The everyday lives of older adults with visual impairment: An occupational perspective

2018 ◽  
Vol 81 (5) ◽  
pp. 266-275 ◽  
Author(s):  
Julie Ann Nastasi
Keyword(s):  
Older Adults ◽  
Life Satisfaction ◽  
Problem Solving ◽  
Visual Impairment ◽  
Well Being ◽  
Object Identification ◽  
Problem Solving Skills ◽  
The Everyday ◽  
Community Environments ◽  
Occupational Life

Introduction In order to live in a world created for the sighted, older adults with visual impairment must adapt to complete vision-dependent activities that require reading, writing, and object identification. The objective of this study was to explore the occupational lives of three older adults with visual impairment. Method A qualitative study with four interviews each and two observation sessions each was conducted with older adults with visual impairment. Data were analyzed by participant and across participants using open, axial, and selective coding. Codes were refined throughout the process yielding the themes of the study. Results Three themes emerged from the analysis: an occupational life of doing, an occupational life rich with well-being, and an occupational life filled with motivation for independence. Participants were highly motivated to complete their occupations and activities independently. Participation in activities in the home and community environments provided participants with life satisfaction and happiness. Through problem-solving skills, adaptations, and support of family and friends, participants successfully completed their desired occupations. Conclusion This study highlights the importance of motivation and support to facilitate participation in occupations in the home and community environments.

scholarly journals Meaning of Aging, Gerotranscendence, and Successful Aging in Older Adults With Chronic Health Conditions

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 423-423
Author(s):  
Meredith Troutman-Jordan
Keyword(s):  
Older Adults ◽  
Problem Solving ◽  
Life Events ◽  
Successful Aging ◽  
Stressful Events ◽  
Functional Health ◽  
Major Influence ◽  
Unexpected Death ◽  
Major Life ◽  
Problem Solving Skills

Abstract Aging presents change in the form of opportunities and challenges, from common physical alterations, to major life events. Perception of such events is greatly shaped by one’s mental health, and is a major influence on gerotranscendence, a positive kind of aging involving redefinition of self, relationships, and proposed to be a precursor to successful aging. A mixed-methods cross-sectional descriptive design was used to study 50 older adults. Life Events Checklist, Gerotranscendence Scale, Herth Hope Index, and Successful Aging Inventory were administered. Mean participant age was 70.78 years; there were 9 males (18%), 41 females (82%), 13 were Black (26%), and 37 were White (74%). Participants reported a number of stressful events, most frequently transportation accidents, followed by other very stressful events or experiences, and sudden unexpected death of someone close. Gerotranscendence scores ranged from 0-10 (µ 6.88, a moderate score). Successful aging scores ranged from 40-79 (µ 62.33, a moderate score). A sub-sample of 6 participants engaged in semi-structured interviews, which were transcribed verbatim and subject to content analysis. Faith, displaced longing, temporal anticipation, proactive problem-solving/coping, and concern for future generations were emergent qualitative themes. Findings highlight opportunities for providers from multiple disciplines to target risks and possibilities for aging successfully and to promote hope, optimism, problem-solving skills, and gerotranscendence in all older adults, regardless of physical or functional health status.

scholarly journals Family Solidarity, Social Support, Loneliness, and Well-Being Among Older Adults in Rural China

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 319-320
Author(s):  
Xiaoyan Zhang ◽  
Merril Silverstein
Keyword(s):  
Older Adults ◽  
Life Satisfaction ◽  
Adult Children ◽  
Child Support ◽  
Structural Equation ◽  
Total Population ◽  
Well Being ◽  
Equation Modeling ◽  
National Bureau ◽  
Subjective Well Being

Abstract China is experiencing a large increase in elderly population. In 2019, China’s population aged 60 and above had reached 253 million, accounting for 18.1% of the total population (National Bureau of Statistics of China, 2020). By 2050, the number of adults aged 60+ would be up to 430 million, reaching one third of the total population (Du, Zhai & Chen, 2005). Considering such a rapid aging process and the existing large number of older adults in China, it becomes imperative to investigate how psychosocial factors affect this group’s subjective well-being. This study proposed that, among older adults, higher support received from each of the three relational sources (adult children, family and friends) were associated with reduced loneliness and improved well-being. Structural equation modeling was conducted using a sample of rural adults aged 60 and older (N= 1142) from the 2018 wave of data from the Longitudinal Study of Older Adults in Anhui Province, China. Findings indicated that support from adult children directly and indirectly decreased older adults’ depression and improved their life satisfaction through loneliness; while support from family members directly decreased depression but did not directly improve life satisfaction or indirectly improve well-being through loneliness. Although support from friends did not have a significant impact on older adults’ well-being, it indirectly improved well-being through reduced loneliness. Findings have implications for programs or interventions targeting both parent -adult-child support and friends support and reducing rural older adults’ loneliness.

scholarly journals Promoting Problem Solving About Health Management: A Mixed-Methods Pilot Evaluation of a Digital Health Intervention for Older Adults With Pre-Frailty and Frailty

2021 ◽  
Vol 7 ◽  
pp. 233372142098568
Author(s):  
Annie T. Chen ◽  
Frances Chu ◽  
Andrew K. Teng ◽  
Soojeong Han ◽  
Shih-Yin Lin ◽  
...  
Keyword(s):  
Older Adults ◽  
Mixed Methods ◽  
Health Literacy ◽  
Problem Solving ◽  
Self Efficacy ◽  
Health Management ◽  
Digital Health ◽  
Post Intervention ◽  
Problem Solving Skills ◽  
Health Related

Background: There is a need for interventions to promote health management of older adults with pre-frailty and frailty. Technology poses promising solutions, but questions exist about effective delivery. Objectives: We present the results of a mixed-methods pilot evaluation of Virtual Online Communities for Older Adults (VOCALE), an 8-week intervention conducted in the northwestern United States, in which participants shared health-related experiences and applied problem solving skills in a Facebook group. Methods: We performed a mixed-methods process evaluation, integrating quantitative and qualitative data, to characterize the intervention and its effects. We focus on four areas: health-related measures (health literacy and self-efficacy), participation, problem solving skills enacted, and subjective feedback. Results: Eight older adults with pre-frailty and frailty (age = 82.7 ± 6.6 years) completed the study. There was an upward trend in health literacy and health self-efficacy post-intervention. Participants posted at least two times per week. Content analysis of 210 posts showed participants were able to apply the problem solving skills taught, and exit interviews showed participants’ increased awareness of the need to manage health, and enjoyment in learning about others. Conclusion: This mixed-methods evaluation provides insight into feasibility and design considerations for online interventions to promote health management among vulnerable older adults.

Play and Play Therapy

2012 ◽  
pp. 667-679
Author(s):  
Debra Leigh Walls Rosenstein
Keyword(s):  
Play Therapy ◽  
Well Being ◽  
Academic Life ◽  
Melanie Klein ◽  
Review Of The Literature ◽  
Problem Solving Skills ◽  
Current Trends ◽  
Effective Form ◽  
The Everyday ◽  
Everyday Stress

Play is the most powerful, the purest, and the most effective form of communication language and self-expression available (walls, 1982). The concept of therapy through play was derived from Melanie Klein (1921) and Anna Freud (1952). Unfortunately, play is a rapidly declining art due in large part to our ever-changing, fast paced and technologically driven society where recesses are being cut and children often turn to video games instead of the outdoors. With this in mind, incorporating play into the daily academic life of children is critical and vital for their total well being – physically, socially and intellectually. The focus of this chapter is to explain the importance of play, provide a review of the literature, and discuss the theoretical framework, techniques and current trends. Special attention will be focused on how educators can utilize play therapy to enhance self-esteem, social, interpersonal and problem solving skills and reduce the everyday stress that surrounds our children today.

Intergenerational Solidarity and Life Satisfaction among Empty-nest Older Adults in Rural China: Does Distance Matter?

2020 ◽  
pp. 0192513X2092621
Author(s):  
Mengting Li ◽  
Yaling Luo ◽  
Penghui Li
Keyword(s):  
Older Adults ◽  
Life Satisfaction ◽  
Social Services ◽  
Satisfaction With Life ◽  
Well Being ◽  
Migrant Children ◽  
Satisfaction With Life Scale ◽  
Geographical Proximity ◽  
Intergenerational Solidarity ◽  
Contact Frequency

Intergenerational solidarity plays a significant role in older adults’ psychological well-being, but it remains unclear whether the influence would vary by distance. This study aims to examine the moderating role of geographical proximity between intergenerational solidarity and life satisfaction. We interviewed 1,015 rural older adults in Sichuan, China. Life satisfaction was measured by Satisfaction with Life Scale. Five of the six dimensions of intergenerational solidarity were assessed: structural (geographical proximity), associational (contact frequency), functional (support exchange), affectual (emotional closeness), and normative (filial obligation). Multiple regression with interaction term was used. We found the effect of intergenerational solidarity (except associational solidarity) on life satisfaction was strongest for older adults with children living in the same city. Gender differences existed in the moderating effect of parent–child distance on the relationship between intergenerational solidarity and life satisfaction. Social services could focus on older adults with interprovincial migrant children and protect their well-being.

scholarly journals WHEN NETWORKS FAIL: ISOLATION AND INDEPENDENCE AMONG OLDER ADULTS IN PUBLIC HOUSING

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S180-S180
Author(s):  
Brooke Wagen ◽  
Whitney Williams ◽  
Jan Bennett ◽  
Elizabeth A Jacobs
Keyword(s):  
Older Adults ◽  
Problem Solving ◽  
Public Housing ◽  
Affordable Housing ◽  
Qualitative Interviews ◽  
Well Being ◽  
Poverty Level ◽  
Cultural Perceptions ◽  
Health Aging ◽  
Problematic Experiences

Abstract In the coming decades, the population of adults over 65 in the US will increase dramatically. Many older adults live at or below the poverty level, and the growing lack of affordable housing combined with fixed incomes promises to increase the number of older adults facing combined housing and health challenges. Despite their vulnerability, little is known about the lived experiences of older adults aging in place in public housing. We conducted semi-structured qualitative interviews with 27 older adults at two public housing sites in Austin, Texas to gain an understanding of their thoughts on health, aging, home, community, and problem solving. We conducted interviews in Spanish (n=10) and English (n=17) with 16 female and 11 male interviewees with a mean age of 71.7 years (range 65-85 years). We systematically coded transcribed interviews and used grounded theory to analyze the data. Participants described feeling isolated due to language barriers, cultural perceptions about neighbors, and previous problematic experiences with neighbors leading to intentional isolation for safety. Some, however, spoke of how they acted as community connectors or responded to connectors in the community in ways that reduced their isolation. Participants framed individual problem-solving and personal choices as central to health and wellness. Our findings suggest a way forward for housing authorities, communities, and health systems working together to provide services to these adults. Incorporating their points of view and even co-creating interventions to enhance their health and well-being will make these interventions more successful and welcome.

Who We Live With and How We Are Feeling: A Study of Household Living Arrangements and Subjective Well-Being Among Older Adults in China

2020 ◽  
pp. 016402752096154
Author(s):  
Wen-Jui Han ◽  
Ying Li ◽  
Cliff Whetung
Keyword(s):  
Older Adults ◽  
Life Satisfaction ◽  
Rural Areas ◽  
Living Arrangements ◽  
Well Being ◽  
Adult Health ◽  
Subjective Well Being ◽  
And Control ◽  
The Relationship

Using a sample of Chinese adults over the age of 50 from wave 1 of the WHO Study on Global Ageing and Adult Health (n = 13,367), we investigated the relationship between living arrangements and subjective well-being (SWB) in regard to life satisfaction, happiness, and control. We also looked at the moderating role of resources, proxied by income and hukou status. Multivariate regression results indicate that living only with a spouse was significantly associated with better SWB. Multigenerational living arrangements may not always promote SWB, particularly when resources are constrained. Yet, results also underscore the importance of daughters and daughters-in-law in promoting SWB among older adults. Older adults in rural areas had better SWB, including greater life satisfaction if living with grandchildren only, compared to their urban peers living with a spouse only. Findings suggest that context matters in the association between living arrangements and older adults’ SWB.

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