Patterns of occupational engagement among community-dwelling older adults in Singapore: An exploratory mixed method study

2021 ◽  
pp. 030802262110080
Author(s):  
Wei Qi Koh ◽  
Yuan Lin Chia ◽  
Wen Xu Ng ◽  
Fiona Y Q Lim ◽  
Therma W C Cheung
Keyword(s):  
Older Adults ◽  
Mixed Method ◽  
Community Dwelling ◽  
Perceived Barriers ◽  
Barriers And Facilitators ◽  
Mixed Method Study ◽  
Social Activities ◽  
Occupational Engagement ◽  
Card Sort ◽  
Community Dwelling Older Adults

Introduction The aim of this study is to understand the patterns of occupations among community-dwelling older adults in Singapore. The objectives are to describe their occupational engagement using the Activity Card Sort Singapore, understand their occupational preferences and perceived barriers and facilitators to engagement. Methods A convergent parallel mixed-method study was conducted over a 5-month period in 2018. Purposive and snowball sampling were used to recruit the participants. Individual 1-h interviews were conducted at participants’ homes. Quantitative data collected include demographic information, Modified Barthel Index scores and activity engagement based on the Activity Card Sort Singapore. Qualitative data was collected using semi-structured interviews. Results 105 participants were enrolled in the study. Overall, older adults engaged mostly in instrumental and social activities. However, leisure and social activities were most preferred. Gender, educational level and age were found to influence occupational engagement. Overall, six main themes relating to perceived barriers and facilitators to occupational engagement were identified: cognition and physical status, self-efficacy, resources, affect and meaningfulness, social influence and environmental factors. Conclusion The findings from this study provided insights into the occupational patterns of community-dwelling older adults in Singapore and their perceived barriers and facilitators to engagement. Recommendations for practice were identified.

scholarly journals A Mixed-Method Study on Strategies in Everyday Personal Goals among Community-Dwelling Older Adults

Gerontology ◽  
2020 ◽  
Vol 66 (5) ◽  
pp. 484-493
Author(s):  
Emilie Joly-Burra ◽  
Martial Van der Linden ◽  
Paolo Ghisletta
Keyword(s):  
Older Adults ◽  
Mixed Method ◽  
Community Dwelling ◽  
Mixed Method Study ◽  
Personal Goals ◽  
Community Dwelling Older Adults

scholarly journals User Acceptance of Wrist-Worn Activity Trackers Among Community-Dwelling Older Adults: Mixed Method Study

2017 ◽  
Vol 5 (11) ◽  
pp. e173 ◽  
Author(s):  
Arjun Puri ◽  
Ben Kim ◽  
Olivier Nguyen ◽  
Paul Stolee ◽  
James Tung ◽  
...  
Keyword(s):  
Older Adults ◽  
Mixed Method ◽  
User Acceptance ◽  
Community Dwelling ◽  
Mixed Method Study ◽  
Activity Trackers ◽  
Community Dwelling Older Adults

scholarly journals Participation in Social Activities and Relationship between Walking Habits and Disability Incidence

2021 ◽  
Vol 10 (9) ◽  
pp. 1895
Author(s):  
Osamu Katayama ◽  
Sangyoon Lee ◽  
Seongryu Bae ◽  
Keitaro Makino ◽  
Ippei Chiba ◽  
...  
Keyword(s):  
Older Adults ◽  
Social Activity ◽  
Community Dwelling ◽  
Social Activities ◽  
Term Care ◽  
Long Term Care Insurance ◽  
Community Dwelling Older Adults ◽  
The Relationship

Identifying the relationship between physical and social activity and disability among community-dwelling older adults may provide important information for implementing tailored interventions to prevent disability progression. The aim of this study was to determine the effect of the number of social activities on the relationship between walking habits and disability incidence in older adults. We included 2873 older adults (mean age, 73.1 years; SD, ±5.9 years) from the National Center for Geriatrics and Gerontology—Study of Geriatric Syndromes. Baseline measurements, including frequencies of physical and social activities, health conditions, physical function, cognitive function, metabolic parameters, and other potential disability risk factors (for example, the number of years of education); monthly assessment for disability was monitored through long-term care insurance certification for at least 2 years from baseline. During a mean follow-up of 35.1 months (SD, 6.4 months), 133 participants developed disability. The disability incidence was 19.0 and 27.9 per 1000 person-years for participants who walked more (≥3 times per week) and less (≤3 times per week) frequently, respectively. The potential confounding factor-adjusted disability hazard ratio was 0.67 (95% confidence interval, 0.46 to 0.96; p = 0.030). The relationship between habitual walking and the number of social activities was statistically significant (p = 0.004). The reduction of disability risk by walking was greater among participants with fewer social activities. Habitual walking was associated with disability incidence, with a more pronounced effect among older adults who were less likely to engage in social activities.

Participation in Social Activities and the Association with Socio-Demographic and Health-Related Factors among Community-Dwelling Older Adults in Jamaica

2016 ◽  
Vol 31 (4) ◽  
pp. 427-447 ◽  
Author(s):  
Douladel Willie-Tyndale ◽  
Desmalee Holder-Nevins ◽  
Kathryn Mitchell-Fearon ◽  
Kenneth James ◽  
Hazel Laws ◽  
...  
Keyword(s):  
Older Adults ◽  
Community Dwelling ◽  
Social Activities ◽  
Related Factors ◽  
Health Related ◽  
Community Dwelling Older Adults

Perceived barriers and facilitators to implement elder abuse intervention for victims and perpetrators: views from US Chinese older adults

2014 ◽  
Vol 16 (5) ◽  
pp. 307-321 ◽  
Author(s):  
XinQi Dong ◽  
E-Shien Chang ◽  
Esther Wong ◽  
Melissa A. Simon
Keyword(s):  
Older Adults ◽  
Elder Abuse ◽  
Community Dwelling ◽  
Perceived Barriers ◽  
Barriers And Facilitators ◽  
Research Approach ◽  
Theory Approach ◽  
Structural Barriers ◽  
Content Type ◽  
Chinese Older Adults

Purpose – The purpose of this paper is to explore US Chinese older adults’ views regarding elder abuse interventions in order to understand barriers and facilitators of help-seeking behaviors. Design/methodology/approach – The study design was qualitative, using a grounded theory approach to data collection and analysis. Community-based participatory research approach was implemented to partner with the Chicago Chinese community. A total of 37 community-dwelling Chinese older adults (age 60+) participated in focus group discussions. Findings – Participants viewed many benefits of intervention programs. Perceived barriers were categorized under cultural, social, and structural barriers. Facilitators to implement interventions included increasing education and public health awareness, integrating social support with existing community social services, as well as setting an interdisciplinary team. Perpetrators intervention strategies were also discussed. Originality/value – This study has wide policy and practice implications for designing and deploying interventions with respect to elder abuse outcome. Modifying the cultural, social, and structural barriers that affect health behavior of Chinese older adults contribute to the salience of elder abuse interventions in this under-served.

scholarly journals Engaging with Aging: A Qualitative Study of Age-Related Changes and Adaptations

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 975-976
Author(s):  
Shaoqing Ge ◽  
Kuan-Ching Wu ◽  
Hillary Frey ◽  
Maryam Saudagaran ◽  
Derick Welsh ◽  
...  
Keyword(s):  
Older Adults ◽  
Daily Living ◽  
Data Gathering ◽  
Community Dwelling ◽  
Structured Interviews ◽  
Card Sort ◽  
Age Related ◽  
Submission Deadline ◽  
Community Dwelling Older Adults ◽  
Age Related Changes

Abstract Engaging with Aging is an emerging framework proposed by Carnevali which provides a new lens to understand an active, conscious daily living process of coping with age-related changes (ARCs) taken on by older adults. Study aims were to 1) describe the ARCs experienced by community-dwelling older adults; 2) identify the strategies and resources used by older adults to accommodate the daily living challenges caused by the associated ARCs; and 3) evaluate the framework of EWA based on findings from aims 1 and 2. We conducted semi-structured interviews with 29 participants aged 64 to 98 online due to COVID-19 restrictions. We used a virtual card sort to assist data gathering. Fifteen ARCs (e.g., changes in hearing, changes in stability, changes in sleep, etc.) were mentioned by participants and their corresponding adaptations were discussed. We found that older adults linked their adaptations to their ARCs based on their changing capacities and needs. Commonly used adaptations included conserving energy, utilizing tools or technology, and being more conscious before and while taking actions. The challenges caused by COVID-19 in implementing the adaptations were also discussed (e.g., increased difficulty in understanding others due to mask-wearing). Our study substantiates the EWA framework by showing the commonality among older adults in linking ARCs with adaptations. Implications for clinicians and researchers include using EWA to help older adults identify personalized solutions that fit their capacities. Our study is late-breaking as we recently finished data analysis and the information included was not yet available by the previous submission deadline.

scholarly journals Associations Between Intellectual and Social Activities With Frailty Among Community-Dwelling Older Adults in China: A Prospective Cohort Study

2021 ◽  
Vol 8 ◽  
Author(s):  
Yafang Huang ◽  
Xiangyu Guo ◽  
Juan Du ◽  
Yanli Liu
Keyword(s):  
Older Adults ◽  
Frailty Index ◽  
Social Activity ◽  
Community Dwelling ◽  
Social Activities ◽  
Activity Data ◽  
Intellectual Activity ◽  
Relative Risks ◽  
Intellectual Activities ◽  
Community Dwelling Older Adults

Background: Frailty is one of the most important global health challenges. We aimed to examine the associations between frequency of intellectual and social activities and frailty among community-dwelling older adults in China.Methods: This is a prospective analysis of older adults (aged ≥60 years) who had intellectual and social activity data and were free of frailty from the national representative China Health and Retirement Longitudinal Study (CHARLS). The exposure was frequency of intellectual and social activities. Frailty was measured by the frailty index (FI) and defined as FI ≥ 0.25. Frailty incidents were followed up for 2 years. We estimated the relative risks (RRs) with 95% confidence intervals (CIs) using log-linear binominal regression adjusting for potential confounders.Results: We documented 655 frailty cases over the past 2 years. Participants who had frequent intellectual activities had a lower frailty risk compared with participants who did not have intellectual activity (adjusted RR = 0.65, 95%CI = 0.47–0.90). The adjusted RRs were 0.51 (95%CI = 0.33–0.77) for participants who did not have a slip or a fall accident and 1.06 (95%CI = 0.65–1.75) for participants who had experienced slip and fall accidents (P = 0.01 for interaction). Having frequent social activities was not associated with a significant decrease in frailty risk compared with participants who did not have social activity (adjusted RR = 0.93, 95%CI = 0.78–1.12).Conclusions: This observational study showed that having frequent intellectual activities was associated with a decreased frailty risk. The association was likely to be stronger in participants without a slip or a fall accident. Randomized controlled trials are needed to confirm this observational finding.

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