Defining the Personal Determinants of Health for Older Adults

MacLeod, Stephanie; Kraemer, Sandra; Fellows, Annette; Albright, Laurie; Ruiz, Joann; McGinn, Michael; Schaeffer, J.; Yeh, Charlotte S.

doi:10.1093/geroni/igaa057.3392

Cited by 3 publications

(4 citation statements)

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“…Notably, high resilience may be accessed by female caregivers as a buffer to severe stress during times of crisis, potentially explaining why they have reported lower increases in caregiver burden as compared to their male counterparts [1,27] . Resilience is highlighted as the core of an emerging concept described as personal determinants of health (PDOH), a collection of personal resources that buffer challenges in life and support optimal health outcomes [47] . Even prior to COVID-19, growing perspectives on health outcomes began to shift from a sole focus on negative risk factors to encompass the positive resources within an individual's control [48] .…”

Section: Discussionmentioning

confidence: 99%

“…Recent research demonstrates that older adults with a combination of at least one of these attributes tend to have better health outcomes than those who do not [48] . The most influential of these resources include not only resilience, but also purpose in life, optimism, and social connections, all of which have been compromised by the pandemic [47] . The abrupt absence of strong support systems, roles, and activities; growing anxiety and stress; and the intensifying role of informal caregiving arguably amount to accumulating impacts on these factors [47] .…”

Section: Discussionmentioning

confidence: 99%

“…The most influential of these resources include not only resilience, but also purpose in life, optimism, and social connections, all of which have been compromised by the pandemic [47] . The abrupt absence of strong support systems, roles, and activities; growing anxiety and stress; and the intensifying role of informal caregiving arguably amount to accumulating impacts on these factors [47] . Notably, as policy and practice directions for caregiver support shift as a result of COVID-19, initiatives to focus on boosting the key PDOH during times of crisis could be worthwhile.…”

Section: Discussionmentioning

confidence: 99%

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The Impact of COVID-19 on Informal Caregivers in the US

2021

IJOAR

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Background: Caregiver burden has negative effects on mental and physical health along with quality of life. Meanwhile, social and physical distancing protocols during the COVID-19 pandemic have created additional impacts on informal caregiving in a rapidly changing environment. Early research over the past year suggests that the pandemic has caused increased caregiver burden as well as caregiving intensity among these individuals. Purpose: Our primary purpose in this informational literature review is to describe the impacts of the pandemic on informal caregiver burden and the sudden shift in roles and responsibilities as a result of pandemic-related changes in caregiving. This review will describe emerging effects on various aspects of health among informal caregivers and explore the growing need to support unpaid caregiving during this time. Methods: A streamlined search was conducted to fit the scope of this review, with key terms determined to identify relevant publications. Common research databases and up-to-date mainstream resources were utilized. Notably, we focused on research published or released since March 2020, primarily rapidly reviewed studies, to align with the timing of the COVID-19 pandemic in the US. Results: Early research suggests that the pandemic has worsened caregiver burden and increased caregiving intensity and hours of care among unpaid, informal family caregivers. Reported health impacts include higher stress, pain, and depression, along with decreased social connectedness and quality of life. Notably, however, COVID-related research generally does not focus on the positive aspects of caregiving, such as its role as a source of purpose in life, creating an opportunity to explore ways to boost certain valuable personal resources among caregivers. Conclusions: Informal family caregivers face their own negative health outcomes and distress as a result of greater caregiver burden, intensity, and the changing landscape of caregiving during the ongoing COVID-19 pandemic. Immediate policy and support recommendations should be considered to alleviate informal caregiver burden and provide ongoing resources over the longer term. In addition, future work should explore the potential of boosting positive resources such as resilience and purpose to ease caregiver burden.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The Impact of COVID-19 on Informal Caregivers in the US

2021

IJOAR

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“…Across both urban and rural areas, these new protocols impacted all aspects of life, with devastating effects touching not only physical and mental health but also important social and personal health indicators. Personal determinants of health (PDOH) are considered the individual-level resources that can help to support positive health outcomes; the key PDOH include resilience, optimism, purpose in life, and social connectedness ( MacLeod et al, 2021 ). Even prior to the pandemic, these PDOH—including social connectedness—were already critical to positive health outcomes later in life.…”

Section: Introductionmentioning

confidence: 99%

Loneliness, Social Isolation, and All-Cause Mortality in a Large Sample of Older Adults

et al. 2022

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Objectives Using data from a large random sample of U.S. older adults ( N = 7982), the effect of loneliness and social isolation on all-cause mortality was examined considering their separate and combined effects. Methods The UCLA-3 Loneliness Scale and the Social Network Index (SNI) were used to define loneliness and social isolation. Cox proportional hazards regression models were performed. Results Among study participants, there were 548 deaths. In separate, adjusted models, loneliness (severe and moderate) and social isolation (limited and moderate social network) were both associated with all-cause mortality. When modeled together, social isolation (limited and moderate social network) along with severe loneliness remained significantly associated with mortality. Discussion Results demonstrate that both loneliness and social isolation contribute to greater risk of mortality within our population of older adults. As the COVID-19 pandemic continues, loneliness and social isolation should be targeted safely in efforts to reduce mortality risk among older adults.

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PRISM—Pain Recovery and Integrative Systems Model: A Process-Based Cognitive-Behavioral Approach for Physical Therapy

et al. 2023

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The Academy of Orthopedic Physical Therapy (AOPT) Pain Education Manual (PEM) supports the advancement of modern pain content, and the National Institutes of Health Federal Pain Research Strategy (FPRS) has called for new models for pain management. This Perspective proposes the Pain Recovery and Integrative Systems Model (PRISM) as a new model that addresses the multidimensional nature of pain. PRISM is a salutogenic, integrative, process-based cognitive-behavioral model designed for physical therapist education and practice. PRISM aligns with national and international initiatives to better understand and manage pain, thereby mitigating the global opioid crisis. PRISM aims to address the multidimensional nature of pain while building resilience, nurturing growth, and facilitating pain recovery. Impact PRISM is a salutogenic, integrative, process-based, cognitive-behavioral model to guide physical therapists in managing the multidimensional nature of pain.

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Defining the Personal Determinants of Health for Older Adults

Cited by 3 publications

References 0 publications

The Impact of COVID-19 on Informal Caregivers in the US

The Impact of COVID-19 on Informal Caregivers in the US

Loneliness, Social Isolation, and All-Cause Mortality in a Large Sample of Older Adults

PRISM—Pain Recovery and Integrative Systems Model: A Process-Based Cognitive-Behavioral Approach for Physical Therapy

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