Innovation in Aging最新文献

{"title":"The \"Method of Physical Action\" in Theatre Training Improves Balance and Reduces Fall Risk in Older Adults Living in Subsidized Housing: A Randomized Controlled Trial.","authors":"Kimberly Kirklin, Haiyan Qu, Ellise Mayor, John D Lowman, Jie Gao, Lauren Edwards, Peng Li, Hon K Yuen","doi":"10.1093/geroni/igaf046","DOIUrl":"10.1093/geroni/igaf046","url":null,"abstract":"<p><strong>Background and objectives: </strong>Residents of subsidized senior housing (SSH) need housing-based interventions to address high rates of physical inactivity and social isolation that can lead to increased risks of physical and mental health impairments. Theatre experience training (TET) programs have been shown to improve cognitive function, emotional well-being, social connection, and health-related quality of life (HR-QoL) in this population. This study evaluated the effect of an innovative TET program involving the method of physical acting on objective measures of physical functioning and emotional stress.</p><p><strong>Research design and methods: </strong>This single-blind trial randomized SSH residents from 5 SSH communities to a 10-week, twice-weekly TET program or a waitlist control arm, with randomization conducted separately in each SSH. Participants' static balance, functional mobility, lower body strength, HR-QoL, emotional stress as measured by hair cortisol levels, and fall incidents were assessed at baseline, postprogram, and 3-month follow-up.</p><p><strong>Results: </strong>The study enrolled 81 participants; 53 were randomized to the TET arm and 28 to the waitlist arm. TET arm participants had improved static balance and reduced falls postprogram compared with control arm participants. Some carry-over effect was observed at the 3-month follow-up. No net benefit was observed for functional mobility, lower body strength, HR-QoL, or stress levels at the postprogram or 3-month follow-up assessments.</p><p><strong>Discussion and implications: </strong>The TET program involving the method of physical acting can improve static balance and reduce fall incidents in SSH residents. Ongoing TET programs in SSH may help residents maintain reductions in fall incidents. <b>Clinical Trial Registration Number</b>: NCT04582370.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"9 6","pages":"igaf046"},"PeriodicalIF":4.9,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12210949/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144540067","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":"Gender, Marital Histories, and Cognitive Impairment in Later Life: Does Remarriage Disadvantage Women?","authors":"Hyunwook Kang, Haena Lee, Kyung Won Choi, Juyeon Kim","doi":"10.1093/geroni/igaf043","DOIUrl":"10.1093/geroni/igaf043","url":null,"abstract":"<p><strong>Background and objectives: </strong>Although marital status influences cognitive health, limited research has examined the effects of diverse marital histories, particularly regarding remarriage. This study investigates the relationship between remarriage, marital histories, and cognitive impairment with a focus on gender differences. Building on the stress and marital resource models, we examine whether this relationship operates through economic and health-related factors.</p><p><strong>Research design and methods: </strong>Using the Health and Retirement Study (2004-2020; <i>N</i> = 11,406), we constructed 8 mutually exclusive categories based on current marital status and previous transitions, including divorce, widowhood, and multiple disruptions. We fit discrete-time hazard models to assess cognitive impairment risk across these marital trajectories. The bootstrap resampling method was used to conduct a formal mediation test.</p><p><strong>Results: </strong>Remarriage was associated with higher risks of cognitive impairment for women, but not for men, even after controlling for economic and health-related factors. Specifically, remarried women following widowhood or multiple disruptions had 39% and 32% higher risks of cognitive impairment, respectively, compared to continuously married women. The formal mediation test revealed that remarriage after multiple disruptions has adverse impacts on cognitive impairment, in part, through unhealthy behaviors and poor health status. However, when comparing remarried and unmarried groups, remarriage was associated with lower risks of cognitive impairment for men, whereas remarried women continued to show higher risks of cognitive impairment compared to their unmarried counterparts.</p><p><strong>Discussion and implications: </strong>This study is among the first to examine gender differences in how lifetime marital histories affect cognitive impairment risk. Remarriage, particularly following widowhood or multiple disruptions may put women at higher risks of cognitive impairment compared to those in their first marriage or those who remain single. These findings underscore the importance of considering detailed marital histories, beyond simple married/unmarried classification, when evaluating the role of social conditions in shaping cognitive impairment risk in practice settings.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"9 6","pages":"igaf043"},"PeriodicalIF":4.9,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12242379/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144608255","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":"Chasing the Pendulum: The Past, Present, and Future of Opioids and Older Adults.","authors":"Fred Rottnek","doi":"10.1093/geroni/igaf040","DOIUrl":"10.1093/geroni/igaf040","url":null,"abstract":"<p><p>The management of pain in older adults has been profoundly shaped by shifting attitudes toward acute and chronic opioid therapy. Historically, opioids have been recognized as highly effective for acute and cancer-related pain, but their use in chronic non-cancer pain, especially among older adults, remains controversial due to concerns about addiction, safety, and efficacy. Over recent decades, increased opioid prescribing has coincided with a dramatic rise in opioid misuse, addiction, and overdose deaths, prompting renewed scrutiny of prescribing practices and regulatory responses. This article traces the historical \"pendulum\" of opioid policy and practice, examines the unique challenges faced by older adults-including heightened vulnerability to adverse effects and polypharmacy-and highlights the ongoing debate between ensuring adequate pain relief and minimizing harm. It also explores best practices and emerging approaches, such as patient-centered care and the integration of non-opioid therapies, and calls for a balanced, evidence-based framework that addresses both the legitimate needs of older adults in pain and the societal imperative to reduce opioid-related harms.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"9 6","pages":"igaf040"},"PeriodicalIF":4.9,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12201998/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144505596","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":"Gait Variability Is Associated With Gray Matter Volumes Implicated in Cognitive Function: A Cross-Sectional Analysis From the AGUEDA Trial.","authors":"Isabel Martín-Fuentes, Patricio Solis-Urra, Emilio J Ruiz-Malagón, Andrea Coca-Pulido, Angel Toval, Beatriz Fernandez-Gamez, Marcos Olvera-Rojas, Darío Bellón, Alessandro Sclafani, Jose Mora-Gonzalez, Lucía Sánchez-Aranda, Javier Sanchez-Martinez, José Pablo Martínez-Barbero, Manuel Gómez-Río, Teresa Liu-Ambrose, Kirk I Erickson, Francisco B Ortega, Irene Esteban-Cornejo","doi":"10.1093/geroni/igaf045","DOIUrl":"10.1093/geroni/igaf045","url":null,"abstract":"<p><strong>Background and objectives: </strong>Aging is associated with both gait impairments and cognitive decline; however, the relationship between specific gait variability parameters, gray matter volume (GMV), and cognitive function remains poorly understood. This study aims to examine the associations between gait variability parameters (derived from stride length, step length, step time, and gait velocity) and GMV and its associations with cognitive function in cognitively normal older adults.</p><p><strong>Research design and methods: </strong>Eighty-seven older adults (48 female) aged 65-80 from the AGUEDA trial participated in this cross-sectional analysis. The Optogait system was used to record gait parameters. T1-weighted brain images were acquired magnetic resonance imaging scanner, and GMV was calculated by whole-brain voxel-based morphometric analysis using SPM12. Cognitive function was calculated from different cognitive tests.</p><p><strong>Results: </strong>Greater stride length variability was associated with lower GMV (<i>p</i> < .001) in clusters located in the supramarginal gyrus (<i>t</i> = 4.014, <i>k</i> = 179, β = -0.494) and hippocampus (<i>t</i> = 3.670, <i>k</i> = 334, β = -0.394), whereas greater step length variability was linked to lower GMV in the parahippocampal gyrus (<i>t</i> = 3.624, <i>k</i> = 76, β = -0.410). However, greater step time variability was associated with greater GMV in the supplementary motor area (<i>t</i> = 4.117, <i>k</i> = 274, β = 0.449). Gait velocity variability did not show any association with GMV. Furthermore, greater GMV in the supramarginal gyrus was associated with better working memory (β = 0.252, <i>p</i> = .008); greater GMV in the hippocampus was associated with better attentional/inhibitory control (β = 0.275, <i>p</i> = .010); and greater GMV in the parahippocampal gyrus was associated with better EF (β = 0.212, <i>p</i> = .035), attentional/inhibitory control (β = 0.241, <i>p</i> = .019), and working memory (β = 0.233, <i>p</i> = .027).</p><p><strong>Discussion and implications: </strong>These results suggest that gait variability could be an indicator of neurocognitive decline in older adults. Understanding these associations is essential for early dementia detection and sheds light on the complex interplay between physical function, brain health, and cognitive function during aging.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"9 6","pages":"igaf045"},"PeriodicalIF":4.9,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12246678/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626219","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":"\"I Wish I Knew\": Assessing Older Adults' Perceived and Actual Knowledge of Their Partners' End-of-Life Preferences.","authors":"Clément Meier, Maud Wieczorek, Carmen Borrat-Besson, Ralf J Jox, Jürgen Maurer","doi":"10.1093/geroni/igaf038","DOIUrl":"10.1093/geroni/igaf038","url":null,"abstract":"<p><strong>Background and objectives: </strong>Despite the importance of surrogate decision-making by partners at the end of life, there is only limited research on older adults' knowledge of their partners' end-of-life preferences. Hence, this study investigates older adults' perceived and actual knowledge of their partners' preferences for end-of-life care and medical treatments.</p><p><strong>Research design and methods: </strong>We analyzed data from 667 respondents aged 50+ from Wave 8 (2019/2020) of the Survey on Health, Ageing, and Retirement in Europe in Switzerland. We assessed respondents' actual knowledge by comparing their perceptions of their partners' preferences for end-of-life care and medical treatments with the partners' self-reported preferences. Additionally, respondents were asked to rate their perceived knowledge of their partners' wishes. Associations were assessed using multivariable regression models, adjusting for social, health, and regional characteristics.</p><p><strong>Results: </strong>Respondents' actual knowledge of their partners' preferences varied, with the share of correct answers ranging from 35% to 81% depending on the preferences. More than 80% of respondents felt that they knew their partners' end-of-life and medical treatment preferences \"rather\" or \"very\" well, and those respondents were more likely to identify their partners' preferences accurately.</p><p><strong>Discussion and implications: </strong>Improved communication between partners regarding their end-of-life preferences could significantly enhance surrogate end-of-life decision-making. However, since older adults' perceived knowledge of their partners' preferences seems overly optimistic, they may see little need to initiate such conversations by themselves, emphasizing the need for external educational interventions such as role-plays or case study discussions through, say, the community, or healthcare system to encourage such conversations.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"9 6","pages":"igaf038"},"PeriodicalIF":4.9,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12199151/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144505594","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":"Age-friendly Neighborhood Environment and Trajectories of Multimorbidity: The Moderating Effect of Life-course Socioeconomic Status.","authors":"Jing Liu, Meiteng Yu, Tao Zhang","doi":"10.1093/geroni/igaf039","DOIUrl":"10.1093/geroni/igaf039","url":null,"abstract":"<p><strong>Background and objectives: </strong>Limited longitudinal study exists on the combined effects of environmental factors and life-course socioeconomic status (SES) on multimorbidity in China. This study aims to explore the cumulative impact of age-friendly neighborhoods on multimorbidity over time, focusing on SES moderation.</p><p><strong>Research design and methods: </strong>Analyzing data from 10, 125 participants in the China Health and Retirement Longitudinal Survey (2011-2020), this study assessed multimorbidity through self-reported chronic diseases and evaluated neighborhood environments using 8 domains from the Age-Friendly Cities and Communities framework. Childhood and adulthood SES were measured using latent class analysis. Latent growth curve models examined the effects of neighborhood environment, life-course SES, and their interactions on multimorbidity.</p><p><strong>Results: </strong>The study found a statistically significant increase in multimorbidity over time, with an intercept of 0.514 and a slope of 0.085. Notably, government support showed an independent association with the baseline number of chronic diseases (<i>β</i> = -0.078, <i>p</i> < .1). The interaction between government support and childhood SES was also significant (<i>β</i> = -0.183, <i>p</i> < .05), suggesting that unfavorable childhood SES could reduce the protective effects of government support. Additionally, adulthood SES interacted with factors such as information infrastructure (<i>β</i> = -0.068, <i>p</i> < .001) and neighborly support (<i>β</i> = -0.092, <i>p</i> < .1), and transportation interacted with childhood SES (<i>β</i> = -0.028, <i>p</i> < .05), all negatively affecting the rate of change in multimorbidity. These findings suggest that individuals with higher SES derive greater benefits from these age-friendly neighborhood environment domains compared to their lower SES counterparts.</p><p><strong>Discussion and implications: </strong>Age-friendly neighborhoods with strong government support, neighborly support, and developed infrastructure slow multimorbidity progression. However, these benefits are influenced by life-course SES. Policymakers should consider disadvantaged populations' access to environmental resources and address potential neighborhood socioeconomic health inequalities.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"9 6","pages":"igaf039"},"PeriodicalIF":4.9,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12199366/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144505595","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}