Article

The purpose of this study was to describe the factors influencing
healthy aging from the perspective of the older person with multiple sclerosis
(MS) in order to build curricula for MS self-management programs. METHOD: We
sourced participants, older than 55 years with MS for more than 20 years, from a
database of MS clinic and outpatient rehabilitation visits. Recruitment continued
until data saturation was reached (n = 18). Semi-structured interviews explored
perspectives on aging and health and lifestyle habits. Demographic, lifestyle and
perceived health status information was also gathered. We analyzed the
transcribed text for themes and theme relationships. RESULTS: Work and social
engagement, effective and accessible health care, healthy lifestyle habits, and
maintaining independence at home were found to be critical proximal factors for
healthy aging. The presence of financial flexibility, social support, cognitive
and mental health, and resilience provided a supporting foundation to these
critical proximal factors. These factors comprised a two-tiered model of healthy
aging with MS. CONCLUSIONS: This two-tiered conceptual model of health aging,
based on the perspectives of older persons with MS, provides a potential
framework for the development of MS self-management program curricula aimed at
optimizing quality of life. Further empirical testing may validate its utility in
predicting healthy aging with MS.

Langue : ANGLAIS