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Among older adults with disabilities, maintaining active aging can often be compromised. However, the literature highlights a positive link between mental health and autonomy on one hand, and self-determined motivation on the other. Therefore, self-determined motivation may be improved by promoting mental health and, in the end, older adults autonomy. In this context, the « pôle bien-être autonomie », a mental health promotion program, has been set up to offer activities adapted to the disabilities and needs of the elderly, hence fostering active aging. The purpose of this longitudinal study is to test the hypothesis that promoting the mental health of disabled older adults would preserve their autonomy through the development of self-determined motivation. The theoretical model was tested using structural equation modelling on data of 170 participants. A RCT was conducted between 2019 and 2021 with the same cohort. Results of the structural equation modelling support the importance of promoting mental health in maintaining active aging. Evaluation of the promotion program indicates a decrease in levels of depression, an increase in the frequency of self-determined activities and in the autonomy of beneficiaries after three months of operation. The discussion focuses on the relevance of a processual analysis of the promotion program and on new directions to maintain autonomy for seniors with disabilities.

When a quantum field theory in d -spacetime dimensions possesses a global ( d - 1 ) -form symmetry, it can decompose into disjoint unions of other theories. This is reflected in the physical quantities of the theory and can be used to study properties of the constituent theories. In this note we highlight the equivalence between the decomposition of orbifold σ -models and disconnected McKay quivers. Specifically, we show in numerous examples that each component of a McKay quiver can be given definitive geometric meaning through the decomposition formulae. In addition, we give a purely group and representation theoretic derivation of the quivers for the cases where the trivially acting part of the orbifold group is central. As expected, the resulting quivers are compatible with the case of σ -models on 'banded' gerbes., Competing Interests: Conflict of interestThe authors declare there is no conflict of interest., (© The Author(s) 2023.)

Introduction: Promoting the mental health of vulnerable elderly patients is a public health priority., Context: In many cases, mental health interventions for elderly people are not appropriate for those with multiple physical disabilities., Objectives: This article aims to provide gerontology professionals with an overview of the types of interventions available based on their practice setting (home or long-term care facility) and the characteristics of the people who use them (over 75 years old with physical disabilities)., Method: A systematic literature review was conducted using the PsycInfo, PubMed, and Cochrane databases, using data ranging from 2001-2022. All interventions aimed at addressing mental health issues were included, regardless of their research methodology., Results: A total of 18 studies were included in this systematic review. The methodological limitations of these studies had a negative impact on our ability to draw conclusions and generalizations about the results of this review. However, the social and psychological support interventions studied seem to hold much promise., Discussion: The provision of personalized support seems to be an important factor in determining the success of an intervention, whether at home or in a long-stay facility., Conclusion: Further studies are needed to provide evidence of the effectiveness of these interventions.

In the context of demographic aging, preventing autonomy loss is a major issue. Adapting care systems to help keep seniors at home is a daily challenge. "La Mutualité Française", a national mutual insurance company, has implemented in one of its healthcare services an innovative program to strengthen well-being: "The Well-Being Autonomy Pole." This program comprises five Prevention and Support Care components and hypothesizes that strengthening the well-being of elderly people already suffering from physical limitations would prevent their autonomy decline. The originality of this program is its focus on elderly people who have rarely been studied in terms of preventing autonomy loss, given their existing functional limitations. A first evaluation was carried out over three months to verify the methodological feasibility of an impact assessment and to provide preliminary results on the effectiveness of the program. Key findings suggest improved levels of self-esteem, physical well-being, psychological autonomy and decreased anxiety. Methodological limitations of this first feasibility assessment and perspectives for future research are discussed.