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Chang H, Wang X, Wang Z. Latent profile analysis of successful aging among empty nesters in Guiyang, China. Aging Ment Health 2024; 28:667-674. [PMID: 37822072 DOI: 10.1080/13607863.2023.2265851] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/04/2023] [Accepted: 09/27/2023] [Indexed: 10/13/2023]
Abstract
OBJECTIVES To explore potential profiles of successful aging among empty nesters using latent profile analysis and to analyze their influencing factors. METHODS A total of 452 community-based empty nesters were included using convenience sampling. Empty nesters were surveyed using the Successful Ageing Scale, Social Capital Scale, Sense of Coherence Scale, and Chinese version of the Health-Promotion Lifestyle Scale-II. Latent profile analysis was used to categorize the successful aging of empty nesters, and factors influencing each category were analyzed using multiple logistic regression. RESULTS Four latent profiles of successful aging were identified: 'low successful aging-low spirituality', 'high successful aging-spiritual fluctuation', 'high successful aging-balanced development group', and 'medium successful aging-medium spirituality'. The results of the multiple logistic regression analysis showed that gender, education, residence mode, and social capital were factors influencing the potential profiles of successful aging. CONCLUSIONS There are four potential categories of successful aging among empty nesters. Gender, education, residence mode, and social capital were associated with successful aging among empty nesters. Targeting interventions may help enhance empty nesters' successful aging. Future research should combine subjective and objective indicators to assess the health of older people and explore other determinants for formulating interventions to improve successful aging of empty nesters.
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Affiliation(s)
- Hui Chang
- School of Nursing, Guizhou Medical University, Guiyang, China
| | - Xiuhong Wang
- School of Nursing, Guizhou Medical University, Guiyang, China
- The Affiliated Hospital of Guizhou Medical University, Guiyang, China
| | - Zhiwen Wang
- School of Nursing, Peking University, Beijing, China
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Xu F, Zhang J, Xie S, Li Q, Long Y. The impact of social support for older adults in nursing homes on successful aging: a moderated mediation model. Front Public Health 2024; 12:1351953. [PMID: 38450123 PMCID: PMC10916522 DOI: 10.3389/fpubh.2024.1351953] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2024] [Accepted: 02/05/2024] [Indexed: 03/08/2024] Open
Abstract
Objective To investigate the connection between social support (SS) and successful aging (SA) in older adults residing in nursing homes, examining the mediating role of meaning in life (MIL). Additionally, this study aims to assess whether frailty moderates the mediation model. Methods A cross-sectional survey approach was employed to recruit older adults from six nursing homes in Sichuan Province between August 2022 and December 2022. Questionnaires, including the General Information Questionnaire, Social Support Rating Scale (SSRS), Meaning in Life Questionnaire (MLQ), Tilburg Frailty Indicator (TFI), and Successful Aging Inventory (SAI), were administered. Data obtained from the completed questionnaires were analyzed using SPSS and its macro program PROCESS. Results SS emerged as a noteworthy positive predictor of SA in older adults of nursing homes. MIL was identified as a partial mediator in the link between SS and SA. Furthermore, frailty attenuated the positive predictive impact of MIL on SA and moderated the latter part of the mediation model, wherein SS influences SA through MIL. The influence of MIL on SA was more pronounced in older adults with lower frailty levels in nursing homes, while it was diminished in those with higher levels of frailty. Conclusion Apart from ensuring the availability of essential medical resources in long-term care for older adults, workers in nursing homes should also recognize the significance of "spiritual aging" to cultivate a sense of MIL among older adults. Simultaneously, attention must be directed toward screening for frailty indicators in older adults. Psychological care and physical exercise programs should be intensified for older adults with a high level of frailty, aiming to decelerate the progression of frailty in nursing home residents. This approach leverages the mediating role of MIL and the moderating influence of frailty, ultimately enhancing SA and promoting healthy aging in older adults within nursing home settings.
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Affiliation(s)
- Fan Xu
- Oncology Department, Deyang People's Hospital, Deyang, Sichuan, China
| | - Jiquan Zhang
- Nephrology Department, Deyang People's Hospital, Deyang, Sichuan, China
| | - Shaoju Xie
- Oncology Department, Deyang People's Hospital, Deyang, Sichuan, China
| | - Qiao Li
- Oncology Department, Deyang People's Hospital, Deyang, Sichuan, China
| | - Yaoyao Long
- Oncology Department, Deyang People's Hospital, Deyang, Sichuan, China
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Fleck JI, Patel P, Riley E, Ferri CV. Mindset matters: contributions from grit and growth mindsets to successful aging. Aging Ment Health 2023:1-9. [PMID: 37970946 DOI: 10.1080/13607863.2023.2280626] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/14/2023] [Accepted: 10/29/2023] [Indexed: 11/19/2023]
Abstract
OBJECTIVE Though we all age, some age more successfully than others. Health and social connections have been identified as cornerstones to successful aging, yet the contributions from psychological factors are less clear. Our goal was to examine the influence of grit and growth mindset in successful aging in middle and older age. We also assessed whether grit or growth mindset mediated the lifestyle-successful aging relationship. METHOD We used a telephone questionnaire to measure grit and growth mindset, successful aging, and lifestyle for 263 adults, ages 40-80 years. RESULTS Higher grit-effort and growth mindset predicted more successful aging in younger (40-64 years) and older groups (65-80 years). Additionally, exercise frequency predicted successful aging for the combined sample and partially mediated the relationship between growth mindset and successful aging. CONCLUSIONS Our findings reveal grit-effort and a growth mindset as important contributors to successful aging in middle and older adulthood. Because psychological constructs are malleable, continued study of grit and growth mindsets is essential to enable their eventual application in changing the aging process.
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Affiliation(s)
- Jessica I Fleck
- School of Social and Behavioral Sciences, Stockton University, Galloway, NJ, USA
| | - Poorva Patel
- School of Social and Behavioral Sciences, Stockton University, Galloway, NJ, USA
| | - Emma Riley
- School of Social and Behavioral Sciences, Stockton University, Galloway, NJ, USA
| | - Christine V Ferri
- School of Social and Behavioral Sciences, Stockton University, Galloway, NJ, USA
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Kim JR, Park S, Lee CD. Relationship Between Resilience, Community Participation, and Successful Aging Among Older Adults in South Korea: Mediating Role of Community Participation. J Appl Gerontol 2023; 42:2233-2241. [PMID: 37522401 DOI: 10.1177/07334648231183772] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/01/2023] Open
Abstract
A high level of resilience is positively related to successful aging. However, interventions to increase resilience in older adults are not yet available. This study aimed to examine the mediating role of community participation in the relationship between resilience and successful aging. Data from 284 individuals aged 60 years and above were analyzed in this cross-sectional study. The pathways among resilience, community participation, and successful aging were statistically significant after controlling for sociodemographic characteristics, depression, disability, and chronic disease. The analysis revealed a partial mediating effect of community participation (unstandardized estimate = .01, p < .01), explaining 16.4% of the total effect of resilience on successful aging. Promoting community participation may be beneficial for enhancing successful aging in community-dwelling older adults. Further studies to examine the causal relationship between community participation and successful aging and to develop community services are recommended to use community resources as means to support successful aging.
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Affiliation(s)
- Jung-Ran Kim
- Department of Dementia Prevention and Rehabilitation, College of Human Service, Catholic Kwandong University, Gangneung, Republic of Korea
| | - Sangmi Park
- Department of Occupational Therapy, College of Software and Digital Healthcare Convergence, Yonsei University, Wonju, Republic of Korea
| | - Chang Dae Lee
- Department of Rehabilitation Science and Technology, University of Pittsburgh, PA, USA; Human Engineering Research Laboratories, Department of Veterans Affairs Pittsburgh, Healthcare System and University of Pittsburgh, PA, USA
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Yi SJ, Kim KS, Lee S, Lee H. Effects of Post Traumatic Growth on Successful Aging in Breast Cancer Survivors in South Korea: The Mediating Effect of Resilience and Intolerance of Uncertainty. Healthcare (Basel) 2023; 11:2843. [PMID: 37957988 PMCID: PMC10650018 DOI: 10.3390/healthcare11212843] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2023] [Revised: 10/23/2023] [Accepted: 10/26/2023] [Indexed: 11/15/2023] Open
Abstract
This study aimed to identify post-traumatic growth and successful aging and the mediating effects of resilience and intolerance of uncertainty in breast cancer survivors. This study employed a descriptive survey approach. Data were collected from 143 breast cancer survivors between 27 January and 10 December 2021, at a cancer center in Gyeongsangnam-do, South Korea. SPSS/WIN 25.0 and PROCESS Macro version 3.5 were used for data analysis. Descriptive statistics were analyzed with SPSS. PROCESS was used to conduct a mediation analysis and the significance of the mediating effect was evaluated using 95% confidence intervals. Successful aging was significantly associated with post-traumatic growth, resilience, and the intolerance of uncertainty. The impact of post-traumatic growth on successful aging was mediated by resilience in breast cancer survivors. Resilience should be considered when developing nursing interventions to enhance post-traumatic growth and promote successful aging in breast cancer survivors.
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Affiliation(s)
- Su Jeong Yi
- College of Nursing, Dankook University, Cheonan 31116, Republic of Korea
| | - Ku Sang Kim
- Department of Breast Surgery, Kosin University Gospel Hospital, Busan 49267, Republic of Korea
| | - Seunghee Lee
- College of Nursing, Dankook University, Cheonan 31116, Republic of Korea
| | - Hyunjung Lee
- College of Nursing, Chungnam National University, Daejeon 35015, Republic of Korea
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Wang M, Zhang L, Ma J, Sun H, Gao Z, Hu M, Liu H, Guo L. Mediating effect of successful aging on the relationship between psychological resilience and death anxiety among middle-aged and older adults with hypertension. Front Public Health 2023; 11:1116263. [PMID: 37808974 PMCID: PMC10552859 DOI: 10.3389/fpubh.2023.1116263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2022] [Accepted: 04/06/2023] [Indexed: 10/10/2023] Open
Abstract
Objective The aging trend of China's population is severe and successful aging (SA) is imminent. Aging can lead to various chronic diseases, with hypertension being the most common. Due to this lifelong disease, patients suffer from many anxieties, as death anxiety (DA) can be the most prevalent. Studies have exhibited that middle-aged adults approaching the transition to an older state show more pronounced DA than the more senior. It has been suggested that psychological resilience (PR) can reduce DA. Therefore, this study aimed to analyze the mediating effect of SA between PR and DA in middle-aged and older adults with hypertension. Methods A cross-sectional survey was designed. From August to December 2021, 298 middle-aged and older adults with hypertension were selected by multistage cluster random sampling in three districts (Ling he District, Gu ta District, and Tai He District) of Jinzhou City, Liaoning Province. They were surveyed using the demographic questionnaires, the Conner-Davidson Resilience Scale, the Successful Aging Inventory, and the Chinese version of a Likert-type Templer-Death Anxiety Scale. Descriptive analyses, independent sample T-test, and one-way analysis of variance (ANOVA) were used to describe demographic characteristics among hypertensive patients with different characteristics, respectively. Statistics were considered significant when P < 0.05. Pearson correlation coefficients describe the relationship between PR, SA, and DA. The research model was shaped through Structural Equation Modeling (SEM). SPSS PROCESS macro was used to verify the mediation model. A binary logistic regression model was used with DA as the dependent variable. Results The scores for PR, SA, and DA in hypertensive patients are (49.52 ± 14.38) points, (51.22 ± 7.63) points, and (46.67 ± 9.03) points. PR was negatively correlated with DA (r = -0.307, P < 0.01). Moreover, incorporating SA as a mediating variable in PR and DA, SA was positively correlated with PR (r = 0.335, P < 0.01) and DA (r = 0.085, P > 0.05). The direct effect is opposite to the sign of the indirect effect. There is a suppression between PR and DA with a percentage of 20.7%. Good self-assessed health status [0.057 (0.018, 0.183)] may be a protective factor for DA. Conclusion Healthcare providers should improve the PR of middle-aged and older adults with hypertension through interventions that reduce DA and increase the likelihood of SA.
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Affiliation(s)
- Meiding Wang
- School of Nursing, Jinzhou Medical University, Jinzhou, Liaoning, China
| | - Lin Zhang
- Department of Internal Medicine Nursing, School of Nursing, Wannan Medical College, Wuhu, Anhui, China
| | - Jianing Ma
- School of Nursing, Jinzhou Medical University, Jinzhou, Liaoning, China
| | - Hong Sun
- School of Nursing, Jinzhou Medical University, Jinzhou, Liaoning, China
| | - Ziyun Gao
- School of Nursing, Jinzhou Medical University, Jinzhou, Liaoning, China
| | - Mengya Hu
- School of Nursing, Jinzhou Medical University, Jinzhou, Liaoning, China
| | - Haiyang Liu
- Student Health Center, Wannan Medical College, Wuhu, Anhui, China
| | - Leilei Guo
- School of Nursing, Jinzhou Medical University, Jinzhou, Liaoning, China
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Bibi R, Yan Z, Zeb A, Anwar N, Mian N, Khan RA. The translation process of the culturally sensitive active aging scale for community-dwelling older adults in Pakistan. BMC Public Health 2023; 23:1682. [PMID: 37653548 PMCID: PMC10472655 DOI: 10.1186/s12889-023-16563-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2023] [Accepted: 08/19/2023] [Indexed: 09/02/2023] Open
Abstract
BACKGROUND The assessment of active aging levels in Pakistani older adults is crucial yet; research tools are scarce in the local language. Therefore, this study aims to translate and validate the English version of an Active Aging Scale into a cross-culturally sensitive Urdu version to assess active aging levels in Pakistani older adults. METHODS To translate and validate the scale, we used the ISPOR (International Society for Pharmacy Economic and Outcome Research) standards. Reliability, concurrent validity, construct validity, convergent validity, and discriminatory validity were checked on a total sample of 160 community-dwelling older adults. After two weeks, the test-retest reliability was examined. AMOS version 23 and SPSS version 23 were used to analyze the data. RESULTS The average content validity index for clarity was 0.91 and relevancy was 0.80. The total variance in the pilot study of all items secured > 0.3 variances except for two items scored < 0.30 that were omitted before the validity and reliability test. The remaining items explained 65.46% of the overall variation and had factor loadings ranging from 0.46 to 0.90 in the principal factor analysis (PFA). The confirmatory factor analysis of the Active Aging Scale revealed that the model fit was good with a Chi-square value (418.18 (DF = 2.2) which is less than 3.00. This is further evidenced by the root mean square error of approximation (RMSEA) of 0.042, goodness of fit index (GFI) of 0.92, adjusted goodness of fit index (AGFI) of 0.94, and comparative fit index (CFI) values of 0.92 and 0.96 (unstandardized and standardized, respectively). The scale's Cronbach's alpha coefficient was 0.88, indicating dependability and its test-retest reliability with the significance of (P. < 0.05). CONCLUSION The Urdu version of the Active Aging Scale was successfully translated and validated in a culturally sensitive manner, and can be used to evaluate the effectiveness of various active aging interventions for older adults in Pakistan.
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Affiliation(s)
- Rashida Bibi
- Institution of Nursing and Health Sciences, Zhengzhou University, Zhengzhou, China
| | - Zhang Yan
- Institution of Nursing and Health Sciences, Zhengzhou University, Zhengzhou, China
| | - Akhter Zeb
- Ismail Nursing College Sawat, Sawat, Pakistan
| | - Nasir Anwar
- National College of Nursing, Sawat, Khyber Pakhtunkhwa Pakistan
| | - Nasar Mian
- Odhyana College of Nursing, Sawat, Khyber Pakhtunkhwa Pakistan
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Gu CY, Jullamate P, Nadarajan S, Krungkraipetch N, Toonsiri C. Factors related to successful aging among community-dwelling elderly in Wenzhou, China. Frontiers of Nursing 2023. [DOI: 10.2478/fon-2023-0007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/03/2023] Open
Abstract
Abstract
Objectives: To examine the level of successful aging and the relationship between successful aging and activities of daily living (ADL), life satisfaction, social support, income, and self-efficacy among community-dwelling elderly in Wenzhou, China.
Methods: A descriptive correlational design was applied. Subjects were community-dwelling elderly in 4 districts of Wenzhou, China. Simple random sampling was used to recruit 83 participants. All participants were screened using the Mini-Cog tool. Data were collected using 6 questionnaires such as a demographic questionnaire, the Successful Aging Inventory (SAI), the Barthel Index for ADL, the Satisfaction With Life Scale (SWLS), the Social Support Rating Scale (SSRS), and the General Self-Efficacy Scale (GSES). Data were analyzed using descriptive statistics and Pearson correlation analysis.
Results: The results showed that 53% of the participants had a higher level of successful aging and 43.4% had a moderate level of successful aging with a mean score of 56.76 (standard deviation [SD] = 12.31). Factors such as elderly income (r = 0.73, P < 0.001) and self-efficacy (r = 0.72, P < 0.001) had high correlations with successful aging, whereas ADL (r = 0.67, P < 0.001), life satisfaction (r = 0.63, P < 0.001), and social support (r = 0.36, P < 0.001) had moderate correlations with successful aging.
Conclusions: There was a significant positive correlation between successful aging and ADL, life satisfaction, social support, income, and self-efficacy among community-dwelling elderly in Wenzhou, China. The findings may guide the formulation of more effective health education and intervention measures to improve successful aging among the elderly.
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Affiliation(s)
- Chen-Yu Gu
- a Faculty of Nursing, Burapha University , Chon Buri , Thailand
- b Zhejiang Dongfang Polytechnic , Wenzhou, Zhejiang , China
| | - Pornchai Jullamate
- c Department of Gerontological Nursing, Faculty of Nursing , Burapha University , Muang Chonburi, Chonburi , Thailand
| | | | - Nisakorn Krungkraipetch
- d Department of Community Nursing, Faculty of Nursing , Burapha University , Muang Chonburi, Chonburi , Thailand
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Srivastava S, Muhammad T, Paul R, Khan KA. Multivariate decomposition of gender differentials in successful aging among older adults in India. BMC Geriatr 2023; 23:59. [PMID: 36721109 PMCID: PMC9890860 DOI: 10.1186/s12877-023-03753-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2022] [Accepted: 01/12/2023] [Indexed: 02/02/2023] Open
Abstract
BACKGROUND Rowe and Kahn define successful aging as a high physical, psychological, and social functioning in old age without major diseases. It is considered a viable solution to the burdens placed on healthcare systems and financial and social security in societies with aging population. The present study aimed to determine the prevalence of successful aging and explore the factors contributing to gender differentials in successful aging among older adults in India. METHODS This study utilized data from the nationally representative Longitudinal Ageing Study in India, conducted in 2017-18. The study is based on a sample of 15,098 older men and 16,366 older women aged 60 years and above. The outcome variable was a dichotomous measure of successful aging with six components including absence of chronic diseases, free from disability, high cognitive ability, free from depressive symptoms, active social engagement in life and free from obesity. Older adults satisfying all these conditions were considered aging successfully. Descriptive and bivariate analyses were carried out. Proportion test was used to evaluate the gender differentials and reflect the statistical significance in the associated factors. Multivariate decomposition analysis was conducted to identify covariates' contribution in explaining the gender differences in successful aging. RESULTS There was a significant gender difference in successful aging among older adults in India (Difference: 8.7%; p-value < 0.001] with 34.3% older men and 25.6% older women experiencing successful aging. A proportion of 88% of gender difference in successful aging was explained by the differences in the distribution of characteristics (Coef: 0.082; p-value < 0.05). Considerable gender gap in successful aging would be reduced if women had similar levels of work status (28% reduction) to their male counterparts. Bringing the level of frequent physical activity in women to the same levels observed in men would reduce the gender gap by 9%. CONCLUSIONS The findings suggest that women had a lower score in successful aging, which is attributed to several socioeconomic and behavioural factors including not working status and physical inactivity. More studies must be done to explore the reasons for such differences and what particular factors in low-income countries create differences among older men and women in achieving successful aging.
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Affiliation(s)
- Shobhit Srivastava
- grid.419349.20000 0001 0613 2600International Institute for Population Sciences, Mumbai, Maharashtra India 400088
| | - T. Muhammad
- grid.419349.20000 0001 0613 2600International Institute for Population Sciences, Mumbai, Maharashtra India 400088
| | - Ronak Paul
- grid.419349.20000 0001 0613 2600International Institute for Population Sciences, Mumbai, Maharashtra India 400088
| | - Kacho Amir Khan
- grid.419349.20000 0001 0613 2600International Institute for Population Sciences, Mumbai, Maharashtra India 400088
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Ho M, Pullenayegum E, Burnes D, Fuller-Thomson E. Successful Aging among Immigrant and Canadian-Born Older Adults: Findings from the Canadian Longitudinal Study on Aging (CLSA). Int J Environ Res Public Health 2022; 19:13199. [PMID: 36293780 PMCID: PMC9603725 DOI: 10.3390/ijerph192013199] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/09/2022] [Revised: 10/06/2022] [Accepted: 10/06/2022] [Indexed: 06/16/2023]
Abstract
BACKGROUND Few studies in Canada have focused on the relationship between immigrant status and successful aging. The concept of successful aging used in this study includes the ability to accomplish both activities of daily living (ADLs) and instrumental activities of daily living (IADLs), freedom from mental illness, memory problems and disabling chronic pain, adequate social support and older adults' self-reported happiness and subjective perception of their physical health, mental health and aging process as good. METHODS The present study analyzed the first two waves of data from the comprehensive cohort of the Canadian Longitudinal Study on Aging (CLSA). The sample includes 7651 respondents aged 60+ at time 2, of whom 1446 respondents were immigrants. Bivariate and multivariable binary logistic regression analyses were conducted. RESULTS Canadian-born older adults had a slightly higher prevalence and age-sex adjusted odds of achieving successful aging than their immigrant counterparts (aOR = 1.18, 95% CI: 1.04, 1.34, p < 0.001). After adjusting for 18 additional factors, immigrant status remained statistically significant (aOR = 1.24, 95% CI: 1.09, 1.41, p < 0.001). Significant baseline factors associated with successful aging among immigrants included being younger, having higher income, being married, not being obese, never smoking, engaging in moderate or strenuous physical activities, not having sleeping problems and being free of heart disease or arthritis. CONCLUSIONS Immigrant older adults had a lower prevalence of successful aging than their Canadian-born peers. Further research could investigate whether policies and interventions supporting older immigrants and promoting a healthy lifestyle enhance older adults achieve successful aging in later life.
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Affiliation(s)
- Mabel Ho
- Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON M5S 1V4, Canada
- Institute for Life Course & Aging, University of Toronto, Toronto, ON M5S 1V4, Canada
| | - Eleanor Pullenayegum
- Child Health Evaluative Sciences, The Hospital for Sick Children Research Institute, Toronto, ON M5G 0A4, Canada
- Dalla Lana School of Public Health, University of Toronto, Toronto, ON M5T 3M7, Canada
| | - David Burnes
- Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON M5S 1V4, Canada
- Institute for Life Course & Aging, University of Toronto, Toronto, ON M5S 1V4, Canada
| | - Esme Fuller-Thomson
- Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON M5S 1V4, Canada
- Institute for Life Course & Aging, University of Toronto, Toronto, ON M5S 1V4, Canada
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Scott JM, Mayo AM. Successful Aging in Assisted Living: The Importance of Near Visual Acuity. J Gerontol Nurs 2022; 48:8-14. [PMID: 36007216 DOI: 10.3928/00989134-20220805-01] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Successful aging among independent community-dwelling older adults and those in residential settings is paramount to aging in place. The purpose of the current study was to explore how sensory, cognitive, and functional impairments affect successful aging in assisted living (AL) settings. Vision compromise was noted for near visual acuity (NVA) (14.3%) and distance visual acuity (11.9%). More than one third (34.1%) of participants screened positive for compromised cognition, functional impairment was present in 48.9%, and successful aging was present in 55.7%. NVA and functional status were related to successful aging (r = 0.328, p = 0.004; r = 0.341, p = 0.002, respectively), and explained 9.3% of the variance in successful aging (F[2, 75] = 3.83, p = 0.026). Having a lower NVA score (β = -0.277, p = 0.021) uniquely affected the successful aging score. Interventions supporting AL residents' sensory and cognitive health should be a priority to improve successful aging. [Journal of Gerontological Nursing, 48(9), 8-14.].
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Kim HK, Seo JH. Effects of Health Status, Depression, Gerotranscendence, Self-Efficacy, and Social Support on Healthy Aging in the Older Adults with Chronic Diseases. Int J Environ Res Public Health 2022; 19:ijerph19137930. [PMID: 35805588 PMCID: PMC9265383 DOI: 10.3390/ijerph19137930] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/03/2022] [Revised: 06/23/2022] [Accepted: 06/27/2022] [Indexed: 02/04/2023]
Abstract
Purpose of this study is to analyze factors affecting the healthy aging of the elderly with chronic diseases living in the community according to the worldwide aging phenomenon in line with the WHO’s healthy aging strategy. The subjects were 116 elderly aged 65 years or up with one or more chronic diseases and residing in four cities. The collected data were analyzed by using the descriptive statistics, t-test, ANOVA, Pearson’s correlational coefficients, and stepwise multiple regression. The healthy aging of subjects showed positive correlations with the health status (r = 0.68, p < 0.001), gerotranscendence (r = 0.64, p < 0.001), self-efficacy (r = 0.65, p < 0.001), and social support (r = 0.47, p < 0.001), while the healthy aging and depression (r = −0.58, p < 0.001) showed a negative correlation. The factors affecting the healthy aging were health status (β = 0.24, p = 0.004), self-efficacy (β = 0.28, p < 0.001), education (β = −0.11, p = 0.057), exercise (β = 0.17, p = 0.003), gerotranscendence (β = 0.22, p = 0.004), and depression (β = −0.19, p = 0.009), and the explanatory power of those variables was 68.2%. Thus, it would be necessary to provide an intervention for the elderly that could habituate health-related education and exercise, maintain good health status, lower depression, aid control of themselves through the gerotranscendence, and increase self-efficacy.
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Affiliation(s)
- Hee-Kyung Kim
- Department of Nursing, Kongju National University, Gongju 32588, Korea;
| | - Jeong-Hyo Seo
- Department of Nursing, Graduate School, Kongju National University, Gongju 32588, Korea
- Correspondence: ; Tel.: +82-10-2625-7027
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13
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Tong P, Liang YY, Gao YL. Evaluation of the measurement properties of the self-rated successful aging inventory: A COSMIN systematic review. Geriatr Nurs 2022; 45:29-38. [PMID: 35299030 DOI: 10.1016/j.gerinurse.2022.02.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2021] [Revised: 02/24/2022] [Accepted: 02/25/2022] [Indexed: 11/04/2022]
Abstract
This study aimed to systematically review studies of the psychometric properties of the self-rated successful aging inventory (SAI). The literature was rigorously searched from July 2018 to February 2021 and relevant studies were selected and evaluated following the Consensus-based Standards for the selection of health Measurement Instruments guidelines. A total of 23 studies were included, in which 19 instruments were identified. Due to the quality of the studies, only preliminary conclusions could be drawn. Seven instruments were graded "A" and recommended for use based on the available psychometric evidence. The remaining 12 SAI instruments were graded "B" and more research is required before they can be recommended. Based on this review, seven different types of the SAI could be considered for use. To improve the quality of evidence, the SAI requires more rigorous research and precise reports. When using the SAI, it is important to consider cultural characteristics.
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Affiliation(s)
- Pei Tong
- School of Nursing, Southern Medical University, No.1023- 1064 Shatai South Road, Guangzhou, Guangdong 510515, China; Department of Nursing, Sir Run Run Shaw Hospital, Medical School of Zhejiang University, Hangzhou, China
| | - Yun-Yi Liang
- School of Nursing, Southern Medical University, No.1023- 1064 Shatai South Road, Guangzhou, Guangdong 510515, China; Department of hospital infection management, Shenzhen Luohu Hospital Group - Shenzhen Luohu Traditional Chinese Medicine Hospital, Shenzhen,China
| | - Yu-Lin Gao
- School of Nursing, Southern Medical University, No.1023- 1064 Shatai South Road, Guangzhou, Guangdong 510515, China.
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Yu Y. Thwarted Belongingness Hindered Successful Aging in Chinese Older Adults: Roles of Positive Mental Health and Meaning in Life. Front Psychol 2022; 13:839125. [PMID: 35282264 PMCID: PMC8907150 DOI: 10.3389/fpsyg.2022.839125] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2021] [Accepted: 02/03/2022] [Indexed: 11/29/2022] Open
Abstract
Aging of population has brought great challenges to many regions throughout the world. It has been demonstrated that interpersonal relationship is closely related to the experiences of aging for older adults. However, it still remains unknown how and under what conditions thwarted belongingness links to successful aging. This study examined the relationship between thwarted belongingness and successful aging and tested the mediating role of positive mental health and the moderating role of meaning in life. Community-dwelling older adults (n = 339) aged 60-75 years recruited in Chongqing, China completed self-measures of thwarted belongingness, successful aging, meaning in life, and positive mental health. Correlation analyses showed that successful aging was associated with less thwarted belongingness, better positive mental health, and higher levels of meaning in life. Positive mental health was found to totally mediate the negative effect of thwarted belongingness on successful aging. Moderated mediation analyses further revealed that two components of meaning in life (present of meaning and search for meaning) attenuated the indirect effect of thwarted belongingness on successful aging via positive mental health. This study highlights the protective roles of positive mental health and meaning in life and addressed cultural aspects in the process of successful aging among Chinese older adults.
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Affiliation(s)
- Yongju Yu
- Department of Social Work, School of International Law and Sociology, Sichuan International Studies University, Chongqing, China
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Tian H, Zhou W, Qiu Y, Shang Y. The Impact of Cycling Specialization on Successful Aging and the Mediating Role of Loneliness. Int J Environ Res Public Health 2021; 19:ijerph19010019. [PMID: 35010276 PMCID: PMC8750278 DOI: 10.3390/ijerph19010019] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/11/2021] [Revised: 12/18/2021] [Accepted: 12/20/2021] [Indexed: 11/16/2022]
Abstract
Recent studies have provided some evidence supporting that cycling specialization (CS) may be positively related to successful aging (SA) among elderly adults. However, there is a gap regarding the examination of the role of loneliness in the relationship between CS and SA. A hypothetical model was proposed to test the relationship between CS, SA, and loneliness. For this purpose, this study randomly conducted a questionnaire survey among 395 cycling participants over the age of 60 in China. The results showed that behavior, cognition, and affect had negative effects on loneliness. Behavior, cognition, and affect were positively associated with SA. Loneliness was negatively related to SA. Furthermore, behavior, cognition, and affect had positive and indirect effects on SA through loneliness. These results offered some new insights for understanding the relationship between CS and SA, especially considering the indirect effect of loneliness. The limitations and implications of the findings were discussed.
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Affiliation(s)
- Haibo Tian
- School of Teacher Education, Shaoxing University, No. 508 Huan Cheng Xi Road, Yuecheng District, Shaoxing 312000, China;
| | - Wenting Zhou
- Department of Physical Education, Zijingang Campus, College of Education, Zhejiang University, No. 388 Yu Hang Tang Road, Hangzhou 310058, China; (W.Z.); (Y.S.)
| | - Yajun Qiu
- Department of Physical Education, Zijingang Campus, College of Education, Zhejiang University, No. 388 Yu Hang Tang Road, Hangzhou 310058, China; (W.Z.); (Y.S.)
- Correspondence: ; Tel.: +86-138-5812-6466
| | - Yi Shang
- Department of Physical Education, Zijingang Campus, College of Education, Zhejiang University, No. 388 Yu Hang Tang Road, Hangzhou 310058, China; (W.Z.); (Y.S.)
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Zheng Z, Chen H, Gao J. Age Differences in the Influence of Residential Environment and Behavior on the Life Quality of Older Adults: The Transfer from Physical-Environment to Social-Behavior. Int J Environ Res Public Health 2021; 18:ijerph18030895. [PMID: 33494173 PMCID: PMC7908327 DOI: 10.3390/ijerph18030895] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/22/2020] [Revised: 01/15/2021] [Accepted: 01/18/2021] [Indexed: 12/26/2022]
Abstract
With the development of the concept of “ageing-friendly communities”, increasing attention has been paid to the effect of residential environments on the life quality of older adults. However, the logical relationship between residential environment, individual behavior and life quality of older adults has not been clearly revealed. Based on data in Shanghai, China, this study explored the relationships between residential environments and the life quality of older adults in different age groups, and analyzed the mediating role of individual behaviors (neighborhood interaction and outdoor exercise). The findings confirmed that residential environment, neighborhood interactions and outdoor exercise have significant positive effects on the life quality of older adults. Meanwhile, the impact of residential environment on the life quality of older adults is exclusively realized through the mediating role of individual behavior. However, there were significant differences in the model paths among various age groups. With ageing, the positive effects of residential environment on the quality of life gradually weakened, while that of neighborhood interaction gradually improved. The findings prove that the influencing factors on the quality of life of older adults tend to shift from residential environment to neighborhood interaction as the age of residents advances. This knowledge is crucial with regard to the differentiated and accurate design of older communities.
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Affiliation(s)
- Zhenhua Zheng
- College of Communication and Art Design, University of Shanghai for Science and Technology, No. 516, Jungong Road, Shanghai 200093, China;
| | - Hong Chen
- College of Architecture & Environment, Sichuan University, No. 24, First South Section, First Ring Road, Chengdu 610065, China
- Correspondence:
| | - Junling Gao
- School of Public Health, Fudan University, Shanghai 200032, China;
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Fazeli Tarmazdi M, Tagharrobi Z, Sooki Z, Sharifi K. Psychometric Evaluation of the Persian Version of the Successful Aging Inventory. Galen Med J 2020; 9:e1754. [PMID: 34466587 PMCID: PMC8343767 DOI: 10.31661/gmj.v9i0.1754] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2019] [Revised: 04/27/2020] [Accepted: 06/05/2020] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND The first step to successful aging planning is to assess the current status using valid instruments. This study aimed to evaluate the psychometric properties of the Persian version of the Successful Aging Inventory (SAI). MATERIALS AND METHODS In the first step, SAI. was translated through forward-backward translation, and its face and content validity were qualitatively and quantitatively assessed. For construct validity assessment, 300 elderly were recruited through multi-stage random sampling. Exploratory factor analysis and known-group comparison were used. SAI reliability through internal consistency and stability was assessed using the Cronbach's alpha values of the inventory and intraclass correlation coefficient (ICC), respectively. The standard error of measurement, smallest detectable change, and floor and ceiling effects were calculated. RESULTS The impact scores, content validity ratios, and content validity indices of all items were more than 1.5, 0.62, and 0.8, respectively. The scale-level content validity index was 0.94. Factor analysis identified four factors for the inventory, which explained 58.17% of the total variance of the SAI score. SAI mean score among mentally healthy participants was significantly higher (P<0.001). The relative frequencies with the lowest and highest possible scores of SAI were 0 and 3.7%, respectively. The Cronbach's alpha, ICC, standard error of measurement, and the smallest detectable change of SAI were 0.835, 0.999, ±0.47, and 1.9, respectively. CONCLUSION As a valid and reliable instrument, the Persian version of SAI could be used for a successful aging assessment.
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Affiliation(s)
- Masoumeh Fazeli Tarmazdi
- Department of Nursing, Trauma Nursing Research Center, Faculty of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran
| | - Zahra Tagharrobi
- Trauma Nursing Research Center, Faculty of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran
| | - Zahra Sooki
- Trauma Nursing Research Center, Faculty of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran
| | - Khadijeh Sharifi
- Trauma Nursing Research Center, Faculty of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran
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Ding W, Zhang Y, Zhang L, Wang Z, Yu J, Ji H. Successful aging and environmental factors in older individuals in urban and rural areas: A cross-sectional study. Arch Gerontol Geriatr 2020; 91:104229. [PMID: 32871304 DOI: 10.1016/j.archger.2020.104229] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2020] [Revised: 07/17/2020] [Accepted: 08/09/2020] [Indexed: 12/19/2022]
Abstract
OBJECTIVE The effects of the environmental factors on successful aging (SA) are not well understood. This study aimed to assess SA and related factors in older individuals in urban and rural areas, exploring differences between groups and investigating the effects of environmental factors. METHODS This was a cross-sectional study of 205 and 212 older people in urban and rural areas of Shandong Province, respectively, between March 2019 and September 2019. SA was measured using the Successful Aging Inventory (SAI). The environmental factors were assessed using the WHOQOL-100 scale. Univariable and multivariable analyses were performed to determine associations of different parameters with SA. RESULTS The scores of SA and environmental factors of older individuals in urban vs. rural areas were 48.79 vs. 46.14 and 128.63 vs. 107.81, respectively (both P < 0.05). All "Environment" dimensions ("Safety and physical security", "Home environment", "Financial resources", "Health and social care", "Opportunities for acquiring new information and skills", "Participation and opportunities for leisure", and "Transport"), except "Physical environment (pollution/noise/traffic/climate)", were associated with SA (all P < 0.05). Multiple linear regression showed that psychological resilience, physical activity, self-evaluation of SA, environment, social support, and hearing status were shared factors by the urban and rural older individuals. CONCLUSION The SA and environmental factor scores were higher in urban older individuals compared with rural ones. Environment dimensions (except "Physical environment (pollution/noise/traffic/climate)") were associated with SA.
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Affiliation(s)
- Wenxiu Ding
- College of Nursing, Shandong University, Jinan 250012, Shandong, China
| | - Yanqi Zhang
- College of Nursing, Shandong University, Jinan 250012, Shandong, China
| | - Liyao Zhang
- Nursing Department, Zibo Central Hospital, Zibo 255036, Shandong, China.
| | - Zhaoxiu Wang
- Department of ICU, Qingdao Municipal Hospital, Qingdao 266011, Shandong, China
| | - Jie Yu
- College of Nursing, Shandong Traditional Chinese Medicine University, Jinan 250355, Shandong, China
| | - Hong Ji
- Quality Control Office, The First Affiliated Hospital of Shandong First Medical University, Jinan 250014, Shandong, China.
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da Silva-Sauer L, Martins-Rodrigues R, de la Torre-Luque A, Fernández-Calvo B. Cross-cultural adaptation and psychometric properties of the Brazilian Portuguese version of successful aging scale in community-dwelling older adults. J Community Psychol 2020; 48:1840-1852. [PMID: 32400007 DOI: 10.1002/jcop.22374] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/19/2020] [Revised: 04/20/2020] [Accepted: 04/25/2020] [Indexed: 06/11/2023]
Abstract
There is a growing consensus regarding the multidimensional nature of successful aging (SA), including both the biomedical and psychosocial domains of the aging process. The Successful Aging Scale (SAS) is a self-rated instrument addressing both of these components. The aim of this study was to analyze the psychometric properties of the Brazilian Portuguese version of the SAS (SAS-B) with regard to reliability and validity in 949 Brazilian community-dwelling older adults (53.60% women; M = 69.49 years; standard deviation = 7.67). Confirmatory factorial analysis (CFA) was performed to provide evidence on its structural validity. Convergent and divergent validity was studied by means of examining the relationships of SAS-B with scales concerning resilience, life satisfaction, self-esteem, social support, perceived stress, and health, as well as mental health. The CFA showed that the SAS-B is multidimensional with three correlated factors (χ2 /df = 2.74; standardized root mean square residual = 0.03; root mean square error approximation = 0.04; comparative fit index = 0.91), and its factors showed adequate reliability (ω = 0.70 for Healthy living habits, ω = 0.69 for Adaptive coping, and ω = 0.70 for Engagement with Life). Convergent and divergent validity was endorsed by correlations with related factors. The SAS-B is a reliable and valid self-rated instrument to measure the SA from a multidimensional perspective.
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Affiliation(s)
| | | | - Alejandro de la Torre-Luque
- Department of Legal Medicine, Psychiatry, and Pathology, Center for Biomedical Research in Mental Health (CIBERSAM), Madrid, Spain
| | - Bernardino Fernández-Calvo
- Department of Psychology, Federal University of Paraíba, João Pessoa, Brazil
- Department of Psychology, University of Córdoba, Cordoba, Spain
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20
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Seif M, Asadollahi A, Yarelahi M, Rezaian E. Item response analysis to explore psychometric properties of the Persian version of Troutman successful aging inventory: Rasch partial credit model. J Health Psychol 2020; 26:2711-2718. [PMID: 32508163 DOI: 10.1177/1359105320931174] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
The study aimed to evaluate Persian version of the TSAI-2011 to determine successful aging issues in older adults. In a psychometric study, the instrument was completed by 400 men and women aged 60 and above and the Rasch partial credit model was used. The PCM indicated that items 1 and 20 were misfitting. Also, it successive response categories for all items were located in the expected order and version of TSAI with 22-items had more internal consistency. Although Rasch analysis indicated to relevant of TSAI 22-Items, it should be evaluated in further studies and divergent cultures.
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Affiliation(s)
- Mozhgan Seif
- Shiraz University of Medical Sciences, Shiraz, Iran
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21
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Golja K, Daugherty AM, Kavcic V. Cognitive reserve and depression predict subjective reports of successful aging. Arch Gerontol Geriatr 2020; 90:104137. [PMID: 32562958 DOI: 10.1016/j.archger.2020.104137] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2019] [Revised: 06/02/2020] [Accepted: 06/04/2020] [Indexed: 10/24/2022]
Abstract
BACKGROUND With graying of western societies, successful aging is a hotly debated topic. Attaining successful aging brings benefits not only at the individual level, but also to society. To better understand successful aging, we conducted a study of older adults in the Republic of Slovenia. METHODS We recruited 213 community-dwelling adults, age 65 years and older, who responded to the Successful Aging Inventory (SAI), Purpose of Life Questionnaire (PIL), Satisfaction with Life Scale (SWLS), Beck Depression Inventory (BDI), Cognitive Reserve Index, Functional Activities Questionnaire (FAQ), and Multiple Abilities Self-Report Questionnaire (MASQ). RESULTS Responses to all scales were significantly correlated, which was taken into account when identifying covariates of latent successful aging in a structural equation model. Successful aging, as evaluated by the combination questionnaire responses, was most strongly associated with depression and marginally associated with cognitive reserve. Self-rated functional and cognitive capacities did not significantly explain individual differences in successful aging. DISCUSSION In our study of community-dwelling, older Slovenes, self-rated depression emerged as a strong correlate of successful aging and, to a lesser degree, cognitive reserve. Future studies of interventions that aim to promote successful aging should consider the role of depression and cognitive reserve in the older adult's experience of aging.
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Affiliation(s)
- Klara Golja
- School of Advanced Social Studies, Nova Gorica, Slovenia
| | - Ana M Daugherty
- Institute of Gerontology, Wayne State University, USA; Department of Psychology, Department of Psychiatry and Behavioral Neurosciences, Wayne State University, USA
| | - Voyko Kavcic
- School of Advanced Social Studies, Nova Gorica, Slovenia; Institute of Gerontology, Wayne State University, USA; Department of Psychology, Department of Psychiatry and Behavioral Neurosciences, Wayne State University, USA; International Institute of Applied Gerontology, Ljubljana, Slovenia.
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Kars Fertelli T, Deliktas T. A study on the relationship between perceptions of successful aging and life satisfaction of Turkish elderly people. Perspect Psychiatr Care 2020; 56:386-392. [PMID: 31617587 DOI: 10.1111/ppc.12446] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/07/2019] [Revised: 09/10/2019] [Accepted: 10/05/2019] [Indexed: 01/07/2023] Open
Abstract
PURPOSE In the current study, the relationship between perceptions of successful aging and the life satisfaction of Turkish elderly people was investigated. DESIGN AND METHODS This cross-sectional study was conducted with 561 elderly people at a public hospital. FINDINGS The mean scores of the participating elderly people obtained from the Successful Aging Scale (54.34 ± 11.55) and Satisfaction with Life Scale (3.46 ± 1.01) were high, and there was a significant positive correlation (r = 0.305) between them. PRACTICE IMPLICATIONS Activities to ensure successful aging in elderly people, such as training and awareness-raising, may increase their life satisfaction.
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Affiliation(s)
- Tülay Kars Fertelli
- Department of Nursing, Faculty of Health Sciences, Cumhuriyet University, Sivas, Turkey
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Gallardo-Peralta LP, Sánchez-Moreno E. Successful ageing in older persons belonging to the Aymara native community: exploring the protective role of psychosocial resources. Health Psychol Behav Med 2019; 7:396-412. [PMID: 34040858 PMCID: PMC8114412 DOI: 10.1080/21642850.2019.1691558] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
Objectives: The aim of this study is to analyse the process of successful ageing in older persons who state their belonging to a native Chilean ethnic group. There has recently been a notable increase in interest regarding analysis of the cultural processes and variables associated with successful ageing. However, there is a lack of studies analysing successful ageing in native ethnic groups; that is, ethnic communities living in their natural environmental surroundings. Methods: A cross-sectional research design was used. The sample was composed by 232 indigenous Aymara persons aged over 60 years who live in the far north of Chile. Data were collected using a questionnaire made up of validated measurement scales for successful ageing, community support, quality of life, religiousness/spirituality, and health. Results: The results suggest that indigenous persons age successfully, particularly in the context of physical functionality. Successful ageing is positively related with community integration, social support from informal systems (social groups), quality of life, and religiousness (forgiveness). In contrast, successful ageing is negatively related with depression. Conclusions: Cultural practices and an active lifestyle are ethnic cultural resources enabling persons to successfully cope with ageing. The results suggest that interventions would benefit from incorporating actions within a context of community integration. Particular attention to preventing deterioration in mental health would help to foster a successful ageing process.
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Affiliation(s)
- Lorena P Gallardo-Peralta
- Faculty of Social Work, Universidad Complutense, Madrid, Spain.,School of Social Work, University of Tarapacá, Arica, Chile
| | - Esteban Sánchez-Moreno
- Research Institute for Development and Cooperation (IUDC), Universidad Complutense, Madrid, Spain
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Gallardo-Peralta LP, Sánchez-Moreno E. Successful Aging and Personal Well-Being Among the Chilean Indigenous and Non-Indigenous Elderly. Aquichan 2019. [DOI: 10.5294/aqui.2019.19.3.9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Objective: The aim of this research was to analyse the association between successful aging (SA) and subjective well-being (SWB) in different domains. Method: The study is quantitative and cross-sectional, with a sample consisting of 800 older people, including 569 indigenous (Aymara and Mapuche) participants living in northern and southern Chile. Results: Domains associated with SA are satisfaction with health, satisfaction with social relationships, satisfaction with future security, and satisfaction with spiritual and religious experiences. SA is also positively associated with being a woman, being young, and not being indigenous. Conclusion: The research has two main practical implications. First, SWB domains may be incorporated into socio-health interventions as they relate to elements that can be changed or improved (health, social inclusion, security, and beliefs). Second, this study suggests a situation of risk among older indigenous Chileans, confirming the premise that the life paths of indigenous Chileans at social risk give rise to a more socially unequal old age with; therefore, it is important to analyse positive aspects that promote better old age.
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Zheng Z, Chen H, Yang L. Transfer of Promotion Effects on Elderly Health with Age: From Physical Environment to Interpersonal Environment and Social Participation. Int J Environ Res Public Health 2019; 16:E2794. [PMID: 31387307 PMCID: PMC6696029 DOI: 10.3390/ijerph16152794] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/08/2019] [Revised: 08/01/2019] [Accepted: 08/02/2019] [Indexed: 02/06/2023]
Abstract
An important goal of building "age-friendly communities" is to help the elderly to access more opportunities for social participation and better health. However, little is known about the complex relationships between neighborhood environment, social participation, and elderly health. This study examined the mediating role of social participation in the area of neighborhood environment affecting elderly health and explored the discrepancy among different age groups in 43 neighborhoods of Shanghai. Both neighborhood environment and social participation had significant positive effects on elderly health in all the samples. Meanwhile, social participation served as a mediator of the relationship between interpersonal environment and elderly health. Furthermore, remarkably, health promotion effects transferred from the physical environment to interpersonal environment and social participation with age; the influence of physical environment on elderly health decreased with the increase of age, while the influence of interpersonal environment and social participation on the health of the elderly increased with the increase of age. This study found that physical environment, interpersonal environment, and social participation had different effects on elderly health of different ages. Different policies should be applied toward improving the interpersonal environment, optimizing of physical environment, and guiding the community activities.
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Affiliation(s)
- Zhenhua Zheng
- College of Architecture and Urban Planning, Tongji University, 1239 Siping Road, Shanghai 200092, China
| | - Hong Chen
- College of Architecture and Environment, Sichuan University, No.24 First South Section First Ring Road, Chengdu 610065, China.
| | - Liu Yang
- Institute of Local Governance, Yangtze Normal University, 16 Juxian Avenue, Chongqing 408100, China.
- Center for Population and Development Policy Studies, Fudan University, 220 Handan Road, Shanghai 200433, China.
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Gutiérrez M, Tomás JM, Calatayud P. Contributions of Psychosocial Factors and Physical Activity to Successful Aging. Span J Psychol 2018; 21:E26. [PMID: 30056813 DOI: 10.1017/sjp.2018.27] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
The aim of this study was twofold: (a) To validate a successful aging model in a Spanish older adult's sample, and (b) to predict successful aging from psychosocial factors and physical activity. Participants were 725 Spanish older people, of whom 478 were women and 247 men, aged between 55 and 100 years. Of these, 501 were physically active and 197 persons did not practice physical activity. The sample was collected in three areas: Sport centers, day centers and public areas of several Spanish towns. Factorial validity of the Successful Aging Inventory was studied by confirmatory factor analysis, and four multiple regressions to predict each of the dimensions of successful aging (functional performance, intrapsychic factors, gerotranscendence, and spirituality) were estimated. The model of successful aging in Spanish elderly through the Successful Aging Inventory was adequate. The four multiple regressions predicted highly successful aging, with effect sizes of: R2 = .037 for spirituality; .267 for functional performance; .531 for intrapsychic factors; and .356 for gerotrascendece. A main conclusion derived from the results is that older people who do exercise achieve better aging. Another point is that aspects of health and life satisfaction are directly related to better aging while social aspects influence indirectly.
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Gutiérrez M, Calatayud P, Tomás JM. Motives to practice exercise in old age and successful aging: A latent class analysis. Arch Gerontol Geriatr 2018; 77:44-50. [PMID: 29665480 DOI: 10.1016/j.archger.2018.04.003] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2016] [Revised: 03/23/2018] [Accepted: 04/05/2018] [Indexed: 11/22/2022]
Abstract
PURPOSE The aim was to classify motives for exercising trying to find sets of related cases that share common motivations, and to relate these latent classes to markers of successful aging. METHODS 725 old adult aged 55 to 97 years were sampled in several Spanish towns. INSTRUMENTS Successful Aging Inventory (SAI), International Physical Activity Questionnaire (IPAQ), Health Survey SF-8, Satisfaction with Life Scale (SWLS), and motives to practice exercise, were used. Latent Class Analyses (LCAs) were estimated. The classes obtained were compared on markers of successful aging. RESULTS Three latent classes were deemed optimal. Significant differences for several markers of successful aging were found. CONCLUSION A main conclusion derived from the results is that not all old people do exercise for the same motives, and the class of motives you are in had an impact/relation on markers of successful aging. Motives related to internal rather than external pressures should be promoted in the old age.
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Carver LF, Beamish R, Phillips SP. Successful Aging: Illness and Social Connections. Geriatrics (Basel) 2018; 3:E3. [PMID: 31011051 PMCID: PMC6371134 DOI: 10.3390/geriatrics3010003] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2017] [Revised: 12/24/2017] [Accepted: 01/15/2018] [Indexed: 11/26/2022] Open
Abstract
The objective of this study was to examine the role of social determinants of health: gender, income, education, housing, and social connections in successful aging in older adults aging with illness. Participants were 50 adults aged 65⁻90 years, all aging in place in their own home, and reporting at least one illness. This pilot study used non-probability sampling and employed both online and in-person interviews. The majority (82%) were aging "successfully" or "somewhat successfully" as reported on the single item successful aging scale and demonstrated by their scores on the Successful Aging Inventory (SAI). Correlations were not significant between SAI and gender, income, education, or housing. A significant negative correlation was found between SAI and community activity. However, there were significant positive correlations between SAI and religious activity and relationships. The regression model was a linear combination of participants' community and religious activity and relationships. The majority of older adults aging with illness consider themselves to be aging successfully, but their scores are influenced by relationships with others as well as religious and community activity. Frequent community activity had a suppressor effect on successful aging.
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Affiliation(s)
- Lisa F Carver
- Department of Sociology, Queen's University, Kingston, ON K7L 3N6, Canada.
| | - Rob Beamish
- Department of Sociology, Queen's University, Kingston, ON K7L 3N6, Canada.
| | - Susan P Phillips
- Department of Medicine, Queen's University, Kingston, ON K7L 3N6, Canada.
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Mohammadi E, Allahyari T, Darvishpoor Kakhaki A, Saraei H. Determining Psychometric Properties of Iranian Active Aging Measurement Instrument. Salmand 2018. [DOI: 10.21859/sija.12.4.414] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Scharlach AE. Aging in Context: Individual and Environmental Pathways to Aging-Friendly Communities—The 2015 Matthew A. Pollack Award Lecture. The Gerontologist 2017; 57:606-618. [DOI: 10.1093/geront/gnx017] [Citation(s) in RCA: 31] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2016] [Indexed: 12/17/2022] Open
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Abstract
OBJECTIVES Successful aging continues to be applied in a variety of contexts and is defined using a number of different constructs. Although previous reviews highlight the multidimensionality of successful aging, a few have focused exclusively on non-biomedical factors, as was done here. METHODS This scoping review searched Ovid Medline database for peer-reviewed English-language articles published between 2006 and 2015, offering a model of successful aging and involving research with older adults. RESULTS Seventy-two articles were reviewed. Thirty-five articles met the inclusion criteria. Common non-biomedical constructs associated with successful aging included engagement, optimism and/or positive attitude, resilience, spirituality and/or religiosity, self-efficacy and/or self-esteem, and gerotranscendence. DISCUSSION Successful aging is a complex process best described using a multidimensional model. Given that the majority of elders will experience illness and/or disease during the life course, public health initiatives that promote successful aging need to employ non-biomedical constructs, facilitating the inclusion of elders living with disease and/or disability.
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Affiliation(s)
- Lisa F Carver
- Department of Sociology, Queen's University Kingston, ON, Canada
| | - Diane Buchanan
- School of Nursing, Queen's University Kingston, ON, Canada
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Park MH, Kweon Y. Testing the Validity and Reliability of Korean Version of the Expectations Regarding Aging (ERA-12) Instrument among Middle-aged and Elderly Women. ACTA ACUST UNITED AC 2014. [DOI: 10.5932/jkphn.2014.28.3.460] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Ji H, Ling J, McCarthy VL. Successful aging in the United States and China: a theoretical basis to guide nursing research, practice, and policy. J Transcult Nurs 2014; 26:129-36. [PMID: 24841471 DOI: 10.1177/1043659614526257] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Successful aging is gaining increasing attention given the growth in the older adult population. Criteria and definitions within multiple disciplines vary greatly in Western literature, with no consensus on its meaning. Sociocultural, economic, and political differences between the Western view of successful aging and its view in China add to the confusion. Similarities and differences in the meaning of successful aging in the United States and China are examined, and potential for a common definition useful to nursing in both countries is explored. Using concept analysis, shared criteria for successful aging were the following: decreased incidence of disease and disability, life satisfaction, meaning and purpose in life, and ability to cope effectively to achieve goals based on personal values and priorities. A comprehensive, multidimensional definition of successful aging for nursing and a midrange nursing theory of successful aging were identified that may be useful to guide nursing research, practice, and policy.
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Affiliation(s)
- Hong Ji
- Shandong Provincial Qianfoshan Hospital, Jinan, China
| | - Jiying Ling
- University of Louisville School of Nursing, Louisville, KY, USA
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Abstract
The purpose of this study was to investigate older adults’ perceptions of successful aging within the context of the theory of successful aging to validate and further inform this theory. This research was a secondary, qualitative analysis of data from two earlier studies in which participants were asked to provide a response to the open-ended question, “What does successful aging mean to you?” Content analysis using multiple coding was independently conducted by the investigators. Eight broad themes emerged: active independence, relationships with people, relationship with God, comfort resources, health, beneficial contribution, positive perspective/coping, and freedom. Differences and similarities of themes by study subgroups were also explored. The coping processes, functional performance mechanisms, and intrapsychic factors from the theory of successful aging were well represented in the findings of this study. The coping process of spirituality was less frequently represented, whereas that of gerotranscendence was slightly more often described. Interventions that enhance these factors associated with successful aging have the potential to improve quality of life and provide appealing, meaningful activities for older adults.
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McCarthy VL, Ling J, Carini RM. The Role of Self-Transcendence: A Missing Variable in the Pursuit of Successful Aging? Res Gerontol Nurs 2013; 6:178-86. [PMID: 23668416 DOI: 10.3928/19404921-20130508-01] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2012] [Accepted: 04/29/2013] [Indexed: 11/20/2022]
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Kozar-Westman M, Troutman-Jordan M, Nies MA. Successful Aging Among Assisted Living Community Older Adults. J Nurs Scholarsh 2013; 45:238-46. [DOI: 10.1111/jnu.12027] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/02/2013] [Indexed: 11/30/2022]
Affiliation(s)
- Maryalice Kozar-Westman
- Faculty Lecturer, School of Nursing; University of North Carolina at Charlotte; Charlotte NC
| | | | - Mary A. Nies
- Associate Dean, Division of Health Sciences; Director School of Nursing and Professor, Idaho State University; Pocatello ID
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Affiliation(s)
- Eun Joo Kim
- Department of Nursing, Daejeon University, Daejeon, Korea
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Romo RD, Wallhagen MI, Yourman L, Yeung CC, Eng C, Micco G, Pérez-Stable EJ, Smith AK. Perceptions of successful aging among diverse elders with late-life disability. Gerontologist 2012; 53:939-49. [PMID: 23231944 DOI: 10.1093/geront/gns160] [Citation(s) in RCA: 78] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
PURPOSE Researchers often use the term "successful aging" to mean freedom from disability, yet the perspectives of elders living with late-life disability have not been well described. The purpose of this study was to explore the meaning of successful aging among a diverse sample of community-dwelling elders with late-life disability. DESIGN AND METHODS Using qualitative grounded theory methodology, we interviewed 56 African American, White, Cantonese-speaking Chinese, and Spanish-speaking Latino disabled elders who participate in On Lok Lifeways, a Program of All-inclusive Care for the Elderly. Through semi-structured interviews with open-ended questions, we explored the elders' perceptions of what successful aging and being old meant to them. RESULTS Despite experiencing late-life disability, most participants felt they had aged successfully. An overarching theme was that aging results in Living in a New Reality, with two subthemes: Acknowledging the New Reality and Rejecting the New Reality. Participants achieved successful aging by using adaptation and coping strategies to align their perception of successful aging with their experiences. Themes were common across race/ethnic groups but certain strategies were more prominent among different groups. IMPLICATIONS Across race and ethnic groups, most of these participants with late-life disability felt they had aged successfully. Thus, successful aging involves subjective criteria and has a cultural context that is not captured in objective measurements. Understanding elders' perception will help establish common ground for communication between clinicians and elders and identify the most appropriate interventions to help elders achieve and maintain the experience of successful aging.
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Affiliation(s)
- Rafael D Romo
- *Address correspondence to Rafael D. Romo, RN, PHN, MSN, UCSF School of Nursing, Office of Student Affairs N319X, 2 Koret Way, San Francisco, CA 94143-0602. E-mail:
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