Mixed methods-onderzoek om beweging en slaap van ouderen in kaart te brengen

KWALON ◽  
2020 ◽  
Vol 25 (3) ◽  
Author(s):  
Julie Vanderlinden ◽  
Sabine Lambers ◽  
Reninka De Koker ◽  
Liza Musch
Keyword(s):  
Mixed Methods ◽  
Health Outcomes ◽  
Elderly People ◽  
Health Workers ◽  
The Elderly ◽  
Healthy Ageing ◽  
Physically Active ◽  
Know How ◽  
Measuring Methods

Mixed methods to measure movement and sleep in the elderly Movement and sleep are both crucial for the elderly in terms of healthy ageing. Staying physically active as people age is positively associated with better sleep and health outcomes. But despite the growing attention to healthy ageing, the elderly don’t always keep up with the applicable guidelines in terms of movement. Furthermore, health workers don’t always know how to measure movement and sleep in elderly in order to advise and help them to better adhere to guidelines. Literature lacks a summary of accessible objective and subjective ways to measure movement and sleep in the elderly. This study combines both objective and subjective measuring methods and elaborates on the practical aspects of their use. This paper highlights the advantages of mixed methods when measuring movement and sleep in elderly people and aims to inform health workers who want to evaluate their patients’ movement and sleep in order to guide them towards a healthier lifestyle.

scholarly journals Healthy Ageing in Place: Enablers and Barriers from the Perspective of the Elderly. A Qualitative Study

2020 ◽  
Vol 17 (18) ◽  
pp. 6451
Author(s):  
Cristina Bosch-Farré ◽  
Maria Carmen Malagón-Aguilera ◽  
David Ballester-Ferrando ◽  
Carme Bertran-Noguer ◽  
Anna Bonmatí-Tomàs ◽  
...  
Keyword(s):  
Elderly People ◽  
Social Services ◽  
Family Environment ◽  
Financial Stability ◽  
Life Quality ◽  
The Elderly ◽  
Healthy Ageing ◽  
Physical And Mental Health ◽  
Ageing In Place ◽  
Generic Qualitative

Background: Most elderly people wish to grow old at their own homes. The sociodemographic characteristics; home and neighbourhood conditions; and the social services support and networks are determinants in the possibility of “ageing in place”. The present study aimed to explore the ageing in place phenomenon, as well as the enablers and barriers that interact in a healthy ageing from the perspective of the elderly connected to local entities. Methods: A generic qualitative design was proposed in the Health Region of Girona in Catalonia (Spain). Seventy-one elderly people were purposefully selected. Six focus groups were conducted, and data were thematically analysed. Results: Three key themes were generated: (1) Participants experienced ageing differently. The physical and mental health, the family environment and financial stability were key elements for life quality. (2) The perception of the elderly’s role in the community depended on their age, health status and attitude towards life. (3) The participants identified several enablers and barriers to healthy ageing in place. Conclusions: The promotion of older people’s autonomy and wellbeing, together with the creation of an active network of health and social services, may improve the possibility for elderly to age at home and avoid or delay institutionalisation.

Physical Activity as a Predictor of Health and Disability in 75- and 80-Year-Old Men and Women: A Five-Year Longitudinal Study

1998 ◽  
Vol 6 (2) ◽  
pp. 141-156 ◽  
Author(s):  
Pia Laukkanen ◽  
Markku Kauppinen ◽  
Eino Heikkinen
Keyword(s):  
Physical Activity ◽  
Elderly People ◽  
Functional Ability ◽  
Functional Limitations ◽  
The Elderly ◽  
Clear Trend ◽  
Physically Active ◽  
Physical Activity Counseling ◽  
Baseline Status ◽  
Old Men

Identifying predictors of functional limitations among the elderly is essential for planning and implementing appropriate preventive services. The purpose of this prospective study was to examine baseline physical activity as a predictor of health and functional ability outcomes 5 years later in people age 75 and 80 years at baseline. A clear trend was observed: The more physically active subjects had better health and functional ability compared to their more sedentary counterparts. After controlling for the baseline status, the degree of physical activity did not predict future disability but still maintained its predictive role at the level of disease severity. It is suggested that the level of habitual physical activity is an important predictor of health and functional ability among elderly people. Presumably, however, there is a reciprocal causal relationship between physical activity and health in elderly people. Physical activity counseling should therefore be included in preventive health strategies for the elderly.

scholarly journals A practice improvement package at scale to improve management of birth asphyxia in Rwanda: A before-after mixed methods evaluation

2019 ◽  
Author(s):  
Jacqueline Umunyana ◽  
Felix Sayinzoga ◽  
Jim Ricca ◽  
Rachel Favero ◽  
Marcel Manariyo ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Mixed Methods ◽  
Health Outcomes ◽  
Health Workers ◽  
Birth Asphyxia ◽  
Neonatal Outcomes ◽  
Routine Practice ◽  
Educational Method ◽  
Skills Retention ◽  
Clinical Mentorship

Abstract Background: Helping Babies Breathe (HBB) is a competency-based educational method for an evidence-based protocol to manage birth asphyxia in low resource settings. HBB has been shown to improve health worker skills and neonatal outcomes, but studies have documented problems with skills retention and little evidence of effectiveness at large scale in routine practice. This study examined the effect of complementing provider training with clinical mentorship and quality improvement as outlined in the second edition HBB materials.This “system-oriented” approach was implemented in all public health facilities (n=172) in ten districts in Rwanda from 2015 to 2018. Methods: A before-after mixed methods study assessed changes in provider skills and neonatal outcomes related to birth asphyxia. Mentee knowledge and skills were assessed with HBB objective structured clinical exam (OSCE) B pre and post training and during mentorship visits up to one year afterward. The study team extracted health outcome data across the entirety of intervention districts and conducted interviews to gather perspectives of providers and managers on the approach. Results: Nearly forty percent (n= 772) of the health workers in maternity units directly received mentorship. Of the mentees who received two or more visits (n=456), sixty percent demonstrated competence (received > 80% score on OSCE B) on the first mentorship visit, and 100% by the sixth. In a subset of 220 health workers followed for an average of five months after demonstrating competence, 98% maintained or improved their score. Three of the tracked neonatal health outcomes improved across the ten districts and the fourth just missed statistical significance: neonatal admissions due to asphyxia (37% reduction); fresh stillbirths (27% reduction); neonatal deaths due to asphyxia (13% reduction); and death within 30 minutes of birth (19% reduction, p=0.06). Health workers expressed satisfaction with the clinical mentorship approach, noting improvements in confidence, patient flow within the maternity, and data use for decision-making. Conclusions: Framing management of birth asphyxia within a larger quality improvement approach appears to contribute to success at scale. Clinical mentorship emerged as a critical element. The specific effect of individual components of the approach on provider skills and health outcomes requires further investigation.

scholarly journals The Importance of Physical Activity in the Interaction of Motor and Cognitive Functions in Elderly People

2020 ◽  
Vol 3 (118) ◽  
pp. 13-18
Author(s):  
Vida Janina Česnaitienė ◽  
Zbigniew Ossowski ◽  
Diana Karanauskienė ◽  
Gabrielė Auškalnyte ◽  
Ema Grigėnaitytė ◽  
...  
Keyword(s):  
Physical Activity ◽  
Elderly People ◽  
Cognitive Functions ◽  
Memory Task ◽  
The Elderly ◽  
Elderly Subjects ◽  
Research Subjects ◽  
Physically Active ◽  
Eyes Closed ◽  
Significant Difference

Background. It is predicted that in 2060, the number of elderly people in Lithuania (62 and over years of age) will be 31.2% (Tamutienė & Naujanienė, 2013). The maintenance of stable posture requires particular attention because it gets more difficult to sustain it while doing multiple moves at the same time when you are getting older (Woo, Davids, Liukkonen, Chow, & Jaakkola, 2017). The aim of the study was to determine the importance of physical activity for the interplay of motor and cognitive functions in elderly people. Methods. Evaluation of static equilibrium by posturographic method, evaluation of cognitive functions, statistical analysis. Results. The results of the physically active and inactive research subjects were statistically significant (p = .043) in memory task with the eyes closed and in a simple position. A statistically significant difference in the sway velocity (Vsc) between the physical activity groups with eyes closed in simple position was also observed (p = .044). Double task with eyes closed resulted in worse balance performance. Conclusions. 1. Physical activity did not affect the motor function of the elderly. There were no differences between the physically active and inactive subjects in the assessed behavioral indices. 2. Physical activity did not affect the cognitive functions of the elderly. All elderly subjects were equally mistaken in their cognitive memory task. 3. The motor functions of the physically active elderly are controlled statistically significantly better when performing additional cognitive tasks than those of the physically inactive ones. Keywords: balance, elderly, physical activity.

scholarly journals Sikap Keluarga Dalam Pemanfaatan Posyandu Lansia Di Puskesmas Kota Bandar Lampung

2021 ◽  
Vol 1 (2) ◽  
pp. 75-81
Author(s):  
Sary Febriaty ◽  
Efa Trisna ◽  
Gustop Amatiria
Keyword(s):  
Health Center ◽  
Elderly People ◽  
Family Involvement ◽  
Health Workers ◽  
The Elderly ◽  
Descriptive Data ◽  
Family Attitudes ◽  
Work Area ◽  
The Family ◽  
The City

ABSTRACT: FAMILY ATTITUDES IN UTILIZING POSYANDU LANSIA IN PUSKESMAS KOTA BANDAR LAMPUNG Introduction: In 2020 it is estimated that the number of elderly people will increase by 11.09% (29,120,000 more) with a life expectancy of 70 - 75 years. Data from the Lampung Provincial Health Office, the number of elderly people 89,1061 people, while data from the city of Bandar Lampung the number of elderly people in 2016 was 3,893 people. The number of elderly people in the working area of the Rajabasa Health Center is 3,893 people. The number of elderly visits to the Elderly Posyandu was 1,854 people. A survey conducted on 10 - 14 April 2018 of 15 elderly who did not visit the posyandu stated that they had difficulty going to the posyandu because no one was there to assist them.Purpose: This study aims to determine the attitude of the family towards the use of Posyandu for the elderly in the working area of the Rajabasa Public Health Center, Bandar Lampung City.Methods: The research design used in this study is qualitative research, namely research that produces descriptive data in the form of written or spoken words from the community and observable behavior in the form of family attitudes towards the use of posyandu for the elderly in the work area. Rajabasa Health Center, Bandar Lampung City. .Results: The results showed that a low level of family involvement in the use of posyandu for the elderly.Conclusion: For health workers and other community leaders to motivate families to be involved in the Elderly Posyandu. Keywords: Family, Elderly, Posyandu  INTISARI: SIKAP KELUARGA DALAM PEMANFAATAN POSYANDU LANSIA DI PUSKESMAS KOTA BANDAR LAMPUNG Pendahuluan: Tahun 2020 diperkirakan jumlah lanjut usia akan meningkat 11.09% (29.120.000 lebih) dengan umur harapan hidup 70 – 75 tahun. Data dari Dinas Kesehatan Provinsi Lampung jumlah lansia 89.1061 orang sedangkan data kota Bandar Lampung jumlah lansia pada tahun 2016 sebanyak 3.893. Jumlah lansia diwilayah kerja Puskesmas Rajabasa sebanyak 3.893 orang. Jumlah [L1] kunjungan usia lanjut ke Posyandu Lansia sebanyak 1.854 orang. Survey  yang dilakukan pada tanggal 10 – 14 April 2018 terhadap 15 lansia yang tidak melakukan kunjungan ke Posyandu mengatakan bahwa mereka kesulitan untuk berangkat ke Posyandu karena tidak ada yang  menemani.Tujuan: Penelitian ini bertujuan mengetahui Sikap Keluarga Terhadap Pemanfaatan Posyandu Lansia di Wilayah kerja Puskesmas Rajabasa Kota Bandar Lampung.Metode: Desain penelitian yang digunakan pada penelitian ini merupakan penelitian kualitatif, yaitu penelitian yang  menghasilkan data deskriptif  berupa kata-kata tertulis atau lisan dari orang-orang dan perilaku yang dapat diamati berupa sikap keluarga terhadap pemanfaatan Posyandu lansia di wilayah kerja Puskesmas Rajabasa Kota Bandar Lampung.Hasil: Hasil dari penelitian ini, yaitu  didapatkan  rendahnya keterlibatan keluarga dalam pemanfaatan  Posyandu  lansia.Kesimpulan: Agar petugas kesehatan dan tokoh masyarakat lainnya memotivasi keluarga untuk keterlibatannya dalam Posyandu Lansia. Kata kunci: Keluarga, Lansia, Posyandu 

scholarly journals A practice improvement package at scale to improve management of birth asphyxia in Rwanda: A before-after mixed methods evaluation

2020 ◽  
Author(s):  
Jacqueline Umunyana ◽  
Felix Sayinzoga ◽  
Jim Ricca ◽  
RACHEL FAVERO ◽  
Marcel Manariyo ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Mixed Methods ◽  
Health Outcomes ◽  
Health Workers ◽  
Birth Asphyxia ◽  
Neonatal Outcomes ◽  
Routine Practice ◽  
Educational Method ◽  
Skills Retention ◽  
Clinical Mentorship

Abstract Background: Helping Babies Breathe (HBB) is a competency-based educational method for an evidence-based protocol to manage birth asphyxia in low resource settings. HBB has been shown to improve health worker skills and neonatal outcomes, but studies have documented problems with skills retention and little evidence of effectiveness at large scale in routine practice. This study examined the effect of complementing provider training with clinical mentorship and quality improvement as outlined in the second edition HBB materials. This “system-oriented” approach was implemented in all public health facilities (n=172) in ten districts in Rwanda from 2015 to 2018. Methods: A before-after mixed methods study assessed changes in provider skills and neonatal outcomes related to birth asphyxia. Mentee knowledge and skills were assessed with HBB objective structured clinical exam (OSCE) B pre and post training and during mentorship visits up to one year afterward. The study team extracted health outcome data across the entirety of intervention districts and conducted interviews to gather perspectives of providers and managers on the approach. Results: Nearly forty percent (n= 772) of health workers in maternity units directly received mentorship. Of the mentees who received two or more visits (n=456), sixty percent demonstrated competence (received > 80% score on OSCE B) on the first mentorship visit, and 100% by the sixth. In a subset of 220 health workers followed for an average of five months after demonstrating competence, 98% maintained or improved their score. Three of the tracked neonatal health outcomes improved across the ten districts and the fourth just missed statistical significance: neonatal admissions due to asphyxia (37% reduction); fresh stillbirths (27% reduction); neonatal deaths due to asphyxia (13% reduction); and death within 30 minutes of birth (19% reduction, p=0.06). Health workers expressed satisfaction with the clinical mentorship approach, noting improvements in confidence, patient flow within the maternity, and data use for decision-making. Conclusions: Framing management of birth asphyxia within a larger quality improvement approach appears to contribute to success at scale. Clinical mentorship emerged as a critical element. The specific effect of individual components of the approach on provider skills and health outcomes requires further investigation.

scholarly journals A practice improvement package at scale to improve management of birth asphyxia in Rwanda: A before-after mixed methods evaluation

2020 ◽  
Author(s):  
Jacqueline Umunyana ◽  
Felix Sayinzoga ◽  
Jim Ricca ◽  
RACHEL FAVERO ◽  
Marcel Manariyo ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Mixed Methods ◽  
Health Outcomes ◽  
Health Workers ◽  
Birth Asphyxia ◽  
Neonatal Outcomes ◽  
Routine Practice ◽  
Educational Method ◽  
Skills Retention ◽  
Clinical Mentorship

Abstract Background: Helping Babies Breathe (HBB) is a competency-based educational method for an evidence-based protocol to manage birth asphyxia in low resource settings. HBB has been shown to improve health worker skills and neonatal outcomes, but studies have documented problems with skills retention and little evidence of effectiveness at large scale in routine practice. This study examined the effect of complementing provider training with clinical mentorship and quality improvement as outlined in the second edition HBB materials. This “system-oriented” approach was implemented in all public health facilities (n=172) in ten districts in Rwanda from 2015 to 2018. Methods: A before-after mixed methods study assessed changes in provider skills and neonatal outcomes related to birth asphyxia. Mentee knowledge and skills were assessed with HBB objective structured clinical exam (OSCE) B pre and post training and during mentorship visits up to one year afterward. The study team extracted health outcome data across the entirety of intervention districts and conducted interviews to gather perspectives of providers and managers on the approach.Results: Nearly forty percent (n= 772) of health workers in maternity units directly received mentorship. Of the mentees who received two or more visits (n=456), sixty percent demonstrated competence (received > 80% score on OSCE B) on the first mentorship visit, and 100% by the sixth. In a subset of 220 health workers followed for an average of five months after demonstrating competence, 98% maintained or improved their score. Three of the tracked neonatal health outcomes improved across the ten districts and the fourth just missed statistical significance: neonatal admissions due to asphyxia (37% reduction); fresh stillbirths (27% reduction); neonatal deaths due to asphyxia (13% reduction); and death within 30 minutes of birth (19% reduction, p=0.06). Health workers expressed satisfaction with the clinical mentorship approach, noting improvements in confidence, patient flow within the maternity, and data use for decision-making. Conclusions: Framing management of birth asphyxia within a larger quality improvement approach appears to contribute to success at scale. Clinical mentorship emerged as a critical element. The specific effect of individual components of the approach on provider skills and health outcomes requires further investigation.

scholarly journals El estilo de vida como condicionante de la flexibilidad del adulto mayor (Lifestyle as a determinant of flexibility in the elderly)

Retos ◽  
2021 ◽  
Vol 43 ◽  
pp. 283-289
Author(s):  
Michelle Matos-Duarte ◽  
Vicente Martínez de Haro ◽  
Ismael Sanz Arribas ◽  
Luis A. Berlanga
Keyword(s):  
Range Of Motion ◽  
Healthy Lifestyle ◽  
The Elderly ◽  
Daily Routine ◽  
Physically Active ◽  
Know How ◽  
Fitness Test ◽  
Geographical Environment ◽  
And Gender ◽  
Physically Inactive

  La flexibilidad a niveles adecuados es importante para un correcto desempeño de las actividades cotidianas. Sin embargo, esta cualidad puede verse influenciada negativamente por distintos factores, como el estilo de vida, el envejecimiento y el género. Por ello, el objetivo de este estudio fue comparar el nivel de flexibilidad entre personas mayores institucionalizadas y físicamente inactivas con personas mayores físicamente activas, comparando, además, de qué forma el fenotipo sexual puede influir sobre la misma. La muestra estuvo compuesta por personas mayores de 65 años, siendo un grupo físicamente activo (GA) de 54 participantes y un grupo de mayores institucionalizados e inactivos (GI) con 19 participantes; a los que se les evaluó la flexibilidad con dos test de la Batería Senior Fitness Test. Los resultados mostraron una diferencia significativa de la flexibilidad de tren superior e inferior a favor del grupo GA (p < .001) con la influencia del fenotipo sexual variando en función de la zona evaluada. Concluimos que es fundamental añadir en el día a día de las personas mayores la práctica de ejercicio físico, así como incentivar a que mantengan un estilo de vida activo y saludable, independientemente del entorno geográfico donde habiten y de su género.  Abstract: The range of motion is important to perform properly in activities of daily living. However, this physical component can be negatively influenced by different aspects, such as lifestyle, aging and gender. Therefore, the aim of this study was to compare the level of range of motion among institutionalized and physically inactive older adults with physically active, in addition to know how gender can influence it. We compared groups of people older than 65 years, one group was physically active (GA) (n = 54) and the other group was institutionalized and physically inactive older people (GI) (n = 19); and we measured flexibility using the tests from the Senior Fitness Test battery. Our results showed a difference in the flexibility of the upper and lower body for the GA group (p < .001) compared with GI, showing also a gender difference depending on the measured area. We can conclude that it is crucial to include programs of physical exercise to the daily routine of the elderly, as well as to encourage maintaining an active and healthy lifestyle independent of the gender and the geographical environment where they live.

scholarly journals A practice improvement package at scale to improve management of birth asphyxia in Rwanda: a before-after mixed methods evaluation

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Jacqueline Umunyana ◽  
Felix Sayinzoga ◽  
Jim Ricca ◽  
Rachel Favero ◽  
Marcel Manariyo ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Mixed Methods ◽  
Health Outcomes ◽  
Health Workers ◽  
Birth Asphyxia ◽  
Neonatal Outcomes ◽  
Routine Practice ◽  
Educational Method ◽  
Skills Retention ◽  
Clinical Mentorship

Abstract Background Helping Babies Breathe (HBB) is a competency-based educational method for an evidence-based protocol to manage birth asphyxia in low resource settings. HBB has been shown to improve health worker skills and neonatal outcomes, but studies have documented problems with skills retention and little evidence of effectiveness at large scale in routine practice. This study examined the effect of complementing provider training with clinical mentorship and quality improvement as outlined in the second edition HBB materials. This “system-oriented” approach was implemented in all public health facilities (n = 172) in ten districts in Rwanda from 2015 to 2018. Methods A before-after mixed methods study assessed changes in provider skills and neonatal outcomes related to birth asphyxia. Mentee knowledge and skills were assessed with HBB objective structured clinical exam (OSCE) B pre and post training and during mentorship visits up to 1 year afterward. The study team extracted health outcome data across the entirety of intervention districts and conducted interviews to gather perspectives of providers and managers on the approach. Results Nearly 40 % (n = 772) of health workers in maternity units directly received mentorship. Of the mentees who received two or more visits (n = 456), 60 % demonstrated competence (received > 80% score on OSCE B) on the first mentorship visit, and 100% by the sixth. In a subset of 220 health workers followed for an average of 5 months after demonstrating competence, 98% maintained or improved their score. Three of the tracked neonatal health outcomes improved across the ten districts and the fourth just missed statistical significance: neonatal admissions due to asphyxia (37% reduction); fresh stillbirths (27% reduction); neonatal deaths due to asphyxia (13% reduction); and death within 30 min of birth (19% reduction, p = 0.06). Health workers expressed satisfaction with the clinical mentorship approach, noting improvements in confidence, patient flow within the maternity, and data use for decision-making. Conclusions Framing management of birth asphyxia within a larger quality improvement approach appears to contribute to success at scale. Clinical mentorship emerged as a critical element. The specific effect of individual components of the approach on provider skills and health outcomes requires further investigation.

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