling old people residing in Yazd district. The results supported Pender's Health Promotion Model in which self-efficacy accounted for 58% of variance in health promotion behaviors. Health promotion behaviors were found to be correlated with level of education. Additionally, there were associations between self-efficacy and gender, marital status, and level of education. It was concluded that interventions aimed at improving self-efficacy may improve health promotion behaviors of older adults.

scholarly journals Maybe She’ll Make Some Friends?: Family Members Cultivating Intimacy in Assisted Living

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 486-487
Author(s):  
Andrea Fitzroy ◽  
Candace Kemp ◽  
Elisabeth Burgess
Keyword(s):  
Older Adults ◽  
Assisted Living ◽  
Intimate Relationships ◽  
Long Term Care ◽  
Participant Observation ◽  
Family Members ◽  
Later Life ◽  
Theory Approach ◽  
Term Care

Abstract Intimacy continues to be important in later life, including for older adults in long-term care settings such as assisted living (AL). Our past work shows that intimacy is a multi-dimensional process and can involve a variety of partners. Drawing on data from the qualitative longitudinal “Convoys of Care” study (R01AG044368), we extend this research to examine the role family members play in cultivating intimacy and close relationships of AL residents. Using a grounded theory approach, we analyzed 2,224 hours of participant observation, and formal interviews with 28 assisted living residents (aged 58-96) and their formal and informal care partners (n=114) from four diverse AL communities. Findings show that family members can play integral roles in residents’ experiences with intimacy, directly as relationship partners, and by facilitating or impeding residents’ contacts with others. Family members cultivated residents’ intimacy opportunities and experiences by direct engagement, resident advocacy, to non-involvement and disengagement. Family members’ roles in cultivating intimacy fluctuated over time, increasing at times of health concerns and family change. Perceptive family members considered older adults’ intimacy preferences when cultivating their intimate relationships. Family members concerned for the safety of their loved one sometimes acted as “gatekeepers” to intimacy by interfering in intimate relationships. We conclude with a discussion of implications for policy and practice aimed at improving the intimacy process and opportunities for older adults receiving long-term care.

scholarly journals A Pilot Study of an Innovative Model of Care Delivery: Service Robot for Older People with Dementia in a Rural Community

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 927-928
Author(s):  
Kuan-Yuan Wang ◽  
Cheng-Sheng Chen ◽  
Hui-Mei Chen ◽  
I-Te Chen
Keyword(s):  
Older Adults ◽  
Pilot Study ◽  
Older People ◽  
Service Robots ◽  
Smart Devices ◽  
Model Of Care ◽  
Term Care ◽  
Usability Tests ◽  
Positive Attitudes ◽  
People With Dementia

Abstract Background: The telehealth approach offers enhanced service delivery for older patients living in rural areas. Purpose: We conducted a pilot study to evaluate the feasibility of using the Zenbo robot to improve the quality of care of elderly individuals with dementia. Methodology: In this study, we developed a digital solution on service robots and smart devices, which can leverage the capacity of the user-friendly interactive interface and digital dialog system. A group of eleven volunteered older adults was selected for this study. To assess the likability and acceptance of the Zenbo, we conducted a one-on-one (robot vs human) pilot study in our long-term care stations. Each participant engaged in conversational interactions for five consecutive days and completed a survey of 12 questions about the experiences they had with the Zenbo, at the beginning and the end of the study respectively. Results: Subjects with lower GDS-15 scores have more positive attitudes toward the robot before the intervention. 27% of older adults had an increase in positive attitudes toward the interaction with the Zenbo robot. With the aid of teleoperated mobile robotic systems at home, the innovative service model can be achieved through telecommunication between primary health professionals or caregivers at remote locations and psychiatrists at the medical center to make the seamless care environment real. Conclusion: The IoT technologies can be used to assist physicians in switching from a hospital-centered model of care to a home-based service for older people with dementia. It merits more future clinical trials and usability tests.

scholarly journals The Factors Associated with Health Promotion Behavior of In-ternational Students in South Korea

2022 ◽  
Author(s):  
Jieun Cha ◽  
Hyunju Kang ◽  
Juyoun Yu ◽  
Mi Jin Choi
Keyword(s):  
Health Promotion ◽  
International Students ◽  
South Korea ◽  
Acculturative Stress ◽  
Self Efficacy ◽  
Convenience Sample ◽  
Factors Associated ◽  
Interpersonal Support ◽  
Health Promotion Behaviors ◽  
Health Promotion Behavior

Background: We aimed to explore the factors associated with health promotion behavior of international students in South Korea. Methods: The convenience sample of 263 participants was recruited from two universities in Gangwon-do and Jeollanam-do, South Korea. The data were collected by using structured questionnaires from Apr to Jun 2019. Demographic characteristics, health conception, acculturative stress, self-efficacy, interpersonal support, and health promotion behavior were assessed. T-test, ANOVA, and multiple regression analyses were used for statistical analyses. Results: Participants from Vietnam (P=.040), with more health conception (P<.001), more acculturative stress (P<.001), more self-efficacy (P<.001), and greater interpersonal support (P<.001) were more likely to engage in more health promotion behaviors. Conclusion: This study is meaningful as it collected the data on which to design health promotion programs for international students. Future studies are needed to investigate further factors relating to international students’ health promotion behavior, including internal and external environments.

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