Clinical Gerontologist最新文献

Evidence for Building an Integrated Dementia Healthcare System: A Systematic Review. 建立一个综合的痴呆症医疗保健系统的证据：一个系统的回顾。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-05-16 DOI: 10.1080/07317115.2025.2505577

George Lin, Tracy Kuo Lin, Mohammed Alluhidan, Rana Saber, Mariam M Hamza, Severin Rakic, Abdulrahman Alfaisal, Adwaa Alamri, Volkan Cetinkaya, Nahar Alazmi

{"title":"Evidence for Building an Integrated Dementia Healthcare System: A Systematic Review.","authors":"George Lin, Tracy Kuo Lin, Mohammed Alluhidan, Rana Saber, Mariam M Hamza, Severin Rakic, Abdulrahman Alfaisal, Adwaa Alamri, Volkan Cetinkaya, Nahar Alazmi","doi":"10.1080/07317115.2025.2505577","DOIUrl":"https://doi.org/10.1080/07317115.2025.2505577","url":null,"abstract":"Objectives: Proponents of integrated healthcare systems suggest that such system can improve healthcare experience for individuals with dementia by amalgamating personal and structured resources.Methods: We assessed systematically available evidence on the current state of integrated healthcare systems viewed in terms of different levels and dimensions of integration, emphasizing multiple stakeholders' simultaneous perspectives. Studies were eligible for inclusion if they (1) evaluated a health system, (2) adopted a network or integrated care model, (3) cared for individuals with dementia, and (4) provided real-world data.Results: Our review included 31 studies. Main components of the healthcare system included care mediation, multidisciplinary care, primary care integration, long-term care, community-based service, digital technology, and one undefined. Most studies involved meso-level integration (n = 23), followed by micro-level (n = 12) and macro-level integration (n = 5).Conclusions: Key factors that promote an integrated healthcare system for dementia include supportive organizational structure, multidisciplinary collaboration, effective leadership, clear roles, streamlined referral, and community involvement. Macro-level integration should be considered with greater emphasis in conjunction with both meso- and micro-level integration.Clinical implications: Successful development of comprehensive integrated healthcare network will require thoughtful implementation and transition across all levels of the system.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-17"},"PeriodicalIF":2.6,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144086115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mental Health Consequences of Age-Related Macular Degeneration: Exploring Depression Prevalence and Severity in Wet and Dry Forms. 年龄相关性黄斑变性的心理健康后果：探索抑郁症的患病率和严重程度在湿和干形式。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-05-15 DOI: 10.1080/07317115.2025.2506768

Nikolaos Gouliopoulos, Nikolaos Bouratzis, Stylianos Kympouropoulos, Ioannis Datseris, Ilias Georgalas, Panagiotis Theodossiadis, Alexandros Rouvas

{"title":"Mental Health Consequences of Age-Related Macular Degeneration: Exploring Depression Prevalence and Severity in Wet and Dry Forms.","authors":"Nikolaos Gouliopoulos, Nikolaos Bouratzis, Stylianos Kympouropoulos, Ioannis Datseris, Ilias Georgalas, Panagiotis Theodossiadis, Alexandros Rouvas","doi":"10.1080/07317115.2025.2506768","DOIUrl":"https://doi.org/10.1080/07317115.2025.2506768","url":null,"abstract":"Objectives: Age-related macular degeneration (AMD) is a leading cause of vision loss, affecting quality of life. Although AMD is associated with an increased risk of depression, differences between dry and wet forms are not well understood. This study examined depressive symptoms in Greek patients with dry and wet AMD compared to healthy-controls using the Zung Self-Rating Depression Scale (SDS).Methods: A cross-sectional study included 146 AMD patients (74 dry, 72 wet) and 60 controls. Depressive symptoms were assessed using the Zung SDS. Demographic and clinical data were collected. Statistical analyses compared depression severity and prevalence between groups, adjusting for potential confounders.Results: Wet AMD patients had significantly higher Zung SDS scores (50.4 ± 7.81) than dry AMD (44.8 ± 6.75) and controls (41.4 ± 7.85, p < .001). Depression prevalence was 56% in wet, 27% in dry AMD, and 20% in controls. After adjusting for visual acuity, age, sex, and other factors, wet AMD remained significantly associated with greater depression severity (p < .001).Conclusions: Wet AMD is associated with higher depression severity compared to dry AMD, emphasizing the need for integrated ophthalmologic and mental health care.Clinical implications: Depression is common among AMD patients, particularly those with wet AMD. Screening and psychological support should be incorporated into AMD management.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-9"},"PeriodicalIF":2.6,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144076608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectiveness of Exergame Intervention on Depressive Symptoms, Daily Living Activities, and Fear of Falling in Older Adults: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Exergame干预对老年人抑郁症状、日常生活活动和跌倒恐惧的有效性：随机对照试验的系统回顾和荟萃分析

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-05-15 DOI: 10.1080/07317115.2025.2503250

Sholeh Khodadad Kashi, Vahid Saatchian

{"title":"Effectiveness of Exergame Intervention on Depressive Symptoms, Daily Living Activities, and Fear of Falling in Older Adults: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.","authors":"Sholeh Khodadad Kashi, Vahid Saatchian","doi":"10.1080/07317115.2025.2503250","DOIUrl":"https://doi.org/10.1080/07317115.2025.2503250","url":null,"abstract":"Objectives: This systematic review evaluated exergame interventions' efficacy in older adults, focusing on depressive symptoms, activities of daily living (ADLs), and fear of falling.Methods: We searched five electronic databases from inception to June 2024. Data were synthesized using the inverse-variance method, reporting standardized mean differences (SMDs) with 95% confidence intervals (CIs).Results: Twenty-four randomized controlled trials (RCTs) with 1,128 participants were included. Exergames significantly improved depressive symptoms (SMD = -0.76, 95% CI: -1.11 to -0.40, p < .001). Meta-regression showed no influence of sample size, health status, intervention duration, gender, or gaming device. No significant effects were found for ADLs (SMD = 0.01, 95% CI: -0.75 to 0.76, p = .988) or fear of falling (SMD = -0.16, 95% CI: -0.40 to 0.08, p = .189).Conclusions: Exergames enhance mental health in older adults but lack clear effects on physical function or fear of falling. High-quality, long-term studies are needed.Clinical implications: Exergames offer an engaging intervention to reduce depressive symptoms, complementing mental health therapies. Clinicians should use modern platforms and combine exergames with physical or behavioral interventions to address ADLs and fear of falling.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-15"},"PeriodicalIF":2.6,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144076607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reflective Functioning and Financial Exploitation Vulnerability in Older Adults: The Importance of Significant Others. 老年人的反思功能和经济剥削脆弱性：重要他人的重要性。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-05-01 Epub Date: 2024-02-22 DOI: 10.1080/07317115.2024.2320921

Gali H Weissberger, Yoav S Bergman

{"title":"Reflective Functioning and Financial Exploitation Vulnerability in Older Adults: The Importance of Significant Others.","authors":"Gali H Weissberger, Yoav S Bergman","doi":"10.1080/07317115.2024.2320921","DOIUrl":"10.1080/07317115.2024.2320921","url":null,"abstract":"Objectives: Financial exploitation of older adults results in devastating economic, social, and psychological losses to older adults, their families, and society at large. This study examined the relationship between reflective functioning and financial exploitation vulnerability (FEV) and whether relationship status moderated the association.Methods: A community-based sample of 156 Israeli older adults age 60 and over responded to demographic questions and questionnaires assessing reflective functioning and FEV.Results: A hierarchical linear regression analysis covarying for age, sex, education, income, and sum of illnesses, revealed that higher reflective functioning was associated with lower FEV (p = .011). A main effect of relationship status was not found, but a significant interaction of reflective functioning × relationship status was discovered (p = .008), adding 4.2% to the total variance of the model. Probing the interaction revealed that the reflective functioning-FEV association was significant only for older adults not in a relationship.Conclusions: Findings suggest that low reflective functioning may be associated with increased risk of financial exploitation, specifically in certain populations of older adults.Clinical implications: Care providers of older adults may consider assessing for, and identifying older adults with low reflective functioning, in order to prevent or intervene in the event of a potentially exploitative situation.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"449-458"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139930362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

New Research to Advance Assessment in Geriatric Mental Health. 推进老年心理健康评估的新研究

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-05-01 Epub Date: 2025-04-03 DOI: 10.1080/07317115.2025.2486900

Jennifer Moye

引用次数: 0

Perceived Financial Vulnerability, Wealth, and Wealth Change: The Health and Retirement Study. 感知的财务脆弱性、财富和财富变化：健康与退休研究》。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-05-01 Epub Date: 2024-08-20 DOI: 10.1080/07317115.2024.2393761

Madison Maynard, Emily V Flores, Daniel Paulson, Peter A Lichtenberg, Boon Peng Ng

{"title":"Perceived Financial Vulnerability, Wealth, and Wealth Change: The Health and Retirement Study.","authors":"Madison Maynard, Emily V Flores, Daniel Paulson, Peter A Lichtenberg, Boon Peng Ng","doi":"10.1080/07317115.2024.2393761","DOIUrl":"10.1080/07317115.2024.2393761","url":null,"abstract":"Objectives: The 6-item Perceived Financial Vulnerability (PFV) scale assesses awareness and psychological vulnerability regarding finances. Prior findings using the Health and Retirement Study (HRS) identified significant associations of PFV with wealth, demographics, and health status. This study examines the relationship between wealth, changes in wealth, and PFV.Methods: Data from HRS respondents were analyzed (N = 1,056). Total assets at baseline (2016) and changes in total assets over two waves (2016 to 2018) were stratified into deciles and used as primary predictors of PFV in 2018. Multiple linear regression models examined the influence of demographics, wealth change (linearly and curvilinearly), and baseline wealth on PFV.Results: Wealth change and baseline wealth were associated with PFV. When controlled for baseline wealth, wealth loss linearly predicted increased PFV.Conclusions: These findings support the utility of the PFV. Findings underscore the importance of integrating multifaceted financial and demographic information when conceptualizing subjective financial welfare.Clinical implications: Financial wellbeing is crucial in older clients and should be assessed over time. The 6-item PFV effectively evaluates contextual aspects of financial decision-making across socioeconomic statuses, making it valuable for clinical assessments.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"440-448"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11839952/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142008399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Creation and Validation of the MMQ-9: A Short Version of the Multifactorial Memory Questionnaire for Middle-Aged and Older Adults. MMQ-9 的创建与验证：中老年多因素记忆问卷简易版。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-05-01 Epub Date: 2024-10-29 DOI: 10.1080/07317115.2024.2421876

Angela K Troyer, Komal T Shaikh, Natasha Baptist-Mohseni, Arjunvir Singh, Jacob Duncan-Kofman, Susan Vandermorris, Jill B Rich

{"title":"Creation and Validation of the MMQ-9: A Short Version of the Multifactorial Memory Questionnaire for Middle-Aged and Older Adults.","authors":"Angela K Troyer, Komal T Shaikh, Natasha Baptist-Mohseni, Arjunvir Singh, Jacob Duncan-Kofman, Susan Vandermorris, Jill B Rich","doi":"10.1080/07317115.2024.2421876","DOIUrl":"10.1080/07317115.2024.2421876","url":null,"abstract":"Objectives: Memory concerns are common among older adults. The Multifactorial Memory Questionnaire (MMQ) is a well-validated participant-reported measure consisting of 57 items across three subscales assessing satisfaction with memory, self-perceived memory ability, and memory strategy use, respectively. Because short scales are often desired to accommodate clinical time constraints and reduce respondent burden, we created and evaluated 9-item versions of each subscale (MMQ-9).Methods: In Study 1, we used an optimization strategy to identify subsets of items that maximized subscale reliability in a sample of 560 adults ages 50-90. In Study 2, we examined psychometric properties of the MMQ-9 in an independent sample of 638 adults ages 51-95.Results: Internal consistency, test-retest reliability, and convergent and discriminant validity of each subscale met published criteria for good measurement properties. Confirmatory factor analysis validated the original factor structure. A hierarchical series of invariance models showed excellent fit, confirming robust measurement invariance across age, gender, and education.Conclusions: The shortened MMQ-9 is a reliable, valid, and invariant measure of metamemory in middle-aged and older adults.Clinical implications: The MMQ-9 is a reasonable instrument of choice when brief yet psychometrically strong measures of participant-reported memory are required for clinical assessment of patients with memory concerns.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"528-538"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142544118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reliability and Validity of Revised Apathy Evaluation Scale-Self in Community-Dwelling Older Adults. 修订版社区老年人冷漠评估量表--自我的可靠性和有效性。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-05-01 Epub Date: 2024-07-24 DOI: 10.1080/07317115.2024.2383924

Xinyu Qiao, Ziqi Guan, Fangfang Pang, Juzhe Xi, Ruiyuan Guan

{"title":"Reliability and Validity of Revised Apathy Evaluation Scale-Self in Community-Dwelling Older Adults.","authors":"Xinyu Qiao, Ziqi Guan, Fangfang Pang, Juzhe Xi, Ruiyuan Guan","doi":"10.1080/07317115.2024.2383924","DOIUrl":"10.1080/07317115.2024.2383924","url":null,"abstract":"Objectives: The questionnaire Apathy Evaluation Scale-Self (AES-S) has been widely adopted globally, demonstrating high reliability and validity. However, direct translation of the AES into Chinese does not fit well into the Chinese cultural setting, so a structured and comprehensive revision is needed to obtain a high reliability and validity version of the scale.Methods: In this study, 436 adults aged ≥ 60 years from two communities in Beijing were assessed using a modified AES-S. The methodology included item analysis, exploratory factor analysis, and confirmatory factor analysis. The scale's validity was tested using the Temporal Experience of Pleasure Scale (TEPS) and Mini-Mental State Examination (MMSE). Reliability assessment included retest reliability, internal consistency reliability, and split-half reliability.Results: The modified Apathy Evaluation Scale-Self-Assessment (AES-S-C) presented a first-order four-factor structure with higher reliability and validity than the original version within the Chinese older adult community.Conclusions: The revised AES-S-C is more suitable for the Chinese older adults in community settings.Clinical implications: This self-rated scale is suitable for screening apathy among older adults in community or nursing facilities, aiding in the identification of cognitive impairment and promoting mental health.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"494-502"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141757536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Factors Associated With Healthcare and Financial Decision Making Among Older Black Adults Without Dementia. 无痴呆症的黑人老年人中与医疗保健和财务决策相关的因素。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-05-01 Epub Date: 2024-07-11 DOI: 10.1080/07317115.2024.2375326

Crystal M Glover, Lei Yu, Peter A Lichtenberg, S Duke Han, Melissa Lamar, Christopher C Stewart, David A Bennett, Lisa L Barnes, Patricia A Boyle

{"title":"Factors Associated With Healthcare and Financial Decision Making Among Older Black Adults Without Dementia.","authors":"Crystal M Glover, Lei Yu, Peter A Lichtenberg, S Duke Han, Melissa Lamar, Christopher C Stewart, David A Bennett, Lisa L Barnes, Patricia A Boyle","doi":"10.1080/07317115.2024.2375326","DOIUrl":"10.1080/07317115.2024.2375326","url":null,"abstract":"Objectives: The study aims to identify factors associated with health care and financial decision-making among older Black adults without dementia.Methods: Participants (N = 326) underwent assessments of decision-making and completed measurements of factors from four categories: cognitive, contextual, psychosocial, and personality. We performed separate linear regression models to examine the association between each factor and decision-making and created a fully adjusted model.Results: Higher global cognition (estimate = 1.92, SE = 0.21, p < .0001) was associated with better decision-making. Contextual factors including higher current annual income (estimate = 0.23, SE = 0.05, p < .0001), higher childhood socioeconomic status (estimate = 0.48, SE = 0.18, p = .006), higher health and financial literacy (estimate = 0.08, SE = 0.01, p < .0001), and lower financial stress (estimate = -0.19, SE = 0.07, p = .01) were associated with better decision-making. More psychological well-being (estimate = 0.07, SE = 0.22, p = .001), a psychosocial factor, and less neuroticism (estimate = -0.06, SE = 0.02, p = .002), a personality factor, were associated with better decision-making. In the fully adjusted model, two factors, higher global cognition and higher literacy (health and financial), remained associated with better decision-making.Conclusions: Cognitive and contextual factors serve as drivers of decision-making among older Black adults.Clinical implications: Clinicians may implement strategies to bolster cognition and improve health and financial literacy to facilitate optimal decision-making among older Black adults.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"423-439"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11724011/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141589750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Capacity Assessment Instrument - Health: Pilot Study of a New Tool for Adults with Dementia. 能力评估工具--健康：针对痴呆症成人的新工具试点研究。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-05-01 Epub Date: 2024-03-20 DOI: 10.1080/07317115.2024.2331171

Ana Paula Saraiva Amaral, Mário Manuel Rodrigues Simões, Sandra Cristina Lopes Freitas, Rosa Marina Lopes Brás Martins Afonso

{"title":"Capacity Assessment Instrument - Health: Pilot Study of a New Tool for Adults with Dementia.","authors":"Ana Paula Saraiva Amaral, Mário Manuel Rodrigues Simões, Sandra Cristina Lopes Freitas, Rosa Marina Lopes Brás Martins Afonso","doi":"10.1080/07317115.2024.2331171","DOIUrl":"10.1080/07317115.2024.2331171","url":null,"abstract":"Objectives: This research comprises a pilot study of the CAI-Health, a new tool for the evaluation of decision-making capacity in healthcare. It aims to analyze the instrument's indicators of reliability and internal validity to conclude its final version.Methods: A total of 89 participants were included, of which 22 had Alzheimer's Disease; 32 had mild cognitive impairment, and 35 were controls. Cronbach's alpha and the intercorrelation matrix were used as indicators of reliability and internal validity as well as to identify items for elimination. Repeated-measures ANOVA allowed for the analysis of differences between the vignettes that comprise CAI-Health.Results: The internal consistency results were acceptable, and no items were proposed for elimination. A repeated-measures ANOVA revealed that the vignettes were unexpectedly equivalent. Despite the procedures used to develop clinical vignettes with increased levels of complexity in assessing decision-making capacity, this study showed no differences in the vignettes' level of demand.Conclusions: The extensive application of CAI-Health compromises its clinical usefulness and viability. To reduce its length while maintaining a thorough assessment of each ability, it was decided to eliminate two vignettes and retain all interview items. The final version of the CAI-Health comprises a clinical vignette and a capacity interview.Clinical implications: CAI-Health was designed for the assessment of medical decision-making capacity in older adults.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"411-422"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140174010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0