Wellness Among University-level Music Students: A Study of the Predictors of Subjective Vitality

For many music students, the transition to university-level studies can be a time characterized by high levels of stress as they adjust to academic standards and the challenges of demanding performance assessments. Given this context, this study investigated the impact of stress on students’ well-being, specifically the facet of subjective vitality, defined in the literature as a feeling of energy and aliveness. Our focus was to explore whether certain psychosocial traits would moderate the negative effects of stress on vitality. Working from an empirically derived conceptual model, our central hypotheses were: (a) that stress and self-oriented perfectionism would be negatively related to vitality, whereas adaptability and quality of peer relationships would be positively related to vitality; and (b) that the relationship between stress and vitality would be moderated by students’ self-oriented perfectionism, adaptability, and quality of peer relationships. Participants were 293 undergraduate and graduate music majors from university schools of music and conservatoires in the United States and Australia. Findings revealed that stress was a significant negative predictor of vitality, but self-oriented perfectionism was not. In addition, both adaptability and quality of peer relationships were significant positive predictors of vitality. However, neither self-oriented perfectionism, adaptability, nor quality of peer relationships moderated the effects of stress on vitality. These findings are discussed with regard to practical recommendations for helping students deal with the stressors in their environments and potential theoretical avenues to explore through future research.

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Understanding the Link between Family Caregiver Quality of Life and the Care Provided to Older People With Dementia

Innovation in Aging ◽

10.1093/geroni/igaa057.500 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 153-154

Author(s):

Afeez Hazzan

Keyword(s):

Quality Of Life ◽

Quality Of Care ◽

Older People ◽

Family Caregivers ◽

Family Caregiver ◽

Well Being ◽

The United States ◽

People With Dementia ◽

The Impact

Abstract Dementia is one of the most rapidly growing diseases in the United States. In 2018, the direct costs to American society of caring for older people with dementia was approximately $277 billion. Primary informal caregivers are mainly responsible for the care of older people with dementia including Alzheimer’s disease. Caregivers perform a myriad of duties ranging from shopping for their loved ones’ groceries, helping with medications, and managing finances. The caregiving role becomes more demanding as the disease progresses over time, and studies have shown that the quality-of-life (QoL) experienced by caregivers of older adults who have dementia is lower than the QoL of caregivers for older people who do not have dementia. To the best of our knowledge, there has been no research conducted to investigate whether lower caregiver QoL affects the level or quality of care that caregivers provide to persons with dementia. In the current study, we interviewed family caregivers living in Rochester, New York to inquire about their quality of life and the care provided to older people living with dementia. Further, caregivers completed the 36-item Short Form Health Survey (SF-36) as well as a draft questionnaire for measuring the quality of care provided to older people living with dementia. Both quantitative and qualitative findings from this study reveals important relationships between family caregiver QoL and the care provided, including the impact of social support and financial well-being. The study findings could have significant impact, particularly for the provision of much needed support for family caregivers.

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Community intervention strategies to reduce the impact of financial strain and promote financial well-being: a comprehensive rapid review

Global Health Promotion ◽

10.1177/1757975920984182 ◽

2021 ◽

Vol 28 (1) ◽

pp. 42-50

Author(s):

Nicole M. Glenn ◽

Lisa Allen Scott ◽

Teree Hokanson ◽

Karla Gustafson ◽

Melissa A. Stoops ◽

...

Keyword(s):

Quality Of Life ◽

Community Intervention ◽

Well Being ◽

Small Sample ◽

Financial Strain ◽

Rapid Review ◽

Research Centre ◽

Future Research ◽

The Impact

Financial well-being describes when people feel able to meet their financial obligations, feel financially secure and are able to make choices that benefit their quality of life. Financial strain occurs when people are unable to pay their bills, feel stressed about money and experience negative impacts on their quality of life and health. In the face of the global economic repercussions of the COVID-19 pandemic, community-led approaches are required to address the setting-specific needs of residents and reduce the adverse impacts of widespread financial strain. To encourage evidence-informed best practices, a provincial health authority and community-engaged research centre collaborated to conduct a rapid review. We augmented the rapid review with an environmental scan and interviews. Our data focused on Western Canada and was collected prior to the pandemic (May–September 2019). We identified eight categories of community-led strategies to promote financial well-being: systems navigation and access; financial literacy and skills; emergency financial assistance; asset building; events and attractions; employment and educational support; transportation; and housing. We noted significant gaps in the evidence, including methodological limitations of the included studies (e.g. generalisability, small sample size), a lack of reporting on the mechanisms leading to the outcomes and evaluation of long-term impacts, sparse practice-based data on evaluation methods and outcomes, and limited intervention details in the published literature. Critically, few of the included interventions specifically targeted financial strain and/or well-being. We discuss the implications of these gaps in addition to possibilities and priorities for future research and practice. We also consider the results in relation to the COVID-19 pandemic and its economic consequences.

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Quality of Life of Family Caregivers of Patients With Cancer in Korçe, Albania

Journal of Palliative Care ◽

10.1177/0825859718812432 ◽

2018 ◽

Vol 34 (2) ◽

pp. 118-125 ◽

Cited By ~ 1

Author(s):

Jonathon Judkins ◽

Irena Laska ◽

Judith Paice ◽

Priya Kumthekar

Keyword(s):

Quality Of Life ◽

Well Being ◽

Risk Groups ◽

The United States ◽

Primary Objective ◽

Care Clinic ◽

Demographic Groups ◽

Spiritual Well Being ◽

The Impact

Purpose: The primary objective of this study was to quantify cancer family caregiver (FCG) quality of life (QOL) in a Southern Albanian population and to determine whether differences exist between 4 domains of QOL (physical, psychological, social, and spiritual). This study also sought to compare QOL in our cohort to QOL in historical studies that used the same survey instrument, and to examine correlations between demographic characteristics and QOL to identify any high-risk groups. Methods: A sample of 40 FCGs was recruited at the Mary Potter Palliative Care Clinic in Korçe, Albania. Each participant completed the City of Hope Quality of Life (Family Version), a validated 37-question instrument that measures caregiver well-being in 4 domains: physical, psychological, social, and spiritual well-being. Results: There were no significant differences between the composite scores of the 4 QOL domains in our study. However, there were differences when comparing self-reported QOL between domains (“Rate your overall physical/psychological/social/spiritual well-being”). The QOL measured in our study was significantly lower than in 3 studies from the United States that used the same questionnaire. There were no significant correlations between demographic groups and QOL. Conclusions: This study examines the impact that the paucity of palliative services has on the QOL of Albanian cancer FCGs. Although there were no domains of QOL or demographic groups identified in our study that were faring significantly worse than others, the poor overall QOL provides further evidence to support the continued development of palliative services for both patients and family members in Albania.

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Quality of Life Among Black Prostate Cancer Survivors: An Integrative Review

American Journal of Men s Health ◽

10.1177/1557988318780857 ◽

2018 ◽

Vol 12 (5) ◽

pp. 1648-1664 ◽

Cited By ~ 4

Author(s):

Sabrina L. Dickey ◽

Motolani E. Ogunsanya

Keyword(s):

Quality Of Life ◽

Prostate Cancer ◽

Cancer Survivors ◽

Black Men ◽

Well Being ◽

The United States ◽

Integrative Review ◽

Dominant Factor ◽

The Impact

The purpose of this integrative review was to explore the impact of prostate cancer (PCa) on the quality of life (QoL) and factors that contribute to the QoL for Black men with PCa. Prostate is recognized as the prevalent cancer among men in the United States. Compared to other men, Black men are diagnosed more frequently and with more advanced stages of PCa. Black men also experience disproportionately higher morbidity and mortality rates of PCa, among all racial and ethnic groups. The initial diagnosis of PCa is often associated with a barrage of concerns for one’s well-being including one’s QoL. As a result, men must contend with various psychosocial and physiological symptoms of PCa survivorship. Whittemore and Knafl’s integrative review method was utilized to examine empirical articles from the electronic databases of the Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, PubMed, Project Muse, and Google Scholar. The time frame for the literature was January 2005 to December 2016. A synthesis of the literature yielded 18 studies that met the inclusion criteria for the integrative review. A conceptual framework that examined QoL among cancer survivors identified four domains that measured the QoL among Black PCa survivors: (a) physical; (b) psychological; (c) social; and (d) spiritual well-being. Social well-being was the dominant factor among the studies in the review, followed by physical, psychological, and spiritual. Results indicate the need for additional studies that examine the factors impacting the QoL among Black PCa survivors, using a theoretical framework so as to develop culturally appropriate interventions for Black PCa survivors.

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ADHD in Adults — A Familiar Disease with Unfamiliar Challenges

CNS Spectrums ◽

10.1017/s1092852900003801 ◽

2007 ◽

Vol 12 (S23) ◽

pp. 14-17 ◽

Cited By ~ 7

Author(s):

Stephen V. Faraone

Keyword(s):

Attention Deficit Hyperactivity Disorder ◽

Attention Deficit ◽

Well Being ◽

The United States ◽

Income Loss ◽

Advanced Degrees ◽

Hyperactivity Disorder ◽

The Impact ◽

Important Marker

What exactly is known today about the impact of the adult form of attention-deficit/hyperactivity disorder (ADHD) in society?:In a recent study to examine the societal impact of attention-deficit/hyperactivity disorder (ADHD), 500 patients diagnosed with ADHD and 501 participants with no substantial signs or symptoms of ADHD were studied. Subjects were asked several questions about their quality of life, employment, job satisfaction, and other aspects of their well-being and functionality. Income, which is an important marker for the degree of productivity for an individual in society, was also assessed. ADHD can profoundly affect the performance of individuals in the workplace (Slide 1), and this study found that having ADHD reduced an individual's income by an average of ∼$10,000 per year. If that loss of income is extrapolated to all adults in the United States who have ADHD, it suggests that the economy is losing around $70 billion a year to $115 billion a year in productivity, as measured by loss of income. The range was broad because different models with varying assumptions were applied to project income loss over time. Nevertheless, based on these numbers, it is reasonable to estimate that the population is losing ∼$100 billion annually in productivity due to ADHD.Income loss was found at all levels of education, but it was greatest among patients who had advanced degrees of education; so it seems that the disease may have a more pronounced impact on income among those in the higher income brackets.

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Examining the Influence of Care-Recipient Resistance on Family Caregiver Emotional and Physical Well-Being: Average Frequency Versus Daily Fluctuation

Journal of Applied Gerontology ◽

10.1177/0733464816631594 ◽

2016 ◽

Vol 37 (2) ◽

pp. 203-227 ◽

Cited By ~ 2

Author(s):

Yumi Shirai ◽

Susan Silverberg Koerner

Keyword(s):

Physical Health ◽

Repeated Measures ◽

Well Being ◽

Average Frequency ◽

The United States ◽

Care Recipient ◽

Future Research ◽

Daily Fluctuation ◽

Health Symptoms ◽

The Impact

Although existing cross-sectional research suggests that dependent older family members’ resistive behavior (care-recipient [CR] resistance: verbal or nonverbal rejection or resistance toward caregiver [CG] assistance) can be challenging for informal family CGs, we know little about the impact of the occurrence patterns of CR-resistance—average frequency versus daily fluctuation—on CG emotional and physical well-being. To document CGs’ daily experiences with CR-resistance and their emotional and physical well-being, the present study applied short-term repeated measures, collecting data on 8 consecutive days from 63 CGs in Southern Arizona, the United States. Multilevel modeling of the daily data revealed that neither average frequency nor daily fluctuation in CR-resistance alone had a significant impact on CG emotional/physical health. However, the combination of experiencing relatively high frequency and high daily fluctuation in CR-resistance was associated with significant increases in CG physical health symptoms ( b = .34, p < .01). Specifically, on days when a CG faced more CR-resistance than his or her usual amount, significant increases in physical health symptoms existed for CGs with relatively high average frequency of CR-resistance, but not for CGs with relatively low average frequency of CR-resistance. Based on our results, it appears that monitoring and maintaining a reasonable level of CR-resistance are effective strategies to maintain CG resilience to the negative impact of CR-resistance daily fluctuation. The findings are interpreted in light of Stress Theory, and recommendations for future research and practical interventions are offered.

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Horticulture-based Interventions to Enhance Health and Wellbeing of People Living With Dementia in the Community

Innovation in Aging ◽

10.1093/geroni/igab046.2437 ◽

2021 ◽

Vol 5 (Supplement_1) ◽

pp. 647-647

Author(s):

Theresa Scott ◽

Ying-Ling Jao ◽

Kristen Tulloch ◽

Yates Eloise ◽

Nancy Pachana

Keyword(s):

Family Caregivers ◽

Well Being ◽

Behavioral Symptoms ◽

Future Research ◽

Intervention Design ◽

Community Settings ◽

Residential Settings ◽

Health And Wellbeing ◽

The Impact

Abstract The majority of people living with dementia in the early and middle stages are cared for at home by family caregivers. Participation in meaningful activities is important for good quality of life. Recreation based on horticulture is beneficial for people living with dementia in residential settings, yet evidence within community settings is less clear. The aim of this research was to examine the existing evidence for the impact of using contact with nature, gardens and plants to enhance well-being of people living with dementia in the community. Our secondary aim was to explore the outcome domains and instruments that were employed in the existing research studies, to inform future research efforts and guide clinical practice. A systematic search was conducted covering several databases and gray literature. Original studies that examined group or individual horticulture-based activities or interventions were included. Of 2127 articles identified through searching, 10 were selected for full review. The findings reveal that horticulture-based intervention showed positive impacts on food intake, social interaction, and well-being in older adults with dementia. Some evidence shows that horticulture-based activities may alleviate stressful symptoms associated with living with dementia. Future research may further evaluate the effect of the interventions on cognitive function, physical function, and behavioral symptoms in a more rigorous intervention design.

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Effects of Indigenous-focused curriculum on elementary students' engagement and cultural identity

10.32469/10355/70038 ◽

2019 ◽

Author(s):

◽

Lisa N. Aguilar

Keyword(s):

Academic Success ◽

Cultural Identity ◽

Academic Engagement ◽

Student Outcomes ◽

Well Being ◽

The United States ◽

Future Research ◽

Ample Evidence ◽

Intervention Phase ◽

The Impact

[ACCESS RESTRICTED TO THE UNIVERSITY OF MISSOURI AT REQUEST OF AUTHOR.] Achievement disparities stratified by race and socioeconomic status persist across all academic disciplines and grade levels in the United States (National Center for Education Statistics, 2010). Culturally responsive teaching (CRT) is a direct response to concern over an academic achievement differential and high school dropout rates based on race, socioeconomic class, and level of English language ability (Vavrus, 2008). Several researchers have theorized that student engagement may explain variation in student achievement across ethnic groups (Connell, Spencer, and Aber, 1994; Finn and Rock, 1997; Steele, 1997). In the case of Indigenous students, cultural representation within the curriculum has the potential to engage students with the content. Additionally, there is ample evidence that a strong Indigenous identity can be a source of resilience for Indigenous youth, contributing to their academic success and well-being (Lester, 1999; Walters, Simoni, and Evans-Campbell, 2002; Whitbeck, Hoyt, McMorris, Chen and Stubben, 2001). More research is needed to understand the relationship between culture-specific programs, universal contributors to school success, and Indigenous student outcomes (Powers, 2006). ... Each classroom completed behavior and academic engagement ratings using a multiple baseline design, including baseline and intervention phases. The intervention phase involved teachers providing instruction in the areas of science and social studies using the lessons from the NDNAEU curriculum. The results from the study indicated minimal change in behavior and academic engagement ratings for one classroom. However, the improvements for each classroom during the intervention phase were small, in comparison to baseline. Each classroom displayed small changes in pre-and post-test cognitive and affective scores and small to medium effects on cultural identity. Future research is needed to determine the impact of Indigenous-focused curricula on student outcomes. Implications for research and practice, limitations, and future directions are discussed.

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COVID-19 pandemic-related changes in wellness behavior among older Americans

BMC Public Health ◽

10.1186/s12889-021-10825-6 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Elgloria Harrison ◽

Lillie Monroe-Lord ◽

Andrew D. Carson ◽

Anne Marie Jean-Baptiste ◽

Janet Phoenix ◽

...

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

Older Adults ◽

Food Security ◽

Well Being ◽

The United States ◽

Negative Impacts ◽

The Impact ◽

Health And Well Being

Abstract Background COVID-19 has taken its toll on citizens in all 50 states of the United States. The United States (U.S.) leads the world with 30,291,863 confirmed reported cases and 549,664 deaths as of March 29, 2021 compared to globally confirmed cases at 127,442,926 and 2,787,915 deaths as of March 29, 2021. The U.S. federal government primarily left the response to the virus to individual states, and each implemented varying measures designed to protect health of citizens and the state’s economic well-being. Unintended consequences of the virus and measures to stop its spread may include decreased physical activity and exercise, shifting access and consumption of food, and lower quality-of-life. Therefore, our primary goal was to quantify the impact of COVID-19 on health and well-being by measuring changes in physical activity, mental health-quality of life, food security and nutrition in adults ages 40 and older. We believed shifts in health behaviors would be more prevalent in minorities, less educated, lower socio-economic status, older adults, and those with underlying health conditions, so a secondary goal was to determine the impact of COVID-19 on these sub-populations. Methods We conducted an online survey with 9969 adults 40 years and older between 9 August and 15 September 2020 in urban areas across the four U.S. census regions. The survey included questions about demographic variables, pre-existing health conditions, physical activity, access to food, quality-of-life, and nutritional food status and asked participants to respond with information from pre-pandemic and pandemic conditions. We used paired-sample t-tests to detect changes in variables after the start of the pandemic and Cohen’s d to determine effect sizes. Results Our main findings showed a decrease in physical activity since the onset of COVID-19 for minorities and non-minorities. Food security also slightly increased for minorities during the pandemic, but we found no other changes in food security, quality-of-life indicators, or nutritional status of those who responded to this survey. Conclusions It is concerning that physical activity declined. Such activity helps maintain physical and mental health, and it is also an important time to socialize for many older adults. In many ways, our data indicate that the older adult population in U.S. cities may be more resilient than expected during the pandemic. However, the pandemic could have negative impacts that we did not detect, either due to the survey instrument or the timing of our survey, so the health and well-being of older adults should continue to be monitored in order to mitigate potential negative impacts.

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Educationally Resilient College Students and Their Experiences With Housing Insecurity

10.5642/cguetd/213 ◽

2021 ◽

Author(s):

◽

Kathryn Hsieh

Keyword(s):

Low Income ◽

Qualitative Interviews ◽

Well Being ◽

The United States ◽

Housing Affordability ◽

College Completion ◽

Future Research ◽

First Generation College Student ◽

Research Institution ◽

The Impact

The purpose of this study was to understand how students navigate housing insecurity during their postsecondary experience. Emerging as a recent topic in scholarly discussion, how students address housing affordability and accessibility highlights an important discussion surrounding college opportunity. Qualitative interviews with 20 postsecondary alumni were conducted in a large public research institution in the United States. Through a resilience framework, this study explored how students navigated their housing challenges by leveraging internal and external factors. Housing challenges included living in overcrowded spaces, moving frequently, working significant hours, and reducing monthly expenses such as groceries to ensure housing affordability. The impact of these strategies increased a student's anxiety, negatively affecting their personal well-being and at times their academics. Despite these challenges, participants showed a strong resolve to persevere toward college completion. Themes of self-efficacy (internal) and supportive relationships (external) were important motivators to persist toward college completion in spite of housing challenges and barriers. Each participant was determined to overcome the stigma associated with their housing challenges to increase the social mobility of their family and counter stereotypes associated with being a low-income, minority, or first-generation college student. However, due to the negative perceptions associated with housing insecurity, participants would not disclose the extent of their housing challenges with campus stakeholders. Isolation from these experiences decreased a student's sense of belonging and established a belief that the institution could not provide support to address their housing challenges. Implications for policy, practice, and future research include reassessing financial aid packages, developing direct support offices on campus, and additional opportunities to examine housing insecurity from an identity-based lens.

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