ORCID

0000-0002-8393-1817

Keywords

vitality; older adults; qualitative; meta-synthesis

Abstract

Vitality is increasingly recognized as a key determinant of healthy aging, yet its definition remains inconsistent across clinical and research settings. Traditionally assessed through physical health indicators, vitality is a multidimensional construct encompassing physical, emotional, cognitive, social, and subjective domains. This dissertation aimed to explore how independently living older adults define and experience vitality, and to reframe its conceptualization through a meta-synthesis of existing literature and original qualitative research.

A state-of-the-science review of 35 studies revealed that physical activity, psychological well-being, physical health, and social engagement were consistently associated with vitality. However, most studies assessed vitality in fragmented ways, often excluding older adults’ perspectives. To address this gap, a qualitative descriptive study was conducted with ten older adults aged 61–83. Using thematic analysis, four key themes emerged: (1) Make Adjustments, Keep Going; (2) Being Mentally Jubilant; (3) Bonds That Keep Me Going; and (4) Thriving Amid Uncertainty. To reinforce and extend these findings, a meta-synthesis of 12 qualitative studies exploring how older adults conceptualize vitality and adjacent constructs such as successful and healthy aging, guided by Noblit and Hare’s seven phases, revealed five interrelated themes: (1) Maintaining Functional Wellness; (2) Embracing Change and Adapting; (3) Fostering Connected Living; (4) Cultivating Inner Harmony; and (5) Finding Freedom through Stability.

This research reframes vitality as a dynamic and synergistic experience shaped by life transitions, personal meaning, and social connection. It underscores the need for holistic assessment tools and person-centered interventions that reflect older adults’ perspective and experiences.

Understanding vitality from the perspective of older adults is essential to improving public health outcomes. It informs strategies that promote autonomy, reduce isolation, and enhance quality of life, ultimately supporting aging populations to thrive, not just survive.

Completion Date

2026

Semester

Spring

Committee Chair

Victoria Loerzel

Degree

Doctor of Philosophy (Ph.D.)

College

College of Nursing

Format

PDF

Document Type

Dissertation

Identifier

DP0053113

Release Date

5-15-2028

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Available for download on Monday, May 15, 2028

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