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"Rowe, John"
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A global analysis of adaptation to societal aging across low-, middle- and high-income countries using the Global Aging Society Index
2025
We have previously presented a multidimensional Aging Society Index, a weighted summation of five domains central to successful adaptation to societal aging: well-being, productivity and engagement, equity, cohesion and security, as a tool to assess countries’ adaptation to demographic transformation. As the index was based on data from developed countries and some of the individual metrics or weightings may not be well suited for application to low- and middle-income countries, we here present the scores on a modified index (Global Aging Society Index) on 143 countries distributed across the span of economic development. Only 5 out of 143 (3.5%) countries had higher scores for women than men. Countries with the most notable gender differences were primarily low-income countries. The multidimensional index permits cross-national comparisons and may facilitate the identification of targets for developing policies and programs to enhance the likelihood that older persons will age successfully.
The authors score and rank the adaptation to societal aging across 143 countries using a newly developed index called the Global Aging Society Index, which may be helpful to identify targets for the development of policies and programs to enhance the likelihood that older people will age successfully.
Journal Article
Meaningful patient and public involvement in digital health innovation, implementation and evaluation: A systematic review
2022
Introduction The importance of meaningfully involving patients and the public in digital health innovation is widely acknowledged, but often poorly understood. This review, therefore, sought to explore how patients and the public are involved in digital health innovation and to identify factors that support and inhibit meaningful patient and public involvement (PPI) in digital health innovation, implementation and evaluation. Methods Searches were undertaken from 2010 to July 2020 in the electronic databases MEDLINE, EMBASE, PsycINFO, CINAHL, Scopus and ACM Digital Library. Grey literature searches were also undertaken using the Patient Experience Library database and Google Scholar. Results Of the 10,540 articles identified, 433 were included. The majority of included articles were published in the United States, United Kingdom, Canada and Australia, with representation from 42 countries highlighting the international relevance of PPI in digital health. 112 topic areas where PPI had reportedly taken place were identified. Areas most often described included cancer (n = 50), mental health (n = 43), diabetes (n = 26) and long‐term conditions (n = 19). Interestingly, over 133 terms were used to describe PPI; few were explicitly defined. Patients were often most involved in the final, passive stages of an innovation journey, for example, usability testing, where the ability to proactively influence change was severely limited. Common barriers to achieving meaningful PPI included data privacy and security concerns, not involving patients early enough and lack of trust. Suggested enablers were often designed to counteract such challenges. Conclusions PPI is largely viewed as valuable and essential in digital health innovation, but rarely practised. Several barriers exist for both innovators and patients, which currently limits the quality, frequency and duration of PPI in digital health innovation, although improvements have been made in the past decade. Some reported barriers and enablers such as the importance of data privacy and security appear to be unique to PPI in digital innovation. Greater efforts should be made to support innovators and patients to become meaningfully involved in digital health innovations from the outset, given its reported benefits and impacts. Stakeholder consensus on the principles that underpin meaningful PPI in digital health innovation would be helpful in providing evidence‐based guidance on how to achieve this. Patient or Public Contribution This review has received extensive patient and public contributions with a representative from the Patient Experience Library involved throughout the review's conception, from design (including suggested revisions to the search strategy) through to article production and dissemination. Other areas of patient and public contributor involvement include contributing to the inductive thematic analysis process, refining the thematic framework and finalizing theme wording, helping to ensure relevance, value and meaning from a patient perspective. Findings from this review have also been presented to a variety of stakeholders including patients, patient advocates and clinicians through a series of focus groups and webinars. Given their extensive involvement, the representative from the Patient Experience Library is rightly included as an author of this review.
Journal Article
Son of the black stallion
2002
When Alec receives the black stallion's first son as a gift, he believes his dreams have come true, but Satan is a dangerous and unpredictable horse.
Enabling Healthful Aging for All — The National Academy of Medicine Grand Challenge in Healthy Longevity
by
Dzau, Victor J
,
Finkelman, Elizabeth
,
Yamada, Tadataka
in
Aging
,
Awards & honors
,
Health care
2019
Recognizing that aging presents a defining challenge for this century, the National Academy of Medicine is launching a Healthy Longevity Global Grand Challenge, an international effort directed at improving health, productivity, and quality of life for older people.
Journal Article
A practical approach to using statistics in health research : from planning to reporting
\"This book provides an outline with methodological steps of how to use statistics to analyze your research data. The book begins with a general introduction, which discusses what you should be trying to achieve with your statistical analysis. This involves describing the subjects you investigated and their outcomes, determining whether there is statistically significant evidence of differences in outcomes between groups of subjects, quantitatively describing effect sizes, and also determining whether any changes are large enough to be of clinical significance. Next, the authors cover data types and choosing statistical tests. This includes identifying the factor and outcome, and also identifying the type of data used to record the outcome. Readers are then introduced to multiple testing, the Chi-square test, and independent samples and the two-sample t-test. The Man-Whitney test is discussed, as well as the One-way ANOVA. Readers are taught how to Carrying out the Kruskal-Wallis test and the McNemar's test. The Paired t-test is covered, as well as how to carry out the Wilcoxon paired samples test. Readers are shown how to carry out the repeated measures ANOVA and the Friedman test. This includes discussion of merits of change in median, change in proportions in categories, and changes in high/low categories. The book concludes with a discussion on correlation and regression methods, and a detailed analysis on Cronbach's alpha\"-- Provided by publisher.
The US eldercare workforce is falling further behind
2021
There is a major and rapidly growing deficiency in the US eldercare workforce at all levels, especially among physicians. Efforts to increase recruitment and retention into geriatrics have failed, especially among critically important educators and researchers. Possible strategies to assure adequate care for older persons are discussed.
Journal Article
Health in Aging — Past, Present, and Future
2020
Increases in life expectancy necessitate new scientific understanding of how to both extend and enhance health over the course of our longer lives. Accumulated evidence has laid the groundwork for a new era of prevention and health promotion for an extended health span.
Journal Article