Archives of Gerontology and Geriatrics Plus最新文献

{"title":"Impact of absence of subjective memory complaints on characteristics of meaningful occupations in community-dwelling older people","authors":"Katsushi Yokoi ,&nbsp;Nobuyuki Miyai ,&nbsp;Yukiko Sougawa ,&nbsp;Sonomi Hattori ,&nbsp;Miyoko Utsumi ,&nbsp;Megumi Nakamura ,&nbsp;Mikio Arita","doi":"10.1016/j.aggp.2025.100158","DOIUrl":"10.1016/j.aggp.2025.100158","url":null,"abstract":"<div><h3>Background</h3><div>Subjective memory complaints increase with age, leading to limitations in daily life. Subjective memory complaints should be considered from the perspective of occupations closely related to daily life. This study investigated the association between the absence of subjective memory complaints and characteristics of meaningful occupations. In this study, occupation is defined not only as work but, more broadly, as important activities individuals perform.</div></div><div><h3>Study design</h3><div>A community-based cross-sectional study.</div></div><div><h3>Methods</h3><div>This study included 259 community-dwelling older people (aged 73.9 ± 5.8 years, 100 males and 159 females) with Mini-Mental State Examination-Japanese scores ≥25. Subjective memory complaints were assessed using a question from the Centers for Disease Control and Prevention. Questionnaires on meaningful occupations (number, frequency, continuation, performance, and satisfaction) were administered. Logistic regression analysis was performed to examine the association between the absence of subjective memory complaints and occupational characteristics, adjusting for age, education, body mass index, alcohol consumption, smoking status, and disease status as covariates.</div></div><div><h3>Results</h3><div>Of the 259 participants, 131 (50.6 %) had no subjective memory complaints. Occupational performance was associated with the absence of subjective memory complaints, with an adjusted odds ratio of 1.53 (95 %CI = 0.99–2.36) for males. Occupational satisfaction was significantly associated with the absence of subjective memory complaints, with an adjusted odds ratio of 1.39 (95 %CI = 1.02–1.90) for females.</div></div><div><h3>Conclusion</h3><div>The absence of SMCs appears to be associated with positive subjective occupational performance and satisfaction; however, further research, including an exploration of gender differences and potential associations, is needed.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 2","pages":"Article 100158"},"PeriodicalIF":0.0,"publicationDate":"2025-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143807004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk factors and predictors of cognitive impairment in older adults: A retrospective cross-sectional study","authors":"Hemanth Narayan Shetty (Professor in Audiology),&nbsp;Greeshma Hari (Postgraduate Student)","doi":"10.1016/j.aggp.2025.100154","DOIUrl":"10.1016/j.aggp.2025.100154","url":null,"abstract":"<div><h3>Purpose</h3><div>a) to estimate the prevalence of cognitive impairment, b) to identify odd ratio and risk ratio of CI from demographic, systemic illness, and hearing-related factors, and c) to determine the association and predict the CI from demographic, systemic illness, and hearing-related factors.</div></div><div><h3>Materials and methods</h3><div>This retrospective cross-sectional study involved 1062 older adults attending the Geriatric Wellness Clinic at the JSS Hospital between 2023 and 2024. Data were reviewed from participant case files, documenting demographics such as systemic illnesses (diabetes mellitus, Hypertension), age, gender, education level, and socioeconomic status. Hearing ability was assessed using a hearing screening questionnaire and audiometric testing. Cognitive impairment was evaluated using the Mini-Mental State Examination (MMSE), categorizing participants into normal, mild, moderate, or severe cognitive impairment.</div></div><div><h3>Results</h3><div>The prevalence of cognitive impairment among participants was 60.07 %, with those over 65 showing the highest rate at 46.52 %. Systemic illnesses like Diabetes Mellitus and Hypertension increased the risk, especially when both were present (74.1 %). Higher educational attainment served as a protective factor, while lower socioeconomic status was linked to a higher prevalence of cognitive impairment. Demographic and hearing-related variables influenced cognitive impairment risk, with only a few demographic variables predicting its severity.</div></div><div><h3>Conclusion</h3><div>This study highlights the high prevalence of cognitive impairment among older adults and emphasizes its significant association with demographic, systemic illness, and hearing-related factors.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 2","pages":"Article 100154"},"PeriodicalIF":0.0,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143816686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-term effectiveness of a multicomponent frailty management program in Singapore: One-year preliminary findings of a cluster-randomised controlled trial","authors":"Tianma Xu,&nbsp;Rhin Tok,&nbsp;Yan Ying Tay,&nbsp;Shi Ting Lai,&nbsp;Grace Hui Ling Tan","doi":"10.1016/j.aggp.2025.100157","DOIUrl":"10.1016/j.aggp.2025.100157","url":null,"abstract":"<div><div>The prevalence of frailty is increasing with the rapidly ageing population in Singapore. A 12-week multicomponent frailty management program, “Say No to Frailty” (SNTF) showed its feasibility and demonstrated positive outcomes. This study aimed to evaluate the long-term clinical effectiveness of the SNTF program on various health outcomes in community-dwelling older adults with pre-frailty and frailty in Singapore. As part of the larger cluster-randomised controlled trial (c-RCT), participants from three intervention groups were included. Two groups were led by Allied Healthcare Professionals (AHPs) (<em>n</em> = 19) and one group was led by a non-AHP (<em>n</em> = 8). Assessments on frailty status (Clinical Frailty Scale), physical functions (Short Physical Performance Battery and hand grip strength), self-efficacy (Falls Efficacy Scale – International), participation (Life-Space Assessment and Goal Attainment Scale), and quality of life (EQ-5D-5 L) were conducted at baseline, 3 months, 6 months and 12 months. Data were analysed using mixed ANOVA to compare the changes between and within groups. Monthly fall data were collected and analysed. Statistically significant improvements in all health outcomes at 12-month follow-up were observed in all intervention groups. There was no significant difference found in most outcome measures between groups across all time points. Fall reduction post-intervention was observed. SNTF demonstrated potential long-term effectiveness in improving frailty status, physical functions, self-efficacy, community participation, quality of life and fall reduction in the community-dwelling older adults with pre-frailty and frailty in Singapore, regardless of the training background of the program facilitators.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 2","pages":"Article 100157"},"PeriodicalIF":0.0,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143816684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cost-efficiency assessment of a community palliative care team in the last week of life","authors":"Elisabete Costa ,&nbsp;Hugo Ribeiro ,&nbsp;Júlia Magalhães ,&nbsp;João Rocha-Neves ,&nbsp;Marília Dourado","doi":"10.1016/j.aggp.2025.100156","DOIUrl":"10.1016/j.aggp.2025.100156","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>A large portion of the European population prefers to die at home. We evaluated the cost-effectiveness of keeping patients at home with the support of a community palliative care team (CPCT).</div></div><div><h3>Study design</h3><div>Observational, retrospective cohort study without intervention.</div></div><div><h3>Methods</h3><div>The clinical records of patients followed during the last week of life by a CPCT in 2021 were evaluated. We performed a cost analysis and compared it with national and international tables for hospitalizations, emergency services and home hospitalization.</div></div><div><h3>Results</h3><div>Costs varied according to the type of care for 84 patients, in a week, it costs 47,488.58 euros in a Palliative Care Unit (PCU) of the National Network for Integrated Continuous Care; 77 195.58 euros in a hospital PCU; and 187 530.885 euros in an acute care or Home Hospitalization Unit. For patients followed by this CPCT, the total cost for providing care to the studied patients was 17 872.499 euros. Furthermore, we observed an improvement in quality of life and symptom control in the transition of care to this CPCT.</div></div><div><h3>Conclusions</h3><div>Patients with advanced and highly complex illnesses can be cared at home with the support of a CPCT like the one that participated in this study, which appears to improve quality of life and symptom control, in addition to ensuring lower costs for the healthcare system. The costs of other units were 3 to more than 10 times higher than the value presented by the CPCT. Aligned with the patient's will, there is a cost-effectiveness advantage in keeping high clinically complex patients at home.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 2","pages":"Article 100156"},"PeriodicalIF":0.0,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143816685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Non-communicable diseases and risk factors profiling among geriatric population residing in Hyderabad city, India","authors":"Karthikeyan Ramanujam,&nbsp;Joyeeta Thakur,&nbsp;Rajitha Triveni Koralla,&nbsp;JJ Babu Geddam,&nbsp;Samarasimha Reddy N","doi":"10.1016/j.aggp.2025.100153","DOIUrl":"10.1016/j.aggp.2025.100153","url":null,"abstract":"<div><h3>Background</h3><div>India's aging population, expected to reach 340 million by 2050, faces a growing burden of non-communicable diseases (NCDs) like hypertension, diabetes, and obesity.</div></div><div><h3>Objective</h3><div>In this study, we assessed the prevalence of Non communicable diseases among the elderly population residing in Hyderabad city in India and identified the associated risk factors.</div></div><div><h3>Methods</h3><div>We conducted a community-based cross-sectional study in an urban locality of Hyderabad city, Telangana state among 1320 elderly individuals aged 60 years and above. Data on anthropometric measurements, dietary intakes, socio-economic factors, and NCD history were collected using structured questionnaires and standardized tools. We have used descriptive statistics to estimate the burden of NCDs and a multivariable logistic regression was used for identifying the associated risk factors.</div></div><div><h3>Results</h3><div>We observed that among elderly population, 49.9% (95% CI 47.2%-52.6%) had reported hypertension, 25.8% (95% CI 23.5%-28.3%) had diabetes, and 44.3% (41%-47.5%) were obese, with women having notably higher burden for all three conditions. Dietary patterns showed moderate diversity, with only 41.2% elderly population consuming protein-rich foods weekly followed by 74.4% consuming vegetables. Multivariable analysis revealed that individuals with obesity had increased odds of hypertension (AOR 2.59; 95% CI 1.83–3.66) and diabetes (1.65; 95% CI 1.03–2.63) compared to individuals without obesity. The participants with abnormal waist hip ratio were at higher odds of having hypertension (AOR 1.66; 95% CI; 1.03–2.67).</div></div><div><h3>Conclusion</h3><div>Our findings highlight the significant burden of NCDs among urban elderly, driven by obesity and suboptimal dietary patterns. Public health policies should prioritize focusing on balanced nutrition for control of NCDs among elderly population.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 2","pages":"Article 100153"},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143791139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Contribution of gait speed, grip strength, and depression on the risk of serious falls among older adults","authors":"Temam Beshir Raru ,&nbsp;Julie A. Pasco ,&nbsp;Mojtaba Lotfaliany ,&nbsp;Shiva Ganjali ,&nbsp;Malcolm Forbes ,&nbsp;Alice J. Owen ,&nbsp;Robyn L Woods ,&nbsp;Anna Barker ,&nbsp;Suzanne G. Orchard ,&nbsp;Joanne Ryan ,&nbsp;John J. McNeil ,&nbsp;Michael Berk ,&nbsp;Mohammadreza Mohebbi","doi":"10.1016/j.aggp.2025.100155","DOIUrl":"10.1016/j.aggp.2025.100155","url":null,"abstract":"<div><h3>Objective</h3><div>This study assessed the individual and combined associations of slow gait speed, weak grip strength, and depressive symptoms with the risk of serious falls in an aging population.</div></div><div><h3>Methods</h3><div>This study used data from the Aspirin in Reducing Events in the Elderly (ASPREE) trial, which collected adjudicated events on serious falls from Australian community-dwelling older adults (≥70 years). Cox proportional hazard models were employed to estimate adjusted hazard ratios (AHR).</div></div><div><h3>Results</h3><div>Of 16,357 participants, 1505 (9.2 %) had serious falls over the median (IQR) follow-up of 4.4 (3.3–5.5) years. Slow gait, weak grip, and depressive symptoms at baseline were associated with serious falls (AHR = 1.38, 95 %CI: 1.22–1.56; AHR = 1.22, 95 %CI: 1.07–1.38, and AHR=1.28, 95 %CI:1.10–1.50, respectively). Combined slow gait, weak grip, and depressive symptoms were associated with a more than two-fold increase in the risk of serious falls (AHR=2.15, 95 %CI: 1.56–2.97). The presence of slow gait and weak grip were associated with a 66 % increase in the risk of serious falls (AHR=1.66, 95 %CI:1.40–1.97). Depressive symptoms worsened the risk of falls among individuals with chronic conditions such as diabetes.</div></div><div><h3>Conclusion</h3><div>Combined gait speed, grip strength, and depressive symptoms have a strong association with serious falls in an aging population. Therefore, incorporating strength and mobility training interventions to improve physical functions and addressing depression through timely diagnosis and effective treatment may help to prevent the risk of falls among older adults.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 2","pages":"Article 100155"},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143906501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of commitment to values on family caregivers’ depression: Examination of the stress process model","authors":"Koji Abe,&nbsp;Shiho Nagano","doi":"10.1016/j.aggp.2025.100152","DOIUrl":"10.1016/j.aggp.2025.100152","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aims to focus on personal values, a key component of acceptance and commitment therapy (ACT), and to examine their role in the stress process model of famil caregivers.</div></div><div><h3>Methods</h3><div>A screening survey of 6000 people aged 65 years and older was conducted, and data from 247 family caregivers who met the inclusion criteria were analyzed. The hypothesis model included the cognitive and daily functioning of individuals with dementia, behavioral and psychological symptoms of dementia, caregivers’ personal values, and depression.</div></div><div><h3>Results</h3><div>Structural equation modeling showed that the stress process model of caregivers with personal values fit the data very well. Both aspects of caregiver behavior, progress and obstruction toward acting in accordance with personal values, significantly affected caregiver depression.</div></div><div><h3>Conclusions</h3><div>One of the main components of ACT, progressive and obstructive behaviors toward personal values, was significantly associated with family caregiver depression. The personal values of family caregivers are important for maintaining their mental health.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 2","pages":"Article 100152"},"PeriodicalIF":0.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143776465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring work and life satisfaction among older adults in India: Evidence from LASI","authors":"Priya Maurya ,&nbsp;Aparajita Chattopadhyay ,&nbsp;Aditi B. Prasad","doi":"10.1016/j.aggp.2025.100151","DOIUrl":"10.1016/j.aggp.2025.100151","url":null,"abstract":"<div><h3>Background</h3><div>Whether working in old age has a positive impact on overall life satisfaction of older people is a pertinent research question. This paper examined the role of work and occupational characteristics on life satisfaction among older adults in India.</div></div><div><h3>Data and methods</h3><div>This study utilised data from the first wave of the Longitudinal Ageing Study in India (2017–2018). It analysed 30771 older adults aged 60 and above. Descriptive statistics, bivariate analysis and linear regression analysis were applied.</div></div><div><h3>Results</h3><div>The mean score for life satisfaction was 23.74; slightly higher among men (24.09) than women (23.43). However, the findings from multivariable analysis shows that overall, women were more likely to have better life satisfaction than men after controlling for other characteristics. Never worked (aCoef=-0.55, SE=0.26, <em>p</em> &lt; 0.05; beta=-0.012) and currently working (aCoef=-0.43, SE=0.12, <em>p</em> &lt; 0.001; beta=-0.025) men were less likely to have better life satisfaction than men who are currently not working. Women who worked earlier and currently not engaged in work had better life satisfaction than men of the same class. Compared to men who were working on their farms, male agricultural labourers were less likely, and women engaged in their own or family farm were more likely to report higher life satisfaction. The study findings demonstrate that financially resourceful and working pensioners were capable of enjoying themselves in later life. Although gender differences exist in life satisfaction in the context of work, the effect sizes were small.</div></div><div><h3>Conclusion</h3><div>Women, better educated and wealthy, married, and healthy older adults are more likely to be satisfied in life. Encouraging saving practices among people, strengthening the land ownership rights and improving health and financial security among older adults through a life-course approach will contribute to a better quality of life in old age. The research underscores the importance of considering mediating mechanism of other factors while exploring the relationship between work, occupation and life satisfaction.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 2","pages":"Article 100151"},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143821152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Designing a Policy Model for Enhancing Social Health of the Elderly","authors":"Maryam Koosha ,&nbsp;Jafar Hezarjaribi ,&nbsp;Hesameddin Allameh ,&nbsp;Mohammad Amir Panahi ,&nbsp;Amir Lalegani","doi":"10.1016/j.aggp.2025.100149","DOIUrl":"10.1016/j.aggp.2025.100149","url":null,"abstract":"<div><h3>Introduction</h3><div>Given the significant increase in the elderly population in many countries, designing effective policy models to enhance the social health of this age group is essential. This article aims to present a comprehensive policy model focused on various dimensions of social health to improve the elderly's status. Its goal is to design efficient policies and offer recommendations to improve the living conditions of the elderly through practical and structural approaches.</div></div><div><h3>Method</h3><div>This study reviews documents, laws, guidelines, and government resolutions and analyzes case studies to identify effective models in elderly social health policymaking. The research employs theoretical frameworks of public policymaking, such as the life-cycle theory and structural approaches, to design efficient models.</div></div><div><h3>Findings</h3><div>The study findings highlight that challenges related to aging, across various aspects of social health, necessitate the formulation and implementation of comprehensive, coordinated policies. These policies should encompass institutional, financial, service-oriented, and cultural dimensions to effectively enhance elderly social health. Institutionally, policy formulation should be based on institutional mapping, fostering coordination among various sectors, strengthening executive structures, and enacting appropriate legal provisions to support the elderly. Financially, ensuring sustainable funding and reinforcing pension funds should be primary priorities. From a service perspective, designing elderly-friendly environments, expanding social services, and preventing health problems among the elderly are key focal points requiring careful planning and coordinated action.</div></div><div><h3>Discussion and Conclusion</h3><div>This study demonstrates that designing comprehensive, coordinated policies tailored to the specific needs of the elderly plays a pivotal role in improving their quality of life and social health. First, intersectoral collaboration between governmental, private, and civil society organizations is crucial for formulating and implementing effective policies. Second, leveraging modern technologies and digitizing services can enhance equitable and timely access to services for the elderly. Finally, adopting successful international experiences and localizing them, combined with a deep understanding of local challenges and opportunities, can result in policies that not only improve elderly social health but also strengthen social cohesion and reduce socioeconomic pressures in the long run.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 2","pages":"Article 100149"},"PeriodicalIF":0.0,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143936734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of negative opinions towards telepsychiatry with its prior use and the level of geriatric psychiatry care among nursing home stakeholders","authors":"S Pirbay MD ,&nbsp;S Abou Kassm MD, MPH ,&nbsp;C Di-Maggio MD ,&nbsp;F Naudet MD, PhD ,&nbsp;D Drapier MD, PhD ,&nbsp;D Somme MD, PhD ,&nbsp;G Robert MD, PhD","doi":"10.1016/j.aggp.2025.100150","DOIUrl":"10.1016/j.aggp.2025.100150","url":null,"abstract":"<div><h3>Objectives</h3><div>Despite the benefits of geriatric telepsychiatry, the lack of support from the staff remains one of the major challenges it faces. We wanted to explore whether negative opinions towards telepsychiatry in nursing home (NH) stakeholders were affected by prior experience with this modality and by the level of geriatric psychiatric care provided in NH.</div></div><div><h3>Methods</h3><div>We conducted an opinion survey towards telepsychiatry among NH stakeholders (executive managers and care providers) from 10 NH, divided into 5 groups of differing levels of geriatric psychiatric care: Group A used telepsychiatry, Group B had the smallest level of psychiatry care (i.e. without any mental health professional visit), Group C had visiting nurses of general psychiatry, Group D had visiting geriatric psychiatry nurses, Group E had mobile teams including nurses and geriatric psychiatrists.</div></div><div><h3>Results</h3><div>216 (78.5 %) questionnaires were returned We found significant differences among the groups (Mean Group A (mean_A)=63.5, standard error of the mean Group A (SEM_A)=1.6); mean_B=67.9, SEM_B=2.2; mean_C=75.6, SEM_C=1.6; mean_D=69.6, SEM_D=2.1; mean_E=73.1, SEM_E=1.9; F₍₄₂₀₈₎=6.6333, <em>p</em> = 4.824 × 10^–5). All groups except group B were significantly different from group A, even after adjusting for age, gender, professional category and knowledge of telepsychiatry.</div></div><div><h3>Discussion</h3><div>Negative opinions towards telepsychiatry were negatively associated with telepsychiatry use in the NH and positively associated with a high level of geriatric psychiatric care, specifically the presence of mobile geriatric psychiatry teams.</div></div><div><h3>Conclusions</h3><div>Our findings suggest that telepsychiatry and face-to-face geriatric psychiatry are in competition. Telepsychiatry acceptance program should aim at describing its complementarity to usual geriatric psychiatry care.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 2","pages":"Article 100150"},"PeriodicalIF":0.0,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143891533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}