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Author: Chongwen Wang
Publisher: Open Dissertation Press
ISBN: 9781374671454
Category :
Languages : en
Pages :
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Book Description
This dissertation, "The Impacts of Psycho-social-spiritual Factors on Health-related Quality of Life Among Chinese Older Adults With Visual Problems" by Chongwen, Wang, 汪崇文, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Abstract of thesis entitled "The Impacts of Psycho-Social-Spiritual Factors on Health-Related Quality of Life among Chinese Older Adults with Visual Problems" Submitted by Wang Chongwen for the degree of Doctor of Philosophy at the University of Hong Kong in October, 2006 It has been suggested that adaptation to chronic illnesses may be affected by psychosocial factors, especially individuals' cognitive appraisal, spirituality, and social resources. Vision loss in later life is a stressful chronic condition. With the aging of population, age-related vision loss is becoming more prevalent in China. This study examined the relationships between visual function, cognitive appraisal, social network, spirituality, and vision-targeted health-related quality of life (HRQOL) as well as general health among Chinese older adults with vision impairment. A quantitative survey with cross-sectional design was adopted in the present study. A total of 167 older adults with visual problems aged 60 or above (mean = 76.2, SD = 6.5) were recruited from two public geriatric hospitals in Wuhan City, Mainland China. Face-to-face interviews with structured questionnaires were conducted with each subject. All instruments adopted had satisfactory or acceptable reliability. The effects of both objective and subjective measures of visual function on HRQOL were examined and compared first in this study, and objective measure of visual function was selected as the key variable to test major hypotheses. The findings indicated that cognitive appraisal, social network, and spirituality were significantly related to indicators of vision-targeted HRQOL, and that cognitive appraisal and spirituality were also significantly related to general health, after visual function and demographic variables were controlled for. Different factors were significantly related to different particular domains of HRQOL. The results further indicated that cognitive appraisal and spirituality acted as partial mediators in specific relationship between visual function and a domain of vision-targeted HRQOL, i.e., mental health symptoms due to visual problems, and that spirituality also acted as a partial mediator in the linkage between visual function and general mental health, suggesting that the mediating effects of cognitive appraisal and spirituality were not only decided by functional status, but also dependent upon which domain of HRQOL was to be measured. The findings also indicated that cognitive appraisal exhibited a moderating effect in the linkage between visual function and vision-targeted HRQOL including social function, mental health, and dependency domains, and in the linkage between visual function and general mental health. Social network exhibited only direct effect on vision-targeted HRQOL and general health in the study. On the whole, this study highlights the importance of the psycho-social-spiritual factors and their roles in adaptation to age-related vision loss. Our findings suggest that psycho-socio-spiritual factors have definite impacts on vision-targeted HRQOL and general health among Chinese older adults with visual problems. Implications for public policy and services, clinical professionals, social workers, health caregivers and older adults were discussed and future research directions and approaches were suggested. ii DOI: 10.5353
Author: Chongwen Wang
Publisher: Open Dissertation Press
ISBN: 9781374671454
Category :
Languages : en
Pages :
Get Book Here
Book Description
This dissertation, "The Impacts of Psycho-social-spiritual Factors on Health-related Quality of Life Among Chinese Older Adults With Visual Problems" by Chongwen, Wang, 汪崇文, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Abstract of thesis entitled "The Impacts of Psycho-Social-Spiritual Factors on Health-Related Quality of Life among Chinese Older Adults with Visual Problems" Submitted by Wang Chongwen for the degree of Doctor of Philosophy at the University of Hong Kong in October, 2006 It has been suggested that adaptation to chronic illnesses may be affected by psychosocial factors, especially individuals' cognitive appraisal, spirituality, and social resources. Vision loss in later life is a stressful chronic condition. With the aging of population, age-related vision loss is becoming more prevalent in China. This study examined the relationships between visual function, cognitive appraisal, social network, spirituality, and vision-targeted health-related quality of life (HRQOL) as well as general health among Chinese older adults with vision impairment. A quantitative survey with cross-sectional design was adopted in the present study. A total of 167 older adults with visual problems aged 60 or above (mean = 76.2, SD = 6.5) were recruited from two public geriatric hospitals in Wuhan City, Mainland China. Face-to-face interviews with structured questionnaires were conducted with each subject. All instruments adopted had satisfactory or acceptable reliability. The effects of both objective and subjective measures of visual function on HRQOL were examined and compared first in this study, and objective measure of visual function was selected as the key variable to test major hypotheses. The findings indicated that cognitive appraisal, social network, and spirituality were significantly related to indicators of vision-targeted HRQOL, and that cognitive appraisal and spirituality were also significantly related to general health, after visual function and demographic variables were controlled for. Different factors were significantly related to different particular domains of HRQOL. The results further indicated that cognitive appraisal and spirituality acted as partial mediators in specific relationship between visual function and a domain of vision-targeted HRQOL, i.e., mental health symptoms due to visual problems, and that spirituality also acted as a partial mediator in the linkage between visual function and general mental health, suggesting that the mediating effects of cognitive appraisal and spirituality were not only decided by functional status, but also dependent upon which domain of HRQOL was to be measured. The findings also indicated that cognitive appraisal exhibited a moderating effect in the linkage between visual function and vision-targeted HRQOL including social function, mental health, and dependency domains, and in the linkage between visual function and general mental health. Social network exhibited only direct effect on vision-targeted HRQOL and general health in the study. On the whole, this study highlights the importance of the psycho-social-spiritual factors and their roles in adaptation to age-related vision loss. Our findings suggest that psycho-socio-spiritual factors have definite impacts on vision-targeted HRQOL and general health among Chinese older adults with visual problems. Implications for public policy and services, clinical professionals, social workers, health caregivers and older adults were discussed and future research directions and approaches were suggested. ii DOI: 10.5353
Author: Chongwen Wang
Publisher:
ISBN:
Category : Quality of life
Languages : en
Pages : 704
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Author: Vivian W. Q. Lou
Publisher: Springer
ISBN: 3662463032
Category : Social Science
Languages : en
Pages : 104
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Book Description
There are several unique features of this book on the spiritual well-being of Chinese older adults. First, based on qualitative methodology, a conceptual model of spiritual well-being was proposed. Besides, through a Delphi study, different dimensions of spiritual well-being were identified. Conceptually, such effort is important because there is a general lack of well-articulated models of spiritual well-being for Chinese people. Although Western models can be “transplanted” to Chinese contexts, indigenous concepts are needed. As such, this is a pioneer conceptual contribution. Second, the author developed and validated the Spiritual Scale for Chinese Elders. In view of the lack of related measurement tools in the field, this is a pioneer attempt which is important for social work education, research and practice. Third, a Spiritual Enhancement Group for Chinese Elders was developed and its effectiveness was evaluated. In contrast to ordinary elderly programs, this program was based on solid theoretical grounds. In addition, process evaluation and outcome evaluation were conducted. The intervention program is a beautiful link between theory and practice whereas the evaluation is a good outgrowth of practice. The present project is especially valuable because evidence-based practice is at its infancy in different Chinese communities.
Author:
Publisher:
ISBN:
Category : Dissertations, Academic
Languages : en
Pages : 734
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Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309671035
Category : Social Science
Languages : en
Pages : 317
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Book Description
Social isolation and loneliness are serious yet underappreciated public health risks that affect a significant portion of the older adult population. Approximately one-quarter of community-dwelling Americans aged 65 and older are considered to be socially isolated, and a significant proportion of adults in the United States report feeling lonely. People who are 50 years of age or older are more likely to experience many of the risk factors that can cause or exacerbate social isolation or loneliness, such as living alone, the loss of family or friends, chronic illness, and sensory impairments. Over a life course, social isolation and loneliness may be episodic or chronic, depending upon an individual's circumstances and perceptions. A substantial body of evidence demonstrates that social isolation presents a major risk for premature mortality, comparable to other risk factors such as high blood pressure, smoking, or obesity. As older adults are particularly high-volume and high-frequency users of the health care system, there is an opportunity for health care professionals to identify, prevent, and mitigate the adverse health impacts of social isolation and loneliness in older adults. Social Isolation and Loneliness in Older Adults summarizes the evidence base and explores how social isolation and loneliness affect health and quality of life in adults aged 50 and older, particularly among low income, underserved, and vulnerable populations. This report makes recommendations specifically for clinical settings of health care to identify those who suffer the resultant negative health impacts of social isolation and loneliness and target interventions to improve their social conditions. Social Isolation and Loneliness in Older Adults considers clinical tools and methodologies, better education and training for the health care workforce, and dissemination and implementation that will be important for translating research into practice, especially as the evidence base for effective interventions continues to flourish.
Author:
Publisher:
ISBN:
Category : Medicine
Languages : en
Pages : 2388
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Book Description
Vols. for 1963- include as pt. 2 of the Jan. issue: Medical subject headings.
Author: John R. Peteet
Publisher:
ISBN: 9780190088873
Category : Health
Languages : en
Pages : 0
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Book Description
"The 2001 edition (1st) was a comprehensive review of history, research, and discussions on religion and health through the year 2000. The Appendix listed 1,200 separate quantitative studies on religion and health each rated in quality on 0-10 scale, followed by about 2,000 references and an extensive index for rapid topic identification. The 2012 edition (2nd) of the Handbook systematically updated the research from 2000 to 2010, with the number of quantitative studies then reaching the thousands. This 2022 edition (3rd) is the most scientifically rigorous addition to date, covering the best research published through 2021 with an emphasis on prospective studies and randomized controlled trials. Beginning with a Foreword by Dr. Howard K. Koh, former US Assistant Secretary for Health for the Department of Health and Human Services, this nearly 600,000-word volume examines almost every aspect of health, reviewing past and more recent research on the relationship between religion and health outcomes. Furthermore, nearly all of its 34 chapters conclude with clinical and community applications making this text relevant to both health care professionals (physicians, nurses, social workers, rehabilitation therapists, counsellors, psychologists, sociologists, etc.) and clergy (community clergy, chaplains, pastoral counsellors, etc.). The book's extensive Appendix focuses on the best studies, describing each study in a single line, allowing researchers to quickly locate the existing research. It should not be surprising that for Handbook for the past two decades has been the most cited of all references on religion and health"--
Author:
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Author: Yi Zeng
Publisher: Springer
ISBN: 9781402094781
Category : Social Science
Languages : en
Pages : 0
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Book Description
Key research in the world’s largest aging population – in China – has fed into this important new work, which aims to answer questions critical to older people worldwide. These include: is the period of disability compressing or expanding with increasing life expectancy and what factors are associated with these trends in the recent decades? And is it possible to realize morbidity compression with a prolongation of the life span in the future? Essential reading for gerontologists.
Author: National Research Council
Publisher: National Academies Press
ISBN: 0309092116
Category : Social Science
Languages : en
Pages : 753
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Book Description
In their later years, Americans of different racial and ethnic backgrounds are not in equally good-or equally poor-health. There is wide variation, but on average older Whites are healthier than older Blacks and tend to outlive them. But Whites tend to be in poorer health than Hispanics and Asian Americans. This volume documents the differentials and considers possible explanations. Selection processes play a role: selective migration, for instance, or selective survival to advanced ages. Health differentials originate early in life, possibly even before birth, and are affected by events and experiences throughout the life course. Differences in socioeconomic status, risk behavior, social relations, and health care all play a role. Separate chapters consider the contribution of such factors and the biopsychosocial mechanisms that link them to health. This volume provides the empirical evidence for the research agenda provided in the separate report of the Panel on Race, Ethnicity, and Health in Later Life.
