Feasibility, Acceptability, and Preliminary Efficacy of an App-Based Mindfulness-Meditation Program Among Older Adults

2020 ◽  
Author(s):  
Leeann Mahlo ◽  
Tim D Windsor

Abstract Background and Objectives Few studies have focused on the utility of mindfulness-meditation for well-being in older adults. The present study investigated the feasibility, acceptability, and preliminary efficacy of an app-based mindfulness-meditation program among older adults. Research Design and Methods A community-based sample of 46 participants aged between 63 and 81 (M = 70.85, SD = 4.70) engaged with a 30-day app-based mindfulness-meditation program for 10 min daily on their smartphones. Each meditation session comprised focusing on the breath, mentally scanning the body, monitoring the mind’s activity, and cultivating a nonjudgmental orientation toward experiences. Participants completed questionnaires at baseline, day 10, and day 30. Results On average, participants completed 25 sessions and almost 4 h of application use across the 30 days. Results of linear mixed effects models showed significant improvements in positive affect, negative affect, and life satisfaction across the study interval, but no meaningful change in total mindfulness or perceived stress. Furthermore, relative to high levels of smartphone efficacy, low smartphone efficacy was associated with higher perceived stress and negative affect, and less life satisfaction at baseline; and steeper improvements on these outcomes across the study interval. On average, older adults rated the app-based mindfulness-meditation training as interesting, enjoyable, valuable, and useful. Discussion and Implications The findings provide preliminary support for the feasibility and acceptability of an app-based mindfulness-meditation program with community-dwelling older adults and demonstrate potential benefits for well-being. Results suggest the value of further research investigating the efficacy of digital mindfulness-meditation interventions for older adults via larger randomized controlled trials.

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 411-411
Author(s):  
Leeann Mahlo ◽  
Tim Windsor

Abstract Few studies have focused on the utility of mindfulness-meditation for well-being in older adults. This study aimed to investigate the feasibility and acceptability of an app-based mindfulness-meditation program for community-based older adults. A convenience sample of 46 participants aged between 63 and 81 (M = 70.85, SD = 4.70) was recruited from the community. Participants were invited to engage with a 30-day app-based mindfulness-meditation program for 10-minutes daily on their smartphones. Each meditation session comprised focusing on the breath, mentally scanning the body, monitoring the mind’s activity, and cultivating a nonjudgmental attitude toward experience. Participants completed psychosocial questionnaires at baseline, day 10, and day 30. On average, participants completed 25 sessions and almost 4 hours of application use across the 30-days. Results of linear mixed effects models showed significant improvements in positive affect, negative affect, and life satisfaction across the study interval, but no meaningful change in total or facet-level mindfulness or perceived stress. Furthermore, relative to high levels of smartphone efficacy, low smartphone efficacy was associated with higher perceived stress and negative affect, and less life satisfaction at baseline; and steeper improvements on these outcomes across the study interval. Results indicated that, on average, older adults found app-based mindfulness-meditation training interesting, enjoyable, valuable, and useful. The findings provide preliminary support for the feasibility and acceptability of an app-based mindfulness-meditation program with community-based older adults and demonstrate potential benefits for well-being. Furthermore, older adults’ perceptions of smartphone competency may play an important role in the outcomes of app-based programs.


2020 ◽  
Author(s):  
Amy Knepple Carney ◽  
Allyson S Graf ◽  
Grace Hudson ◽  
Ellen Wilson

Abstract Background and Objectives It is not fully understood how large-scale events affect well-being. Older adults showed the highest levels of resilience following the September 11th (9/11) terrorist attacks, but during the severe acute respiratory syndrome outbreak, there were no age-related differences in well-being. The current study examined the Coronavirus Disease 2019 (COVID-19) disruption on well-being throughout adulthood. Research Design and Methods Perceived stress and affect were examined in 166 community-dwelling adults (Mage = 35.65; SD = 15.53; range = 18–79) in relation to the perceived disruption of the COVID-19 pandemic to their lives. Results A significant moderation was found for age and COVID-19 disruption on perceived stress [F(5, 153) = 8.88, p < .05, R2 = .22] and negative affect [F(5, 154) = 4.91, p < .05, R2 = .14], but not for positive affect. For participants over 50, those who rated COVID-19 as a low or high disruption had similar scores on stress and negative affect, but with younger aged participants, perceiving high disruption corresponded with higher levels of stress and negative affect. Discussion and Implications Findings are consistent with the strength and vulnerability integration (SAVI) model, wherein older adults try to maintain positive emotional well-being, with middle-aged and older adults in the current study having experienced less negative impact on well-being. Middle-aged and older adults may be better able to regulate negative emotions from COVID-19 than younger adults. SAVI proposes a greater negative impact on older adults when they experience sustained stressors; as the challenges with COVID-19 continue, further data will need to be examined.


Author(s):  
Brenda R Whitehead

Abstract Objectives The extent to which the COVID-19 pandemic is appraised as a stressor influences perceived stress (PS) and psychological well-being during the event. Here, the association of older adults’ expectations concerning the pandemic’s duration and impact with PS and negative affect (NA) is investigated. Based on the stress and coping framework, PS is expected to mediate the association between COVID-19 expectations and NA. Methods Seven hundred fourteen residents of the United States and aged 60 and older completed an anonymous online survey in late March 2020 reporting PS, NA, and expectations regarding the pandemic. Results Regression analyses controlling for demographic factors revealed that more dire pandemic expectations significantly predicted PS and NA directly, and the effects on NA were significantly mediated by PS. Discussion Findings provide evidence that expectations about a pandemic influence the extent to which older adults experience stress and NA in the midst of a pandemic event. Implications for mental health are discussed.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S751-S752
Author(s):  
Debra J Sheets ◽  
Theresa A Allison

Abstract This interdisciplinary symposium focuses on the Voices in Motion (ViM) choir, a novel social intervention to address issues of stigma and social isolation among older adults with dementia and their caregivers. ViM is an intergenerational choir for community-dwelling older adults with dementia (PwD) and their caregivers. Local high school students participated in the choir and added to the lively social interactions. Two professionally directed ViM choirs were fully implemented in 2018-2019 with a public performance in the Fall and Spring seasons. This symposium brings together multiple methodologies to investigate the effects of choir participation on cognition, social connections, stigma, and quality of life for the dyads. Results in the individual papers demonstrate the positive impact of choir participation on dyads (n=26) for measures that includecognition (MacDonald), well-being and quality of life (Sheets), and social connections (Smith). Taken as a whole, the papers indicate that this social intervention offers an effective non- pharmacological alternative approach for older adults with dementia. Choir participation has important and significant impacts on psycho-social well-being and quality of life. The body of evidence presented points to the importance of intergenerational programs that are dementia-friendly and that support meaningful participation by older adults with dementia in the broader community. Discussion focuses on implications for social policy with attention on the replication and sustainability of the program.


Author(s):  
Da Jiang

Abstract Objectives Numerous studies have shown that gratitude can improve mental health of people facing stressful events. However, most studies in this area have been based on laboratory experiments and retrospective surveys, rather than actual situations in which people are experiencing stress. Moreover, few studies have examined whether age moderates the benefits of gratitude. Coronavirus disease 2019 (COVID-19) has caused enormous psychological distress worldwide. Evidence-based strategies are needed to enhance well-being during this stressful time. This study attempted to fill these gaps by examining the benefits of feeling gratitude every day during the COVID-19 outbreak. Method A sample of 231 participants from mainland China aged 18 to 85 years participated in a 14-day daily diary study. After a pretest to collect demographic data, information on gratitude, daily positive and negative affect, perceived stress related to COVID-19, and subjective health were measured using daily questionnaires on 14 consecutive days. One month after the daily diary period, information on affective experiences, life satisfaction, and subjective health was collected as a follow-up survey. Results On days when individuals feel more gratitude than usual, they report more positive affect, a lower level of perceived stress related to COVID-19, and better subjective health on the concurrent day (Day N). Individuals also report a lower level of stress related to COVID-19 on the following day (Day N+1), when they feel more gratitude than usual on Day N. Higher levels of gratitude across the 14-day study period was associated with a higher level of positive affect and a lower level of negative affect, but was not associated with life satisfaction or subjective health at the one-month follow-up assessment. Discussion These findings demonstrate the benefits of gratitude in a naturalistic situation that induced stress and anxiety.


2018 ◽  
Vol 59 (6) ◽  
pp. 1152-1161 ◽  
Author(s):  
Kira S Birditt ◽  
Jasmine A Manalel ◽  
Heidi Sommers ◽  
Gloria Luong ◽  
Karen L Fingerman

Abstract Background and Objectives Older adults are often considered at risk for social isolation. Little is known, however, about how often older adults lack social contact (in person, phone, electronic) throughout the day, the implications of lacking contact (i.e., solitude), and whether the effects of solitude vary by the broader social context. Research Design and Methods Participants were from the Daily Experiences and Well-being Study (DEWS) which included 313 older adults (aged 65+) who completed baseline interviews followed by 5–6 days of ecological momentary assessments approximately every 3 hr. Results Individuals reported having no social contact (i.e., solitude) on 11% of the occasions. Solitude predicted lower negative and positive affect on those occasions. The solitude-negative affect link varied by social network quality. Solitude predicted lower negative affect among individuals with more conflictual social networks but not among those with less conflictual networks. Discussion and Implications Overall, solitude may serve as an adaptive strategy for individuals embedded in demanding or irritating social contexts.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 284-284
Author(s):  
Eva Kahana ◽  
Poshan Dahal ◽  
Tirth Bhatta ◽  
Polina Ermoshkina

Abstract Religiosity in late life has been linked to psychological well-being outcomes. However, there has been insufficient attention to complex associations between different domains of religiosity and domains of psychological wellbeing. We explored associations between religious identity, religious participation, religious coping (trust in God), and mental health indicators of depressive symptoms, life satisfaction, and positive/negative affect among 797 independent, retirement community-dwelling older adults. At baseline, religious identity (expressed as self- concept) and religious participation (church attendance) each were associated with fewer depressive symptoms (b=-0.47, p<0.05; b=-0.19, p<0.05). Religious identity, however, was significantly associated with both life satisfaction and positive affects but not with negative affect. Religious coping was associated with greater life satisfaction and positive affect. Our longitudinal analysis documented a statistically significant decline in depressive symptoms, and increase in life satisfaction and positive affect, with corresponding increase in religious identity over time. However, changes in religious identity did not lead to significant changes in negative affect over time. Religious coping and church attendance fully explained the influence of religious identity on changes in life satisfaction. Although the influence of religious identity on depressive symptoms and positive affect was weakened, its significant influence was maintained even after the consideration of religious coping and church attendance. Beyond religious identity, we also observed a significant increase in positive affect with a corresponding increase in religious coping. Overall, our findings support expectations that religious identification and practices are associated with greater psychological well-being among community dwelling old- old adults.


2020 ◽  
Author(s):  
Nathaniel A Young ◽  
Christian E Waugh ◽  
Alyssa R Minton ◽  
Susan T Charles ◽  
Claudia M Haase ◽  
...  

Abstract Background and Objectives Advanced age is generally associated with improved emotional well-being, but the COVID-19 pandemic unleashed a global stressor that gravely threatened the physical well-being and ostensibly challenged the emotional well-being of older adults disproportionately. The current study investigated differences in emotional experiences and coping strategies between younger and older adults during the pandemic, and whether these differences were accounted for by age differences in appraisal of the pandemic. Research Design and Methods We asked younger (n = 181) and older adult (n = 176) participants to report their stress, appraisals the pandemic, emotions, and the ways in which they were coping with the pandemic. Results Results indicated that older adults experienced less stress and less negative affect and used greater problem-focused coping and less avoidant coping in response to the pandemic than younger adults. Further, age differences in affect and coping were partially accounted for by age differences in appraisals of the pandemic. Discussion and Implications Despite their objectively higher risk of illness and death due to the pandemic, older adults experienced less negative affect and used more agentic coping strategies than younger adults.


2017 ◽  
Vol 9 (2) ◽  
pp. 10 ◽  
Author(s):  
Sofia von Humboldt ◽  
Ana Monteiro ◽  
Isabel Leal

Objectives: Positive and negative affect is a relevant facet of well-being for community-dwelling older adults. This article reports the validation of the Positive And Negative Affect Scale (PANAS), by means of confirmatory analysis.Methods: A community-dwelling cross-national sample of 1291 older adults aged 75 years-old and older voluntarily completed the PANAS. The relations between variables in the model were evaluated using structural equation based on maximum likelihood estimation. The distributional properties, cross-sample stability, internal reliability, and convergent, external and criterion-related validities of the PANAS were analyzed and found to be psychometrically acceptable.Results: Our results outcomes support for the hypothesis that the PANAS is valid and reliable in the two 10-item mood scales, hence fit for use with older adults, within a culturally diverse view of well-being.Conclusions: The psychometric properties of the PANAS are satisfactory in this older sample, and according to those of its early version. Taken together, these results substantiate the validity of this measure when applied to an older community cross-national population.


2017 ◽  
Vol 41 (S1) ◽  
pp. S666-S666
Author(s):  
S. Von Humboldt ◽  
I. Leal

IntroductionPositive Affect (PA) and Negative Affect (NA) have been used as general dimensions to describe affective experience, and they are the affective, emotional components of SWB.ObjectivesPositive and negative affect is a relevant facet of well-being for community-dwelling older adults. This study aims to conduct a validation of the Positive and Negative Affect Scale (PANAS), by assessing the psychometric properties (distributional properties, construct, criterion and external-related validities, and reliability) of the PANAS in a cross-national sample of older adults.MethodsA cross-sectional survey design was used. A convenience sample of 1291 community-dwelling older adults aged 75 years old and older was recruited from community centers. Construct validity was estimated through confirmatory factor analysis and convergent validity. Criterion and external-related validities, reliability and distributional properties were also assessed.ResultsThe PANAS demonstrated satisfactory reliability, distributional properties, and construct, criterion and external-related validities in this sample of older adults.ConclusionsThese results suggest that the PANAS can be used as a reliable and valid measure for examining positive and negative affect among cross-national community-dwelling older adults.Disclosure of interestThe authors have not supplied their declaration of competing interest.


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