published_or_final_version / Social Work / Master / Master of Social Work

This thesis investigates the effects of national patterns of migration on informal support for older adults in contemporary Scotland. It argues that geography matters, and develops a multi-scale conceptual framework to analyse the relationships among population mobility, contrasting local contexts in which older people live, and care and support from the intergenerational family and the community. 130 older persons from three locales with different migration patterns are recruited to the study and a mixed-method approach is adopted, using data from the census, a questionnaire survey and a set of in-depth interviews with both older people and formal service providers. The findings demonstrate significant differences between the three study locales in terms of the geography of the intergenerational family and the extent and nature of informal support received. Daughters provide more support than sons, suggesting the continuation of traditional gender norms. Local community is important, especially in the rural locale, but friends and neighbours are not providing a substitute for adult children living at a distance. It appears that non-kin respond to need where physical health is compromised but not where the older person suffers from depression. This raises serious questions about the future of family support in an increasingly mobile society with declining fertility and growing numbers of adult daughters in full-time employment. The relationships demonstrated confirm and extend many previous findings, but the discussion concludes that there are some grounds for optimism. The intergenerational family remains important to its members who can and do overcome geographical separation at times of crisis. Further, slowly changing gender norms, combined with contemporary demographic trends, may effect changes in the pattern of intergenerational support, which will, to some extent, offset the worsening older-age dependency ratios predicted for Scotland and other European countries over the next few decades.

In this study, we contrasted socioemotional selectivity theory (SST; Carstensen, 2006) with dynamic integration theory (DIT; Labouvie-Vief, 2003) using trajectories of quantitative and qualitative social support in later life. SST is a lifespan theory of motivational development (Carstensen, Isaacowitz, & Charles, 1999). There is a normative decline in social support networks in later life. In other words, individuals who perceive the limitation on time left for their future are likely to decrease the quantitative social support and compensate for this decrease by improving qualitative social support with emotionally meaningful social partners. The theory also postulates that age is the primary proxy for perceived limitation of individuals' lives (Carstensen, Fung, & Charles, 2003). Further, self-reported health and functional status are factors that affect older adults' perception of limitation of time left in their lives (Carstensen, 2006). In contrast, DIT is a neo-Piagetian theory that emphasizes the presence of individual differences in quantitative and qualitative social support in later life depending on individuals' levels of cognitive resources that are associated with educational levels (Labouvie-Vief & Diehl, 2000). Despite these different arguments on the trajectories of quantitative and qualitative social support in later life, SST and DIT have not been tested within a same study. The current study examined the trajectories of frequency of social contact (quantitative social support) and reliance on family members and close friends (qualitative social support) in later life. Participants were drawn from the Normative Aging Study (NAS; N = 1,067, M[subscript age] = 60.83, SD = 8.08) who completed social support surveys three times from 1985 to 1991. Using unconditional and unconditional analyses (Raudenbush & Bryk, 1986), growth models of frequency of social contact with and reliance on family members and close friends were tested. Within subject analyses found that the trajectory of frequency of social contact was a U-shaped curve with the age of 54 years at a peak, while the trajectory of reliance on family and friends were stable and linear. Random effects of age for the intercept and slope were significant in both models of frequency of contact and reliance on family and friends, although the random effect for the latter were small in both models. Between subjects analyses were conducted to examine whether cognitive resources, marital status, health status, and functional status predicted variance in the intercept and slope of both types of support. As SST hypothesized, having better self-reported physical health predicted higher levels of frequency of contact over age. Being married was associated with higher quantity of social support. However, contrary to our hypothesis based on SST, having poorer functional status predicted more frequent social contact over age. The random effect of intercept was still significant after controlling for these psychosocial predictors. The evidence to test the DIT hypotheses was examined in the model of the qualitative social support. Having memory problems predicted decreasing reliance on social partners. However, marital status and education did not significantly predict change in qualitative social relationships. Contrary to the hypothesis based on SST that posited poor self-reported health was associated with higher qualitative social support, it was better self-reported health that predicted higher qualitative social support. The random effects for the intercept and slope were still significant after controlling for these psychosocial factors. Taken together, the findings of the current study suggest that SST and DIT can be used as theoretical frameworks that are complementary rather than contradictory in their predictions of socioemotional development in later life. SST is useful to illustrate the overall trajectory of quantitative social support in a normative development in late life. DIT's stance better explains the individual differences in qualitative social support in non-normative contexts. The findings also suggest that having memory problems and poor self-reported health as non-normative developmental outcomes may be risk factors of older adults' ability to seek for social support. / Graduation date: 2012

The social aspects of older adults lives are strongly linked to well-being outcomes. Social relationships in older adulthood are rewarding, but also complex, and to maintain a positive social environment, older adults must reconcile long relationships histories, negotiate changing roles, and deal with increasing dependencies. Older adults are known to be particularly effective at regulating their social environments under these circumstances to maximize satisfaction, but some are more successful than others. Older adults manage their social environments through processes of relationship regulation, where individuals actively work towards social goals to customize their social environments and close relationships to meet developmental and emotional needs. Importantly, relationship regulation is embedded in older adults’ social environments, which are not only an outcome, but also the context that inspires, motivates, and hinders efforts to change the social environment. Within the proximal social environment older adults may experience support, hindrance, and satisfying contact with close social partners. Although supportive social environments are related to health and well-being in old age, and evidence suggests that older adults regulate their relationships, little is known about how these goals are worked towards and achieved on a daily basis and within the context of older adults' daily lives. The current study had two distinct aims: (a) to understand the intraindividual processes of regulating social goals within daily context of the social environment; and (b) to examine how interindividual differences predict between-person differences in social regulatory processes. Specifically, this study investigated the degree to which older adults depend on daily support and contact with a close social partner to make progress towards a meaningful social goal, and also the extent to which perceptions of social hindrance impede goal progress. On an interindividual level, this study examined how differences in the proximal social environment and goal orientation are linked to differences in social regulatory processes. Data from the Personal Understanding of Life and Social Experiences (PULSE) project, a 100-day, internet-based microlongitudinal study of 100 Oregon residents age 52 to 88 (M = 63.13, SD = 7.8), were used to explore processes of relationship regulation. At the beginning of the study, participants created a meaningful social goal, and mapped their social convoy. Participants then tracked their daily goal progress and feelings of social support, hindrance and satisfaction over a 100-day time period. Analysis was conducted using multilevel random coefficient models, and was structured to examine within person processes. Daily experiences of goal progress were positively related to social support and contact satisfaction, and negatively related with social hindrance. Importantly, these associations varied greatly between participants, in part as a function of convoy composition and goal orientations. The results from this study suggest that relationship regulation is (a) embedded in the social context of daily life; (b) differs based on the structure of the proximal social environment; (c) contingent on regulatory strategies selected by older adults to work towards their goals; and (d) differentiated by mean tendencies. The linkages between support, hindrance and contact satisfaction with daily goal progress found in this study suggest that the process of working towards a social goal is dependent on older adults' daily social contexts. This has implications for populations with varying access to social support and exposure to social hindrance. Further, individual differences in social regulatory processes were only partially explained by convoy structure and goal orientation. Future research is needed to search for the mechanisms that drive these between person differences in social regulatory processes. / Graduation date: 2012

The purpose of this study was to examine the relationships between several theory based strategies for adaptive coping and well-being in a community of visually impaired elderly.

published_or_final_version / Social Work / Master / Master of Social Work

Aging in the new millennium is greatly influenced by both global and region-specific factors. In Asia, the aged population is increasing at a faster rate than both Europe and North America, making issues related to older adults needing immediate attention of researchers & planners. This study aims at identifying the predictors of successful aging. Successful aging as a construct often has an integration of good social engagement, sense of purpose in life, maintaining cognitive capacity and functional autonomy. One hundred fifty participants in India completed the Life Satisfaction Questionnaire, Geriatric Depression Scale, Health Awareness Schedule, and the Leisure Time Activity Record. Firstly, it is mainly evident that social support network is larger for older adults residing in a joint family as compared to a nuclear family setup. Further, married males in a joint family have the largest network size compared to all the other groups. The study however, reveals an interesting reverse trend of widowed females having a larger network size compared to widowed males. Statistical analysis found measures of successful aging to be highly correlated with each other, with subjective health and depression being significant predictors of life satisfaction. Further, life satisfaction, depression levels, and leisure time activities were all significant predictors of subjective health. Significant gender differences were found on life satisfaction and subjective health with married males living in joint families reporting the highest scores on all the above measures. In addition, widowed women showed the highest levels of depression, which relates to their lower life satisfaction, poor ratings of health and low involvement in leisure activities. The study achieved a higher understanding of successful aging and presented a novel finding of educational level being significantly correlated with all measures of successful aging. This study is the first of its kind to measure successful aging in an urban Asian-Indian population. However, more research is needed to examine other age-related variations to enable generalization of results to a larger culturally diverse population.

I analyzed the 2004 and 2006 Health and Retirement Study data to test structural equation models of the quality of life (QOL) construct. The participants (N = 1352) were non-institutionalized individuals aged 42 and older (M = 65.70, SD = 10.88), with an average education of 12.73 years (SD = 2.96) and of varied ethnicities. The results indicated that physical functioning, affective experience, life satisfaction and social support could serve as indicators for a second order QOL factor. Furthermore, the developed QOL model explained 96% of the variance of the CASP-19 (Control, Autonomy, Self-realization and Pleasure), a QOL measure that reflects fulfillment of psychological needs. The results also indicated that Depression and Life Satisfaction are related through reciprocal causation and that Physical Functioning is more likely to cause a change in Depression than the reverse. The results suggest that QOL is a complex, multidimensional concept that should be studied at different levels of analysis.

Indiana University-Purdue University Indianapolis (IUPUI) / Social support has been shown to positively impact various aspects of health across the lifespan, including sexual health and well-being. While past research on sexual well-being has tended to focus on the earlier stages of the life course, notably adolescence and young adulthood, this is a largely ignored area of research past the reproductive stage of life. Current research finds that while social support, from partners, family, and friends alike, has generally positive influences on health in mid to late adulthood, these outcomes are varied in regards to sexual well-being. This thesis aims to (1) assess the role of friend support in the sexual well-being of older adults and (2) to explore if physical and mental health are significant mediators of this relationship, using data from Wave II of the National Social Life, Health, and Aging Project (NSHAP). This study found that sixty two percent of older adults are not having sex as much as they would like and 61% feel that their sex life is lacking in quality. Increased feelings of openness with friends was associated with satisfaction with sexual frequency (p=.055). However, a significant association could not be established between satisfaction with quality of sex life and friend support. In addition, physical and mental health status were not found to be significant mediators.

This research project aims to clarify the factors that impact successful aging in Assisted Living facilities (ALFs) in Denton County, Texas. We hypothesize that social disengagement decreases physical and mental components of quality of life. This exploratory research project employed standardized questionnaires to assess residents in the following domains; HRQOL, social engagement status, level of cognition, depression, and the level of functioning. This study collected data from 75 participants living in five ALFs. The average of Physical Component Scale (PCS) and Mental Component Scale (MCS) was 35.33, and 53.62 respectively. None of the participants had five or more social contacts out of facilities, and two-third of them had two or less social contacts. On average, those participants who were more socially engaged had higher score of MCS compared with disengaged counterparts. The level of physical function significantly affects social engagement, when people with more disabilities are more likely to be socially disengaged. Social engagement and depression significantly impact MCS, when depression is a mediating factor between social engagement and mental component of quality of life. Considering the expansion in aging population in the United States within the next three decades, the demand for high quality long-term care will skyrocket consequently. This study reveals that external social engagement can sustain HRQOL of residents in assisted living facilities.