bluuebunny/crossref_metadata_2025_split huggingface dataset:
Caring for Family Caregivers in Australia: A Model of Psychoeducational Support
Authors: Schultz Cynthia L. , Smyrnios Kosmas X. , Grbich Carolyn F. , Schultz Noel C. 
Published: November 2008

ABSTRACTThe present paper describes and traces the emergence of an innovative psychoeducational model of support for family caregivers of dependent elderly persons, its associated systematic evaluation and leadership training process, provides details of a small group programme and its underlying philosophy, and reports on outcome evaluation research ascertained from both quantitative and qualitative data analyses. Details of these analyses are presented within the context provided by a three-level model of support, which recruits and trains professionals from a range of disciplines to help families in caregiving situations. The 72 treatment and 29 waiting-list control subjects were assessed at pretreatment and at posttest on measures of anxiety and psychological well-being. Statistically significant differences emerged between the treatment and waiting-list control groups on these measures. Positive changes for programme participants were further demonstrated by contextual analysis of evaluative responses. Implications for practitioners, educators, and policy specialists, as well as for research and programme development are discussed.
A Very Special Relationship: Granddaughters' Perceptions of Grandmothers
Authors: Hyde Valerie , Gibbs Ian 
Published: November 2008

ABSTRACTThe article reports on a study which explored the relationship female undergraduates and student nurses experienced with their maternal and paternal grandmothers. In addition, the article identifies some of the factors closely associated with the relationship, considers the role played by grandmothers with regard to their granddaughters and examines differences in granddaughters' perceptions of maternal and paternal grandmothers. The results highlight the intimate relationship between granddaughter and grandmother. When compared to paternal grandmothers, maternal grandmothers were perceived by granddaughters to be emotionally closer, provide a greater sense of security, be more influential in shaping their beliefs and were more likely to be preferred. They were also found to play a more active role in granddaughters' lives.
Self-Esteem and its Sources: Stability and Change in Later Life
Authors: Coleman Peter G. , Ivani-Chalian Christine , Robinson Maureen 
Published: November 2008

ABSTRACTStability and change in self-esteem and its reported sources were investigated in a sample of older people re-interviewed 10 and 13 years after initial study. Most indicated a continuing high to medium-high level of self-esteem, and apart from an increase in mention of interest activities their pattern of illustrations also remained consistent. Variables in the initial study which predicted a maintained high level of self-esteem included number of hobbies, number of types of outings, self perceived activity level, and mention of people other than family members as sources of self-esteem. The usefulness of collecting data on expressed sources is exemplified in two case histories. Consideration is given to the implications of these findings for conceptualising identity processes in later life.
U3A (the University of the Third Age) in Australia: a Model For Successful Ageing
Authors: Swindell Richard 
Published: November 2008

ABSTRACTEducation may have an important role to play in helping to enhance older people's quality of life. The University of the Third Age (U3A) has operated successfully in many countries for nearly two decades, yet few studies have described the characteristics of those who are attracted to the movement, or the benefits to the individual and, possibly, to wider society of the U3A approach to education. This study discusses major findings from 770 responses to a postal survey involving members from twelve independent U3A campuses in three Australian States, and compares these findings with data reported for older learners in other countries. Some implications for Australian U3As undertaking research activities which have the potential to benefit the wider ageing community are raised.
Socio-Economic Resources and Differential Ageing
Authors: Mayer Karl Ulrich , Wagner Michael 
Published: November 2008

ABSTRACTThe Sociology and Social Policy Research Unit of the Berlin Aging Study focuses on four substantive areas: (1) life course antecedents and generational experiences, (2) later phases of the family life course, (3) action resources and social participation, and (4) economic situations and the provision of care. This paper reports results on the relationship between social and economic inequality and differential ageing, using the BASE multidisciplinary Intake Assessment (N = 360). The socio-economic position of older people is measured along three dimensions: economic resources, social status and prestige, and cultural status. Several ageing outcomes are considered, including functional physical health, cognitive functioning and mental health, overall subjective well-being, social autonomy and dependency. First, we show that old people as a group are neither socially nor economically homogeneous: very old women possess unusually low economic resources; and cohort differences in educational attainment are carried into old age. Second, cognitive functioning and mental health are positively correlated with socio-economic resources, while functional physical health is not. For women, socio-economic resources slightly affect overall subjective well-being, and are linked to the likelihood of living in a nursing home. We speculate that the wide availability of compulsory health insurance reduces social differentials in physical health and that these inequalities may determine who survives into old age.
Health Differences in Advanced Old Age
Authors: Steinhagen-Thiessen Elisabeth , Borchelt Markus 
Published: November 2008

AbstractThe first part of this paper provides a general outline of objectives and methods of the Internal Medicine and Geriatrics Unit of the Berlin Aging Study (BASE). Based on a multi-dimensional conceptualization of health, objective and laboratory data collected about different organ systems, e.g. cardiovascular and musculoskeletal, and functional capacity are complemented by qualitative clinical diagnoses and judgements as well as self-reported health problems and functional limitations. Some of the central questions that can be addressed using these data relate to understanding the nature and processes of differential ageing. The second part of the paper includes initial analyses of inter-individual health differences in advanced old age (70 to 105 years). Initial findings indicated that heterogeneity in somatic morbidity and functional capacity was at least as large in old adults (70 to 84 years) as in very old adults (85 to 105 years), even though higher rates of somatic morbidity and lower levels of functional capacity were observed in the very old. Chronological age and morbidity as well as psychosocial and demographic factors were found to be independent predictors of functional capacity in advanced old age. Additionally, the relative importance of psychosocial factors was found to be a function of age with lower predictive ability among the very old. In conclusion, these initial findings support the hypothesis of significant health differences in advanced old age due to differential ageing.
Everyday Competence in Old and Very Old Age: An Inter-disciplinary Perspective
Authors: Baltes Margret M. , Mayr Ulrich , Borchelt Markus , Maas Ineke , Wilms Hans-Ulrich 
Published: November 2008

ABSTRACTIn the present paper the focus is on structural aspects of everyday competence and its relationship with various personal resources, such as health, social status, self concept and cognition. The findings support the hypothesis that two distinct, albeit intercorrelated, components of everyday competence are differentially related to the various resources examined in this paper. The two components are a basic level of competence (BaCo) which is defined mainly by self-care related activities, and an expanded level of competence (ExCo) associated mostly with leisure and social activities and advanced instrumental activities of daily living. In general, BaCo is more strongly related to health-related resources, and ExCo is more strongly associated with behavioural, psychological and social resources. 90.6% of the reliable variance in ExCo and 82.4% in BaCo are explained by these selected resources. Furthermore, all of the age-related variance in everyday competence is accounted for by these health-related and socio-behavioural resources.
Allocation of Care and Services in an Area-Based System for Long-Term Care of Elderly and Disabled People
Authors: Lagergren Mårten 
Published: November 2008

ABSTRACTIn order to analyse the allocation of public care services in the city of Solna, Sweden, and how they changed in response to a rapid growth of the number of elderly people, a comparison was made between two surveys, 1985 and 1991.The surveys comprised all citizens of Solna who, on the day of the survey, were receiving long-term public medical and/or social care services. Living arrangements and services received were registered together with assessments of social support and disability/dependency. The latter was measured according to a special scale (the ASIM index) and – for 1991 – the Katz index of ADL. The assessments were made by the ordinary staff. The analysis showed that older and non-married persons were more likely to become clients of the public care system. Institutionalisation was also more common among the non-married – especially for men.Connected to the rapid increase in the number of the very old in the context of limited resources was a sharp decline during the period 1985–1991 in the proportion of the Solna population that received public care services in some form. This decline concerned all age-groups of both sexes, married as well as non-married, but the married were more affected than the non-married – especially among the women. The reductions in the proportion of the population that received care in the home affected mostly married persons in the oldest age group. Reductions in institutionalisation had most impact on very old, non-married men – partly counteracted by increases in the provision of home help. Multivariate analysis showed functional disability – in 1991 dependency in ADL according to Katz - and living arrangements to be the most important variables in explaining the allocation of home help in domiciliary care and sheltered housing.
Multi-Purpose Residential Homes: A Fair Deal for Residents?
Authors: Wright Fay 
Published: November 2008

ABSTRACTThe paper reports on a study carried out in 1990 for the Department of Health looking at the development of local authority multi-purpose residential homes for elderly people in England and Wales. A national survey showed that one in five public sector residential homes for elderly people would soon be multi-purpose. This proportion could be expected to increase in the 1990S. Many of these homes had become the centre for virtually all the community support services for elderly people in the neighbourhood. Despite some obvious management advantages in making use of residential home facilities for older people in the community, there have to be serious reservations about a multi-purpose model. Case studies in six multi-purpose homes suggest that residents themselves may gain little or nothing from this arrangement. Few interact with elderly people from the neighbourhood in the day centre. So much activity on the premises meant that invasions of residents' privacy and space were common.
The National Policy on Elderly People in Singapore
Authors: Teo Peggy 
Published: November 2008

ABSTRACTExpanding longevity among elderly people and fertility decline are contributing to the ageing of Singapore's population. By 2030, the proportion of persons aged 60 and above will be 26% of the total population. A national policy on elderly persons was formulated in 1989 which incorporated four issues: employment of elderly persons in the workforce; attitudes toward elderly people; community care; and residential care. This paper discusses each of these agenda with the view of assessing their strengths and weaknesses. The section on residential care is supported by empirical data. The paper concludes that elderly people in Singapore suffer from a high degree of enforced dependence which will need to be reviewed. In particular, a consultative approach in keeping with the more liberal attitude of the second generation leadership will help Singapore to achieve higher standards of care for an increasingly affluent elderly population.
Photographic Memory, Ageing and the Life Course
Authors: Blaikie Andrew 
Published: November 2008

ABSTRACTAlthough photographs are frequently used to illustrate discussions about ageing they have not been assessed critically as gerontological sources. This paper argues that the pictorial record since the 1840s contains many problems and possibilities. A case study of Victorian Scotland indicates the methodological pitfalls of acknowledging images at face value. Uncritical acceptance of the assumptions of modernisation theory has underlain much of the received wisdom on ageing in former times. More generally, both academics and advocates in Postwar Britain have reworked stereotypes of old age to suit their own aims. Against this, the convergence of reminiscence and a willingness to develop more interactive approaches to understanding the life course allows photographs to provide a resource for interpreting the ageing self. Nevertheless, as the examples show, difficulties again arise as the ambiguity and malleability of images all too easily enables generalised fictions to shroud the diversity of individual experience.
Relatives of Persons Suffering from Dementia: Differences in the Burden
Authors: Duijnstee Mia S. H. 
Published: November 2008

ABSTRACTPartners and children play a key role in home care for persons suffering from dementia. When we compare the burdens placed on these relatives, we find large differences. On the one hand, these result from actual differences in the care situation. On the other, they arise from the differences in the way the people involved experience more or less comparable circumstances. To determine the sources of the differences in the burden on the relatives, a distinction was made between objective and subjective care-giver burden. Qualitative research, therefore, aimed to provide an understanding of the personal interpretation by the people involved. This was realised in about 40 case studies involving relatives.
Effects of Spouses' Characteristics on the Social Roles and Activities of Married Elderly Persons in Israel
Authors: Matras Judah , Caiden Miriam 
Published: November 2008

ABSTRACTIn this paper, we present findings from a recent national study of elderly persons in Israel which cover two related questions: I. How do spouses' characteristics and activities affect the social participation of married older men and women? 2. Is the effect of husbands' characteristics and activities on wives equivalent or symmetrical to that of wives' characteristics and activities on husbands? The study is based on analyses of data collected in the Israel Survey of Persons Aged 60 and Over in Households, 1985, a national sample survey of households conducted by the Israel Central Bureau of Statistics which included approximately 4,500 persons age 60 and over. An innovation of our study has been the design of a data file which enables us to study the activities, role incumbency, and participation of the respondents in relation to the characteristics and activities of their spouses.We study the performance by husbands and wives of social roles designated as ‘major commitment’ roles (MCRs), in that they are roles performed in social contexts invoving commitments over time to the activity and to the social units in which they are carried out: (a) employment, (b) continued parenting involving assistance to adult children, (c) full housekeeping, and (d) volunteer activity. Characteristics and roles of the wives of older married male respondents, and of the husbands of older married female respondents in Israel, are significantly associated with the respondents' performance of the MCRs which we have identified. However, the ‘marginal effects coefficients’ based on logistic regression equations show that the relative weight of spouses' characteristics and roles is small compared with that of the respondents' own characteristics and other competing or mutually supportive roles. There are both symmetries and assymmetries in the patterns of effects of husbands' and wives' characteristics and roles on prevalences of MCRs among the older married respondents.
A Classical Indian Philosophical Perspective on Ageing and the Meaning of Life
Authors: Ram-Prasad Chakravarthi 
Published: November 2008

AbstractIndian thought conceives of life in four normative stages: of student, householder, forest-dweller and renouncer. A metaphysical theory related to the conception of life-stages is that of the ends or purposes of life: appropriate conduct, material well-being, physical satisfaction and liberation. The theory of the ends of life is reconstructed here in the light of contemporary philosophical discussions about the meaning of life. The first three ends are part of a world-oriented attitude; the last end, of world-transcending contemplation. Among age-neutral and age-specific ways of relating life stages and life ends, that of taking old age as the time for the renunciatory stage is important and is examined in the context of the two main theories of meaning: world-oriented and world-transcending. Old age is secondary to earlier stages in a world-oriented theory, more significant in the world-transcendent one. However, both theories, seen independently, are paradoxical. In a synthesis, the world-transcendence of renunciation in old age is paramount in Indian thought, but worldly action is significant because renunciation depends on the richness of the life renounced. This reconstruction of an ancient ideal is offered as a philosophical paradigm for transculturally relevant attitudes to life in old age.
A Comparison of Urban with Rural Support Networks: Liverpool and North Wales
Authors: Wenger G. Clare 
Published: November 2008

AbstractThis paper compares findings on the distribution of support networks in the City of Liverpool and in rural communities in North Wales. It demonstrates that while support network type is highly correlated with a wide range of demographic and social variables in both urban and rural samples, the nature of the relationships are not always comparable. The paper shows how cultural, migration and socio-economic factors interact to affect the formation of different types of support networks. As a result of a more stable elderly population, more old people in Liverpool have network types able to provide a high level of informal care and support.
Strategies for an Ageing Population: Expanding the Priorities Discussion
Authors: Thorslund Mats , Parker Marti G. 
Published: November 2008

ABSTRACTThe growing number of oldest old has increased the need for social services and medical care in many countries during the last decade. These needs have been met with various strategies to make more effective and efficient use of resources. In many ways these changes have been successful, but at the same time the amount of success correlates negatively to the potential for further gains. That is, when the slack in the system has been drawn in, it is doubtful whether further gains can be made with these strategies. So what can be done if the public resources are restricted and needs continue to increase? Adequate solutions will require a wide perspective encompassing all the various services needed by elderly people. Decisions made in one sector necessarily have repercussions in other service areas. It is also essential to recognize the differences between sectors; guidelines and strategies developed within the medical sector are not always applicable in the social services sector. With Sweden as an example, the organizational and administrative changes that have occurred during the last decades are presented along with arguments for extending the discussion of strategies and priorities to include all kinds of service to the elderly population.
The Meaning of Old Age and the Distribution of Health-Care Resources
Authors: Houtepen Rob 
Published: November 2008

ABSTRACTDaniel Callahan has maintained that a common understanding of the meaning of old age and the proper role of old people in society is a prerequisite for decisions on the distribution of health-care resources to the elderly. The call for such a common understanding is traced to the writings of Thomas Cole and Harry Moody. A discussion of their ideas is followed by a philosophical analysis of communitarian accounts of meaning and the good life in general. It is concluded that viable interpretations of the meaning of old age should comply with the values of liberal individualism. Meaning should be localised less at the level of global ideas and images and more at the level of local and heterogeneous practices. The practice of distributing health-care resources cannot and should not be regulated by communitarian interpretations of the value of old age. It would seem to be sufficiently infused by liberal individualist interpretations of meaning and justice.
Retired British Home Owners in Rural France
Authors: Hoggart Keith , Buller Henry 
Published: November 2008

AbstractDrawing on a survey of 406 British home owners in France, this study examines the origins, destinations and reasons for purchasing homes in rural France. In doing so it compares first home retired households with their pre-retirement counterparts and with second home owners who are retired. No notable differences are found in the geographical distribution or reasons for selecting home locations between these groups. However, patterns of retirement migration to France do appear to differ from intra-national long-distance migration within Britain and North America. Pointers to these differences are given and suggestions for future research are made. In addition, despite family visits and the friendship that people find in their recipient French communities, it is suggested that potential problems could arise for residents in relatively isolated rural communes. More research is needed to assess whether the positive attractions that are drawing retirement migrants from Britain to France will outweigh the negative consequences of their new home location.
Improving Work Satisfaction amongst Nursing Staff and Quality of Care for Elderly Patients with Dementia: Some Policy Implications
Authors: Gilloran Alan , Robertson Alex , McGlew Tom , McKee Kevin 
Published: November 2008

AbstractThis paper discusses the policy implications for encouraging a high quality of service provision in hospital for elderly people with dementia. Contemporary policy is examined and the continuing need for long-stay beds is highlighted, particularly in Scotland. The measurement of the quality of care in nursing is reviewed and concern is expressed over whether the patients or only the audit score will benefit from any change in practice. Ways of improving both work satisfaction and the quality of care are recommended on the basis of a study of psychogeriatric wards in NHS hospitals in Scotland.