The protective properties of Act-Belong-Commit indicators against incident depression, anxiety, and cognitive impairment among older Irish adults: Findings from a prospective community-based study
Open accessAbstract
The Act-Belong-Commit campaign is the world's first comprehensive, population-wide, community-based program designed to promote mental health. The campaign targets individuals to engage in mentally healthy activities, while at the same time, encouraging community organizations that offer such activities, to increase participation in their activities. Using nationally-representative data from Ireland, the aim of this study was to prospectively assess the association between indicators of the Act-Belong-Commit behavioral domains and incident depression, anxiety, and cognitive impairment. Data from two consecutive waves of the Irish Longitudinal Study on Ageing (TILDA) were analyzed. The analytical sample consisted of 6098 adults aged ≥50years. Validated scales for depression, anxiety, and cognitive impairment were used. The number of social/recreational activities engaged in was used as an indicator of Act, social network integration as an indicator of Belong, and frequency of participation in these social/recreational activities as an indicator of Commit. Multivariable logistic regression analyses were conducted to assess associations between baseline indicators of Act-Belong-Commit and incident depression, anxiety, and cognitive impairment at two-year follow-up. The adjusted model showed that each increase in the number of social/recreational activities (Act) inversely predicted the onset of depression, anxiety, and cognitive impairment. The same was the case for social network integration (Belong); that is, being well integrated into social networks was a significant protective factor against all mental health outcomes. Finally, frequency of participation in social/recreational activities (Commit) significantly and inversely predicted the onset of depression and anxiety, while the protective effect against cognitive impairment was only marginally significant. Act-Belong-Commit indicators are shown to be protective against mental disorders and cognitive impairment among older Irish adults. This provides further evidence for the campaign's potential efficacy and has potentially wide-ranging implications for preventing the deterioration of mental health and cognitive decline in the aging community.
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Measures described as assessing one particular social concept may contain elements that assess other distinct social concepts.
“Indeed, measures described as assessing one particular concept may contain elements that assess other distinct social concepts.”
From Social Isolation and Cognitive Function in Later Life: A Systematic Review and Meta-Analysis (2019) · cites this paper as [38]
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Self-citationAct-Belong-Commit Indicators Promote Mental Health and Wellbeing among Irish Older Adults
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Self-citationLink workers, activities and target groups in social prescribing: a literature review
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Applying Salutogenesis in Community-Wide Mental Health Promotion
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Self-citationABC (Act–Belong–Commit) for bedre psykisk helse hos voksne i Norge. En HUNT-studie
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Self-citationImpact on Students of the Act–Belong–Commit Mentally Healthy Schools Framework
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The Irish Longitudinal Study on Ageing
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Self-citation
- Authors
- Santini, Z. I., Koyanagi, A., Tyrovolas, S., Haro, J. M., Donovan, R. J., Nielsen, L., & Koushede, V.
- Affiliations
- University of Southern Denmark (DK)
- Centro de Investigación Biomédica en Red de Salud Mental (ES)
- The University of Western Australia (AU)
- Corresponding author
- Santini, Ziggi Ivan
- ORCID
- Venue
- Experimental Gerontology
- Publisher
- Elsevier BV
- Published
- 2017-05
- Volume
- 91
- Pages
- 79-87
- ISSN
- 0531-5565 (ISSN-L)
- OpenAlex
- W2592765865
- Cited by
- 49
- References
- 143
- Citations by year
- 2025: 3 · 2024: 10 · 2023: 6 · 2022: 4 · 2021: 8 · 2020: 4 · 2019: 7 · 2018: 4 · 2017: 1
- FWCI
- 4.12
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Experimental Gerontology (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Research at the University of Copenhagen (University of Copenhagen) (publishedVersion, cc-by)
- University of Southern Denmark Research Portal (University of Southern Denmark) (submittedVersion, cc-by)
- UWA Profiles and Research Repository (UWA) (submittedVersion, cc-by)
- Funders
- Government of Ireland
- Atlantic Philanthropies
- Irish Life
- People Programme (Marie Curie Actions) (316795)
- Miguel Servet (CP13/00150)
- ISCIII - General Branch Evaluation and Promotion of Health Research
- European Regional Development Fund
- Foundation for Education and European Culture (IPEP) (CD15/00019)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Social Sciences › Health › Health disparities and outcomes
- Keywords
- depression, anxiety, cognitive impairment, older adults, social network integration, social and recreational activities, mental health promotion, cognitive decline, Irish Longitudinal Study on Ageing, community mental health programs
- MeSH terms
- Aged, Aged, 80 and over, Aging, Anxiety, Depression, Female, Health Promotion, Humans, Ireland, Leisure Activities, Longitudinal Studies, Male, Mental Health, Middle Aged, Prospective Studies, Psychiatric Status Rating Scales, Geriatric Assessment, Multivariate Analysis, Logistic Models, Cognitive Dysfunction
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