Health-related quality of life in old age: preliminary report on the male perspective

Health-related quality of life is a key element of successful aging. With life expectancy increasing, postmenopausal estrogen/gestagen replacement therapy has been under discussion for some time with the aim of achieving a higher quality of life in old age. For a long time, the relevance of hormonal aging was only discussed with reference to women; however, more recent work deals with concepts that affect both sexes. According to recent studies, numerous symptoms and complaints which may impair quality of life, can be attributed to hormonal changes in old age in both women and men. The majority of age-related complaints, such as a decline in physical performance, decreased sexual activity and a deterioration of general well-being, are strongly reminiscent of the symptoms of classical pituitary disorders in adulthood. Since the early 1990s, scientific studies have also been investigating the influence of hormone 'replacement' in elderly men, using, for example, growth hormones. However, until now there has been no suitable measure for assessing the quality of life specifically in elderly men. In a research project aimed at developing a questionnaire (the VITA? questionnaire), roughly equal numbers of elderly men and women were asked about their subjective health and quality of life. It was found that men assessed their health-related quality of life very positively in a number of different dimensions of the questionnaire. In the present article the individual aspects of the quality of life of men are described and examples of gender-related differences are presented and discussed.     

Exploring the requirements for multimodal interaction for mobile devices in an end-to-end journey context

The paper investigates the requirements for multimodal interaction on mobile devices in an end-to-end journey context. Traditional interfaces are deemed cumbersome and inefficient for exchanging information with the user. Multimodal interaction provides a different user-centred approach allowing for more natural and intuitive interaction between humans and computers. It is especially suitable for mobile interaction as it can overcome additional constraints including small screens, awkward keypads, and continuously changing settings - an inherent property of mobility. This paper is based on end-to-end journeys where users encounter several contexts during their journeys. Interviews and focus groups explore the requirements for multimodal interaction design for mobile devices by examining journey stages and identifying the users' information needs and sources. Findings suggest that multimodal communication is crucial when users multitask. Choosing suitable modalities depend on user context, characteristics and tasks.     

Participatory Design in Women’s Organizations: The Social World of Organizational Structure and the Gendered Nature of Expertise

Participatory design is an approach to designing technological systems that differs from traditional approaches to design in many respects. The goal of participatory design is to encourage users of technological systems to actively participate in the process of designing technological systems. The end goal of participatory design is to enable users of technological systems to articulate their needs, and to develop technological systems that account for those needs. In this paper I attempt to extend the analysis of gender as a factor in participatory design initiative by focusing on the challenges of implementing participatory design in the context of non-profit women’s organizations. The context for my discussion is set by outlining a recent initiative to design a nationwide feminist computer network in Canada. Scholarship on participatory design, feminist organizing and the implementation of computer systems in non-profit organizations is discussed in relation to original research carried out in the Canadian province of Newfoundland. Organizational structures that differentiate feminist non-profit organizations from other organizational forms and the gendered nature of expertise are identified as particular challenges that must be addressed in order for participatory design to be successful when women’s groups are the participatory designers.     

The Application of Leon Pastalan' s Theories on Environments for Seniors to Research on Facilities for Children

Abstract

Although his primary contribution to design research has been in the field of housing for the elderly, many aspects of the work of Leon Pastalan have had a significant impact on research in other specializations. Researchers focusing on healthcare environments for children and their families, for example, have been influenced by his methodological and theoretical approaches. These approaches include the utilization of user-focused design tools, the recognition of the importance of qualitative methodology, an emphasis on applied research, and the incorporation of cross-disciplinary themes. This paper elaborates on the relationship between Dr. Pastalan's theories and studies on children's environments, and discusses the relevance of this comparison to housing for the elderly.     

Young Children's Perception of the Elderly

Abstract

Young children's perceptions of the elderly were examined using Child-Adolescent Facts on Aging Quiz in order to assess what relationships exist between perception and contact with the elderly, gender, and age. Comparisons were also made between the findings in this study and a previous one in the United States of America. One hundred and twenty respondents comprising fifty males and seventy females from two primary schools answered the questionnaire. The mean age of the respondents was 10.6 years and about 63% had at least a living grandparent. The results revealed that the mean percentage error was 47%. Item 6-“most older workers do not work as well as younger workers” had the highest error rate of 83% while item 4-“old people are not as strong as younger people” had the lowest error rate of 16%. All the three variables were found not to have any influence on the respondent's perception of the elderly. Some similarities and differences in perception of the elderly were found in the Nigerian and American samples. The implications of these findings are discussed and further areas of research suggested.     

A suggestion for future research on interface design of an Internet-based telemedicine system for the elderly

Telemedicine has emerged as an effective tool for providing high quality healthcare service and health-related information, especially in rural areas. Rural areas often have a larger elderly population with greater rates of preventable disease. These areas also have fewer medical resources and specialists, and have limited access to health services, all of which can influence overall health. An Internet-based telemedicine system can be one solution to provide the rural elderly with the proper health information when needed. The elderly obviously have limited capabilities compared with younger adults in the use of internet technology. However, the interfaces of the currently existing Internet-based telemedicine systems are not specifically developed for elderly users. This paper suggests future interface design research for an Internet-based telemedicine system specifically for the elderly.     

Ethical issues raised by the new orientations in ergonomics and living labs

User Experience Theory (UXT) provides us with criteria for designing products and technical systems for everyday activities (playing, learning, working,…) so as to satisfy users. Living Labs (LL), are plateforms used for the design and evaluation of technical systems. As such, they constitute tools that bring to this process some constraints., However these constraints have to be articulated to the UXT. In other words, UXT should specify the place, the role and function LL should play in the design of new products, how it should contribute to satisfying UX, and how the methods and techniques should be conceived or borrowed from other disciplines. UXT also raises ethical issues: impartiality (independent, public, replicable) of research models in the context of economical constraints (dependant, private, secret prototypes) and of industrial pressure, the use of intrusive and persuasive techniques, even with the prior informed consent of participants, ergo-marketing, deontology codes, the use of specific participants, belonging of an UX innovative solution, confidentiality with ICT, and so on. Because the UX, as well as LL literature, have shown little concerns for ethical considerations, till now, we define LL-UX ethical issues as a new research topic, and we list a number of problems to be solved in order to have an ethical LL-UX methodology for open innovation.     

Family versus friends: Their relative importance as referent others to an aged population

There is much social gerontological research suggesting that the aged in our society constitute a minority group or separate stratum. This separateness, in combination with a lack of a clear conception of the elderly role, has led to a preponderance of stereotyped images of the elderly. A mailed questionnaire was returned by 224 retirees of a large utility company in the Southwest and provided a data base to test a conceptual model of the dynamics of the process of acceptance or denial of age‐appropriate behavioral expectations. The model, grounded in the reference group theoretical approach, was concerned expressly with the operationalization of factors thought to influence whether the elderly accept age‐appropriate behavioral expectations as pertinent to their life situation. Whether the people in this particular population accept others' expectations for their behavior was found to be affected by their perception of the expectations of family members and friends and whether the respondents characterized themselves as subject to age‐related shortcomings. In addition, friends were found to be a more salient reference group in conveying age‐appropriate behavioral expectations than family members. The analysis provided general support for the reference group approach and suggested a broader application of the concept in the gerontological literature.     

Retirement Plan Participation in an Era of Change: The Case of a Rural Region*

Individual savings are critical for retirement as government and employer‐based provisions fade or become less secure. Rural communities are vulnerable given their higher proportion of elderly and more who rely on Social Security. Using a telephone survey of working‐age residents in Michigan's rural Upper Peninsula, this research investigates factors associated with participation in tax‐advantaged retirement plans that have largely replaced defined‐benefit pension plans for earmarked retirement savings. The project also identifies factors predictive of making maximum contributions to those retirement plans. We consider several distinct categories of variables to reflect the social embeddedness of economic action. In addition, the research included community variables describing aspects of respondents' social context, a new component of the savings discourse, which we show to be significantly related to saving outside a tax‐advantaged retirement plan and making maximum contributions to a tax‐advantaged retirement plan.     

Exergames: the role of ergonomics and design in helping to control childhood obesity through physical and functional exercise program

In the area of the design and physiotherapy, the using of virtual technologies for immersion of users are spreading. And this affirmation extends to several areas of knowledge. In games, the quote is, resources are being used to work cognitive skills, attention, memory, among other factors beside the children. Currently, at the expense of usability, low cost, virtual technologies of perception and interaction, as Nintendo Wii, X-Box 360, among others, arises therefore a new class of games called Exergames, which is the union of physical activity the game. This fact gives users the development of sensory and motor skills through virtual reality mechanisms suitable for certain needs. This literature review aimed to provide an overview of the current context of Exergames, especially in use for controlling childhood obesity, which is growing alarmingly, with some features, applications and possibilities for use at the design and other areas such as physiotherapy.     

Social gerontology in developing countries. A report by participants in the International Short Term Course on Social Gerontology organised by the International Institute on Aging (United Nations,Malta), 17-29 February 1992

Prior to the International Short Term Course on Social Gerontology, organized by the International Institute on Aging in Malta, participants filled in a brief questionnaire regarding their personal views on the socioeconomic situation of the elderly. The questions dealt with: the definition of the elderly as understood by the respondents; availability of statistical data on the elderly regarding gender, marital status, location, immigration, industrialization, and the impact of urbanization; existing training facilities in gerontology in their countries; old age as perceived by the elderly population; socioeconomic problems faced by the elderly; degree of participants' involvement in working with the elderly. An attempt was made to quantify the views expressed by the participants. Countries with more than one representative--Argentina (2), China (4), Jamaica (2) and Malta (13)--each had their responses summarized as one contribution to this survey. The participants' replies were represented by a frequency distribution of 16 countries. In 9 out of 16 responses, elderly was defined as a chronological age. Females were almost always described as the majority gender represented in old age (13 out of 16). The state was identified as the greatest provider of special services, with the exception of religious organizations in only 2 of the countries. The most difficult problems of the elderly were defined as a lack of economic support, ill health, and social isolation. 8 out of 16 respondents described being active as the most important for the elderly. Governments are urged to provide for their senior citizens and their care-giving members who, in turn, are encouraged to support more elderly persons in developing countries.     

Service users and carers’ involvement in social work education: lessons from an English case study

Within the larger context of the search to improve social work practice in Europe, this article presents a case study of a UK innovation in social work education with the potential to radically change social work practice. Following governmental requirements, Anglia Ruskin University has introduced systematic involvement of service users and carers in the training of a new undergraduate degree since September 2003. The conceptual and value base, the structure, staffing, and main activities are outlined; the main achievements and obstacles are highlighted. Mindful of the danger of slipping into tokenistic involvement, the project has included an action research evaluation component exploring the views of all the project's stakeholders thus establishing the project as an evidence-based educational innovation. The findings highlight the value of service users and carers’ involvement on the qualifying social work degree, of the action research design of the evaluation, and the steps needed for the cultural change required for such an involvement to become more comprehensive and embedded in the degree.     

The nutritional pattern of frailty – Proceedings from the 5th Italian Congress of Endocrinology of Aging,Parma, Italy, 27–28 March 2009

Frailty has become one of the ‘hot spots’ in geriatric research. Frailty has multifactorial origin, and is regarded as a fundamental risk factor for deteriorating health status and disability in elderly people and is highly prevalent in the population above the age 65. It is estimates that prevalence rates up to 27% and pre-frailty rates up to 50% qualify for the term “epidemic”. Although the role of nutritional deficiency in the development of age-related frailty was suggested long ago, research conducted in this area is relatively recent. The critical role of micronutrients in this context suggests the need to improve the quality of food eaten by elderly people whereas quantity of food appears to be less relevant. This review summarizes the recent literature on the nutritional pathways to frailty with particular focus on the effect of energy, protein and micronutrients.     

Can 18‐Month‐Old Infants Learn Words by Listening In on Conversations?

Previous research has shown that children as young as 2 can learn words from 3rd‐party conversations (Akhtar, Jipson, & Callanan, 2001). The focus of this study was to determine whether younger infants could learn a new word through overhearing. Novel object labels were introduced to 18‐month‐old infants in 1 of 2 conditions: directly by an experimenter or in the context of overhearing the experimenter use the word while interacting with another adult. The findings suggest that, when memory demands are not too high, 18‐month‐old infants can learn words through overhearing.     

Systemic Therapy and Aged Respite Care A Neglected Area

This paper discusses how placing an elderly individual in nursing home respite care can lead to the emergence of major marital issues for an elderly couple. It illustrates how one can intervene systemically to change the context of this event, so that it is freeing for the individuals concerned rather than punishing. The discussion focusses on the main developmental issues for the aged and how these need to be considered for therapy and there is a review of research on the effects of out of home placement on individuals and their carers. The main techniques discussed are the use of letter writing and reflexive questioning to provide avenues for alternate explorations for the individuals concerned. These techniques were used to help a husband and wife escape repeated serious escalations that became depleting and damaging to them personally and to their relationship. There is brief comment also on the lack of attention given to psychotherapy for the elderly, with some suggestions for change.     

Finding the vulnerable among China’s elderly: identifying measures for effective policy targeting

Facing a rapidly aging population, China has recently started to formulate and implement policies with the aim to provide old-age care. While well-developed old-age care policies commonly include a built-in component that assesses eligibility based on vulnerability, no such process is established in the context of China. Here, based on data from the China Health and Retirement Longitudinal Study collected in both 2011 and 2013, we (a) developed a simple and effective strategy for identifying vulnerable Chinese elderly, which can serve as a basis for policy targeting, and (b) improved the policy relevance and targeting efficiency of this vulnerability measure by including additional health indicators. Our vulnerability measures identify 35% to 46% of Chinese elderly as vulnerable, covering up to 67% of elderly at high risk of death or functional decline. They can serve as an initial screening step for more comprehensive geriatric assessments and enable policy makers to effectively target vulnerable elderly persons in China.     

Die Funktion qualitativer Vorstudien bei der Entwicklung standardisierter Erhebungsinstrumente

The article addresses the relevance and need for complex mixed methods designs when developing standardized measurement instruments for research in strictly hierarchical institutions. Using the evaluation of courses for officer’s training in the army service of the German Bundeswehr, we demonstrate how a suitable questionnaire can be constructed by conducting an extensive qualitative preliminary study and using mixed methods for an iterative validation process. In addition, the specific nature of both the research field and evaluation studies are considered when addressing the problems of compliance with quality criteria of empirical social research in terms of field access and sample production.     

Effect of age and physical activity level on functional fitness in older adults

It is difficult to distinguish between the effects of age and physical activity level in the functional fitness level of older adults. The objective of this study was to determine the effects of age and physical activity level on some functional fitness parameters in community-dwelling older adults.Two hundred twenty-nine elderly (111 female; 118 male) aged between 65–87 years living in the Balçova municipality region were divided into two groups: the young elderly (65–69 years old) and the elderly (70 years old or over). The “seven-day physical activity recall questionnaire” was used to estimate physical activity level (PAL). The functional fitness evaluation included the body mass index (BMI), the lower body strength (LBS), the dynamic balance, and the aerobic endurance. The young elderly were significantly worse with regard to BMI and significantly better with regard to LBS, dynamic balance, and aerobic endurance than the elderly; in contrast, PAL did not affect any of the functional fitness parameters. The young elderly showed worse BMI than the elderly when the age groups were less active. The young elderly showed better LBS and dynamic balance than the elderly when the age groups were more active. The young elderly showed significantly better aerobic endurance than the elderly in both the less and more active age groups. This study confirms that age affects functional fitness, whereas PAL generally does not. However, being more active is advantageous for the young elderly with regard to BMI, LBS, and dynamic balance.     

Child Care as a Relational Context for Early Development: Research in Neurobiology and Emerging Roles for Social Work

The quality of child care in the United States is an important social problem, particularly for economically vulnerable families. This is highlighted by multidisciplinary research on the importance of early caregiving as a determinant of child health and wellbeing. This article examines center-based child care as an important relational and developmental context for infants and young children. Through an integration of psychosocial studies and emerging research in the cognitive neurosciences, this paper describes how developmental research on early emotional development can be utilized to inform our understanding of child care as a critical social and interpersonal context for infants and young children. In particular, this paper examines research on early interpersonal experience as a determinant of the capacity for affect regulation. Focusing on the application of theory to practice, this paper discusses the relevance of this research to informed direct practice, advocacy and program development.