Browsing by Author "Chen, Shueh-Fen"

Now showing 1 - 3 of 3

New partnerships among single older adults: a Q methodology study
(2019-03-06) Huang, Su-Fei; Huang, Chiu-Mieh; Chen, Shueh-Fen; Lu, Li-Ting; Guo, Jong-Long
Abstract Background The social structure is changing with an increase in the ratio of the older population, resulting in a growing number of older people being faced with singlehood. This study identified and described single older adults’ differing perspectives on new relationships. Method We used a Q methodology approach for data collection and analysis, following in-depth interviews with 10 participants. Q statements were developed through content analysis of the interview data, which were then subjected to Q sorts performed by 49 older adults. A factor analysis was then completed on the collected data using PQ Method software. Results Five factors regarding common attitudes toward pursuing a new partner, which accounted for 53% of the total variance, were obtained in the final model: (1) being single, a companion, and already acquainted with the other person/potential partner; (2) high spiritual compatibility and a caring disposition; (3) an emphasis on physical intimacy and companionship; (4) easily influenced by others’ comments and highly concerned about being alone; and (5) physical and financial independence. Conclusions Clustering older adults according to their attitudes can help in acknowledging their expectations about new relationships in later life. Implications Practitioners can engage in successful consultations based on the recognition.
Patterns of perspectives on fall-prevention beliefs by community-dwelling older adults: a Q method investigation
(2016-07-07) Chen, Shueh-Fen; Huang, Su-Fei; Lu, Li-Ting; Wang, Mei-Chuen; Liao, Jung-Yu; Guo, Jong-Long
Abstract Background Falling has high incidence and reoccurrence rates and is an essential factor contributing to accidental injury or death for older adults. Enhancing the participation of community-dwelling older adults in fall-prevention programs is crucial. Understanding fall-prevention beliefs will be beneficial for developing a community-based fall-prevention program. The aim of the present study was to identify the distinct types of subjective views on the fall-prevention beliefs of community-dwelling older adults aged 80 years and older by applying the Q method. Methods The Q method was adopted to investigate the pattern of perception on fall-prevention beliefs. Forty-two older adults aged 80 − 92 years from a community care center in Northern Taiwan were recruited and requested to complete a Q-sorting. A series of Q-sorts was performed by the participants to rank 30 statements into a normal distribution Q-sort grid. The Q-sorts were subjected to principal component analysis by using PQMethod software Version 2.35. Results Four statistically independent perspectives were derived from the analysis and reflected distinct viewpoints on beliefs related to fall prevention. Participants in the Considerate perspective believed that health problems caused by falling were serious and fall prevention could decrease the burden they place on their family. Participants in the Promising perspective believed that existing health problems could cause a fall and that fall prevention contributed to their well-being. Participants in the Adaptable perspective perceived low barriers to execute fall prevention and displayed self-confidence and independence in preventing falls. Participants in the Ignorance perspective believed that they could not prevent falls and perceived barriers to fall prevention. Conclusions By combining theoretical constructs and the Q methodology approach, this study identified four distinct perspectives on fall prevention among community-dwelling older adults. Critical reflection on older adult personal perspectives and interpretations of the required responsive approach is a key element for appropriating fall-prevention support.
社區長者預防跌倒信念與行動可能性預測模式驗證之研究
(2016) 陳雪芬; Chen, Shueh-Fen
目的：本研究運用健康信念模式來探討社區長者之預防跌倒信念，並進一步發展適用於國內社區長者預防跌倒行動可能性之預測模式，以可靠且有效地測量臺灣社區長者採取預防跌倒行動之可能性。方法：本研究共分三階段進行，第一階段採用焦點團體訪談，以健康信念模式為架構設計訪談大綱，訪談逐字稿以直接內容分析法進行分析；第二階段採用Q方法，Q分類排序所得之資料以主成份分析（Principle Components Analysis）及最大變異轉軸法（Varimax Rotation）進行因素抽取及類型區分；第三階段採用量性問卷調查，以焦點團體訪談資料為基礎及參考相關文獻，建構量化測量工具及進行資料收集，再以結構方程模式（Structure Equation Modeling, SEM）進行預測模式驗證分析。結果：第一階段研究共辦理六場焦點團體訪談，每場各招募8位社區長者參與，逐字稿內容共整理出54個濃縮意義單位，25個編碼，上述編碼再依據健康信念模式之六個類別進行歸類結果如下：共有紀大反應差、慢性疾病頭暈、生理功能退化、情緒心情不佳及環境不安全等五個編碼歸類於自覺罹患性；共有身體不舒服、身體受傷、心理害怕及生活無法自理等四個編碼歸類於自覺嚴重性；共有個人身心健康、減少家人負擔及周遭人快樂等三個編碼歸類於自覺行動利益；共有個人身心因素、外在人為因素、生活環境因素及缺乏知識技能等四個編碼歸類於自覺行動障礙；共有自我提醒、個人經驗、他人經驗、知識分享及衛教宣導等五個編碼歸類於行動線索；共有經常提醒自己、成為生活習慣、使用輔具及注意安全等四個編碼歸類於自我效能。第二階段研究共招募42位社區長者參與Q-分類排序，根據Q分類結果之分析共歸納出四種因素類型社區長者，各因素命名如下：因素類型Ⅰ Considerate perspective、因素類型Ⅱ Promising perspective、因素類型Ⅲ Adaptable perspective、因素類型Ⅳ Ignorant perspective。第三階段研究共收回704份有效問卷，根據SEM分析整體模式適配性良好，路徑分析顯示自覺嚴重性、自覺行動利益、行動線索及自我效能對預防跌倒行動可能性均具有正向之顯著影響力，對整體模式的預測力為39.0%；自我效能是直接影響社區長者採取預防跌倒行動可能性之最強因子，同時在自覺行動利益與行動可能性之間具有部份中介作用，在自覺行動障礙與行動可能性之間則具有完全中介作用。結論：本研究同時結合理論模式與被介入者（社區長者）的觀點來探討老人預防跌倒信念，並以Q方法成功的將社區長者區分為四種不同信念類型，也發展出適合於社區長者預防跌倒行動可能性之測量工具，可提供未來在設計預防跌倒介入方案之應用，使方案內容更能符合社區長者的心理與實際需求，以促進社區長者對預防跌倒活動的參與率與遵從度。