Innovation in AgingPub Date : 2024-12-30eCollection Date: 2025-01-01DOI: 10.1093/geroni/igae111
Marguerite DeLiema, Siyu Gao, Daniel Brannock, Lynn Langton
{"title":"The Effects of Risky Behaviors and Social Factors on the Frequency of Fraud Victimization Among Known Victims.","authors":"Marguerite DeLiema, Siyu Gao, Daniel Brannock, Lynn Langton","doi":"10.1093/geroni/igae111","DOIUrl":"10.1093/geroni/igae111","url":null,"abstract":"<p><strong>Background and objectives: </strong>Routine activity theory (RAT) asserts that a suitable target's exposure to a motivated offender in the absence of capable guardians increases their likelihood of crime victimization. We use these principles to assess the extent to which engaging in risky routine activities-for example, entering sweepstakes drawings, answering unknown calls-is associated with victimization frequency among older adult mass marketing fraud victims across five types of scams: investment fraud, sweepstakes and lottery fraud, romance and family/friend imposter scams, fake products and services, and charity scams. We also examine whether financial and social vulnerability characteristics (loneliness, preference for taking financial risks, financial fragility) are associated with victimization frequency in older adults.</p><p><strong>Research design and methods: </strong>A survey was administered to households that the U.S. Postal Inspection Service identified as having recently responded to one or more mail scam solicitations. Respondents answered questions on their behaviors, financial risk preferences, social and demographic characteristics, and number of past-year victimization experiences with 5 types of fraud.</p><p><strong>Results: </strong>As predicted based on RAT, routine activities that increase a target's exposure to motivated offenders are positively associated with fraud victimization frequency, although more frequent online activity was negatively associated with victimization frequency contrary to hypotheses. Precarious financial and emotional states such as financial fragility and loneliness also were associated with greater victimization frequency, and more frequent social engagement and living with others (the presence of capable guardians) had no effect.</p><p><strong>Discussion and implications: </strong>Target suitability factors such as loneliness, financial fragility, and risky financial preferences and behaviors are associated with a higher frequency of fraud victimization among older adults. Consumer education should include information on reducing risky behaviors that can increase fraud exposure. More frequent social engagement may not be protective. Older adults who are financially fragile and experiencing loneliness require more safeguards.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"9 2","pages":"igae111"},"PeriodicalIF":4.9,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11809244/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399089","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}
Innovation in AgingPub Date : 2024-12-28eCollection Date: 2025-01-01DOI: 10.1093/geroni/igae112
Karen L Fingerman, Zexi Zhou, William E Haley, Steven H Zarit
{"title":"Young Adult Caregivers for Older Family Members: Setting a New Research Agenda.","authors":"Karen L Fingerman, Zexi Zhou, William E Haley, Steven H Zarit","doi":"10.1093/geroni/igae112","DOIUrl":"https://doi.org/10.1093/geroni/igae112","url":null,"abstract":"<p><p>Young adults (approximately aged 18 to 29) are frequently involved in caring for older relatives, potentially filling gaps and playing key roles in the network of caregivers. The time is ripe to synthesize the emerging literature on this topic and propose an agenda for future research. This article identifies key questions for research that will propel the field forward, including: (a) why young adult caregiving warrants distinct consideration from caregiving in midlife or later life, (b) young adult caregivers' position in the caregiving network and tasks they perform, and (c) factors that help determine who becomes a caregiver at this stage of life and who does not, with attention to race/ethnicity, and beliefs about family interdependency. We then address appraisals of caregiving stress, rewards, and potential factors that may buffer the negative impact of caregiving at this stage of life. We extend this discussion to the detriments and benefits of caregiving for well-being. We consider longer-term enduring positive and negative consequences of caregiving at this potentially transformative stage of adulthood. Throughout this article, we review many of the founding studies and scholars who have laid the groundwork in this emerging field and point out the components of existing models of caregiving that particularly apply to young adult caregivers. We conclude with suggestions for potential policies and programs to allow for young adults to engage in caregiving while also pursuing the roles and activities that align with their values and set them up for a successful adulthood.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"9 4","pages":"igae112"},"PeriodicalIF":4.9,"publicationDate":"2024-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11995456/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143984840","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}
Innovation in AgingPub Date : 2024-12-21eCollection Date: 2025-01-01DOI: 10.1093/geroni/igae110
Su-Jung Nam, Eun-Young Park
{"title":"Effectiveness of Robot Care Intervention and Maintenance for People with Dementia: A Systematic Review and Meta-Analysis.","authors":"Su-Jung Nam, Eun-Young Park","doi":"10.1093/geroni/igae110","DOIUrl":"10.1093/geroni/igae110","url":null,"abstract":"<p><strong>Background and objectives: </strong>Robots have the potential to improve the quality of life of people with dementia. This study examined the effectiveness of robot care intervention and maintenance effect for people with dementia.</p><p><strong>Research design and methods: </strong>Meta-analytical procedures were used to identify and synthesize articles for analysis. Coding procedures were used to record the moderators, including robot type, outcomes, intervention length, intervention duration, and intervention frequency. Hedge's <i>g</i> statistic was employed to interpret effect sizes and quantify individual research findings.</p><p><strong>Results: </strong>The literature review identified 20 eligible randomized controlled trials. Meta-analysis results indicated an overall small effect of <i>g</i> = 0.286 for robot care intervention and <i>g</i> = 0.279 for robot care maintenance. Outcomes for robot care intervention indicated a small and significant effect size at <i>g</i> >0.2, whereas the Bomy robot type had an insignificant effect size. Outcomes for robot care maintenance showed a medium and significant effect size.</p><p><strong>Discussion and implications: </strong>This study confirmed the intervention effect of robot care on people with dementia and its sustainability for neuropsychiatric and social health outcomes. This highlights the effectiveness of humanoid-type robots in dementia care.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"9 3","pages":"igae110"},"PeriodicalIF":4.9,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11887035/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143585585","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}
Innovation in AgingPub Date : 2024-12-17eCollection Date: 2025-01-01DOI: 10.1093/geroni/igae107
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
{"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}
Innovation in AgingPub Date : 2024-12-13eCollection Date: 2025-01-01DOI: 10.1093/geroni/igae109
Xuemei Sun, Wenqi Liu, Lingqi Li, Jinlu Song, Yinyan Gao, Weiru Zhang, Irene X Y Wu
{"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}
Innovation in AgingPub Date : 2024-12-13eCollection Date: 2025-01-01DOI: 10.1093/geroni/igae108
Aviad Tur-Sinai, Netta Bentur, Giovanni Lamura, Ricardo Rodrigues, Mirko Di Rosa, Marco Socci
{"title":"The Sustainability Spillover: Uncovering the Link Between Informal Elder Care and Eco-Conscious Behaviors Across the European Union.","authors":"Aviad Tur-Sinai, Netta Bentur, Giovanni Lamura, Ricardo Rodrigues, Mirko Di Rosa, Marco Socci","doi":"10.1093/geroni/igae108","DOIUrl":"10.1093/geroni/igae108","url":null,"abstract":"<p><strong>Background and objectives: </strong>This study explores the association between informal caregiving for older adults and environmentally sustainable behaviors across the 27 European Union countries, aiming to identify how the gendered and domestic nature of environmentalism relates to senior care.</p><p><strong>Research design and methods: </strong>Data from 41,742 respondents aged 16-74 were analyzed from the Survey of Gender Gaps in Unpaid Care, Individual and Social Activities, and conducted by a scientific consortium in 2022. Frequency of sustainable behaviors was measured across 10 indicators. Multilevel mixed-effects linear regressions examined associations between caregiving and sustainable behaviors, adjusting for demographic, socioeconomic, and attitudinal covariates.</p><p><strong>Results: </strong>Informal caregivers engaged in eco-friendly actions significantly more frequently than noncaregivers across all 10 sustainable-behavior indicators (<i>p</i> < 0.001). The \"caregiver effect\" was strongest for sustainable-consumption choices like buying eco-friendly (β = 0.16), fair-trade (β = 0.15), and used products (β = 0.17), and weaker for household practices such as recycling (β = 0.05) and mindful resource consumption (β = 0.06). Caregivers attained higher composite environmental behavior scores (33.93 ± 8.23) than noncaregivers (31.88 ± 8.00; <i>p</i> < 0.001). This association remained robust after adjusting for gender, age, education, employment, household size, attitudes, and other covariates. Caregiving had the strongest association with buying used items (β = 0.20) and eco-friendly products (β = 0.14). Country-level analyses revealed consistent caregiver versus noncaregiver differences, with the largest gaps in Southern and Eastern Europe.</p><p><strong>Discussion and implications: </strong>This is the first large-scale cross-national study that demonstrates a consistent association between older-adult caregiving and a wide range of environmentally sustainable behaviors. Results suggest the experience of caring for a vulnerable family member is closely related to a broader sense of social and environmental responsibility. Caregivers' heightened engagement in sustainable consumption positions them as potential early adopters and change makers. Findings highlight new avenues for environmental education and caregiver support initiatives that synergistically promote interpersonal and environmental care.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"9 3","pages":"igae108"},"PeriodicalIF":4.9,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11887036/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143585595","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}
Innovation in AgingPub Date : 2024-12-12eCollection Date: 2025-01-01DOI: 10.1093/geroni/igae099
Tong Bill Xu, Armin Mostafavi, Walter R Boot, Sara Czaja, Saleh Kalantari
{"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}
Innovation in AgingPub Date : 2024-12-11eCollection Date: 2024-01-01DOI: 10.1093/geroni/igae103
Steven M Albert
{"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}
Innovation in AgingPub Date : 2024-12-09eCollection Date: 2025-01-01DOI: 10.1093/geroni/igae105
Lilly Estenson, Eric T Roberts, Mireille Jacobson
{"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}
Innovation in AgingPub Date : 2024-12-07eCollection Date: 2025-01-01DOI: 10.1093/geroni/igae106
Karen S Lyons, Carol J Whitlatch, Amanda R Vest, Jenica N Upshaw, Stacy Hutton Johnson, Anna Walters, Christopher S Lee
{"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}