Clinical Gerontologist最新文献_第2页

The Gerotranscendence Leading to Optimal Well-Being [GLOW] Program: A Feasibility Study in a Long-Term Care Facility. 老年超越导致最佳福祉[GLOW]计划：长期护理机构的可行性研究。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-03-08 DOI: 10.1080/07317115.2025.2474983

Taiane Abreu, Lia Araújo, Laetitia Teixeira, Oscar Ribeiro

{"title":"The Gerotranscendence Leading to Optimal Well-Being [GLOW] Program: A Feasibility Study in a Long-Term Care Facility.","authors":"Taiane Abreu, Lia Araújo, Laetitia Teixeira, Oscar Ribeiro","doi":"10.1080/07317115.2025.2474983","DOIUrl":"10.1080/07317115.2025.2474983","url":null,"abstract":"Objectives: Gerotranscendence has gained recognition as an important psychosocial theory, with leading studies promoting it through intervention programs. However, to date, few interventions have involved older adults living in Long-Term Care (LTC) facilities. This study aimed to explore the viability of implementing six-week program on gerotranscendence [GLOW] in an LTC facility.Methods: A feasibility study was conducted with a group of six residents. Screening, consent, retention, adherence, and social validity indicators were considered. A Non-Pharmacological Therapy Experience Scale (NPT-ES) was used to assess the participation and engagement of each participant throughout the sessions. A focus group was also conducted.Results: The consent, retention, and adherence rates for the program were satisfactory (100%), while the screening rate (22.22%) was lower due to the inclusion criteria. Participants agreed that the program was important and interesting. The scores of NPT-ES were high and increased over the course of the sessions.Conclusions: The GLOW program can be considered a feasible, acceptable, and valuable tool for promoting gerotranscendence in older adults living in an LTC.Clinical implications: Promoting an intervention rooted in gerotranscendence can be beneficial for older adults who live in LTC facilities on educational and emotional levels.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-12"},"PeriodicalIF":2.6,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143582226","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

Effect of Virtual Reality Sessions on the Mental Health of Institutionalized Older Adults. 虚拟现实课程对住院老年人心理健康的影响。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-02-20 DOI: 10.1080/07317115.2025.2462002

Julie Restout, Iouri Bernache-Assollant, Stéphane Mandigout, Anaïck Perrochon

{"title":"Effect of Virtual Reality Sessions on the Mental Health of Institutionalized Older Adults.","authors":"Julie Restout, Iouri Bernache-Assollant, Stéphane Mandigout, Anaïck Perrochon","doi":"10.1080/07317115.2025.2462002","DOIUrl":"https://doi.org/10.1080/07317115.2025.2462002","url":null,"abstract":"Objectives: The aim of this study is to assess the effect of virtual reality (VR) sessions on the mental health of older adults.Methods: This interventional multicentric study included 68 participants in residential aged care facilities in Auvergne-Rhône-Alpes and Nouvelle-Aquitaine (France). The intervention consisted of eight VR sessions that incorporated a personalized 360° video followed by social interaction. Changes in anxiety, depression, quality of life, emotional state, identification with care community, and loneliness were assessed in pre- and post-intervention. Experience with VR, such as sense of presence and cybersickness, were assessed after the first session.Results: There was a significantly reduced depression score (pre Mean (M) = 5.2 ± 3.5; post M = 4.5 ± 3.3; p = .02) and a significantly increased quality of life score (pre M = 29.1 ± 5.3; post M = 29.8 ± 4.2; p = .03), but no reduction in the anxiety score. Average cybersickness was minimal (8.4 ± 11.2). Finally, the average sense of presence felt was high (5.6 ± 1.2).Conclusions: This study shows the potential of VR sessions to enhance the mental health of institutionalized older adults. To substantiate these preliminary findings, a rigorously designed Randomized Controlled Trial may be essential.Clinical implications: This intervention can be applied to institutionalized older adults to promote their mental health.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-11"},"PeriodicalIF":2.6,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457026","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

Uncovering Psychosocial Contexts in Goals of Care Conversations: A Qualitative Study in a Multi-Centered Randomized Controlled Trial. 揭示护理对话目标中的社会心理背景：一项多中心随机对照试验的定性研究。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-02-17 DOI: 10.1080/07317115.2025.2464023

Julia Gambino, Lindsay M Schlichte, Marie C Haverfield, Craig Libman, David B Bekelman, Jessica E Ma

{"title":"Uncovering Psychosocial Contexts in Goals of Care Conversations: A Qualitative Study in a Multi-Centered Randomized Controlled Trial.","authors":"Julia Gambino, Lindsay M Schlichte, Marie C Haverfield, Craig Libman, David B Bekelman, Jessica E Ma","doi":"10.1080/07317115.2025.2464023","DOIUrl":"10.1080/07317115.2025.2464023","url":null,"abstract":"Objectives: Patients often struggle with psychological and social stressors that accompany life-limiting chronic illness. Because psychosocial concerns may be conveyed through emotional sentiments, this study aimed to identify emotional expressions to describe psychosocial contexts communicated during goals of care conversations.Methods: This qualitative study evaluated 26 transcripts of goals of care conversations using a \"goals of communication guide\" from the ADvancing system Alleviation with Palliative Treatment (ADAPT) trial in VA Eastern Colorado and Puget Sound Health Systems. Using an inductive and deductive approach, a codebook was developed to examine participants' expressed emotions regarding overall goals of care, illness, end of life, and family involvement. Major themes around psychosocial concerns were summarized.Results: Four themes on psychosocial contexts in goals of care conversations emerged, with instances of both positive and negative affect. Participants commonly discussed contexts relating to: acceptance of illness, the feeling of being a burden; illness transitions; and suffering from disease.Conclusions: Unprompted within these conversations, patient emotional sentiments in goals of care conversations highlight psychosocial contexts important to patient values and preferences around treatment decisions.Clinical implications: Emphasis on clinician recognition of these psychosocial contexts may help clinicians better support and elicit patient goals and preferences.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-8"},"PeriodicalIF":2.6,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432430","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 Has Been Left Behind": A Qualitative Exploration of stakeholders' Perceptions of Older adults' Mental Well-Being Needs and Services in a Colombian Displaced Community. “心理健康已被抛在后面”：哥伦比亚流离失所社区中利益相关者对老年人心理健康需求和服务的看法的定性探索。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-02-15 DOI: 10.1080/07317115.2025.2467921

Thaïs Caprioli, Maria Isabel Zuluaga-Callejas, Mark Gabbay, Gabriel Saldarriaga-Ruiz, Yeferson Castaño-Pineda, Erika Maria Montoya, Andrew Robertson, Clarissa Giebel

{"title":"\"Mental Health Has Been Left Behind\": A Qualitative Exploration of stakeholders' Perceptions of Older adults' Mental Well-Being Needs and Services in a Colombian Displaced Community.","authors":"Thaïs Caprioli, Maria Isabel Zuluaga-Callejas, Mark Gabbay, Gabriel Saldarriaga-Ruiz, Yeferson Castaño-Pineda, Erika Maria Montoya, Andrew Robertson, Clarissa Giebel","doi":"10.1080/07317115.2025.2467921","DOIUrl":"https://doi.org/10.1080/07317115.2025.2467921","url":null,"abstract":"Objectives: Many older Colombians have been exposed to violence. This study sought to explore stakeholders' perceptions of older adults' mental well-being needs and mental well-being service provision within a Colombian displaced community.Methods: Employing an exploratory qualitative design, semi-structured and in-depth interviews were conducted with stakeholders of health, public health and welfare services between October 2021-June 2022. Two public advisors were involved in devising the topic guide, which elicited information on older adults' mental well-being needs and service provision. Interviews were conducted in Spanish, transcribed verbatim and translated into English. Data were analyzed by an inductive thematic analysis.Results: Thirteen stakeholders were interviewed. Three themes were generated: 'older adults' unmet well-being needs;' characterizing the provision of mental well-being services; and barriers and facilitators to increasing the provision of mental well-being services. Older adults experienced considerable mental well-being needs. While stakeholders' motivation to address unmet needs appeared high, service provision seemed limited and fragmented, hamstrung by insufficient resources.Conclusions: Older adults in this community are underserved. Greater priority and resources, need to be allocated to mental well-being services.Clinical implications: Greater and widely accessible resources, human and financial, are required to further expand the current provision of mental well-being services.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-12"},"PeriodicalIF":2.6,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143425042","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

Feasibility and Preliminary Efficacy of an Intervention to Support Long-Distance Family Caregivers of Older Adults with Dementia. 支持老年痴呆患者远程家庭照顾者干预的可行性和初步效果。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-02-11 DOI: 10.1080/07317115.2025.2464869

Verena R Cimarolli, Richard E Chunga, Francesca Falzarano, Catherine Riffin, Nathan Tintle, Sara Czaja, Kathrin Boerner

{"title":"Feasibility and Preliminary Efficacy of an Intervention to Support Long-Distance Family Caregivers of Older Adults with Dementia.","authors":"Verena R Cimarolli, Richard E Chunga, Francesca Falzarano, Catherine Riffin, Nathan Tintle, Sara Czaja, Kathrin Boerner","doi":"10.1080/07317115.2025.2464869","DOIUrl":"https://doi.org/10.1080/07317115.2025.2464869","url":null,"abstract":"Objectives: The purpose of this pilot study was to evaluate the implementation feasibility and to establish preliminary efficacy of LDCare - a remotely delivered, manualized, multi-component intervention developed to support long-distance family caregivers (LDCs) of older adults with dementia.Methods: The study design was a one-arm pre-post-intervention trial involving 40 LDCs - those living at least two hours away from their care recipient - who experienced significant caregiver burden. Feasibility was evaluated in terms of three indicators: recruitment capability, intervention acceptability and suitability. Preliminary efficacy of LDCare for reducing burden, strains, and depression from pre- to immediate post intervention was determined. Feasibility indicators were tracked over time, and participants completed pre-intervention and immediate post-intervention assessments.Results: LDCs were recruited within the planned timeframe. The acceptability of LDCare was excellent, as demonstrated by high study retention (90%) and overall intervention adherence (95%) rates. The suitability of LDCare for addressing LDCs' needs was rated high. Wilcoxon Signed-Rank tests revealed statistically significant decreases in caregiver burden, strains, and depression from pre- to immediate post-intervention.Conclusions: LDCare demonstrated high feasibility and preliminary efficacy among burdened LDCs.Clinical implications: LDCare has potential for scalability and eventual integration within service offerings of caregiver support organizations.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-11"},"PeriodicalIF":2.6,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143390267","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

Relationships Among Caregiver Burden, Psychological Flexibility Processes, and Anxiety in Family Caregivers of People with Dementia. 痴呆症患者家庭照顾者负担、心理弹性过程和焦虑的关系

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-02-09 DOI: 10.1080/07317115.2025.2464868

Areum Han, Ho Kyung Lee, Ickpyo Hong

{"title":"Relationships Among Caregiver Burden, Psychological Flexibility Processes, and Anxiety in Family Caregivers of People with Dementia.","authors":"Areum Han, Ho Kyung Lee, Ickpyo Hong","doi":"10.1080/07317115.2025.2464868","DOIUrl":"https://doi.org/10.1080/07317115.2025.2464868","url":null,"abstract":"Objectives: This cross-sectional study examined the relationships among caregiver burden, anxiety, and key psychological flexibility processes - cognitive fusion, experiential avoidance, and values-driven actions - in family caregivers of individuals with dementia.Methods: Data were collected from 191 caregivers in the United States. Structural equation modeling was used to assess direct and indirect relationships among caregiver burden, anxiety, and key psychological flexibility processes.Results: The model showed excellent fit. Caregiver burden had a significant direct effect on anxiety (59.1% of the total effect), while indirect effects accounted for 40.9%. Cognitive fusion was the only significant mediator between caregiver burden and anxiety, accounting for 20.8% of the total effect. Additionally, experiential avoidance - both alone and when preceded by cognitive fusion - significantly mediated the relationship between caregiver burden and reduced engagement in values-driven actions.Conclusions: These findings highlight cognitive fusion as a key mechanism linking caregiver burden to anxiety. Furthermore, both cognitive fusion followed by experiential avoidance and experiential avoidance alone appear to influence the relationship between caregiver burden and values-driven actions.Clinical implications: Clinicians may consider implementing skills training targeting cognitive fusion and experiential avoidance to mitigate the negative impact of caregiver burden on anxiety and values-driven actions.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-12"},"PeriodicalIF":2.6,"publicationDate":"2025-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143381762","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

Evaluating the Effectiveness of a Culturally Adapted Dementia Prevention Animation on Ethnically Diverse participants' Knowledge of Dementia Prevention. 评估文化适应性痴呆预防动画对不同种族参与者痴呆预防知识的有效性。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-01-28 DOI: 10.1080/07317115.2025.2453710

Bianca Brijnath, Simona Markusevska, Kayla Lock, Kathleen Doherty, Claire Eccleston, Carolina Navarro Medel, Andrew S Gilbert, Josefine Antoniades, Marina Cavuoto

{"title":"Evaluating the Effectiveness of a Culturally Adapted Dementia Prevention Animation on Ethnically Diverse participants' Knowledge of Dementia Prevention.","authors":"Bianca Brijnath, Simona Markusevska, Kayla Lock, Kathleen Doherty, Claire Eccleston, Carolina Navarro Medel, Andrew S Gilbert, Josefine Antoniades, Marina Cavuoto","doi":"10.1080/07317115.2025.2453710","DOIUrl":"https://doi.org/10.1080/07317115.2025.2453710","url":null,"abstract":"Objectives: To determine whether culturally adapted dementia prevention animations increased dementia prevention knowledge in ethnically diverse communities.Methods: A before-and after survey conducted online and in-person between 1 February and 5 June 2022. Participants viewed the animation in Arabic, Hindi, Tamil, Cantonese, Mandarin, Greek, Italian, Spanish, Vietnamese or English. Dementia knowledge was measured using two subscales from the dementia risk reduction knowledge instrument (KoDeRR), measuring knowledge of dementia risk factor mitigation strategies and appraisal of dementia risk factors (misconceptions).Results: Among the 318 respondents there was a significant increase in dementia knowledge in most languages after viewing the animation (ps < 05; except for English). Mean performance on knowledge of dementia risk factor mitigation strategies significantly increased after viewing the animation (p < .001), with a clinically meaningful effect (mean change = 3.63). Appraisal of dementia risk factor misconceptions significantly increased in the Spanish group (mean change = 1.29, p < .001), but significantly decreased in the English group (mean change = -1.09, p < .001).Conclusions: Viewing the animation in a language other than English was associated with an increase in KoDeRR scores for both the recognition of mitigation strategies and identification of misconceptions subscales.Clinical implications: Codesigned, culturally adapted in-language dementia prevention animations improve dementia prevention awareness in ethnically diverse communities.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-14"},"PeriodicalIF":2.6,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143051606","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

A Pilot Intervention to Prevent Financial Exploitation.

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-01-23 DOI: 10.1080/07317115.2025.2454311

Peter A Lichtenberg, Latoya Hall

{"title":"A Pilot Intervention to Prevent Financial Exploitation.","authors":"Peter A Lichtenberg, Latoya Hall","doi":"10.1080/07317115.2025.2454311","DOIUrl":"10.1080/07317115.2025.2454311","url":null,"abstract":"Objectives: Based on previous empirical research on financial stressors and resources and using a prevention science framework, this pilot study examined the effect and acceptability of a three-session older adult financial exploitation prevention intervention.Methods: Forty-five older adults participated in the study. Each participant completed three 30- to 45-minute sessions. The sessions included financial exploitation vulnerability, financial literacy, techniques used by scammers, choosing a trusted advocate, and creating a financial inventory. At the end of each session, participants were asked how relevant and trustworthy the information presented was. Primary outcome measures were financial vulnerability and financial literacy. Secondary outcomes were other mental health and stress factors, as well as how many participants reported choosing a trusted advocate and creating a financial inventory.Results: Financial literacy and financial vulnerability scores after the prevention intervention differed significantly from baseline scores. Participants' ratings after each session, with respect to usefulness and trustworthiness, were extremely positive.Conclusions: The financial exploitation prevention intervention program demonstrated acceptability and a positive effect on reducing vulnerability to financial exploitation.Clinical implications: Proper assessment of an older client's financial history and of plans to safeguard their financial future is integral to the overall well-being and health of older clients.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-12"},"PeriodicalIF":2.6,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143022161","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

Psychological Factors Associated with Fear of Falling and Fear of Falling Avoidance Behavior in Older Adults: Results from a National Sample. 老年人害怕跌倒和害怕避免跌倒行为的相关心理因素：来自全国样本的结果。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-01-22 DOI: 10.1080/07317115.2025.2453712

John V Rider, Nirmala Lekhak, Daniel L Young, Merrill R Landers

{"title":"Psychological Factors Associated with Fear of Falling and Fear of Falling Avoidance Behavior in Older Adults: Results from a National Sample.","authors":"John V Rider, Nirmala Lekhak, Daniel L Young, Merrill R Landers","doi":"10.1080/07317115.2025.2453712","DOIUrl":"https://doi.org/10.1080/07317115.2025.2453712","url":null,"abstract":"Objectives: This study aimed to identify psychological factors and characteristics associated with fear of falling (FOF) and fear of falling avoidance behavior (FFAB) among older adults.Methods: This cross-sectional study used data from the National Health and Aging Trends Study (Wave 9, n = 4,977).Results: We found that increased fall history, more frequent depression and anxiety, and poorer perceived overall health were significantly higher among older adults with FFAB compared to FOF (ps < .001). Perceived overall health, depression, and anxiety explained a significant amount of variance in FOF and FFAB. Lastly, demographic characteristics differ between older adults reporting no FOF/FFAB, FOF, and FFAB.Conclusions: FOF and FFAB are prevalent among older adults. Older adults experiencing FFAB had poorer health perceptions, more falls, and more frequent depression and anxiety than those experiencing FOF. The association of psychological factors and demographic characteristics with FOF and FFAB may indicate potential treatment targets. Clinical Implications: Addressing psychological variables, such as health perception, anxiety, and depression among older adults, may mitigate the impact of FOF and the development of FFAB; however, further research is needed.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-14"},"PeriodicalIF":2.6,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143000566","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

Illness Intrusiveness, Perceived Control, and Quality of Life in Older Adults with Arthritis and Multimorbidity. 老年关节炎和多重疾病患者的疾病侵入性、感知控制和生活质量。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2025-01-22 DOI: 10.1080/07317115.2025.2454977

Sama Joshi, M Carrington Reid, Irina Mindlis

{"title":"Illness Intrusiveness, Perceived Control, and Quality of Life in Older Adults with Arthritis and Multimorbidity.","authors":"Sama Joshi, M Carrington Reid, Irina Mindlis","doi":"10.1080/07317115.2025.2454977","DOIUrl":"10.1080/07317115.2025.2454977","url":null,"abstract":"Objectives: Arthritis is associated with poor quality of life (QOL) among older adults; and QOL is even worse among those with arthritis and multimorbidity (MM). Illness intrusiveness and perceived control have been identified in studies of single illnesses as modifiable mechanisms for QOL, but are understudied in older adults with arthritis and MM. We investigated the role of these potential mechanisms with QOL among older adults with arthritis and MM.Methods: Secondary analysis of a sample of older adults aged ≥ 62 years with arthritis and MM (N = 228) using PROCESS macro for SPSS.Results: Participants were on average 72 years with 4 chronic illnesses, and high levels of pain intensity and illness intrusiveness. Perceived control was a significant mediator (but not moderator) in the relationship between illness intrusiveness and QOL, even after adjustment for pain intensity [β = -0.16, 95% CI (-0.13, -0.06)].Conclusions: Lower levels of illness intrusiveness were associated with improved QOL through greater perceived control. Longitudinal studies are needed to further assess these mechanisms in older adults with arthritis and MM to adapt existing interventions.Clinical implications: Perceived control may be a target for future behavioral interventions to improve QOL in this population.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-12"},"PeriodicalIF":2.6,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143001359","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