Clinical Gerontologist最新文献_第9页

The Effects of High versus Low Levels of Altruism and Volunteering on the 4-Year Follow-Up Cognitive Performance of Community-Dwelling Older Adults. 高水平与低水平的利他主义和志愿服务对居住在社区的老年人 4 年随访认知表现的影响》（The Effects of High versus Level of Altruism and Volunteering on the 4-Year Follow-Up Cognitive Performance of Community-Dwelling Older Adults）。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2024-10-01 Epub Date: 2023-04-23 DOI: 10.1080/07317115.2023.2205847

Giancarlo Lucchetti, Jimilly Caputo Corrêa, Maria Priscila Wermelinger Ávila, Alessandra Lamas Granero Lucchetti

{"title":"The Effects of High versus Low Levels of Altruism and Volunteering on the 4-Year Follow-Up Cognitive Performance of Community-Dwelling Older Adults.","authors":"Giancarlo Lucchetti, Jimilly Caputo Corrêa, Maria Priscila Wermelinger Ávila, Alessandra Lamas Granero Lucchetti","doi":"10.1080/07317115.2023.2205847","DOIUrl":"10.1080/07317115.2023.2205847","url":null,"abstract":"Objectives: Currently, there is a growing interest on the benefits of volunteering. Nevertheless, there is scarce evidence for non-volunteering altruistic behaviors. This study aims to investigate the role of both altruism and volunteering on the cognitive performance of older individuals followed for four years.Methods: This was cohort study carried out in 180 Brazilian older adults assessed in three different timepoints (baseline [2015-2016], 2 years of follow-up [2017-2018] and 4 years of follow-up [2019-2020]). Composite cognitive score was calculated based on the Mini-Mental State Examination, Verbal Fluency, Clock-Drawing test, and CERAD Word-List. Altruism was assessed through the Self-reported Altruism Scale and self-reported volunteering status. Mixed ANCOVAS were performed.Results: For altruism, there were significant differences in all time points (Baseline, 2 years and 4 years) favoring higher cognitive scores for higher levels of altruism. However, no differences were observed for volunteering in all time points.Conclusions: Having higher levels of altruism was significantly associated with better cognitive scores.Clinical implications: Altruism, even without volunteering, seem to have positive effects on the cognitive functioning of older adults. Health professionals who take care of older adults might take account of the presence or absence of altruistic behaviors of their patients in their formulations and recommendations.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"988-995"},"PeriodicalIF":2.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9379797","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

Through Alzheimer's Eyes: A Virtual Pilot Intervention for Family Caregivers of People with Dementia. 通过阿尔茨海默氏症患者的眼睛：针对痴呆症患者家庭护理人员的虚拟试点干预。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2024-10-01 Epub Date: 2024-07-16 DOI: 10.1080/07317115.2024.2378774

Abigail Gómez-Morales, David W Coon, Rodney P Joseph, Teri Pipe

{"title":"Through Alzheimer's Eyes: A Virtual Pilot Intervention for Family Caregivers of People with Dementia.","authors":"Abigail Gómez-Morales, David W Coon, Rodney P Joseph, Teri Pipe","doi":"10.1080/07317115.2024.2378774","DOIUrl":"10.1080/07317115.2024.2378774","url":null,"abstract":"Objective: To evaluate the feasibility and acceptability of a virtually delivered psychoeducational skill-building intervention for ADRD caregivers.Methods: A single-arm, pre-posttest pilot study design was employed to evaluate the intervention. Four 90-min group-based weekly sessions were combined with four individual coaching sessions via Zoom. Intervention components covered topics designed to reduce caregiver stress and distress, and a VR experience to help caregivers understand dementia. Data was gathered via REDCap pre- and post-intervention and through post-intervention interviews via Zoom.Results: Results (N = 20) from individual interviews, surveys, and treatment implementation strategies suggest strong feasibility and acceptability. Key change exploration indicated medium effect sizes and statistical significance in preparedness for caregiving (t(19) = 2.69, p = .015, d = 63), communication (t(19) = 2.45, p = .024, d = 0.55), and a medium effect size for the mindful attention awareness scale (t(19) = 0.48, p = (0.637, d = 0.54). Further, participants reported their perceptions of improvement in outcomes such as the ability to care, increased understanding of memory loss, and confidence.Conclusions: Through Alzheimer's Eyes is a feasible and acceptable intervention that blends technology with skill-building strategies to help caregivers manage their stress and distress regardless of their location.Clinical implications: There is potential for interventions including VR to assist family caregivers in managing caregiving challenges and improve well-being.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"846-861"},"PeriodicalIF":2.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141626132","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

Health Care Team Interventions to Reduce Distress Behaviors in Older Adults: A Systematic Review. 医疗团队减少老年人压力行为的干预措施：系统回顾。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2024-10-01 Epub Date: 2024-07-02 DOI: 10.1080/07317115.2024.2372424

Katherine Ramos, Megan Shepherd-Banigan, Cara McDermott, Eleanor S McConnell, Sudha R Raman, Dazhe Chen, Tatyana Der, Amir Alishahi Tabriz, Joel C Boggan, Nathan A Boucher, Scott M Carlson, Letha Joseph, Catherine A Sims, Jessica E Ma, Adelaide M Gordon, Paul Dennis, Julee Snyder, Morgan Jacobs, Sarah Cantrell, Jennifer M Gierisch, Karen M Goldstein

{"title":"Health Care Team Interventions to Reduce Distress Behaviors in Older Adults: A Systematic Review.","authors":"Katherine Ramos, Megan Shepherd-Banigan, Cara McDermott, Eleanor S McConnell, Sudha R Raman, Dazhe Chen, Tatyana Der, Amir Alishahi Tabriz, Joel C Boggan, Nathan A Boucher, Scott M Carlson, Letha Joseph, Catherine A Sims, Jessica E Ma, Adelaide M Gordon, Paul Dennis, Julee Snyder, Morgan Jacobs, Sarah Cantrell, Jennifer M Gierisch, Karen M Goldstein","doi":"10.1080/07317115.2024.2372424","DOIUrl":"10.1080/07317115.2024.2372424","url":null,"abstract":"Objectives: This review examines health care team-focused interventions on managing persistent or recurrent distress behaviors among older adults in long-term residential or inpatient health care settings.Methods: We searched interventions addressing health care worker (HCW) knowledge and skills related to distress behavior management using Ovid MEDLINE, Elsevier Embase, and Ovid PsycINFO from December 2002 through December 2022.Results: We screened 6,582 articles; 29 randomized trials met inclusion criteria. Three studies on patient-facing HCW interactions (e.g. medication management, diagnosing distress) showed mixed results on agitation; one study found no effect on quality of life. Six HCW-focused studies suggested short-term reduction in distress behaviors. Quality-of-life improvement or decreased antipsychotic use was not evidenced. Among 17 interventions combining HCW-focused and patient-facing activities, 0 showed significant distress reduction, 8 showed significant antipsychotic reduction (OR = 0.79, 95%CI [0.69, 0.91]) and 9 showed quality of life improvements (SMD = 0.71, 95%CI [0.39, 1.04]). One study evaluating HCW, patient-, and environmental-focused intervention activities showed short-term improvement in agitation.Conclusions and clinical implications: Novel health care models combining HCW training and patient management improve patient quality of life, reduce antipsychotic use, and may reduce distress behaviors. Evaluation of intervention's effects on staff burnout and utilization is needed.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"730-745"},"PeriodicalIF":2.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11479828/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141491138","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

Understanding Long-Stay Gabapentin Use Increases: A National Nursing Home Clinician Survey on Prescribing Intent. 了解加巴喷丁长期使用量的增加：全国养老院临床医生处方意向调查》。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2024-10-01 Epub Date: 2024-07-17 DOI: 10.1080/07317115.2024.2379974

Jonathan D Winter, J William Kerns, Danya M Qato, Katherine M Winter, Nicole Brandt, Linda Wastila, Christopher Winter, Alex H Krist, Sarah R Reves, Rebecca S Etz

{"title":"Understanding Long-Stay Gabapentin Use Increases: A National Nursing Home Clinician Survey on Prescribing Intent.","authors":"Jonathan D Winter, J William Kerns, Danya M Qato, Katherine M Winter, Nicole Brandt, Linda Wastila, Christopher Winter, Alex H Krist, Sarah R Reves, Rebecca S Etz","doi":"10.1080/07317115.2024.2379974","DOIUrl":"10.1080/07317115.2024.2379974","url":null,"abstract":"Objectives: Explore the indications for long-stay gabapentin use and elucidate the factors spurring the rapid increase in gabapentin prescribing in nursing homes (NHs).Methods: National cross-sectional survey of NH prescribers distributed anonymously using SurveyMonkey. Sampling for convenience was obtained through crowdsourcing, leveraging collaborations with NH clinician organizations. Developed by a multidisciplinary team, pilot data/existing literature informed survey content.Results: A total of 131 surveys completed. Participants: 71% white, 52% female, 71% physicians. Off-label gabapentin prescribing was ubiquitous. Nearly every clinician used gabapentin for neuropathic pain, most for any form of pain. Many clinicians also prescribe gabapentin to moderate psychiatric symptoms and behaviors. Clinicians' prescribing was influenced by opioid, antipsychotic, and anxiolytic reduction policies because gabapentin was perceived as an unmonitored and safer alternative.Conclusions: Off-label gabapentin increases are closely linked to opioid reduction efforts as more NH clinicians utilize gabapentin as an unmonitored opioid alternative. Our results highlight, however, the less recognized significance of long-stay prescribing for psychiatric symptoms and the similar contribution of psychotropic reduction initiatives, a phenomenon warranting further scrutiny.Clinical implications: Clinicians perceive gabapentin as safer than the drugs it is replacing. Whether this is true remains unclear; the individual- and population-level risks of increased gabapentin use are largely unknown.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"789-799"},"PeriodicalIF":2.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11479850/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141626133","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

Changes in Depressive Symptoms of Korean American Dementia Caregivers After Attending the Savvy Caregiver Program: Preliminary Findings with a Pilot Sample. 韩裔美国痴呆症护理人员参加精明护理计划后抑郁症状的变化：试点样本的初步发现。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2024-10-01 Epub Date: 2023-09-19 DOI: 10.1080/07317115.2023.2260815

Yuri Jang, Kenneth Hepburn, Juyoung Park, William E Haley, Miyong T Kim

{"title":"Changes in Depressive Symptoms of Korean American Dementia Caregivers After Attending the Savvy Caregiver Program: Preliminary Findings with a Pilot Sample.","authors":"Yuri Jang, Kenneth Hepburn, Juyoung Park, William E Haley, Miyong T Kim","doi":"10.1080/07317115.2023.2260815","DOIUrl":"10.1080/07317115.2023.2260815","url":null,"abstract":"Objectives: Language accommodation is indispensable in making evidence-based interventions available and accessible to ethnic minorities with limited English proficiency. As part of the larger effort to culturally adapt the Savvy Caregiver Program for Korean American dementia caregivers, we first conducted linguistic adaptation, and the present study reports the preliminary findings on participants' changes in depressive Symptoms.Methods: The linguistically adapted program was delivered to two small groups of Korean American dementia caregivers (total n = 13) by two Savvy-certified Korean-speaking trainers. Participants' depressive symptoms were assessed at three time points (pre-intervention, immediate post-intervention, and 6-month follow-up).Results: Following the intervention, participants exhibited lowered depressive symptoms (t = 8.64, p < .001, Cohen's d = .89). This benefit was sustained at 6-month follow-up.Conclusions: Findings suggest that the therapeutic benefit of the Savvy Caregiver Program could potentially be shared with linguistic minorities when delivered in their native language.Clinical implications: Although limited in its scope and nature, the pilot study with linguistic adaptation sheds light on efforts to close the gap in the evidence-based intervention delivery.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"862-869"},"PeriodicalIF":2.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10948376/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41103736","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

The Vulnerability of Older Informal Caregivers with Care Needs: Significance of Multidimensional Frailty. 有护理需求的老年非正规护理人员的脆弱性：多维脆弱性的意义。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2024-10-01 Epub Date: 2023-10-04 DOI: 10.1080/07317115.2023.2264859

Eveline Raemdonck, Ellen Gorus, Nico De Witte

{"title":"The Vulnerability of Older Informal Caregivers with Care Needs: Significance of Multidimensional Frailty.","authors":"Eveline Raemdonck, Ellen Gorus, Nico De Witte","doi":"10.1080/07317115.2023.2264859","DOIUrl":"10.1080/07317115.2023.2264859","url":null,"abstract":"Objectives: To improve our understanding of older informal caregivers' (ICs) health, this paper aimed to compare multidimensional frailty and sociodemographic and economic characteristics between (subgroups of) older ICs and non-caregivers.Methods: Using data originating from the Belgian Ageing studies (n = 6054), intergroup differences between older ICs and non-caregivers and between care-dependent and -independent older ICs/non-caregivers were conducted. In addition binary logistic regressions were carried out to determine which variables were related to caregiver status and need of assistance.Results: Among all respondents, 14.3% were ICs reporting care needs themselves. Informal and non-caregivers with care needs, relative to those without, more often only (partially) completed primary education, were significantly older, more likely to be female and widowed, found it more difficult to make ends meet, and reported higher levels of frailty in each domain. Moreover, environmental and psychological frailty were associated with an increase in the likelihood of reporting need of assistance among older non-caregivers and ICs, respectively.Conclusions: This study revealed a particular vulnerable subpopulation of older ICs with care needs.Clinical implications: It is essential for clinicians to be observant for unrecognized frailty and care needs in older ICs and to develop targeted intervention and prevention strategies.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"976-987"},"PeriodicalIF":2.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41113012","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

Autobiographical Storytelling in Patients with Mild Alzheimer's Disease: Focused, Reflected, and Entertaining; A Comparative Study. 轻度阿尔茨海默病患者的自传体故事：聚焦、反思和娱乐；一项比较研究。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2024-10-01 Epub Date: 2024-07-11 DOI: 10.1080/07317115.2024.2378773

Mohamad El Haj, Pascal Antoine, Nayla Nahas, Guillaume Chapelet

{"title":"Autobiographical Storytelling in Patients with Mild Alzheimer's Disease: Focused, Reflected, and Entertaining; A Comparative Study.","authors":"Mohamad El Haj, Pascal Antoine, Nayla Nahas, Guillaume Chapelet","doi":"10.1080/07317115.2024.2378773","DOIUrl":"10.1080/07317115.2024.2378773","url":null,"abstract":"Objectives: We assessed whether individuals with mild Alzheimer's disease (AD), despite some deficits in autobiographical memory, could effectively convey their personal experiences through storytelling.Methods: We invited 37 individuals with mild AD and 37 control participants to share their personal experiences. We rated these narratives based on five characteristics of storytelling: focus, reflection, entertainment, structure, and specificity.Results: Analyses demonstrated that individuals with AD conveyed more general than specific memories, and no significant differences were observed between structured and unstructured memories. Importantly, individuals with AD recounted more memories with focus than without, with reflection than without, and that were entertaining than were not. Compared with those of the control participants, the narratives of the individuals with AD were less focused, structured, and specific. However, no significant differences were observed between the two samples regarding reflection or entertainment.Conclusions and clinical implications: Individuals with mild AD can have difficulties in retrieving specific memories, but their storytelling of personal experience can be focused, exhibit reflection, and be entertaining. Individuals with mild AD can engage in reflective and entertaining autobiographical storytelling, potentially contributing to their sense of identity and connection with others.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"820-831"},"PeriodicalIF":2.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141589749","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

Pragmatic Effectiveness of Face-to-Face Cognitive-Behavioral Therapy for Family Caregivers of People with Dementia. 面对面认知行为疗法对痴呆症患者家庭照顾者的实际效果。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2024-10-01 Epub Date: 2022-12-10 DOI: 10.1080/07317115.2022.2156828

Nils F Töpfer, Nicolas Wrede, Gabriele Wilz

{"title":"Pragmatic Effectiveness of Face-to-Face Cognitive-Behavioral Therapy for Family Caregivers of People with Dementia.","authors":"Nils F Töpfer, Nicolas Wrede, Gabriele Wilz","doi":"10.1080/07317115.2022.2156828","DOIUrl":"10.1080/07317115.2022.2156828","url":null,"abstract":"Objectives: The objective was to investigate the pragmatic effectiveness of face-to-face cognitive-behavioral therapy (F2F-CBT) for family caregivers of people with dementia (PwD) implemented in a routine care setting relative to usual care in a quasi-experimental study.Methods: Participants indicating that attendance of F2F-CBT was possible were assigned to F2F-CBT (n = 49). F2F-CBT consisted of 12 sessions over 6 months. Effects were evaluated at posttest and 6-month follow-up on a variety of outcomes relative to usual care (CG; n = 134).Results: At posttest, F2F-CBT yielded significantly fewer symptoms of depression (d = 0.37), better emotional well-being (d = 0.64), and better coping with the care situation (d = 0.52) than CG. At 6-month follow-up, the effect on emotional well-being was retained (d = 0.44) and social relationships were rated significantly better in F2F-CBT than CG (d = 0.34).Conclusions: F2F-CBT proved to be effective in supporting family caregivers of PwD. However, only relatively few caregivers were able to regularly attend face-to-face sessions.Clinical implications: CBT seems particularly suitable for supporting family caregivers of PwD in coping with the complex psychological burden. Delivery via telephone or internet could be a necessary alternative to F2F-CBT for reducing barriers to participation.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"885-896"},"PeriodicalIF":2.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10741699","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

Formal caregivers' perceptions of everyday interaction with Deaf people with dementia. 正式照护者对与痴呆症聋人日常互动的看法。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2024-10-01 Epub Date: 2023-01-14 DOI: 10.1080/07317115.2023.2167623

Minna Rantapää, Ira A Virtanen, Seija Pekkala

{"title":"Formal caregivers' perceptions of everyday interaction with Deaf people with dementia.","authors":"Minna Rantapää, Ira A Virtanen, Seija Pekkala","doi":"10.1080/07317115.2023.2167623","DOIUrl":"10.1080/07317115.2023.2167623","url":null,"abstract":"Objectives: Deteriorating interactive ability of people with dementia challenges formal caregivers. In Finland, Deaf people with advanced dementia may live in a nursing home designed for their care where the staff use Finnish Sign Language (FiSL). This study describes the perceptions of formal caregivers, focusing on the challenges, how they solve the challenges, and what support they need to improve interaction with Deaf residents.Methods: Semi-structured interviews with 13 formal caregivers who work with Deaf people with dementia were conducted and analyzed using qualitative content analysis. A purposive sampling was used.Results: Three key themes were challenges in interaction, strategies in supporting interaction, and support for coping. Caregivers perceived challenges in interaction caused by linguistic changes, deteriorating physical mobility and memory, and Deaf residents' behavioral challenges. Caregivers supported Deaf residents by learning to know them and using personal and linguistic strategies. Support for coping comprised supporting family members and other caregivers.Conclusions: Efficient skills in sign language (SL) and knowledge of dementia are essential in interacting with Deaf residents and to build interpersonal relationships for care.Clinical implications: Supporting Deaf residents requires learning the way they interact which can be achieved over time.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"962-975"},"PeriodicalIF":2.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9175365","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

Nursing Home Characteristics Associated with Antipsychotic Prescribing After Implementation of the National Antipsychotic Reduction Initiative (ARI). 全国减少抗精神病药物倡议（ARI）实施后与抗精神病药物处方相关的疗养院特征。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2024-10-01 Epub Date: 2024-05-19 DOI: 10.1080/07317115.2024.2346906

Sarah D Holmes, Danya M Qato, Becky Briesacher, Barbara Zarowitz, Nicole Brandt, Patrick F McArdle, Sean Fleming, Abree Johnson, Benjamin Koethe, Abhilash Desai, Judith A Lucas, Linda Wastila

{"title":"Nursing Home Characteristics Associated with Antipsychotic Prescribing After Implementation of the National Antipsychotic Reduction Initiative (ARI).","authors":"Sarah D Holmes, Danya M Qato, Becky Briesacher, Barbara Zarowitz, Nicole Brandt, Patrick F McArdle, Sean Fleming, Abree Johnson, Benjamin Koethe, Abhilash Desai, Judith A Lucas, Linda Wastila","doi":"10.1080/07317115.2024.2346906","DOIUrl":"10.1080/07317115.2024.2346906","url":null,"abstract":"Objectives: To describe nursing home (NH) characteristics associated with antipsychotic use and test whether associations changed after implementation of the National Partnership to Improve Dementia Care's antipsychotic reduction initiative (ARI).Methods: Longitudinal quasi-experimental design using data from multiple sources and piecewise linear mixed models were used for statistical analyses.Results: There was a significant decrease in monthly antipsychotic use across the study period (pre-ARI b = -0.0003, p <.001; post-ARI b = -0.0012, p <.001), which held after adjusting for NH characteristics. Registered nurse hours (b = -0.0026, p <.001), licensed practical nurse hours (b = -0.0019, p <.001), facility chain membership (b = -0.0013, p <.01), and health inspection ratings (b = -0.0003, p >.01) were associated with decreased antipsychotic use. Post-ARI changes in associations between NH characteristics and antipsychotic use were small and not statistically significant.Conclusions: Decreases in antipsychotic use were associated with most NH characteristics, and associations persisted post-ARI. Further research is warranted to examine the interactions between ARI policy and NH characteristics on antipsychotic prescribing, as well as other NH factors, such as facility prescribing cultures and clinical specialty of staff.Clinical implications: Decreases in monthly antipsychotic use were observed following the ARI. The decreases in monthly antipsychotic use were associated with most NH characteristics, and these associations persisted during the post-ARI period.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"778-788"},"PeriodicalIF":2.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11479835/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140956422","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