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Investigating Social Support and Compensation Mediators for Subjective Cognition and Community Participation.
Laurel Reeves1, Lisa Tabor Connor1, Yejin Lee1
1Washington University, St. Louis, MO, USA.
OTJR : Occupation, Participation and Health
|May 23, 2025
Summary
Social support, not compensatory strategies, helps aging adults with subjective cognitive decline (SCD) stay engaged in their communities. Focusing on social support can improve community participation for older adults experiencing cognitive changes.
Area of Science:
- Gerontology
- Cognitive Science
- Occupational Therapy
Background:
- Subjective cognitive decline (SCD) negatively impacts community participation in aging adults.
- Identifying factors that mitigate this association is crucial for developing interventions.
- Social support and compensatory strategies are potential mediators.
Purpose of the Study:
- To examine the mediating roles of social support and compensatory strategy use in the relationship between SCD and community participation.
- To identify intervention targets for enhancing community engagement in older adults with SCD.
Main Methods:
- Cross-sectional study involving 93 community-dwelling aging adults.
- Data collected via survey methods.
- Two regression-based mediation models tested.
Main Results:
- Social support partially mediated the association between SCD and community participation (Indirect effect β = -0.097, 98% CI = -4.481 to -0.651).
- Compensatory strategy use did not significantly mediate this association (p > .05).
Conclusions:
- Occupational therapy practitioners should consider addressing social support to improve community participation in aging adults with SCD.
- Further research is needed to explore the role of compensatory strategies in mitigating the negative effects of SCD on community engagement.
Keywords:
community participationcompensatory strategymediationsocial supportsubjective cognitive declineMore Related Videos
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