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Publications (10 of 79) Show all publications
Carstensen, G., Rosberg, B., McKee, K. & Åberg, A. C. (2019). Before evening falls: Perspectives of a good old age and healthy ageing among oldest-old Swedish men. Archives of gerontology and geriatrics (Print), 82, 35-44
Open this publication in new window or tab >>Before evening falls: Perspectives of a good old age and healthy ageing among oldest-old Swedish men
2019 (English)In: Archives of gerontology and geriatrics (Print), ISSN 0167-4943, E-ISSN 1872-6976, Vol. 82, p. 35-44Article in journal (Refereed) Published
Abstract [en]

The late life experiences of men in the oldest-old age group have been under-researched, and their perspectives on ageing successfully neglected. This study explored the perspectives of oldest-old Swedish men on what a ‘good old age’ and ageing successfully meant to them. A purposive sample of 17 men, aged 85-90 years, was drawn from the Uppsala Longitudinal Study of Adult Men. An interview guide explored participants’ perspectives on their ageing experiences and how they viewed ageing successfully. Participants were interviewed twice, with 1–2 weeks between interviews, and both interviews were recorded and transcribed. Content analysis identified four themes: i) Adaptation, concerning the ability to adapt to growing old with increasing limitations; ii) Sustaining Independence, related to financial resources and good health as the foundation for independence; iii) Belongingness, representing close relationships, established friendships, and the significance of the spouse; and iv) Perspectives of Time, also a common thread in all themes, in which past life experiences create an existential link between the past, the present and the future, establishing continuity of the self and enhancing life satisfaction. The participants presented themselves as active agents involved in maintaining meaning and achieving life satisfaction; a process related to the ability to manage changes in life. Our findings have resonance with models of healthy or successful ageing, but also diverge in important ways, since such models do not consider the significance of an individual’s life history for their present well-being, and primarily conceptualise health as an outcome, rather than as a resource.

Keywords
Life satisfactionhealthy agingOlder audultsMenContinuityAdaptationIndependenceBelongingnessTime
National Category
Nursing
Research subject
Health and Welfare
Identifiers
urn:nbn:se:du-29320 (URN)10.1016/j.archger.2019.01.002 (DOI)000463134900006 ()30711841 (PubMedID)2-s2.0-85060768267 (Scopus ID)
Available from: 2019-01-22 Created: 2019-01-22 Last updated: 2019-04-23Bibliographically approved
Marmstål Hammar, L., Williams, C. L., Meranius, M. S. & McKee, K. (2019). Being 'alone' striving for belonging and adaption in a new reality: The experiences of spouse carers of persons with dementia. Dementia, Article ID 1471301219879343.
Open this publication in new window or tab >>Being 'alone' striving for belonging and adaption in a new reality: The experiences of spouse carers of persons with dementia
2019 (English)In: Dementia, ISSN 1471-3012, E-ISSN 1741-2684, article id 1471301219879343Article in journal (Refereed) Epub ahead of print
Abstract [en]

Background and aim: Spouse carers of a person with dementia report feeling lonely and trapped in their role, lacking support and having no time to take care of their own health. In Sweden, the support available for family carers is not specialised to meet the needs of spouse carers of people with dementia. The aim of the study described in this paper was to explore spouse carers’ experiences of caring for a partner with dementia, their everyday life as a couple and their support needs.

Methods: Nine spouse carers of a partner with dementia living at home were recruited through a memory clinic and a dementia organisation. Semi-structured interviews were conducted with the participants, focusing on their experiences of providing care, their support needs in relation to their caring situation, their personal well-being and their marital relationship. The interviews were transcribed and underwent qualitative content analysis.

Results: The analysis resulted in one overall theme Being   ‘alone’   striving   for   belonging   and adaption  in  a  new  reality, synthesized from four sub-themes: (1) Being  in  an  unknown  country; (2) Longing  for a  place  for  me  and  us; (3) Being  a  carer  first  and  a  person  second; and (4) Being  alone  in  a relationship.

Conclusions: The training of care professionals regarding the unique needs of spouse carers of people with dementia needs improvement, with education, in particular, focusing on their need to be considered as a person separate from being a carer and on the significance of the couple’s relationship for their mutual well-being.

Keywords
dementia, experience, marriage, persons with dementia, qualitative content analysis, spouse carer, support
National Category
Nursing
Research subject
Health and Welfare
Identifiers
urn:nbn:se:du-31006 (URN)10.1177/1471301219879343 (DOI)000489393300001 ()31583888 (PubMedID)2-s2.0-85074599068 (Scopus ID)
Available from: 2019-10-21 Created: 2019-10-21 Last updated: 2019-12-06Bibliographically approved
Bozkurt Åhman, H., Cedervall, Y., Giedraitis, V., Berglund, L., McKee, K., Rosendahl, E., . . . Åberg, A. C. (2019). Combining Two Dual-Task Tests to Discriminate Between People with Dementia Disorder, Mild Cognitive Impairment, Subjective Cognitive Impairment, and Healthy Controls. In: : . Paper presented at The World Confederation for Physical Therapy Congress, 2019 10-13 May, Geneva, Switzerland.
Open this publication in new window or tab >>Combining Two Dual-Task Tests to Discriminate Between People with Dementia Disorder, Mild Cognitive Impairment, Subjective Cognitive Impairment, and Healthy Controls
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2019 (English)Conference paper (Refereed)
National Category
Clinical Medicine Health Sciences
Research subject
Health and Welfare
Identifiers
urn:nbn:se:du-30171 (URN)
Conference
The World Confederation for Physical Therapy Congress, 2019 10-13 May, Geneva, Switzerland
Available from: 2019-06-10 Created: 2019-06-10 Last updated: 2019-06-10Bibliographically approved
Bozkurt Åhman, H., Giedraitis, V., Cedervall, Y., Berglund, L., McKee, K., Rosendahl, E., . . . Åberg, A. C. (2019). Correlations Between Dual-Task Performance and Alzheimer’s Disease Cerebrospinal Fluid Biomarkers. In: : . Paper presented at International Association of Gerontology and Geriatrics – European Region, 23-25 maj, Göteborg.
Open this publication in new window or tab >>Correlations Between Dual-Task Performance and Alzheimer’s Disease Cerebrospinal Fluid Biomarkers
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2019 (English)Conference paper (Refereed)
National Category
Clinical Medicine Health Sciences
Research subject
Health and Welfare
Identifiers
urn:nbn:se:du-30169 (URN)
Conference
International Association of Gerontology and Geriatrics – European Region, 23-25 maj, Göteborg
Available from: 2019-06-10 Created: 2019-06-10 Last updated: 2019-06-10Bibliographically approved
McKee, K., Nordin, S. & Elf, M. (2019). Developmentand initial validation of the Staff Perception Of Residential care Environments(SPORE) instrument. In: : . Paper presented at The International Association of Gerontology and Geriatrics European Region Congress 2019 (IAGG-ER). 23-25 May 2019 in Gothenburg.
Open this publication in new window or tab >>Developmentand initial validation of the Staff Perception Of Residential care Environments(SPORE) instrument
2019 (English)Conference paper, Poster (with or without abstract) (Refereed)
Abstract [en]

Staff perceptions of the health care environment influence the delivery of person-centred care.  Little research has examined staff perceptions of health care environments, in part because of a lack of validated instruments.  This study reports the development and initial validation of the Staff Perception Of Residential care Environments (SPORE) instrument for use in residential care facilities for older people (RCFs).

Items developed in a British project on the design of care environments were translated and adapted for the Swedish care context as SPORE (24 items, 5 sub-scales).  In a study of the physical environment and quality of care, 200 staff recruited from 20 RCFs sampled from across Sweden completed a questionnaire containing SPORE, the Person-centred Care Assessment Tool (PCAT), the Person-centred Climate Questionnaire – staff version (PCQ-S), and the Sheffield Care Environment Assessment Matrix –Sweden (SCEAM-S).

All SPORE sub-scales were normally distributed with good internal consistency reliability (Cronbach αs=.85-.88). Correlations between SPORE and PCAT sub-scales ranged from .301-.503, and between SPORE and PCQ-S sub-scales from .353-.557.  RCF-level analyses (N=20) indicated that scores on SCEAM overall environment quality correlated significantly with all SPORE sub-scales (range=.496-.700).  The SCEAM Comfort sub-scale was correlated with all SPORE sub-scales (range=.509-.721), while the SCEAM Privacy sub-scale was correlated (r=.428) with the SPORE Staff Facilities sub-scale.  The SPORE Working and Caring for Residents sub-scale was correlated with SCEAM cognitive support (r=.502) and physical support (r=.566) sub-scales.

The SPORE instrument demonstrated good psychometric properties and its sub-scales an excellent range of associations with staff perceptions of person-centred care and with objective assessments of the physical environment.  Further validation is required, but the SPORE instrument has potential for understanding how staff perceptions of the RCF environment relate to the delivery of person-centred care.

National Category
Health Sciences
Research subject
Health and Welfare
Identifiers
urn:nbn:se:du-30275 (URN)
Conference
The International Association of Gerontology and Geriatrics European Region Congress 2019 (IAGG-ER). 23-25 May 2019 in Gothenburg
Available from: 2019-06-18 Created: 2019-06-18 Last updated: 2019-06-19Bibliographically approved
Åhman, H. B., Giedraitis, V., Cedervall, Y., Lennhed, B., Berglund, L., McKee, K., . . . Åberg, A. C. (2019). Dual-task performance and neurodegeneration: Correlations between timed up-and-go dual-task test outcomes and Alzheimer's disease cerebrospinal fluid biomarkers. Journal of Alzheimer's Disease, 71(Suppl 1), S75-S83
Open this publication in new window or tab >>Dual-task performance and neurodegeneration: Correlations between timed up-and-go dual-task test outcomes and Alzheimer's disease cerebrospinal fluid biomarkers
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2019 (English)In: Journal of Alzheimer's Disease, ISSN 1387-2877, E-ISSN 1875-8908, Vol. 71, no Suppl 1, p. S75-S83Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Tools to identify individuals at preclinical stages of dementia disorders are needed to enable early interventions. Alterations in dual-task performance have been detected early in progressive neurodegenerative disorders. Hence, dual-task testing may have the potential to screen for cognitive impairment caused by neurodegeneration. Exploring correlations between dual-task performance and biomarkers of neurodegeneration is therefore of interest.

OBJECTIVE: To investigate correlations between Timed Up-and-Go dual-task (TUGdt) outcomes and Alzheimer's disease (AD) cerebrospinal fluid (CSF) biomarkers amyloid-β 42 (Aβ42), total tau (t-tau), and phosphorylated tau (p-tau).

METHODS: This cross-sectional cohort study included 90 participants (age range 49-84 years) undergoing memory assessment, who were subsequently diagnosed with AD, other dementia disorders, mild cognitive impairment, or subjective cognitive impairment. TUG combined with "Naming Animals" (TUGdt NA) and "Months Backwards" (TUGdt MB), respectively, were used to assess dual-task performance. The number of correct words and time taken to complete the tests were measured. The CSF biomarkers were analysed by ELISA. Spearman's rank correlation was used for analyses between TUGdt outcomes (TUGdt NA and TUGdt MB), and CSF biomarkers, adjusted for age, gender, and educational level.

RESULTS: The number of correct words, as well as the number of correct words/10 s during TUGdt NA correlated negatively to CSF t-tau and p-tau. No correlations were found between any time scores and CSF biomarkers.

CONCLUSION: The correlations between TUGdt NA and t-tau and p-tau may indicate that neurodegeneration affects dual-task performance. Longitudinal studies are needed to further explore dual-task testing in screening for cognitive impairment due to neurodegeneration.

Keywords
Alzheimer’s disease, attention, biomarkers, cerebrospinal fluid, dementia, executive function, gait, mild cognitive impairment, subjective cognitive impairment
National Category
Geriatrics Neurology
Research subject
Health and Welfare
Identifiers
urn:nbn:se:du-30083 (URN)10.3233/JAD-181265 (DOI)000487075000010 ()31104024 (PubMedID)2-s2.0-85072556532 (Scopus ID)
Available from: 2019-05-21 Created: 2019-05-21 Last updated: 2019-10-18Bibliographically approved
Dahlberg, L., Frank, A., Naseer, M. & McKee, K. (2019). Systematic review of longitudinal risk factors for loneliness among older adults. In: : . Paper presented at International Association of Gerontology and Geriatrics European Region Congress (IAGG-ER), 23-25 May 2019, Gothenburg.
Open this publication in new window or tab >>Systematic review of longitudinal risk factors for loneliness among older adults
2019 (English)Conference paper, Oral presentation only (Refereed)
National Category
Social Work
Research subject
Health and Welfare
Identifiers
urn:nbn:se:du-30228 (URN)
Conference
International Association of Gerontology and Geriatrics European Region Congress (IAGG-ER), 23-25 May 2019, Gothenburg
Funder
Nordic Council of Ministers, 18291
Available from: 2019-06-13 Created: 2019-06-13 Last updated: 2019-06-14Bibliographically approved
Nordin, S., Dahlberg, L., McKee, K. & Elf, M. (2019). Technology to support decision-making for older people with dementia. In: : . Paper presented at IAGG 2019 The International Association of Gerontology and Geriatrics European Region Congress 2019, 23-25 May, Gothenburg.
Open this publication in new window or tab >>Technology to support decision-making for older people with dementia
2019 (English)Conference paper, Poster (with or without abstract) (Refereed)
National Category
Health Sciences
Research subject
Health and Welfare
Identifiers
urn:nbn:se:du-29866 (URN)
Conference
IAGG 2019 The International Association of Gerontology and Geriatrics European Region Congress 2019, 23-25 May, Gothenburg
Available from: 2019-04-08 Created: 2019-04-08 Last updated: 2019-04-11Bibliographically approved
Cedervall, Y., Giedraitis, V., Berglund, L., McKee, K., Kilander, L., Rosendahl, E., . . . Åberg, A. C. (2019). Timed Up-and-Go dual-task performance – a marker for dementia?. In: : . Paper presented at International Association of Gerontology and Geriatrics – European Region, 23-25 maj, Göteborg.
Open this publication in new window or tab >>Timed Up-and-Go dual-task performance – a marker for dementia?
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2019 (English)Conference paper (Refereed)
National Category
Clinical Medicine Health Sciences
Research subject
Health and Welfare
Identifiers
urn:nbn:se:du-30170 (URN)
Conference
International Association of Gerontology and Geriatrics – European Region, 23-25 maj, Göteborg
Available from: 2019-06-10 Created: 2019-06-10 Last updated: 2019-06-10Bibliographically approved
Bozkurt Ahman, H., Giedraitis, V., Cedervall, Y., Berglund, L., McKee, K., Rosendahl, E., . . . Åberg, A. C. (2018). Correlations Between Dual-Task Performance and Alzheimer’s Disease Cerebrospinal Fluid Biomarkers. In: : . Paper presented at The 14th International Congress of the European Geriatric Medicine Society, 2018 October 10-12, Berlin, Germany.
Open this publication in new window or tab >>Correlations Between Dual-Task Performance and Alzheimer’s Disease Cerebrospinal Fluid Biomarkers
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2018 (English)Conference paper (Refereed)
National Category
Clinical Medicine Health Sciences
Research subject
Health and Welfare
Identifiers
urn:nbn:se:du-27800 (URN)
Conference
The 14th International Congress of the European Geriatric Medicine Society, 2018 October 10-12, Berlin, Germany
Available from: 2018-06-12 Created: 2018-06-12 Last updated: 2018-06-12Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-8795-7555

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