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Workshop Content of CADENZA Workshop Series (Mar – Oct 2013)

Workshop 1 | Workshop 2 | Workshop 3 | Workshop 4 | Workshop 5 | Workshop 6 | Workshop 7 | Workshop 8

Strategic approach for promoting retirement preparation – Innovative use of active interest development, senior mentorship and traditional Chinese health concepts

Dr Ng Siu-man 吳兆文博士

Retirement is a major life transition which is associated with mental health hazards, especially depression and anxiety. Active preparation before retirement is extremely preferable because of its strong protective value. Currently about 60,000 working adults retire every year in Hong Kong. To cope with such a big challenge, interventions simply being ‘effective’ are not good enough. They have to be appealing to most working adults and be easily adopted by corporates with little professional support. First of all, a strategic entry point for engaging the soon-to-retire people is needed.

The workshop introduces the innovative use of active interest development, senior mentorship and traditional Chinese health concepts such as stagnation syndrome (鬱證) in promoting active retirement preparation. Related gender and cultural issues will also be critically deliberated.

System Approach: Pain management for older persons living in nursing home

Dr Mimi Tse 謝敏儀博士

This workshop aims at providing health care professional with more understanding of pain situations and effects of pain among the older persons living in nursing homes, also, encourage them to actively participate in managing pain problems as a routine client care.

Objectives of the workshop:

Narrative therapy: Reconstructing stroke survivors and caregivers’ meaning of and purpose in life

Dr Esther Chow 周愛華博士

Cerebrovascular disease, as the most significant cause of disability in adults, brings dramatic psychosocial impact to both the survivors and the family members. Viewing people as the experts in their own lives, and assuming people have many skills, abilities, beliefs, and values that will assist them to change their relationships with problems, narrative therapy (NT) is applied to externalize the dominant problem-saturated experiences, open diverse possibilities for reconstruction of identity, and re-authorize alternative storylines to address the problems in ways that are powerfully connected with their meaning of and purpose in life.  Sharing from community collaborators, practical skills applications, and findings of a randomized controlled trial on treatment effects will also be discussed in relations to the impact of NT on psycho-social-spiritual outcomes of stroke survivors and caregivers.

Sustaining the effect of “Prompted Voiding” programs to manage urinary incontinence in nursing home residents: A Workshop for Managers

Dr Claudia Lai 賴錦玉博士

More often than not, diapers are used in long-term care settings to manage urinary incontinence in older residents. The inappropriate use of diapers for older adults is demeaning and leads to many complications such as skin rash and excoriation. Prompted voiding (PV) is a form of behavioral modification used to teach people with or without cognitive impairment to initiate their own toileting through requests for help and positive reinforcement from caregivers. It has been found to be an effective means of managing urinary continence in the elderly, even the cognitively impaired. Consistency in applying a behavioral intervention over time is crucial for the success of a program. In that regard, management support is vital to initiating and sustaining changes in practice.

Upon completing this workshop, the participants should be able to (i) understand the principles and techniques of prompted voiding, (ii) select residents who are suited for this behavioral intervention, (iii) discuss the conditions required for the successful use of prompted voiding as an intervention; and (iv) identify measures that are necessary to sustain prompted voiding as a routine practice in the home from a management perspective.

This workshop will adopt an interactive learning approach using demonstrations and case discussions. The superintendent(s) of an old age home(s) that has successfully implemented a prompted voiding program will be invited to share their experiences and wisdom.

Digitalize Pre-discharge Planning for Older Patients and their Family Members using an e-Learning Information Package (eLIP).

Dr Lisa P.L. Low 羅佩麗博士

This course will take participants along a journey of how the interactive eLIP was conceived, developed and trialed. First, it will highlight the discharge information needs and challenges perceived by 66 older patients, 55 family members and 60 nurses in both two acute and two convalescent hospitals in the Phase I study. In the interim Phase, these findings were analyzed and then informed the development of multi-media resources (e.g. user-videos, case-sharing, flowcharts, photo-taking and access web resources) from a selection of community support and residential care home services at four collaborating elderly organizations. In striving to develop a comprehensive, accurate and updated eLIP website and booklet, challenges encountered and overcoming strategies will be discussed. Lastly, the experience of trialing the eLIP intervention in the Phase 2 study in the hospital sites will be shared. Demonstration of the eLIP website and the content of the booklet that were developed will be made available and participants can be allowed to navigate the user-centred website design and booklet so as to provide us with feedback to make improvement.

Relieving Insomnia Among Older People: the Effects of Eognitive-Behavioral Therapy

Dr Doris Yu余秀鳳博士

Insomnia is a common problem affecting older people and the prevalence rate of this problem is about 38.2% in Hong Kong. Ample evidence has indicated the strong association between later-life insomnia and impaired cognitive, physical and psychosocial functions and poor quality of life. The Hong Kong Jockey Club Charities Trust has funded a randomized controlled trial to investigate the effects of a multi-modal cognitive-behavioral therapy on sleep quality, sleep pattern and daytime impairment among community-dwelling older people with insomnia in Hong Kong. Based on the very encouraging findings about the positive intervention effects, Dr. Yu had obtained a Knowledge Transfer Fund from the Chinese University of Hong Kong to provide training to over 100 health and social care professionals on how to apply this multi-modal cognitive-behavioral therapy in community elderly centers. In this workshop, Dr. Yu will introduce the multi-modal cognitive-behavioral therapy which used to improve insomnia of older people and to discuss its implementation in the elderly care services.

Instrumental Reminiscence Intervention (IRI) for alleviating depressive symptoms among Chinese older adults

Dr Vivian Lou 樓瑋群博士

Instrumental Reminiscence Intervention (IRI) is a group therapy which aims to enhance the clients’ depressive symptoms by recalling and effective coping strategies from the past and strengthening them in their present life. In the collaboration with Sik Sik Yuen, the intervention was implemented among community dwelling older adults living alone or living with spouse only in Hong Kong. Its effectiveness is validated through a pre-post test randomized control trial.
This course covers the background of IRI and the scientific evidence supporting its effectiveness briefly. Explanation of the concepts and mechanism involved in IRI for reducing depressive symptoms will be then be followed. Description of the intervention, such as its session plans and homework assignment, will be illustrated. Practice wisdom and experience in the planning, preparation, implementation and evaluation of IRI will be shared by social workers with abundant experience in the implementation process. Core components and difficulties in practice will also be highlighted. Participants will be engaged in activities to obtain a deeper understanding of IRI.

Electrical Stimulation and Rehabilitation Following Stroke

Dr Shamay Ng 伍尚美博士

Stroke is a major cause of disability and handicap in older adults, with incidence approximately doubling each decade after age 55. It often results in deficits in walking capacity and balance performance.
A major challenge in stroke management is to identify effective rehabilitation strategies in order to optimize the motor functions in patients with stroke.

The workshop consists of 2 parts and will last for 2 hours. The content of the workshop includes:
Part I: Interventions in improving motor functions following stroke

Part II: Outcome Measures in Evaluating the Effectiveness of Intervention

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