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Aging in rural Canada: a retrospective and review.

https://arctichealth.org/en/permalink/ahliterature132883
Source
Can J Aging. 2011 Sep;30(3):323-38
Publication Type
Article
Date
Sep-2011
Author
Norah Keating
Jennifer Swindle
Stephanie Fletcher
Author Affiliation
Department of Human Ecology, University of Alberta. Norah.keating@ualberta.ca
Source
Can J Aging. 2011 Sep;30(3):323-38
Date
Sep-2011
Language
English
Publication Type
Article
Keywords
Aging
Canada
Family
Health Services for the Aged
Humans
Independent living
Leisure Activities
Research
Retrospective Studies
Rural Population
Social Participation
Social Support
Work
Abstract
Research on rural aging has developed considerably since publication of the book Aging in Rural Canada (Butterworths, 1991). The purpose of this article is twofold: to provide a retrospective on issues in rural aging from this book, and to review Canadian literature on rural aging since its publication. The review highlights new directions in conceptual definitions of rural, and in issues of social engagement, independence, family and social networks, and rural services and health. Two main research lenses are evident. The marginalization lens focuses on rural seniors with health problems, but has not included those marginalized by poverty or gender. The aging-well lens focuses on contributions and engagement, but has omitted research on social relationships and quality of family interaction. The report includes a call for interrogation about interaction between people and place, and for understanding issues of rural diversity and processes of rural aging.
PubMed ID
21767464 View in PubMed
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Choosing a measure of support need: implications for research and policy.

https://arctichealth.org/en/permalink/ahliterature148267
Source
J Intellect Disabil Res. 2009 Nov;53(11):949-54
Publication Type
Article
Date
Nov-2009
Author
H K Brown
H. Ouellette-Kuntz
I. Bielska
D. Elliott
Author Affiliation
Queen's University, Community Health & Epidemiology, Kingston, Ontario, Canada.
Source
J Intellect Disabil Res. 2009 Nov;53(11):949-54
Date
Nov-2009
Language
English
Publication Type
Article
Keywords
Adaptation, Psychological
Adolescent
Adult
Female
Health Planning Guidelines
Health Policy
Health Services Research
Humans
Independent living
Intellectual Disability - rehabilitation
Male
Needs Assessment
Ontario
Rehabilitation, Vocational
Social Adjustment
Social Environment
Social Support
Young Adult
Abstract
The paradigm surrounding the delivery of care for individuals with intellectual disabilities (ID) is shifting from a deficit-based approach to a support-based approach. However, it is unclear whether measures of support act as a proxy for adaptive functioning.
A sample of 40 staff or family members of individuals with ID completed the Supports Intensity Scale and the Scales of Independent Behavior-Revised, Short Form. Correlations were used to examine the relationship between these scales.
The subscales of the Supports Intensity Scale as well as the overall support needs index were highly correlated with both the Broad Independence W score and the support score (which reflects both maladaptive and adaptive behaviours) of the Scales of Independent Behavior-Revised.
The strong correlations between these two scales confirm previous findings that current measures of support and measures of adaptive behaviour tap into the same underlying construct. These findings have implications for the development, use and interpretation of research and planning tools.
PubMed ID
19793387 View in PubMed
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Community-dwelling older adults with memory loss: needs assessment.

https://arctichealth.org/en/permalink/ahliterature115614
Source
Can Fam Physician. 2013 Mar;59(3):278-85
Publication Type
Article
Date
Mar-2013
Author
Karen Parsons
Aimee Surprenant
Anne-Marie Tracey
Marshall Godwin
Author Affiliation
Memorial University of Newfoundland, St John's, NL A1B 3V6. karenp@mun.ca
Source
Can Fam Physician. 2013 Mar;59(3):278-85
Date
Mar-2013
Language
English
Publication Type
Article
Keywords
Aged
Aged, 80 and over
Attitude to Health
Family Practice
Female
Focus Groups
Health Services for the Aged
Humans
Independent living
Interviews as Topic
Male
Memory Disorders - psychology - therapy
Middle Aged
Needs Assessment
Newfoundland and Labrador
Physician-Patient Relations
Qualitative Research
Social Support
Abstract
To identify the health-related needs of community-dwelling older adults with mild memory loss.
Qualitative study using semistructured, audiotaped, face-to-face interviews and focus groups.
A large community in Newfoundland.
Twenty-two adults between the ages of 58 and 80 years.
This needs assessment used a qualitative methodology of collecting and analyzing narrative data to develop an understanding of the issues, resources, and constraints of community-dwelling older adults with mild memory loss. Data were collected through semistructured, audiotaped, face-to-face interviews and focus groups. Transcripts of the interviews were analyzed using interpretive phenomenologic analysis.
Three constitutive patterns with relational themes and subthemes were identified: forgetting and remembering, normalizing yet questioning, and having limited knowledge of resources. Participants described many examples of how their daily lives were affected by forgetfulness. They had very little knowledge of resources that provided information or support. Most of the participants believed they could not discuss their memory problems with their family doctors.
It is important for older adults with mild memory loss to have access to resources that will assist them in understanding their condition and make them feel supported.
Notes
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PubMed ID
23486801 View in PubMed
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Community-level factors that contribute to First Nations and Inuit older adults feeling supported to age well in a Canadian city.

https://arctichealth.org/en/permalink/ahliterature300274
Source
J Aging Stud. 2019 Mar; 48:50-59
Publication Type
Journal Article
Date
Mar-2019
Author
Lauren A Brooks-Cleator
Audrey R Giles
Martha Flaherty
Author Affiliation
School of Human Kinetics, University of Ottawa, 420B Montpetit Hall, Ottawa, ON K1N 6N5, Canada. Electronic address: Lbroo049@uottawa.ca.
Source
J Aging Stud. 2019 Mar; 48:50-59
Date
Mar-2019
Language
English
Publication Type
Journal Article
Keywords
Aged
Cities
Female
Health Services for the Aged
Humans
Independent living
Interviews as Topic
Inuits
Male
Quebec
Social Environment
Social Support
Socioeconomic Factors
Abstract
Despite the proliferation of age-friendly cities in Canada that are intended to support older adults to age well, there are still many inequalities between groups of older adults, particularly, and of concern for this paper, between Indigenous older adults, who experience colonialism's ongoing impacts, and non-Indigenous older adults. A better understanding of factors that inform these inequalities will help in the development of policies and programs that better support Indigenous older adults to age well and, thus, will contribute to ameliorating the inequalities that they face. Using a community-based participatory research approach, informed by a postcolonial theoretical lens, in this paper we addressed the question, "what community-level factors contribute to Indigenous older adults (aged 55 years and over) feeling supported to age well in the city of Ottawa?" We specifically examined this question in relation to the age-friendly communities framework, which guides the City of Ottawa's Older Adult Plan. Thematic analysis of semi-structured interviews, focus groups, and photovoice with 32 First Nations and Inuit older adults revealed that the participants felt both supported and unsupported to age well. More specifically, there were two main areas in which they felt they could be better supported to age well: the social environment and physical environment. There were three subthemes within the social environment theme: responsive health and community support services, respect and recognition, and communication and information. Within the physical environment theme there were four subthemes: transportation, housing, accessibility, and gathering space. The results demonstrate that despite there being similarities in the areas that the participants felt they needed support and the areas on which the Older Adult Plan focuses, if the domains of aging well initiatives do not better account for the impacts of colonialism, it is unlikely that they will be effective in supporting Indigenous older adults' health and well-being.
PubMed ID
30832930 View in PubMed
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Concurrent validity of the Swedish version of the life-space assessment questionnaire.

https://arctichealth.org/en/permalink/ahliterature282982
Source
BMC Geriatr. 2016 11 08;16(1):181
Publication Type
Article
Date
11-08-2016
Author
Sofi Fristedt
Ann-Sofi Kammerlind
Marie Ernsth Bravell
Eleonor I Fransson
Source
BMC Geriatr. 2016 11 08;16(1):181
Date
11-08-2016
Language
English
Publication Type
Article
Keywords
Activities of Daily Living
Aged
Aged, 80 and over
Architectural Accessibility - methods - standards
Female
Humans
Independent Living - standards
Male
Mobility Limitation
Reproducibility of Results
Social Support
Surveys and Questionnaires
Sweden - epidemiology
Translating
Abstract
The Life-Space Assessment (LSA), developed in the USA, is an instrument focusing on mobility with respect to reaching different areas defined as life-spaces, extending from the room where the person sleeps to mobility outside one's hometown. A newly translated Swedish version of the LSA (LSA-S) has been tested for test-retest reliability, but the validity remains to be tested. The purpose of the present study was to examine the concurrent validity of the LSA-S, by comparing and correlating the LSA scores to other measures of mobility.
The LSA was included in a population-based study of health, functioning and mobility among older persons in Sweden, and the present analysis comprised 312 community-dwelling participants. To test the concurrent validity, the LSA scores were compared to a number of other mobility-related variables, including the Short Physical Performance Battery (SPPB) as well as "stair climbing", "transfers", "transportation", "food shopping", "travel for pleasure" and "community activities". The LSA total mean scores for different levels of the other mobility-related variables, and measures of correlation were calculated.
Higher LSA total mean scores were observed with higher levels of all the other mobility related variables. Most of the correlations between the LSA and the other mobility variables were large (r?=?0.5-1.0) and significant at the 0.01 level. The LSA total score, as well as independent life-space and assistive life-space correlated with transportation (0.63, 0.66, 0.64) and food shopping (0.55, 0.58, 0.55). Assistive life-space also correlated with SPPB (0.47). With respect to maximal life-space, the correlations with the mobility-related variables were generally lower (below 0.5), probably since this aspect of life-space mobility is highly influenced by social support and is not so dependent on the individual's own physical function.
LSA was shown to be a valid measure of mobility when using the LSA total, independent LS or assistive LSA.
Notes
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PubMed ID
27821138 View in PubMed
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Factors associated with hospitalization risk among community living middle aged and older persons: Results from the Swedish Adoption/Twin Study of Aging (SATSA).

https://arctichealth.org/en/permalink/ahliterature284013
Source
Arch Gerontol Geriatr. 2016 Sep-Oct;66:102-8
Publication Type
Article
Author
Jenny Hallgren
Eleonor I Fransson
Ingemar Kåreholt
Chandra A Reynolds
Nancy L Pedersen
Anna K Dahl Aslan
Source
Arch Gerontol Geriatr. 2016 Sep-Oct;66:102-8
Language
English
Publication Type
Article
Keywords
Aged
Aged, 80 and over
Aging
Cardiovascular Diseases - epidemiology
Female
Hospitalization - statistics & numerical data
Humans
Independent living
Male
Marital Status - statistics & numerical data
Middle Aged
Neoplasms - epidemiology
Proportional Hazards Models
Prospective Studies
Risk factors
Social Support
Socioeconomic Factors
Surveys and Questionnaires
Sweden
Abstract
The aims of the present study were to: (1) describe and compare individual characteristics of hospitalized and not hospitalized community living persons, and (2) to determine factors that are associated with hospitalization risk over time. We conducted a prospective study with a multifactorial approach based on the population-based longitudinal Swedish Adoption/Twin Study of Aging (SATSA). A total of 772 Swedes (mean age at baseline 69.7 years, range 46-103, 59.8% females) answered a postal questionnaire about physical and psychological health, personality and socioeconomic factors. During nine years of follow-up, information on hospitalizations and associated diagnoses were obtained from national registers. Results show that 484 persons (63%) had at least one hospital admission during the follow-up period. The most common causes of admission were cardiovascular diseases (25%) and tumors (22%). Cox proportional hazard regression models controlling for age, sex and dependency within twin pairs, showed that higher age (HR=1.02, p
PubMed ID
27281475 View in PubMed
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From social network to safety net: Dementia-friendly communities in rural northern Ontario.

https://arctichealth.org/en/permalink/ahliterature274312
Source
Dementia (London). 2016 Jan;15(1):51-68
Publication Type
Article
Date
Jan-2016
Author
Elaine C Wiersma
Alison Denton
Source
Dementia (London). 2016 Jan;15(1):51-68
Date
Jan-2016
Language
English
Publication Type
Article
Keywords
Dementia - psychology - therapy
Female
Humans
Independent living
Interviews as Topic
Male
Ontario
Rural Population
Social Support
Abstract
Dementia-friendly communities, as communities that enable people with dementia to remain involved and active and have control over their lives for as long as possible, centrally involve social support and social networks for people living with dementia. The purpose of this research was to explore and understand the context of dementia in rural northern communities in Ontario with an emphasis on understanding how dementia friendly the communities were. Using qualitative methods, interviews were conducted with a total of 71 participants, including 37 health service providers, 15 care partners, 2 people living with dementia and 17 other community members such as local business owners, volunteers, local leaders, friends and neighbours. The strong social networks and informal social support that were available to people living with dementia, and the strong commitment by community members, families and health care providers to support people with dementia, were considered a significant asset to the community. A culture of care and looking out for each other contributed to the social support provided. In particular, the familiarity with others provided a supportive community environment. People with dementia were looked out for by community members, and continued to remain connected in their communities. The social support provided in these communities demonstrated that although fragile, this type of support offered somewhat of a safety net for individuals living with dementia. This work provides important insights into the landscape of dementia in rural northern Ontario communities, and the strong social supports that sustain people with dementia remaining in the communities.
PubMed ID
24381217 View in PubMed
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Needs and care of older people living at home in Iceland.

https://arctichealth.org/en/permalink/ahliterature130632
Source
Scand J Public Health. 2012 Feb;40(1):1-9
Publication Type
Article
Date
Feb-2012
Author
Sigurveig H Sigurdardottir
Gerdt Sundstrom
Bo Malmberg
Marie Ernsth Bravell
Author Affiliation
Faculty of Social Work, School of Social Sciences, University of Iceland, Iceland. sighsig@hi.is
Source
Scand J Public Health. 2012 Feb;40(1):1-9
Date
Feb-2012
Language
English
Publication Type
Article
Keywords
Aged
Aged, 80 and over
Caregivers
Family Characteristics
Female
Health Care Surveys
Health Services Research
Health Services for the Aged - utilization
Home Care Services - utilization
Home Nursing - utilization
Humans
Iceland
Independent living
Male
Needs Assessment
Qualitative Research
Social Support
Abstract
The Icelandic old-age care system is universal and the official goal is to support older people live independently for as long as possible. The aim of this study is to analyse living conditions and use of formal and informal care of older people in Iceland.
The results are based on the new study ICEOLD, a telephone survey which included questions on social network, health, activities of daily living, and received support from the community and/or from relatives, neighbours, and friends.
Almost half of the sample (47%) receives some kind of care, with 27% of them receiving only informal care, which is understood to mean that informal care is of great importance and families are the main providers of help. For hypothetical future long-term care, older people wish to be cared for in their homes, but those already in need of assistance prefer to be cared for in institutions.
Caring relatives are the main providers of support to older people in their homes and it is important to provide them with suitable formal support when the care responsibility increases.
As the care system in Iceland is now under reconstruction, the important contribution of informal carers must be recognised and taken into account when planning the care of older people.
PubMed ID
21983193 View in PubMed
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The physical, social and symbolic environment supporting the well-being of home-dwelling elderly people.

https://arctichealth.org/en/permalink/ahliterature136955
Source
Int J Circumpolar Health. 2011 Feb;70(1):90-100
Publication Type
Article
Date
Feb-2011
Author
Satu Elo
Reetta Saarnio
Arja Isola
Author Affiliation
Department of Health Sciences, University of Oulu, Oulu, Finland.
Source
Int J Circumpolar Health. 2011 Feb;70(1):90-100
Date
Feb-2011
Language
English
Publication Type
Article
Keywords
Aged
Aged, 80 and over
Environment
Female
Finland
Humans
Independent living
Male
Middle Aged
Quality of Life
Social Environment
Social Support
Spirituality
Abstract
The purpose of this study was to construct a theory on an environment that would support the well-being of home-dwelling elderly people in northern Finland.
The study was carried out according to the phases of theory formulation using both qualitative and quantitative methods.
The data of the first phase consisted of focused interviews (n=39) with home-dwelling elderly people over the age of 65 years. Judgement-based snowball sampling was used. By means of inductive concept synthesis, hypothetical models were constructed of a physical, social and symbolic environment that would support the well-being of the elderly. In order to verify the concepts of the hypothetical model, an instrument was constructed in the second phase of the study and its reliability was evaluated by a panel of experts consisting of nurses (n=15), through expert evaluations (n=3) and by postal questionnaire. The final phase of the study (n=328) also targeted home-dwelling elderly people living in northern Finland. The sampling method used was a stratified random sampling. The data of (n=328) were analysed by principal component analysis (PCA) and confirmatory factor analysis (CFA).
The physical environment that supports the well-being of the elderly includes a northern environment, an environment that enables safe activity and a pleasant physical environment. The social environment that supports well-being enables the elderly to receive help, allows them to keep in contact with family members and friends as providers of support to their well-being and offers a pleasant living community. The symbolic environment that supports well-being consists of the ideal attributes of well-being, spirituality, the normative attribute of well-being and a sense of history.
Even though the environment is artificially divided into separate areas in the theory, in putting the results into practice, it needs to be taken into account that observing separate areas of the environment does not provide a comprehensive view on the connection between environment and well-being.
PubMed ID
21329573 View in PubMed
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Sense of coherence: effect on adherence and response to resistance training in older people with hip fracture history.

https://arctichealth.org/en/permalink/ahliterature115151
Source
J Aging Phys Act. 2014 Jan;22(1):138-45
Publication Type
Article
Date
Jan-2014
Author
Erja Portegijs
Sanna Read
Inka Pakkala
Mauri Kallinen
Ari Heinonen
Taina Rantanen
Markku Alen
Ilkka Kiviranta
Sanna Sihvonen
Sarianna Sipilä
Author Affiliation
Gerontology Research Center and Dept. of Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
Source
J Aging Phys Act. 2014 Jan;22(1):138-45
Date
Jan-2014
Language
English
Publication Type
Article
Keywords
Activities of Daily Living
Aged
Aged, 80 and over
Female
Finland
Hip Fractures - physiopathology - psychology - rehabilitation
Humans
Independent living
Male
Mobility Limitation
Muscle Strength - physiology
Needs Assessment
Outcome Assessment (Health Care)
Patient Compliance - psychology - statistics & numerical data
Resistance Training - methods - statistics & numerical data
Sense of Coherence
Social Support
Walking - physiology
Abstract
Our aim was to study the effects of sense of coherence (SOC) on training adherence and interindividual changes in muscle strength, mobility, and balance after resistance training in older people with hip fracture history. These are secondary analyses of a 12-week randomized controlled trial of progressive resistance training in 60- to 85-year-old community-dwelling people 0.5-7 years after hip fracture (n = 45; ISRCTN34271567). Pre- and posttrial assessments included SOC, knee extension strength, walking speed, timed up-and-go (TUG), and Berg Balance Scale (BBS). Group-by-SOC interaction effects (repeated-measures ANOVA) were statistically significant for TUG (p = .005) and BBS (p = .040), but not for knee extension strength or walking speed. Weaker SOC was associated with poorer training adherence (mixed model; p = .009). Thus, more complicated physical tasks did not improve in those with weaker SOC, independently of training adherence. Older people with weaker SOC may need additional psychosocial support in physical rehabilitation programs to optimize training response.
PubMed ID
23538559 View in PubMed
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16 records – page 1 of 2.