scholarly journals Social Environment and Mental and Behavioral Health Outcomes in Older Adults: A Critical Review

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 467-467
Author(s):  
Atami Sagna De Main ◽  
Bo Xie
Keyword(s):  
Older Adults ◽  
Substance Use ◽  
Behavioral Health ◽  
Social Environment ◽  
Social Engagement ◽  
Social Connectedness ◽  
Well Being ◽  
Community Dwelling ◽  
Social Contribution ◽  
Community Dwelling Older Adults

Abstract Social environments are complex and critical to older adults’ health. Older adults are vulnerable to lack of social connectedness, social engagement and social contribution. 10-43% of community-dwelling older adults suffer from social isolation and loneliness in the United States. Despite the growing evidence on the impact of social environment on older adults’ health, it remains that the information about older adults’ social environment and its relationships to mental/behavioral health is fragmented. The purpose of this study is to determine the state of the science on social environment components (social connectedness, social engagement, social contribution) and mental/behavioral health (depressive symptoms, anxiety, psychological well-being, substance use, mental healthcare utilization) among community-dwelling older adults (65+ years). Five databases - CINAHL, PubMed, PsycINFO, PsycARTICLES, SocINDEX - were systematically searched using PRISMA guidelines to identify relevant articles from 1990 to 2019. Eleven articles are included in this review, illustrating relationships between social environment and mental/behavioral health. The studies found that poor social connectedness, social engagement, and social contribution were significantly associated with older age, poor perceived health, depression and anxiety symptoms, poor psychological well-being, hopelessness, having multiple chronic conditions, and functional limitations. Low social connectedness was significantly related to poor utilization of mental health services. No significant association was found between social environment and substance use in older adults. The findings of this review add to the literature related to social environment being relevant to older adults’ mental/behavioral health and highlight the need to further our understanding of their dynamic relationships and changes over time.

scholarly journals Behavioral Health, Social Engagement, and Long-Term Care Services Use Among Community Older Adults: USA vs. Taiwan

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 348-349
Author(s):  
Su-I Hou ◽  
Chien-Ching Li ◽  
Darren Liu
Keyword(s):  
Older Adults ◽  
Behavioral Health ◽  
Social Engagement ◽  
Long Term Care ◽  
Community Dwelling ◽  
Community Based ◽  
Term Care ◽  
Aging In Community ◽  
Community Dwelling Older Adults

Abstract As healthcare advances, older adults are living longer. While 90% of older adults prefer aging in their own homes and communities, it is important to examine key factors influencing healthy aging-in-community and community-based long-term care (LTC) services available in different countries. This symposium examines behavioral health, social engagement, and LTC services utilization among community-dwelling older adults in the USA and Taiwan. Lessons learned from older adults across countries will provide insights for tailored community-based LTC services and program development. Dr. Hou from The University of Central Florida (UCF) will highlight similarities and differences in behavioral health profiles and the topics that most interest community-dwelling older Americans participating in three aging-in-community programs in Central Florida. Dr. Wang from Case Western Reserve University will examine the impact of neighborhood social cohesion on mobility among community-dwelling older Americans aged 65 and older from the national Health and Retirement Study. Dr. Liu from National Cheng-Kung University in Taiwan will share results of healthy lifestyle on quality of life among community-dwelling older adults in southern Taiwan. Dr. Young from State University of New York at Albany will compare long-term care use among community-dwelling older adults with and without dementia in Central Taiwan. Finally, Drs. Cao and Hou from UCF will analyze home and community-based services in the USA versus Taiwan. This symposium will further discuss similarities and differences of key factors related to healthy aging-in-community, along with practical recommendations and lessons learned across countries and cultural environments to improve community-based long-term care services and programs.

scholarly journals Increasing Older Adult Involvement in Geriatric Assessment: A Mixed-Methods Process Evaluation

2021 ◽  
pp. 089826432199332
Author(s):  
Wanda Rietkerk ◽  
Jannet de Jonge-de Haan ◽  
Joris P. J. Slaets ◽  
Sytse U. Zuidema ◽  
Debby L. Gerritsen
Keyword(s):  
Older Adults ◽  
Behavior Change ◽  
Older Adult ◽  
Goal Setting ◽  
Geriatric Assessment ◽  
Well Being ◽  
Community Dwelling ◽  
Implementation Processes ◽  
Adult Involvement ◽  
Community Dwelling Older Adults

Objectives: Goal setting and motivational interviewing (MI) may increase well-being by promoting healthy behavior. Since we failed to show improved well-being in a proactive assessment service for community-dwelling older adults applying these techniques, we studied whether implementation processes could explain this. Methods: Goals set during the comprehensive geriatric assessment were evaluated on their potential for behavior change. MI and goal setting adherence wasassessed by reviewing audiotaped interactions and interviewing care professionals. Results: Among the 280 goals set with 230 frail older adults (mean age 77 ± 6.9 years, 59% women), more than 90% had a low potential for behavior change. Quality thresholds for MI were reached in only one of the 11 interactions. Application was hindered by the context and the limited proficiency of care professionals. Discussion: Implementation was suboptimal for goal setting and MI. This decreased the potential for improved well-being in the participating older adults.

scholarly journals The Effects of Technological Interventions on Social Participation of Community-Dwelling Older Adults with and without Dementia: A Systematic Review

2021 ◽  
Vol 10 (11) ◽  
pp. 2308
Author(s):  
Pascale Heins ◽  
Lizzy M. M. Boots ◽  
Wei Qi Koh ◽  
An Neven ◽  
Frans R. J. Verhey ◽  
...  
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Social Isolation ◽  
Social Participation ◽  
Methodological Quality ◽  
Well Being ◽  
Community Dwelling ◽  
Cochrane Library ◽  
Technological Interventions ◽  
Community Dwelling Older Adults

Social isolation in community-dwelling older adults with dementia is a growing health issue that can negatively affect health and well-being. To date, little attention has been paid to the role of technology in improving their social participation. This systematic review aims to provide a systematic overview of the effects of technological interventions that target social participation in community-dwelling older adults with and without dementia. The scientific databases Medline (PubMed), PsycINFO, CINAHL, Web of Science, and the Cochrane Library were systematically searched and independently screened by two reviewers. Results were synthesized narratively. The methodological quality of included studies was independently assessed by two reviewers. In total, 36 studies of varying methodological quality were identified. Most studies evaluated social networking technology and ICT training programs. Three studies focused on people with dementia. Quantitative findings showed limited effects on loneliness, social isolation, and social support. Nevertheless, several benefits related to social participation were reported qualitatively. Social interaction, face-to-face contact, and intergenerational engagement were suggested to be successful elements of technological interventions in improving the social participation of community-dwelling older adults. Rigorous studies with larger sample sizes are highly needed to evaluate the long-term effects of technology on the multidimensional concept of social participation.

scholarly journals What influences diet quality in older people? A qualitative study among community-dwelling older adults from the Hertfordshire Cohort Study, UK

2017 ◽  
Vol 20 (15) ◽  
pp. 2685-2693 ◽  
Author(s):  
Ilse Bloom ◽  
Wendy Lawrence ◽  
Mary Barker ◽  
Janis Baird ◽  
Elaine Dennison ◽  
...  
Keyword(s):  
Older Adults ◽  
Cohort Study ◽  
Older People ◽  
Social Engagement ◽  
Community Dwelling ◽  
Related Factors ◽  
Age Related ◽  
Hertfordshire Cohort Study ◽  
The Uk ◽  
Community Dwelling Older Adults

AbstractObjectiveTo explore influences on diet in a group of community-dwelling older adults in the UK.DesignData were collected through focus group discussions with older people; discussions were audio-recorded, transcribed verbatim and transcripts analysed thematically.SettingHertfordshire, UK.SubjectsParticipants were sampled purposively from the Hertfordshire Cohort Study, focusing on those whose diets had been assessed at two time points: 1998–2001 and 2011.ResultsNinety-two adults participated (47 % women; 74–83 years) and eleven focus groups were held. A number of age-related factors were identified that were linked to food choices, including lifelong food experiences, retirement, bereavement and medical conditions, as well as environmental factors (such as transport). There appeared to be variability in how individuals responded to these influences, indicating that other underlying factors may mediate the effects of age-related factors on diet. Discussions about ‘keeping going’, being motivated to ‘not give up’, not wanting to be perceived as ‘old’, as well as examples of resilience and coping strategies, suggest the importance of mediating psychological factors. In addition, discussion about social activities and isolation, community spirit and loneliness, indicated the importance of social engagement as an influence on diet.ConclusionsInterventions to promote healthier diets in older age should take account of underlying psychological and social factors that influence diet, which may mediate the effects of age-related factors.

scholarly journals SUBJECTIVE WELL-BEING OF COMMUNITY DWELLING OLDER ADULTS IN NIGERIA

2018 ◽  
Vol 2 (suppl_1) ◽  
pp. 231-231
Author(s):  
F Togonu-Bickersteth ◽  
A Akinyemi ◽  
J Aransiola ◽  
A Adegoke
Keyword(s):  
Older Adults ◽  
Well Being ◽  
Community Dwelling ◽  
Subjective Well Being ◽  
Community Dwelling Older Adults

scholarly journals An exploration of how community‐dwelling older adults enhance their well‐being

2019 ◽  
Vol 14 (4) ◽  
Author(s):  
Susan Waterworth ◽  
Deborah Raphael ◽  
Merryn Gott ◽  
Bruce Arroll ◽  
Jagpal Benipal ◽  
...  
Keyword(s):  
Older Adults ◽  
Well Being ◽  
Community Dwelling ◽  
Community Dwelling Older Adults

scholarly journals SOCIAL ISOLATION AND OLDER ADULTS: UNDERSTANDING THEIR EXPERIENCE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S368-S369
Author(s):  
Bonnie Jeffery ◽  
Tom McIntosh ◽  
Nuelle Novik
Keyword(s):  
Older Adults ◽  
Social Isolation ◽  
Well Being ◽  
Community Dwelling ◽  
Community Activities ◽  
Rural And Urban ◽  
Isolation Index ◽  
Key Variables ◽  
Services And Supports ◽  
Community Dwelling Older Adults

Abstract This presentation will focus on a unique undertaking where three provincial organizations in Saskatchewan, Canada implemented nine projects to address social isolation for rural and urban older adults across a geography that encompasses one-half of the province. A survey of older adults was conducted to assess their level of social isolation in order to gain a more thorough understanding of the experiences of social isolation among community dwelling older adults. Key variables of interest included: older adult access to services and supports, participation in activities, feelings of being valued by others, barriers to supports and services, and the overall isolation experienced by older adults. The responses from 1,719 urban and rural older adults indicate that 24.1% of respondents felt that they lack support, 17.2% feel less connected to family and friends, and 16.8% of respondents do not feel valued by their friends and family. Overall, almost one-quarter (23.9%) of the survey respondents score ‘high’ or ‘medium’ on a Social Isolation Index. One-third of respondents report they experience barriers to participation in activities outside the home. Several key categories of barriers were identified: health, personal, environmental, social, transportation and systemic. Respondents identified accommodation, services, practices, and activities as areas where their community could assist in participation of community activities outside of the home. Social isolation can have serious health consequences for older adults. The results of this survey highlight several key areas that older adults identify as important for reducing their feelings of isolation and enhancing their overall health and well-being.

scholarly journals Correlates of above-average cognitive performance among older adults: the SABE study

2014 ◽  
Vol 30 (9) ◽  
pp. 1977-1986 ◽  
Author(s):  
Henrique Salmazo da Silva ◽  
Yeda Aparecida de Oliveira Duarte ◽  
Fabíola Bof de Andrade ◽  
Ana Teresa de Abreu Ramos Cerqueira ◽  
Jair Lício Ferreira Santos ◽  
...  
Keyword(s):  
Older Adults ◽  
Cognitive Performance ◽  
Demographic Data ◽  
Well Being ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Cross Sectional ◽  
Sabe Study ◽  
Younger Age ◽  
Community Dwelling Older Adults

This study aimed to identify factors associated with optimal global cognitive performance among older adults in the city of Sao Paulo, Brazil. A cross-sectional study was carried out with a sample of community-dwelling older adults who participated in the SABE Study (Health, Well-Being and Ageing) in 2006. The dependent variable was cognitive performance, categorized as “normal” or “optimal”. The independent variables were socio-demographic data, lifestyle and health conditions. Data analysis involved descriptive statistics, followed by multiple logistic regression (significance set at 5%). Optimal cognitive performance was found in 28.4% of the sample, representing 730,051 older adults. Optimal performance was associated with a younger age, a report of no difficulties regarding instrumental activities of daily living, non-abusive alcohol intake, self-rated income sufficient to meet one’s daily needs and contact with family and friends. Optimal cognitive performance among older adults is associated with conditions favoring participation and independence.

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