Social and leisure activity profiles and well-being among the older adults: a longitudinal study

Leisure Participation for Mental Health Promotion in Later Life: A Six-Year Longitudinal Study

Engaging in leisure activities is essential for mental health in older adults. This longitudinal study (n = 1,101, mean age = 69.20 ± 6.23 years at baseline) examined the associations between leisure participation and mental health over 6 years in three waves: 2016, 2018, and 2020. Pearson's correlation analyses and generalized estimating equations were performed for data analyses. The frequency of participation in physical and social activities was significantly positively associated with happiness, life satisfaction, and self-rated health, and significantly negatively associated with depression. Passive activities were significantly positively associated with happiness, life satisfaction, and self-rated health but not with depression. The time effect had no significant association with any mental health outcomes. These findings highlight the importance of leisure activities in promoting mental health among older adults. Policy makers should encourage older adults to engage in physical and social leisure activities.

Association between psychosocial working conditions and well-being before retirement: a community-based study

Psychosocial working conditions have been linked to mental health outcomes, but their association with well-being is poorly studied. We aimed to investigate the association between psychosocial working conditions and well-being before retirement, and to explore the role of gender and leisure activities in the association. From the Swedish National Study on Aging and Care in Kungsholmen, 598 community dwellers aged 60-65 years were included in the cross-sectional study. Lifelong occupational history was obtained through an interview. Job demands and job control in the longest-held occupation were graded with job exposure matrices. Psychosocial working conditions were classified into high strain (high demands, low control), low strain (low demands, high control), passive job (low demands, low control), and active job (high demands, high control). Well-being was assessed with the 10-item version of positive and negative affect schedule, and scored using confirmatory factor analysis. Engagement in leisure activities was categorized as low, moderate, and high. Data were analyzed using linear regression. Both high job control and high job demands were dose-dependently associated with higher well-being. Overall, compared to active jobs, passive jobs were associated with lower well-being (β -0.19, 95% CI -0.35 to -0.02, P = 0.028). Passive (β -0.28, 95% CI -0.51 to -0.04, P = 0.020) and high strain (β -0.31, 95% CI -0.52 to -0.10, P = 0.004) jobs were associated with lower well-being in men, but not in women. The association between passive jobs and well-being was attenuated by high leisure activities, while the association between high strain and well-being was magnified by low leisure activities. In conclusion, negative psychosocial working conditions are associated with poor well-being, especially in men. Leisure activities may modulate the association. Our study highlights that promoting favorable working conditions can be a target to improve well-being among employees and active participation in leisure activities is encouraged to cope with work-related stress for better well-being.

The longitudinal relationship between levels of cognitively stimulating leisure activity and positive and negative affect among older adults with MCI

BACKGROUND

The purpose of this study was to investigate the longitudinal relationship between different levels of cognitively stimulating leisure activity (CSLA) participation and different levels of positive and negative affect among older adults with mild cognitive impairment (MCI).

METHODS

Using a repeated-measured multivariate analysis of covariance (RM-MANCOVA), this study analyzed the Health and Retirement Study (HRS) data from 2012 to 2020 (N = 5932).

RESULTS

The results presented the following. (a) The high CSLA group showed higher positive affect and lower negative affect than the mid and low groups. Also, the mid-CSLA group presented higher positive affect and lower negative affect than the low CSLA group. (b) Both positive and negative affect showed significant differences between years and indicated a continuously declining slope year by year without exceptions. (c) The high CSLA group not only presented higher positive affect and lower negative affect during the period but also solely showed a rebounding feature in the declining slope on both emotions.

CONCLUSIONS

The findings of this study provide valuable support for the design and implementation of CSLA participation programs and clinical guidelines for older adults with MCI. The results highlight the importance of determining the optimal level of CSLA engagement that is required to promote emotional health and cognitive function in this population. Healthcare professionals and clinical practitioners can leverage the insights gained from this study to develop and deliver effective CSLA interventions tailored to the specific needs and capacities of older adults with MCI.

Social Interaction and Life Satisfaction among Older Adults by Age Group

This study examined the effect of social interaction on life satisfaction in older adults. A total of 8188 participants were selected according to the inclusion criteria. SPSS Windows software (version 23.0) was used for statistical analyses. Data were analyzed using the independent samples t-test, chi-squared test, and multiple regression analysis with weights based on two age groups: 65-74 and ≥75 years. The results showed that social interaction factors influenced the life satisfaction of older adults. In the 65-74 age group, factors that statistically significantly increased life satisfaction were meeting children (β = 0.17, p < 0.001) and volunteer activities (β = 0.04, p = 0.007). In the ≥75 age group, factors that significantly increased life satisfaction were talking with friends (β = 0.11, p = 0.002), talking with children (β = 0.07, p = 0.013), using senior citizen community centers (β = 0.08, p = 0.001), and hobby club activities (β = 0.07, p = 0.001). In order to increase the life satisfaction of older adults, different ways to support social interactions need to be explored.

Technology use characteristics among older adults during the COVID-19 pandemic: A cross-cultural survey

Personal computers, tablets, and smartphones may support older adults' engagement when people are required to stay home and opportunities to engage in meaningful activities are reduced during the COVID-19 period. This study aims to screen older adults' technology-use characteristics across social, leisure, and education domains during the COVID-19 pandemic from a crosscultural viewpoint. The sample included 576 participants aged 60 and older from France (n = 62), Spain (n = 110), and Israel (n = 404). Participants completed the technology-use survey, which consists of questions about their facilities, technology usability, need for adaptations to support technology use, and changes in technology use since COVID-19. Significant differences were found between countries in facilities, χ² (2) = 25.16, p < .001, and usability, χ² (2) = 64.14, p < .001, across the three domains. Furthermore, 34% of technological usability was predicted by country and facilities, F (4, 568) = 72.39, p < .001. Participants noted a willingness to use technology if it was adapted for social (61%-73%), leisure (51%-71%), or educational (67%-76%) activities and that they devoted substantially more time to technology across domains (>58%) due to COVID-19. These findings highlight culture and facilities as factors that play an imperative role in supporting and enhancing the usability of technology among older adults.

The Mental Health of Older Adults in the Densely Populated Areas of Tacna Region-Peru, 2021: Implications of the COVID-19 Information

The purpose of this research was to analyze the implications of exposure to various news channels that broadcast information on COVID-19 and their impact on the mental health of older adults in the sparsely populated area of the Tacna Region during the year 2021. The present study used a descriptive correlational type of quantitative approach on a sample of 389 older adults aged 60 years and over, who were recruited by non-probabilistic convenience sampling. For the application of the survey technique, the instrument used was a questionnaire modified by the authors. In terms of research ethics for the development of the study, the respondents provided informed consent, and other ethical considerations were addressed. In relation to sociodemographic variables of mental health, it was found that women had a greater incidence of anxiety (p < 0.01) and that people with fewer years of study had a greater incidence of depression (p < 0.01) and anxiety in sparsely populated areas. Exposure to news through television was associated with depression, and news obtained from other people was associated with depression (p < 0.001). An association was also found between the number of hours of television news and stress (p < 0.05), and radio news was associated with anxiety (p < 0.05). In terms of psychological consequences, the highest mean for television exposure was fear, while the greatest psychological consequence of radio news was fear, followed by stress and awareness. Finally, negative, inverse, and significant relationships were found that indicate protective factors, such as depression with awareness and indignation, and anxiety was inversely related to awareness.

Leisure, Mental Health, and Life Satisfaction among Older Adults with Mild Cognitive Impairment

Objectives: Little research has investigated the relationship between types of leisure activities and mental health outcomes among older adults with mild cognitive impairment (MCI). The purpose of this study was to investigate how certain leisure activities are associated with life satisfaction, anxiety, loneliness, happiness, and positive and negative affect. Methods: In this study, we used the 2020 Health and Retirement Study Core Early data and conducted a hierarchical regression analysis to investigate the different effects of the 3 types of leisure activities on the mental health of older adults with MCI (N=901). Results: We found that leisure-time physical activity was the strongest predictor of enhanced life satisfaction, positive affect, and happiness, and reduced anxiety and loneliness. In addition, sedentary leisure was associated with reduced anxiety and loneliness and increased happiness. Conclusions: These findings suggest that engagement in leisure-time physical activity and sedentary leisure can be instrumental in promoting the life satisfaction and mental health of older adults with mild cognitive impairment.

Active ageing profiles among older adults in Spain: A Multivariate analysis based on SHARE study

Background

Following the active ageing model based on the Health, Lifelong Learning, Participation and Security pillars, this research has a twofold objective: i) to classify older adults according to active ageing profiles, taking into account the four pillars, and ii) to ascertain the relationship between the profiles and personal and contextual factors, as well as well-being and quality of life in old age.

Methods

A study sample of 5,566 Spanish older adults who participated in wave 6 of the Survey of Health, Ageing and Retirement in Europe (SHARE) was included. Data were analysed in different steps applying several statistical analyses (Principal Component, Cluster, Discriminant, Multiple Correspondence and bivariate analysis with Pearson chi-square and ANOVA).

Results

Five older adult profiles were obtained (I: with moderate activity; II: quasi-dependents; III: with active ageing-limiting conditions; IV: with diverse and balanced activity; V: with excellent active ageing conditions). The first three profiles were characterised by subjects with a high average age, low educational level, who were retired or housewives, and who perceived a moderate level of loneliness, satisfaction with the social network and quality of life, as well as having a larger family network, but living in small households or alone. In contrast, the latter two profiles showed better personal and contextual conditions, well-being and quality of life.

Discussion and conclusions

The multidimensional approach to active ageing followed in this article has revealed the presence of several older adult profiles, which are confined to groups with better or worse active ageing conditions. In this context, if ageing is a process that reflects the previous way of life, intervention priorities will have to consider actions that promote better conditions during the life cycle.

Exploring the Association Between Affect and Leisure Activity Engagement in Black Adults

OBJECTIVES

This study examined engagement levels across various domains of leisure activities in community-dwelling Black adults (age range = 50-80 years) and variability in daily leisure activity engagement and positive affect (PA; positive emotions or mood) and negative affect (NA; negative emotions or mood). Additionally, we explored whether PA and NA were associated with leisure activity engagement and whether these associations varied by sociodemographics.

METHODS

Fifty adults (78% women; mean education = 11.62 years, standard deviation = 2.4) reported affect and leisure activity engagement over 8 occasions (2-3 weeks).

RESULTS

Participants averaged 3 leisure activities/day with more engagement in watching television (news), walking, reading, and visiting others. Multilevel models identified significant within-person variation across domains of leisure activity engagement. A significant main effect was observed between daily NA and reduced social activity engagement. A significant interaction between NA and education was further illustrated on those occasions when NA was higher than usual, social and total leisure activity engagement tended to be lower, particularly for adults with ≤10 years of education. A significant interaction between NA and education was observed for entertainment activities. However, results indicated adults with ≥14 years of education, and a mean NA above the sample average, tended to engage in more entertainment activities. Finally, a significant interaction between PA and age was observed indicating adults aged ≥73 had a greater social engagement, particularly when daily PA was heightened.

DISCUSSION

Results demonstrate within-person changes in the types of leisure engagement among Black adults. Potential factors related to these changes may result from interconnections between affect and demographic factors (age and education).

Doing well-being: Self-reported activities are related to subjective well-being

Activities and Subjective Well-Being (SWB) have been shown to be intricately related to each other. However, no research to date has shown whether individuals understand how their everyday activities relate to their SWB. Furthermore, the assessment of activities has been limited to predefined types of activities and/or closed-ended questions. In two studies, we examine the relationship between self-reported everyday activities and SWB, while allowing individuals to express their activities freely by allowing open-ended responses that were then analyzed with state-of-the-art (transformers-based) Natural Language Processing. In study 1 (N = 284), self-reports of Yesterday's Activities did not significantly relate to SWB, whereas activities reported as having the most impact on SWB in the past four weeks had small but significant correlations to most of the SWB scales (r = .14 -.23, p < .05). In Study 2 (N = 295), individuals showed strong agreement with each other about activities that they considered to increase or decrease SWB (AUC = .995). Words describing activities that increased SWB related to physically and cognitively active activities and social activities ("football", "meditation", "friends"), whereas words describing activities that decreased SWB were mainly activity features related to imbalance ("too", "much", "enough"). Individuals reported both activities and descriptive words that reflect their SWB, where the activity words had generally small but significant correlations to SWB (r =. 17 -.33, p < .05) and the descriptive words had generally strong correlations to SWB (r = .39-63, p < .001). We call this correlational gap the well-being/activity description gap and discuss possible explanations for the phenomenon.

Exploration of Topic Classification in the Tourism Field with Text Mining Technology—A Case Study of the Academic Journal Papers

This study collects abstracts of SSCI tourism journal papers between 2010 and 2019 from the WoS (Web of Science) database and uses a novel method of topic classification to explore the vocabulary characteristics of the classified articles. The corpora of abstracts are given quantitative Term Frequency–Inverse Document Frequency (TF–IDF) weights. A hierarchical K-means cluster analysis is then performed to automatically classify the articles; co-word analysis techniques are used to show the characteristics of feature words for distinct clusters, titles, and the consistency of the classified articles. Based on the results for 5783 abstracts, cluster analysis classifies the number of K-means clusters into six categories: travel, culture, sustainability, model, behavior, and hotel. A cross-check method is applied to assess the consistency of the topic classifications, list titles and keywords of the documents with the three smallest distances in each category and apply a strategic diagram to present the features of the distinct categories.

The Protective Effect of Caring for Grandchildren on the Mental Health of the Elderly: A Structural Equation Modeling Analysis

Population aging has become a common problem all over the world, and the process of China’s population aging is developing rapidly. China has made active aging a national development strategy, giving full attention to the physical and mental health of the elderly. Bloodline and family continuity make the Chinese elderly attach great importance to the responsibility of caring for grandchildren. This study takes the elderly as the research center, and aims to investigate the relationship between caring for grandchildren and the mental health of the elderly in China, and whether participation in social activities mediates such an association. Adopting the data from the 2018 China Health and Retirement Longitudinal Study (CHARLS), a Chi-squared test and multiple regression results showed that caring for grandchildren significantly improved the mental health level of the elderly in China, and the results were still valid after the use of the Propensity Score Matching (PSM) to solve the endogenous problems. Analysis of the mediating effects using the Structural Equation Model (SEM) showed that caring for grandchildren indirectly contributed to the reduction of depression by increasing the diversity and frequency of participation in social activities. The constant adjustment of China’s fertility policy increases the possibility of the elderly caring for multiple grandchildren, and prolongs their time of caring for grandchildren. The elderly caring for grandchildren is a proactive choice, which continuously relieves the child-rearing stress, and highlights the family value and social value of the elderly. At the same time, raising and accompanying grandchildren makes the elderly’s lives more fulfilling and positive, which in turn promotes participation in social activities, and the mental health of the elderly.

Mental health and motor efficiency of older adults living in the Sardinia's Blue Zone: a follow-up study

OBJECTIVES

The main aim of this study was to examine the impact of age-related changes on mental health, metacognitive, and motor functioning in late adulthood, while controlling for the effect of gender. Additionally, this investigation intended to study the association between motor efficiency indexes and self-reported psychological well-being, depression and cognitive failures over a period of 24 months.

DESIGN

Prospective longitudinal study: post hoc analysis.

PARTICIPANTS

Ninety-one community-dwelling older participants (mean age = 78.7 years, SD = 5.6) were recruited in a rural village of the Sardinian Blue Zone - an area of exceptional longevity located in the central-eastern region of Sardinia, an Italian island in the Mediterranean Sea.

MEASUREMENTS

All respondents completed a battery of tests and questionnaires assessing motor and general cognitive efficiency, self-reported psychological well-being, negative affect, and cognitive failures.

RESULTS

The adoption of a multilevel modeling approach highlighted the significative impact of time on psychological well-being, as well as on mobility parameters like gait speed and cadence, while controlling for the gender effect. Overall, psychological well-being and motor swing significantly increase at follow-up, whereas the further above-mentioned measures decreased after 24 months. Moreover, compared to the national cut-off, at baseline and follow-up, participants reported higher perceived emotional well-being. Finally, significant relationships between motor scores and self-reported mental health and metacognitive measures were found both at baseline and follow-up.

CONCLUSIONS

The maintenance of motor efficiency and preserved mental health seems to contribute to the successful aging of older people living in the Sardinian Blue Zone.

Social Interaction and Physical Activity Among Rural Older Adults: A Scoping Review

Social interaction and physical activity are critical components in supporting health among older adults, yet rates of activity are low in rural communities. There is significant merit in exploring the relationship between these interrelated concepts. A scoping review was conducted to synthesize existing literature. Search results identified 26 studies meeting inclusion criteria. Findings indicated that social interaction and physical activity were important for many older adults to maintain health; however, not all older adults preferred the social aspect of group-based exercise. Opportunities for physical activity and social interaction were limited based on geographical location and other socioeconomic factors. This was evident in rural communities where populations were lower and education and income levels varied. Differences on the defining role and meaning of physical activity also emerged. Increasing physical activity and social interaction must account for negative associations to address the lower rates of participation among rural older adults.

Care home residents’ quality of life and its association with CQC ratings and workforce issues: the MiCareHQ mixed-methods study

Background

Care home staff have a critical bearing on quality. The staff employed, the training they receive and how well they identify and manage residents’ needs are likely to influence outcomes. The Care Act 2014 (Great Britain. The Care Act 2014. London: The Stationery Office; 2014) requires services to improve ‘well-being’, but many residents cannot self-report and are at risk of exclusion from giving their views. The Adult Social Care Outcomes Toolkit enables social care-related quality of life to be measured using a mixed-methods approach. There is currently no equivalent way of measuring aspects of residents’ health-related quality of life. We developed new tools for measuring pain, anxiety and depression using a mixed-methods approach. We also explored the relationship between care home quality, residents’ outcomes, and the skill mix and employment conditions of the workforce who support them.

Objectives

The objectives were to develop and test measures of pain, anxiety and depression for residents unable to self-report; to assess the extent to which regulator quality ratings reflect residents’ care-related quality of life; and to assess the relationship between aspects of the staffing of care homes and the quality of care homes.

Design

This was a mixed-methods study.

Setting

The setting was care homes for older adults in England.

Participants

Care home residents participated.

Results

Three measures of pain, anxiety and low mood were developed and tested, using a mixed-methods approach, with 182 care home residents in 20 care homes (nursing and residential). Psychometric testing found that the measures had good construct validity. The mixed-methods approach was both feasible and necessary with this population, as the majority of residents could not self-report. Using a combined data set (n = 475 residents in 54 homes) from this study and the Measuring Outcomes in Care Homes study (Towers AM, Palmer S, Smith N, Collins G, Allan S. A cross-sectional study exploring the relationship between regulator quality ratings and care home residents’ quality of life in England. Health Qual Life Outcomes 2019;17:22) we found a significant positive association between residents’ social care-related quality of life and regulator (i.e. Care Quality Commission) quality ratings. Multivariate regression revealed that homes rated ‘good/outstanding’ are associated with a 12% improvement in mean current social care-related quality of life among residents who have higher levels of dependency. Secondary data analysis of a large, national sample of care homes over time assessed the impact of staffing and employment conditions on Care Quality Commission quality ratings. Higher wages and a higher prevalence of training in both dementia and dignity-/person-centred care were positively associated with care quality, whereas high staff turnover and job vacancy rates had a significant negative association. A 10% increase in the average care worker wage increased the likelihood of a ‘good/outstanding’ rating by 7%.

Limitations

No care homes rated as inadequate were recruited to the study.

Conclusions

The most dependent residents gain the most from homes rated ‘good/outstanding’. However, measuring the needs and outcomes of these residents is challenging, as many cannot self-report. A mixed-methods approach can reduce methodological exclusion and an over-reliance on proxies. Improving working conditions and reducing staff turnover may be associated with better outcomes for residents.

Future work

Further work is required to explore the relationship between pain, anxiety and low mood and other indicators of care homes quality and to examine the relationship between wages, training and social care outcomes.

Funding

This project was funded by the National Institute for Health Research (NIHR) Health Services and Delivery Research programme and will be published in full in Health Services and Delivery Research; Vol. 9, No. 19. See the NIHR Journals Library website for further project information.

Leisure Time Satisfaction and Activity Preferences Among Ethnically Diverse Aging Parents in Metro Vancouver

It is well established that family and work-retirement transitions are increasingly becoming more complicated, extended, and reversible among aging parents. Combined with improved life expectancy, older parents are now confronted with new opportunities and challenges including their access to leisure activities. However, a paucity of research exists with regard to the extent to which older-aged parents are satisfied with their amount of leisure time as well as their ideal leisure preferences. Drawing upon socio-cultural life course theory, this paper examines how socio-demographic and ethnocultural variables (i.e., gender, ethnic identity), family-related factors (e.g., presence of children in the household), and socio-economic and work contexts (i.e., income satisfaction and retirement status) shape leisure time satisfaction and activity preferences. Data are drawn from the "Families and Retirement Project," a sample of 588 diverse (British-, Chinese-, Iranian/Persian-, South-Asian Canadians) aged 50 + (mean age = 59.6) residing in Metro Vancouver with at least one young adult child aged 19-35. Quantitative analyses reveal that leisure time satisfaction is higher among: those reporting lower levels of parental stress, the fully retired, those with less education, and among Chinese parents (compared to British). Moreover, strong variations by ethnic background are shown in preferred leisure activity, based on a thematic analysis of data. Results are discussed in terms of contributions to a socio-cultural family life course activity theory. Implications for community service provision (e.g., culturally sensitive and relevant recreational programs and services) are also highlighted, given the salience of participation in enjoyable leisure activities to healthy aging.

Can the Unified Theory of Acceptance and Use of Technology (UTAUT) Help Explain Subjective Well-Being in Senior Citizens due to Gateball Participation?

Promoting successful aging strategies through well-reasoned caregiving programs is, and should be, one of the main objectives of many government policies and their implementing agencies. Well-being has been considered an important indicator of successful aging. Leisure is a key life domain and a core ingredient for overall well-being. Yet, within well-being research, few studies have made the connection between leisure participation as accepted behavior and subjective well-being in senior citizens. This study proposed to examine the applicability of the Unified Theory of Acceptance and Use of Technology (UTAUT) in explaining senior citizens' decision-making processes in terms of leisure participation behavior and the effect of such behavioral engagement on subjective well-being. The respondents were senior citizens in Taiwan who played gateball and were aged 60 years or older. A total of 595 usable responses were obtained and used to answer the research question. The empirical results indicate that performance expectancy, social influence, and facilitating conditions are positively and significantly related to senior citizens' gateball participation behavior. In addition, gateball participation behavior had a positive and significant effect on respondents' subjective well-being. The results of this study not only extend the application of UTAUT in terms of participation behavior in leisure activities, but also can provide gateball associations and government entities a theoretical model for developing and promoting gateball programs which serve or involve the elderly, as well as helping older adults to pursue satisfactory levels of wellbeing.

Social participation and life satisfaction among older adults: diversity of practices and social inequality in Switzerland

This paper examines the associations between social participation and individual life satisfaction among older adults. It specifically considers the diversity of the practices and social inequalities among this population. For analyses, we used a large survey of individuals of 65 years and older conducted in 2011 in Switzerland (N = 2,727). The first set of linear regression analyses examines Diener's Satisfaction with Life Scale and its association with various indicators of social participation. While the second set of logistic regression addresses the issue of social inequalities by evaluating the impacts of gender, age group, region and education on social participation indicators that are significantly associated with the satisfaction with life score. Our results stressed the importance of combining multiple forms of participation for life satisfaction and shows that some forms are particularly meaningful: in particular, the involvement in associations, visitation of family or visitation of friends/acquaintances and church attendance. When inequalities among older adults are considered, having rich and varied social participation, being involved in associations and maintaining private sociability with non-kin appear more elitist. While institutionalised and/or private sociability types of participation appear particularly significant for older adults’ life satisfaction, the most traditional integration forms – i.e. family and religions – are crucial for the more vulnerable. Implications for active ageing was equally discussed as well.

Construct validity and internal consistency of the Brazilian version of Leisure Attitude Measurement for the elderly

OBJECTIVE

To evaluate the construct validity and internal consistency of the Brazilian version of Leisure Attitude Measurement for the elderly.

METHOD

Methodological study with a quantitative approach. The data were collected for three months through domiciliary visits to a random and representative sample of 384 elders. The internal consistency was measured through Cronbach alpha coefficient. Construct validity was evaluated through exploratory factor analysis. Factor extraction was conducted per principal components, following the Kaiser criterion, with rotation through Varimax solution.

RESULTS

The participants' mean age was 70,9 and they were mostly women, married, living with relatives, with one to four years of education, and with an income of up to one minimum wage. The final model of the instrument has conserved three factors, under the parsimony criterion, explaining 50% of data variance, with a total of 27 items distributed across the cognitive, affective, and behavioral domains, with an overall Cronbach alpha coefficient of 0.89.

CONCLUSION

The proposed structural model has shown construct validity and an appropriate internal consistency, explaining 50% of data variability. Its application can promote the understanding of social reality and encourage a positive attitude and elderly engagement in leisure activities.

Life satisfaction in late adult span: the contribution of family relationships, health self-perception and physical activity

BACKGROUND

Life satisfaction is a crucial facet of subjective well-being, being impacted by different factors, such as cognitive and physical health, and social functioning.

AIMS

This study intended to investigate the impact of satisfaction with family ties, education, negative mood and health self-perception on life satisfaction in late adulthood.

METHODS

One hundred fifteen cognitively intact 75-101-year-old participants competed a battery of tools assessing cognitive efficiency and self-referent measures of life satisfaction, perceived physical health, negative mood and satisfaction with family relations.

RESULTS

A series of step-wise regression analyses showed that satisfaction with family ties with and without perceived physical health predicted different indexes of life satisfaction. Moreover, more physically active participants reported fewer depressive symptoms and better life satisfaction with their time occupied in leisure activities than more sedentary respondents.

CONCLUSION

Perceived emotional connection with family members and a physically active lifestyle represent the most significant protective factors to boost self-reported life satisfaction in late adulthood.

The Effect of Changes in Physical Self-Concept through Participation in Exercise on Changes in Self-Esteem and Mental Well-Being

The aim of the present study was to examine the impact of the changes in physical self-concept induced by exercise participation on the changes in global self-esteem and mental well-being using a structural model analysis. A total of 189 university students in Seoul, Korea, participated in the present study for two waves. The participants responded through a survey measuring physical self-concept, self-esteem, and mental well-being before and after a six-week exercise course. Regression analysis was used to calculate the amount of change in each variable, and the calculated residual scores were used for correlation analysis and structural model analysis. The amounts of changes in the variables are significantly correlated with each other and there was a complementary mediating effect of the changes in self-esteem on the pathway from the changes in physical self-concept to the changes in mental well-being. Physical self-concept changed by exercise participation might directly and positively influence mental well-being, and it can indirectly influence the changes in mental well-being via the improvement of self-esteem.

Time-Use and Mental Health in Older Adults: A Scoping Review

Time-use of older adults can be different than in earlier life, especially during the transition from pre- to post-retirement or after experiencing major life events, and the changes could affect their mental health. However, the extent and nature of such research in gerontology have not been examined to date. Therefore, this scoping review sought to map the literature on time-use and mental health in the older population to examine the extent and nature of those research activities. A scoping review was conducted using four databases-PubMed, Scopus, CINAHL, and EMBASE according to PRISMA guidelines. Data were extracted using a pretested tool to develop a descriptive analysis and thematic summary. A total of 11 articles met the eligibility criteria. Seven out of 11 studies involved cross-sectional design, while the remainder were longitudinal studies. The longitudinal studies mainly were secondary data analysis. Time-use data were mainly collected using daily diaries, and the most common mental health outcome included was depression. Only two studies did not evaluate the direct relationship between time-use and mental health. Our review has revealed studies evaluating time-use and mental health in older adults. Limitations of review and recommendations for future studies are discussed.

The Role of Psychological and Social Well-being on Physical Function Trajectories in Older Adults

BACKGROUND

Psychological and social well-being are emerging as major determinants in preserving health in old age. We aimed to explore the association between these factors and the rate of decline in physical function over time in older adults.

METHODS

Data were gathered from the Swedish National study on Aging and Care in Kungsholmen (SNAC-K). The study population consisted of 1,153 non-demented, community-dwelling men and women free from multimorbidity or impairments in basic or instrumental activities of daily living at baseline. They were followed over 12 years to capture the rate of decline in physical function, which was measured by combining data on walking speed, balance, and chair stands. The association between baseline psychological and social well-being and decline in physical function was estimated through linear mixed models, after multiple adjustments including personality and depressive symptoms.

RESULTS

Higher levels of psychological (β = .007; p = .037) and social (β = .008; p = .043) well-being were significantly associated with a decreased rate of decline in physical function over the follow-up. There was a significant three-way interaction between psychological well-being*time*sex (female vs male) (β = .015; p = .047), showing that a slower decline in physical function was observed only among women and not in men. The association was strongest for individuals with high levels of both psychological and social well-being (β = .012; p = .019).

CONCLUSION

High levels of psychological and social well-being may slow down the age-related decline in physical function, which confirms the complexity of older adults' health, but also points towards new preventative strategies.

Leisure and Social Supports in Relation to Positive Affect Among Older Adults

The current study examined the extent to which leisure activities were related to different forms of social support and its association with positive affect. A secondary data analysis was employed using data drawn from the Health and Retirement Study (HRS) in 2014. The study sample was composed of 4,303 individuals whose ages ranged from 65 to 105 (M = 75.78, SD = 7.42; 57.8% females). Employing bootstrapping technique, the hypothesized relationship between leisure, social support, and positive affect was examined. Mediating effect of social support was also determined. Results indicated that leisure activity, social support, and positive affect were significantly associated, but the relationship varied. The study findings expanded our understanding of the divergent leisure paths to positive social support and emotional well-being of the older adults. Promoting diverse recreational settings is necessary in leisure interventions that can facilitate frequent and positive social exchanges in both in-home and out-of-home environments.

Physical activity, sedentary behavior and functionality in older adults: A cross-sectional path analysis

Disability is negatively associated with the health of older adults, and it can be mediated by healthy lifestyles and behaviors throughout one's life. In this context, understanding the interrelationships between sedentary behavior, physical activity and functionality may assist in the implementation of effective public health actions. Thus, the aim of the present study was to investigate the relationships between both physical activity and sedentary behavior and functionality in older adults and the possible mediators. The variables analyzed were selected according to the content analysis of International Classification of Functioning, Disability and Health model, and included activity, participation, health conditions, body functions and structures, environmental factors and personal factors. 419 individuals participated in the study. Physical activity was directly associated with disability in instrumental activities of daily living (IADL), and the association was mediated by self-esteem, aerobic endurance, and agility/balance. Sedentary behavior was indirectly associated with IADL disability, and the association was mediated by aerobic resistance, nutritional status, and agility/balance. Regarding the basic activities of daily living (BADL), physical activity showed an indirect association mediated by aerobic resistance and IADL. The association of sedentary behavior with BADL was mediated by aerobic resistance and lower limb flexibility. These results reinforce the idea that functionality is multidimensional, and the mediating factors must be considered when strategies for promoting physical activity and reducing sedentary behavior are designed.

SODA: a new questionnaire for the assessment of life satisfaction in late life span

BACKGROUND

Established measures of well-being rarely examine active lifestyle or religious behaviors. Though these could be assessed using individual measures, in older populations, the availability of a brief composite instrument with adequate psychometric properties would be desirable.

AIMS

Two studies were conducted to assess the psychometric properties (i.e., item adequacy, factorial structure, reliability and validity) of a new tool that was developed to self-rate personal satisfaction among Italian elders, the SODdisfazione dell'Anziano (SODA) Questionnaire.

METHODS

135 young adults (mean age = 29.5 years, SD = 7.4) took part in Study 1, whereas Study 2 was carried out with 474 cognitively healthy 60-98-year-old people, that were asked to complete a battery of well-known well-being measures including the SODA one.

RESULTS

Study 1 showed that the SODA questionnaire is a reliable and valid self-report tool defined by three factors, assessing satisfaction about physical and cognitive health, religious well-being, and satisfaction about time spent for leisure activities, respectively. Study 2 replicated the outcomes of Study 1, highlighting the factor structure of the SODA inventory. Moreover, a series of stepwise linear regression analyses pointed out what factors (i.e., education, physical health, social desirability, participation to outdoor leisure activities, gender, and age) predicted the variance relative to the SODA indexes.

DISCUSSION

Current findings show the solid psychometric properties of SODA.

CONCLUSIONS

SODA represents a brief, but reliable and valid, instrument for the assessment of satisfaction (focused on the state level) in late adult span.

Leisure and Procrastination, a Quest for Autonomy in Free Time Investments: Task Avoidance or Accomplishment?

The purpose of the research was to analyze procrastination – a problem of time management that negatively affects the autonomy of people – in relation to leisure as a domain of everyday life. Specifically, the dynamics between leisure (activities and time invested – weekly frequency and duration of activity) and procrastination factors were studied. A sample of 185 university students (118 men and 67 women: M_age = 20.77 years, SD_age = 2.53) answered a procrastination scale – validated for the Spanish population – which refers to four factors of procrastination (dilatory behaviors, indecision, lack of punctuality, and lack of planning) and an adaptation of the Time Budget (TB) (a table where the participants were asked to specify “the three activities that you prefer to do when you are not studying or doing a paid job”). Results show that leisure activities are associated with factors of procrastination. As a matter of fact, the different factors of procrastination were related to specific types of leisure activities, depending on the weekly frequency of the activity or its duration. In this sense, there are cases in which the greater frequency of leisure activities (hobbies and computing, social life and entertainment) seems to contain – control, inhibit – procrastination (specifically, affecting its component of indecision) variations in the weekly frequency and duration of certain type of activities result in higher or lower scores on certain factors of procrastination. In sum, the time invested in leisure can protect from or inhibit delaying tasks – which implies enhancing the autonomy of people – a deduction that opens up new lines of research to identify optimal time investments for coping with procrastination.