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Health & Social Care in the Community

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https://www.readbyqxmd.com/read/29210140/measuring-cancer-caregiver-health-literacy-validation-of-the-health-literacy-of-caregivers-scale-cancer-hlcs-c-in-an-australian-population
#1
Eva Yuen, Tess Knight, Sarity Dodson, Jacqueline Chirgwin, Lucy Busija, Lina A Ricciardelli, Susan Burney, Phillip Parente, Patricia M Livingston
Caregivers have been largely neglected in health literacy measurement. We assess the construct validity, and internal consistency of the Health Literacy of Caregivers Scale-Cancer (HLCS-C), and present a revised, psychometrically robust scale. Using data from 297 cancer caregivers (12.4% response rate) recruited from Melbourne, Australia between January-July 2014, confirmatory factor analysis (CFA) was conducted to evaluate the HLCS-C's proposed factor structure. Items were evaluated for: item difficulty, unidimensionality and overall item fit within their domain...
December 5, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/29210136/identifying-acceptable-components-for-home-based-health-promotion-services-for-older-people-with-mild-frailty-a-qualitative-study
#2
Rachael Frost, Kalpa Kharicha, Ana Jovicic, Ann E M Liljas, Steve Iliffe, Jill Manthorpe, Benjamin Gardner, Christina Avgerinou, Claire Goodman, Vari M Drennan, Kate Walters
Mild frailty is common in later life, increasing the risk of hospitalisation, loss of independence and premature death. Targeted health promotion services may reduce adverse outcomes and increase quality of life; however, effective, well-developed theory-based interventions are lacking. We aimed to explore perceptions of health promotion behaviours undertaken by older people with mild frailty, barriers and facilitators to engagement, and identify potential components for new home-based health promotion services...
December 5, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/29210130/home-setting-after-stroke-facilitators-and-barriers-a-systematic-literature-review
#3
REVIEW
Elizabeth Marcheschi, Lena Von Koch, Hélène Pessah-Rasmussen, Marie Elf
This paper seeks to improve the understanding of the interaction between patients with stroke and the physical environment in their home settings. Stroke care is increasingly performed in the patient's home. Therefore, a systematic review was conducted to identify the existing knowledge about facilitators and barriers in the physical environment of home settings for the stroke rehabilitation process. Based upon Arksey and O'Malley's framework, a Boolean search strategy was performed in the databases; CINAHL, Medline, Web of Science and Scopus...
December 5, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/29181893/developing-inclusive-residential-care-for-older-lesbian-gay-bisexual-and-trans-lgbt-people-an-evaluation-of-the-care-home-challenge-action-research-project
#4
Trish Hafford-Letchfield, Paul Simpson, Paul B Willis, Kathryn Almack
There have been substantial achievements in legislative and human rights for lesbian, gay, bisexual and transgender (LGBT) older people and their visibility in health and social care has equally increased. These appear to have surpassed the ability of care services to meet their needs given documented concerns about the accessibility, inclusiveness and safety of care services particularly institutionalised care. This requires systemic change not easy to operationalise. This paper describes an action research initiative where six care homes belonging to a national care provider, collaborated to assess and develop their services with the support of local LGBT "Community Advisors" and academic partners...
November 27, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/29181877/formal-and-informal-care-for-community-dwelling-frail-elderly-people-over-time-a-comparison-of-integrated-and-usual-care-in-the-netherlands
#5
Benjamin Janse, Robbert Huijsman, Willemijn Mijntje Looman, Isabelle Natalina Fabbricotti
While integration has become a central tenet of community-based care for frail elderly people, little is known about its impact on formal and informal care and their dynamics over time. The aim of this study was therefore to examine how an integrated care intervention for community-dwelling frail elderly people affects the amount and type of formal and informal care over 12 months as compared to usual care. A quasi-experimental design with a control group was used. Data regarding formal and informal care were collected from frail elderly patients (n = 207) and informal caregivers (n = 74) with pre/post-questionnaires...
November 27, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/29164739/can-specially-trained-community-care-workers-effectively-support-patients-and-their-families-in-the-home-setting-at-the-end-of-life
#6
Roslyn G Poulos, Damian Harkin, Christopher J Poulos, Andrew Cole, Rod MacLeod
Surveys indicate that many Australians would prefer to die at home, but relatively few do. Recognising that patients and their families may not have the support they need to enable end-of-life care at home, a consortium of care providers developed, and received funding to trial, the Palliative Care Home Support Program (PCHSP) across seven health districts in New South Wales, Australia. The programme aimed to supplement end-of-life care in the home provided by existing multidisciplinary community palliative care teams, with specialist supportive community care workers (CCWs)...
November 21, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/29156490/-the-citizen-is-stepping-into-a-new-role-policy-interpretations-of-patient-and-public-involvement-in-finland
#7
Marjaana Jones, Ilkka Pietilä
Involving patients and the public in healthcare decision-making is on the policy agenda in several countries. The aim of our study was to describe and analyse the development of patient and public involvement from a policy perspective. We argue that the language of health policies can influence both the aims and the development of involvement methods. In this study health policy documents, which have guided the development of patient and public involvement in Finland have been analysed using methods of Membership Categorisation Analysis...
November 20, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/29143386/a-survey-of-exercise-professionals-barriers-and-facilitators-to-working-with-stroke-survivors
#8
Marie Condon, Marie Guidon
Stroke survivors (SSs) are largely inactive despite the benefits of exercise. Exercise professionals (EPs), skilled in exercise prescription and motivation, may have a role in promoting exercise among SSs. However, the number of EPs working with SSs is estimated to be low. This study aimed to investigate EPs' opinions on working with SSs by rating their agreement of barriers and facilitators to working with SSs. The study also investigated EPs skills, interest and experience working with SSs and the relationship between EPs' barriers and facilitators with their training on stroke...
November 15, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/29119635/the-evolving-role-of-the-personal-support-worker-in-home-care-in-ontario-canada
#9
Margaret Saari, Erin Patterson, Shawna Kelly, Ann E Tourangeau
To meet increasing demand for home care, the role of personal support workers (PSWs) is shifting from providing primarily personal and supportive care to include care activities previously provided by regulated health professionals (RHPs). Much of the research examining this shift focuses on specialty programmes, with few studies investigating the daily care being provided by PSWs, frequency of care activities being provided by PSWs, and characteristics of the population receiving more complex tasks. Between January and April 2015, a review of 517 home-care service user charts was undertaken in Ontario, Canada, to: (1) describe the range of tasks being performed by PSWs in home care, (2) identify tasks transferred by RHPs to PSWs, and (3) examine characteristics of service users receiving transferred care...
November 8, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/29108139/psychometric-testing-of-the-family-carer-diabetes-management-self-efficacy-scale
#10
Nutchanath Wichit, George Mnatzaganian, Mary Courtney, Paula Schulz, Maree Johnson
The aim of this study was to develop and test the construct and content validity, internal consistency of the Family-Carer Diabetes Management Self-Efficacy Scale (F-DMSES). A sample of 70 Thai individuals who cared for those living with type 2 diabetes mellitus (T2DM) in a rural community in Thailand was included in the study. Data were collected by a questionnaire survey in January 2014. The F-DMSES was initially derived from the DMSES, with subsequent forward and backward translations from and to English and Thai languages...
November 6, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/29108131/moving-from-place-to-place-in-the-last-year-of-life-a-qualitative-study-identifying-care-setting-transition-issues-and-solutions-in-ontario
#11
Donna M Wilson, Stephen Birch
Moving from one care setting to another is common as death nears. Many concerns exist over these end-of-life (EOL) care setting transitions, including low-quality moves as mistakes and other mishaps can occur. Delayed or denied moves are also problematic, such as a move out of hospital for dying inpatients who want to spend their last hours or days at home. The aim of the study was to identify current issues or problems with care setting transitions during the last year of life as well as potential or actual solutions for these problems...
November 6, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/29094475/a-possibility-for-strengthening-family-life-and-health-family-members-lived-experience-when-a-sick-child-receives-home-care-in-sweden
#12
Charlotte Castor, Kajsa Landgren, Helena Hansson, Inger Kristensson Hallström
Families often prefer home care to hospital care, and home-care services for ill children are increasing worldwide with limited knowledge of families' needs during curative and palliative home care. The aim of this study was to elucidate family members' lived experience when a sick child received home care from county-based primary healthcare services. A descriptive qualitative design was chosen and 12 families including sick children receiving home care and their mothers, fathers and siblings in the south of Sweden were interviewed between December 2015 and January 2017...
November 2, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/29052342/supported-housing-for-adults-with-psychiatric-disabilities-how%C3%A2-tenants-confront-the-problem-of-loneliness
#13
Myra Piat, Judith Sabetti, Deborah Padgett
The objective of this study was to examine the experience of loneliness among people with psychiatric disabilities after moving from custodial housing, including group homes, boarding homes, and family-type residences to independent, supported apartments in the community. Qualitative research methods guided by a naturalistic/constructivist framework were used. Data collection occurred between May 2014 and July 2015 and consisted of individual semi-structured interviews with 24 tenants residing in five supported housing sites across three Canadian provinces; interviews were also conducted with a designated family member for each tenant and with their service providers...
October 19, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/29024211/the-impact-of-holiday-clubs-on-household-food-insecurity-a-pilot-study
#14
Michael A Long, Paul B Stretesky, Pamela Louise Graham, Katie Jane Palmer, Eileen Steinbock, Margaret Anne Defeyter
This research investigates whether holiday clubs have the potential to reduce food insecurity among households in the United Kingdom. We survey parents (n = 38) of children attending seven different holiday clubs to estimate the percentage of children in those programmes who come from food insecure households. Results suggest that 42% (16 out of 38 respondents) of children come from households defined as "food insecure" and 24% (9 out of 38 respondents) come from households that are "food insecure with hunger...
October 10, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28990292/investigating-the-impact-of-the-universal-healthcare-coverage-programme-on-community-pharmacy-practice
#15
Andi Hermansyah, Erica Sainsbury, Ines Krass
The introduction of Universal Healthcare Coverage (JKN) in 2014 has changed the landscape of the Indonesian healthcare and affected the community pharmacy sector. This paper investigates perceptions of healthcare and pharmacy stakeholders about the impact of JKN on the practice of pharmacists and pharmacy in both public (Puskesmas) and private (Community or Retail pharmacy) settings. In-depth, semi-structured interviews were conducted from February to August 2016 involving 29 participants representing key stakeholders from different provinces in Indonesia...
October 9, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28990248/exploring-the-collaboration-between-formal-and-informal-care-from-the-professional-perspective-a-thematic-synthesis
#16
REVIEW
Aldiene Henrieke Hengelaar, Margo van Hartingsveldt, Yvette Wittenberg, Faridi van Etten-Jamaludin, Rick Kwekkeboom, Ton Satink
In Dutch policy and at the societal level, informal caregivers are ideally seen as essential team members when creating, together with professionals, co-ordinated support plans for the persons for whom they care. However, collaboration between professionals and informal caregivers is not always effective. This can be explained by the observation that caregivers and professionals have diverse backgrounds and frames of reference regarding providing care. This thematic synthesis sought to examine and understand how professionals experience collaboration with informal caregivers to strengthen the care triad...
October 9, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28984074/availability-of-comprehensive-services-in-permanent-supportive-housing-in-los-angeles
#17
Benjamin F Henwood, Taylor Harris, Darlene Woo, Hailey Winetrobe, Harmony Rhoades, Suzanne L Wenzel
Studies have often described a specific model or models of permanent supportive housing (PSH), yet few studies have systematically examined what services are typically offered to PSH tenants in any given service system and how those services are offered. Using telephone surveys from 23 PSH agency supervisors and qualitative data collected from 11 focus groups with 60 frontline providers and 17 individual interviews with supervisors from a subset of surveyed agencies-all of which were completed between July 2014 and December 2015-the goal of this study is to better understand what services are being offered in PSH organisations located in Los Angeles and what barriers frontline providers face in delivering these services...
October 6, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28980423/asian-americans-concerns-and-plans-about-alzheimer-s-disease-the-role-of-exposure-literacy-and-cultural-beliefs
#18
Yuri Jang, Hyunwoo Yoon, Nan Sook Park, Min-Kyoung Rhee, David A Chiriboga
Responding to the increase of the Asian American population and the growing imperative to address issues on Alzheimer's disease (AD) in diverse populations, this study examined Asian Americans' concerns about AD (both concerns about one's own development of AD and about becoming an AD caregiver) and plans for AD. Focus was given on exploring the role of AD exposure, AD literacy and cultural beliefs about AD in predicting AD-related concerns and plans. Using data from 2,609 participants in the 2015 Asian American Quality of Life survey (aged 18-98), logistic regression models of three outcome measures (concerns about one's own development of AD, concerns about becoming an AD caregiver and plans about AD) were estimated...
October 4, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28980405/improving-the-effectiveness-of-interpreted-consultations-australian-interpreter-general-practitioner-and-patient-perspectives
#19
Nancy Sturman, Rebecca Farley, Fernanda Claudio, Patricia Avila
Healthcare consultations with patients lacking English proficiency are challenging for all parties, even in Australian primary care where the engagement of interpreters is encouraged and fully subsidised. Our objective was to understand these challenges from the perspectives of interpreters, patients and general practitioners in order to improve the effectiveness of interpreted consultations. Our investigator team approached the interpreted consultation as an interprofessional collaboration. A convenience sample of seven general practitioners, eight health interpreters and six representatives from culturally and linguistically diverse communities (representing the patient perspective) participated in three separate focus group discussions, lasting 60-90 min each, exploring participant experiences with healthcare consultations in which interpreters were present...
October 4, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28980359/australian-homeless-persons-experiences-of-social-connectedness-isolation-and-loneliness
#20
Marlee Bower, Elizabeth Conroy, Janette Perz
Both loneliness and a lack of social integration are associated with serious physical and psychological health issues. One population highly susceptible to social isolation and loneliness are individuals who are homeless, who also experience high rates of mental disorder and relationship breakdown. Despite this, little research has explored how social networks, isolation and loneliness are experienced for those with a history of homelessness. In-depth, semi-structured interviews were used to get a nuanced understanding of how social networks and isolation are experienced and understood by individuals experiencing homelessness...
October 4, 2017: Health & Social Care in the Community
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