Matters of HEARTS: health,experience of abuse,resilience, technology use,and safety of older adults

ABSTRACT

The purpose of this study was to assess the HEARTS (Health, Experience of Abuse, Resilience, Technology use, and Safety) of older adults (OAs). More particularly, we aimed to assess three components of the HEARTS (health, experience of abuse, and resilience) of OAs and explore the relationships among health, resilience, the experience of abuse, and other demographic variables. Forty-two male and female OAs in Pittsburgh, Pennsylvania, USA participated in the study. A correlational design was used in this study. The variables correlated were health, the experience of abuse, and the resilience of OAs. We used a community-engaged research approach in that participants were more than research volunteers but stakeholders in the research project. Findings showed that the means for more positive health features (physical function, and social roles) increased with increases in education, while more negative health features (anxiety, depression, fatigue, sleep disturbance, pain interference, and pain intensity) decreased with higher levels of education. Regression models indicated that above and beyond demographic features, resilience had a significant prediction of anxiety and depression. None of the other health outcomes were significantly predicted by either resilience or older adults’ abuse suspicion.

Adding health to years in older adults is a collaborative effort with healthcare providers, healthcare systems, families, and communities. This study has identified three components of HEARTS (Health, Experience of Abuse, and Resilience) that blend with successful aging and provide data and possible prevention and intervention strategies, and family and community education programs that could add health to years in older adults.     

Comparing successful aging,resilience, and holistic wellness as predictors of the good life

Objectives: The purpose of the study was to compare the relative contributions of Rowe and Kahn’s definition of successful aging (SA), resilience, and the holistic wellness paradigm for predicting happiness, life satisfaction, and self-rated physical health in late life.

Method: A cross-sectional research design was used to survey 200 residents across 12 senior housing sites. Criteria with strong psychometric properties representing the three constructs were operationalized using hierarchical regression within the context of relevant control variables to compare the relative strengths of the three paradigms for predicting measures of quality of life.

Results: In this study, 8.5% of the sample met modified criteria for SA and were used as a comparison group with those who did not meet the criteria. Overall, holistic wellness and resilience predicted happiness, life satisfaction, and physical health better than SA alone. When predicting happiness and life satisfaction, race and holistic wellness were significant predictors. Age and holistic wellness were the best predictors of self-rated physical health.

Conclusion: The criteria underlying SA poorly predicted happiness, life satisfaction, and self-rated physical health compared to the resilience and holistic wellness models. The results suggest that definitions of aging well are complex and require greater nuance. The findings have important implications for clinicians seeking translatable theoretical models that are amenable to practice with older adults, especially for those living in independent senior housing communities.     

Adventure education and resilience: The double-edged sword

Abstract

Adventure education philosophers have argued that controlled exposure to challenge can enhance participants' psychological resilience. This study supports this claim, demonstrating significantly greater gains in psychological resilience for 41 young adults participating in 22-day Outward Bound programs than in a control group. All Outward Bound participants reported positive changes in their resilience and their overall change effect size was large. Perceived levels of social support predicted 24% of the variance in resilience gain scores, with participants' ratings of the least supportive group member being the best predictor. The findings for enhanced resilience and the important role of social support warrant wider investigation. In promoting psychological resilience adventure educators are alerted to the importance of facilitating positive interpersonal relations and minimising the detrimental impact of the diverse needs of group members.     

Understanding resilience in diverse,talented students in an urban high school

This article summarizes findings from a 3‐year study of 35 economically disadvantaged, ethnically diverse, academically talented high school students who either achieved or underachieved in their urban high school. In particular, the resilience of these two groups of high ability students is explored. Comparative case study and ethnographic methods were used to examine the ways in which some academically talented students develop and/or employ strategies associated with resilience to achieve at high levels. Both risk factors and protective factors are examined to explore participants’ pathways toward either positive or negative outcomes. The results of this study suggest that some protective factors helped some academically talented students to achieve at high levels. The protective factors include supportive adults; friendships with other achieving students; opportunity to take honors and advanced classes; participation in multiple extracurricular activities both after school and during the summer; the development of a strong belief in self; and ways to cope with the negative aspects of their school and urban environment; and in some cases, their family lives. Other protective factors include students’ relationships with supportive adults and their previous participation in a gifted and talented program.

Students who underachieved had specific risk factors, such as having older siblings who dropped out of school or became involved in drugs and/or alcohol. They also appeared to have developed fewer protective factors. The combination of the presence of risk factors and the absence of protective factors may ha ve impeded the ability of some underachieving students to achieve at higher levels.     

Intergenerational exchange: undergraduate researchers’ learning and listening enhanced through older adults’ entertainment preferences

The purpose of this qualitative study was to provide an intergenerational exchange as undergraduate students taking an introductory Psychology of Aging course, interviewed and watched films with older adult participants (N = 13) residing in an assisted living community. The undergraduate researchers (N = 10) conducted and transcribed interviews, wrote about their perceptions of interviews and film viewing with older adults, and their instructor interviewed assisted living staff (N = 2) creating an assessment of participants, researchers, and staff. Researchers listened and learned from older adult’s words, thereby improving researchers’ understanding that older adults preferred in-person discussions over film viewing. Researchers learned from older adults’ words, as they began to understand that sexual content in today’s films may reduce entertainment viewing for youth and older adults. Older adults described television remotes and phones with frustration and researchers felt angst for their frustration. Findings suggested understanding and meaning for participants and researchers in this service learning intergenerational exchange generated through undergraduate research.     

Enhancing resilience in youth through a 10-day developmental voyage

The present study sought to examine the potential for resilience to be enhanced in a group of youth participating in a developmental voyage, and to identify the factors that contribute to increased resilience following the voyage. Two studies are reported. Study 1 revealed that voyage participants experienced increased resilience over the course of the voyage. Study 2 sought to replicate and extend these findings by assessing the extent to which increased resilience was maintained five months following the voyage and was associated with other psychosocial variables (i.e. self-esteem, social effectiveness, self-efficacy, belonging, social support and perceived weather). The findings revealed that increased resilience was maintained five months following the voyage. A regression revealed that the predictors explained 37% of the variance in increased resilience. Increased social effectiveness, self-efficacy and less positive perceptions of the weather were the only variables to make unique contributions.     

The professional student program for educational resilience: Enhancing momentary engagement in classwork

Abstract

The Professional Student Program for Educational Resilience (PROSPER) was designed to increase students’ ability to stay momentarily engaged in classwork, thus promoting educational resilience. Participants (N?=?277, 51% male, 74% Irish) from two low-income schools in Dublin, Ireland (School A n?=?158; School B n?=?119), were assessed using the intervention’s theory of change: (1) change in knowledge of how to stay engaged in classwork, (2) subsequent change in momentary engagement in classwork, and (3) subsequent longer-term change in dispositions for engagement (i.e., tendency to enjoy learning). Qualitative results demonstrated that PROSPER facilitated students’ knowledge, momentary engagement, and teachers’ involvement with students. Quantitative analyses uncovered changes in knowledge and momentary engagement for both the higher and lower ability tracks in School A. The results give refined information on how this universal-school based program increased students’ momentary engagement and supported their educational resilience.     

Adventure education and resilience: The double-edged sword

Adventure education philosophers have argued that controlled exposure to challenge can enhance participants' psychological resilience. This study supports this claim, demonstrating significantly greater gains in psychological resilience for 41 young adults participating in 22-day Outward Bound programs than in a control group. All Outward Bound participants reported positive changes in their resilience and their overall change effect size was large. Perceived levels of social support predicted 24% of the variance in resilience gain scores, with participants' ratings of the least supportive group member being the best predictor. The findings for enhanced resilience and the important role of social support warrant wider investigation. In promoting psychological resilience adventure educators are alerted to the importance of facilitating positive interpersonal relations and minimising the detrimental impact of the diverse needs of group members.     

Promoting resilience and wellbeing in children exposed to intimate partner violence: A qualitative study with mothers

BackgroundChildren exposed to intimate partner violence (IPV) are at increased risk of disruptions to their health and development. Few studies have explored mothers’ perceptions of what helps their children cope throughout this experience.ObjectiveThe aim of the study was to explore mothers’ perceptions of their children’s resilience and coping following IPV exposure, and the strategies they have used to support their children and promote resilience.MethodsIn depth semi-structured interviews were conducted with nine women from the Maternal Health Study (MHS), a prospective study of women during pregnancy and following the birth of their first child. All women involved in the qualitative interviews reported experiencing IPV during their involvement in the MHS. Transcribed interviews were analysed using interpretative phenomenological analysis which has a focus on how individuals make meaning of their experience.ResultsWomen discussed parenting strategies such as role modelling, stable and consistent parenting, and talking with their children about healthy relationships to promote their children’s resilience. Mothers also spoke about the ways they tried to reduce their child’s direct exposure to IPV, as well as reflecting on the difficulty of attending to their child emotionally when they were experiencing distress.ConclusionsThis study highlights that there are many strategies used by mothers who experience IPV to promote resilience and wellbeing in their children. Understanding what mothers see as useful for their children is essential in providing appropriate services to families following experiences of family violence.     

Aging in community: home- and community-based services clients’ use of computers as a protective factor for social isolation and loneliness

ABSTRACT

Frail older adults are increasingly being cared for in the community via home- and community-based service (HCBS) programs rather than nursing homes. This policy change challenges psychologists, social workers, and all geriatric practitioners to identify risk and protective factors in order to implement community-based policies in ways which promote the well-being of frail older adults.

The present small-scale exploratory study focused on the risk factors of social isolation and loneliness, and the potential of computer use to act as a protective factor. Forty HCBS clients were interviewed about their social convoys, social isolation, and loneliness, and their use of computers. Family members made up the largest percentage of participants’ social convoys (48%). Forty-two percent of participants were found to be socially isolated or at high risk for social isolation. Twenty-five percent of participants used computers and these participants experienced significantly less loneliness and had significantly larger social convoys. All participants were shown a 2.5 -minute video demonstrating a computer programmed to accommodate older adults and 80% expressed interest in using such a program.

Future action research projects are suggested to replicate the study’s findings. Such projects could involve collaboration between gerontologists and local area agencies on aging and “service-enriched” affordable senior housing sites.     

Outlook in life of older adults and their health and community condition

ABSTRACT

Positive outlook in life is believed to help safeguard aging people against the negative experiences and considered to reduce the risk of health diseases. We analyzed the health condition, cognition, mobility, and community condition of 4,692 older adults from the National Health and Aging Trends Study based on their outlook in life: positive, negative, and neutral group. The presence of heart disease, high blood pressure, arthritis, and lung disease contributes to older adults’ negative outlook in life. Most older adults who belong to the positive outlook group rated their memory as very good. In contrast, most older adults in a negative outlook group perceived their memory as fair and poor, and mostly need the help of others to leave the house and have trust issues. The findings may provide new opportunities by intervening with policies and practices that generally may intensify a positive outlook in life.     

Myth-busting is a bust for patient education: Making salient older adults’ misconceptions about osteoarthritis fails to lead to lasting corrections

ABSTRACT

Older adults hold many misconceptions about health and wellness that reduce their health literacy. To counter these misconceptions, health educators commonly turn to educational interventions that include myth-busting—making explicit health-related myths and refuting those myths. Because of typical age-related changes in memory functioning, there is some question as to whether myth-busting is an effective technique for use with older adults. The present work assessed whether making older adults explicitly aware of common myths about osteoarthritis and refuting those myths would effectively debunk those myths and lead to correct beliefs about osteoarthritis. Older adults participated in two data collection sessions separated, on average, by 5 days. During the first session, participants read pamphlets about osteoarthritis that either employed myth-busting techniques or did not. Then after a brief delay, participants completed a quiz that measured adherence to the myths. Adherence to the myths was assessed again during the second data collection session. The analyses revealed that making myths salient significantly reduced adherence to myths immediately after the myth-busting presentation; however, as time passed, the corrective effects of myth-busting dissipated. Medical myth-busting appears to be an ineffective way to induce long-term corrections in older adults. Future research should focus on identifying methods by which health educators could leverage myth-busting’s short-term positive impact to affect long-lasting corrections. Until there is evidence that the positive impact of myth-busting can be maintained over time, health educators should be wary of using this technique with older adult patients.     

Determinants of older Korean adults’ participation in life-long learning programmes and life satisfaction

ABSTRACT

Using Korean Longitudinal Study of Aging data, we examined the influence of older adults’ individual characteristics (i.e. marital status, health and economic status) on life satisfaction, with the mediating effect of older adults’ active participation in lifelong learning. As a result, some individual characteristics appeared to significantly determine both learning participation and life satisfaction. Economic status appeared to function as a significant predictor of older adults’ participation in lifelong learning programmes, which ultimately resulted in a significant improvement in their life satisfaction. Marital status and health were also significant contributors to older adults’ life satisfaction. The mediating model was tenable according to model-data fit indices.     

RESCUR Surfing the Waves: an evaluation of a resilience programme in the early years

ABSTRACT

RESCUR Surfing the Waves is a recently developed resilience curriculum for early years and primary schools in Europe. It seeks to develop in marginalized young learners the requisite competences needed to overcome the various challenges in their lives to achieve academic success and social and emotional wellbeing. The competences include developing a growth mindset, making use of one’s strengths, self-determination, effective communication skills and healthy relationships, and overcoming challenges and obstacles. This paper presents the findings of a study on the implementation of the programme in five kindergarten centres in Malta over a 1-year period. A pre- and post-intervention study in 20 classrooms (97 children) showed an improvement in resilience skills, prosocial behavior and learning engagement, but not in internalized and externalized problem behaviors. A small scale study in two nurture classes at two of the schools found similar findings. The findings suggest that there are indications that the programme as a proportionate universal intervention for early years leads to an improvement in social and academic behaviours, but more rigorous research is needed to substantiate these findings.     

Dare to Dream: New Venture Incubator for Older Adults

The purpose of this article is to describe a project that aims to foster active aging through entrepreneurial activities among older adults. The project establishes the feasibility of implementing an intervention program that assimilates the concept and capabilities of entrepreneurship among older adults and supports them while launching new ventures. A 12-meeting training program was provided to the selected participants followed by continuing support through a tailor-made incubator. The pilot experiment selected a group of retirees who sought work and had no previous entrepreneurial experience. Of the 22 participants in the intervention program, 15 (70%) actually started a microenterprise based on their previously formulated ideas and past work experience and encouraged by participation in the program. Fostering older adults’ entrepreneurial activities has value much further than fulfilling individual needs because it provides benefits to the welfare of the community as well as to the economy. The pilot experiment suggests that this type of intervention program is feasible and warrants further studies.     

Factors discriminating among profiles of resilience and psychopathology in children exposed to intimate partner violence (IPV)

ObjectiveTo evaluate the social and emotional adjustment of 219 children in families with varying levels of intimate partner violence (IPV) using a model of risk and protection. To explore factors that differentiate children with poor adjustment from those with resilience.MethodologyMothers who experienced IPV in the past year and their children ages 6–12 were interviewed. Standardized measures assessed family violence, parenting, family functioning, maternal mental health, and children's adjustment and beliefs.ResultsUsing cluster analysis, all cases with valid data on the Child Behavior Checklist, Child Depression Inventory, General Self-Worth and Social Self-Competence measures were described by four profiles of children's adjustment: Severe Adjustment Problems (24%); children who were Struggling (45%); those with Depression Only (11%); and Resilient (20%) with high competence and low adjustment problems. Multinomial logistic regression analyses showed children in the Severe Problems cluster witnessed more family violence and had mothers higher in depression and trauma symptoms than other children. Resilient and Struggling children had mothers with better parenting, more family strengths and no past violent partner. Parents of children with Severe Problems were lacking these attributes. The Depressed profile children witnessed less violence but had greater fears and worries about mother's safety.ConclusionFactors related to the child, to the mother and to the family distinguish different profiles of adjustment for children exposed to IPV who are living in the community. Resilient children have less violence exposure, fewer fears and worries, and mothers with better mental health and parenting skills, suggesting avenues for intervention with this population.Practice implicationsFindings suggest that child adjustment is largely influenced by parent functioning. Thus, services should be targeted at both the child and the parent. Clinical interventions shaped to the unique needs of the child might also be tested with this population.     

Who says aging is lonely? A phenomenology of Filipino older adults’ experiences of happiness when joining international group tours

Across the literature, travelling has been viewed as a recurring activity for older adults and is driven by a multitude of purposes and reasons. Previous studies have probed touristic activities of older adults however, little is known about their emotional experiences specifically their sense of happiness when joining international group tours, hence this phenomenological study. A qualitative approach was utilized to gather data from a group of 15 purposively selected participants aged 60 years and above. A two-part instrument consisting of a robotfoto and a semi-structured interview was used in this study. Through vertical and horizontal analyses of the field text, this study afforded the development of The Spiraling Model of Aging Filipino Tourists’ Happiness. This model describes aging tourists’ happiness while travelling as a product of Shared Moments, Shared Culture, Shared Memories, and Shared Transcendence. Summarily, findings of this study may provide significant insights to service providers such as hotels, airlines and travel agencies across the globe in developing innovative marketing strategies that cater to this promising age group. Empirically, this study may stimulate further exploration in the field of Cognitive Psychology aimed at adding large-scale data regarding the study of emotions specifically older adults’ happiness when joining international group tours.