Elements of Life Satisfaction Amongst Elderly People Living in Institutions in Malaysia: A Mixed Methodology Approach

Perceived Physical Activity Levels and Objective Measures: A Mixed-Methods Study of Residents Aged 65 and Above in Assisted Living Homes in Australia

Background and Purpose: Communities face a mounting social, economic and health burden as the global population of older adults continues to grow. Regular physical activity is consistently reported as an effective means of maintaining health and independence in older adults, yet engagement in activity remains low. This study assesses the activity levels of adults aged over 65 years residing in Australian assisted living homes, and extended to examine their perception of their activity and explore possible factors that hinder or promote their engagement in physical activity. Methods: Thirty-five older adults were recruited to this mixed-methods study from four separate assisted living homes. Objective activity data from five consecutive days of accelerometer wear were collected in combination with data from standardised and demographic questionnaires, and semistructured interviews. Qualitative data from interview transcripts were thematically analysed using NVivo software to develop themes relating to physical activity levels of older adults. Quantitative data from accelerometers and questionnaires were descriptively analysed, and associations between variables were examined using STATA software. Results and Discussion: Findings indicated that females were more active than males, and those who were younger and those with lower body mass index (BMI) displayed higher activity levels. Additionally, residents in assisted living facility (number 4) and those who did not need ambulatory assistance are more active. Conversely, those utilising support services and those with more comorbidities demonstrated lower activity levels. Marital status and cognitive function did not show any association with activity levels of older adults. During the interviews, many older adults acknowledged the importance of physical activity, and some believed they were active. However, objective results contradicted this perception. Conclusion: This study provides valuable insight into the demographic and health factors contributing to higher levels of activity, and the perceptions of activity among older adults vulnerable to health conditions associated with inactivity.

A Malay Version of the Attitude to Ageing Questionnaire: Its Adaptation, Validation, and Reliability in the Malaysian Older Adult Population

Background

The Attitude to Ageing Questionnaire (AAQ) was developed to assess perceptions of the aging process among older adults. The 24 items were framed into three factors. This study aimed to translate the AAQ from English to the Malay language (AAQ-M) and determine its factorial structure and validity in a Malaysian population.

Methods

The original AAQ underwent a standard translation process, as well as content and face validation, to produce the AAQ-M. The construct validity of the AAQ-M was then assessed in 254 older adults aged 60 years and above attending a public primary care clinic in Seremban, Malaysia.

Results

Exploratory factor analysis showed a three-factor model for the AAQ-M with acceptable reliability and Cronbach α values ranging from 0.71 to 0.82 for each factor. A total of five items were omitted for poor factor loadings (<0.32) or because they did not conceptually fit into the factor they were loaded onto. Of the final 19 AAQ-M items, seven were physical change factors, eight were psychosocial loss factors, and four were psychological growth factors. This three-factor model explained 37.9% of the total variance.

Conclusion

The AAQ-M version confirmed that the three-factor model, namely physical change, psychosocial loss, and psychological growth, was similar to that of the original AAQ. The AAQ-M is a valid and reliable instrument for assessing the three aspects of attitudes toward aging in the Malaysian older adult population.