Social functions and adverse outcome onset in older adults with mild long-term care needs: A two-year longitudinal study

Noguchi, Taiji; Nakagawa, Toshio; Komatsu, Ayane; Ishihara, Masumi; Shindo, Yumi; Saito, Tami

doi:10.1016/j.archger.2022.104631

Cited by 3 publications

(5 citation statements)

References 35 publications

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“…While direct comparisons with previous studies are challenging, the outcomes appear favorable. For example, in a Japanese cohort study, 44.5% of 746 individuals requiring support level received care level certification within 2 years (26). In another Japanese cohort study, 4.1-4.3% of those requiring support levels transitioned to requiring long-term care level 3 or higher within 3 years, which aligns with the results of this study (27).…”

Section: Discussionsupporting

confidence: 85%

“…The presence of a supportive community might have contributed to residents maintaining their independence and preventing the deterioration of care needs (15). Older people participating in social activities have a lower risk of functional disability and death (28,29), and promoting social activities, including friend interactions, has been suggested to prevent the worsening of care levels (26). Additionally, prioritizing the independence of older adults can have positive impacts on their physical health (7,30).…”

Section: Discussionmentioning

confidence: 99%

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Idobata-Nagaya: a community housing solution for socially isolated older adults following the great East Japan earthquake

Abe,

Saito,

Moriyama

et al. 2023

Front. Public Health

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IntroductionFollowing the Great East Japan Earthquake, the living environment of socially isolated older adults has become a pressing concern. In response, Nagaya, a collective housing program, was established in Soma City, Fukushima, Japan to address social isolation among older adults and support their long-term health. This study aimed to identify characteristics of individuals in Nagaya and examine the sustainability of this initiative.MethodsWe conducted a retrospective analysis of residents who were relocated to Nagaya, emphasizing their characteristics, the continuity of their stay in Nagaya, and their care certification levels, using data up to December 31, 2022. We employed Kaplan–Meier curves to analyze the duration for which residents continued to reside in Nagaya and the time leading up to the requiring care-level certification.ResultsOf 65 people who moved to Nagaya after the disaster, 30 people (46.2%) continued to live there, 21 (32.3%) died during their stay, and 14 (21.5%) moved out. The overall duration of occupancy averaged 6.39 years (SD 3.83 years). The proportion of requiring care-level certification occurrences per person-year was 0.0577 for those without care certification and 0.3358 for those with requiring support level at the time of moving in.ConclusionIn summary, Nagaya-style communal housing may offer suitable living environments for older adults with diverse needs during disasters and serve as a valuable tool for developing public policies in aging societies.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Idobata-Nagaya: a community housing solution for socially isolated older adults following the great East Japan earthquake

Abe,

Saito,

Moriyama

et al. 2023

Front. Public Health

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“…The first relates to the definition of LTC needs. The widespread use of older population targets as proxies for the volume of LTC needs precludes a comprehensive analysis of the entire concept in all its complexity, including its composition in terms of the demand for health- and social care services [ 44 , 73 ].…”

Section: Discussionmentioning

confidence: 99%

“…However, the ScR identified some studies whose primary research target was caregivers and families, often defined by the “head” of the household. These two groups, however, are not jointly considered in the literature, indicating that the research usually prefers to focus on (and deal with) a single specific target rather than choosing a multiple-target population, which would more accurately reflect the complexity of most real-life LTC caregiving situations [ 6 , 73 ]…”

Section: Discussionmentioning

confidence: 99%

“…However, the ScR identified some studies whose primary research target was caregivers and families, often defined by the "head" of the household. These two groups, however, are not jointly considered in the literature, indicating that the research usually prefers to focus on (and deal with) a single specific target rather than choosing a multipletarget population, which would more accurately reflect the complexity of most real-life LTC caregiving situations [6,73] A third issue is that LTC needs are frequently defined in terms of health status or disability conditions, as opposed to ADL/IADL limitations, thus promoting a health-centered view of care needs. A similar simplification approach is also found about the multidimensional deprivation concept, which is greatly influenced by material and other easily measurable dimensions, resulting in the use of an idea of deprivation referring to the most traditional poverty and social inclusion definitions in most cases [74][75][76][77].…”

Section: Discussionmentioning

confidence: 99%

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The Impact of Long-Term Care Needs on the Socioeconomic Deprivation of Older People and Their Families: Results from Mixed-Methods Scoping Review

Casanova,

Martarelli,

Belletti

et al. 2023

Healthcare

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Background: Long-term care (LTC), poverty, and socioeconomic deprivation are globally significant social issues. Ongoing population aging trends and the recent social and health emergencies caused by the COVID-19 pandemic crisis have highlighted the need for macro-level LTC and welfare system sustainability strategies. Aims: This scoping review (ScR) explores the relationship between LTC needs, the health status of older people, and the risk of socioeconomic deprivation for their households. Methods: The methodology considers different relevant sources: (a) the guidelines for ScR proposed by Lockwood et al.; (b) the recommendations of Munn et al.; (c) the PRISMA guideline for scoping reviews; and (d) the Joanna Briggs Institute (JBI) checklist. Sixty-three papers are included in the mixed-methods analysis. Results: The findings reveal the existence of a debate that seeks to understand the different characteristics of the relationship between the investigated issues. Relevant gaps in the literature are identified in terms of the concepts and approaches of the studies analyzed. Conclusions: The results indicate that the reciprocal relationship between LTC needs, supply, and the risk of socioeconomic deprivation is understudied. Future studies should focus on the causal relationship between the two phenomena and identify any internal factors that may be involved.

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Association Between Higher-Level Functional Capacity and Subjective Well-Being in Older Adults with Chronic Conditions: A Cross-Sectional Study

Ono

Asakawa

2023

Physical & Occupational Therapy In Geriatrics

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Title of article: Association between factor of higher-level functional capacity and subjective well-being in older adults with impairments: A cross-sectional study NoteIn this article, we used two indicators we used in this study: 1) Tokyo Metropolitan Institute of Gerontology Index of Competence and 2) The revised Philadelphia Geriatric Center Morale Scale. In this supplemental material, we explained how these indicators were developed or introduced in Japan and to what extent they have been tested for reliability and validity in Japanese older adults. Tokyo Metropolitan Institute of Gerontology Index of Competence (TMIG-IC)TMIC-IC is an indicator to measure higher-level functional capacity (also called higher-level competence). This index was developed by Koyano and his term based on Lawton's model of competence and consists of three subscales: five items for instrumental self-maintenance, four

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Social functions and adverse outcome onset in older adults with mild long-term care needs: A two-year longitudinal study

Cited by 3 publications

References 35 publications

Idobata-Nagaya: a community housing solution for socially isolated older adults following the great East Japan earthquake

Idobata-Nagaya: a community housing solution for socially isolated older adults following the great East Japan earthquake

The Impact of Long-Term Care Needs on the Socioeconomic Deprivation of Older People and Their Families: Results from Mixed-Methods Scoping Review

Association Between Higher-Level Functional Capacity and Subjective Well-Being in Older Adults with Chronic Conditions: A Cross-Sectional Study

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