Browsing by Author "Foster, Erin R"

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    Subjective memory complaints and social participation among older adults: results from the health and retirement study
    (Taylor & Francis, 2021-08-14) Lee, Chang Dae; Park, Sangmi; Foster, Erin R
    Objectives: This study aims to examine whether subjective memory complaints (SMC) contribute to social participation among older adults. Method: The study sample was 4,713 community-dwelling older adults aged 65 years and older from four waves (2010, 2012, 2014, 2016) of the Health and Retirement Study. Hierarchical linear modeling analysis was used to examine the association of SMC with social participation after controlling for factors influencing social participation. Demographic factors (i.e. age, gender, and perceived socioeconomic status) were entered in block 1, health-related factors (i.e. health conditions, perceived health, instrumental activities of daily living, memory-immediate and delayed, and depressive symptoms) were entered in block 2, environmental factors (i.e. perceived social support and strain from spouse, child, family, and friend) were entered in block 3, and SMC was entered in block 4. Results: The result showed that factors significantly contributing to social participation are age (standardized β = –0.08, p < 0.01), perceived socioeconomic status (β = 0.16, p < 0.001), perceived health (β = 0.15, p < 0.001), instrumental activities of daily living (β = 0.12, p < 0.001), memory-immediate and delayed (β = 0.09, p < 0.001; β = 0.08, p < 0.001, respectively), social support from spouse and friend (β = 0.04, p < 0.05; β = 0.13, p < 0.001, respectively), social strain from friend (β = 0.07, p < 0.001), and SMC (β = –0.05, p < 0.001). The demographic factors explained 9.5%, health-related factors explained 8.5%, environmental factors explained 2.4%, and SMC explained 0.1% of the variance in social participation. Conclusion: This finding suggests that SMC may contribute to social participation in older adults.
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    Subjective Memory Complaints Predict Decline in Memory, Instrumental Activities of Daily Living, and Social Participation in Older Adults: A Fixed-Effects Model
    (American Occupational Therapy Association, 2023-08-21) Lee, Chang Dae; Foster, Erin R
    Importance: Although subjective memory complaints (SMCs) have been suggested to be associated with future memory impairment, limitations in instrumental activities of daily living (IADLs), and social participation restriction, these associations are still inconclusive. Objective: To determine whether changes in SMCs over time predict decline in memory, IADLs, and social participation in older adults. Design: Longitudinal study. Setting: Community. Participants: Sample 1 included 2,493 community-dwelling older adults drawn from the Health and Retirement Study (HRS) data collected between 2004 and 2018. Sample 2 included 1,644 community-dwelling older adults drawn from the HRS data collected between 2008 and 2018. Outcomes and Measures: Self-reported SMCs, memory function, self-reported IADL performance, and self-reported social participation. Results: The mean age of Sample 1 at baseline was 70.16 yr; 1,468 (58.88%) were female. In Sample 1, immediate and delayed memory (all ps < .001) and IADL performance (p < .01) declined over time. Increases in SMCs over time significantly predicted future immediate and delayed memory declines (p < .01 and p < .001, respectively) and future IADL performance decline (p < .001), after controlling for depressive symptoms. The mean age of Sample 2 at baseline was 71.52 yr; 928 (56.45%) were female. In Sample 2, social participation declined over time (all ps < .001). Increases in SMCs over time significantly predicted future social participation decline (p < .05), after controlling for depressive symptoms. Conclusions and Relevance: Increases in SMCs predict future decline in memory, IADL performance, and social participation after accounting for depressive symptoms. What This Article Adds: SMCs can be used as an early indicator of future memory impairment, IADL limitations, and social participation restrictions in older adults. Furthermore, interventions that minimize SMCs may help older adults achieve successful aging.
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    The relationship between active, balanced participation and well-being in older adults in the United States: A time-use perspective
    (Taylor & Francis, 2021-03-07) Lee, Chang Dae; Kim, Moon Young; Lee, Mi Jung; Kang, Jaewon; Foster, Erin R
    The purpose of the study was to investigate the association between occupational balance and well-being in older adults. The sample was 2,142 older adults (aged 65 and older; mean age=73.4; 59.6% female) from the American Time-Use Survey (ATUS). Work and leisure time use was reported as the amount of time (min) spent on work and leisure occupations in the 24-hour day. A median split of total time spent on both work and leisure was used to create 4 time-use groups: high work high leisure = active balanced; high work-low leisure = work-focused; low work-high leisure = leisure-focused; and low work-low leisure = inactive balanced. Well-being was rated from 0 (the worst possible life) to 10 (the best possible life). Results showed that the active balanced group had significantly higher well-being than the inactive balanced group, after controlling for perceived health and well-restedness (p<0.05). There were no significant differences between any other group combinations (e.g., leisure-focused vs. work-focused and work focused vs. active-balanced). These findings are consistent with the occupational science literature indicating the importance of active participation in both work and leisure occupations for higher well-being and extended to the older adult population.