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  • 1.
    Bökberg, Christina
    et al.
    Lund University, Lund, Sweden.
    Ahlström, Gerd
    Lund University, Lund, Sweden.
    Karlsson, Staffan
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI). Lund University, Lund, Sweden.
    Utilisation of formal and informal care and services at home among persons with dementia: a cross-sectional study2018Ingår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 32, nr 2, s. 843-851Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background

    The progression of dementia disease implies increasing needs for both informal and formal care and services but also risk of institutionalisation. To better adjust care and services in the phase preceding institutionalisation it is important to find out whether utilisation of formal and informal care and services is determined by increased needs and by who meets the needs.Aim

    The aim was to compare persons with dementia (65+) with different levels of cognitive impairment, regarding utilisation of formal and informal care and service at home.Methods

    The participants consisted of 177 persons with dementia ≥65 years old and at risk of nursing home admission, divided into groups according to their cognitive function. Structured interviews were conducted based on questionnaires about type and amount of formal and informal care utilised, as well as questions regarding cognitive impairment, dependency in activities of daily living (ADLs) and neuropsychiatric symptoms. To analyse the data, descriptive and comparative statistics were used.Results

    The findings revealed that the group with severe dementia used significantly more help with ADLs and supervision in terms of time (number of hours and days) provided by the informal caregiver, compared with the group with moderate dementia. Utilisation of formal care and services was highest in the group with the most severe cognitive impairments (Standardized Mini-Mental State Examination score of <9). The group with severe dementia were more dependent in ADLs and had more neuropsychiatric symptoms (hallucinations and motor disturbances). They were younger and more often cohabitated with the informal caregiver, compared with the group with moderate dementia.Conclusion

    This study shows that in the phase preceding institutionalisation the ADL and supervision needs due to progression of dementia appear to tend to be met first and foremost by the informal caregivers. © 2017 Nordic College of Caring Science.

  • 2.
    Helvik, Anne-Sofie
    et al.
    Innlandet Hospital Trust, Division Tynset, Norway & Norwegian University of Science and Technology (NTNU), Trondheim, Norway & St. Olavs University Hospital, Trondheim, Norway.
    Iversen, Valentina Cabral
    St. Olavs University Hospital, Trondheim, Norway & Norwegian University of Science and Technology (NTNU), Trondheim, Norway.
    Steiring, Randi
    Norwegian University of Science and Technology (NTNU), Trondheim, Norway.
    Hallberg, Lillemor R-M
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Calibrating and adjusting expectations in life: A grounded theory on how elderly persons with somatic health problems maintain control and balance in life and optimize well-being2011Ingår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 6, nr 1, artikel-id 6030Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: This study aims at exploring the main concern for elderly individuals with somatic health problems and what they do to manage this.

    Method: In total, 14 individuals (mean-74.2 years; range-68-86 years) of both gender including hospitalized and outpatient persons participated in the study. Open interviews were conducted and analyzed according to grounded theory, an inductive theory-generating method.

    Results: The main concern for the elderly individuals with somatic health problems was identified as their striving to maintain control and balance in life. The analysis ended up in a substantive theory explaining how elderly individuals with somatic disease were calibrating and adjusting their expectations in life in order to adapt to their reduced energy level, health problems, and aging. By adjusting the expectations to their actual abilities, the elderly can maintain a sense of that they still have the control over their lives and create stability. The ongoing adjustment process is facilitated by different strategies and result despite lower expectations in subjective well-being. The facilitating strategies are utilizing the network of important others, enjoying cultural heritage, being occupied with interests, having a mission to fulfill, improving the situation by limiting boundaries and, finally, creating meaning in everyday life.

    Conclusion: The main concern of the elderly with somatic health problems was to maintain control and balance in life. The emerging theory explains how elderly people with somatic health problems calibrate their expectations of life in order to adjust to reduced energy, health problems, and aging. This process is facilitated by different strategies and result despite lower expectation in subjective well-being. © 2011 A.-S. Helvik et al.

  • 3.
    Järpe, Eric
    Högskolan i Halmstad, Akademin för informationsteknologi, Halmstad Embedded and Intelligent Systems Research (EIS), CAISR Centrum för tillämpade intelligenta system (IS-lab).
    Visit to care center Angeles Cobo Lopez, Alcaudete, Andalucia, Spain: A secondment within the REMIND project2019Rapport (Övrig (populärvetenskap, debatt, mm))
  • 4.
    Karlsson, Peter
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI). University of Gothenburg, Gothenburg, Sweden.
    Thorvaldsson, Valgeir
    University of Gothenburg, Gothenburg, Sweden.
    Skoog, Ingmar
    University of Gothenburg, Gothenburg, Sweden.
    Johansson, Boo
    University of Gothenburg, Gothenburg, Sweden.
    Birth cohort differences in cognitive aging: Secular trends in levels of functioning and rates of change over 30 years in a population-based Swedish sample2014Konferensbidrag (Refereegranskat)
    Abstract [en]

    Findings from several studies reveal that later born cohorts tend on average to perform better on most measurements of fluid cognitive abilities in later life as compared with earlier born cohorts measured at the same age (i.e. Flynn effects). This study investigate cohort differences in level of cognitive functioning and rate of decline in a representative sample drawn from the Gerontological and Geriatric Population Studies in Gothenburg (H70) including three birth cohorts born 1901/02, 1906/07 and 1930, and measured on tests of logical reasoning (Figure Logic) and spatial ability (Block Design), at ages 70, 75 and 79. Estimates from multiple-group latent growth curve models revealed, in accordance with previous studies, substantial cohort differences in level of performance were later born cohorts outperform earlier born. However, and somewhat surprisingly, later born cohorts also showed, on average, a steeper decline over the study period as compared with earlier born. Neither gender nor educational differences could account for the observed cohort trends. Potential explanations for these findings are further discussed in the context of neuropathology and cognitive reserve.

  • 5.
    Manasatchakun, Pornpun
    et al.
    School of Healthcare and Social Welfare, Mälardalen University, Eskilstuna, Sweden & Boromarajonani College of Nursing Udon Thani, Udon Thani, Thailand.
    Chotiga, Pleumjit
    Boromarajonani College of Nursing Chiang Mai, Chiang Mai, Thailand.
    Hochwälder, Jacek
    School of Healthcare and Social Welfare, Mälardalen University, Eskilstuna, Sweden.
    Roxberg, Åsa
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI). School of Healthcare and Social Welfare, Mälardalen University, Eskilstuna, Sweden & VID Specialized University, Bergen, Norway .
    Sandborgh, Maria
    School of Healthcare and Social Welfare, Mälardalen University, Eskilstuna, Sweden.
    Asp, Margareta
    School of Healthcare and Social Welfare, Mälardalen University, Eskilstuna, Sweden.
    Factors associated with Healthy Aging among older persons in Northeastern Thailand2016Ingår i: Journal of Cross-Cultural Gerontology, ISSN 0169-3816, E-ISSN 1573-0719, Vol. 31, nr 4, s. 369-384Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to describe factors associated with perceived health and healthy aging among older people in northeastern Thailand. Thailand’s aging population is growing and facing an increasing old-age dependency ratio. Northeastern Thailand, known as Isan, is a region in which the number of older residents is projected to grow rapidly. Older people in this region are likely to confront great threats to their health and well-being. These issues require appropriate attention and actions to promote healthyaging. However, healthy aging in this region has not been studied. A cross-sectional study was conducted on a sample of 453 older people, aged 60 years or older. Participants completed the Healthy Aging Instrument (HAI) and provided relevant demographic characteristics. Mann-Whitney U tests, Kruskal-Wallis tests and multiple regression models were used to analyze the data. Through comparative analyses, significant differences in HAI scores were observed for the following factors: marital status, residential area, disability, income level, and perceived meaningfulness in life. In the multiple regression models, residential area, disability, and marital status explained 24.30 % of the variance in HAI scores. Health promotion strategies and future targeted intervention programs should consider the importance of these factors. © 2016 The Author(s)

  • 6.
    Manasatchakun, Pornpun
    et al.
    Mälardalen University, Eskilstuna-Västerås, Sweden.
    Chotiga, Pleumjit
    Boromarajonani College of Nursing Chiang Mai, Chiang Mai, Thailand.
    Roxberg, Åsa
    Mälardalen University, Eskilstuna-Västerås, Sweden.
    Asp, Margareta
    Mälardalen University, Eskilstuna-Västerås, Sweden.
    Healthy Ageing in Isan-Thai culture – A phenomenographic study based on older persons' lived experiences2016Ingår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 11, artikel-id 29463Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Healthy ageing is a concept that concerns older persons’ quality of life and is a key factor in promoting wellbeing. The older population in Thailand is growing. Isan (a region of north-eastern Thailand) has been reported as having one of the most rapidly increasing older populations in the country. In order to care for and promote the health of older people, healthcare providers should understand how healthy ageing is perceived by this target group. Although healthy ageing has been studied in different contexts as well as perspectives,no studies have previously focused on older persons’ experiences of healthy ageing from a life world perspective in Isan-Thai. Therefore, the aim of this study is to describe older persons’ qualitatively different conceptions of healthy ageing in Isan-Thai culture. A phenomenographic approach with an epistemological base in lifeworld theory was used to disclose the various ways to conceptualize healthy ageing. Individual, qualitative interviews were conducted with 17 older people aged 60 and above who live in Isan-Thai. The findings of this study revealed three categories of descriptions: “being independent in dependence”, “being at peace”, and “being a valuable person”. This study also found family members, friends, healthcare providers, and religion important to healthy ageing in the Isan-Thai culture. Understanding how older people conceptualize healthy aging is valuable for healthcare providers. They can apply these findings regarding healthy ageing in their fieldwork when caring for older people. © 2016 P. Manasatchakun et al.

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