Innovation in Aging最新文献

{"title":"Advancing Innovation.","authors":"Michelle Putnam","doi":"10.1093/geroni/igae104","DOIUrl":"https://doi.org/10.1093/geroni/igae104","url":null,"abstract":"","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"9 1","pages":"igae104"},"PeriodicalIF":4.9,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11705386/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142948159","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":"Development and Delivery of Enhanced Implementation Support to Disseminate a National Caregiver Skills Training Program.","authors":"Jaime M Hughes, Lena K Makaroun, Kasey Decosimo, Matthew Tucker, Joshua Dadolf, Connor Drake, Leah L Zullig, Cynthia J Coffman, Swetha Kota, Nina R Sperber, Leah Christensen, Trisha Chadduck, Kelli D Allen, Susan Nicole Hastings, Courtney H Van Houtven","doi":"10.1093/geroni/igae107","DOIUrl":"10.1093/geroni/igae107","url":null,"abstract":"<p><strong>Background and objectives: </strong>As the population ages there is an increasing need for caregiver training programs, but little is known about how to deliver implementation support for diverse sites in large-scale implementation efforts. External group-based implementation facilitation may be one promising approach. This study's objective is to detail the development and delivery of a pragmatic implementation facilitation approach to support the national rollout of caregiver training, Caregivers FIRST, at over 140 Veterans Health Administration (VHA) sites.</p><p><strong>Research design and methods: </strong>Using administrative, survey, and project data, we describe the process of developing and delivering enhanced support to 13 VHA sites unable to meet adoption benchmarks as part of a national mandate. Enhanced support consisted of 4 group-based calls delivered within a 12-week period that used tailored external facilitation to address barriers, facilitators, and strategies for program implementation. We present key implementation barriers, implementation strategies, and sites' perceptions of highly valued elements of enhanced support.</p><p><strong>Results: </strong>Enhanced support calls focused on 3 implementation barriers commonly identified by implementing staff (<i>n</i> = 25) in a site-level needs assessment survey: recruiting and retaining caregivers (83%), balancing program delivery alongside competing demands (57%), and support from other departments in program delivery (44%). Sites attended a median of 3 out of 4 enhanced support calls. In postimplementation quantitative surveys, the average response of perceived helpfulness of enhanced support (ranging from 1 to 5) was 3.4 at 6 months, increasing to 4.2 at 12 months. Respondents valued collaborative problem-solving and the ability to learn best practices from other implementing sites during enhanced support calls.</p><p><strong>Discussion and implications: </strong>Describing the process of developing and delivering enhanced support via group-based external facilitation for Caregivers FIRST in VHA may provide useful information to guide similar efforts in other healthcare systems as they broadly disseminate interventions to support caregivers across diverse sites.</p><p><strong>Clinical trial registration: </strong>NCT05319535.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"9 1","pages":"igae107"},"PeriodicalIF":4.9,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11771185/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143052551","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":"Development of a Complex Intervention for Promoting Participation in Resistance Exercise Among Community-Dwelling Frail Older Adults in China: A Multimethod Qualitative Study.","authors":"Xuemei Sun, Wenqi Liu, Lingqi Li, Jinlu Song, Yinyan Gao, Weiru Zhang, Irene X Y Wu","doi":"10.1093/geroni/igae109","DOIUrl":"10.1093/geroni/igae109","url":null,"abstract":"<p><strong>Background and objectives: </strong>Regular resistance exercise (RE) showed a promising effect in reducing frailty in older adults. However, the participation of RE among this population remains low. This study was, therefore, aimed at developing a complex intervention tailored to community-dwelling frail older adults in China to promote participation in RE and reduce frailty ultimately.</p><p><strong>Research design and methods: </strong>Using a multimethods qualitative study design, this study included 2 parts: (1) a qualitative study was performed to explore barriers and facilitators for participation in RE among frail older adults through stakeholder interviews. The interview was guided by the comprehensive framework of implementation research; (2) two rounds of expert consultation, guided by the social cognitive theory, were conducted to identify the key barriers and facilitators, and corresponding implementation strategies for promoting participation in RE. A complex intervention was developed accordingly.</p><p><strong>Results: </strong>Interviews were conducted with 16 frail older adults (mean age = 72.9) and 10 community workers (mean working years = 11.2). A total of 10 barriers and 16 facilitators were identified; safety concerns, decline in physical function, and lack of knowledge were frequently mentioned barriers, while health needs, social support, and professional guidance were common facilitators. Then 10 experts (mean working years = 20.9) were consulted to determine the main barriers and facilitators, and a list of corresponding implementation strategies was developed subsequently. Thus, a tailored complex intervention delivered by community workers in the community setting, including the core component of \"group elastic-band RE,\" and supplementary components of \"community education, feedback, goal setting, and reinforcement guidance\" was developed.</p><p><strong>Discussion and implications: </strong>This study constructed a list of key barriers and facilitators as well as corresponding implementation strategies for promoting participation in RE among community-dwelling frail older adults. A tailored complex intervention was developed accordingly, which will facilitate the management of frail older adults in the Chinese community setting.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"9 1","pages":"igae109"},"PeriodicalIF":4.9,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11771199/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143052552","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":"Assessing the Feasibility and Efficacy of Virtual Reality Navigational Training for Older Adults.","authors":"Tong Bill Xu, Armin Mostafavi, Walter R Boot, Sara Czaja, Saleh Kalantari","doi":"10.1093/geroni/igae099","DOIUrl":"https://doi.org/10.1093/geroni/igae099","url":null,"abstract":"<p><strong>Background and objectives: </strong>This study evaluates the feasibility of virtual reality (VR) wayfinding training with aging adults and assesses the impact of the training on wayfinding performance.</p><p><strong>Research design and methods: </strong>49 participants were recruited using a convenience sample approach. Wayfinding tasks were conducted by 3 participant groups: active VR training, passive video training, and no training, assigned randomly. The training featured 5 tasks in a digital version of a real building. Post-training assessments used 10 tasks in this same building, half of the tasks familiar from the training and half new. The study was double-blinded, with each intervention lasting 10 min. The primary outcomes include the Distance Traveled and Duration for each wayfinding task, with a fixed 10-min limit.</p><p><strong>Results: </strong>Participants in the VR group reported moderate usability and a high sense of Self Location in the environment with respect to the training intervention. No significant differences were found in performance for the first group of similar wayfinding tasks; however, in the subsequent set of new tasks the VR group significantly outperformed the Control group. This suggests a possible spatial learning effect across multiple exposures (VR training followed by similar task). No adverse effects were reported during or post intervention.</p><p><strong>Discussion and implications: </strong>This study provides preliminary evidence that VR training can help to improve wayfinding performance in older adults with no reported adverse effects.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"9 1","pages":"igae099"},"PeriodicalIF":4.9,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11705671/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142948220","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":"From the Outgoing Editor-in-Chief of <i>Innovation in Aging</i>.","authors":"Steven M Albert","doi":"10.1093/geroni/igae103","DOIUrl":"10.1093/geroni/igae103","url":null,"abstract":"","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"8 12","pages":"igae103"},"PeriodicalIF":4.9,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11632374/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142812557","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":"Medicare Resource Use Differs by English Reading Proficiency.","authors":"Lilly Estenson, Eric T Roberts, Mireille Jacobson","doi":"10.1093/geroni/igae105","DOIUrl":"10.1093/geroni/igae105","url":null,"abstract":"<p><strong>Background and objectives: </strong>Medicare coverage decisions are complex. The Centers for Medicare & Medicaid Services (CMS) provides a hotline, handbook, and website to help Medicare beneficiaries understand their benefits and coverage options, yet it is unclear what factors affect beneficiary use of these resources. We examined limited English speaking and English reading proficiency status as predictors of CMS Medicare informational resource use in a nationally representative sample of Medicare beneficiaries.</p><p><strong>Research design and methods: </strong>We used 2016-2018 Medicare Current Beneficiary Survey data and linear probability models to assess whether the likelihood of using CMS Medicare informational resources differed among beneficiaries with limited English proficiency. We adjusted models for demographic, socioeconomic, health, and local market factors and, in sensitivity analyses, health insurance characteristics. Our primary outcome was an indicator of having previously used at least 1 of the 3 CMS resources.</p><p><strong>Results: </strong>Among noninstitutionalized beneficiaries (<i>n</i> = 20 715), 4.8% had limited English speaking proficiency, 7.0% had limited English reading proficiency, and 67.7% had used at least 1 CMS resource. After regression adjustment, beneficiaries with limited English reading proficiency were 16.3 percentage points less likely to have used a CMS resource compared to beneficiaries who reported English reading proficiency (<i>p</i> < .001). Limited English speaking proficiency was not associated with CMS resource use.</p><p><strong>Discussion and implications: </strong>These findings suggest that English reading proficiency may be an underappreciated factor in Medicare beneficiaries' use of the Medicare handbook, hotline, and website. Alternative approaches to providing and publicizing informational resources may reduce barriers to Medicare resource use among beneficiaries with limited English reading proficiency.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"9 1","pages":"igae105"},"PeriodicalIF":4.9,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11771191/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143052553","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":"Feasibility, Acceptability, and Preliminary Efficacy of the Taking Care of Us Intervention for Couples Living With Heart Failure.","authors":"Karen S Lyons, Carol J Whitlatch, Amanda R Vest, Jenica N Upshaw, Stacy Hutton Johnson, Anna Walters, Christopher S Lee","doi":"10.1093/geroni/igae106","DOIUrl":"10.1093/geroni/igae106","url":null,"abstract":"<p><strong>Background and objectives: </strong>Despite the significant impact of heart failure on both members of the care dyad, few interventions focus on optimizing the health of the dyad. The current study examined the feasibility and acceptability of the novel Taking Care of Us (TCU) program with mid-late-life couples living with heart failure and explored preliminary efficacy.</p><p><strong>Research design and methods: </strong>This NIH Stage I study used a 2-arm randomized controlled trial with pretest-post-test design and an additional 5-month follow-up to compare TCU with an educational counseling attention-control condition. 37 couples were randomized to TCU (18 couples) or an educational control group (19 couples). Both programs were delivered virtually over 2 months.</p><p><strong>Results: </strong>Adults with heart failure were primarily male (mean age = 66.32, standard deviation [<i>SD</i>] = 13.72); partners were primarily female (mean age = 63.00, <i>SD</i> = 12.73). Feasibility findings were mixed with over half of the eligible couples randomized, but only 67% of TCU couples completed the post-test. Acceptability of the TCU program was strong for both adults with heart failure and their partners. Recommendations for change focused on shortening session length, offering fewer sessions, and providing alternative modes of delivery. Exploratory between-group analyses found medium effect sizes for physical and mental health and dyadic management for both members of the couple, with many effects remaining 3 months later.</p><p><strong>Discussion and implications: </strong>Findings suggest the TCU program is acceptable to couples with heart failure and shows promise for optimizing outcomes. Recommendations and strategies for improving retention and a more diverse sample are discussed.</p><p><strong>Clinical trial registration: </strong>NCT04737759.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"9 1","pages":"igae106"},"PeriodicalIF":4.9,"publicationDate":"2024-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11714155/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142948223","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":"Using Voice-Activated Technologies to Enhance Well-Being of Older Adults in Long-Term Care Homes.","authors":"Alisa Grigorovich, Ashley-Ann Marcotte, Romeo Colobong, Margaret Szabo, Carlee MacNeill, Daniel Blais, Gail Giffin, Ken Clahane, Ian P Goldman, Bessie Harris, Abby Clarke Caseley, Melanie Gaunt, Jessica Vickery, Christina Torrealba, Susan Kirkland, Pia Kontos","doi":"10.1093/geroni/igae102","DOIUrl":"10.1093/geroni/igae102","url":null,"abstract":"<p><strong>Background and objectives: </strong>Information communication technologies (ICTs) can enhance older adults' health and well-being. Most research on the use of voice-activated ICTs by older adults has focused on the experiences of individuals living in the community, excluding those who live in long-term care homes. Given evidence of the potential benefits of such technologies to mitigate social isolation and loneliness, more research is needed about their impacts in long-term care home settings. With this in mind, we evaluated impacts and engagement of older adults with voice- and touchscreen-activated ICTs in one long-term care home in Canada.</p><p><strong>Research design and methods: </strong>Interviews were conducted with older adults who were provided with a Google Nest Hub Max and with staff as part of a larger implementation study. Participants completed semistructured interviews before the technology was implemented, and again at 6 and 12 months. The interviews were recorded, transcribed, and analyzed using thematic analysis techniques.</p><p><strong>Results: </strong>We found that residents primarily used the technologies to engage in self-directed digital leisure and to engage with others both in and outside the home, and that this in turn enhanced their comfort, pleasure, and social connectedness. We also identified ongoing barriers to their engagement with the technology, including both personal and structural factors.</p><p><strong>Discussion and implications: </strong>Our findings suggest that implementation of voice-activated ICTs can bring added value to broader efforts to improve well-being and quality of life in long-term care by enhancing choice, self-determination, and meaningful relationships.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"8 12","pages":"igae102"},"PeriodicalIF":4.9,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11630282/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142812720","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":"Grandchild Care and Grandparents' Well-Being in Context: The Impact of the COVID-19 pandemic.","authors":"Mareike Bünning, Oliver Huxhold","doi":"10.1093/geroni/igae101","DOIUrl":"10.1093/geroni/igae101","url":null,"abstract":"<p><strong>Background and objectives: </strong>This study investigates whether the association between supplementary grandchild care and grandparents' subjective well-being-measured as life satisfaction, perceived stress, and loneliness-is moderated by the contextual environment. We use the coronavirus disease (COVID-19) pandemic as an example of contextual differences. Drawing on role theory, we argue that the costs and benefits of grandparenting may have differed between pandemic and prepandemic times. On the one hand, providing grandchild care during the pandemic may have been particularly stressful, prompting more negative effects on well-being. On the other hand, grandchild care may have been particularly relevant for enhancing well-being, as it protected grandparents from social isolation. Moreover, the association between grandparenting and well-being may have differed by gender.</p><p><strong>Research design and methods: </strong>Using unbalanced panel data from the German Ageing Survey (DEAS) 2014 (<i>n</i> = 3,619), 2017 (<i>n</i> = 2,458), and 2020 (<i>n</i> = 2,021), we applied maximum likelihood structural equation modeling (ML-SEM)<b>-</b>a method that combines dynamic panel modeling with fixed-effects analysis<b>-</b>to examine whether there were differences in the relationship between grandchild care and grandparents' well-being when comparing pandemic and prepandemic times and by grandparents' gender.</p><p><strong>Results: </strong>Grandchild care was associated with lower loneliness for both grandmothers and grandfathers. For grandfathers, this association was even stronger during the pandemic. Grandmothers experienced higher life satisfaction when taking care of grandchildren during the pandemic, but there was no evidence that grandchild care increased perceived stress for either grandmothers or grandfathers.</p><p><strong>Discussion and implications: </strong>In line with role enhancement theory, this study highlights that supplementary grandchild care can be beneficial for grandparents' well-being. Moreover, the context in which grandchild care takes place shapes the costs and rewards associated with it. Our results suggest that supportive policies and programs facilitating grandchild care can enhance grandparents' well-being, especially in challenging contexts.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"8 12","pages":"igae101"},"PeriodicalIF":4.9,"publicationDate":"2024-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11630762/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142812716","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":"Representing the Needs of Rural Caregivers of People Living With Alzheimer's Disease and Related Dementias Through User Personas.","authors":"Anna Jolliff, Jordan R Hill, Matthew Zuraw, Christian Elliott, Nicole E Werner","doi":"10.1093/geroni/igae096","DOIUrl":"10.1093/geroni/igae096","url":null,"abstract":"<p><strong>Background and objectives: </strong>Rural caregivers of people living with Alzheimer's disease and related dementias (ADRD) face unique caregiving challenges. Current interventions do not address many of the systemic barriers experienced by rural ADRD caregivers, including barriers related to geography, healthcare services access, and financial insecurity. The objective of this study was to gain a deeper understanding of rural ADRD caregivers' needs, strengths, and strategies in obtaining caregiving support, and to represent these attributes in the form of personas that can be used to design interventions for rural ADRD caregivers.</p><p><strong>Research design and methods: </strong>In this qualitative user-centered design study, we conducted semistructured interviews with self-identified caregivers of people living with ADRD in rural areas. Interview data was copied to a virtual whiteboard, and affinity diagramming was used to confirm a priori attributes and yield inductive attributes relevant to rural ADRD caregivers. Attributes were assigned to personas, which were then validated through team-based discussion, consultation with a study advisory board, and review by rural caregivers and community partners.</p><p><strong>Results: </strong>Analyses of <i>N</i> = 19 interviews yielded 7 inductive attributes relevant to rural ADRD caregivers of persons living with ADRD and 5 distinct personas: Capable Christine, Connected Connie, Isolated Irene, Learning Larry, and Discerning Dan. Personas differed on inductive attributes including financial security, subjective rurality, attitudes, connectedness, and information behavior, including preferences for traditional versus technology-based information seeking.</p><p><strong>Discussion and implications: </strong>The personas identified in the present study can be used as tools to represent and efficiently communicate the intersection and interaction of attributes relevant to designing interventions and technologies to meet the support needs of rural ADRD caregivers.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"8 12","pages":"igae096"},"PeriodicalIF":4.9,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11648308/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142835615","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}