Abstract

BackgroundThis paper reports a cluster analysis of a sample recruited from a randomized controlled trial that explored the effect of using a life story work approach to improve the psychological outcomes of older people in the community.Methods238 subjects from community centers were included in this analysis. After statistical testing, 169 seniors were assigned to the active ageing (AG) cluster and 69 to the inactive ageing (IG) cluster.ResultsThose in the AG were younger and healthier, with fewer chronic diseases and fewer depressive symptoms than those in the IG. They were more satisfied with their lives, and had higher self-esteem. They met with their family members more frequently, they engaged in more leisure activities and were more likely to have the ability to move freely.ConclusionIn summary, active ageing was observed in people with better health and functional performance. Our results echoed the limited findings reported in the literature.

Highlights

  • This paper reports a cluster analysis of a sample recruited from a randomized controlled trial that explored the effect of using a life story work approach to improve the psychological outcomes of older people in the community

  • Those in the active ageing cluster were more likely to be younger (mean age: 76.53 (AG) versus 78.57 (IG)), healthier with fewer chronic diseases (mean number of chronic diseases: 2.06 (AG) versus 2.51 (IG)), less depressed (mean scores: 1.89 (AG) versus 6.68 (IG)), more satisfied with their life (mean scores: 14.64 (AG) versus 8.46 (IG)), and to have higher self-esteem (mean scores: 8.52 (AG) versus 5.62 (IG)). They enjoyed better sleep quality (less than one sleepless night per week: 71.69% (AG) versus 41.79% (IG)). Most of their income came from the support of their family members (60.84% (AG) versus 30.43% (IG)) and they were more satisfied with their economic condition (enough money for daily expenses: 41.87% (AG) versus 19.12% (IG))

  • They joined more leisure activities (average number of leisure activities engaged in: 1.99 (AG) versus 1.48 (IG)) and were more likely to have the ability to move freely (climbing stairs without help: 91.72% (AG) versus 62.32% (IG)). The subjects in this cluster were more likely to make friends with others (mean scores: 9.10 (AG) versus 6.93 (IG)), more willing to participate in group activities such as dancing, singing, and playing musical instruments for leisure (26.34% (AG) versus 9.09% (IG))

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Summary

Introduction

This paper reports a cluster analysis of a sample recruited from a randomized controlled trial that explored the effect of using a life story work approach to improve the psychological outcomes of older people in the community. Results: Those in the AG were younger and healthier, with fewer chronic diseases and fewer depressive symptoms than those in the IG. They were more satisfied with their lives, and had higher self-esteem. Active ageing is discussed in the literature as a goal that health professionals, policy makers, and the general public would like to attain. The WHO defined active ageing as the process of optimizing opportunities for health, participation, and security in order to enhance quality of life as people aged The concepts of active ageing overlap with those of healthy ageing, productive ageing, or successful ageing – some terms that commonly appear in the literature. Healthy ageing is not clearly defined as a concept in many published

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