scholarly journals Enhancing Older Adults’ Well-Being and Quality of Life through Purposeful Activity: A Systematic Review of Intervention Studies

2021 ◽  
Author(s):  
Rebecca Owen ◽  
Katherine Berry ◽  
Laura J E Brown
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Functional Role ◽  
Social Roles ◽  
Well Being ◽  
Life Outcomes ◽  
Quality Of Life Outcomes ◽  
Health And Social Care ◽  
Purposeful Activity

Abstract Background and Objectives Population aging represents a significant challenge for health and social care services. Older adults who engage in activities that offer a sense of purpose have significantly better physical and psychological health outcomes. However, age-related functional limitations and losses of social roles can present barriers to engaging in purposeful activity, especially for those older adults within the ‘oldest old’ age range (i.e. 80 years and over). This review aimed to determine the nature and effectiveness of purposeful activity interventions in older adults, aged ≥80 years, with respect to well-being and quality of life outcomes. Research Design and Methods Three databases were searched from their inception to April 2020. The search yielded 8,916 records, which resulted in eight eligible studies. Results The interventions were divided into two groups: (1) interventions that gave participants a specific functional role, such as volunteer or mentor (n=5); (2) interventions that supported participants to develop a new skill (n=3). The quality of the evidence was variable. The strongest evidence was for interventions that assigned a functional role, which appeared to be somewhat effective in improving well-being outcomes. Discussion and Implications There is preliminary evidence that purposeful activity interventions, particularly those that involved taking on a functional role, can improve well-being and quality of life outcomes in older adults aged 80 years and over. These findings have implications for professionals and carers to support older adults to access more purposeful social roles and create opportunities for helping and reciprocation.

A Randomized Trial of Weighted Vest Use in Ambulatory Older Adults: Strength, Performance, and Quality of Life Outcomes

2000 ◽  
Vol 48 (3) ◽  
pp. 305-311 ◽  
Author(s):  
Gail A. Greendale ◽  
George J. Salem ◽  
Jean T. Young ◽  
Mark Damesyn ◽  
Michael Marion ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Randomized Trial ◽  
Life Outcomes ◽  
Strength Performance ◽  
Quality Of Life Outcomes ◽  
Weighted Vest

An Evaluation of the PERMA Model as a Framework for Reducing Psychiatric Comorbidity in Individuals With Alopecia Areata

2021 ◽  
Author(s):  
Garrett E. Huck ◽  
Emre Umucu ◽  
Shaina Shelton ◽  
Dana Brickham ◽  
Susan Smedema
Keyword(s):  
Quality Of Life ◽  
Alopecia Areata ◽  
Subjective Experience ◽  
Well Being ◽  
Future Research ◽  
Life Outcomes ◽  
Female Ratio ◽  
Benign Condition ◽  
Quality Of Life Outcomes

Abstract. Background: Alopecia areata (AA) is among the most common immunological conditions. Although AA is considered to be a medically benign condition, those living with AA often report comorbid psychiatric conditions, high levels of functional impairment, and diminished quality of life. These consequences are largely due to the unique psychological turmoil associated with the condition. Unfortunately, little research has considered how to improve quality of life outcomes for this group. Aims: The purpose of this study was to evaluate how the PERMA framework of well-being is associated with the individual subjective experience of AA. A greater understanding of how PERMA applies to this group holds promise for assisting clinicians with devising psychosocial coping strategies for this population. Method: 274 individuals were recruited for participation. Hierarchical regression analyses were used to evaluate associations between the PERMA variables and AA-related (a) subjective symptoms (e.g., self-consciousness, sadness) and (b) relationship impact (e.g., perceived attractiveness). Each analysis controlled for demographic and condition-specific variables. Results: Demographic and PERMA variables were found to be significantly associated with positive experiences of each quality of life outcome. Limitations: The male to female ratio of participants was biased toward females. Furthermore, the nature of cross-sectional survey research has inherent limitations. Conclusion: The findings provide support for a relationship between PERMA variables and quality of life outcomes among people with AA. Clinical implications and future research directions are discussed.

Health impacts and characteristics of deprescribing interventions in older adults: a protocol of a systematic review and meta-analysis. (Preprint)

2020 ◽  
Author(s):  
Zoé Tremblay ◽  
David Mumbere-Bamusemba ◽  
Danielle Laurin ◽  
Caroline Sirois ◽  
Daniela Furrer ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Health Outcomes ◽  
Grey Literature ◽  
Life Outcomes ◽  
Bottom Line ◽  
Quality Of Life Outcomes ◽  
Effective Interventions ◽  
The Impact

BACKGROUND Deprescribing, a relatively recent concept, has been proposed as a promising solution to the growing issues of polypharmacy and use of medications of questionable benefit among older adults. However, little is known about the health outcomes of deprescribing interventions. OBJECTIVE This study aims to contribute to the knowledge on deprescribing by addressing two specific objectives: 1) describe the impact of deprescribing in adults’ ≥60 years on health outcomes or quality of life; and 2) determine the characteristics of effective interventions in deprescribing. METHODS Primary studies targeting three concepts (older adults, deprescribing, and health/quality of life outcomes) will be included in the review. The search will be performed using key international databases (MEDLINE, EMBASE, CINAHL, Ageline, PsycInfo) and a special effort will be made to identify grey literature. Two reviewers will independently screen the articles, extract the information and evaluate the quality of the selected studies. If methodologically feasible, meta-analyses will be performed for groups of intervention studies reporting on deprescribing interventions for similar medications, used for similar or identical indications and reporting on similar outcomes (for example benzodiazepines used against insomnia and reporting on quality of sleep or quality of life). Alternatively, results will be presented in bottom-line statements (Objectives 1) and a matrix outlining effective interventions (Objective 2). RESULTS The knowledge synthesis may be limited by the availability of high-quality, clinical trials on deprescribing and its outcomes in older adults. Additionally, analyses will likely be affected by studies on the deprescribing of different types of molecules within the same indication, e.g. different pharmacological classes and medications to treat hypertension, and different measures of health and quality of life outcomes for the same indication. CONCLUSIONS Deprescribing becomes more widespread, therefore knowledge on its effects on health are needed. CLINICALTRIAL CRD42015020866

Quality-of-Life Outcomes of Older Adults with Severe Disabilities

2019 ◽  
Vol 44 (4) ◽  
pp. 237-250 ◽  
Author(s):  
Carli Friedman
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Community Integration ◽  
Social Supports ◽  
Severe Disabilities ◽  
Life Outcomes ◽  
Organizational Supports ◽  
Quality Of Life Outcomes ◽  
Abuse And Neglect

People with disabilities who age may have unique experiences and face different challenges than people without disabilities who acquire disabilities as they age. These unique challenges may be especially pertinent for people with severe disabilities who already face disparities in quality of life. Yet, there is little research specifically about the quality of life of older adults with severe disabilities, a population that has continued to grow due to advances in medicine and social supports. This study’s aim was to explore quality-of-life outcomes of older adults with severe disabilities. We analyzed Personal Outcome Measures® data from 800 people with severe disabilities aged 55 years old and older. Findings revealed most older adults with severe disabilities had less than half of the quality-of-life outcomes present. Specifically, we found that while most older adults with severe disabilities were healthy, safe, and free from abuse and neglect, the overwhelming majority were lacking in community integration, relationships, choice, and opportunities. Our findings suggest the lack of quality-of-life outcomes among older adults with severe disabilities were largely attributed to an absence of supports. When older adults with severe disabilities received individualized organizational supports, they had better quality of life.

The Impact of the Senior Companion Program on Quality of Life Outcomes for Frail Older Adults and Their Families

2004 ◽  
Vol 22 (4) ◽  
pp. 1-26 ◽  
Author(s):  
Donna J. Rabiner ◽  
Scott Scheffler ◽  
Elizabeth Koetse ◽  
Jennifer Palermo ◽  
Elizabeth Ponzi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Life Outcomes ◽  
Frail Older Adults ◽  
Quality Of Life Outcomes ◽  
The Impact

scholarly journals Health Impacts and Characteristics of Deprescribing Interventions in Older Adults – a Protocol of a Systematic Review and Meta-analysis

2020 ◽  
Author(s):  
Zoé Tremblay ◽  
Martine Marcotte ◽  
David Mumbere-Bamusemba ◽  
Danielle Laurin ◽  
Daniela Furrer Soliz-Urrutia ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Health Outcomes ◽  
Grey Literature ◽  
Life Outcomes ◽  
Bottom Line ◽  
Quality Of Life Outcomes ◽  
Effective Interventions ◽  
The Impact

Abstract BackgroundDeprescribing, a relatively recent concept, has been proposed as a promising solution to the growing issues of polypharmacy and use of medications of questionable benefit among older adults. However, little is known about the health outcomes of deprescribing interventions. This study aims to contribute to the knowledge on deprescribing by adressing two specific objectives: 1) describe the impact of deprescribing in adults’ ≥60 years on health outcomes or quality of life; and 2) determine the characteristics of effective interventions in deprescribing.MethodsPrimary studies targeting three concepts (older adults, deprescribing, and health/quality of life outcomes) will be included in the review. The search will be performed using key international databases (MEDLINE, EMBASE, CINAHL, Ageline, PsycInfo) and a special effort will be made to identify grey literature. Two reviewers will independently screen the articles, extract the information and evaluate the quality of the selected studies. If methodologically feasible, meta-analyses will be performed for groups of intervention studies reporting on deprescribing interventions for similar medications, used for similar or identical indications and reporting on similar outcomes (for example benzodiazepines used against insomnia and reporting on quality of sleep or quality of life). Alternatively, results will be presented in bottom-line statements (Objectives 1) and a matrix outlining effective interventions (Objective 2).DiscussionThe knowledge synthesis may be limited by the availability of high-quality, clinical trials on deprescribing and its outcomes in older adults. Additionally, analyses will likely be affected by studies on the deprescribing of different types of molecules within the same indication, e.g. different pharmacological classes and medications to treat hypertension, and different measures of health and quality of life outcomes for the same indication.Systematic Review Registration Number: CRD42015020866

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