scholarly journals Integrating Life-Review and Drama Therapy for Community-Dwelling Older Adults: An Evidence-Based Model

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 568-568
Author(s):  
Shoshi Keisari
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Social Engagement ◽  
Therapeutic Potential ◽  
Life Review ◽  
Drama Therapy ◽  
Community Dwelling ◽  
Multiple Perspectives ◽  
Positive Effects ◽  
Community Dwelling Older Adults

Abstract Drama therapy is a widely acknowledged way to explore life-stories in late life. This presentation will describe a new model for creative interventions, based on the results of four studies that provide multiple perspectives on the integration of life-review and drama therapy for community dwelling older adults. The results of two quantitative studies (n=55, aged 62-93; n=78, aged 63-96) suggest that the drama therapy interventions have robust therapeutic potential to enhance mental health while aging. The findings of two qualitative studies with therapists (n=8), participants (n=27; aged 63-96) and staff (n=13) provide a better understanding of the process, and support the mechanisms that lead to positive effects on mental health. Combining the results yielded a multidimensional model which points to three potential transformative routes: the evolution of the life-story, the evolution of improvised dramatic expression, and the expansion of social engagement.

scholarly journals Improving Mental Health Treatment Initiation among Depressed Community Dwelling Older Adults

2016 ◽  
Vol 24 (4) ◽  
pp. 310-319 ◽  
Author(s):  
Jo Anne Sirey ◽  
Samprit Banerjee ◽  
Patricia Marino ◽  
Ashley Halkett ◽  
Elmira Raeifar ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Mental Health Treatment ◽  
Treatment Initiation ◽  
Community Dwelling ◽  
Health Treatment ◽  
Community Dwelling Older Adults

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.

Gender differences in health service use for mental health reasons in community dwelling older adults with suicidal ideation

2012 ◽  
Vol 25 (3) ◽  
pp. 374-381 ◽  
Author(s):  
Helen-Maria Vasiliadis ◽  
Sarah Gagné ◽  
Natalia Jozwiak ◽  
Michel Préville
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Suicidal Ideation ◽  
Service Use ◽  
Community Dwelling ◽  
Symptoms Of Depression ◽  
Antidepressant Use ◽  
One Year ◽  
Promotion Campaigns ◽  
Community Dwelling Older Adults

ABSTRACTBackground: To ascertain gender-specific determinants of antidepressant and mental health (MH) service use associated with suicidal ideation.Methods: Data used in this study came from the ESA (Enquête sur la Santé des Aînés) survey carried out in 2005–2008 on a large sample of community-dwelling older adults (n = 2,004). Multivariate logistic regression analyses were carried out.Results: The two-year prevalence of suicidal ideation was 8.4% and 20.3% had persistent suicidal thoughts at one-year follow-up. In males, the prevalence of antidepressant and MH service use in respondents with suicidal ideation reached 32.2% and 48.9%, respectively. In females, the corresponding rates were 42.6% and 65.6%. Males were less likely to consult MH services than females when their MH was judged poorly. Male respondents with higher income and education were less likely to use antidepressant and MH services. However, males using benzodiazepines were more likely than females to be dispensed an antidepressant. Among respondents with suicidal ideation, gender was not associated with service use. Younger age, however, was associated with antidepressant use.Conclusions: Increased promotion campaigns sensitizing men to the prodromal symptoms of depression and the need to foster access to MH care when the disorder is manageable may be needed.

Religiosity and mental health in southern, community-dwelling older adults

2003 ◽  
Vol 7 (5) ◽  
pp. 390-397 ◽  
Author(s):  
M. Parker ◽  
L. Lee Roff ◽  
D. L. Klemmack ◽  
H. G. Koenig ◽  
P. Baker ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Community Dwelling ◽  
Community Dwelling Older Adults

scholarly journals Frailty as a Moderator of the Relationship Between Social Isolation and Health Outcomes in Community-Dwelling Older Adults

2021 ◽  
Author(s):  
Fereshteh Mehrabi ◽  
François Béland
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Health Outcomes ◽  
Cognitive Decline ◽  
Social Isolation ◽  
Social Participation ◽  
Social Connectedness ◽  
Extended Family ◽  
Community Dwelling ◽  
Community Dwelling Older Adults

This research investigated the effects of social isolation on frailty and health outcomes and tested whether these associations varied across different levels of frailty. We performed a multivariate analysis of data from the first wave of the FRéLE study among 1,643 Canadian older adults aged 65 years and over. We assessed social isolation using social participation, social networks, and support from various social ties, namely, friends, children, extended family, and partner. Frailty predicted disability, comorbidity, depression, and cognitive decline. Less social participation was associated with IADLs, depression, and cognitive decline. The absence of friends was associated with depression and cognitive impairment. Less social support from children and partner was related to comorbidity, depression, and cognitive decline. Overall, social isolation is linked to mental health, rather than physical health. The associations of having no siblings, receiving less support from friends, and participating less in social activities with ADL limitations, depression, and cognitive decline were higher among frail than pre-frail and robust older adults. This study corroborates the pivotal role of social connectedness, particularly the quality of relationships, on the mental health of older adults. Public health policies on social relationships are paramount to ameliorate the health status of frail older adults.

scholarly journals Physical Activity and Social Relationships on Social Engagement Among Community-Dwelling Older Adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 28-28
Author(s):  
Su-I Hou
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Social Relationships ◽  
Social Engagement ◽  
Leisure Activities ◽  
College Education ◽  
Community Dwelling ◽  
Endurance Strength ◽  
Social Leisure ◽  
Community Dwelling Older Adults

Abstract This study examined physical activity (FITNESS) and social relationships (FRIENDS) on social engagement among community older adults. Members from two Florida aging-in-village programs participated. Three five-Likert scales were used: A 5-item FITNESS (weight, endurance, strength, flexibility, health), 4-item FRIEND (family, friends, neighbors, communication), and a 3-item social engagement scales (social-leisure activities, stay involved, healthy independent) (Cronbach alphas: .82~.92). Among the 96 participants, 79% were females, 91% were whites, 56% were married, 86% had college education, and 46% living alone. Mean age was 70.7 (SD=10.10). Participants reported at least 30-min. physical activity about 4.2 days per week. Overall social engagement was high (mean=4.38), FITNESS was median (mean=3.46), and FRINED was high (mean=4.19). FITNESS was significant to more 30-min. physical activity. Yet, higher FITNESS, FRIENDS, age, and volunteers were all significant to social engagement. Results has implications on promoting social engagement among older adults participating in aging-in-community programs.

scholarly journals Physical and Mental Health, Technology Use, and Loneliness in Older Adults During the COVID-19 Pandemic

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 585-585
Author(s):  
Martha Coates ◽  
Zachary Hathaway ◽  
Katelyn Moore ◽  
Yaegin Park ◽  
Jenny Tsui ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Technology Use ◽  
Electronic Device ◽  
Community Dwelling ◽  
Retirement Community ◽  
Physical And Mental Health ◽  
Exact Test ◽  
Community Dwelling Older Adults

Abstract Social isolation is a negative outcome of COVID-19. This study examined patterns of physical and mental health and technology use in older adults, and loneliness during the COVID-19 pandemic. We recruited 115 community-dwelling older adults 65 and older (72% female) from the Pennsylvania region via Research Match (N=84) or from a retirement community (N=31). A significant association between loneliness and worsening of health during the pandemic was observed, Fisher’s Exact Test 6.90, p=.03. Those who were lonely demonstrated significantly lower Mental Component Summary Scores (M = 42.75, SD = 11.55) compared to those who were not lonely (M= 55.34, SD= 7.66), t(49) = 5.84, p <.01. Those reporting loneliness were more likely to use a new electronic device to communicate with family during COVID-19 pandemic, X2, (1, N= 107) = 6.24, p =.01. These findings suggest the important role of technology to decrease loneliness in older adults during a pandemic.

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.

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