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Opis: In an increasingly ageing society, we frequently encounter challenges related to dementia and cognitive decline, where even minor cognitive changes in older adults can significantly impact their quality of life. Research indicates that engagement in various leisure activities can support cognitive development in the elderly. We aimed to explore whether this could be achieved through artistic activities – specifically, fractal drawing. This technique is based on the principles of free-line drawing and colouring the resulting fields, requiring a certain degree of concentration, precision, imagination, perseverance, memory, fine motor skills, and more. Our objective was to examine whether prolonged participation in the leisure activity of fractal drawing may be related to perceived changes in specific cognitive functions in older adults. As part of the European Erasmus+ project, we organised eight groups of elderly participants (from Slovenia and Croatia) who engaged in fractal drawing activities for two to three months. A total of 117 participants, aged between 60 and 94 years, assessed their emotional functioning, cognitive skills, attention, and concentration through a questionnaire both before and after completing the programme. A paired t-test analysis showed higher scores across most of the areas examined. Our findings suggest that participation in fractal drawing workshops was associated with higher self-reported emotional well-being and attentional focus among older adults. The findings reflect preliminary, self-reported changes that indicate the potential benefits of this art-based activity.
Ključne besede: cognitive abilities, older adults, fractal drawing, dementia, leisure activities
Objavljeno v ReVIS: 16.01.2026; Ogledov: 312; Prenosov: 1
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Opis: Aim: This study investigated the association between frailty levels as determined by the Edmonton Frail Scale and the prevalence of perception of the risk of adverse falls in the domestic and outdoor environment among those older adults who fell so hard that they required hospital treatment (H.) and those older adults who had never encountered such a problem related to falls (C.). Predisposing and triggering factors for falls can be controlled, which is of interest from a public health perspective and, therefore, studied here. Methods: A quantitative cross-sectional study was conducted on a sample of 400 pensioners over 65 years of age from Zagreb region (1.2 million inhabitants, and more than 20% are aged 65+), which involved dividing the population into two subgroups: those who had fallen so hard that they had required hospital treatment (here marked “from Hospital”, or H.) and those who had never encountered such a problem related to falls and are registered as a pensioners in the region (here marked “from Community” or C.). The Edmonton Frail Scale and an additional questionnaire were used to assess the impact of frailty on perceptions of the risk of adverse falls in specific areas of their living environment. Data were collected by nurses using a structured questionnaire face-to-face, and a Chi-square test was used to analyze the dependency, while the z + 4 test evaluated the differences in percentage of those who are aware of a fall risk in case of moderate frailty or severe frailty among these two subgroups. Results: A statistically significant dependency was found between the degree of frailty and the prevalence of the perception of fall risk at least in one of the subgroups H. or C., especially in their homes, moving around their home, climbing up and down stairs, and in the kitchen. Comparing the prevalence of perception of the risk between C. and H., the difference in recognition of risk hazard has been significant for climbing up and down stairs. Among the major problems of non-adapted buildings are slippery floors (for C.), poorly installed or no fence at all (for H.), and inadequate or poor lighting (for H.). The perception of external obstacles (sidewalks, distance from institutions, public lighting) also increases with the deterioration of the functional state. Conclusions: The results confirm the importance of individualized adaptation of residential and public spaces in accordance with the degree of frailty. It is necessary to warn older adults about the risks of falling, both those who have not yet had this experience, as well as those who have suffered the consequences that have led to hospitalization, to reduce the frequency and consequences of falls.
Ključne besede: frailty, risk perception, older adults, residential environment, public space, Edmonton Frail Scale, mobility, fall prevention
Objavljeno v ReVIS: 11.12.2025; Ogledov: 176; Prenosov: 2
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Opis: Objectives: Older adults face challenges in digital engagement, which may be linked to mental health. This study examines associations between Internet use and mental health indicators—depression, loneliness, and well-being—among older adults in the Czech Republic and the Republic of Slovenia, using data from the SHARE Wave 8 survey. Methods: A sample of 5,201 adults aged 50 + (2,706 Czech, 2,495 Slovenian) was analyzed. Internet use in the past 7 days was the dependent variable. Depression (EURO-D), loneliness (Three-Item Scale), and well-being (CASP-12) served as key independent variables. Binary logistic regression was used, controlling for age, gender, education, and partnership status. To address missing data and enhance analytical robustness, a 1-to-many imputation approach was applied. Results: Internet use was positively associated with higher well-being and negatively associated with depression and loneliness in both countries. These associations were stronger in the Republic of Slovenia as compared to the Czech Republic. Age and education were the most significant control variables. Women and individuals living alone in the Republic of Slovenia were less likely to use the Internet. Conclusion: The findings indicate that mental health is significantly associated with Internet use in both countries, though to different degrees, suggesting that national context moderates the relationship between mental health factors and digital engagement. Nonetheless, the binary measure of Internet use represents a limitation, as it does not capture frequency, intensity, or type of online activity. Interventions promoting digital literacy—particularly among older adults with poorer mental health—could enhance digital inclusion and well-being in aging populations.
Ključne besede: share, internet use, older adults, mental health, depression, loneliness, well-being
Objavljeno v ReVIS: 01.12.2025; Ogledov: 294; Prenosov: 1
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Opis: Objectives: This study evaluates the effectiveness of an innovative, integrated healthcare approach based on the “Long-term Care (LTC) in the Community” pilot project, aimed at testing solutions for the new LTC Act and associated regulations in Slovenia. It is based on a small sample, which can be financed from European project funds. This methodology is crucial for the subordinate legislation derived from the LTC Act. Methods: We selected beneficiaries who decided to receive integrated services in their home environment in rural areas. Among 132 beneficiaries who received various care services at home, 75 beneficiaries received integrated services to maintain independence, while a control group of 57 persons did not receive these despite eligibility. The hypothesis that the new reactivation and other services to strengthen and maintain independence facilitate a transition to a lower category of LTC within the system of different states of abilities and that new approaches with integrated home care are much moresuccessful were tested using the Z + 4 test. Results: Seven out of eight users’ abilities were improved by an inventive approach to LTC at home, including reactivation activities, with p < 0.025. The probability that the new methods will outperform the old ones for an arbitrarily selected senior eligible for LTC exceeded 0.89. Thus, we used quantitative methods to confirm the reasonableness of the decisions included in the LTC Act and will help to estimate savings in the health fund. Conclusions: These positive results promote the implementation of integrated care strategies, norms, and standards, which will be further articulated in subordinate legislation.
Ključne besede: gerontology, older adults, legislation, home care, integrated care, reactivation, physiotherapy, occupational therapy, Z + 4 test, effectiveness, EU projects
Objavljeno v ReVIS: 20.05.2025; Ogledov: 904; Prenosov: 3
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