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Ganda Mall, J.-P., Östlund-Lagerström, L., Lindqvist, C. M., Algilani, S., Rasoal, D., Repsilber, D., . . . Schoultz, I. (2018). Are self-reported gastrointestinal symptoms among older adults associated with increased intestinal permeability and psychological distress?. BMC Geriatrics, 18(1), Article ID 75.
Åpne denne publikasjonen i ny fane eller vindu >>Are self-reported gastrointestinal symptoms among older adults associated with increased intestinal permeability and psychological distress?
Vise andre…
2018 (engelsk)Inngår i: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 18, nr 1, artikkel-id 75Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

BACKGROUND: Despite the substantial number of older adults suffering from gastrointestinal (GI) symptoms little is known regarding the character of these complaints and whether they are associated with an altered intestinal barrier function and psychological distress. Our aim was to explore the relationship between self-reported gut health, intestinal permeability and psychological distress among older adults.

METHODS: Three study populations were included: 1) older adults with GI symptoms (n = 24), 2) a group of older adults representing the general elderly population in Sweden (n = 22) and 3) senior orienteering athletes as a potential model of healthy ageing (n = 27). Questionnaire data on gut-health, psychological distress and level of physical activity were collected. Intestinal permeability was measured by quantifying zonulin in plasma. The level of systemic and local inflammation was monitored by measuring C-reactive protein (CRP), hydrogen peroxide in plasma and calprotectin in stool samples. The relationship between biomarkers and questionnaire data in the different study populations was illustrated using a Principal Component Analysis (PCA).

RESULTS: Older adults with GI symptoms displayed significantly higher levels of both zonulin and psychological distress than both general older adults and senior orienteering athletes. The PCA analysis revealed a separation between senior orienteering athletes and older adults with GI symptoms and showed an association between GI symptoms, psychological distress and zonulin.

CONCLUSIONS: Older adults with GI symptoms express increased plasma levels of zonulin, which might reflect an augmented intestinal permeability. In addition, this group suffer from higher psychological distress compared to general older adults and senior orienteering athletes. This relationship was further confirmed by a PCA plot, which illustrated an association between GI symptoms, psychological distress and intestinal permeability.

sted, utgiver, år, opplag, sider
BioMed Central, 2018
Emneord
Older adults; Gastrointestinal symptoms; Intestinal barrier function; Psychological distress
HSV kategori
Identifikatorer
urn:nbn:se:oru:diva-66053 (URN)10.1186/s12877-018-0767-6 (DOI)000428260300001 ()29554871 (PubMedID)2-s2.0-85044174344 (Scopus ID)
Forskningsfinansiär
Knowledge Foundation, 20110225
Merknad

Funding Agencies:

Bo Rydins stiftelse  F0514 

Faculty of Medicine and Health at Örebro University  

Diarrheal Disease Research Centre, Linköping University  

Tilgjengelig fra: 2018-03-27 Laget: 2018-03-27 Sist oppdatert: 2019-12-20bibliografisk kontrollert
Algilani, S., Langius-Eklöf, A., Kihlgren, A. & Blomberg, K. (2017). An interactive ICT-platform for early assessment and management of patient-reported concerns among older adults living in ordinary housing: development and feasibility. Journal of Clinical Nursing, 26(11-12), 1575-1583
Åpne denne publikasjonen i ny fane eller vindu >>An interactive ICT-platform for early assessment and management of patient-reported concerns among older adults living in ordinary housing: development and feasibility
2017 (engelsk)Inngår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 26, nr 11-12, s. 1575-1583Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Aim and objectives: To develop and test feasibility and acceptability of an interactive ICT-platform integrated in a tablet for collecting and managing patient reported concerns of older adults in home care.

Background: Using different ICT-applications, e.g. interactive tablets for self-assessment of health and health issues, based on health monitoring as well as other somatic and psychiatric monitoring systems may improve quality of life, staff and patient communication and feelings of being reassured. The European Commission hypothesize that introduction of ICT-applications to the older population will enable improved health. However, evidence-based and user-based applications are scarce.

Design: The design is underpinned by the Medical Research Council's complex intervention evaluation framework. A mixed-method approach was used combining interviews with older adults and healthcare professionals, and logged quantitative data.

Methods: In cooperation with a health management company, a platform operated by an interactive application for reporting and managing health related problems in real time was developed. Eight older adults receiving home care were recruited to test feasibility. They were equipped with the application and reported three times weekly over four weeks, and afterwards interviewed about their experiences. Three nurses caring for them were interviewed. The logged data was extracted as a coded file.

Results: The older adults reported as instructed, in total 107 reports (mean 13). The most frequent concerns were pain, fatigue and dizziness. The older adults experienced the application as meaningful with overall positive effects as well as potential benefits for the nurses involved.

Conclusions The overall findings in this study indicated high feasibility among older adults using the ICT-platform. The study's results support further development of the platform, as well as tests in full-scale studies and in other populations.

Relevance to practice: An ICT-platform increased the older adults' perception of involvement and facilitated communication between the patient and nurses.

sted, utgiver, år, opplag, sider
Wiley-Blackwell Publishing Inc., 2017
Emneord
Information and communication technology (ICT), nursing care, older adults, patient reported outcomes
HSV kategori
Forskningsprogram
Omvårdnadsvetenskap
Identifikatorer
urn:nbn:se:oru:diva-51489 (URN)10.1111/jocn.13468 (DOI)000400992400014 ()27381423 (PubMedID)2-s2.0-85017395310 (Scopus ID)
Merknad

Funding Agencies:

Örebro University  

Karolinska Institutet 

Tilgjengelig fra: 2016-08-05 Laget: 2016-08-02 Sist oppdatert: 2017-09-05bibliografisk kontrollert
Algilani, S., James, I. & Kihlgren, A. (2016). Experiencing Participation in Health Care: “Through the Eyes of Older Adults”. Open Journal of Nursing, 6(1), 62-77
Åpne denne publikasjonen i ny fane eller vindu >>Experiencing Participation in Health Care: “Through the Eyes of Older Adults”
2016 (engelsk)Inngår i: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 6, nr 1, s. 62-77Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background: Patient participation is well understood by health care professionals but not many studies have focused on the older adults and their perceptions of patient participation.

Aim and Objectives: To report an analysis of the concept of participation from the perspective of the older adult. Design: Concept analysis.

Methods: An integrative review approach was undertaken and the searches were limited from January 2003 to December 2014, guiding question was; “what constitutes patient participation according to the older adult?”

Results: Through the eyes of the older adults, a two-way communication should be initiated by the staff. Equality and sharing power between older adults and staffs was perceived as a precondition. Been given time was an essential issue, implying that older adults wished to have enough time from staffs and be in the right context surrounded by the appropriate environment in order to experience participation.

Conclusion: In order to experience participation for older adults, it is important that the health care professionals are aware of how and in what ways they can contribute to participation among older adults. The need or wish to create participation is not enough; the health care professional needs to see and understand participation through the older adult’s eyes. Thus, a person-centered nursing approach is relevant for the health care professional in order to both give and maintain the experience of participation to the older adult.

sted, utgiver, år, opplag, sider
Irvine, USA: Scientific Research Publishing, 2016
Emneord
Concept Analysis, Patient Participation, Older Adults’ Perspective, Nursing
HSV kategori
Forskningsprogram
Omvårdnadsvetenskap
Identifikatorer
urn:nbn:se:oru:diva-48458 (URN)10.4236/ojn.2016.61007 (DOI)
Tilgjengelig fra: 2016-02-22 Laget: 2016-02-22 Sist oppdatert: 2019-04-09bibliografisk kontrollert
Algilani, S., Östlund-Lagerström, L., Schoultz, I., Brummer, R. J. & Kihlgren, A. (2016). Increasing the qualitative understanding of optimal functionality in older adults: a focus group based study. BMC Geriatrics, 16(1), Article ID 70.
Åpne denne publikasjonen i ny fane eller vindu >>Increasing the qualitative understanding of optimal functionality in older adults: a focus group based study
Vise andre…
2016 (engelsk)Inngår i: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 16, nr 1, artikkel-id 70Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background: Decreased independence and loss of functional ability are issues regarded as inevitably connected to old age. This ageism may have negative influences on older adults' beliefs about aging, making it difficult for them to focus on their current ability to maintain a good health. It is therefore important to change focus towards promoting Optimal Functionality (OF). OF is a concept putting the older adult's perspective on health and function in focus, however, the concept is still under development. Hence, the aim was to extend the concept of optimal functionality in various groups of older adults.

Methods: A qualitative study was conducted based on focus group discussions (FGD). In total 6 FGDs were performed, including 37 older adults from three different groups: group 1) senior athletes, group 2) free living older adults, group 3) older adults living in senior living homes. All data was transcribed verbatim and analyzed following the process of deductive content analysis.

Results: The principal outcome of the analysis was "to function as optimally as you possibly can", which was perceived as the core of the concept. Further, the concept of OF was described as multifactorial and several new factors could be added to the original model of OF. Additionally the findings of the study support that all three cornerstones comprising OF have to occur simultaneously in order for the older adult to function as optimal as possible.

Conclusions: OF is a multifaceted and subjective concept, which should be individually defined by the older adult. This study further makes evident that older adults as a group are heterogeneous in terms of their preferences and views on health and should thus be approached as such in the health care setting. Therefore it is important to promote an individualized approach as a base when caring for older adults.

sted, utgiver, år, opplag, sider
London, United Kingdom: BioMed Central, 2016
Emneord
Older adults, optimal functionality, person centered care, focus group discussions
HSV kategori
Forskningsprogram
Geriatrik
Identifikatorer
urn:nbn:se:oru:diva-49605 (URN)10.1186/s12877-016-0244-z (DOI)000372822200002 ()27007861 (PubMedID)
Forskningsfinansiär
Knowledge Foundation, 20110225
Merknad

Funding Agencies:

Olle Engkvist Byggmästare Foundation

Faculty of Medicine and Health at Örebro University

Tilgjengelig fra: 2016-04-02 Laget: 2016-04-02 Sist oppdatert: 2018-04-27bibliografisk kontrollert
Algilani, S. (2016). To be at one's best: The evolution of Optimal Functionality and its possible implementation in an ICT-platform. (Doctoral dissertation). Örebro: Örebro university
Åpne denne publikasjonen i ny fane eller vindu >>To be at one's best: The evolution of Optimal Functionality and its possible implementation in an ICT-platform
2016 (engelsk)Doktoravhandling, med artikler (Annet vitenskapelig)
Abstract [en]

At the Nutrition and Physical Activity Research Centre for Optimal Health and Functionality through Life (NUPARC), a research gap was uncovered regarding the concept optimal functionality based on the older adult’s own perspective. The overall aim was to explore the concept of optimal functionality among older adults and the possibility of creating and developing an ICT-platform to measure it. Method: An existing cohort from NUPARC was used for recruitment in studies I-III and to some extent study IV. A scoping study design and framework was adopted for the inclusion of the articles in Study I. Study II had a descriptive design. Six focus group discussions were conducted and analysed using qualitative deductive content analysis to extend the qualitative understanding. Study III used a phenomenological approach describing the experience of mental health and its impact on the ability to function as optimally as possible. Six interviews were analysed using Giorgi’s phenomenological approach. Study IV was a feasibility study and included 8 older adults using an ICTplatform for a period of four weeks. Results: Optimal Functionality comprises three major corner stones: Body-related factors, Self-related factors and External factors (I) accompanied by nine aspects, and according to older adults it is a matter of functioning as optimally as possible (II). The three major cornerstones are intricately linked and all but the mental aspects were included in the discussions (II). Life situations affecting mental health, consequences of mental health and strategies for maintaining good mental health were described by older adults as having an impact on mental health and affecting their ability to function as optimally as possible (III). The older adults managed the usage of an ICT-tool well and it was perceived as meaningful (IV). Conclusion: Optimal functionality is holistic, subjective, dynamic and applicable to all older adults. Identification of the factors involved can help the older adults on their path to health. An ICT-platform can facilitate the identification of the factors for optimal functionality and the eventual measurement of it.

sted, utgiver, år, opplag, sider
Örebro: Örebro university, 2016. s. 87
Serie
Örebro Studies in Care Sciences, ISSN 1652-1153 ; 65
Emneord
older adults, optimal functionality, scoping review, focus group, qualitative content analysis, mental health, interviews, phenomenological approach, ICT-platform
HSV kategori
Identifikatorer
urn:nbn:se:oru:diva-49577 (URN)978-91-7529-138-3 (ISBN)
Disputas
2016-05-20, Teknikhuset, Hörsal T, Örebro universitet, Fakultetsgatan 1, Örebro, 13:15 (engelsk)
Opponent
Veileder
Tilgjengelig fra: 2016-03-29 Laget: 2016-03-29 Sist oppdatert: 2017-10-17bibliografisk kontrollert
Östlund-Lagerström, L., Blomberg, K., Algilani, S., Schoultz, M., Kihlgren, A., Brummer, R. J. & Schoultz, I. (2015). Senior orienteering athletes as a model of healthy aging: a mixed-method approach. BMC Geriatrics, 15, Article ID 76.
Åpne denne publikasjonen i ny fane eller vindu >>Senior orienteering athletes as a model of healthy aging: a mixed-method approach
Vise andre…
2015 (engelsk)Inngår i: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 15, artikkel-id 76Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background: The proportion of individuals reaching an old age is increasing and will, in the near future consume a majority of health care resources. It is therefore essential to facilitate the maintenance of optimal functionality among older adults. By characterizing older individuals experiencing wellbeing, factors important to promote and maintain health through life can be identified. Orienteering is an endurance-running sport involving cross-country navigation, demanding both cognitive and physical skills of its practitioners. In this study we aim to explore a Swedish population of senior orienteering athletes as a potential model of healthy aging.

Methods: We undertook a mixed-method approach using quantitative (i.e. questionnaires) and qualitative (i.e. focus group discussions) methodologies to explore a population of senior orienteering athletes (n = 136, median age = 69 (67-71) years). Quantitative data was collected to evaluate health status, assessing physical activity (Frandin-Grimby activity scale (FGAS)), functional wellbeing (EQ-5D-5 L), gut health (Gastrointestinal symptoms rating scale (GSRS)), anxiety and depression (Hospital Anxiety and Depression scale (HADS)) and overall health (Health index (HI)). The data was further compared to reference values obtained from a free-living Swedish population of older adults. Focus group discussions (FGD) were performed as a complement to the quantitative data to facilitate the individuals' own views on health and physical activity.

Results: The orienteering athletes enrolled in the study reported a significantly better health compared to the free-living older adults (p < 0.0015) on all questionnaires except HADS. The high health status displayed in this population was further confirmed by the FGD findings, in which all participants declared their engagement in orienteering as a prerequisite for health.

Conclusions: In conclusion our results show that senior orienteering may represent an ideal model in studies of healthy aging. Furthermore, our results show that even though the senior orienteering athletes are well aware of the long-term benefits of physical activity and have practiced the sport from a young age, they particularly point out that their engagement in orienteering is driven by short-term values such as enjoyment and passion. This may be important to consider when introducing public health interventions among the general older population.

Emneord
Healthy aging, Successful aging, Orienteering, Mixed-method, Older adults
HSV kategori
Forskningsprogram
Geriatrik
Identifikatorer
urn:nbn:se:oru:diva-45536 (URN)10.1186/s12877-015-0072-6 (DOI)000357558900001 ()26152308 (PubMedID)2-s2.0-84936746895 (Scopus ID)
Forskningsfinansiär
Knowledge Foundation, 20110225
Merknad

Funding Agencies:

Olle Engkvist Byggmästare Foundation

Faculty of Medicine at Örebro University

Tilgjengelig fra: 2015-08-13 Laget: 2015-08-12 Sist oppdatert: 2017-12-04bibliografisk kontrollert
Algilani, S., Langius-Eklöf, A., Kihlgren, A. & Blomberg, K. (2014). Can assessment of health on a ICT-platform improve optimal functionality and lead to participatory care among older adults?. In: eTELEMED 2014, The Sixth International Conference on eHealth, Telemedicine and Social Medicine: . Paper presented at eTELEMED 2014, The Sixth International Conference on eHealth, Telemedicine and Social Medicine, Barcelona, March 23-27, 2014 (pp. 201-204). Wilmington DE: International Academy, Research and Industry Association (IARIA)
Åpne denne publikasjonen i ny fane eller vindu >>Can assessment of health on a ICT-platform improve optimal functionality and lead to participatory care among older adults?
2014 (engelsk)Inngår i: eTELEMED 2014, The Sixth International Conference on eHealth, Telemedicine and Social Medicine, Wilmington DE: International Academy, Research and Industry Association (IARIA), 2014, s. 201-204Konferansepaper, Publicerat paper (Fagfellevurdert)
Abstract [en]

The number of people reaching old age is increasing rapidly, challenging the society and healthcare to promote healthy and meaningful aging. There is, and has been for a few years, a big interest in collecting patient reported outcomes (PROs) as a base for clinical management. Information and communication technology (ICT) and assistive technology in elderly care increase and may facilitate the care of older adults as they are moved from nursing homes to private homes. An ICT-platform for reporting health issues with immediate access to self-care advice and direct communication with healthcare professionals has been developed. The overall aim of this project is to evaluate the effects of the interactive ICT-platform regarding optimal functionality and participatory care. The project will be conducted in three phases: development of the ICT-platform, evaluating feasibility and evaluation of effects. The platform is unique by integrating interactive components for direct clinical management and needs to be thoroughly evaluated before implementation in daily practice. It is hypothesized that by using an interactive ICT-platform, it will promote participatory care and enhance the communication between older adults and their professional carers. The platform will be further developed, as well as test in a full-scale study.

sted, utgiver, år, opplag, sider
Wilmington DE: International Academy, Research and Industry Association (IARIA), 2014
Emneord
Information and communication technology, older adults, patient-reported outcomes measure
HSV kategori
Identifikatorer
urn:nbn:se:oru:diva-41711 (URN)978-1-61208-327-8 (ISBN)
Konferanse
eTELEMED 2014, The Sixth International Conference on eHealth, Telemedicine and Social Medicine, Barcelona, March 23-27, 2014
Merknad

IARIA Conference

Tilgjengelig fra: 2015-01-15 Laget: 2015-01-15 Sist oppdatert: 2018-06-15bibliografisk kontrollert
Algilani, S., Östlund-Lagerström, L., Kihlgren, A., Blomberg, K., Brummer, R. J. & Schoultz, I. (2014). Exploring the concept of optimal functionality in old age. Journal of Multidisciplinary Healthcare, 7, 69-79
Åpne denne publikasjonen i ny fane eller vindu >>Exploring the concept of optimal functionality in old age
Vise andre…
2014 (engelsk)Inngår i: Journal of Multidisciplinary Healthcare, ISSN 1178-2390, E-ISSN 1178-2390, Vol. 7, s. 69-79Artikkel, forskningsoversikt (Fagfellevurdert) Published
Abstract [en]

BACKGROUND: Aging is characterized by loss of function and represents a perspective that puts the focus on the negative aspects of aging. Thus, it is fundamental to shift the focus from loss of function to maintaining good health and personal satisfaction through life; in other words, to promote optimal functionality at a level appropriate for older adults. However, it is not yet known what constitutes optimal functionality from the older adult's own perspective.

OBJECTIVE: To explore the concept of optimal functionality in old age from the older adult's perspective (ie, people over 65 years of age) in industrialized Western countries.

METHODS: We undertook a scoping review and searched two electronic databases (PubMed and the Cumulative Index to Nursing and Allied Health Literature [CINAHL]) from January 2002 to July 2013 for scientific studies, using the key search term personal satisfaction. In total, 25 scientific studies were analyzed.

RESULTS: Only six of the included articles applied a qualitative methodology. By analyzing the results of these articles, three major themes were identified as cornerstones in the concept of optimal functionality at old age: 1) self-related factors (eg, mental well-being); 2) body-related factors (eg, physical well-being); and 3) external factors equal to demographic and environmental factors.

CONCLUSION: There is a lack of qualitative studies in the current literature, and hence of what constitutes optimal functionality from the older adult's perspective. The results outlined in this review identify three cornerstones (self-related factors, body-related factors, and external factors) of what constitutes optimal functionality at old age. However, it is vital that these findings are taken further and are evaluated through qualitative studies to reflect older adults' opinions.

sted, utgiver, år, opplag, sider
Dove Medical Press, 2014
Emneord
optimal functionality, aging, personal satisfaction
HSV kategori
Forskningsprogram
Medicin; Vårdvetenskap
Identifikatorer
urn:nbn:se:oru:diva-33866 (URN)10.2147/JMDH.S55178 (DOI)24516333 (PubMedID)2-s2.0-84893293812 (Scopus ID)
Tilgjengelig fra: 2014-02-20 Laget: 2014-02-20 Sist oppdatert: 2018-06-05bibliografisk kontrollert
Algilani, S., Blomberg, K., Kihlgren, A. & Langius-Eklöf, A. (2013). Individualised care with modern technology: Usability and Feasibility of an E-health platform including a Health measure, Self-Care advices and Alarms. In: : . Paper presented at AAL forum (Ambient Assisted Living). Impacting individuals, society and economic growth. 24-26 september 2013, Norrköping..
Åpne denne publikasjonen i ny fane eller vindu >>Individualised care with modern technology: Usability and Feasibility of an E-health platform including a Health measure, Self-Care advices and Alarms
2013 (engelsk)Konferansepaper, Oral presentation with published abstract (Fagfellevurdert)
HSV kategori
Identifikatorer
urn:nbn:se:oru:diva-41719 (URN)
Konferanse
AAL forum (Ambient Assisted Living). Impacting individuals, society and economic growth. 24-26 september 2013, Norrköping.
Tilgjengelig fra: 2015-01-15 Laget: 2015-01-15 Sist oppdatert: 2018-05-23bibliografisk kontrollert
Algilani, S., Langius-Ekelöf, A., Kihlgren, A. & Blomberg, K.An interactive ICT-platform for early assessment and management of patient-reported concerns among older adults living in Ordinary Housing: Development and Feasibility.
Åpne denne publikasjonen i ny fane eller vindu >>An interactive ICT-platform for early assessment and management of patient-reported concerns among older adults living in Ordinary Housing: Development and Feasibility
(engelsk)Manuskript (preprint) (Annet vitenskapelig)
HSV kategori
Identifikatorer
urn:nbn:se:oru:diva-50049 (URN)
Tilgjengelig fra: 2016-04-29 Laget: 2016-04-29 Sist oppdatert: 2017-10-17bibliografisk kontrollert
Organisasjoner
Identifikatorer
ORCID-id: ORCID iD iconorcid.org/0000-0002-6897-1853