scholarly journals The effect of achievement motive on social participation, ikigai, and role expectations in community-dwelling elderly people by using cross-sectional research

Author(s):  
Nobuyuki Sano ◽  
Makoto Kyougoku

Background: Achievement motive is defined as the intention to achieve one's goals. It is an important consideration in rehabilitation. However, previous studies have not demonstrated the causal relationship between achievement motive and a more enhanced quality of life such as the concept of ikigai and role expectation. Purpose: The purpose of this study is to identify the effect of achievement motive on ikigai, social participation, and role expectations of community-dwelling elderly people. Method: Participants were community-dwelling elderly people in day-service centers. A total of 281 participants (male: 127, female: 154) answered the self-administered questionnaire in cross-sectional research. The questionnaire comprised demographic data and scales that evaluated achievement motive, social participation, ikigai, and role expectation. We studied the causal relationship established on our hypothesized model by a structural equation modeling approach. Results: We checked the standardized path coefficients and the modification indices, and the modified model were good fit statistics: CFI = .984, TLI = .983, RMSEA = .050, 90% CI [.044, 055]. Achievement motive had a significant direct effect on ikigai (direct effect = .455, p value = .000), a significant indirect effect on ikigai via social participation or role expectation (indirect effect = .170, p value = .000) and a total effect on ikigai (total effect = .615). Discussion: This result suggested that enhancing the intention to achieve one's goals enables participants to feel a spirit of challenge with a purpose and a sense of fulfillment in daily living. At the same time, engaging in important activities for oneself as well as recognizing one's role in society enables participants to experience a willingness to help others. We recommend that rehabilitation therapists collaborate with their clients to form new goals based on the client's achievement motive.

2015 ◽  
Author(s):  
Nobuyuki Sano ◽  
Makoto Kyougoku

Background: Achievement motive is defined as the intention to achieve one's goals. It is an important consideration in rehabilitation. However, previous studies have not demonstrated the causal relationship between achievement motive and a more enhanced quality of life such as the concept of ikigai and role expectation. Purpose: The purpose of this study is to identify the effect of achievement motive on ikigai, social participation, and role expectations of community-dwelling elderly people. Method: Participants were community-dwelling elderly people in day-service centers. A total of 281 participants (male: 127, female: 154) answered the self-administered questionnaire in cross-sectional research. The questionnaire comprised demographic data and scales that evaluated achievement motive, social participation, ikigai, and role expectation. We studied the causal relationship established on our hypothesized model by a structural equation modeling approach. Results: We checked the standardized path coefficients and the modification indices, and the modified model were good fit statistics: CFI = .984, TLI = .983, RMSEA = .050, 90% CI [.044, 055]. Achievement motive had a significant direct effect on ikigai (direct effect = .455, p value = .000), a significant indirect effect on ikigai via social participation or role expectation (indirect effect = .170, p value = .000) and a total effect on ikigai (total effect = .615). Discussion: This result suggested that enhancing the intention to achieve one's goals enables participants to feel a spirit of challenge with a purpose and a sense of fulfillment in daily living. At the same time, engaging in important activities for oneself as well as recognizing one's role in society enables participants to experience a willingness to help others. We recommend that rehabilitation therapists collaborate with their clients to form new goals based on the client's achievement motive.


PeerJ ◽  
2016 ◽  
Vol 4 ◽  
pp. e1655 ◽  
Author(s):  
Nobuyuki Sano ◽  
Makoto Kyougoku

Background.Achievement motive is defined as the intention to achieve one’s goals. Achievement motive is assumed to promote clients to choices and actions toward their valuable goal, so it is an important consideration in rehabilitation.Purpose.The purpose of this study is to demonstrate the structural relationship among achievement motive on purpose in life, social participation, and role expectation of community-dwelling elderly people.Methods.Participants were community-dwelling elderly people in day-service centers. A total of 281 participants (male: 127, female: 154) answered the self-administered questionnaire in cross-sectional research. The questionnaire was comprised of demographic data and scales that evaluated achievement motive, social participation, purpose in life, and role expectation. We studied the structural relationship established by our hypothesized model via a structural equation modeling approach.Results.We checked the standardized path coefficients and the modification indices; the modified model’s statistics were a good fit: CFI = 0.984, TLI = 0.983, RMSEA = 0.050, 90% CI [0.044–0.055]. Achievement motive had a significantly direct effect on purpose in life (direct effect = 0.445,pvalue < 0.001), a significantly indirect effect on purpose in life via social participation or role expectation (indirect effect = 0.170,pvalue < 0.001) and a total effect on purpose in life (total effect = 0.615).Discussion.This result suggests that enhancing the intention to achieve one’s goals enables participants to feel a spirit of challenge with a purpose and a sense of fulfillment in their daily lives.


2012 ◽  
Vol 24 (9) ◽  
pp. 1409-1418 ◽  
Author(s):  
Senyeong Kao ◽  
Yun-Chang Wang ◽  
Ya-Mei Tzeng ◽  
Chang-Kuo Liang ◽  
Fu-Gong Lin

ABSTRACTBackground: It is well documented that fall risk among elderly people is associated with poor health and depression. In this study, we set out to examine the combined effects of medical condition and depression status on fall incidents among community-dwelling elderly people.Methods: A cross-sectional study was carried out to investigate the fall history of community-dwelling elders involving 360 participants. Those who had experienced at least two falls over the previous year, or one injurious fall, were defined as “fallers.” The Geriatric Depression Scale-15 was used as a screening instrument for depression status.Results: Based on a multivariate logistic regression and stratification analysis, depression was found to interact with various medical conditions on fall risk. In comparison with the non-depressive reference group, a six-fold fall risk was discernible among depressed elders with polypharmacy, while a five-fold risk was found among depressive elders using ancillary devices, along with a four-fold risk among depressive elders with diabetes or cardiovascular disease. Finally, arthritis was found to produce a nine-fold risk of falls among such populations.Conclusions: These findings suggest that greater emphasis should be placed on the integration of depression screening as an element of fall risk assessment in elderly people.


2021 ◽  
pp. 026921552110505
Author(s):  
Qi Lu ◽  
Dongrui Wang ◽  
Li Fu ◽  
Xue Wang ◽  
LiYa Li ◽  
...  

Objective To explore the effect of stigma on social participation in community-dwelling Chinese patients with stroke sequelae. Design A cross-sectional survey study. Setting The study was conducted in two community centres in Tianjin, China. Subjects Community-dwelling Chinese patients with stroke sequelae. Measures Chinese version of Stigma Scale for Chronic Illness, Chinese version of Impact on Participation and Autonomy, Modified Barthel index, Self-Rating Depression Scale, Social Support Rating Scale, Medical Coping Modes Questionnaire, background and disease-related questions. Pearson’s correlation coefficients were computed between stigma and social participation. The impact of stigma on social participation was estimated by hierarchical multiple regression analysis after controlling for demographic, physical and psychosocial characteristics. Results In total, 136 patients with stroke sequelae were included in this study, with a mean age of 67.8 years. The Chinese version of the Stigma Scale for Chronic Illness had a mean score of 48.4 (SD 16.9), and the Chinese version of the Impact on Participation and Autonomy was 67.1 (SD 21.1). Significant correlations were found between stigma and social participation. Pearson’s correlation coefficient ranged from 0.354 to 0.605 ( P < 0.01). Enacted stigma provided a significant explanation for the variance of social participation by 1.1% ( P < 0.05). Felt stigma provided a significant explanation for the variance of social participation by 2.9% ( P < 0.001). Conclusion Felt stigma and enacted stigma have independent associations with social participation. Patients with stroke sequelae who reported higher stigma experienced a lower level of social participation.


Author(s):  
Yuko Yamaguchi ◽  
Masako Yamada ◽  
Elsi Dwi Hapsari ◽  
Hiroya Matsuo

This study aimed to examine the relationship between one’s physical status related to non-communicable diseases (NCDs) and social isolation, and to identify lifestyle behaviors for the prevention of NCDs associated with social isolation among community-dwelling older adults in Japan. A cross-sectional study was conducted to investigate lifestyle behaviors for NCD prevention associated with social isolation in Japanese adults aged 60 years and above in a community setting. Out of 57 participants, 17.5% were not socially participative, 66.7% hardly ever, 29.8% sometimes, and 3.5% often felt loneliness. Non-social participation and loneliness were negatively related to the frequency of vegetable and fruit intake. Additionally, loneliness was positively associated with one’s duration of smoking and current smoking habits, and negatively associated with the frequency of moderate-intensity activities, with marginal significance. Those with non-social participation or loneliness were less likely to eat a healthy diet and live a smoke-free lifestyle. The findings of this study suggest that a mutual health support system in the community and the development of community-based approaches for the prevention of NCDs among Japanese older adults are needed.


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