Professionals such as gerontologists play an important role in thedesign, development and implementation of age-friendly services.and products, by using working methods and principles of co-creation.A Dutch undergraduate applied gerontology programme aims totrain students in the why, how and what of co-creation. The degreeto which students are intrinsically motivated to develop competenciesdepends on how their psychological needs are met. Theseneeds are autonomy, an awareness of competence and a sense ofrelatedness, as described in the self-determination theory. To nurturethe intrinsic motivation of the applied gerontology students, arealistic, powerful learning environment called the Living LabApplied Gerontology was designed and implemented. The aim ofthis paper is to present the design of this powerful learning environmentand to discuss its value for nurturing the students’ intrinsicmotivation for co-creation. Based on a focus group with eightstudents, we identify directions for further research and developmentof living labs.
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The “Creating Age-friendly Communities: Housing and Technology” publication presents contemporary, innovative, and insightful narratives, debates, and frameworks based on an international collection of papers from scholars spanning the fields of gerontology, social sciences, architecture, computer science, and gerontechnology. This extensive collection of papers aims to move the narrative and debates forward in this interdisciplinary field of age-friendly cities and communities. (This book is a reprint of the Special Issue Creating Age-friendly Communities: Housing and Technology that was published in Healthcare)
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The “Age-Friendly Cities & Communities: States of the Art and Future Perspectives”publication presents contemporary, innovative, and insightful narratives, debates, and frameworks based on an international collection of papers from scholars spanning the fields of gerontology, social sciences, architecture, computer science, and gerontechnology. This extensive collection of papers aims to move the narrative and debates forward in this interdisciplinary field of age-friendly cities and communities. CC BY-NC-ND Book CC BY Chapters © 2021 by the authors Original book at: https://doi.org/10.3390/books978-3-0365-1226-6 (This book is a printed edition of the Special Issue Feature Papers "Age-Friendly Cities & Communities: State of the Art and Future Perspectives" that was published in IJERPH)
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De publicatielijst bevat alle publicaties waar Robbert Gobbens aan bijgedragen heeft in de periode 2005 - 2020
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The World Health Organization (WHO) strives to assist and inspire cities to become more “age-friendly”, and the fundamentals are included in the Global Age-Friendly Cities Guide. An age-friendly city enables residents to grow older actively within their families, neighbourhoods and civil society, and o ers extensive opportunities for the participation of older people in the community. Over the decades, technology has become essential for contemporary and future societies, and even more imperative as the decades move on, given we are nearly in our third decade of the twenty-first century. Yet, technology is not explicitly considered in the 8-domain model by the WHO, which describes an age-friendly city. This paper discusses the gaps in the WHO’s age-friendly cities model in the field of technology and provides insights and recommendations for expansion of the model for application in the context of countries with a high human development index that wish to be fully age-friendly. This work is distinctive because of the proposed new age-friendly framework, and the work presented in this paper contributes to the fields of gerontology, geography urban and development, computer science, and gerontechnology. Original article at MDPI; DOI: https://doi.org/10.3390/ijerph16193525 (This article belongs to the Special Issue Quality of Life: The Interplay between Human Behaviour, Technology and the Environment)
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Background. Adequate and user-friendly instruments for assessing physical function and disability in older adults are vital for estimating and predicting health care needs in clinical practice. The Late-Life Function and Disability Instrument Computer Adaptive Test (LLFDICAT) is a promising instrument for assessing physical function and disability in gerontology research and clinical practice. Objective. The aims of this study were: (1) to translate the LLFDI-CAT to the Dutch language and (2) to investigate its validity and reliability in a sample of older adults who spoke Dutch and dwelled in the community. Design. For the assessment of validity of the LLFDI-CAT, a cross-sectional design was used. To assess reliability, measurement of the LLFDI-CAT was repeated in the same sample. Methods. The item bank of the LLFDI-CAT was translated with a forward-backward procedure. A sample of 54 older adults completed the LLFDI-CAT, World Health Organization Disability Assessment Schedule 2.0, RAND 36-Item Short-Form Health Survey physical functioning scale (10 items), and 10-Meter Walk Test. The LLFDI-CAT was repeated in 2 to 8 days (mean4.5 days). Pearson’s r and the intraclass correlation coefficient (ICC) (2,1) were calculated to assess validity, group-level reliability, and participant-level reliability. Results. A correlation of .74 for the LLFDI-CAT function scale and the RAND 36-Item Short-Form Health Survey physical functioning scale (10 items) was found. The correlations of the LLFDI-CAT disability scale with the World Health Organization Disability Assessment Schedule 2.0 and the 10-Meter Walk Test were .57 and .53, respectively. The ICC (2,1) of the LLFDI-CAT function scale was .84, with a group-level reliability score of .85. The ICC (2,1) of the LLFDI-CAT disability scale was .76, with a group-level reliability score of .81. Limitations. The high percentage of women in the study and the exclusion of older adults with recent joint replacement or hospitalization limit the generalizability of the results. Conclusions. The Dutch LLFDI-CAT showed strong validity and high reliability when used to assess physical function and disability in older adults dwelling in the community.
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checklist om vast te stellen hoe ernstig de mantelzorger belast is
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Op dit moment is 13% van de Nederlandse bevolking 65 jaar of ouder en is 3% 85 jaar of ouder. De gemiddelde levensverwachting voor mannen ligt op 77 jaar en voor vrouwen op 81 jaar. Voorspeld wordt dat de zogeheten vergrijzing rond 2040 zijn hoogtepunt bereikt. In dat jaar hoop ik mijn vijfenzeventigste verjaardag te vieren en zullen velen van u misschien wel tot de 85-plussers behoren. In dat jaar zal naar verwachting 23,5% van de bevolking 65-plus zijn. Daarvan zal het percentage 85-plussers een groter aandeel uitmaken dan nu. Al vanaf de oudheid bestaat er een tweeslachtige houding ten opzichte van ouderen: De ogen van de geest zien pas scherp als de ogen van het lichaam hun scherpte verliezen, schreef Cicero in de vierde eeuw voor Christus. Wanneer de rozen zijn afgevallen, veracht men de doornen, schreef Ovidius rond het begin van de christelijke jaartelling. Is de ouderdom nu een periode van achteruitgang, aftakeling, ziekte en verval? Of is het toch een periode van plezier, inzicht, macht en wijsheid? Hoe in een bepaalde periode naar ouderen wordt gekeken, is ook bepalend voor het Nederlandse overheidsbeleid. Tot de jaren zeventig van de vorige eeuw was dit beleid gericht op bescherming. Ouderen waren bejaarden voor wie gezorgd moest worden. Met het oog op meer samenhang in het zorgstelsel en op kostenbeheersing verschoof de aandacht vervolgens naar preventie en stimulering van zorg in eigen kring. Sinds de jaren negentig staat het beleid in het teken van het bevorderen van zelfstandigheid en zelfredzaamheid van ouderen. Het beeld van ouderen is nu dat van een kritische consument die zelf keuzes en kostenafwegingen kan maken (Huijsman & De Klerk, 1997). De vraag is of dat ook aansluit bij de realiteit van mensen met een chronische ziekte. Binnen het Lectoraat Verpleegkundige en paramedische zorg voor mensen met een chronische aandoening richten we ons op oudere chronisch zieken. Niet alleen omdat deze groep, zoals we u zullen laten zien, in kwantitatieve zin het grootste is maar ook omdat de zorg voor deze groep in kwalitatieve zin vaak ernstige hiaten vertoont. In deze openbare les willen wij pleiten voor een herbezinning op de professionele zorg voor chronisch zieke ouderen.
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Background: China faces a serious shortage of competent nurses who can address the healthcare needs of older people in an ageing society. Chinese higher education institutes face serious challenges when it comes to developing new curricula that are capable of educating sufficient numbers of competent gerontological nurses. Therefore, the aim of this research study was to identify and verify competencies for gerontological nurses in China that are needed to provide nursing care for the growing number of older people in all care settings. This study takes into account the possible opportunities that trends and developments may offer in the near future.Methods: In this study, a two-phase research design was used. The first phase concerned needs analysis, including a situational analysis, a trend analysis and a competence analysis. This process resulted in a draft competence framework. The second phase addressed the verification of the competence framework through a two-round Delphi study with a panel of Chinese and European experts. This process led to the final competence framework.Results: The final competence framework for gerontological nursing in China included six competencies divided into 13 essential and five relevant learning outcomes. The competencies are: ‘providing gerontological care’, ‘communication and collaboration’, ‘organization of gerontological nursing care’, ‘health promotion’, ‘evidence-based nursing and lifelong learning’ and ‘professional behaviour’.Conclusion: The framework comprehensively covers the six core competencies that nurses who care for older people should possess. These competencies are well-embedded in a Chinese context. The framework therefore offers concrete, practical suggestions for the competencies and skills that nursing graduates will need to work in current and future professions related to gerontological nursing education and practice.
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