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PhD Work in Progress
Abstracts from eleven current PhD research projects

Gender, societal and cultural impacts on Italian women’s sleep

Emanuella Bianchera
Centre for Research on Ageing and Gender, University of Surrey

Drawing on qualitative research with 50 Italian women aged between 40 and 80 years, the phd examines how family structure, gender role expectations and caring roles impact on women’s sleep at different points in their life course. Participants are studied through in-depth semi-structured tape-recorded interviews, together with audio or written sleep diaries , and for a subset actigraphy, for fifteen days.

Findings show how family structure, gender role expectations and caring roles impact on women’s sleep at different points in their life course. A core issue is care work, that defines and fragments sleep quality for the majority of the participants. Higher levels of sleep disturbance were found among women who cared for older frail or disabled relatives, especially in association with long term, degenerative illnesses. Other issues explored in the PhD are: the role of l ife course transitions, marital status, living arrangements and sleep; work-life balance, social and time constraints and sleep; aging, health and sleep.

I discuss the peculiarities of the Italian informal “family solidarity” care model and the implications of inadequate welfare state provision in increasing unpaid domestic caring work, with the subsequent effects on sleep quality and overall physical and emotional well being.

This PhD is being supervised by Sara Arber at the Centre for Research on Ageing and Gender, Department of Sociology, University of Surrey and funded through EU Marie Curie Research Training Network on “The biomedical and sociological effects of sleep restriction” (MCRTN-CT-2004-512362).

PhD Work in Progress

Workplace age discrimination

Dinah Bisdee
Social Psychology European Research Institute, Department of Psychology, University of Surrey

Email: d.bisdee@surrey.ac.uk 

Workplace age discrimination was outlawed in Britain in October 2006, yet as with other forms of prejudice, legislation alone is unlikely to eradicate it. This PhD programme aimed to investigate the causes of ageism in the workplace, and in particular, to examine whether it arises from a perception of threat (Stangor & Crandall, 2000) posed by including older workers in a working team. One qualitative study investigated older people’s (50+) experiences of ageism at work, and how they deal with it or defend against it; another probed the perceptions by employment gatekeepers (HR executives and managers generally) of older employees, and the explanations behind those perceptions: the ideal employee nowadays is seen as an energetic, ambitious person who will ‘give 110%’ to the organisation. Stereotyped perceptions of older workers mean that they are seen as a threat to achievement of the tough targets prevalent nowadays. Hence it was hypothesized that workplace ageism would be most likely to occur when teams are pressured with demanding targets; and that people inclined to experience anxiety (‘Trait Anxiety’ – Spielberger, e.g. 1995) and feel out of control of work related outcomes (‘Work Locus of Control’, Spector, 1988), would be more likely to be ‘ageist’ in their decisions about older workers. An experimental study supported these hypotheses. A scale to measure Workplace Ageism has been developed, which correlated as predicted with measures of Trait Anxiety and (external) Work Locus of Control, on two different samples, and has been validated in terms of its relationship with ageist decisions in the experimental study.

Are country towns and villages sustainable environments for older people?

Elizabeth Brooks
School of Architecture, Planning and Landscape, Newcastle University

Email: elizabeth.brooks@newcastle.ac.uk

This exploratory study bases itself on current government definitions of rurality and sustainability to investigate what may be distinctive about the experience of growing older in rural settings. It looks at the past and current policy landscape for rural ageing and the policies currently in place that may affect later life in the countryside. It asks what older people – including in-migrants from urban and suburban areas, rural in-migrants and those ageing in place – need; and what they contribute. At the same time, it attempts to assess the impact on rural places of higher proportions of older people in their populations.

The study is designed as a pilot study followed by three case studies, based on the geographic entities of market towns and their rural hinterlands. Interviews with key professionals at local and regional level, and with older people and their carers in a hierarchy of rural settlements, are combined with observations of local territory and reviews of local policy, services, facilities, neighbourhood statistics and local newspaper reports to build up a picture of the relative sustainability of different kinds of rural settlements for older people. The study in particular tries to identify “chains of sustainability” – the linked consequences for places that older people move from (because they are experienced as unsustainable) and to (because they are perceived to be more sustainable). The study will come to identify ways in which sustainability, both personal and global, may be increased or decreased by older people’s rural migrations.

ESRC/DCLG joint-funded PhD studentship, 2005-8.

Supervisors: Rose Gilroy, Senior Lecturer; Tim Shaw, Head of School

Caregiver burnout in dementia: recognition, intervention, and prevention

Pilar L. M. Callaby
University of Southampton

Email: plmc104@soton.ac.uk

 

Adjusting to the role of dementia caregiver is often devastating. Evidence has shown that without support overwhelming burden extends to ‘burnout’ and premature institutionalisation. Not only because of the lack of resources dedicated to its’ prevention, but also because of lack of understanding devoted to its cause. This thesis considers a range of caregiving situations involving a variety of dementias. The initial phase of the research examined factors previously thought to predict burnout, as well as new factors in a study of eight caregiving dyads, of whom one suffered with dementia and the other provided full-time care. These latter factors were recognised as more influential in explaining burnout, with a theoretical framework and hypotheses developed in support. The first study also provided the opportunity to explore the potential of mediation over time, during visits to the caregivers’ home. Although relatively unexplored in dementia, mediation has the potential for playing a major role in the prevention of burnout.

In phase two, a questionnaire was developed from which to test the hypotheses. Supported by the Alzheimer’s disease Society, the questionnaires were made accessible throughout the UK. Resentment was identified as the strongest predictor of emotional distress, conceptualised in terms of social-exchange theory and rooted in philosophical perspectives on freedom and resentment. Resentment occurs in response to inadequate communication and unsupported ‘time-out’. The final phase will include the development of a support programme, embedded in social exchange but capturing the supportive role of mediation intervention. Using the concept of on-call care and facilitated focus groups, this programme will incorporate the needs of the dementia caregiver while being amenable across a multitude of alternative healthcare settings.

PhD Work in Progress

Critiquing active ageing: time use among older people in the United Kingdom

Stella Chatzitheochari
Marie Curie Research Fellow, Centre for Research on Gender and Ageing, Department of Sociology, University of Surrey

Email: s.chatzitheochari@surrey.ac.uk

This study casts new light on the experience of ageing by examining patterns of time use among older people in the United Kingdom. Despite the focus of sociologists of ageing on the concepts of ‘active ageing’ and the Third Age as a period of fulfilment and an ongoing engagement with a leisured lifestyle, there has been little research on how older people actually spend their time. This study examines activities related to the idea of the Third Age in order to assess the realization of active ageing for this cohort and produce a typology of activity patterns of older people by conducting secondary analysis of time use data.

The paper analyzes data from the 2000 Time Use Survey, which contains a random sample of individuals who completed time use diaries to record their daily activities over two days. We focus on a subsample of 1390 people over the age of 65.

Findings suggest that the majority of older people engage in ‘passive’ leisure activities with only a tiny minority undertaking any activities suggesting they are constructing a unique pattern of ageing. The influence of physiological as well as of structural factors, such as gender and social class, on lifestyle that is underscored by our findings does not lend support to the active ageing paradigm and suggests that the current cohort of older people are not engaged in a reflexive project.

Managing transition: a longitudinal study of social relations in later life widowhood

Tracy Collins
Keele University

Email: t.l.collins@appsoc.keele.ac.uk

Many older people are confronted by the loss of a spouse or partner in later life. This longitudinal research considers the significance of social relationships in managing later life widowhood, exploring social relations and social capital during a time of transition.

A series of qualitative in depth semi structured interviews were conducted with a purposive sample of twenty-six older widows in North Staffordshire over a period of eighteen months. In addition to interviewing the women, personal network diagrams were constructed and Christmas cards viewed and discussed in order to capture the women’s social relationships over a period of time. Interviews initially explored the women’s life histories, the impact of widowhood, and their social networks or ‘personal communities’. The focus of the second and third interviews was the social celebration of Christmas which revealed the minutia of the women’s lived experiences and the detail of their social relationships, in addition personal network diagrams were revisited to document any changes in personal communities.

Initial findings include the emergence of a typology of the different personal communities of the older women and also the complexities involved in the continuity and discontinuity of family and associational life as an older widow during the change process

Understanding sleep in care homes

Emma Cope
University of Surrey

Email: e.cope@surrey.ac.uk

The Department of Health (DOH) National Service Framework for Older People (2001) noted that increase in healthy activities and modifying health behaviours, such as activity can be beneficial, even in increasing age. Standards set ensured to increase health promoting activities, which are deemed beneficial to older people’s health. These standards may aid appropriate changes in care homes in order to maximise the overall health and wellbeing of older people.

The fact that this framework exists highlights that research needs to be carried out in care homes in order to fulfil the stated objectives. Research will identify areas which are failing older people’s health and wellbeing, such as, activity and sleep and inform the development of health and social care models that will improve the quality of life experienced by older people living in care homes. Furthermore, the National Minimum Standards for Care Homes for Older People (2006) also states the needs of care homes to promote older people’s health and wellbeing; via exercise, being able to carry out whatever activity they see fit, such as, walking.

The data collection will consist of twenty-four hour diaries* over a two-week basis. Twenty residents will be asked to take part in ten care homes, totalling 200 participants overall. Both organised activities and individual activities will be recorded. Comparisons will be made between care home activities and residents’ uptake of them. Sleep data will also be collected using a questionnaire and actiwatch.

Care homes personal ethos is expected to relate to the type and amount of activities. An understanding of how factors, such as sleep and activity inter-relate will be explored and ultimately understand what/if changes could be made to ensure optimum sleep in care homes.

*Whilst working as research officer on the New Dynamics of Ageing project (NDA): Understanding Sleep in Care Homes, I will be using the diaries, which are part of the NDA project, my intention will be to investigate the associated aspects of the resident’s lifestyle within the care home domain and evaluate the correlation between sleep and activities.

PhD Work in Progress

Understanding sleep in care homes

Theresa Richards
University of Surrey

Email: t.richards@surrey.ac.uk

Sleep can influence quality of life, recovery from illness, risk of falling and depression in older people. Among the very old, poor sleep quality and use of sleep medication can have a negative effect on frailty and cognitive impairment yet there is wide use of sleep medication in care homes.

Sleep research has traditionally focused on physiological and psychological factors however this study uses qualitative methods. The research forms part of a project on optimising sleep quality in older people and is funded by the ESRC under the New Dynamics of Ageing research programme. This doctoral study uses qualitative methods to try and understand the experience of ‘sleep’ in four care homes for older people. The research will explore the experience and meanings of sleep for the older people who live in the care homes as well as identifying aspects of living in the home that impact on their sleep quality. Qualitative research with the staff will also be undertaken to discover their attitudes and understanding of sleep behaviour and sleep needs in the care home, organisational structures and routines, the use of medication and any intervention strategies adopted to improve sleep quality for people who live there.

PhD Work in Progress

Food for life: consumption inequalities in later life

Jenny Routledge
Centre for Research on Ageing, School of Social Sciences, University of Southampton

Email: jar01@soton.ac.uk

The aim of this thesis is to investigate consumption disadvantage in later life and the implications for social exclusion. Adequate access to food provisioning for older people has been researched by academics and included in policy debates in the UK and elsewhere, but further research is needed to more fully understand the extensive range of factors that give rise to consumption inequalities throughout the lifecourse. This can have substantial implications for assessing whether one can successfully live independently into later life. The degree to which disadvantages in food provisioning exist varies from one individual to another, but can be due to external limitations (i.e. existing retail spaces, transport networks, etc.), personal limitations (i.e. mobility, social networks, etc.) or a combination of both. To explore these issues, this project first consider previous academic and policy research to identify and address consumption inequalities and disadvantages for older people, and then conducts primary and secondary research. Using a multi-method approach, the research will examine a local cohort of older people in Hampshire, UK, to investigate the factors that contribute to consumption inequalities. The factors which will be investigated include: financial limitations; lifestyle indicators; access to social services; experiences of social exclusion; health considerations; retail planning and provisioning; and mobility and transport. The experiences of the Hampshire local study will be placed into a national context using representative data on household expenditure from the Expenditure and Food Survey. A range of conceptual and theoretical approaches will be explored.

The research is supervised by Prof Maria Evandrou and Dr Elisabeth Schröder-Butterfill and is funded by a Centre for Research on Ageing studentship.

How retirement affects professional workers’ identity.

Tatiana Schifferle-Rowson
Keele University

Email: tsrowson@gmail.com

Retirement is a predicable stage in an individual’s life. Most workers expect to retire one day; retirement is part of workers’ reality. Having grown and consolidated in the 20 th century, and more specifically after the World War II, retirement became an ‘earned right’, fully incorporated into the life course. Even though retirement is an established institution, how it is experienced has been changing from being a predicable and standardised process to an individualised experience. The experience of retirement is to some extent a consequence of midlife. However, midlife is no longer a linear period. People may experience a number of changes.

Continuity theory was developed to understand the adjustment process in later life, and argues that the continuity of ideas and lifestyle from middle to late life is a common adaptative strategy to changes. Continuity means the maintenance of consistent patterns throughout adulthood, by being absolutely unchanged or by presenting only minor fluctuations. A break in such a pattern would characterise discontinuity.

There is no definite definition of what means to be a professional. Among the most significant core traits of a profession is the educational element. In some groups, the professional role can be so powerful that the practitioner is aware of general standards of behaviour or particular lifestyle required to preserve a professional identity.

The aims of this research are to investigate the transition to retirement for professional workers, especially in relation to how retirement affects identity, how continuity is experienced and other interests after retirement.

Understanding sleep in older people in the community

Susan Venn
Centre for Research on Ageing and Gender, Department of Sociology, University of Surrey

Email: s.venn@surrey.ac.uk

Good sleep in later life reduces risk of falls and depression, is essential for maintaining activity and performance levels. Despite evidence indicating a deterioration of sleep quality with ageing, there remains a clear need for research to understand the impact of sleep disturbance, and to guide the non-pharmacological management of sleep problems among older people in the community.

Researching sleep in later life is a high priority because:

1. Poor sleep is one of the most common complaints of old age and good sleep reduces the risk of falls, depression and accidents.

2. Quality sleep is essential for well-being, daytime activity, functioning and cognitive performance, and thereby independence and autonomy.

The aim of this PhD is to obtain an indepth understanding of older people’s meanings and experiences of poor sleep, and their coping strategies, and to identify whether aspects of daily living (e.g. light exposure, activity, food) are associated with poor sleep among older people.

elf completion questionnaires containing socio-demographic variables and a validated sleep questionnaire will be sent, through their GPs, to 2400 people aged 65 and over. From these questionnaires 60 people will be identified as ‘poor sleepers’. Qualitative data on these 60 ‘poor sleepers’ will comprise interviews and two-weeks of tape-recorded sleep diaries. Additionally, over the same 2-week period, quantitative data will comprise Actigraphy (a device for measuring activity/light exposure), to assess activity, rest, sleep and light and daily records of activities, medication use, food consumption, caffeine/alcohol intake.


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