scholarly journals Virtual Reality Representations of Nature to Improve Well-Being amongst Older Adults: a Rapid Review

2021 ◽  
Author(s):  
Josca Van Houwelingen-Snippe ◽  
Somaya Ben Allouch ◽  
Thomas J. L. Van Rompay
Keyword(s):  
Older Adults ◽  
Virtual Reality ◽  
Technological Development ◽  
Intervention Strategy ◽  
Well Being ◽  
Rapid Review ◽  
Health Concern ◽  
Psychological Processes ◽  
Care Needs ◽  
Representations Of Nature

Abstract Poor well-being amongst older adults poses a serious health concern. Simultaneously, research shows that contact with nature can improve various facets of well-being, including physical, social, and mental well-being. However, nature is not always accessible for older adults due to mobility restrictions and related care needs that come with age. A promising strategy aims at bringing nature inside through pervasive technologies. However, so far, there is little academic understanding of essential nature characteristics, psychological processes involved, and means for implementation in practice. The current study used a three-folded rapid review to assess current understanding and strategies used for improving well-being for older adults through virtual reality representations of nature. Searches were performed across three databases, followed-up by content-based evaluation of abstracts. In total, a set of 25 relevant articles was identified. Only three studies specifically focus on digital nature as an intervention strategy for improving well-being amongst older adults. Although these studies provide useful starting points for the design and (technological) development of such environments, they do not generate understanding of how specific characteristics of virtual nature representations impact social well-being measures in particular, and of the underlying psychological processes involved. We conclude that follow-up research is warranted to close the gap between insights and findings from nature research, gerontology, health research, and human-technology interaction.

scholarly journals Virtual Reality Exercise as a Coping Strategy for Health and Wellness Promotion in Older Adults during the COVID-19 Pandemic

2020 ◽  
Vol 9 (6) ◽  
pp. 1986 ◽  
Author(s):  
Zan Gao ◽  
Jung Eun Lee ◽  
Daniel J. McDonough ◽  
Callie Albers
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Virtual Reality ◽  
Health Outcomes ◽  
Intervention Strategy ◽  
Effective Intervention ◽  
World Health ◽  
Motor Ability ◽  
Health Crisis ◽  
Wellness Promotion

The December 2019 COVID-19 outbreak in China has led to worldwide quarantine, as recommended by local governments and the World Health Organization. Particularly affected are older adults (i.e., those aged ≥ 65 years) who are at elevated risk for various adverse health outcomes, including declines in motor ability and physical activity (PA) participation, increased obesity, impaired cognition, and various psychological disorders. Thus, given the secular increases in the older adult population, novel and effective intervention strategies are necessary to improve physical activity behaviors and health in this population. Virtual reality (VR)-integrated exercise is a promising intervention strategy, which has been utilized in healthcare fields like stroke rehabilitation and psychotherapy. Therefore, the purpose of this editorial is to synthesize recent research examining the efficacy and effectiveness of VR exercise in the promotion of favorable health outcomes among the older adults. Results indicate the application of VR exercise to facilitate improved physical outcomes (e.g., enhanced motor ability, reduced obesity), cognition and psychological outcomes. VR exercise has also been observed to be an effective intervention strategy for fall prevention in this population. Future research should employ more rigorous research designs to allow for a more robust quantitative synthesis of the effect of VR exercise on the preceding outcomes to elucidate which type(s) of VR-based PA interventions are most effective in promoting improved health outcomes among older adults. Findings from this study will better inform the development of technology-savvy PA programs for wellness promotion in older adults who practice social distancing and exercise from home under the unprecedented global health crisis.

scholarly journals Internet Mindfulness Meditation Intervention (IMMI) Program with iMINDr Application Support for Older Adults with Depression Symptoms: A Feasibility Study

2021 ◽  
Vol 06 (04) ◽  
pp. 1-1
Author(s):  
Lutvija Hrnjic ◽  
◽  
Nina Fry ◽  
Helané Wahbeh ◽  
◽  
...  
Keyword(s):  
Older Adults ◽  
Mindfulness Meditation ◽  
Well Being ◽  
Health Concern ◽  
Depression Symptoms ◽  
Attrition Rates ◽  
Significant Public Health Concern ◽  
Before And After ◽  
Significant Public Health ◽  
Potential Applications

The growing population of older adults with depression is a significant public health concern, and effective treatments are necessary. Mindfulness meditation intervention offers effective treatment for depression, but little research has been conducted on the older population. This study aimed to evaluate if the combination of the Internet Mindfulness Meditation Intervention (IMMI) plus iMINDr application improves well-being in older adults with depressive symptoms. Potential participants were recruited online. IMMI included a one-hour online session once a week, a daily 30-minute home practice of guided meditation using the iMINDr app, and a workbook. Measures were collected online before and after the six-week intervention period. Online session adherence was tracked. Thirty-eight participants completed all study requirements and are included in the analysis. Participants showed clinically and statistically significant improvements in depression symptoms, well-being, positive and negative affect, sleep quality, and pain intensity. Participants took 9.9 ± 3.5 weeks to complete the course. High attrition rates mainly were related to participants' motivation to complete the course and stress levels. There were no significant demographic differences between participants and depression symptoms. Potential applications and limitations are discussed. Internet Mindfulness Meditation Intervention (IMMI) was effective in treating depression symptoms in older adults.

Bridging community and prison for older adults: invoking human rights and elder and intergenerational family justice

2014 ◽  
Vol 10 (1) ◽  
pp. 55-73 ◽  
Author(s):  
Tina Maschi ◽  
Deborah Viola ◽  
Mary T. Harrison ◽  
William Harrison ◽  
Lindsay Koskinen ◽  
...  
Keyword(s):  
Older Adults ◽  
Human Rights ◽  
Service Use ◽  
Family System ◽  
Prison Population ◽  
Interdisciplinary Approach ◽  
Well Being ◽  
Care Needs ◽  
Cross Sectional ◽  
Content Type

Purpose – Older adults in prison present a significant health and human rights challenge for the criminal justice system. To date, there is no known study that provides a comprehensive examination or portrait of older persons in prison. The purpose of this paper is to understand individual, family, system, and community vulnerabilities that can complicate successful community reintegration for these individuals. Design/methodology/approach – This study provides a cross-sectional, descriptive analysis of biopsychosocial, spiritual, and prison use characteristics associated with a sample of 677 older prisoners, aged 50+, in a state-wide prison system. Findings – Results indicate the extent of diversity within this population based on demographic, clinical, social, legal profiles, prison service use patterns, and professional and personal contacts. Research limitations/implications – Due to the diversity within this population, an interdisciplinary approach is needed to address the complex social and health care needs of an aging prison population and to plan for their reentry. Practical implications – These findings suggest the need for holistic prevention, assessment, and interventions to interrupt the social-structural disparities that foster and support pathways to incarceration and recidivism. Originality/value – The human rights implications for the current treatment of older adults in prison include providing in-prison treatment that promotes safety, well-being, reconciliation, and seamless bridges between prison and community for older adults and their families. The True Grit Program is presented as an example of a humanistic and holistic approach of such an approach.

scholarly journals Identifying and understanding the health and social care needs of older adults with multiple chronic conditions and their caregivers: a protocol for a scoping review

BMJ Open ◽  
2017 ◽  
Vol 7 (12) ◽  
pp. e018247 ◽  
Author(s):  
Elana Commisso ◽  
Katherine S McGilton ◽  
Ana Patricia Ayala ◽  
Melissa, K Andrew ◽  
Howard Bergman ◽  
...  
Keyword(s):  
Older Adults ◽  
Family Caregivers ◽  
Scoping Review ◽  
Chronic Conditions ◽  
Social Care ◽  
Grey Literature ◽  
Well Being ◽  
Multiple Chronic Conditions ◽  
Care Needs ◽  
Health And Social Care

IntroductionPeople are living longer; however, they are not necessarily experiencing good health and well-being as they age. Many older adults live with multiple chronic conditions (MCC), and complex health issues, which adversely affect their day-to-day functioning and overall quality of life. As a result, they frequently rely on the support of friend and/or family caregivers. Caregivers of older adults with MCC often face challenges to their own well-being and also require support. Currently, not enough is known about the health and social care needs of older adults with MCC and the needs of their caregivers or how best to identify and meet these needs. This study will examine and synthesise the literature on the needs of older adults with MCC and those of their caregivers, and identify gaps in evidence and directions for further research.Methods and analysisWe will conduct a scoping review of the peer-reviewed and grey literature using the updated Arksey and O’Malley framework. The literature will be identified using a multidatabase and grey literature search strategy developed by a health sciences librarian. Papers, reports and other materials addressing the health and social care needs of older adults and their friend/family caregivers will be included. Search results will be screened, independently, by two reviewers, and data will be abstracted from included literature and charted in duplicate.Ethics and disseminationThis scoping review does not require ethics approval. We anticipate that study findings will inform novel strategies for identifying and ascertaining the health and social care needs of older adults living with MCC and those of their caregivers. Working with knowledge-user members of our team, we will prepare materials and presentations to disseminate findings to relevant stakeholder and end-user groups at local, national and international levels. We will also publish our findings in a peer-reviewed journal.

scholarly journals Partner Care Arrangements and Older Europeans' Well-Being: Variations by Gender and Context

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 392-393
Author(s):  
Nekehia Quashie ◽  
Karen Glaser ◽  
Martina Brandt ◽  
Ginevra Floridi
Keyword(s):  
Older Adults ◽  
Life Satisfaction ◽  
Primary Caregivers ◽  
Well Being ◽  
Southern Europe ◽  
Care Needs ◽  
Informal Providers ◽  
Share Data ◽  
European Women ◽  
Older Europeans

Abstract Across Europe, partners are often primary caregivers to older adults with care needs. Yet, a variety of partner care arrangements may arise. Little is known about the interrelations between partners’ care arrangements, (potential) caregivers’ gender, and the context in which care is embedded. We use 2015 SHARE data from 17 countries on 3,465 couples aged 50+ where one partner receives care. We examine how life satisfaction and depressive symptoms of (potential) caregivers vary across five care arrangements: solo-care; shared formal; shared informal; outsourced formal; and outsourced informal. We explore heterogeneity by gender and across four contexts: Northern, Western, Southern, and Eastern Europe. Outsourcing partners’ care to formal or informal providers is linked with higher well-being among Northern and Western European women, but with lower well-being among women in Southern Europe, where traditional female caregiving responsibilities are stronger. Among men, outsourcing partner care is linked to higher well-being regardless of context.

Hoping for the Best or Planning for the Future: Decision Making and Future Care Needs

2015 ◽  
Vol 36 (8) ◽  
pp. 953-970 ◽  
Author(s):  
Odette N. Gould ◽  
Suzanne Dupuis-Blanchard ◽  
Lita Villalon ◽  
Majella Simard ◽  
Sophie Ethier
Keyword(s):  
Older Adults ◽  
Decision Making ◽  
Well Being ◽  
Proactive Coping ◽  
Care Needs ◽  
The Future ◽  
Future Care ◽  
Thinking Processes ◽  
Living Circumstances ◽  
Do So

Research has shown that relatively few older adults make plans for future care needs. In this study, we explore the thinking processes involved in planning or failing to plan for the future. Interviews were carried out with 39 older adults ( M age = 81 years) who were experiencing disability and illness but who lived in their own home. Guiding questions for the interview focused on present living circumstances, but for the present qualitative analysis, all references to the future, and to future residence changes, were extracted. This approach allowed us to observe how older adults spontaneously address issues of future planning when not constrained to do so. Results supported the use of a positivity bias, as well as a risk-aversive decision-making style. These older adults seemed to be prioritizing present emotional well-being by avoiding thoughts of future risks and thereby eschewing proactive coping.

scholarly journals ACA Medicaid Expansion Associated With Increased Medicaid Participation and Improved Health Among Near-Elderly: Evidence From the Health and Retirement Study

2020 ◽  
Vol 57 ◽  
pp. 004695802093522
Author(s):  
Melissa McInerney ◽  
Ruth Winecoff ◽  
Padmaja Ayyagari ◽  
Kosali Simon ◽  
M. Kate Bundorf
Keyword(s):  
Older Adults ◽  
Metabolic Syndrome ◽  
Health Insurance ◽  
Low Income ◽  
Well Being ◽  
Health And Retirement Study ◽  
Medicaid Expansion ◽  
Poverty Level ◽  
Care Needs ◽  
Retirement Study

The Affordable Care Act (ACA) dramatically expanded health insurance, but questions remain regarding its effects on health. We focus on older adults for whom health insurance has greater potential to improve health and well-being because of their greater health care needs relative to younger adults. We further focus on low-income adults who were the target of the Medicaid expansion. We believe our study provides the first evidence of the health-related effects of ACA Medicaid expansion using the Health and Retirement Study (HRS). Using geo-coded data from 2010 to 2016, we estimate difference-in-differences models, comparing changes in outcomes before and after the Medicaid expansion in treatment and control states among a sample of over 3,000 unique adults aged 50 to 64 with income below 100% of the federal poverty level. The HRS allows us to examine morbidity outcomes not available in administrative data, providing evidence of the mechanisms underlying emerging evidence of mortality reductions due to expanded insurance coverage among the near-elderly. We find that the Medicaid expansion was associated with a 15 percentage point increase in Medicaid coverage which was largely offset by declines in other types of insurance. We find improvements in several measures of health including a 12% reduction in metabolic syndrome; a 32% reduction in complications from metabolic syndrome; an 18% reduction in the likelihood of gross motor skills difficulties; and a 34% reduction in compromised activities of daily living (ADLs). Our results thus suggest that the Medicaid expansion led to improved physical health for low-income, older adults.

scholarly journals The Effects of a Combination of 3D Virtual Reality and Hands-on Horticultural Activities on Community-dwelling Older Adults’ Mental Health: A Quasi-Experimental Study

2021 ◽  
Author(s):  
Ching-Chih Fan ◽  
Cheuk-Sing Choy ◽  
Chiu-Mieh Huang ◽  
Po-Sheng Chih ◽  
Chia-Chiang Lee ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Virtual Reality ◽  
Self Esteem ◽  
Community Dwelling ◽  
Health Concern ◽  
Hands On ◽  
Quasi Experimental ◽  
Community Dwelling Older Adults ◽  
Experimental Group

Abstract Background: Aging societies are of public health concern worldwide. It is critical to develop strategies that harness technology to enhance older adults’ mental health.Methods: This study aimed to explore the effects of a combination of 3D virtual reality (VR) and hands-on horticultural activities on the mental health of community-dwelling older adults. The study used a quasi-experimental design. A total of 62 community-dwelling older adults were recruited and assigned to the experimental (n=32) and comparison groups (n=30). The members of the experimental group participated in an 8-week intervention program. Participants of both groups completed before-and-after intervention measurements for outcome variables that included perceived self-esteem, depression, isolation, mastery and achievement motives, which were analyzed using the generalized estimating equation (GEE). Results: GEE analyses indicated that the experimental group showed significant post intervention improvements in scores for self-esteem (β=1.66, P= .015), isolation (β=-0.96, P= .008), mastery (β=1.04, P= .042), and achievement motives (β=1.30, P=.034) compared to the control group.Conclusions: This study found beneficial effects of a combination of three-dimensional virtual reality and hands-on horticultural activities on community-dwelling older adults’ mental health. These findings suggest that future implementations of this program on a large scale could improve the mental health of older adults. Trial Registration: The study was posted in the www.clinicaltrials.gov (NCT05087654) on 21/10/2021. It was approved by the Institutional Review Board of En Chu Kong Hospital and performed in accordance with the Declaration of Helsinki.

scholarly journals Increasing quality of life for older adults living in collective dwellings using virtual reality: a feasibility study

2021 ◽  
Author(s):  
Laura Krieger
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Virtual Reality ◽  
Social Engagement ◽  
Well Being ◽  
Small Sample ◽  
Control Group ◽  
Virtual Tourism ◽  
Study Results

The number of older adults living in collective dwellings is increasing. It is important to research effective strategies to maintain and enhance quality of life for older adults living in collective dwellings. Meaningful leisure, such as the ability to travel, is associated with increases in quality of life for older adults. Unfortunately, many older adults, especially those living in collective dwellings, face barriers to travel. Virtual reality (VR) may help older adults living in collective dwellings overcome barriers to travel. The present study examined whether older adults living in collective dwellings tolerated and enjoyed immersive VR, and whether six weeks of virtual tourism affected their quality of life, social engagement, and loneliness. Fourteen older adults living in retirement homes in Toronto participated in this study. Results suggested that participants tolerated immersive VR without experiencing cybersickness, and that they were happier, more excited, and less anxious immediately following VR exposure. Levels of social engagement increased following the six-week virtual tourism program. These quantitative findings were further supported by qualitative interviews. No changes in quality of life or loneliness were found. Limitations include a lack of a control group and small sample size. Addressing these limitations will help to isolate the effects of the virtual tourism program on indices of well-being.

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