Innovation in Aging最新文献

{"title":"Correction to: CHALLENGES AND KEY ASPECTS OF COLLABORATION BETWEEN VISITING NURSES AND CARE MANAGERS IN JAPAN.","authors":"","doi":"10.1093/geroni/igaf060","DOIUrl":"https://doi.org/10.1093/geroni/igaf060","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1093/geroni/igae098.].</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"9 6","pages":"igaf060"},"PeriodicalIF":4.9,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12160806/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144283774","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}

{"title":"eHealth Literacy Interventions With U.S.-Based Older Adult Spanish-Speaking Latinos: An Empty Systematic Review.","authors":"Christian E Vazquez, Swasati Handique, Hailey Carson, Chieh-Ru Lin, Bo Xie","doi":"10.1093/geroni/igaf042","DOIUrl":"10.1093/geroni/igaf042","url":null,"abstract":"<p><strong>Background and objectives: </strong>eHealth can help individuals improve or maintain autonomy in health management and decision-making, but using eHealth requires adequate eHealth literacy. Older adults tend to have low rates of eHealth literacy, which are worse among older Latinos in the U.S., especially those who are Spanish speaking. Evidence-based eHealth literacy interventions for older adult Spanish speakers are needed, but it is not clear which strategies are effective for this population. The objective of the present study was to understand (a) what researchers who conduct eHealth interventions with eHealth literacy outcomes do to ensure inclusion of older adult Spanish-speaking Latinos and (b) whether it is effective.</p><p><strong>Research design and methods: </strong>Six databases were searched for peer-reviewed studies on eHealth literacy interventions for U.S.-based older adult Latinos, from November 1, 2023, to January 31, 2024. Eligibility criteria for studies were: published in 2000 or later; intervention study with Spanish-speaking Latinos; participants aged ≥ 65 years; and eHealth literacy as an outcome. Excluded studies provided no details of adaptation/strategies to include Spanish speakers, used only phone calls or texts in the intervention, or were not peer-reviewed. Search terms included \"Hispanic\" OR \"Latin*\" AND \"health literacy\" OR \"eHealth literacy\" AND \"Spanish\" AND \"mHealth*\" OR \"mobile health\" OR \"tech*\" OR \"eHealth\" OR \"digi*\" AND \"older adults\" OR \"seniors\" OR \"elderly\" AND \"intervention*.\"</p><p><strong>Results: </strong>A total of 2,362 articles were identified; 1,084 were duplicates. Titles and abstracts of 1,278 articles were screened. Seventy articles went through full-text screening, and none met the inclusion criteria.</p><p><strong>Discussion and implications: </strong>This result was unexpected, given that several reviews have identified the need to increase eHealth literacy among older adults and Spanish speakers. This empty review demonstrates an important gap in knowledge. Intervention researchers can pull insights from adjacent literature until more evidence becomes available for this specific issue and population.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"9 6","pages":"igaf042"},"PeriodicalIF":4.9,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12166472/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144301992","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}

{"title":"Results of a Culturally Tailored Advance Care Planning Intervention for American Indian Peoples: A Quasi-Experimental Waitlist-Controlled Trial.","authors":"April Schweinhart, R Turner Goins, Elizabeth Anderson","doi":"10.1093/geroni/igaf041","DOIUrl":"10.1093/geroni/igaf041","url":null,"abstract":"<p><strong>Background and objectives: </strong>American Indian and Alaska Native peoples have disproportionately low rates of advance care planning (ACP). To address this problem, we culturally tailored and evaluated an intervention for ACP to the needs of a specific American Indian Tribe. The goal of our study was to examine the culturally tailored <i>Make Your Wishes About You</i> (MY WAY) ACP intervention with respect to 5 ACP outcomes: barriers, facilitators, readiness, self-efficacy, and notarized advance care plan completion.</p><p><strong>Research design and methods: </strong>We engaged Tribal community members in a quasi-experimental, waitlist-controlled trial design to test the effects of the program. Our sample included 2, self-selected groups totaling 113 participants. Data were collected via interviewer-administered surveys with participants on 3 occasions. The intervention group completed an intervention baseline survey, postprogram survey, and a follow-up survey 6 months after the intervention, and the waitlist comparison group completed a control baseline survey, intervention baseline survey, and postprogram survey.</p><p><strong>Results: </strong>Our results showed that, on average, ACP barriers decreased, and facilitators, readiness, self-efficacy, and notarized advance care plan completion increased postintervention for participants who completed the ACP program. These changes were significantly greater for the intervention group than the waitlist comparison group and were sustained at the 6-month follow-up for the intervention group. In total, 76 more individuals completed their notarized advance care plans by the end of program participation than at intervention baseline, a 79.1% increase.</p><p><strong>Discussion and implications: </strong>The culturally tailored program was found to increase readiness and self-efficacy for ACP and increased the likelihood of a participant having a notarized advance care plan postprogram. Our study affects clinical and public health practice by testing a program that is responsive to cultural values, beliefs, and practices and shown to increase ACP among American Indian peoples.</p><p><strong>Clinical trial registration: </strong>NCT05304117.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"9 6","pages":"igaf041"},"PeriodicalIF":4.9,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12166474/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144301993","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}

{"title":"How's Your Memory? Convergence of Objective and Subjective Memory Performance Using Ambulatory Assessment in Middle Age.","authors":"Anqing Zheng, Tina T Vo, Elizabeth Muñoz, Sally J Wadsworth, Martin J Sliwinski, Chandra A Reynolds","doi":"10.1093/geroni/igaf037","DOIUrl":"10.1093/geroni/igaf037","url":null,"abstract":"<p><strong>Background and objectives: </strong>The association between subjective and objective memory in established adulthood and midlife remains understudied, despite its potential importance for early cognitive health interventions. This study examined their convergence in adults aged 28-51, characterizing objective memory through performance level, change, and variability. Furthermore, we explored how sociodemographic and psychological factors moderate the subjective-objective memory convergence, aiming to elucidate the complex interplay between perceived and actual cognitive function in these critical life stages.</p><p><strong>Research design and methods: </strong>Adults in established adulthood and midlife (<i>N</i> = 415, <i>M</i> _age = 35.96, range: 28-51, % female = 59.28%) completed smartphone-based momentary cognitive assessments 3 times a day for up to 14 days. After the conclusion of the assessments, the participants completed a wrap-up survey, including an objective memory measurement. To quantify characteristics of objective memory performance, we used Bayesian mixed-effect location-scale models and modeled intraindividual variability.</p><p><strong>Results: </strong>Better initial memory performance and improvement over time predicted enhanced subjective memory performance assessments in naturalistic settings, with objective memory change emerging as the strongest predictor. Notably, intraindividual variability in objective memory showed no systematic relationship with subjective evaluations, and psychological and sociodemographic variables did not moderate the objective-subjective memory performance relationship.</p><p><strong>Discussion and implications: </strong>These findings highlight the complexity of subjective-objective memory performance relationships in established adulthood. Our results demonstrate the utility of smartphone-based momentary assessments for capturing both longitudinal trajectories and day-to-day variability in cognitive performance. This methodology offers promising opportunities for studying cognitive function in naturalistic settings during established adulthood, potentially contributing to our understanding of early cognitive changes across the lifespan.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"9 6","pages":"igaf037"},"PeriodicalIF":4.9,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12168441/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144309826","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}

{"title":"Spouse and Child Caregivers' Experiences of Lucid Episodes in Dementia: A Mixed Methods Approach.","authors":"Kyungmin Kim, Lauren R Bangerter, Yin Liu, Dawn M Finnie, Maria I Lapid, Joseph E Gaugler, Joan M Griffin","doi":"10.1093/geroni/igaf036","DOIUrl":"10.1093/geroni/igaf036","url":null,"abstract":"<p><strong>Background and objectives: </strong>Lucid episodes (LEs) in people living with late-stage dementia have been reported anecdotally. However, how this seemingly unexpected phenomenon is experienced by family caregivers is less known. Focusing on the two most common groups of informal caregivers, spouses and adult children, this study examined variability in family caregivers' experiences with LEs-whether they exhibit differential appraisals of and responses to LEs.</p><p><strong>Research design and methods: </strong>Using a sample of former/bereaved and current family caregivers from UsAgainstAlzheimer's A-LIST, we conducted an online survey of spouse and child caregivers (<i>N</i> = 387). We conducted semistructured interviews among a subset of caregivers who witnessed a LE (<i>n</i> = 22).</p><p><strong>Results: </strong>Overall, child caregivers were more likely to witness a LE than spouse caregivers. Among former/bereaved caregivers who witnessed a LE (<i>n</i> = 139), spouses were likely to report nonverbal communication during LEs, appraise LEs more negatively, and make changes in care decisions, such as end-of-life planning and financial decisions, compared to adult children. Among current caregivers who witnessed a LE (<i>n</i> = 80), spouses often reported no special circumstances preceding LEs, whereas children linked LEs to friend/family visits. No significant differences were found in positive and negative appraisals of LEs between current spouse and child caregivers. Content analysis of qualitative interviews revealed the contexts underlying these differences.</p><p><strong>Discussion and implications: </strong>Differences between spouses and adult children in their experiences with LEs are related to their different caregiving contexts, including relationship history, living arrangements, expectations, motivations, and caregiving resources.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"9 6","pages":"igaf036"},"PeriodicalIF":4.9,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149523/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144274747","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}

{"title":"Loneliness After Bereavement: The Role of Survivor Gender and Caregiving Involvement.","authors":"Sujeong Park, Jinho Kim","doi":"10.1093/geroni/igaf035","DOIUrl":"10.1093/geroni/igaf035","url":null,"abstract":"<p><strong>Background and objectives: </strong>Despite a growing body of research on the effects of spousal bereavement, little is known about whether spousal loss is longitudinally associated with changes in loneliness among widowed individuals. Furthermore, few studies have examined the roles of spousal caregiving and gender in this context. The present study investigates (a) trajectories of loneliness before and after the death of a spouse and (b) whether these trajectories of loneliness differ by gender and caregiving involvement of surviving spouse.</p><p><strong>Research design and methods: </strong>Using data from nine waves of the Korean Longitudinal Study of Aging (KLoSA), the analysis employed fixed effects models to account for individual heterogeneity. Moreover, stratified analyses were conducted to investigate the moderating effect of gender and spousal caregiving.</p><p><strong>Results: </strong>The study revealed that spousal loss significantly increased loneliness during the first-year postbereavement, with levels returning to baseline thereafter. Gender-stratified analyses indicated that female survivors experienced a temporary increase in loneliness, whereas male survivors showed no significant changes. Moreover, male spouses, who provided care, experienced an increase in loneliness within the first year after the death, which persisted through the second year.</p><p><strong>Discussion and implications: </strong>The findings underscore the need for culturally sensitive, gender-specific support programs for bereaved individuals, particularly targeting the first year of loss and addressing the unique challenges faced by male caregivers. Policies promoting social engagement and community support for widowed older adults are essential to mitigating the emotional burden of bereavement in Korea.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"9 6","pages":"igaf035"},"PeriodicalIF":4.9,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149526/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144274780","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}

{"title":"Disparities in Chronic Stress Exposure and Appraisal and Later-Life Disability.","authors":"Madison R Sauerteig-Rolston","doi":"10.1093/geroni/igaf024","DOIUrl":"10.1093/geroni/igaf024","url":null,"abstract":"<p><strong>Background and objectives: </strong>Influenced by the stress process theory, this study investigated the relationship between chronic stress (measured by exposure and appraisal) and the onset of a disability in later life among White, Black, U.S.-born Hispanic, and foreign-born Hispanic adults.</p><p><strong>Research design and methods: </strong>Using nationally representative data from the Health and Retirement Study, I used Weibull accelerated failure time models to examine racial, ethnic, and nativity disparities in chronic stress exposure and appraisal and age of onset of disability during the following 8-10 years (i.e., incidence).</p><p><strong>Results: </strong>Over time, earlier onset of disability was associated with higher levels of stress exposure (β = -0.04) and negative appraisals (β = -0.07). Appraising stress as more upsetting had a detrimental influence on later-life disability for Black adults (occurring 11% earlier), but a protective effect for foreign-born Hispanic adults (occurring 20% later) compared with White adults.</p><p><strong>Discussion and implications: </strong>Overall, findings suggest it is important to acknowledge not just the exposure to chronic stressors, but how upsetting these chronic stressors make one feel to reduce racial, ethnic, and nativity disparities in disability.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"9 5","pages":"igaf024"},"PeriodicalIF":4.9,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12123066/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144198983","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}

{"title":"Sarcopenia, Obesity, or Both. What is the dominant Variable of the Associated Risks of Sarcopenic Obesity?","authors":"Alejandro Álvarez-Bustos, Jose A Carnicero, Walter Sepúlveda-Loyola, Begoña Molina-Baena, Francisco J Garcia-Garcia, Leocadio Rodríguez-Mañas","doi":"10.1093/geroni/igaf021","DOIUrl":"10.1093/geroni/igaf021","url":null,"abstract":"<p><strong>Background and objective: </strong>Sarcopenic obesity (SO), obesity, and sarcopenia have been related to adverse events in older adults, raising the question about the role of each component in the risk associated with SO. The objective of this manuscript is to evaluate the role of sarcopenia, obesity, and its interaction in the risks (frailty, disability, mortality) associated with sarcopenic obesity.</p><p><strong>Research design and methods: </strong>Data from the Toledo Study of Healthy Aging (TSHA) were used. This is a cohort-based study composed of community-dwelling adults ≥65 years. Obesity (Body Mass Index-BMI ≥30) and sarcopenia (the Foundation for the National Institutes of Health-FNIH criteria, standardized to our population) were assessed at baseline. Frailty, through the Frailty Phenotype (FP) and the Frailty Trait scale-5 (FTS5), and disability (Katz Index) were evaluated at baseline. Mortality, frailty, and disability were assessed at follow-up. Logistic (odds ratio, OR) and Cox (hazard ratio, HR) regression models were computed to assess the associations.</p><p><strong>Results: </strong>A total of 1 538 (74.73 years, 45.51% men) individuals were included. Cross-sectionally, SO, sarcopenia, and obesity were significantly associated with the risk of frailty and disability. Longitudinally, Sarcopenia was associated with all the adverse events (ORs/HRs ranged from 1.41 to 4.14, <i>p</i>-value < .05); whereas SO [FP, OR (95% confidence interval-CI): 4.27 (2.05, 8.93); FTS5, OR (95% CI): 6.14 (3.58, 10.51), <i>p</i>-value < .001] and obesity [FP, OR (95% CI): 3.10 (1.95, 4.94), <i>p</i>-value < 0.001; FTS5, OR (95% CI): 2.26 (1.17, 4.35), <i>p</i>-value 0.015] was only associated with incident frailty. Sarcopenia added risk to obesity for frailty (FP and FTS5) whereas obesity only did for frailty (FTS5) in sarcopenic individuals. The interaction between sarcopenia and obesity was not associated with any outcome.</p><p><strong>Discussion and implications: </strong>Sarcopenia and obesity provide each other an additive risk for frailty, but not a multiplicative (ie, interaction) one, in sarcopenic obesity. Sarcopenia is the mean factor accounting for the associated risk.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"9 5","pages":"igaf021"},"PeriodicalIF":4.9,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12082094/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144093522","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}

{"title":"A Mixed-Methods Scoping Review of Innovative Long-term Care Facility Design and Associated Outcomes.","authors":"Elizabeth Pywell, Katherine M Ottley, Azin Dolatabadi, Joshua Maza, Kayley Lawrenz, Jim Hutchinson, Heather Ward, Abigail Wickson-Griffiths, Paulette V Hunter","doi":"10.1093/geroni/igaf034","DOIUrl":"10.1093/geroni/igaf034","url":null,"abstract":"<p><strong>Background and objectives: </strong>As people live to late older adulthood, their reliance on disability supports and services increases. While these supports and services can often be provided at home, many people spend a period of their lives in long-term care, and the quality of long-term care environments is of great significance to those who make this transition and to those who support it. The objective of this study was to survey the range of design innovations in long-term care and to consider outcomes for residents, family caregivers, employees, and healthcare organizations.</p><p><strong>Research design and methods: </strong>To achieve these goals, we conducted a systematic scoping review and analyzed results using a convergent segregated mixed-methods approach. We summarized 75 articles on the topic of long-term care home building design by classifying structural design features and associated outcomes.</p><p><strong>Results: </strong>We identified 3 innovative design types (<i>small-scale homelike models</i>, <i>large-scale homelike models</i>, and <i>special small-scale approaches</i>). A wide range of potential positive outcomes were identified for residents, families, and staff. These outcomes included outcomes of central significance for long-term care, including improved quality of life, improved family satisfaction, and improved staff engagement in work.</p><p><strong>Discussion and implications: </strong>Based on these results, environmental design is a critical contributor to long-term care quality.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"9 5","pages":"igaf034"},"PeriodicalIF":4.9,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12123067/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144198982","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}

{"title":"Speed of Processing Training for Stress Adaptation in Caregivers of a Family Member With Dementia: A Randomized Controlled Trial.","authors":"Kathi L Heffner, Hugh F Crean, Autumn M Gallegos, Maria M Quiñones-Cordero, Miriam T Weber, Silvia Sörensen, Rose S Y Lin, Carol A Podgorski, Feng V Lin","doi":"10.1093/geroni/igaf033","DOIUrl":"10.1093/geroni/igaf033","url":null,"abstract":"<p><strong>Background and objectives: </strong>The chronic stress of caregiving for a family member with Alzheimer's disease and related dementias (ADRD) is associated with a host of health risks, including accelerated cognitive aging and poor emotional well-being. Despite known links between cognitive and emotion regulatory pathways, cognitive training has not been tested in ADRD caregivers as a means to strengthen cognitive capacity and concomitant emotion regulation, domains undergirding stress adaptation. This study aimed to identify effects of computerized cognitive training on cognitive and emotion indicators of caregivers' capacity for stress adaptation, a key mechanism for healthy aging.</p><p><strong>Research design and methods: </strong>ADRD family caregivers (<i>N</i> = 195; ages 55-85 years) enrolled in a 2-arm randomized controlled trial were assigned (1:1) to engage in a vision-based speed of processing and attention (VSOP/A) training or video education (VE). Processing speed and attention, working memory under stress, and emotion reactivity to laboratory and caregiving stressors were measured at baseline, following an 8-week intervention, and 6 months and 12 months postintervention. Intent-to-treat analyses using mixed models for repeated measures tested effects of VSOP/A training on these outcomes.</p><p><strong>Results: </strong>The VSOP/A group had significantly improved processing speed and attention performance compared to the VE group, and these differences persisted through 6 months postintervention. At 6 months postintervention only, working memory performance under stress was significantly better among the VSOP/A compared to VE group. At 12 months, caregivers in the VSOP/A group reported less negative emotion in response to ADRD-related behavioral symptoms of their care recipient. There were no group differences in acute emotion reactivity to the laboratory stressor at any time point.</p><p><strong>Discussion and implications: </strong>Findings from this study suggest that targeted cognitive training should be further developed as an efficacious strategy to strengthen ADRD family caregivers' stress adaptation capacity and healthy aging. <b>Clinical Trials Registration Number:</b> NCT03036423.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"9 5","pages":"igaf033"},"PeriodicalIF":4.9,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12123065/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144198984","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}