Dignity and attitudes to aging: A cross-sectional study of older adults

Kisvetrová, Helena; Mandysová, Petra; Tomanová, Jitka; Steven, Alison

doi:10.1177/09697330211057223

Cited by 15 publications

(5 citation statements)

References 40 publications

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“…The higher attitude scores among urban older people resemble the findings of Hou et al [30]. Various environmental factors can affect perception of and attitudes towards the aging process, including education levels, economic status, and functional independence [31]- [33]. In this study, urban participants had higher education levels.…”

Section: Rural-urban Comparisonssupporting

confidence: 82%

Comparing well-being among rural and urban Indonesian older people: a quantitative analysis of the related factors

Widagdo

Pudjohartono

Meilina

et al. 2022

IJPHS

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<p>Residential area has been identified as a factor that influences the well-being of older people. This study aimed to compare the well-being of older people living in urban and rural areas in Yogyakarta province, Indonesia, and analyze the predictors of well-being. A total of 141 (79 rural and 62 urban) older people participated in this study. Well-being was assessed using the world health organization-five (WHO-5) well-being index. The factors measured included sociodemographic data (age, sex, educational level, living arrangements, and current employment status), physical function, cognitive function, depression, independence, and attitude towards aging. Data of the two groups were compared using t-tests and Chi-square analysis. Correlations with well-being were analyzed using univariate correlation and multivariate hierarchical regression. The urban group had slightly older age, higher education, lower mobility and balance, higher attitude scores, and higher well-being. Depression was a significant variable in well-being for both communities. Physical capacity was an important factor in urban populations, while well-being in rural areas was better predicted by independence and cognitive function. The results suggest that there are similar and different correlates of the well-being of rural and urban older people, recommending different programs to enhance the well-being of older people living in different areas.</p>

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Section: Rural-urban Comparisonssupporting

confidence: 82%

Comparing well-being among rural and urban Indonesian older people: a quantitative analysis of the related factors

Widagdo

Pudjohartono

Meilina

et al. 2022

IJPHS

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“…Moreover, using the measure of attitudes towards ageing benefits development theory and may help innovate anti-ageism-based interventions [ 22 , 39 ]. This is of urgent importance in the face of demographic changes.…”

Section: Discussionmentioning

confidence: 99%

Portuguese Version of the Ageing Attitudes Questionnaire (AAQ): Validation of the Psychometric Properties

Lima

Martins

Gonzalez³

2022

IJERPH

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The Ageing Attitudes Questionnaire—AAQ was validated for the Portuguese population to understand the importance of attitudes towards old age and their impact on the subjective well-being of older adults. A sample of 400 subjects (from 18 to 93 years) answered a socio-demographic questionnaire, and the AAQ, composed of three subscales (psychosocial losses, physical change, and psychological growth). The CFA confirmed the tri-factorial structure with very good adjustment of the model to the data, with the Cronbach alpha of the total scale scoring 0.84 and ranging from 0.65 to 0.77 for each factor. A total of nine items were omitted for poor factor loadings (<0.50), namely in factor 1 items 9-17-20, in factor 2 items 7 and 24 and, finally, in factor 3 we omitted items 4-18-19-21. Notwithstanding, three items below the criteria were maintained, as they conceptually fit into the factor. Of the final 15 AAQ items, 5 belong to the Psychosocial Loss Factor, 6 to Physical Change Factor, and 4 to Psychosocial Growth Factor. This tree factor model explained 50.1% of the total variance. In conclusion, this study supports that AAQ has acceptable validity, confirming the composite reliability and the discriminant validity, but not the convergent validity. Through multi-group analysis, the invariance of the scale was confirmed. This validation is of pivotal importance once it allows measuring attitudes towards ageing in the Portuguese population, thus facilitating the prevention of ageism and the promotion of well-being across the lifespan.

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“…This trend has been seen in prior studies as well, suggesting that the individual experience of aging is often seen in a more positive light [ 17 , 18 , 19 ]. Positive attitudes to aging among older adults have been associated with diverse factors, such as higher education, female gender, and cohabitation [ 61 , 62 ]. In our study, most participants were highly educated (58.6%), were living together (69.2%), were female (66.2%), were relatively young (mean = 74.4 years), and reported moderate to good self-perceived health (94.6%), which may explain the large proportion of older adults reporting positive attitude to aging observed in our sample.…”

Section: Discussionmentioning

confidence: 99%

Reframing Communication about Fall Prevention Programs to Increase Older Adults’ Intentions to Participate

van Scherpenseel,

van Veenendaal,

te Velde

et al. 2024

IJERPH

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Introduction: Falls and fall-related injuries in community-dwelling older adults are a growing global health concern. Despite effective exercise-based fall prevention programs (FPPs), low enrollment rates persist due to negative connotations associated with falls and aging. This study aimed to investigate whether positive framing in communication leads to a higher intention to participate in an FPP among community-dwelling older adults. Methods: We conducted a two-sequence randomized crossover study. We designed two flyers, a standard flyer containing standard terminology regarding FPPs for older adults, and a reframed flyer highlighting fitness and activity by reframing ‘fall prevention’ as an ‘exercise program’ and ‘old’ as ‘over 65 years’. With a Mann–Whitney U test, we investigated group differences regarding the intention to participate between the flyers. A sensitivity analysis and subgroup analyses were performed. We conducted qualitative thematic analysis on open-ended answers to gain a deeper understanding of participants’ intention to participate. Results: In total, we included 133 participants. Findings indicated a significantly higher intention to participate in the reframed flyer (median = 4; interquartile range = 1–6) compared to the standard flyer (median = 2; interquartile range = 1–4) (p = 0.038). Participants favored more general terms such as ‘over 65 years’ over ‘older adults’. Older adults who were female, not at high fall risk, perceived themselves as not at fall risk, and maintained a positive attitude to aging showed greater receptivity to positively-framed communications in the reframed flyer. Additionally, already being engaged in physical activities and a lack of practical information about the FPP appeared to discourage participation intentions. Discussion: The results in favor of the reframed flyer provide practical insights for designing and implementing effective (mass-)media campaigns on both (inter)national and local levels, as well as for interacting with this population on an individual basis. Aging-related terminology in promotional materials hinders engagement, underscoring the need for more positive messaging and leaving out terms such as ‘older’. Tailored positively framed messages and involving diverse older adults in message development are essential for promoting participation in FPPs across various population subgroups to promote participation in FPPs among community-dwelling older adults.

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Dignity and attitudes to aging: A cross-sectional study of older adults

Cited by 15 publications

References 40 publications

Comparing well-being among rural and urban Indonesian older people: a quantitative analysis of the related factors

Comparing well-being among rural and urban Indonesian older people: a quantitative analysis of the related factors

Portuguese Version of the Ageing Attitudes Questionnaire (AAQ): Validation of the Psychometric Properties

Reframing Communication about Fall Prevention Programs to Increase Older Adults’ Intentions to Participate

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