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1.
Article in English | MEDLINE | ID: mdl-38673409

ABSTRACT

Loneliness, depression, and cognitive decline are pressing concerns among older adults. This study examines the association between leisure travel participation and these health outcomes in older adults, aiming to provide further evidence of the benefits of leisure travel. Using nationally representative historical data from the 2006 household survey of the Health and Retirement Study, this study conducted a series of regression analyses to investigate the relationship between traveling and the three health outcomes, adjusting for age, sex, race, marital status, education, total wealth, annual income, and difficulty with daily activities. The results reveal that travel patterns in terms of distance are significantly associated with loneliness, depression, and cognitive function. Long-distance travel is positively related to higher cognitive function and a reduction in depressive symptoms, along with lower levels of loneliness, reinforcing the notion that leisure travel can potentially act as a catalyst for improved cognitive and mental health by offering opportunities for enhancing social connections and forming new relationships. The findings on the relationships between participation in leisure travel and mental and cognitive health contribute to the body of evidence supporting the therapeutic value of leisure travel in promoting healthy aging and enhancing the overall well-being in older adults.


Subject(s)
Cognition , Depression , Leisure Activities , Loneliness , Humans , Loneliness/psychology , Aged , Depression/psychology , Female , Male , Leisure Activities/psychology , Aged, 80 and over , Travel/psychology , Middle Aged
2.
Top Spinal Cord Inj Rehabil ; 29(4): 73-85, 2023.
Article in English | MEDLINE | ID: mdl-38076499

ABSTRACT

Background: Community reintegration after SCI rehabilitation consists of readjustment not only to the home setting but also to the social and occupational spheres, which often require people to spend nights away from home. Because community reintegration contributes to life satisfaction after SCI, it is necessary to investigate how travel participation is related to occupational and social participation and life satisfaction. Additionally, better management of the long-term effects of SCI requires better understanding of the changes in participation and life satisfaction over time. Objectives: To examine how participation and life satisfaction change over time following SCI, and to investigate whether spending nights away from home is associated with occupational and social participation and life satisfaction over time. Methods: This is a longitudinal analysis of data extracted from the publicly available database of Spinal Cord Model Systems from 1996 to 2016. A generalized linear mixed model was developed to examine the changes of outcome variables over time while controlling demographic variables. Results: Travel and social participation declined while life satisfaction increased as people lived longer with SCI, controlling for confounders. No significant change was identified in occupational participation. Spending nights away from home was significantly and positively associated with social and occupational participation and life satisfaction over time. Although travel participation of people with SCI declined over time, its association with social participation strengthened as the number of postinjury years increased. Conclusion: Travel participation plays an important role in successful community reintegration. Rehabilitation services and travel services should provide training and resources on travel after SCI for improved participation and life satisfaction.


Subject(s)
Spinal Cord Injuries , Humans , Spinal Cord Injuries/rehabilitation , Quality of Life , Personal Satisfaction
3.
Article in English | MEDLINE | ID: mdl-36612836

ABSTRACT

Spinal cord injury (SCI) can significantly compromise people's participation in travel and tourism activities, which is considered an important and meaningful way to engage in one's chosen lifestyle and wellness pursuits. Yet, travel often presents challenges for people with spinal cord injury (PwSCI), as it requires overcoming a wide range of potential psycho-physical challenges or barriers during trips. There is a lack of theory-based research that can help us understand and address the psychological factors and processes influencing participation and life satisfaction following SCI. Drawing on self-determination theory (SDT), this study examines the effects of psychological needs satisfaction on participation in the travel setting, and their subsequent impact on perceived life satisfaction. This study uses a mixed-methods approach with 39 in-depth telephone interviews conducted that focus on developing needs satisfaction measures for PwSCI in the travel setting, and an online survey among 258 PwSCI examining the relations between needs satisfaction and outcome variables. This study finds that the psychological needs satisfaction of autonomy and relatedness significantly contribute to self-determined participation in travel and tourism activities for PwSCI. This self-determined participation outcome thus represents an individual's improved ability to exert choice and control, which exhibits their level of regained mobility and further improves their life satisfaction.


Subject(s)
Spinal Cord Injuries , Tourism , Humans , Personal Satisfaction , Travel , Spinal Cord Injuries/psychology
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