The association of increasing resilience with positive health outcomes among older adults.

Autor: Musich S; Research for Aging Populations, Optum, 315 E. Eisenhower Parkway, Suite 305, Ann Arbor, MI 48108, USA. Electronic address: shirley.musich@optum.com., Wang SS; Research for Aging Populations, Optum, 315 E. Eisenhower Parkway, Suite 305, Ann Arbor, MI 48108, USA., Schaeffer JA; Research for Aging Populations, Optum, 315 E. Eisenhower Parkway, Suite 305, Ann Arbor, MI 48108, USA., Kraemer S; Medicare & Retirement, UnitedHealthcare Alliances, PO Box 9472, Minneapolis, MN 55440, USA., Wicker E; AARP Services, Inc., 601 E. Street, N.W., Washington, D.C., 20049, USA., Yeh CS; AARP Services, Inc., 601 E. Street, N.W., Washington, D.C., 20049, USA.
Jazyk: angličtina
Zdroj: Geriatric nursing (New York, N.Y.) [Geriatr Nurs] 2022 Mar-Apr; Vol. 44, pp. 97-104. Date of Electronic Publication: 2022 Jan 29.
DOI: 10.1016/j.gerinurse.2022.01.007
Abstrakt: Our objective was to investigate three levels of resilience (low, medium, and high), identify associated characteristics, and measure the impact of increasing resilience on quality of life (QOL), healthcare utilization and expenditures, and preventive services compliance. The study sample was identified from adults age ≥65 who completed surveys during May-June 2019 (N=3,573). Other protective factors, including purpose-in-life, optimism, locus of control, and social connections, were dichotomized as high/low and counted with equal weighting (0 to 4). Among survey respondents, the prevalence of low, medium, and high resilience levels was 27%, 29%, and 44%, respectively. The strongest predictors of medium and high resilience included increasing number of other protective factors, lower stress, and no depression. Individuals with medium and high resilience had significantly higher QOL and lower healthcare utilization and expenditures. Resilience strategies integrated into healthy aging programming could be associated with improvements in QOL and/or healthcare utilization and expenditure outcomes.
Competing Interests: Conflict of Interest Statement This work was funded by the AARP Medicare Supplement Insurance Program. Shirley Musich, Shaohung S. Wang, James Schaeffer, and Sandra Kraemer are all employed by UnitedHealth Group and have stock with UnitedHealth Group. Ellen Wicker and Charlotte S. Yeh are employed by AARP Services, Inc. However, their compensation was not dependent upon the results obtained in this research, and the investigators retained full independence in the conduct of this research. This research did not receive any specific grant or grant number from funding agencies.
(Copyright © 2022 The Author(s). Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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