Accepting the inevitable : A mixed method approach with assessment and perceptions of well-being in very old persons within the northern Sweden Silver-MONICA study
Background: As the group of very old persons will form an increasing part of society, the study of how well-being is described and affected by specific factors will be of importance to meet the future needs of these persons. The aim of the study was to increase knowledge of well-being in very old pe...
Published in: | Archives of Gerontology and Geriatrics |
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Umeå universitet, Geriatrik
2021
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ftumeauniv:oai:DiVA.org:umu-179070 2023-10-09T21:54:35+02:00 Accepting the inevitable : A mixed method approach with assessment and perceptions of well-being in very old persons within the northern Sweden Silver-MONICA study Almevall, Albin D. Zingmark, Karin Nordmark, Sofi Forslund, Ann-Sofie Niklasson, Johan 2021 application/pdf http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-179070 https://doi.org/10.1016/j.archger.2020.104275 eng eng Umeå universitet, Geriatrik Archives of gerontology and geriatrics (Print), 0167-4943, 2021, 92, orcid:0000-0001-5050-3720 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-179070 doi:10.1016/j.archger.2020.104275 PMID 33032185 ISI:000600899700010 Scopus 2-s2.0-85092063262 info:eu-repo/semantics/openAccess Well-being Quality of life Oldest old Subjective well-being Life satisfaction Nursing Omvårdnad Gerontology specialising in Medical and Health Sciences Gerontologi medicinsk/hälsovetenskaplig inriktning Article in journal info:eu-repo/semantics/article text 2021 ftumeauniv https://doi.org/10.1016/j.archger.2020.104275 2023-09-22T13:58:55Z Background: As the group of very old persons will form an increasing part of society, the study of how well-being is described and affected by specific factors will be of importance to meet the future needs of these persons. The aim of the study was to increase knowledge of well-being in very old persons by combining assessments and perceptions using the Philadelphia Geriatric Morale Scale (PGCMS). Method: In a mixed method, convergent parallel design, 52 persons 80 years or older were assessed and interviewed using the PGCMS to combine assessment of morale and descriptions of perceptions of well-being using a mixed method approach. Results: Quantitative and qualitative results converged in four areas: not feeling lonely and being included, rating and perceiving health as good, high physical function/ability and being physically active, living in own house and feeling at home. Areas perceived as important to well-being captured only in qualitative analysis were having freedom and engagement. An example of insights not achievable from the quantitative or qualitative analysis alone was that individuals with high morale expressed anxiety about losing their health due to potential ageing-related threats and that individuals with low morale struggled with acceptance. Acceptance was the key strategy for handling adverse consequences of ageing in all described areas. Conclusion: When using standardized assessment scales in clinical practice, it could be useful to combine quantitative and qualitative data. Acceptance was key for well-being; however, acceptance could be resigned or reorienting in nature. Article in Journal/Newspaper Northern Sweden Umeå University: Publications (DiVA) Archives of Gerontology and Geriatrics 92 104275 |
institution |
Open Polar |
collection |
Umeå University: Publications (DiVA) |
op_collection_id |
ftumeauniv |
language |
English |
topic |
Well-being Quality of life Oldest old Subjective well-being Life satisfaction Nursing Omvårdnad Gerontology specialising in Medical and Health Sciences Gerontologi medicinsk/hälsovetenskaplig inriktning |
spellingShingle |
Well-being Quality of life Oldest old Subjective well-being Life satisfaction Nursing Omvårdnad Gerontology specialising in Medical and Health Sciences Gerontologi medicinsk/hälsovetenskaplig inriktning Almevall, Albin D. Zingmark, Karin Nordmark, Sofi Forslund, Ann-Sofie Niklasson, Johan Accepting the inevitable : A mixed method approach with assessment and perceptions of well-being in very old persons within the northern Sweden Silver-MONICA study |
topic_facet |
Well-being Quality of life Oldest old Subjective well-being Life satisfaction Nursing Omvårdnad Gerontology specialising in Medical and Health Sciences Gerontologi medicinsk/hälsovetenskaplig inriktning |
description |
Background: As the group of very old persons will form an increasing part of society, the study of how well-being is described and affected by specific factors will be of importance to meet the future needs of these persons. The aim of the study was to increase knowledge of well-being in very old persons by combining assessments and perceptions using the Philadelphia Geriatric Morale Scale (PGCMS). Method: In a mixed method, convergent parallel design, 52 persons 80 years or older were assessed and interviewed using the PGCMS to combine assessment of morale and descriptions of perceptions of well-being using a mixed method approach. Results: Quantitative and qualitative results converged in four areas: not feeling lonely and being included, rating and perceiving health as good, high physical function/ability and being physically active, living in own house and feeling at home. Areas perceived as important to well-being captured only in qualitative analysis were having freedom and engagement. An example of insights not achievable from the quantitative or qualitative analysis alone was that individuals with high morale expressed anxiety about losing their health due to potential ageing-related threats and that individuals with low morale struggled with acceptance. Acceptance was the key strategy for handling adverse consequences of ageing in all described areas. Conclusion: When using standardized assessment scales in clinical practice, it could be useful to combine quantitative and qualitative data. Acceptance was key for well-being; however, acceptance could be resigned or reorienting in nature. |
format |
Article in Journal/Newspaper |
author |
Almevall, Albin D. Zingmark, Karin Nordmark, Sofi Forslund, Ann-Sofie Niklasson, Johan |
author_facet |
Almevall, Albin D. Zingmark, Karin Nordmark, Sofi Forslund, Ann-Sofie Niklasson, Johan |
author_sort |
Almevall, Albin D. |
title |
Accepting the inevitable : A mixed method approach with assessment and perceptions of well-being in very old persons within the northern Sweden Silver-MONICA study |
title_short |
Accepting the inevitable : A mixed method approach with assessment and perceptions of well-being in very old persons within the northern Sweden Silver-MONICA study |
title_full |
Accepting the inevitable : A mixed method approach with assessment and perceptions of well-being in very old persons within the northern Sweden Silver-MONICA study |
title_fullStr |
Accepting the inevitable : A mixed method approach with assessment and perceptions of well-being in very old persons within the northern Sweden Silver-MONICA study |
title_full_unstemmed |
Accepting the inevitable : A mixed method approach with assessment and perceptions of well-being in very old persons within the northern Sweden Silver-MONICA study |
title_sort |
accepting the inevitable : a mixed method approach with assessment and perceptions of well-being in very old persons within the northern sweden silver-monica study |
publisher |
Umeå universitet, Geriatrik |
publishDate |
2021 |
url |
http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-179070 https://doi.org/10.1016/j.archger.2020.104275 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_relation |
Archives of gerontology and geriatrics (Print), 0167-4943, 2021, 92, orcid:0000-0001-5050-3720 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-179070 doi:10.1016/j.archger.2020.104275 PMID 33032185 ISI:000600899700010 Scopus 2-s2.0-85092063262 |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.1016/j.archger.2020.104275 |
container_title |
Archives of Gerontology and Geriatrics |
container_volume |
92 |
container_start_page |
104275 |
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1779318212327899136 |