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

Author(s):  
Barbara Studer-Luethi ◽  
Maria Brasser ◽  
Simon Lusti ◽  
Rahel Schaerli

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.

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Barbara Studer-Luethi ◽  
Maria Brasser ◽  
Simon Lusti ◽  
Rahel Schaerli

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.


BMJ Open ◽  
2019 ◽  
Vol 9 (6) ◽  
pp. e023730 ◽  
Author(s):  
John Foster ◽  
Swatee Patel

ObjectivesTo investigate the concurrent use of ‘at-risk’ (AR) drinking (>10 units of alcohol per week) and prescription medications, while controlling for sociodemographic, and health-related factors, among older adults (aged 65–89 years).DesignCross-sectional survey.SettingData from Health Survey of England, 2013.InterventionsNone.ParticipantsGeneral population survey of 2169 adults aged 65–89 years.Primary outcome measuresAR drinking (>10 units per week). Secondary outcome was AR drinking defined as >14 units of alcohol per week limit (the cut-off used by the Department of Health for AT drinking).ResultsTwenty-seven per cent (n=568) of the sample were AR drinkers. Factors associated with alcohol consumption were gender, age, social class, marital status, rurality of dwelling, deprivation index, self-reported general health, cigarette smoking, body mass index, exercise level, health and well-being scores’ and number of prescription drugs. Logistic regression analysis showed that males were more likely to be AR drinkers (OR 3.44, 95% CI 2.59 to 4.57, p<0.0001) than females. Each year increase in age, lowered the probability of AR drinking by a factor of 0.95 (95% CI 0.93 to 0.98, p<0.0001). Using prescription drugs reduced AR drinking by a factor of 0.92 (95% CI 0.85 to 0.93, p=0.033), after controlling for age, sex and rurality of dwelling. No other predictors were significant. Similar results were obtained for AR drinking of >14units per week.ConclusionAR drinking is more likely in older men than women. The odds of AR drinking lessens, as individuals age, and using prescription drugs also reduces AR drinking.


Author(s):  
Hyejin Yoon ◽  
Won Seok Lee ◽  
Kyoung-Bae Kim ◽  
Joonho Moon

South Koreans’ life expectancy has dramatically increased over the last four decades. However, the life satisfaction index of older Korean adults has been in the bottom third globally. The large majority of older Koreans spend most of the day watching television at home. However, concrete evidence regarding the effects of leisure involvement on older adults’ quality of later life is scant. Only a few existing studies have examined the link via cross-sectional survey data. Thus, the purpose of this study was to investigate whether meaningful leisure participation outside the home in older age plays an essential role in improving life satisfaction. To achieve the research aim, nationally representative panel data from the Korea Employment Information Service were used for the data analysis. The results indicated that social and productive leisure participation in religious activity, social gatherings, and volunteering was significantly related to quality of life in older adults. Moreover, frequent participation in travel and cultural activities outside the home were positively related to life satisfaction. These findings suggest that participation in meaningful leisure activities is a critical factor contributing to subjective well-being and good mental health in older Korean adults and should be encouraged.


2018 ◽  
Vol 11 (2) ◽  
pp. 8-18 ◽  
Author(s):  
Tony Cassidy ◽  
Ingrid Doyle

 The research aim was to test the General Benefit Finding Scale (GBFS) in a cross-sectional survey of adults aged 55 years and older and to assess to what extent it relates to mental well-being, perceived social support, health and personality. Participants (n=341) completed a questionnaire which included demographic questions, the GBFS, and measures of mental well-being, perceived social support, activity levels, and personality. Benefit finding was higher in older adults and correlated positively with mental well-being and perceived support. The impact of the psychosocial factors investigated on benefit finding levels was small (9.2%) with mental well-being, sex and agreeableness being significant predictors. The study provides additional support for the use of the GBFS and suggests that perceived social support, particularly from friends, is especially important for older adults.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S676-S677
Author(s):  
Farhana Ferdous Luna

Abstract Care for older adults is most precarious in developing countries where poverty and weak state support systems have put the well-being of their older populations at risk. Bangladesh is one such nation characterized by excess poverty, poor health, high mortality rates, and illiteracy among its older adults. The lack of elder-friendly infrastructure presents another problem for aging well in Bangladesh. This study examined perceptions about the adequacy of care and support received by older Bangladeshis. A cross-sectional survey collected data from 100 older people who were purposively sampled. Results revealed that older people generally are not satisfied with support services from the government and feel that old-age care has historically declined. Inadequate care and support was cited both at family and state levels. Respondents expressed concern that earlier generations of older people were better taken care of than the present generation, and that the former received more respect than the latter. Factors related to perceived support deficits included poverty, widowhood, and migration of sons. In this patrilineal culture, widowed women in particular perceived themselves as disadvantaged in terms of care availability. We conclude by recommending that policies be designed to enhance care and support services for older people in Bangladesh, particularly the most vulnerable and marginalized among them.


2016 ◽  
Vol 28 (7) ◽  
pp. 1211-1220 ◽  
Author(s):  
Mythily Subramaniam ◽  
Edimansyah Abdin ◽  
Janhavi Vaingankar ◽  
Louisa Picco ◽  
Shazana Shahwan ◽  
...  

ABSTRACTBackground:Psychotic symptoms are common among older adults and are seen in a wide range of conditions. Most studies examining the prevalence and correlates of psychotic symptoms among older adults have been conducted in Western populations. To address this gap the current study was undertaken to establish the prevalence and correlates of psychotic symptoms and paranoid ideation within a community sample of older adults without dementia in an Asian population.Methods:The Well-being of the Singapore Elderly (WiSE) study was a comprehensive single phase, cross-sectional survey. All respondents were assessed using the Geriatric Mental State examination (GMS). Specific questions of the GMS were then used to establish the prevalence of hallucinations and persecutory delusions.Results:A total of 2,565 respondents completed the study giving a response rate of 65.6%. The prevalence of any psychotic symptoms in this population of older adults was 5.2%. The odds of hallucinations and any psychotic symptoms were significantly higher among those of Malay ethnicity, and those who had no formal education. Older adults aged 75–84 years were significantly associated with lower odds of having hallucinations (vs. older adult aged 60–74 years), while homemaker status was significantly associated with lower odds of having any psychotic symptoms.Conclusions:The prevalence of psychotic symptoms among older Asian adults without dementia was higher than that reported from Western countries. Psychotic symptoms were associated with Malay ethnicity, poor cognitive performance and fewer years of schooling, visual and hearing impairment as well as depression and irritability.


SAGE Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. 215824402110299
Author(s):  
Siow Li Lai ◽  
Nai Peng Tey

This study examines the well-being of older Malaysians, using Control, Autonomy, Self-Realization, and Pleasure (CASP-19) score. Data for this study came from a cross-sectional survey on older adults living in a multiethnic metropolitan in Malaysia. The sample comprised Asia’s three major ethnic groups. Bivariate and multivariate analyses show significant ethnic differentials in quality of life (QoL). Results from multiple regression show that CASP-19 is strongly influenced by self-rated health and the ability to manage expenditure, and to a lesser extent by educational level and marital status, but not by age, gender, work status, co-residence with children, and housing tenure. After adjusting for sociodemographic variables, self-rated health was the only significant factor affecting the QoL of all ethnic groups. Ability to manage expenditure was also significant among the Chinese and Indians. Marital status matters for the Chinese, while education and housing tenure matter for the Indians. Differences in the effects of the various factors on the QoL of older adults require specific strategies and programs for different target groups.


2018 ◽  
Vol 8 (1) ◽  
pp. 01-07
Author(s):  
Alfred Eboh

Background: The hawking of wares by children has been a serious issue confronting the Nigerian society. Children hawk in some of the most horrible conditions conceivable, where they face a serious risk of injury, chronic illness, kidnapping, rape or death. Objective: The focus of this study was to assess the perceived effects of street hawking on the well-being of children in Anyigba, Dekina Local Government Area of Kogi State. Methods: The population of this study consists of parents of the street hawkers in Anyigba while cross-sectional survey design was used through the purposive sampling technique to choose the sample size of one hundred and sixty-two (162) respondents. The validated structured questionnaire and In-Depth Interviews (IDIs) served as the instruments for the data collection respectively. The hypotheses were tested using Chi-Square at a predetermined 0.05 level of significance. The quantitative data were analysed with the aid of the SPSS (version 20). Results: The results indicated among others that street hawking had significant social implications and physical consequences on children's moral behaviour as well as health status in the study area. Conclusion: The study, therefore, concluded that the government of Kogi State should carry out an enlightenment campaign through the media and religious institutions on the negative consequences of street hawking are recommended as panacea. Also, the child right act instrument and its implementation should be strengthened in order to curb street hawking in the study area.


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