The experiences of place: Veterans with dementia making meaning of their environments
Little research has examined how older veterans view the long-term care facility as place and how they make meaning of their experiences within specific places. This study examined seven older veterans’ meanings of place within the cognitive support unit of a veteran's hospital and in a summer camp setting. In the facility, the environment was interpreted as restrictive. At camp, the environment was interpreted as freeing. Each of the environments was experienced within the horizons of meaning of residents’ lives [Gubrium, J.F., 1993. Speaking of Life: Horizons of Meaning for Nursing Home Residents. Aldine de Gruyter, Hawthorne, NY.]. What was evident here was that the experiences in both places, both in the moment and through horizons of meaning, contributed to how residents created a sense of place in these two distinct environments.
Abstract: Disordered eating is a prevalent and relevant health concern that remains understudied among U.S. military veterans. Avoidant/restrictive food intake disorder (ARFID) is a newly recognized feeding and eating disorder characterized by overly restrictive eating due to (a) picky eating, (b) lack of appetite, and (c) fear of aversive consequences related to eating. The Nine-Item ARFID Screen (NIAS) is a recently developed ARFID screening tool with initial validation studies demonstrating psychometric support. However, the psychometric properties of the NIAS have not been investigated in a veteran sample. To advance our understanding of ARFID screening tools that may be appropriate for use in veterans, the present study examined the factor structure of the NIAS using survey data from a large national sample of recently separated veterans (N = 1,486). Measurement invariance across key subgroups was tested in addition to exploring differential associations between the NIAS and related constructs. Results suggested that a three-factor model provided an excellent fit of the data and demonstrated scalar invariance across self-identified men and women, race and ethnicity, and sexual and gender minority (SGM) identity. Some subgroups had higher latent means on the picky eating (women, SGM, non-Hispanic Black), appetite (women, SGM), and fear (women) factors. The NIAS had some overlap with another measure of disordered eating and was moderately correlated with psychosocial impairment and mental health. Overall, the NIAS may be a useful screening tool for ARFID in veterans, given support for the three proposed subscales and equivalence across diverse identities.