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1.
ABSTRACT

Complementary and alternative medicine (CAM) includes a wide variety of treatments including modalities that are ingestible (e.g., vitamins/minerals), mind/body (e.g., yoga), and physical (e.g., acupuncture). Disclosure of CAM to medical care providers is important for avoiding potential health risks. The aim of the study was to elucidate reasons for CAM nondisclosure to physicians among a population of older adults. A sequential exploratory mixed-methods design utilizing quantitative questionnaires and qualitative interviews was employed. Linear regression was performed to evaluate variables that may contribute to disclosure. Ninety older patients from two primary care clinics – including 12 who completed qualitative interviews were included in this study. Participants were significantly less likely to disclose ingestible types of CAM compared to physical (p < .01) and mind/body modalities (p < .03). Linear regression resulted in a model that explained 25% of the variance in disclosure of ingestible forms of CAM; age, doctor’s opinion of CAM, and participants’ with less concern of their health were significantly related to disclosing CAM use. Qualitative interviews suggested that individuals over 70 years of age with longer lasting chronic conditions were less likely to disclose CAM as compared with those aged 65–69 who tended to use CAM for episodic and preventative care. Rates of CAM disclosure among older adults may be dependent on the participant’s age, their experience with health, and expectations surrounding communication with their physician. Understanding patterns of CAM use can help guide age-appropriate conversations and limit possible adverse outcomes from non-disclosure.  相似文献   

2.
ABSTRACT

Seasoned geriatric community health workers offered valuable data that will inform educators and community health workers working with older persons. Geriatric community health workers’ views about retirement and about facilitators and barriers that keep them engaged with older adults during retirement were identified. Twenty geriatric community health workers participated in semi-structured, qualitative interviews conducted by the research team. Sixty percent of the participants (N = 12) reported plans not to work during retirement, although 40% (N = 8) expressed interest in full- or part-time employment post-retirement. When asked about their expectations to stay in the field of aging or gerontology in some capacity during retirement, 30% (N = 6) expected to stay in gerontology during retirement. The findings from this research will help organizations and educational institutions create programs and resources that will encourage geriatric community health workers to continue working in the field of aging during retirement.  相似文献   

3.
To effectively address medication adherence and improve cardiovascular health among older adults, a deeper understanding is needed of the barriers that this age group faces and of approaches that would be most effective and feasible for improving adherence. We conducted a focus group study (n = 25) in a diverse population of older adults with hypertension recruited from the Cohort Study of Medication Adherence in Older Adults (CoSMO). A structured guide was used to collect feedback on barriers to adherence and acceptability and the feasibility of intervention strategies. The final coding framework outlines factors at the individual, relationship, health care system, and environmental or policy level that affect adherence in older adults. These include memory, knowledge, attitudes and beliefs, side effects, social support, interaction with healthcare providers, and cost and convenience of medication filling. Patient responses highlighted the varied nature of barriers and the need for interventions that are both multifaceted and tailored.  相似文献   

4.
A multidisciplinary team developed and pilot-tested a curriculum, delivered by trained lay educators, to increase self-efficacy for physical activity among elderly food stamp recipients. Curriculum development was guided by a comprehensive literature review. Process evaluation was used to revise the curriculum and to assess lay educator training and pilot test fidelity. Three hundred sixteen low-income older adults participated in curriculum development and pilot-testing activities. One hundred twenty four participants completed pretest/posttest impact evaluation surveys. The average age of participants was 75 years old with 55.28% having less than high school education. Significant increases in self-efficacy regarding walking most days (p = .0022), using exercise bands (p < .0001), being physically active to increase strength (p = .0012), being active without injury (p < .0001), being able to wear appropriate clothing and shoes (p < .0001), and getting information about community physical activity programs (p = .0007) were observed. Participants also endorsed higher ratings of general health at posttest (p < .0001).  相似文献   

5.
6.
Natural disasters and other emergencies can cause an increased risk of foodborne illness. We conducted a nationally representative survey to understand consumers’ knowledge and use of recommended practices during/after extended power outages and other emergencies. Because older adults are at an increased risk for foodborne illness, this paper presents findings from a sample of older adults (n = 290). Only 17% of respondents reported they are fully prepared to keep food safe during an extended power outage. Respondents identified lack of cogitation (42%), storage space (19%), and concern (27%) as barriers to not being fully prepared. Of those who had experienced a recent power outage, less than 40% followed the recommended practices of discarding frozen foods that had thawed and discarding refrigerated, perishable foods. Additionally, 21% to 36% of respondents reported they tasted food to determine whether it was safe to eat. Awareness and likelihood of following recommended practices were higher among women than men. Many older adults are not following recommended practices to ensure food safety during/after extended power outages and other emergencies. Educational materials need to address barriers and be tailored to specific locations and subpopulations of older adults. Educators and public health officials can use the survey findings to address gaps in older adults’ knowledge and practices and to help reduce the risk of foodborne illness among older adults.  相似文献   

7.
ABSTRACT

Covid-19 is a global public health crisis, which in addition to making victims is changing the living habits of the population. The objective of this study was to investigate the impacts of social isolation on the physical and mental health of older adults and to learn how they are informing themselves about the pandemic. It is a qualitative study with a phenomenological basis, composed by telephone interviews with 35 older adults (70,5 ± 4,7 years) of both genders, members of a Brazilian University of Third Age, during the period of the pandemic. The testimonies revealed a considerable degree of concern about the possibility of being infected by the virus, increased anxiety due to tragic news, the growing number of deaths, the collapse of the Brazilian economy and the rising unemployment rate. The group reported sleep disorders, joint pain, loss of appetite, weight loss, and reduced functional capacity. Everyone felt sufficiently informed about Covid-19. The main means of gaining information about the pandemic was radio, followed by TV, dialogue with family and friends, and WhatsApp. Only 30% of the participants used WhatsApp, praised because of its multiple functions and the ability to re-read the news.  相似文献   

8.
During the transition from school to higher education, young adults experience a substantial amount of change where they progress from the highly controlled setting of school to the autonomous and self-motivated environment of university. Time spent at university is considered a critical period during which young adults establish a clear sense of identity, which can include forming positive health behaviours such as regular physical activity. The transition from school to university also involves a number of changes that can impact on the mental well-being of students including financial concerns, academic pressures and a lack of social support. Our aim was to longitudinally examine the physical activity levels and mental well-being of Scottish students during their first year at university. Participants were 48 first-year students (males, n = 24; females, n = 24) aged 18–19 years enrolled at two Scottish universities in the UK. At entry to university (semester 1) participants completed a validated self-report measure of physical activity and measures of anxiety and depression. Participants’ physical activity levels were assessed for seven days via accelerometry. Participants completed the same measures six months later (semester 2). Daily moderate physical activity levels decreased across the semesters yet perceptions of mental well-being remained stable. There was a significant increase in hip and waist circumferences across the semesters. The first year of university is a critical period for establishing positive health behaviours and there is a need for universities to actively encourage physical activity as an integral part of university life.  相似文献   

9.
This paper examines the preferred sexuality education sources of older Australian adults in later life. Drawing on findings from qualitative interviews with 30 men and 23 women aged 60 years and older, we consider the sources that participants currently use, or would like to use, in seeking information about sex. Where relevant, we examine participants’ experiences of learning about sex in later life using different sources, and the impact these had on their sexual expression, pleasure and well-being. Preferred sources of information include the Internet, the media, health care providers, books and workshops or discussion groups. A substantial number of participants did not actively seek information on sex. For those who had, these educational endeavours could profoundly shape their sexual practices. As such, learning about sex should be viewed as a lifelong endeavour. Our findings carry important implications for the development and delivery of sexuality education for older adults.  相似文献   

10.
ABSTRACT

Technology use is a common constituent of modern life. However, little is known about older adults’ use of technology. This article presents a subset of data collected via the technology deployed in the iStoppFalls randomized control trial. The primary focus lies on questions about digital device/Internet use, ownership, length, and frequency as well as social networking. Data was collected from participants aged 65 years or older. Seventy-eight participants completed a specifically developed technology survey as part of the baseline assessment. Results showed that the majority of subjects owned a computer with men being its main user. Participants used technological devices on a daily basis for more than 1 year. The main reason for using technology was e-mail communication, search engines, text processing, and online shopping. Only a few participants used social network applications, with Google+ and Facebook being the most popular ones. Future work should consider an in-depth qualitative approach to further increase understanding of technology use in older adults.  相似文献   

11.
ABSTRACT

Age-Tastic! is a health and wellness intervention designed for older adults. Incorporating game theory and behavioral activation concepts, this intervention is a board game that engages older adults in an interactive and immersive experience over 8 weeks. This paper reports on a pilot study that evaluated the impact of this intervention on health literacy about depression among community-dwelling older adults from New York City. The sample comprised 123 older adults recruited from 15 senior centers. Participants were tested on their knowledge and awareness of depression prior to the intervention and again at the end of the intervention after eight weeks. Statistically significant gains were made in the knowledge and awareness regarding the relationship of aging to depression, stigma of seeking help and knowing where to seek help. Implications for replication and use of this intervention are discussed.  相似文献   

12.
ABSTRACT

Many older adults who lose their jobs face challenges in finding new employment due to fundamental limitations in their technology skills. While training could give them the skills they need, older workers often have less access to training programs than younger workers. This study examined the feasibility of using an e-learning training program developed for older job-seeking adults lacking the requisite technology skills to find employment. Implementation of the training program was based on a partnership established between university researchers and a community organization. Thirty-five participants aged 50–71 years provided data regarding their previous work histories and problems that they encountered while seeking employment. They completed 12 hours of training in Microsoft Excel and were given multiple-part problems to assess what they had learned. They also provided evaluations of the program. Participants who enrolled in the training had limited computer skills; after a relatively short amount of training, many were able to perform Excel functions such as entering data and using formulas. Most participants indicated that the training they received was very beneficial, and that they had a basic understanding of Excel. Overall, this project demonstrated that academic-community partnerships can provide an effective strategy for delivering training to older adults.  相似文献   

13.
瑜伽与普拉提都是时下比较流行的健身项目,近年来,随着人们健身意识的增强,瑜伽与普拉提这两种健身项目在国内健身行业中相当流行,许多人借助瑜伽和普拉提训练,以保持自己的身心健康。但人们对于瑜伽与普拉提并不十分了解,甚至将瑜伽与普拉提混为一谈,从而没有达到预想的健身效果,事倍功半。文章从瑜伽与普拉提的起源、练习形式、练习效果等方面出发,将两种健身项目进行深入浅出的比较,以指导人们更好地进行锻炼,更有针对性地达到强身健体的目的。  相似文献   

14.
Although the impact of Alzheimer’s disease training programs directed to informal and formal caregivers has been extensively studied, programs for older adults who do not have the disease are relatively few. Moreover, increased knowledge increases fear of the disease, even though there is little empirical evidence to support this. This study investigated the impact of an Alzheimer’s disease training program for older persons on their knowledge and fear of the condition. Participants consisted of 110 older adults who voluntarily applied for a 16-hour course as part of the University of the Third Age. A questionnaire, consisting of two validated tools (Alzheimer’s Disease Knowledge Scale and the Fear of Alzheimer’s Disease Scale), was distributed pre- and posttraining to the participants. Sixty-six questionnaires (response rate = 60%) were collected at the start of the program and 46 at the end (response rate = 42%). Participants’ fear at pretraining was significantly related to their current knowledge of the disease. Training significantly improved knowledge of the disease, but the participants’ perceived fear did not change. The study indicated that an Alzheimer’s disease training program for older persons can increase their knowledge, but it does not necessarily increase their fear. Training programs aimed at raising awareness of Alzheimer’s disease should target more effectively this age cohort who may be concerned and are seeking learning opportunities to know more about the condition.  相似文献   

15.
Physical self-concept plays a central role in older adults’ physical health, mental health and psychological well-being; however, little attention has been paid to the underlying dimensions of physical self-concept in the elderly. The purpose of this study was to develop and validate a new measurement for older adults. First, a qualitative study (Study 1) was conducted that included semistructured interviews and a focus group discussion. The second study established an initial instrument. Through item pool generation, content validation assessment, factor analysis, and item analysis (n = 187), the Physical Self-Concept Scale for Older Adults (PSCS-O) was produced containing 18 items and six dimensions. Finally, in the third study (n = 233), the PSCS-O showed adequate factorial stability and the initial certerion validity. The PSCS-O were able to explain 49.2% of the variance in older adults’ well-being. In addition, Ability to Live Independently, which was introduced as a new factor by the PSCS-O, was the strongest predictor of the older adults’ overall subjective well-being. In conclusion, the preliminary results from this study demonstrated that this new instrument, the PSCS-O, has sound psychometric properties. The PSCS-O may be a suitable and useful instrument in the study of physical self-concept in older adults in the future.  相似文献   

16.
瑜伽训练与高职院校女生身心健康塑造的关系   总被引:1,自引:0,他引:1  
瑜伽是古老而有效的健身方式,目前我国有些高职正在把瑜伽引入到学校生活中来。文章通过分析我院高职瑜伽训练中心的统计数据,证明了瑜伽训练对高职女生身心健康起到了重大作用。为更多高职学校引入瑜伽训练提供了统计和分析依据,具有明显的现实意义。  相似文献   

17.
Previous research has found links between older adults' future orientation—hope, optimism, and death anxiety—and their physical and mental health; however, these relationships may be confounded by other psychosocial variables such as locus of control and social support. The purpose of the present study was to isolate the effects of future orientation in order to determine which future orientation variable or variables predict physical and mental health among older adults. Older adults (n = 182) completed a survey. After controlling for the effects of sociodemographic and psychosocial variables, hope emerged as the sole predictor of both physical health and mental health. This indicates that hope is a reliable predictor of physical and mental health among older adults.  相似文献   

18.
Many older adults do not use health information available on the Internet. Older adults residing in affordable housing were taught to use the NIHSeniorHealth.gov Web site. Participants were predominantly African American women with limited education and income (N = 42). Outcomes included changes in computer and health Web site navigation skills. Results showed significant improvements for all demographic groups in both computer and Web site navigation (p < .001). Older minority adults with no prior computer experience were willing and able to learn to use health Web sites. Success factors included an instructor familiar with the community, peer training assistants, and a focus on new learner needs.  相似文献   

19.
运用文献资料、问卷调查、数理统计法和逻辑分析法等方法对湖北省中小城市28所瑜伽健身俱乐部的经营者、前台营销人员与瑜伽健身教练员的综合素质进行调查。结果表明:瑜伽俱乐部大部分分布在市区繁华地带;瑜伽俱乐部经营管理者综合素质偏低;瑜伽健身俱乐部营销人员对瑜伽项目不够了解;瑜伽教练员结构不合理,稳定性不足。建议:建立瑜伽协会,加强交流,推动瑜珈运动发展;注重瑜伽俱乐部网络分布,为学员提供方便;加强营销人员专业培训,引导瑜伽爱好者加入健身俱乐部;加强瑜伽教练员培训,提高教练员的专业素质。  相似文献   

20.
The purpose of this qualitative study was to provide an intergenerational exchange as undergraduate students taking an introductory Psychology of Aging course, interviewed and watched films with older adult participants (N = 13) residing in an assisted living community. The undergraduate researchers (N = 10) conducted and transcribed interviews, wrote about their perceptions of interviews and film viewing with older adults, and their instructor interviewed assisted living staff (N = 2) creating an assessment of participants, researchers, and staff. Researchers listened and learned from older adult’s words, thereby improving researchers’ understanding that older adults preferred in-person discussions over film viewing. Researchers learned from older adults’ words, as they began to understand that sexual content in today’s films may reduce entertainment viewing for youth and older adults. Older adults described television remotes and phones with frustration and researchers felt angst for their frustration. Findings suggested understanding and meaning for participants and researchers in this service learning intergenerational exchange generated through undergraduate research.  相似文献   

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