A cross-sectional survey of a public, evidence-based multimodal program for cognitive health in older adults

Abstract Background In recent decades, the proportion of older adults in the population has continued to rise, and with it, the need for intervention programs to maintain cognitive functions into old age. Multiple lifestyle factors, including physical, cognitive, and social activities, are crucial to forestalling a decline in cognitive functions. However, Covid-19 curtailed most activities, and therefore, strategies are needed to support older adults in remaining cognitively healthy. This study describes a newly developed and publicly available multimodal program, called “brain coach”, to support and stimulate cognitive activity in older adults. The autonomy supportive program integrates into daily life recommendations for evidence-based physical, cognitive, social, mindful, and creative activation exercises. Methods The study design corresponds to a correlational, analytical, and cross-sectional study with 660 older adults, who participated in the program for at least 3 months and completed an online survey. Results The survey results demonstrate that the average age of the participants was 71 years and 75 % were female. Participants experienced benefits in memory, well-being, attitudes towards the brain, and lifestyle habits. Importantly, time invested in the intervention and participant’s positive attitude toward brain health and neuroplasticity, show positive relationships with the experienced benefits. Conclusions The results reveal the potential of a public program with a multimodal approach to increase cognitive health and promote an active lifestyle. Further research will explore the effects of such a multimodal intervention in a longitudinal randomized controlled trial study.

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A Cross-sectional Survey of an Ongoing Public Multimodal Intervention for Cognitive Health for Older Adults in Times of Covid-19

10.21203/rs.3.rs-272279/v1 ◽

2021 ◽

Author(s):

Barbara Studer-Luethi ◽

Maria Brasser ◽

Simon Lusti ◽

Rahel Schaerli

Keyword(s):

Older Adults ◽

Cognitive Functions ◽

Preventive Intervention ◽

Controlled Trial ◽

Cognitive Activity ◽

Well Being ◽

Brain Health ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Multimodal Intervention

Abstract BackgroundIn recent decades, the proportion of older adults in the population has continued to rise and with it the need for intervention programs to maintain cognitive functions into old age. Multiple lifestyle factors, first and foremost physical, cognitive, and social activities, have been shown to be crucial to forestalling decline in cognitive functions. However, since Covid-19 has curtailed opportunities for such activities, strategies must be designed to support older adults to remain cognitively healthy. MethodsThis study describes a newly developed ongoing publicly available preventive intervention, called brain coach, to support and stimulate cognitive activity in older adults. The intervention consists of weekly recommendations for evidence-based physical, cognitive, social, mindful, and creative activation exercises that can be integrated in daily life. 660 participants participated in an online cross-sectional survey examining experienced benefits and changes in relation to the program.ResultsParticipants reported benefits in memory, well-being, attitudes towards the brain, and lifestyle habits. Importantly, time invested in the intervention as well as some characteristics of participants, such as personality and positive attitude toward brain health, show positive relationships with these experienced benefits. Further research will explore the effects of such a multimodal intervention in a longitudinal randomized controlled trial study.

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In the Eyes of Those Who Were Randomized: Perceptions of Disadvantaged Older Adults in a Tai Chi Trial

The Gerontologist ◽

10.1093/geront/gny165 ◽

2018 ◽

Vol 60 (4) ◽

pp. 672-682 ◽

Cited By ~ 1

Author(s):

On-Yee Lo ◽

Lisa A Conboy ◽

Alexandra Rukhadze ◽

Caroline Georgetti ◽

Margaret M Gagnon ◽

...

Keyword(s):

Older Adults ◽

Qualitative Study ◽

Self Efficacy ◽

Tai Chi ◽

Exercise Intervention ◽

Controlled Trial ◽

Well Being ◽

Subsidized Housing ◽

Cluster Randomized ◽

Supportive Program

Abstract Background and Objectives Older adults living in subsidized housing have typically been excluded from exercise intervention studies. We conducted a qualitative study to explore the perceived physical, psychological, social, and economic factors that influenced participation in and adherence to a year-long Tai Chi intervention within an ongoing cluster-randomized controlled trial (RCT) for older adults living within subsidized housing facilities. Research Design and Methods Focus groups were held with participants of the RCT who were allocated to the trial’s Tai Chi intervention. Individual phone interviews were conducted with those allocated to Tai Chi who had low adherence or who had withdrawn their participation from the study. Emergent themes were extracted using grounded-theory methods. Results In this qualitative study, we enrolled 41 participants who were allocated to the RCT’s Tai Chi intervention: 38 completed and 3 withdrew from the study. Average Tai Chi class attendance was 64.3%. Pragmatic factors that led to higher adherence and retention included: locating classes within each facility; providing programs at no cost; and deployment of a skilled research support team. In addition, the use of an accessible, simplified Tai Chi program improved confidence, social support, self-efficacy, and self-reported improvements in physical and psychological well-being. Discussion and Implications Perceived physical, psychological, social benefits, and self-efficacy likely enhance adherence and retention to research-based Tai Chi interventions for older adults. Delivering an on-site, no cost, and supportive program appears critical to overcoming financial and environmental barriers to participation for those living within subsidized housing.

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Accelerometry-Based Assessment of Physical Activity in Older Adults During COVID-19 Pandemic

Innovation in Aging ◽

10.1093/geroni/igab046.3652 ◽

2021 ◽

Vol 5 (Supplement_1) ◽

pp. 1030-1030

Author(s):

Renoa Choudhury ◽

Ladda Thiamwong ◽

Oscar Garcia ◽

Rui Xie ◽

Jeffrey Stout ◽

...

Keyword(s):

Physical Activity ◽

Older Adults ◽

Online Survey ◽

Healthy Aging ◽

Well Being ◽

Cross Sectional Study ◽

Community Dwelling ◽

Activity Level ◽

Cross Sectional ◽

The Social

Abstract COVID-19 pandemic has caused a severely detrimental effect on the physical, psychological, and functional well-being of older adults by forcing them to limit their social activities. This study investigates the amount and intensity of daily physical activity (PA) in older adults, living under the social distancing guidelines during COVID-19 pandemic. In this cross-sectional study, 124 community-dwelling older adults (Age:60–96 years, mean:75±7.14) were recruited via word-of–mouth and key person approach between March 2021-August 2021. Participants completed an online survey on COVID-19 questionnaires and wore an ActiGraph GT9X accelerometer on their non-dominant wrist for consecutive 7 days in free-living conditions. Euclidean Norm Minus One cut-points were used to estimate the total time spent in sedentary behavior (SB), light PA (LPA) and moderate-to-vigorous PA (MVPA). Results showed that, 7% had COVID-positive, 55% perceived moderate severity of COVID in their area, 31% reported fear of COVID, and 14.5% were afraid of losing their life to COVID. On average, participants obtained 12.43±2.1 hours/day of SB, 3.47±1.05 hours/day of LPA and 42.71±29.71 minutes/day of MVPA. MVPA minutes/day was significantly higher (P = 0.006) in participants aged 60-85 years than those aged 85+ years (45.38 minutes/day vs 14.25 minutes/day). When age-adjusted data was compared to pre-COVID-19 studies, we found COVID-19 pandemic had negatively impacted the physical activity level in older adults (29.33% decrease in MVPA and 39.2% increase in SB). These findings can be useful in developing guidelines and/or interventions to promote physical activity and healthy aging among older adults, particularly those in social isolation.

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Mental Health Consequences of the COVID-19 Pandemic Among Older Adults With Chronic Conditions

Innovation in Aging ◽

10.1093/geroni/igab046.2681 ◽

2021 ◽

Vol 5 (Supplement_1) ◽

pp. 724-724

Author(s):

Courtney Polenick ◽

Diarratou Kaba ◽

Summer Meyers ◽

Annie Zhou ◽

Nikita Daniel ◽

...

Keyword(s):

Mental Health ◽

Older Adults ◽

Chronic Conditions ◽

Chronic Condition ◽

Online Survey ◽

Negative Impact ◽

Well Being ◽

Severe Illness ◽

Cross Sectional ◽

Related Stress

Abstract The COVID-19 pandemic may have a negative impact on mental health, especially among older adults with chronic conditions who are more vulnerable to severe illness. This cross-sectional qualitative study evaluated how the pandemic has impacted the ways that adults aged 50 and older with chronic conditions managed their mental health. Participants included a total of 492 adults (M = 64.95 years, SD = 8.91, range = 50 – 94) from Michigan (82.1%) and 33 other U.S. states who reported a diagnosis of at least one chronic condition and completed an anonymous online survey between May 14 and July 9, 2020. Participants provided open-ended responses to a question about the pandemic’s impact on how they were taking care of their mental health. The data were coded to ascertain relevant concepts and were reduced to develop major themes. We determined four main themes. The pandemic impacted how participants took care of their mental health through: (1) pandemic-related barriers to social interaction; (2) pandemic-related routine changes; (3) pandemic-related stress; and (4) pandemic-related changes to mental health care. Taken as a whole, this study indicates that older adults with chronic conditions encountered a variety of challenges to managing their mental health in the early months of the COVID-19 pandemic, but also demonstrated considerable resilience. These findings identify potential risk and protective factors to target as part of personalized interventions to preserve their well-being during this pandemic and in future public health crises.

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Pre-Loss Grief in Caregivers of Older Adults with Dementia with Lewy Bodies

Journal of Alzheimer s Disease ◽

10.3233/jad-210616 ◽

2021 ◽

pp. 1-13

Author(s):

Juyoung Park ◽

James E. Galvin

Keyword(s):

Older Adults ◽

Psychological Health ◽

Dementia With Lewy Bodies ◽

Online Survey ◽

Lewy Bodies ◽

Well Being ◽

Cross Sectional ◽

Factors Associated ◽

Care Recipients ◽

Significant Difference

Background: Pre-loss grief increases as dementia advances. Caregivers who experience pre-loss grief face risks to their own physical and psychological health. Objective: The study examined factors associated with pre-loss grief in caregivers of older adults with dementia with Lewy bodies (DLB) to determine whether overall caregiver experiences differ based on the stages of DLB in care recipients. The study also compared pre-loss grief in caregivers of DLB patients with that in caregivers of patients with Alzheimer’s disease (AD) and other dementias. Method: Using a cross-sectional design, 714 caregivers of older adults with dementia (488 DLB, 81 AD, 145 other dementia) completed an online survey on pre-loss grief. Multivariate linear regression identified risk factors associated with pre-loss grief and analysis of variance examined whether pre-loss grief in caregivers differed significantly based on type of dementia or stage of DLB. Results: Being the caregiver of a spouse, lower level of caregiver well-being, lower psychological well-being of the caregiver, and higher level of burden were associated (p < 0.005) with increased pre-loss grief in caregivers of older adults with DLB. There was no significant difference in caregiver burden, well-being, or depression according to the various stages of DLB (mild, moderate, severe, deceased) in the care recipients. There was no significant difference in pre-loss grief in caregivers of DLB care recipients compared to caregivers of patients with other dementias. Conclusion: Assessment of DLB caregivers and appropriate interventions should be conducted to reduce their burden and emotional distress to decrease the incidence of pre-loss grief.

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Engaging leadership in the job demands-resources model

Career Development International ◽

10.1108/cdi-02-2015-0025 ◽

2015 ◽

Vol 20 (5) ◽

pp. 446-463 ◽

Cited By ~ 80

Author(s):

Wilmar B. Schaufeli

Keyword(s):

Structural Equation ◽

Work Performance ◽

Online Survey ◽

Job Demands ◽

Well Being ◽

Organizational Outcomes ◽

Job Resources ◽

Equation Modeling ◽

Cross Sectional ◽

Content Type

Purpose – The purpose of this paper is to integrate leadership into the job demands-resources (JD-R) model. Based on self-determination theory, it was argued that engaging leaders who inspire, strengthen, and connect their followers would reduce employee’s levels of burnout and increase their levels of work engagement. Design/methodology/approach – An online survey was conducted among a representative sample of the Dutch workforce (n=1,213) and the research model was tested using structural equation modeling. Findings – It appeared that leadership only had an indirect effect on burnout and engagement – via job demands and job resources – but not a direct effect. Moreover, leadership also had a direct relationship with organizational outcomes such as employability, performance, and commitment. Research limitations/implications – The study used a cross-sectional design and all variables were based on self-reports. Hence, results should be replicated in a longitudinal study and using more objective measures (e.g. for work performance). Practical implications – Since engaged leaders, who inspire, strengthen, and connect their followers, provide a work context in which employees thrive, organizations are well advised to promote engaging leadership. Social implications – Leadership seems to be a crucial factor which has an indirect impact – via job demands and job resources – on employee well-being. Originality/value – The study demonstrates that engaging leadership can be integrated into the JD-R framework.

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Individual differences and changes in lifestyle behaviours predict decreased subjective well-being during COVID-19 restrictions in an Australian sample

Journal of Public Health ◽

10.1093/pubmed/fdab040 ◽

2021 ◽

Author(s):

Emily Brindal ◽

Jillian C Ryan ◽

Naomi Kakoschke ◽

Sinead Golley ◽

Ian T Zajac ◽

...

Keyword(s):

Life Satisfaction ◽

Individual Differences ◽

Online Survey ◽

Protective Factor ◽

Health Behaviours ◽

Well Being ◽

Subjective Well Being ◽

Cross Sectional ◽

Social Distancing ◽

Australian Sample

Abstract Background Due to the coronavirus disease 2019 (COVID-19) pandemic, social distancing practices were introduced to curb infection rates in many countries. The purpose of this study was to assess the effects of these restrictions on behaviours and well-being and whether individual differences predict changes in well-being. Methods Australian adults participated in a cross-sectional, online survey during May 2020. The survey captured demographic information; health behaviours; personality traits; life satisfaction and COVID-19-related attitudes, financial concerns, perceived risks and impacts. Results In total, 3745 (86.8% of 4313) participants completed all items. Participants were mostly female (85.7%) and 56.4 years (standard deviation [SD] = 12.6) on average. Over 95.0% of the sample indicated they had been social distancing or isolating. Health behaviours and well-being had generally worsened, with social connections being the most negatively affected. Life satisfaction was significantly lower since restrictions. For changes in life satisfaction, extroversion was a risk factor and openness to experience was a protective factor. Conclusions Overall, well-being was negatively impacted by the COVID-19 pandemic and associated social distancing particularly in this sample containing mainly older women. In future, it will be crucial to understand why and who may be differentially affected, to encourage behaviours that are protective of well-being.

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Young adults’ coping strategies against loneliness during the COVID-19-related quarantine in Greece

Health Promotion International ◽

10.1093/heapro/daab053 ◽

2021 ◽

Author(s):

Adrianos Golemis ◽

Panteleimon Voitsidis ◽

Eleni Parlapani ◽

Vasiliki A Nikopoulou ◽

Virginia Tsipropoulou ◽

...

Keyword(s):

Social Media ◽

Young Adults ◽

Social Responsibility ◽

Coping Strategies ◽

Online Survey ◽

Adult Population ◽

Psychological Impact ◽

Well Being ◽

Daily Routine ◽

Cross Sectional

Summary COVID-19 and the related quarantine disrupted young adults’ academic and professional life, daily routine and socio-emotional well-being. This cross-sectional study focused on the emotional and behavioural responses of a young adult population during the COVID-19-related quarantine in April 2020, in Greece. The study was conducted through an online survey. A total of 1559 young adults, aged 18−30 years, completed Steele’s Social Responsibility Motivation Scale and the De Jong Gierveld Loneliness Scale, and answered questions about compliance with instructions, quarantine-related behaviours and coping strategies. According to the results, participants displayed a relatively high sense of social responsibility (M = 16.09, SD = 2.13) and a trend towards moderate feeling of loneliness (M = 2.65, SD = 1.62); young women reported significantly higher levels of loneliness than men. The majority complied with instructions often (46.4%) or always (44.8%). Significantly more women created a new social media account and used the social media longer than 5 h/day, compared with men. Resorting to religion, practicing sports and sharing thoughts and feelings about COVID-19 with others predicted higher levels of social responsibility; humour, practicing sports and sharing thoughts and feelings about COVID-19 with others predicted lower levels of loneliness. Conclusively, COVID-19 is expected to have a significant psychological impact on young adults. Currently, Greece is going through the second quarantine period. This study raises awareness about loneliness in young adults during the COVID-19-related quarantine and highlights the importance of developing online programmes, attractive to younger people, to nurture adaptive coping strategies against loneliness.

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Quality of Life of Brazilian Vegetarians Measured by the WHOQOL-BREF: Influence of Type of Diet, Motivation and Sociodemographic Data

Nutrients ◽

10.3390/nu13082648 ◽

2021 ◽

Vol 13 (8) ◽

pp. 2648

Author(s):

Shila Minari Hargreaves ◽

Eduardo Yoshio Nakano ◽

Heesup Han ◽

António Raposo ◽

Antonio Ariza-Montes ◽

...

Keyword(s):

Quality Of Life ◽

Online Survey ◽

Well Being ◽

Vegetarian Diet ◽

The Other ◽

Average Score ◽

Cross Sectional ◽

Domain 3 ◽

Domain 4

This study aimed to evaluate the general quality of life (QoL) of Brazilian vegetarians. A cross-sectional study was conducted with Brazilian vegetarian adults (18 years old and above). Individuals were recruited to participate in a nationwide online survey that comprised the WHOQOL-BREF as well as sociodemographic and characterization questions related to vegetarianism. The WHOQOL-BREF is composed of 24 items which are divided into four domains (domain 1: physical health; domain 2: psychological well-being; domain 3: social relationships; and domain 4: environment), plus two general items which were analyzed separately, totaling 26 items. The answers from the questionnaire were converted into scores with a 0–100 scale range, with separate analyses for each domain. Results were compared among groups based on the different characteristics of the vegetarian population. A total of 4375 individuals completed the survey. General average score results were 74.67 (domain 1), 66.71 (domain 2), 63.66 (domain 3) and 65.76 (domain 4). Vegans showed better scores when compared to the other vegetarians, except in domain four, where the statistical difference was observed only for semi-vegetarians (lower score). Individuals adopting a vegetarian diet for longer (>1 year) showed better results for domains one and two, with no difference for the other domains. Having close people also adopting a vegetarian diet positively influenced the results for all domains. On the other hand, it was not possible to distinguish any clear influence of the motivation for adopting a vegetarian diet on the scores’ results. Adopting a vegetarian diet does not have detrimental effects on one’s QoL. In fact, the more plant-based the diet, and the longer it was adopted, the better the results were.

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