This is a qualitative and context-specific study into the meaning and value attributed by older people to learning a foreign language in their own time and for reasons mainly unconnected to attainment and qualifications. There appear to be two common misconceptions of the British as language learners. The first is that they are ‘language barbarians’ (Tomlinson, 2004), ever ready to rely on the global dominance of English as a lingua franca and unwilling to learn other languages. The second is that learning a language voluntarily and for leisure purposes (‘leisure language learning’) is regarded as essentially frivolous and of little value. Equally much scholarly research, especially concerning second language acquisition (SLA), implies that language learning is a relatively unsuccessful and difficult endeavour for adults. This study challenges these views. Far from being reluctant ‘language barbarians’, who find learning another language onerous and unrewarding, the findings suggest otherwise. The older (aged 45+) adult learners in this enquiry are not only resoundingly positive about ‘leisure language learning’ but they derive significant benefits in many areas of their lives from learning, of their own volition, and seemingly against the odds. These benefits include but extend beyond functional transactions, such as ordering food when abroad. Participants’ perceptions of the personal value of ‘leisure language learning’ include its role in providing and facilitating: mental stimulus and wellbeing; improved communication; fewer risks when travelling; a repositioning of the self; a purposeful pastime; cultural enrichment; awareness of the ‘other’, as well as the various benefits of social interaction. Wider advantages for society in general are also implied. Empirical data were collected by means of in-depth, conversational interviews, exploring participants’ personal histories of encounters with and learning foreign languages. A hermeneutic ‘fusion of horizons’ (Gadamer, 2001) has then allowed for a more comprehensive and multi-faceted interpretation and understanding of the experience of adult ‘leisure language learning’ in community settings. The resulting text describes the nature and essence of the phenomenon of ‘leisure language learning’ embracing its meaning for, and impact upon, older adults. This incorporates a way of thinking regarding language pedagogy which goes beyond the usual ‘commonplaces’ and ‘discourses of performance, competency and skills’ (Phipps, 2007:2), common to much SLA and linguistic research. At the same time a deeper appreciation of the adult language learning experience is more likely to engender a ‘tactful’ and ‘action-sensitive pedagogy’ (van Manen, 1997:168-169): responsive to learners’ expectations and motivation, and taking their backgrounds and routes to learning into account.

No description available.

Este estudo é dedicado a uma análise das mudanças ocorridas nas situações de vida da população de idosos rurais de Santana da Boa Vista – Rio Grande do Sul, a partir do acesso aos benefícios previdenciários. Insere-se em um Programa Interdisciplinar de Pesquisa que busca integrar enfoques multidisciplinares na análise do desenvolvimento rural em regiões do Estado do Rio Grande do Sul, mais especificamente a chamada Metade Sul. Trata-se de uma região social e economicamente marginalizada que sofre crescente desaceleração econômica, com reflexos sociais importantes, quando comparada a outras regiões do Estado. Dentre os objetivos, além de descrever e analisar as mudanças ocorridas na vida de idosos rurais do município de Santana da Boa Vista, a partir da cobertura previdenciária, buscou-se conhecer o papel do idoso beneficiário, na família e analisar suas interrelações. Investigaram-se alterações nos padrões de sucessão da família e bases em que se constituem as “novas” relações de poder e autoridade. Trata-se de um estudo exploratório e descritivo com coleta e análise qualitativa de dados por meio de roteiro de entrevista, combinando perguntas fechadas e abertas, com 30 idosos, residentes no meio rural do Município estudado, beneficiados pela Previdência Social. Para análise dos dados optou-se por trabalhar com o conteúdo temático, que consistiu em descobrir os núcleos de sentido que compõem as comunicações, cuja presença ou frequência signifiquem alguma coisa para o objetivo analítico visado. Os resultados alcançados pelas entrevistas mostraram um número maior de homens entre os idosos, grande número de viúvas, baixa escolaridade e predomínio da cor branca. Em relação à situação econômica, constatou-se que a renda dos benefícios previdenciários contribui significativamente para a vida das famílias dos idosos entrevistados, assim como, possibilita a essas melhorias materiais nas condições de vida. Os problemas de saúde são basicamente doenças crônicas comuns ao envelhecimento, sendo que, as limitações geradas por elas estão geralmente ligadas à capacidade de continuarem trabalhando na atividade agrícola. A religiosidade está presente na vida de todos os idosos e influencia suas relações sociais. As relações de vizinhança foram consideradas fundamentais aos entrevistados, manifestadas pela solidariedade e ajuda mútua. Observou-se, a partir das concepções e percepções próprias dos idosos, que os benefícios previdenciários proporcionamlhes diminuição da sua “carga” de trabalho, pois recebem um dinheiro regular mês a mês, bem como continuarem morando no meio rural, lugar do qual não cogitam sair e, principalmente, um maior empoderamento perante suas famílias, ajudando os filhos e netos, com quem planejam o futuro e criam estratégias de sobrevivência para se manterem no meio rural. / This study analyzes the changes which occurred in the life situations of the rural older adult population of Santana da Boa Vista – Rio Grande do Sul, with the social welfare benefits. The study is part of an Interdisciplinary Research Program that aims at integrating a multidisciplinary focus on the analysis of the rural development in areas of the state of Rio Grande do Sul, more precisely in the region known as Metade Sul. This is a socially and economically marginalized area that presents increasing economic degradation, with important social consequences, when compared to other regions of the state. In addition to describing and analyzing the changes that occurred in the life of the rural older people in the town of Santana da Boa Vista from the social welfare help, we endeavored to understand the role of the older adult beneficiary in the family and to analyze their interrelations. Changes were investigated in family succession patterns and also in the bases that constitute the ‘new’ relations of power and authority. Therefore, it is an exploratory and descriptive study with collection and qualitative data analysis via interviews, combining closed and open questions. For the data analysis we preferred to work with the thematic content which consisted in discovering the nucleus of meaning that compose the communication, whose presence or frequency represents something for the aimed analytical focus. The results obtained from the interviews showed a larger number of men among the older people, with a great number of them being widows, having a lower education than the average and most of them being white. Regarding the economic situation, we verified that the income provided by the social welfare benefits contributes dramatically to the life of the families of the older people being interviewed, making it possible material improvements in the living conditions. The health problems are basically chronic diseases common of ageing, and the limitations generated by them are in general related to the capacity of continuing the rural work activities. Religion is present in all the older adults’ life and influences their social relations. Neighborhood relations, manifested through solidarity and mutual help, were considered fundamental by the interviewees. From the conceptions and perceptions of the older adults, it was observed that the social welfare benefits allow them to diminish their workload, since they receive a regular amount of money per month, while they go on living in the rural environment (a place which they do not consider leaving). The benefits also give them a larger power in front of their families, since they can help their children and grandchildren, with whom they plan the future and create survival strategies to remain in the rural environment. / Este estudio se centra el un análisis de los cambios ocurridos en las situaciones de vida de las personas de mayor edad en el medio rural de Santana da Boa Vista – Rio Grande do Sul, después del acceso de los beneficios de la seguridad social. Se inserta en un Programa Interdisciplinario de Investigación que busca integrar enfoques multidisciplinarios en el análisis del desarrollo rural en regiones del Estado do Rio Grande do Sul, más específicamente en la llamada Metade Sul. Esta es una región social y económicamente marginada que sufre una creciente desaceleración económica, con reflejos sociales importantes, cuando comparada con otras regiones del Estado. Entre los objetivos, além de describir y analizar los cambios ocurridos en la vida de las personas de mayor edad el rural del municipio de Santana da Boa Vista, después del acceso a la seguridad social, se busca conocer el papel de la persona de mayor edad jubilado, en la familia y analizar las relaciones de la familia con él. Se investigaron las alteraciones en los patrones de sucesión de la familia y las bases sobre las que se constituyen las "nuevas" relaciones de poder y autoridad. Se trata de un estudio exploratorio y descriptivo con recolección de información y análisis de tipo cualitativo de los datos a través de una guía de entrevista, que combina preguntas cerradas y abiertas, con 30 personas de mayor edade, residente en el medio rural del Município estudiado, beneficiados por el Seguridad Social. Para el análisis de los datos se opto por trabajar con el contenido temático, que consistió en descubrir los núcleos de sentido que componen las comunicaciones, cuya presencia o frecuencia significan algo para el objetivo analítico propuesto. Los resultados alcanzados a partir de las entrevistas mostraron un número más grande de hombres entre las personas de mayor edad, un gran número de viudas, baja escolaridad y predominio del color blanco. En relación con la situación económica, se constató que el ingreso a la seguridad social contribuyó de manera significativa para la vida de las familias de las personas de mayor edad entrevistadas, permitiéndoles mejoras materiales en las condiciones de vida. Los problemas de salud están en su mayoría relacionados con enfermedades crónicas comunes al envejecimiento, donde las limitaciones generadas por aquellas están generalmente articuladas a la capacidad de ellos para continuar trabajando en la actividad agrícola. La religiosidad está presente en la vida de todas las personas de mayor edad e influencia sus relaciones sociales. Las relaciones de vecindad fueron consideradas fundamentales para los entrevistados, manifestadas a través de la solidaridad y la ayuda mutua. Se observó, a partir de las concepciones y percepciones de ellos que los beneficios de la seguridad social les proporcionan una reducción en su “carga” de trabajo, porque reciben un dinero regular mes a mes, así como continúan viviendo en el medio rural, lugar del cual ellos no piensan en salir y, principalmente, un mayor empoderamiento frente a sus familias, ya que ayudando a los hijos y nietos, con quien planean el futuro y crean las estrategias de supervivencia para permanecer en el medio rural.

Este estudo é dedicado a uma análise das mudanças ocorridas nas situações de vida da população de idosos rurais de Santana da Boa Vista – Rio Grande do Sul, a partir do acesso aos benefícios previdenciários. Insere-se em um Programa Interdisciplinar de Pesquisa que busca integrar enfoques multidisciplinares na análise do desenvolvimento rural em regiões do Estado do Rio Grande do Sul, mais especificamente a chamada Metade Sul. Trata-se de uma região social e economicamente marginalizada que sofre crescente desaceleração econômica, com reflexos sociais importantes, quando comparada a outras regiões do Estado. Dentre os objetivos, além de descrever e analisar as mudanças ocorridas na vida de idosos rurais do município de Santana da Boa Vista, a partir da cobertura previdenciária, buscou-se conhecer o papel do idoso beneficiário, na família e analisar suas interrelações. Investigaram-se alterações nos padrões de sucessão da família e bases em que se constituem as “novas” relações de poder e autoridade. Trata-se de um estudo exploratório e descritivo com coleta e análise qualitativa de dados por meio de roteiro de entrevista, combinando perguntas fechadas e abertas, com 30 idosos, residentes no meio rural do Município estudado, beneficiados pela Previdência Social. Para análise dos dados optou-se por trabalhar com o conteúdo temático, que consistiu em descobrir os núcleos de sentido que compõem as comunicações, cuja presença ou frequência signifiquem alguma coisa para o objetivo analítico visado. Os resultados alcançados pelas entrevistas mostraram um número maior de homens entre os idosos, grande número de viúvas, baixa escolaridade e predomínio da cor branca. Em relação à situação econômica, constatou-se que a renda dos benefícios previdenciários contribui significativamente para a vida das famílias dos idosos entrevistados, assim como, possibilita a essas melhorias materiais nas condições de vida. Os problemas de saúde são basicamente doenças crônicas comuns ao envelhecimento, sendo que, as limitações geradas por elas estão geralmente ligadas à capacidade de continuarem trabalhando na atividade agrícola. A religiosidade está presente na vida de todos os idosos e influencia suas relações sociais. As relações de vizinhança foram consideradas fundamentais aos entrevistados, manifestadas pela solidariedade e ajuda mútua. Observou-se, a partir das concepções e percepções próprias dos idosos, que os benefícios previdenciários proporcionamlhes diminuição da sua “carga” de trabalho, pois recebem um dinheiro regular mês a mês, bem como continuarem morando no meio rural, lugar do qual não cogitam sair e, principalmente, um maior empoderamento perante suas famílias, ajudando os filhos e netos, com quem planejam o futuro e criam estratégias de sobrevivência para se manterem no meio rural. / This study analyzes the changes which occurred in the life situations of the rural older adult population of Santana da Boa Vista – Rio Grande do Sul, with the social welfare benefits. The study is part of an Interdisciplinary Research Program that aims at integrating a multidisciplinary focus on the analysis of the rural development in areas of the state of Rio Grande do Sul, more precisely in the region known as Metade Sul. This is a socially and economically marginalized area that presents increasing economic degradation, with important social consequences, when compared to other regions of the state. In addition to describing and analyzing the changes that occurred in the life of the rural older people in the town of Santana da Boa Vista from the social welfare help, we endeavored to understand the role of the older adult beneficiary in the family and to analyze their interrelations. Changes were investigated in family succession patterns and also in the bases that constitute the ‘new’ relations of power and authority. Therefore, it is an exploratory and descriptive study with collection and qualitative data analysis via interviews, combining closed and open questions. For the data analysis we preferred to work with the thematic content which consisted in discovering the nucleus of meaning that compose the communication, whose presence or frequency represents something for the aimed analytical focus. The results obtained from the interviews showed a larger number of men among the older people, with a great number of them being widows, having a lower education than the average and most of them being white. Regarding the economic situation, we verified that the income provided by the social welfare benefits contributes dramatically to the life of the families of the older people being interviewed, making it possible material improvements in the living conditions. The health problems are basically chronic diseases common of ageing, and the limitations generated by them are in general related to the capacity of continuing the rural work activities. Religion is present in all the older adults’ life and influences their social relations. Neighborhood relations, manifested through solidarity and mutual help, were considered fundamental by the interviewees. From the conceptions and perceptions of the older adults, it was observed that the social welfare benefits allow them to diminish their workload, since they receive a regular amount of money per month, while they go on living in the rural environment (a place which they do not consider leaving). The benefits also give them a larger power in front of their families, since they can help their children and grandchildren, with whom they plan the future and create survival strategies to remain in the rural environment. / Este estudio se centra el un análisis de los cambios ocurridos en las situaciones de vida de las personas de mayor edad en el medio rural de Santana da Boa Vista – Rio Grande do Sul, después del acceso de los beneficios de la seguridad social. Se inserta en un Programa Interdisciplinario de Investigación que busca integrar enfoques multidisciplinarios en el análisis del desarrollo rural en regiones del Estado do Rio Grande do Sul, más específicamente en la llamada Metade Sul. Esta es una región social y económicamente marginada que sufre una creciente desaceleración económica, con reflejos sociales importantes, cuando comparada con otras regiones del Estado. Entre los objetivos, além de describir y analizar los cambios ocurridos en la vida de las personas de mayor edad el rural del municipio de Santana da Boa Vista, después del acceso a la seguridad social, se busca conocer el papel de la persona de mayor edad jubilado, en la familia y analizar las relaciones de la familia con él. Se investigaron las alteraciones en los patrones de sucesión de la familia y las bases sobre las que se constituyen las "nuevas" relaciones de poder y autoridad. Se trata de un estudio exploratorio y descriptivo con recolección de información y análisis de tipo cualitativo de los datos a través de una guía de entrevista, que combina preguntas cerradas y abiertas, con 30 personas de mayor edade, residente en el medio rural del Município estudiado, beneficiados por el Seguridad Social. Para el análisis de los datos se opto por trabajar con el contenido temático, que consistió en descubrir los núcleos de sentido que componen las comunicaciones, cuya presencia o frecuencia significan algo para el objetivo analítico propuesto. Los resultados alcanzados a partir de las entrevistas mostraron un número más grande de hombres entre las personas de mayor edad, un gran número de viudas, baja escolaridad y predominio del color blanco. En relación con la situación económica, se constató que el ingreso a la seguridad social contribuyó de manera significativa para la vida de las familias de las personas de mayor edad entrevistadas, permitiéndoles mejoras materiales en las condiciones de vida. Los problemas de salud están en su mayoría relacionados con enfermedades crónicas comunes al envejecimiento, donde las limitaciones generadas por aquellas están generalmente articuladas a la capacidad de ellos para continuar trabajando en la actividad agrícola. La religiosidad está presente en la vida de todas las personas de mayor edad e influencia sus relaciones sociales. Las relaciones de vecindad fueron consideradas fundamentales para los entrevistados, manifestadas a través de la solidaridad y la ayuda mutua. Se observó, a partir de las concepciones y percepciones de ellos que los beneficios de la seguridad social les proporcionan una reducción en su “carga” de trabajo, porque reciben un dinero regular mes a mes, así como continúan viviendo en el medio rural, lugar del cual ellos no piensan en salir y, principalmente, un mayor empoderamiento frente a sus familias, ya que ayudando a los hijos y nietos, con quien planean el futuro y crean las estrategias de supervivencia para permanecer en el medio rural.

Background: Approximately 48 000 meals are distributed to home-dwelling older adults every day in Sweden. The ability to influence the meals is of great importance for the quality of life and therefore it is important to include the views, needs and wishes of older adults when structuring the food distribution service. Objective: The purpose is to explore the perceptions and acceptability of home delivered meals among home-dwelling older adults and professional caregivers. Methods: The present study was the first qualitative phase of a mixed method study with an exploratory sequential design. Qualitative data was collected from five older adults >65 in five municipalities and two caregivers through interviews. Results: Most of the participants were able to choose from two alternative dishes every day and they were pleased with the selection of dishes most of the time. Overall the menus were considered variated and seasonal and holiday themes were highly valued. The Swedish cuisine was their favorite, however many ethnic dishes were appreciated as well. The meals were considered delicious, however the texture of the vegetables, potatoes and meat was not optimal. Conclusions: Sometimes two alternative dishes were not considered enough. More and a broader selection of dishes might increase older adults feeling of independence but also help meeting expectations of older adults with different cultural backgrounds. Familiar dishes, a conscious choice of condiments, enhanced flavors and improved textures and appearance might compensate for deteriorating senses. Descriptive information about the meals on the menus might also help meeting older adults’ expectations. / Bakgrund: Det levereras cirka 48 000 måltider till äldre i ordinärt boende varje dag i Sverige. Möjligheten att påverka måltiderna är en viktig förutsättning för äldres livskvalitet, därför är det viktigt att inkludera äldres uppfattningar, önskemål och behov vid strukturering av måltidsdistributionen. Syfte: Syftet var att utforska äldres uppfattningar och acceptans av hemlevererade måltider bland äldre och vårdgivare. Metod: Studien var den första kvalitativa fasen av en mixed method studie med en exploratory sequential design. Kvalitativ data samlades in genom intervjuer med fem äldre i fem kommuner samt två undersköterskor. Resultat: De flesta av deltagarna kunde välja mellan två måltidsalternativ varje dag och de var nöjda med måltidsutbudet för det mesta. Överlag ansågs menyerna vara varierande och säsongs-och högtids anpassade rätter var uppskattade. Även om det svenska köket var en favorit, uppskattades etniska rätter också. Måltiderna ansågs goda, men texturen på grönsaker, potatis och kött var inte optimal. Slutsatser: Ibland uppfattades inte två måltidsalternativ som tillräckligt. Fler rätter och ett bredare utbud av rätter skulle kunna öka äldres känsla av självständighet men också möta förväntningar hos äldre från olika kulturer. Välbekanta rätter, medvetna val av tillbehör, förstärkta smaker och optimerade texturer och utseende kan möjligtvis kompensera för nedsatta sinnen. Detaljerad information om maträtterna på menyerna skulle kanske också kunna hjälp till att möta äldres förväntningar.

Contexte : Les sujets âgés représentent un groupe d’âge dont la proportion ne cesse d’augmenter. Ainsi, la lutte contre la sédentarité et la pratique d’une activité physique régulière demeure l’une des principales mesures qui devrait être privilégiée chez les seniors. L’objectif principal de ce travail était de déterminer les effets d’un nouveau protocole de réentraînement en endurance sur ergocycle alternatif « le Programme d’Entraînement Personnalisé sur Cycle à charge constante avec Récupération intermittente » (PEP’C-R) sur les paramètres d’endurance et cardio-respiratoires maximaux chez des seniors de plus de 70 ans. Les objectifs secondaires étaient de déterminer les effets du PEP’C-R sur la fonction vasculaire et les performances cognitives. Résultats : le PEP’C-R permet une amélioration significative des paramètres d’endurance et cardio-respiratoires maximaux et permet aussi d’améliorer la fonction vasculaire et les performances cognitives. Conclusion : Les résultats apportés par ce travail permettront de diffuser le PEP’C-R chez les seniors en bonne santé et ceci dans le cadre de la prescription de programmes de réentraînement à l’effort. / Background: Older adults constitute one of the most rapidly growing population groups. Consequently, avoiding an inactive lifestyle and encouraging regular physical activity remains one of the main measures that should be promoted for older adults. The main objective of our study was to determine the effects of a new lightweight protocol including recovery bouts called: “The Intermittent Aerobic Training Program with Recovery bouts” (IATP-R - PEP’C-R in French) for seniors over 70 on maximal cardiorespiratory and endurance parameters. The secondary objectives were to determine the effects of IATP-R on vascular function and cognitive performances. Results: Our results showed that this new “IATP-R” training protocol permits to achieve a significant improvement in both endurance parameters and maximal cardio-respiratory parameters. In addition, the IATP-R permits to improve the vascular function and cognitive performances. Conclusion: The results of this study could be useful to implement this new IATP-R protocol for healthy older adults over 70. This would also be within the framework of prescribing training programs.

The research outlined in this thesis focuses on the effects of implementation and use of mobile payments as experienced by older adults aged 55-75, as qualitatively examined through research interviewees (hereafter participants of this study) made up of individuals with varying cultural and technological backgrounds, who are acclimated to Greece’s culture and have lived within the country for at least a decade. Their own perception and reception of the practice allows for a more comprehensive look into the practical application of the technology within the country. No empirical studies are available on the aforementioned topic, despite the high importance and need for such study. Therefore, this research is carried out through a literature review. It then analyzes two models namely technology acceptance model (TAM) and unified theory of acceptance and use of technology (UTAUT) model. It applies a phenomenological research method and provides us with a more concise, contextualized background into the widespread application of m-payment and m-commerce within the country. This research contributes new knowledge to m-payment and m-commerce through theoretical and empirical research and benefits the interpretation of a recently emerging phenomenon. The research results are useful to various groups associated with mpayments and m-commerce. Future research directions concerning this phenomenon involve the reception and enhancement of m-payment methods by older adults.

Bakgrund: Depressioner hos äldre kan vara svårupptäckta till följd av en diffus symtombild samt då diagnossystemen DSM-5 och ICD-11 inte är anpassade för äldre. Många sjuksköterskor har svårigheter i att korrekt identifiera depressioner hos äldre personer. Mer kunskap och förståelse kring depressiva tillstånd hos äldre kan underlätta för psykiatrisjuksköterskor och andra specialistsjuksköterskor att identifiera dessa tillstånd samt leda till en förbättrad psykiatrisk omvårdnad av äldre personer. Syfte: Syftet var att belysa äldre personers erfarenheter av depressiva tillstånd i ålderdomen. Metod: En systematisk litteraturstudie baserad på nio kvalitativa studier genomfördes med Statens beredning för medicinsk och social utvärderings [SBU] metod som grundstruktur. Syntes av de kvalitativa studiernas resultat genomfördes enligt Howell Major och Savin-Baden. Resultat: Två tredje nivåns tema framkom: Det första tredje nivåns temat Att befinna sig på botten speglade den psykiska och existentiella förtvivlan de äldre befann sig i; en situation präglad av orkeslöshet, hopplöshet, självnedvärdering, skuld, skam, stigma, brist på stöd, ensamhet och alienation. Det andra tredje nivåns temat Att ta sig uppåt genom coping och andras stöd återgav de copingstrategier de äldre upplevde hjälpsamma samt betydelsen av andra människors stöd. Slutsats: Äldre personer som lider av depressiva tillstånd i ålderdomen bär erfarenheter av djup förtvivlan ur flera hänseenden och finner kraft i copingstrategier och stöd från andra. Nyckelord: depressiva tillstånd, erfarenheter, psykiatrisk omvårdnad, systematisk litteraturstudie, äldre / Background: Depressions in the elderly can be difficult to detect due to a diffuse symptomatology and because the diagnostic manuals DSM-5 and ICD-11 are not adapted for the elderly. Many nurses have difficulties in correctly identifying depressions in older people. More knowledge and understanding of depressive conditions in the elderly may facilitate for psychiatric-mental health nurses and other advanced practice nurses to identify these conditions and may conduce to an improved psychiatric-mental health nursing care for the elderly. Aim: To shed light on elderly persons’ experiences of depressive conditions in old age. Method: A systematic literature review based on nine qualitative studies was conducted, using Swedish Agency for Health Technology Assessment and Assessment of Social Services [SBU] as basic structure. Synthesis of the qualitative studies was carried out according to Howell Major and Savin-Baden. Result: Two third order themes emerged: The first third order theme, Being at rock bottom, reflected the existential and mental despair the elderly was in; a situation characterized by decrepitude, hopelessness, self-deprecating, guilt, shame, stigma, lack of support, loneliness and alienation. The second third order theme, Moving forward through coping and support from others, portrayed the coping strategies the elderly experienced as helpful and the importance of support from others. Conclusion: Elderly persons suffering from depressive conditions in old age experience different aspects of despair and find their path forward through coping strategies and support from others. Keywords: depressive conditions, elderly, experiences, psychiatric-mental health nursing, systematic literature review

El objetivo del presente estudio fue evidenciar propiedades psicométricas del cuestionario de Autocontrol Breve (BSCS) en adultos de la provincia de Lima y Arequipa, Perú. La muestra estuvo compuesta por 280 adultos jóvenes entre las edades de 20 a 40 años de los cuales fueron de Lima (58%) de Arequipa (42%) de forma no probabilística del tipo intencional. Se aplicó el Cuestionario de Autocontrol breve (Tangney, Baumeister y Luzio, 2004) y el cuestionario de Agresividad (Matalinares, Yaringaño, Uceda, Fernández, Huari, Campos y Villavicencio, 2012). Se realizó un AFC, el cual dio como resultado 4 dimensiones con χ²/gl = 3.16(< 3), p < .001 el CFI = .95 (>.95), SRMR = .05, la RMSEA = 0.088 (0.068, 0.109) (<.08) y el TLI = .93 (>.95). Se calculó la consistencia interna omega que oscila entre .49 y 73. Se utilizó la prueba no paramétrica de Spearman para el análisis de validez discriminante. El análisis de correlaciones entre BSCS y el cuestionario de Agresividad dio como resultado que todas son negativas y significativas (p < .05), con magnitud entre moderada (rs > .62) y baja (rs >.18). Concluyen que el BSCS brinda evidencias suficientes para seguir siendo estudiado en la población. / The objective of this study was to demonstrate psychometric properties of the Brief Self-Control Questionnaire (BSCS) in adults from the province of Lima and Arequipa, Peru. The sample consisted of 280 young adults between the ages of 20 to 40 years of which were from Lima (58%) of Arequipa (42%) in a non-probabilistic way of the intentional type. The brief Self-Control Questionnaire (Tangney, Baumeister and Luzio, 2004) and the Aggression questionnaire (Matalinares, Yaringaño, Uceda, Fernández, Huari, Campos and Villavicencio, 2012) were applied. An AFC was performed, which resulted in 4 dimensions with χ² / gl = 3.16 (<3), p <.001 the CFI = .95 (> .95), SRMR = .05, the RMSEA = 0.088 (0.068, 0.109) (<.08) and the TLI = .93 (> .95). The omega internal consistency ranging between .49 and 73 was calculated. Spearman's non-parametric test was used for the discriminant validity analysis. The correlation analysis between BSCS and the Aggression questionnaire showed that all of them are negative and significant (p <.05), with a magnitude between moderate (rs> .62) and low (rs> .18). They conclude that the BSCS provides sufficient evidence to continue being studied in the population. / Tesis

Les aides auditives (AA) sont les principaux outils d’intervention de réadaptation recommandés aux personnes âgées ayant une perte auditive, car elles offrent un large éventail d’avantages. Cependant, beaucoup de personnes qui possèdent des AA ne les utilisent pas ou les sous-utilisent. La raison la plus récurrente exprimée par ces non-utilisateurs d’AA est la difficulté persistante à comprendre les conversations dans des environnements bruyants. Il n’est pas mentionné si ces personnes ont essayé de porter leurs AA pendant un certain temps avant de décider de ne plus les porter. Dans l’éventualité où elles auraient abandonné peu de temps après l’obtention de leurs AA, il est possible que ces individus n’aient pas bénéficié d’une adaptation optimale à l’environnement sonore, appelée acclimatation auditive. L’objectif principal de cette thèse est d’évaluer l’apport de l’expérience avec les AA sur l’acclimatation auditive. La première étude visait à déterminer, au moyen d'une revue systématique, si un effet d’acclimatation se produit après l’utilisation d’AA et, le cas échéant, à établir l’amplitude et l’évolution dans le temps de cet effet. Quatorze articles évaluant l’acclimatation via des mesures comportementales, d’auto-évaluation et électrophysiologiques répondaient aux critères d’inclusion et d’exclusion. Bien que leur qualité scientifique générale soit faible ou très faible, les résultats de la revue systématique appuient l’hypothèse qu’un effet d'acclimatation est présent, tel que documenté par les trois types de mesures. Pour la reconnaissance de la parole dans le bruit, l’amélioration varie entre 2 et 3 dB en termes de rapport signal sur bruit (RSB) sur une période minimale d'un mois. Cette étude met en évidence l'importance d’utiliser les AA après l’appareillage afin d’optimiser les bénéfices que celles-ci peuvent procurer. L’objectif du deuxième article était de rapporter les résultats d’une étude longitudinale pour déterminer si l’acclimatation aux AA des personnes âgées peut être évaluée par leurs performances à des tâches de reconnaissance de la parole dans le bruit ainsi que par des mesures d’effort auditif. Trente-deux nouveaux utilisateurs d’AA et 15 utilisateurs expérimentés ont été évalués sur une période de 38 semaines en utilisant un paradigme de double tâche. Pour les nouveaux utilisateurs, les résultats ont révélé une amélioration significative de 2 dB RSB sur un test de reconnaissance de la parole dans le bruit après quatre semaines d’utilisation des AA, et aucune diminution de l’effort auditif, tel que mesuré par le coût proportionnel de la double tâche et par le temps de réponse à la tâche secondaire. Chez les utilisateurs expérimentés, les résultats n’ont dévoilé aucune amélioration de leur performance de reconnaissance de la parole dans le bruit suite à l’utilisation des AA. En conclusion, les résultats confirment la présence d’un effet d’acclimatation tel qu’évalué par des mesures comportementales, d’auto-évaluation et électrophysiologiques suite à une utilisation régulière d’AA. Plus précisément, les nouveaux utilisateurs présentaient une amélioration cliniquement significative de 2 à 3 dB en termes de RSB après une utilisation régulière de leurs AA. Par conséquent, les nouveaux utilisateurs d’AA devraient être informés de cette possible amélioration au fil du temps, car cela pourrait les inciter à continuer de s’adapter à leurs AA plus longtemps avant de décider de les utiliser ou non. / Hearing aids (HAs) are the primary rehabilitation intervention recommended for older adults with hearing loss, as they provide a wide range of benefits. However, a large proportion of individuals who own HAs does not use or underuse them. The most recurring reason reported by non-HA users is their difficulty to understand conversations in noisy environments even when they use HAs. It is unclear if these individuals tried to use their HAs for an extended period of time before abandoning their use. If they gave up too soon after being fitted with their HAs they may not have benefited from an auditory adaptation to the new auditory stimulation, referred to as auditory acclimatization. The main objective of this thesis is to evaluate the contribution of HA experience on auditory acclimatization. The first study aimed to determine, by means of a systematic review, if an acclimatization effect occurs after HA use and if so, to establish the magnitude and time-course of this effect. Fourteen articles that assessed acclimatization through behavioural, self-reported and physiological outcomes met the inclusion and the exclusion criteria. Although their general scientific quality was low or very low, the results of systematic review support the existence of an acclimatization effect as calculated by all three types of outcome measures. For speechrecognition- in-noise performance, improvement ranged from 2 to 3 dB in signal-to-noise ratio (SNR) over a minimum period of 1-month. This study highlights the importance of using the HAs on a regular basis after being fitted with HAs. The goal of the second study was to conduct a longitudinal investigation in order to determine whether acclimatization to HAs by older adults can be assessed data obtained on a speech-recognition-in-noise task and by measures of listening effort. Thirty-two new HA users and 15 experienced HA users were tested over a 38-week period using a dual-task paradigm. For new HA users, the results showed a significant improvement of 2 dB SNR on a speech-recognitionin- noise task after 4 weeks of using the HAs post fitting. Based on the proportional dual-task cost data and by the response time measures recorded on the secondary task. No improvement of speech perception performance in noise was observed for the experienced HA users. 8 The general findings from this thesis support the presence of an acclimatization effect as measured by behavioural, self-reported and physiological measures following regular HA use. Specifically, new HA users show a clinically significant change of 2 and 3 dB SNR on speechrecognition- in noise tasks following their initial fitting. Therefore, new HA users should be informed of the possible improvement in speech recognition over time, as it could entice them to pursue the use of their HAs for a longer period of time before deciding to abandon them.