Cited by 15Aging, Health, and DisabilityGeriatric Care and Nursing HomesAging, Elder Care, and Social Issues

Emotional and Social Effects of a Controlled Intervention Study in a Day-Care Unit for Elderly Patients

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Lökk, Johan·1990·Scandinavian Journal of Primary Health Care

Abstract

The present study deals with social, behavioural, and emotional aspects of the life of elderly handicapped people in a day-care unit. It was hypothesized that passivity and lack of possibility to influence treatment may inhibit progress in therapy. 65 patients were randomly allocated to experimental and control groups. The programme was devised in collaboration with the patients in order to ameliorate the passivity factor in treatment (by means of improved personal control and social activation). The programme was evaluated in a controlled study over 24 weeks with checkups before as well as after 6 and 12 weeks of therapy, and finally 12 weeks after the end of the programme. There were no changes in psychosomatic complaint scores or in any health/socioeconomic factor. However, there was a significant improvement in perceived health and life satisfaction. The results indicate that significant improvement in subjective well-being, lasting for at least three months after the end of day-care treatment, may be a consequence of the new intervention programme.

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  • In the discussion group study, participants reported increased social network size at six weeks and increased availability of contacts at 24 weeks, although more participants reported feeling often lonely compared with controls at six weeks.

    “Participants reported increased social network size at six weeks and increased availability of contacts at 24 weeks, although more participants reported feeling 'often lonely' compared with controls at six weeks.”
  • In the discussion group study, participants reported decreased depression at 24 weeks and reduced feelings of hopelessness at all time points compared with the control group.

    “Participants reported decreased depression at 24 weeks, and reduced feelings of hopelessness at all time points in comparison with the control group.”
  • In the discussion group study, beneficial intervention effects were observed in perceived health at 12 and 24 weeks.

    “Beneficial intervention effects were observed in perceived health at 12 and 24 weeks.”
  • Thirteen out of 19 (68%) group interventions in this review had a positive effect on at least one of the four social health sub-domains.

    “Thirteen out of 19 (68%) group interventions in this review [13,53,55,60,63,66-69,73-76] had a positive effect on at least one of the four social health sub-domains.”
  • Nine out of 11 (82%) interventions delivered by health and social care professionals reported at least one beneficial effect.

    “compared with nine out of 11 (82%) interventions delivered by health and social care professionals [13,52,56,60,65,69,70,76,81].”

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Cites

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Research works printed but not linked: 6

  1. Mahoney FJ, Wood OH, Barthel DW. Chronically ill patients. South Med J 1958; 51:605-9.
  2. UnestAhl L-E. Sjalvkontroll genom mental traning. 1973; 16: 181-201. (Self-control by mental training). Veje. ijrebro, 1979, 150 pp (Swedish).
  3. Thornstam L. Att Bdras. Socialgerontologiska per- spektiv. (To get older. Socio-gerontological perspec- tives). Academic thesis, Uppsala, 1973. (Swedish).
  4. Mellstrom D, Ahlgren C, Steen B. Kostmassiga ko- hortskillnader och effekten av kostintervention hos aldre. (Differences of cohorts concerning food and the effect of foodintervention of elderly). Report from Vasa Hospital, University of Gothenburg, Sweden. Annual Conference of the Swedish Society of Med- icine. Stockholm, 1988 (Swedish).
  5. Arnetz BB, Theorell T. Research on activation for the elderly. J Gerontol Nurs 1983; 9: 616-9.
  6. Konch BM, G o v i EK, Francis V. Gaps in dostor- patient interaction and patient satisfaction. Pediatrics 1963; 92: 855-71.

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Authors
Lökk, J.
Corresponding author
Lökk, Johan
Venue
Scandinavian Journal of Primary Health Care
Published
1990-01
Volume
8
Issue
3
Pages
165-172
ISSN
  • 0281-3432 (ISSN-L)
  • 1502-7724
OpenAlex
W1995100988
Cited by
15
References
25
Citations by year
2023: 1 · 2021: 3 · 2016: 1
FWCI
1.67
Type
journal article
Language
en
Open access
Locations
  • Scandinavian Journal of Primary Health Care (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
  • Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
  • Health Sciences › Health Professions › General Health Professions › Aging, Elder Care, and Social Issues
Keywords
elderly patients, day care unit, passivity, personal control, social activation, intervention program, health perception, life satisfaction, subjective well-being, psychosomatic symptoms, social consequences, emotional impact, behavioral effects
MeSH terms
Aged, Aged, 80 and over, Chronic Disease, Day Care, Medical, Female, Persons with Disabilities, Humans, Internal-External Control, Interpersonal Relations, Male, Middle Aged, Patient Participation, Personal Satisfaction, Socialization

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