scholarly journals Sustainable Ageing: Supporting Healthy Ageing and Independence Amongst Older Turkish Migrants in the UK

2021 ◽  
Vol 13 (18) ◽  
pp. 10387
Author(s):  
Melisa Yazdanpanahi ◽  
Shereen Hussein
Keyword(s):  
Older Adults ◽  
Lived Experience ◽  
Old Age ◽  
Service Providers ◽  
Essential Element ◽  
Functional Independence ◽  
Healthy Ageing ◽  
Professional Service ◽  
Individual Autonomy ◽  
The Uk

In the UK, as in many other European countries, the population is growing older, and older adults are becoming more diverse. As a result, there is a mounting interest in supporting healthy ageing and independence, acknowledging the needs and agency of older adults from diverse backgrounds, expectations, and life trajectories. Healthy ageing is promoted as a critical component of sustainable ageing to ensure meaningful social and economic contributions through the life course for all individuals. However, the definitions of healthy ageing are debatable. The public and policy discourse treat all older adults through generic and homogeneous models that do not consider the heterogeneity of experiences and perspectives of old age among different groups. In this context, independence has often been defined in terms of functional independence, i.e., cognitive and physical functioning, as a core construct of healthy ageing. However, this focus excludes older adults’ interpretations and day-to-day experiences of this concept. This article investigates the interpretation and lived experience of independence amongst older Turkish adults in the UK as a central explanatory concept of healthy ageing. Semi-structured individual interviews (n = 48) and community mapping workshops (n = 5) were conducted with 65 older Turkish adults in London, supplemented by interviews with professional service providers (n = 13) within the community. The data collection was conducted between March and November 2017. We identified three main themes integral to understanding healthy ageing and independence: 1—interdependency and having reciprocal care relations; 2—individual autonomy at home and choice in housing options; and 3—functional independence, mobility, and control over the physical environment. Independence appears to remain an essential element of healthy ageing. However, it is a fluid and complex construct constantly negotiated around personal and community resources. Therefore, there is a need to develop more comprehensive interventions that capture the diverse experiences in old age to enable healthy ageing and social sustainability. These are timely considering current policy directions such as the UN Decade of Healthy Ageing and the 2030 Sustainable Development Goals.

scholarly journals Digital Health Interventions for Healthy Aging: A Qualitative User Evaluation and Ethical Assessment

2020 ◽  
Author(s):  
Marcello Ienca ◽  
Christophe Schneble ◽  
Reto Kressig ◽  
Tenzin Wangmo
Keyword(s):  
Older Adults ◽  
Older People ◽  
Healthy Aging ◽  
Ethical Issues ◽  
Digital Health ◽  
Functional Independence ◽  
Community Dwelling ◽  
Healthy Ageing ◽  
Health Technologies ◽  
Community Dwelling Older Adults

Abstract BackgroundDigital health technologies are being increasingly developed with the aim of allowing older adults to maintain functional independence throughout the old age, a process known as healthy ageing. Such digital health technologies for healthy ageing are expected to mitigate the socio-economic effects of population ageing and improve the quality of life of older people. However, little is known regarding the views and needs of older people regarding these technologies. AimThe aim of this study is to explore the views, needs and perceptions of community-dwelling older adults regarding the use of digital health technologies for healthy ageing. MethodFace-to-face, in-depth qualitative interviews were conducted with community-dwelling older adults (median age 79.6 years). The interview process involved both abstract reflections and practical demonstrations. The interviews were transcribed verbatim and analyzed according to inductive content analysis. ResultsThree main themes and twelve sub-themes emerged. The three main themes revolved around the following thematic areas: favorable views and perceptions on technology-assisted living, usability evaluations and ethical considerations. ConclusionsOur study reveals a generally positive attitude towards digital health technologies as participants believed digital tools could positively contribute to improving their overall wellbeing, especially if designed in a patient-centered manner. Safety concerns and ethical issues related to privacy, empowerment and lack of human contact also emerged as key considerations.

scholarly journals Detection of risk for depression among adolescents in diverse global settings: protocol for the IDEA qualitative study in Brazil, Nepal, Nigeria and the UK

BMJ Open ◽  
2020 ◽  
Vol 10 (7) ◽  
pp. e034335
Author(s):  
Syed Shabab Wahid ◽  
Gloria A. Pedersen ◽  
Katherine Ottman ◽  
Abigail Burgess ◽  
Kamal Gautam ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Lived Experience ◽  
Low Income ◽  
Adolescent Depression ◽  
Service Providers ◽  
Theory Of Change ◽  
Biological Research ◽  
Middle Income ◽  
Cultural Heterogeneity ◽  
The Uk

IntroductionGlobally, depression is a leading cause of disability among adolescents, and suicide rates are increasing among youth. Treatment alone is insufficient to address the issue. Early identification and prevention efforts are necessary to reduce morbidity and mortality. The Identifying Depression Early in Adolescence (IDEA) consortium is developing risk detection strategies that incorporate biological, psychological and social factors that can be evaluated in diverse global populations. In addition to epidemiological and neuroscience research, the IDEA consortium is conducting a qualitative study to explore three domains of inquiry: (1) cultural heterogeneity of biopsychosocial risk factors and lived experience of adolescent depression in low-income and middle-income countries (LMIC); (2) the feasibility, acceptability and ethics of a risk calculator tool for adolescent depression that can be used in LMIC and high-income countries and (3) capacity for biological research into biomarkers for depression risk among adolescents in LMIC. This is a multisite qualitative study being conducted in Brazil, Nepal, Nigeria and the UK.Methods and analysisA systematic set of qualitative methods will be used in this study. The Delphi method, Theory of Change (ToC) workshops, key-informant interviews and focus group discussions will be used to elicit perspectives on the study topics from a broad range of stakeholders (adolescents, parents, policy-makers, teachers, health service providers, social workers and experts). Delphi panellists will participate in three survey rounds to generate consensus through facilitated feedback. Stakeholders will create ToC models via facilitated workshops in the LMIC sites. The framework approach will be used to analyse data from the study.Ethics and disseminationEthical approvals were received from the Ethics Review Board of George Washington University and from site-specific institutions in Brazil, Nepal, Nigeria and the UK. The findings generated from this study will be reported in highly accessed, peer-reviewed, scientific and health policy journals.

Reinventing the nursing home: metaphors that design care

2018 ◽  
pp. 45-62
Author(s):  
Susan Braedley
Keyword(s):  
Older Adults ◽  
Nursing Home ◽  
Old Age ◽  
Nursing Home Care ◽  
Standards Of Care ◽  
Social Imagination ◽  
The Us ◽  
The Everyday ◽  
The Uk ◽  
Team Nursing

Drawing on findings from team nursing home ethnographies in Canada, the UK, Sweden and the US, this chapter argues that new designs for nursing home care draw from a social imagination limited by contemporary ideals of individualism, practices of consumerism and structures of inequality. As newly built or renovated nursing homes are designed to support better care for frail older adults, a contradictory mix of policy aims has emerged, including improvements to economic efficiency and sustainability, better standards of care and wellbeing for residents, and efforts to create appealing, hospitable environments. The research brings critical attention to walls, gardens and furnishings, arguing that they not only shape the everyday life of frail old age but also reveal tensions between what residents and those who provide care require, what is designed for them and what is expected of them.

Coming of old age: understanding older adults’ engagement and needs in coproduction activities for healthy ageing

2018 ◽  
Vol 37 (3) ◽  
pp. 232-246 ◽  
Author(s):  
Chien Wen Yuan ◽  
Benjamin V. Hanrahan ◽  
Mary Beth Rosson ◽  
John M. Carroll
Keyword(s):  
Older Adults ◽  
Old Age ◽  
Healthy Ageing

”When You’re in the Hospital, You’re in a Sort of Bubble.”

Crisis ◽  
2014 ◽  
Vol 35 (3) ◽  
pp. 154-160 ◽  
Author(s):  
Amanda Owen-Smith ◽  
Olive Bennewith ◽  
Jenny Donovan ◽  
Jonathan Evans ◽  
Keith Hawton ◽  
...  
Keyword(s):  
Lived Experience ◽  
Service Providers ◽  
Small Sample Size ◽  
Small Sample ◽  
Service Users ◽  
Number Of Factors ◽  
Increased Risk ◽  
Self Harm ◽  
The Uk ◽  
Depth Interviews

Background: Individuals are at a greatly increased risk of suicide and self-harm in the months following discharge from psychiatric hospital, yet little is known about the reasons for this. Aims: To investigate the lived experience of psychiatric discharge and explore service users’ experiences following discharge. Method: In-depth interviews were undertaken with recently discharged service users (n = 10) in the UK to explore attitudes to discharge and experiences since leaving hospital. Results: Informants had mixed attitudes to discharge, and those who had not felt adequately involved in discharge decisions, or disagreed with them, had experienced urges to self-harm since being discharged. Accounts revealed a number of factors that made the postdischarge period difficult; these included both the reemergence of stressors that existed prior to hospitalization and a number of stressors that were prompted or exacerbated by hospitalization. Conclusion: Although inferences that can be drawn from the study are limited by the small sample size, the results draw attention to a number of factors that could be investigated further to help explain the high risk of suicide and self-harm following psychiatric discharge. Findings emphasize the importance of adequate preparation for discharge and the maintenance of ongoing relationships with known service providers where possible.

The moralization of healthy living: Burke’s rhetoric of rebirth and older adults’ accounts of healthy eating

2012 ◽  
Vol 16 (6) ◽  
pp. 619-635 ◽  
Author(s):  
Philippa Spoel ◽  
Roma Harris ◽  
Flis Henwood
Keyword(s):  
Older Adults ◽  
Lived Experience ◽  
Healthy Eating ◽  
Self Regulation ◽  
Rhetorical Analysis ◽  
Well Being ◽  
Older Age ◽  
Healthy Living ◽  
The Uk ◽  
Health And Well Being

This article develops a rhetorical analysis of how older adults in Canada and the UK engage with civic-moral imperatives of healthy living. The analysis draws on Burke’s concepts of ‘symbolic hierarchies’ and the ‘rhetoric of rebirth’ to explore how participants discursively negotiate the moralizing framework of self-regulation and self-improvement central to healthy eating discourse, in particular. Working from the premise that healthy eating is a ‘principle of perfection’ that citizens are encouraged to strive to achieve, the article traces the vocabularies and logical distinctions of ‘guilt’, ‘purification’ and ‘redemption’ in participants’ accounts of what healthy eating means to them. This analysis reveals some of the complex, situated and often strategic ways in which they rearticulate and reconfigure the normative imperatives of healthy eating in ways suited to their lived experience and their priorities for health and well-being in older age.

scholarly journals Digital health interventions for healthy ageing: a qualitative user evaluation and ethical assessment

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Marcello Ienca ◽  
Christophe Schneble ◽  
Reto W. Kressig ◽  
Tenzin Wangmo
Keyword(s):  
Older Adults ◽  
Older People ◽  
Ethical Issues ◽  
Digital Health ◽  
Functional Independence ◽  
Community Dwelling ◽  
Healthy Ageing ◽  
Economic Effects ◽  
Health Technologies ◽  
Community Dwelling Older Adults

Abstract Background Digital health technologies are being increasingly developed with the aim of allowing older adults to maintain functional independence throughout the old age, a process known as healthy ageing. Such digital health technologies for healthy ageing are expected to mitigate the socio-economic effects of population ageing and improve the quality of life of older people. However, little is known regarding the views and needs of older people regarding these technologies. Aim The aim of this study was to explore the views, needs and perceptions of community-dwelling older adults regarding the use of digital health technologies for healthy ageing. Method Face-to-face, in-depth qualitative interviews were conducted with community-dwelling older adults (median age 79.6 years). The interview process involved both abstract reflections and practical demonstrations. The interviews were transcribed verbatim and analyzed according to inductive content analysis. Results Three main themes and twelve sub-themes addressing our study aim resulted from the data obtained. The main themes revolved around favorable views and perceptions on technology-assisted living, usability evaluations and ethical considerations. Conclusions Our study reveals a generally positive attitude towards digital health technologies as participants believed digital tools could positively contribute to improving their overall wellbeing, especially if designed in a patient-centered manner. Safety concerns and ethical issues related to privacy, empowerment and lack of human contact were also addressed by participants as key considerations.

scholarly journals Interface between general adult and old age psychiatry

2018 ◽  
Vol 24 (3) ◽  
pp. 188-194 ◽  
Author(s):  
Oleksandr Khrypunov ◽  
Raheel Aziz ◽  
Ban Al-Kaissy ◽  
Ketan Jethwa ◽  
Verghese Joseph
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Old Age ◽  
Mental Health Problems ◽  
Psychiatric Services ◽  
List Type ◽  
Late Life Depression ◽  
Early Onset Dementia ◽  
Old Age Psychiatry ◽  
The Uk

SUMMARYOlder people with mental health problems are entitled to the same level and quality of care as younger people. Several factors continue to influence policy and delivery of older adults' mental health services in the UK. Following the introduction of the Equality Act 2010, there has been a drive to create an ‘ageless’ National Health Service. This has opened up the debate about whether such a service is best equipped to meet the specific needs of older adults. In this contribution we consider the concepts of ‘old age’ and ‘frailty’ and their clinical and service provision implications in psychiatry. The management of late-life depression and early-onset dementia, advance care planning and palliation in dementia are also considered.LEARNING OBJECTIVES•Appreciate how old age psychiatric services and the concept of ‘old age’ have evolved over time•Gain an understanding of issues at the interface between old age and general adult psychiatry and those specific to old age psychiatry•Gain an overview of procedures involved in transferring care between general adult and old age psychiatric services and the need for a separate old age psychiatry subspecialtyDECLARATION OF INTERESTNone.

scholarly journals Unlocking the potential for digital mental health technologies in the UK: a Delphi exercise

BJPsych Open ◽  
2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Clare Murphy ◽  
Lucy Thorpe ◽  
Harriet Trefusis ◽  
Antonis Kousoulis
Keyword(s):  
Mental Health ◽  
Lived Experience ◽  
Service Providers ◽  
Systems Of Care ◽  
Small And Medium Enterprises ◽  
Mental Healthcare ◽  
Health Technologies ◽  
Treatment And Prevention ◽  
Delphi Exercise ◽  
The Uk

Background Digitally enabled services can contribute to the support, treatment and prevention of mental health difficulties; however, questions remain regarding how we can most usefully harness such technology in primary and secondary mental healthcare settings. Aims To identify barriers and facilitators to enable the potential of digital mental health in England, Scotland, Wales and Northern Ireland. Method A three-round Delphi exercise was carried out online with 16 participants from across the four nations of the UK representing the following stakeholder groups: service providers, health professionals, policymakers, lived experience, small and medium enterprises and academics. Qualitative data were collected in the first round (80 fragments) that were then coded to produce a 26-item round-two questionnaire for participant rating. Participants were given the opportunity to reconsider their scores in light of the group responses in round three. Results Eight statements under the following five themes reached consensus with median scores between 8 and 10 (i.e. important/very important): co-production; the human element; data security; funding; and regulation. Conclusions The Delphi process allowed consensus to be achieved regarding the factors that experts consider important for harnessing technology in primary and secondary mental healthcare. Knowledge of these factors can help users and providers of mental health services negotiate how best to move forward with digitally enabled systems of care.

Diet and healthy ageing

2005 ◽  
Vol 11 (4) ◽  
pp. 121-125 ◽  
Author(s):  
Brigid McKevith
Keyword(s):  
Cardiovascular Disease ◽  
Older Adults ◽  
Chronic Disease ◽  
Chronic Diseases ◽  
Old Age ◽  
Age Groups ◽  
Healthy Ageing ◽  
Dietary Quality ◽  
Normal Ageing ◽  
Dietary Components

In the future there will be more people aged 65 years and over ('older adults'). Although the exact mechanisms underlying normal ageing are not fully understood, ageing is generally associated with an increase in chronic diseases, such as cardiovascular disease, diabetes, cancer and osteoporosis. It is becoming clear that it is possible to prevent, slow or reverse the onset of many these by modifying lifestyle factors such as diet. Studies of older adults in a range of countries have highlighted a number of areas in which dietary quality could be improved. It is important to identify dietary patterns in addition to specific dietary components that offer protection against chronic disease. The challenge in the area of diet and healthy ageing is twofold: first, there is a need to improve the diet of older adults; and second, as most chronic diseases begin earlier in life, there is a need to encourage other age groups to adapt their diet so they can enter old age in better health.

Sign in / Sign up

Export Citation Format

Share Document