Innovation in Aging最新文献

{"title":"Empowering Indigenous futures: advancing the 4Ms education model in American Indian and Alaska Native communities.","authors":"Barry J Wu, Megan Dicken, Ron Eppes, Jennifer Ouellet, Richard Marottoli","doi":"10.1093/geroni/igag104","DOIUrl":"10.1093/geroni/igag104","url":null,"abstract":"","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"10 11","pages":"igag104"},"PeriodicalIF":6.2,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13719433/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149297224","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":"Is there a role for artificial intelligence in end-of-life care for persons with dementia? Perspectives of and recommendations by caregivers and hospice staff.","authors":"Oonjee Oh, Debra Parker Oliver, Karla Washington, George Demiris","doi":"10.1093/geroni/igag105","DOIUrl":"https://doi.org/10.1093/geroni/igag105","url":null,"abstract":"<p><strong>Background and objectives: </strong>Tools powered by artificial intelligence (AI) are reshaping many aspects of dementia care, and end-of-life caregiving for persons with dementia may not be exempt from such paradigm shifts. In this study, we explored families' and staff's acceptance of AI in hospice dementia care and generated actionable recommendations for AI designers in supporting end-of-life care for persons with dementia.</p><p><strong>Design and methods: </strong>In this qualitative descriptive study, we conducted individual and focus group interviews with family caregivers (<i>N </i>= 30) of hospice patients with dementia and hospice staff (<i>N </i>= 9). We utilized the Technology Acceptance Model as our theoretical framework and conducted directed content analysis.</p><p><strong>Results: </strong>Participants described AI tools as potentially helpful for obtaining information, monitoring patients, managing medications and appointments, providing companionship, and conducting logistical tasks. Familiarity with technology, along with user-friendly interfaces and guidance, emerged as subcategories of perceived ease of use. The uniqueness of hospice, encompassing its humanistic nature and emphasis on families as part of the care unit, also emerged as a key factor impacting attitudes towards AI use. Although many anticipated that AI would bring inevitable changes in the future, they showed nuanced trust and perspectives on how it would impact the essence of care. Based on our participants' narratives, recommendations emerged across three domains: population-related, AI feature-related, and deployment-related.</p><p><strong>Discussion and implications: </strong>Families and frontline staff should not be considered merely as end users but as key stakeholders whose needs and expertise should shape the direction of AI applications.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"10 11","pages":"igag105"},"PeriodicalIF":6.2,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13695354/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149266628","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 observers to architects: why gerontologists should engage in drafting the UN Convention on the Rights of Older Persons.","authors":"Israel Issi Doron, Silvia Perel-Levin","doi":"10.1093/geroni/igag107","DOIUrl":"https://doi.org/10.1093/geroni/igag107","url":null,"abstract":"","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"10 11","pages":"igag107"},"PeriodicalIF":6.2,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13695352/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149266686","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":"Changes in depressive symptoms associated with spousal loss in six country context.","authors":"Shekhar Chauhan, Dawn C Carr","doi":"10.1093/geroni/igag101","DOIUrl":"https://doi.org/10.1093/geroni/igag101","url":null,"abstract":"<p><strong>Background and objectives: </strong>This exploratory study examines changes in depressive symptoms following spousal loss relative to remaining married across countries, whether these associations vary by national context and gender, and the extent to which selection into widowhood accounts for cross-national differences.</p><p><strong>Research design and methods: </strong>This study uses data from the Health and Retirement Study international family of studies and evaluates change in depressive symptoms across six country contexts: United States, England, Mexico, China, and two combinations of European Union countries categorized by welfare state: Conservative and Social/Democratic. We evaluated change in depressive symptoms among individuals who were married at Wave 1 (2015/2016 depending on country) and at Wave 2 (2018) when some remained married while others reported a spousal loss. The analytic sample included adults aged 60 years and older (Wave 1 mean age = 69.13 years, <i>SD</i> = 6.78).</p><p><strong>Results: </strong>Using ordinary least squares regression and propensity score methods to account for selection into widowhood, results suggest that the experience of widowhood is generally similar across country contexts, with widows experiencing, on average, about 0.5 <i>SDs</i> increase in depressive symptoms (marginal effect = 0.53, <i>p</i> < .001; propensity adjusted score = 0.56, <i>p</i> < .001), a likely clinically relevant increase, accounting for selection. These effects were roughly the same for men and women in all country contexts.</p><p><strong>Discussion and implications: </strong>Future research is needed to identify factors that may buffer the consequences of widowhood and explore cross-national interventions that may help reduce these effects.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"10 11","pages":"igag101"},"PeriodicalIF":6.2,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13695514/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149266623","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":"Conditional pathways to loneliness in older adults with vision impairment: a decision-tree analysis.","authors":"Ya-Han Chang, Silvia Sörensen","doi":"10.1093/geroni/igag102","DOIUrl":"10.1093/geroni/igag102","url":null,"abstract":"<p><strong>Background and objectives: </strong>The prevalence of vision impairment continues to increase globally due to population growth and aging. Among older adults with vision impairment, loneliness is common. Prior studies assessing loneliness risk have relied on regression-based approaches, which may not capture complex, heterogeneous conditional pathways. We apply a theoretically guided machine learning approach to examine loneliness risk among older adults with age-related macular degeneration (AMD).</p><p><strong>Research design and methods: </strong>Using baseline data from 210 adults with AMD (Age_mean = 80.1 years) enrolled in a randomized controlled trial, we applied a decision tree method using measures of legal blindness, emotional responses to vision loss, social life satisfaction, anxiety, depression, optimism, future planning, and sociodemographic factors to investigate heterogeneous pathways to loneliness.</p><p><strong>Results: </strong>Decision tree models demonstrated stable discrimination (AUC_train = .88, AUC_test = .78, DeLong 95% confidence interval: 0.68-0.88) and robust classification performance across thresholds. Social life satisfaction emerged as the primary branching condition differentiating loneliness outcomes. Distinct pathways suggested that high social life satisfaction was strongly associated with lower loneliness; optimism served as a compensatory resource when social satisfaction was lower. Additional pathways highlighted the effects of vision loss severity, anxiety, and emotional responses to vision loss on loneliness. Depressive symptoms differentiated loneliness outcomes within a lower-anxiety branch, suggesting depression may overshadow protective factors.</p><p><strong>Discussion and implications: </strong>These findings suggest that loneliness arises through heterogeneous psychological pathways rather than single risk factors. By identifying conditional configurations of psychosocial and health-related factors, interpretable decision-tree models may inform more targeted screening, evaluation, and intervention strategies.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"10 11","pages":"igag102"},"PeriodicalIF":6.2,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13645431/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149136454","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":"Dyadic discrimination and mental well-being among older Americans.","authors":"Jeffrey E Stokes, Heather R Farmer","doi":"10.1093/geroni/igag100","DOIUrl":"https://doi.org/10.1093/geroni/igag100","url":null,"abstract":"<p><strong>Background and objectives: </strong>There is a thorough literature on the mental health consequences of discrimination exposure in adulthood, yet little work to date has situated such experiences within a relational, dyadic context. The present brief report analyzes 2-wave longitudinal data from the Health and Retirement Study (2018-2022) to determine whether individuals' own or their intimate partner's experiences of discrimination were associated with changes to anxiety symptoms, perceived stress, and/or self-esteem over a 4-year period.</p><p><strong>Research methods and design: </strong>Dyadic lagged dependent variable models were estimated using a structural equation modeling framework with full information maximum likelihood methods to address missing data. A total of 1,484 individuals from 742 opposite-gender couples participated at both the 2018 and 2022 waves of data collection and comprised the analytic sample for this study.</p><p><strong>Results: </strong>Individuals' own exposure to everyday discrimination was associated with increased symptoms of anxiety and perceived stress, as well as with reduced self-esteem, over the 4-year period. A dyadic partner's exposure to everyday discrimination was associated with increased anxiety symptoms for men only, though post-hoc Wald tests failed to find a significant gender difference in effects.</p><p><strong>Discussion and implications: </strong>Discrimination is a chronic psychosocial stressor with harmful consequences for mental health of affected individuals even in mid and later life. Moreover, limited evidence suggests that discrimination may have dyadic consequences as well, though these patterns are mixed. Future research is needed to determine interpersonal mechanisms for the findings of interest.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"10 11","pages":"igag100"},"PeriodicalIF":6.2,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13695356/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149266640","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":"Community-based solutions: a principles-to-practice framework to support individuals living with dementia and their care partners.","authors":"Allie Peckham, Monika Roerig, Sage Sadow, Frances Morton-Chang, Laura Schmid, Clare Schuchardt, Molly Budhiraja, Sara Allin","doi":"10.1093/geroni/igag094","DOIUrl":"10.1093/geroni/igag094","url":null,"abstract":"<p><strong>Background and objectives: </strong>Alzheimer's disease and related dementias represent a global public health concern, with persistent gaps in supports for individuals living with dementia and their unpaid care partners. This study synthesized promising community-based innovations that address these gaps and contribute to positive outcomes.</p><p><strong>Research design and methods: </strong>A rapid literature review was conducted to develop a framework for guiding the design and evaluation of community innovations for individuals living with dementia and their care partners. 4 databases were searched using keywords related to dementia, care partners, community-based care, and quality outcomes. 22 articles were included, each evaluating a community-based intervention for individuals with dementia and their care partners and reporting outcomes. Cross-study thematic analysis identified programmatic factors associated with success.</p><p><strong>Results: </strong>The resulting framework comprises 6 programmatic factors of success, 6 design and implementation considerations, and 4 cross-cutting principles. Success factors included early intervention, triadic involvement in planning, individualized and person-centered approaches, multi-component interventions, community-building activities, and direct care partner resources and tools. Design and implementation considerations included target population, delivery models, co-design strategies, resource allocation and system incentives, geographic context, and impacts and outcomes. Core principles emphasize anti-stigma, accessibility, equity and intersectionality, and sustainability.</p><p><strong>Discussion and implications: </strong>Co-design and sustained community engagement were identified as central strategies for reducing stigma and fostering inclusive, dementia-supportive environments. The framework can be used to support the development, investment, and scalability of effective community-based supports for individuals living with dementia and care partners across diverse settings.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"10 11","pages":"igag094"},"PeriodicalIF":6.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13645434/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149136549","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":"Mapping heterogeneity in retirement transition pathways: integrating qualitative longitudinal and text-mining analysis.","authors":"Jun-Rong Huang, Shiau-Fang Chao, Ji-Lung Hsieh, Hsuan-Lei Shao","doi":"10.1093/geroni/igag096","DOIUrl":"https://doi.org/10.1093/geroni/igag096","url":null,"abstract":"<p><strong>Background and objectives: </strong>Retirement transition (RT) is a dynamic process with individual heterogeneity. While the Resource-Based Dynamic Perspective (RBDP) highlights fluctuations in key resources, studies remain largely quantitative and cross-sectional. This study aims to identify distinct RT patterns and examine shifts in resource-related discourse over time.</p><p><strong>Research design and methods: </strong>A qualitative longitudinal design with computational augmentation tracked 12 Taiwanese near-retirees across 5 waves spanning 6 months pre- to 6 months post-retirement. 60 qualitative transcripts were analyzed using longitudinal case methods, complemented by computational text mining (Sentence-BERT) to trace trajectories across 6 resource domains, including Health Issues, Life Control, Financial Status, Social Support, Emotional Response, and Lifestyle.</p><p><strong>Results: </strong>Within this sample, 3 analytically derived RT patterns were observed: a transition-centered pattern in Strategic Goal-Driven (Type I, <i>n</i> = 4), a U-shaped pattern in Structure and Social Role Reshaping (Type II, <i>n</i> = 4), and a crisis-driven peak in External Shock Response (Type III, <i>n</i> = 4). Text-mining results broadly converged with qualitative findings, particularly in the Life Control domain. At the individual level, convergence was observed for financial status and lifestyle, whereas divergence emerged when similar quantitative frequencies corresponded to different qualitative meanings.</p><p><strong>Discussion and implications: </strong>Findings extend RBDP by introducing resource diversion, in which family or contextual demands redirect personal resources, and a resource hierarchy highlighting the foundational role of physical health. Findings underscore the need for pathway-specific retirement support that accounts for culturally embedded caregiving obligations beyond conventional financial-planning approaches.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"10 11","pages":"igag096"},"PeriodicalIF":6.2,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13719220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149297182","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":"The bidirectional relationship between depression and cognitive function in older adults: evidence from a psychosocial intervention on late-life depression.","authors":"Lucy Xi Lu, Dara Kiu Yi Leung, Stephanie Ming Yin Wong, Wai Chi Chan, Gloria Hoi Yan Wong, Terry Yat Sang Lum","doi":"10.1093/geroni/igag095","DOIUrl":"10.1093/geroni/igag095","url":null,"abstract":"<p><strong>Background and objectives: </strong>Depression is a modifiable predictor of dementia, but the effects of addressing depression to improve cognition, especially psychosocial interventions, are understudied. The underlying relationships between depressive symptoms (DS) and cognitive function (CF) are also unclear. Most prior research has been observational, lacking insight into their interactions during interventions. This study examined the longitudinal relationships between DS and CF across psychosocial interventions in older adults, modeling changes as latent variables for more accurate estimations.</p><p><strong>Research design and methods: </strong>The study drew on participant data from JC JoyAge, a community stepped-care program for late-life mental health. Participants (≥60 years) with mild to moderate DS (<i>N </i>= 4,412) completed DS and CF assessments (e.g., attention, language, orientation, memory domains) before and after the program. Latent change score models were computed to examine changes in DS and CF as well as their interaction.</p><p><strong>Results: </strong>On average, participants' DS and CF improved following intervention. A greater reduction in DS was associated with greater improvement in CF. Higher baseline CF predicted a greater reduction in DS, while a lower baseline DS predicted a greater improvement in global CF, attention, and memory.</p><p><strong>Discussion and implications: </strong>The findings demonstrated the bidirectional relationships between DS and CF and showed their shared improvements during psychosocial intervention. Treating depression is expected to benefit cognition, potentially preventing cognitive decline and dementia. Combining depression and cognition components in integrated intervention approaches may enhance their reciprocal response. Early intervention at a lower depression level may achieve greater cognitive benefits.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"10 11","pages":"igag095"},"PeriodicalIF":6.2,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13661262/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149181716","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 innovation in gerontology: promote disruption, leave well enough alone, or unclear?","authors":"Steven M Albert","doi":"10.1093/geroni/igag099","DOIUrl":"https://doi.org/10.1093/geroni/igag099","url":null,"abstract":"","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"10 11","pages":"igag099"},"PeriodicalIF":6.2,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13716485/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149297239","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}