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Cite journal as: The Gerontologist Vol. 54, No. 5, 818829 All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.
doi:10.1093/geront/gnt074 Advance Access publication July 30, 2013
1
School of Social Work, Simmons College, Boston, Massachusetts.
2
Brown School of Social Work and Center for Aging, Washington University in St. Louis, Missouri.
3
Graduate School of Social Work, Boston College, Chestnut Hill, Massachusetts.
4
Brown School of Social Work, Washington University in St. Louis, St. Louis, Missouri.
5
Department of Social Welfare, University of Incheon, Yeonsu-gu, Incheon, Korea.
*Address correspondence to Michelle Putnam, PhD, Simmons College, School of Social Work, 300 The Fenway, Boston, MA 02135.
E-mail: michelle.putnam@simmons.edu
Purpose of the Study: The aims of this study Key words: Activity, Secondary data sets, Measurement,
were to inventory activity items within and across Content analysis
U.S.public use data sets, to identify gaps in repre-
sented activity domains and challenges in interpret-
ing domains, and to assess the potential for studying Scientific interest in activity engagement by
multiple activity engagement among older adults older adults has expanded in recent years as
using existing data. Design and Methods:We researchers have sought to better understand the
engaged in content analysis of activity meas- range of activities older adults engage in and the
ures of 5U.S. public use data sets with nationally impact of activity engagement on outcomes such
representative samples of older adults. Data sets as health and wellness, quality of life, and life satis-
included the Health & Retirement Survey (HRS), faction. However, despite the increased scholarship
Americans Changing Lives Survey (ACL), Midlife in the area of activity, there has been less attention
in the United States Survey (MIDUS), the National to defining what activity means conceptually. This
Health Interview Survey (NHIS), and the Panel Study includes determining what counts as an activity
of Income Dynamics survey (PSID). Two waves of for example, is it anything a person does with his
each data set were analyzed. Results: We iden- or her time? Additionally, the measurement of dif-
tified 13 distinct activity domains across the 5 data ferent types of activities (e.g., physical, social, psy-
sets, with substantial differences in representation of chological, and economic) and knowledge about
those domains among the data sets, and variance in how to use multiple activity variables in statisti-
the number and type of activity measures included cal models are both underdeveloped. In general,
in each. Implications: Our findings indicate researchers target a single domain of activity, like
that although it is possible to study multiple activ- physical activity, volunteering, caregiving, employ-
ity engagement within existing data sets, fuller sets ment, or social activities, despite the fact that older
of activity measures need to be developed in order adults can and do engage in multiple activities on a
to evaluate the portfolio of activities older adults daily basis and at any one time. Research also tends
engage in and the relationship of these portfolios to to exclude categories of time use that have not tra-
health and wellness outcomes. Importantly, clearer ditionally been thought of as activities, but that
conceptual models of activity broadly conceived are can consume significant amounts of an individuals
required to guide this work. time, such as attending medical appointments and
818 The Gerontologist
engaging in household chores. Moreover, the rel- individual activity engagement, as are the contexts
evance of intensity of participationfor example, in which activities are undertaken, including neigh-
the difference between involvement and engage- borhood characteristics (Mendes de Leon et al.,
ment in activities and roles (James, Besen, Matz- 2009). Lower levels of formal education (Shaw
Costa, & Pitt-Catsouphes, 2012)is not always & Spokane, 2008), presence of disease diagnosis
considered in analysis of activities, yet may be (Ashe, Miller, Eng, & Noreau, 2009), and greater
important for understanding how individuals bal- fear of falling (Deshpande et al., 2008) have also
ance engagement in multiple activities. been related to reduced activity engagement.
Improving the ability of researchers to study Within the body of research on activity and
multiple activity engagement can help to generate older adults, measurement of activity contains tre-
greater understanding that helps both to clarify the mendous variation, due in part to the lack of strong
complex relationships between activity and health conceptual models of activity that are broadly
and wellness outcomes and to better define activity defined. In our review of the public health, gerontol-
itself. To help move this work forward, we under- ogy, rehabilitation, and related literatures, we iden-
took an informed assessment of what our current tified three main issues that stymie the development
data resources are for studying multiple activities. of knowledge related to activity. First, operation-
We present our study findingshere. alization of specific activity domains is inconsistent
across studies. For example, physical activity has
been evaluated as a specific single item, like walk-
Rationale for Assessing Data Resources for ing (Nagel, Carlson, Bosworth, & Michael, 2008),
Studying Activity and as a composite ordinal scale of physical activi-
Moving toward understanding activity in a ties that comprise basic activities of daily living
more complex way is supported by continued calls (Peri etal., 2008). Second, data collection methods
to facilitate healthy and positive aging through vary widely depending on the aims of the study,
public health initiatives and evidence-based prac- producing findings that are difficult to compare or
tices (U.S. Department of Health & Human assess. Staying with physical activity, data collec-
Services, 2012; United Nations, 2002; WHO, tion modalities range from self-report in activity
2007). The growing body of research literature on diaries (Atienza, Oliveira, Fogg, & King, 2006) to
specific types of activities have included studies on actigraphs (Chipperfield, 2008) and accelerometers
social engagement, work, caregiving, volunteer- (Bailis, Chipperfield, Perry, Newall, & Haynes,
ing, religious activity, leisure, and physical activity 2008), which electronically track physical activ-
and their relationships to health, cognitive func- ity. Third, single activities or domains, like physical
tion, functional status, and mortality (Buchman, activity, are generally not reviewed within the con-
Wilson, & Bennett, 2008; Glass, De Leon, Bassuk, text of larger activity patterns, making it difficult
& Berkman, 2006; Hong & Morrow-Howell, to understand how participation in a given activity
2010; Janke, Payne, & Van Puymbroek, 2008; domain relates to participation in other domains
Karp etal., 2006). In general, activity participation (e.g., physical activity, volunteering, providing
has been linked to positive outcomes (Chipperfield, social support, and work) or how such participa-
2008; Hong & Morrow-Howell, 2010). However, tion collectively supports larger health and wellness
certain activities, like caregiving or employment outcomes. Of the few studies we found that consid-
under certain conditions, have been associated with ered multiple activity engagement, results indicated
negative outcomes (Adams, McClendon, & Smyth, that when a broad set of activity items were reduced
2008; Son et al., 2007). In several studies, older into composite domains, patterns in activity were
adults themselves have expressed the idea that evident (Burr, Mutchler, & Caro, 2007). Using this
engagement in activities, from personal hobbies to approach, analysis of antecedents and outcomes of
productive work roles, is vital in the pursuit of a activity patterns on areas of health and wellness,
good old age (Bowling & Gabriel, 2007; Clarke, including incidence of dementia (Paillard-Borg,
Liu-Ambrose, Zyla, McKay, & Khan, 2005). Fratiglioni, Windbald, & Wang, 2009) and depres-
Researchers have found that motivation sion (Arai etal., 2007) have been studied.
(Holahan & Suzuki, 2005), higher levels of perceived We believe that to efficiently and effectively
control, self-esteem, efficacy (Bailis, Chipperfield, advance research on activities and older adults,
& Helgason, 2008), and social support (Wilson & better approaches to conceptualizing, measuring,
Spink, 2006) are all important positive correlates of and analyzing activities must be developed. The
Data set and survey purpose Data waves collected Data collection Sample age parameters Sample size and unit
ACL Panel data: 1986, 1989, 1994, Face-to-face interviews Age stratified: 25 years and older Individuals:
Explores the role of psychosocial 2002 (study closed) 1986: 3,617
and economic factors over the 1989: 2,867
adult life course in health and 1994: 2,562
function outcomes. 2002: 3,617
HRS Panel data: Biannual 19922010 Face-to-face interviews Age stratified: 50 years and older Varies by year. In 2010,
Explores changes in labor force (ongoing) Additional off-year 15,372 individuals, 10,754
participation and health studies including activity households.
transitions toward the end of supplements.
work lives and after.
MIDUS Panel data: 199596 Telephone interview, Age stratified: 2574 years Individuals:
Investigates social, behavioral, 20042006 (Wave III pending*) mailed questionnaire 19951996: 7,108
and psychological factors in 20042006: 4,963
822
accounting for age-related
variations in health and
well-being.
NHIS Cross-sectional, annual: Face-to-face interviews Age stratified: children and Varies by year. Estimated
Monitors U.S. population health. 19572012 (ongoing) adults in 2011 to be 87,500
individuals, 35,000
households.
PSID Panel data: 37 Waves 19682011 Face-to-face and Age stratified: children and Varies by year. In 2009, more
Explores socioeconomics and health (ongoing) telephone interviews, adults. than 24,000+ individuals
over the life course and across social security, and and 8,500+ families.
generations. census data
Note: *MIDUS Refresher data collection in 2012 will replenish the sample with new members; MIDUS III data collection begins in 2013.
The Gerontologist
questions pertaining to the individual respondent researchers and discussed until agreement was
(i.e., did you. . .) were counted; those that asked reached regarding inclusion or exclusion of activity
the respondent to provide a proxy respondent for items for each wave. The researchers simultaneously
a spouse or other individuals were not evaluated. engaged in review of categorization of individual
Thus, within surveys that collect data on multiple items into conceptual domains. During this review
members in a household, like the PSID, we exam- process, we recorded decision rules for identification
ined only items related to the primary respondent to of activity items and definitions of categories and
standardize comparisons across surveys. In surveys established guidelines for categorizing measures into
with skip patterns (e.g., if yes, go to. . . and if no, conceptual domains. We added and further refined
skip to. . .), we counted all questions in the yes rules throughout the process. After a final rule book
pattern in order to capture all of the activity meas- was established, we retroactively applied all rules to
ures under a single question line. Surveys that sought each wave of each data set and completed a com-
to validate responses by asking multiple questions parative review of its application by two researchers.
about the same activity were noted in our data files, Any discrepancies in application of the final rule set
but these items were not multiply counted. In the were discussed until agreement was reached.
age-stratified data sets, we did not select any ques-
tions related to activity that were asked of younger
adults but not asked of older adults. Results
In Part 2, findings from each data set were Table2 presents the 13 domains identified in the
reviewed in a series of conference calls with four analysis and their definitions. Findings for research
Data set
Survey wave and Number
number of total of activity Health risk Basic Household Helping Interpersonal Physical Financial
825
across waves
ACL
2002 Survey (N=51) 9 7 6 8 12 8 3 2 3 2
1994 Survey (N=54) 9 8 5 7 12 11 1 4 4 2
Number of items same 5 4 7 12 7 1 2 2
across waves
HRS
2009 Activity 12 2 3 2 9 8 3 2 3 2 2 2 1
supplements (N=39)
2007 Activity 12 2 3 2 9 8 3 2 3 2 2 2 1
supplements (N=39)
Number of items same 2 3 2 9 8 3 2 3 2 2 2 1
across waves
MIDUS
20042006 (N=109) 12 14 10 4 16 5 1 11 4 5 20 18 1
1994/1995 (N=109) 10 25 10 1 16 1 11 4 5 19 4
Number of items same 5 10 1 14 1 11 5 15
across waves
Note: Detailed tables with survey items can be obtained by contacting the corresponding author.
to evaluate employment in-depth (PSID, 2009). In physical activity and/or exercise. With the excep-
contrast, the HRS asks only about current employ- tion of the 2004 wave of MIDUS, only a few items
ment status and hours spent per week working for in each data set inquire about physical exercise.
pay. The other surveys fall somewhere in the mid- Given the likely empirical correlation of household
dle, asking additional questions about type, nature, chores and physical activity, understanding how
and specifics of employment. Depending on what a these domains differ (if they do) becomes important
researchers aims are, variables providing dynam- to delineate. Helping others may also link closely
ics of employment may be particularly relevant to activities in both the aforementioned domains.
when investigating the interaction of employ- In creating all three of these domains (household
ment factors and other life activities. On the other chores, physical activity, and helping others), our
hand, if formal employment status (employed and research team felt interpreting the intent of what
not employed) is the only variable of interest, the each survey item was trying to assess was useful in
one or two employment items may be enough. In assigning each item to a single domain. At the same
an empirical analysis exploring multiple activity time, we recognize that what these items measure
engagement, employment status and hours spent specifically may overlap (e.g., physical engage-
working may be the most salient measures. ment), suggesting the need for greater conceptual
Civic activities and religious activities were cov- and measurement work in these cases and others
ered in four of the five data sets, with MIDUS hav- of a similar nature.
ing the greatest number of items in each category Financial management and computer activity
overall. In MIDUS, ACL, and HRS, items related domains are not routinely included. In each, the
to civic and religious activities were similar in items are somewhat generic (time spent managing
what they measured (e.g., volunteering and attend- bills and using a computer) but do capture activi-
ing religious services). MIDUS more extensively ties that can consume large amounts of time. From
measured what type of organizations or popula- a similar viewpoint, help-seeking activities, present
tion groups individuals volunteered to work with in four of the five data sets, may range from barely
and collected more details regarding religious any time spent to significant time spent. In all of
engagement. the domains, fluctuations in time spent may influ-
The fact that PSID had no civic activity items ence time or effort available for other domains of
and NHIS had only one was disappointing given activities. The larger number of items in NHIS and
current interest in volunteering and productive MIDUS ask specifically about types of help sought
aging and their relationships to positive health (e.g., physician, psychologist, and dentist), offer-
outcomes. This limits investigation of patterns ing more detail about the range of help seeking.
of employment and transition to or inclusion of In contrast, the time spent using a computer, a sin-
civic activities in retirement and their relationship gle item in this domain, only generically inquires
to positive health outcomes using these data sets. about use of the machine, not what it was used for.
The lack of religious activities in these data sets In trying to asses this, our research team returned
similarly stymies researchers ability to investigate to what became a familiar refrain for us during this
relationships between health and spiritual and/or analysis: It likely depends on the specific research
activities like volunteering. As noted earlier, these aims as to whether the number of items and their
omissions may be attributed to the original mis- quality are strong enough to produce a meaningful
sion of each survey, and the survey developers, analysis of multiple activity engagement.
therefore, should not be faulted for exclusion;
rather, survey developers could be encouraged to
consider the possibility of adding items in unrep- Difficulty in Interpreting Domains
resented activity domains to facilitate research In terms of interpreting domains, we struggled
exploring complex interactions of multiple activity in determining whether health risk behavior was
engagement. a legitimate domain of activity. In the literature,
Household chore activities were assessed by health behaviors are treated distinctly from physi-
many items in ACL and HRS, but very few in the cal and social activities. However, in our iterative
other data sets. In many of the physical activity discussions, we found that we could make the case
items, engagement in housework and exterior yard for including health risk behavior as these activi-
work were used as examples for explaining dis- ties are sometimes done with singular focus (e.g.
tinctions between light, moderate, and vigorous taking a smoking break) or done in tandem with