Predicting Older Adults' Characteristics Using SARs Through Conversational Interaction: A Mixed-Methods Study.

Socially Assistive Robots (SAR) may help improve care delivery at home for older adults with cognitive impairment and reduce the burden of informal caregivers. Examining the views of these stakeholders on SAR is fundamental in order to conceive acceptable and useful SAR for dementia care. This study investigated SAR acceptance among three groups of older adults living in the community: persons with Mild Cognitive Impairment, informal caregivers of persons with dementia, and healthy older adults. Different technology acceptance questions related to the robot and user characteristics, potential applications, feelings about technology, ethical issues, and barriers and facilitators for SAR adoption, were addressed in a mixed-method study. Participants (n = 25) completed a survey and took part in a focus group (n = 7). A functional robot prototype, a multimedia presentation, and some use-case scenarios provided a base for the discussion. Content analysis was carried out based on recorded material from focus groups. Results indicated that an accurate insight of influential factors for SAR acceptance could be gained by combining quantitative and qualitative methods. Participants acknowledged the potential benefits of SAR for supporting care at home for individuals with cognitive impairment. In all the three groups, intention to use SAR was found to be lower for the present time than that anticipated for the future. However, caregivers and persons with MCI had a higher perceived usefulness and intention to use SAR, at the present time, than healthy older adults, confirming that current needs are strongly related to technology acceptance and should influence SAR design. A key theme that emerged in this study was the importance of customizing SAR appearance, services, and social capabilities. Mismatch between needs and solutions offered by the robot, usability factors, and lack of experience with technology, were seen as the most important barriers for SAR adoption.

BackgroundFor older adults, life satisfaction and depressive symptoms are related to quality of life. In this group of society, life satisfaction is particularly associated with the emotional area. The notion of life satisfaction is related to many factors, such as personality traits, moods and various life events, and poses challenges in various aspects of everyday life. Given that mental health is one of the determinants of the quality of life of older adults, it is reasonable to conduct research among this growing group of the population. The aim of this study was to assess life satisfaction and depressive symptoms in mentally active older adults in Poland.MethodsThe study covered 125 attendees at the University of Healthy Senior (UHS) and 125 auditing students at the University of Psychogeriatric Prophylaxis (UPP), organised by the Faculty of Health Sciences at the Medical University of Bialystok, of whom 78.3% were female and 21.7% male. The study was conducted using four standardised scales: the Satisfaction with Life Scale (SWLS), Beck Depression Inventory, Geriatric Depression Scale (GDS), and Hospital Anxiety and Depression Scale (HADS).ResultsSeniors who participated in the study were satisfied with their lives; the average SWLS score was 23 points. Men rated their level of satisfaction higher than women: the median score on the SWLS was 26 points for men and 23 points for women. Life satisfaction and mental disorders did not differ on the basis of sex, age, or education (the type of place of education attended). As the level of depression increased, life satisfaction decreased. Statistically significant correlations of average strength were found between the point values of the four measures of depression under consideration and were evenly distributed from 0.57 to 0.69.ConclusionsThe high level of life satisfaction and a low level of mental disorders should be maintained in this population, and additional educational activities should be organised among seniors on a large scale. There were no differences in the distribution of psychometric measure scores among the three compared age groups of respondents in this study. Each of the questionnaires used measured of different aspects of depressive conditions, and it is worth using them in parallel rather than interchangeably.

BackgroundAn optimal life satisfaction (LS) is considered an important long-term outcome after a traumatic brain injury (TBI). It is, however, not clear to what extent a single instrument captures all aspects of LS, and different instruments may be needed to comprehensively describe LS. The aim of this study was to compare self-ratings of life satisfaction after a TBI with two commonly used instruments.MethodsLife Satisfaction Questionnaire (LiSat-11), comprising eleven items and Satisfaction With Life Scale (SWLS), comprising five items, were administered to 67 individuals (51 men and 16 women). Secondary analysis of data collected as part of a survey of individuals with TBI 6 to 15 years post TBI.ResultsItem 1 in LiSat-11 (‘Life as a whole’) and the total SWLS score was strongly correlated (Spearman’s rho = 0.66; p < 0.001). The total score in SWLS had the strongest correlation with items in LiSat-11. All items in LiSat-11, except ‘Family life’ and ‘Partner relationship’, were moderately to strongly correlated with items in SWLS. The item ‘Partner relationship’ in LiSat-11 did not correlate with any of the items in SWLS or the total score. The item ‘If I could live my life over, I would change nothing’ in SWLS had the weakest correlations with items in LiSat-11. Items ‘Vocation’ and ‘Leisure’ in LISat-11 were most strongly correlated with items in SWLS, whereas the item ‘ADL’ in LiSat-11 was more weakly correlated with items in SWLS.ConclusionsThe strength of the relationships implies that the two instruments assess similar but not identical aspects of LS and therefore complement each other when it is rated.

Background Due to increasing age and an increasing prevalence rate of neurocognitive disorders such as Mild Cognitive Impairment (MCI) and dementia, independent living may become challenging. The use of socially assistive robots (SARs) is one solution that can enable older adults with cognitive impairment to remain independent. However, at present, there is a lack of knowledge about the attitudes of older adults with MCI and their caregivers towards SARs. Methods This study relies on a constructivist grounded theory approach. Semi-structured interviews were conducted to gain a deeper insight into attitudes of two different stakeholder groups; older adults with MCI and their (in)formal caregivers. Results Forty individual semi-structured interviews were conducted with older adults with MCI (N = 30) and (in)formal caregivers (N = 10). Data revealed different perspectives on SARs in healthcare for the involved stakeholders. Two main topics could be derived: (1) perspectives on robot assistance, discussing different viewpoints on the potential value of robots as helpers, and (2) perspectives on implementation, revealing different factors that could affect implementation. Both topics may explain a positive, impartial or negative attitude towards SARs. Conclusions This study identified different factors that should be taken into account when implementing a SAR in the home environment of older adults. Despite the fact that the benefits of SARs are often recognized, many older participants currently seem not ready yet to commit to the use of a SAR. IMPLICATIONS FOR REHABILITATION This study explores the attitudes towards a SAR, developed to stimulate and support older adults with Mild Cognitive Impairment (MCI) on a physical, cognitive and social level. The results give a deeper insight into different factors contributing to a (non-) successful implementation of SARs in the home environment of older adults with MCI.

Measurement of the will to live in older adults: Transcultural adaptation, validity and reliability of the Will-to-Live Scale

Measurement of the will to live in older adults: Transcultural adaptation, validity and reliability of the Will-to-Live Scale.

Objectives: While many people strive for a fulfilling sexual life as they age, the inevitable changes that come with aging can present significant challenges concerning their sexual well-being (SWB). This study aims to present a comparative analysis of the scores in the variables of sexual satisfaction, adjustment to aging (AtA), and satisfaction with life (SwL) before and after the implementation of an intervention program to promote SWB among older adults. Methods: A convenience sample of 117 older community-dwelling adults (M = 72.31; SD = 5.752) were included in this study, and an ex post facto longitudinal design was applied. A six-week intervention program aimed at improving older adults’ understanding and exchanging their experiences of SWB was performed. The following measures were utilized: (1) a sociodemographic, health and lifestyle questionnaire; (2) Adjustment to Aging Scale (AtAS); (3) Satisfaction with Life Scale (SwLS); (4) New Sexual Satisfaction Scale (NSSS-S); and (5) Mini-Mental Status Exam (MMSE). The specified assessment time points in this study were as follows: baseline and after intervention. A follow-up assessment was conducted 6 months and 12 months after the baseline measurement. Results: The results indicated an increase in the scores in sexual satisfaction, AtA, and SwL from before to after the intervention among the intervention group. Conclusions: The development of intervention programs in older communities is necessary to contribute to the enhancing older adults’ SWB and to explore the best practices for implementing tailored interventions within community settings.

ABSTRACTObjectives: The aim of this review was to gain a better understanding of how older adults experience, perceive, think, and feel about the use of socially assistive robots (SARs) in aged care settings.Method: We conducted a literature search for studies that used a qualitative or a mixed-method approach having a significant qualitative element. Pubmed, Cinahl, Embase, Scopus, and Web of Science electronic databases were queried. Candidate articles published in journals and conference proceedings were considered for review. Two independent reviewers assessed the included studies for methodological quality using the Critical Appraisal Skills Program, after which data on subjects’ self-reported opinions and perceptions were extracted and synthesized using thematic analyses.Results: Seventeen studies producing 23 publications were included. Based on the opinions of older adults, four themes emerged in relation to the use of SARS: (1) roles of a SAR; (2) interaction between the older adult and the SAR, which could be further subdivided into (a) the technical aspect of the interaction and (b) the human aspect of the interaction; (3) appearance of the SAR; and (4) normative/ethical issues regarding the use of SARs in aged care.Conclusions: Older adults have clear positive and negative opinions about different aspects of SARs in aged care. Nonetheless, some opinions can be ambiguous and need more attention if SARs are to be considered for use in aged care. Understanding older adults’ lived experiences with SARs creates the possibility of using an approach that embeds technological innovation into the care practice itself.

Satisfaction with life is a key concept for most individuals. The Satisfaction With Life Scale (SWLS) for measuring general life satisfaction has been widely analyzed in terms of cross-sectional associations. However, the knowledge about long-term changes in life satisfaction and the associations between such changes and changes in other variables of physical and mental health is limited. A community-based representative sample of the general population has been examined twice with a time interval of six years (n = 4,999), using the SWLS and several other scales. Over the six years, the mean SWLS score of the total sample remained nearly unchanged (M = 27.0, SD = 5.2, both at t1 and at t2). The test-retest correlation was rtt = 0.66 for the total sample, and there were only marginal differences in temporal stability between male and female respondents. Changes in the SWLS over the six years were correlated with changes in optimism (r = 0.23), mental health (r = 0.26), social functioning (r = 0.22), perceived social support (r = 0.21), anxiety (r = -0.30), and physical complaints (r = -0.18). These change score correlations were lower than the corresponding coefficients under the cross-sectional perspective. Measurement invariance across sex, age, and time was established. The SWLS proved to be an appropriate tool for assessing changes in life satisfaction, and correlations between change scores of life satisfaction and health-related variables complement the knowledge about these associations from a cross-sectional perspective.

Validity of the Life Satisfaction Questions, the Life Satisfaction Questionnaire, and the Satisfaction With Life Scale in Persons With Spinal Cord Injury

espanolThe study aimed to determine the type of relationships that could exist between work design, engagement, and life satisfaction. This research was carried out in Madrid, Spain, where a random sample of 305 people answered a survey. All those constructs were assessed with the following instruments: Work Design Questionnaire - WDQ-; Utrecht Work Engagement Scale - UWES - in its short version of 9 items; and Satisfaction with Life Scale - SWLS. The Structural Equation Model (SEM) is proposed in order to determine how work design, engagement and life satisfaction are related. Results from SEM showed that work design indirectly affects life satisfaction and also can serve as predictor of engagement. In other words, work design fully mediates the relationship between engagement and life satisfaction. EnglishThe study aimed to determine the type of relationships that could exist between work design, engagement, and life satisfaction. This research was carried out in Madrid, Spain, where a random sample of 305 people answered a survey. All those constructs were assessed with the following instruments: Work Design Questionnaire (WDQ); Utrecht Work Engagement Scale (UWES) in its short version of 9 items; and Satisfaction with Life Scale (SWLS). The Structural Equation Model (SEM) was decided on in order to determine how work design, engagement and life satisfaction are related. Results from SEM showed that work design indirectly affects life satisfaction and also can serve as a predictor of engagement. In other words, work design fully mediates the relationship between engagement and life satisfaction.

Previous research has reported an association between life satisfaction, self-esteem, and volunteering. However, it is unclear whether self-esteem is associated with life satisfaction in older adults who are already engaged in volunteering. Therefore, the present study aimed to investigate the association between life satisfaction and self-esteem in older adults who were formally volunteering at a non-governmental organization in Taiwan. A cross-sectional study was conducted on 186 formal volunteers aged ≥ 65 years who were recruited from the Keelung chapter of the Buddhist Compassion Relief Tzu Chi Foundation in Taiwan. A hierarchical stepwise linear regression was used to examine the association between scores on the Satisfaction With Life Scale (SWLS) with the Rosenberg Self-Esteem Scale (RSES) and the Hedonic and Eudaimonic Motives for Activities-Revised (HEMA-R) scale. The results showed that SWLS was significantly associated with RSES score (standardized beta (std. β) = 0.199, p = 0.003), the eudaimonic subscale score of the HEMA-R (std. β = 0.353, p < 0.001), a vegetarian diet (std. β = 0.143, p = 0.027), and volunteering for five days or more a week (std. β = 0.161, p = 0.011). In conclusion, improving self-esteem and promoting eudaimonic motives in older adults who are formally volunteering could be effective strategies for enhancing their levels of life satisfaction.

Problematic eating behaviors and obesity are frequent problems encountered during adolescence that may potentially result in psychological, social and physical consequences that may interfere with adolescent development and well-being. The present study evaluates the relationship between satisfaction with food-related life and satisfaction with family life, and their relationship with life satisfaction in male and female adolescents. We explored the relationships between both subscales of the Revised Restraint Scale (RRS), Diet Concern (DC) and Weight Fluctuation (WF) and adolescent life satisfaction as well as satisfaction with food-related life and family life. We also explored the moderating role of socioeconomic status (SES). A questionnaire was applied to a non-probabilistic sample of 470 adolescents (mean age 13.2 years, 52.3% female) in Chile, including the RRS, Satisfaction with Life Scale (SWLS), Satisfaction with Food-related Life (SWL-Food) scale and Satisfaction with Family Life (SWL-Family) scale. Using structural equation modeling, we found that adolescent life satisfaction was related to satisfaction with family life and food-related life in both genders. In male adolescents, a negative relationship was identified between WF and food-related life satisfaction. In contrast, a negative relationship was identified in female adolescents between DC and food-related life satisfaction. DC and WF were not directly related to life satisfaction or to satisfaction with family life in either gender. SES was found to moderate the relationship between food-related life satisfaction and life satisfaction and the relationship between WF and food-related life satisfaction in female adolescents. These findings suggest that reducing DC in female adolescents and reducing WF in male adolescents and female adolescents from higher SES may improve their food-related life satisfaction.

The Satisfaction With Life Scale (SWLS) is a widely used self-report measure of subjective well-being, but studies of its measurement invariance across a large number of nations remain limited. Here, we utilised the Body Image in Nature (BINS) dataset-with data collected between 2020 and 2022 -to assess measurement invariance of the SWLS across 65 nations, 40 languages, gender identities, and age groups (N = 56,968). All participants completed the SWLS under largely uniform conditions. Multi-group confirmatory factor analysis indicated that configural and metric invariance was upheld across all nations, languages, gender identities, and age groups, suggesting that the unidimensional SWLS model has universal applicability. Full scalar invariance was achieved across gender identities and age groups. Based on alignment optimisation methods, partial scalar invariance was achieved across all but three national groups and across all languages represented in the BINS. There were large differences in latent SWLS means across nations and languages, but negligible-to-small differences across gender identities and age groups. Across nations, greater life satisfaction was significantly associated with greater financial security and being in a committed relationship or married. The results of this study suggest that the SWLS largely assesses a common unidimensional construct of life satisfaction irrespective of respondent characteristics (i.e., national group, gender identities, and age group) or survey presentation (i.e., survey language). This has important implications for the assessment of life satisfaction across nations and provides information that will be useful for practitioners aiming to promote subjective well-being internationally.

The Satisfaction with Life Scale (SWLS) is an instrument that assesses subjective well-being in relation to life that was originally proposed in the English language. To analyze the psychometric properties do the SWLS for use with Para athletes. A convenience sample of 309 Brazilian Paralympic athletes (age: 33.08 ± 9.85 years) of both sexes was chosen. We conducted an online survey, and participants completed an anamnesis and SWLS questionnaires using the Qualtrics® software. To analyze confirmatory, the comparison fit index (CFI), the Tucker-Lewis index (TLI) and the standardized root mean square residual (SRMR) were used. Reliability was estimated by the ordinal alpha and omega coefficients. A multigroup analysis estimates a factor invariance. Exploratory and confirmatory factor analysis supported a single factor structure for the SWLS, with an acceptable fit. Cronbach’s α (0.88) and McDonald’s Omega (0.88) were indicative of internal consistency. Factorial invariance across gender, impairment, sports, and competition level was confirmed. The Brazilian version of the SWLS for Para athletes showed satisfactory psychometric properties and can be used to measure life satisfaction in the Paralympic context. The Satisfaction with Life Scale (SWLS) is an instrument that assesses subjective well-being in relation to life that was originally proposed in the English language. To analyze the psychometric properties do the SWLS for use with Para athletes. A convenience sample of 309 Brazilian Paralympic athletes (age: 33.08 ± 9.85 years) of both sexes was chosen. We conducted an online survey, and participants completed an anamnesis and SWLS questionnaires using the Qualtrics® software. To analyze confirmatory, the comparison fit index (CFI), the Tucker-Lewis index (TLI) and the standardized root mean square residual (SRMR) were used. Reliability was estimated by the ordinal alpha and omega coefficients. A multigroup analysis estimates a factor invariance. Exploratory and confirmatory factor analysis supported a single factor structure for the SWLS, with an acceptable fit. Cronbach’s α (0.88) and McDonald’s Omega (0.88) were indicative of internal consistency. Factorial invariance across gender, impairment, sports, and competition level was confirmed. The Brazilian version of the SWLS for Para athletes showed satisfactory psychometric properties and can be used to measure life satisfaction in the Paralympic context. O objetivo principal do presente estudo foi avaliar as propriedades psicométricas da Satisfaction with Life Scale (SWLS) para paratletas brasileiros, bem como sua estrutura fatorial, confiabilidade e invariância. 309 paratletas (idade: 33,08 ± 9,85 anos), recrutados por conveniência, de ambos os sexos, foram avaliados, de forma online, por meio de um questionário sociodemográfico e da versão SWLS de Gouveia et al. (2009). Foi utilizada a análise fatorial confirmatória para avaliar a estrutura unidimensional da escala usando o método de extração Robust Diagonally Weighted Least Squares (RDWLS). O modelo unidimensional SWLS apresentou um bom ajuste dos dados (χ2 = 1.906 / df = 5; p = 0.86; CFI = 1.000; SRMR = 0.019; RMSEA = 0.000 [90% IC : 0.000 – 0.042] e consistência interna adequada Ômega do McDonald's (0,88) e boa confiabilidade composta (0,88) . Além disso, a invariância fatorial entre gênero, deficiência, esportes e nível de competição foi confirmada. A versão brasileira da SWLS em atletas paralímpicos apresentou propriedades psicométricas satisfatórias e pode ser utilizada para mensurar a satisfação com a vida no contexto paralímpico.