Thinking about Later Life: Insights from the Capability Approach

Gopinath, Manik

doi:10.1007/s12126-018-9323-0

Cited by 27 publications

(15 citation statements)

References 59 publications

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“…Second, although our in-depth interviews produced very rich data, we did not achieve data-saturation for different groups of older adults. For instance, the gendered nature of resources, capabilities, conversion factors and functionings in later life would be worth further exploration (see Gopinath, 2018). What is innovative in our approach is that we studied resources, capabilities, conversion factors and functionings in relation to each other, while most other studies focus on capabilities or functionings alone (Gilroy, 2006;van Ootegem & Spillemaeckers, 2010).…”

Section: Discussionmentioning

confidence: 99%

“…Ageing and Social Policy,7(1) 253 This ties in to Entwistle & Wattˈs (2013) recommendation, that a responsiveness to personal background is vital in organizing old-age care. What important capabilities are in later life, how agency is shaped, and what being independent means, differs between older adults (Gopinath, 2018). Developing an eye for such individual needs is important for policy makers, in order to create age-friendly environments that promote equity, with and for older adults.…”

Section: Discussionmentioning

confidence: 99%

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“I think I'm better at it myself”: the Capability Approach and Being Independent in Later Life.

Meijering¹,

Hoven²,

Yousefzadeh³

2019

RASP

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Current policies on ageing in the global north emphasize that ‘ageing well’ is an individual responsibility, and tend to undervalue the social, economic and cultural context of ageing. The capability approach is well-suited to address the interplay between context and individual in later life. In this article, we therefore use the capability approach to explore how individual capabilities and contextual opportunities and restrictions contribute to being independent in later life. A qualitative methodology was adopted and we conducted in-depth interviews with 32 adults aged 65 and older, who lived independently and in sheltered housing. The study was carried out in two urban neighborhoods in the North of the Netherlands. Our findings underline that different pathways to independence are shaped by individual resources and capabilities, as well as by social and physical characteristics of the living environment. The three key capabilities that lead to being independent that we found were 1) to be comfortable at home and in the neighborhood; 2) to enjoy fulfilling social relations, and 3) to be mobile. The generated insights could be linked to policy initiatives with regard to age-friendly environments.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“I think I'm better at it myself”: the Capability Approach and Being Independent in Later Life.

Meijering¹,

Hoven²,

Yousefzadeh³

2019

RASP

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“…the ASCOT and the extra domains of QoL (based on the systematic review (Van Leeuwen et al, 2019) and the qualitative study ([author information removed]et al, submitted)), both depart from the views of older people themselves on QoL. The Capability Approach can be used as framework to put the values and diversity of people at the center and move away from a health focused view (Gopinath, 2018;Meijering, van Hoven, & Yousefzadeh, 2019). In this way, the CA can help to understand what really matters to older adults who receive care.…”

Section: Discussionmentioning

confidence: 99%

‘Implementing a broad quality of life tool for determining care wishes and needs of older adults living at home

Loon

Widdershoven

Leeuwen³

et al. 2021

Home Health Care Services Quarterly

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The aim was to investigate the views of stakeholders on the practical relevance of a broad quality of life (QoL) outcome tool for care in older adults: the Extended Quality of Life Tool (EQLT). We conducted individual interviews and focus groups with a variety of stakeholders involved in the care for older adults which were analyzed using a framework analysis. Stakeholders considered relevant: focus on the client perspective; perspective on QoL broader than health; the possibility to take diversity into account; and the possibility to determine a minimum level of QoL. Three facilitators for implementation of the tool were mentioned as well as four barriers. The EQLT can support conversations with clients about their needs and wishes, thus enabling decisions about care services based on a broad set of domains of QoL. Implementation of the tool should take into account the facilitators and barriers identified in the current study.

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“…If individuals, within a certain group, can agree that specific deficits in health are acceptable, then treatment guidelines for those health states should be adjusted accordingly. Suggesting that the concept of disability within a group like the oldest old should be re-examined and redefined to include the views of the oldest old 3…”

Section: Discussionmentioning

confidence: 99%

“…Typically health state valuation exercises are utilized to investigate the values patients, the general population or specific groups attach to hypothetical health-related quality of life (HRQoL) or well-being health states. However, this study was done concerning the descriptive and nuanced experience of aging as described by various elderly contexts and perspectives on health values 3…”

Section: Introductionmentioning

confidence: 99%

<p>Health-related quality of life and well-being health state values among Dutch oldest old</p>

Botes¹,

Vermeulen²,

Gerber³

et al. 2019

PPA

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Background: Valuing hypothetical health states is a demanding personal process, since it involves the psychological evaluation of hypothetical health states. It seems plausible that elderly individuals will value hypothetical health states differently than the general population. It is, however, important to understand the psychological division that oldest old subgroups construct between acceptable and unacceptable health states. This information can produce important evidence regarding well-being and disability conceptualization. Objective: To investigate how Dutch oldest old, conceptualize health-related quality of life health states when compared to well-being health states. In addition, we aim to compare subgroups, based on dependency classification. Methods: Ninety-nine elderly living in the Groningen, Hoogeveen and Veendam areas of the Netherlands participated in the study. Respondents were classified into three groups based on dependency levels. The respondents were asked to value hypothetical health states, a generic preference-based HRQoL and a well-being instrument, using a visual analog scale. Results: All three groups ranked the same health states, from both questionnaires, below the average across the health states. The health-related quality of life health states was consistently ranked lower than the current well-being health states. Conclusions: Health state valuations performed by the oldest old indicate that conceptually, respondents view below average health-related and well-being health states as undesirable. The results indicated that the oldest old do view deficits in health-related health states as more important than deficits in well-being health states. Since the oldest old performed the valuations, focused interventions to improve below average health-related outcomes might be the most cost-effective way to increase oldest old well-being outcomes.

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Thinking about Later Life: Insights from the Capability Approach

Cited by 27 publications

References 59 publications

“I think I'm better at it myself”: the Capability Approach and Being Independent in Later Life.

“I think I'm better at it myself”: the Capability Approach and Being Independent in Later Life.

‘Implementing a broad quality of life tool for determining care wishes and needs of older adults living at home

<p>Health-related quality of life and well-being health state values among Dutch oldest old</p>

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