Clinical Gerontologist最新文献_第6页

Alexithymia Profiles and Associated Factors Among Older Stroke Patients in China: A Latent Profile Analysis. 中国老年脑卒中患者述情障碍特征及其相关因素：潜在特征分析。

IF 2.3 3区医学

Clinical Gerontologist Pub Date : 2026-08-28 DOI: 10.1080/07317115.2026.2723616

Linlin Li, Yuanyuan Tang, Xuanbo Zhang, Jinji Wu

{"title":"Alexithymia Profiles and Associated Factors Among Older Stroke Patients in China: A Latent Profile Analysis.","authors":"Linlin Li, Yuanyuan Tang, Xuanbo Zhang, Jinji Wu","doi":"10.1080/07317115.2026.2723616","DOIUrl":"10.1080/07317115.2026.2723616","url":null,"abstract":"Objectives: This study aimed to identify latent profiles of alexithymia among older stroke patients and examine factors associated with profile membership.Methods: A cross-sectional survey was conducted among 286 older stroke patients in a tertiary hospital in Jilin Province, China. Alexithymia was assessed using the 20-item Toronto Alexithymia Scale (TAS-20). Latent profile analysis was performed to identify alexithymia profiles, and multinomial logistic regression was used to examine associated factors.Results: Three profiles were identified based on difficulty identifying feelings (DIF): low DIF (n = 51, 17.8%), moderate DIF (n = 142, 49.7%), and high DIF (n = 93, 32.5%). TAS-20 scores increased across profiles, with the greatest differences observed in DIF. DDF scores were relatively similar across profiles, while EOT did not show a progressive increase. Older age, lower educational attainment, greater chronic disease burden, poorer activities of daily living, and higher anxiety symptoms were associated with the high DIF profile.Conclusions: Older stroke patients showed heterogeneous alexithymia profiles mainly characterized by increasing DIF. Profile-based assessment may provide clinically useful information beyond total alexithymia scores.Clinical implication: Early identification of alexithymia profiles may support targeted psychological assessment, rehabilitation planning, and caregiver support.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-15"},"PeriodicalIF":2.3,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148839112","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

Multidomain Vulnerability and Fear of Falling in Mexican American Older Adults: A Repeated Measures Analysis. 墨西哥裔美国老年人的多域脆弱性和跌倒恐惧：一项重复测量分析。

IF 2.3 3区医学

Clinical Gerontologist Pub Date : 2026-08-26 DOI: 10.1080/07317115.2026.2723619

Hadi Kooshiar, Dan Song, Elissa Dabkowski, Karen Missen

{"title":"Multidomain Vulnerability and Fear of Falling in Mexican American Older Adults: A Repeated Measures Analysis.","authors":"Hadi Kooshiar, Dan Song, Elissa Dabkowski, Karen Missen","doi":"10.1080/07317115.2026.2723619","DOIUrl":"https://doi.org/10.1080/07317115.2026.2723619","url":null,"abstract":"Objectives: To examine how multidomain vulnerability relates to fear of falling among Mexican American older adults across repeated survey waves.Methods: This was a secondary analysis of three waves (2012-2021) of the H-EPESE study with 893 person-wave observations. Fear of falling was the ordinal outcome. A vulnerability index combined four indicators: mobility impairment, depressive symptoms, loneliness, and urinary incontinence. Ordinal GEE models adjusted for age, sex, cognitive status, and survey wave.Results: Multidomain vulnerability was strongly associated with fear of falling. Compared to low vulnerability, moderate vulnerability nearly tripled the odds (OR = 2.45) and high vulnerability increased them nearly fivefold (OR = 4.81; both p < .001). Age and survey wave were not significant after adjustment. Women had greater odds than men (OR = 1.52, p = .004).Conclusions: Fear of falling was more strongly tied to accumulated vulnerabilities than to age or time alone. Multidomain screening can improve risk identification and guide person-centered care.Clinical implications: Fear of falling assessments should address mobility, mood, social connectedness, and continence together. Older adults carrying multiple vulnerabilities benefit most from integrated care across physical, psychological, and social domains to reduce fear and prevent functional decline.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-12"},"PeriodicalIF":2.3,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148817856","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

The Development and Validation of Sexuality and Intimacy in Dementia Questionnaire (SIDQ). 痴呆问卷（SIDQ）中性与亲密关系的开发与验证。

IF 2.3 3区医学

Clinical Gerontologist Pub Date : 2026-08-17 DOI: 10.1080/07317115.2026.2706045

Željka Kresojević, Carien Hartmans, Sytse Zuidema, Sarah Janus

{"title":"The Development and Validation of Sexuality and Intimacy in Dementia Questionnaire (SIDQ).","authors":"Željka Kresojević, Carien Hartmans, Sytse Zuidema, Sarah Janus","doi":"10.1080/07317115.2026.2706045","DOIUrl":"https://doi.org/10.1080/07317115.2026.2706045","url":null,"abstract":"Objectives: To develop and validate the Sexuality and Intimacy in Dementia Questionnaire (SIDQ), an observational instrument for assessing verbal and physical expressions of intimacy and sexuality in nursing home residents with dementia.Methods: The SIDQ was developed through expert review, content validity assessment and face validity testing. Data were collected from 62 questionnaires across seven nursing home organizations. Construct validity was evaluated using exploratory factor analysis. Internal consistency, inter-item correlations, and test-retest reliability were assessed following COSMIN and DeVellis guidelines.Results: Content and face validity showed that the SIDQ was clear, relevant and acceptable for using in dementia care. After removing items with low communalities, exploratory factor analysis revealed two factors: verbal intimacy and sexuality (2 items) and physical intimacy and sexuality (4 items). These explained 79.41% of the variance. Internal consistency was good (α = .72 and α = .84). Test-retest reliability was excellent (ICC= .95, 95% CI: .875-.991).Conclusions: The SIDQ showed good preliminary psychometric properties and provides a structured way to assess observable expressions of intimacy and sexuality in people with dementia.Clinical implications: The SIDQ may support nursing staff in recognizing residents' intimate and sexual needs, facilitate communication within care teams and with families.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-9"},"PeriodicalIF":2.3,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148758287","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 Culturally Embedded, Adaptable Cognitive Intervention Activity for Older Adults with Dementia in Long-Term Care: A Mixed-Methods Feasibility Study. 文化嵌入的适应性认知干预活动对长期护理的老年痴呆患者：一项混合方法的可行性研究。

IF 2.3 3区医学

Clinical Gerontologist Pub Date : 2026-08-07 DOI: 10.1080/07317115.2026.2712294

Shyh-Bao Chiang, Fang-Suey Lin, Jung-Ying Hou

{"title":"A Culturally Embedded, Adaptable Cognitive Intervention Activity for Older Adults with Dementia in Long-Term Care: A Mixed-Methods Feasibility Study.","authors":"Shyh-Bao Chiang, Fang-Suey Lin, Jung-Ying Hou","doi":"10.1080/07317115.2026.2712294","DOIUrl":"https://doi.org/10.1080/07317115.2026.2712294","url":null,"abstract":"Objectives: To evaluate the feasibility, acceptability, and design principles of a culturally embedded, cognitively guided, modular tabletop cognitive activity for older adults with MCI or dementia in long-term care (LTC).Methods: An exploratory sequential mixed-methods study in Taiwanese licensed LTC settings included 17 stakeholders and a 10-resident validation cohort with MCI or dementia. Feasibility was assessed by recruitment, retention, adherence, preparation time, social-validity indicators, directed content analysis, and observed distress and engagement during toolkit use.Results: Across 189 observed difficulty events, cultural mismatch and ungraded cognitive demands accounted for 73.4% of engagement barriers. The modular framework comprised cultural resonance, stepped cognitive demand, and lowered operational barriers. Stakeholders judged it acceptable; prototype testing showed 100% recruitment and retention, high social validity, and reduced preparation time from 18.4 ± 3.2 to 2.5 ± 0.8 minutes (p < .001).Conclusions: This culturally responsive modular toolkit appears feasible and acceptable for supporting cognitive activity programming in LTC and warrants further controlled testing.Clinical implications: LTC teams may enhance cognitive-stimulation activities by using culturally familiar, graded, low-preparation toolkits adaptable to resident abilities.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-12"},"PeriodicalIF":2.3,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148683394","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

Multidimensional Determinants of Quality of Life in Older Adults with Type 2 Diabetes: A Narrative Synthesis. 老年2型糖尿病患者生活质量的多维决定因素：叙事综合。

IF 2.3 3区医学

Clinical Gerontologist Pub Date : 2026-07-23 DOI: 10.1080/07317115.2026.2701883

Martaria Rizky Rinaldi, Nida Ul Hasanat, Kwartarini Wahyu Yuniarti

{"title":"Multidimensional Determinants of Quality of Life in Older Adults with Type 2 Diabetes: A Narrative Synthesis.","authors":"Martaria Rizky Rinaldi, Nida Ul Hasanat, Kwartarini Wahyu Yuniarti","doi":"10.1080/07317115.2026.2701883","DOIUrl":"https://doi.org/10.1080/07317115.2026.2701883","url":null,"abstract":"Objectives: To synthesize evidence on determinants of quality of life (QoL) among older adults with type 2 diabetes mellitus (T2DM) within an aging-relevant biopsychosocial framework.Methods: A narrative review was conducted using Scopus. The search was performed in September 2025 and included peer-reviewed articles published between 2007 and 2025. Eligible studies examined QoL or health-related QoL among adults aged 60 years and older with T2DM. Screening was conducted independently by two reviewers, with disagreements resolved by consensus. Forty-eight studies met the inclusion criteria and were synthesized narratively.Results: The included studies varied in design, region, and QoL measurement. QoL was shaped by interconnected clinical, psychological, cognitive, functional, behavioral, pharmacological, social, and sociodemographic determinants. Greater clinical and treatment-related burden, depression, diabetes-related distress, cognitive impairment, functional limitation, and reduced mobility were generally linked with poorer QoL. Self-management, physical activity, treatment adherence, caregiver competence, and social support were generally linked with better QoL.Conclusions: QoL in later-life diabetes reflects interactions among disease burden, emotional and cognitive vulnerability, functional capacity, self-management, and social-caregiving context.Clinical implications: QoL-oriented care should include psychological, cognitive, medication, functional, and social-caregiving assessment, alongside age-sensitive self-management support.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-17"},"PeriodicalIF":2.3,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148577312","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

Technophobia Among Older Adults in the Context of Smart Healthcare: A Scoping Review. 智能医疗背景下的老年人技术恐惧症：范围审查。

IF 2.3 3区医学

Clinical Gerontologist Pub Date : 2026-07-21 DOI: 10.1080/07317115.2026.2705289

Yi Shen, Muzi Chen, Xinyi Wang, Zhihui Qi, Xiuyue Qiu

{"title":"Technophobia Among Older Adults in the Context of Smart Healthcare: A Scoping Review.","authors":"Yi Shen, Muzi Chen, Xinyi Wang, Zhihui Qi, Xiuyue Qiu","doi":"10.1080/07317115.2026.2705289","DOIUrl":"https://doi.org/10.1080/07317115.2026.2705289","url":null,"abstract":"Objectives: This scoping review synthesizes research on technophobia among older adults in smart healthcare, clarifying its assessment tools, prevalence, influencing factors, and interventions.Methods: Following Arksey and O'Malley's framework and PRISMA-ScR guidelines, we searched five English and four Chinese databases (inception to January 13, 2026). Eligibility followed the Population-Concept-Context framework, and two reviewers independently extracted data and assessed quality.Results: Thirty-five studies were included. Four validated scales (Technology Anxiety Scale [TAS], Technophobia Scale, TechPH, and Technophobia and Technophilia Questionnaire) and five self-developed scales were used; the TAS was most common but showed limited smart-healthcare specificity. Mean TAS scores across 22 studies ranged from 28.85 to 45.24 (range 13-65). Influencing factors fell into six domains: demographic, socioeconomic, health-related, psychological, social, and technology-use. Five intervention studies reported benefits but had short durations, limited follow-up, and underrepresented high-risk groups.Conclusions: Technophobia is a prevalent psychological barrier to smart healthcare adoption among older adults. Current assessment tools lack context-specificity, and available interventions are limited in quality and generalizability.Clinical implications: Frontline providers should routinely identify and address technophobia, both to improve adoption and to protect mental health, given its links with social isolation, depression, and reduced access to digital mental-health services.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-24"},"PeriodicalIF":2.3,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148548022","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 Model for Implementing Psychotherapy for Individuals With Cognitive Impairments. 认知障碍个体实施心理治疗的模型。

IF 2.3 3区医学

Clinical Gerontologist Pub Date : 2026-07-15 DOI: 10.1080/07317115.2026.2699243

Adrienne L Johnson, Mary F Wyman, Megan Gjertsen, Samantha Shapiro, Sheniqua Bouges, Jonathan Singer, Nathanial Chin

{"title":"A Model for Implementing Psychotherapy for Individuals With Cognitive Impairments.","authors":"Adrienne L Johnson, Mary F Wyman, Megan Gjertsen, Samantha Shapiro, Sheniqua Bouges, Jonathan Singer, Nathanial Chin","doi":"10.1080/07317115.2026.2699243","DOIUrl":"10.1080/07317115.2026.2699243","url":null,"abstract":"Objectives: Individuals with mild cognitive impairment (MCI) and Alzheimer's disease and Alzheimer's disease-related dementias (AD/ADRD) are at greater risk for mental health concerns than those without cognitive impairments. We report the implementation of psychological services for patients with MCI and mild AD/ADRD within a large public health-care system in the United States.Methods: Preimplementation process included identifying a clinic champion. Referrals were initially provided by the clinic champion and then opened to the entire Memory Assessment Clinic with predetermined eligibility guidelines. Patients were seen on a short-term basis, using CBT- or ACT-based therapy. Initial sessions were conducted in person; follow-up sessions were in person and via telehealth.Results: Patients saw an average of a 2.2-point reduction in depression symptoms and a 2-point reduction in anxiety symptoms. Implementation barriers and facilitators are listed in the full-text of the article.Conclusions: This clinic implementation demonstrates the feasibility of evidence-based psychotherapy clinics within existing geriatric clinics. Future work should examine the impact of CBT and ACT to treat anxiety and depression in patients with these neurocognitive disorders. CLINICAL IMPLICATIONS: Patients with MCI and mild AD/ADRD show a clear interest in psychotherapy services, and initial efficacy data suggest there is a clinical benefit for mental health symptoms.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-11"},"PeriodicalIF":2.3,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13403176/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148444730","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

Multidimensional Sleep Health and Its Association with Traditional Chinese Medicine Constitution Types Among Community-Dwelling Older Adults: A Cross-Sectional Study. 社区居住老年人多维睡眠健康及其与中医体质类型的关系：一项横断面研究

IF 2.3 3区医学

Clinical Gerontologist Pub Date : 2026-07-13 DOI: 10.1080/07317115.2026.2696835

Ching-Sung Ho, Chia-Ming Lin, Yu-Hsin Chang, Jui-Shan Lin, Tsung-Jen Shen, Shen-Ming Lee, Meng-Chi Chen

{"title":"Multidimensional Sleep Health and Its Association with Traditional Chinese Medicine Constitution Types Among Community-Dwelling Older Adults: A Cross-Sectional Study.","authors":"Ching-Sung Ho, Chia-Ming Lin, Yu-Hsin Chang, Jui-Shan Lin, Tsung-Jen Shen, Shen-Ming Lee, Meng-Chi Chen","doi":"10.1080/07317115.2026.2696835","DOIUrl":"https://doi.org/10.1080/07317115.2026.2696835","url":null,"abstract":"Objectives: This study explored co-occurrence patterns between multidimensional sleep impairments and Traditional Chinese Medicine (TCM)-informed constitution patterns in community-dwelling older adults. Specifically, we examined these associations without assuming diagnostic equivalence or causal direction.Methods: A cross-sectional study of 305 adults (aged ≥ 65 years) in Kinmen, Taiwan, used structured, face-to-face interviews. Assessments included the Pittsburgh Sleep Quality Index (PSQI) and Body Constitution Questionnaire (BCQ), which evaluates Yin-Xu (diminished nourishing/cooling), Yang-Xu (reduced metabolic vitality), and Stasis (impaired circulation).Results: Participants (mean age 75.2 years; 66.2% women) showed a 51.5% prevalence of sleep impairment (PSQI ≥ 5). Individuals with PSQI ≥ 5 exhibited significantly higher Yin-Xu, Yang-Xu, and Stasis scores compared to those with PSQI < 5. Higher constitutional imbalances consistently correlated with poorer global sleep and specific PSQI components (Cohen's d > 0.9).Conclusions: Multidimensional sleep impairments were associated with TCM-defined constitutional imbalances. The BCQ may serve as a complementary, culturally relevant tool for characterizing constitution-related vulnerability profiles alongside standard sleep assessment.Clinical implications: Integrating BCQ-informed assessments into community care supports earlier recognition of subclinical sleep disturbances. This approach facilitates culturally sensitive communication, sleep-health education, and appropriate follow-up for older adults.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-16"},"PeriodicalIF":2.3,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148435433","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 Cognitive Interventions for Community-Dwelling Older Adults Living Alone: A Systematic Review and Meta-Analysis. 认知干预对社区独居老年人的有效性：系统回顾和荟萃分析。

IF 2.3 3区医学

Clinical Gerontologist Pub Date : 2026-07-01 Epub Date: 2026-02-06 DOI: 10.1080/07317115.2026.2626401

Hsin-Chieh Lee, Hoi-Lam Lei, Chien-Te Wu, Hui-Fen Mao

{"title":"Effectiveness of Cognitive Interventions for Community-Dwelling Older Adults Living Alone: A Systematic Review and Meta-Analysis.","authors":"Hsin-Chieh Lee, Hoi-Lam Lei, Chien-Te Wu, Hui-Fen Mao","doi":"10.1080/07317115.2026.2626401","DOIUrl":"10.1080/07317115.2026.2626401","url":null,"abstract":"Objectives: To evaluate the effectiveness of cognitive interventions in enhancing the cognitive function of community-dwelling older adults living alone.Methods: Five databases were systematically searched for articles published until December 2024. The search identified three randomized controlled trials (RCTs) and four non-RCTs, including case - control studies and quasi-experimental studies, with sample sizes ranging from 20 to 78. After risk of bias was assessed, data were synthesized using a random-effects model.Results: Interventions such as robotic assistance, reminiscence therapy, animal-assisted therapy, creative therapies, and multicomponent programs significantly improved cognitive function (mean difference [MD] = 2.85 in MMSE), reduced depression (standardized MD = -0.85), and mitigated loneliness (MD = -10.13 in UCLA-LS). High heterogeneity was observed, attributable to diverse protocols, participant characteristics, and study designs. Attrition and confounding biases were also identified.Conclusions: Cognitive interventions can improve cognitive and psychosocial outcomes in community-dwelling older adults living alone. However, further research is required to confirm these findings.Clinical implications: Socially interactive cognitive interventions are a promising strategy for improving the cognitive and mental health of community-dwelling older adults living alone. Clinicians should implement these accessible interventions to improve the population's quality of life and support their independent living.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"794-806"},"PeriodicalIF":2.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146131318","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 of Implementing the Individualized Positive Psychosocial Interaction (IPPI) Program in an Embedded Pragmatic Clinical Trial. 在嵌入式实用临床试验中实施个体化积极社会心理互动（IPPI）计划的可行性。

IF 2.3 3区医学

Clinical Gerontologist Pub Date : 2026-07-01 Epub Date: 2025-08-19 DOI: 10.1080/07317115.2025.2547742

Katherine M Abbott, Molly Noble, Allison R Heid, Amy Kotterman, Kathleen T Unroe, Kimberly Van Haitsma

{"title":"Feasibility of Implementing the Individualized Positive Psychosocial Interaction (IPPI) Program in an Embedded Pragmatic Clinical Trial.","authors":"Katherine M Abbott, Molly Noble, Allison R Heid, Amy Kotterman, Kathleen T Unroe, Kimberly Van Haitsma","doi":"10.1080/07317115.2025.2547742","DOIUrl":"10.1080/07317115.2025.2547742","url":null,"abstract":"Objectives: The Individualized Positive Psychosocial Intervention (IPPI) is an evidence-based program that engages people living with dementia (PLWD) in brief (i.e. 10 minute) one-to-one preference-based activities two times a week. This study evaluated the feasibility of pragmatically implementing a pilot embedded pragmatic clinical trial of the IPPI program in nine nursing homes.Methods: Feasibility was defined as the ability of NH communities to establish implementation champions and an implementation team, complete training, identify and enroll eligible residents, match IPPI protocols to residents' stated preferences, complete an average of two IPPIs per week per resident for 6 months, and complete IPPIs with fidelity.Results: Seven NHs completed the project, enrolling a total of 130 eligible residents. Seventy staff were trained. Staff identified preferences, corresponding IPPIs, and a targeted symptom of distress for all enrolled residents. Staff completed an average of 44.71 IPPIs per person (over six months) for those that did not pass away or discharge, with an average of 3.91 days between IPPIs. All staff reached at least 80% intervention delivery fidelity.Conclusions and clinical implications: The IPPI program is a feasible nonpharmacologic intervention for PLWD that can be implemented with fidelity over time in nursing homes by staff.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"956-968"},"PeriodicalIF":2.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12676566/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144882262","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