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8. Single Older Women Who Applied for the Giving Life More Lustre Course: Are They the Target Group that Was Aimed for?

Author

Kremers, Ismay P., Steverink, Nardi, Albersnagel, Frans A., and Slaets, Joris P. J.

Abstract

The present study investigated whether the women who applied for the self-management of well-being course Giving life more LUSTRE can be considered the target group that was intended. By comparing the course applicants with a random sample of community dwelling single women, it was found that, as expected, course applicants scored worse on well-being, loneliness, and negative affect, but not on positive affect, nor on self-management ability. It is concluded that the target group was reached only partly and that--even though the course has shown to be effective--a more specific recruitment procedure may further enhance its effectiveness. (Contains 2 tables.)

Published
2007

11. sj-pdf-1-jah-10.1177_0898264321993321 – Supplemental Material for Increasing Older Adult Involvement in Geriatric Assessment: A Mixed-Methods Process Evaluation

Author

Rietkerk, Wanda, de Jonge-de Haan, Jannet, Slaets, Joris P. J., Zuidema, Sytse U., and Gerritsen, Debby L.

Subjects
FOS: Clinical medicine, 111799 Public Health and Health Services not elsewhere classified, FOS: Health sciences, 110306 Endocrinology, 110308 Geriatrics and Gerontology
Abstract

Supplemental Material, sj-pdf-1-jah-10.1177_0898264321993321 for Increasing Older Adult Involvement in Geriatric Assessment: A Mixed-Methods Process Evaluation by Wanda Rietkerk, Jannet de Jonge-de Haan, Joris P. J. Slaets, Sytse U. Zuidema and Debby L. Gerritsen in Journal of Aging and Health

Published
2021
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15. Expressions of self-ageism in four European countries: a comparative analysis of predictors across cultural contexts.

Author

Schuurman, Belia, Lindenberg, Jolanda, Huijg, Johanna M., Achterberg, Wilco P., and Slaets, Joris P. J.

Subjects
PSYCHOLOGICAL aspects of aging, CULTURE, EVALUATION of medical care, AGEISM, SELF-perception, REGRESSION analysis, QUESTIONNAIRES, AUTONOMY (Psychology), STATISTICAL models, CULTURAL values
Abstract

Self-ageism has a significant negative impact on older people's ageing experiences and health outcomes. Despite ample evidence on cross-cultural ageism, studies have rarely looked into the way cultural contexts affect self-ageism. In this article, we compare expressions of self-ageism and its possible predictors across four European countries based on two questionnaires in a study sample of 2,494 individuals aged 55 and older. We explore how predictors of self-ageism are moderated by cultural values in a comparative fixed-effects regression model. We empirically show that similarly to ageism, self-ageism is not present in the same way and to the same extent in every country. Moreover, the level to which cultures value hierarchy and intellectual autonomy significantly moderates the association between self-ageism and individual predictors of self-ageism. Our study adds to the small existing body of work on self-ageism by confirming empirically that certain expressions of self-ageism and individual predictors are susceptible to change in different cultural contexts. Our research results suggest that self-ageism interventions may benefit from a culturally sensitive approach and imply that more culturally diverse comparisons of self-ageism are necessary to figure out fitting ways to reduce self-ageism. [ABSTRACT FROM AUTHOR]

Published
2022
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20. Additional file 1 of Pharmacological treatment of increased vascular risk and cognitive performance in middle-aged and old persons: six-year observational longitudinal study

Author

Eersel, Marlise E. A. Van, Visser, Sipke T., Joosten, Hanneke, Gansevoort, Ron T., Slaets, Joris P. J., and Izaks, Gerbrand J.

Abstract

Additional file 1: Supplemental Table 1. The independent variables that were included in logistic regression model to calculate the estimated propensity score for treatment of vascular risk factors.

Published
2020
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29. Goal planning in person-centred care supports older adults receiving case management to attain their health-related goals.

Author

Rietkerk, Wanda, Uittenbroek, Ronald J., Gerritsen, Debby L., Slaets, Joris P. J., Zuidema, Sytse U., and Wynia, Klaske

Subjects
SOCIAL support, CONFIDENCE intervals, SOCIAL services case management, PATIENT-centered care, ACTIVITIES of daily living, MANN Whitney U Test, TREATMENT effectiveness, PRE-tests & post-tests, RANDOMIZED controlled trials, INDEPENDENT living, DESCRIPTIVE statistics, QUESTIONNAIRES, DISEASE prevalence, RESEARCH funding, STATISTICAL sampling, DATA analysis software, GOAL (Psychology)
Abstract

Care for older adults should preferably be provided in a person-centred way that includes goal planning. The aim of the present cohort study is to gain an insight into the results of goal planning, in a person-centred care setting for community-living older adults. Within Embrace, a person-centred and integrated care service, older adults set goals with the aim to improve health-related problems. For every goal, they rated severity scores ranging from 0 (no problem) to 10 (extremely severe): a baseline score, a target score and, within one year, an end score to evaluate these goals. The differences between baseline and end scores (goal progress) and target and end scores (goal attainment), and the percentage of goals attained were calculated and compared between health-related domains (i.e., mental health, physical health, mobility, and support). Among 233 older adults, 836 goal plans were formulated of which 74% (95% Confidence Interval: 71–77) were attained. Goals related to physical health were the most likely to be attained and goals for mobility and pain the least likely. Older adults are able to attain health-related goals through collaborative goal planning. We recommend future integrated care programmes for older adults to incorporate goal-planning methods to achieve person-centred care. Older adults experiencing frailty or complex care needs and receiving individual support within an integrated care setting are able to formulate and attain goals using goal planning with severity scores. Goal plans of community-living older adults mostly aim at improving health-related problems concerning physical health, mobility, or support. Goals related to physical health are the most likely to be attained, while goals for mobility and pain are the least likely to be attained. [ABSTRACT FROM AUTHOR]

Published
2021
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34. Optimizing Tailored Health Promotion for Older Adults

Author

Marcus-Varwijk, Anne Esther, Koopmans, Marg, Visscher, Tommy L. S., Seidell, Jacob C., Slaets, Joris P. J., and Smits, Carolien H. M.

Subjects
lcsh:RC952-954.6, health promotion, professional interaction, healthy living, lcsh:Geriatrics, Article, older adults, qualitative research
Abstract

Objective: This study explores older adults’ perspectives on healthy living, and their interactions with professionals regarding healthy living. This perspective is necessary for health professionals when they engage in tailored health promotion in their daily work routines. Method: In a qualitative study, 18 semi-structured interviews were carried out with older adults (aged 55-98) living in the Netherlands. The framework analysis method was used to analyze the transcripts. Results: Three themes emerged from the data—(a) healthy living: daily routines and staying active, (b) enacting healthy living: accepting and adapting, (c) interaction with health professionals with regard to healthy living: autonomy and reciprocity. Discussion: Older adults experience healthy living in a holistic way in which they prefer to live active and independent lives. Health professionals should focus on building an equal relationship of trust and focus on positive health outcomes, such as autonomy and self-sufficiency when communicating about healthy living.

Published
2016

35. The effect of social comparison information on the life satisfaction of frail older persons

Author

Frieswijik, Nynke, Buunk, Bram P., Steverink, Nardi, and Slaets, Joris P. J.

Subjects
Adults -- Surveys, Satisfaction -- Surveys, Psychology and mental health, Seniors
Abstract

A study based on the effects of social comparison on the life satisfaction of 455 community-dwelling older persons, is reported. As compared to upward comparison, the older persons felt more satisfied with their lives after downward comparison.

Published
2004

36. Impact of a Nurse-Led Health Promotion Intervention in an Aging Population: Results From a Quasi-Experimental Study on the "Community Health Consultation Offices for Seniors".

Author

Marcus-Varwijk, Anne Esther, Peters, Lilian L., Visscher, Tommy L. S., Smits, Carolien H. M., Ranchor, Adelita V., and Slaets, Joris P. J.

Subjects
DIAGNOSIS of bone fractures, GERIATRIC assessment, AGING, BIOMETRY, COMMUNITY health services, ACCIDENTAL falls, FRAIL elderly, GERIATRIC nursing, HEALTH behavior, HEALTH promotion, HEALTH status indicators, RESEARCH methodology, MEDICAL needs assessment, INDEPENDENT living, EVALUATION
Abstract

Objective: The study evaluated the nurse-led intervention " Community Health Consultation Offices for Seniors (CHCO) " on health-related and care needs–related outcomes in community-dwelling older people (⩾60 years). Method: With a quasi-experimental design, the CHCO intervention was evaluated on health-related and care needs–related outcomes after 1-year follow-up. Older people who received the intervention were frail, overweight, or were smoking. The comparison group received care as usual. In both groups, similar data were collected on health status, falls and fractures, and care needs. In the intervention group, additional data were collected on biometric measures and health-related behavior. Results: The intervention group and the care-as-usual group included 403 seniors and 984 seniors, respectively. Health-related outcomes, behaviors, and biometric measures, remained stable. After 1 year, care needs increased for both groups, but at a lower rate for the care-as-usual group. Discussion: The CHCO intervention showed no significant improvement on health-related outcomes or stability in care needs–related outcomes. [ABSTRACT FROM AUTHOR]

Published
2020
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37. Being Active, Engaged, and Healthy:Older Persons' Plans and Wishes to Age Successfully

Author

Huijg, Johanna M., van Delden, A. (Lex) E. Q., van der Ouderaa, Frans J. G., Westendorp, Rudi G. J., Slaets, Joris P. J., Lindenberg, Jolanda, Huijg, Johanna M., van Delden, A. (Lex) E. Q., van der Ouderaa, Frans J. G., Westendorp, Rudi G. J., Slaets, Joris P. J., and Lindenberg, Jolanda

Abstract

OBJECTIVES: This study took an emic multidimensional approach on successful aging and examined what older people consider important to age successfully by asking them about their plans and wishes (PWs). Associations between participants' demographics, health status, working life, social contacts, life satisfaction, and their PWs were investigated.METHOD: An online questionnaire was completed by 649 older individuals (55-90 years). Conceptual content analysis was performed to identify important categories in PWs. Quantitative analyses were conducted to examine associations between PWs and participants' characteristics.RESULTS: Most mentioned PWs were related to activities, engagement with life, and health. Seventy-four participants (11.4%) expressed no PWs. Multivariate analysis revealed that having PWs was most strongly related to participants' life satisfaction. Older individuals with a higher life satisfaction indicated significantly more often to have PWs than individuals with a lower life satisfaction.DISCUSSION: The majority of older people desire an active, engaged, and healthy life. PWs were variable and personal, which endorses an emic, multidimensional approach to successful aging. Knowledge on what older individuals find important in their lives and what they want to achieve can assist older individuals in setting and attaining their goals toward aging well.

Published
2017

38. How is Change in Physical Health Status Reflected by Reports of Nurses and Older People Themselves?

Author

Puvill, Thomas, Lindenberg, Jolanda, Slaets, Joris P. J., de Craen, Anton J. M., Westendorp, Rudi G. J., Puvill, Thomas, Lindenberg, Jolanda, Slaets, Joris P. J., de Craen, Anton J. M., and Westendorp, Rudi G. J.

Abstract

BACKGROUND: Self-rated health is assumed to closely reflect actual health status, but older people's shifting norms and values may influence this association. We investigated how older people's change in self-ratings, in comparison to their retrospective appreciation and change in nurse ratings, reflect functional decline and mortality risk.METHODS: A representative sample of 85-year olds from a middle-sized city in the Netherlands, excluding those with severe cognitive dysfunction, was followed for 6 years. Participants and a research nurse annually provided ratings of health, and participants retrospectively appreciated their annual change in health. Functional status was assessed with the Groningen Activity Rating Scale and all were followed for vital status.RESULTS: Functional decline was reflected by all reports of change in health (all p < .001). When incongruent, change in nurse-ratings reflected functional decline better than change in self-ratings but retrospective appreciation reflected functional decline best (p < .001 vs change in self-ratings and p < .05 vs change in nurse-ratings). Mortality risk was only reflected by retrospective appreciation (p < .01).CONCLUSIONS: Retrospective appreciation of health by older people is superior to change in self-ratings and nurse-ratings in reflecting change in physical health, possibly because similar norms and values are applied in the assessment. The nurse's norms, like the norms of older people, may shift with the ageing of the researched cohort. Asking people to retrospectively appreciate their change in health is a valuable addition to usual enquiries in practice and research.

Published
2017

40. Impact of physical and mental health on life satisfaction in old age:a population based observational study

Author

Puvill, Thomas, Lindenberg, Jolanda, de Craen, Antonius J. M., Slaets, Joris P. J., Westendorp, Rudi G. J., Puvill, Thomas, Lindenberg, Jolanda, de Craen, Antonius J. M., Slaets, Joris P. J., and Westendorp, Rudi G. J.

Abstract

BACKGROUND: It is widely assumed that poor health lowers life satisfaction when ageing. Yet, research suggests this relationship is not straightforward. This study investigated how older people evaluate their life when facing disease and disabilities.METHODS: The Leiden 85-plus Study, a prospectively followed cohort of a cohort of a middle-sized city in the Netherlands, all aged 85 years, that was age-representative of the general population, was used. Those with severe cognitive dysfunction were excluded (n = 501). Comorbidities, physical performance, cognitive function, functional status, residual lifespan, depressive symptoms and experienced loneliness were measured during home visits. Life satisfaction was self-reported with Cantril's ladder. All analyses were performed using regression analysis.RESULTS: Participants reported high life satisfaction (median 8 out of 10 points) despite having representative levels of disease and disability. Comorbidity, low cognitive function, and residual lifespan as markers of health were not associated with life satisfaction. Poor physical performance and low functional status were weakly but significantly associated with lower life satisfaction (p < 0.05 respectively p < 0.001), but significance was lost after adjustment for depressive symptoms and perceived loneliness. Depressive symptoms and perceived loneliness were strongly related to lower life satisfaction (both p < 0.001), even after adjustment for physical health characteristics.CONCLUSION: Poor physical health was hardly related to lower life satisfaction, whereas poor mental health was strongly related to lower life satisfaction. This indicates that mental health has a greater impact on life satisfaction at old age than physical health, and that physical health is less relevant for a satisfactory old age.

Published
2016

41. Associations of Various Health-Ratings with Geriatric Giants, Mortality and Life Satisfaction in Older People

Author

Puvill, Thomas, Lindenberg, Jolanda, Gussekloo, Jacobijn, de Craen, Anton J M, Slaets, Joris P J, Westendorp, Rudi G J, Puvill, Thomas, Lindenberg, Jolanda, Gussekloo, Jacobijn, de Craen, Anton J M, Slaets, Joris P J, and Westendorp, Rudi G J

Abstract

Self-rated health is routinely used in research and practise among general populations. Older people, however, seem to change their health perceptions. To accurately understand these changed perceptions we therefore need to study the correlates of older people's self-ratings. We examined self-rated, nurse-rated and physician-rated health's association with common disabilities in older people (the geriatric giants), mortality hazard and life satisfaction. For this, we used an age-representative population of 501 participant aged 85 from a middle-sized city in the Netherlands: the Leiden 85-plus Study. Participants with severe cognitive dysfunction were excluded. Participants themselves provided health ratings, as well as a visiting physician and a research nurse. Visual acuity, hearing loss, mobility, stability, urinal and faecal incontinence, cognitive function and mood (depressive symptoms) were included as geriatric giants. Participants provided a score for life satisfaction and were followed up for vital status. Concordance of self-rated health with physician-rated (k = .3 [.0]) and nurse-rated health (k = .2 [.0]) was low. All three ratings were associated with the geriatric giants except for hearing loss (all p < 0.001). Associations were equal in strength, except for depressive symptoms, which showed a stronger association with self-rated health (.8 [.1] versus .4 [.1]). Self-rated health predicted mortality less well than the other ratings. Self-rated health related stronger to life satisfaction than physician's and nurse's ratings. We conclude that professionals' health ratings are more reflective of physical health whereas self-rated health reflects more the older person's mental health, but all three health ratings are useful in research.

Published
2016

49. Is high-sensitive C-reactive protein a biomarker for functional somatic symptoms? A population-based study: A population-based study

Author

Tak, Lineke M, Bakker, Stephan J L, Slaets, Joris P J, Rosmalen, Judith G M, Health Psychology Research (HPR), Interdisciplinary Centre Psychopathology and Emotion regulation (ICPE), Life Course Epidemiology (LCE), Groningen Institute for Organ Transplantation (GIOT), Lifestyle Medicine (LM), and Groningen Kidney Center (GKC)

Subjects
GENERAL-POPULATION, CHRONIC-FATIGUE-SYNDROME, High sensitive C-reactive protein, Immune system, ADIPOSE-TISSUE, PLASMA-CONCENTRATION, CARDIOVASCULAR-DISEASE, Functional somatic symptoms, NECROSIS-FACTOR-ALPHA, DIAGNOSTIC INTERVIEW, INFLAMMATORY MARKERS, HEALTHY-INDIVIDUALS, MEDICALLY UNEXPLAINED SYMPTOMS
Abstract

Functional somatic symptoms (FSS) are symptoms unexplained in terms of underlying organic pathology. Alterations in the immune system function may be associated with FSS via induction of sickness behavior. We aimed to investigate whether low-grade immune system activation is positively associated with FSS in a population-based cohort of 881 adults (46% male, mean age 53.0, SD 11.4). Participants completed the somatization section of the Composite International Diagnostic Interview surveying the presence of 43 FSS. Innate immune function was assessed by measuring high-sensitive C-reactive protein (hs-CRP). Follow-up measurements of hs-CRP and FSS were performed approximately 2years later. Regression analyses, with adjustments for gender, age, body mass index, anxiety, depression, smoking, alcohol use, and frequency of exercise, did not reveal a cross-sectional association (beta=0.01, t=0.40, p=0.693) or longitudinal association (beta=-0.03, t=-0.93, p=0.352) between hs-CRP and the total number of FSS. When examining different bodily clusters of FSS, hs-CRP was not associated with the gastrointestinal FSS cluster, but the association approached statistical significance for the general FSS cluster (OR 1.08, 95% CI 0.98-1.18) and musculoskeletal FSS cluster (OR 1.08, 95% CI 0.99-1.17). For the latter association, exploratory analyses revealed that mainly the pure musculoskeletal complaints were responsible (OR 1.12, 95% CI 1.03-1.21). We conclude that the level of hs-CRP is not a biomarker for the total number of FSS in the general population. The association between hs-CRP and musculoskeletal and general FSS needs further study.

Published
2009

50. Kwetsbare, hoogbejaarde vrouwen na een ernstig verkeersongeval: specifieke aanpak in de traumaketenzorg

Author

van Meurs, Matijs, Peters-Polman, Olga M, Regtien, Joost G, Valk, Jens P, Nieboer, Patrick, Slaets, Joris P J, Zijlstra, Jan G, Critical care, Anesthesiology, Peri-operative and Emergency medicine, Vasculal Ageing Programme, Health Psychology Research, and Kidney Health Institute - Khis

Subjects
Aged, 80 and over, Fatal Outcome, Health Services for the Aged, Multiple Trauma, Frail Elderly, Accidents, Traffic, Humans, Female, Emergency Service, Hospital, Netherlands
Abstract

Three octogenarian women suffered severe blunt trauma because of a car crash. The first patient was 81 years old. She had an instable dens fracture, multiple rib fractures, a haematopneumothorax and multiple extremity fractures. The second patient was 82 years old and was diagnosed with a flail chest because of multiple rib fractures, pelvic fractures, and thoracic spine fractures. Before the crash, she already needed help for her daily functioning. The third patient, 84 years old, developed a bradycardia at the site of the crash. In the hospital she was diagnosed with multiple rib fractures, a sternum fracture and a pneumothorax. After appropriate treatment, the second patient had no prospect of recovery and the care was primarily aimed at comfort, until she died. The other two patients remained in a rehabilitation clinic for months after the accident. The necessary approach to first trauma care, ICU care and rehabilitation differs between young and octogenarian patients. These octogenarian female patients constitute a special group of patients because of their frailty. Due to demographic developments and the changes in trauma care, such patients will be treated more often and further in the care chain. During the ICU stay they will require extensive support because of their frailty. The patient's own efforts will also be tremendous. The balance between quality of life adjusted years won and the toll paid by the patient has to be guarded with great care.

Published
2009

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