Geriatric Education & Research Institute, Singapore, Singapore.
Health Services & Outcomes Research Department, National Healthcare Group, Singapore, Singapore.
PLoS One. 2023 Sep 21;18(9):e0291806. doi: 10.1371/journal.pone.0291806. eCollection 2023.
Stringent social distancing measures implemented to control the spread of COVID-19 affected older adults living alone by limiting their social interaction beyond their households. During these restrictions, interactions beyond the household could be facilitated by communication technology (CT) such as voice calls, instant messages. Our study provides evidence on how CT acceptance could influence the emotional support and in turn, subjective well-being (SWB) of older adults living alone. We did a cross-sectional survey with 293 community-dwelling Chinese older adults. Participants were surveyed from September to November 2020 and had completed measures on CT acceptance (competency), emotional support, and SWB. PROCESS Model 1 was used to estimate the conditional effects of CT acceptance (competency) on emotional support for those living alone versus with others. Following which, PROCESS Model 7 was used to estimate the conditional indirect effects of CT acceptance (competency) on SWB through emotional support. Our results suggested that living arrangement moderated the indirect effect of CT acceptance (competency) on SWB. For older adults living alone, CT acceptance (competency) was significantly associated with perceived emotional support and, in turn, their SWB. For older adults living with others, CT acceptance was not associated with emotional support and SWB. Our findings call for more research and support to increase older adults' acceptance of CT as an option for communication to increase emotional support for older adults living alone, even during non-pandemic times.
为控制 COVID-19 的传播而实施的严格社交隔离措施限制了独居老年人的社交互动,使其仅限于家庭内部。在这些限制期间,家庭之外的互动可以通过通信技术(CT)来实现,例如语音通话、即时消息。我们的研究提供了证据,证明 CT 接受程度如何影响独居老年人的情感支持,进而影响他们的主观幸福感(SWB)。我们进行了一项横断面调查,共有 293 名居住在社区的中国老年人参与。参与者于 2020 年 9 月至 11 月接受调查,完成了 CT 接受度(能力)、情感支持和 SWB 的测量。使用 PROCESS 模型 1 来估计 CT 接受度(能力)对独居与非独居老年人情感支持的条件效应。然后,使用 PROCESS 模型 7 来估计 CT 接受度(能力)通过情感支持对 SWB 的条件间接效应。我们的结果表明,居住安排调节了 CT 接受度(能力)对 SWB 的间接效应。对于独居的老年人,CT 接受度(能力)与感知到的情感支持显著相关,进而与他们的 SWB 相关。对于与他人同住的老年人,CT 接受度与情感支持和 SWB 无关。我们的研究结果呼吁开展更多的研究和提供支持,以提高老年人对 CT 的接受程度,将其作为一种沟通方式,以增加独居老年人的情感支持,即使在非大流行时期也是如此。