26,072 research outputs found
Aging and Technology Perspectives of Web-Based Chronic Disease Self-Management
Many people suffer from chronic disease; however, older adults are at greatest risk of chronic conditions. Although social workers regularly engage with chronically ill older adults, they are not noticeably involved with the research and development of chronic disease management. As such, with recent movements toward health information technology, the efficacy of technology-based chronic disease management is not well established for older adults. Informed by theories of self-management, human development, and technology design, this research investigated lifespan differences of web-based chronic disease self-management. Using a sequential mixed methods design, a secondary data analysis of a diabetes specific web-based self-management intervention (n=462) was performed, followed by qualitative focus groups with 40 older intervention participants, and then mixed for overall interpretation. Results indicated that social workers must take a leadership role in the evaluation and implementation of web-based self-management for older adults to address identified lifespan differences
Homeless Over 50: The Graying of Chicago's Homeless Population
In the winter of 2006, the Chicago Alliance to End Homelessness teamed with Loyola University's Center for Urban Research and Learning to undertake a nine-month study of people in Chicago who were homeless and aged 50 to 64.This study, funded by the Retirement Research Foundation, was undertaken in response to reports from homeless service agencies that this cohort of people was growing. Starting in 2005, agencies including Matthew House, Featherfist and Deborah's Place reported a fast-growing number of people aged 50-64 using homeless services, and that they seemed to both share issues with the rest of the homeless population and face circumstances unique to their age and stage of life.The goal of this study, then, was threefold:1. To obtain a demographic profile of people who are homeless in Chicago and are between the ages of 50 and 64;2. To understand how the various systems designed to serve this population do and do not meet their needs; and3. To begin to suggest a range of policy and programmatic responses to the needs of this population
Designing assisted living technologies 'in the wild' : preliminary experiences with cultural probe methodology
Background
There is growing interest in assisted living technologies to support independence at home. Such technologies should ideally be designed āin the wildā i.e. taking account of how real people live in real homes and communities. The ATHENE (Assistive Technologies for Healthy Living in Elders: Needs Assessment by Ethnography) project seeks to illuminate the living needs of older people and facilitate the co-production with older people of technologies and services. This paper describes the development of a cultural probe tool produced as part of the ATHENE project and how it was used to support home visit interviews with elders with a range of ethnic and social backgrounds, family circumstances, health conditions and assisted living needs.
Method
Thirty one people aged 60 to 98 were visited in their homes on three occasions. Following an initial interview, participants were given a set of cultural probe materials, including a digital camera and the āHome and Life Scrapbookā to complete in their own time for one week. Activities within the Home and Life Scrapbook included maps (indicating their relationships to people, places and objects), lists (e.g. likes, dislikes, things they were concerned about, things they were comfortable with), wishes (things they wanted to change or improve), body outline (indicating symptoms or impairments), home plan (room layouts of their homes to indicate spaces and objects used) and a diary. After one week, the researcher and participant reviewed any digital photos taken and the content of the Home and Life Scrapbook as part of the home visit interview.
Findings
The cultural probe facilitated collection of visual, narrative and material data by older people, and appeared to generate high levels of engagement from some participants. However, others used the probe minimally or not at all for various reasons including limited literacy, physical problems (e.g. holding a pen), lack of time or energy, limited emotional or psychological resources, life events, and acute illness. Discussions between researchers and participants about the materials collected (and sometimes about what had prevented them completing the tasks) helped elicit further information relevant to assisted living technology design. The probe materials were particularly helpful when having conversations with non-English speaking participants through an interpreter.
Conclusions
Cultural probe methods can help build a rich picture of the lives and experiences of older people to facilitate the co-production of assisted living technologies. But their application may be constrained by the participantās physical, mental and emotional capacity. They are most effective when used as a tool to facilitate communication and development of a deeper understanding of older peopleās needs
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Triple Helix, Fall 2018
Table of Contents: Science Agenda: The Politics of Grant Writing / by Kavya Rajesh (p. 4) -- From the Experts / by Katherine Bruner (p. 5) -- 3D Printed Drugs: The Future of Pharmaceuticals / by Ethan Wang (p. 6) -- Computerized Markets: Wall Street Takeover / by James Kiraly (p. 10) -- The Evolution of Fear / by Alisha Ahmed (p. 14) -- ADDing Up / by Victor Liaw (p. 18) -- The Clone Wars / by Jina Zhou (p. 22) -- Physician-Assisted Suicide: Drawing the Line / by Haley Wolf (p. 26) -- Supervised Injection Sites / by Alex Gajewski (p. 30) -- On Emerging Medicalization and Health Care / by Patrick Lee (p. 33) -- The Future of Human Gene Modifications / by Elizabeth Robinson (p. 36)College of Natural SciencesUT LibrariesLiberal Art
Title Examination of Somatic Symptomatology Using the Cleveland Adaptive Personality Inventory and the Dimensional Somatic Questionnaire
This study was designed to assess the reliability and validity of the Cleveland Adaptive Personality Inventory (CAPI) and the Dimensional Somatic Questionnaire (DSQ) on the chronic pain population, depression population, and healthy control population. A total of 178 chronic pain participants, 208 depression participants, and 220 healthy control participants were collected, though not all were used for analysis due to missing data. Each participant was administered an online version of the CAPI with the Dimensional Somatic Questionnaire. Both questionnaires were significantly shortened during or prior to analysis. The questionnaires were shortened to make them more practical for use in the clinical setting. This study documented acceptable to excellent reliability for all 10 main scales of the CAPI across all three groups. Additional findings for the CAPI showed that the somatic scale and depression scale were highly sensitive and specific to the chronic pain and depression populations, respectively. The DSQ demonstrated excellent overall reliability. The DSQ was not found to be useful in distinguishing between chronic somatic symptomatology and chronic emotional symptomatology and was not found to have three constructs (e.g. mental health, emotional health, and behavioral health). However, it was found sensitive and specific to chronic pain patients and would be useful in deciphering the amount of functional impairment a chronic pain participant may have
Title Examination of Somatic Symptomatology Using the Cleveland Adaptive Personality Inventory and the Dimensional Somatic Questionnaire
This study was designed to assess the reliability and validity of the Cleveland Adaptive Personality Inventory (CAPI) and the Dimensional Somatic Questionnaire (DSQ) on the chronic pain population, depression population, and healthy control population. A total of 178 chronic pain participants, 208 depression participants, and 220 healthy control participants were collected, though not all were used for analysis due to missing data. Each participant was administered an online version of the CAPI with the Dimensional Somatic Questionnaire. Both questionnaires were significantly shortened during or prior to analysis. The questionnaires were shortened to make them more practical for use in the clinical setting. This study documented acceptable to excellent reliability for all 10 main scales of the CAPI across all three groups. Additional findings for the CAPI showed that the somatic scale and depression scale were highly sensitive and specific to the chronic pain and depression populations, respectively. The DSQ demonstrated excellent overall reliability. The DSQ was not found to be useful in distinguishing between chronic somatic symptomatology and chronic emotional symptomatology and was not found to have three constructs (e.g. mental health, emotional health, and behavioral health). However, it was found sensitive and specific to chronic pain patients and would be useful in deciphering the amount of functional impairment a chronic pain participant may have
GROWING UP IN IRELAND. Cohort '08 (Infant Cohort). Design, Instrumentation and Procedures for Cohort ā08 of Growing Up in Ireland at 9 Years Old (Wave 5)
Growing Up in Ireland is the national longitudinal cohort study of children that commenced in 2006. The
study has followed two groups of Irish children: Cohort ā98 (so-called because most of them were born in
1998; formerly called the āChild Cohortā); and Cohort ā08 (most of whom were born a decade later in 2008;
formerly called the āInfant Cohortā). The primary aim of the study is to provide a strong evidence base to
improve the understanding of childrenās and young peopleās health and development across a range of
domains. This information is used to inform government policy in relation to children, yong people and
their families
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Application and Effectiveness of Telehealth to Support Severe Mental Illness Management: Systematic Review
Background: It is important that people with SMI receive early interventions to prevent mental health deterioration or relapse. Telecommunications and other technologies are increasingly used to assist healthcare delivery (ātelehealthā) , providing service users with immediate real-time information to improve the management of chronic health conditions. Telehealth has been found to be successful in improving management and symptoms across a number of health conditions, whilst also being acceptable to users. Initial findings suggest technology could improve quality of life in people with SMI.
Objectives: This systematic review aimed to identify the variety of uses and efficacy of teleheal th technology for SMI.
Methods: We systematically searched electronic databases from inception to March 2016 (MEDLINE, EMBASE, PsycINFO, Cochrane Central Register of Controlled Trials, AMED, He alth Techno logy Assessment, CINAHL plus and NHS EED ) for randomised controlled trials (RCTs) evaluating telehealth for adults with SMI , published in English. Additional literature was identified by searching reference lists of key articles. The articles meeting the inclusion criteria were systematically reviewed and assessed for quality and risk of bias.
Results: The search identified 31 eligible articles, describing 29 trials. The included studies evaluated the use of computers to deliver cognitive rehabilitation (1 5 trials), patient education (3 trials), online self- management interventions (2 trials), and to support consultations (1 trial). Virtual reality (VR) was used to simulate work and social sit uations (2 trials ) and to deliver cognitive training (1 trial). Telephones were used to prompt medication use (3 trials ) and report SMI symptoms to healthcare teams (1 trial ). Remote sensors were used to monitor medication use (1 trial). Telephone support was found effective for improving medication adherence and reducing symptom severity and inpatient days. Computer assisted cognitive rehabilitation was effective in improving cognitive function. The impact of telehealth on other outcomes was inconsistent. Few studies evaluated the 3 use of remote medication telemonitoring, VR, online self-management and computer -mediated consultations, suggesting these are novel technologies for managing SMI, although all were found effective for improving psycho social and behavioural outcomes. The results of this review should be taken in the context of varied quality in study design, with only five studies demonstrating a low risk of bias.
Conclusions : A growing variety of telehealth technologies are used to support SMI. Specific types of technology have been found to be effective for som e outcomes, for example telephone prompts for medication adherence, while other types of telehealth had no benefit over traditional methods and were less acceptable to patients. Few studies found benefits for telehealth on quality of life, except for novel technologies with a limited number of trials. Further research is warranted to establish the full potential benefits of telehealth for improving quality of life in SMI, acceptability from the service user perspective, and cost-effectivenes
Work Participation Interventions for Individuals with Disabilities: An Evidence-Based Practice Project
This Evidence-Based Practice (EBP) project considered the following question: What are the characteristics of interventions, programs, and services that are effective in supporting work participation for individuals with disabilities and their employers
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