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Article
Publication date: 6 November 2017

Seyed Mohammad Sadegh Khaksar, Fatemeh S. Shahmehr, Rajiv Khosla and Mei Tai Chu

By developing a conceptual model, the purpose of this paper is to improve the understanding of the role of social assistive technologies in facilitating the process of service…

1596

Abstract

Purpose

By developing a conceptual model, the purpose of this paper is to improve the understanding of the role of social assistive technologies in facilitating the process of service innovation in care providing organisations to adopt the principles of the consumer-directed care strategy and reduce perceived consumer vulnerability.

Design/methodology/approach

Using a cross-sectional survey method, the authors collected data through a survey questionnaire distributed among 335 aged caregivers and specialists. The conceptual model and its 11 research hypotheses were examined using confirmatory factor analysis in structural equation modelling. The rival and mediation models were also estimated.

Findings

The conceptual model was validated and eight of eleven hypotheses were supported. It was found that dynamic capabilities are crucial to developing service innovation concept in care providing organisations. In this way, social assistive technologies play a facilitating role to promote the consumer-directed care strategy throughout care providing organisations and allow care providers to enhance wellbeing of vulnerable older people based on their socio-economic status. From the lens of aged care providers, it was also found that the consumer-directed care strategy implemented in aged care facilities may help reduce consumer vulnerability among older people especially when they use social assistive technologies in their service settings.

Practical implications

This study suggests aged care service providers should boost dynamic service innovation capabilities to improve the need for social assistive technologies in aged care facilities with respect to the importance of the consumer-directed care strategy.

Originality/value

This study contributes to the development and validation of a conceptual model for the use of social assistive technologies to sustain service innovation in aged care business models and enhance the consumer-directed care strategy’s performance to better understand consumer vulnerability among older people.

Details

Journal of Services Marketing, vol. 31 no. 7
Type: Research Article
ISSN: 0887-6045

Keywords

Article
Publication date: 11 April 2016

Mark Redmond

The purpose of this paper is to explore the nature of both charitable and religious fundraising amongst vulnerable older adults. It is a practice that is hidden and opaque. The…

Abstract

Purpose

The purpose of this paper is to explore the nature of both charitable and religious fundraising amongst vulnerable older adults. It is a practice that is hidden and opaque. The circumstances surrounding the death of Olive Clarke in spring 2015, however, suggest that it is a practice that involves “intrusive” and “excessive” practices. Fundraising amongst vulnerable older adults is largely unregulated and independently monitored. This paper argues that ensuring the protection of vulnerable older adults requires substantial change and new accountabilities.

Design/methodology/approach

This paper explores current approaches to financial abuse and the focus on family and professional carers as the main likely perpetrators. However, using literature from both the USA and Australia, it considers notions of “trust” and professional behaviour, and the way that vulnerable older adults are subject to new forms of abuse as a result of financial technology such as online and telephone banking. It links this with the practices of charitable fundraisers using techniques such as cold calling and direct mail.

Findings

The circumstances surrounding the death of Olive Clarke suggest that charities, and those fundraise for charities appear to engage in a practice whereby they sell the names of likely donors to each other. This practice opens opportunities for abusive relationships to take place. At the same time many clergy operate like the single GP surgeries that allowed Shipman to practice unnoticed and unaccountable. The relationship between clergy and their aging congregation, who are relied upon to raise funds for church activities, open up the opportunity for abuse to take to place. Few records on charitable giving exist that permit regulation and independent scrutiny.

Research limitations/implications

Current research in this area is limited by the focus on family and professional carers as likely perpetrators of financial abuse, and through attention on child sexual abuse in general. There is a lack of research on charitable giving, and the focus tends to be on altruism rather than the practices and motivations of fundraisers themselves. This paper intends to begin an academic debate to the context in which Olive Clarke took her own life.

Practical implications

In the wake of the death of Olive Clarke the Fundraising Standards Board has been tasked with reviewing the way charities raise funds amongst vulnerable older adults. No one has yet used the language of financial abuse, choosing to opt for the terms “excessive” and “intrusive” there is a need to shift this debate and encourage greater regulation and accountability.

Social implications

This paper seeks to explore how some of the organisations that are supposed to protect and care for vulnerable people engage in practices that exploit and abuse. It is timely as debates about charitable giving are beginning to increase, and the role of the church and the religious groups in the abuse of children is being considered by the new independent inquiry in the UK. It has significant implications for accountability, trust and regulation.

Originality/value

The financial abuse of older adults is rarely considered outside of the family – carer nexus. However, changes in the banking and financial systems means that opportunities for abuse are greater than ever before. Prior to the death of Olive Clarke in spring 2015 very little attention on the nature of charitable and religious fundraising amongst older adults has taken place, and consequently this paper is highly original, but equally timely.

Details

The Journal of Adult Protection, vol. 18 no. 2
Type: Research Article
ISSN: 1466-8203

Keywords

Book part
Publication date: 1 December 2017

Deborah Mifsud, Maria Attard and Stephen Ison

Old age is a complex and dynamic phenomenon. The relationship between old age and transport is also very complex due to the heterogeneity within this age group. Yet what is…

Abstract

Old age is a complex and dynamic phenomenon. The relationship between old age and transport is also very complex due to the heterogeneity within this age group. Yet what is certain is that with age, a person’s functional abilities change. This chapter provides a summary of how older people can be vulnerable within the road environment. Using an established framework for understanding old-age vulnerabilities, this chapter explains the common exposure factors and threats that several older people face in the transport environment. These primarily deal with individual physical and cognitive characteristics, medical conditions as well as the appropriateness (or not) of infrastructure. Subsequently, common difficulties for older drivers, pedestrians and public transport users are discussed. The main vulnerabilities that result from such difficulties are related to an over-representation of older people in accidents and to a lower quality of life due to mobility inefficiencies. Yet, using the same framework, the compensation techniques that older people often adopt to minimise such limitations are also highlighted. Reference is also made to the issues related to the lack of awareness in old age and the corresponding inability to compensate. The review concludes by suggesting a way forward for further studies on transport vulnerability in later life.

Open Access
Article
Publication date: 12 March 2021

Bach Quang Ho and Kunio Shirahada

The purpose of this paper is to develop a process model for the role transformation of vulnerable consumers through support services.

2426

Abstract

Purpose

The purpose of this paper is to develop a process model for the role transformation of vulnerable consumers through support services.

Design/methodology/approach

The study is based on four years of participant observation at a community-based support service and in-depth interviews with the consumers. Visual ethnography was used to document the process of the consumers' role transformation through service exchanges.

Findings

The main outcome of this study is a consumer transformation model, describing consumers' role transformation processes, from recipients to generic actors. The model demonstrates that vulnerable consumers will transform from recipients to quasi-actors before becoming generic actors.

Social implications

Vulnerable consumers' participation in value cocreation can be promoted by providing social support according to their dynamic roles. By enabling consumers to participate in value cocreation, social support provision can become sustainable and inclusive, especially in rural areas affected by aging and depopulation. Transforming recipients into generic actors should be a critical aim of service provision in the global challenge of aging societies.

Originality/value

Beyond identifying service factors, the research findings describe the mechanism of consumers' role transformation process as a service mechanics study. Furthermore, this study contributes to transformative service research by applying social exchange theory and broadening service-dominant logic by describing the process of consumer growth for individual and community well-being.

Details

Journal of Service Theory and Practice, vol. 31 no. 4
Type: Research Article
ISSN: 2055-6225

Keywords

Article
Publication date: 1 October 2005

Jill Manthorpe, Neil Perkins, Bridget Penhale, Lisa Pinkney and Paul Kingston

This article updates a review submitted to the Department of Health (DH) in the light of the House of Commons Health Select Committee report on Elder Abuse. The review drew on…

Abstract

This article updates a review submitted to the Department of Health (DH) in the light of the House of Commons Health Select Committee report on Elder Abuse. The review drew on recent research about elder abuse in the UK, including research published after the Select Committee's hearings, that made specific recommendations for areas of development in research and policy. The aim of this paper is to address specific questions posed by the Select Committee in light of developments up to mid 2005.

Details

The Journal of Adult Protection, vol. 7 no. 3
Type: Research Article
ISSN: 1466-8203

Keywords

Article
Publication date: 1 December 2006

Ingrid Eyers and Karen Bryan

Key to successfully addressing the ongoing transitions being experienced in the care home sector is a transformation of the workforce. This is required in order to respond…

Abstract

Key to successfully addressing the ongoing transitions being experienced in the care home sector is a transformation of the workforce. This is required in order to respond appropriately to the increasing dependency of older people moving into care homes. This article considers the policy framework surrounding the provision of care services in England and reviews the relevant research into the workforce and the changes needed if the sector is to meet the needs of vulnerable older people living in care homes. Building on present policy and practice, consideration is given to how this change could be achieved.

Details

Quality in Ageing and Older Adults, vol. 7 no. 4
Type: Research Article
ISSN: 1471-7794

Keywords

Abstract

Details

Occupational Therapy With Older People into the Twenty-First Century
Type: Book
ISBN: 978-1-83753-043-4

Article
Publication date: 26 February 2019

Steve Moore

Through the lens afforded by two theories drawn from the discipline of social psychology, the purpose of this paper is to explain the evident continuing abuse of adults at risk…

Abstract

Purpose

Through the lens afforded by two theories drawn from the discipline of social psychology, the purpose of this paper is to explain the evident continuing abuse of adults at risk living in care homes by the staff who should be looking after them.

Design/methodology/approach

By considering existing theories and research into the reasons why vulnerable adults are abused the paper proposes the relevance of other extant theories on the degradation of moral restraint and dehumanisation of victims, and on the social psychology of intergroup relations, to the perpetration of abuse.

Findings

The paper demonstrates how theories that explain the psychology of human behaviour in certain circumstances may be usefully applied to the inveterate social problem of the abuse of vulnerable adults living in care homes.

Practical implications

The paper offers the opportunity for the reader to consider how these theories of social psychology may be applied to explain and guide remedies to the persistent levels of abuse in English care homes, abuse that continues despite government oversight of care provided to adults who may be at risk by virtue of the activities of the statutory regulator and health and social care commissioners, and the interventions of safeguarding personnel.

Originality/value

This is a conceptual paper from which future research and theorising may arise to better understand the most fundamental causes of the abuse of older people in care homes in order to develop feasible and effective measures to overcome it.

Article
Publication date: 29 July 2010

Lynne Phair and Hazel Heath

Despite widespread development in safeguarding vulnerable adults across legislation, policy, research, education and practice in recent years, some aspects of this work remain…

924

Abstract

Despite widespread development in safeguarding vulnerable adults across legislation, policy, research, education and practice in recent years, some aspects of this work remain relatively ill‐defined. Neglect in formal care settings and the nursing contribution to multi‐agency safeguarding work are two such aspects. This paper offers perspectives acknowledging the current context of safeguarding. It identifies defining attributes of neglect and highlights why older people are particularly vulnerable to the consequences of neglect. The nursing contribution to multi‐agency safeguarding work, specifically health‐focused investigations, is discussed in detail, including when nurses should be involved, the knowledge and skills required and considerations for giving a professional opinion. The paper offers a model of registered nurse involvement in health safeguarding investigations and concludes with suggestions on how investigations can be approached.

Details

The Journal of Adult Protection, vol. 12 no. 3
Type: Research Article
ISSN: 1466-8203

Keywords

Article
Publication date: 1 December 2004

Jenny Pannell and Guy Palmer

Older people who are homeless or at risk of homelessness have diverse and varied needs. Their needs are not the same as those of either younger homeless people or older people who…

Abstract

Older people who are homeless or at risk of homelessness have diverse and varied needs. Their needs are not the same as those of either younger homeless people or older people who already have secure and appropriate housing. This article explains the problems and proposes cost‐effective solutions for commissioners and providers.

Details

Housing, Care and Support, vol. 7 no. 4
Type: Research Article
ISSN: 1460-8790

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