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      Monitoring and Promoting Old Age Health Stabilization in Real Life

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          Abstract

          Abstract. Research on aging in different domains largely focuses on age-related decrements or intervention-related improvements, often in controlled laboratory conditions or with psychometric tests of maximum ability or traits. This special issue on monitoring and promoting old-age health stabilization in real life focuses on the short-term and long-term age-related stabilization and maintenance in diverse psychological areas, including well-being, self-esteem, subjective health, and social interactions. One central focus in all studies is the clear focus on behaviors in real-life contexts. The papers both review and present ways in which new technologies and research approaches can provide novel opportunities for monitoring and promoting the stabilization of various aspects of health and quality of life in the daily lives of healthy older adults.

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          Is Open Access

          Research led by participants: a new social contract for a new kind of research

          In recent years, there have been prominent calls for a new social contract that accords a more central role to citizens in health research. Typically, this has been understood as citizens and patients having a greater voice and role within the standard research enterprise. Beyond this, however, it is important that the renegotiated contract specifically addresses the oversight of a new, path-breaking approach to health research: participant-led research. In light of the momentum behind participant-led research and its potential to advance health knowledge by challenging and complementing traditional research, it is vital for all stakeholders to work together in securing the conditions that will enable it to flourish.
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            Is Open Access

            Barcoding Human Physical Activity to Assess Chronic Pain Conditions

            Background Modern theories define chronic pain as a multidimensional experience – the result of complex interplay between physiological and psychological factors with significant impact on patients' physical, emotional and social functioning. The development of reliable assessment tools capable of capturing the multidimensional impact of chronic pain has challenged the medical community for decades. A number of validated tools are currently used in clinical practice however they all rely on self-reporting and are therefore inherently subjective. In this study we show that a comprehensive analysis of physical activity (PA) under real life conditions may capture behavioral aspects that may reflect physical and emotional functioning. Methodology PA was monitored during five consecutive days in 60 chronic pain patients and 15 pain-free healthy subjects. To analyze the various aspects of pain-related activity behaviors we defined the concept of PA ‘barcoding’. The main idea was to combine different features of PA (type, intensity, duration) to define various PA states. The temporal sequence of different states was visualized as a ‘barcode’ which indicated that significant information about daily activity can be contained in the amount and variety of PA states, and in the temporal structure of sequence. This information was quantified using complementary measures such as structural complexity metrics (information and sample entropy, Lempel-Ziv complexity), time spent in PA states, and two composite scores, which integrate all measures. The reliability of these measures to characterize chronic pain conditions was assessed by comparing groups of subjects with clinically different pain intensity. Conclusion The defined measures of PA showed good discriminative features. The results suggest that significant information about pain-related functional limitations is captured by the structural complexity of PA barcodes, which decreases when the intensity of pain increases. We conclude that a comprehensive analysis of daily-life PA can provide an objective appraisal of the intensity of pain.
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              Continuity in Well-Being in the Transition to Retirement

              Abstract. We review recent longitudinal studies on change and continuity in well-being during the retirement transition. Our conclusion is that most retirees maintain their level of well-being over retirement. Some studies, however, provide evidence for a substantial heterogeneity and dynamic effects. A smaller subgroup experiences losses in resources and challenges which compromise their well-being. Various adaptive actions seem to help to cope with losses, but we still lack more detailed information about the role and effects of these coping strategies. Future longitudinal studies need to address the role of and interplay among these adaptive behaviors over the retirement transition to improve our understanding of continuity and change in postretirement well-being.
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                Author and article information

                Contributors
                Journal
                gro
                GeroPsych
                Hogrefe AG, Bern
                1662-9647
                1662-971X
                2016
                : 29
                : 4
                : 173-175
                Affiliations
                [ 1 ], Department of Psychology, University of Zurich, Switzerland
                [ 2 ], Center for Gerontology, University of Zurich, Switzerland
                [ 3 ], University Research Priority Program “Dynamics of Healthy Aging,” University of Zurich, Switzerland
                Author notes
                Mike Martin, University of Zurich, Department of Psychology, Gerontopsychology and Gerontology, 8050 Zürich, Switzerland, E-mail m.martin@ 123456psychologie.uzh.ch
                Article
                gro_29_4_173
                10.1024/1662-9647/a000160
                36fea4b1-101c-47de-ba92-24b862b4d0c0
                Copyright @ 2016
                History
                Categories
                Editorial

                Geriatric medicine,Medicine,Psychology,Clinical Psychology & Psychiatry
                quality of life,real life,health outcomes,old age,healthy aging

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