Feasibility of a Self-Determination Theory-Based Exercise Program in Community-Dwelling South Korean Older Adults: Experiences from a 13-Month Trial

2016 ◽  
Vol 24 (1) ◽  
pp. 8-21 ◽  
Author(s):  
Minyoung Lee ◽  
Min Joo Kim ◽  
Dongwon Suh ◽  
Jungjin Kim ◽  
Eunkyoung Jo ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Exercise Program ◽  
Exercise Adherence ◽  
Self Determination Theory ◽  
Self Determination ◽  
Motivational Strategies ◽  
Factors Affecting ◽  
South Korean

Little is known about the effectiveness of self-determination theory (SDT), a representative motivational theory, on exercise domain in older adults. This feasibility study used quantitative and qualitative approaches to evaluate the effectiveness of a 13-month group exercise program applying SDT-based motivational strategies on exercise adherence, physical fitness, and quality of life, and to explore factors affecting exercise adherence in South Korean older adults (N = 18). Exercise attendance rate was high (82.52%). There were significant differences in aerobic endurance (p < .001), lower body strength (p < .05), dynamic balance (p < .001), and perceived social functioning (p < .05) at 13 months compared with baseline. Factors affecting exercise adherence were related to the SDT-based motivational strategies. These results support the importance of health professionals applying SDT-based motivational strategies to exercise programs to help facilitate motivation for participation and to promote physical fitness and quality of life in older adults.

scholarly journals What does success mean for autistic men? A narrative exploration of self-determination

2020 ◽  
Vol 5 ◽  
pp. 239694152094552
Author(s):  
Amanda A Webster ◽  
Susanne Garvis
Keyword(s):  
Quality Of Life ◽  
Self Determination Theory ◽  
Self Determination ◽  
Support Programs ◽  
Self Awareness ◽  
Self Reflection ◽  
The Social ◽  
High Level ◽  
Experience Difficulty

Background Studies involving autistic adults have often focused on negative outcomes and quality of life ratings. Aims This study provides a different viewpoint by examining the perspectives of autistic men who consider themselves to be successful. Methods Data were gathered from 10 men who shared their experiences and perceptions regarding their journey to achieve success. Self-determination theory provided a useful lens for examining the men’s narratives and understanding the factors that led to their success. Results Analysis of interviews revealed four main themes: (1) being my own self, (2) a competent professional, (3) solving problems in a neurotypical world, and (4) relating and connecting. These themes reflect the men’s perception of their own self-determination including their autonomy, competence, and relatedness with others. Conclusions The men’s sense of success was derived from their ability to achieve competence in their work, act without help or influence from others and demonstrate a high level of self-awareness and self-reflection. Despite this, many continued to experience difficulty in the social areas of their lives. Implications: These findings suggest that self-determination theory may present an alternative and more positive means of enacting support programs for autistic individuals, and males in particular.

scholarly journals Spinal Cord Injury Peer Mentorship: Applying Self-Determination Theory to Explain Quality of Life and Participation

2018 ◽  
Vol 99 (3) ◽  
pp. 468-476.e12 ◽  
Author(s):  
Shane N. Sweet ◽  
Emilie Michalovic ◽  
Amy E. Latimer-Cheung ◽  
Michelle Fortier ◽  
Luc Noreau ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Self Determination Theory ◽  
Self Determination ◽  
Peer Mentorship ◽  
Cord Injury

Factors affecting quality of life of older adults with cancer in Korea

2014 ◽  
Vol 15 (8) ◽  
pp. 983-990 ◽  
Author(s):  
Hyunsook Yoon ◽  
Yojin Kim ◽  
Yeon Ok Lim ◽  
Hyun Joo Lee ◽  
Kyoungwon Choi
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Factors Affecting

scholarly journals Effects of a person-centred and health-promoting intervention in home care services– a non-randomized controlled trial

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kristina Lämås ◽  
Karin Bölenius ◽  
Per-Olof Sandman ◽  
Marie Lindkvist ◽  
David Edvardsson
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Home Care ◽  
Negative Emotions ◽  
Intervention Group ◽  
Self Determination ◽  
Care Staff ◽  
Control Group ◽  
Health Promoting

Abstract Background Home care recipients have reported little self-determination and opportunity to influence their own care. Person-centred care focusing on involvement has improved the quality of life of older adults in health care and nursing homes; however, knowledge about the effects of person-centred interventions in aged care at home is sparse. The aim of this study was to study the effects of a person-centred and health-promoting intervention, compared with usual care, on health-related quality of life, thriving and self-determination among older adults, and on job satisfaction, stress of conscience and level of person-centred care among care staff. Methods This is a non-randomized controlled trial with a before/after design. Participants from five home care districts in one municipality in northern Sweden were recruited to an intervention or control group. We evaluated health-related quality of life, thriving and self-determination among older home care recipients, and job satisfaction, person-centred care and stress of conscience among care staff. Evaluation was performed by questionnaires and responses were analysed using parametric and non-parametric statistical analyses. Results Eighty-one older adults and 48 staff were included in the study. A clinically moderate and statistically significant difference between the intervention and control groups was found in thriving and negative emotions among older adults. The intervention contributed to maintaining high thriving levels, in contrast to decreased thriving in the control group (intervention: + 1, control: − 4, p 0.026, CI: − 10. 766, − 0.717). However, the intervention group rated an increase in negative emotions, while the control group was unchanged (intervention: − 7 control: + − 0, p 0.048, CI: − 17.435, − 0.098). No significant effects were found among staff. Conclusions The intervention contributed to maintaining high levels of thriving in contrast to low levels found in the control group, and it seems reasonable to consider the intervention focus on staff as more person-centred and health-promoting. The finding that the intervention group had increase in negative emotions is difficult to interpret, and warrants further exploration. Even though the results are sparse, the challenges discussed may be of importance for future studies in the context of HCS. Trial registration NCT02846246. Date of registration: 27 July 2016.

Health-Related Quality of Life After the 2015 Gorkha Earthquakes, Among Older Adults Living in Lalitpur District of Central Nepal

2020 ◽  
pp. 1-10 ◽  
Author(s):  
Sabina Wagle ◽  
Kwanjai Amnatsatsue ◽  
Bipin Adhikari ◽  
Patcharaporn Kerdmongkol ◽  
Marc Van der Putten ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Social Support ◽  
Older Adults ◽  
Disaster Preparedness ◽  
Health Related Quality ◽  
Factors Affecting ◽  
Related Quality ◽  
Health Related ◽  
The Impact

ABSTRACT Objective: Health-related quality of life (HQL) among older adults is often neglected and underprioritized in developing countries and is further burdened during natural disasters, such as earthquakes. The main objective of this study was to explore the factors affecting HQL among older adults living in Lalitpur District of Nepal. Methods: A total of 362 older adults participated in this study. Questionnaires were used to interview the respondents on various aspects, such as posttraumatic stress disorder (PTSD) and depression, functional ability, and social support. An analysis was made to explore the factors affecting HQL. Results: HQL scores ranged between 3.13 and 90.63. A majority of the respondents (215/362; 59.4%) scored ≤ 50, indicating poorer HQL. The multivariate analysis found the impact of the following factors on HQL: functional status (β = 0.295; P < 0.001), PTSD (β = −0.225; P < 0.001), chronic disease (β = −0.168; P < 0.001), social support (β = 0.120; P = 0.019), injury (β = −0.104; P = 0.024), age (β = −0.116; P < 0.001), and accessibility to resources. Conclusion: Poor HQL of older adults was dependent on various factors. The disaster preparedness program in Nepal needs urgent attention to address the concerns of older adults by incorporating the findings from this study.

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