A Typology of Source of Information About the Continuing Care Retirement Community and Older Adults’ Living Arrangement

Abstract

A continuing care retirement community (CCRC) represents a residential alternative for older adults. It offers a variety of social and health care services to meet older adults’ needs and preferences. Using the theory of innovation as a theoretical basis, the overall goal of the study was to use the source of information about the CCRC as a potential predictor of the decision to move. In total, 76 older adults responded to a question about the source of information on the CCRC. Of these, 40 were CCRC residents and 36 were community dwellers, who expressed an interest in the CCRC but decided to remain in their community. Based on their responses, respondents were classified into one of five clusters (e.g., spouse, friends, children, nonhuman sources, mixed human and nonhuman sources). Those classified into the spouse or adult children as sources of information were more likely to live in a CCRC. Results show that information about the CCRC should be conveyed to additional members in the family, such as adult children, as they often take a major role in the decision to relocated. The findings have implications for administrators as they clearly point to potential sources of greater influence on older adults’ decision to relocate.     

Crisis nursery services and foster care prevention: An exploratory study

ObjectiveTo examine whether receiving crisis nursery services reduces the chances of subsequent placement of children into foster care.MethodThe study includes a sample of 322 children from the administrative data from a crisis nursery in Ohio. Generalized estimating equations analysis was conducted to assess the relationship between crisis nursery services (case management and parenting education) and subsequent foster care placement.ResultsThe generalized estimating equations analyses indicated that case management and parenting education provided from the crisis nursery were associated with reduced likelihood of subsequent foster care for children who were placed in the crisis nursery. Foster care placement during the previous 12 months and Caucasian race were also associated with higher odds of subsequent foster care placement.ConclusionsCrisis nursery services delivered with case management and parenting education may be an effecive intervention to reduce children's subsequent foster care placement.     

CCRC Here We Come! Reasons for Moving to a Continuing Care Retirement Community

Abstract

To better understand why people move to CCRCs, we conducted qualitative interviews with 20 elders who were planning on moving into one such facility within six months of the interview. In this paper, we describe participants' reasons for moving and their perceptions of the trade-off or anticipated gains and losses inherent in the move. Push factors included desire to plan while still able to do so; optimal timing and being ready for a change; fear of burdening family; burden of home and yard maintenance; own or spouse's failing health; and environmental barriers. Pull factors included attachment to the community; joining friends and neighbors who were moving at the same time; proximity to family; amenities of the CCRC and the prospect of long-term care in the future. One of the unanticipated findings was that far from considering this as their last move, participants looked forward to anew and exciting phase of life.     

Editorial

The research examined factors related to the decision to move to a continuing care retirement community (CCRC). Employing a sample obtained from a recently opened comprehensive CCRC, 184 residents and 246 waiting list respondents were surveyed concerning their decision to move. Residents evidenced significantly more "risk" factors than waiting list applicants and reported significantly more reasons for selecting a CCRC. Reasons for choosing a CCRC were guaranteed health care, freedom from home maintenance, and supportive services. The vulnerability of residents requires careful attention for planning and managing services to maintain independence.     

Should I Stay or Should I Go?

Abstract

Data from a longitudinal study of older adults in an upstate New York county (N = 333) show that poor housing “fit” increases the likelihood that older adults are currently considering a move, as does lower residential satisfaction. Those adults who said only that they “might consider moving” focused on health transitions that might signal a need for a new housing situation. Residential satisfaction predicts actual moves even when controlling for moving plans. Older adults may be “pushed” to make a move by a crisis, but those older adults planning moves tend to be “pulled” into housing arrangements with desirable features.     

The Influence of Family and Work Characteristics on the Sustained Employment of College-Educated Wives

Abstract

Three categories of work characteristics — employment expectations, job satisfaction, and job experiences — in addition to commonly considered family variables, are examined as influences on sustained employment between 1964 through 1968 for a national sample of college-educated wives, class of 1961. Number of children and husband's income have the strongest, and negative, effects on sustained employment. Additionally, two work characteristics, one work orientation measure (expectation of being employed during the preschool child stage), and one job satisfaction measure (overall job satisfaction) are significant, and positive, influences. No other variable pertaining to wives' work characteristics is significantly related to sustained employment Because the responses in the data set were collected in the 1960s, the data in this article can serve as a comparison point for subsequent studies.     

Individual and Familial Correlates of Body Satisfaction in Male and Female College Students

Abstract

Objective: This study investigates the relative contributions of global self-esteem, body mass index (BMI), dieting behaviors, and perceived parental control and care on body satisfaction among a nonclinical sample of college students. Participants and Methods: Participants (49 males and 299 females) reported weight and height (to calculate BMI) and completed the EAT 26 test. Perceived parental care and control, global self-esteem, and body satisfaction were measured and examined in relation to BMI and dieting behavior. Results: High BMIs were associated with lower body satisfaction for both genders; dieting behavior, self-esteem, and perceived parental care and control demonstrated a unique gender-specific association among variables in prediction of body satisfaction and dieting behavior for each gender. Conclusions: Body satisfaction as a part of global self-esteem is constructed differently by males and females. Various aspects of parenting (care and control) are associated with self-esteem and body satisfaction for each gender, influencing dieting behavior.     

Variability in measures of health and health behavior among emerging adults 1 year after high school according to college status

Objective: To examine changes in health behaviors among US emerging adults 1 year after high school. Participants: The national sample of participants (N = 1,927), including those attending 4-year college/university (n = 884), 2-year colleges/technical schools (n = 588), and no college (n = 455), participated in annual spring surveys 2013–2014. Methods: Health behaviors were assessed the last year of high school and first year of college; differences by college status controlling for previous-year values were estimated using regression analyses. Results: Relative to 4-year college attendees, those attending technical school/community college were less likely to binge drink (odds ratio [OR] = 0.57, confidence interval [CI] = 0.38–0.86) but more likely to speed (OR = 1.26, CI = 1.0–2.84), consume sodas (OR = 1.57, CI = 1.0–2.47), and report lower family satisfaction (p < .01), with marginally more physical and depressive symptoms. College nonattendees reported more DWI (driving while intoxicated; OR = 1.60, CI = 1.05–2.47), soda drinking (OR = 2.51, CI = 1.76–3.59), oversleeping (OR = 4.78, CI = 3.65–8.63), and less family satisfaction (p < .04). Conclusions: Health risk behaviors among emerging adults varied by college status.     

Communication With Parents and Body Satisfaction in College Students

Abstract

Objective: This study examined how communication with parents is related to college students’ body satisfaction. Participants and Methods: Participants (N = 134; 58 males and 76 females) completed a survey in March 2011 assessing body satisfaction and perceptions of communication with mothers and fathers. Results: Daughters’ body satisfaction was negatively correlated with perceptions of problematic communication with mothers and fathers. Sons’ body satisfaction was positively correlated with open communication with their mothers and negatively correlated with problematic communication with their mothers. Conclusions: Findings indicated problematic communication with mothers was the most powerful predictor of daughters’ body satisfaction, whereas open communication with mothers was the best predictor of sons’ body satisfaction.     

Does performance management affect nurses’ well-being?

AimThis article focuses on employee performance-management practices in the healthcare sector. We specifically aim to contribute to a better understanding of the impact of employee performance-management practices on affective well-being of nurses in hospitals. Theory suggests that the features of employee-performance management (planning and evaluation of individual performances) predict affective well-being (in this study: job satisfaction and affective commitment).MethodsPerformance-management planning and evaluation and affective well-being were drawn from a survey of nurses at a Flemish hospital. Separate estimations were performed for different aspects of affective well-being.ResultsPerformance planning has a negative effect on job satisfaction of nurses. Both vertical alignment and satisfaction with the employee performance-management system increase the affective well-being of nurses; however, the impact of vertical alignment differs for different aspects of affective well-being (i.e. job satisfaction and affective commitment).ConclusionPerformance-management planning and evaluation of nurses are associated with attitudinal outcomes. The results indicate that employee performance-management features have different impacts on different aspects of well-being.     

Social connectedness and life satisfaction: Comparing mean levels for 2 undergraduate samples and testing for improvement based on brief counseling

ABSTRACT

Objectives: Comparing the mean levels of social connectedness and life satisfaction, and analyzing their relationship for 2 undergraduate samples, and testing for an increase in their means for a brief counseling sample. Participants: Between October 2013 and May 2015, 3 samples were collected: not-in-counseling (NIC; n = 941), initial counseling session (ICS; ie, triage session only; n = 168), and brief counseling (BC; ie, median of 4 additional counseling sessions; n = 28). Methods: Online surveys measuring demographic and background control variables, social connectedness, and life satisfaction. Results: NIC students exhibited higher social connectedness and life satisfaction than ICS students. Social connectedness significantly explained life satisfaction beyond controlled-for variables for both samples. There was a significant increase in social connectedness and life satisfaction for the BC sample. Conclusions: Social connectedness is an important antecedent of life satisfaction for undergraduates. Brief counseling can increase transition students' social connectedness and life satisfaction.     

Coping with Vulnerabilities in Old Age and Retirement: Cross-border Mobility,Family Relations and Social Networks of German Retirees in Alanya

ABSTRACT

Reduced income upon retirement is a vulnerability threat, which increases dependency on public provisions, familial, and/or social (community) support. Many German retirees, in addition to lifestyle motivations, move to low-cost destinations in order to maintain an autonomous and independent life while minimizing the risks of financial worsening. In this article, I discuss the vulnerability patterns of German retirees in the Mediterranean coastal town of Alanya, Turkey, and the role of social networks, with a particular focus on intergenerational family relations. I argue that, despite increased life satisfaction, relocation to a new destination abroad results in new emerging threats. German retirees in Alanya experience difficulties in terms of a lack of intergenerational family support and the double jeopardy of being framed by the legal regulations of two nation states. Based on the findings of the empirical research conducted in Alanya in 2017, I will demonstrate new threats emerged after relocation and how retirees respond to those with new coping strategies.     

Motivational Style,Length of Residence,Voluntariness, and Gender as Influences on Adjustment to Long Term Care

Abstract

Seventy-five institutionalized older adults (Mage = 79.08, SD=9.73, 25 males, 50 females) varying by length of residence, gender, and motivational style (self determined vs. motivational) were queried to explore the impact of these variables on indicators of adjustment, i.e., health, life satisfaction, desired and expected control, self-esteem, ADLs, and positive/negative affect. MANCOVAs (controlling for social desirability) indicated self-determined motivational style to positively impact adjustment, as well as to interact (p <.05) with gender in this respect. Length of residence and gender each impacted ADLs, and motivational style also affected both desired/expected control and self-esteem, where those with higher self determined motivational styles had expectations for and desirability of control. Voluntariness of the decision to move generally positively impacted adjustment, but its impact was moderated by motivational style. Thus, persons who vary along motivational style, gender, voluntariness, and length of residence are likely to function in distinct ways in adjusting to being institutionalized.     

Marrying a Man with “Baggage”

Abstract

Cultural views of previously married men include the assumption that they bring ex-wives and children as “baggage” into subsequent marriages. Analysis of 274 questionnaires of second wives revealed that such baggage was significantly associated with reporting less marital happiness, thinking about divorce, and wishing that they had not married their current husband. Implications for women contemplating marriage to a previously married man include acknowledging the vulnerability of second marriages to marital instability, questioning if living together ensures subsequent marital success, delaying the marriage until issues settle out, and considering moving into a new home or apartment with the new spouse rather than having him move into her home.     

The role of religion in mediating the transition to residential care

PurposeThe move from independent domicile to residential care can be a traumatic experience for the elderly. This study investigated the mediatory role of the individual's religious and spiritual beliefs on coping with this transition.Design and methodsA self-report survey design was used, and questionnaires were administered to 50 individuals who had entered residential care within the previous 12 months.ResultsThe analyses showed that scores on a life satisfaction scale were significantly and positively correlated with those from a spirituality measure (p = .033), from a faith in nature and humanity scale (p = .001), and from an instrument to measure the use of religion as a coping measure (p = .004). Contrary to the hypotheses, there were no such significant relationships with measures of either organised or non-organised religion. The relationships between variables were further explored through a path analysis.ImplicationsThe findings pointed to the benefits of a more personal and subjective belief system than a formal one. We concluded that it is important for all those who work with the elderly to acknowledge and recognise the role that religious and spiritual beliefs may have as a coping mechanism during stressful times.     

The Protective Function of Meaning of Life on Life Satisfaction Among Chinese Students in Australia and Hong Kong: A Cross-Cultural Comparative Study

Objective: The authors compared the predictive effects of acculturative stressors and meaning of life on life satisfaction between Chinese students in Australia and in Hong Kong. Participants: In 2006, the researchers recruited 606 Chinese students studying abroad at the University of Melbourne in Australia and at 6 universities in Hong Kong. Methods: Participants completed a questionnaire that included measures of acculturative stressors, meaning of life, life satisfaction, and demographic information. Results: The Australian sample experienced a significantly higher level of acculturative stressors than did the Hong Kong sample, but life satisfaction did not differ significantly between the 2 samples. Meaning of life had a strong positive contribution and acculturative stressors had a negative contribution in predicting life satisfaction in both samples. Meaning of life partially mediated the relationship between acculturative stressors and life satisfaction in both samples. Conclusions: The authors discuss the theoretical and practical implications for Chinese students studying abroad.     

Declining Negative Consequences Related to Alcohol Misuse Among Students Exposed to a Social Norms Marketing Intervention on a College Campus

Objective: The authors examined whether alcohol-related negative consequences decreased among students exposed to an intervention. Participants: Beginning in 1999, approximately 2,500 randomly selected undergraduates from a 4-year US university annually participated in a Web-based survey over 6 years. Methods: The educational intervention used social norms initiatives. Main outcome measures included recall of intervention, estimated blood alcohol content (eBAC) when drinking, and 10 negative consequences from alcohol within the past year. Results: First-year students recalling exposure had lower odds of negative consequences (odds ratio [OR] = 0.78, 95% confidence interval [CI] = 0.64-0.95) and of having an eBAC higher than .08 (OR = 0.76, 95% CI = 0.62-0.92). Over the 6 study years, the odds among all participants of experiencing (a) none of 10 alcohol consequences nearly doubled (OR = 2.13, 95% CI = 1.82-2.49) and (b) multiple consequences decreased by more than half (OR = 0.43, 95% CI = 0.36-0.50). Conclusions: These findings have important implications for US colleges and universities engaged in the reduction of harm associated with alcohol misuse.     

Styles of Physician Advice About Smoking Cessation in College Students

Abstract

Objective: To examine whether young adult cigarette smokers who were in the precontemplation and contemplation stages of change for smoking cessation would differ in their evaluations of vignettes depicting 2 types of physician advice. Participants: Fifty-seven young adult cigarette smokers who were undergraduate students (49.1% female, mean age = 20.4 years) attending an urban university. Methods: Participants evaluated 2 written vignettes. Both vignettes depicted physicians using patient-centered communication styles. One vignette depicted a physician giving a patient direct advice to quit smoking and the other a physician using a motivational style of advice. Data were collected from September 2004 through May 2005. Results: Participants rated the motivational advice vignette as significantly more favorable compared to the direct advice vignette on all assessed dimensions (global satisfaction, general satisfaction, physician affective style, physician technical style, and physician communication style). Conclusion: Smokers preferred the motivational advice style to simple patent-centered advice.     

Grief in the initial adjustment process to the continuing care retirement community

This paper examined the transition to continuing care retirement communities (CCRCs) within the framework of anticipatory and disenfranchised grief. Qualitative interviews with 29 residents and 19 adult children were conducted. Three major thematic categories emerged from the data. The first theme reflected ambivalence, dialectics or uncertainty about the CCRC as manifested by the various names assigned to it by respondents. The second theme reflected the acknowledgement of present and anticipatory losses and grief in response to the move. The final theme reflected respondents' disenfranchisement of their grief and loss and their view of the transition in a positive light. In their early adjustment period, residents and adult children are ambivalent about the transition, but often refrain from acknowledging their losses openly because of the image of the CCRC as a status symbol. Open acknowledgement of losses associated with the transition might be beneficial.     

Couple-Level Patterns of Disclosure Process Beliefs and Their Association with Marital Satisfaction

Abstract

Grounded in symbolic interaction theory, we used latent class analysis (LCA) to investigate the preexisting patterns of belief surrounding the disclosure process in married relationships. With a sample of 131 heterosexual married dyads from the U.S., we found four classes: two classes represented similarity of spouses’ beliefs (Both High Beliefs and Neither High Beliefs), and two classes represented dissimilarity of spouses’ beliefs (where only the wife endorsed high beliefs, Wife High Beliefs, and where only the husband did, Husband High Beliefs). Husbands’ satisfaction was positively associated with membership in the Both High Beliefs class. An interaction between spouses’ satisfaction was found: the impact of wives’ satisfaction on class membership is dependent on husbands’ satisfaction. Implications for research and practice are discussed.