oru.sePublikationer
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
To be at one's best: The evolution of Optimal Functionality and its possible implementation in an ICT-platform
Örebro University, School of Health Sciences.ORCID iD: 0000-0002-6897-1853
2016 (English)Doctoral thesis, comprehensive summary (Other academic)
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.

Place, publisher, year, edition, pages
Örebro: Örebro university , 2016. , 87 p.
Series
Örebro Studies in Care Sciences, ISSN 1652-1153 ; 65
Keyword [en]
older adults, optimal functionality, scoping review, focus group, qualitative content analysis, mental health, interviews, phenomenological approach, ICT-platform
National Category
Other Health Sciences
Identifiers
URN: urn:nbn:se:oru:diva-49577ISBN: 978-91-7529-138-3 (print)OAI: oai:DiVA.org:oru-49577DiVA: diva2:915202
Public defence
2016-05-20, Teknikhuset, Hörsal T, Örebro universitet, Fakultetsgatan 1, Örebro, 13:15 (English)
Opponent
Supervisors
Available from: 2016-03-29 Created: 2016-03-29 Last updated: 2016-08-24Bibliographically approved
List of papers
1. Exploring the concept of optimal functionality in old age
Open this publication in new window or tab >>Exploring the concept of optimal functionality in old age
Show others...
2014 (English)In: Journal of Multidisciplinary Healthcare, ISSN 1178-2390, E-ISSN 1178-2390, Vol. 7, 69-79 p.Article, review/survey (Refereed) 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.

Place, publisher, year, edition, pages
Dove Medical Press, 2014
Keyword
optimal functionality, aging, personal satisfaction
National Category
Nursing
Research subject
Medicine; Nursing Science
Identifiers
urn:nbn:se:oru:diva-33866 (URN)10.2147/JMDH.S55178 (DOI)24516333 (PubMedID)2-s2.0-84893293812 (Scopus ID)
Available from: 2014-02-20 Created: 2014-02-20 Last updated: 2017-03-13Bibliographically approved
2. Increasing the qualitative understanding of optimal functionality in older adults: a focus group based study
Open this publication in new window or tab >>Increasing the qualitative understanding of optimal functionality in older adults: a focus group based study
Show others...
2016 (English)In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 16, no 1, 70Article in journal (Refereed) 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.

Place, publisher, year, edition, pages
London, United Kingdom: BioMed Central, 2016
Keyword
Older adults, optimal functionality, person centered care, focus group discussions
National Category
Geriatrics
Research subject
Geriatrics
Identifiers
urn:nbn:se:oru:diva-49605 (URN)10.1186/s12877-016-0244-z (DOI)000372822200002 ()27007861 (PubMedID)
Funder
Knowledge Foundation, 20110225
Note

Funding Agencies:

Olle Engkvist Byggmästare Foundation

Faculty of Medicine and Health at Örebro University

Available from: 2016-04-02 Created: 2016-04-02 Last updated: 2016-04-29Bibliographically approved
3. Mental health as a prerequisite for functioning as optimally as possible in old age: a phenomenological approach
Open this publication in new window or tab >>Mental health as a prerequisite for functioning as optimally as possible in old age: a phenomenological approach
Show others...
(English)Manuscript (preprint) (Other academic)
National Category
Other Health Sciences
Identifiers
urn:nbn:se:oru:diva-50048 (URN)
Available from: 2016-04-29 Created: 2016-04-29 Last updated: 2016-04-29Bibliographically approved
4. An interactive ICT-platform for early assessment and management of patient-reported concerns among older adults living in Ordinary Housing: Development and Feasibility
Open this publication in new window or tab >>An interactive ICT-platform for early assessment and management of patient-reported concerns among older adults living in Ordinary Housing: Development and Feasibility
(English)Manuscript (preprint) (Other academic)
National Category
Other Health Sciences
Identifiers
urn:nbn:se:oru:diva-50049 (URN)
Available from: 2016-04-29 Created: 2016-04-29 Last updated: 2016-04-29Bibliographically approved

Open Access in DiVA

Introductory chapter(1743 kB)139 downloads
File information
File name FULLTEXT01.pdfFile size 1743 kBChecksum SHA-512
a621fffd7ebf8abd45906a4014ffdd53b3ae8b68e09d894f83786e3564f26bcda7922b65787683c28d24b60154530745c4f64a6c1db4a0909adbb0c393a48803
Type fulltextMimetype application/pdf
Cover(704 kB)32 downloads
File information
File name COVER01.pdfFile size 704 kBChecksum SHA-512
3f1155646b97dffa28965db42b4d58f4f1ec1ac6c6772e03222b43d4d77e43931087a9cd69c99e17713ea00f8a300bcd00ae5bdc98f345bce057900552d223af
Type coverMimetype application/pdf
Spikblad(131 kB)95 downloads
File information
File name SPIKBLAD01.pdfFile size 131 kBChecksum SHA-512
8838d7201ac6747553d8047d74284f6701e69be3f3681730ca90fcb0cba01756c506fd052741668e8f1e0aa4f5529cc576e6f51354df245cb39a1aab857d21c0
Type spikbladMimetype application/pdf

Search in DiVA

By author/editor
Algilani, Samal
By organisation
School of Health Sciences
Other Health Sciences

Search outside of DiVA

GoogleGoogle Scholar
Total: 139 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Total: 1551 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf