Graduation Semester and Year
2018
Language
English
Document Type
Dissertation
Degree Name
Doctor of Philosophy in Social Work
Department
Social Work
First Advisor
Vijayan Pillai
Abstract
Elder orphan is a term popularized by the media to describe the more than 22% of community-dwelling US adults aging alone with limited social support, social isolation, multiple chronic health issues, and childlessness. Elder orphans who have not initiated advance directives are at risk of becoming unbefriended, having no able or willing family or friends to make medical decisions during acute injury or medical crisis. The purpose of this explanatory sequential mixed-methods study was to understand the determinants of well-being and advance care planning. A cross-sectional analysis of members (n = 368) of an online Facebook group of elder orphans was conducted followed by an interpretative phenomenological analysis of in-depth interviews with (n = 6) volunteer participants. Hierarchical regression revealed income, adverse childhood experiences, discrimination, social network, and multiple health issues were found to be significant predictors of well-being among elder orphans, whereas mid-life events were not significant predictors of well-being among elder orphans. Contradictory to prediction, higher levels of well-being increased the likelihood of having advance directives while perceived risk of incapacitation had no influence on the likelihood of having advance directives. The qualitative follow-up interpretative phenomenological analysis revealed four sub-ordinate themes: (1) the road to elder orphanhood: making meaning of the past; (2) a sudden halt: caregiving experiences and consequences; (3) connecting and trying to connect; and (4) barriers and future concerns. This study represents a unique and valuable examination of an under-studied group of older adults, who are often unidentified by health care professionals.
Keywords
aging, elder orphan, unbefriended, advance directives
Disciplines
Social and Behavioral Sciences | Social Work
License
This work is licensed under a Creative Commons Attribution-NonCommercial-Share Alike 4.0 International License.
Recommended Citation
Parekh, Rupal M., "EXPLORING THE PREDICTORS OF WELL-BEING AND ADVANCE DIRECTIVES AMONG ELDER ORPHANS: A MIXED METHODS STUDY" (2018). Social Work Dissertations. 174.
https://mavmatrix.uta.edu/socialwork_dissertations/174
Comments
Degree granted by The University of Texas at Arlington