Publication

Promoting well-being in frail elderly people: theory and intervention

Schuurmans, J. E. H. M., 2004, [S.l.]: [S.n.]. 226 p.

Research output: ThesisThesis fully internal (DIV)Academic

APA

Schuurmans, J. E. H. M. (2004). Promoting well-being in frail elderly people: theory and intervention. [S.l.]: [S.n.].

Author

Schuurmans, Johanna Engelberta Hendrika Maria. / Promoting well-being in frail elderly people : theory and intervention. [S.l.] : [S.n.], 2004. 226 p.

Harvard

Schuurmans, JEHM 2004, 'Promoting well-being in frail elderly people: theory and intervention', Doctor of Philosophy, University of Groningen, [S.l.].

Standard

Promoting well-being in frail elderly people : theory and intervention. / Schuurmans, Johanna Engelberta Hendrika Maria.

[S.l.] : [S.n.], 2004. 226 p.

Research output: ThesisThesis fully internal (DIV)Academic

Vancouver

Schuurmans JEHM. Promoting well-being in frail elderly people: theory and intervention. [S.l.]: [S.n.], 2004. 226 p.


BibTeX

@phdthesis{1363f22799a243a2997eefdf6bd7901f,
title = "Promoting well-being in frail elderly people: theory and intervention",
abstract = "In this project, it was investigated if well-being in frail elderly patients (hospital and family practitioners patients) can be increased by means of increasing their Self-Management Ability (SMA). Frail elderly people have suffered interacting losses in physical, social, and psychological domains of functioning. These losses lead to a decreased reserve capacity for dealing with these and new losses. As such, frail elderly people have a risk of declining well-being. To counteract or mitigate these negative consequences of frailty, an intervention was proposed to increase frail elderly people’s adaptive abilities (self-management abilities) to realize well-being. The intervention consisted of six home visits by a geriatric nurse. The visits were psycho-educational and contained information and assignments. Effects of the intervention were tested by comparing an experimental and a control group, both about 50 persons. Besides, some theoretical models about the expected relations between frailty, self-management abilities and well-being were tested in several samples. These samples consisted of elderly people with different levels of frailty. Main results and conclusions: - Using frailty to select older people at risk for interventions may, therefore, be a large improvement compared to selecting people using chronological age. - Both self-management abilities and well-being can be increased in frail elderly hospital patients by means of a general intervention that does not focus on the consequences of specific diseases, but on elderly people’s general capacity for realizing well-being. - The intervention increased overall well-being, which includes physical, social, and psychological well-being. - The intervention increased the self-management abilities and via these, well-being. - The increase in self-management abilities and well-being was found in the short term (directly after the intervention) and in the longer term (4 months after the intervention). - We were able to give our intervention a clear theoretical basis that connected the problem, the working mechanism, and the outcomes. Using the theoretical, we were able to design an intervention that increased the theoretical mechanism of self-management abilities and thereby appeared to lead to the expected outcome (increased well-being). - Most of our theoretical propositions predicted positive well-being well. Other theorizing might be required to capture relevant predictors for negative well-being. Well-being must be considered multidimensionally. - Self-management abilities are mostly related to positive aspects of well-being; frailty is mostly related to negative aspects of well-being. - The SMA intervention can be implemented in transmural care for frail elderly hospital patients, but additional criteria for selecting the patients have to be used.",
keywords = "Proefschriften (vorm), Welzijn, Ouderen, 44.68",
author = "Schuurmans, {Johanna Engelberta Hendrika Maria}",
note = "date_submitted:2004 Rights: University of Groningen",
year = "2004",
language = "English",
isbn = "903672032X",
publisher = "[S.n.]",
school = "University of Groningen",

}

RIS

TY - THES

T1 - Promoting well-being in frail elderly people

T2 - theory and intervention

AU - Schuurmans, Johanna Engelberta Hendrika Maria

N1 - date_submitted:2004 Rights: University of Groningen

PY - 2004

Y1 - 2004

N2 - In this project, it was investigated if well-being in frail elderly patients (hospital and family practitioners patients) can be increased by means of increasing their Self-Management Ability (SMA). Frail elderly people have suffered interacting losses in physical, social, and psychological domains of functioning. These losses lead to a decreased reserve capacity for dealing with these and new losses. As such, frail elderly people have a risk of declining well-being. To counteract or mitigate these negative consequences of frailty, an intervention was proposed to increase frail elderly people’s adaptive abilities (self-management abilities) to realize well-being. The intervention consisted of six home visits by a geriatric nurse. The visits were psycho-educational and contained information and assignments. Effects of the intervention were tested by comparing an experimental and a control group, both about 50 persons. Besides, some theoretical models about the expected relations between frailty, self-management abilities and well-being were tested in several samples. These samples consisted of elderly people with different levels of frailty. Main results and conclusions: - Using frailty to select older people at risk for interventions may, therefore, be a large improvement compared to selecting people using chronological age. - Both self-management abilities and well-being can be increased in frail elderly hospital patients by means of a general intervention that does not focus on the consequences of specific diseases, but on elderly people’s general capacity for realizing well-being. - The intervention increased overall well-being, which includes physical, social, and psychological well-being. - The intervention increased the self-management abilities and via these, well-being. - The increase in self-management abilities and well-being was found in the short term (directly after the intervention) and in the longer term (4 months after the intervention). - We were able to give our intervention a clear theoretical basis that connected the problem, the working mechanism, and the outcomes. Using the theoretical, we were able to design an intervention that increased the theoretical mechanism of self-management abilities and thereby appeared to lead to the expected outcome (increased well-being). - Most of our theoretical propositions predicted positive well-being well. Other theorizing might be required to capture relevant predictors for negative well-being. Well-being must be considered multidimensionally. - Self-management abilities are mostly related to positive aspects of well-being; frailty is mostly related to negative aspects of well-being. - The SMA intervention can be implemented in transmural care for frail elderly hospital patients, but additional criteria for selecting the patients have to be used.

AB - In this project, it was investigated if well-being in frail elderly patients (hospital and family practitioners patients) can be increased by means of increasing their Self-Management Ability (SMA). Frail elderly people have suffered interacting losses in physical, social, and psychological domains of functioning. These losses lead to a decreased reserve capacity for dealing with these and new losses. As such, frail elderly people have a risk of declining well-being. To counteract or mitigate these negative consequences of frailty, an intervention was proposed to increase frail elderly people’s adaptive abilities (self-management abilities) to realize well-being. The intervention consisted of six home visits by a geriatric nurse. The visits were psycho-educational and contained information and assignments. Effects of the intervention were tested by comparing an experimental and a control group, both about 50 persons. Besides, some theoretical models about the expected relations between frailty, self-management abilities and well-being were tested in several samples. These samples consisted of elderly people with different levels of frailty. Main results and conclusions: - Using frailty to select older people at risk for interventions may, therefore, be a large improvement compared to selecting people using chronological age. - Both self-management abilities and well-being can be increased in frail elderly hospital patients by means of a general intervention that does not focus on the consequences of specific diseases, but on elderly people’s general capacity for realizing well-being. - The intervention increased overall well-being, which includes physical, social, and psychological well-being. - The intervention increased the self-management abilities and via these, well-being. - The increase in self-management abilities and well-being was found in the short term (directly after the intervention) and in the longer term (4 months after the intervention). - We were able to give our intervention a clear theoretical basis that connected the problem, the working mechanism, and the outcomes. Using the theoretical, we were able to design an intervention that increased the theoretical mechanism of self-management abilities and thereby appeared to lead to the expected outcome (increased well-being). - Most of our theoretical propositions predicted positive well-being well. Other theorizing might be required to capture relevant predictors for negative well-being. Well-being must be considered multidimensionally. - Self-management abilities are mostly related to positive aspects of well-being; frailty is mostly related to negative aspects of well-being. - The SMA intervention can be implemented in transmural care for frail elderly hospital patients, but additional criteria for selecting the patients have to be used.

KW - Proefschriften (vorm)

KW - Welzijn

KW - Ouderen

KW - 44.68

M3 - Thesis fully internal (DIV)

SN - 903672032X

PB - [S.n.]

CY - [S.l.]

ER -

ID: 2968422