scholarly journals IMPROVING THE HEALTH AND FUNCTIONAL STATUS OF INSTITUTIONALIZED OLDER ADULTS THROUGH THE NURSE, CAREGIVER, AND OLDER-ADULTS PARTNERSHIP MODEL (MIRADASIA)

2019 ◽  
Author(s):  
Junaiti Sahar ◽  
Etty Rekawati ◽  
Dwi Nurviyandari Kusuma Wati
Keyword(s):  
Older Adults ◽  
Health Status ◽  
Functional Status ◽  
Barthel Index ◽  
Random Sampling ◽  
Functional Condition ◽  
Working Environment ◽  
Mental Condition ◽  
Future Research ◽  
Partnership Model

Health and functional status are standard measurements in older adult’s services that showed physical and mental condition. However, institutionalized older adults with several adjustments and their limited source might cause compromised health and functional status. The quasi-experimental study aimed to investigate the effect of MiRaDaSia (nurses and caregivers joined the partnership model) on health and functional status among institutionalized older adults in Jakarta. It included 106 participants as intervention groups and 106 participants as control groups, who selected by multistage random sampling. We used the SF-12 and Barthel index to measure older-adults health and functional status. MiRaDaSia model was implemented for twelve weeks. Generally, there has been an increase in the mean of health and functional status after the intervention. There were significant improvements in functional condition between each group (p=0,001); however, mean difference oh health status show the significant increase only on six weeks following the intervention. MiRaDaSia can be implemented as a practical model to enhance services among institutionalized older-adults by professional’s staff as it encourages partnership among the nurse, caregiver, and the institutionalized older-adults. Future research may consider the effectiveness of the model in private institutional, with widening variation of older adults and caregivers’ characteristics as well as the different working environment of the institution. Keywords: caregiver, health status, functional status, institutionalized older-adult, older-adults, MiRaDaSia.  Abstrak Model Kemitraan Perawat, Caregiver, dan Lansia (Miradasia) Dalam Meningkatkan Status Kesehatan Dan Fungsional Lansia di Panti. Status kesehatan dan fungsional merupakan pengukuran standar yang harus dilakukan dalam menilai pelayanan kesehatan lansia yang meliputi pengkajian sampai evaluasi. Kedua pengukuran tersebut pada akhirnya menggambarkan kondisi fisik dan mental lansia. Namun, kondisi lansia yang  berada di panti dengan berbagai permasalahan kesehatan dan keterbatasan sumber daya dapat menimbulkan gangguan pada status kesehatan dan fungsional lansia. Penelitian ini bertujuan untuk mengetahui pengaruh pelaksanaan model praktik Kemitraan antara perawat, caregiver,  dan lansia (MiRaDaSia) terhadap status kesehatan dan fungsional pada lansia yang tinggal di panti wilayah Jakarta. Penelitian dengan desain quasi-eksperimental melibatkan 2 kelompok yang terbagi menjadi 106 partisipan di kelompok intervensi serta 106 partisipan di kelompol kontrol. Pemilihan sampel dilakukan melalui multistage random sampling dengan alat pengukuran berupa SF-12 dan Barthel index untuk melihat staus kesehatan dan fungsional lansia. Model praktik keperawatan MiRaDaSia diimplementasikan selama 12 minggu pada kelompok intervensi. Secara umum, hasil penelitian menunjukkan bahwa terdapat peningkatan status kesehatan maupun fungsional status setelah intervensi model MiRaDaSia. Status fungsional secara signifikan mengalami peningkatan antara kelompok perlakuan (p=0,001) namun, beda reratastatus kesahatan menunjukkan peningkatan signifikan pada pengukuran 6 minggu setelah intervensi. terdapat peningkatan rerata status kesehatan setelah intervensi. Status kesehatan dan fungsional pada lansia dipengaruhi Model praktik keperawatan MiRaDaSia dapat diimplementasikan sebagai model praktik untuk meningkatkan pelayanan lansia oleh petugas maupuun tenaga profesional pada setting panti, karena memberikan penguatan pada kemitraan antara perawat, caregiver, dan lansia. Penelitian yang akan datang sebaiknya perlu mempertimbangkan penerapan model prakting di setting panti swasta, dengan variasi karakteristik lansia dan caregiver yang lebih banyak maupun lingkungan kerja institusi, untuk mengetahui lebih jauh tentang efektivitas model. Kata kunci: caregiver, lansia, lansia di panti, MiRaDaSia, status fungsional, status kesehatan

scholarly journals IMPROVING THE HEALTH AND FUNCTIONAL STATUS OF INSTITUTIONALIZED OLDER ADULTS THROUGH THE NURSE, CAREGIVER, AND OLDER-ADULTS PARTNERSHIP MODEL (MIRADASIA)

2019 ◽  
Vol 22 (2) ◽  
pp. 101-109
Author(s):  
Junaiti Sahar ◽  
Etty Rekawati ◽  
Dwi Nurviyandari Kusuma Wati
Keyword(s):  
Older Adults ◽  
Health Status ◽  
Functional Status ◽  
Barthel Index ◽  
Random Sampling ◽  
Functional Condition ◽  
Working Environment ◽  
Mental Condition ◽  
Future Research ◽  
Partnership Model

Health and functional status are standard measurements in older adult’s services that showed physical and mental condition. However, institutionalized older adults with several adjustments and their limited source might cause compromised health and functional status. The quasi-experimental study aimed to investigate the effect of MiRaDaSia (nurses and caregivers joined the partnership model) on health and functional status among institutionalized older adults in Jakarta. It included 106 participants as intervention groups and 106 participants as control groups, who selected by multistage random sampling. We used the SF-12 and Barthel index to measure older-adults health and functional status. MiRaDaSia model was implemented for twelve weeks. Generally, there has been an increase in the mean of health and functional status after the intervention. There were significant improvements in functional condition between each group (p=0,001); however, mean difference oh health status show the significant increase only on six weeks following the intervention. MiRaDaSia can be implemented as a practical model to enhance services among institutionalized older-adults by professional’s staff as it encourages partnership among the nurse, caregiver, and the institutionalized older-adults. Future research may consider the effectiveness of the model in private institutional, with widening variation of older adults and caregivers’ characteristics as well as the different working environment of the institution. Keywords: caregiver, health status, functional status, institutionalized older-adult, older-adults, MiRaDaSia.  Abstrak Model Kemitraan Perawat, Caregiver, dan Lansia (Miradasia) Dalam Meningkatkan Status Kesehatan Dan Fungsional Lansia di Panti. Status kesehatan dan fungsional merupakan pengukuran standar yang harus dilakukan dalam menilai pelayanan kesehatan lansia yang meliputi pengkajian sampai evaluasi. Kedua pengukuran tersebut pada akhirnya menggambarkan kondisi fisik dan mental lansia. Namun, kondisi lansia yang  berada di panti dengan berbagai permasalahan kesehatan dan keterbatasan sumber daya dapat menimbulkan gangguan pada status kesehatan dan fungsional lansia. Penelitian ini bertujuan untuk mengetahui pengaruh pelaksanaan model praktik Kemitraan antara perawat, caregiver,  dan lansia (MiRaDaSia) terhadap status kesehatan dan fungsional pada lansia yang tinggal di panti wilayah Jakarta. Penelitian dengan desain quasi-eksperimental melibatkan 2 kelompok yang terbagi menjadi 106 partisipan di kelompok intervensi serta 106 partisipan di kelompol kontrol. Pemilihan sampel dilakukan melalui multistage random sampling dengan alat pengukuran berupa SF-12 dan Barthel index untuk melihat staus kesehatan dan fungsional lansia. Model praktik keperawatan MiRaDaSia diimplementasikan selama 12 minggu pada kelompok intervensi. Secara umum, hasil penelitian menunjukkan bahwa terdapat peningkatan status kesehatan maupun fungsional status setelah intervensi model MiRaDaSia. Status fungsional secara signifikan mengalami peningkatan antara kelompok perlakuan (p=0,001) namun, beda reratastatus kesahatan menunjukkan peningkatan signifikan pada pengukuran 6 minggu setelah intervensi. terdapat peningkatan rerata status kesehatan setelah intervensi. Status kesehatan dan fungsional pada lansia dipengaruhi Model praktik keperawatan MiRaDaSia dapat diimplementasikan sebagai model praktik untuk meningkatkan pelayanan lansia oleh petugas maupuun tenaga profesional pada setting panti, karena memberikan penguatan pada kemitraan antara perawat, caregiver, dan lansia. Penelitian yang akan datang sebaiknya perlu mempertimbangkan penerapan model prakting di setting panti swasta, dengan variasi karakteristik lansia dan caregiver yang lebih banyak maupun lingkungan kerja institusi, untuk mengetahui lebih jauh tentang efektivitas model. Kata kunci: caregiver, lansia, lansia di panti, MiRaDaSia, status fungsional, status kesehatan

Longitudinal Examination of the Functional Status of Older Adults: Successful Aging Within a Representative Canadian Sample

2000 ◽  
Vol 19 (4) ◽  
pp. 441-455 ◽  
Author(s):  
Norm O'Rourke ◽  
Richard MacLennan ◽  
Thomas Hadjistavropoulos ◽  
Holly Tuokko
Keyword(s):  
Older Adults ◽  
Functional Status ◽  
Successful Aging ◽  
Empirical Test ◽  
Basic Structure ◽  
Future Research ◽  
Physical And Mental Health ◽  
Study Support ◽  
Socio Economic Variables ◽  
Longitudinal Examination

ABSTRACTPalmore, Nowlin, and Wang (1985) posit a theoretical framework in which to predict the health status of older adults over time as a function of social, economic, physical and mental health variables. The current study provides the first independent, empirical test of this model based upon longitudinal data derived from a representative sample of older British Columbians. The results of this study support the basic structure of the Palmore model; however, various revisions were required to improve the fit of data. Findings indicate that demographic and socio-economic variables have a direct effect upon functional status at baseline. Results further suggest significant consistency in the functional status of older adults over a two-year interval. Directions for future research as well as limitations of the current study are discussed.

A randomized control trial of outpatient occupational and physical therapy for older adults with cancer: The CARE program.

2017 ◽  
Vol 35 (15_suppl) ◽  
pp. 10038-10038
Author(s):  
Mackenzi Pergolotti ◽  
Allison Mary Deal ◽  
Grant Richard Williams ◽  
Ashley Leak Bryant ◽  
Lauren McCarthy ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Health Status ◽  
Physical Therapy ◽  
Physical Health ◽  
Functional Status ◽  
Social Roles ◽  
Care Program ◽  
Patient Reported ◽  
Occupational And Physical Therapy

10038 Background: Limitations in functional status and reduced health status are common among older adults with cancer, yet occupational and physical therapy (OT/PT) remain underutilized (Pergolotti, et.al. JGO,2015). For this population, we evaluated an outpatient CAncer REhabilitation (CARE) program and compared it to usual care (UC). Methods: We recruited adults 65 years and older who had a diagnosis of cancer or recurrence within 5 years and had at least one functional limitation as measured by a geriatric assessment (GA). Participants were then randomized to OT/PT (CARE) or UC. CARE delivered individualized outpatient intervention; OT addressed functional activities, and PT strength/endurance needs. UC participants received a brochure on supportive care services. Primary outcome was functional status (Nottingham Extended Activities of Daily Living Scale [NEADL] (range 0-22)) and secondary outcomes were global Mental and Physical Health, and ability to participate in Social Roles (SR) and activities (Patient-Reported Outcomes Measurement Information System [PROMIS] (range 0-100)), for all measures, higher scores indicate better health. We used t-tests to compare groups. Results: 51 adults were randomized: median age 73 years, 55% male, 92% White, 33% with Leukemia/lymphoma, 26% Breast, 22% Colorectal, 67% in active treatment, and 37% with Stage 3 or 4. After 3 months, both groups experienced a significant decline in functional status ( p = .046; p = .005), but change in functional status (-1.5 UC, -1.1 CARE, p = .637) , physical health status (0.0 UC, 2.4 CARE, p = .121) and participation in SR (.11 in UC, 3.71 CARE, p = .088) between UC and CARE were not significant. However, change in mental health (-1.0 in UC, 3.0 CARE, p= .032) significantly different between groups. Conclusions: CARE was associated with a significant improvement in participant’s mental health status compared to a decline in UC. Results suggest CARE may influence ability to participate in social roles and activities and physical health, but further study is needed with larger sample sizes. We demonstrated that for older adults with cancer, OT/PT are promising interventions to improve mental health. Clinical trial information: NCT02306252.

scholarly journals Functional status and its associated factors among community-dwelling older adults in rural Nepal: findings from a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Saruna Ghimire ◽  
Grish Paudel ◽  
Sabuj Kanti Mistry ◽  
Mahmood Parvez ◽  
Binod Rayamajhee ◽  
...  
Keyword(s):  
Older Adults ◽  
Functional Status ◽  
Barthel Index ◽  
Chronic Conditions ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Cross Sectional ◽  
Factors Associated ◽  
Poor Functional Status ◽  
Community Dwelling Older Adults

Abstract Background The high burden of chronic conditions, coupled with various physical, mental, and psychosocial changes that accompany the phenomenon of aging, may limit the functional ability of older adults. This study aims to assess the prevalence of poor functional status and investigate factors associated with poor functional status among community-dwelling older adults in rural communities of eastern Nepal. Methods Data on 794 older adults aged ≥ 60 years from a previous community-based cross-sectional study was used. Participants were recruited from rural municipalities of Morang and Sunsari districts of eastern Nepal using multi-stage cluster sampling. Functional status was assessed in terms of participants’ ability to perform activities of daily living using the Barthel Index. Covariates included sociodemographic characteristics, lifestyle factors, and self-reported chronic conditions. A binary logistic regression model was used to investigate factors associated with poor functional status. Results The overall prevalence of poor functional status was 8.3 % (male: 7.0 % and female: 9.6 %), with most dependence noted for using stairs (17.3 %), followed by dressing (21.9 %) on Barthel Index. In the adjusted model, oldest age group (odds ratio [OR] = 2.83, 95 %CI: 1.46, 5.50), those unemployed (OR = 2.41, 95 %CI: 1.26, 4.65), having memory/concentration problems (OR = 2.32, 95 %CI: 1.30, 4.13), depressive symptoms (OR = 2.52, 95 %CI: 1.28, 4.95), and hypertension (OR = 1.78, 95 %CI: 1.03, 3.06) had almost or more than two times poor functioning. Conclusions One in 12 older adults had poor functional status as indicated by their dependency on the items of the Barthel Index; those in the oldest age bracket were more likely to exhibit poor functional status. We suggest future studies from other geographies of the country to supplement our study from the rural setting for comprehensive identification of the problem, which could guide the development of prevention strategies and comprehensive interventions for addressing the unmet needs of the older adults for improving functional status.

Care-Receiver and Caregiver Assessments of Functioning: Are There Gender Differences?

2005 ◽  
Vol 24 (2) ◽  
pp. 139-150 ◽  
Author(s):  
Julie C. Shaver ◽  
Diane E. Allan
Keyword(s):  
Older Adults ◽  
Gender Differences ◽  
Health Status ◽  
Physical Health ◽  
Cognitive Functioning ◽  
Functional Status ◽  
Physical Health Status ◽  
Caregiver Relationship ◽  
Cohen's Kappa ◽  
Mental And Physical Health

ABSTRACTIn situations where care-receivers cannot respond to questions about their functional status, caregiver proxies are often substituted. Yet studies addressing caregiver-care-receiver agreement remain limited in scope, focusing primarily on cognitive functioning and caregiver relationship. This study broadens the range of research in this area by examining caregiver and care-receiver reports of individual IADL and AADL items by gender of care-receiver. As well, the degree to which the care-receiver's age and mental and physical health status influence agreement are investigated. Data for this study come from a sample of 388 Manitoba older adults aged 65 and over. Results (using Cohen's kappa) suggest less agreement on the presence of disability for men than for women, particularly among those aged 75–84. Differences by health status were also revealed. The implications of the findings for assessments of functioning are considered.

Immunotherapy in Older Adults With Advanced Cancers: Implications for Clinical Decision-Making and Future Research

2018 ◽  
pp. 400-414 ◽  
Author(s):  
Ravindran Kanesvaran ◽  
Raul Cordoba ◽  
Ronald Maggiore
Keyword(s):  
Older Adults ◽  
Functional Status ◽  
Clinical Decision Making ◽  
Checkpoint Inhibitors ◽  
Clinical Decision ◽  
Cytotoxic Agents ◽  
Future Research ◽  
Research Areas ◽  
Therapeutic Landscape ◽  
Line Setting

Immunotherapy has expanded the therapeutic landscape for advanced cancers, including solid tumors and lymphomas. For many patients with cancer, these agents have been shown to have substantial efficacy and favorable toxicity compared with cytotoxic agents, particularly in the second-line setting. With the advent of anti–PD-1 and anti–PD-L1 checkpoint inhibitors, combination immunotherapy- and chemoimmunotherapy-based strategies have emerged as promising novel regimens to improve cancer-related outcomes. Older adults age 65 or older represent the growing majority of patients diagnosed with cancer. However, older adults are under-represented in clinical trials in general, as well as in the landmark studies that led to approval of these immunotherapy agents. Because of increasing age and attendant multimorbidity and impaired functional status, many of these patients seen in the community-based oncology practices would not have been considered eligible for such studies. Thus, the results of these studies are difficult to generalize to a broader patient population with these competing risks. Furthermore, robust evaluation of toxicities, effect on quality of life and functional status, and aging-related (i.e., immunosenescence) and immunotherapy-related changes affecting the immune system remain underexplored research areas for older adults. This review examines the role of immunotherapy and its unique issues, specifically in older adults with lung cancer, bladder cancer, and lymphomas.

scholarly journals The Nutritional Status of Long-Term Institutionalized Older Adults Is Associated with Functional Status, Physical Performance and Activity, and Frailty

Nutrients ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 3716
Author(s):  
Itxaso Mugica-Errazquin ◽  
Idoia Zarrazquin ◽  
Jesús Seco-Calvo ◽  
Javier Gil-Goikouria ◽  
Ana Rodriguez-Larrad ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Nutritional Status ◽  
Functional Status ◽  
Physical Performance ◽  
Barthel Index ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Multiple Linear Regression Model

Among older adults living in long-term nursing homes (LTNHs), maintaining an adequate functional status and independence is a challenge. Whilst a poor nutritional status is a potential risk factor for a decreased function in this population, its role is not fully understood. Here, using a transversal multicenter study of 105 older adults living in 13 LTNHs, we analyzed the associations between nutritional status, as measured by the Mini Nutritional Assessment (MNA), and the parameters of functional status, physical performance, physical activity, and frailty as well as comorbidity and body composition. The MNA scores were positively correlated with the Barthel Index, handgrip strength, Short Physical Performance Battery (SPPB) scores, absolute muscle power, and Assessment of Physical Activity in Frail Older People (APAFOP) scores and were negatively correlated with dynamic balance and frailty. In a multiple linear regression model controlling for gender and age, the APAFOP score (β = 0.386), BMI (β = 0.301), and Barthel Index (β = 0.220) explained 31% of the variance in the MNA score. Given the observed close relationship between the MNA score and functional status, physical performance and activity, and frailty, interventions should jointly target improvements in both the nutritional status and functional status of LTNH residents. Strategies designed and implemented by interdisciplinary professional teams may be the most successful in improving these parameters to lead to better health and quality of life.

scholarly journals Health Decline Is Associated with Reports of No Coffee Consumption Years After Reporting Coffee Consumption Among Older Adults in Spain

2020 ◽  
Vol 150 (7) ◽  
pp. 1916-1923
Author(s):  
Rosario Ortolá ◽  
Adrián Carballo-Casla ◽  
Esther García-Esquinas ◽  
Esther Lopez-Garcia ◽  
José R Banegas ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Health Status ◽  
Observational Studies ◽  
Coffee Consumption ◽  
Future Research ◽  
Health Services Use ◽  
Coffee Intake ◽  
Potential Implication ◽  
Health Deterioration

ABSTRACT Background Part of the health benefits of coffee reported in observational studies might be due to health status influencing coffee intake rather than the opposite. Objective We examined whether changes in health influenced subsequent reports of no coffee consumption in older adults. Methods Data came from 718 coffee drinkers aged ≥60 y recruited in the Seniors-Estudio de Nutrición y Salud Cardiovascular en España (ENRICA) cohort in 2008–2010 (wave 0) and followed-up in 2012 (wave 1), 2015 (wave 2), and 2017 (wave 3). Health status was measured with a 52-item deficit accumulation index (DAI) with 4 domains: functionality, self-rated health/vitality, mental health, and morbidity/health services use. Coffee intake was estimated with a validated diet history. We examined how changes in health status over a 3-y period (wave 0 to wave 1) influenced reports of no coffee consumption during the subsequent 5 y (wave 1 to wave 3) by using logistic regression models. Results Health deterioration over 3 y was associated with a higher frequency of reports of no regular coffee consumption during the subsequent 5 y (fully adjusted OR: 1.48 per 1-SD increment in DAI; 95% CI: 1.17–1.87). Deteriorating function (OR: 1.38 per 1-SD increment; 95% CI: 1.06–1.81) and mental health (OR: 1.34 per 1-SD increment; 95% CI: 1.04–1.73) were the DAI domains associated with increased reports of no regular coffee consumption. Also, individuals with worsened perceived health or hypertension onset were more likely to report no regular coffee consumption. No associations were found for decaffeinated coffee. Conclusions Health deterioration was associated with reports of no regular coffee consumption years after reporting regular coffee consumption among older adults in Spain. A potential implication of this finding is that part of the beneficial effect of coffee consumption on health in observational studies might be due to reverse causation, which should be confirmed in future research.

scholarly journals More than feeling ‘a bit rocky’. Mal de Debarquement Syndrome (MdDS) Australia, quality of life survey 2016.

2017 ◽  
Author(s):  
Alan Pearce ◽  
Chris Daws
Keyword(s):  
Quality Of Life ◽  
Health Status ◽  
General Health ◽  
Online Survey ◽  
Working Environment ◽  
Future Research ◽  
The Future ◽  
Mal De Debarquement Syndrome ◽  
Multiple Variables

This report is the first study to investigate quality of life for those suffering with Mal de Debarquement Syndrome (MdDS). In June 2016, members of MdDS Australia were invited to participate in an anonymous online survey investigating their quality of life in regards to general health status; work and social activities; depression and fatigue; life enjoyment; and MdDS inference in daily activities.Sixty-three members (73% response rate) completed the survey over the four-week period. Average age of the respondents was 41 years, with 96% of the respondents being female. Time of onset to official MdDS diagnosis was 2 years. The general health of respondents was fair to good but there was noticeable response regarding the future of their health status in the future. MdDS has a notable effect on activities of daily living, and also the work environment (including housework), where many respondents noted that they have modified their working hours/load to accommodate MdDS. There was almost unanimous agreement that there is significant ignorance or misunderstanding of MdDS by clinicians and allied health workers. Also, the lack of understanding of MdDS in the wider community may also play an effect on the working environment for respondents.Overall, this preliminary survey has found that the multiple variables of ignorance/misunderstanding, modification of the working environment (including housework), and being unsure of the future, collectively contribute to constant anxiety and worry about MdDS which is likely to have an affect on cognitive abilities and the mental health of a majority of respondents. Future research should look at creating an individual quality of life score to understand how MdDS affects each person specifically.

scholarly journals The Association Between Spousal Caregiver Status and Psychological Well-Being Among Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 29-30
Author(s):  
Yang Wang
Keyword(s):  
Older Adults ◽  
Health Status ◽  
Daily Life ◽  
Well Being ◽  
Economic Resources ◽  
Spousal Caregivers ◽  
Future Research ◽  
Psychological Well Being ◽  
Spousal Caregiver ◽  
The Difference

Abstract Older adults often bear the responsibility of taking care of their spouses who have physical or cognitive impairments. Although previous studies suggested various caregiving-related negative experiences might be related to older spousal caregivers’ mental health status, the components of psychological well-being (PSW) among older spousal caregivers have not been fully explored. This study examined the association between spousal caregiver status and PSW. Data were drawn from wave 2014 of the Health and Retirement Study. The sample consisted of 3,857 adults who were above 50, and 376 of the participants provided care in activities in daily life (ADL) or instrumental activities in daily life (IADL) to their spouses/partners. Three hundred and thirty-one of them had a spouse/partner who needed care, but did not provide the care to their spouse/partner. The majority of participants, 3,150 of them, did not provide care, and their spouse/partner did not need care. Four domains of PSW were assessed: purpose of life, life satisfaction, positive affect, and negative affect. Univariate analyses and multivariable linear regression were used for analyses. Spousal caregivers and non-caregivers with need had a worse PS status, compared to non-caregivers without need. But after adjusting for socio-economic resources, health status, or social support factor, the difference in their four domains of PSW was insignificant. Older spousal caregivers’ PSW could be protected by promoting that population’s socio-economic resources and health status. Future practice needs to address caregivers’ emotional need. Future research need to examine the long-term effect of caregiving on older spousal caregivers’ PSW.

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