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See detailSubjective Reasons for Using versus not Using Assistive Technologies in Aging Population: A Meta-Synthesis of Qualitative Studies
Abrilahij, Afsaneh UL; Boll, Thomas UL

Poster (2019, May 24)

The number of older people with limitations of activities of daily living in developing countries is predicted to increase by a factor of four between 2015 and 2050. One possibility to overcome such ... [more ▼]

The number of older people with limitations of activities of daily living in developing countries is predicted to increase by a factor of four between 2015 and 2050. One possibility to overcome such limitations is to promote the use of assistive technologies (ATs) in the aging population. Despite evident benefits of ATs in this context, the use rate is still low. To find out why this is the case, we performed systematic literature searches in PsycINFO, MEDLINE, and Google Scholar databases about subjective reasons of older people for use and non-use of these devices. We then performed a meta-synthesis of the relevant studies in order to arrive at a comprehensive view of older people’s reasons for the use or non-use of ATs. Beliefs about ease to use and reliability of AT use as well as perceived suggestion by significant others to use ATs were important reasons for using them. Beliefs about insecurity, uselessness and other attributes of ATs as well as desires to avoid burden for others were major reasons for not using of ATs. We systematized the identified subjective reasons for using versus not using as referring to (1) situation of need and demand for an AT, (2) suggestion by significant others, (3) act of using, and (4) consequences of AT use. Most of the reasons were reasons for non-use such as beliefs about negative attributes of ATs, and the consequences of their use. In contrast, desires were only rarely mentioned as reasons for use or non-use of ATs. Comparing subjective reasons of our meta-synthesis with predictors in ATs use models, we found that only 5 out of 25 identified subjective reasons have already been considered in these models. Thus, these models appear not yet to be sufficiently comprehensive. We suggest integrating the identified subjective reasons from our meta-synthesis as additional predictors in a comprehensive AT use model with an improved predictive power. [less ▲]

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See detailA qualitative meta-synthesis of reasons for the use or non-use of assistive technologies in the aging population
Abrilahij, Afsaneh UL; Boll, Thomas UL

in GeroPsych: Journal of Gerontopsychology and Geriatric Psychiatry (2019), 32(2), 79-92

Models of the use of assistive technologies (ATs) have only moderate value for predicting older people´s use of ATs. To find further predictors we performed a systematic literature review and – applying ... [more ▼]

Models of the use of assistive technologies (ATs) have only moderate value for predicting older people´s use of ATs. To find further predictors we performed a systematic literature review and – applying an action-theoretical approach – a meta-synthesis of seven qualitative studies about older people´s reasons for use or non-use of ATs. We found 25 reasons referring to user´s beliefs and desires (e.g., about demand, act of using ATs, its consequences) of which 18 were not contained in existing AT use models. Some reasons generalized across ATs (e.g., perceived unreliability), whereas others (e.g., privacy concerns, desire to avoid burden to others) appeared specific to tele-alarm or smart home technology. We discuss findings with respect to improving AT use models and developmental counseling. [less ▲]

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See detailComparative Evaluation of Models of Assistive Technologies’ Use
Abrilahij, Afsaneh UL; Boll, Thomas UL

Scientific Conference (2018, July 06)

Many older people have functional limitations and are at risk of losing their ability to live autonomously. Assistive Technology (AT) could help to reduce that risk. However, many older people don’t use ... [more ▼]

Many older people have functional limitations and are at risk of losing their ability to live autonomously. Assistive Technology (AT) could help to reduce that risk. However, many older people don’t use ATs. Our presentation reviews existing models of ATs use, their applicability to specific types of AT, predictive value, fundamental elements, and critiques of such models. In systematic literature searches in PsycINFO, MEDLINE, and Google Scholar 46 papers were identified that met our inclusion criteria. 32 papers covered models of ATs use, applicability to special types of ATs, components of models, and their predictive value. 14 papers cover criticisms of models of AT use. We classified the models into two groups: The first included 11 models focusing on individuals’ mental states (e.g., beliefs, desires) as factors explaining ATs use; the second included 22 models that also considered contextual factors (e.g., social influence, physical environment) in addition to individuals’ mental states. Across both groups the most frequently included explanatory components were subjective norm and personal attitudes towards AT use, followed by perceived usefulness, perceived ease of use and then intention to use. Models were most frequently applied to information technologies followed by application to socially assistive robots. Unified Theory of Acceptance and Use of Technology 2 (UTAUT2) and an extended version of Technology Acceptance Model showed the highest amount of explained variance in intention to use (56-74%) and an extended model of UTAUT in actual use of ATs (64%). We conclude with recommendations for further improvement of AT use models. [less ▲]

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See detailThe Reasons of Older people for the Use or Non-use of Assistive Technologies:
A Systematic Review of Qualitative Studies
Abrilahij, Afsaneh UL; Boll, Thomas UL

Scientific Conference (2018, July 06)

The baby boomer generation is aging and the proportion of older people in the population is increasing. While people age, functional, cognitive, and physical problems increase. Assistive technology (AT ... [more ▼]

The baby boomer generation is aging and the proportion of older people in the population is increasing. While people age, functional, cognitive, and physical problems increase. Assistive technology (AT) can help to overcome some activity limitations relevant to aging. Although ATs have potential benefits (e.g., to reduce the burden of caregivers, to increase independence), their usage rate is still low. Whereas several reviews of quantitative studies on factors of ATs use already exist, a systematic review of qualitative research about AT use is still missing. The aim of the current review is to provide more differentiated answers about what makes some older people use ATs while others not. Based on systematic literature searches in PsycINFO, MEDLINE, and Google Scholar databases 18 relevant papers were identified according to our selection criteria. These studies were based on to self-reported reasons of older people for using or not-using diverse types of ATs designed for many different activities. We classified the key reasons as referring to three aspects: attributes of “potential technology users”, “context”, and “technology”. Perceived usefulness and attitudes towards use were the most common “personal” reasons and social impact by significant others was the most common “contextual” reason, and technology design was the most common “technological” reason influencing use or non-use of ATs. We discussed the identified reasons in relation to the major models of developmental self-regulation and action-theoretical approaches to development in age. Based on the current review, we generated methodological and theoretical recommendations for future research and for practical applications. [less ▲]

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See detailBarriers and facilitators for the use of assistive technologies for activities of daily living
Abrilahij, Afsaneh UL; Boll, Thomas UL

Scientific Conference (2018, April)

Many older people have functional impairments which increase their risk of losing the ability to live autonomously and to become dependent on care by others. However, assistive technologies (ATs) can help ... [more ▼]

Many older people have functional impairments which increase their risk of losing the ability to live autonomously and to become dependent on care by others. However, assistive technologies (ATs) can help to overcome some limitations of activities of daily living and can thus be assumed to prevent, delay or reduce the need for personal long-term care as well as the burden on caring family members (e.g., spouses, adult children). Yet, the use rate of ATs is still rather low. This paper reviews positive effects of ATs and factors that influence their use. We performed systematic literature searches in PsycINFO, MEDLINE, and Google scholar databases. We found convergent results that the use of ATs for several kinds of activities of daily living such as self-care and mobility was associated with a reduced amount of self-reported personal (in particular informal) care hours. Regarding factors of ATs use, we found that feeling loneliness, cognitive impairments, and difficulty of use were some of barriers for the use of ATs. There is converging evidence that indicators of situation of need (in particular: disabilities in preforming self-care activities) are associated with an increased use of ATs. Slight to moderate functional limitations, chronic illnesses, and home-based training were some of the facilitators for the use of ATs. We concluded with recommendations for further improvement of studies relevant to ATs use. [less ▲]

Detailed reference viewed: 77 (8 UL)
See detailCare in aging: Cross-fertilization within and between Geropsychology, other gerosciences, and Cultural Psychology
Boll, Thomas UL; Ferring, Dieter UL; Valsiner, Jaan

in Boll, Thomas; Ferring, Dieter; Valsiner, Jaan (Eds.) Cultures of care in aging (2018)

Care for elderly persons is multifaceted and embedded in a rich socio-ecological context of individual, micro-, and macro-social factors. This complexity requires multidisciplinary perspectives to better ... [more ▼]

Care for elderly persons is multifaceted and embedded in a rich socio-ecological context of individual, micro-, and macro-social factors. This complexity requires multidisciplinary perspectives to better understand phenomena of elder care and to act successfully in this field. In the final chapter of a multidisciplinary book with contributions from geropsychology, other gerosciences, and cultural psychology the editors draw conclusions about major topics, new insights, and further implications for research and practice. The conclusions refer to four domains. First, the macro-social context—including demographic, historical, political, normative, and other cultural factors—opens and limits the available options for individual care giving and receipt and shapes how these issues are experienced by the participants. Second, elder care at the individual and family level is far more complex than previously thought, due to differentiated individual and social care preferences and due to consequences extending beyond single caregivers to multigenerational caring families. Third, processes involved in formal and informal care turned out to be rather differentiated: Understanding, emotional responding, motivation and acting towards suffering, care dependency and caregiver burden are influenced by multiple individual and social level factors. Fourth, future issues of elder care are shaped by macro level factors such as population aging, social trends in job and family life, and technological developments with implications for ensuring care quality, care staff, culturally sensitive care, and assistive technologies. Cultural psychology emerged as a valuable partner of the gerosciences by contributing essentially to a deeper understanding of the aforementioned issues. [less ▲]

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See detailPsychologists and neoliberal school reforms: Multi-faceted problems calling for multi-faceted interventions
Boll, Thomas UL

in Integrative Psychological & Behavioral Sciences (2018), 52(3), 425-437

This paper extends on six aspects of an article on neoliberal school reforms, their possible influences on schools and school psychologists, and options for dealing with these challenges (Szulevicz ... [more ▼]

This paper extends on six aspects of an article on neoliberal school reforms, their possible influences on schools and school psychologists, and options for dealing with these challenges (Szulevicz, Integrative Psychological and Behavioral Sciences 2018). First, the reductions implied in the neoliberal view of the student as homo economicus and of an ideal student as self-regulated learner are described and alternative views of the student as a person (e.g., homo moralis) and of the ideal student (e.g., as intentional self-developer) are presented. Secondly, several promoting and inhibiting influences on neoliberal school reforms are discussed: competence-based school education, output-oriented school governance, and standardized school performance testing on the one hand, and critical discourses about these phenomena on the other. Third, attention is directed towards impending disadvantages of the aforementioned reforms (e.g., insufficient preparation of students for the fullness of life). Fourth, goals for interventions are discussed (e.g., reducing neoliberal influences on schools, creating an awareness of the disadvantages of neoliberal reforms, forming coalitions to promote alternatives to these reforms). Fifth, some intervention approaches for reaching these goals are considered with special emphasis on different system levels and stakeholders at which these interventions may be targeted (e.g., education policy makers, teachers and parents associations). Sixth, evaluations of the interventions are called for to monitor their effects and to refine the guiding goals, problem analyses, and strategies. In closing, some transferable principles of the preceding approach are highlighted that could be used to better understand and manage other educational problems as well. [less ▲]

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See detailA systematic review of self-care assistive technologies for aging population
Abrilahij, Afsaneh UL; Boll, Thomas UL

in Boll, Thomas; Ferring, Dieter; Valsiner, Jaan (Eds.) Cultures of care in aging (2018)

A gradual decline in functional and mental capacity as well as a growing risk of care dependency constitute major concerns of life in old age. These should become larger and more urgent in future, because ... [more ▼]

A gradual decline in functional and mental capacity as well as a growing risk of care dependency constitute major concerns of life in old age. These should become larger and more urgent in future, because the number of people 80+ is projected to more than double from 2010 to 2050 at least in EU and OECD countries. On the other side, there is a strong desire of older people, their relatives and policy makers to maintain the autonomy in old age as long as possible. In reaction to this, there have been strong social policy recommendations to develop and promote the use of assistive technologies (ATs). Whereas systematic reviews already exist for several other kinds of ATs, reviews about self-care ATs are still missing. Based on systematic literature searches in PsycINFO, MEDLINE, and Google Scholar databases 203 papers were identified of which 12 were included according to our selection criteria. The methodological quality of all the reviewed studies is evaluated. We reviewed findings on indicators of independent living as efficiency criteria as well as evidence about facilitators and barriers of using these technologies. Self-care ATs turned out to be efficient with respect to reduced care hours and increased independence level. The actual use of these ATs was associated with personal, contextual, and device factors. Lack of randomized control trial studies and a need for further research about ATs in several domains of self-care activities is revealed. Based on the findings of the current review, we generate recommendations for future research. [less ▲]

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See detailScientific and legal concepts of care dependency: Role for understanding, emotional responding, and acting in the field of elder care
Boll, Thomas UL; Ferring, Dieter UL

in Boll, Thomas; Ferring, Dieter; Valsiner, Jaan (Eds.) Cultures of care in aging (2018)

In this chapter, we analyze scientific and legal concepts of care dependency and explore their roles for understanding, emotional responding, and acting of various participants in the field of elder care ... [more ▼]

In this chapter, we analyze scientific and legal concepts of care dependency and explore their roles for understanding, emotional responding, and acting of various participants in the field of elder care. First, two comprehensive concepts from the nursing sciences are contrasted. Then we compare a scientific and two legal concepts (restrictive vs. inclusive) of care dependency from the German long-term care (LTC) system, the last of which regulate older persons´ access to LTC benefits. Here, we consider their different implications for the risk of unmet psychological, social, and temporary care needs. Next, we examine the theoretical and methodological roles of different care dependency concepts for assessment as well as the analysis of prevalence, antecedents, consequences, and the management of care dependency. Following this, we explore possible functions of care dependency concepts as cognitive mediators of various agents’ activities related to elder care, which opens new topics for further research. Among these, we include the ascription of care dependency by various actors, older people´s self-presentation, and family carers´ presentation and LTC administrators´ evaluation of an older person´s care dependency. Further issues addressed are the education of professional care workers and professionals´ provision of elder care. Here, special attention is devoted to the implications of a shift from a restrictive to a more inclusive legal concept of care dependency as recently happened in Germany. Finally, we discuss the implications of inclusive legal concepts of care dependency for the improvement of elder care quality [less ▲]

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See detailEmotional ambivalence in adult children of care-dependent older parents: Heuristic impulses from cognitive-motivational emotion theories
Boll, Thomas UL

in Albert, Isabelle; Abbey, Emily; Valsiner, Jaan (Eds.) Trans-generational family relations: Investigating ambivalences (2018)

Emotional ambivalence of adult children of care-dependent older parents is analyzed from the perspective of cognitive-motivational theories of emotion. Emotional ambivalence is conceived of as the co ... [more ▼]

Emotional ambivalence of adult children of care-dependent older parents is analyzed from the perspective of cognitive-motivational theories of emotion. Emotional ambivalence is conceived of as the co-presence of positive and negative emotions toward the multifaceted care situation involving these major elements: Multiple problems of the elderly parent, multiple caregiving tasks of the adult child, and multiple gains and losses for the elderly parent and for the adult child. In line with cognitive-motivational theories, positive and negative emotions are thought of as arising from mental comparisons between what adult children desire and what they believe with respect to the various facets of the care situation. Perceived fulfillment of such desires is assumed to lead to positive emotions (happiness, hope, moral pride, etc.) and perceived frustration to result in negative emotions (pity, fear, guilt, etc.) related to the elderly parent, oneself, or other family members. Because adult children usually have multiple desires (e.g., own welfare, welfare of older parent, welfare of other family members) which may be perceived as fulfilled in some areas and unfulfilled in others, various combinations of positive and negative emotions and thus emotional ambivalence is assumed to arise toward various aspects of the care situation. An illustrative application of this theoretical approach is given to a major care-related event, namely, the transition of an elderly parent to a nursing home. In conclusion, benefits for research and practice in the field of elder care (measurement, description, understanding, management, and positive functions of emotional ambivalence) are discussed. [less ▲]

Detailed reference viewed: 165 (56 UL)
See detailCulture in the Act of Caring: Bringing Geropsychology, other gerosciences, and Cultural Psychology together
Boll, Thomas UL; Ferring, Dieter UL; Valsiner, Jaan

in Boll, Thomas; Ferring, Dieter; Valsiner, Jaan (Eds.) Cultures of care in aging (2018)

In the introduction of a multidisciplinary book on the role of culture in elder care the editors set the stage for a substantive integration of contributions from geropsychology, other gerosciences, and ... [more ▼]

In the introduction of a multidisciplinary book on the role of culture in elder care the editors set the stage for a substantive integration of contributions from geropsychology, other gerosciences, and cultural psychology. The authors present arguments for a life-span developmental perspective on care for the elderly and extend this to geropsychology as subsection of life-span developmental psychology. They further emphasize that these disciplines consider to some extent the role of cultural and other contextual factors and that other gerosciences specialized on historical, political, health-and nursing-related aspects of elder care can further supplement this effort. Then three major streams of cultural psychology are mentioned which are particularly relevant to topics of caring: Dialogical Self Theory, Theory of Social Representations, and Cultural Psychology of Semiotic Dynamics. The authors conclude that an increasing population aging and growing gaps between demand and supply of care create a serious practical need for an integration of geropsychology, other gerosciences, and cultural psychologies to achieve a better understanding of the individual, interpersonal, and macro social processes involved in elder care. [less ▲]

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See detailCultures of care in aging
Boll, Thomas UL; Ferring, Dieter UL; Valsiner, Jaan

Book published by Information Age Publishing (2018)

Care for elderly persons has many facets and is influenced by many factors of the care-dependent person, the care giver(s) and the micro-, and macro-social context. A co-operation of multiple disciplines ... [more ▼]

Care for elderly persons has many facets and is influenced by many factors of the care-dependent person, the care giver(s) and the micro-, and macro-social context. A co-operation of multiple disciplines is required to better understand phenomena of elder care and to act adequately in this field. This is even more urgent given the increasing population aging and the impending gaps between demand and supply of care. The present book provides a first substantive integration of knowledge from geropsychology, other gerosciences, and cultural psychologies to reach these goals —through a multi-disciplinary and international cast of authors. Macro-social context—including demographic, historical, political, normative, and other cultural factors—turned out to open and limit the available options for individual care giving and receipt and shapes how these issues are experienced by the participants in elder care. Elder care is shown to be far more complex than previously thought, because its consequences extend beyond single care givers to multigenerational caring families. Thinking, feeling and acting in relation to care dependency, caregiving and care receipt emerged as being influenced by multiple individual and social level factors. Future issues of elder care are seen as being shaped to a large extent by macro level factors such as population aging, social trends in job and family life, and development of assistive technologies. All this has far reaching implications for ensuring quality of care and the life quality on part of care recipients and care providers and for the coherence of social communities. [less ▲]

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See detailSelf-care Assistive Technologies: A systematic review of studies on efficiency and factors influencing their use
Abrilahij, Afsaneh UL; Boll, Thomas UL; Ferring, Dieter UL

Scientific Conference (2017, July 05)

A gradual decline in functional and mental capacity, as well as a growing risk of care dependency constitute major concerns of life in old age. These are expected to become more urgent in the future ... [more ▼]

A gradual decline in functional and mental capacity, as well as a growing risk of care dependency constitute major concerns of life in old age. These are expected to become more urgent in the future, because the old-age dependency ratio in the EU is projected to nearly double until 2060 due to demographic change. On the other side, there is a strong desire to maintain the autonomy of older people as long as possible. In reaction to this, there have been strong health and social policy recommendations across Europe to develop and promote the use of assistive technologies (ATs). Whereas systematic reviews already exist for several kinds of ATs, reviews about self-care ATs are still missing. Based on a systematic literature search in PsycINFO, MEDLINE, and Google Scholar databases 203 papers were identified of which 13 were included according to our selection criteria. The methodological quality of all the reviewed studies is evaluated. We reviewed findings on objective and subjective indicators of independent living as efficiency criteria as well as evidence about facilitating and inhibiting factors in the use of these technologies. Self-care ATs turned out to be efficient, with respect to care hours, independence level, and self-reported satisfaction. The actual use of these ATs was influenced by diverse personal, contextual, and device aspects. Lack of randomized control trial studies and the need for a further research about ATs in the diverse subdomains of self-care activities is revealed. Based on the findings of the current study, we generate recommendations for future research. [less ▲]

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See detailGains and losses of caring for an older relative and the indication for geropsychological intervention
Ferring, Dieter UL; Boll, Thomas UL

Scientific Conference (2017)

Caring for a close person involves and impacts several aspects and domains of personal life. A scenario that is often sketched here indicates that caring is physically exhausting, demanding time, leaving ... [more ▼]

Caring for a close person involves and impacts several aspects and domains of personal life. A scenario that is often sketched here indicates that caring is physically exhausting, demanding time, leaving no time for leisure, and excluding the carer from further social activities. In this view, caring is strain as it is clearly described by the concept of caregiver burden, and a risk for the psychological and/or physical health of family carers. But caring may also have another side of positive gratification and of fulfilment. To care for another person may represent a meaningful work for both the cared for and the caring person that may also go along with recognition and positive feedback from others. This is the starting point of the present study that addressed a sample of 151 informal carers (n = 111 female) with a mean age of 58 years (SD=14 years) with self-report questionnaire. The measure offered in a first part positive (n=35) and negative aspects (n=23) of caring for a close person and subjects had to rate how much they agree that these aspects are present in their own care giving relationship. Moreover, life satisfaction as well as positive and negative affect were assessed in a second part. Multivariate analyses by factor as well as cluster analyses showed different profiles of gains and losses that were systematically linked to indicators of subjective well-being. Findings will be discussed with respect to their implications for psychosocial intervention in the field of informal care. [less ▲]

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See detailObituary: Dieter Ferring (1958-2017)
Albert, Isabelle UL; Boll, Thomas UL; Lang, Frieder R.

in GeroPsych: Journal of Gerontopsychology and Geriatric Psychiatry (2017), 30(4), 135-136

Memorializes Dieter Ferring, who contributed to life-span developmental psychology, geropsychology, and cultural psychology in research, teaching, professional practice, and political consulting. His life ... [more ▼]

Memorializes Dieter Ferring, who contributed to life-span developmental psychology, geropsychology, and cultural psychology in research, teaching, professional practice, and political consulting. His life work centered on life circumstances that included threats to people's well-being and on identifying and implementing solutions for such aversive conditions. His scientific approach was characterized by analysing phenomena in their micro and macro context, by interdisciplinarity, by emphasis on cognitive and semiotic mediation, and by using mixed-method approaches to data collection and analyses. Dieter Ferring had been much engaged in productive cooperations with researchers from other countries in Europe and in disseminating his insights and findings to study programs beyond his own field as well as to the general public. He also served as an expert and research partner to policymakers and community administrators and leaders in practical and applied fields. [less ▲]

Detailed reference viewed: 125 (35 UL)
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See detailInterventions addressing subjective well-being in ageing: Promissing approaches on individual and societal level
Boll, Thomas UL; Ferring, Dieter UL

Poster (2016, June)

Subjective well-being (SWB) in aging is important not only as an indicator of positive aging, but also because of its effects on relevant outcomes for the person (e.g., health) and the community (e.g ... [more ▼]

Subjective well-being (SWB) in aging is important not only as an indicator of positive aging, but also because of its effects on relevant outcomes for the person (e.g., health) and the community (e.g., involvements). This raises the question of how SWB of older people can be improved through interventions. Our contribution focusses on three domains for improving SWB: Optimization of resources (e.g., financial situation, autonomy), help with critical life events (e.g., widowhood, disablement), and support at the end of life. We consider reasons for optimizing SWB in these areas as well as the theoretical and empirical foundation for interventions. Among them are (1) bottom-up approaches regarding the link between domain-specific SWB (e.g., regarding health, financial situation, social relationships) and global SWB, (2) Coping approaches to critical life events frequently occuring in old age (e.g., widowhood, disablement) and (3) research on terminal decline of SWB. Against this background principal possibilities of optimizing SWB in these domains are delineated and both individual and societal (e.g., communal, national) level interventions are described. [less ▲]

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See detailOpening: Concept of the book, goals and program of the workshop on cultures of care
Boll, Thomas UL; Ferring, Dieter UL; Valsiner, Jaan

Scientific Conference (2015, September)

Detailed reference viewed: 47 (9 UL)