Understanding Boredom and Leisure in Later Life: A Systematic Review.

Background and Objectives: Anecdotal evidence and references to boredom appear frequently in mass media, but only a few studies directly examine the phenomenon of boredom, and existing literature within the context of leisure has primarily focused on adolescents. Social isolation and loneliness often intertwine with boredom, and chronic conditions are major factors that increase the risk of experiencing boredom in later life. Therefore, the purpose of this paper is to examine the significance of boredom among older adults and assess the existing literature to gain a more holistic understanding of boredom and how it has been studied among older adults in the context of leisure. Research Design and Methods: Following the PRISMA guidelines, this study gathered literature from 5 electronic databases through December 2022. This systematic review investigated both qualitative and quantitative evidence, and standardized data extraction and study quality assessments were conducted. Results: A comprehensive search initially revealed 2,757 potentially relevant articles, 8 of which met the full inclusion criteria. Three studies investigated the phenomenon of leisure-boredom, and 5 studies assessed the experience of boredom in general and its relationship with leisure engagement. A majority of the studies, especially ones that examined older adults' experience of overall boredom experience, lacked a thorough description of the phenomenon and did not use reliable and/or valid measurements. Discussion and Implications: Findings from 8 articles offer insights into boredom; however, the discussion examines the limitations of these studies and reasons why studying boredom is important. We also speculate as to why little research has addressed leisure boredom among older adults and propose a research agenda for increasing our understanding of the ways older adults experience boredom, the effects boredom has on health and well-being, and how boredom can be alleviated and/or managed in the context of leisure.

Sport Participation for Adults Aged 50 + Years: A Socioecological Analysis.

Sport participation can play a key role in older adults' successful aging as it provides an enjoyable opportunity for leisure-time physical activity. Research focusing on the benefits of sport participation in later life and facilitators for involvement has been increasing in the past several years. Drawing on the socioecological model, this study investigated select socioecological factors that predict older adults' sport participation from a holistic perspective. An online survey provided quantitative data from 1203 adults aged 50 and older across the United States. Results from logistic regression analyses showed that personal characteristics, individual behavior, environment/policy, and life course effects were significant predictors of sport participation in later life. The findings in this study enhance our understanding of factors related to older adults' sport participation and are also of value to practitioners seeking to promote sport participation among older adults.

A 2-Year Longitudinal Relationship Between Work-Family Conflict and Health Among Older Workers: Can Gardening Help?

With the graying workforce worldwide, identifying factors that facilitate older workers' health is critically important. We examined whether gardening mitigates the relationship of work-family conflict with disability, chronic conditions, depressive symptoms, and self-rated health among older workers. We drew a subsample of older workers aged 55 years and above from the Health and Retirement Study (N = 1,598). Our results indicate that the relationships of work-to-family conflict at baseline with disability and with poorer self-rated health at a 2-year follow-up were stronger for those who gardened less than those who gardened more. No significant interaction was found between family-to-work conflict and gardening in predicting the health outcomes. This study is the first to show that gardening may have a protective effect against the adverse impact of work-to-family conflict on older workers' health.

The Effects of the A Matter of Balance Program on Falls and Physical Risk of Falls, Tampa, Florida, 2013.

INTRODUCTION: This study investigated the effects of the A Matter of Balance (MOB) program on falls and physical risk factors of falling among community-dwelling older adults living in Tampa, Florida, in 2013. METHODS: A total of 110 adults (52 MOB, 58 comparison) were enrolled in this prospective cohort study. Data on falls, physical risk of falling, and other known risk factors of falling were collected at baseline and at the end of the program. Multivariate analysis of covariance with repeated measures and logistic regressions were used to investigate the effects of this program. RESULTS: Participants in the MOB group were less likely to have had a fall and had significant improvements in their physical risk of falling compared with adults in the comparison group. No significant effects of the MOB program on recurrent falls or the number of falls reported were found. CONCLUSION: This study contributes to our understanding of the MOB program and its effectiveness in reducing falls and the physical risk of falling among older adults. The findings support extended use of this program to reduce falls and physical risk of falling among older adults.

Training versus engagement as paths to cognitive enrichment with aging.

While a training model of cognitive intervention targets the improvement of particular skills through instruction and practice, an engagement model is based on the idea that being embedded in an intellectually and socially complex environment can impact cognition, perhaps even broadly, without explicit instruction. We contrasted these 2 models of cognitive enrichment by randomly assigning healthy older adults to a home-based inductive reasoning training program, a team-based competitive program in creative problem solving, or a wait-list control. As predicted, those in the training condition showed selective improvement in inductive reasoning. Those in the engagement condition, on the other hand, showed selective improvement in divergent thinking, a key ability exercised in creative problem solving. On average, then, both groups appeared to show ability-specific effects. However, moderators of change differed somewhat for those in the engagement and training interventions. Generally, those who started either intervention with a more positive cognitive profile showed more cognitive growth, suggesting that cognitive resources enabled individuals to take advantage of environmental enrichment. Only in the engagement condition did initial levels of openness and social network size moderate intervention effects on cognition, suggesting that comfort with novelty and an ability to manage social resources may be additional factors contributing to the capacity to take advantage of the environmental complexity associated with engagement. Collectively, these findings suggest that training and engagement models may offer alternative routes to cognitive resilience in late life.

Predictors of falls among community-dwelling older adults with cancer: results from the health and retirement study.

PURPOSE: Cancer symptoms and the side effects of its treatment can increase the risk of falling among older adults with cancer. This study aimed to identify predictors of falling and recurrent falls among community-dwelling older adults with cancer over a 2-year period. METHODS: Data from the Health and Retirement Study were used (N = 1,630) in this study. The sample had a mean age of 75 years and was mostly female (53 %) and white (89 %). Descriptive analyses, correlation analyses, and logistic regressions were used to analyze the data. RESULTS: The results showed that functional limitations (OR = 1.13, 95 % CI = 1.03-1.24), the full-tandem stance (OR = 1.48, 95 % CI = 1.01-2.16), and self-reported difficulties with balance (OR = 1.50, 95 % CI = 1.23-1.83) at time 1 were significant predictors of falling at time 2. Only difficulties with self-reported balance (OR = 1.84, 95 % CI = 1.44-2.36) at time 1 were found to be a predictor of recurrent falls at time 2. CONCLUSIONS: The consequences of falling can complicate the course of cancer treatment. Measures of functional limitations and balance have the potential to be quick and useful clinical tools to detect falling among seniors with cancer living in communities.

Predictors of older adults' personal and community mobility: using a comprehensive theoretical mobility framework.

PURPOSE OF THE STUDY: Forty-six percent of older adults report limitations in their mobility, and maintaining mobility is considered an important factor in keeping adults independent and active in later life. This study tests a comprehensive theoretical framework of mobility (Webber, S. C., Porter, M. M., & Menec, V. H. [2010]. Mobility in older adults: A comprehensive framework. The Gerontologist, 50[4], 443-450. doi:10.1093/geront/gnq013) identifying multiple determinants that additively influence mobility (financial, psychosocial, environmental, physical, and cognitive), as well as cross-cutting influences of gender, culture, and biography. DESIGN AND METHODS: Structural equation modeling was used to examine several models of mobility using data from 6,112 respondents in the Health and Retirement Study (mean age: 74.74, 85% white, 41% male, 57% married). RESULTS: The original measurement model fit the data well. When both personal and community mobility were simultaneously predicted, only the physical, cognitive, psychosocial, and environmental determinants were retained in the independent models. Age and marital status also predicted personal and community mobility. Although most of these relationships were in the expected direction, interestingly when both forms of mobility were included in the model, poorer cognitive ability was associated with greater personal mobility in the final model. IMPLICATIONS: Results indicate the importance of accounting for and examining comprehensive models of mobility. The factors affecting older adults' mobility are complex, and these relationships need to be explored in more depth to ensure the maintenance of individuals' independence and quality of life.

Gardening as a potential activity to reduce falls in older adults.

This study examines whether participation in gardening predicts reduced fall risk and performance on balance and gait-speed measures in older adults. Data on adults age 65 and older (N = 3,237) from the Health and Retirement Study and Consumption and Activities Mail Survey were analyzed. Participants who spent 1 hr or more gardening in the past week were defined as gardeners, resulting in a total of 1,585 gardeners and 1,652 nongardeners. Independent t tests, chi square, and regression analyses were conducted to examine the relationship between gardening and health outcomes. Findings indicate that gardeners reported significantly better balance and gait speed and had fewer chronic conditions and functional limitations than nongardeners. Significantly fewer gardeners than nongardeners reported a fall in the past 2 yr. The findings suggest that gardening may be a potential activity to incorporate into future fall-prevention programs.

Living with arthritis: using self-management of valued activities to promote health.

In this article, we explore how adults with arthritis use self-care strategies in their valued leisure activities, and variations in use based on their access to environmental resources. We conducted six focus groups (N = 34) with adults aged 55 and older with a diagnosis of arthritis. Adults living in residential communities were recruited, with 31% of the sample residing in subsidized housing. Focus group transcripts were analyzed using content analysis based on themes of selective optimization with compensation. We found some differences in strategy use between the resource-rich and resource-poor participants. Adults highlighted the value of their leisure activities and the importance of leisure in maintaining their health and well-being. Our findings point to the need to incorporate leisure education into interventions and programs targeting adults with arthritis.

The role of informal and formal leisure activities in the disablement process.

The disablement process model has been used as a framework to investigate factors that accelerate or decelerate disablement among older adults. Although very little is known about the direct and moderating effects of involvement in leisure activities on the disablement process, research has suggested that participation in leisure activities may serve as a factor affecting the disablement pathways. Using longitudinal data from individuals aged 65 and older (N = 535) in the Americans' Changing Lives study, we examined the influence of leisure involvement on the disablement process model. Through regression analyses, we found that involvement in informal and formal leisure activities was significantly associated with the disablement process in this sample of older adults, and that the effect of informal and formal leisure on disablement changed across time points and at different phases of the pathway. Results suggest that leisure activities may be protective of cognitive health and mitigate the effect of functional limitations, perceptions of disability, and depressive symptoms among older adults.

Reduction in leisure activity and well-being during the transition to widowhood.

There is relatively little evidence available about how leisure involvement changes with the death of a spouse and even less about how leisure activity is associated with the health and well-being of widows during this transition. Using data from the Americans Changing Lives (ACL) dataset, this study of 154 widows investigated change in leisure involvement during the transition to widowhood and examined the relationship between leisure activity reduction and widows' well-being. Results indicated a majority of widows reduced their involvement in leisure activity. Path models revealed that depressive symptoms and recovery from spousal loss were predictors of activity reduction, providing more support for the causal relationship of well-being influencing activity involvement than for activity influencing well-being.