Ageing, aging, active aging, online clinical internvention, pyschology
13
Scopus Publications
815
Scholar Citations
15
Scholar h-index
18
Scholar i10-index
Scopus Publications
Development and validation of a paternalism and autonomist care assessment Rocío Fernández‐Ballesteros, Macarena Sánchez‐Izquierdo, Ricardo Olmos, Carmen Huici, María Giovanna Caprara, Marta Santacreu, José Manuel Ribera Casado, Alfonso Cruz‐Jentoft Journal of Advanced Nursing, 2019 AIM There is a need for a validated instrument to measure the type of care (paternalism or person-centered) provided for older adults. Since paternalism and person-centered care are the most important caregiving styles in the field of care and as they are usually opposed, the study aims to develop and establish psychometrics data of an instrument to identify paternalistic and autonomist behaviors in older adults care contexts, which can help to enhance care practice. DESIGN Instrument development. METHODS After observing and standardizing behaviors in formal care contexts in 2016, an instrument was developed and proceeding to a first validation using standard validation techniques among caregivers in two care settings during 2016-2017: senior citizen centers and older adult day care centers. RESULTS The Paternalist/Autonomist Care Assessment (PACA) is a 30-item, behavior-based instrument which measures both the appraisal of caregivers on elements of care (Care Appraisal Scale- PACA-Appraisal) and the occurrence of behaviors (Occurrence of Care in Context- PACA-Occurrence). The Paternalist/Autonomist Care Assessment (PACA) was validated in 160 professional caregivers and was able to discriminate two factors: paternalistic or overprotective behaviors and autonomist behaviors. However, these factors were not fully dichotomous and were shown to coexist to some degree. CONCLUSION The instrument displayed good psychometric properties as an instrument to measure paternalism and autonomy in older adult care. Moreover, it showed that the two types of care are not antagonistic and can coexist, with overprotective behaviors being more frequent in contexts of care for more dependent persons. This article is protected by copyright. All rights reserved.
Behavioral health Marta Santacreu, Marcos Alonso Rodríguez, María Ángeles Molina Cambridge Handbook of Successful Aging, 2019 The present chapter explores the effect of behavior on reaching a successful aging. The chapter begins exploring the main protective factors that determine a healthy life style. Then, main models of behavioral change are outlined with special emphasis to the empirical support obtained by each of them and detailing a specific example of a behavioural change program carried out in older people. The chapter continues analysing the relationship between personality (i.e. conscientiousness) and behavioural change, giving a special dedication to the role played by conscientiousness. Finally the chapter explores the role of education as an important determinant for successful aging.
A training intervention to reduce paternalistic care and promote autonomy: A preliminary study M. Sánchez-Izquierdo, M Santacreu, R. Olmos, R. Fernández-Ballesteros Clinical Interventions in Aging, 2019 Introduction Paternalism, assuming control of aged care, is a widespread orientation in older adults care. Paternalistic attitudes and practices are commonly understood as a threat to the freedom and autonomy of a person, making patients more dependent. Therefore, the reduction of these attitudes and behaviors is a primary goal for any older adult health and social care situation. The aim of this preliminary study is to develop a behavioral intervention to decrease paternalistic behaviors in formal caregivers and to increase those care behaviors which promote autonomy at post-intervention (1 week) and at follow-up (14 weeks). Methods A sample of 118 professional caregiver volunteers working in day care centers and nursing homes were assigned to quasi-experimental (N=47) and control (N=71) conditions. The intervention consisted of 3 weekly group sessions. Individual and contextual measures were collected: 1) the primary outcome variable was the type of care (paternalistic versus autonomist) measured through the self-report Paternalist/Autonomist Care Assessment (PACA); 2) A 10-item caregiver self-register of paternalistic behaviors was carried out, 3) Finally, in order to assess the potential effects on observed behavior both in caregiver and older adult functioning at a contextual level, the five institutions were assessed through the SERA-RS. Results Compared with the control group, caregivers in the behavioral intervention group displayed significantly lower paternalistic appraisals at posttest and follow-up. Regarding the intervention group, caregivers at posttest and follow-up showed significantly greater occurrence of autonomist behaviors being promoted and lower paternalistic appraisal. The results regarding the effect on the institutions showed better personnel performance and older adult functioning. Conclusion Caregivers who followed the intervention learned to better identify older adult needs; although we did not find significant differences in autonomy occurrence compared with the control group, a behavioral intervention may promote more autonomist environments and, therefore, better personnel and older adult functioning.
Cultural stereotypes in care contexts Rocío Fernández-Ballesteros, Macarena Sánchez‐Izquierdo, Ricardo Olmos, Carmen Huici, Marta Santacreu, Rocío Schettini, María Ángeles Molina Clinical Interventions in Aging, 2018 Introduction The main goal of the present study was to examine the stereotype content model (SCM) assumption for universality and to test whether the mediating role of cultural views about older adult caregivers is maintained in other health care contexts. Methods One hundred and sixty professionals and volunteers who worked with older adults in day care centers (DCCs) and senior citizen centers (SCCs) and 1,151 participants from a representative sample of the Spanish population were examined using the SCM questionnaire; older adult and personnel functioning were assessed through an observation procedure with two subscales of the Evaluation Scale from the Sistema de Evaluación de Residencias de Ancianos. Results The results showed that the context does not seem to influence the cultural views about older adults held by caregivers. All results support the cultural stereotype pattern in which members of the older adult group are viewed with high warmth (HW) and low competence (LC) as posited by the SCM model. With respect to the mediation of cultural stereotypes on caregivers/older adult functioning, this has not been supported in this study. Neither cultural views of warmth (predicted by the SCM) nor views of competence (from our previous studies) influence either caregiver functional behaviors or older adult functioning. Conclusion Two post hoc hypotheses can be inferred: 1) there is more variability in competence and warmth in DCCs and SCCs and 2) although we did not find significant differences in the pattern of competence and warmth in perceived cultural stereotypes about older adults, more healthy environments could reduce the influence of cognitive views on behavior.
The role of perceived discrimination on active aging Rocio Fernandez-Ballesteros, Ricardo Olmos, Marta Santacreu, Antonio Bustillos, Maria Angeles Molina Archives of Gerontology and Geriatrics, 2017 Among older adults, perceived age discrimination is highly associated with unhealthy outcomes and dissatisfaction. Active aging is a multidimensional concept described by a set of characteristics, particularly health, positive mood and control; most importantly, active aging is currently at the core of public policies. The aim of the present study was to test to what extent perceived discrimination influences active aging. Methods A total of 2005 older adults in three representative samples from regions of Germany, Mexico and Spain participated; they were tested on active aging and perceived discrimination. First, active aging was defined as high reported health, life satisfaction and self-perception of aging. Second, authors introduced the assumption that, in the total sample, structural equation modelling would confirm the hypothesis of a direct negative link between perceived age discrimination and active aging. Finally, multiple group comparison performed through structural equation modelling also provided support for the negative association between perceived discrimination and active aging proposed. In spite of the differences found among the three countries in both active aging variables and age discrimination perception, multiple group comparison indicates that regardless of the culture, perceived discrimination is a negative predictor of active aging.
Assessing aging stereotypes: Personal stereotypes, self-stereotypes and self-perception of aging R. Fernández-Ballesteros, R. Olmos, M. Santacreu, A. Bustillos, Rocío Schettini, C. Huici, J. M. Rivera Psicothema, 2017 Background: There is a broad semantic network of aging stereotypes; where different concepts and their measurement are confused: personal stereotypes, self‐stereotypes and self‐perception of aging. Method: First, we analyze the translated version of the Image of Aging Scale (IAS) measurement model through exploratory and confirmatory factor analysis, with two representative sub‐samples of the Spanish population aged over eighteen (N = 1,105) and in a sample of gerontologists and geriatricians (N = 325). Second, in an effort to disentangle the theoretical relationships between personal stereotypes, self‐stereotypes and self‐perception of aging, both the IAS (with different instructions) and Lawton's 5‐item scale were administered to a representative sample of Spanish people over 50. Results: Our results indicate that the Spanish version of the IAS has a similar psychometric structure to that proposed by the authors. Furthermore, the factorial structure (equal form and metric invariance) is replicated in both samples, but latent means and factor correlations were higher in the professional group. Conclusions: We discuss Levy's theoretical assumptions about personal‐stereotypes and the self‐stereotype measured with IAS and their relationship to self‐perception of ageing. Resumen Evaluando estereotipos del envejecimiento: estereotipos personales, autoestereotipos y auto‐percepción del envejecimiento. Antecedentes: existe una amplia red semántica sobre los estereotipos del envejecimiento; donde se confunden diferentes términos como: los estereotipos personales, autoestereotipos y la auto‐percepción del envejecimiento; así como la manera en que se evalúan. Método: con el objetivo de clarificar esta red semántica, se analiza la versión traducida del modelo de medición Image of Aging Scale (IAS) a través del análisis factorial exploratorio y confirmatorio, en dos sub‐muestras representativas de la población española mayor de 18 (N = 1.105) y en una muestra de gerontólogos y geriatras (N = 325). También se administran el IAS (con diferentes instrucciones) y la escala de 5 ítems de Lawton a una muestra representativa de españoles mayores de 50 años. Resultados: nuestros resultados indican que la versión española de la IAS tiene una estructura psicométrica similar a la propuesta por los autores. La estructura factorial se replica en ambas muestras, las medias latentes y las correlaciones de los factores fueron mayores en el grupo profesional. Conclusiones: se discuten los supuestos teóricos de Levy sobre los estereotipos personales y el auto‐estereotipo medidos con el IAS y su relación con la auto‐percepción del envejecimiento. Palabras clave: estereotipos del envejecimiento, estereotipos personales, auto‐estereotipos y la auto‐percepción del envejecimiento.
Is older adult care mediated by caregivers’ cultural stereotypes? The role of competence and warmth attribution Rocio Fernandez-Ballesteros, Antonio Bustillos, Rocio Schettini, Pura Diaz-Veiga, Carmen Huici, Marta Santacreu Clinical Interventions in Aging, 2016 Purpose The purpose of this study is to examine, from the stereotype content model (SCM) perspective, the role of the competence and warmth stereotypes of older adults held by professional caregivers. Methods A quasi-experimental design, ex post facto with observational analyses, was used in this study. The cultural view on competence and warmth was assessed in 100 caregivers working in a set of six residential geriatric care units (three of them organized following a person-centered care approach and the other three providing standard geriatric care). In order to assess caregivers’ cultural stereotypical views, the SCM questionnaire was administered. To evaluate the role of caregivers’ cultural stereotypes in their professional performance as well as in older adult functioning, two observational scales from the Sistema de Evaluación de Residencias de Ancianos (assessment system for older adults residences)-RS (staff functioning and residents’ functioning) were applied. Results Caregivers’ cultural views of older adults (compared to young people) are characterized by low competence and high warmth, replicating the data obtained elsewhere from the SCM. Most importantly, the person-centered units predict better staff performance and better resident functioning than standard units. Moreover, cultural stereotyping of older adult competence moderates the effects of staff performance on resident functioning, in line with the findings of previous research. Conclusion Our results underline the influence of caregivers’ cultural stereotypes on the type of care, as well as on their professional behaviors and on older adult functioning. Caregivers’ cultural stereotypes could be considered as a central issue in older adult care since they mediate the triangle of care: caregivers/older adults/type of care; therefore, much more attention should be paid to this psychosocial care component.
Multidimensional/Multisystems/Multinature Indicators of Quality of Life: Cross-Cultural Evidence from Mexico and Spain Marta Santacreu, Antonio Bustillos, Rocio Fernandez-Ballesteros Social Indicators Research, 2016 The aim of this study is to provide cross-cultural empirical support that endorses the scientific nature of Quality of Life (QoL), which a review of definitions reveals as a nomothetic and multidimensional concept (personal and environmental circumstances), made up of a set of subjective and objective indicators. Although this is commonly accepted, many instruments and authors reduce it to subjective and personal conditions. Bearing in mind the aim described, multi-group Structural Equation Modelling analysis was applied to two representative samples made up of 1217 participants aged over 60 from Mexico and Spain, recruited both at random (through the random route procedure), who completed the CUBRECAVI (Brief Questionnaire of Quality of Life). In this model two third-order latent variables are considered for QoL: personal and external factors, both made up of objective and subjective indicators. As predicted, the results permit us to state that the structural model is invariant across the two countries—that is, although the QoL construct has the same structure in the two countries, the importance of the indicators (factor loadings) and the relationships between them are not equivalent.
Active aging promotion: Results from the vital aging program Mariagiovanna Caprara, María Ángeles Molina, Rocío Schettini, Marta Santacreu, Teresa Orosa, Víctor Manuel Mendoza-Núñez, Macarena Rojas, Rocío Fernández-Ballesteros Current Gerontology and Geriatrics Research, 2013 Active aging is one of the terms in the semantic network of aging well, together with others such as successful, productive, competent aging. All allude to the new paradigm in gerontology, whereby aging is considered from a positive perspective. Most authors in the field agree active aging is a multidimensional concept, embracing health, physical and cognitive fitness, positive affect and control, social relationships and engagement. This paper describesVital Aging, an individual active aging promotion program implemented through three modalities: Life, Multimedia, and e-Learning. The program was developed on the basis of extensive evidence about individual determinants of active aging. The different versions ofVital Agingare described, and four evaluation studies (both formative and summative) are reported. Formative evaluation reflected participants’ satisfaction and expected changes; summative evaluations yielded some quite encouraging results using quasi-experimental designs: those who took part in the programs increased their physical exercise, significantly improved their diet, reported better memory, had better emotional balance, and enjoyed more cultural, intellectual, affective, and social activities than they did before the course, thus increasing their social relationships. These results are discussed in the context of the common literature within the field and, also, taking into account the limitations of the evaluations accomplished.
Effects of university programs for older adults: Changes in cultural and group stereotype, self-perception of aging, and emotional balance Rocío Fernández-Ballesteros, Mariagiovanna Caprara, Rocío Schettini, Antonio Bustillos, Víctor Mendoza-Nunez, Teresa Orosa, Rosita Kornfeld, Macarena Rojas, María Dolores López, Lda. Marta Santacreu, María Ángeles Molina, María Dolores Zamarrón Educational Gerontology, 2013 University Programs for Older Adults (Programas Universitarios para Adultos Mayores or PUMAs) have been developed throughout the world as an outcome of two worldwide policies: Life Long Learning (LLL) and Active Aging as a priority direction (UN, 2002). According to these policies, older persons should become full participants in the development process of a society, sharing in its benefits, while policies and actions should promote a positive view of aging. The present paper sets out to report some of the results from the evaluation of four PUMAs offered in 2009–2010 at four Universities: Autónoma University of Madrid (Spain), Autónoma University of Mexico (Mexico), Catholic University (Chile), and La Habana University (Cuba). With this purpose, a study with quasiexperimental design and nonequivalent control group was carried out. In total, 313 students (75% women, age range 50–87) on these four PUMAs and 190 controls (77% female, age range 50–91) participated in this evaluation study. Pre- and postexperimental and control comparisons results yielded significant differences in the expected direction: those people attending PUMAs significantly improved their self-perception of aging and group stereotypes, as well as significantly reduced their negative affect, and improving their emotional balance. At the same time, their perception of cultural age stereotypes became more negative. The results are discussed from the point of view of the II International Plan of Action on Aging objectives: the reduction of negative stereotypes and the promotion of the role of PUMAs in active aging.
Clinical outcomes of long‐acting cabotegravir and rilpivirine in people with HIV aged 60 and older: Real‐world data from the Spanish RELATIVITY cohort J Troya, ML Montes, MJ Galindo, AD Santiago, M Lagarde, D Rodríguez, ... HIV medicine 27 (1), 58-73 , 2026 2026 Citations: 1
Quality of Life, Looking for a Definition M Santacreu, R Fernández-Ballesteros Encyclopedia of Quality of Life and Well-Being Research, 5751-5759 , 2024 2024 Citations: 1
Internet‐based cognitive behavioural therapy programme with and without videoconference guidance sessions: A randomized controlled trial to treat work‐related symptoms of … A Calero Elvira, M Santacreu, C Marchena Giraldez, PC Shih Clinical Psychology & Psychotherapy 28 (5), 1230-1242 , 2021 2021 Citations: 6
Active aging and quality of life R Fernández-Ballesteros, M Sánchez-Izquierdo, M Santacreu Handbook of active ageing and quality of life: From concepts to applications … , 2021 2021 Citations: 20
Internet-based CBT Program with and without videoconference guidance sessions: a randomized controlled trial to treat work-related symptoms of anxiety and depression A Calero‑Elvira, M Santacreu Ivars, C Marchena Giráldez, PC Shih Ma Clinical Psychology & Psychotherapy , 2021 2021
Handbook of active ageing and quality of life: From concepts to applications G Fernández-Mayoralas, F Rojo Pérez, R Fernández-Ballesteros, ... Springer Nature , 2021 2021 Citations: 13
Elaboración de una rúbrica para la evaluación de Trabajos de Fin de Grado de investigación en Psicología D García-Pérez, M Santacreu, A Bellido, E Verche Cuestiones transversales en la innovación de la docencia y la investigación … , 2021 2021
Development and validation of a paternalism and autonomist care assessment R Fernández‐Ballesteros, M Sánchez‐Izquierdo, R Olmos, C Huici, ... Journal of Advanced Nursing 75 (11), 3166-3178 , 2019 2019 Citations: 13
A training intervention to reduce paternalistic care and promote autonomy: A preliminary study M Sánchez-Izquierdo, M Santacreu, R Olmos, R Fernández-Ballesteros Clinical Interventions in Aging, 1515-1525 , 2019 2019 Citations: 63
Eficacia del entrenamiento en comunicación desde la flexibilidad psicológica a estudiantes de fisioterapia para la mejora del manejo del dolor crónico F Montesinos Marín, M Páez Blarrina, MA Hernando Jeréz, ... 2019
Bahavioral Health MS Ivars, MA Rodríguez, MÁM Martínez The Cambridge Handbook of Successful Aging, 299-320 , 2019 2019
Aprendizaje experiencial: implementación de una investigación acción con alumnos de fisioterapia y psicología en la asociación de discapacidad de Dakhla (Sahara) M Blanco Morales, MI Gaviña Barroso, M Santacreu Ivars Universidad Europea de Madrid , 2019 2019
Behavioral health. M Santacreu, MA Rodríguez, MÁ Molina Cambridge University Press , 2019 2019 Citations: 1
Cultural stereotypes in care contexts R Fernández-Ballesteros, M Sanchez-Izquierdo, R Olmos, C Huici, ... Clinical Interventions in Aging, 1613-1619 , 2018 2018 Citations: 10
Características de la asistencia psicológica en el contexto universitario: la Clínica Universitaria de la UAM AC Elvira, M de la Torre Martí, RP Cebrián, MS Ivars Análisis y modificación de conducta 44 (169-70) , 2018 2018 Citations: 15
Iniciativa docente para el fomento del emprendimiento en el Máster Universitario en Psicología General Sanitaria R Rodríguez Rey, M Santacreu Ivars, JL Martínez Rubio RILME , 2018 2018
Características de la asistencia psicológica en el contexto universitario: la Clínica Universitaria de la UAM AC Elvira, M de la Torre Martí, RP Cebrián, M Santacreu Análisis y modificación de conducta 44 (169), 37-50 , 2018 2018
The role of perceived discrimination on active aging R Fernandez-Ballesteros, R Olmos, M Santacreu, A Bustillos, MA Molina Archives of gerontology and geriatrics 71, 14-20 , 2017 2017 Citations: 73
Evaluando estereotipos del envejecimiento: Estereotipos personales, autoestereotipos y auto-percepción del envejecimiento R Fernández-Ballesteros, R Olmos, M Santacreu, A Bustillos, R Schettini, ... Psicothema 29 (4), 482-489 , 2017 2017 Citations: 3
Assessing aging stereotypes: Personal stereotypes, self-stereotypes and self-perception of aging R Fernández-Ballesteros, R Olmos, M Santacreu, A Bustillos, R Schettin, ... Psicothema 29 (4), 482-489 , 2017 2017 Citations: 44
MOST CITED SCHOLAR PUBLICATIONS
Active Aging Promotion: Results from the Vital Aging Program M Caprara, MÁ Molina, R Schettini, M Santacreu, T Orosa, ... Current gerontology and geriatrics research 2013 (1), 817813 , 2013 2013 Citations: 116
Effects of university programs for older adults: Changes in cultural and group stereotype, self-perception of aging, and emotional balance R Fernández-Ballesteros, M Caprara, R Schettini, A Bustillos, ... Educational Gerontology 39 (2), 119-131 , 2013 2013 Citations: 92
The Oxford handbook of clinical geropsychology NA Pachana, K Laidlaw Oxford University Press , 2014 2014 Citations: 85
The role of perceived discrimination on active aging R Fernandez-Ballesteros, R Olmos, M Santacreu, A Bustillos, MA Molina Archives of gerontology and geriatrics 71, 14-20 , 2017 2017 Citations: 73
The semantic network of aging well R Fernández-Ballesteros, MA Molina, R Schettini, M Santacreu Annual review of gerontology and geriatrics 33 (1), 79-107 , 2013 2013 Citations: 65
A training intervention to reduce paternalistic care and promote autonomy: A preliminary study M Sánchez-Izquierdo, M Santacreu, R Olmos, R Fernández-Ballesteros Clinical Interventions in Aging, 1515-1525 , 2019 2019 Citations: 63
Assessing aging stereotypes: Personal stereotypes, self-stereotypes and self-perception of aging R Fernández-Ballesteros, R Olmos, M Santacreu, A Bustillos, R Schettin, ... Psicothema 29 (4), 482-489 , 2017 2017 Citations: 44
Multidimensional/multisystems/multinature indicators of quality of life: Cross-cultural evidence from Mexico and Spain M Santacreu, A Bustillos, R Fernandez-Ballesteros Social Indicators Research 126 (2), 467-482 , 2016 2016 Citations: 35
Aging and quality of life R Fernández-Ballesteros, M Santacreu International Encyclopedia of Rehabilitation. Center for International … , 2010 2010 Citations: 32
Is older adult care mediated by caregivers’ cultural stereotypes? The role of competence and warmth attribution R Fernández-Ballesteros, A Bustillos, M Santacreu, R Schettini, ... clinical interventions in aging, 545-552 , 2016 2016 Citations: 28
Active aging and quality of life R Fernández-Ballesteros, M Sánchez-Izquierdo, M Santacreu Handbook of active ageing and quality of life: From concepts to applications … , 2021 2021 Citations: 20
Quality of life in Mexico and in Spain R Fernández-Ballesteros, ED Arias, M Santacreu, N Ruvalcaba The global dynamics of aging, 4-24 , 2011 2011 Citations: 19
Lay concept of aging well according to age: A reanalysis R Fernández-Ballesteros, R Schettini del Moral, M Santacreu, M Molina Blackwell Publishing , 2012 2012 Citations: 18
Evaluation of a behavioral treatment for female urinary incontinence M Santacreu, R Fernández-Ballesteros Clinical interventions in aging, 133-139 , 2011 2011 Citations: 17
Características de la asistencia psicológica en el contexto universitario: la Clínica Universitaria de la UAM AC Elvira, M de la Torre Martí, RP Cebrián, MS Ivars Análisis y modificación de conducta 44 (169-70) , 2018 2018 Citations: 15
Handbook of active ageing and quality of life: From concepts to applications G Fernández-Mayoralas, F Rojo Pérez, R Fernández-Ballesteros, ... Springer Nature , 2021 2021 Citations: 13
Development and validation of a paternalism and autonomist care assessment R Fernández‐Ballesteros, M Sánchez‐Izquierdo, R Olmos, C Huici, ... Journal of Advanced Nursing 75 (11), 3166-3178 , 2019 2019 Citations: 13
Cultural stereotypes in care contexts R Fernández-Ballesteros, M Sanchez-Izquierdo, R Olmos, C Huici, ... Clinical Interventions in Aging, 1613-1619 , 2018 2018 Citations: 10
Active ageing promotion: results from the Vital Ageing Program. Current Gerontology and Geriatrics Research, Volume 2013, Article ID 817813 M Caprara, MA Molina, R Schettini, M Santacreu, T Orosa, ... 2013 Citations: 8
Internet‐based cognitive behavioural therapy programme with and without videoconference guidance sessions: A randomized controlled trial to treat work‐related symptoms of … A Calero Elvira, M Santacreu, C Marchena Giraldez, PC Shih Clinical Psychology & Psychotherapy 28 (5), 1230-1242 , 2021 2021 Citations: 6
