scholarly journals Quantitative and qualitative interviews in older people research

2020 ◽  
pp. 132-143
Author(s):  
Piotr Czekanowski
Keyword(s):  
Older People ◽  
Qualitative Interviews

Professional judgements of risk and capacity in situations of self-neglect among older people

2010 ◽  
Vol 30 (6) ◽  
pp. 1055-1072 ◽  
Author(s):  
SHANNON MCDERMOTT
Keyword(s):  
Critical Theory ◽  
Older People ◽  
Cultural Context ◽  
Sociological Theory ◽  
Qualitative Interviews ◽  
Medical Illness ◽  
The Past ◽  
The Social ◽  
Professional Intervention ◽  
Sydney Australia

ABSTRACTOver the past 50 years, self-neglect among older people has been conceptualised in both social policy and the academy as a social problem which is defined in relation to medical illness and requires professional intervention. Few authors, however, have analysed the concept of self-neglect in relation to critical sociological theory. This is problematic because professional judgements, which provide the impetus for intervention, are inherently influenced by the social and cultural context. The purpose of this article is to use critical theory as a framework for interpreting the findings from a qualitative study which explored judgements in relation to older people in situations of self-neglect made by professionals. Two types of data were collected. There were 125 hours of observations at meetings and home assessments conducted by professionals associated with the Community Options Programme in Sydney, Australia, and 18 professionals who worked with self-neglecting older people in the community gave in-depth qualitative interviews. The findings show that professional judgements of self-neglect focus on risk and capacity, and that these perceptions influence when and how interventions occur. The assumptions upon which professional judgements are based are then further analysed in relation to critical theory.

scholarly journals Institutional thoughtlessness and the needs of older probation clients

2020 ◽  
Vol 67 (2) ◽  
pp. 118-136
Author(s):  
Nichola Cadet
Keyword(s):  
Older People ◽  
Qualitative Interviews ◽  
Freedom Of Information ◽  
Self Awareness ◽  
Policy And Practice ◽  
Daily Experiences ◽  
Information Request ◽  
Older Prisoners ◽  
Probation Service ◽  
First Time

This article explores the increase in the number of older people on probation caseloads. ‘Older’ clients are defined as those aged 50 and over, in line with the use of this definition by Her Majesty’s Prison and Probation Service. Drawing upon a Freedom of Information request submitted to the Ministry of Justice, the data show increases in the age of probation clients across community orders, suspended sentences, and supervision on licence. One in five residents in Approved Premises are over 50. Despite the increase, there is a dearth of research relating to the needs of older people on probation and how well probation services and staff are equipped to meet their needs. Consequently, this article utilises research relating to older prisoners, drawing inferences to probation experiences. This prompts the question of whether probation is ‘institutionally thoughtless’, a term coined relating to the daily experiences of older prisoners. This article depicts findings from qualitative interviews with older prisoners in prison for the first time. The findings highlight ambivalence towards completing accredited programmes, which may be applicable to probation settings. This article concludes that action to tackle discrimination requires a commitment to justice, self-awareness, and knowledge via policy and practice.

scholarly journals The stability of care preferences following acute illness: a mixed methods prospective cohort study of frail older people

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
S. N. Etkind ◽  
N. Lovell ◽  
A. E. Bone ◽  
P. Guo ◽  
C. Nicholson ◽  
...  
Keyword(s):  
Cohort Study ◽  
Mixed Methods ◽  
Older People ◽  
Family Support ◽  
Prospective Cohort ◽  
Qualitative Interviews ◽  
Acute Illness ◽  
Frail Older People ◽  
Preference Stability ◽  
The Stability

Abstract Background Patient preferences are integral to person-centred care, but preference stability is poorly understood in older people, who may experience fluctuant illness trajectories with episodes of acute illness. We aimed to describe, and explore influences on the stability of care preferences in frail older people following recent acute illness. Methods Mixed-methods prospective cohort study with dominant qualitative component, parallel data collection and six-month follow up. Study population: age ≥ 65, Rockwood Clinical Frailty score ≥ 5, recent acute illness requiring acute assessment/hospitalisation. Participants rated the importance of six preferences (to extend life, improve quality of life, remain independent, be comfortable, support ‘those close to me’, and stay out of hospital) at baseline, 12 and 24 weeks using a 0–4 scale, and ranked the most important. A maximum-variation sub-sample additionally contributed serial in-depth qualitative interviews. We described preference stability using frequencies and proportions, and undertook thematic analysis to explore influences on preference stability. Results 90/192 (45%) of potential participants consented. 82/90 (91%) answered the baseline questionnaire; median age 84, 63% female. Seventeen undertook qualitative interviews. Most participants consistently rated five of the six preferences as important (range 68–89%). ‘Extend life’ was rated important by fewer participants (32–43%). Importance ratings were stable in 61–86% of cases. The preference ranked most important was unstable in 82% of participants. Preference stability was supported by five influences: the presence of family support; both positive or negative care experiences; preferences being concordant with underlying values; where there was slowness of recovery from illness; and when preferences linked to long term goals. Preference change was related to changes in health awareness, or life events; if preferences were specific to a particular context, or multiple concurrent preferences existed, these were also more liable to change. Conclusions Preferences were largely stable following acute illness. Stability was reinforced by care experiences and the presence of family support. Where preferences were unstable, this usually related to changing health awareness. Consideration of these influences during preference elicitation or advance care planning will support delivery of responsive care to meet preferences. Obtaining longer-term data across diverse ethnic groups is needed in future research.

scholarly journals Retirement Migration and Precarity: Material and Social Aspects

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 443-444
Author(s):  
Marion Repetti ◽  
Toni Calasanti
Keyword(s):  
Older People ◽  
Qualitative Interviews ◽  
Later Life ◽  
Social Aspects ◽  
Active Lifestyle ◽  
Retirement Migration ◽  
Material Resources ◽  
The Social ◽  
And Gender ◽  
The Impact

Abstract Discussions of precarity in later life have tended to focus on the uncertainties of material resources, and the feelings of anxiety that this evokes (e.g., Lain et al. 2019) as some older people thus face the risk of being excluded from the broader society. Although scholars often point to inequalities, such as those based on class and gender, as having an influence on the likelihood of older people experiencing such precarity, ageism is considered only to the extent that it can exacerbate the impact of these statuses through, for instance, labor market experiences. Here, we expand upon the impact of ageism on the social aspects of precarity: the loss of recognition and respect as a person that is at the core of social bonds. Drawing on qualitative interviews we have conducted among Swiss, British, and U.S. older people who migrated to cheaper countries in retirement, we demonstrate that ageism can influence precarity regardless of classes. We find that even among wealthier older migrants, who otherwise might fit the image of the retiree seeking an active lifestyle in a sunny location, the attempt to escape the devaluation heaped upon older people in their original country plays an important role. In their new countries, retired migrants of all classes felt that they were valued and part of a community, and this differed from the ageism in their home countries. We thus argue that ageism be considered in future analyses of precarity in later life.

scholarly journals How Do the Support Networks of Older People Influence Their Experiences of Social Isolation in Care Homes?

2021 ◽  
Vol 9 (4) ◽  
pp. 315-326
Author(s):  
Jennifer M. Ferguson
Keyword(s):  
Older People ◽  
Social Isolation ◽  
Qualitative Interviews ◽  
Care Home ◽  
Support Networks ◽  
Care Homes ◽  
Support Network ◽  
Staff Members ◽  
Egocentric Network

Understanding how to better support older people living in care homes is imperative for improving their wellbeing and quality of life. Despite this, little research has explored how support networks are structured and composed for individual residents. This study aimed to explore how, and by whom, residents felt they were supported, and how this support influenced their experiences of social isolation within the care home. The study included 36 residents from seven care homes located in the Scottish central belt in 2018. This article uses egocentric network analysis to analyse the structure and composition of the support networks, while a thematic analysis of qualitative interviews resulted in themes exploring how a resident’s support network impacts their social isolation within the care home. Findings indicated that residents’ most supportive alters were adult children, while staff members were only nominated as providing support in one third of support networks, despite most residents needing specialised care every day. Ambiguous relationships within residents’ support networks lead to feelings of social isolation, as well as adding to residents’ isolating behaviour. This suggests that national care frameworks, such as person‐centred care frameworks, which advocate for coordinated support between residents, relatives, and staff are not being implemented effectively and that more needs to be done to break down barriers to inclusion for care home residents.

scholarly journals Improving participation of hard-to-reach older people in diet interventions: the INVITE strategy

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
A Bocquier ◽  
C Dubois ◽  
P Verger ◽  
N Darmon ◽  
Keyword(s):  
Physical Activity ◽  
Older People ◽  
Social Workers ◽  
Low Socioeconomic Status ◽  
Home Visit ◽  
Formative Evaluation ◽  
Qualitative Interviews ◽  
Recruitment Strategy ◽  
Phone Call ◽  
Low Socioeconomic

Abstract Background A lot of behavioural interventions promoting healthy eating and physical activity are focusing older people, but, among them, individuals from low socioeconomic status and/or experiencing social isolation participate less. The aim of the present study was to design, pilot and perform a formative evaluation of an active recruitment strategy called ’INVITE’. This strategy aimed to improve participation of hard-to-reach older people in existing collective workshops combining diet and physical activities dedicated to older people. Methods We co-constructed this strategy, based on results from a literature review, qualitative interviews with older people and professionals using the Behaviour Change Wheel framework as a guide. INVITE includes 5 steps: i) identification of socially deprived/isolated people aged 60-85 years in retirement fund databases; ii) postal invitation letter; iii) phone call; iv) home visit by a social worker. The formative evaluation used questionnaires (closed and open-ended questions) completed by 2 social workers in April 2019. Results Among the 54 older people selected in the databases, 29 could be reached by phone. Among these 29 persons, 25 reported being interested by the collective workshops; 17 refused the home visit (main reasons: not available during the workshops period, current health problems); 12 accepted the home visit, but only 10 could be visited at home (one was ill; one cancelled the visit). Nine out of these 10 persons accepted to participate to the workshops. The main motivating factors were that workshops were: free; perceived as friendly; and as an opportunity to “go out” and to receive diet counselling to improve diet quality with no additional cost. Conclusions The INVITE strategy was perceived positively but adjustments are needed to improve home visits acceptation rate (e.g., by revising the criteria used to identify people in the databases). We will now evaluate the attendance rate to the collective workshop. Key messages The INVITE strategy was designed to improve participation of hard-to-reach older people in combined diet and physical activity collective workshops. This strategy was perceived positively by most older people contacted and both social workers.

Setting the field: older people’s conceptualisation of resilience and its relationship to cultural engagement

2018 ◽  
pp. 19-42
Author(s):  
Anna Goulding
Keyword(s):  
Older People ◽  
Qualitative Interviews ◽  
Cultural Engagement ◽  
Individual Trait ◽  
The Future ◽  
Interview Format

This chapter evaluates data from a cultural animation workshop and qualitative interviews with a range of older people to understand their conceptualisation of resilience and the strategies they have used to overcome challenges experienced throughout the lifecourse. The participants felt that resilience was a useful term to describe their response to the challenges that they had encountered. They distinguished between emotional and practical resilience and tended to see it as an individual trait, albeit one that could be developed. The participants also expressed anxiety when anticipating whether they would be equipped to cope with challenges in the future. Discussions about strategies that participants used to overcome difficulties were particularly revealing. In contrast to the data gathered through interviews, using cultural animation methods provided a way for participants who were less confident or less able to express themselves verbally in a formal interview format to articulate their perspectives on resilience.

scholarly journals Pursuing security: economic resources and the ontological security of older New Zealanders

2013 ◽  
Vol 34 (10) ◽  
pp. 1666-1687 ◽  
Author(s):  
JULIANA MANSVELT ◽  
MARY BREHENY ◽  
CHRISTINE STEPHENS
Keyword(s):  
Older People ◽  
Life Experiences ◽  
Qualitative Interviews ◽  
Later Life ◽  
Economic Resources ◽  
Ontological Security ◽  
Strongly Connected ◽  
Material Conditions ◽  
Past Experiences ◽  
New Zealanders

ABSTRACTAccess to economic resources influences the material conditions of life for older people, as well as the freedoms and capacities of older people to achieve the kind of lives they value. Security is one aspect of later life valued by older people. Ontological security provides a sense of order and continuity and needs to be understood in terms of the situated life experiences and circumstances of older people. The study reported in this paper analysed 145 qualitative interviews with New Zealanders aged 63–93 in order to explore how participants understand ontological security. Varying levels of access to economic resources were associated with differing abilities of participants to manage the unpredictability of everyday life. Among the wealthy, security was strongly connected to the freedoms provided by ample financial resources. Contrary to what might be expected, those with the lowest levels of economic resources did not express higher levels of insecurity, but instead drew upon life experiences of managing and making do to construct a trajectory of security. Those with mid-range levels of economic resources expressed most insecurity, including anxiety over changing economic conditions and concerns over their ability to manage reductions in economic resources. In discussing the implications of this, the paper highlights the need to recognise ways in which access to economic resources intersect with life circumstances, past experiences and future social expectations to provide opportunities for all older people to pursue security as they strive to age well.

scholarly journals The promises and the reality of smart, digital telecare in England

2021 ◽  
Vol 24 (2) ◽  
pp. 65-79
Author(s):  
Phoebe Stirling ◽  
Gemma Burgess
Keyword(s):  
Older People ◽  
Thematic Analysis ◽  
Design Methodology ◽  
Qualitative Interviews ◽  
Digital Technologies ◽  
Housing Associations ◽  
Content Type ◽  
Ethical Implications ◽  
Qualitative Thematic Analysis ◽  
Cost Efficient

Purpose This paper asks how the introduction of “smart” digital technologies might affect the goals that can be attributed to telecare for older people, by those coordinating its provision. Design/methodology/approach A total of 29 in-depth, qualitative interviews were conducted with local authorities, housing associations and other organisations coordinating smart telecare provision, as well as telecare manufacturers and suppliers. Interviews were analysed by using qualitative thematic analysis. Findings The analysis reveals discrepancies between the goals and outcomes of smart telecare provision, according to those coordinating service delivery. This study concludes that the goal for smart telecare to be preventative and cost-efficient may be complicated by various organisational and operational challenges associated with coordinating provision. Originality/value New, “smart” telecare technology for older people stands apart from earlier, user-activated or automatic devices. It may have distinct and under-researched organisational and ethical implications.

scholarly journals Lived experiences of ageing and later life in older people with intellectual disabilities

2013 ◽  
Vol 35 (3) ◽  
pp. 602-628 ◽  
Author(s):  
IDA KÅHLIN ◽  
ANETTE KJELLBERG ◽  
CATHARINA NORD ◽  
JAN-ERIK HAGBERG
Keyword(s):  
Older People ◽  
Lived Experience ◽  
Qualitative Interviews ◽  
Essential Element ◽  
Later Life ◽  
Phenomenological Approach ◽  
The Body ◽  
Analysis Method ◽  
Life World ◽  
People With Intellectual Disabilities

ABSTRACTThe aim of this article is to explore how older people with intellectual disability (ID), who live in group accommodation, describe their lived experience in relation to ageing and later life. The article is based on a study with a phenomenological approach, grounded on the concept of life-world. Individual, qualitative interviews were conducted with 12 people with ID (five men, seven women), between the ages of 48 and 71 (mean=64), who lived in four different group accommodation units in southern Sweden. A descriptive phenomenological analysis method was used, which disclosed a structure consisting of themes and sub-themes. The findings of the study reveal the informants' lived experience of ageing and later life as a multifaceted phenomenon, expressed through the two themes, ‘age as a process of change’ and ‘existential aspects of ageing’, each with three sub-themes. The body is an essential element in their experience of ageing and growing old, and in how this experience is expressed. The study also found social, cultural and historical dimensions of the life-world to be important in the informants' experience of ageing and later life. This supports understanding of the existence of a collective life-world for older people with ID, the unique experiences the informants share because of their disability and its consequences for their lifecourse.

Sign in / Sign up

Export Citation Format

Share Document