A Successful Aging Model Based on Personal Resources, Self-Care, and Life Satisfaction.

The most internationally studied models of successful aging defend that there are several pillars for a good aging: absence of disease, good cognitive and physical function, a high commitment and social activity, social capital, personal resources, life satisfaction, and spirituality. This study examines the relationships between personal resources, perceived social support, hope, spirituality, self-care and subjective well-being variables, as bases for a successful aging. One thousand and sixteen community-dwelling Spanish adults, aged 55-92 years, participated in the study. Information on variables assessed was collected using self-reported questionnaires. Confirmatory Factor Analyses and Structural models with latent variables relating all indicators and factors were estimated. The structural model positing background variables affecting personal resources which then affected self-care behaviors and finally affected life satisfaction was supported by the data. The model results emphasize the importance of personality, because largely affects the use of personal resources. The three selected personal resources (support, hope and spirituality) favor self-care behaviors. And finally, these behaviors improved life satisfaction in the old age. This result is of particular importance when policies for a successful and satisfactory aging of the population have to be designed.

A randomised clinical trial comparing 35 Hz versus 50 Hz frequency stimulation effects on hand motor recovery in older adults after stroke.

More solid data are needed regarding the application of neuromuscular electrical stimulation (NMES) in the paretic hand following a stroke. A randomised clinical trial was conducted to compare the effects of two NMES protocols with different stimulation frequencies on upper limb motor impairment and function in older adults with spastic hemiparesis after stroke. Sixty nine outpatients were randomly assigned to the control group or the experimental groups (NMES with 50 Hz or 35 Hz). Outcome measures included motor impairment tests and functional assessment. They were collected at baseline, after 4 and 8 weeks of treatment, and after a follow-up period. NMES groups showed significant changes (p < 0.05) with different effect sizes in range of motion, grip and pinch strength, the Modified Ashworth Scale, and the muscle electrical activity in the extensors of the wrist. The 35 Hz NMES intervention showed a significant effect on Barthel Index. Additionally, there were no significant differences between the groups in the Box and Block Test. Both NMES protocols proved evidence of improvements in measurements related to hand motor recovery in older adults following a stroke, nevertheless, these findings showed that the specific stimulation frequency had different effects depending on the clinical measures under study.

Factorial validity and invariance analysis of the five items version of Mindful Awareness Attention Scale in older adults.

Objective: Mindfulness or the full attention state is a factor that contributes to the successful process of aging. This study aims to evaluate the evidence of validity, on the basis of the internal structure, convergent and discriminant validity, reliability and factorial invariance across gender, for the five items Mindful Attention Awareness Scale (MAAS-5) within a sample of older adults.Methods: The participants were 323 Peruvian older adults, consisting of 160 women and 163 men, whose average ages were 68.58 (S.D = 7.23) and 68.91 years (S.D = 7.12), respectively. In addition to the MAAS-5, the Satisfaction with Life Scale and the Patient Health Questionnaire-2 were administered.Results: The Confirmatory Factor Analysis indicates that the one-factor structure of the MAAS-5 presents adequate fit for the total sample (χ2 = 11.24, df = 5, χ2/df = 2.25, CFI = .99, RMSEA = .06 [90%CI: .01, .11]; and SRMR = .025), as well as for the sub-samples of men and women. This one-factor solution presents adequate internal consistency (ω = 80 [95%CI: .76 - .82]) and it is invariant across gender. Regarding convergent validity, high scores in the MAAS are associated with a greater satisfaction with life (r = .88, p< .01 [95%CI: .85, .95]) and less depression (r = -.56, p< .01 [95%CI: -.48, -.77]) in older adults.Conclusions: The preliminary results back the use of the MAAS-5 as a self-report measure of mindfulness that has an adequate unifactorial structure that is reliable and invariant across gender for measuring the full attention state in elderly Peruvians.

Testing a Proactive Model of Successful Aging Among Older Adults in Costa Rica and Spain.

The purpose of this study is to examine successful aging among Spanish-speaking older adults in Costa Rica and in Spain using the proactive framework proposed by Kahana et al. (2014). More specifically, we hypothesized that older adults' life satisfaction would be positively associated with the frequency and perceived level of social support, spirituality/having purpose in life, and the use of proactive physical, cognitive, and social self-care behaviors. Our results confirmed these hypotheses, not only for the overall group of participants, but also separately for older adults in Costa Rica and in Spain. The present study contributes to the literature of successful aging among older adults, by examining the protective factors associated with life satisfaction among Spanish speaking older adults in Costa Rica and in Spain. It identifies specific protective factors (spirituality/purpose in life, social support, and self-care) associated with the values and preferences held by participants in the study.

Evidencias psicométricas de una medida breve de resiliencia en adultos mayores peruanos no institucionalizados / Psychometric evidence of a brief measure of resilience in non-institutionalized Peruvian older adults

La resiliencia es comprendida como el dominio de recursos personales y factores contextuales que permiten un afrontamiento exitoso y el logro de una adaptación positiva ante los diferentes estresores que aparecen a lo largo de la vida, siendo así importante dentro del proceso de envejecimiento saludable y exitoso. En la actualidad se han desarrollado instrumentos breves para la medición de la resiliencia como la escala breve de resiliencia (BRCS - Brief Resilient Coping Scale) que evalúa la capacidad de los individuos para hacer frente al estrés de manera adaptativa. En este sentido, el estudio ofrece evidencia de validez y fiabilidad de la BRCS en adultos mayores no institucionalizados peruanos. Se contó con la participación de 236 adultos mayores con una edad promedio de 72.8 años (DT = 6.90) de los cuales el 78.4% eran mujeres y el 21.6% hombres, quienes respondieron la versión en español del BRCS y otras escalas para medir la satisfacción con la vida, humor como afrontamiento y depresión. Mediante el análisis factorial confirmatorio se corrobora la estructura unidimensional de la BRCS. Los coeficientes de consistencia interna alfa de Cronbach y omega indicaron una adecuada fiabilidad de la BRCS. Tanto los índices de ajuste del modelo como los valores de los coeficientes de fiabilidad fueron mejores en comparación con los reportados en la literatura. La BRCS mostró una correlación positiva significativa con la satisfacción con la vida y el humor como afrontamiento (p < .01). Asimismo, se observó una correlación negativa significativa con depresión (p < .01). Los resultados muestran que la BRCS cuenta con evidencias de validez y fiabilidad que avala su empleo como medida breve de la resiliencia en adultos mayores peruanos

Resilience is understood as the domain of personal resources and contextual factors that allow for a successful coping and enhance positive adaptation to the different stressors during the lifespan, thereby being important for a healthy and successful aging. Nowadays, several brief instruments have been developed to measure resilience, such as the Brief Resilient Coping Scale (BRCS), an instrument that measures the ability of people to confront stress in an adaptive way. In this vein, the study provides evidence of the validity and reliability of the BRCS in non-institutionalized older adults in Peru. Two hundred thirty-six elderly people of both genders, 78.4% women and 21.6% men, with a mean age of 72.8 years (SD = 6.90), who answered the Spanish version of the BRCS and other scales to measure satisfaction with life, humor as coping, and depression. Confirmatory factor analysis corroborates the one-dimensional structure of the BRCS. The coefficients of internal consistency, Chronbach's alpha and omega, indicated an adequate reliability of the BRCS. Both the adjustment indices of the model and the values of the coefficients of reliability were higher compared to those reported in the literature. The BRCS showed positive and significant correlations with satisfaction with life and humor as coping (p < .01). Likewise, negative and significant correlations were observed with depression (p < .01). The results show that the BRCS has proved valid and reliable, supporting its use as a short measure of resilience in older Peruvians

Espiritualidad, esperanza y dependencia como predictores de la satisfacción vital y la percepción de salud: efecto moderador de ser muy mayor / Spirituality, Hope and Dependence as Predictors of Satisfaction with Life and Perception of Health: The Moderating Effect of Being Very Old / Espiritualidade, esperança e dependência como preditoras da satisfação vital e a percepção de saúde: efeito moderador de ser muito mais velho

Objetivo: analizar algunos predictores de la calidad de vida en personas mayores, diferenciando entre mayores jóvenes o muy mayores. Esto es, se estudia un potencial efecto moderador debido a ser muy mayor, dado que este sector de la población está en rápido crecimiento en todo el mundo. Materiales y métodos: estudio transversal analítico de encuesta a 224 personas mayores, en dos grupos diferenciales, menores de 75 años y 75 años o más, que viven en la ciudad de Valencia (España). Resultados: se ajustó un modelo estructural multimuestra donde las dimensiones de espiritualidad y la esperanza predicen dos indicadores de calidad de vida en personas mayores: satisfacción vital y percepción de salud. Se han encontrado relaciones estadísticamente significativas (p < 0,05) entre la espiritualidad y la esperanza, y los dos indicadores; especialmente potente es la predicción de la satisfacción vital. Asimismo, los resultados multimuestra indican que la fe juega un papel diferencial relevante en los muy mayores. Discusión: se ponen en relación los hallazgos con la literatura. Conclusiones: existe un importante impacto, en algunos casos diferencial para los muy mayores, de la espiritualidad sobre indicadores de envejecimiento con éxito tales como la satisfacción vital y la salud, y la capacidad para realizar actividades, ya sea instrumentales de la vida diaria, o en general todo tipo de actividades productivas.

Objective: Analyze several predictors of quality of life in older people, differentiating between relatively younger and much older senior citizens. Methods: This is a cross-sectional survey of 224 elderly individualsliving in the city of Valencia (Spain), who were divided into two separate groups: those under age 75 and those age 75 or older. Findings: A multi-sample structural model was adapted to include the dimensions of spirituality and hope so as to predict two indicators of quality of life in the elderly: satisfaction with life and perceived health. Statistically significant relationships (p<0.05) were found between spirituality and hope and the two indicators. The prediction of life satisfaction is especially powerful. The multi-sample findings indicate faith plays a relevant differential role among the very elderly. Discussion: The findings are compared to the literature. Conclusions: For the very old, spirituality has an important impact, in some cases differential, on indicators of aging with quality of life, such as life satisfaction and health, and on the ability to perform tasks, whether instrumental in daily life or in productive activities.

Objetivo: analisar alguns preditores da qualidade de vida em pessoas adultas, diferenciando entre adultos jovens ou idosos. Materiais e métodos: estudo transversal analítico de enquete a 224 pessoas adultas em dois grupos diferenciais, menores de 75 anos e 75 ou mais, que moram na cidade de Valência (Espanha). Resultados: ajustou-se um modelo estrutural multiamostra em que as dimensóes de espiritualidade e a esperança predizem dois indicadores de qualidade de vida em pessoas adultas: satisfação vital e percepção de saúde. Constataram relaçóes estatisticamente significativas (p < 0,05) entre a espiritualidade e a esperança, e os dois indicadores; especialmente potente é a predição da satisfação vital. Além disso, os resultados multiamostra indicam que a fé desempenha um papel diferencial e relevante nos idosos. Discussão: póem-se em relação as constataçóes com a literatura. Conclusóes: existe um importante impacto, em alguns casos diferencial, para os idosos, da espiritualidade sobre indicadores de envelhecimento com qualidade de vida, tais como: a satisfação vital e a saúde, e a capacidade para realizar atividades, tanto instrumentais da vida diária quanto em atividades produtivas.