Programmed Activity Attendance in Assisted Living: An Application of the Theory of Planned Behavior with Additional Health Factors

Objectives: Programmed activities contribute to the quality of life of assisted living (AL) residents, but attendance rates are often quite low. Using the theory of planned behavior (TPB), this study explores relationships among social cognitive variables, multidimensional health factors, and progra...

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Bibliographic Details
Published in:Clinical gerontologist 2022-10, Vol.45 (5), p.1214-1225
Main Authors: Plys, Evan, Qualls, Sara H.
Format: Article
Language:English
Subjects:
activity
assisted living
Assisted living facilities
Attendance
Cognition
Health behavior
Health status
leisure
Long term health care
Mental health
Mental health services
Quality of life
recreation
Residents
Structural equation modeling
Theory of planned behavior
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Summary:Objectives: Programmed activities contribute to the quality of life of assisted living (AL) residents, but attendance rates are often quite low. Using the theory of planned behavior (TPB), this study explores relationships among social cognitive variables, multidimensional health factors, and programmed activity attendance in AL. Methods: In a cross-sectional survey, 185 AL residents (M age = 83.64, SD = 9.64) self-reported physical and mental health; TPB constructs (i.e., attitudes, subjective norms, behavioral control, and behavioral intention); and the percentage of programmed activities attended in the previous week. Results: Structural modeling showed that TPB was a good fit for the data (χ 2 /DF = 1.67; CFI = .97; TLI = .96; RMSEA = .06), explaining 82% of variance in behavioral intention and 44% of variance in activity attendance. After adding health factors to the model, only mental health yielded a significant indirect effect on activity attendance. Conclusion: Results provide preliminary support for the viability of TPB as a framework to explain resident activity attendance in AL. Thus, the decision to attend programmed activities in AL may represent a social cognitive process, influenced by mental health. Clinical Implications: Interventions may consider targeting TPB constructs and mental health to increase activity behaviors amongst AL residents.
ISSN:0731-7115
1545-2301
DOI:10.1080/07317115.2019.1645781