MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Canadian Journal on Aging' source. Sun, 29 Jan 2012 16:50:59 +0100 http://www.medworm.com/index.php?rid=5538948&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22152343%26dopt%3DAbstract We examined facility organizational characteristics that previous research showed are associated with potentially avoidable hospital transfers and with better care quality. Accordingly, we conducted a cross-sectional survey of nursing home directors of care in Vancouver Coastal Health, a large health region in British Columbia. The survey addressed staffing levels and organization, physician access, end-of-life care, and factors influencing facility-to-hospital transfers. Many of the modifiable organizational characteristics associated in the literature with potentially avoidable hospital transfers and better care quality are present in nursing homes in British Columbia. However, their presence is not universal, and some features, especially the organization of physician care and end-of-li... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=5538948 Thu, 01 Dec 2011 05:00:00 +0100 5538948 http://www.medworm.com/index.php?rid=5428215&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22085455%26dopt%3DAbstract Authors: Robertson-Lang L, Major S, Hemming H Abstract ABSTRACTThe Internet is an important resource for health information, among younger and older people alike. Unfortunately, there are limitations associated with online health information. Research is needed on the quality of information found online and on whether users are being critical consumers of the information they find. Also, there is a need for research investigating online use among adults aged 65 and over - a rapidly growing demographic of Internet users. The current study presents important descriptive data about the search patterns of older adults seeking online health information, the types of health topics they research, and whether they consider credibility issues when retrieving online health information. A com... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=5428215 Wed, 16 Nov 2011 05:00:00 +0100 5428215 http://www.medworm.com/index.php?rid=5428216&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22067633%26dopt%3DAbstract Authors: Forgues E, Doucet M, Guignard Noël J Abstract ABSTRACTAccess to long-term nursing homes by French-speaking seniors in minority situations is a very real problem. However, few studies have been conducted on this subject. We wanted to better understand this issue in New Brunswick while taking into account the language aspect. In this article, we will present the problem based on different issues encountered by Francophones in minority situations and by giving an overview of the studies conducted on French-speaking seniors in minority situations. We will then address the issue related to the rights of French-speaking senior to receive services in French in nursing homes by analyzing briefly the province's legal requirements. Furthermore, we will present the regulatory framew... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=5428216 Wed, 09 Nov 2011 05:00:00 +0100 5428216 http://www.medworm.com/index.php?rid=5428217&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22053847%26dopt%3DAbstract Authors: Denton FT, Finnie R, Spencer BG Abstract ABSTRACTApplying an employment-income-based procedure for determining retirement, we analysed a large longitudinal data file of Canadian personal income tax returns for individuals to determine who has retired and to assess how successful they are in maintaining their incomes after retirement. The methodological approach may be of interest for possible application in other countries that have suitable data. Our main conclusions are as follows. First, in the two years immediately after retirement, the after-tax income replacement ratios average about two thirds when calculated across all ages of retirement. Second, the ratios tend to increase with the age of retirement. Third, the ratios increase with years in retirement, at least in... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=5428217 Mon, 07 Nov 2011 05:00:00 +0100 5428217 http://www.medworm.com/index.php?rid=5383470&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22051402%26dopt%3DAbstract Authors: Simard M Abstract ABSTRACTFollowing the example of other Canadian provinces, those in Atlantic Canada are affected, albeit to a lesser degree, by the increase in the number of persons aged 65 or over, a trend that we can define as gerontogrowth. In addition, this region of Canada seems particularly affected by the trend of an aging population, that is, the rise in the proportion of people in the total population aged 65 or more. For example, on a national scale, New Brunswick is the third oldest province according to the last five-year period (2001-2006), having advanced from the fourth position it held between 1981 and 2001 and from the fifth position occupied between 1971 and 1981. In addition, these trends evolve in different manners in different places, contrasts that ... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=5383470 Fri, 04 Nov 2011 04:00:00 +0100 5383470 http://www.medworm.com/index.php?rid=5383472&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22041516%26dopt%3DAbstract Authors: Trouillet R, Doan-Van-Hay LM, Launay M, Martin S Abstract ABSTRACTTo explore the predictive value of cognitive and coping resources for problem- and emotion-focused coping with age, we collected data from community-dwelling adults between 20 and 90 years old. We hypothesized that age, perceived stress, self-efficacy, working-memory capacity, and mental flexibility were predictors of coping. We collected data using French versions of the Perceived Stress Scale, General Self-Efficacy Scale, and Way of Coping Checklist. Cognitive assessments comprised the WAIS III digit-span subtest and the Trail Making Test parts A and B. In multivariate analyses, neither working-memory nor mental-flexibility deficit predicted problem-focused coping. Age was found to predict only problem-foc... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=5383472 Tue, 01 Nov 2011 04:00:00 +0100 5383472 http://www.medworm.com/index.php?rid=5383471&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22041545%26dopt%3DAbstract This article describes the process undertaken, key issues identified, and recommendations for research priorities and for building research capacity; and provides a strategic direction for dementia research in Ontario that is relevant for other jurisdictions. ADRD research in all aspects is required to advance knowledge of ADRD cause, care, and cure; gaps currently exist in understanding effective approaches to care and knowledge transfer. Capacity for high-calibre research hinges on maintaining attractive career paths for researchers, solid infrastructures, and strong partnerships. For research to inform policy and practice, better mechanisms are needed for knowledge exchange. PMID: 22041545 [PubMed - as supplied by publisher] (Source: Canadian Journal on Aging) Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=5383471 Tue, 01 Nov 2011 04:00:00 +0100 5383471 http://www.medworm.com/index.php?rid=5383473&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22035564%26dopt%3DAbstract We report the results for women only (n = 530). Multivariable linear regression was used to examine the association between met and unmet need in instrumental ADL (IADL) and personal ADL (PADL) with concomitant psychological distress. Unmet IADL need was associated with elevated psychological distress [β = 0.42 (95% CI: 0.26, 0.60)], as was met IADL need [β = 0.19 (95% CI: 0.06, 0.33)], but not met and unmet PADL need. The full model explained 32.8 per cent of the total variance in psychological distress. Receiving assistance to meet IADL needs is associated with elevated psychological distress. Not receiving assistance, however, is associated with even greater distress. PMID: 22035564 [PubMed - as supplied by publisher] (Source: Canadian Journal on Aging) Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=5383473 Mon, 31 Oct 2011 04:00:00 +0100 5383473 http://www.medworm.com/index.php?rid=5383474&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22018277%26dopt%3DAbstract Authors: Myers AM, Trang A, Crizzle AM Abstract ABSTRACTMost studies on seniors' driving practices are based on self-reports; none have objectively examined winter driving patterns. We used electronic devices, together with trip logs, digital maps, and weather archives, to examine the driving patterns of seniors aged 65 to 91 over two consecutive weeks between November 2008 and March 2009. Night driving differed by month showing the importance of seasonal factors, particularly the amount of daylight. Although 69 per cent of the sample drove on days with adverse conditions, seniors were significantly more likely to make trips for social/entertainment purposes on days with good weather, and out-of-town trips on days with good road conditions. Driving comfort scores, particularly for ... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=5383474 Mon, 24 Oct 2011 04:00:00 +0100 5383474 http://www.medworm.com/index.php?rid=5332825&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22008611%26dopt%3DAbstract Authors: Leblanc ME, Richard L, Bisaillon A, Gauvin L, Ducharme F, Trudel M Abstract ABSTRACTThis multiple case study investigates conditions influencing the integration of the ecological approach in disease prevention and health promotion (DPHP) programs offered to older adults by local health organizations in Quebec. Scheirer's (1981) implementation model guided the study of five Centres de Santé et Services Sociaux chosen in line with the ecological dimension of their DPHP programs. Documentary analyses were conducted along with thirty-eight semi-structured interviews among professionals and managers. Three categories of factors were explored: professional, organizational and environmental factors. Results indicate the ecological dimension of programs is influenced by organizat... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=5332825 Tue, 11 Oct 2011 04:00:00 +0100 5332825 http://www.medworm.com/index.php?rid=5332824&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22008650%26dopt%3DAbstract Authors: Au A, Puts MT, Fletcher JD, Sourial N, Bergman H Abstract ABSTRACTFrailty puts individuals at increased risk for poor health outcomes. Elderly individuals use a disproportionate amount of emergency department (ED) resources. To investigate the relationship between frailty markers and the effect on ED use by community-dwelling seniors, we conducted a secondary analysis of a 22-month prospective randomized control trial in Montreal, Canada, using the Service Intégrés pour les Personnes Âgées en Perte d'Autonomie (SIPA) database. We assessed a sample of 565 individuals using five frailty markers: physical activity, strength, cognition, energy, and mobility. Univariate and multivariable logistic regression was performed to assess for potential relationship between frailty ... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=5332824 Mon, 03 Oct 2011 04:00:00 +0100 5332824 http://www.medworm.com/index.php?rid=5235182&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21923965%26dopt%3DAbstract Authors: McDonald L, Donahue P Abstract ABSTRACTIn this article, we raise the question as to whether retirement is lost as we currently know and understand it in Canada. With a selected review, we examine retirement research according to the scope of retirement and the new retirement, possible theoretical developments, the timing of transitions into retirement, and life as a retiree including the quality or lack of pensions. Accordingly, we propose that retirement is undergoing modifications on the basis of several trends that commenced before the 2008 economic downturn. The data would appear to lean towards the emergence of a different type of retirement, insofar as the collective Canadian vision of retirement is lost, notwithstanding the economic meltdown in global markets. P... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=5235182 Mon, 19 Sep 2011 04:00:00 +0100 5235182 http://www.medworm.com/index.php?rid=5235181&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21923966%26dopt%3DAbstract Authors: McDaniel SA, Rozanova J Abstract ABSTRACTCanada's Aging Population by Susan McDaniel was the inaugural book in the Butterworths series on aging in the 1980s. It opened a "growth industry" in research on aging. Much more is known now about the processes, both individual and collective, that are part of aging. More reliable projections of future population can now be made. That said, myths and misunderstandings - particularly about the policy implications of population aging - persist. It seems that the same fears and anxieties occur again and again. The disconnect remains between our growing knowledge about population aging and media or policy responses. PMID: 21923966 [PubMed - as supplied by publisher] (Source: Canadian Journal on Aging) Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=5235181 Mon, 19 Sep 2011 04:00:00 +0100 5235181 http://www.medworm.com/index.php?rid=5221700&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21914240%26dopt%3DAbstract Authors: Brown RL Abstract ABSTRACTRecent research indicates that today's retirees are doing very well in terms of their replacement ratios and that Canadian poverty rates among the elderly are low relative to other Organization for Economic Co-operation and Development (OECD) countries. Government-sponsored plans have been strengthened either through explicit expansion - for example, the Guaranteed Income Supplement (GIS) - or through the reform of the Canada/Quebec Pension Plans (C/QPP). Also important is the maturation of employer-sponsored pension plans, although coverage rates are down. Future generations of retirees may not achieve the standard of living that exists today, however, which is a concern. The author argues that today's economic security programs are affordable an... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=5221700 Wed, 14 Sep 2011 04:00:00 +0100 5221700 http://www.medworm.com/index.php?rid=5221701&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21910956%26dopt%3DAbstract This article reviews developments in the field of elder abuse and neglect since the publication of Elder Abuse and Neglect in Canada (1991). The arguments made here are twofold: first, we have no idea of the size and nature of the problem of abuse and neglect in the community or in institutions; second, we do not know how to solve these problems or their attendant issues that have been masked by rhetoric and the recycling of information for the past 20 years. It is time to move forward from the "awareness phase". What we must tackle in the future is as obvious now as 20 years ago. Our knowledge is incomplete (i.e., our glass remains half full) because we lack the type of investigations we most urgently need: prevalence studies in the community and institutions, serious theory development, ... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=5221701 Tue, 13 Sep 2011 04:00:00 +0100 5221701 http://www.medworm.com/index.php?rid=5142973&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21851753%26dopt%3DAbstract Authors: Hirdes JP, Mitchell L, Maxwell CJ, White N Abstract ABSTRACTInstitutionalization of the Elderly in Canada suggested that efforts to address the underlying causes of age-related declines in health might negate the need for nursing homes. However, the prevalence of chronic disease has increased, and conditions like dementia mean that nursing homes are likely to remain important features of the Canadian health care system. A fundamental problem limiting the ability to understand how nursing homes may change to better meet the needs of an aging population was the lack of person-level clinical information. The introduction of interRAI assessment instruments to most Canadian provinces/territories and the establishment of the national Continuing Care Reporting System represent im... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=5142973 Thu, 18 Aug 2011 23:00:00 +0100 5142973 http://www.medworm.com/index.php?rid=5142974&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21843392%26dopt%3DAbstract This article discusses developments in theory and research on happiness two decades after publication of Psychological Well-Being in Later Life (Butterworths, 1991) by Albert Kozma, Michael Stones, and Kevin McNeil. Major empirical advances include new knowledge about contributions to happiness resulting from genetically related effects and personality. Personality traits have stronger relationships with happiness than was apparent 20 years ago and contribute to covariance between happiness and some of its predictors. Evolving emphases in research include the ways in which genetically related effects influence how people shape, and react to, their environment. PMID: 21843392 [PubMed - as supplied by publisher] (Source: Canadian Journal on Aging) Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=5142974 Mon, 15 Aug 2011 23:00:00 +0100 5142974 http://www.medworm.com/index.php?rid=5112861&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21801470%26dopt%3DAbstract Authors: Northcott HC, Petruik CR ABSTRACTThe monograph Changing Residence: The Geographic Mobility of Elderly Canadians (Northcott, 1988) reviewed the research that had been done up to the mid-1980s on the geographic mobility of older persons in Canada and elsewhere. The purpose of this article is to provide an update and overview of developments in the study of the geographic mobility of seniors since the mid-1980s with a particular emphasis on Canada. In this review, we first examine progress over the past 25 years in research about seniors' geographic mobility and focus on three topics: the relocation and geographic concentration of seniors, seasonal migration ("snowbirds"), and international migration. Second, we assess the current status of research on elder migration in Canada. ... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=5112861 Sun, 31 Jul 2011 23:00:00 +0100 5112861 http://www.medworm.com/index.php?rid=5070266&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21787444%26dopt%3DAbstract This article also examines how patterns of labour force affiliation, social policy, and the changing nature of marriage shape widowhood in later life. PMID: 21787444 [PubMed - as supplied by publisher] (Source: Canadian Journal on Aging) Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=5070266 Mon, 25 Jul 2011 23:00:00 +0100 5070266 http://www.medworm.com/index.php?rid=5070267&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21787443%26dopt%3DAbstract Authors: Hurd Clarke L, Korotchenko A ABSTRACTIn this article, we examine the existing sociocultural research and theory concerned with the aging body. In particular, we review the body image and embodiment literatures and discuss what is known about how older adults perceive and experience their aging bodies. We analyse how body image is shaped by age, culture, ethnicity, gender, health status, sexual preference, and social class. Additionally, we critically elucidate the embodiment literature as it pertains to illness experiences, sexuality, the everyday management of the aging body, appearance work, and embodied identity. By outlining the key findings, theoretical debates, and substantive discrepancies within the body image and embodiment research and theory, we identify gaps in the... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=5070267 Sun, 24 Jul 2011 23:00:00 +0100 5070267 http://www.medworm.com/index.php?rid=5070270&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21767464%26dopt%3DAbstract Authors: Keating N, Swindle J, Fletcher S ABSTRACTResearch on rural aging has developed considerably since publication of the book Aging in Rural Canada (Butterworths, 1991). The purpose of this article is twofold: to provide a retrospective on issues in rural aging from this book, and to review Canadian literature on rural aging since its publication. The review highlights new directions in conceptual definitions of rural, and in issues of social engagement, independence, family and social networks, and rural services and health. Two main research lenses are evident. The marginalization lens focuses on rural seniors with health problems, but has not included those marginalized by poverty or gender. The aging-well lens focuses on contributions and engagement, but has omitted research o... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=5070270 Sun, 17 Jul 2011 23:00:00 +0100 5070270 http://www.medworm.com/index.php?rid=5070269&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21767465%26dopt%3DAbstract This article reviews the international English-language literature on social support and caregiving in gerontology since the early 1990s. The literature has grown, but consensus on the terms' meaning and measurement is lacking. Interest is ongoing in practical help, in benefits of social support, and in demands and negative outcomes for caregivers, with growing but less emphasis on more theoretical questions, on negative outcomes from the receipt of support, and on positive consequences of providing care. Nevertheless, social support is duly recognized as a social determinant of health and receiving attention at policy levels - both are significant shifts from two decades ago and add to the interest this area will receive from researchers in coming decades. There remain many unanswered que... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=5070269 Sun, 17 Jul 2011 23:00:00 +0100 5070269 http://www.medworm.com/index.php?rid=5070268&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21767466%26dopt%3DAbstract Authors: Hayman S ABSTRACTOlder people are more affected by fear of crime and the possibility of victimization, despite their being at lower risk of harm, than any other population group in Canada. Crime, victimization, and fear are not experienced uniformly among older Canadian citizens and residents, partly because older people do not form a homogeneous group. Being part of an ethnic, religious, or sexual minority, or being mentally frail, can have an impact on an individual's perceptions and experience of risk. This analysis explores older people's victimization and fear of crime, while it highlights the lack of consistency in the available data. PMID: 21767466 [PubMed - as supplied by publisher] (Source: Canadian Journal on Aging) Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=5070268 Sun, 17 Jul 2011 23:00:00 +0100 5070268 http://www.medworm.com/index.php?rid=5019524&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21745427%26dopt%3DAbstract Authors: Menec VH, Means R, Keating N, Parkhurst G, Eales J ABSTRACTOn the political and policy front, interest has increased in making communities more "age-friendly", an ongoing trend since the World Health Organization launched its global Age-Friendly Cities project. We conceptualize age-friendly communities by building on the WHO framework and applying an ecological perspective. We thereby aim to make explicit key assumptions of the interplay between the person and the environment to advance research or policy decisions in this area. Ecological premises (e.g., there must be a fit between the older adult and environmental conditions) suggest the need for a holistic and interdisciplinary research approach. Such an approach is needed because age-friendly domains (the physical environm... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=5019524 Mon, 11 Jul 2011 23:00:00 +0100 5019524 http://www.medworm.com/index.php?rid=4722056&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21470438%26dopt%3DAbstract This study examines the importance of variables from the Theory of Planned Behaviour (i.e.,attitudes toward behaviour, subjective norms, and perceived control) for the prediction of consumption of anxiolytic and sedative-hypnotic (ASH) medications in a sample of older persons, aged 69 years on average, 62 consumers and 92 non-consumers. A favourable attitude toward ASH and a sense of having less control regarding these drugs predict both current usage and intention to continue. Perceived control predicts intention to start consumption of ASH in current non-consumers. This study underlines the importance of considering the role of the older person's decisional power in the consumption of these medications. PMID: 21470438 [PubMed - as supplied by publisher] (Source: Canadian Journal on A... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=4722056 Wed, 06 Apr 2011 23:00:00 +0100 4722056 http://www.medworm.com/index.php?rid=4609412&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21411026%26dopt%3DAbstract This article concludes by highlighting the role of family support as a coping strategy for escaping poverty and by assessing two mechanisms of state intervention that could improve the economic well-being of elderly immigrants. PMID: 21411026 [PubMed - as supplied by publisher] (Source: Canadian Journal on Aging) Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=4609412 Thu, 17 Mar 2011 00:00:00 +0100 4609412 http://www.medworm.com/index.php?rid=4609415&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21401975%26dopt%3DAbstract Authors: Lamontagne J, Beaulieu M, Arcand M ABSTRACTThe elderly in palliative care are confronted with difficult decisions relating to treatments. The philosophy of palliative care, namely, including the patient and his/her family right away, leads the doctor to consult with the two parties involved when choosing a treatment. As no theoretical model allows us to understand how the decision-making process hinges on the trio (a capable elderly person, a family caregiver, and the doctor) in a context of palliative care, we propose one which was developed from three strategies of document analysis: theoretical synthesis, theoretical analysis, and theoretical derivation. According to our model, the decision-making process depends on individual factors influencing the decision of the partici... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=4609415 Tue, 15 Mar 2011 00:00:00 +0100 4609415 http://www.medworm.com/index.php?rid=4609414&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21401976%26dopt%3DAbstract Authors: Horton K, Dickinson A ABSTRACTThis grounded-theory study explored the perceptions of Chinese older people, living in England, on falls and fear of falling, and identified facilitators and barriers to fall prevention interventions. With a sample of 30 Chinese older people, we conducted two focus groups and 10 in-depth interviews in Mandarin or Cantonese. Interview transcripts, back translated, were analyzed using N6. Constant comparative analysis highlighted a range of health-seeking behaviors after a fall: Chinese older people were reluctant to use formal health services; talking about falls was avoided; older people hid falls from their adult children to avoid worrying them; and fatalistic views about falls and poor knowledge about availability and content of interventions we... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=4609414 Tue, 15 Mar 2011 00:00:00 +0100 4609414 http://www.medworm.com/index.php?rid=4609413&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21401978%26dopt%3DAbstract Authors: Peel NM ABSTRACTWorldwide, falls among older people are a public health concern because of their frequency and adverse consequences in terms of morbidity, mortality, and quality of life, as well as their impact on health system services and costs. This epidemiological review outlines the public health burden of falls and fall-related injuries and the impact of population aging. The magnitude of the problem is described in terms of the classification of falls and measurement of outcomes, including fall incidence rates across settings, sociodemographic determinants, international trends, and costs of falls and fall-related injuries. Finally, public health approaches to minimize falls risk and consequent demand on health care resources are suggested. PMID: 21401978 [PubMed - ... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=4609413 Tue, 15 Mar 2011 00:00:00 +0100 4609413 http://www.medworm.com/index.php?rid=4546062&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21366934%26dopt%3DAbstract This article examines the relationship between income and health service utilization among older adults in rural and urban areas of British Columbia. Data were drawn from Statistics Canada's Canadian Community Health Survey, Cycle 3.1. Multivariate regression techniques were employed to examine the influence of relative income on accessibility for 3,424 persons aged 65 and over. Results suggest that (1) relative income does not influence access to health care services; and (2) this is true for both urban and rural older adults. The most important and consistent predictors of access in all cases were those that measured health care need. PMID: 21366934 [PubMed - as supplied by publisher] (Source: Canadian Journal on Aging) Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=4546062 Thu, 03 Mar 2011 00:00:00 +0100 4546062 http://www.medworm.com/index.php?rid=4546065&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21356153%26dopt%3DAbstract This article presents an overview of the psychosocial factors that influence older people's participation in physical activity interventions to prevent falls. The importance of psychosocial factors is stressed inasmuch as interventions will be rendered useless if they do not successfully gain the active participation of older people. The theory of planned behavior is used as a framework for the review on how knowledge (a prerequisite), attitudes, subjective norms (the social context), and perceived behavioral control (confidence) promote or inhibit the intention to carry out activities to prevent falls. The review is supplemented with evidence for self-identity to influence intention, and the article concludes with a discussion of the recommendations made by the Prevention of Falls Network... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=4546065 Tue, 01 Mar 2011 00:00:00 +0100 4546065 http://www.medworm.com/index.php?rid=4546064&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21356154%26dopt%3DAbstract Authors: Reyes-Ortiz CA, Goodwin JS, Zhang DD, Freeman JL ABSTRACTThe study objective was to examine the association, among older persons with cutaneous melanoma, between areal socioeconomic status (SES) and receiving chemotherapy. SEER-Medicare-linked database (1,239 white men and women aged ≥ 66, with invasive melanoma [regional and distant stages]; 1991-1999) was used. SES was measured by census tract poverty level (average of 1990 and 2000 Census data). Covariates were sociodemographics, tumor characteristics, and comorbidity index. Residing in poorer SES areas was associated with a lower likelihood for receiving chemotherapy among patients in the overall sample (adjusted odds ratios = OR 0.97, 95% confidence interval = CI 0.95-0.99), and those with regional stage at diagnosis (O... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=4546064 Tue, 01 Mar 2011 00:00:00 +0100 4546064 http://www.medworm.com/index.php?rid=4546063&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21356155%26dopt%3DAbstract This article traces key methodological milestones in the application of epidemiologic methods since the earliest publications in the late 1940s. Within the context of advances in case definition, sampling, measurement, research design, and statistical analysis, the article reviews estimates of frequency of occurrence, risk factor associations, morbidity and mortality consequences, demonstration of the multiple risk factor theory of falls using fall prevention interventions, and the challenges of fall risk prediction models. Methodological explanations are provided for observed heterogeneities, and the case is presented for moving beyond undifferentiated lists of risk factors by focusing on balance and gait as the factors through which the mechanistic effects of distal risk factors can be u... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=4546063 Tue, 01 Mar 2011 00:00:00 +0100 4546063 http://www.medworm.com/index.php?rid=4546066&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21345284%26dopt%3DAbstract We examined the volunteer service contribution of older adults (N = 100) to volunteer role development and agency attachment. Informed by a developmental regulation framework and socio-emotional selectivity theory, we tested a twofold hypothesis for the premise that greater role development and agency attachment would be experienced by (1) older adults who had multiple goals for volunteering, and (2) older adults who pursued these goals by making greater use of their social resources relative to their physical and cognitive resources. Both hypotheses were supported. Older adults who have numerous motives for volunteering, and who maximize the use of their social skills and prosocial attitudes, are more strongly attached to their host agency and experience higher levels of volunteer role de... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=4546066 Wed, 23 Feb 2011 00:00:00 +0100 4546066 http://www.medworm.com/index.php?rid=4259961&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21134299%26dopt%3DAbstract This article addresses the question: What is the role of languaging - the shaping and organizing of higher mental processes through language - in emerging zones of proximal development (ZPDs) co-created by two adults? The two adults are a resident in a long-term care facility (Mike) and a researcher. A ZPD is an ongoing cognitive/affective activity in which learning and development occur as participants interact. This process is mediated by languaging. Through a microgenetic analysis of selected representative excerpts from 11 one-on-one sessions, we illustrate how the interactions between Mike and the researcher create a positive affective context which affords multiple opportunities for ZPDs to emerge. During the emergent ZPDs, we observe how languaging brings together the cognitive and ... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=4259961 Wed, 01 Dec 2010 00:00:00 +0100 4259961 http://www.medworm.com/index.php?rid=4259948&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21134300%26dopt%3DAbstract This study suggests that clinicians should consider older adults' use of transportation in an attempt to encourage and maximize their participation. PMID: 21134300 [PubMed - in process] (Source: Canadian Journal on Aging) Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=4259948 Wed, 01 Dec 2010 00:00:00 +0100 4259948 http://www.medworm.com/index.php?rid=4259909&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21134301%26dopt%3DAbstract Conclusions: This model can guide the development of innovative approaches to improving pain management in LTC settings. PMID: 21134301 [PubMed - in process] (Source: Canadian Journal on Aging) Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=4259909 Wed, 01 Dec 2010 00:00:00 +0100 4259909 http://www.medworm.com/index.php?rid=4259892&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21134302%26dopt%3DAbstract This article examines, on the basis of longitudinal data from the Canadian Survey of Labour and Income Dynamics, the effects of health and employer-provided pensions on retirement decisions, which have not been studied simultaneously in the Canadian context. The results indicate that employer-provided pensions have substantial and significant incentive effects on retirement behaviour. Having poor health substantially increases the likelihood of entering retirement, by up to 25 percentage points. The results corroborate previous evidence regarding the relative importance of attenuation and justification bias in self-reported health measures. Further, the results confirm U.S. and European evidence that employer-provided pensions and health are significant determinants of retirement. PMID... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=4259892 Wed, 01 Dec 2010 00:00:00 +0100 4259892 http://www.medworm.com/index.php?rid=4259872&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21134303%26dopt%3DAbstract Authors: Bourgeois-Guérin V ABSTRACTAmong the older population in Canada, the majority of whom are women, incurable cancer is rampant. Having incurable cancer often implies suffering. Studies reveal that communication with one's circle is therefore often arduous, leading us to believe that it can cause suffering. To our knowledge, there has been no research that specifically explores the suffering related to communication among older women with incurable cancer: this will be the objective of our article.This exploratory qualitative research is in humanistic psychology. It is based on a phenomenological analysis of the conceptual categories that emerged from 19 semi-structured interviews among 10 women aged 65 years and over with incurable cancer.The results reveal both the dynamic of ... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=4259872 Wed, 01 Dec 2010 00:00:00 +0100 4259872 http://www.medworm.com/index.php?rid=4259847&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21134304%26dopt%3DAbstract Authors: Berta W, Laporte A, Kachan N ABSTRACTIn this multiple-case study, we engaged directors of care of Ontario long-term care (LTC) homes in semi-structured interviews designed to increase our understanding of the influence exerted by organizational and extra-organizational factors on two key aspects of organizational performance: operational efficiency and quality of care. We also examined the influence of these factors on the relationship between efficiency and quality. Through a review of the health services and organization and management literatures, four broad factors identified a priori as influential for one or both performance outcomes were used to guide our data collection: staff characteristics, facility characteristics, extra-organizational influences, and the function ... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=4259847 Wed, 01 Dec 2010 00:00:00 +0100 4259847 http://www.medworm.com/index.php?rid=4259767&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21134305%26dopt%3DAbstract Authors: Altintas E, Majchrzak G, Leconte C, Guerrien A ABSTRACTThe purpose of this study was to better understand adjustment and life satisfaction in later life. In particular, it examined the contribution of leisure participation and motivation toward leisure in older people's adjustment to their nursing homes and their satisfaction with life.. Study results underlined the contribution of participation in leisure activities both to the adaptation of an elderly person to his residence and to life satisfaction. In terms of adaptation to the residence, participation in recreational activities exhibited this mediational sequence: leisure participation → self-determined motivation for leisure → adjustment to nursing homes. This suggests that leisure participation has an indirect effec... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=4259767 Wed, 01 Dec 2010 00:00:00 +0100 4259767 http://www.medworm.com/index.php?rid=4259726&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21134306%26dopt%3DAbstract Authors: Rust TB, Kwong See ST ABSTRACTThis repeated measures study examined undergraduate students' beliefs about aging and Alzheimer's disease (AD) in the cognitive, social, and physical domains. Students rated typical 25-year-olds (young target), typical 75-year-olds (old target), and typical institutionalized persons with AD (AD target) on 46 statements about cognitive, physical, and social abilities. Beliefs about aging were found to be generally negative in the cognitive and physical domains but positive in the social domain, consistent with the age-stereotyping literature. Interestingly, by comparing ratings of old and AD targets, beliefs were found to be generally negative in the cognitive and social domains but positive in the physical domain. AD is perceived to be a disease p... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=4259726 Wed, 01 Dec 2010 00:00:00 +0100 4259726 http://www.medworm.com/index.php?rid=3903937&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20712917%26dopt%3DAbstract This study used a qualitative approach to identify key housing concerns in this group. A total of 84 vulnerable older adults including Aboriginal elders, those with various disabilities, and ethnic minorities participated in 10 focus groups. The Canadian Mortgage and Housing Corporation's (CMHC's) standards of core housing need provided a framework for data analysis, along with the identification of additional key housing themes across and within groups of vulnerable older adults. The results provide insight into preferred housing characteristics, regardless of housing form. Additionally, the results provide insight into how to support vulnerable older adults who choose to remain in their homes and communities and how to help ensure that appropriate housing is developed that meets the need... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=3903937 Thu, 26 Aug 2010 22:09:22 +0100 3903937 http://www.medworm.com/index.php?rid=3903936&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20731888%26dopt%3DAbstract Authors: Grignon M, Spencer BG, Wang L ABSTRACTIn this article we analyse the rates at which those admitted to hospital with acute myocardial infarction (AMI) receive aggressive treatment, assess how those rates have changed over time, and ask whether there is evidence of age discrepancies. Estimates made on the basis of data from an administrative database that includes discharges from all acute care hospitals in Ontario for selected years, from 1995 to 2005, indicate that there are strong and persistent age patterns in the application of medical technology. Results showed that to be true even after controlling for the higher rates of co-morbidities among older patients and variations across hospitals in practice patterns. PMID: 20731888 [PubMed - in process] (Source: Canadian Jou... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=3903936 Thu, 26 Aug 2010 22:09:19 +0100 3903936 http://www.medworm.com/index.php?rid=3903935&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20731889%26dopt%3DAbstract This study used van Dijk's critical-discourse approach to explore the current societal discourse on hope and to explore the hope of older terminally ill cancer patients, their significant others and primary nurse. Forty-three newspaper articles dealing with hope and cancer were collected and analyzed to explore how hope is socially constructed by print media. Individual face-to-face, qualitative, open-ended interviews were conducted with three triads, each consisting of an older palliative cancer patient, a significant other, and a primary nurse. The predominant discourse of hope and cancer in the newspaper articles was considered ageist, conveying the message that only one legitimate hope existed for persons with cancer: hope for a cure. The study findings suggested that this message caus... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=3903935 Thu, 26 Aug 2010 22:09:16 +0100 3903935 http://www.medworm.com/index.php?rid=3903934&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20731890%26dopt%3DAbstract Authors: Wilson K, Rosenberg MW, Abonyi S, Lovelace R ABSTRACTThe Aboriginal population in Canada, much younger than the general population, has experienced a trend towards aging over the past decade. Using data from the 2001 Aboriginal Peoples Survey (APS) and the 2000/2001 Canadian Community Health Survey (CCHS), this article examines differences in health status and the determinants of health and health care use between the 55-and-older Aboriginal population and non-Aboriginal population. The results show that the older Aboriginal population is unhealthier than the non-Aboriginal population across all age groups; differences in health status, however, appear to converge as age increases. Among those aged 55 to 64, 7 per cent of the Aboriginal population report three or more chronic ... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=3903934 Thu, 26 Aug 2010 22:09:13 +0100 3903934 http://www.medworm.com/index.php?rid=3903933&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20731891%26dopt%3DAbstract This article explores race and immigrant disparities in health and health care access across the two countries. The study focus was on middle and old age given the change and increasing diversity in health and health care policy, such as Medicare. Logistic regression analysis of data from the 2002-2003 Joint Canada/United States Survey of Health shows that the joint effect of race and nativity on health outcomes - health differences between native and foreign-born Whites and non-Whites - is largely insignificant in Canada but considerable in the U.S. Non-White native and foreign-born Americans within both 45-to-64 and 65-and-over age groups experience significant disadvantage in health status and access to care, irrespective of health insurance coverage, demographic, socio-economic, and li... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=3903933 Thu, 26 Aug 2010 22:09:09 +0100 3903933 http://www.medworm.com/index.php?rid=3903932&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20731892%26dopt%3DAbstract This article presents the results of a study on the barriers and facilitators to bus use for people aged 60 or older. Two complementary methodologies, nominal group technique and focussed ethnography, were used to identify barriers and facilitators and rank their importance. Two sample sites from Queensland, Australia, were selected, with 227 people participating in the nominal group technique and 40 people participating in the focussed ethnography component. Seven priorities for age-friendly bus systems emerged from the data: vehicle entrance/exit; bus driver friendliness and helpfulness; timetables and scheduling of buses; bus stop locations; pedestrian infrastructure; information and training for older people; and bus routes and destinations. These findings will assist researchers, poli... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=3903932 Thu, 26 Aug 2010 22:09:06 +0100 3903932 http://www.medworm.com/index.php?rid=3876513&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20707937%26dopt%3DAbstract This article examines the living situations and access to social support for community-dwelling people between the ages of 50 and 65, and who have lived with significant physical impairment for more than 15 years. Data were gathered through in-depth, semi-structured interviews with eight men and women. Findings suggest that coping with long-term impairment may be a lonely experience when the individual lacks a strong network of family and/or friends to offer emotional support. Participants felt their experiences of aging with significant long-term impairment were improved when they shared thoughts, feelings, and problems with others. Findings also show the significance of gender regarding access to social support and point towards the importance of using subjective understanding when ascer... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=3876513 Sun, 15 Aug 2010 23:00:00 +0100 3876513 http://www.medworm.com/index.php?rid=3876512&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20707938%26dopt%3DAbstract This study examined how serious leisure, individual differences, social context, and location contribute to older adults' experiences of flow - an intense psychological state - in their daily lives. The Experience Sampling Method was used with 19 older adults in a Midwestern city in the United States. Experience of flow was the outcome measure, and the data were analyzed using hierarchical linear modeling. Results indicated that location and employment status influenced the subjects' flow experience. Furthermore, the findings revealed that retirement was negatively related to experiencing flow, and there was a significant association between home and the flow experience. The results of this study enhance the understanding of flow experiences in the everyday lives of older adults. PMID:... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=3876512 Sun, 15 Aug 2010 23:00:00 +0100 3876512 http://www.medworm.com/index.php?rid=3876511&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20707939%26dopt%3DAbstract Authors: Perks T, Haan M ABSTRACTUsing the 2002 Aging and Social Support Survey (GSS16), multinomial logit regression, and cohort-component projection techniques, this study explored how social support networks, health, and economic characteristics have shaped the residential choices of older Canadians, and predicts how they are likely to do so in the future. It focused on the distribution of 55-to-75-year-olds across three private-dwelling types: general community living, age-restricted housing, and age-restricted housing with nursing care. The analysis shows that social support characteristics are the strongest predictors of dwelling type, meaning that individuals appear to choose their dwellings largely on the basis of their social needs and wants, rather than on their economic or h... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=3876511 Sun, 15 Aug 2010 23:00:00 +0100 3876511 http://www.medworm.com/index.php?rid=3845560&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20687972%26dopt%3DAbstract Authors: Fernandes N, Spencer BG ABSTRACTCanadians expect the same access to health care whether they are rich or poor, and wherever they live, often without direct charge at the point of service. However, we find that the private cost of long-term care differs greatly across the country, and within provinces, we find substantial variation, depending on income level, marital status, and, in Quebec alone, on assets owned. A non-married person with average income would pay more than twice as much in the Atlantic provinces as in Quebec, while a couple with one in care would pay almost four times as much in Newfoundland as in Alberta. PMID: 20687972 [PubMed - as supplied by publisher] (Source: Canadian Journal on Aging) Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=3845560 Thu, 05 Aug 2010 23:00:00 +0100 3845560 http://www.medworm.com/index.php?rid=3845559&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20687973%26dopt%3DAbstract This study set out to develop an understanding of the social objectives of Meals-on-Wheels and to explore the extent to which they are met by Ireland's Meals-on-Wheels services. A literature review suggested that Meals-on-Wheels services can potentially meet three social objectives: (a) providing meals recipients with social contact, (b) helping to restimulate an interest in meals and regularising mealtimes, and (c) helping to develop acceptance of the service. Interviews were conducted with 66 meals recipients to explore these themes and augment them as necessary. Study results show that meals recipients derive limited social contact from the service; regularising mealtimes was not important to most recipients; and many were reluctant to accept the service. The three objectives are theref... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=3845559 Thu, 05 Aug 2010 23:00:00 +0100 3845559 http://www.medworm.com/index.php?rid=3845558&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20687974%26dopt%3DAbstract Authors: Wiersma EC ABSTRACTThe move to a long-term care facility can be particularly traumatic for new residents. Staff can make this transition easier in a number of ways. However, the staff's perceptions of the transition process and residents' experiences will play a significant part in determining the type of support that is given residents during the transition. The purpose of this research was to examine the staff's perceptions of a person's coming to live in a long-term care environment. Using in-depth interviews with staff from one long-term care facility, three main themes emerged that encompassed descriptions of residents' lives. Essentially, the staff described how residents learned to live a life involving various factors in three main categories-life around losses, life a... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=3845558 Thu, 05 Aug 2010 23:00:00 +0100 3845558 http://www.medworm.com/index.php?rid=3586517&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20478080%26dopt%3DAbstract Authors: Maccourt P, Tuokko H ABSTRACTUsing a case scenario involving a marginally competent elderly woman living alone at risk, we assessed the care decisions made by older adults (n = 82) and health care professionals (HCPs, n = 87), and identified differences in the values underlying the care decisions. Overall, participants did not place a high value on independence when they appraised the risk to the client as high and safety as low. Under these conditions, elderly respondents tended to be more paternalistic in their decisions about care, while HCPs tended to be more beneficent. If the values of HCPs differ from those of elderly people, how likely is it that the care provided to marginally competent elderly people will be congruent with their wishes? The care provided by HCPs migh... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=3586517 Mon, 17 May 2010 23:00:00 +0100 3586517 http://www.medworm.com/index.php?rid=3567127&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20465861%26dopt%3DAbstract Authors: Vincent C, Robichaud L, Desrosiers J, Belleville S, Demers L, Viscogliosi C, Deaudelin I, ABSTRACTWe conducted a survey to document the rehabilitation services available to clients aged 65 years and older who had suffered a stroke. In all, respondents - gleaned from 295 resources located in three health regions in the province of Québec - completed a postal questionnaire describing the services that they offer, in terms of type of intervention (related to nine capabilities and seven areas of social participation) and type of services (evaluation, rehabilitation, and support). The results show that most rehabilitation services offered to older people with stroke address motor skills and mobility. Somewhat unexpectedly, for four capability-related interventions and two socia... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=3567127 Thu, 13 May 2010 23:00:00 +0100 3567127 http://www.medworm.com/index.php?rid=3567126&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20465862%26dopt%3DAbstract Authors: Bailly N, Roussiau N ABSTRACTThe study's purpose was to evaluate the psychometric properties of the short form of the Daily Spiritual Experience Scale (DSES) in an elderly French population. Two studies were conducted to examine the psychometric properties of the DSES. Results of factor analysis (studies 1-2) and confirmatory factor analysis (Study 2) indicated that the DSES can be conceptualized on a single general factor. The reliability of the DSES appeared to be satisfactory with good internal consistency (studies 1-2) and good temporal stability (Study 2). As expected, higher scores were correlated with good life satisfaction and good self-evaluation of health, but no correlation was found with depression. Study results provided preliminary evidence of the psychometric pr... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=3567126 Thu, 13 May 2010 23:00:00 +0100 3567126 http://www.medworm.com/index.php?rid=3543102&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20441686%26dopt%3DAbstract This study focused on issues of concern to and service needs of older parents caring for an adult son or daughter with an acquired brain injury (ABI) in Ontario. Three issues were identified as particularly challenging: diagnosis of the brain injury, parents' feelings about the cause of the brain injury, and planning for long-term accommodation for their family member with a brain injury. The most frequently cited services needed for the person with ABI were social and/or recreational activities, day programs, and residential placement. The most frequently cited services needed by parents were parent education and support groups. The information gathered provides a base for further research in other sectors. Implications of these initial findings for clinical practice and policy and progra... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=3543102 Tue, 04 May 2010 23:00:00 +0100 3543102 http://www.medworm.com/index.php?rid=3534630&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20437632%26dopt%3DAbstract Authors: Denton MA, Zeytinoglu IU PMID: 20437632 [PubMed - in process] (Source: Canadian Journal on Aging) Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=3534630 Mon, 01 Mar 2010 00:00:00 +0100 3534630 http://www.medworm.com/index.php?rid=3338824&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20202262%26dopt%3DAbstract Authors: Denton FT, Spencer BG ABSTRACTSince the prevalence of many chronic health conditions increases with age, we might anticipate that as the population ages the proportion with one or more such conditions, and the cost of treatment, would rise. How much would the overall prevalence of chronic conditions increase in a quarter century if age-specific rates of prevalence did not change? How much would the requirements for health care resources increase? How much difference would it make to those requirements if people had fewer chronic conditions? The overall prevalence rates for almost all conditions associated mostly with old age would rise by more than 25 per cent, and health care requirements would grow more rapidly than the population - more than twice as rapidly in the case of ... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=3338824 Mon, 01 Mar 2010 00:00:00 +0100 3338824 http://www.medworm.com/index.php?rid=3338823&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20202263%26dopt%3DAbstract Authors: McDonald JT, Conde H ABSTRACTThe rising cost of health care and changing demographic profiles have resulted in the relocation and redistribution of funding and services between rural and urban areas. Most econometric analyses of Canada's health service use include broad controls by province and rural/urban status, but relatively little econometric work has focused on geographical variation in health service use. Using the Canadian Community Health Survey 2.1, we examined determinants of various measures of health services use by Canadians aged 55 or older across a range of urban and rural areas of residence. Our regression analysis showed that older residents in rural areas made fewer visits to a general practitioner, to a specialist, and to a dentist relative to urban residen... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=3338823 Mon, 01 Mar 2010 00:00:00 +0100 3338823 http://www.medworm.com/index.php?rid=3338822&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20202264%26dopt%3DAbstract Authors: Macdonald BJ, Andrews D, Brown RL ABSTRACTWe determined the after-tax income required to finance basic needs for Canadian elders living with different circumstances in terms of age, gender, city of residence, household size, homeowner or renter status, means of transportation, and health status. Using 2001 as our base year, we priced the typical expenses for food, shelter, medical, transportation, miscellaneous basic living items and home-based long-term care for elders living in five Canadian cities. This is the first Canadian study of basic living expenses tailored to elders instead of adults in general, prepared on an absolute rather than a relative basis. We also accounted for an individual's unique life circumstances and established the varying effect that they have on th... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=3338822 Mon, 01 Mar 2010 00:00:00 +0100 3338822 http://www.medworm.com/index.php?rid=3338821&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20202265%26dopt%3DAbstract Authors: Gaymu J, Busque MA, Légaré J, Décarie Y, Vézina S, Keefe J ABSTRACTWestern societies are experiencing a dramatic growth in the population aged 75 and older. Changes in family composition raise questions about who will care for those who need assistance. We compared population projections to the year 2030 of those families aged 75 and older in Canada and France. Over the next 25 years, the pool of potential family carers, (i.e., spouses and children), will broaden from the effect of the baby boom and increased proportion of women with spouses. The populations most dependent on formal care, with no potential support from a child or a spouse, will increase more sharply in Canada (123%) than in France (34%) but at a slower rate than the total population. Policy... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=3338821 Mon, 01 Mar 2010 00:00:00 +0100 3338821 http://www.medworm.com/index.php?rid=3338820&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20202266%26dopt%3DAbstract This article presents qualitative data derived from interviews with 48 caregiving sons to provide evidence of that diversity. Some themes are common to both married and never-married male caregivers, yet there are also systematic differences between the two groups of caregivers. For example, caregiving for married sons was more limited; caregiving for never-married sons was a more central element in their lives. PMID: 20202266 [PubMed - in process] (Source: Canadian Journal on Aging) Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=3338820 Mon, 01 Mar 2010 00:00:00 +0100 3338820 http://www.medworm.com/index.php?rid=3338819&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20202267%26dopt%3DAbstract Authors: Kobayashi KM, Funk L ABSTRACTDrawing on the intergenerational stake hypothesis (Bengtson and Kuypers, 1971), this article explores intergenerational congruence and incongruence on filial obligation, and implications for social support, between older nisei (second generation) parents and adult sansei (third generation) children in Japanese Canadian families. Using data from semi-structured interviews with 100 parent-child dyads in British Columbia, congruence on close-ended responses to value statements (degree congruence) and the content congruence of open-ended responses are examined. The findings show the majority of parent-child dyads indicate overall (both degree and content) congruence in filial obligation, especially when a parent is female, widowed, and/or has poor/fair... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=3338819 Mon, 01 Mar 2010 00:00:00 +0100 3338819 http://www.medworm.com/index.php?rid=3338818&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20202268%26dopt%3DAbstract This study, funded by the Canadian Institutes of Health Research, examines and refines that model through an analysis of in-depth interviews with home support workers in British Columbia. Home support workers identify key issues in service delivery and discuss a range of creative solutions to complete their daily tasks efficiently, effectively, and respectfully. The study's findings inform our understanding of home support workers' job experiences; they also highlight those qualities that characterize exceptional workers in navigating the various domains of home support. PMID: 20202268 [PubMed - in process] (Source: Canadian Journal on Aging) Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=3338818 Mon, 01 Mar 2010 00:00:00 +0100 3338818 http://www.medworm.com/index.php?rid=3338817&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20202269%26dopt%3DAbstract This article examines the role of immigrant care workers in both home and long-term care sectors, with a focus on relations with older clients and implications for quality of care. The data are derived from interviews with workers, employers, and older clients conducted in various home and long-term care services for older adults across three Canadian provinces: Ontario, British Columbia, and Quebec. Factors stemming from immigrant care workers' ethnic/racial background, language barriers, and contextual factors such as staff shortage in different care settings for older adults complicate the relationship between immigrant care workers and their clients. In some cases, these factors diminish the quality of care. We point to some policy alternatives that our findings suggest should be consi... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=3338817 Mon, 01 Mar 2010 00:00:00 +0100 3338817 http://www.medworm.com/index.php?rid=3338816&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20202270%26dopt%3DAbstract This study examined the six-month prevalence, risk factors, and costs of falls in older people using home support services who are at risk of falling. Of the 109 participants, 70.6 per cent reported >/= one fall in the previous six months, and 27.5 per cent experienced multiple falls. Although there was no statistically significant difference in any fall-related risk factor between fallers (1+ falls) and non-fallers (0 falls), fallers had clinically important trends towards lower levels of physical, social, and psychological functioning. There was no statistically significant difference between fallers and non-fallers in the total per-person costs of use of health services in the previous six months; however, there were significant differences between groups in specific types of health ... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=3338816 Mon, 01 Mar 2010 00:00:00 +0100 3338816 http://www.medworm.com/index.php?rid=3338815&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20202271%26dopt%3DAbstract This study determined the effects and costs of a multifactorial, interdisciplinary team approach to falls prevention. Randomized controlled trial of 109 older adults who are at risk for falls. This was a six-month multifactorial and evidence-based prevention strategy involving an interdisciplinary team. The primary outcome was number of falls during the six-month follow-up. At six months, no difference in the mean number of falls between groups. Subgroup analyses showed that the intervention effectively reduced falls in men (75-84 years old) with a fear of falling or negative fall history. Number of slips and trips was greatly reduced; and emotional health had a greater improvement in role functioning related to emotional health in the intervention group. Quality of life was improved, slip... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=3338815 Mon, 01 Mar 2010 00:00:00 +0100 3338815 http://www.medworm.com/index.php?rid=3292205&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20166274%26dopt%3DAbstract Authors: Huber WR, Sierra F PMID: 20166274 [PubMed - in process] (Source: Canadian Journal on Aging) Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=3292205 Tue, 01 Dec 2009 00:00:00 +0100 3292205 http://www.medworm.com/index.php?rid=3017320&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19925695%26dopt%3DAbstract Authors: Osborne JW ABSTRACTThe coincidence of retirement and aging, experienced in the later stages of life, can trigger a recurrence of the bipolar tensions of earlier stages described in Erikson's model of personality development. The model provides a means for retirees to understand the ground from which their present identity has developed and how the psychodynamics of previous life stages can be reactivated by the onset of retirement and aging. Stages of the model are illustrated by experiences within the context of retirement. The utility of Erikson's model is suggested as a means of enhancing self-awareness, self-understanding, and adjustment to retirement. PMID: 19925695 [PubMed - as supplied by publisher] (Source: Canadian Journal on Aging) Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=3017320 Sun, 22 Nov 2009 20:34:30 +0100 3017320 http://www.medworm.com/index.php?rid=3017319&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19925696%26dopt%3DAbstract Authors: Kaida L, Moyser M, Park SY ABSTRACTUsing data from the 2001 Census Public Use Microdata Files on Individuals, we examine the role of cultural preferences and economic constraints in elderly Canadians' choice of living arrangements (living with one's children and/or other relatives versus living independently). We find that members of ethnic groups holding familistic cultural values (Italian, Chinese, South Asian, and East Indian) are more likely than their individualistic counterparts (British, German, and Dutch) to live with kin. Economic disadvantage also entails a greater likelihood of living with kin. However, the relative importance of cultural preferences and economic constraints as determinants of living arrangements among the elderly depends on marital status. Among th... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=3017319 Sun, 22 Nov 2009 20:34:28 +0100 3017319 http://www.medworm.com/index.php?rid=3017318&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19925697%26dopt%3DAbstract Authors: Tate RB, Loewen BL, Bayomi DJ, Payne BJ ABSTRACTIn the absence of a universally agreed-upon definition of successful aging, researchers increasingly look to older adults for layperson views of aging and definitions of successful aging. To use lay definitions in studies of aging, however, researchers must address the definitions' consistency. In 2004, surviving members of the Manitoba Follow-up Study male cohort (mean age: 83 years) were asked twice for their definition of successful aging. A consistency category was assigned based on the similarity of themes in each of 654 pairs of definitions. At least half of the main themes were similar in 70 per cent of the definition pairs; 80 per cent of respondents repeated at least one theme. Positive or negative health events in the f... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=3017318 Sun, 22 Nov 2009 20:34:25 +0100 3017318 http://www.medworm.com/index.php?rid=3017317&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19925698%26dopt%3DAbstract This study indicates that caregivers can benefit from receiving professional support via asynchronous e-mails and a dedicated information web site. The ICSS is a feasible approach for supporting caregivers who prefer an alternative service model. This emerging service requires more research in: enhanced technology design, service delivery models for immigrant caregivers, and evaluation of effectiveness and cost-effectiveness. PMID: 19925698 [PubMed - as supplied by publisher] (Source: Canadian Journal on Aging) Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=3017317 Sun, 22 Nov 2009 20:34:22 +0100 3017317 http://www.medworm.com/index.php?rid=3017316&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19925699%26dopt%3DAbstract Manque du nom propre et effet de la modalité sur la capacité à reconnaître des personnes connues au cours du vieillissement normal. Can J Aging. 2009 Dec;28(4):337-345 Authors: Langlois R, Fontaine F, Hamel C, Joubert S ABSTRACTThe aim of this study was to investigate the impact of aging on the ability a) to name famous faces and b) to access biographical knowledge about famous people from different modalities of presentation (faces and names). Healthy elderly subjects (n = 117) divided into three different age groups were assessed using a semantic memory test of famous people. Results of this study indicate a decline in naming performance between oldest and youngest groups. In contrast, no difference between groups was found in terms of the ability to acces... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=3017316 Sun, 22 Nov 2009 20:34:19 +0100 3017316 http://www.medworm.com/index.php?rid=3017315&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19925700%26dopt%3DAbstract This study was aimed at providing normative data for the Mini-Mental State Examination (MMSE). The norms were built from a sample (n = 2409) of community-dwelling French speaking residents from Québec aged 65 and older. The analyses indicated that socio-demographic variables such as education level, age, and gender of individuals influenced significantly the scores of older adults on the MMSE. More precisely, MMSE scores increased with education level and decreased with age. Moreover, women had significantly higher scores than men. On this basis, distinct tables of normative data were produced for women and men. In each table, the MMSE scores corresponding to percentiles 5, 10, 15 and 50 were identified according to four age categories and three education levels. Overall, the use of t... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=3017315 Sun, 22 Nov 2009 20:34:16 +0100 3017315 http://www.medworm.com/index.php?rid=3017314&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19925701%26dopt%3DAbstract Authors: Ploeg J, Denton M, Tindale J, Hutchison B, Brazil K, Akhtar-Danesh N, Lillie J, Plenderleith JM ABSTRACTThe article examines where older adults seek help in caring for a parent with dementia and the factors associated with their identification of community health and support services as sources of assistance. The authors conducted telephone interviews, using random digit dialing, of 1,152 adults aged 50 and over in the city of Hamilton. Respondents received a vignette that raised issues related to parental dementia. In identifying support sources, over 37 per cent of respondents identified their physician, 33 per cent identified informal support such as family and neighbors, and 31 per cent identified home health services. Only 18 per cent identified community support services... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=3017314 Sun, 22 Nov 2009 20:34:12 +0100 3017314 http://www.medworm.com/index.php?rid=3017313&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19925702%26dopt%3DAbstract This article presents two studies dealing with ageism. The objective of the first study was to adapt to French language and validate the Fraboni of Ageism Scale-Revised (FSA-R) which contains 23 items, while the objective of the second study was to test a structural model containing ageism as measured by the FSA-R and the "Big Three": empathy, social dominance orientation, and dogmatism, controlled for by sex and age. The results of the first study (n = 323) generated a version of the FSA-R comprising 14 items, of which the psychometric properties were very satisfactory. Using structural equation modelling and bootstrap procedure, the results of the second study (n = 284) showed a direct negative and significant effect of empathy on agism. They also showed that this negative effect was med... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=3017313 Sun, 22 Nov 2009 20:34:10 +0100 3017313 http://www.medworm.com/index.php?rid=2939735&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19860977%26dopt%3DAbstract Authors: Raina PS, Wolfson C, Kirkland SA, Griffith LE, Oremus M, Patterson C, Tuokko H, Penning M, Balion CM, Hogan D, Wister A, Payette H, Shannon H, Brazil K ABSTRACTCanadians are living longer, and older persons are making up a larger share of the population (14% in 2006, projected to rise to 20% by 2021). The Canadian Longitudinal Study on Aging (CLSA) is a national longitudinal study of adult development and aging that will recruit 50,000 Canadians aged 45 to 85 years of age and follow them for at least 20 years. All participants will provide a common set of information concerning many aspects of health and aging, and 30,000 will undergo an additional in-depth examination coupled with the donation of biological specimens (blood and urine). The CLSA will become a rich data source ... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=2939735 Tue, 01 Sep 2009 00:00:00 +0100 2939735 http://www.medworm.com/index.php?rid=2939734&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19860978%26dopt%3DAbstract This study explored Canadians' views regarding one such study, the proposed Canadian Longitudinal Study on Aging (CLSA). Focus groups of participants >/=40 years of age were held in six proposed CLSA data collection sites (Halifax, Montreal, Hamilton, Winnipeg, Calgary, and Vancouver) to discuss participating in a long-term study of healthy aging. There was fundamental support for longitudinal research on health and aging. Altruism was a key motivation to participation, and universities were viewed as credible parties to conduct such studies. Participants had few worries about providing biological samples but expressed concern about potential misuse of genetic materials, commercialization of participant data, and privacy issues. These findings have already informed current, and will inf... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=2939734 Tue, 01 Sep 2009 00:00:00 +0100 2939734 http://www.medworm.com/index.php?rid=2939733&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19860979%26dopt%3DAbstract Authors: Wolfson C, Raina PS, Kirkland SA, Pelletier A, Uniat J, Furlini L, Angus CL, Strople G, Keshavarz H, Szala-Meneok K ABSTRACTThe goal of the Canadian Longitudinal Study on Aging (CLSA) is to recruit 50,000 participants aged 45 to 85 years of age and follow them for at least 20 years. The sampling and recruitment processes for a study of this scope and magnitude present important challenges. Statistics Canada was approached to collaborate with the CLSA with the goal of determining whether the Canadian Community Health Survey (CCHS) could be used as a recruitment vehicle for the CLSA. In this pilot study conducted in 2004, it was determined that 63.8 per cent and 75.8 per cent of the respondents agreed to share their contact information and their survey responses with the CLSA, r... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=2939733 Tue, 01 Sep 2009 00:00:00 +0100 2939733 http://www.medworm.com/index.php?rid=2939732&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19860980%26dopt%3DAbstract Authors: Wolfson C, Kirkland SA, Raina PS, Uniat J, Roberts K, Bergman H, Furlini L, Pelletier A, Strople G, Angus CL, Keshavarz H, Szala-Meneok K ABSTRACTAs part of its recruitment process, the Canadian Longitudinal Study on Aging (CLSA) will face the challenge of screening out individuals who are sufficiently impaired in their ability to provide informed consent. In the process of developing the design of the CLSA, a review of the literature was performed with the goal of identifying currently existing telephone cognitive screening tools that can be used to identify eligible study participants for population-based research on aging. We identified 12 telephone screening tools, four of which were based on the Mini-Mental State Exam (MMSE) and eight that were based on other face-to-face... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=2939732 Tue, 01 Sep 2009 00:00:00 +0100 2939732 http://www.medworm.com/index.php?rid=2939731&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19860981%26dopt%3DAbstract Authors: Balion CM, Raina PS, Wolfson C, Kirkland SA, Keys JL, Griffith LE, Pelletier A, Uniat J, McQueen MJ ABSTRACTBiological specimen collection is an integral part of many longitudinal epidemiological studies. It is important to achieve high participant satisfaction for continuing involvement, and high sample quality for accurate biomarker measurement. We conducted a study to evaluate these issues on the sample collection proposed for the Canadian Longitudinal Study on Aging (CLSA). There were 85 participants recruited, and 65 attended either a hospital laboratory or private laboratory. Approximately 100 mL of blood and a random urine specimen were collected from each participant for a total of 2,108 sample aliquots. Quality standards were met for more than 90 per cent of samples a... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=2939731 Tue, 01 Sep 2009 00:00:00 +0100 2939731 http://www.medworm.com/index.php?rid=2939729&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19860982%26dopt%3DAbstract Authors: Raina PS, Wolfson C, Kirkland SA, Keshavarz H, Griffith LE, Patterson C, Uniat J, Strople G, Pelletier A, Angus CL ABSTRACTStandard clinical diagnostic procedures are often inappropriate and frequently not feasible to apply in population-based studies, yet ascertaining accurate disease status is essential. We conducted a systematic review to identify algorithms, criteria, and tools used to ascertain 17 chronic diseases, and assessed the feasibility of developing algorithms for the CLSA. Of the 29,616 citations screened, 668 papers met all inclusion criteria. We determined that the information included in a disease algorithm will differ by condition type. The diagnosis of some symptomatic conditions, such as osteoarthritis and arthritis, will require substantiation by clinical ... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=2939729 Tue, 01 Sep 2009 00:00:00 +0100 2939729 http://www.medworm.com/index.php?rid=2939725&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19860983%26dopt%3DAbstract Authors: Raina PS, Kirkland SA, Wolfson C, Szala-Meneok K, Griffith LE, Keshavarz H, Uniat J, Furlini L, Angus CL, Strople G, Pelletier A ABSTRACTOne of the keys to the success of the Canadian Longitudinal Study on Aging (CLSA) will be the leveraging of secondary data sources, particularly health care utilization (HCU) data. To examine the practical, methodological, and ethical aspects of accessing HCU data, one-on-one qualitative interviews were conducted with 53 data stewards and privacy commissioners/ombudsmen from across Canada. Study participants indicated that obtaining permission to access HCU data is generally possible; however, they noted that this will be a complex and lengthy process requiring considerable and meticulous preparatory work to ensure proper documentation and co... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=2939725 Tue, 01 Sep 2009 00:00:00 +0100 2939725 http://www.medworm.com/index.php?rid=2939746&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19860969%26dopt%3DAbstract Authors: Horgan S, Leclair K, Donnelly M, Hinton G, Maccourt P, Krieger-Frost S ABSTRACTCanada faces a significant challenge in meeting the health care needs of older adults with complex mental and physical health issues. Studies have shown collaborative mental health services to effectively address the diverse health needs of this group. However, an often overlooked yet important aspect of service delivery planning for this population is to ensure that older adults are sufficiently able to access available best-practice services. The article reports on a national consensus-building exercise conducted by the Collaborative Mental Health Initiative-Seniors Working Group to develop a nationally informed framework on the accessibility needs of older adults as they relate to collaborative m... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=2939746 Mon, 01 Jun 2009 00:00:00 +0100 2939746 http://www.medworm.com/index.php?rid=2939742&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19860970%26dopt%3DAbstract This study asks whether home support cooperatives deliver higher-quality care than non-profit home support agencies. The specific effects of consumer and worker participation on the board of directors are also tested. Data were collected in 2006 and 2007 from 831 individuals receiving home support services from nine cooperatives and nine non-profits. Two consumer-centered measures of quality were used: a summated, 39-point satisfaction score and a 4-point overall quality score. Data were analyzed using ordered logistic regression. Results show that although organizational type was not a predictor of the two quality outcomes, worker involvement in governance was positively associated with the satisfaction score, while consumer involvement was positively associated with the overall quality s... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=2939742 Mon, 01 Jun 2009 00:00:00 +0100 2939742 http://www.medworm.com/index.php?rid=2939741&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19860971%26dopt%3DAbstract This study aimed to develop an adapted leisure education program. It included an evaluation of the caregivers' needs, the program content development, and a pilot study to experiment with the content of the program. Three focus groups of dementia caregivers (n = 19) were conducted to investigate caregivers needs. Based on content analysis of these focus groups and a literature review, the content of the program was developed. The pilot study (n = 4) included a quasi-experimental trial and an implementation evaluation. This study led to the development of an adapted leisure education program that puts caregiver support in a new perspective, focusing on positive aspects rather than the burden of caregiving. PMID: 19860971 [PubMed - in process] (Source: Canadian Journal on Aging) Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=2939741 Mon, 01 Jun 2009 00:00:00 +0100 2939741 http://www.medworm.com/index.php?rid=2939740&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19860972%26dopt%3DAbstract This study investigated the relationships among gender role and self-reported health functioning in a sample of community dwelling older adults. One hundred and two (55 female, 47 male) participants were recruited through seniors' associations in Windsor, Ontario. Analyses of variance were conducted separately by gender to compare the self-rated physical health functioning, wellness, and life satisfaction of participants differing on classification of their gender role. For older women classified as androgynous, gender role exhibited significant effects on general wellness and life satisfaction, but not on self-reported physical health functioning. In support of Bem's androgyny model of optimal adjustment, post-hoc analyses revealed that women who rated themselves as androgynous reported b... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=2939740 Mon, 01 Jun 2009 00:00:00 +0100 2939740 http://www.medworm.com/index.php?rid=2939739&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19860973%26dopt%3DAbstract Authors: Clément F, Belleville S, Bélanger S, Chassé V ABSTRACTAn increasing number of studies have documented the cognitive profile of individuals with mild cognitive impairment (MCI), but few studies have investigated the individuals' psychological health and personality traits or how these factors interact with cognition. In the present study, 27 healthy older adults and 30 persons with MCI completed questionnaires covering psychological health, morale, personality, self-efficacy, and self-actualization. The results indicated that individuals with MCI are more depressed, anxious, hostile, and have lower morale than matched healthy older adults. Furthermore, our results show a positive association between the level of depression of MCI persons and the severity of their... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=2939739 Mon, 01 Jun 2009 00:00:00 +0100 2939739 http://www.medworm.com/index.php?rid=2939738&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19860974%26dopt%3DAbstract This study included 200 older patients referred to a geriatric outpatient clinic specializing in dizziness, falls, and syncope. The primary outcome measure was the proportion of patients who experienced FOF (yes vs. no) and whether FOF restricted leaving home alone or performing activities of daily living. FOF occurred in 50 per cent of patients in this population. Among these, 44 per cent gave up going out alone and 10 per cent stopped doing basic activities of daily living. Beyond age 75, FOF was associated with recurrent dizziness, depression, and symptoms on standing, but not prior falls. PMID: 19860974 [PubMed - in process] (Source: Canadian Journal on Aging) Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=2939738 Mon, 01 Jun 2009 00:00:00 +0100 2939738 http://www.medworm.com/index.php?rid=2939737&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19860975%26dopt%3DAbstract Authors: Caspar S, O'Rourke N, Gutman GM ABSTRACTWith this study we set out to determine if differences exist across culture change models (CCM) in relation to formal caregivers' perceived access to empowerment structures and reported provision of individualized care. We recruited staff working in facilities that had implemented the Eden Alternative, GentleCare, Facility Specific Social Models of Care (FSSMOC), or no CCM. Multivariate analyses of variance (MANOVA) compared these constructs by CCM for each of three caregiver groups (Registered Nurses, Licensed Practical Nurses, and care aides). Results suggest that considerable differences exist between formal caregivers and by CCM. The greater caregivers' day-to-day contact with residents, the more CCMs appear to affect perceived empow... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=2939737 Mon, 01 Jun 2009 00:00:00 +0100 2939737 http://www.medworm.com/index.php?rid=2939736&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19860976%26dopt%3DAbstract Authors: Wasylkiw L, Gould ON, Johnstone D ABSTRACTBecause public acceptance is critical for the successful integration of nurse practitioners into the Canadian health care system, the current study explored how women of different ages perceive nurse practitioners. Middle-aged women held more positive views of health care professionals in general and were more likely to indicate that they would seek help from nurse practitioners compared to younger and older women. Across all three age groups, respondents were more likely to seek help from physicians than from nurse practitioners, especially for acute (versus preventive) health concerns. PMID: 19860976 [PubMed - in process] (Source: Canadian Journal on Aging) Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=2939736 Mon, 01 Jun 2009 00:00:00 +0100 2939736 http://www.medworm.com/index.php?rid=2939758&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19860963%26dopt%3DAbstract Rencontre entre mémoire et contrôle chez des jeunes et des aînés : la naissance d'une plainte ? Can J Aging. 2009 Mar;28(1):5-20 Authors: Guerdoux E, Martin S, Dressaire D, Adam S, Brouillet D ABSTRACTThe aim of this study is to explore cognitive complaint by investigating the influence of memory controlled processes (recollection) and metacognitive beliefs. Several methodological precautions were taken in order to control neuropsychological and psychopathological criteria, like anxiety, depression or objective memory trouble. The "habit paradigm" (Hay & Jacoby, 1999) was used to create a "memory slips" task, and to estimate the contributions of recollection and habit to performance. Besides, participants were asked to complete questionnaires in order to... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=2939758 Sun, 01 Mar 2009 00:00:00 +0100 2939758 http://www.medworm.com/index.php?rid=2939756&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19860964%26dopt%3DAbstract Authors: Crilly RG, Speechley M, Overend TJ, Mackenzie R, Simon S, Cremer S ABSTRACTHip fractures, fragility fractures, indicate an increased risk for further fragility fractures. Although the way to define osteoporosis, requiring antiresorptive therapy, is not clear, all patients who have had hip fractures should be prescribed calcium and vitamin D at a minimum. In a retrospective chart review, we have explored the effectiveness of incorporating a standing recommendation (but not a standing order) for calcium and vitamin D treatment in a hip fracture care pathway, comparing units where the pathway had been implemented with those where it had not yet been started. The pathway resulted in significantly more initiation of calcium and vitamin D compared to patients not on the pathway (72%... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=2939756 Sun, 01 Mar 2009 00:00:00 +0100 2939756 http://www.medworm.com/index.php?rid=2939754&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19860965%26dopt%3DAbstract This study was carried out to explore the fit between health and functional characteristics of Day Program participants and the types of program activities they were offered in Day Programs. The subjects were 132 participants from 5 Day Programs in Montreal. Four different participant profile groups were identified using cluster analysis. A classification of program activities was created by a panel of experts. Participation in these activities was studied for each profile group, and compared to recommended activities for such client groups outlined through examination of the literature and consultation with our panel of experts. Results showed only partial correspondence between program activities and participants' needs. This correspondence seemed higher for individuals with physical hea... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=2939754 Sun, 01 Mar 2009 00:00:00 +0100 2939754 http://www.medworm.com/index.php?rid=2939751&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19860966%26dopt%3DAbstract Authors: Préville M, Vasiliadis HM, Boyer R, Goldfarb M, Demers K, Brassard J, Béland SG, ABSTRACTTo document the use of health services for psychological distress symptoms, we collected data from a cross-section of adults aged 65 years and over. Nearly 13 per cent met DSM-IV criteria for mood or anxiety disorders. In addition, 42.4 per cent of those having at least one DSM-IV diagnosis reported having used health services. Results show a direct association between the presence of a probable DSM-IV diagnosis and health service use. However, our results show no significant association between gender and health service use, and do not support the hypothesis that minimal social support increases the probability of older adults using health services for psychological distress. T... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=2939751 Sun, 01 Mar 2009 00:00:00 +0100 2939751 http://www.medworm.com/index.php?rid=2939749&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19860967%26dopt%3DAbstract Authors: Denton FT, Spencer BG ABSTRACTBecause the concept of retirement is prominent in both popular thinking and academic studies, it would be helpful if the notion were analytically sound, could be measured with precision, and would make possible comparisons of patterns of retirement over time and among different populations. This paper reviews and assesses the many concepts and measures that have been proposed, summarizing them in groupings that reflect non-participation or reduced participation in the labour force, receipt of pension income, end-of-career employment, self-assessed retirement, or combinations of those characteristics. It concludes that there is no agreed measure and that no one measure dominates. Instead, new proposed measures continue to take account of additional... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=2939749 Sun, 01 Mar 2009 00:00:00 +0100 2939749 http://www.medworm.com/index.php?rid=2939747&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19860968%26dopt%3DAbstract Authors: Donald F, Mohide EA, Dicenso A, Brazil K, Stephenson M, Akhtar-Danesh N ABSTRACTThis survey assessed the extent of and satisfaction with collaboration between physicians and nurse practitioners (NPs) working in Ontario long-term care homes. Questionnaires, which included the Measure of Current Collaboration and Provider Satisfaction with Current Collaboration instruments, were mailed to NPs and physicians with whom the NP most frequently worked. The 14 matched-pairs of NPs and physicians reported similar levels of collaboration; however, physicians were significantly more satisfied with collaboration than were NPs (z = -2.67, p = 0.008). The majority of physicians (85%) and NPs (86%) indicated that collaboration was occurring, and 96 per cent of physicians and 79 per cent of N... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=2939747 Sun, 01 Mar 2009 00:00:00 +0100 2939747 http://www.medworm.com/index.php?rid=2041590&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18845511%26dopt%3DAbstract Authors: Spitzenstetter F, Moessinger M People frequently express comparative optimism ; that is, they believe they are less likely than average to experience negative events. The aim of the present study is, first, to observe whether people of more than 65 years are still optimists when they evaluate driving-related risks; and second, to test the assumption that older drivers show less optimism when they compare themselves with average-age drivers than when they compare themselves with same-age drivers. Our results reveal that drivers of more than 65 years do, indeed, express comparative optimism, but, contrary to our expectation, only in a limited number of cases does the age of the comparison target appear to have an effect. These results are particularly discussed in terms of self-... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=2041590 Wed, 17 Dec 2008 16:28:42 +0100 2041590 http://www.medworm.com/index.php?rid=2041589&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18845513%26dopt%3DAbstract The objective burden sub-scale correlates moderately with a measure of functional autonomy (SMAF). Results for the subjective burden scale linked to demand are, however, inadequate. All in all, two of the three sub-scales of the French-Canadian version of the Montgomery Borgatta Caregiver Burden Scale demonstrate adequate psychometric properties, thereby favouring its use in geriatric rehabilitation. PMID: 18845513 [PubMed - indexed for MEDLINE] (Source: Canadian Journal on Aging) Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=2041589 Wed, 17 Dec 2008 16:28:42 +0100 2041589 http://www.medworm.com/index.php?rid=2041588&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18845514%26dopt%3DAbstract Authors: Ducharme F, Paquet M, Vissandjée B, Carpentier N, Lévesque L, Trudeau D In Canada, the care provided by families occurs in an increasingly multiethnic context. Against this backdrop, the present qualitative study aims to explore the needs/expectations and solutions not only of (female) natural caregivers of an elderly relative hailing from Haiti (presented in terms of tracking cases) but also of remunerated home care providers - all with a view to developing a culturally sensitive service offering. As such, this study works from a conceptual framework centring on the negotiation of a common area of agreement between the stakeholders involved (i.e., natural caregivers and home care providers). To this end, focus groups and individual interviews were conducted among 15... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=2041588 Wed, 17 Dec 2008 16:28:42 +0100 2041588 http://www.medworm.com/index.php?rid=1930959&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18845511%26dopt%3DAbstract Authors: Spitzenstetter F, Moessinger M People frequently express comparative optimism ; that is, they believe they are less likely than average to experience negative events. The aim of the present study is, first, to observe whether people of more than 65 years are still optimists when they evaluate driving-related risks; and second, to test the assumption that older drivers show less optimism when they compare themselves with average-age drivers than when they compare themselves with same-age drivers. Our results reveal that drivers of more than 65 years do, indeed, express comparative optimism, but, contrary to our expectation, only in a limited number of cases does the age of the comparison target appear to have an effect. These results are particularly discussed in terms of self-... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=1930959 Tue, 04 Nov 2008 17:27:54 +0100 1930959 http://www.medworm.com/index.php?rid=1869021&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18845508%26dopt%3DAbstract Editorial: the "greening" of the canadian journal on aging. Can J Aging. 2008;27(2):131-4 Authors: Rosenberg M PMID: 18845508 [PubMed - in process] (Source: Canadian Journal on Aging) Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=1869021 Sat, 11 Oct 2008 16:43:24 +0100 1869021 http://www.medworm.com/index.php?rid=1869020&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18845509%26dopt%3DAbstract Authors: McGilton KS, Guruge S, Librado R, Bloch L, Boscart V Research on the relationships between health care aides (HCAs) and families of clients has been situated mainly in long-term care settings and includes scant findings about the perceptions of HCAs. Based on the findings of a larger qualitative study using a grounded theory approach, this paper addresses the topic of HCA-family relationships in complex continuing care (CCC). In-depth individual interviews with eight HCAs and a follow-up focus group with HCAs from three CCC facilities were analysed. Building relationships with families entailed "being there for them and their relatives", while maintaining relationships involved "dealing with disappointments". Factors influencing building and maintaining HCA-family relationship... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=1869020 Sat, 11 Oct 2008 16:43:24 +0100 1869020 http://www.medworm.com/index.php?rid=1869019&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18845510%26dopt%3DAbstract Authors: Gonsalves C, Pichora-Fuller MK Innovations in information and communication technologies are changing society, but only 1 in 15 Canadian seniors used a computer at the turn of the millennium (Statistics Canada, 2000). Furthermore, about 1 in 5 Canadian seniors has difficulty hearing, seeing, or communicating. The primary goal of the study was to investigate the relationship between hearing impairment and the use of information and communication technologies by older adults. A questionnaire about use of technologies was administered to 135 older adults and hearing was measured using audiometry. Hearing was found to be related to the extent of use of communication technologies, especially newer and more specialized technologies. Those with hearing loss who did not use a hearing ... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=1869019 Sat, 11 Oct 2008 16:43:24 +0100 1869019 http://www.medworm.com/index.php?rid=1869018&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18845511%26dopt%3DAbstract Personnes âgées et perception des risques en matière de conduite automobile : les conducteurs âgés manifestent-ils encore de l'optimisme comparatif ? Can J Aging. 2008;27(2):159-67 Authors: Spitzenstetter F, Moessinger M People frequently express comparative optimism ; that is, they believe they are less likely than average to experience negative events. The aim of the present study is, first, to observe whether people of more than 65 years are still optimists when they evaluate driving-related risks; and second, to test the assumption that older drivers show less optimism when they compare themselves with average-age drivers than when they compare themselves with same-age drivers. Our results reveal that drivers of more than 65 years do, indeed, expres... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=1869018 Sat, 11 Oct 2008 16:43:24 +0100 1869018 http://www.medworm.com/index.php?rid=1869017&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18845512%26dopt%3DAbstract This article compares predictors of role-specific burden and two quality-of-life measures among caregivers experiencing heavy care demands to assess role-impact on each. The study included 92 community-based caregivers on Vancouver Island. Predictors included primary stressors, personal resources, and socio-demographic factors. Demands of caregiving emerged as the most significant correlate of role-specific burden and was important for overall well-being indirectly, through burden. Resilience was an important correlate of all three outcomes. Over the year of the study, caregivers improved in all three outcomes examined, but we were unsuccessful in predicting that change. Findings suggest caregivers can both be burdened and simultaneously experience good or high well-being, pointing to the ... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=1869017 Sat, 11 Oct 2008 16:43:24 +0100 1869017 http://www.medworm.com/index.php?rid=1869016&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18845513%26dopt%3DAbstract The objective burden sub-scale correlates moderately with a measure of functional autonomy (SMAF). Results for the subjective burden scale linked to demand are, however, inadequate. All in all, two of the three sub-scales of the French-Canadian version of the Montgomery Borgatta Caregiver Burden Scale demonstrate adequate psychometric properties, thereby favouring its use in geriatric rehabilitation. PMID: 18845513 [PubMed - in process] (Source: Canadian Journal on Aging) Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=1869016 Sat, 11 Oct 2008 16:43:24 +0100 1869016 http://www.medworm.com/index.php?rid=1869015&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18845514%26dopt%3DAbstract Des services à domicile culturellement sensibles : perspective des intervenants et des proches-aidantes originaires d'Haïti en tant que cas traceur. Can J Aging. 2008;27(2):191-205 Authors: Ducharme F, Paquet M, Vissandjée B, Carpentier N, Lévesque L, Trudeau D In Canada, the care provided by families occurs in an increasingly multiethnic context. Against this backdrop, the present qualitative study aims to explore the needs/expectations and solutions not only of (female) natural caregivers of an elderly relative hailing from Haiti (presented in terms of tracking cases) but also of remunerated home care providers - all with a view to developing a culturally sensitive service offering. As such, this study works from a conceptual framework centring on the nego... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=1869015 Sat, 11 Oct 2008 16:43:24 +0100 1869015 http://www.medworm.com/index.php?rid=1869014&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18845515%26dopt%3DAbstract This study examines the baseline characteristics and changes in health status and cost of use of health services associated with use of publicly funded home support services. The analysis includes 122 people 75 years of age or more who were eligible for home support services. Over a 6-month period, one third of the sample used home support services for more than 1 hr/week; these seniors had higher rates of depression and cognitive impairment, lower levels of physical and emotional functioning, and less effective coping styles than those who used fewer services. Cognitive impairment explained 17 per cent of the variation in use of home support services. At 6 months, use of home support services for more than 1 hr/week by seniors with higher levels of need was associated with lower cost of u... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=1869014 Sat, 11 Oct 2008 16:43:24 +0100 1869014 http://www.medworm.com/index.php?rid=1869013&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18845516%26dopt%3DAbstract Authors: Durant M Involuntary weight loss (IWL) is common in the North American elderly population and affects as many as 60 per cent of nursing home residents, representing a threat to health and function. Investigation into nutrient provision in a long-term care (LTC) centre showed that mean total energy exposure over the 5-week menu cycle differed significantly between regular and puréed diet orders, with lower mean levels of exposure to all three macronutrients on a puréed diet order. There is sufficient evidence that current LTC menus may provide fewer nutrients in those receiving puréed diets that further investigation in this area is warranted. PMID: 18845516 [PubMed - in process] (Source: Canadian Journal on Aging) Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=1869013 Sat, 11 Oct 2008 16:43:24 +0100 1869013 http://www.medworm.com/index.php?rid=1869012&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18845517%26dopt%3DAbstract Francine Ducharme. Famille et soins aux personnes âgées : enjeux, défis et stratégies . Montréal : Beauchemin Chenelière éducation, 2006. Can J Aging. 2008;27(2):229-30 Authors: Phaneuf M Famille et soins aux personnes âgées: enjeux, défis et stratégies [Families and care for the elderly: challenges and strategies] provides an overview of ageing in various societies and particularly in this country, and of the repercussions of this phenomenon in terms of the steadily increasing responsibilities of families one of whose members has become vulnerable as the result of ageing or illness. The author describes the difficulties encountered by natural caregivers and explicates both their needs and the inadequacy of the services mad... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=1869012 Sat, 11 Oct 2008 16:43:24 +0100 1869012 http://www.medworm.com/index.php?rid=1618818&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18492629%26dopt%3DAbstract Authors: Rosenberg M PMID: 18492629 [PubMed - in process] (Source: Canadian Journal on Aging) Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=1618818 Mon, 14 Jul 2008 14:43:10 +0100 1618818 http://www.medworm.com/index.php?rid=1618817&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18492630%26dopt%3DAbstract Note du rédacteur en chef. Can J Aging. 2008;27(1):2 Authors: Rosenberg M PMID: 18492630 [PubMed - in process] (Source: Canadian Journal on Aging) Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=1618817 Mon, 14 Jul 2008 14:43:10 +0100 1618817 http://www.medworm.com/index.php?rid=1618816&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18492631%26dopt%3DAbstract Authors: Fast J, Eales J, Keating N PMID: 18492631 [PubMed - in process] (Source: Canadian Journal on Aging) Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=1618816 Mon, 14 Jul 2008 14:43:10 +0100 1618816 http://www.medworm.com/index.php?rid=1618815&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18492632%26dopt%3DAbstract Observations finales pour le numéro supplémentaire de la RCV : Les coûts cachés des soins. Can J Aging. 2008;27(1):7-9 Authors: Fast J, Eales J, Keating N PMID: 18492632 [PubMed - in process] (Source: Canadian Journal on Aging) Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=1618815 Mon, 14 Jul 2008 14:43:10 +0100 1618815 http://www.medworm.com/index.php?rid=1618814&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18492633%26dopt%3DAbstract Authors: Garrett DD, Tuokko H, Stajduhar KI, Lindsay J, Buehler S Steps involved in formalizing end-of-life care preferences and factors related to these steps are unclear in the literature. Using data from the third wave of the Canadian Study of Health and Aging (CSHA-3), we examined the relations between demographic and health predictors, on the one hand, and three outcomes, on the other (whether participants had thought about, discussed , or formalized their end-of-life preferences), and considered, as well, whether relations existed among the three outcomes. Canadian region of residence, female gender, and more years of education predicted having thought about preferences; region of residence, female gender, and lack of cognitive impairment predicted discussion of preferences; and ... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=1618814 Mon, 14 Jul 2008 14:43:10 +0100 1618814 http://www.medworm.com/index.php?rid=1618813&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18492634%26dopt%3DAbstract Authors: Gantert TW, McWilliam CL, Ward-Griffin C, Allen NJ Changing demographics and hospital downsizing have placed increasing demands on the home care sector. Many of those receiving in-home care are seniors whose chronic conditions require a collaborative approach. Both providers' paternalistic orientations toward senior clients and seniors' passivity within provider-client interactions have the potential to undermine relationship building. While the former has been documented, how seniors perceive relationship building within the home has received little attention. The purpose of this study was to explore seniors' perspectives on relationship building with in-home providers, focusing particularly on the facilitators of and barriers to this experience. Applying interpretive phenome... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=1618813 Mon, 14 Jul 2008 14:43:10 +0100 1618813 http://www.medworm.com/index.php?rid=1618812&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18492635%26dopt%3DAbstract Authors: Milke DL, Kendall TS, Neumann I, Wark CF, Knopp A While American literature on sustaining restraint reduction is relatively robust, there is a lack of research published on the same issue in Canadian continuing care (CC) settings. Statistics from Canada's largest publicly funded and operated CC organization have revealed telling patterns in mechanical restraint use. Over a 4-year study period during a campaign to reduce mechanical restraint use, the organizational prevalence dropped from 24.68 per cent to 16.01 per cent. There was substantial variability in restraint prevalence among the organization's 11 centres (range: 0-39.86% of residents restrained) and all but 1 was able to achieve mechanical restraint reduction. Specific facilitators to achieving and sustaining restrain... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=1618812 Mon, 14 Jul 2008 14:43:10 +0100 1618812 http://www.medworm.com/index.php?rid=1618811&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18492636%26dopt%3DAbstract This study presents the validation of the French Canadian version (PACLSAC-F) of the Pain Assessment Checklist for Seniors with Limited Ability to Communicate (PACSLAC). Unlike the published validation of the English version of the PACSLAC, which was validated retrospectively, the French version was validated prospectively. The PACSLAC-F was completed by nurses working in long-term care facilities after observing 86 seniors, with severe cognitive impairment, in calm, painful or distressing but non-painful situations. The test-retest and inter-observer reliability, the internal consistency, and the discriminent validity were found to be satisfactory. To evaluate the convergent validity with the DOLOPLUS-2 and the clinical relevance of the PACSLAC, it was also completed by nurses during thei... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=1618811 Mon, 14 Jul 2008 14:43:10 +0100 1618811 http://www.medworm.com/index.php?rid=1618810&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18492637%26dopt%3DAbstract This article looks at how The Simpsons ' representations of aging, considered ageist and stereotypical by some, can be viewed as a positive look at the elderly that attempts to subvert the same stereotypes that it seemingly employs. The Baby Boom cohort is now seen as an attractive economic group, and as they continue their journey through the life cycle, they are drawing increased attention. A current scholarship exists that investigates the ways that the "aged" are seen, catered to, advertised at, seemingly marginalized, and represented in the larger context of the mass media. Relying primarily on the theoretical musings of Frederic Jameson and Linda Hutcheon, the article constructs a bridge that places The Simpsons squarely within a postmodern aesthetic and, using this rubric, shows how... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=1618810 Mon, 14 Jul 2008 14:43:10 +0100 1618810 http://www.medworm.com/index.php?rid=1618809&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18492638%26dopt%3DAbstract This study examined whether Canada's public pensions (Old Age Security and Canada Pension Plan) provided adequate income for seniors living in Nova Scotia in 2005 to afford a basic nutritious diet. Monthly incomes were compared to essential monthly expenses for four household scenarios: (a) married couple, 80 years and 78 years, in urban Nova Scotia; (b) single male, 77 years in rural Nova Scotia; (c) a couple, 70 years and 65 years, in rural Nova Scotia; (d) widowed female, 85 years, in urban Nova Scotia. The monthly food costs for the four households were CAN$313.32, $193.83, $316.71, and $150.89, respectively. Results showed that both single-member households lacked the necessary funds for a nutritious diet, while living with a partner seemed to protect against inadequate financial reso... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=1618809 Mon, 14 Jul 2008 14:43:10 +0100 1618809 http://www.medworm.com/index.php?rid=1618808&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18492639%26dopt%3DAbstract Authors: Culos-Reed SN, Stephenson L, Doyle-Baker PK, Dickinson JA The purpose of this study was to assess the feasibility and benefits (fitness and quality of life) of an 8-week mall-walking program. A total of 52 participants ( n = 39 at post-testing) took part in the pilot project (mean age = 66.4; range 46-83 years), with an overall attendance rate of 62.4 per cent. Participants self-selected pace, time, and frequency. Fitness measures, physical activity behaviour, and quality of life were assessed pre- and post-program. Results indicate a significant improvement in physical activity behaviour and most fitness indices. No quality-of-life changes were found, likely due to the above-norm values at baseline. Overall, this pilot project supports the feasibility of and positive health i... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=1618808 Mon, 14 Jul 2008 14:43:10 +0100 1618808 http://www.medworm.com/index.php?rid=1618807&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18492640%26dopt%3DAbstract This article uses the concept of continuity of care to examine the implications of health-system restructuring for workers and staff in the BC home support system. Home support primarily serves frail seniors living in poverty and has the potential to provide assistance with tasks like bathing, dressing, and toileting, as well as offer social support and relational care to isolated clients. Through presentation of qualitative data from focus groups and interviews with home support workers and clients in the Greater Vancouver area, we demonstrate how the casualization and intensification of work in a context of increasing client acuity levels has diminished both continuity and quality of care. This article discusses how restructuring in the home support sector in BC has reduced the overall n... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=1618807 Mon, 14 Jul 2008 14:43:10 +0100 1618807 http://www.medworm.com/index.php?rid=1618806&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18492641%26dopt%3DAbstract Authors: Wiersma EC, Pedlar A The purpose of this exploratory study was to examine the experiences of older adults with dementia while they were in long-term care and while they were in a summer-camp setting. Participant observation and interviews took place in both settings to gain an understanding of the experiences of seven residents of the long-term care facility. In the participants' experiences in the two contrasting environments, two types of relationships were evident-functional and supportive. Differing strategies were employed by residents within these two types of relationships. Notably, in supportive relationships, participants used humour and reminiscing in ways that reflected the depth of the relationship. At summer camp, in a more open and less constrained environment, r... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=1618806 Mon, 14 Jul 2008 14:43:10 +0100 1618806 http://www.medworm.com/index.php?rid=1618805&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18492642%26dopt%3DAbstract Authors: Ronald LA, McGregor MJ, McGrail KM, Tate RB, Broemling AM The overall use of acute care services by nursing home (NH) residents in Canada has not been well documented. Our objectives were to identify the major causes of hospitalization among NH facility residents and to compare rates to those of community-dwelling seniors. A retrospective cohort was defined using population-level health administrative data, including all individuals aged 65 years and older living in a British Columbia NH facility between April 1996 and March 1999. Hospitalization rates of NH residents were compared to estimated rates for community-dwelling seniors, using age- and sex-adjusted standardized incidence ratios (SIRs): SIR = 2.81 (95%CI: 2.71, 2.91) for femoral fractures, 1.96 (1.88, 2.04) for pneum... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=1618805 Mon, 14 Jul 2008 14:43:10 +0100 1618805 http://www.medworm.com/index.php?rid=1618804&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18492643%26dopt%3DAbstract Authors: PMID: 18492643 [PubMed - in process] (Source: Canadian Journal on Aging) Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=1618804 Mon, 14 Jul 2008 14:43:10 +0100 1618804 http://www.medworm.com/index.php?rid=1618872&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17430800%26dopt%3DAbstract Authors: Wister AV, Wanless D Due to increasing life expectancy over time, persons who live into their nineties, known as nonagenarians, are an important and growing segment of the Canadian population. In 2001, there were 130,325 nonagenarians (compared to 3,795 centenarians), and it is estimated that they will top 400,000 by 2026. This paper provides a health profile and an exploratory analysis of selected social determinants of health for community-living nonagenarians, using the 2001 Canadian Community Health Survey ( PMID: 17430800 [PubMed - in process] (Source: Canadian Journal on Aging) Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=1618872 Mon, 01 Jan 2007 05:00:00 +0100 1618872 http://www.medworm.com/index.php?rid=1618871&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17430801%26dopt%3DAbstract Authors: Morgan D, Funk M, Crossley M, Basran J, Kirk A, Dal Bello-Haas V Early differential diagnosis of dementia is becoming increasingly important as new pharmacologic therapies are developed, as these treatments are not equally effective for all types of dementia. Early detection and differential diagnosis also facilitates informed family decision making and timely access to appropriate services. Information about gait characteristics is informative in the diagnostic process and may have important implications for discriminating among dementia subtypes. The aim of this review paper is to summarize existing research examining the relationships between gait and dementia, including gait classification systems and assessment tools, gait patterns characteristic of different dementias (A... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=1618871 Mon, 01 Jan 2007 05:00:00 +0100 1618871 http://www.medworm.com/index.php?rid=1618870&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17430802%26dopt%3DAbstract Authors: Andrew MK, Rockwood K We investigated whether frailty, defined as the accumulation of multiple, interacting illnesses, impairments and disabilities, is associated with psychiatric illness in older adults. Five-thousand-six-hundred-and-seventy-six community dwellers without dementia were identified within the Canadian Study of Health and Aging, and self-reported psychiatric illness was compared by levels of frailty (defined by an index of deficits that excluded mental illnesses). People with psychiatric illness (12.6% of those surveyed, who chiefly reported depression) had a higher mean frailty index value than those who did not. Older age was not associated with higher odds of psychiatric illness. Taking sex, frailty, and education into account, the odds of psychiatric illness... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=1618870 Mon, 01 Jan 2007 05:00:00 +0100 1618870 http://www.medworm.com/index.php?rid=1618869&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17430803%26dopt%3DAbstract Authors: Slaughter S, Bankes J The Functional Transitions Model (FTM) integrates the theoretical notions of progressive functional decline associated with Alzheimer's disease (AD), excess disability, and transitions occurring intermittently along the trajectory of functional decline. Application of the Functional Transitions Model to clinical practice encompasses the paradox of attempting to minimize excess disability while anticipating the progressive functional decline associated with AD. It is suggested that times of functional transition are times of decision making and opportunities for interdisciplinary collaboration to identify and minimize excess disability, for revision of goals and expectations, and for provision of support to patients and caregivers. The model also is applic... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=1618869 Mon, 01 Jan 2007 05:00:00 +0100 1618869 http://www.medworm.com/index.php?rid=1618868&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17430804%26dopt%3DAbstract Authors: McCusker J, Verdon J, Veillette N, Berg K, Emond T, Belzile E Cost-effective methods have been developed to help busy emergency department (ED) staff cope with the growing number of older patients, including quick screening and assessment tools to identify those at high risk and note their specific needs. This survey, from a sample of key informants from all EDs ( n = 111) in the province of Quebec (participation rate of 88.2%), investigated the implementation of these tools and barriers to implementation. Questionnaires (administered either by telephone or by self-completion) included characteristics of the ED, characteristics of the respondent, use of tools, and method of implementation. Barriers to the implementation of these tools included lack of resources for screening a... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=1618868 Mon, 01 Jan 2007 05:00:00 +0100 1618868 http://www.medworm.com/index.php?rid=1618867&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17430805%26dopt%3DAbstract La télésurveillance comme outil favorisant la participation sociale des personnes âgées à domicile. Can J Aging. 2007;26(1):59-72 Authors: Garceau M, Vincent C, Robichaud L Little is known as yet about the impact of telesurveillance services on social participation. To document the interaction between telesurveillance services and social participation of the elderly living at home, a study was conducted in the context of a government call center employing nurses. A focus group study was realized with elders (n = 4), caregivers (n = 6), healthcare system practitioners and industry employees (n = 7). A qualitative analysis was performed using the Disability Creation Process model and generally accepted criteria for evaluating telehealth interventions. The... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=1618867 Mon, 01 Jan 2007 05:00:00 +0100 1618867 http://www.medworm.com/index.php?rid=1618866&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17430806%26dopt%3DAbstract Authors: Wilson D PMID: 17430806 [PubMed - in process] (Source: Canadian Journal on Aging) Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=1618866 Mon, 01 Jan 2007 05:00:00 +0100 1618866 http://www.medworm.com/index.php?rid=1618865&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17430807%26dopt%3DAbstract Authors: PMID: 17430807 [PubMed - in process] (Source: Canadian Journal on Aging) Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=1618865 Mon, 01 Jan 2007 05:00:00 +0100 1618865 http://www.medworm.com/index.php?rid=1618864&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17430808%26dopt%3DAbstract Authors: PMID: 17430808 [PubMed - in process] (Source: Canadian Journal on Aging) Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=1618864 Mon, 01 Jan 2007 05:00:00 +0100 1618864 http://www.medworm.com/index.php?rid=1618863&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17430809%26dopt%3DAbstract Authors: PMID: 17430809 [PubMed - in process] (Source: Canadian Journal on Aging) Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=1618863 Mon, 01 Jan 2007 05:00:00 +0100 1618863 http://www.medworm.com/index.php?rid=1618850&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17613439%26dopt%3DAbstract Authors: Rosenberg M PMID: 17613439 [PubMed - in process] (Source: Canadian Journal on Aging) Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=1618850 Mon, 01 Jan 2007 05:00:00 +0100 1618850 http://www.medworm.com/index.php?rid=1618849&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17613440%26dopt%3DAbstract Authors: Rosenberg M PMID: 17613440 [PubMed - in process] (Source: Canadian Journal on Aging) Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=1618849 Mon, 01 Jan 2007 05:00:00 +0100 1618849 http://www.medworm.com/index.php?rid=1618848&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17613441%26dopt%3DAbstract Authors: Jill Suitor J, Sechrist J, Pillemer K Research has shown that mothers often differentiate among their adult children in terms of closeness and support; however, studies have not addressed why some mothers report preferences among children and others do not. To distinguish between mothers who do and do not report favouring some of their adult children, we used data from a within-family study in which 553 older mothers were interviewed about each of their children. Almost all of the mothers reported differentiating among their children regarding emotional closeness, confiding, or preference among caregivers. Multivariate analyses revealed that mothers' values and mother-child value similarity predicted which mothers differentiated among their children regarding closeness and con... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=1618848 Mon, 01 Jan 2007 05:00:00 +0100 1618848 http://www.medworm.com/index.php?rid=1618847&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17613442%26dopt%3DAbstract This article presents the results of a qualitative study on the contributions made by volunteers from a volunteer community organization to the home care of older adults living in a rural setting. In this study, the volunteer was considered as part of a social care system made up of a number of groups (the elderly themselves, those close to them, professional health providers, and volunteers). Results show that the lines delimiting the responsibilities of these various groups are neither clear nor precise. The place of the volunteer must take into account the nature of the participation of the other groups. How far the services offered by volunteers are used depends upon the characteristics that define their contributions and on the type of relationship they develop with a given older adul... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=1618847 Mon, 01 Jan 2007 05:00:00 +0100 1618847 http://www.medworm.com/index.php?rid=1618846&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17613443%26dopt%3DAbstract We report the responses to this question from a representative sample of 2,783 Canadian seniors. Overall, seniors placed primary responsibility for their long lives on their own individual practices, citing keeping active and maintaining good nutrition as the major themes. Physical illness was less significant than the will to adapt to illness and avoid further physical decline as long as possible. Francophone and anglophone respondents differed in the frequency with which they mentioned many of the themes. Francophones focused on life quality and family, while anglophones focused on the self. Systematic gender differences were also identified. Many responses validate existing theories of successful aging, and indicate that Canadian seniors are well-informed, insightful participants in the... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=1618846 Mon, 01 Jan 2007 05:00:00 +0100 1618846 http://www.medworm.com/index.php?rid=1618845&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17613444%26dopt%3DAbstract Authors: Sorcinelli A, Shaw L, Freeman A, Cooper K Purpose: The purpose of this study was to evaluate the utility and reliability of a home hazard checklist published in Health Canada, The Safe Living Guide: A Guide to Home Safety for Seniors (2003). Methods: 76 community-dwelling seniors evaluated the guide, and inter-rater reliability was determined through comparison of ratings of seniors and experts. Results: Findings revealed that seniors found The Safe Living Guide useful in helping them identify hazards. On the majority of items in the checklist, agreement between raters was moderate to almost perfect , with an overall reliability of 0.509. Practice Implications: This guide can be used with confidence by seniors and community-based caregivers for evaluating hazards and identifyi... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=1618845 Mon, 01 Jan 2007 05:00:00 +0100 1618845 http://www.medworm.com/index.php?rid=1618844&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17613445%26dopt%3DAbstract Authors: Oremus M, Wolfson C, Bergman H, Vandal AC Physicians ( N = 803) were contacted via postal survey and given two sets of efficacy measures for drug treatments in Alzheimer's disease: (a) the time that patients spend in a mild or moderate state of disease; (b) levels of modification to disease progression in the areas of cognition, behaviour, and mood, and ability to perform basic activities of daily living. Physicians reported that they would prescribe a hypothetical, new Alzheimer's disease medication if it would allow patients to remain in their current disease state for 15 ( mild ) or 11 ( moderate ) additional months. Most physicians required a permanent halt to, or some reversal of, disease progression as a prerequisite for prescribing; a few required substantial reversal. ... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=1618844 Mon, 01 Jan 2007 05:00:00 +0100 1618844 http://www.medworm.com/index.php?rid=1618843&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17613446%26dopt%3DAbstract This study estimates the prevalence of problems with transportation in a sample of community-dwelling seniors residing in an urban setting and investigates the role that gender plays in the ability of seniors to remain mobile in their communities. Design and Methods: Data collected as part of a study assessing the prevalence and consequences of unmet needs for community-based services in a random sample of 839 elderly aged 75 years and older were employed in bivariate and multivariable analyses. Results: The prevalence of problems with transportation was 23 per cent, with 33 per cent of females and 10 per cent of males categorized as having problems with transportation. Of those subjects categorized as having problems with transportation, 88 per cent were women. In addition to being predom... Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=1618843 Mon, 01 Jan 2007 05:00:00 +0100 1618843 http://www.medworm.com/index.php?rid=1618842&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17613447%26dopt%3DAbstract Conclusion: The 2-minute walk test is a feasible measure of functional capacity and was better tolerated than the 6-minute walk test in older persons in geriatric rehabilitation. Consideration needs to be given to the potential of a training effect or the need for repeated measures to obtain a best estimate for the 2-minute walk test. PMID: 17613447 [PubMed - in process] (Source: Canadian Journal on Aging) Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=1618842 Mon, 01 Jan 2007 05:00:00 +0100 1618842 http://www.medworm.com/index.php?rid=1618841&cid=s_37748_18_f&fid=37748&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17613448%26dopt%3DAbstract Authors: Black HK, Kenyon G PMID: 17613448 [PubMed - in process] (Source: Canadian Journal on Aging) Canadian Journal on Aging journals http://www.medworm.com/rss/comments.php?id=1618841 Mon, 01 Jan 2007 05:00:00 +0100 1618841