A Comprehensive Evaluation of a Lifelong Learning Program

2016 ◽  
Vol 84 (1) ◽  
pp. 88-106 ◽  
Author(s):  
Jee Hoon Park ◽  
KyongWeon Lee ◽  
Holly Dabelko-Schoeny

Lifelong learning programs meet older adults’ educational needs and further support their health and well-being leading to more successful aging. In particular, university-based lifelong learning programs have provided older adults with opportunities to not only develop skills and knowledge but also expand new social networks with people of different ages. This study evaluated a university-based lifelong learning program, Program 60, to identify the relationships between participants’ experiences in the program and their quality of life. An online survey was employed, and 107 participants completed the self-report survey. The participants reported that classes helped increase their emotional satisfaction and that they enjoyed taking classes with younger students. Their experiences in the program reliably predicted psychological and social elements of their quality of life ( p = .004 and p = .019, respectively). Study results provide helpful information for the development of lifelong learning programs that are responsive to the increasing demands of older adults.

2017 ◽  
Vol 10 (1) ◽  
pp. 25-31
Author(s):  
Lucile Bigot ◽  
Catherine Garncarzyk ◽  
Antoine Gauthier ◽  
Gaelle Quarck ◽  
Fabrice Dosseville

Purpose: Psychological well-being and health are closely linked at older ages. It is widely recognized that adapted regular physical exercise improves drastically both the physical and emotional well-being and allows older adults to stay healthy longer, with a better quality of life. In the framework of a European project (MOTION) to increase the life expectancy, independence and quality of life of older adults, the aim of the current research was to develop and validate a brief, multi-faceted, self-report measure of well-being in older adults. Method: The aim of Study 1 was to establish the factor structure of the newly developed measure using Exploratory Factor Analysis (EFA). The aim of Study 2 was to replicate the measure's factor structure using Confirmatory Factor Analysis (CFA), and to evaluate test-retest reliability and convergent validity. Results: Analyses allowed generating a model of well-being comprising four dimensions: Perceived physical value, self-esteem and self-efficacy, socialization, and emotional reactions. Conclusion: The findings suggest that the SMWQ is appropriate for use with older adults and can help researchers and health professionals to assess the effects of APA programs.


2021 ◽  
Author(s):  
Laura Krieger

The number of older adults living in collective dwellings is increasing. It is important to research effective strategies to maintain and enhance quality of life for older adults living in collective dwellings. Meaningful leisure, such as the ability to travel, is associated with increases in quality of life for older adults. Unfortunately, many older adults, especially those living in collective dwellings, face barriers to travel. Virtual reality (VR) may help older adults living in collective dwellings overcome barriers to travel. The present study examined whether older adults living in collective dwellings tolerated and enjoyed immersive VR, and whether six weeks of virtual tourism affected their quality of life, social engagement, and loneliness. Fourteen older adults living in retirement homes in Toronto participated in this study. Results suggested that participants tolerated immersive VR without experiencing cybersickness, and that they were happier, more excited, and less anxious immediately following VR exposure. Levels of social engagement increased following the six-week virtual tourism program. These quantitative findings were further supported by qualitative interviews. No changes in quality of life or loneliness were found. Limitations include a lack of a control group and small sample size. Addressing these limitations will help to isolate the effects of the virtual tourism program on indices of well-being.


2021 ◽  
Author(s):  
Laura Krieger

The number of older adults living in collective dwellings is increasing. It is important to research effective strategies to maintain and enhance quality of life for older adults living in collective dwellings. Meaningful leisure, such as the ability to travel, is associated with increases in quality of life for older adults. Unfortunately, many older adults, especially those living in collective dwellings, face barriers to travel. Virtual reality (VR) may help older adults living in collective dwellings overcome barriers to travel. The present study examined whether older adults living in collective dwellings tolerated and enjoyed immersive VR, and whether six weeks of virtual tourism affected their quality of life, social engagement, and loneliness. Fourteen older adults living in retirement homes in Toronto participated in this study. Results suggested that participants tolerated immersive VR without experiencing cybersickness, and that they were happier, more excited, and less anxious immediately following VR exposure. Levels of social engagement increased following the six-week virtual tourism program. These quantitative findings were further supported by qualitative interviews. No changes in quality of life or loneliness were found. Limitations include a lack of a control group and small sample size. Addressing these limitations will help to isolate the effects of the virtual tourism program on indices of well-being.


2021 ◽  
pp. 073346482110020
Author(s):  
Jimin Lee ◽  
Hyeyoon Bae ◽  
Euehun Lee

Considering the weak role of public health insurance in South Korea, this study identified the impact of older consumers’ coping resources such as income and education, well-being (e. g., successful aging and quality of life), and psychological and economic aspects affecting potential stressors on their purchasing of private health insurance (PHI) based on proactive coping theory. From the sixth wave of the 2016 Korean Longitudinal Study of Aging (KLoSA), a sample of 1,224 Korean older adults aged above 65 years was used; binary logistic regression was conducted to identify the association of PHI and purchase decision factors, first separately for two groups (lower/higher use of health care services), and then for the total group. The results showed that older adults with higher levels of well-being, especially with a higher successful aging index and coping resources such as income are more likely to purchase PHI in all three groups.


2002 ◽  
Vol 8 (6) ◽  
pp. 527-531 ◽  
Author(s):  
C-H Chang ◽  
D Cella ◽  
O Fernández ◽  
G Luque ◽  
P de Castro ◽  
...  

Objective: The cross-sectional study evaluated the psychometric properties of the Functional Assessment of Multiple Sclerosis (FAMS) Spanish version and its use in measuring quality of life (QOL) of multiple sclerosis (MS) patients in Spain. Methods: The FAMS is a factorially derived self-report scale designed to assess six primary aspects of QOL of patients with MS: Mobility, Symptoms, Emotional Well-Being, General Contentment, Thinking and Fatigue, and Family/Social Well-Being. Its Spanish translated version was used to assess QOL of 625 MS patients recruited in an outpatient clinic setting from 58 hospitals in Spain. Internal consistency of the Spanish FAMS was evaluated. Multiple regression analyses were performed to identify significant predictors from demographic, clinical and treatment characteristics, and Kurtzke Expanded Disability Status Scale (EDSS) scores in predicting FAMS scale scores. Results: Most of the patients are females (66%), and 74% were of the relapsing-remitting (RR) clinical subtype. Cronbach’s alpha coefficients were high (range=0.78-0.96), indicating subscale homogeneity comparable to that of the original English version. Linear multivariate regression analyses revealed that the EDSS is a dominant variable in predicting all the FAMS subscales, especially mobility (R2=0.51) and the total scores. Conclusions: The Spanish FAMS is a psychometrically valid instrument that allows clinicians and clinical researchers the ability to measure the QOL concerns of MS patients in Spain.


2010 ◽  
Vol 16 (3) ◽  
pp. 200 ◽  
Author(s):  
Monika Merkes

Mindfulness-based stress reduction (MBSR) is a structured group program that uses mindfulness meditation to improve well-being and alleviate suffering. This article reviews the impact of MBSR for people with chronic diseases. The review includes original research that was published in English and peer-reviewed and reported outcomes for adults with chronic diseases who had participated in an MBSR program. Fifteen studies were identified. Outcomes related to mental and physical health, well-being, and quality of life. The studies included different research designs, and used self-report and physiological outcome measures. Participants’ clinical diagnoses included fibromyalgia, chronic pain, rheumatoid arthritis, type 2 diabetes, chronic fatigue syndrome, multiple chemical sensitivity, and cardiovascular diagnoses. All 15 studies found that participation in an MBSR program resulted in improvements. No negative change was reported between baseline and follow up. Outcomes in regard to specific variables were difficult to compare and equivocal. Overall, positive change predominated. Chronic diseases are associated with a range of unwelcome psychological and physical consequences. Participation in an MBSR program is likely to result in coping better with symptoms, improved overall well-being and quality of life, and enhanced health outcomes. As an adjunct to standard care, MBSR has potential for much wider application in Australian primary care settings.


2021 ◽  
Vol 39 (15_suppl) ◽  
pp. e23557-e23557
Author(s):  
Jonathan R. Day ◽  
Benjamin Miller ◽  
Sarah L. Mott ◽  
Bradley T. Loeffler ◽  
Munir Tanas ◽  
...  

e23557 Background: Sarcomas are a diverse group of neoplasms that vary greatly in clinical presentation and responsiveness to treatment. Given the differences in the sites of involvement, rarity, and treatment modality, a multidisciplinary approach is required. Previous literature suggests patients with sarcoma suffer from poorer quality of life (QoL) especially physical and functional well-being. This study aims to understand if there is an association between treatment at a tertiary sarcoma center and a difference in QoL. Methods: De-identified data was obtained from the Sarcoma Tissue Repository at University of Iowa. Mixed effects regression models were utilized to evaluate the association between disease and treatment characteristics and QoL. QoL was assessed using the self-report FACT-G questionnaire at 12-, 24-, and 36-months post-diagnosis; overall scores and the 4 well-being subscales (Physical, Emotional, Social, Functional) were calculated. Results: 443 patients were identified. Soft tissue sarcomas were more prevalent (87.6%) than bone (12.4%). 53% of patients received chemotherapy and 38.6% got radiation therapy. Sarcomas were most frequently located in the lower extremities(ext.) (33.1%), followed by abdomen (20.9%), pelvic (13.6%), upper ext. (13.1%), thorax (11.3%), head & neck (7.8%). For ext. sarcoma; lower ext: 144 (71.3%), Upper ext: 58 (28.7%). Patients with extremity sarcoma; 133 had limb sparing and 48 had amputations. FACT-G Scores did not appreciably vary between 12, 24-, and 36-month for any QoL responses. Overall well-being had a mean score reported of 87.7 (sd = 15.7). Social well-being sores averaged 23.5 (5.0). Emotional well-being (EWB) 19.2 (4.1) and functional well-being (FWB) 21.3 (6.1), and physical well-being (PWB) 23.7 (4.6). There was no association between overall, PWB, EWB, or FWB with the histological subtype, radiation treatment, type of limb surgery, or any location in the same patients over time. Chemotherapy treatments were associated with lower well-being in multiple domains; PWB scores being 2.01 points lower, (p < 0.01), EWB scores being 1.27 points lower (p = 0.01) and FWB scores being 1.72 (p = 0.03), and 4.44 points lower overall (p = 0.03), on average, after adjusting for overall changes across time. Patients with ext. sarcoma only overall FACT-G scores differed 6.72 points higher for upper ext. than lower ext (p = 0.04). Conclusions: Overall QoL areas were similar to normative FACT-G scores both overall and specific areas. Having received chemotherapy was associated with lower well-being scores physically, emotionally, functionally, and overall. There were no clinically relevant differences reported in QoL scores between 12-,24-, and 36-months in the same patients. Further work is needed to describe QoL differences among patients with sarcoma at tertiary centers and examine what protective factors may influence patient well-being.


2018 ◽  
Vol 60 (3) ◽  
pp. 385-395 ◽  
Author(s):  
Pariya L Fazeli ◽  
Jessica L Montoya ◽  
Chastity N McDavid ◽  
David J Moore

Abstract Background and Objective As HIV-infected (HIV+) individuals age, there is a need to understand successful aging (SA) from the patient perspective. This study compared SA definitions between HIV+ and HIV-uninfected (HIV−) older adults and then examined correlates of SA categories. Research Design and Methods Ninety-three HIV+ and 46 HIV− older (aged 50+) adults provided brief definitions of SA, which was examined using content analysis. We then compared the frequency of SA categories by serostatus and examined the correlates of SA categories within both groups. Results Seven SA categories emerged: General Health, Cognitive Health & Ability, Physical/Biological Health & Ability, Social Relationships, Attitudes, Psychological, & Emotional Well-Being, Proactive & Engaged Lifestyle, and Independence. While no significant differences emerged, HIV− older adults were more likely to report General Health and the subcategory of Longevity/Survival, while HIV+ older adults were more likely to report subcategories of Enjoying Life & Fulfillment and Maintaining Balance. Few demographic correlates of SA categories emerged. Mood and HIV characteristics were not associated with SA categories. In both groups, those without neurocognitive impairment were significantly more likely to endorse General Health than those with neurocognitive impairment. Discussion and Implications HIV+ and HIV− older individuals may generally perceive SA similarly, and their definitions parallel with existing models of SA. Yet, living with a chronic illness may cause HIV+ older adults to place greater value on quality of life and life satisfaction than physical health and chronological age. Observational and intervention studies may use similar approaches in evaluating and maximizing SA.


2014 ◽  
Vol 3 (1) ◽  
pp. 101-106 ◽  
Author(s):  
Wojtek J. Chodzko-Zajko

For more than half a century fellows of the National Academy of Kinesiology have enthusiastically advocated for the promotion and adoption of physically active lifestyles as an affordable and effective means to prevent chronic diseases and conditions, and enhance independence and high quality of life for older adults. It is possible to discern distinct evolutionary stages when examining scholarship related to the role of physical activity in the promotion of healthy aging. Research into physical activity and aging began with critical early studies that established the underlying scientific evidence for a relationship between physical activity and healthy aging. More recent work has addressed such topics as building consumer demand, developing policies and legislation to support active aging, and understanding the complex interrelationships between physical activity and other lifestyle factors in the prevention and treatment of chronic diseases and conditions. It is increasingly apparent that strategies to promote active and successful aging must be integrated into an effective public policy. Kinesiologists and other health professionals, working in collaboration with colleagues from other disciplines, can help to reduce risk factors for chronic disease and improve quality of life for older adults by building awareness of the importance of physical activity and by assisting with the development and implementation of appropriate and effective interventions that reduce risk factors and improve quality of life.


2016 ◽  
Vol 15 (2) ◽  
pp. 201-206
Author(s):  
Mosammat Shamsun Naher Begum ◽  
Wongchan Petpichetchian ◽  
Luppana Kitrungrote

Background: The present study was aimed to the relationships between symptom severity and distress and quality of life (QoL) of patients receiving chemotherapy for breast cancer.Objectives and methodology: A total number of 132 patients, attending both In-patient and Out-patient department and fulfilling the recruitment criteria were included in the study. A self-report questionnaire was used to collect data from the eligible participants by the primary investigator. The data were analyzed by using descriptive and inferential statistical tools. Results: On average, the participants of the study experienced seventeen symptoms with moderate level. The level of QoL of the participants was at moderate level (M=2.02, SD=0.39). Among all the subscales, the physical well-being had the lowest score and social well-being had highest score. Symptom experience and quality of life showed significant negative correlation. Conclusion: The patients with breast cancer would experience high symptoms during a 7-day period after receiving chemotherapy of the previous cycle. Nurses need to perform full measurement of multiple symptoms when care for breast cancer patients after the administration of chemotherapy.Bangladesh Journal of Medical Science Vol.15(2) 2016 p.201-206


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