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Journal of Aging and Long-Term Care: 1 (1)
Volume: 1  Issue: 1 - 2018
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1.An introductory message from the editor
Emre Senol Durak
doi: 10.5505/jaltc.2017.10820  Pages 1 - 3
Abstract | Full Text PDF

2.Late-life depression in the older adults living in an institution and at home
Mithat Durak
doi: 10.5505/jaltc.2017.09797  Pages 4 - 16
Psychological well-being in older adults is an important issue in Geropsychology and there is an increasing interest about the older adults living in the community and at home. Understanding markers of well-being associated with either living in an institution or at home would help to explore certain unique variables that make the older adults’ life difficult. Among older adults, depression decreases the quality of life and affect the individual’s lifespan significantly. However, there have been few studies investigating institution-specific or home-specific markers of depression which are the aims of the current study. The present study aims to make a comparison between 924 the older adults residing in institutions to 846 the older adults residing at home in terms of socio-demographic variables and health-related variables. Women living at home had higher depression scores than women in the institution. Conversely, men living in institutions were more depressed than living at home while married older adults at home have lower depression scores. Education and income are inversely associated with depression scores. As the number of illnesses increases so does the level of depression. Finally, there is a negative relationship with perceptions of prognosis and perceptions of threat regarding their medical conditions and depression. The interaction of gender, income and residence type is discussed in detail within a cultural context. Possible implications are suggested to improve the psychological well-being of older adults and the specific needs of different populations of older adults based on their residence type are addressed.

Key Practitioner Message
- Investigating the influence of residence type (institution versus home) on the older adults’ psychological well-being helps practitioners to understand the psychological effect of the environment.
- Examining the association between socio-demographic variables (gender, education, income, marital status) or health-related variables (perceptions of prognosis and threat regarding their medical conditions) and late-life depression reveals individual markers in relation to depression.
- Older adults residing at home are more vulnerable to suffer from depression due to their difficulty in accessing health services and tendency to disregard their health care needs.
- Older adults having physical illnesses had higher scores than their counterparts
- Perceptions regarding physical illness might be one of the important topics for health care professionals.
- Perceptions about physical illness might be a focal point to explore a relationship with mental health.

Acknowledgment: This research was supported by a grant from The Scientific and Technological Research Council of Turkey (TUBITAK) (Project No: SOBAG-110K039).

3.Where memories go: Why dementia changes everything by Sally Mangusson, Two Roads, London, 2014, 408 pp, ISBN 978-1-444-75181-9
Ilksen Oben Erucar
doi: 10.5505/jaltc.2017.98608  Pages 17 - 18
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4.Older adults' education and its relation to quality of life: An Italian example
Lara Gitto
doi: 10.5505/jaltc.2017.87587  Pages 19 - 33
Quality of Life (QoL) is a relevant topic for researchers and social policy makers developing educational programs for older adults. Such programs might be aimed at maintaining people’s wellbeing: in fact, when retired, people have more time for activities that may increase their satisfaction in the moment of adaptation to old age. In this perspective, the Universities of the Third Age (UTAs) offer leisure, educational and social activities. The present study was carried out at the Libera Università della Terza Età (LUTE) in the town of Milazzo, Southern Italy, with the objective to evaluate the QoL for the people enrolled and the factors contributing to make such initiative successful. Participants to the study (n = 340) were required to fill a questionnaire asking their generalities and information about the educational initiatives followed. QoL was assessed through the administration of the WHOQoL Bref. The relationship between QoL, socio economic variables and the items of the WHOQoL Bref was tested through the estimation of an ordered logit model. Instead, the individuals’ experiences at the LUTE were the focus of a correlation analysis, that considered specifically the level of satisfaction for the activities performed. The relevance of the results may be appreciated considering that the courses and educational initiatives can count on the contribution offered by volunteers. Hence, a positive outcome in terms of QoL is obtained at null or very low costs. Overall, educational initiatives directed to older adults should be actively promoted, given their implications, both from a social and economic perspective.

Key Practitioner Message
- The opportunity to attend and to take part of educational and leisure activities may increase individual QoL especially for the older adults.
- People joining institutions such as the Universities of the Third Age (UTAs) may be involved in the activities organized by the UTAs both as learners, lecturers and volunteers helping in the course management.
- In the case study examined, a positive outcome in terms of quality of life is obtained at very low costs, since the institution relies on the contribution offered by volunteers.

5.Developing multiple evaluation frameworks in an older adults care information system project: A case study from Taiwan
Chia Lun Lo, Zhi Yuan Su
doi: 10.5505/jaltc.2017.65375  Pages 34 - 48
Many hospital managers agree that they can copy their successful experience in the medical center through implementing the information system (IS) successfully in the older adults care institution. However, these facilities are not the same care model as general hospitals. In addition, the scales of operation in older adults care institution are often rather small and they can not undertake IS project with a high failure risk. Thus, the same standards for evaluating a successful implementation cannot be guaranteed for both types of institutions. A suitable system evaluation framework before the whole system migrates is very important, especially in the older adults care institution with low informatization levels. The goal of this study is emphasized by developing an innovative system project and its’ multiple evaluation framework in our case which turned to be a research-action, study participant comprising whole staffs and its residents of the older adults care village of biggest health care group in Taiwan. The results describe our resulting functional design of the system, multiple evaluation framework phases, and several challenges, difficulties or attentions. The contribution of this study is our project design and practical feasibility and execution of its evaluation methodology to an older adults care institution.

Key Practitioner Message
-Introducing an information system for older adults care institution in a holistic care concept helps practitioners to improve the work effectiveness of health care teams.
- Perceptions regarding the comprehensible and practical evaluation method of the information system for the older adults’ institution might be the important topics for health care professionals.
- Both personal satisfaction and organization benefit of the caregivers and residents might be affects the successful implementation

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