Older adults' experiences of taking up a new community-based leisure activity to promote brain health: A focus group study.

INTRODUCTION: An active and engaged lifestyle is supported as being beneficial for brain health. Activities comprising physical, mental and social demands, or combinations of those, are of particular interest, and have been the focus of specific interventions. Exploring how older people engage with such community-based activities, including facilitators and barriers to participation, may help improve the success of future translational activities. The purpose of this study was therefore to identify factors that enabled or hindered activity engagement by conducting focus groups with people who had been supported to take up a new activity as part of an intervention study. MATERIALS AND METHODS: Twenty-seven older adults aged 65-86 (56% female) who had completed an activity-based intervention study participated in three focus groups. Discussions explored their experiences of taking up a new activity, including facilitators and barriers to their engagement, and their perceptions of any benefits. RESULTS: Thematic analysis grouped participants' responses into five themes: positive aspects and facilitators of engagement in a new activity; challenges and barriers to engagement; ageing being a facilitator and a barrier to engagement; differential effects of activities on participants' health and wellbeing; and general project feedback (including opinions on study design). DISCUSSION AND CONCLUSIONS: Participants' experiences and expectations included positive (e.g., enjoyment, socialisation) and negative factors (e.g., lack of confidence, other commitments, class costs and poor structure), consistent with previous research on social participation and engaging with new learning opportunities. Future studies should also consider those who do not readily participate in leisure activities to address earlier barriers. It is important that older adults have access to potentially beneficial activities and local authorities should prioritise increasing their provision.

Aging and the prevalence of 'ironic' action errors under avoidant instruction.

Action errors can put older adults at risk of injury. Our study is the first to investigate whether older adults are more prone than younger adults to making 'ironic' motor errors (i.e., actions they have been instructed not to perform), or over-compensatory motor errors (e.g., moving more to the right when instructed not to move to the left). We also investigated whether error patterns change under cognitive load, and assessed whether age effects in the ability to inhibit a prohibited action are comparable to the age decrements found in the ability to inhibit a natural perception-action coupling in the Simon task. Sixty-four older (Mean = 70.64 years, SD = 5.81) and 39 younger (Mean = 28.74 years, SD = 16.39) adults completed an avoidant instruction line-drawing task (with and without cognitive load), and the Simon task. Older adults showed significantly slower inhibition times than younger adults on the Simon task, as expected, and in line with previous research. Surprisingly, however, older adults outperformed younger adults on the avoidant instruction task, producing fewer ironic and over-compensatory errors, and they performed similarly to the younger adults under cognitive load. Age-related decrements on the Simon but not the avoidant instruction task suggests that the two different types of motor tasks involve different subtypes of inhibition which likely recruit independent cognitive processes and neural circuitry in older age. It is speculated that the older adults' superior ability to inhibit a prohibited action could be the result of age-related changes in distractibility.

How Prior Expectations Influence Older Adults' Perception and Action During Object Interaction.

The apparent size of an object can influence how we interact with and perceive the weight of objects in our environment. Little is known, however, about how this cue affects behaviour across the lifespan. Here, in the context of the size-weight illusion, we examined how visual size cues influenced the predictive application of fingertip forces and perceptions of heaviness in a group of older participants. We found that our older sample experienced a robust size-weight illusion, which did not differ from that experienced by younger participants. Older and young participants also experienced a real weight difference to a similar degree. By contrast, compared to younger participants our older group showed no evidence that size cues influenced the way they initially gripped and lifted the objects. These results highlight a unique dissociation between how perception and action diverge across the lifespan, and suggest that deficits in the ability to use prediction to guide actions might underpin some of the manual interaction difficulties experienced by the older adults.

The Effect of Dog-Assisted Intervention on Student Well-Being, Mood, and Anxiety.

This novel, exploratory study investigated the effect of a short, 20 min, dog-assisted intervention on student well-being, mood, and anxiety. One hundred and thirty-two university students were allocated to either an experimental condition or one of two control conditions. Each participant completed the Warwick-Edinburgh Mental Well-Being Scale (WEMBS), the State Trait Anxiety Scale (STAI), and the UWIST Mood Adjective Checklist (UMACL) both before, and after, the intervention. The participants in the experimental condition interacted with both the dogs and their handlers, whereas the control groups interacted with either the dog only, or the handler only. The analyses revealed a significant difference across conditions for each measure, with those conditions in which a dog was present leading to significant improvements in mood and well-being, as well as a significant reduction in anxiety. Interestingly, the presence of a handler alongside the dog appeared to have a negative, and specific, effect on participant mood, with greater positive shifts in mood being witnessed when participants interacted with the dog alone, than when interacting with both the dog and the handler. These findings show that even a short 20 min session with a therapy dog can be an effective alternative intervention to improve student well-being, anxiety, and mood.

Aging and performance on an everyday-based visual search task.

Research on aging and visual search often requires older people to search computer screens for target letters or numbers. The aim of this experiment was to investigate age-related differences using an everyday-based visual search task in a large participant sample (n=261) aged 20-88 years. Our results show that: (1) old-old adults have more difficulty with triple conjunction searches with one highly distinctive feature compared to young-old and younger adults; (2) age-related declines in conjunction searches emerge in middle age then progress throughout older age; (3) age-related declines are evident in feature searches on target absent trials, as older people seem to exhaustively and serially search the whole display to determine a target's absence. Together, these findings suggest that declines emerge in middle age then progress throughout older age in feature integration, guided search, perceptual grouping and/or spreading suppression processes. Discussed are implications for enhancing everyday functioning throughout adulthood.

Healthy ageing, perceived motor-efficacy, and performance on cognitively demanding action tasks.

Current measures assessing older adults' functional ability detect existing limitations on essential tasks rather than changes in other aspects of functioning that could indicate future limitations. The perceived motor-efficacy scale was developed to measure capability beliefs of healthy older adults across a range of daily action tasks. Subscales were developed through interviews with older volunteers and academics, then administered to participants aged 60-96 (N=300). Factor analysis of subscale scores produced 10 subscales. These demonstrated strong internal reliability, which was replicated with a second sample aged 60-92 (N=167). The influence of perceived motor-efficacy on performance of cognitively demanding action tasks was investigated with a third sample aged 60-88 (N=134). On a task assessing the inhibition of an inappropriate action, older adults in their 80s with high confidence produced minor errors, whereas those with lower confidence produced extreme errors. On another task assessing the ability to inhibit a previously learnt action, those with high levels of perceived motor-efficacy performed better amongst those least able to inhibit, but more poorly among those most able. Perceived motor-efficacy may therefore be useful in identifying older adults at risk of functional limitations and enabling interventions before the onset of illness.

Aging and inhibition of a prepotent motor response during an ongoing action.

Inhibitory functions are key mechanisms underlying age related decline (Park & Gutchess, 2000, in: Cognitive aging: A primer. Hove: Psychology Press), yet few studies have investigated their impact on everyday tasks involving action as well as cognition. Using an everyday-based go/no-go task we devised a motor analogy of traditional neuropsychological tests to investigate in 134 older (aged 60-88) and 133 younger adults (aged 20-59) the ability to inhibit a prepotent motor response during an ongoing action. Older adults produced more inhibition failures as expected, but more strikingly inhibitory errors were not all or none; even when the inappropriate response was successfully inhibited, difficulties controlling ongoing movements emerged from as young as people in their 40s. The ability to inhibit therefore does not ensure control of ongoing tasks, and traditional cognitive tests may be unable to detect such difficulties. Furthermore, performance did not covary with education or action speed. Implications for neuropsychological theory and assessing/enhancing functional ability are discussed.

Aging and inhibitory errors on a motor shift of set task.

Inhibitory functions are key mechanisms underlying age-related cognitive decline (Park and Gutchess in Cognitive aging: a primer, Psychology Press, Hove 2000), yet how these influence the control of action has not been fully investigated. Using 134 older (age 60-88) and 133 younger adults (age 20-59), we investigated in a motor analogy of the WCST the inhibition of a primed movement plan in favour of a novel one. Although 10% of older adults performed similarly to young adults, the majority failed to inhibit by the sixties, 10-20 years earlier than documented for the WCST (Lezak in Neurological Assessment, Oxford University Press, New York 1995; Haaland et al. in J Gerontol 33:345-346 1987). Around 40% failed to learn on the second attempt, and of these, the majority in their sixties to eighties failed to learn eventually. Implications are discussed for neuropsychological theory and everyday interventions.