Perspectives of Independent Living among Filipino Older Adults: A Qualitative Study

Authors

  • Ritzmond Loa Faculty of Nursing, Thammasat University, Thailand.
  • Pranom Othaganont Faculty of Nursing, Thammasat University,Thailand.
  • Gabriel Culbert University of Illinois, College of Nursing, Chicago, USA.

DOI:

https://doi.org/10.60099/prijnr.2023.261879

Keywords:

independent living, older adults, Mental Capacity, Older adults, Pilipino, Physical health, Qualitative description, social relationships

Abstract

         As individuals grow older, a gradual decline in physiological function, psychosocial interaction, and financial resources can limit their ability to live independently. This qualitative descriptive study explored the perspectives of 32 older adults aged 60 years or older with no physical disability residing in Metro Manila and Central Luzon Island in the Philippines. The data were collected through in-depth interviews using a semi-structured interview guide from April to December 2019, and data were analyzed using content analysis.
         The findings revealed that Filipino older adults' perspectives of independent living encompass a range of factors: 1) Ensuring physical health, with two subcategories (maintaining good health and ability to engage in self-care); 2) Maintaining mental capacity, with three subcategories (unburdening others, gaining control over their lives, and being able to make decisions; 3) Maintaining social relationships with others, with two subcategories (forming meaningful connections, and maintaining positive relationships with others; 4) Being financially stable by having a stable source of income; and 5) Being spiritually connected by maintaining religious practices. Independent living is a multidimensional concept that reflects Filipino older adults' physical, psychosocial, economic, and spiritual needs. By understanding and utilizing these findings, nurses can develop targeted interventions to help older people meet their needs and remain independent as possible. Furthermore, policymakers can use the findings to make informed decisions in healthcare planning to promote independent living and healthy aging in the Philippines.

References

Maresova P, Javanmardi E, Barakovic S, Barakovic Husic J, Tomsone S, Krejcar O, et al. Consequences of chronic diseases and other limitations associated with old age – a scoping review [Internet]. BMC Public Health. 2019;19(1):1431. Available from: https://doi.org/10. 1186/s12889-019-7762-5

Network HG. Ageing population in the Philippines [Internet]. 2020 [cited 2023 Jun 1]. Available from: https://ageingasia.org/ageing-population-philippines

Abdi S, Spann A, Borilovic J, de Witte L, Hawley M. Understanding the care and support needs of older people: a scoping review and categorisation using the WHO international classification of functioning, disability and health framework (ICF). BMC Geriatr [Internet]. 2019; 19(1):195. Available from: https://doi.org/10.1186/ s12877-019-1189-9

Cruz GT, Cruz CJP, Saito Y. Ageing and health in the Philippines. Jakarta: Economic Research Institute for ASEAN and East Asia; 2019.

Badana ANS, Andel R. Aging in the Philippines. Gerontologist. 2018 Mar 19;58(2):212-218. doi: 10.1093/geront/ gnx203.

Bimou C, Harel M, Laubarie-Mouret C, Cardinaud N, Charenton-Blavignac M, Toumi N, et al. Patterns and predictive factors of loss of the independence trajectory among community-dwelling older adults. BMC Geriatr [Internet]. 2021;21(1):142. Available from: https:// doi.org/10.1186/s12877-021-02063-7

Moilanen T, Kangasniemi M, Papinaho O, Mynttinen M, Siipi H, Suominen S, et al. Older people’s perceived autonomy in residential care: an integrative review. Nurs Ethics [Internet]. 2021;28(3):414–34. Available from: https://doi.org/10. 1177/0969733020948115

Bölenius K, Lämås K, Sandman PO, Lindkvist M, Edvardsson D. Perceptions of self-determination and quality of life among Swedish home care recipients - a cross-sectional study. BMC Geriatr [Internet]. 2019;19(1):142. Available from: https://doi.org/10.1186/s12877-019-1145-8

Ryu SI, Cho B, Chang SJ, Ko H, Yi YM, Noh E-Y, et al. Factors related to self-confidence to live alone in community-dwelling older adults: a cross-sectional study. BMC Geriatr [Internet]. 2021;21(1):291. Available from: https://doi.org/10. 1186/s12877-021-02214-w

Lewis O, Richardson G. The right to live independently and be included in the community. Int J Law Psychiatry [Internet]. 2020;69:101499. Available from: https://doi.org/10.1016/j. ijlp.2019.101499

Molenaar EALM, Barten D-JJA, de Hoop AMS, Bleijenberg N, de Wit NJ, Veenhof C. Cluster analysis of functional independence in community-dwelling older people. BMC Geriatr [Internet]. 2022;22(1):996. Available from: https://doi.org/10.1186/s12877-022-03684-2

Barken R. ‘Independence’ among older people receiving support at home: the meaning of daily care practices. Ageing Soc [Internet]. 2019;39(3):518–40. Available from: https://doi.org/10.1017/S0144686X17001039

Hillcoat-Nallétamby S. The meaning of “independence” for older people in different residential settings. J Gerontol B. 2014;69(3):419–30.

Motamed-Jahromi M, Kaveh MH. Effective interventions on improving elderly’s independence in activity of daily living: a systematic review and logic model. Front Public Health. 2021; 8: 516151. doi:10.3389/fpubh.2020.516151.

Tsertsidis A, Kolkowska E, Hedström K. Factors influencing seniors’ acceptance of technology for aging in place in the post-implementation stage: a literature review. Int J Med Inform [Internet]. 2019;129:324–33. Available from: https://www.sciencedirect.com/science/article/pii/ S1386505619302850

Hirano YO, Tamagawa R, Matsumoto T. Factors influencing the psychological independence of retired community-dwelling older adults in Japan. Front Psychol. 2022;13: 1004645. doi: 10.3389/fpsyg.2022.1004645.

Harnirattisai T, Vuthiarpa S. The perception of independent living among Thai older adults. Ageing Int [Internet]. 2020; 45(2):181–90. Available from: https://doi.org/10. 1007/s12126-020-09362-1

Moncatar R, Nakamura K, Rahman M, Senio K. Health status and health facility utilization of community-dwelling elderly living alone in the Philippines: a nationwide cross-sectional study. Health. 2019;11(11):1554–72.

Carandang RR, Shibanuma A, Asis E, Chavez DC, Tuliao MT, Jimba M. “Are Filipinos aging well?”: determinants of subjective well-being among senior citizens of the community-based ENGAGE study. Int J Environ Res Public Health [Internet]. 2020;17(20):7636. Available from: https:// www.mdpi.com/1660-4601/17/20/7636

Wilkowska W, Offermann-van Heek J, Laurentius T, Bollheimer LC, Ziefle M. Insights into the older adults’ world: concepts of aging, care, and using assistive technology in late adulthood. Front Public Heal [Internet]. 2021;9: 653931. Available from: https://www.frontiersin.org/ articles/10. 3389/fpubh.2021.653931

van Leeuwen KM, van Loon MS, van Nes FA, Bosmans JE, et al. What does quality of life mean to older adults? A thematic synthesis. PLoS One. 2019;14(3):e0213263. doi: 10.1371/journal.pone.0213263.

Kornadt AE, de Paula Couto C, Rothermund K. Views on aging-current trends and future directions for cross-cultural research. Online Readings Psychol Cult. 2022;6(2). https://doi.org/10.9707/2307-0919.1176

Allen K-A, Gray DL, Baumeister RF, Leary MR. The need to belong: a deep dive into the origins, implications, and future of a foundational Construct. Educ Psychol Rev [Internet]. 2022;34(2):1133–56. Available from: https://doi.org/10.1007/s10648-021-09633-6

Rondón García LM, Ramírez Navarrro JM. The impact of quality of life on the health of older people from a multidimensional perspective. J Aging Res. 2018;2018:4086294. doi: 10.1155/2018/4086294.

Turale S. A brief introduction to qualitative description: a research design worth using. Pacific Rim Int J Nurs Res. 2020;24(3):289–91.

Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Heal Care [Internet]. 2007;19(6):349–57. Available from: https://doi. org/10.1093/intqhc/mzm042

Guest G, Namey E, Chen M. A simple method to assess and report thematic saturation in qualitative research. PLoS One. 2020; 15(5): e0232076. doi: 10.1371/journal. pone.0232076.

Hsieh H-F, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res [Internet]. 2005;15(9): 1277–88. Available from: https://doi.org/10.1177/ 1049732305276687

Shenton A. Strategies for ensuring trustworthiness in qualitative research projects. Educ Inf. 2004;22(2):63-75. Doi: 10.3233/EFI-2004-22201.

Busetto L, Wick W, Gumbinger C. How to use and assess qualitative research methods. Neurol Res Pract [Internet]. 2020;2(1): 14. Available from: https://doi.org/10.1186/ s42466- 020-00059-z

Wang B, Wu Y, Zhang T, Han J, Yu L, Sun W. Effect of physical activity on independent living ability among community-dwelling elderly in urban areas of Liaoning Province in China: a population-based study. BMJ Open. 2019;9(10): e023543. doi: 10.1136/bmjopen-2018-023543.

Yeung SSY, Kwan M, Woo J. Healthy diet for healthy aging. Nutrients. 2021;13(12):4310.

Kitreerawutiwong N, Keeratisiroj O, Mekrungrongwong S. Factors that influence physical activity among older adults living in a rural community in Wangthong district, Phitsanulok, Thailand. SAGE Open [Internet]. 2021;11(4):21582 440211. Available from: https://doi.org/10.1177/21 582440211061368

Pereira F, Bieri M, Del Rio Carral M, Martins MM, Verloo H. Collaborative medication management for older adults after hospital discharge: a qualitative descriptive study. BMC Nurs [Internet]. 2022;21(1):284. Available from: https://doi.org/10.1186/s12912-022-01061-3

Amaral AS, Simões MR, Freitas S, Vilar M, Sousa LB, Afonso RM. Healthcare decision-making capacity in old age: a qualitative study. Front Psychol [Internet]. 2022;13:102 4967. Available from: https://www.frontiersin.org/ articles/ 10.3389/fpsyg.2022.1024967

Sirén A-L, Seppänen M, von Bonsdorff MB. Social participation considered as meaningful in old age − the

perceptions of senior housing residents in Finland. Ageing Int [Internet]. 2023 Feb 21. Available from: https://doi.org/ 10.1007/s12126-023-09522-z

Du Q, Gong N, Hu Q, Chen G, Xie J, Luo L, et al. Why do older adults living alone in cities cease seeking assistance? A qualitative study in China. BMC Geriatr [Internet]. 2022;22(1):540. Available from: https://doi.org/10.1186/s12877-022-03217-x

Downloads

Published

2023-09-28

How to Cite

1.
Loa R, Othaganont P, Culbert G. Perspectives of Independent Living among Filipino Older Adults: A Qualitative Study. PRIJNR [Internet]. 2023 Sep. 28 [cited 2024 Nov. 22];27(4):722-35. Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/261879