Active aging program in nursing homeseffects on psychological well-being and life satisfaction

  1. Cristina Buedo-Guirado 1
  2. Laura Rubio 1
  3. Cristina G. Dumitrache 1
  4. Juan Romero-Coronado 1
  1. 1 University of Granada, Spain
Revista:
Psychosocial Intervention

ISSN: 1132-0559

Any de publicació: 2020

Volum: 29

Número: 1

Pàgines: 49-57

Tipus: Article

DOI: 10.5093/PI2019A18 DIALNET GOOGLE SCHOLAR lock_openAccés obert editor

Altres publicacions en: Psychosocial Intervention

Resum

A great number of intervention strategies that provide opportunities to maintain physical, psychological, and social wellbeing have been carried out in order to promote active aging. Most of these strategies are aimed at people without physicalor cognitive dependence, while institutionalized older people have not been considered as a target group. The main objectiveof this study was to analyze the effect of an active aging program on the psychological well-being and life satisfaction ofinstitutionalized older people. A total of 141 participants with adequate psychomotor skills were selected (Mage = 85.50 years,SD = 8.47), and a quasi-experimental pretest-posttest design with a control group and an experimental group was used. Thecontrol group participated in the traditional limited active aging program offered in long-term care facilities – cognitivestimulation and physical activity – while the experimental group participated in a comprehensive active aging program. Afterthe intervention, participants from the experimental group showed improvements in the mean values of psychological wellbeing and life satisfaction, while no change was found in the control group. The improvements in psychological well-beingand life satisfaction were maintained 12 months later in the follow-up evaluation. This study suggests that the inclusionof a comprehensive active aging program in nursing homes, that comprises actions aimed at promoting empowerment,participation, and social openness, contributes to the maintenance of perceived well-being.

Referències bibliogràfiques

  • Act 39/2006, December 14th, on the promotion of personal autonomy and care for dependent people. BOE 299. 44142
  • Atienza, F. L,Pons, D,Balaguer, I,García-Merita, M. L.. (2000). Propiedades psicométricas de la escala de satisfacción con la vida en adolescentes. Psicothema. 12. 331
  • Caprara, M.. (2008). Psicología de la vejez: una psicogerontología aplicada. Pirámide. Madrid, Spain.
  • Caprara, M,Molina, M. A,Schettini, R,Santacreu, M,Orosa, T,Mendoza-Nunez, V. M,Fernández-Ballesteros, R. (2013). Active aging promotion: Results from the vital aging program. Current Gerontology and Geriatrics Research. 817813
  • Caprara, G. V,Steca, P,Alessandri, G,Abela, J. R,McWhinnie, C. M.. (2010). Positive orientation: Explorations on what is common to life satisfaction, self-esteem, and optimism. Epidemiology and Psychiatric Sciences. 19. 63-71
  • Cohen, J.. (1988). Statistical power analysis for the behavioral sciences. Erlbaum. Hillsdale, NJ.
  • Díaz, D,Rodríguez-Carvajal, R,Blanco, A,Moreno-Jiménez, B,Gallardo, I,Valle, C,Van Dierendock, D.. (2006). Adaptación española de las escalas de bienestar psicológico de Ryff. Psicothema. 18. 572
  • Diener, E.. (1984). Subjective well-being. Psychological Bulletin. 95. 542
  • Diener, E,Emmons, R. A,Larsen, R. J,Griffin, S.. (1985). The satisfaction with life scale. Journal of Personality Assessment. 49. 71
  • Fernández-Ballesteros, R.. (2009). Envejecimiento activo. Pirámide. Madrid, Spain.
  • Fernández-Ballesteros, R,Caprara, M. G,Iñiguez, J,García, L. F.. (2005). Promoción del envejecimiento activo: Efectos del programa «Vivir con vitalidad». Revista Española de Geriatría y Gerontología. 40. 56-66
  • Fernández-Ballesteros, R,Molina, M. A,Schettini, R,del Rey, A. L.. (2012). Promoting active aging through university programs for older adults. GeroPsych: The Journal of Gerontopsychology and Geriatric Psychiatry. 25. 145
  • Fernández-Mayoralas, G,Rojo-Pérez, F,Martínez-Martín, P,Prieto-Flores, M,Rodríguez-Blazquez, C,Martín-García, S,Forjaz, M.. (2015). Active ageing and quality of life: Factors associated with participation in leisure activities among institutionalized older adults, with and without dementia. Aging & Mental Health. 19. 1031
  • Folstein, M. F,Folstein, S. E,McHugh, P. R.. (1975). “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research,. 12. 189
  • Foy, C. G,Vitolins, M. Z,Case, L. D,Harris, S. J,Massa-Fanale, C,Hopley, R. J,Gaspari, J.. (2013). Incorporating prosocial behavior to promote physical activity in older adults: Rationale and design of the program for active aging and community engagement (PACE). Contemporary Clinical Trials. 36. 284
  • Hammond, C.. (2004). Impacts of lifelong learning upon emotional resilience, psychological and mental health: Fieldwork evidence. Oxford Review of Education. 30. 551
  • Hansen, T,Aartsen, M,Slagsvold, B,Deindl, C.. (2018). Dynamics of volunteering and life satisfaction in midlife and old age: Findings from 12 European countries. Social Sciences. 7. 78
  • Ho, H. C.. (2017). Elderly volunteering and psychological well-being. International Social Work. 60. 1028
  • Hooker, S. P,Seavey, W,Weidmer, C. E,Harvey, D. J,Stewart, A. L,Gillis, D. E,King, A. C.. (2005). The California Active Aging Community Grant Program: Translating science into practice to promote physical activity in older adults. Annals of Behavioral Medicine. 29. 155
  • Jenkins, A,Mostafa, T.. (2015). The effects of learning on wellbeing for older adults in England. Ageing & Society. 35. 2053
  • Jiménez, M. G,Izal, M,Montorio, I.. (2016). Programa para la mejora del bienestar de las personas mayores. Estudio piloto basado en la psicología positiva. Suma Psicológica. 23. 51
  • Karatas, K,Duyan, V.. (2008). Difficulties that elderly people encounter and their life satisfaction. Social Behavior and Personality. 36. 1073
  • Kasser, V. G,Ryan, R. M.. (1999). The relation of psychological needs for autonomy and relatedness to vitality, well-being, and mortality in a nursing home. Journal of Applied Social Psychology. 29. 935
  • Li, C,Jiang, S,Li, N,Zhang, Q.. (2018). Influence of social participation on life satisfaction and depression among Chinese elderly: Social support as a mediator. Journal of Community Psychology. 46. 345
  • Lobo, A,Saz, P,Marcos, G.. (2002). Adaptación del Examen Cognoscitivo Mini-Mental. Tea Ediciones. Madrid, Spain.
  • Marsillas, S,De Donder, L,Kardol, T,van Regenmortel, S,Dury, S,Brosens, D,Varela, J.. (2017). Does active ageing contribute to life satisfaction for older people? Testing a new model of active ageing. European Journal of Ageing. 14. 295-310
  • Mendoza-Ruvalcaba, N,Arias-Merino, E.. (2015). “I am active”: Effects of a program to promote active aging. Clinical Interventions in Aging. 10. 829
  • Minagawa, Y,Saito, Y.. (2015). Active social participation and mortality risk among older people in Japan: Results from a nationally representative sample. Research on Aging. 37. 481
  • Ní Mhaoláin, A. M,Gallagher, D,O Connell, H,Chin, A,Bruce, I,Hamilton, F,Cunningham, C.. (2012). Subjective well-being amongst community-dwelling elders: What determines satisfaction with life? Findings from the Dublin healthy aging study. International Psychogeriatrics. 24. 316
  • Ors, A. Maciá. (2013). Mayores institucionalizados. Valoración de la satisfacción & el bienestar en una residencia geriátrica religiosa. Gerokomos. 24. 18-21
  • Park, N. S.. (2009). The relationship of social engagement to psychological well-being of older adults in assisted living facilities. Journal of Applied Gerontology. 28. 461
  • Paúl, C,Teixeira, L,Ribeiro, O.. (2017). Active aging in very old age and the relevance of psychological aspects. Frontiers in Medicine. 4. 181
  • Pilkington, P,Windsor, T. D,Crisp, D. A.. (2012). Volunteering and subjective well-being in midlife and older adults: the role of supportive social networks. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences. 67. 249
  • Ryff, C.. (1989). Happiness is everything, or is it? Explorations on the meaning of psychological well-being. Journal of Personality and Social Psychology. 57. 1069
  • Steptoe, A,Deaton, A,Stone, A. A.. (2015). Psychological wellbeing, health and ageing. Lancet. 385. 640
  • Tomás, J. M,Meléndez, J. C,Navarro, E.. (2008). Modelos factoriales confirmatorios de las escalas de Ryff en una muestra de personas mayores. Psicothema. 20. 304
  • Van Malderen, L,Mets, T,Gorus, E.. (2013). Interventions to enhance the quality of life of older people in residential long-term care: A systematic review. Ageing Research Reviews. 12. 141
  • Windsor, T. D,Curtis, R. G,Luszcz, M. A.. (2015). Sense of purpose as a psychological resource for aging well. Developmental psychology. 51. 975
  • Woo, J,Leung, J,Zhang, T.. (2016). Successful aging and frailty: Opposite sides of the same coin?. Journal of the American Medical Directors Association. 17. 797-801
  • World Health Organization. (2002). - WHO Active ageing: A polity framework. World Health Organization. Geneva, Switzerland.
  • World Health Organization. (2015). - WHO World report on ageing and health. World Health Organization. Geneva Switzerland.
  • Yamashita, T,López, E. B,Stevens, J,Keene, J. R.. (2017). Types of learning activities and life satisfaction among older adults in urban community-based lifelong learning programs. Activities, Adaptation & Aging. 41. 239
  • Zaidi, A,Howse, K.. (2017). The policy discourse of active ageing: some reflections. Journal of Population Ageing. 10. 1-10
  • Zhang, W,Feng, Q,Lacanienta, J,Zhen, Z.. (2017). Leisure participation and subjective well-being: Exploring gender differences among elderly in Shanghai, China. Archives of Gerontology and Geriatrics. 69. 45-54
  • Zhang, Z,Zhang, J.. (2015). Social participation and subjective wellbeing among retirees in China. Social Indicators Research. 123. 143