scholarly journals An exploration of how community‐dwelling older adults enhance their well‐being

Author(s):  
Susan Waterworth ◽  
Deborah Raphael ◽  
Merryn Gott ◽  
Bruce Arroll ◽  
Jagpal Benipal ◽  
...  
2021 ◽  
pp. 089826432199332
Author(s):  
Wanda Rietkerk ◽  
Jannet de Jonge-de Haan ◽  
Joris P. J. Slaets ◽  
Sytse U. Zuidema ◽  
Debby L. Gerritsen

Objectives: Goal setting and motivational interviewing (MI) may increase well-being by promoting healthy behavior. Since we failed to show improved well-being in a proactive assessment service for community-dwelling older adults applying these techniques, we studied whether implementation processes could explain this. Methods: Goals set during the comprehensive geriatric assessment were evaluated on their potential for behavior change. MI and goal setting adherence wasassessed by reviewing audiotaped interactions and interviewing care professionals. Results: Among the 280 goals set with 230 frail older adults (mean age 77 ± 6.9 years, 59% women), more than 90% had a low potential for behavior change. Quality thresholds for MI were reached in only one of the 11 interactions. Application was hindered by the context and the limited proficiency of care professionals. Discussion: Implementation was suboptimal for goal setting and MI. This decreased the potential for improved well-being in the participating older adults.


2021 ◽  
Vol 10 (11) ◽  
pp. 2308
Author(s):  
Pascale Heins ◽  
Lizzy M. M. Boots ◽  
Wei Qi Koh ◽  
An Neven ◽  
Frans R. J. Verhey ◽  
...  

Social isolation in community-dwelling older adults with dementia is a growing health issue that can negatively affect health and well-being. To date, little attention has been paid to the role of technology in improving their social participation. This systematic review aims to provide a systematic overview of the effects of technological interventions that target social participation in community-dwelling older adults with and without dementia. The scientific databases Medline (PubMed), PsycINFO, CINAHL, Web of Science, and the Cochrane Library were systematically searched and independently screened by two reviewers. Results were synthesized narratively. The methodological quality of included studies was independently assessed by two reviewers. In total, 36 studies of varying methodological quality were identified. Most studies evaluated social networking technology and ICT training programs. Three studies focused on people with dementia. Quantitative findings showed limited effects on loneliness, social isolation, and social support. Nevertheless, several benefits related to social participation were reported qualitatively. Social interaction, face-to-face contact, and intergenerational engagement were suggested to be successful elements of technological interventions in improving the social participation of community-dwelling older adults. Rigorous studies with larger sample sizes are highly needed to evaluate the long-term effects of technology on the multidimensional concept of social participation.


2018 ◽  
Vol 2 (suppl_1) ◽  
pp. 231-231
Author(s):  
F Togonu-Bickersteth ◽  
A Akinyemi ◽  
J Aransiola ◽  
A Adegoke

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S368-S369
Author(s):  
Bonnie Jeffery ◽  
Tom McIntosh ◽  
Nuelle Novik

Abstract This presentation will focus on a unique undertaking where three provincial organizations in Saskatchewan, Canada implemented nine projects to address social isolation for rural and urban older adults across a geography that encompasses one-half of the province. A survey of older adults was conducted to assess their level of social isolation in order to gain a more thorough understanding of the experiences of social isolation among community dwelling older adults. Key variables of interest included: older adult access to services and supports, participation in activities, feelings of being valued by others, barriers to supports and services, and the overall isolation experienced by older adults. The responses from 1,719 urban and rural older adults indicate that 24.1% of respondents felt that they lack support, 17.2% feel less connected to family and friends, and 16.8% of respondents do not feel valued by their friends and family. Overall, almost one-quarter (23.9%) of the survey respondents score ‘high’ or ‘medium’ on a Social Isolation Index. One-third of respondents report they experience barriers to participation in activities outside the home. Several key categories of barriers were identified: health, personal, environmental, social, transportation and systemic. Respondents identified accommodation, services, practices, and activities as areas where their community could assist in participation of community activities outside of the home. Social isolation can have serious health consequences for older adults. The results of this survey highlight several key areas that older adults identify as important for reducing their feelings of isolation and enhancing their overall health and well-being.


2014 ◽  
Vol 30 (9) ◽  
pp. 1977-1986 ◽  
Author(s):  
Henrique Salmazo da Silva ◽  
Yeda Aparecida de Oliveira Duarte ◽  
Fabíola Bof de Andrade ◽  
Ana Teresa de Abreu Ramos Cerqueira ◽  
Jair Lício Ferreira Santos ◽  
...  

This study aimed to identify factors associated with optimal global cognitive performance among older adults in the city of Sao Paulo, Brazil. A cross-sectional study was carried out with a sample of community-dwelling older adults who participated in the SABE Study (Health, Well-Being and Ageing) in 2006. The dependent variable was cognitive performance, categorized as “normal” or “optimal”. The independent variables were socio-demographic data, lifestyle and health conditions. Data analysis involved descriptive statistics, followed by multiple logistic regression (significance set at 5%). Optimal cognitive performance was found in 28.4% of the sample, representing 730,051 older adults. Optimal performance was associated with a younger age, a report of no difficulties regarding instrumental activities of daily living, non-abusive alcohol intake, self-rated income sufficient to meet one’s daily needs and contact with family and friends. Optimal cognitive performance among older adults is associated with conditions favoring participation and independence.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 965-965
Author(s):  
Thomas Buckley

Abstract Psychological sense of community (PSOC) is an important construct for health and well-being outcomes for older adults. Drawing on the Ecological Theory of Aging and the Age-Friendly Cities (AFC) framework, this scoping review explored how PSOC has been used in research with community dwelling older adults. I followed Arksey and O’Malley's (2005) scoping review guidelines. Initial database searches yielded 860 articles. I included 33 in the final sample. I grouped articles based on study populations and conceptualization and operationalization of PSOC. I used thematic analysis to explore topic areas and main findings. The AFC framework guided development of themes and others emerged during analysis. Results show most studies used Asian or White samples and focused on geographic community or neighborhoods. Among the several measures of PSOC, the Brief Sense of Community Scale performed best with older adults. Topical research areas in the thematic analysis were built (1) built environment and neighborhoods, (2) social participation and connection, (3) civic participation, (4) PSOC as a protective factor, (5) health and well-being, (6) relocation, and (7) scale development. PSOC was a consistent predictor of health and well-being and served as a mediator to link neighborhood or environmental characteristics with health and well-being. Future research needs to examine PSOC in geographically and culturally diverse samples and conduct further psychometric testing of PSOC scales with older adults. PSOC is conceptually related to the AFC framework and serves as a mechanism that links AFC features and well-being outcomes. These results can inform practice and refine theory.


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