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Martin M, Saltzman LY, Henry V, Broussard C, Hansel TC. Mental health and well-being for aging adults during the COVID-19 pandemic. Aging Ment Health 2022; 26:1889-1898. [PMID: 34380358 DOI: 10.1080/13607863.2021.1963950] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
INTRODUCTION The COVID-19 pandemic remains a significant mental health crisis. Although empirical research works to better understand the impact of COVID-19 on the mental health of the general population, some groups remain at greater risk for adverse mental health consequences. The purpose of this study is to better understand how COVID-19 experiences, food insecurities, and social support are associated with mental health and well-being for aging populations. METHODS Data collection began April 1, 2020 and continued through May 22, 2020. Study participants were recruited via website and media promotion and completed an anonymous survey. A sample of adults age 50 years and older (N = 136) were selected for the current analysis. Measures included scales of anxiety, depression, resilience, quality of life, COVID-19 experiences, interdependence, and insecurities. Three stepwise linear regression models were conducted using forward selection were estimated. RESULTS The first model found food insecurity, community closeness, and COVID-19 experiences predicted 23% of the variance in mental health. The second model found having enough money to meet needs, COVID-19 interdependence, and age predicted 20% of the variance in resilience. The final model found having enough money to meet needs, COVID-19 experiences, community closeness, and information access predicted 45% of the variance in quality of life. DISCUSSION Our discussion highlights the role of COVID-19 experiences, tangible resource losses, and community connection in mental health outcomes for aging populations during COVID-19. We suggest areas of future research and highlight the important role of technology in both scholarship and practice.
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Affiliation(s)
- Maya Martin
- School of Social Work, Tulane University, New Orleans, LA, USA
| | - Leia Y Saltzman
- School of Social Work, Tulane University, New Orleans, LA, USA
| | - Veronica Henry
- School of Social Work, Tulane University, New Orleans, LA, USA
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Marmo S, Pardasani M, Vincent D. Senior Centers and LGBTQ Participants: Engaging older adults virtually in a pandemic. JOURNAL OF GERONTOLOGICAL SOCIAL WORK 2021; 64:864-884. [PMID: 34106039 DOI: 10.1080/01634372.2021.1937431] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/13/2020] [Revised: 05/26/2021] [Accepted: 05/28/2021] [Indexed: 06/12/2023]
Abstract
Upon the outbreak of Covid-19, recommendations to cease all non-essential in person services were mandated across the United States to prevent transmission to non-infected individuals. As a result, approximately 96% of all senior centers in the United States were closed to in-person programming. Senior centers have had a long history of engaging older adults, maintaining community connections, enhancing social support and reducing social isolation. SAGE, the first publicly funded senior center for LGBT older adults in the US, serves a traditionally under-served population with a vast array of services and programs. This exploratory, cross-sectional study utilized an online survey to evaluate the experiences of 113 SAGE members after the Coronavirus pandemic closed their senior center. Participants reported a relatively easy adaptation to technology, steady participation in programs and services, satisfaction with virtual senior center programming and a stable sense of engagement with their peers. Higher levels of engagement with senior center programs was associated with stronger feelings of social support. Additionally, stronger perceptions of social support and participation in exercise and fitness programming were associated with higher life satisfaction and lower depression and anxiety. Implications and recommendations for other gerontological service providers are offered.
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Affiliation(s)
- Suzanne Marmo
- School of Social Work, Sacred Heart University, Fairfield, CT, USA
| | | | - David Vincent
- SAGE Advocacy and Services for LGBT Elders, New York, USA
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Lunt C, Dowrick C, Lloyd-Williams M. What is the impact of day care on older people with long-term conditions: A systematic review. HEALTH & SOCIAL CARE IN THE COMMUNITY 2021; 29:1201-1221. [PMID: 33332714 DOI: 10.1111/hsc.13245] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/25/2019] [Revised: 11/04/2020] [Accepted: 11/06/2020] [Indexed: 06/12/2023]
Abstract
There is a lack of robust evidence regarding outcomes for day care use among older people living with long-term conditions (LTCs). Day care is provided by independent, private and voluntary and charitable sectors. This systematic review aims to establish current evidence of outcomes for older people with LTCs attending day care services and outcomes on carers, across all service models. Narrative synthesis of quantitative and qualitative data was undertaken. The review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A systematic literature search was carried out across eight electronic databases and reference lists of key journals between 2004 and October 2020 were searched. Searches returned 1,202 unique titles. Forty-five articles from 16 countries met the criteria on review of title, abstract and full article. There is limited evidence suggesting improved levels of perceived psychological health, quality of life, perceived general health, physical health and functioning for older people attending day care who have LTCs. The respite function of day care resulted in positive outcomes for carers. Studies evaluating outcomes for participants or carers were limited in quantity and quality. There is limited information regarding outcomes for day care attendance for older people with multiple LTCs from existing literature. Further research focusing on LTCs and day care attendance would benefit this field.
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Affiliation(s)
- Catherine Lunt
- Academic Palliative and Supportive Care Studies Group (APSCSG), Institute of Psychology Health and Society, University of Liverpool, Liverpool, UK
| | - Christopher Dowrick
- Academic Palliative and Supportive Care Studies Group (APSCSG), Institute of Psychology Health and Society Block B Waterhouse Building, University of Liverpool, Liverpool, UK
| | - Mari Lloyd-Williams
- Academic Palliative and Supportive Care Studies Group (APSCSG), University of Liverpool / Honorary Consultant Liverpool CCG (Liverpool Health Partners), Liverpool, UK
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Mehrabi F, Béland F. Effects of social isolation, loneliness and frailty on health outcomes and their possible mediators and moderators in community-dwelling older adults: A scoping review. Arch Gerontol Geriatr 2020; 90:104119. [DOI: 10.1016/j.archger.2020.104119] [Citation(s) in RCA: 48] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2020] [Revised: 05/17/2020] [Accepted: 05/18/2020] [Indexed: 12/20/2022]
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Day centres for older people: a systematically conducted scoping review of literature about their benefits, purposes and how they are perceived. AGEING & SOCIETY 2020; 40:73-104. [PMID: 31798195 DOI: 10.1017/s0144686x18000843] [Citation(s) in RCA: 43] [Impact Index Per Article: 10.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
With a policy shift towards personalisation of adult social care in England, much attention has focused on individualised support for older people with care needs. This article reports the findings of a scoping review of United Kingdom (UK) and non-UK literature, published in English from 2005-2017, about day centres for older people without dementia and highlights the gaps in evidence. This review, undertaken to inform new empirical research, covered the perceptions, benefits and purposes of day centres. Searches, undertaken in October/November 2014 and updated in August 2017, of electronic databases, libraries, websites, research repositories and journals, identified seventy-seven relevant papers, mostly non-UK. Day centres were found to play a variety of roles for individuals and in care systems. The largest body of evidence concerned social and preventive outcomes. Centre attendance and participation in interventions within them impacted positively on older people's mental health, social contacts, physical function and quality of life. Evidence about outcomes is mainly non-UK. Day centres for older people without dementia are under-researched generally, particularly in the UK. In addition to not being studied as whole services, there are considerable evidence gaps about how day centres are perceived, their outcomes, what they offer, to whom and their wider stakeholders, including family carers, volunteers, staff and professionals who are funding, recommending or referring older people to them.
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Kim J, Kim J. Exploring Health Benefits through Senior Center Engagement: A Qualitative Investigation of Older Korean Immigrants. ACTIVITIES, ADAPTATION & AGING 2019. [DOI: 10.1080/01924788.2019.1698121] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- Junhyoung Kim
- School of Public Health, Indiana University, Bloomington, Indiana, USA
| | - Jaehyun Kim
- Department of Health and Human Performance, Texas State University, San Marcos, Texas, USA
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Steffens NK, LaRue CJ, Haslam C, Walter ZC, Cruwys T, Munt KA, Haslam SA, Jetten J, Tarrant M. Social identification-building interventions to improve health: a systematic review and meta-analysis. Health Psychol Rev 2019; 15:85-112. [PMID: 31530154 DOI: 10.1080/17437199.2019.1669481] [Citation(s) in RCA: 60] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
There is growing evidence that social identity processes play an important role in a range of health outcomes. However, we know little about the nature and effectiveness of interventions that build social identification with the aim of promoting health. In the present research, we systematically review and meta-analyze interventions that build social identification to enhance health and wellbeing. A total of 27 intervention studies were identified (N = 2,230). Using a three-level meta-regression, results indicate that social identification-building interventions had a moderate-to-strong impact on health (Hedges g = 0.66; 95%CIs[0.34, 0.97]). Analyses revealed significant variation in intervention effectiveness as a function of its type: group-relevant decision making (g = 1.26), therapy programmes (g = 1.02), shared activities (g = 0.40), and reminiscence (g = -0.05). By contrast, there was much less variation across health outcomes: quality of life (g = 0.80), physical health (g = 0.76), self-esteem (g = 0.69), well-being (g = 0.66), (reduced) anxiety (g = 0.61), (reduced) depression (g = 0.58), cognitive health (g = 0.55), and (reduced) stress (g = 0.49). Finally, speaking to the mechanism of the interventions, interventions tended to be more effective to the extent that they succeeded in building participants' social identification with the intervention group. We discuss the theoretical and practical implications of social identification-building interventions to foster health and outline an agenda for future research and practical application.
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Affiliation(s)
- Niklas K Steffens
- School of Psychology, The University of Queensland, Brisbane, Australia
| | - Crystal J LaRue
- School of Psychology, The University of Queensland, Brisbane, Australia
| | - Catherine Haslam
- School of Psychology, The University of Queensland, Brisbane, Australia
| | - Zoe C Walter
- School of Psychology, The University of Queensland, Brisbane, Australia
| | - Tegan Cruwys
- Research School of Psychology, The Australian National University, Canberra, Australia
| | - Katie A Munt
- School of Psychology, The University of Queensland, Brisbane, Australia
| | | | - Jolanda Jetten
- School of Psychology, The University of Queensland, Brisbane, Australia
| | - Mark Tarrant
- University of Exeter Medical School, University of Exeter, Exeter, UK
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Abstract
RÉSUMÉLes centres pour personnes âgées ont été identifiés comme des points focaux pour la prestation de services pour la population vieillissante, qui est en forte croissance au Canada et aux États-Unis. Malgré ce rôle important des centres pour personnes âgées, peu de recherches leur ont été consacrées. Cet examen de portée a ciblé les études empiriques en langue anglaise portant sur les centres pour personnes âgées qui ont été publiées dans des revues scientifiques depuis 2000. Un total de 58 études ont été repérées (n = 51 pour les études américaines, n = 7 pour les études canadiennes). La majorité de ces articles était centrée sur des thèmes liés à la participation d’individus dans les centres pour personnes âgées, et quelques études seulement traitaient du milieu associé aux centres pour personnes âgées. Ces résultats suggèrent que les recherches futures devraient cibler les avantages de la programmation des centres pour personnes âgées, avec une attention particulière sur les besoins des baby-boomers, sur les facteurs clés liés au financement, aux espaces et au personnel, ainsi que sur les caractéristiques et les rôles des centres pour personnes âgées dans le contexte canadien.
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Social network members who engage in activities with older adults: Do they bring more social benefits than other members? AGEING & SOCIETY 2018; 2018:1-20. [PMID: 29422699 DOI: 10.1017/s0144686x17001490] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
Active participation in social activities is important for the well-being of older adults. This study explored benefits of active social engagement by evaluating whether relationships that comprise active involvement (e.g., co-engagement in activities) bring more social benefits (i.e., social support, companionship, positive social influence) than other relationships that do not involve co-engagement. A total of 133 adults ages 60 years and older living in a rural Midwestern city in the United States were interviewed once and provided information on 1,740 social network members. Among 1,506 social relationships in which interactions occurred at least once a month, 52% involved engagement in social activities together and 35% involved eating together regularly. Results of the generalized linear mixed model showed that relationships involving co-engagement were significantly more likely to also convey social support (i.e., emotional, instrumental, informational), companionship, and social influence (encouragement for healthy behaviors) than relationships that do not involve co-engagement. Having more network members who provide companionship was associated with higher sense of environmental mastery, positive relations with others, and satisfaction with social network. Interventions may focus on maintaining and developing such social relationships and ensuring the presence of social settings in which co-engagement can occur. Future research may explore whether increasing co-engagement leads to enhanced sense of companionship and psychological well-being.
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Markle-Reid M, Ploeg J, Fisher K, Reimer H, Kaasalainen S, Gafni A, Gruneir A, Kirkconnell R, Marzouk S, Akhtar-Danesh N, Thabane L, Rojas-Fernandez C, Upshur R. The Aging, Community and Health Research Unit-Community Partnership Program for older adults with type 2 diabetes and multiple chronic conditions: a feasibility study. Pilot Feasibility Stud 2016; 2:24. [PMID: 27965843 PMCID: PMC5154077 DOI: 10.1186/s40814-016-0063-1] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2015] [Accepted: 04/20/2016] [Indexed: 01/03/2023] Open
Abstract
BACKGROUND Few studies have examined the effectiveness of community-based self-management interventions in older adults with type 2 diabetes mellitus (T2DM) and multiple chronic conditions (MCC). The objectives of this study were to examine the feasibility of implementation in practice (primary) and the feasibility of study methods and potential effectiveness (secondary) of the Aging, Community and Health-Community Partnership Program, a new 6-month interprofessional, nurse-led program to promote diabetes self-management in older adults (>65 years) with T2DM and MCC. METHODS This study used a prospective one-group pre-test/post-test design. Participants were recruited from a specialized diabetes clinic. They received a median of three in-home/clinic visits by certified diabetes educators (CDEs) and attended a median of three group wellness sessions provided by the CDEs in partnership with a community-based seniors' association. The primary outcome was the feasibility of the program (acceptability, fidelity, implementation barriers/facilitators). Secondary outcomes included the feasibility of the study methods (recruitment/retention rates and procedures, eligibility criteria, data collection and analysis methods) and potential effectiveness of the program based on 6-month changes in self-reported outcomes including self-management behavior (diet, exercise, self-monitoring), health status (quality of life, mental health), and costs of service use. Analysis of feasibility outcomes was primarily based on descriptive statistics. The potential effectiveness of the program was explored using different tests, with the results expressed using descriptive statistics and effect estimates (95 % confidence intervals). RESULTS In total, 45 (88 %) of 51 eligible persons consented to participate. Of these, 37 (82 %) completed the 6-month follow-up. Participants and providers viewed the program as acceptable and feasible. Participants had a higher SF-12 physical component summary score at 6 months compared with baseline (mean score difference 3.0, 95 % CI 0.2-5.8). Median costs for diabetes care increased over 6 months (reflecting inclusion of program costs), while other service costs either decreased or remained unchanged. CONCLUSIONS This study offers preliminary evidence that the program was feasible to deliver and acceptable to participants and providers. Initial results suggest that the program may improve physical functioning. A randomized controlled trial is feasible, with some adaptations to the program and study methods that were identified from this feasibility study. TRIAL REGISTRATION Clinicaltrials.gov identifier: NCT01880476.
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Affiliation(s)
- Maureen Markle-Reid
- School of Nursing, Health Sciences Centre, McMaster University, 1280 Main Street West, Room 3N25B, Hamilton, ON L8S 4 K1 Canada
| | - Jenny Ploeg
- School of Nursing, Health Sciences Centre, McMaster University, 1280 Main Street West, Room 3N25C, Hamilton, ON L8S 4 K1 Canada
| | - Kathryn Fisher
- School of Nursing, Health Sciences Centre, McMaster University, 1280 Main Street West, Room 2J34A, Hamilton, ON L8S 4 K1 Canada
| | - Holly Reimer
- School of Nursing, Health Sciences Centre, McMaster University, 1280 Main Street West, Room 3N25B, Hamilton, ON L8S 4 K1 Canada
| | - Sharon Kaasalainen
- School of Nursing, Health Sciences Centre, McMaster University, 1280 Main Street West, Room 3N25B, Hamilton, ON L8S 4 K1 Canada
| | - Amiram Gafni
- Department of Clinical Epidemiology and Biostatistics, Centre for Health Economics and Policy Analysis, McMaster University, 1280 Main Street West, Room CRL-208, Hamilton, ON L8S 4 K1 Canada
| | - Andrea Gruneir
- University Department of Family Medicine, University of Alberta, 6-40 University Terrace, Edmonton, AB T6G 2T4 Canada
| | - Ross Kirkconnell
- Guelph Family Health Team, Dawson Road Family Medical Centre, 83 Dawson Rd, Guelph, ON N1H 1B1 Canada
| | - Sam Marzouk
- Diabetes Care Guelph, Dawson Road Family Medical Centre, 83 Dawson Rd, Guelph, ON N1H 1B1 Canada
| | - Noori Akhtar-Danesh
- School of Nursing, Health Sciences Centre, McMaster University, 1280 Main Street West, Room 3N28B, Hamilton, ON L8S 4 K1 Canada
| | - Lehana Thabane
- Department of Clinical Epidemiology and Biostatistics, St. Joseph’s Healthcare Hamilton, 3rd Floor, Martha Wing, Room H-325, 50 Charlton Avenue East, Hamilton, ON L8N 4A6 Canada
| | - Carlos Rojas-Fernandez
- School of Pharmacy, University of Waterloo, 200 University Avenue West, Waterloo, ON N2L 3G1 Canada
| | - Ross Upshur
- Division of Clinical Public Health, Dalla Lana School of Public Health, 155 College Street, 6th floor, Toronto, ON M5T 3M7 Canada
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Abstract
This study examined the effects of social network characteristics on physical health among people with serious mental illness using social transactions that are reciprocal, and the combination of objective and subjective health measures. The sample consisted of a probability sample of 231 adults with serious mental illness who resided in permanent supportive housing in Philadelphia, Pennsylvania. Path analyses were conducted to examine the relationships between social network characteristics and two aspects of medical comorbidity, objective health and subjective health. Bivariate statistics showed that individuals with medical comorbidity were more likely to have contact with their network members and had a higher level of reciprocal positive tangible support when compared to those who did not have medical comorbidity. The results of the path analyses revealed that none of the social network characteristics were associated with better physical health. The lack of a significant relationship between social networks and better physical health is contrary to prior research findings. However, this is the first study to include both types of social transactions simultaneously as predictors of better physical health for individuals with serious mental illness. A longitudinal study would provide more insight into the temporal relationship of social networks and physical health conditions of people with serious mental illness. Furthermore, the transactional nature of social relationships, particularly for those with mental health issues, requires greater exploration.
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McInnis-Perry G, Weeks LE, Stryhn H. Age and gender differences in emotional and informational social support insufficiency for older adults in Atlantic Canada. Can J Nurs Res 2014; 45:50-68. [PMID: 24617279 DOI: 10.1177/084456211304500405] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
It is well documented that nursing is concerned about the social support needs of older adults and the effects of those needs on health and well-being. Using survey data from the Atlantic Seniors Housing Research Alliance, the authors explore the emotional and informational social support needs of community-dwelling Canadians aged 65 and older living in the Atlantic provinces. The results indicate that these needs are not being met fully and that they increase with age. Also, men and women report different insufficiencies for specific needs; more men than women report having no support across all items. Nurses should be sensitive to specific age and gender support needs of older adults. They should also increase their social assessments and promote healthy social networks, especially for those 80 years and older. Further nursing research is recommended.
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Hand CL, Wilkins S, Letts LJ, Law MC. Renegotiating environments to achieve participation: A metasynthesis of qualitative chronic disease research. The Canadian Journal of Occupational Therapy 2014; 80:251-62. [PMID: 24371933 DOI: 10.1177/0008417413501290] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND Qualitative studies describe environmental influences on participation in adults with chronic disease, but translating these findings into practice can be difficult. PURPOSE This study sought to synthesize qualitative research findings regarding the influence of environmental factors on participation among adults with chronic disease. METHODS Searching revealed 31 I articles that describe the link between environment and participation for adults with osteoarthritis, rheumatoid arthritis, diabetes mellitus, heart disease, cancer, chronic obstructive pulmonary disease, and/or depression. Study findings were analyzed using metasynthesis methods to identify themes. FINDINGS For adults with chronic disease, renegotiating their environments and occupations to achieve, maintain, or rework their participation involves understanding support processes, being ordinary and able, navigating systems, and navigating physical environments. IMPLICATIONS Key areas that occupational therapy interventions can target are facilitating constructive collaboration between client and support person, fostering connections with others, recognizing cultural pressure to be ordinary and able, and advocating for supportive policy and practice.
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Affiliation(s)
| | - Seanne Wilkins
- School of Rehabilitation Sciences, MsMaster University, Hamilton, ON, Canada
| | - Lori J Letts
- School of Rehabilitation Sciences, MsMaster University, Hamilton, ON, Canada
| | - Mary C Law
- School of Rehabilitation Sciences, MsMaster University, Hamilton, ON, Canada
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Hand C, Law M, McColl MA, Hanna S, Elliott S. An examination of social support influences on participation for older adults with chronic health conditions. Disabil Rehabil 2013; 36:1439-44. [PMID: 24160856 DOI: 10.3109/09638288.2013.845258] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
UNLABELLED Social support can improve participation in everyday activities among older adults with chronic health conditions, but the specific types of support that are needed are unclear. PURPOSE This study examined the types of social support that most strongly predict participation in everyday activities. METHOD Two hundred and twenty-seven participants completed a self-administered cross-sectional survey. The sample included adults aged 60 years or more with arthritis, diabetes, chronic obstructive pulmonary disease and/or heart disease. Participation was defined as satisfaction with participation in 11 life areas. Social support was defined as availability of tangible, affectionate, emotional/informational and positive social interaction support. RESULTS Multiple regression analyses showed that participants who perceived greater tangible support and positive social interaction support had higher satisfaction with participation than participants with lower levels of these types of support. CONCLUSIONS Targeting and developing tangible and social interaction support may help to facilitate satisfaction with participation for older adults with chronic conditions. Creating networks for companionship appears equally as important as providing support for daily living needs. Implications for Rehabilitation Varying types of social support can improve participation in older adults with chronic health conditions. Tangible support and positive social interaction support are the strongest predictors of participation. Creating networks for companionship may be equally as important as providing support for daily living needs.
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Affiliation(s)
- Carri Hand
- School of Rehabilitation Science, McMaster University , Hamilton, Ontario , Canada
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Abstract
To examine the effectiveness of mixed-mode methodology, this article draws on a study that used both online and paper surveys to collect data on a sample of the over 50 population in a small New England town. Respondents were offered the option of responding online or with a paper survey, an approach that addresses some of the major concerns about using online surveys among groups with limited Internet access while also reducing costs and simplifying data entry. The authors demonstrate that response mode does not have a significant effect on survey answers once demographic variables (such as employment and income) are added to the analysis. In addition, the results from this survey suggest that the Internet is useful as a tool to collect data from those over 50.
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Affiliation(s)
| | - Anna Curtis
- University of Massachusetts, Amherst, Amherst, MA, USA
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Hand BD, Cavanaugh S, Forbes W, Govern J, Cress ME. Changes in Health-Related Quality of Life and Functional Fitness With Exercise Training in Older Adults Who Attend Senior Centers. ACTIVITIES ADAPTATION & AGING 2012. [DOI: 10.1080/01924788.2011.647530] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Giunta N, Morano C, Parikh NS, Friedman D, Fahs MC, Gallo WT. Racial and ethnic diversity in senior centers: comparing participant characteristics in more and less multicultural settings. JOURNAL OF GERONTOLOGICAL SOCIAL WORK 2012; 55:467-483. [PMID: 22852991 DOI: 10.1080/01634372.2011.653519] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
The 2008 Health Indicators Project surveyed a probability sample (N = 1,870) of New York City senior center participants. Attendees of racially and ethnically diverse and nondiverse senior centers were compared across 5 domains: demographics; health and quality of life; social support networks; neighborhood perceptions and engagement; health service access/utilization. Although homogeneous and diverse center participants demonstrate similar health and quality-of-life outcomes, those from diverse centers demonstrate greater risk of social isolation, receive less family support, and more likely seek medical care from hospitals or community clinics. Implications and future directions for research, practice and policy are discussed.
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Affiliation(s)
- Nancy Giunta
- Silberman School of Social Work at Hunter College, City University of New York, New York, NY 10035, USA.
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Fitzpatrick TR, Farone DW. Leisure, Household Activities, and Health Among Mexican American Elders with Cancer. J Psychosoc Oncol 2011; 29:199-214. [DOI: 10.1080/07347332.2010.548441] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
| | - Diane W. Farone
- b Department of Social Work , Arizona State University , Phoenix, AZ, USA
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In home or at home? How collective decision making in a new care facility enhances social interaction and wellbeing amongst older adults. AGEING & SOCIETY 2010. [DOI: 10.1017/s0144686x10000656] [Citation(s) in RCA: 69] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
ABSTRACTBenevolent, long-term care can threaten older adults' sense of autonomy in a residential home environment. Increasing reliance on a hotel style of living has been seen to erode social identity, life satisfaction and even survival or lifespan. Drawing on evidence from both gerontological and social psychological literature, this paper examines the links between the empowerment of residents and their subsequent quality of life in the context of a move into a new care facility in a medium-sized town in South-West England. A longitudinal experiment was conducted during which 27 residents on one floor of a new facility were involved in decisions surrounding its décor, while those on another floor were not. The residents' attitudes and behaviour were monitored at three points over five months (four weeks pre-move, four weeks post-move, and four months post-move). Consistent with the social identity literature, members of the empowered group reported increased identification with staff and fellow residents in the new home, displayed enhanced citizenship, reported improved wellbeing, and made more use of the communal space. Moreover the staff found the empowered residents to be more engaged with their environment and the people around them, to be generally happier and to have better health. These patterns were observed one month after the move and remained four months later. Some implications for theory and practice are discussed.
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Fitzpatrick TR. The quality of dyadic relationships, leisure activities and health among older women. Health Care Women Int 2010; 30:1073-92. [PMID: 19894152 DOI: 10.1080/07399330903199367] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
We examined the combined influence of dyadic relationships and leisure activities on health. We used self-administered survey to collect data at senior centers from French and English older women (N = 257) in Montreal, Quebec. Multiple regression analyses (OLS) were used to examine the main effects of dyadic quality and leisure activities on physical and mental health. Despite controlling for specific dyadic groups, meals, and bingo, we find that the quality of dyadic relationships has a strong influence on mental health measured by spirit, happiness, and an interesting life. Leisure activities are also a significant predictor and appear to improve physical health measured by self-reported health and the number of chronic conditions. Implications for gerontology practitioners in the United States, Canada, and other Western cultures, along with research strategies, are discussed.
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Affiliation(s)
- Tanya R Fitzpatrick
- McGill Center for Research and Teaching on Women, McGill University, Montreal, Quebec, Canada.
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Aihara Y, Minai J, Kikuchi Y, Aoyama A, Shimanouchi S. Cognition of Social Capital in Older Japanese Men and Women. J Aging Health 2009; 21:1083-97. [PMID: 19833865 DOI: 10.1177/0898264309347816] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Objective: This study explored factors related to cognition of social capital among Japanese older people. Method: Using a cross-sectional survey design, data were gathered from 940 people aged over 65 years. Cognition of social capital was compared by gender, and it was regressed on participation in community activities and health behaviors of middle age and current health status. Results: Men had higher cognitive social capital than women ( p = .004). Multiple regression analysis shows that men who rested for health during middle age had high cognition of social capital. Cognition of social capital was also related to self-rated health, depression, and cognitive difficulties for both men and women. Daily activity was included among women. Discussion: Participation in community activities and health behaviors during middle age were associated factors for cognition of social capital among the older people, and encouraging cognition of social capital was important for active aging.
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Affiliation(s)
- Yoko Aihara
- International University of Health and Welfare, Odawara, Japan, , Nagoya University, Nagoya, Japan
| | - Junko Minai
- International University of Health and Welfare, Odawara, Japan
| | - Yuki Kikuchi
- International University of Health and Welfare, Odawara, Japan
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Keller HH. Promoting food intake in older adults living in the community: a review. Appl Physiol Nutr Metab 2008; 32:991-1000. [PMID: 18059571 DOI: 10.1139/h07-067] [Citation(s) in RCA: 62] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Older adults (>65 y) living in the community have the potential to have significant nutrition concerns and deficits owing to the physiological, social, and psychological changes that occur with ageing. However, poor nutrition should not be considered an inevitable consequence of ageing. Older adults are quite heterogenous, including those ageing "successfully", "usually", and at "accelerated" rates. By improving the nutritional status of older adults, significant health and quality of life gains can be realized. These three subgroups of older adults have different concerns and risk factors and thus need different interventions. A substantial amount of research on older adult nutrition needs, determinants of food intake, risk of poor nutrition, and interventions has occurred in the past decade in Canada. The purpose of this review is to summarize this research and identify how nutrition promotion for older adults can be improved. Research to date indicates that the need for nutrition promotion is substantial. A variety of interventions have improved food intake and health of participants, although most programs are provided at a tertiary prevention level. Nutrition screening can help to identify in a timely manner those older adults who may benefit from limited services and which secondary prevention activities need to be increased. Nutrition promotion policy is currently lacking for older adults in Canada and is an important barrier to improving food intake in this growing segment of the population.
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Affiliation(s)
- Heather H Keller
- Department of Family Relations and Applied Nutrition, University of Guelph, Guelph, ON N1G 2W1, Canada.
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Factors That Influence Perceived Social and Health Benefits of Attendance at Senior Centers. ACTIVITIES ADAPTATION & AGING 2006. [DOI: 10.1300/j016v30n01_02] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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Farone DW, Fitzpatrick TR, Tran TV. Use of senior centers as a moderator of stress related distress among Latino elders. JOURNAL OF GERONTOLOGICAL SOCIAL WORK 2005; 46:65-83. [PMID: 16338885 DOI: 10.1300/j083v46n01_05] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/05/2023]
Abstract
Little is known about the moderating effects of community services on psychological distress among Latino elders. This study explores the use of senior centers as an intervention strategy to moderate the harmful impact of stress on psychological distress. The study was conducted using data from the 1988 National Survey of Hispanic Elderly People (N=2,299). To examine the direct and moderating effects of the use of senior centers on the relationship between stress and psychological distress we applied multiple regression analysis to an initial model, a direct effect model, and a moderating model. The results indicated that, under stressful life situations, respondents who used senior centers experienced lower levels of psychological distress than those who did not. Implications of the findings for senior centers and for further research are discussed.
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Affiliation(s)
- Diane Weis Farone
- Social Work Department, Arizona state University, PO Box 37100, Pheonix, AZ 85069-7100, USA.
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