The Exploration Of Coping Skills In Bonjok Lor Village In Leisure Activities In The Pandemic Covid-19

Background: The COVID-19 pandemic caused social disturbances that have an impact on physical activity in the elderly, especially in doing leisure time, so that appropriate coping skills are needed to overcome various disorders in recreational activities so that the elderly do not have an impact on psychological disorders. The purpose of this study was to analyze recreational activities carried out as well as strategies for the elderly's coping skills in carrying out recreational activities during the COVID-19 pandemic. Methods: This research is qualitative research with a phenomenological perspective. Methods of in-depth interviews and documentation. Data were obtained through in-depth interviews with 8 elderly informants in Bonjok Lor Village, Bonorowo District, Kebumen Regency who have met the criteria (able to communicate well; elderly who are not actively working/retired; helping research informants). The data analysis technique used method triangulation and theoretical triangulation. Results: There was a change in the leisure of the elderly between before and before the COVID-19 pandemic. This triggers a change in the goals of the elderly in doing recreational activities. On the other hand, the COVID-19 pandemic poses various problems for the elderly, such as psychological problems, health problems, disturbances in carrying out activities, and compliance with health protocols. Appropriate coping skills strategies are needed, such as; task-oriented coping, emotion-oriented coping, avoidance-oriented coping with the aim that the elderly can still carry out recreational activities during the COVID-19 pandemic. Conclusion: Changes in recreational activities and the goals of the elderly in doing recreation during the COVID-19 pandemic trigger various problems, therefore skills are needed to overcome the right strategies so that the elderly can benefit from doing recreational activities during the COVID-19 pandemic.

Analysis of 29 Items of the Meaningful Activity Participation Assessment-Meaningful Scale Through Rasch Analysis

Individuals find meaning in their personal activities. Meaningful activities can improve an individual's emotional and physical health and quality of life. The Meaningful Activity Participation Assessment-Meaningful Scale (MAPA-M), which can measure these meaningful activities, is measured in 29 items. In this study, the psychometric properties of 29 items of MAPA-M were investigated through Rasch analysis. The data used in this study was the Well Elderly Study 2 data among public data provided by the Inter-university Consortium for Political and Social Research (ICPSR). We used 480 randomized samples from the Well Elderly Study 2 data. Before proceeding with the Rasch analysis, as a result of checking the unidimensionality assumption of 29 items, 19 items satisfied the unidimensionality assumption. As a result of Rasch analysis of 19 items, the Driving item was removed as misfit (infit mean-square = 2.04, infit z-standardized fit statistics = 9.90, outfit mean-square = 1.86, outfit z-standardized fit statistics = 8.99). The 18 items with the misfit items removed show a conceptual item-difficulty hierarchy, and there was no differential item functioning that worked for sex and age groups. The person strata value is 3.97, which corresponds to the confidence value of 0.88. These results indicate that the 18 items in MAPA-M show appropriate item-level psychometric properties. In other words, the modified MAPA-M 18 indicates that meaningful activities can be accurately and stably measured.

Dosage and Efficacy in Behavioral Interventions With Community Dwelling Older Adults: Lifestyle Redesign Revisited

Objectives: Behavioral interventions with community dwelling older adults often utilize multiple modes of treatment, which contributes to variation in participation and high rates of nonadherence. The objective of this report was to assess the treatment efficacy of one such study. Methods: We conducted an as-treated analysis of the Well Elderly II trial, where 322 individuals underwent 6 months of individual and group treatment and participated in community outings. We utilized inferential and graphical methods to assess the relationship between treatment received and depression change. Results: Individual treatment and community outings had similar small indirect effects on depressive symptoms, but a selection effect was present for individual treatment, where individuals with high baseline depression scores were the most likely to participate. Discussion: The results provide nuance that is unavailable using intent-to-treat. Future research should expand on our methods for as-treated analyses after intent-to-treat has shown aggregate improvements.