active ageing
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ACTIVE AGEING PROGRAM
NEW DELHI, GURGAON
MISSION AND VISION OF DFI
• THE AIM OF THE DEVELOPMENT AND IMPLEMENTATION OF ACTIVE AGING MODEL IS TO EMPOWER COMMUNITY DWELLING ELDERLY FOR CHRONIC DISEASE PREVENTION AND CONTROL AT THE COMMUNITY
• TO EVALUATE THE MORBIDITY PROFILE OF THE YOUTH AND ELDERLY
• TO FIND OUT THE IMPACT OF ACTIVE AGEING MODEL ON
QUALITY OF LIFE IN ELDERLY PEOPLE.
• OPPORTUNITIES TO PERMIT OLDER ADULTS TO HAVE PRODUCTIVE SOCIAL PARTICIPATION, AND UTILIZE THEIR RESOURCES IN COMMUNITY DEVELOPMENT PROGRAMS.
POPULATION AGEING
INDIA HAS AROUND 100 MILLION ELDERLY AT PRESENT AND THE NUMBER IS EXPECTED TO INCREASE TO 323 MILLION, CONSTITUTING 20 PER CENT OF THE TOTAL POPULATION, BY 2050
(UNITED NATIONS POPULATION FUND (UNFPA) AND HELP AGE INTERNATIONAL).
•URBANISATION• NUCLEARISATION OF FAMILY•MIGRATION•DUAL CAREER FAMILIES
PROBLEMS IN ELDERS: CAUSES
STRESSORS
(HEALTH AND SOCIAL PROBLEMS OF THE ELDERLY: A CROSS-SECTIONAL STUDY IN UDUPI TALUK, KARNATAKA.A LENA, K ASHOK, M PADMA,1 V KAMATH, AND A KAMATH)
ELDERLY CARE MODELS IN INDIA:
• VERY LITTLE EFFORT HAS BEEN MADE TO DEVELOP A MODEL OF HEALTH AND SOCIAL CARE IN TUNE WITH THE CHANGING NEED AND TIME
1. OLD AGE HOME2. ASSISTED LIVING3. RECREATION CENTRE
• OPPORTUNITY FOR INNOVATION IN SOCIAL SYSTEM DEVELOPMENT, IS A MAJOR CHALLENGE.
ELDERLY CARE MODELS IN INDIA:
• ELDERLY SUFFER FROM MULTIPLE AND CHRONIC DISEASES.
• THEY NEED LONG TERM AND CONSTANT CARE.
• THUS A MODEL OF CARE PROVIDING COMPREHENSIVE HEALTH SERVICES TO ELDERLY AT ALL LEVELS OF HEALTH CARE DELIVERY IS IMPERATIVE TO MEET THE GROWING HEALTH NEED OF ELDERLY.
(NATIONAL PROGRAMME FOR THE HEALTH CARE OF THE ELDERLY (NPHCE) AN APPROACH TOWARDS ACTIVE AND HEALTHY AGEING ,OPERATIONAL GUIDELINES, DIRECTORATE GENERAL OF HEALTH SERVICES MINISTRY OF HEALTH
& FAMILY WELFARE GOVERNMENT OF INDIA)
SOLUTION • ELDERLY ACCESS TO AGE-FRIENDLY AND
AFFORDABLE INFORMATION AND SERVICES
• AGEING IN PLACE
ACTIVE AGEING
• ACTIVE AGEING IS THE PROCESS OF OPTIMIZING OPPORTUNITIES FOR HEALTH, PARTICIPATION AND SECURITY IN ORDER TO ENHANCE QUALITY OF LIFE AS PEOPLE AGE.
• IT APPLIES TO BOTH INDIVIDUALS AND POPULATION GROUPS
ELDERLY : A VALUABLE RESOURCE IN COMMUNITY
• IT WOULD BE INTERESTING TO UTILIZE THE ELDERLY MANPOWER RESOURCES IN THE NEXT YEARS TO REVIEW COMPLEXITY OF ELDERLY ISSUES.
• THE TALENTS OF AN ELDER, WHO HAS EXPERIENCE AND TIME, CAN BE UTILIZED AS THE MANPOWER RESOURCES BRINGING ABOUT CHANGES IN COMMUNITY.
AGEING IN PLACE: ACTIVE AGEING
• ACTIVE AGEING DEPENDS ON A VARIETY OF INFLUENCES OR DETERMINANTS E.G. PHYSICAL ,ENVIRONMENTS, SUPPORT SERVICES, ECONOMICAL AND SOCIAL SITUATIONS
• IN TERMS OF INDIVIDUAL PERSPECTIVE, THE THREE BASIC PILLARS OF ACTIVE AGEING ARE FULL PARTICIPATION IN SOCIOECONOMIC, CULTURAL, SPIRITUAL AND CIVIC AFFAIRS, ACCORDING TO BASIC HUMAN RIGHTS, CAPACITIES, NEEDS AND PREFERENCES.
OUR WORK TILL NOW
DECEMBER 2009-SEPTEMBER 2013
INAUGURATION OF ACTIVE AGEING PROGRAM IN
DECEMBER 2009
ADOPTION OF 4 LOCAL ELDER ORGANIZATION
1.RREWA (GURGAON)
2.EFFORTS GROUP (SAFDURJUNG ENCLAVE),NEW DELHI
3.MATRI MANDIR (SAFDURJUNG ENCLAVE) NEW DELHI
4.VARISHTHA NAGRIK KENDRA SANSTHA (CHATTARPUR)NEW DELHI
METHODOLOGY: ACTIVE AGEING
1. SELECTION OF VOLUNTARY MEMBERS OF 4 ORGANIZATION WHO COULD TAKE THE RESPONSIBILITY OF A LOCAL SUPERVISOR S
2. WORKSHOPS FOR ELDERS ON PREVALENT CHRONIC DISEASES
3. DISSEMINATION OF INFORMATION THROUGH TEXTBOOKS/MANUALS
• SELECTION OF LOCAL SUPERVISORS AMONGST ELDER (SELECTION PROCESS LEFT ON SENIORS OF THE ORGANIZATION)
• SELECT MEMBERS FROM THE ORGANIZATION(ACTIVE OR INACTIVE)
• EACH LOCAL SUPERVISOR TO TAKE CARE OF 10 ELDER MEMBERS
• WORKSHOPS ON CHRONIC HEALTH AND SOCIAL ISSUES
UTILIZE THE CONCEPTS OF ACTIVE AGEING, ON SELF CARE, MUTUAL HELP, AND SELF PROMOTION.
ARRANGE SOCIAL INTERACTION IN SMALLER GROUPS WHERE LOCAL SUPERVISORS TO CONDUCT EXERCISES/RECREATIONAL ACTIVITIES/DISCUSSIONS
Group Activities
MOTIVATE ,FOSTER MORE LOCAL SUPERVISORS
TECHNOLOGY IN ACTIVE AGEING HAS BEEN ONE OF THE ACTIVE RESEARCHES DONE GLOBALLY.
TECHNOLOGY HAS BEEN PROVEN TO FIND SUSTAINABLE SOLUTIONS THAT WILL HELP EASE THE TRANSITION OF AGING POPULATIONS
INTRODUCING TECHNOLOGY AND ACTIVE AGEING
• COMMUNICATION AND ENGAGEMENT THROUGH COMMUNICATION TECHNOLOGY
MOBILE PHONES, INTERNET, CHAT, E-MAIL, WEB SURFING, FACEBOOK, AND SMARTPHONES FORM PART OF DAILY LIFE.
• 2. SAFETY AND SECURITY (HOME HEALTHCARE MONITORS)
MOBILE PERSONAL EMERGENCY RESPONSE SYSTEMS PASSIVE FALL DETECTION SYSTEMS , SENSOR-BASED HOME MONITORS WEB CAMERAS
3.HEALTH AND WELLNESS
PRODUCTS DESIGNED FOR COGNITION ,BALANCE IMPAIRMENTS, WITH NINTENDO’S WIIFIT, X BOX ETC
FOR CHRONIC DISEASE MANAGEMENT, REMOTELY MONITORING DIABETES OR CONGESTIVE HEART FAILURE. OVER TIME, INTEGRATION OF THESE WITH HEALTH SYSTEMS’ (ELECTRONIC HEALTH RECORDS)IN HOSPITALS CAN BECOME STANDARD PROCEDURES IN HEALTH SYSTEMS.
4. LEARNING AND CONTRIBUTING THROUGH EDUCATION TECHNOLOGY
TELEVISION, INTERNET SURFING: INFORMATION ON CULTURE, HEALTH, SPIRITUAL, POLITICS
ELDER REMAIN ACTIVE IN AND KNOWLEDGEABLE ABOUT SOCIETY, CONTRIBUTE TO IT THROUGH VOLUNTEERING OR BY LEAVING A LEGACY OF STORIES AND SHARED GENEALOGY FOR THOSE WHO LOVE THEM.
CASE STUDY
ACTIVE AGEING VNKS, CHATTARPUR EXTENSION, NEW
DELHI2011-2013
OBJECTIVES
• TO CREATE NEW MEANINGFUL PARTNERSHIPS IN OTHER AREAS OF INDIA TO CREATE MORE SERVICE PROVIDERS, EDUCATIONAL PROGRAMS AND MEDICAL CENTRE’S LINKED WITH ASSOCIATIONS OF LOCAL ELDERS
• MULTI SECTORAL NGOS OF ELDERLY CAN BE LINKED WITH LOCAL GOVERNMENT FOR COMMUNITY INITIATIVES
345 ELDER MEMBERS OF VNKS CHOSEN FOR STUDY
• PATRON OF COMMUNITY ELDERS OF VNKS WERE INTRODUCED BY DFI TO THE DEPARTMENT OF SOCIAL WELFARE AND EMPOWERMENT, NEW DELHI.
• THE ACTIVE MEMBERS OF VNKS WORKED RELENTLESSLY TO ADVOCATE WITH LOCAL GOVERNMENT FOR CHATTARPUR EXTENSION TO BE AGE FRIENDLY.
THE MAIN FOCUS WERE ON ROADS, WATER WORKS AND STREET LIGHTS WHICH WERE HAZARDOUS FOR ELDERS CAUSING MOBILITY IMPAIRMENT DUE TO UNFRIENDLY ENVIRONMENT
2011
ROADS, WATER WORKS, ELECTRICITY REPAIRED THROUGH EFFORTS OF VNKS IN COLLABORATION WITH LOCAL MLA
2013
ON SEPTEMBER 11TH 2013, INAUGURATION STONE OF AN OLD AGE HOME WAS LAID BY THE MINISTER OF
SOCIAL WELFARE AND EMPOWERMENT OF DELHI
AT CHATTARPUR EXTENSION
DFI HAS SET UP A WELLNESS CLINIC FOR THE ELDERS AT THE VNKS OFFICE.
DFI HAS INTRODUCED STUDY ON TECHNOLOGY
TO IMPROVE POINT OF CARE TESTING ,BALANCE AND DEPRESSION, PAIN, RESPIRATION
WITH INTRODUCTION OF THE ACTIVE AGEING PROGRAM AT CHATTARPUR EXTENSION ENCLAVE THE DFI UTILIZED THE INEXPLICABLE RESOURCE OF THE ELDER MEMBERS OF VNKS THROUGH SELF CARE, MUTUAL HELP AND SELF PROMOTION
STUDY ONE
USING INTERNATIONAL CLASSIFICATION OF FUNCTIONING TO UNDERSTAND ATTITUDE OF COMMUNITY DWELLING ELDERLY TOWARDS
COMMUNICATION AND EDUCATION TECHNOLOGY IN NEW DELHI, INDIA
USING INTERNATIONAL CLASSIFICATION OF FUNCTIONING TO UNDERSTAND ATTITUDE OF COMMUNITY DWELLING ELDERLY TOWARDS COMMUNICATION AND EDUCATION TECHNOLOGY
IN NEW DELHI, INDIA.ICF category Facilitator
Satisfied Neither satisfiednor dissatisfied
Dissatisfied
495-100%
351-95%
226-50%
14-25%
-14-25%
-226-50%
-351-95%
-495-100%
Communication Technology (e125)
37.7% 10.3% 8% 29% 11.3% 1.7% 1.7% 0 0.3%
Education Technology(e130)
39% 10% 6.7% 28% 14% 1.6% 0.7% 0 0
• AMONG THE 300 PARTICIPANTS, 85% INDICATED THEIR DAILY LIFE WAS FACILITATED BY COMMUNICATION TECHNOLOGY (MOBILE PHONES, INTERNET CALLING, TELEVISION, COMPUTER)
• 83.6% REPORTED THAT THEY BENEFITED FROM EDUCATION TECHNOLOGY (E.G., CAPTURING INFORMATION ON HEALTH/EMPLOYMENT/CURRENT AFFAIRS THROUGH COMPUTERS)
FUTURE STUDY (WITH APUHC-UNSW)
• UTILIZE A USER-CENTRIC APPROACH AND WORKING CLOSELY WITH ELDERS TO DESIGN A MOBILE PHONE-BASED APPLICATION TO SUPPORT AGED CARE.
• EVALUATE IMPACT OF TECHNOLOGY ON ELDERS’ PHYSICAL, SOCIAL AND MENTAL HEALTH.
STUDY TWO
SMART BREATHE: PROCATOR, SWEDEN
N=35 elders
N=16 FemalesN=19 Males
Duration of Study-3 months
RESULT OF STUDYCLINICAL OUTCOMES
• Hypertension• Diabetes• Respiratory
disorders
RESULT OF STUDYQUALITY OF LIFE
• BETTER SLEEP• BETTER APPETITE• DISCIPLINED LIFESTYLE• SOCIAL INTERACTION • ENERGETIC• CARING AND RESPONSIBILITY TOWARDS
OTHERS
RESULT: SF-36(Quality of Life)
PHYSICAL FUNCTIONI
NG
ROLE LIMITATION
DUE TO PHYSICAL HEALTH
ROLE LIMITATION DUE
TO EMOTIO
NAL PROBLE
M
ENERGY/FATIGUE
EMOTIONAL
WELL BEING
SOCIAL FUNCTIO
NING
PAIN GENERAL HEALTH
91 86 79 83 84 85 68 81 67 90 85 87 86 83 70 84
STUDY THREE
04/15/23 46
Low-Cost Center-of-Gravity Biofeedback For Static Posturing - Smart Mirror
04/15/23 47
IMBALANCE AND FALLS IN ELDERLY
Increasing age Poor vision
Diabetes Low Grip
Arthritis Strength
Low socio-economic status
(Veuas et al; 1997)
49 04/15/23
•CREATE AWARENESS ABOUT ELDER PROBLEMS.•FALLS DUE TO IMBALANCE IN ELDERS.•INTRODUCE TECHNOLOGY TO PREVENT FALLS IN ELDERS.•VALUABLE FUTURE LEARNING OF THEIR OWN LIFE.
OBJECTIVES OF HIGH SCHOOL WORKSHOP
04/15/23 50
PROJECT TEAM• STUDENTS INVOLVEMENT
– MR. RISHABH SEHGAL• UNDERGRADUATE INTERN, ELECTRONICS & COMMUNICATION ENGG.,
NATIONAL INSTITUTE OF TECHNOLOGY HAMIRPUR, INDIA
– 5 HIGH SCHOOL STUDENTS– ROOHI KAPOOR– SACHIN SETHI– MRIDUL KHANNA– HIMANSHU KHANNA– ADITYA CHOPRA
• SAMPLE SIZE: 75 ELDERS
• DURATION OF STUDY 2 YEARS
• OBJECTIVE : RISK OF FALL IN FALL IN ELDERS
04/15/23 55
PROJECT TEAM EXPERIENCESMR. RISHABH SEHGAL: SUMMER INTERNSHIP WITH PROJECT ADVISOR–DR. ANIRBAN DUTTA, RESEARCH SCIENTIST, DEMAR-LIRMM, FRANCE (VIDEO DEMONSTRATION AT HTTP://WWW.YOUTUBE.COM/WATCH?V=EES9T2RTA_S)
POINT OF CARE TESTING
FUTURE STUDY: PREVENTIVE HEALTHCARE
CONNECTING COMMUNITY DWELLING ELDERLY TO HEALTHCARE FACILITIES THRU TECHNOLOGY
STUDY FOUR
EFFICACY OF GROUP BASED EXERCSIES IN COMMUNITY DWELLING ELDERLY
DIABETIC PATIENTS
PURPOSE TO SIGNIFY THE EFFECT OF GROUP BASED
EXERCISES IN IMPROVING QUALITY OF LIFE IN COMMUNITY DWELLING ELDERS WITH DIABETES.
METHODOLOGY AREA OF STUDY• VARISTHA NAGRIK KALYAN SAMITI,CHATTARPUR AND SAFDARJUNG LIBRARY CUM
RECRATIONAL CENTRE FOR ELDERLY (NEW DELHI)
SAMPLE SIZE-• 34 elderly,(6 female ,28 males)
DURATION OF STUDY-• 2 MONTHS
OUTCOME MEASURE-• BBG AND SF-36
DURATION OF SESSION-• 45 MINS TWICE A WEEK.
EXERCISE PROTOCOL
1. RELAXED DEEP BREATHING EXERCISES(3 MINS)
2. RANGE OF MOTION EXERCISES FOR BILATERAL ANKLE JOINTS(5 MINS)
3. FUNCTIONAL BALANCE TRAINING• SIT TO STAND(5 TIMES)• STANDING WEIGHT SHIFT(5 TIMES)• FUNCTIONAL REACH SIDEWARDS AND ANTERIOR FOR TOUCHING TARGET SET BY
THERAPISTS(5 TIMES)• BIPEDAL HEEL RAISE(20 SECONDS)
• UNIPEDAL STANDING FOR 15 SECONDS(5 TIMES)
• UNIPEDAL STANDING FOR 15 SECONDS WITH KNEE BENDING(5 TIMES)
4. WOBBOLE BOARD TRAINING (6 MINS)
5. GAIT TRAINING• TANDEM WALKING (5 MINS)• SPOT MARCHING(5 MINS)
RESULTS (Balance and Blood Sugar)SUBJECTS PRE-
INTERVENTION BBG
PRE-INTERVENTION GLUCOSE
POST-INTERVENTION BBG
POST-INTERVENTION GLUCOSE
1 36 170 40 166
2 51 165 51 164
3 53 154 54 155
4 52 164 54 168
5 50 159 53 145
6 48 142 51 134
MEAN 48.3 50.5
Balance Blood Sugar
RESULTS (Quality of Life)ANALYSIS BERG
BALANCE SCALE
SF-36PHYSICAL HEALTH
SF-36ROLE LIMITATION DUE TO HEALTH PROBLEMS
SF-36ROLE LIMITATION DUE TO EMOTIONAL PROBLEMS
MEAN Pre-39.8Post-46.2
Pre-43Post-58
Pre-19.4Post-45
Pre-39.8Post-46.2
DEGREES OF FREEDOM
4 4S 4 4
t STAT -3.78439934 -2.070196678 -1.447321271 -3.784399334
P(T<=t)ONE-TAIL
0.009681078 0.053603133 0.110681412 0.074141741
t CRITICAL ONE-TAIL
2.131846782 2.131846782 2.131846782 2.131846782
RESULTS (Quality of Life)ANALYSIS BERG
BALANCE SCALE
SF-36PHYSICAL HEALTH
SF-36ROLE LIMITATION DUE TO HEALTH PROBLEMS
SF-36ROLE LIMITATION DUE TO EMOTIONAL PROBLEMS
MEAN Pre-39.8Post-46.2
Pre-43Post-58
Pre-19.4Post-45
Pre-39.8Post-46.2
DEGREES OF FREEDOM
4 4S 4 4
t STAT -3.78439934 -2.070196678 -1.447321271 -3.784399334
P(T<=t)ONE-TAIL
0.009681078 0.053603133 0.110681412 0.074141741
t CRITICAL ONE-TAIL
2.131846782 2.131846782 2.131846782 2.131846782
RESULTS(Quality of Life)ANALYSIS SF-36-
ENERGY/FATIGUE
SF-36-EMOTIONAL WELL BEING
SF-36-SOCIAL FUNCTION
SF-36-PAIN
SF-36-GENRAL HEALTH
MEAN Pre-43Post-60
Pre-47.8Post-56
Pre-55Post-75
Pre-52.5Post-79
Pre-46Post-68
DEGREES OF FREEDOM
4 4 4 4 4
t STAT -4.54344 -1.2085 -6.53197 -4.53638 -5.047146145
P(T<=t)ONE-TAIL
0.005235 0.146705 0.001419 0.005263 0.003622796
t CRITICAL ONE-TAIL
2.131847 2.131847 2.131847 2.131847 2.131846782
DISCUSSION
THE ABOVE RESULTS DEFINE THAT THERE WERE CHANGESELDERS PARTICIPATING IN GROUP EXERCISES IN NEIGHBOURHOOD COMMUNITY CENTRES HAVE IMPROVED THEIR QUALITY OF LIFE.
PERIODIC, RESULT ORIENTED MEETING/SOCIALIZING OF ELDERS HAVING SIMILAR PROBLEM, IN THIS CASE DIABETES SHOWED IMPROVEMENT IN SOCIAL FUNCTIONS, EMOTIONAL WELL BEING AND GENERAL HEALTH .
CONCLUSION :ACTIVE AGEING
• ACCESS TO THE ENTIRE RANGE OF HEALTH AND SOCIAL SERVICES THAT ADDRESS THE NEEDS AND RIGHTS OF OLDER ADULTS; AND PROTECTION, DIGNITY AND CARE IN EVENTS THAT OLDER ADULTS ARE NO LONGER ABLE TO SUPPORT AND PROTECT THEMSELVES.
(ACTIVE AGEING AND INDEPENDENT LIVING SERVICES: CORE PROPOSITIONS LEADING TO A CONCEPTUAL FRAMEWORK MARK LEYS, SOFIE DE ROUCK VRIJE UNIVERSITEIT BRUSSEL,
(SMIT-MESO) )
CONCLUSION..CONTD• EXERCISES ARE PROVEN TO BENEFIT CHRONIC NON
COMMUNICABLE DISEASE LIKE DIABETES ,THEREFORE DECREASES RISKS OF CARDIAC, BRAIN STROKE, NEUROPATHY ETC
• GROUP EXERCISES OF ELDERS HAVING SIMILAR PROBLEM, MAKES A BETTER COMRADESHIP AND UNDERSTANDING AMONGST ELDERS.
• GROUPS OF ELDERLY SOCIALIZING WITH A SIMILAR PURPOSE , IS AN IMPORTANT COMPONENT OF ACTIVE AGEING FRAMEWORK WHICH IMPROVES QUALITY OF LIFE IN ELDERS.
CONCLUSION..CONTD
• WE HOPE WITH INTRODUCTION OF THE ACTIVE AGEING PROGRAM, DFI CAN UTILIZE THE INEXPLICABLE RESOURCE OF THE ELDER POPULATION IN INDIA THROUGH SELF CARE, MUTUAL HELP AND SELF PROMOTION.
• OUR FUTURE PROPOSAL IS TO CREATE RESEARCH MODELS NEEDS IN THE COMMUNITY TO UNDERSTAND BEST PRACTICES FOR COMMUNITY CARE AND IMPROVEMENT IN QOL OF THE ELDERLY IN INDIA.
CONCLUSION..CONTD
• RESEARCH ON TECHNOLOGY TO ENCOURAGE ACTIVE AGEING IN INDIA SHOULD BE ENCOURAGED, FOR FUTURE ELDERS OF THE COUNTRY.
• WE MUST BE SERIOUS ABOUT THE WORK OF BUILDING CARING PROGRAMS, TRAINING HELPERS, AND INCREASING SELF CARE AMONG WE WHO, SOONER OR LATER, WILL NEED SUCH ASSISTANCE.
THANK YOU
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