Relationship between Psychological Distress and Continuous Sedentary Behavior in Healthy Older Adults

Background: Our purpose is to clarify whether psychological distress (PD) affects the rate of continuous sedentary behavior (CSB). Materials and Methods: In this secondary analysis, a sample population of 80 healthy older adults aged 65 years or older participated in a health club of college A from 2016 to 2017. We conducted Structural Equation Modeling (SEM) using the cross-lagged and synchronous effects models. We adopted the following as proxy variables: CSB (based on the ratio of 1.5 METs sessions or more continuing for over 30 min) CSB and PD (based on the Kessler psychological distress scale: K6). Results: “2016 K6” had a significant influence on “2017 CSB” (standardization factor (β) = 0.136, p = 0.020) using the cross-lagged effects model, and “2017 K6” significantly influenced “2017 CSB” (β = 0.166, p = 0.039) using the synchronous effects model. Fit indices were Adjusted Goodness-of-Fit Index (AGFI) = 0.990, Confirmatory Fit Index (CFI) = 1.000, and Root Mean Square Error of Approximation (RMSEA) = 0.000. Conclusion: The results suggest that PD may affect the ratio of CSB one year later.

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Long-Term Relationship between Psychological Distress and Continuous Sedentary Behavior in Healthy Older Adults: A Three Panel Study

Medicina ◽

10.3390/medicina55090555 ◽

2019 ◽

Vol 55 (9) ◽

pp. 555

Author(s):

Yutaka Owari ◽

Nobuyuki Miyatake

Keyword(s):

Older Adults ◽

Psychological Distress ◽

Goodness Of Fit ◽

Panel Study ◽

Equation Modeling ◽

Sample Population ◽

Metabolic Equivalents ◽

The Cross ◽

Fit Index

Background and objectives: Psychological distress (PD) is associated with continuous sedentary behaviors (CSB; based on the ratio of 1.5 metabolic equivalents (METs) sessions or more continuing for over 30 min) in older adults, but the long-term relation is not sufficiently clarified. This study aims to clarify the long-term relationship between PD and the rate of CSB. Materials and Methods: In this secondary analysis, a sample population of 72 healthy elderly people aged 65 years or older participated in a health club of college A from 2016 to 2018. We conducted structural equation modeling (SEM) using the cross-lagged and synchronous effects models. We adopted the following as proxy variables: CSB and PD (based on the Kessler 6 scale (K6) scores). Results: “2016 K6” to“2017 CSB” (standardization factor (β = 0.141, p = 0.025), “2017 K6” to “2018 CSB” (β = 0.187, p < 0.001) and “2016 CSB” to “2018 CSB” (β = 0.188, p < 0.001) were all statistically significant using the cross-lagged effects models. Fit indices were adjusted goodness of fit index (AGFI) = 0.961, comparative fit index (CFI) = 1.000, and root mean square error of approximation (RMSEA) = 0.000. Conclusion: The results suggest that PD may affect the ratio of CSB one year later, and CSB may affect the ratio of PD two year later.

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Relationship between Mobility-Related Activities of Daily Living and Health-Related Quality of Life among Healthy Older Adults: A Cross-Sectional Study Using Structural Equation Modeling

Gerontology and Geriatric Medicine ◽

10.1177/23337214211013166 ◽

2021 ◽

Vol 7 ◽

pp. 233372142110131

Author(s):

Hungu Jung ◽

Shigeharu Tanaka ◽

Yuji Iwamoto ◽

Masahiro Yamasaki ◽

Ryo Tanaka

Keyword(s):

Older Adults ◽

Structural Equation ◽

Goodness Of Fit ◽

Equation Modeling ◽

Chi Square ◽

Healthy Older Adults ◽

Related Quality ◽

Health Related ◽

Fit Index

Objective: To develop a conceptual model that confirms whether mobility-related activities of daily living (ADLs) abilities are strongly associated with reduced health-related quality of life (HRQOL) in older adults. Methods: A total of 153 participants (63 men, 90 women) were analyzed. The mobility-related ADL survey from the Ministry of Education, Culture, Sports, Science, and Technology of Japan was used. The Japanese version (v1.2) of the Medical Outcomes Study 36-item Short-Form Health Survey was administered to evaluate HRQOL. Structural equation modeling was performed to test a hypothetical model: mobility-related ADL abilities would influence HRQOL. Results: The chi-square value was not significant (chi-square = 9.463, p = .305), and goodness-of-fit values were high, implying that the model was validated; goodness-of-fit index, 0.981; adjusted goodness-of-fit index, 0.949; comparative fit index, 0.996; and root mean square error of approximation, 0.035. Results showed that mobility-related ADL abilities influenced the physical health including physical function and general health in HRQOL. Conclusions: This study developed the conceptual model confirming the influence of mobility-related ADL abilities especially on physical health. Further intervention studies on instructions/training for physical activity of healthy older adults should assess this causal relationship.

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Relationship between Psychological Distress and Prolonged Sedentary Bouts in the Elderly: Four Period Analysis

Healthcare ◽

10.3390/healthcare9060676 ◽

2021 ◽

Vol 9 (6) ◽

pp. 676

Author(s):

Yutaka Owari

Keyword(s):

Mental Health ◽

Psychological Distress ◽

Structural Equation ◽

Goodness Of Fit ◽

Secondary Analysis ◽

The Elderly ◽

Sample Population ◽

Elderly Individuals ◽

Sedentary Bouts ◽

Fit Index

Background: Too much sitting is associated with low mental health in elderly individuals. We clarified the relationship between psychological distress and the rate of prolonged sedentary bouts (PSBs) among the elderly over four periods. Methods: In a secondary analysis, a sample population of 68 adults aged 65 years or older in Japan was used. The following proxy variables were used: PSB (mental health) and the Kessler 6 scale; K6 scores (psychological distress). Results: Using the cross-lagged effects models, from “2016 K6” to “2017 PSB” (p = 0.004), from “2017 K6” to “2018 PSB” (p < 0.001), and from “2018 K6” to “2019 PSB” (p = 0.021) were all significant; however, the reverse were not all significant in one period. In four periods, from “2016 PSB” to “2019 K6” (p = 0.025) was significant; however, the reverse was not significant. Fit indices were obtained: χ2 = 7.641 (p = 0.182), goodness of fit index (GFI) = 0.891, comparative fit index (CFI) = 0.901, and root mean square error of approximation (RMSEA) = 0.121 in structural equation modelling. Conclusions: Psychological distress may affect the rate of PSB after one year, and the rate of PSB may affect the rate of psychological distress after three years in elderly individuals.

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Structural equation model of affecting factors on elder abuse to patients under hemodialysis by family caregivers

BMC Geriatrics ◽

10.1186/s12877-021-02291-x ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Amaneh Mahmoudian ◽

Abbas Shamsalinia ◽

Atefeh Alipour ◽

Zahra Fotoukian ◽

Fatemeh Ghaffari

Keyword(s):

Older Adults ◽

Family Caregivers ◽

Structural Equation Model ◽

Structural Equation ◽

Goodness Of Fit ◽

Elder Abuse ◽

Equation Model ◽

Care Burden ◽

Beta Coefficient ◽

Fit Index

Abstract Background The objectives of the present study were to determine the prevalence of older adults with hemodialysis (HD) abuse by family caregivers and the factors affecting it. Method This is a correlational-causal study, which is conducted in 2018 in Iran. The sample size was 367 in both groups (the older adults and their family caregivers). Data collection was done using an individual-social information questionnaire for the older adults under hemodialysis and their family caregivers, the questionnaire of elder abuse by family caregivers to the older people under hemodialysis, Zarit Burden Interview and the scale of instrumental activities of daily living (IADL). Data were analyzed by the structural equation model (SEM) method. The Fitness of proposed pattern was measured using the following indexes: chi-square/degree of freedom ratio (CMIN/DF), Normed Fit Index (NFI), comparative fit index (CFI), goodness of fit index (GFI), and standardized root mean squared residual (SRMR). The significant level in this study was considered p < 0.05. Results The results of the present study showed that more than 70 % of the older adults suffer from elder abuse by family caregivers on average. The highest median elder abuse was related to emotional misbehavior (21.46 ± 6.09) and financial misbehavior (19.07 ± 5.33), respectively. Moderate care burden was experienced by 63.2 % of caregivers. The percentage of older women and men, who needed help with daily activities was 81.4 and 80.5 %, respectively. The results showed that the caregivers’ level of education and care burden with standard beta coefficient of -0.251 and 0.200 and the educational level of older adults and IADL with the best beta coefficient of -0.299 and − 0.234, had the highest regression effect on elder abuse respectively. According to the results, the model-fit indices of the hypothesized model was meet the criteria, with the NFI = 0.951, GFI = 0.970, CFI = 0.967, and SRMR = 0.041. The outcome was suitable for the recommended level, so the hypothetical model appeared to fit the data. Conclusions The results of the present study showed that the prevalence of elder abuse by family caregivers among the older adults under hemodialysis is high. Providing psychological counseling can reduce the consequences of elder abuse.

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Development of a health behavior scale for older adults living alone receiving public assistance

BMC Public Health ◽

10.1186/s12889-021-11347-x ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Ayano Isozaki ◽

Etsuko Tadaka

Keyword(s):

Older Adults ◽

Health Behavior ◽

Goodness Of Fit ◽

Public Assistance ◽

The Self ◽

Living Alone ◽

Personal Power ◽

Confirmatory Factor ◽

Behavior Scale ◽

Fit Index

Abstract Background To reduce health disparities, prevention of non-communicable diseases (NCD) by performing desirable health behavior in older adults living alone with low socioeconomic status is an essential strategy in public health. Self-perception of personal power and practical skills for daily health are key elements of desirable health behavior. However, methods for measuring these concepts have not been established. This study aimed to develop a health behavior scale for older adults living alone receiving public assistance (HBSO). Methods The self-administered mail survey covered 2818 older adults living alone receiving public assistance (OAP) randomly selected from the list of people receiving public assistance (Seikatsu-hogo in Japanese) at all 1250 local social welfare offices across Japan. Construct validity was confirmed using confirmatory factor analysis. Internal consistency was calculated using Cronbach’s alpha. The self-efficacy for health promotion scale and Health check-up status were administered to assess the criteria-related validity of the HBSO. Results In total, 1280 participants (response rate: 45.4%) responded, of which 1069 (37.9%) provided valid responses. Confirmatory factor analysis identified 10 items from two factors (self-perception of personal power and practical skills for daily health) with a goodness of fit index of 0.973, adjusted goodness of fit index of 0.953, comparative fit index of 0.954, and root mean square error of approximation of 0.049. Cronbach’s alpha was 0.75. The total HBSO score was significantly positively correlated with the self-efficacy for health promotion scale (r = 0.672, p < 0.001) and the group with health check-up had significantly higher HBSO scores than the group without it (p < 0.001). Conclusions The HBSO is an easy-to-self-administer instrument that is reliable and valid for OAP. The HBSO could facilitate appropriate assessment of OAP who need to improve their health behavior to prevent NCD, and could be used to determine effective support.

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MODEL PENGUKURAN TINGKAT KEPERCAYAAN PELANGGAN (ONLINE TRUST) TERHADAP SITUS E-COMMERCE (Studi Kasus pada Pelanggan E-Commerce di Provinsi Bali)

International Journal of Natural Science and Engineering ◽

10.23887/ijnse.v1i3.12939 ◽

2018 ◽

Vol 1 (3) ◽

pp. 100

Author(s):

I Made Endra Wiartika Putra ◽

Gede Rasben Dantes ◽

I Made Candiasa

Keyword(s):

Structural Equation Modeling ◽

Structural Equation ◽

Goodness Of Fit ◽

Equation Modeling ◽

Snowball Sampling ◽

Cronbach’S Alpha ◽

Purposive Sampling ◽

Online Trust ◽

Cronbach's Alpha ◽

Fit Index

Penelitian ini bertujuan untuk mengetahui model pengukuran tingkat kepercayaan pelanggan terhadap situs e-commerce. Langkah awal yang dilakukan yaitu identifikasi faktor-faktor yang mempengaruhi kepercayaan pelanggan melalui studi literatur dan studi empirik untuk menentukan model analisis terhadap kepuasan pelanggan. Faktor yang mempengaruhi kepercayaan pelanggan untuk bertransaksi secara online yaitu pengetahuan konsumen terhadap e-commerce, reputasi penjual, resiko dalam transaksi, kemudahan penggunaan e-commerce, jaminan sistem, sikap/perilaku terhadap sistem dan sistem keamanan. Populasi dalam penelitian ini adalah masyarakat Provinsi Bali menggunakan metode purposive sampling dan snowball sampling dengan kriteria responden pernah berkunjung dan melakukan transaksi di e-commerce yang ada di Indonesia lebih dari 3 kali. Instrumen penelitian berupa kuesioner dengan data interval berskala 5 Likert. Instrumen terlebih dahulu diuji validitas isi dengan metode Robert Gregory, validitas empiris menggunakan rumus product moment, reliabilitas instrument menggunakan Cronbach’s Alpha, dan menghasilkan 59 pernyataan yang dapat digunakan untuk pengambilan data. Jumlah responden yang digunakan dalam penelitian ini adalah sebanyak 126 responden. Teknik analisis data, pengujian hipotesis dan pengujian model menggunakan metode Structural Equation Modeling dengan bantuan aplikasi SPSS AMOS 21. Hasil penelitian ini melalui pengujian hipotesis menunjukkan bahwa pengetahuan tentang situs e-commerce dan perlindungan keamanan berpengaruh negatif dan tidak signifikan terhadap kepercayaan pelanggan. Resiko, kemudahan e-commerce, jaminan sistem dan sistem keamanan bukan menjadi sesuatu yang penting untuk dipertimbangkan dalam meningkatkan kepercayaan pelanggan karena pengaruhnya tidak signifikan. Reputasi yang dirasakan dan sikap merupakan hal yang perlu diperhatikan dan paling berpengaruh terhadap kepercayaan pelanggan pelanggan. Hasil penelitian ini kemudian diuji menggunakan goodness of fit index dan menghasilkan bahwa model penelitian tersebut dapat diterima dan dapat digunakan untuk meningkatkan keinginan pelanggan untuk bertransaksi online

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Using structural equation modeling in the understanding of functional disability in older adults

Revista Latino-Americana de Enfermagem ◽

10.1590/1518-8345.4555.3451 ◽

2021 ◽

Vol 29 ◽

Author(s):

Darlene Mara dos Santos Tavares ◽

Nayara Gomes Nunes Oliveira ◽

Flavia Aparecida Dias Marmo ◽

Joilson Meneguci

Keyword(s):

Older Adults ◽

Sedentary Behavior ◽

Structural Equation ◽

Functional Disability ◽

Depressive Symptomatology ◽

Age Groups ◽

Community Dwelling ◽

Likelihood Method ◽

Equation Modeling ◽

Cross Sectional

Objective: to analyze functional disability and its associated factors among community-dwelling older adults. Method: a cross-sectional study, conducted with 1,635 older adults distributed in the following age groups: 60 to 69, 70 to 79, and 80 years old or more, living in a health macro-region of the state of Minas Gerais. Descriptive and trajectory analysis was carried out (p<0.05). The parameters were estimated by the Maximum Likelihood method. Results: the highest percentage was female, with a monthly income of 1 minimum wage and living with a companion. In the age groups from 60 to 69 and from 70 to 79 years old, older adults with a partner predominated; and, among those aged 80 years old or more, widowed individuals prevailed. In the three groups, functional disability occurred hierarchically. Lower schooling, frailty and depressive symptomatology were factors directly associated with functional disability in the advanced activities; frailty and sedentary behavior were directly associated with functional disability in the instrumental activities. In the older adults aged between 60 and 69 years old and from 70 to 79 years old, sedentary behavior was associated with greater dependence on the basic activities. Conclusion: the expanded understanding of the factors in the functional disability of the older adults, according to age group, helps the health professional in the development of preventive measures for this disease.

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The Development of Indicators for Transformational Leadership of Undergraduate Students at Thailand National Sports University

World Journal of Education ◽

10.5430/wje.v11n1p94 ◽

2021 ◽

Vol 11 (1) ◽

pp. 94

Author(s):

Thitipong Sukdee

Keyword(s):

Transformational Leadership ◽

Undergraduate Students ◽

Goodness Of Fit ◽

Rating Scale ◽

Structured Interview ◽

P Value ◽

Sample Population ◽

Research Instrument ◽

Fit Index

This paper develops indicators for transformational leadership of undergraduate students at Thailand National Sports University. The development of these indicators was based on in-depth interviews with six informants. The research instrument was a semi-structured interview form. The data collected were inductively analyzed. The development of indicators was accomplished through the synthesis of the data and the conceptual framework for this research investigation. Evaluate indicators of Accuracy Standard Propriety Standard with of five experts was compared with the principle of 3.50, using the research instrument was an Evaluation Form and thence the verification of the quality of the congruence of the indicators. The sample population consisted of 4 5 0 undergraduate students at Thailand National Sports. The research instrument was a rating-scale questionnaire. Confirmatory factor analysis (CFA) was utilized in conjunction with reliance on the maximum likelihood estimation (MLE) technique. Findings were as follows: 1) In regard to the development of indicators for transformational leadership of undergraduate students at Thailand National Sports University, results were as follows: The aspect of idealized influence engendered eight keywords and twenty-two subtopics. The aspect of inspiration motivation exhibited six keywords and thirteen subtopics. The aspect of intellectual motivation evinced six keywords and fourteen subtopics. The aspect of individualized consideration displayed five keywords and eleven subtopics. 2) Assessing indicators for transformational leadership of undergraduate students at Thailand National Sports University All aspects were significantly higher than the threshold 3.50 at the .05 level. 3) The development of indicators for transformational leadership of undergraduate students at Thailand National Sports University were found to have twenty-five indicators. The verification of the quality of appropriateness for the indicators for transformational leadership of undergraduate students at Thailand National Sports University showed that chi-square (χ2) was at 552.93; (probability-value [p-value] at 0.000); degrees of freedom (df) at 271; relative χ2 at 2.04; goodness of fit index (GFI) at 0.91; adjusted goodness of fit index (AGFI) at 0.90; Normal Fit Index (NFI) at 0.99; Comparative Fit Index (CFI) at 0.99 and the root mean square error of approximation (RMSEA) at 0.04. It is concluded that transformational leadership of undergraduate students at Thailand National Sports is consistent with empirical data.

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