دانشگاه علوم بهزیستی و توانبخشی
Iranian Journal of Ageing
1735-806X
8
3
2013
10
1
Effectiveness of Day Care Services of Karaj Kahrizac Rehabilitation Center on Activities of Daily Living Among Older People, 2010 April-2011 March
7
16
FA
Mohsen
Rahimi
Tehran Welfare Org.
Reza
Fadaye Vatan
Iranian Research Center on Ageing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Keyvan
Davatgaran
IslamicRepublic of Iran Welfare Org.
Akbar
Biglarian
University of Social and Rehabilitation Sciences
Marziye
Shirazikhah
University of Social and Rehabilitation Sciences
Mehrnoush
Boroomandpoor
Islamic Azad University of Tehran
Robab
Sahaf
دانشگاه علوم بهزیستی و توانبخشی، مرکز تحقیقات مسایل اجتماعی و روانی سالمندان
Objectives: Day care centers try to give day care services to old people to improve their functional abilities and inhibit their unnecessary admition in residential care centers. The main object of this study was investigating the effectiveness of day care services of Karaj Kahrizac Rehabilitation Center on activities of daily living among old People in 2010 April-2011 March who had been received the services for 6 months.
Methods & Materials: A pretest-posttest study was designed on the files documents of 71 old persons admitted in the center. The method of sampling was head counting and Barthel Index and Lawton Scale were used as the study tools Then the evaluation scores of “basic & instrumental activities of daily living”, before and after receiving the daily care services were compared together. Descriptive statistics, T-test, analysis of variances and analysis of co-variances were used for data analysis. P-values less than 0.05 were considered significant.
Results: there was no significant difference between the mean of the basic activities of daily living scores, before and after receiving the daily care services of the center (P=0.095). Whereas there was significant difference between the mean of the instrumental activities of daily living scores, before and after receiving the daily care services of the center (P<0.001). Other findings were: High pre-services ADL scores (70% of participants with the least ADL dependency and 30% with mild dependency), proportional lower age mean, high female: men ratio (3:1), restricted use of mobility rehabilitation aids and no significant difference between the mean of pre-services ADL scores of different age groups.
Conclusion: This study showed that the daily care services can improve the level of activities of daily living in the old people. However it seems that the accessibility of the olds with lower ADL scores to the center was more limited and on the other hand the main cause of referring to the center might be using of the psychological, social or leisure time services.
دانشگاه علوم بهزیستی و توانبخشی
Iranian Journal of Ageing
1735-806X
8
3
2013
10
1
Barriers and Facilitators of Iranian Elderly in Use of ATM Machines: A Qualitative Research in the Way of Cultural Probes
17
24
FA
Azade
Mokhberi
Ahmad
Nedae fard
Robab
Sahaf
Iranian Research Center on Ageing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Objectives: Having considering to the rate of increasing of elder people population in Iran, is preadicted that in the next thirty years the number of elderly people who need to independently work with electronic devices such as ATMs machineswill be significantly increased while there is no sufficient studies in order to modification of these devices considering physical, mental and psychology abilities of the elder people.
Methods & Materials: This article is part of a qualitative study with cultural Probes Methodology to explore the needs and barriers and facilitators in the work ATMs. This study collected data through observation, interview and documentation participants respectively. This qualitative study was conducted in two stages. In the first phase interviewed with 30 elderly people in Tehran.In the second Phase according to cultural probes method we designed a package to extract the needs and problems associated with ATM. purposive sample of 10 elderly people in Tehran, 6 participants were female and 4 males. Interviews continued until data saturation, data Were coded and categorized by content analysis method.
Results: Six key factors required for the design of ATM data were extracted according to the Iranian people, that pleasant, unpleasant, wants and desires, problems and obstacles, banking and mishaps. that the classification of barriers and facilitating factors these factors were extracted for the elderly. The results showed a much higher barriers to Elderly people using ATMs in facilitating conditions are present.
Conclusion: According to the Iranian people using ATMs barrier is recommended to attention to ATMs in the the environment, nature and location of the installation, ATMs appear particularly relevant in the context of software that can be tailored to the elderly should be done. Finally, it is suggested that future studies in different groups of people, especially older people with disabilities and low literacy are doing.
دانشگاه علوم بهزیستی و توانبخشی
Iranian Journal of Ageing
1735-806X
8
3
2013
10
1
Designing and Determining Psychometric Properties of the Elder Neglect Checklist
25
34
FA
Majideh
Heravi-Karimooi
Department of Nursing, Faculty of Nursing & Midwifery, Shahed University, Tehran, Iran.
Nahid
Rejeh
1- Associate Professor, Elderly Care Research Center - Shahed University, College of Nursing & Midwifery
Mahshid
Foroughan
3- Associate Professor, Iranian Research Center on Aging, University of Social Welfare and Rehabilitation sciences, Tehran, Iran.
Abbas
Ebadi
4- Associate Professor, Baqiyatallah University of Medical Sciences, Faculty of Nursing
Objectives: The purpose of this study was to design and determine the psychometric properties of a checklist for assessing domestic elder neglect.
Methods & Materials: This study was conducted in four phases. In the first phase, the meaning of domestic elder neglect explored using the qualitative method of phenomenology. In the second phase, a checklist was created, based on the results obtained in the first phase, in conjunction with the inductions from the expert panel. In the third and fourth phases, the psychometric properties including face validity, content validity, construct validity, convergent validity, internal consistency, and Inter- rater reliability were measured. 110 elderly people participated in the this study.
Results: The initial 26 item checklist designed using the results of first and second phases of study, reduced to 11 items and 2 factors including the health and care needs neglect, and neglect in providing healthy environment in the process of determining the face and content validity. Acceptable convergent validity was identified in the elder neglect checklist and care neglect scale of the domestic elder abuse questionnaire (r=0.862). The results of known groups' comparisons showed that this checklist could successfully discriminate between subgroups of elderly people in the index of re-hospitalization. The internal consistency (Kuder-Richardson Formula 20) was 0.824. Inter- rater reliability of the checklist was 0.850.
Conclusion: The elder neglect checklist with 11 items appears to be a promising tool, providing reliable and valid data helping to detect neglect among elders in different settings such as clinical settings, homes and research environments by health care providers and researchers.
دانشگاه علوم بهزیستی و توانبخشی
Iranian Journal of Ageing
1735-806X
8
3
2013
10
1
The Effect of Healthy Lifestyle Educational Program on Rural Elderly’s Quality of Life in Dashti District of Boushehr Province
35
43
FA
Akram
Farhadi
Iranian Research Center on Aging,university of social welfare & rehabilitation sciences ,Tehran, Iran
Mahshid
Foroughan
Iranian Research Center on Ageing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Farahnaz
Mohammadi
Iranian Research Center on Aging,university of social welfare & rehabilitation sciences ,Tehran, Iran
Mohsen
Sahranavard
Department of Physical Education payame nor university , Tehran, Iran
Objectives: Life expectancy has been increased over the world and the number of older people is increasing, concomitantly. In recent years, not only the quantity of life of elderly (the years to stay alive), but the quality of it (how to live it) are considered important. This includes the elderly living in rural areas, as well as, the elderly living in urban areas.This study intends to survey effect of healthy lifestyle educational program on quality of life of rural elderly in Dshti District of Boushehr Province.
Methods & Materials: This study is semi experimental design, pretest-posttest with control group. Society of this study was all rural elderly in Dshti District of Boushehr Province in February 2010,with Using of multistage cluster sampling, 79 rural elderly who had inclusion criteria (including not having severe and disabling chronic diseases) were selected as samples. to collect data was used from a questionnaire measuring knowledge and healthy lifestyle & SF-36 questionnaire Data gathering was done with face to face interview method and the statistical software SPSS17 were used for data analysis. collected data were analyzed with using statistical methods repeated ANOVA, analysis of covariance, post hoc test Bonferroni and chi squere.
Results: The results showed that knowledge of healthy lifestyles, as well as quality of life of rural elderly in Dashti District of Boushehr Province were low & healthy lifestyle educational program promote knowledge of healthy lifestyles and improve quality of life in elderlyof tested group (P<0.05), While the quality of life and knowledge of healthy lifestyle elderly of control group will decrease, but this reduction was not statistically significant (P>0.05).
Conclusion: So that healthy lifestyle education program improves quality of life of rural elderly in Dashti District of Boushehr Province.
دانشگاه علوم بهزیستی و توانبخشی
Iranian Journal of Ageing
1735-806X
8
3
2013
10
1
Comparison Between the Risky Agents Correspond to Fall in Elderly People of Urban and Rural Regions of Zabol
44
52
FA
Sakine
Sheikh
Iranian Research Center on Aging,university of social welfare & rehabilitation sciences ,Tehran, Iran
Ahmad Ali
Akbari Kamrani
Iranian Research Center on Ageing, University of Social Welfare & Rehabilitation Sciences ,Tehran, Iran.
Masoud
Karimlo
Associated professor, Department of Biostatistics and Computer science, University of Welfare & Rehabilitation, Tehran, Iran.
Reza
Fadaye Vatan
Iranian Research Center on Ageing University of Social Welfare & Rehabilitation Sciences.
Objectives: the main aim of this study was the comparisons between the risky agents correspond to fall in elderly people of urban and rural regions of Zabol.
Methods & Materials: The current study was a Cross sectional survey during 2010-2011 on a sample that contains 173 elderly without Cognitive impairment that are residents of Zabol and aged more than 60 years. The materials for data gathering were Questionnaires. The data was analyzed by employing version 16 of SPSS software, Central and dispersion indices, t-test, ANOVA, and Sig. (2-tailed) test at the significance level of.
Results: Among the internal agents, diabetes, lung problems, hearing problems, heart problems, surgery history, and high blood pleasure were significantly more in elderly adults of urban regions relative to rural ones (P<0.05). Among the external agents, the amount of physical exercises for the elderly adults of urban regions was significantly more relative to rural ones (P=0.020). The urban and rural elderly adults were in same situation after fall.
Conclusion: The results show that Diabetes, lung problems, Hearing problems, and Surgery history, were the main reasons of fall for the elderly adults of urban regions. The physical activity of urban elderly adults is more than that in rural ones The main places in which the fall occurred were the yard, and then the room. The main time of fall was also the morning. Therefor these confirm that the physical activity is not enough to improve the health degree and it require more care. Control of comorbidities and Attention to environment risk factors are necessary.
دانشگاه علوم بهزیستی و توانبخشی
Iranian Journal of Ageing
1735-806X
8
3
2013
10
1
The Effect of Memory and Attention Rehabilitation to Decrease of Memory Deficits in Older Adults With Alzheimer Disease
53
62
FA
Mehdi
Amini
Iranian Research Center on Ageing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Behrouz
Dowlatshahi
University of Social Welfare and Rehabilitation
Asghar
Dadkhah
University of Social Welfare and Rehabilitation
Mozhgan
Lotfi
Shahid Beheshti University of Medical Sciences
Objectives: Alzheimer's disease is a chronic problem and most common demantic disorders in elderly. That has high cost for elders and them family. In this study, we examined the effect of memory and attention rehabilitation, a new and non-pharmacological approach to reduce memory defecits in Alzheimer's disease.
Methods & Materials: This study was a quasi-experimental research, in single-subject study -Time-series with control group- and based on A-B design. That was conducted in two group of control and experimental in order to evaluate effectiveness of memory and attention rehabilitation, to decrease of memory deficits in elders with Alzheimer's disease. Subject consisted of eight patients (4 controls and 4 experiments) with mild to moderate Alzheimer's disease. For experiment group, memory and attention rehabilitation were held in 45 minutes -1 hour session, twice weekly for 7 weeks. For data collection, patient evaluated by MMSE, GDS-15, WMS-O, in 1 and 14 sessions, and with Logical memory, Learning associations and Digit span subscales of WMS-O, and Coding subscale from WAIS-R in 1, 5, 8, 11 and 14 sessions. Statically analysis was done by visual inspection of graphed data, effect size and improvement percent for individuals and groups.
Results: The analysis of data showed that memory functions in the paired patients and groups before the intervention was similar, but after procedures experimental patients showed increasing in level of functions and show significant effect size (d= 3.17-1.22), and significant improvement percent in memory functions.
Conclusion: Consequently, the hypothesis of this study memory and attention rehabilitation decrease the memory function in elders with Alzheimer’s disease, such hypothesis was confirmed.
دانشگاه علوم بهزیستی و توانبخشی
Iranian Journal of Ageing
1735-806X
8
3
2013
10
1
Validity and Reliability the Rowland Universal Dementia Assessment Scale in a Sample of Elderly Women
63
73
FA
Sousan
Salary
Department of Clinical Psychology, Faculty of Education and Psychology, Shahed University, Tehran, Iran.
Mohammad Reza
Shairi
shahed university
Mohammad Ali
Asghari Moghadam
shahed university
Objectives: The present study aims to investigate the validity and reliability of measuring dementia scale in a sample of elderly women has been reviewed.
Methods & Materials: This study is descriptive based on what has been designed in which 310 elderly women were participated in this study out of two ranges of Tehran Kahrisak Prison and Tehran Jahandidegan Institute after being received the consent letter to participate in. In this study, samples were selected as available sampling and four questionnaires were used to collect information which was completed as an interview with elderly women. Information obtained has been analyzed using SPSS software and related statistical methods.
Results: Based on research findings, mean age of people under study was 76/86 years and the scale reliability were reviewed in convergence method (Quality of Life and Elderly's Depression Questionnaire) and divergence (The informant Questionnaire on Cognition Decline in Elderly questionnaire and Mine Mental Status Examination (MMSE). Also, scale validity was 0.792 with Cronbach's alpha method and 0.759 with division method and 76.0 with test-retest method. In addition, factor analysis indicates the saturation of this scale of a factor.
Conclusion: The results achieved from this above study indicate that this scale has appropriate reliability and validity among elderly women. Therefore, it seems that planning to do this research will be very effective in clinical and complex population.
دانشگاه علوم بهزیستی و توانبخشی
Iranian Journal of Ageing
1735-806X
8
3
2013
10
1
Compare the Quality of Life in Elderly Athletes and Non-Athletes in Tabriz
74
82
FA
Yaghoub
Badriazarin
Faculty of Physical Education and Sport Sciences, University of Tabriz, Tabriz, Iran.
Objectives: This study aimed to assess the quality of life in the athletes and non-athletes elderly and were compared between them.
Methods & Materials: This research based on the purpose is applied and based on the method is descriptive. 189 elderly people were selected as sample was used of Tabriz city and for sampling the random method. Data collection tool was demographic questionnaire and quality of life questionnaire based on the Varosherbon pattern. In this research descriptive statistical methods and the Kolmogorov Smirnov, Mann Whitney and t tests were used.
Results: The sample had mean 62.32 years and 48.15% were male and 51.85% female and 49.7% were trained and 50.3% untrained. Test results of the Kolmogorov-Smirnov test showed that psychological variables with normal distribution, but the other variables are not normally distributed (P=0.05). Results showed in the Indicators of quality of life in the athletes and non-athletes elderly, there are significant differences in general health, physical functioning, energy and vitality and mental health and role limitations due to Physical and emotional there but in the physical pain and social function variables were not significant differences (P=0.05).
Conclusion: Analysis results show the impact of physical activity on most variables is reviewed in the elderly. Indicators of performance ability improvement, separately and combined helps elderly can have a range of movements required to perform daily quality of life and enhance mental and physical dimensions. And the social performance of a coherent and effective planning must be done for their social interaction. And to create motivation in the elderly for sport activity should be done appropriate planning and will emphasis on diverse activities, positive reinforcement and use of creative and innovative designs.