A cluster randomised trial of the program to enhance adjustment to residential living (PEARL): a novel psychological intervention to reduce depression in newly admitted aged care residents

“…This study is part of a randomized-controlled trial to evaluate the effectiveness of the Program to Enhance Adjustment to Residential Living (PEARL), which aims to reduce depression in recently admitted RACF residents by providing individually tailored care that addresses their key psychological needs. Detailed methods of the project have been reported elsewhere (Davison et al, 2020). Briefly, 42 RACFs in Melbourne, Australia, which has warm to hot summers and mild winters, participated in the study.…”

Section: Methodsmentioning

confidence: 99%

Views of Greenery and Psychological Well-Being in Residential Aged Care Facilities: Longitudinal Associations

Sugiyama

Carver

Sugiyama

et al. 2021

HERD

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Objectives: This study examined associations of objectively measured views of greenery in residential aged care facilities (RACFs) with changes in multiple psychological well-being measures among residents who were newly admitted to RACFs. Methods: Data were collected from 52 residents (mean age: 84, 73% women) of 13 RACFs, located in Melbourne, Australia. The outcomes were changes in depression, stress, anxiety, and quality of life (QoL) between baseline and 8-week follow-up. The exposure measures were the amount and presence of greenery visible from participant’s bedroom and common areas (lounge, dining). Greenery was categorized as being either within or beyond the RACF perimeter. Results: Regression analyses found that greenery visible from participant’s bedroom was not associated with any outcomes. The amount of greenery visible from common areas within the RACF perimeter was adversely related to stress, unexpectedly: Each additional 1 m2 of greenery was associated with a greater increase in stress ( b = 0.05; 95% CI [0.07, 0.94]). However, greenery visible from common areas beyond the perimeter contributed favorably to stress and QoL. The presence of such greenery was associated with a lower increase in stress ( b = −3.99; 95% CI [−7.75, −0.23]; reference: no greenery), and a 1 m2 increment was associated with a greater increase in QoL ( b = 0.07; 95% CI [0.02, 0.11]). Conclusion: Views of greenery outside of the RACF from lounge and dining areas may be protective against residents’ stress increase and improve their QoL. Locating residents in areas with such outdoor views may prevent their psychological condition from worsening.

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“…Therefore, it is necessary to study the structural causal relationship of older adult adjustment in residential care institutions under the combined influence of physical, emotional, social and psychological factors, life satisfaction and social support. In addition, international intervention strategies to promote adaptation among older adults in long-term residential care facilities are relatively lacking and one-sided (40)(41)(42)(43). The objective of this study is to be able to provide a basis for the later development of intervention strategies that effectively improve the level of adaptation and enhance the quality of life of older people, and to provide reference suggestions for the development of policies related to healthy aging in other aging countries.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with adaptation level in the older adult residential care facilities: a path analysis

Zhao,

Niu,

Zhang

et al. 2023

Front. Public Health

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BackgroundIt has become very common for older adults to relocate to residential care facilities. Yet whether older adults adapt to life in a long-term care residential facility through perception, reflection, and conscious behavioral choices is a challenging social issue. Previous research has shown that adaptation is influenced by physical, mental, psychological, social systems, and other debris factors. However, existing knowledge is often based on unidirectional relationships between these factors and adaptation. Few studies have formally examined bivariate relationships between these factors, and the influence of adaptation between these factors internally remains unclear. Therefore, there is a need to examine the structural causality of adaptation in residential care facilities influenced by a combination of physical, emotional, social and psychological factors, life satisfaction, and social support.MethodsThe present cross-sectional study recruited older adults from three residential care facilities in Henan province, China, through convenience sampling. The Chinese Nursing Home Adjustment Scale (NHAS), Geriatric Depression Scale-15 (GDS-15) and Social Support Scale (SSRS), Satisfaction with Life Scale (SWLS), and Barthel Index were employed to measure the older adult’ adjustment level, depression level, social support, satisfaction with life, and self-care ability of the BMC, respectively. The relationships between depression, social support, self-care, satisfaction with life, and adaptation were analyzed and a structural equation model was developed.ResultsA total of 210 participants completed the questionnaire. The model demonstrated an acceptable fit of the data. The results showed that the difference between life satisfaction and depression on the level of adaptation was 60 and 23%, respectively. Social support and life satisfaction had a positive direct effect on the level of adaptation, both showing a positive correlation with the level of adaptation. Depression, on the other hand, have a direct effect on the level of adaptation and showed a negative correlation with the level of adaptation. Self-care ability indirectly influenced adaptation mediated by social support.ConclusionSocial support has a positive impact on both life satisfaction and depression, which in turn promotes adaptation. As a major source of social support, family members and nursing home staff in residential care facilities can enhance social support for older people through improved interaction, which can have a meaningful and positive impact on levels of adjustment. The model demonstrates the strengthening and weakening of social support, self-care, life satisfaction, and depression levels, which can help inform the development of relevant care health strategies for older people to promote levels of adjustment and improve quality of life.

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A cluster randomised trial of the program to enhance adjustment to residential living (PEARL): a novel psychological intervention to reduce depression in newly admitted aged care residents

Cited by 13 publications

References 29 publications

Assessing Residents’ Perceptions of Their Relocation to Long-Term Care: Psychometric Validation of the View of Relocation Scale

Assessing Residents’ Perceptions of Their Relocation to Long-Term Care: Psychometric Validation of the View of Relocation Scale

Views of Greenery and Psychological Well-Being in Residential Aged Care Facilities: Longitudinal Associations

Factors associated with adaptation level in the older adult residential care facilities: a path analysis

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