6533b833fe1ef96bd129b8a3
RESEARCH PRODUCT
Association of tenacious goal pursuit and flexible goal adjustment with out-of-home mobility among community-dwelling older people
Milla SaajanahoErja PortegijsSini SiltanenTaina RantanenAnu TourunenJohanna EronenTaina Poranen-clarksubject
MaleGerontologyitsemäärääminenAgingCoping (psychology)media_common.quotation_subject03 medical and health sciences0302 clinical medicineSurveys and QuestionnairesAdaptation PsychologicalliikuntakykyCommunity lifeCluster AnalysisHumans030212 general & internal medicineMobility LimitationautonomyAutonomyAgedosallistuminenmedia_commonMobilityAged 80 and overDepressionGeriatrics gerontologyselviytyminenagingParticipationGoal pursuitliikkuvuusikääntyminenOriginal ArticleFemaleIndependent LivingCopingGeriatrics and GerontologyOlder peoplePsychologyGoals030217 neurology & neurosurgeryAutonomydescription
Background As people age, functional losses may limit the potential to get outside the home and participate in desired activities and community life. Coping with age-related losses has been reported to be important for psychological well-being. Hitherto is not known whether active use of coping strategies also helps maintain out-of-home mobility. Aims We investigated how two coping strategies, tenacious goal pursuit (TGP; persistency in reaching one’s goals) and flexible goal adjustment (FGA; adjusting one’s goals to changed circumstances), are associated with life-space mobility and perceived autonomy in participation outdoors among community-dwelling older people. Methods Participants (n = 186) were aged 79–93 years. TGP and FGA were self-reported using separate scales. Perceived autonomy in participation was assessed with the Impact on Participation and Autonomy Outdoors-subscale, and life-space mobility with the Life-Space Assessment. Two-step cluster analysis was used to create data-driven coping profiles of TGP and FGA. Results General linear model analyses showed that the profile including highly tenacious and flexible older people had the highest life-space mobility and perceived autonomy outdoors, whereas the profile including people with low TGP and low FGA showed the lowest scores. Depressive symptoms attenuated the associations. Conclusions Active use of both TGP and FGA is favorable for out-of-home mobility and enables more active participation in society in later life. Electronic supplementary material The online version of this article (10.1007/s40520-018-1074-y) contains supplementary material, which is available to authorized users.
year | journal | country | edition | language |
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2018-11-01 | Aging Clinical and Experimental Research |