Exploring the impact of social network change: Experiences of older adults ageing in place

Vos, Willeke H; Boekel, Leonieke C. van; Janssen, Meriam; Leenders, R.Th.A.J.

doi:10.1111/hsc.12846

Cited by 25 publications

(23 citation statements)

References 53 publications

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“…Death of a spouse decreased the preference for ageing in place. Neither the existing advice nor hotline telephone services had any impact on this, which suggests the need for community care services aimed at enlarging a bereaved person's social network and providing support in times of distress (Vos et al., 2020). Women had a lower preference to age in place than men, presumably because they are responsible for all domestic chores, which may make them incline towards institutional care as a source of respite; which suggests the need for home help services.…”

Section: Discussionmentioning

confidence: 99%

“…Some studies have suggested that day‐care services for housebound older people reduce admissions to institutional care (Beswick et al., 2008). Home care nurses can provide supports to older people in periods of distress, and prevent them from entering institutional care (Vos, van Boekel, Janssen, Leenders, & Luijkx, 2020). Day services can be effective in improving activities of daily living (ADL) and instrumental activities of daily living (IADL), but are ineffective in improving functional and psychosocial status (Kono et al., 2012).…”

Section: Literature Reviewmentioning

confidence: 99%

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The impact of community care services on the preference for ageing in place in urban China

Zhou

Walker

2020

Health Soc Care Community

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This paper examines the relationship between community care services and ageing in place in urban China. Using data from the 2010 Sample Survey on Aged Population in Urban/Rural China, and within the framework of a revised version of Andersen's model, the paper applies multilevel models and analyses the effects of community care on the preference between ageing in place and institutional care, and reveals that ageing in place is preferred even in urban China. However, the existence of community care services had no significant effect on the preference for ageing in place. The paper concludes by arguing that China needs to develop its community care services and promote the idea of community care in both culture and policy. Realising ageing in place also requires a multidisciplinary approach. A model of shared care, between family and state, is particularly appropriate for China.

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Section: Discussionmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

The impact of community care services on the preference for ageing in place in urban China

Zhou

Walker

2020

Health Soc Care Community

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“…In order to be able to improve PCC by conducting scientific research and achieving its translation to care practice, it is essential to understand the perspectives of older adults. In our research, we always study the perspective of older adults on a specific topic, such as access to long-term care [26,35], technology acceptance [36][37][38][39][40], love, intimacy and sexuality [31,32], and social needs and networks [41][42][43][44]. Although physical or cognitive limitations-including dementia-may complicate this, we showed that it is possible and worthwhile [45].…”

Section: Perspective Of Older Adultsmentioning

confidence: 96%

The Academic Collaborative Center Older Adults: A Description of Co-Creation between Science, Care Practice and Education with the Aim to Contribute to Person-Centered Care for Older Adults

Boekel

Janssen

Verbiest

et al. 2020

IJERPH

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Long-term care for older adults is in transition. Organizations offering long-term care for older adults are expected to provide person-centered care (PCC) in a complex context, with older adults aging in place and participating in society for as long as possible, staff shortages and the slow adoption of technological solutions. To address these challenges, these organizations increasingly use scientific knowledge to evaluate and innovate long-term care. This paper describes how co-creation, in the sense of close, intensive, and equivalent collaboration between science, care practice, and education, is a key factor in the success of improving long-term care for older adults. Such co-creation is central in the Academic Collaborative Center (ACC) Older Adults of Tilburg University. In this ACC, Tilburg University has joined forces with ten organizations that provide care for older adults and CZ zorgkantoor to create both scientific knowledge and societal impact in order to improve the quality of person-centered care for older adults. In the Netherlands, a “zorgkantoor” arranges long-term (residential) care on behalf of the national government. A zorgkantoor makes agreements on cost and quality with care providers and helps people that are in need of care to decide what the best possible option in their situation is. The CZ zorgkantoor arranges the long-term (residential) care in the south and southwest of the Netherlands. This paper describes how we create scientific knowledge to contribute to the knowledge base of PCC for older adults by conducting social scientific research in which the perspectives of older adults are central. Subsequently, we show how we create societal impact by facilitating and stimulating the use of our scientific knowledge in daily care practice. In the closing section, our ambitions for the future are discussed.

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“…Some studies have considered the nature and qualities of the relationships in a network, mostly aimed at the relationship of the older person with other network participants (14)(15)(16). Looking at the patterns of interaction in the total network relationships could be helpful to improve the support generated by the network.…”

Section: Introductionmentioning

confidence: 99%

“…Recognition of different network constellations makes it possible to identify strengths and weaknesses in informal support and to see which network types are more likely to request formal help than others (5,11,13). Some studies have considered the nature and qualities of the relationships in a network, mostly aimed at the relationship of the older person with other network participants (14)(15)(16). Looking at the patterns of interaction in the total network relationships could be helpful to improve the support generated by the network.…”

Section: Introductionmentioning

confidence: 99%

Care Networks of Home-dwelling Older Persons in the Netherlands: Proof of Concept of a Network Typology

Kemper-Koebrugge¹,

Adriaansen²,

Laurant³

et al. 2021

Preprint

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Background Studies on care networks of home-dwelling older persons often focus on network constellation. However, looking at network interaction can be helpful to improve the support generated by the care network. A European study on diabetes patients found network types based on the interaction within a network, which can be beneficial (generative, proxy) or detrimental (struggling, avoidant) to support. This study explored whether these network types are present in care networks of home-dwelling older persons in the Netherlands and how these network types manifest in constellation or ways of interaction (negotiation, navigation and contagion). Methods The present study is a secondary analysis of a cross‐sectional qualitative study of 16 care networks with home‐dwelling older persons, informal caregivers and formal care providers conducted between March and September 2016. First, navigation, negotiation and contagion were analysed for each network; then the network type was determined for each network. ResultsWe found nine proxy networks, four generative networks, two avoidant networks and one struggling network. In the proxy networks, all negotiation and navigation were centralised by the proxy. In generative networks, negotiation was possible if the older person could be reciprocal and the network supported this. In avoidant networks, informal and formal caregivers had to deal with an older person who refused support. In the struggling network, the underlying problem could not be addressed. Furthermore, two networks seemed to show a transition process from generative to proxy network.ConclusionWe concluded that the network typology on interaction offered extra information about the functioning of the care network. It seems that the network type can change over time, but more research is needed to confirm this. This study suggests that interventions in avoidant or struggling networks are difficult. Also actions were aimed at developing proxy networks. Interventions maintaining or developing generative networks seem underused.

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Exploring the impact of social network change: Experiences of older adults ageing in place

Cited by 25 publications

References 53 publications

The impact of community care services on the preference for ageing in place in urban China

The impact of community care services on the preference for ageing in place in urban China

The Academic Collaborative Center Older Adults: A Description of Co-Creation between Science, Care Practice and Education with the Aim to Contribute to Person-Centered Care for Older Adults

Care Networks of Home-dwelling Older Persons in the Netherlands: Proof of Concept of a Network Typology

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