Ann Bowling
Biographic Data
| ID | 330229 |
|---|---|
| NAME | Ann Bowling |
| GIVEN NAMES | Ann |
| FAMILY NAME | Bowling |
| SIGNATURE | BOWLING A |
| AFFILIATIONS | University College London |
| ORCID | 0000-0002-4030-6579 |
| VERIFIED | Yes |
| TOTAL WORKS | 62 |
| TOTAL CITATIONS | 546 |
| AUTHOR COUNT | 62 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1982 |
| LATEST PUBLICATION YEAR | 2019 |
| H-INDEX | 13 |
Measuring the quality of life of family carers of people with dementia
The robust psychometric properties support the use of C-DEMQOL in evaluation of overall and domain-specific carer QOL; replications in independent samples and studies of responsiveness would be of value
Has India’s national rural health mission reduced inequities in maternal health services? A pre-post repeated cross-sectional study
BACKGROUND: In 2005, India launched the National Rural Health Mission (NRHM) to strengthen the primary healthcare system. NRHM also aims to encourage pregnant women, particularly of low socioeconomic backgrounds, to use institutional maternal healthcare. We evaluated the impacts of NRHM on socioeconomic inequities in the uptake of institutional delivery and antenatal care (ANC) across high-focus (deprived) Indian states. METHODS: Data from Distri…
Is mid-life social participation associated with cognitive function at age 50? Results from the British National Child Development Study (NCDS)
The results indicate that modest associations between adult social engagement and cognitive function at age 50 persist after adjusting for covariates which included health, socio-economic status and gender, supporting theories of neuroplasticity. In addition to the continuing emphasis on physical activity, the encouragement of civic participation, at least as early as mid-life, should be a targeted policy to potentially promote and protect cognit…
Only available to a selected few? Is it feasible to rely on a volunteer workforce for complex intervention delivery
This paper recounts the process of undertaking a randomised controlled trial which was designed to examine the effectiveness of an intervention for socially isolated older people aged 75 years and over. It describes the reasons for early cessation of the study and raises the implications of this outcome for policy, practice and research. The intervention under investigation was designed to alleviate loneliness and foster companionship. It involve…
Assessing satisfaction with social care services among black and minority ethnic and white British carers of stroke survivors in England
Overall satisfaction levels with social care are usually high but lower levels have been reported among black and minority ethnic (BME) service users in England. Reasons for this are poorly understood. This qualitative study therefore explored satisfaction with services among informal carer participants from five different ethnic groups. Fifty-seven carers (black Caribbean, black African, Asian Indian, Asian Pakistani and white British) were recr…
A Longitudinal Analysis of Loneliness Among Older People in Great Britain
Longitudinal studies of loneliness among older people are comparatively rare. At 8 years after the initial survey in 1999-2000, we followed up on the 999 people aged 65+ years who were living in the community in the United Kingdom. We found that 583 participants were still alive, and 287 (58%) participated in the follow-up survey. The overall prevalence of loneliness at both time points was very similar, with 9% reporting severe loneliness; 30% r…
Do treatment preferences for patients with angina change? An 18‐month follow‐up study
Objectives To assess whether preferences for patients with angina changed at 18‐month follow‐up using the Patient Preferences Questionnaire for Angina treatment (PPQA). Background Evidence suggests that patients want information about treatment options. Reliable measurement of patient preferences for treatment is important for empowering patients. Design Postal self‐administered questionnaire survey at baseline and follow‐up. The preference quest…
Effect of changes in moderate or vigorous physical activity on changes in health-related quality of life of elderly British women over seven years
Modelling the association of disability according to the WHO International Classification of Functioning, Disability and Health (ICF) with mortality in the British Women's Heart and Health Study
BACKGROUND: The WHO International Classification of Functioning, Disability and Health (ICF) is now the dominant model for exploring the social consequences of a health condition. This paper investigates the association of the different ICF disability domains with mortality. METHODS: Data are from the British Women Heart and Health Study, a large (n=4157) prospectively studied cohort of women randomly selected from 23 towns aged 64-83 years in 20…
Independence and mobility in later life
Quality of life in older outpatients living alone in the community in Italy
There is limited knowledge on the relationship between the living conditions of community-dwelling older people and their quality of life (QOL) considered in all its specific domains. The purpose of this study was to determine (1) which dimensions of QOL were independently associated with living alone and (2) the independent correlates of these dimensions of QOL amongst older outpatients. We conducted a cross-sectional survey of 239 community-dwe…
Which measure of quality of life performs best in older age? A comparison of the Opqol, Casp-19 and WHOQOL-OLD
The OPQOL is of potential value in the outcome assessment of health and social interventions, which can have a multidimensional impact on people's lives. Further research is needed to examine whether differences by ethnicity reflect real differences in QoL, methodological issues, variations in expectations or cultural differences in reporting
Older people and 'active ageing
Following a critical overview of the active ageing concept, a thematic decomposition of 42 transcribed interviews with British people aged 72 years and over indicates that active ageing is understood in relation to physical, cognitive, psychological and social factors, but that these co-exist in complex combinations. The notion of activity in active ageing is grasped in relation to an active/passive distinction which emphasizes the enhancement or…
A study of patient expectations in a Norfolk general practice
Objective To use semi‐structured interviews to ascertain patterns in patients’ expectations of health care and the extent to which these expectations were met or not. Background In health policy it is important to evaluate health services from varying perspectives including consumers’. One concept of emerging importance in this regard is that of patient expectations . Whether expectations are met or not have been found to be related to general pa…
Enhancing later life
OBJECTIVE: To identify older people's perceptions of active ageing, and to compare them with the literature, and with older people's perceptions of successful ageing and quality of life. DESIGN: Face-to-face interview survey with 337 people aged 65+ living at home in Britain. RESULTS: The most common perceptions of active ageing were having/maintaining physical health and functioning (43%), leisure and social activities (34%), mental functioning …
What do patients really want? Patients’ preferences for treatment for angina
Objective To measure preferences for angina treatments among patients admitted from accident and emergency with acute coronary syndrome. Background Evidence suggests variability in treatment allocations amongst certain socio‐demographic groups (e.g. related to age and sex), although it is unclear whether this reflects patient choice, as research on patients’ treatment preferences is sparse. Given current policy emphasis on ‘patient choice’, provi…
Aspirations for Older Age in the 21st Century
The literature on successful aging reveals a wide range of definitions, generally reflecting the academic discipline of the investigator. Biomedical models primarily emphasise physical and mental functioning as successful aging; socio-psychological models emphasise social functioning, life satisfaction and psychological resources as successful aging. Several studies also identify these factors as the precursors of successful aging. Moreover, rese…
Who are the consistently high users of health and social services? A follow-up study two and a half years later of people aged 85+ at baseline
This paper reports on changes in service use over a 2 1/2-year period among people aged 85+ at baseline. The socio-demographic, social, pyschological and physical characteristics of the consistently high utilizers and the consistently low utilizers of services are described. The strongest predictor of total service use was functional ability. The analyses confirmed that a small proportion of people are likely to account for the most expenditure o…
Lay theories of quality of life in older age
This paper presents findings from a national survey of quality of life (QoL) in older age. The main aim of the analyses was to examine the definitions of quality of life given by people aged 65 or more years and the underlying reasons. Open-ended questions were used to elicit their perceptions of QoL. These were followed by structured measures of self-rated QoL overall, and of domains of QoL commonly reported in the literature. The main things sa…
Hong Kong’s health system
Background Gastrointestinal (GI) symptoms during exercise may be caused by GI ischaemia. The authors report their experience with the diagnostic protocol and management of athletes with symptomatic exercise-induced GI ischaemia. The value of prolonged exercise tonometry in the diagnostic protocol of these patients was evaluated. Methods Patients referred for GI symptoms during physical exercise underwent a standardised diagnostic protocol, includ…
The Social World of Older People
Providing an account of loneliness and social isolation as experienced by older people living in Britain, this book considers the incidence and effects of isolation and loneliness, identifying the factors which lead to such experiences and considering potential interventions
How do objective and subjective assessments of neighbourhood influence social and physical functioning in older age? Findings from a British survey of ageing
Older People's Experiences of Loneliness in the UK
The extent and nature of loneliness in later life does not show a consistent relationship with gender. Our study investigates whether there are differences in the nature and extent of loneliness amongst older men and women in contemporary Britain. Loneliness was measured using a self-report four-point scale in a nationally representative survey of people aged 65+ living in the community. Survey response rate was 77 per cent and the sample of 999 …
Do perceptions of neighbourhood environment influence health? Baseline findings from a British survey of aging
Objectives: To investigate the relation between perceived neighbourhood environment, social contact and support, and self efficacy, on the health of older people. Design: British cross sectional population survey of people aged 65 and over. Participants: 999 people aged 65 plus living at home in Britain. Results: Regression modelling showed that high self efficacy had a strong independent association with better self rated health status and physi…
Mode of questionnaire administration can have serious effects on data quality
BACKGROUND: One of the main primary data collection instruments in social, health and epidemiological research is the survey questionnaire. Modes of data collection by questionnaire differ in several ways, including the method of contacting respondents, the medium of delivering the questionnaire to respondents, and the administration of the questions. These are likely to have different effects on the quality of the data collected. METHODS: This p…
How do objective and subjective assessments of neighbourhood influence social and physical functioning in older age? Findings from a British survey of ageing
Older people and 'active ageing
Following a critical overview of the active ageing concept, a thematic decomposition of 42 transcribed interviews with British people aged 72 years and over indicates that active ageing is understood in relation to physical, cognitive, psychological and social factors, but that these co-exist in complex combinations. The notion of activity in active ageing is grasped in relation to an active/passive distinction which emphasizes the enhancement or…
Quality of life from the perspectives of older people
This paper report results from a national survey of quality of life (QoL), based on 999 people aged 65 or more years living in private households in Britain. The study produced both qualitative and quantitative interview data. The 999 survey respondents were interviewed in their own homes with a semi-structured survey instrument, and 80 were followed-up in greater depth at one and two years after the baseline interview. The material from the in-d…
Independence and mobility in later life
The prevalence of, and risk factors for, loneliness in later life
This study examines the prevalence of loneliness amongst older people in Great Britain, and makes comparisons with the findings of studies undertaken during the last five decades. In addition, the risk factors for loneliness are examined using a conceptual model of vulnerability and protective factors derived from a model of depression. Loneliness was measured using a self-rating scale, and measures of socio-demographic status and health/social r…
What things are important in people's lives? A survey of the public's judgements to inform scales of health related quality of life
Just one question
While shorter instruments are more limited than longer measures, they have obvious benefits for both research and policy in terms of reduced burden and costs, and ease of interpretation
Do perceptions of neighbourhood environment influence health? Baseline findings from a British survey of aging
Objectives: To investigate the relation between perceived neighbourhood environment, social contact and support, and self efficacy, on the health of older people. Design: British cross sectional population survey of people aged 65 and over. Participants: 999 people aged 65 plus living at home in Britain. Results: Regression modelling showed that high self efficacy had a strong independent association with better self rated health status and physi…
An Integrational Model of Quality of Life in Older Age. Results from the ESRC/MRC HSRC Quality of Life Survey in Britain
Quality of everyday life in long stay institutions for the elderly. An observational study of long stay hospital and nursing home care
Lay theories of quality of life in older age
This paper presents findings from a national survey of quality of life (QoL) in older age. The main aim of the analyses was to examine the definitions of quality of life given by people aged 65 or more years and the underlying reasons. Open-ended questions were used to elicit their perceptions of QoL. These were followed by structured measures of self-rated QoL overall, and of domains of QoL commonly reported in the literature. The main things sa…
Explorations in consultation of the public and health professionals on priority setting in an inner London health district
Older People's Experiences of Loneliness in the UK
The extent and nature of loneliness in later life does not show a consistent relationship with gender. Our study investigates whether there are differences in the nature and extent of loneliness amongst older men and women in contemporary Britain. Loneliness was measured using a self-report four-point scale in a nationally representative survey of people aged 65+ living in the community. Survey response rate was 77 per cent and the sample of 999 …
Use of services in old age
Associations with life satisfaction among very elderly people living in a deprived part of inner London
Changes in life satisfaction over a two and a half year period among very elderly people living in London
Attributes of age-identity
Chronological age can be an unsatisfactory method of discriminating between older people. The lay concept of how old people actually feel may be more useful. The aim of the analyses reported in this paper was to investigate indicators of age-identity (or subjective age) among a national random sample of people aged 65 or more years living at home in Britain. Information was initially collected by home interview and a follow-up postal questionnair…
Which measure of quality of life performs best in older age? A comparison of the Opqol, Casp-19 and WHOQOL-OLD
The OPQOL is of potential value in the outcome assessment of health and social interventions, which can have a multidimensional impact on people's lives. Further research is needed to examine whether differences by ethnicity reflect real differences in QoL, methodological issues, variations in expectations or cultural differences in reporting
Changes in network composition among the very old living in inner London
Observational Study of Quality of Life in NHS Nursing Homes and a Long-stay Ward for the Elderly
An observational study was carried out in order to measure the quality of life of elderly people in two different types of long-stay care (two NHS nursing homes and a hospital ward). This formed part of a wider evaluation study of these two forms of institutional care. Qualitative techniques provided insights into the behaviours, moods, interactions and atmospheres in the settings, which were difficult to measure using traditional survey approach…
Evaluation of outreach clinics held by specialists in general practice in England
OBJECTIVES: To measure the processes of care, health benefits and costs of outreach clinics held by hospital specialists in primary care settings. DESIGN: The study was designed as a case-referent (comparative) study in which the features of 19 outreach clinics (cases) were compared with matched outpatient clinics (controls). The measuring instruments were self administered questionnaires. Patients were followed up at six months to reassess healt…
Changes in network composition among older people living in inner London and Essex
Assessing patients' preferences for treatments for angina using a modified repertory grid method
Associations with Changes in Level of Functional Ability. Results from a Follow-up Survey at Two and a Half Years of People Aged 85 Years and Over at Baseline Interview
This paper describes association with changes in functional ability among very elderly people who were interviewed first in 1987 when they were aged 85+, and followed-up in 1990. It focuses, in particular, on those with severe difficulties with ADL. It was notable that while those with chronic problems with disability used more health and social services, few received services specific to rehabilitation and social support (e.g. physiotherapy, occ…
Has India’s national rural health mission reduced inequities in maternal health services? A pre-post repeated cross-sectional study
BACKGROUND: In 2005, India launched the National Rural Health Mission (NRHM) to strengthen the primary healthcare system. NRHM also aims to encourage pregnant women, particularly of low socioeconomic backgrounds, to use institutional maternal healthcare. We evaluated the impacts of NRHM on socioeconomic inequities in the uptake of institutional delivery and antenatal care (ANC) across high-focus (deprived) Indian states. METHODS: Data from Distri…
International handbook on aging
Voluntary and Statutory Collaboration
The Realities of a Caring Community (Book)
Life after Death
Noise in society
Noise pollution is an ever-increasing problem in modern technological society. It is well documented that repeated exposure to even moderate levels of noise can be injurious to health, but often unappreciated are the more pervasive physiological and psychological effects. This review examines the questions of noise pollution and its effects on mental health, and its relation to chronic sleep disorders and to cardiovascular problems. Although cont…
Mortality after bereavement
Who Dies after Widow(Er)Hood? A Discriminant Analysis
A random sample of 503 elderly widowed people was flagged by the British Office of Population Censuses and Surveys for six years after their bereavement. Excess mortality after widow(er)hood was found for males aged seventy-five and over, in comparison with males of the same ages in the general population. Bivariate analyses showed a relationship between social, demographic, psychological, and some physiologically related variables (e.g., medicat…
Observational Study of Quality of Life in NHS Nursing Homes and a Long-stay Ward for the Elderly
An observational study was carried out in order to measure the quality of life of elderly people in two different types of long-stay care (two NHS nursing homes and a hospital ward). This formed part of a wider evaluation study of these two forms of institutional care. Qualitative techniques provided insights into the behaviours, moods, interactions and atmospheres in the settings, which were difficult to measure using traditional survey approach…
Associations with life satisfaction among very elderly people living in a deprived part of inner London
Quality of everyday life in long stay institutions for the elderly. An observational study of long stay hospital and nursing home care
Aspects of Ageing. Essays on Social Policy and Old Age/Contrasting European Policies for the Care of Older People (Book)
Psychiatric Morbidity and Service Use Among Elderly People
There is some evidence in the literature of increased demand on health services by adults with psychiatric morbidity. Among people over retirement age these associations appear weaker. Results from three independent, but comparable, surveys of elderly people living in London and Essex are presented in relation to their use of health and social services. Psychiatric morbidity was found to be a poor predictor of service use. Level of functional abi…
Use of services in old age
The Health and Well-being of Jewish People Aged 65 to 85 Years Living at Home in the East End of London
Relatively little is known about what has been termed cultural gerontology, or the experience of ageing among members of particular ethnic minority groups. One of the greatest gaps in current knowledge relates to the subjective health status and use of health services among elderly people in ethnic minorities, particularly those who are Jewish. The research results reported here are from a survey of elderly people in City and Hackney, London, of …
Health related quality of life. What is it and how should we measure it
Explorations in consultation of the public and health professionals on priority setting in an inner London health district
Changes in life satisfaction over a two and a half year period among very elderly people living in London
Associations with Changes in Level of Functional Ability. Results from a Follow-up Survey at Two and a Half Years of People Aged 85 Years and Over at Baseline Interview
This paper describes association with changes in functional ability among very elderly people who were interviewed first in 1987 when they were aged 85+, and followed-up in 1990. It focuses, in particular, on those with severe difficulties with ADL. It was notable that while those with chronic problems with disability used more health and social services, few received services specific to rehabilitation and social support (e.g. physiotherapy, occ…
Death after Widow(er)hood
The mortality rates of a national random sample of 503 elderly people who were widowed in 1979 were analyzed. Over the thirteen and a quarter year period analyzed, 62 percent of the sample had died. Although earlier analyses had indicated excess mortality in the first six months of bereavement for men aged 75+, there were no further significant excess mortality rates over the thirteen and a quarter year period analyzed. The data were analyzed by …
Changes in network composition among older people living in inner London and Essex
Changes in network composition among the very old living in inner London
What things are important in people's lives? A survey of the public's judgements to inform scales of health related quality of life
Priority Setting
Being alone in later life
Introduction The context for the review of loneliness and social isolation in later life is that of ‘successful aging’ and ‘quality of life’. The term ‘quality of life‘ includes a broad range of areas of life and there is little agreement about the definition of the term. Models of quality of life range from identification of ‘life satisfaction’ or ‘social wellbeing’ to models based upon concepts of independence, control, and social and cognitive…
Efficiency of care at the primary–secondary interface
Medicine (56 works) · Psychology (43 works) · Gerontology (32 works) · Health disparities and outcomes (32 works) · Sociology (32 works) · Social Psychology (22 works) · Gerontology (21 works) · Demography (18 works) · Aging and Gerontology Research (17 works) · Nursing (15 works)