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Structural Equation Modeling on Successful Aging in Elders - Focused on Selection · Optimization · Compensation Strategy -
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Doo Nam Oh
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J Korean Acad Nurs 2012;42(3):311-321. Published online June 29, 2012
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DOI: https://doi.org/10.4040/jkan.2012.42.3.311
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 Abstract
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Purpose
This study was designed to construct and test a structural equation modeling on specific domain health status and the Selection · Optimization · Compensation (SOC) strategy affecting successful aging in elderly people.
Methods
The model construction was based on the SOC model by Baltes and Baltes. Interviews were done with 201 elderly people aged 65 or older. Interview contents included demographics, functional health status, emotional health status, social health status, SOC strategies, and successful aging. Data were analyzed using SPSS 15.0 and AMOS 7.0.
Results
Model fit indices for the modified model were GFI=.93, CFI=.94, and RMSEA=.07. Three out of 7 paths were found to have a significant effect on successful aging in this final model. Functional health status had a direct and positive effect on successful aging. Emotional health status influenced successful aging through SOC strategies.
Conclusion
This study suggests that interventions for improving functional health status and for strengthening SOC strategies are critical for successful aging. Continuous development of a variety of successful aging programs using SOC strategy is suggested.
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Citations
Citations to this article as recorded by  - Theoretical Approaches to Communicative Practices in the Study of Intergenerational Communication and Aging
Howard Giles
The International Journal of Aging and Human Development.2025; 101(1): 3. CrossRef - A structural equation modeling analysis of successful aging in older adults with osteoarthritis: A cross-sectional descriptive study
Jeong Hwa Kum
Journal of Korean Gerontological Nursing.2025; 27(2): 131. CrossRef - Development of a scale to measure selection, optimization, compensation (SOC) strategy in late middle-aged women: a methodological study
Do-Young Lee, Gie Ok Noh
Women's Health Nursing.2024; 30(3): 216. CrossRef - Understanding the influencing factors and mechanism of social compensation for Chinese older adults using social media in the context of smart home: a qualitative analysis
Ke Ma, Meng Gao, Francesco Ermanno Guida, Renke He
Frontiers in Public Health.2023;[Epub] CrossRef - Effects of Health Status, Depression, Gerotranscendence, Self-Efficacy, and Social Support on Healthy Aging in the Older Adults with Chronic Diseases
Hee-Kyung Kim, Jeong-Hyo Seo
International Journal of Environmental Research and Public Health.2022; 19(13): 7930. CrossRef - A structural equation model of successful aging in Korean older women: using selection-optimization-compensation (SOC) strategies
Song Yi Han, Young Ko
Journal of Women & Aging.2021; 33(1): 84. CrossRef - The Concept of Successful Aging: A Review Article
Fatemeh Estebsari, Maryam Dastoorpoor, Zahra Rahimi Khalifehkandi, Azadeh Nouri, Davoud Mostafaei, Meimanat Hosseini, Roghayeh Esmaeili, Hamidreza Aghababaeian
Current Aging Science.2020; 13(1): 4. CrossRef - The Level of Successful Aging and Influencing Factors of the Community Elderly
Kyeong-Sook Cha, Hung Sa Lee, Chunmi Kim, Eun Man Kim
Korean Journal of Health Promotion.2019; 19(1): 39. CrossRef - Expanding the aging self: Investigating successful aging among Korean older adults using grounded theory
Hyung-Ran Park
Journal of Korean Public Health Nursing.2015; 29(3): 426. CrossRef - Operational definitions of successful aging: a systematic review
Theodore D. Cosco, A. Matthew Prina, Jaime Perales, Blossom C.M. Stephan, Carol Brayne
International Psychogeriatrics.2014; 26(3): 373. CrossRef
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Comparison of Standardized Peristomal Skin Care and Crusting Technique in Prevention of Peristomal Skin Problems in Ostomy Patients
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Seungmi Park, Yun Jin Lee, Doo Nam Oh, Jiyun Kim
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J Korean Acad Nurs 2011;41(6):814-820. Published online December 31, 2011
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DOI: https://doi.org/10.4040/jkan.2011.41.6.814
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Abstract
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Purpose
This study was performed to compare the effects of standardized peristomal skin care (SPSC) and crusting technique (CT) on the peristomal skin of ostomates. SPSC was developed by a consensus among the expert group based on a comprehensive review of the relevant literature and hospital protocols.
Methods
A randomized controlled pilot trial with 2 parallel arms was used. A total of 81 ostomates, who were recruited from a tertiary hospital, completed the baseline, 1-month, 2-month, and 3-month follow-up (SPSC group, n=45; CT group, n=36). SPSC consisted of water cleansing and direct application of ostomy appliances. CT involved crusting hydrocolloid powder and patting with water sponge or protective barrier liquid film. The outcomes of the study were assessed by skin problems, such as discoloration, erosion and tissue overgrowth; the domains of the evaluation tool used in examining the peristomal skin. A generalized estimating equation model was used to examine the effects according to time and group.
Results
In both SPSC and CT groups, the likelihood of occurrence of discoloration (OR, 1.99; 95% CI, 1.61-2.46), erosion (OR, 1.87; 95% CI, 1.55-2.25) and tissue enlargement (OR, 1.94; 95% CI, 1.36-2.77) increased with time. There was no significant difference in discoloration between the groups, whereas the probability of erosion (OR, 0.38; 95% CI, 0.16-0.89) and tissue overgrowth (OR, 0.09; 95% CI, 0.02-0.55) was lower in the SPSC group than in CT group.
Conclusion
SPSC was sufficient in preventing peristomal skin problems of ostomates compared to the CT.
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Citations
Citations to this article as recorded by - Physicochemical Properties and Composition of Peristomal Skin Care Products: A Narrative Review
Agnieszka Kulawik-Pióro, Małgorzata Miastkowska, Katarzyna Bialik-Wąs, Piotr Zelga, Anna Piotrowska
Cosmetics.2025; 12(2): 74. CrossRef - The Validity, Reliability and Usability of the Studio Alterazioni Cutanee Stomali (SACS) and Ostomy Skin Tool (OST) Instruments for Classification of Peristomal Skin Disorders
Lien Degol, Ine Olaerts, Stijn Jacobs, Gregory Sergeant, Yves Depaifve, Kristel Paque, Koen Milisen
Journal of Wound, Ostomy & Continence Nursing.2025; 52(4): 303. CrossRef - Adapted Crusting Technique in Children with Peristomal Lesions: A Case Series
Ana Cristina Santos Monteiro, Maria Lucia Barbosa Maia dos Santos, Marcia Aparecida Souza, Juliana Caires de Oliveira Achili Ferreira
Advances in Skin & Wound Care.2020; 33(6): 329. CrossRef - Scientific and Clinical Abstracts From the WOCN® Society's 49th Annual Conference
Journal of Wound, Ostomy & Continence Nursing.2017; 44(Supplement): S1. CrossRef - Scientific and Clinical Abstracts From the WOCN® Society's 45th Annual Conference
Journal of Wound, Ostomy & Continence Nursing.2013; 40(Supplement): S1. CrossRef
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