Week 15 - Successful Aging

Question 1

definition of successful aging

Answer 1

DYNAMIC EQUILIBRIUM which involves capacity in multiple domains to function well as the circumstances in one’s life change

Question 2

what isn’t usually represented in common themes of successful aging?

Answer 2

longevity

Question 3

definition of resilience

Answer 3

growing after loss; rebounding

Question 4

predictors of resilience

Answer 4

social support; hope; sense of humor; self-efficacy; personal worthiness; self-determination; financial resources

Question 5

Goal of Well Elderly I study

Answer 5

to assess whether a type of PREVENTATIVE OT, Lifestyle Redesign, leads to improved health and well-being in older people

Question 6

efficacy vs effectiveness

Answer 6

efficacy: controlled environment
effectiveness: less controlled, more real-world transferrable

Question 7

is WE I an efficacy study or an effectiveness study?

Answer 7

efficacy

Question 8

WE I groups

Answer 8

Preventative OT group, social group, control

Question 9

WE I key findings

Answer 9

Vitality went up; absence of health-based role limitations went down; super cost effective!!!

Question 10

WE II goals

Answer 10

1. replicate previous results from WE I
2. examine mediating mechanisms responsible for WE I’s effects
3. Extend focus from efficacy to effectiveness

Question 11

Key differences between WE I vs II

Answer 11

1. intervention length: 9mo -> 6mo
2. participants: more diverse
3. Cultural and language adaptations: like spanish
4. Individualized OT sessions in WE I were not required anymore (but they found that individualized sessions were really important)

Question 12

WE II Key Findings

Answer 12

1. positive outcomes: mental health, social functioning, vitality, bodily pain, life satisfaction, depression
2. Cost-effective
3. improved treatment effect with: 5+ individulized OT sessions and ethnic concordance (intervener’s ethnicity matches with participant’s)

Question 13

VMV (WE III) study goal

Answer 13

optimize health outcomes in at-risk late-midlife (50-64yo) LATINO patients though a lifestyle intervention implemented in a public health system

Question 14

VMV study population

Answer 14

LATINO late-midlife (50-64 yo) (so it’s younger pop and spanish-speaking)

Question 15

WE II vs VMV differences

Answer 15

1. population: 50-64 latino
2. intervention: 1:1 sessions at people’s homes by community health worker for 4 months
3. Delivery: delivered by community health worker (promotora), OT’s role was to supervise (b/c we’re too expensive!)

Question 16

Why was the module: chronic condition management added?

Answer 16

almost all participants had DIABETES

Question 17

VMV Pilot Results

Answer 17

MYMOP (measure yourself medical outcome profile), i.e. self perception of severity of sxs decreased: improvements in BP, stress, diet