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Leisure Activities and Motivational Profiles in Adaptation to Nursing Homes

Published online by Cambridge University Press:  13 July 2018

Emin Altintas*
Affiliation:
Univ. Lille, EA 4072 – PSITEC – Psychologie : Interactions, Temps, Emotions, Cognition, F-59000 Lille, France
Alain Guerrien
Affiliation:
Univ. Lille, EA 4072 – PSITEC – Psychologie : Interactions, Temps, Emotions, Cognition, F-59000 Lille, France
Bruno Vivicorsi
Affiliation:
Université de Rouen Normandie, Laboratoire CRFDP, Centre de Recherches sur les Fonctionnements et Dysfonctionnements Psychologiques, EA7475, France
Evelyne Clément
Affiliation:
Université de Cergy-Pontoise - Laboratoire Paragraphe (EA 349), France
Robert J. Vallerand
Affiliation:
Laboratoire de Recherche sur le Comportement Social (LRCS), Université du Québec À Montréal, Canada
*
La correspondance et les demandes de tirés-à-part doivent être adressées à : / Correspondence and requests for offprints should be sent to: Emin Altintas Université de Lille PSITEC Lab EA 4072 BP 60149 Domaine du Pont de Bois 59653 Villeneuve d’Ascq cedex France <emin.altintas@univ-lille.fr>

Abstract

Based on self-determination theory, this study examined the relationship between leisure activities, motivation, and adjustment to institutional living by older adults who live in nursing homes. We hypothesized that motivational profiles with higher levels of self-determined motivation represent the optimal profiles regarding participation in leisure activities, adaptation to nursing home living, and satisfaction with life. Participants completed questionnaires assessing motivation, leisure activity participation, life satisfaction, and adaptation to the nursing home. Results showed a relationship between the latter three factors. A latent profile analysis based on the different forms of motivation indicated four distinct profiles. Although no differences were found between the high self-determined profile (high self-determined motivation and low non-self-determined motivation) and the additive profile (high self-determined motivation and non-self-determined motivation), participants with a moderate profile and a low self-determined profile reported the lowest levels in leisure activity participation, adaptation to the nursing home, and satisfaction with life.

Résumé

Cette recherche étudie les liens entre motivation, participation aux activités de loisirs et adaptation de personnes âgées au centre d’hébergement dans lequel elles vivent. En accord avec la théorie de l’autodétermination, nous avons testé l’hypothèse que les profils les plus autodéterminés présenteront la meilleure adaptation, la plus grande participation aux activités de loisirs at la meilleure satisfaction de vie. Les participants ont rempli des questionnaires évaluant la motivation, la participation aux activités de loisirs ainsi que l’adaptation au centre d’hébergement. Une analyse des profils latents révèle que les profils hautement autodéterminés (score élevé de motivation autodéterminée et faible score de motivation non-autodéterminée) et les profils additifs (motivation autodéterminée et non autodéterminée élevées) ne diffèrent pas significativement alors que les participants aux profils modérés et aux profils faiblement autodéterminés présentent les scores les plus bas d’adaptation au centre d’hébergement, de participation aux activités de loisirs et de satisfaction de vie.

Type
Article
Copyright
Copyright © Canadian Association on Gerontology 2018 

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Footnotes

*

We thank the residents and staff for their cooperation and participation.

References

Akaike, H. (1987). Factor analysis and AIC. Psychometrika, 52, 712317712332.CrossRefGoogle Scholar
Alaphillipe, D. (2009). Contrôle et personnes âgées. In Paquet, Y. (Ed.), Psychologie du contrôle. Théories et applications (pp. 6787). Bruxelles, BEL: De Boeck Université.Google Scholar
Altintas, E., & Guerrien, A. (2014). Profil motivationnel et bien-être psychologique dans l’âge avancé. Canadian Journal of Behavioural Science/Revue canadienne des sciences du comportement, 46(2), 95106.CrossRefGoogle Scholar
Altintas, E., Majchrzak, G., Leconte, C., & Guerrien, A. (2010). Adaptation des aînés à la résidence pour personnes âgées: activité de loisirs et autodétermination. Canadian Journal on Aging/La Revue canadienne du vieillissement, 29(4), 557565.CrossRefGoogle Scholar
Bizzini, L. (2004). Adaptations et âge avancé. In Richard, J. & Mateev-Dirkx, E. (Eds.), Psychogérontologie (2nd éd.) (pp. 91109). Paris, FRA: Masson.Google Scholar
Blais, M. R., Vallerand, R. J., Pelletier, L. G., & Brière, N. M. (1989). L’Échelle de satisfaction de vie: Validation canadienne-française du “Satisfaction with Life Scale”. Canadian Journal of Behavioural Science/Revue canadienne des sciences du comportement, 21(2), 210223.CrossRefGoogle Scholar
Boiché, J. C. S., Sarrazin, P. G., Grouzet, F. M. E., Pelletier, L. G., & Chanal, J. P. (2008). Students’ motivational profiles and achievement outcomes in physical education: A self-determination perspective. Journal of Educational Psychology, 100, 688701.CrossRefGoogle Scholar
Castle, N. G. (2003). Searching for and selecting a nursing facility. Medical Care Research and Review, 60(2), 223247.CrossRefGoogle ScholarPubMed
Castonguay, G., & Ferron, S. (1999). Elaboration et validation d’un instrument évaluant le degré d’adaptation de la personne âgée à sa résidence. Canadian Journal on Aging/La Revue canadienne du vieillissement, 18(3), 363375.CrossRefGoogle Scholar
Cheng, S. T., Chow, P. K., Yu, E. C., & Chan, A. C. (2012). Leisure activities alleviate depressive symptoms in nursing home residents with very mild or mild dementia. American Journal of Geriatric Psychiatry, 20(10), 904908.CrossRefGoogle ScholarPubMed
Chou, K. L., & Chi, I. (2001). Stressful life events and depressive symptoms: Social support and sense of control as mediators or moderators? The International Journal of Aging & Human Development, 5(2), 155171.CrossRefGoogle Scholar
Coleman, D., & Iso-Ahola, S. E. (1993). Leisure and health: The role of social support and self-determination. Journal of Leisure Research, 25, 111128.CrossRefGoogle Scholar
Craike, M., & Coleman, D. J. (2005). Buffering effect of leisure self-determination on the mental health of older adults. Leisure/Loisir, 29(2), 301328.CrossRefGoogle Scholar
Custers, A. F. J., Westerhof, G. J., Kuin, Y., Gerritsen, D. L., & Riksen-Walraven, J. M. A. (2012). Relatedness, autonomy, and competence in the caring relationship: The perspective of nursing home residents. Journal of Aging Studies, 26, 319326.CrossRefGoogle Scholar
Deci, E. L., Connell, J. P., & Ryan, R. M. (1989). Self-determination in a work organization. Journal of Applied Psychology, 74(4), 580590.CrossRefGoogle Scholar
Deci, E. L., & Ryan, R. M. (1985). Intrinsic motivation and self-determination in human behavior. New York, NY: Plenum.CrossRefGoogle Scholar
Deci, E. L., & Ryan, R. M. (2000). The “What” and “Why” of goal pursuits: Human needs and the self-determination of behavior. Psychological Inquiry, 11(4), 227268.CrossRefGoogle Scholar
Deci, E. L., & Ryan, R. M. (2002). Handbook of self-determination research. Rochester, NY: University of Rochester Press.Google Scholar
Deci, E. L., & Ryan, R. M. (2008). Facilitating optimal motivation and psychological well-being across life’s domains. Canadian Psychology/Psychologie canadienne, 49(1), 2434.CrossRefGoogle Scholar
Deci, E. L., Ryan, R. M., Gagné, M., Leone, D. R., Usunov, J., & Kornazheva, B. P. (2001). Need satisfaction, motivation, and well-being in the work organizations of a former Eastern bloc country. Personality and Social Psychology Bulletin, 27, 930942.CrossRefGoogle Scholar
Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49, 7176.CrossRefGoogle ScholarPubMed
Drummond, A. E. R., Parker, C. J., Gladman, J. R. F., & Logan, P. A. (2001). Development and validation of the Nottingham Leisure Questionnaire (NLQ). Clinical Rehabilitation, 15(6), 647656.CrossRefGoogle Scholar
Duke, J., Leventhal, H., Brownlee, S., & Leventhal, E. A. (2002). Giving up and replacing activities in response to illness. Journals of Gerontology Series B: Psychological Sciences & Social Sciences, 57(4), 367376.CrossRefGoogle ScholarPubMed
Dupuis, S. L., & Smale, B. J. A. (1995). An examination of relationship between psychological well-being and depression and leisure participation among older adults. Loisir et Société/Society and Leisure, 18(1), 6792.CrossRefGoogle Scholar
Fitzsimmons, S., & Buettner, L. (2002). Therapeutic recreation interventions for need-driven dementia-compromised behaviors in community-dwelling elders. American Journal of Alzheimer’s Disease and Other Dementias, 17(6), 367381.CrossRefGoogle ScholarPubMed
Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). “Mini-mental state”: A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12(3), 189198.CrossRefGoogle ScholarPubMed
Freeman, S. M., & Roy, C. (2005). Cognitive behavior therapy and the Roy adaptation model: Integrating CBT into nursing practice. In Freeman, S. M. & Freeman, A. (Eds.), Cognitive behavior therapy in nursing practice (pp. 327). New York, NY: Springer.Google Scholar
Gassoumis, Z. D., Fike, K. T., Rahman, A. N., Enguidanos, S. M., & Wilber, K. H. (2013). Who transitions to the community from nursing homes? Comparing patterns and predictors for short-stay and long-stay residents. Home Health Care Services Quarterly, 32(2), 7591.CrossRefGoogle ScholarPubMed
Gaugler, J. E., Mittelman, M. S., Hepburn, K., & Newcomer, R. (2009). Predictors of change in caregiver burden and depressive symptoms following nursing home admission. Psychology and Aging, 24(2), 385396.CrossRefGoogle ScholarPubMed
Genoe, M. R., & Dupuis, S. L. (2014). The role of leisure within the dementia context. Dementia, 13(1), 3358.CrossRefGoogle ScholarPubMed
Gillet, N., Berjot, S., & Paty, E. (2010). Profils motivationnels et ajustement au travail: vers une approche intra-individuelle de la motivation. Le Travail Humain, 73(2), 141162.CrossRefGoogle Scholar
Gillet, N., Vallerand, R. J., & Rosnet, E. (2009). Motivational clusters and performance in a real-life setting. Motivation and Emotion, 33, 4962.CrossRefGoogle Scholar
Grouzet, F. M. E., Vallerand, R. J., Thill, E. E., & Provencher, P. J. (2004). From environmental factors to outcomes: A test of motivational causal sequence. Motivation and Emotion, 28, 3146.CrossRefGoogle Scholar
Iso-Ahola, S. E. (1999). Motivational foundations of leisure. In Jackson, E. L. & Burton, T. L. (Eds.), Leisure studies: Prospects for the twenty-first century (pp. 6979). State College, PA: Venture.Google Scholar
Kalafat, M., Hugonot-Diener, L., & Poitrenaud, J. (2003). Standardisation et étalonnage français du “Mini Mental Test” (MMS), version GRECO. Revue de Neuropsychologie, 13(2), 209236.Google Scholar
Kelly, J. R., Steinkamp, M. W., & Kelly, J. R. (1987). Later life satisfaction: Does leisure contribute? Leisure Sciences, 9(3), 189200.CrossRefGoogle Scholar
Kelly, J. R. (1996). Leisure (3rd ed.). Boston, MA: Allyn & Bacon.Google Scholar
Langer, E. J., & Rodin, J. (1976). The effects of choice and enhanced personal responsibility for the aged: A field experiment in an institutional setting. Journal of Personality and Social Psychology, 34(2), 191198.CrossRefGoogle Scholar
Lanza, S. T., Collins, L. M., Lemmon, D. R., & Schafer, J. L. (2007). PROC LCA: A SAS procedure for latent class analysis. Structural Equation Modeling, 14(4), 671694.CrossRefGoogle ScholarPubMed
Lanza, S. T., Flaherty, B. P., & Collins, L. M. (2003). Latent class and latent transition analysis. In Schinka, J. A. & Velicer, W. E. (Eds.), Handbook of psychology: Research methods in psychology (pp. 663685). New York, NY: Wiley.Google Scholar
Leitner, M. J., & Leitner, S. F. (2012). Leisure in later life (4th ed.). Urbana, IL: Sagamore.Google Scholar
Lepper, M. R., Corpus, J. H., & Iyengar, S. S. (2005). Intrinsic and extrinsic motivational orientations in the classroom: Age differences and academic correlates. Journal of Educational Psychology, 97(2), 184196.CrossRefGoogle Scholar
Lepper, M. R., & Henderlong, J. (2000). Turning “play” into “work” and “work” into “play”: 25 years of research on intrinsic versus extrinsic motivation. In Sansone, C. & Harackiewicz, J. M. (Eds.), Intrinsic and extrinsic motivation: The search for optimal motivation and performance (pp. 257307). San Diego, CA: Academic Press.CrossRefGoogle Scholar
Losier, G., Bourque, A., & Vallerand, R. J. (1993). A motivational model of leisure participation in the elderly. Journal of Psychology, 127(2), 107124.Google ScholarPubMed
McGuinn, K. K., & Mosher-Ashley, P. M. (2001). Participation in recreational activities and its effects on perception of life satisfaction in residential settings. Activities, Adaptation & Aging, 25(1), 7786.Google Scholar
Molix, L. A., & Nichols, C. P. (2013). Satisfaction of basic psychological needs as a mediator of the relationship between community esteem and wellbeing. International Journal of Wellbeing, 3(1), 2034.CrossRefGoogle Scholar
Nakanishi, M., Hattori, K., Nakashima, T., & Sawamura, K. (2012). Priority for elderly persons with behavioral and psychological symptoms of dementia on waiting lists for placement in nursing homes in Japan: Do nursing homes change priorities based on their own guidelines? Journal of the American Medical Directors Association, 13(2), 794799.CrossRefGoogle ScholarPubMed
Philippe, F. L., & Vallerand, R. J. (2008). Actual environments do affect motivation and psychological adjustment: A test of self-determination theory in a natural setting. Motivation and Emotion, 32, 8189.CrossRefGoogle Scholar
Ratelle, C. F., Guay, F., Vallerand, R. J., Larose, S., & Senécal, C. (2007). Autonomous, controlled, and amotivated types of academic motivation: A person-oriented analysis. Journal of Educational Psychology, 99(4), 734746.CrossRefGoogle Scholar
Ratelle, C. F., Vallerand, R. J., Chantal, Y., & Provencher, P. J. (2004). Cognitive adaptation and mental health: A motivational analysis. European Journal of Social Psychology, 34(4), 459476.CrossRefGoogle Scholar
Rioux, L. (2008). L’appropriation territoriale de la chambre. Un outil d’évaluation de l’adaptation de la personne âgée en maison de retraite. Canadian Journal of Behavioural Science / Revue canadienne des sciences du comportement, 22(4), 407414.Google Scholar
Rowe, J., & Kahn, R. (1997). Successful ageing. The Gerontologist, 37(4), 433440.CrossRefGoogle Scholar
Roy, C., & Andrews, H. A. (1991). The Roy adaptation model: The definitive statement. Norwalk, CT: Appleton & Lange.Google Scholar
Roy, C., & Andrews, H. A. (2009). The Roy adaptation model (3rd ed.). Upper Saddle River, NJ: Prentice Hall Health.Google ScholarPubMed
Ryan, R. M., & Connell, J. P. (1989). Perceived locus of causality and internalization: Examining reasons for acting in two domains. Journal of Personality and Social Psychology, 57(5), 749761.CrossRefGoogle ScholarPubMed
Schwarz, G. (1978). Estimating the dimension of a model. Annals of Statistics, 6(2), 461464.CrossRefGoogle Scholar
Silverstein, M., & Parker, M. G. (2002). Leisure activities and quality of life among the oldest old in Sweden. Research on Aging, 24(5), 528547.CrossRefGoogle Scholar
Sylvester, C., Voelkl, J., & Ellis, G. (2001). Therapeutic recreation programming: Theory and practice. State College, PA: Venture.Google Scholar
Stephan, Y., Boiché, J., & Le Scanff, C. (2010). Motivation and physical activity behaviors among older women: A self-determination perspective. Psychology of Women Quarterly, 34, 339348.CrossRefGoogle Scholar
Sury, L., Burns, K., & Brody, H. (2013). Moving in: Adjustment of people living with dementia going into a nursing home and their families. International Psychogeriatrics, 25(6), 867876.CrossRefGoogle ScholarPubMed
Tak, S. H., Kedia, S., Tongumpun, T. M., & Hong, S. H. (2015). Activity engagement: Perspective from nursing home residents with dementia. Educational Gerontology, 41(3), 182192.CrossRefGoogle Scholar
Trouilloud, D., Sarrazin, P., Bressoux, P. & Bois, J. (2006). Relation between teachers’ early expectations and students’ later perceived competence in physical education classes: Autonomy-supportive climate as a moderator. Journal of Educational Psychology, 98(1), 7586.CrossRefGoogle Scholar
Vallerand, R. J., & Bissonnette, R. (1992). Intrinsic, extrinsic, and amotivational styles as predictors of behavior: A prospective study. Journal of Personality, 60, 599620.CrossRefGoogle Scholar
Vallerand, R. J., & Fortier, M. S. (1998). Measures of intrinsic and extrinsic motivation in sport and physical activity: A review and critique. In Duda, J. L. (Ed.), Advancements in sport and exercise psychology measurement (pp. 81101). Morgantown, WV: Fitness Information Technology.Google Scholar
Vallerand, R. J., & O’Connor, B. P. (1989). Motivation in the elderly: A theoretical framework and some promising findings. Canadian Psychology/Psychologie canadienne, 30(3), 538550.CrossRefGoogle Scholar
Vallerand, R. J., & O’Connor, B. P. (1991). Construction et validation de l’échelle de motivation pour les personnes âgées (EMPA). Journal international de psychologie, 26, 219240.CrossRefGoogle Scholar
Vansteenkiste, M., Niemiec, C., & Soenens, B. (2010). The development of the five mini-theories of self-determination theory: An historical overview, emerging trends, and future directions. In Urdan, T. & Karabenick, S. (Eds.), Advances in motivation and achievement (Vol. 16), The decade ahead (pp. 105166). Bingley, ENG: Emerald.Google Scholar
Vansteenkiste, M., Sierens, E., Soenens, B., Luyckx, K., & Lens, W. (2009). Motivational profiles from a self-determination theory perspective: The quality of motivation matters. Journal of Educational Psychology, 101(3), 671688.CrossRefGoogle Scholar
Vermunt, J. K., & Magidson, J. (2002). Latent class cluster analysis. In Hagenaars, J. A. & McCutcheon, A. L. (Eds.), Applied latent class analysis (pp. 89106). Cambridge, ENG: Cambridge University Press.CrossRefGoogle Scholar
Vercauteren, R., & Chapeleau, J. (1995). Evaluer la qualité de vie en maison de retraite. Ramonville Saint-Agne, FRA: Editions Erès.Google Scholar
Vézina, A., & Pelletier, D. (2009). Le maintien du pouvoir chez la personne âgée hébergée souffrant de déficits cognitifs. Service Social, 55(1), 97110.Google Scholar
Vlachopoulos, S. P., Karageorghis, C. I., & Terry, P. C. (2000). Motivation profiles in sport: A self-determination perspective. Research Quarterly for Exercise and Sport, 71(4), 387397.CrossRefGoogle Scholar