Volume 20, Issue 1 (Spring 2025)                   Salmand: Iranian Journal of Ageing 2025, 20(1): 70-85 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Mohamadzadeh M, Zanjari N, Delbari A, Foroughan M, Tabesh H. Exploring Satisfactory Communication From the Perspective of Older People: A Qualitative Study. Salmand: Iranian Journal of Ageing 2025; 20 (1) :70-85
URL: http://salmandj.uswr.ac.ir/article-1-2799-en.html
1- Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. & Semelghan Health Center, North Khorasan University of Medical Sciences, Bojnurd, Iran.
2- Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
3- Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. , ahmad_1128@yahoo.com
4- Department of Medical Informatics, Mashhad University of Medical Sciences, Mashhad, Iran.
Full-Text [PDF 7336 kb]   (705 Downloads)     |   Abstract (HTML)  (1688 Views)
Full-Text:   (100 Views)
Introduction
Social relationships impact life satisfaction, physical and mental health, and quality of life among older people. One aspect of social relationships in this group is the interaction and conversations that occur during communication between individuals. Communication is a social process through which people share information and messages, whether positive (satisfactory) or negative. Satisfactory interactions are essential for older people's quality of life [13] and can lead to beneficial outcomes, such as increased self-confidence and enhanced well-being [1415]. By maintaining social and family capital through positive interactions, older adults can better adapt to the physiological, social, and environmental changes and limitations of this stage of life. Therefore, recognizing the importance of positive interactions among older people highlights the need to investigate this concept further and identify its dimensions in aging countries, including Iran [28]. Hence, the present study explains the experiences and perceptions of Iranian older individuals regarding positive interactions.

Methods & Materials 
This qualitative study was conducted in 2023. The study population included all elderly individuals aged 60 years and older residing in Bojnurd City, Iran. The inclusion criteria were being at least 60 years old, living in Bojnurd City, Iran, not having an advanced disease, providing written consent to participate, and being able to respond to the researcher's questions. Meanwhile, the participants who were unwilling to continue their cooperation during the study were excluded. Sampling was conducted purposefully and continued until data saturation was reached. Data saturation occurred after interviewing 15 participants, of whom 6 were men and 9 were women. 
The mean age of the participants was 68.64±7.61 years, with a maximum age of 84 years. Among them, 66.6% were married, 33.3% were illiterate, and 26.6% were retired. The data were collected through semi-structured interviews using an interview guide that included main questions, such as “Are you satisfied with your communications with others?” and follow-up questions, such as “What topics do you prefer to talk about when conversing with others?”. Interviews were conducted face-to-face at participants' homes, mosques, or neighborhood parks, each lasting 50 min. Data analysis was performed on the same day as each interview using MAXQDA software , version 2020, following a conventional content analysis approach based on the method proposed by Elo and Kyngäs.

Results 
Given the significant importance of two key dimensions, interaction partners and the content of communications, from the perspective of older adults, the extracted codes were categorized into the following four main categories: interaction with family, interaction with oneself, interaction with God, and interaction with peers, representing the interaction partners. Additionally, nine subcategories were identified, representing the preferred and satisfactory communication contents among older people studied. Interaction with family, with 62 extracted codes (41.3%), it was the most frequent type of satisfactory communication among the elderly participants. It included three subcategories: role-modeling communications (willingness to advise the younger generation, encouraging children to stay united after the parents’ death, emphasizing caring for one another); supportive-caregiving communications (children check on the well-being of the elderly, ask about their needs, and discuss their care and medication requirements); everyday communications (talking about daily matters and grandchildren). 
Older people viewed role-modeling communication as a duty they felt committed to and a means to feel valued within their family and social networks. Although everyday interactions were not centered on specific topics, they were essential and pleasant for older people due to the strong emotional bonds and mutual trust shared with family members (spouses, children, and grandchildren). Subsequently, self-communication, comprising 38 extracted codes (25.3%), was the second most frequent type of satisfactory communication among older people. It included two subcategories: optimistic communications (feeling distant from illness and disability, having hope for the future, hope for maintaining health, and hope for receiving support from others); adaptational communications (accepting fate and God's will, perceiving bodily changes in aging as natural, and accepting aging as a stage of life). Thirdly, Communication with God, comprising 29 extracted codes (19.3%), represents another category of satisfactory communication among the elderly. 
Although these interactions often focused on negative and distressing topics, sharing them with God provided a sense of peace and hope for the elderly. This category included two subcategories: petitioning communications (praying for everyone's health, the success of children, the resolution of problems, easing of illness, children's good fate, and a peaceful death); confiding communications (expressing complaints about hardships, illness, financial difficulties, disrespect from children, and the persistence of unresolved problems).
Lastly, the communication with peers category, with 21 extracted codes (14%), had the fewest codes among the main categories. It included two subcategories: sharing emotions (talking about aging-related problems and illnesses, the economic and income situation during old age, expenses in old age, inflation, and low income); sharing memories (memories of the revolution, war memories, memories from adolescence and youth with friends, and memories from working years). By sharing their emotions, elderly individuals recognized the similarities in their circumstances with their peers and received empathy and emotional validation from them. As a result, their negative feelings diminished, and they gained greater reassurance and encouragement.

Conclusion
Based on the results, raising community awareness, particularly among families with elderly members and their caregivers, about satisfactory communication with the elderly and promoting such interactions, especially supportive-caregiver interactions, can help increase the frequency of satisfactory communications and their positive outcomes for elderly individuals. In addition to family cooperation, national planners need to create suitable conditions to encourage more frequent visits between elderly individuals and their family members and among elderly peers. Furthermore, considering the importance of interaction with oneself and God in the lives of the elderly, it is essential to address their need for solitude in certain situations, their participation in religious ceremonies, and the need for prayer and supplication.

Ethical Considerations
Compliance with ethical guidelines

The researchers assured the participants that their details and information would remain completely confidential and that they could withdraw from the study whenever they wished. This study was approved by the Ethics Committee of the University of Social Welfare and Rehabilitation Sciences, Tehran, Iran (Code: IR.USWR.REC.1400.003).

Funding
This article is part of Marzieh Mohammadzadeh's doctoral thesis in gerontology at the University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

Authors' contributions
All authors equally contributed to preparing this article.

Conflicts of interest
The authors declared no conflict of interest.

Acknowledgments
The authors express their gratitude to all individuals who contributed to the completion of this research.

 
References
  1. Baltes PB, Baltes MM. Psychological perspectives on successful aging: The model of selective optimization with compensation. In: Baltes PB, Baltes MM, editors. Successful Aging: Perspectives from the behavioral sciences. European network on longitudinal studies on individual development. Cambridge: Cambridge University Press; 1990. [Link]
  2. Nosraty L. Successful aging among the oldest old [PhD dissertation]. Tampere: University of Tampere; 2018. [Link]
  3. Annele U, Satu KJ, Timo ES. Definitions of successful ageing: A brief review of a multidimensional concept. Acta Bio Medica: Atenei Parmensis. 2019; 90(2):359-63. [PMID]
  4. Douglas H, Georgiou A, Westbrook J. Social participation as an indicator of successful aging: an overview of concepts and their associations with health. Australian Health Review. 2017; 41(4):455-62. [DOI:10.1071/AH16038] [PMID]
  5. Zanjari N, Sharifian Sani M, Hosseini Chavoshi M, Rafiey H, Mohammadi Shahboulaghi F. [Comparison of experts and older adults’ viewpoints on successful ageing (Persian)]. Journal of North Khorasan University of Medical Sciences. 2017; 9(2):279-90. [DOI:10.18869/acadpub.jnkums.9.2.279]
  6. Nussbaum JF. Successful aging: A communication model. Communication Quarterly. 1985; 33(4):262-9. [DOI:10.1080/01463378509369606]
  7. Braš M, Đorđević V, Pjevač N, Đurić I. Healthy communication in the promotion of healthy agingduring COVID-19 pandemic. Croatian Medical Journal. 2020; 61(3):177-9. [DOI:10.3325/cmj.2020.61.177] [PMID]
  8. Keaton SA, Giles H. Subjective health: The roles of communication, language, aging, stereotypes, and culture. International Journal of Society, Culture & Language. 2016; 4(2):1-10. [Link]
  9. Pecchioni LL, Wright KB, Nussbaum JF. Life-span communication. New York: Routledge; 2006. [DOI:10.1111/j.1468-2958.1978.tb00614.x]
  10. Hecht M. The conceptualization and measurement of interpersonal communication satisfaction. Human Communication Research. 1978; 4(3):253-64. [DOI:10.1111/j.1468-2958.1978.tb00614.x]
  11. Ryan EB, Hummert ML, Boich LH. Communication predicaments of aging: Patronizing behavior toward older adults. Journal of Language and Social Psychology. 1995; 14(1-2):144-66. [DOI:10.1177/0261927X95141008]
  12. Ryan EB, Meredith SD, MacLean MJ, Orange JB. Changing the way we talk with elders: promoting health using the communication enhancement model. International Journal of Aging & Human Development. 1995; 41(2):89-107. [DOI:10.2190/FP05-FM8V-0Y9F-53FX] [PMID]
  13. Views on End-of-Life Medical Treatments Growing Minority of Americans Say Doctors Should Do Everything Possible to Keep Patients Alive . Washington: Pew Research Center; 2013. [Link]
  14. Nezlek JB, Richardson DS, Green LR, Schatten-Jones EC. Psychological well-being and day-to-day social interaction among older adults. Personal Relationships. 2002; 9(1):57-71. [DOI:10.1111/1475-6811.00004]
  1. Fuller-Iglesias HR. Social ties and psychological well-being in late life: The mediating role of relationship satisfaction. Aging & Mental Health. 2015; 19(12):1103-12. [DOI:10.1080/13607863.2014.1003285] [PMID]
  2. Riedl D, Schüßler G. The influence of doctor-patient communication on health outcomes: A systematic review. Zeitschrift fur Psychosomatische Medizin und Psychotherapie. 2017; 63(2):131-50. [DOI:10.13109/zptm.2017.63.2.131] [PMID]
  3. Byun J, Jung D. The influence of daily stress and resilience on successful ageing. International Nursing Review. 2016; 63(3):482-9. [DOI:10.1111/inr.12297] [PMID]
  4. Gheibizadeh M, Pourghane P, Mosaffa khomami H, Heidari F, Atrkar Roushan Z. [The relationship between stressors and coping strategies employed by retired elderly (Persian)]. Iranian Journal of Psychiatric Nursing. 2017; 4(5):36-43. [DOI:10.21859/ijpn-04056]
  5. Fowler C, Gasiorek J, Giles H. The role of communication in aging well: Introducing the communicative ecology model of successful aging. Communication Monographs. 2015; 82(4):431-57. [DOI:10.1080/03637751.2015.1024701]
  6. Lee PL, Lan W, Yen TW. Aging Successfully: A Four-Factor Model. Educational Gerontology. 2011; 37(3):210-27. [DOI:10.1080/03601277.2010.487759]
  7. Yorkston KM, Bourgeois MS, Baylor CR. Communication and aging. Physical Medicine and Rehabilitation Clinics of North America. 2010; 21(2):309-19. [DOI:10.1016/j.pmr.2009.12.011] [PMID]
  8. Am Zehnhoff-Dinnesen A, Angerstein W, Deuster D. Communication disorders in the elderly. Audiological Medicine. 2010; 8(4):184-90. [DOI:10.3109/1651386X.2010.522859]
  9. Daly L. Effective communication with older adults. Nursing Standard (Royal College of Nursing (Great Britain) : 1987). 2017; 31(41):55-63. [DOI:10.7748/ns.2017.e10832] [PMID]
  10. Hafskjold L, Sundling V, van Dulmen S, Eide H. The use of supportive communication when responding to older people’s emotional distress in home care - An observational study. BMC Nursing. 2017; 16:24. [DOI:10.1186/s12912-017-0220-8] [PMID]
  11. Urick MJ, Hollensbe EC, Masterson SS, Lyons ST. Understanding and managing intergenerational conflict: An examination of influences and strategies. Work, Aging and Retirement. 2016; 3(2):166-85. [DOI:10.1093/workar/waw009]
  12. Li M, Luo Y, Li P. Intergenerational solidarity and life satisfaction among empty-nest older adults in rural China: Does distance matter? Journal of Family Issues. 2020; 42(3):626-49. [DOI:10.1177/0192513X20926216]
  13. Giles H, Khajavy GH, Choi CW. Intergenerational communication satisfaction and age boundaries: Comparative middle eastern data. Journal of Cross-Cultural Gerontology. 2012; 27(4):357-71. [DOI:10.1007/s10823-012-9179-9] [PMID]
  14. WHO. Life tables: Life tables by country Iran (Islamic Republic of). Geneva: WHO; 2020. [Link]
  15. Javadi Pashaki N, Mohammadi F, Jafaraghaee F, Mehrdad N. Factors Influencing the Successful Aging of Iranian Old Adult Women. Iranian Red Crescent Medical Journal. 2015; 17(7):e22451. [DOI:10.5812/ircmj.22451v2] [PMID]
  16. Bagheri-Nesami M, Rafii F, H. Oskouie SF. Coping Strategies of Iranian Elderly Women: A qualitative study. Educational Gerontology. 2010; 36(7):573-91. [DOI:10.1080/03601270903324438]
  17. Panahi MH. Intergenerational conflicts in Iran: Myth or reallity? Cultural Encounters, Conflicts, and Resolutions. 2014; 1(1):7.[Link]
  18. Torabian M, Zanjari N, Fadayevatan R, Froughan M, Harouni GG. The intergenerational relationship patterns between aging parents and their adult children. Journal of Family Medicine and Primary Care. 2022; 11(9):5464-72. [DOI:10.4103/jfmpc.jfmpc_1972_21] [PMID]
  19. Abolfathi Momtaz Y, Ansari M, Foroughan M. [The effectiveness of humor training on the elderly’s well-being (Persian)]. Aging Psychology. 2020; 6(2):119-30. [DOI:10.22126/jap.2020.5446.1443]
  20. Sheykhi A, Navidian A, Keykha R, Rezaee N. [Effect of reminiscence on the happiness the retired elderly members of the Islamic Republic of Iran Army (Persian)]. Iran Journal of Nursing. 2019; 32(119):1-12. [DOI:10.29252/ijn.32.119.1]
  21. Tong A, Flemming K, McInnes E, Oliver S, Craig J. Enhancing transparency in reporting the synthesis of qualitative research: ENTREQ. BMC Medical Research Methodology. 2012; 12:181. [DOI:10.1186/1471-2288-12-181] [PMID]
  22. Iman MT, Noushadi MR. [Qualitative content analysis (Persian)]. Journal of Research in Islamic Sciences. 2012; 3(2):15-44. [Link]
  23. Elo S, Kääriäinen M, Kanste O, Pölkki T, Utriainen  K,  Kyngäs H. Qualitative Content Analysis: A focus on trustworthiness. Sage Open. 2014; 4(1). [DOI:10.1177/2158244014522633]
  24. Polit DF, Beck CT. The content validity index: Are you sure you know what’s being reported? Critique and Recommendations. Research in Nursing & Health. 2006; 29(5):489-97. [DOI:10.1002/nur.20147] [PMID]
  25. Pashaki NJ, Mohammadi F, Jafaraghaee F, Mehrdad N. Factors influencing the successful aging of Iranian old adult women. Iranian Red Crescent Medical Journal. 2015; 17(7):e22451.[DOI:10.5812/ircmj.22451v2] [PMID]
  26. Ayoubi-Mahani S, Eghbali-Babadi M, Farajzadegan Z, Keshvari M. [Facilitators and barriers to active aging in Iran: A gualitative study (Persian)]. Salmand: Iranian Journal of Ageing. 2023; 18(3):438-59. [DOI:10.32598/sija.2023.3604.1]
  27. Ravanipour M, Salehi S, Taleghani F, Abedi HA, Ishaghi SR, Schuurmans MJ, et al. Power resources of older people in Iran. International Journal of Older People Nursing. 2013; 8(1):71-9. [DOI:10.1111/j.1748-3743.2012.00335.x] [PMID]
  28. Roman C, Duckworth A, White R. Dear Anna And Al: Giving advice increases older adults’subjective well-Being. Innovation in Aging. 2017; 1(Suppl 1):1182. [DOI:10.1093/geroni/igx004.4307]
  29. Shamsikhani S, Ahmadi F, Kazemnejad A, Vaismoradi M. Meaning of respect for older people in family relationships. Geriatrics (Basel, Switzerland). 2022; 7(3):57. [DOI:10.3390/geriatrics7030057] [PMID]
  30. Youm Y, Laumann EO, Ferraro KF, Waite LJ, Kim HC, Park YR, et al. Social network properties and self-rated health in later life: comparisons from the Korean social life, health, and aging project and the national social life, health and aging project. BMC Geriatrics. 2014; 14:102. [DOI:10.1186/1471-2318-14-102] [PMID]
  31. Lin MC, Zhang YB. Taiwanese older adults’ perceptions of aging and communication with peers and young adults. Journal of Asian Pacific Communication. 2008; 18(2):135-56. [DOI:10.1075/japc.18.2.02lin]
  32. Fung AW, Lee AT, Cheng S-T, Lam LC. Loneliness interacts with family relationship in relation to cognitive function in Chinese older adults. International Psychogeriatrics. 2019; 31(4):467-75. [DOI:10.1017/S1041610218001333] [PMID]
  33. Hermans H, Hermans-Konopka A. Dialogical self theory: Positioning and counter-positioning in a globalizing society. Cambridge: Cambridge University Press; 2010. [DOI:10.1017/CBO9780511712142]
  34. McCarthy VL, Bockweg A. The role of transcendence in a holistic view of successful aging: A concept analysis and model of transcendence in maturation and aging. Journal of Holistic Nursing. 2013; 31(2):84-92. [DOI:10.1177/0898010112463492] [PMID]
  35. Fry PS. Assessment of private and inner speech of older adults in relation to depression. In: Private speech: From social interaction to self-regulation. New York: Psychology Press; 1992. [Link]
  36. Pan Z, Chen JK. Association of received intergenerational support with subjective well-being among elderly: The mediating role of optimism and sex differences. International Journal of Environmental Research and Public Health. 2022; 19(13):7614. [DOI:10.3390/ijerph19137614] [PMID]
  37. Mohamadzadeh M, Zanjari N, Delbari A, Foroughan M, Tabesh H. The mediating effect of optimism toward aging between intergenerational communication and life satisfaction in older adults. IJ Psychiatry and Behavioral Sciences. 2023; 17(3):e132436. [DOI:10.5812/ijpbs-132436]
  38. Forgeard M, Seligman M. Seeing the glass half full: A review of the causes and consequences of optimism. Pratiques Psychologiques. 2012; 18(2):107-20. [DOI:10.1016/j.prps.2012.02.002]
  39. Wilson TD, Lisle DJ, Kraft D, Wetzel CG. Preferences as expectation-driven inferences: Effects of affective expectations on affective experience. Journal of Personality and Social Psychology. 1989; 56(4):519-30. [DOI:10.1037/0022-3514.56.4.519] [PMID]
  40. Smith MC, Parker ME. Nursing theories and nursing practice. Philadelphia: Davis Company; 2015. [Link]
  41. Fontes AP, Neri AL. Resilience in aging: Literature review. Ciencia & Saude Coletiva. 2015; 20(5):1475-95. [DOI:10.1590/1413-81232015205.00502014] [PMID]
  42. Koenig HG, Weiner DK, Peterson BL, Meador KG, Keefe FJ. Religious coping in the nursing home: A biopsychosocial model. The International Journal of Psychiatry in Medicine. 1997; 27(4):365-76. [DOI:10.2190/M2D6-5YDG-M1DD-A958] [PMID]
  43. Musick MA, Blazer DG, Hays JC. Religious activity, alcohol use, and depression in a sample of elderly Baptists. Research on Aging. 2000; 22(2):91-116. [DOI:10.1177/0164027500222001]
  44. Motamedi A. [Qualitative study of relationship with god in old age (Persian)]. Salmand: Iranian Journal of Ageing. 2017; 12(1):68-77. [DOI:10.21859/sija-120166]
  45. Mohamadpour F, Aflakseir A, Mohamadi N, Hadianfard H. [Analysis of components of meaning of life in elderly (Persian)]. Positive Psychology Research. 2021; 7(1):1-18. [DOI:10.22108/ppls.2021.122082.1901]
  46. Semlali I, Merminod G, Weber O, Terrier A, Decosterd I, Rubli Truchard E, et al. Friendship in Later Life: How friends are significant resources in older persons’ communication about Chronic Pain. International Journal of Environmental Research and Public Health. 2022; 19(9):5551. [DOI:10.3390/ijerph19095551] [PMID]
  47. Beadle JN, de la Vega CE. Impact of aging on empathy: Review of psychological and neural mechanisms. Frontiers in Psychiatry. 2019; 10:331.[DOI:10.3389/fpsyt.2019.00331] [PMID]
  48. Elford H, Wilson F, McKee K, Chung M, Bolton G, Goudie F. Psychosocial benefits of solitary reminiscence writing: An exploratory study. Aging & Mental Health. 2005; 9(4):305-14. [DOI:10.1080/13607860500131492] [PMID]
  49. Demiray B, Mischler M, Martin M. Reminiscence in everyday conversations: A naturalistic observation study of older adults. The Journals of Gerontology Series B, Psychological Sciences and Social Sciences. 2019; 74(5):745-55. [DOI:10.1093/geronb/gbx141] [PMID]
Type of Study: Research | Subject: gerontology
Received: 2024/02/16 | Accepted: 2024/04/15 | Published: 2025/04/01

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2025 CC BY-NC 4.0 | Iranian Journal of Ageing

Designed & Developed by : Yektaweb