What older people do: Time use and exploring the link between role participation and life satisfaction in people aged 65 years and over

Objectives: Data on time use and role participation can provide rich information that can help occupational therapists better understand older people's lives. This study aimed to (i) describe the time use and role participation of community-dwelling people aged 65 years and older, (ii) analyse whether time use and role participation changed with increasing age, and (iii) determine if there is a link between maintenance of role participation and life satisfaction in older age. Methods: Using a cross-sectional design, interviews including the Activity Configuration, Role Checklist and Life Satisfaction Index-Z were used to collect data on 195 participants (mean age 75 years, 58.5% female). Results: Participants spent most of their time on sleep (8.4 h/day), solitary leisure (4.5 h/day), instrumental activities of daily living (3.1 h/day), social leisure (2.7 h/day) and basic activities of daily living (2.6 h/day). The most common roles were friend (96.4%), family member (95.4%) and home maintainer (87.2%). Participants aged 75 years and older spent significantly more time on solitary leisure and less time on paid work and transport compared to those aged 65–74 years. Role maintenance was significantly related to greater life satisfaction in participants aged 75–84 years. Conclusion: Older people's occupations and roles are diverse, and increasing age does not appear to reduce occupational or role engagement. The value of roles is not always reflected in the amount of time devoted to them and facilitating continued participation in valued roles may be important for older people's life satisfaction.

[1]  Mandy Stanley,et al.  An investigation into the relationship between engagement in valued occupations and life satisfaction for elderly South Australians , 1995 .

[2]  Frieder R Lang,et al.  Adapting to aging losses: do resources facilitate strategies of selection, compensation, and optimization in everyday functioning? , 2002, The journals of gerontology. Series B, Psychological sciences and social sciences.

[3]  Kryss McKenna,et al.  Discrepancy between older clients' ability to read and comprehend and the reading level of written educational materials used by occupational therapists. , 2006, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[4]  F. Stafford,et al.  The Allocation of Time: Empirical Findings, Behavioral Models, and Problems of Measurement , 1991 .

[5]  M. Eklund Psychiatric Patients' Occupational Roles: Changes Over Time and Associations with Self-rated Quality of Life , 2001 .

[6]  L. Eklund Describing Patterns of Daily Occupations - A Methodological Study Comparing Data from Four Different Methods , 2001 .

[7]  S. Shiffman,et al.  Patient non-compliance with paper diaries , 2002, BMJ : British Medical Journal.

[8]  P. Baltes,et al.  Selection, optimization, and compensation as strategies of life management: correlations with subjective indicators of successful aging. , 1998, Psychology and aging.

[9]  Carolyn A. Unsworth,et al.  Time use and importance of instrumental activities of daily living , 2001 .

[10]  C. Mercier,et al.  Perceived and Valued Roles of Adults with Severe Mental Health Problems , 2001, Canadian journal of occupational therapy. Revue canadienne d'ergotherapie.

[11]  A. Howe,et al.  USER CHARGES FOR COMMUNITY SERVICES , 1987 .

[12]  D. Kahneman,et al.  A Survey Method for Characterizing Daily Life Experience: The Day Reconstruction Method , 2004, Science.

[13]  M. Lovell Caring for the elderly: changing perceptions and attitudes. , 2005, Journal of vascular nursing : official publication of the Society for Peripheral Vascular Nursing.

[14]  B. Neugarten,et al.  The measurement of life satisfaction. , 1961, Journal of gerontology.

[15]  Anne H. Gauthier,et al.  Time Use at Older Ages , 2003 .

[16]  E. Diener,et al.  Experience Sampling: Promises and Pitfalls, Strengths and Weaknesses , 2003 .

[17]  M. Law,et al.  Participation in the occupations of everyday life. , 2002, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[18]  Louise Farnworth,et al.  Time use, tempo and temporality: Occupational therapy's core business or someone else's business. , 2003 .

[19]  E. Yerxa,et al.  Quality of time use by adults with spinal cord injuries. , 1990, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[20]  L. Gething Ageism and Health Care: the Challenge for the Future , 1999 .

[21]  Gary Kielhofner,et al.  The Role Checklist: Development and Empirical Assessment of Reliability , 1986 .

[22]  H. Wilms,et al.  Daily life in very old age: everyday activities as expression of successful living. , 1998, The Gerontologist.

[23]  M. Csíkszentmihályi,et al.  Validity and Reliability of the Experience‐Sampling Method , 1987, The Journal of nervous and mental disease.

[24]  T Vause-Earland,et al.  Perceptions of role assessment tools in the physical disability setting. , 1991, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[25]  E. Pfeiffer A Short Portable Mental Status Questionnaire for the Assessment of Organic Brain Deficit in Elderly Patients † , 1975, Journal of the American Geriatrics Society.