Adjustment Strategies of Older Adults Transitioning Into an Assisted Living Facility: Implications for RT Practice

2021 ◽  
Vol 55 (2) ◽  
Author(s):  
Kaitlin Mueller ◽  
Marieke Van Puymbroeck
Keyword(s):  
Older Adults ◽  
Assisted Living ◽  
Community Integration ◽  
Well Being ◽  
Future Research ◽  
Assisted Living Facility ◽  
Staff Support ◽  
Passive Strategies ◽  
Health Promoting ◽  
Adjustment Strategies

Transitions into an assisted living facility (ALF) may have major impacts on the well-being of older adults, both positively and negatively. The purpose of this study was to explore strategies that older adults are implementing to maintain or improve their well-being during their transition into an ALF. A grounded theory, descriptive approach employed 14 individual, in-person interviews at an ALF in the rural, southeastern U.S. Eight central findings emerged as adjustment strategies used by older adults, catorgizied as active and passive strategies. The five active strategies were identified as importance of health promoting activities (subthemes: promoting physical health and promoting mental health), connections to the outside world (subthemes: community integration outings and community visitors), placing possessions, finding a new routine, and engaging in spiritual practices. Three passive strategies were identified: peer support, staff support, and prior familiarity with the ALF. Implications for recreational therapists working with older adults in ALFs are detailed and future research recommendations are provided.

Falls and fear of falling among older adults in an assisted-living facility: A qualitative and foundational study for intervention development in a developing country

2021 ◽  
Vol 94 ◽  
pp. 104375
Author(s):  
Emmanuel Chiebuka Okoye ◽  
Christopher Olusanjo Akosile ◽  
Fatai Adesina Maruf ◽  
Ifeoma Uchenna Onwuakagba ◽  
Ukamaka Gloria Mgbeojedo
Keyword(s):  
Older Adults ◽  
Developing Country ◽  
Assisted Living ◽  
Fear Of Falling ◽  
Intervention Development ◽  
Assisted Living Facility

scholarly journals PHYSIOLOGY OF SUCCESSFUL AGING: IMPLICATIONS FOR HEALTH AND WELL-BEING

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S434-S434
Author(s):  
Konstantinos Mantantzis ◽  
Denis Gerstorf ◽  
Thomas M Hess
Keyword(s):  
Older Adults ◽  
Successful Aging ◽  
Well Being ◽  
Empathic Accuracy ◽  
Future Research ◽  
Subjective Well Being ◽  
Use Of Data ◽  
Aging Study ◽  
Underlying Mechanisms ◽  
Relationship Factors

Abstract Research into peripheral physiology and its association with cognition, emotionality, and social/physical functioning has received considerable attention over the years. However, many of the underlying mechanisms are not well understood. In this symposium, we have compiled a set of four empirical projects that showcase current and future endeavors to address some of the long-standing questions about when, how, and why physiology shapes and is shaped by key psychosocial resources. Hawkley et al. make use of data from the NSHAP and HRS longitudinal studies to investigate whether social relationships such as number of friends predicts risk of diabetes among older adults. Wilson et al. use dyadic data from young and middle-aged couples to examine cardiometabolic similarity among spouses, and how such concordance is shaped by key relationship factors such as emotional closeness. Pauly et al. use data from two daily-life studies of older couples to investigate how physiological synchrony in cortisol is modulated by partner interactions, empathy, and empathic accuracy. Finally, Mantantzis et al. make use of multi-year longitudinal data from the Berlin Aging Study II to examine the role of glucose regulation capacity for trajectories of subjective well-being among older adults. Thomas Hess will discuss the importance of these papers, discuss strengths and weaknesses of the approaches chosen, and consider implications for future research.

The economic recession and subjective well-being in older adults in the Republic of Ireland

2016 ◽  
Vol 36 (2) ◽  
pp. 99-104 ◽  
Author(s):  
R. M. Duffy ◽  
K. Mullin ◽  
S. O’Dwyer ◽  
M. Wrigley ◽  
B. D. Kelly
Keyword(s):  
Older Adults ◽  
Older People ◽  
Urban Areas ◽  
Economic Recession ◽  
Well Being ◽  
Poor Health ◽  
Future Research ◽  
Subjective Well Being ◽  
Physical And Mental Health ◽  
Future Health

ObjectiveSubjective well-being in older people is strongly associated with emotional, physical and mental health. This study investigates subjective well-being in older adults in Ireland before and after the economic recession that commenced in 2008.MethodsCross-sectional data from the biennial European Social Survey (2002–2012) were analysed for two separate groups of older adults: one sampled before the recession and one after. Stratification and linear regression modelling were used to analyse the association between subjective well-being, the recession and multiple potential confounders and effect modifiers.ResultsData were analysed on 2013 individuals. Overall, subjective well-being among older adults was 1.30 points lower after the recession compared with before the recession (s.e. 0.16; 95% confidence interval 1.00–1.61; p<0.001) [pre-recession: 16.1, out of a possible 20 (s.d. 3.24); post-recession:14.8 (s.d. 3.72)]. Among these older adults, the pre- and post-recession difference was especially marked in women, those with poor health and those living in urban areas.ConclusionsSubjective well-being was significantly lower in older adults after the recession compared with before the recession, especially in women with poor health in urban areas. Policy-makers need proactively to protect these vulnerable cohorts in future health and social policy. Future research could usefully focus on older people on fixed incomes whose diminished ability to alter their economic situation might make them more vulnerable to reduced subjective well-being during a recession.

scholarly journals Convoys of social support in Mexico

2015 ◽  
Vol 40 (4) ◽  
pp. 324-333 ◽  
Author(s):  
Heather R. Fuller-Iglesias ◽  
Toni Antonucci
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Social Relations ◽  
Intergenerational Relationships ◽  
Well Being ◽  
Support Network ◽  
Future Research ◽  
Frequent Contact ◽  
Gender And Education ◽  
The Social

The Convoy Model suggests that at different stages of the lifespan the makeup of the social support network varies in step with developmental and contextual needs. Cultural norms may shape the makeup of social convoys as well as denote socio-demographic differences in social support. This study examines the social convoys of adults in Mexico. Specifically, it examines whether social network structure varies by age, gender, and education level, thus addressing the paucity of research on interpersonal relations in Mexico. A sample of 1,202 adults (18–99 years of age) was drawn from the Study of Social Relations and Well-being in Mexico. Hierarchical regression analyses indicated older adults had larger, more geographically proximate networks with a greater proportion of kin but less frequent contact. Women had larger, less geographically proximate networks with less frequent contact. Less educated individuals had smaller, more geographically proximate networks with more frequent contact and a greater proportion of kin. Age moderated gender and education effects indicated that younger women have more diverse networks and less educated older adults have weaker social ties. This study highlights socio-demographic variation in social convoys within the Mexican context, and suggests implications for fostering intergenerational relationships, policy, and interventions. Future research on Mexican convoys should further explore sources of support, and specifically address implications for well-being.

scholarly journals Age Differences in the Relationship Between Daily Social Media Usage and Affect

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 410-410
Author(s):  
Xin Yao Lin ◽  
Margie Lachman
Keyword(s):  
Older Adults ◽  
Social Media ◽  
Negative Affect ◽  
Age Differences ◽  
Well Being ◽  
The United States ◽  
Future Research ◽  
Media Usage ◽  
The Relationship ◽  
Daily Time

Abstract Social media platforms allow people to connect and share content online (e.g., Facebook, Twitter). Although older adults are becoming more frequent users of social media, there continue to be mixed views on whether social media positively or negatively impacts well-being. Past studies have mainly focused on cross-sectional analyses for individual differences. However, both the time spent on social media and one’s affect can fluctuate on a daily basis. Thus, it is important to understand how the relationship between daily social media usage and affect varies within individuals from day to day. The current study adds to the literature by examining whether daily variations in time spent with social media are related to daily positive and negative affect and whether there are age differences in these relationships. The current study used an eight-day daily diary from the Midlife in the United States (MIDUS) Refresher dataset for 782 participants (ages 25-75). Multilevel modeling results revealed that age moderated the relationship between daily time spent on social media and negative affect: for younger adults, on days when they spent more time on social media, they had more negative affect. For older adults, on days when they spent more time on social media, they had less negative affect. Surprisingly, daily time spent on social media was not related to daily positive affect, nor did this relationship differ by age. Implications for future research are discussed with a focus on how social media usage can contribute to daily well-being for adults of different ages.

scholarly journals Longitudinal Relationships Between Subjective Cognitive Decline and Objective Memory: Depressive Symptoms Mediate Between-Person Associations

2021 ◽  
pp. 1-14
Author(s):  
Nikki L. Hill ◽  
Sakshi Bhargava ◽  
Emily Bratlee-Whitaker ◽  
Jennifer R. Turner ◽  
Monique J. Brown ◽  
...  
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Cognitive Decline ◽  
Structural Equation ◽  
Disease Risk ◽  
Well Being ◽  
Equation Modeling ◽  
Subjective Cognitive Decline ◽  
Future Research ◽  
Over Time

Background: Subjective cognitive decline (SCD) may be an early indicator of cognitive impairment, but depressive symptoms can confound this relationship. Associations may be influenced by differences between individuals (i.e., between-persons) or how each individual changes in their experiences over time (i.e., within-persons). Objective: We examined depressive symptoms as a mediator of the between- and within-person associations of SCD and objective memory in older adults. Methods: Coordinated analyses were conducted across four datasets drawn from large longitudinal studies. Samples (range: n = 1,889 to n = 15,841) included participants 65 years of age or older with no dementia at baseline. We used multilevel structural equation modeling to examine the mediation of SCD and objective memory through depressive symptoms, as well as direct relationships among SCD, objective memory, and depressive symptoms. Results: Older adults who were more likely to report SCD had lower objective memory on average (between-person associations), and depressive symptoms partially mediated this relationship in three of four datasets. However, changes in depressive symptoms did not mediate the relationship between reports of SCD and declines in objective memory in three of four datasets (within-person associations). Conclusion: Individual differences in depressive symptoms, and not changes in an individual’s depressive symptoms over time, partially explain the link between SCD and objective memory. Older adults with SCD and depressive symptoms may be at greater risk for poor cognitive outcomes. Future research should explore how perceived changes in memory affect other aspects of psychological well-being, and how these relationships influence cognitive decline and Alzheimer’s disease risk.

Working in a prison: Challenges, rewards, and the impact on mental health and well-being

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Sophie Dennard ◽  
Derek K. Tracy ◽  
Aaron Beeney ◽  
Laura Craster ◽  
Fiona Bailey ◽  
...  
Keyword(s):  
Coping Strategies ◽  
Well Being ◽  
Development Project ◽  
Service Development ◽  
Future Research ◽  
Staff Support ◽  
Prison Staff ◽  
Content Type ◽  
Data Driven Approach ◽  
The Impact

Purpose Prisons are uniquely challenging working environments. Staff are often exposed to direct and indirect trauma, impacting negatively on their mental well-being. Due to the limited research into prison staff experience, this paper aims to explore what staff find most challenging, how they cope, what support they would like and rewarding aspects of their work. Design/methodology/approach This service development project was facilitated through a staff well-being event. A qualitative approach was used and 74 staff members provided anonymised responses. An inductive and data-driven approach was used to analyse the data, and the trustworthiness of the analysis was considered using criteria established by Lincoln and Guba (1985). Findings Thematic analysis identified six themes, namely, the challenging nature of the work, interactions with prisoners, staff interactions, inadequate resources, staff support and development and coping strategies. Key findings include managing distress, self-harm and violence and limited resources presenting challenges. Role variety and opportunities to support prisoners were reported as positive. A variety of coping strategies were identified. Wider availability of supervision and reflective practice was suggested by staff. Practical implications Recommendations for increased staff support are made. Suggestions for future research investigating methods to increase rewarding aspects of work within prisons are given. Originality/value This analysis adds to the limited body of qualitative research investigating prison staff experiences; in particular, aspects of the work that they find rewarding such as the role variety and opportunities to make positive changes to prisoners’ lives. Novel coping strategies were identified, including cognitive reframing and behavioural strategies for managing stress, which could be encouraged to increase resilience.

Older Adults and Their Internet Behaviors

2012 ◽  
pp. 608-619 ◽  
Author(s):  
Elizabeth Mazur ◽  
Margaret L. Signorella ◽  
Michelle Hough
Keyword(s):  
Older Adults ◽  
Technology Use ◽  
Age Groups ◽  
Well Being ◽  
Future Research ◽  
The Internet ◽  
Attitudinal Barriers ◽  
Cognitive Limitations ◽  
Future Research Directions ◽  
Use Of The Internet

Early research on older adult computer users focused on the possibility for technology to increase social interaction and alleviate loneliness. Subsequent research has been equivocal on the possible benefits of the Internet for well-being. Nonetheless, in spite of an initial “gray gap,” older adults are increasingly joining younger cohorts in using the Internet. Barriers to older adults’ use of the Internet remain, such as physical and cognitive limitations. Attitudinal barriers may exist, but it is unclear whether these result from lack of experience or differences in income or health status. Business researchers have found that older persons differ from other age groups in their Internet engagement patterns, including online buying. Future research directions include whether computers can improve cognitive functioning and quality of life, how to increase engagement levels, and if there will always be a lag in technology use among older adults.

scholarly journals DOES CHANGE IN INTERNET USE PREDICT PSYCHOLOGICAL WELL-BEING AMONG OLDER ADULTS?

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S326-S326
Author(s):  
Ronald W Berkowsky
Keyword(s):  
Older Adults ◽  
Personal Growth ◽  
Internet Use ◽  
Well Being ◽  
Future Research ◽  
The Internet ◽  
Psychological Well Being ◽  
Internet Users ◽  
Additional Control ◽  
The Relationship

Abstract Previous work focusing on the relationship between Internet use and quality of life among older adults (aged 65+) has found evidence of various positive impacts. This project expands upon this work by examining the relationship between Internet use and measures of psychological well-being (PWB) including autonomy, environmental mastery, personal growth, positive relations with others, purpose in life, and self-acceptance. The analytic sample is derived from two waves of data (Time 1 = 2004, Time 2 = 2011) taken from the Wisconsin Longitudinal Study and includes a sample of older adults aged~65 at Time 1 (N = 4943). Participants were separated into four categories: those who did not use the Internet at Time 1 or 2, those who used the Internet at Time 1 only, those who used the Internet at Time 2 only, and those who used the Internet at both Time 1 and 2. Regression analyses were performed with the Time 2 PWB measures as the outcomes and the Internet use categories as the primary predictors. Results indicate that while continuous Internet users typically reported higher PWB scores compared to non-users, those who stopped use between Time 1 and 2 also reported higher scores and those who started use between Time 1 and 2 reported lower scores. These results generally held when introducing Time 1 PWB measures as controls, suggesting changes in Internet use may affect PWB but not necessarily in the predicted directions. Additional control variables, potential explanations, and implications for future research are discussed.

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