Activity Engagement and Activity-Related Experiences: The Role of Personality

Development of a behavioural framework for dementia care partners' fall risk management

BACKGROUND

Although older adults living with dementia (OLWD) are at high risk for falls, few strategies that effectively reduce falls among OLWD have been identified. Dementia care partners (hereinafter referred to as "care partners") may have a critical role in fall risk management (FRM). However, little is known about the ways care partners behave that may be relevant to FRM and how to effectively engage them in FRM.

METHODS

Semi-structured, in-depth interviews were conducted with 14 primary care partners (age: 48-87; 79% women; 50% spouses/partners; 64% completed college; 21% people of colour) of community-dwelling OLWD to examine their FRM behaviours, and their observations of behaviours adopted by other care partners who were secondary in the caring role.

RESULTS

The analysis of interview data suggested a novel behavioural framework that consisted of eight domains of FRM behaviours adopted across four stages. The domains of FRM behaviours were 1. functional mobility assistance, 2. assessing and addressing health conditions, 3. health promotion support, 4. safety supervision, 5. modification of the physical environment, 6. receiving, seeking, and coordinating care, 7. learning, and 8. self-adjustment. Four stages of FRM included 1. supporting before dementia onset, 2. preventing falls, 3. preparing to respond to falls, and 4. responding to falls. FRM behaviours varied by the care partners' caring responsibilities. Primary care partners engaged in behaviours from all eight behavioural domains; they often provided functional mobility assistance, safety supervision, and modification of the physical environment for managing fall risk. They also adopted behaviours of assessing and addressing health conditions, health promotion support, and receiving, seeking and coordinating care without realizing their relevance to FRM. Secondary care partners were reported to assist in health promotion support, safety supervision, modification of the physical environment, and receiving, seeking, and coordinating care.

CONCLUSIONS

The multi-domain and multi-stage framework derived from this study can inform the development of tools and interventions to effectively engage care partners in managing fall risk for community-dwelling OLWD.

Subjective Wellbeing in Rural China: How Social Environments Influence the Diurnal Rhythms of Affect

Although the diurnal rhythms of affect influence people’s health and behavior, there is a lack of evidence from rural China, where the types and timing of social activities may differ from Western contexts. In this study, a total of 2847 Chinese rural residents from three provinces of China are interviewed using the abbreviated Day Reconstruction Method (DRM) questionnaire. Diurnal rhythms of three affective subjective wellbeing (SWB) indicators—positive affect (PoA), negative affect (NeA), and net affect are analyzed by multilevel models. Our results show PoA and net affect generally increase in magnitude throughout the day with two peaks around noon and in the evening, respectively; whereas, there is an overall decline in NeA as the day passes with two troughs occurring at lunchtime and in the evening. These patterns, however, flatten considerably, with the lunchtime peaks in PoA and net affect (and trough in NeA) disappearing entirely, after further controlling for two social environmental factors—activity type and the quality of social interaction. This study, set in rural China, corroborates the diurnal rhythms of affect from prior Western research to some extent, and highlights that social environmental factors have a significant effect on diurnal rhythms of affect in the rural Chinese context. It is possible that the diurnal rhythms of affect could change in response to stimulation from the environment. Improving some social environmental factors, such as organizing pleasant activities and creating a friendly interactive environment, could contribute to the increase in positive affect and decline in negative affect, thereby enhancing the quality of life.

The extraversion-neuroticism and geriatric depression relations: do social engagements and social supports have roles to play?

Evidence on the social pathways by which personality traits associate with depressive feeling is lacking. This study assessed the mediating roles of social engagements and social supports on the associations of extraversion and neuroticism with depressive symptoms among 465 older adults (Meanage = 74.18 ± 9.42) recruited from the senatorial districts of Ekiti State, Nigeria. Major assumptions were tested in structural equation modelling frame-work. High extraversion influenced both high engagements in social activities and perceived social supports, and then low depressive symptoms. High neuroticism predicted both low social engagements and social supports, and then increased depressive symptoms. While a full mediation was established between extraversion and depression, a partial one was found between neuroticism and depression. The total effect of neuroticism on depression surpassed that of extraversion. Psychotherapeutic interventions targeting depression from high neuroticism may aim frequent social engagements and seeking family and non-family supports.

Evaluations of a Previous Day as a Pathway Between Personality and Healthy Cognitive Aging

Objective: To examine the association between Five-Factor Model personality traits and how individuals evaluate a recent day in their lives (yesterday) and whether these evaluations mediate personality and cognitive function over time. Methods: Participants were a subsample from the Health and Retirement Study who completed personality measures in 2008/2010, the day evaluation in 2011, and cognitive tasks in 2012 (N = 3,454). Results: Lower Neuroticism and Higher Extraversion, Openness, Agreeableness, and Conscientiousness were associated with a more engaging day, fewer negative feelings, better subjective health, and less time spent alone. Active engagement and subjective health were associated with cognitive function and mediated the prospective associations between Neuroticism, Openness, and Conscientiousness and cognitive function. Discussion: Personality is associated with how individuals evaluated their previous day, which contributes to cognition over time. The present research contributes to a mechanistic model that aims to identify pathways through which personality contributes to cognitive aging.

Actor, partner, and similarity effects of personality on global and experienced well-being

The current study examined actor, partner, and similarity effects of personality on a variety of well-being indices, including both global and experiential measures of well-being in 2,578 heterosexual couples (N = 5,156 individuals; M age = 51.04, SD = 13.68) who completed the 2016 Wellbeing and Daily Life supplement to the Panel Study of Income Dynamics (PSID). Among actor effects, those for conscientiousness, agreeableness, extraversion, and neuroticism were the most robust predictors of well-being. Among partner effects, conscientiousness and neuroticism were the most robust predictors of well-being. Consistent with past research, similarity effects on well-being were generally small and not always significant. The results are discussed in the context of experiential conceptualizations of well-being and operationalizing similarity in relationship research.

What makes us busy? Predictors of perceived busyness across the adult lifespan

Busier people tend to perform better on cognitive tasks than less busy individuals. Nevertheless, the characteristics that are associated with greater perceived busyness are unknown. To address this question participants (N = 463) from the Dallas Lifespan Brain Study (ages 20-89) completed a self-report busyness assessment and demographic, health, personality, and lifestyle measures. Results revealed that perceived busyness peaked in 30-year-olds, showed age-related decreases until age 60, and then remained stable. Moreover, women generally reported being busier than men. Analysis of age by gender interactions revealed that men exhibited a significant cubic age effect for busyness, whereas women did not. Overall, younger age, female gender, agreeableness, neuroticism, frequent participation in novel activities, and enjoyment of cognitive processing were independently associated with being busier, and the characteristics related to busyness were generally stable across age. Notably, participation in novel activities and need for cognition were the most predictive lifestyle characteristics, supporting the framing of busyness as an indicator of mental engagement. We also propose personality-based sources of self-generated and other-generated busyness.

Effects of Pre-Retirement Personality, Health and Job Lock on Post-Retirement Subjective Well-being

Retirement can be difficult, and experiences vary greatly. Although health, financial status, and family responsibilities have been associated with retirement adjustment, individual psychosocial characteristics may also play a role. Moreover, relatively little is known about the impact of perceived 'job lock'-the belief that retirement is impossible due to financial or health constraints-and its relationship with later retirement adjustment. The current study addresses these limitations in the literature by examining the retirement transition over four years in a large sample of U.S. adults, with a particular focus on the ways in which personality may affect this transition. Data collected at baseline (2008/2010) and again four years later (2012/2014) included the Big Five personality traits, pre-retirement job lock, self-rated health, and multiple indicators of post-retirement well-being, such as global and experienced well-being (anchored within activities in a single day). Participants were drawn from the Health and Retirement Study (N = 716; Mage = 61.9 at baseline). Results indicated that experienced positive affect was the only post-retirement well-being outcome with a significant association with job lock, although only for those with low conscientiousness. Findings also suggest that pre-retirement personality and subjective health play an important role for post-retirement well-being. Thus, the current study highlights the importance for researchers and practitioners to consider both pre-retirement personality and health when evaluating individuals' management of the retirement transition. Word Count: 224.