The Impact of Activity Interventions on the Well-Being of Older Adults in Continuing Care Communities

Winstead, Vicki; Yost, Elizabeth A.; Cotten, Shelia R.; Berkowsky, Ronald W.; Anderson, William A.

doi:10.1177/0733464814537701

Cited by 44 publications

(32 citation statements)

References 30 publications

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“…Group members may be taught how to offer emotional support to one another. All interventions of this type either addressed component 1 [ 57 , 58 ], component 2 [ 54 , 55 , 57 , 59 – 61 ], or both components 1&2 [ 51 – 53 ] • Group of 5 to 9 people • Face-to-face sessions held in a neutral location (e.g. an activity room).…”

Section: Resultsmentioning

confidence: 99%

Interventions to address social connectedness and loneliness for older adults: a scoping review

2018

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BackgroundOlder adults are at risk for loneliness, and interventions to promote social connectedness are needed to directly address this problem. The nature of interventions aimed to affect the distinct, subjective concepts of loneliness/social connectedness has not been clearly described. The purpose of this review was to map the literature on interventions and strategies to affect loneliness/social connectedness for older adults.MethodsA comprehensive scoping review was conducted. Six electronic databases were searched from inception in July 2015, resulting in 5530 unique records. Standardized inclusion/exclusion criteria were applied, resulting in a set of 44 studies (reported in 54 articles) for further analysis. Data were extracted to describe the interventions and strategies, and the context of the included studies. Analytic techniques included calculating frequencies, manifest content analysis and meta-summary.ResultsInterventions were described or evaluated in 39 studies, and five studies described strategies to affect loneliness/social connectedness of older adults or their caregivers in a qualitative descriptive study. The studies were often conducted in the United States (38.6%) among community dwelling (54.5%), cognitively intact (31.8%), and female-majority (86.4%) samples. Few focused on non-white participants (4.5%). Strategies described most often were engaging in purposeful activity and maintaining contact with one’s social network. Of nine intervention types identified, the most frequently described were One-to-One Personal Contact and Group Activity. Authors held divergent views of why the same type of intervention might impact social connectedness, but social contact was the most frequently conceptualized influencing factor targeted, both within and across intervention types.ConclusionsResearch to test the divergent theories of why interventions work is needed to advance understanding of intervention mechanisms. Innovative conceptualizations of intervention targets are needed, such as purposeful activity, that move beyond the current focus on the objective social network as a way to promote social connectedness for older adults.Electronic supplementary materialThe online version of this article (10.1186/s12877-018-0897-x) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Interventions to address social connectedness and loneliness for older adults: a scoping review

2018

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“…A detailed description of the randomized controlled trial research design and ICT intervention are described elsewhere [17,35]. In brief, nineteen CCRCs were randomized into one of three study arms: an information and communication technologies (ICT) arm, an Activities Control (AC) arm, and a True Control (TC) arm.…”

Section: Methodsmentioning

confidence: 99%

Discontinued Information and Communication Technology Usage among Older Adults in Continuing Care Retirement Communities in the United States

2017

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Background: Older adults are increasingly using information and communication technologies (ICTs). Recent studies show beneficial effects of using ICTs for older adults, particularly in terms of reducing loneliness and depression. However, little is known about the factors that may prevent discontinued ICT use in populations that may be at greater risk, such as those in continuing care retirement communities (CCRCs). Objectives: The purpose of this study is to examine a range of factors that may influence discontinued (1) ICT use, (2) searching for health information, and (3) searching for general information over time among CCRC residents. Methods: We use longitudinal data from a randomized controlled trial conducted with residents of 19 CCRCs. We use flexible parametric models to estimate the hazard ratio or hazard rate over 5 waves of data to determine what factors significantly predict discontinued (1) ICT use, (2) health information searching, and (3) general information searching. Results: The analysis reveals that independent living residents who took part in an 8-week ICT training intervention were less likely to stop using ICTs. Age and the number of instrumental activities of daily living (IADL) impairments significantly predicted an increased likelihood of stopping ICT use. When examining specific ICT-related activities, the analysis reveals that independent living residents who took part in the ICT training intervention were less likely to stop searching for health information and general information online. In addition, age and the number of IADL impairments were associated with increased likelihood of discontinued health information searches and discontinued general information searches. Conclusion: ICT training interventions may motivate residents of CCRCs to stay connected by increasing the ICT skill level and promoting confidence, thus decreasing the probability that they will discontinue using ICTs and searching for general information. However, the effects of ICT training on motivating continued ICT usage may be more pronounced among independent living residents. Limitations in the number of IADL impairments is a key factor leading to discontinued use of ICTs among CCRC residents, suggesting that designers of ICTs should be cognizant of the cognitive and physical limitations among this group.

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“…Their role in the wellbeing of the elderly has been established in numerous studies, so it is worthwhile exploring how older adults can improve the number of positive experiences in their daily lives [58]. Digital technologies are a powerful tool to enhance social inclusion [59], to support a more active and independent life in older adults and consequently to facilitate their wellbeing [60]. Among the presently investigated studies (see Table 5), Hasan et al [45] and Baez et al [46] proposed VR interventions focused on enhancing abilities for the maintenance of autonomy in older adults.…”

Section: Vr Interventions For Older Adultsmentioning

confidence: 99%

The Benefits of emotion Regulation Interventions in Virtual Reality for the Improvement of Wellbeing in Adults and Older Adults: A Systematic Review

Montana

Matamala-Gomez

Maisto

et al. 2020

JCM

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The impact of emotion regulation interventions on wellbeing has been extensively documented in literature, although only in recent years virtual reality (VR) technologies have been incorporated in the design of such interventions, in both clinical and non-clinical settings. A systematic search, following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines, was therefore carried out to explore the state of the art in emotion regulation interventions for wellbeing using virtual reality. The literature on this topic was queried, 414 papers were screened, and 11 studies were included, covering adults and older adults. Our findings offer an overview of the current use of VR technologies for the enhancement of emotion regulation (ER) and wellbeing. The results are promising and suggest that VR-based emotion regulation training can facilitate the promotion of wellbeing. An overview of VR-based training interventions is crucial for better understanding how to use these tools in the clinical settings. This review offers a critical debate on the structure of such intervention protocols. It also analyzes and highlights the crucial role played by the selection of the objective and subjective wellbeing assessment measures of said intervention protocols.

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The Impact of Activity Interventions on the Well-Being of Older Adults in Continuing Care Communities

Cited by 44 publications

References 30 publications

Interventions to address social connectedness and loneliness for older adults: a scoping review

Interventions to address social connectedness and loneliness for older adults: a scoping review

Discontinued Information and Communication Technology Usage among Older Adults in Continuing Care Retirement Communities in the United States

The Benefits of emotion Regulation Interventions in Virtual Reality for the Improvement of Wellbeing in Adults and Older Adults: A Systematic Review

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