By the year 2030, 20% of the U.S. population will be 65 years of age or older. An increase in the demand for supportive health and social services is expected with the aging of the population. Demand for senior housing is expected to grow, too. This study explores what the social environment offers to lesbian, gay, bisexual and transgender (LGBT) seniors who relocated to LGBT retirement communities. Previous research asked LGBT seniors who did not live in LGBT senior housing about their housing preferences. The present study, for the first time, asked residents of existing LGBT senior living communities to explain why they chose to live in an LGBT retirement community. Focus groups were conducted at three retirement communities. Thirty-eight residents at the three study sites participated. Seven focus groups were conducted; each was audio recorded and transcribed verbatim. The analysis found common categories across the focus group data that explain the phenomenon of LGBT senior housing. The average age of the participants was 71. Demographic differences were found between generations, with the older participants being more likely to have revealed their sexual orientation late in life, and more likely to have been married and have children. The findings showed that acceptance by other residents of one's sexual orientation and gender identity allows LGBT seniors to feel comfortable in what several residents called their "domestic environment." The questions asked about housing choice and were open ended; respondents chose to focus on the social aspect of their living environments. Acceptance, as opposed to tolerance, was a strong theme. Acceptance by others reduced stress and fostered a feeling of safety and a sense of community. Social networks were strong and expansive, contrary to the theory of socioemotional selectivity theory, which would argue that the total number social relationships diminishes with age. Participants emphasized the social context of their living environment as the reason they chose to live in LGBT senior housing. Participants noted past discrimination, but it was the positive aspects resulting from acceptance that were emphasized as the reason for their choice of LGBT specific retirement housing.

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

Background: Virtual reality (VR) offers potential for enhancing physical activity and engagement among older adults in long-term care (LTC) facilities. This addresses the need for health maintenance and independence. Yet, limited research exists on VR acceptance and its optimization for promoting physical activity. Older adults' VR gaming experiences and the social and contextual factors affecting acceptance are underexplored. This study aims to investigate these unique experiences to inform the design of inclusive VR technology in LTC, enhancing physical activity and well-being. Objectives: My dissertation has two objectives: (1) to examine the individual and social factors that impact the acceptance of VR games among older adults in LTC facilities and (2) to explore LTC residents’ experience with VR games and the meaning they associate with their gaming experience. Methods: To reach these objectives I conducted two studies: (1) a scoping review of 5 articles to identify evidence on older adults' acceptance of physical activity VR games in LTC facilities, describe research designs used, define key acceptance concepts, and identify knowledge gaps for future research and (2) a mixed-methods study, including a series of gaming sessions with 20 older adults residing in a healthcare center followed by a composite questionnaire and semi-structured interviews with 15 older adults and 4 staff members. Results: The scoping review identified a knowledge gap in VR acceptance among older adults in LTC. Varying acceptance levels and inconsistent concept definitions were found, emphasizing the need for an integrated approach combining qualitative and quantitative methods. Only one study used validated tools for assessing acceptance. The quantitative study involved VR gaming sessions with 20 participants aged 65 and older, revealing significant positive correlations between perceived ease of use and Selective Optimization with compensation (SOC) strategies. No significant relationship was found between Technology Acceptance Model (TAM) and Future Time Perspective (FTP). Prior gaming experience led to higher SOC and socioemotional Selectivity (SST) scores, higher game self-efficacy, and increased hedonic motivation. Age and gender had no impact. Participants viewed VR as user-friendly and useful, with positive attitudes toward aging and physically demanding activities. The qualitative revealed themes related to enjoyment, physical activity, social connection, and individual preferences. Staff perspectives addressed relevance, personalization, training, and organizational barriers. The study highlighted the potential benefits of VR gaming for LTC residents, offering insights for technology development. Conclusion: This study offered a comprehensive understanding of VR gaming acceptance among older adults in LTC settings, highlighting the significance of individual and social factors in technology acceptance. Personalized design, support, education, trust, and safety are crucial. Integrating social theories of aging is essential to understand older adults' needs and preferences. Implications for VR design include user-centered approaches, intuitive interfaces, customization, social interaction, and safety considerations. Addressing limitations and biases in future research can promote effective use of VR as a therapeutic tool for older adults in LTC.

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Diagnosis of Alzheimer’s disease is encouraged as a first step towards people planning for their future with the condition. Despite the proposed benefits of diagnosis, it is also widely recognised that Alzheimer’s disease can expose people to stigma. Therefore, this thesis explores the relationship between stigma and future outlook, from the perspective of people affected by early and late-onset Alzheimer’s disease. In order to recognise the physicality of the condition and how psychological and social factors influence experiences, a biopsychosocial perspective is employed throughout. People with Alzheimer’s disease (n=15 people with late-onset, 7 people with early-onset) and their supporters (n=22) completed questionnaires about perceived stigma. This was followed by 14 interviews with a subsample of participants, which explored stigma and future outlook in more depth. Perceived stigma reporting across participants was low in the questionnaires; whereas interviews revealed higher levels of stigma with people discussing mixed, unpredictable reactions from a range of sources. Participants expressed awareness of the unpredictable nature of their futures with the condition. The subsequent lack of control was managed through focusing on ‘one day at a time’ and avoiding looking too far ahead. Across reflections on stigma and future outlook there was a deliberate focus on positive experiences for people affected by early and late-onset Alzheimer’s disease. The similar management of experiences across participants minimised possible age-based differences. These findings are supported by socioemotional selectivity theory, which suggests people are motivated to maintain positive emotional states when facing ‘time-limiting’ conditions irrespective of age. The research suggests people’s experiences of stigma and future outlook interact, with stigma-driven assumptions about the future affecting how people manage their daily lives. The avoidance of looking ahead suggests that policy which encourages future planning should consider its utility and explore ways of helping people to manage both exposure to stigma, and planning for the future, whilst focusing on daily living.

在全球化的背景下，企業間的競爭變得愈加劇烈，需要員工提供寶貴的意見想法，方能幫助組織成長與發展，因此瞭解員工說與不說的背後原因，便顯得更加重要。本研究以社會情緒選擇理論（socioemotional selectivity theory, SST）理論為基礎，並以兩種未來時間觀：開放式未來時間觀（open-ended future time perspective）與限制式未來時間觀（limited future time perspective）分類方式進行探討，期望進一步瞭解其對兩種員工意見表達行為：建言行為（voice behavior）與沉默行為（silence behavior）的影響效果，以及兩種調節焦點：促進性焦點（promotion focus）、預防性焦點（prevention focus）在其中所扮演的中介角色。同時，本研究探討知覺心理安全氛圍（perceived psychological safety climate）對未來時間觀與意見表達行為間關係的調節效果。本研究採問卷調查法施測，共蒐集249對員工-同事對偶樣本。研究結果顯示：（一）開放式未來時間觀與促進性建言呈顯著正相關；開放式未來時間觀與抑制性建言未具有顯著相關；限制式未來時間觀與沉默行為呈顯著正相關；（二）調節焦點並未中介未來時間觀與意見表達行為間之關係；（三）知覺心理安全氛圍並未調節未來時間觀與意見表達行為間關係。最後，針對研究結果，進一步討論理論與實務意涵、研究限制與未來研究方向。 / This study is based on the socioemotional selectivity theory (SST), and has three objectives: First, to assess the effect of future time perspective (open-ended / limited) on opinion expression behavior (voice / silence). Second, to test the mediating role of regulatory focus (promotion / prevention) in the relationship between the future time perspective and the opinion expression behavior. Third, to examine the moderating role of perceived psychological safety climate on the relationship of future time perspective and opinion expression behavior. The results collected of 249 valid dyad (employee-colleague) pair showed that (1) open-ended future time perspective was positively related to promotive voice behavior, but not to prohibitive voice behavior; limited future time perspective was positively related to silence behavior. (2) regulatory focus did not mediate the relationship between future time perspective and opinion expression behavior. (3) no support was found for the expected moderating role of perceived psychological safety climate in the future time perspective—opinion expression behavior relationship. Finally, the study’s implications for theory and practice are discussed, its limitations are identified, and directions for future research are suggested.