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Master themes and Subthemes emerged from the interview transcripts.
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This study explores the practice of financial interdependence among Malay older people who live in the community in Malaysia. Eleven Malay older people participated in this qualitative study by an in-depth interview. The data was analyzed using six stages of the interpretative phenomenological analysis. Two main themes emerged from the interview tr...
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Context 1
... of IPA revealed two master themes, each with varying number of subthemes. The emerged master themes and subthemes on financial interdependence among the older people are summarised in Table 1. These themes represent the variety of experiences expressed by most of our participants regarding their financial interdependency, which are further detailed with excerpts from the interviews. ...Similar publications
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Citations
... This shortfall in educational quality results in inadequate support and comprehensive guidance for managing health conditions. Economic constraints hinder the ability of older people to access essential healthcare services, medications, and regular checkups, causing distress and compromising their health management (Mutalib et al., 2017). Implementing healthcare policies focused on reducing medical expenses and offering subsidies or financial assistance programs tailored to elderly individuals with chronic conditions can alleviate the financial burden (Weaver et al., 2014). ...
The objective of this qualitative study is to explore the barriers to self-management among older people with hypertension and diabetes in institutional settings from the perspectives of both patients and health professionals in China. A qualitative phenomenological study used semi-structured face-to-face interviews involving eight older persons and ten health professionals. Thematic analysis revealed two main themes: 1) individual-related factors and 2) limited social support. Tailored interventions considering these multifaceted barriers can positively impact the quality of life and health outcomes for older individuals dealing with hypertension and diabetes in institutional settings.
... Financial interdependence (FI) can be understood as an informal but important arrangement of economic dependence between two or more parties [1] as supported by interdependence theory [2]. Much of the literature related to FI situates the term as either a macroeconomic concept (such as correlated relationships between asset markets) [3] or a practice between two or more individuals in which they depend upon each other for economic support, often in a legal context such as a common-law marriage or business partnership [4]. ...
... Much of the literature related to FI situates the term as either a macroeconomic concept (such as correlated relationships between asset markets) [3] or a practice between two or more individuals in which they depend upon each other for economic support, often in a legal context such as a common-law marriage or business partnership [4]. However, from a cultural practice standpoint, FI is a phenomenon that encompasses the values, social relationships, and material means of individuals, families, and communities to support each other for the purpose of enhancing quality of life and well-being [1]. FI can have important implications for both individuals and communities. ...
... Interdependence theory [2] provides a particularly useful orientation for exploring FI [1] as it helps scholars navigate between the intrapersonal and interpersonal, overcoming bias toward focusing on processes within one level exclusively. Much of the literature and activity advancing financial independence concentrates on building wealth for oneself and addressing the individual-level cognitive and behavioral impediments toward that end. ...
Financial interdependence refers to the practice of sharing money as an expression of mutuality. Forms of financial interdependence are often rooted in cultural norms and values and may be carried out as a commitment to the well-being of the family through financial transfers, practiced as informal savings groups, or even established as legally constructed agreements. Financial interdependence can result in either beneficial or harmful outcomes, depending upon the nature of the relationships and the available resources. As a social and cultural concept, it has been generally neglected in the discourse on financial independence, yet it has important implications for society as a basis for collective prosperity.
... Like most Malays in Malaysia, our study participants are fully committed to maintain the needs of their family members and are very cautious about matters that might interrupt their daily routine and ADL (Mutalib et al., 2016) such as their physical status before, during and after the intended cataract surgery. They were very apprehensive by the thoughts of negative outcomes of cataract surgery, and its effect on the care and livelihood of their family members, and the implication of cost incurred for surgery. ...
Surgery can easily cure and prevent blindness due to cataract. However, cataract still poses a major public health problem as the single most common cause of global blindness. Identifying the barriers to access cataract surgery is essential to effectively address this problem. By utilising the interpretative phenomenological analysis approach in this study, we identified barriers at the personal, primary care and specialist care level. Based on these findings, a model is designed to better understand and improve the strategy to address the barriers to improve the uptake of cataract surgery in order to prevent cataract blindness in Malaysia. Keywords: Cataract blindness; Cataract surgery; Health care model; Interpretative phenomenological analysis eISSN 2514-7528 © 2019. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open-access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.
... 15 The ability to perform house chores indicates that elderly people voluntarily take responsibility to reduce the burden among adult child in providing a better life to their family as highlighted by a study on the practice of interdependence among Malay elderly in the community in Malaysia. 16 However, in China, decreased vision associated with increased cataract maturity negatively affects the performance of daily activities among cataract patients. 17,18 Thus, the visual requirement for ADL was very subjective and can be measured by the patients' life satisfaction and their urgency for surgery. ...
Objective:
Cataract is the leading cause of blindness in Malaysia. There is an alarming backlog of cataract extraction surgery as the majority believes they did not require surgery. This study aimed to explore the barriers at the primary care level to cataract surgery from the perspective of patients with severe cataract blindness.
Methods:
Eleven participants were involved in this qualitative research which utilised the interpretative phenomenological analysis approach more renowned in health psychology research. All interviews conducted at their home. The interviews were recorded, typed verbatim, and the transcripts were analysed using NVivo software version 8.0.
Results:
The main barriers identified at the primary care level were 1) nondisclosure of their visual problems originated from their belated needs for better sight, delayed awareness of their visual status and social stigma and 2) patient-provider-related issues namely miscommunication and delayed referral. The first main theme explains their belief for not requiring surgery. This has led to their delayed awareness and impeded disclosure of their visual problems to family members or primary care providers. The second main theme reflects the provider-patient-related issues which retarded cataract detection and referral process required for earlier cataract extraction surgery.
Conclusion:
Thus, the appropriate approach targeting these specific barriers at primary care level will be able to detect, motivate and assist patients for early uptake of cataract extraction surgery to improve their vision and prevent severe blindness.
... 15 The ability to perform house chores indicates that elderly people voluntarily take responsibility to reduce the burden among adult child in providing a better life to their family as highlighted by a study on the practice of interdependence among Malay elderly in the community in Malaysia. 16 However, in China, decreased vision associated with increased cataract maturity negatively affects the performance of daily activities among cataract patients. 17,18 Thus, the visual requirement for ADL was very subjective and can be measured by the patients' life satisfaction and their urgency for surgery. ...
Objective: Cataract is the leading cause of blindness in Malaysia. There is an alarming backlog of cataract extraction surgery as the majority believes they did not require surgery. This study aimed to explore the barriers at the primary care level to cataract surgery from the perspective of patients with severe cataract blindness. Methods: Eleven participants were involved in this qualitative research which utilised the interpretative phenomenological analysis approach more renowned in health psychology research. All interviews conducted at their home. The interviews were recorded, typed verbatim, and the transcripts were analysed using NVivo software version 8.0. Results: The main barriers identified at the primary care level were 1) nondisclosure of their visual problems originated from their belated needs for better sight, delayed awareness of their visual status and social stigma and 2) patient-provider-related issues namely miscommunication and delayed referral. The first main theme explains their belief for not requiring surgery. This has led to their delayed awareness and impeded disclosure of their visual problems to family members or primary care providers. The second main theme reflects the provider-patient-related issues which retarded cataract detection and referral process required for earlier cataract extraction surgery. Conclusion: Thus, the appropriate approach targeting these specific barriers at primary care level will be able to detect, motivate and assist patients for early uptake of cataract extraction surgery to improve their vision and prevent severe blindness.
... Also, the EBG gained valuable benefits as they participated behavioural strategies such as goal setting, counselling, group discussions and receiving a behavioural manual. The EBG gained their confidence and a sense of belongings when they self-made an exercise group every day after the formal training (Abdul Mutalib, Haji Dahlan, & Danis, 2017). In addition, the majority of the participants in EBG were self-reported that they make their open space such as a garden nearby community hall and aeroponic plant. ...
Active participation in exercise may help to improve physical and psychological functions for older people. Regretfully, most of them do not engage in long term exercise due to several barriers. This puts them at high risk of may chronic illness that will limit their activities of daily living. The aim of this study is to determine the effectiveness of the behavioral and exercise program on cardio respiratory fitness among 63 community-dwelling olders. At the end of six months, there is a significant difference for cardio respiratory fitness and exercise engagement. Thus, improved their overall quality of life.
