Show simple item record

dc.contributor.authorRistolainen, Hanna
dc.contributor.authorKannasoja, Sirpa
dc.contributor.authorTiilikainen, Elisa
dc.contributor.authorHakala, Mari
dc.contributor.authorNärhi, Kati
dc.contributor.authorRissanen, Sari
dc.date.accessioned2020-07-27T11:44:56Z
dc.date.available2020-07-27T11:44:56Z
dc.date.issued2020
dc.identifier.citationRistolainen, H., Kannasoja, S., Tiilikainen, E., Hakala, M., Närhi, K., & Rissanen, S. (2020). Effects of ‘participatory group-based care management´ on wellbeing of older people living alone : a randomized controlled trial. <i>Archives of Gerontology and Geriatrics</i>, <i>89</i>, Article 104095. <a href="https://doi.org/10.1016/j.archger.2020.104095" target="_blank">https://doi.org/10.1016/j.archger.2020.104095</a>
dc.identifier.otherCONVID_35424753
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/71245
dc.description.abstractBackground and objectives More knowledge is needed of the effectiveness of complex interventions that aim to promote the wellbeing of older people. This study examines the effects of ‘participatory group-based care management’ conducted among community-dwelling older adults living alone in Central and Eastern Finland. The intervention aimed to promote wellbeing and quality of life (QoL) using a needs-based and participatory approach. Methods The study was carried out as a randomized control trial (intervention group n = 185, control group n = 207). In this article, baseline and 6-month follow-up surveys were used. QoL (WHOQOL-Bref instrument), loneliness (Revised UCLA Loneliness Scale; single-item question), and trust (two items of generalized trust and six items of institutional trust) were used as outcome measurements, and generalized estimating equations (GEE) modeling as the analysis method. Both per-protocol and intention-to-treat analyses were applied. Results According to the per-protocol analysis, the intervention had no effects on QoL. Loneliness decreased among older people with poor QoL at the baseline. Additionally, the intervention enhanced trust in other people and some dimensions of institutional trust. The intention-to-treat analysis did not result in any significant effects on QoL or loneliness, but some small positive changes in institutional trust were found. Conclusions Based on some evidence of small positive effects, the intervention may be beneficial in alleviating loneliness and enhancing trust among older people living alone. Because of the contradictory results, more research is needed to examine the complexity of ‘participatory group-based care management´ from the perspective of process evaluation.en
dc.format.mimetypeapplication/pdf
dc.languageeng
dc.language.isoeng
dc.publisherElsevier
dc.relation.ispartofseriesArchives of Gerontology and Geriatrics
dc.rightsCC BY-NC-ND 4.0
dc.subject.othergroup intervention
dc.subject.otherolder people
dc.subject.otherRCT
dc.subject.otherquality of life
dc.subject.otherloneliness
dc.subject.othertrust
dc.titleEffects of ‘participatory group-based care management´ on wellbeing of older people living alone : a randomized controlled trial
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-202007275394
dc.contributor.laitosYhteiskuntatieteiden ja filosofian laitosfi
dc.contributor.laitosDepartment of Social Sciences and Philosophyen
dc.contributor.oppiaineSosiaalityöfi
dc.contributor.oppiaineSocial Worken
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.description.reviewstatuspeerReviewed
dc.relation.issn0167-4943
dc.relation.volume89
dc.type.versionpublishedVersion
dc.rights.copyright© 2020 The Author(s). Published by Elsevier B.V.
dc.rights.accesslevelopenAccessfi
dc.subject.ysointerventiotutkimus
dc.subject.ysoikääntyneet
dc.subject.ysoryhmätoiminta
dc.subject.ysoyksinäisyys
dc.subject.ysoelämänlaatu
dc.subject.ysohenkinen hyvinvointi
dc.subject.ysoluottamus
dc.format.contentfulltext
jyx.subject.urihttp://www.yso.fi/onto/yso/p32625
jyx.subject.urihttp://www.yso.fi/onto/yso/p2433
jyx.subject.urihttp://www.yso.fi/onto/yso/p20748
jyx.subject.urihttp://www.yso.fi/onto/yso/p6935
jyx.subject.urihttp://www.yso.fi/onto/yso/p10759
jyx.subject.urihttp://www.yso.fi/onto/yso/p1946
jyx.subject.urihttp://www.yso.fi/onto/yso/p1725
dc.rights.urlhttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.relation.doi10.1016/j.archger.2020.104095
jyx.fundinginformationThe study was funded by the Strategic Research Council of the Finnish Academy (decision number #303615).


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record

CC BY-NC-ND 4.0
Except where otherwise noted, this item's license is described as CC BY-NC-ND 4.0