Geriatrics & Gerontology International最新文献

{"title":"Perceived Level of Dementia Person-Centered Care Among Indonesian Care Staff Working in Japanese Hospitals and Long-Term Care Facilities and Their Relation to Staff Personal and Organizational Factors: A Cross-Sectional Study.","authors":"Woro Mustika Weni, Megumi Yaginuma-Shimizu, Yukari Hara, Akiko Ozaki","doi":"10.1111/ggi.70684","DOIUrl":"10.1111/ggi.70684","url":null,"abstract":"<p><strong>Aim: </strong>This study investigated the association between the staff's personal characteristics and organizational factors with the perceived level of dementia person-centered care (PCC) practice of Indonesian care staff working in hospitals and long-term care (LTC) facilities in Japan.</p><p><strong>Methods: </strong>A cross-sectional online survey was conducted between July and August 2024, involving 191 Indonesian care staff caring for dementia residents in Japanese hospitals and LTC facilities. Hierarchical multiple regression analysis was performed, with perceived level of PCC practices as the dependent variable and staff personal characteristics and organizational factors as independent variables.</p><p><strong>Results: </strong>Significant positive associations with the perceived level of PCC practice were found in hopeful and person-centered attitudes, work engagement, specifically dedication, supervisor and coworker support, monetary rewards, adequate infrastructure and equipment. On the other hand, the perceived adequacy of Japanese language ability for work was found to have a significant negative association with the perceived level of PCC practice.</p><p><strong>Conclusion: </strong>This study shows that the perceived level of PCC practice is significantly linked to both staff characteristics and organizational factors. Effective dementia PCC practice dedicated and skilled staff, as well as strong organizational support, highlighting the need for a holistic approach that integrates individual and organizational perspectives.</p>","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"26 8","pages":"e70684"},"PeriodicalIF":2.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13429320/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148663782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characterization of Usage Patterns of Drugs Suspected to Cause Adverse Drug Reactions in Older Hospitalized Patients.","authors":"Mizuki Katsuhisa, Shota Hamada, Chie Hamaie, Yuko Takeshita, Kasumi Ikuta, Yuichiro Saizen, Eriko Koujiya, Yoichi Takami, Koichi Yamamoto, Yasushi Takeya","doi":"10.1111/ggi.70661","DOIUrl":"10.1111/ggi.70661","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to characterize the usage patterns of drugs suspected to cause adverse drug reactions (ADRs) in older hospitalized patients.</p><p><strong>Methods: </strong>Medical records of older adults admitted to the Department of Geriatrics and Hypertension at Osaka University Hospital from September 2014 to August 2021 were reviewed. The probability of ADRs was retrospectively assessed using the Naranjo ADR Probability Scale. Patients were categorized into two groups according to whether the suspected drugs were prescribed before admission (continuous-use group) or were newly initiated or modified after admission (new/changed-use group). The types and frequency of ADRs, timing of ADR onset, and suspected drugs identified were summarized according to the usage patterns.</p><p><strong>Results: </strong>ADRs were identified in 5.6% (n = 79) of eligible hospitalizations (N = 1418). In the continuous-use group (n = 39), antihypertensives were the most frequently identified suspected drugs (46.2%), followed by diuretics (17.9%), analgesics (12.8%), and antidiabetic drugs (7.7%); the most common ADRs were hypotension (35.9%), bradycardia/tachycardia (17.9%), and electrolyte abnormalities (17.9%). In the new/changed-use group, antihypertensives were also the most frequently identified suspected drugs (15.0%), followed by antibiotics, diuretics, antidementia drugs, and analgesics (10.0%); the ADRs included hypotension (22.5%), nausea and vomiting (17.5%), and electrolyte abnormalities (15.0%). Most ADRs occurred within the first week of hospitalization, except for electrolyte abnormalities, which often appeared during the first 2 weeks of hospitalization.</p><p><strong>Conclusions: </strong>This study identified ADRs and suspected drugs according to the usage patterns in older hospitalized patients. Close monitoring of both newly prescribed and continuously used drugs is crucial, particularly during the first weeks of hospitalization.</p>","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"26 8","pages":"e70661"},"PeriodicalIF":2.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13430088/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148663770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Japanese Translation Study of the Cognitive Reserve Index Questionnaire.","authors":"Osamu Katayama, Ryo Yamaguchi, Daiki Yamagiwa, Shoma Akaida, Takahiro Shimoda, Chika Nakajima, Ayuka Kawakami, Kenji Harada, Sho Nakakubo, Fumio Sakimoto, Soichiro Matsuda, Chiharu Nishijima, Shinnosuke Nosaka, Kanon Abe, Masanori Morikawa, Daisuke Kakita, Takuto Okuya, Kazuki Soma, Yuma Hirano, Yuto Nakashima, Hiroyuki Shimada","doi":"10.1111/ggi.70803","DOIUrl":"https://doi.org/10.1111/ggi.70803","url":null,"abstract":"<p><strong>Background: </strong>The cognitive reserve index questionnaire (CRIq) is widely used to quantify cognitive reserve (CR), but a validated Japanese version is lacking. This study aimed to translate and culturally adapt the CRIq and its short version (s-CRIq) into Japanese (CRIq-J and sCRIq-J) and to evaluate their reliability and criterion-related validity.</p><p><strong>Methods: </strong>Following international guidelines for cultural adaptation and translation, we translated and culturally adapted the CRIq and s-CRIq into Japanese. The study participants were 3567 community-dwelling Japanese older adults from a large-scale cohort. Global cognitive performance was assessed with the composite score of the National Center for Geriatrics and Gerontology-Functional Assessment Tool and global cognitive impairment (GCI) was defined as a mini-mental state examination score ≤ 23. Internal consistency was assessed using Cronbach's alpha. Multiple and logistic regression analyses were performed to examine associations between CRIq-J and sCRIq-J total scores and global cognitive performance, including GCI.</p><p><strong>Results: </strong>Cronbach's alpha coefficients were 0.58 for the CRIq-J and 0.48 for the sCRIq-J, reflecting the multidimensional nature of life-course experiences. After adjusting for age and sex, higher scores on both the CRIq-J (β = 0.21, 95% CI: 0.18-0.24, p < 0.001) and sCRIq-J (β = 0.21, 95% CI: 0.17-0.25, p < 0.001) were significantly associated with superior cognitive performance. Furthermore, higher CRI levels were associated with a significantly lower likelihood of GCI.</p><p><strong>Conclusions: </strong>The CRIq-J and sCRIq-J demonstrated acceptable reliability and robust criterion-related validity in a Japanese population. These standardized tools represent a significant milestone for future CR research and the development of dementia prevention strategies in Japan.</p>","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"26 8","pages":"e70803"},"PeriodicalIF":2.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13481286/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148791271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on \"Feasibility and Preliminary Effects of a Community-Based Sutra Chanting Program on Mental Well-Being and Respiratory and Swallowing Functions in Older Adults: A Pilot Study\".","authors":"Pengxiang Wang, Mengxuan Liu","doi":"10.1111/ggi.70754","DOIUrl":"10.1111/ggi.70754","url":null,"abstract":"","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"26 8","pages":"e70754"},"PeriodicalIF":2.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13454151/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148701193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on \"Lower Abdominal Pain in an Elderly Female: Pelvic Congestive Syndrome\".","authors":"N Vedavathi, Urmila Katru, Mohammed Umar","doi":"10.1111/ggi.70790","DOIUrl":"10.1111/ggi.70790","url":null,"abstract":"","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"26 8","pages":"e70790"},"PeriodicalIF":2.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13458956/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148706021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on \"Adaptation Processes to Loneliness Among Older Adults: A Qualitative Study\".","authors":"Kang He, Run-Long Sui, Qing-Zhen Kong, Jiang-Teng Wang, Zhi-Gang Sun","doi":"10.1111/ggi.70647","DOIUrl":"https://doi.org/10.1111/ggi.70647","url":null,"abstract":"","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"26 8","pages":"e70647"},"PeriodicalIF":2.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13482408/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148791273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on \"Meeting the 24-Hour Movement Guidelines and Frailty Risk: Evidence From Two Nationally Representative Population Studies and Machine-Learning Models\".","authors":"Bibhu Kaibalya Manik, Manisha Manaswini, Sonam Chand, Monalisa Chandra","doi":"10.1111/ggi.70800","DOIUrl":"https://doi.org/10.1111/ggi.70800","url":null,"abstract":"","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"26 8","pages":"e70800"},"PeriodicalIF":2.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13481833/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148791323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Community-Based Approaches to Oral Frailty for Healthy Longevity in Japan: Bridging Screening, Community Action, and Integrated Care.","authors":"Katsuya Iijima, Tomoki Tanaka, Kazunori Ikebe, Takayuki Ueda, Masanori Iwasaki, Tomoaki Mameno, Masahiro Akishita, Hidenori Arai, Hirohiko Hirano","doi":"10.1111/ggi.70686","DOIUrl":"10.1111/ggi.70686","url":null,"abstract":"<p><p>In super-aged societies such as Japan, achieving \"healthy longevity with well-being\" requires not only medical and long-term care services but also a seamless continuum that integrates health promotion, frailty prevention, and community-based support, along with age-friendly physical and social environments that support functional ability, social participation, and independent living. Within this framework, oral frailty (OF)-defined as the accumulation of slight declines in oral function, including tooth loss, chewing and swallowing difficulties, oral dryness, and low articulatory oral motor skills-has emerged as a key indicator linking oral health to systemic frailty, disability, and mortality. Originating in Japan, the concept of OF emphasizes early detection and reversibility through multidisciplinary collaboration. The 2024 Consensus Statement issued by three academic societies (the Japan Geriatrics Society, the Japanese Society of Gerodontology, and the Japanese Association on Sarcopenia and Frailty) proposed a definition, conceptual model, and assessment using the Oral Frailty 5-item Checklist (OF-5). This review summarizes the development of OF initiatives within Japan's Community-Based Integrated Care System and discusses recent international trends, including the WHO Global Oral Health Action Plan (2023-2030), the FDI policy statement \"Oral Health for Healthy Ageing,\" and emerging global research evidence. Practical examples, such as a community-wide campaign in Hiratsuka City, illustrate multisectoral collaboration to prevent and raise awareness of OF. Finally, we highlight future directions, including integration of oral health into community development, strengthening interprofessional collaboration, and leveraging digital technologies for monitoring and education. By integrating clinical, community, and policy perspectives, the Japanese concept of OF offers a promising, implementable model for global healthy aging.</p>","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"26 8","pages":"e70686"},"PeriodicalIF":2.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13429944/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148663728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bridging Claims-Based and Clinical Frailty Assessment: Translation of the mFI-v10 to the Clinical Frailty Scale.","authors":"Chien-Chou Su, Yu-Tai Lo, Yi-Ching Yang, Yu-Huai Yu, Wei-Chun Cheng, Wen-Ping Lin, Deng-Chi Yang","doi":"10.1111/ggi.70768","DOIUrl":"10.1111/ggi.70768","url":null,"abstract":"<p><strong>Background: </strong>While the Clinical Frailty Scale (CFS) is intuitive for clinical use, its reliance on clinician interviews limits its feasibility for large-scale population monitoring. The claims-based multimorbidity frailty index-version 10 (mFI-v10) is highly scalable but has not been directly linked to the CFS standard. This study aimed to develop a model to translate mFI-v10 scores into clinically interpretable CFS categories.</p><p><strong>Methods: </strong>In this study, 1038 individuals aged ≥ 65 years were recruited from a tertiary medical center between January 2020 and December 2021. They underwent assessments including the CFS, cognitive function, mood, physical health, and quality of life. The mFI-v10 score was calculated from electronic medical records. Logistic regression with 5-fold cross-validation was used to develop a prediction model for moderate-to-severe frailty, adjusting for age and sex. Model performance was evaluated using accuracy, sensitivity, specificity, precision, the F1-score, and the area under the receiver operating characteristic curve (AUC-ROC).</p><p><strong>Results: </strong>Among the 1038 participants, 331 (32%) had moderate-to-severe frailty. The mean age of the individuals with moderate-to-severe frailty was 83.31 years (SD, 7.32), and 40% were male. The mFI-v10 showed moderate positive correlations with the CFS (ρ = 0.42) and Charlson Comorbidity Index (ρ = 0.57), and a negative correlation with ADL functional independence (ρ = -0.46). The prediction model incorporating mFI-v10 score, age, and sex demonstrated good discriminative ability with a mean AUC-ROC of 76.5% (range: 70.7%-82.6%).</p><p><strong>Conclusions: </strong>The mFI-v10 is a valid, scalable surrogate for clinical frailty assessment. This translation framework allows efficient population-level case-finding, prioritizing high-risk older adults for targeted clinical intervention.</p>","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"26 8","pages":"e70768"},"PeriodicalIF":2.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13451781/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148688915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Methodological Considerations Regarding a Pilot Study of Sutra Chanting on Mental Well-Being and Respiratory and Swallowing Functions in Older Adults.","authors":"Jiangteng Wang, Kang He, Qingzhen Kong, Xu Zhang","doi":"10.1111/ggi.70645","DOIUrl":"https://doi.org/10.1111/ggi.70645","url":null,"abstract":"","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"26 8","pages":"e70645"},"PeriodicalIF":2.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13481826/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148791283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}