Innovation in Aging最新文献_第8页

FROM MISFIT TO FIT: THE IMPACT OF NURSING PRACTICE ON COMPLEX NURSING INTERVENTION DEVELOPMENT 从不相适应到适合：护理实践对复杂护理干预发展的影响

IF 7 3区医学

Innovation in Aging Pub Date : 2023-12-01 DOI: 10.1093/geroni/igad104.2461

Debbie Ten Cate, Marieke Schuurmans, Lisette Schoonhoven, R. Ettema

{"title":"FROM MISFIT TO FIT: THE IMPACT OF NURSING PRACTICE ON COMPLEX NURSING INTERVENTION DEVELOPMENT","authors":"Debbie Ten Cate, Marieke Schuurmans, Lisette Schoonhoven, R. Ettema","doi":"10.1093/geroni/igad104.2461","DOIUrl":"https://doi.org/10.1093/geroni/igad104.2461","url":null,"abstract":"Abstract Nurses have a key role in providing nutritional care to older adults to prevent and treat malnutrition, and stimulate health and well-being. However, evidence for nursing activities regarding nutritional care is often lacking. Therefore, intervention development is necessary. From earlier studies, an evidence-based nutritional intervention carried out by nurses appeared the best solution. The aim of this study was to outline the steps taken to develop a complex nursing intervention to prevent and treat malnutrition in older adults and the challenges faced during this stage. Following the phase of intervention development of the Medical Research Council (MRC) Framework, a systematic review, a questionnaire survey, semi-structured interviews, focus groups and participant observation were carried out. The purpose was to gather information about current nursing practice and context, the needs of future users and providers, and gain insight into the problem. The studies showed that nurses had moderate knowledge of (mal)nutrition. They gave nutritional care low prioritization during daily nursing activities. These results provided insight that the intended nursing nutritional intervention would most likely lead to a misfit with the context. To fit the intervention properly into nursing practice, it was decided to develop an educational intervention targeting nurses instead of a nutritional intervention carried out by nurses. Building proofs in context leads to challenges but is essential to prevent a misfit between complex nursing interventions and nursing practice. As an element of rigorous intervention development following systematic steps, it increases the chance of successful implementation.","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"86 5","pages":"761 - 761"},"PeriodicalIF":7.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138986514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

THE RELATIONSHIP BETWEEN 10-YEAR CHANGES IN COGNITIVE ABILITY AND SUBSEQUENT MORTALITY: FINDINGS FROM THE ACTIVE 认知能力的 10 年变化与后续死亡率之间的关系：积极的

IF 7 3区医学

Innovation in Aging Pub Date : 2023-12-01 DOI: 10.1093/geroni/igad104.1297

Diefei Chen, Alden L. Gross, Sherry Willis, George W. Rebok

{"title":"THE RELATIONSHIP BETWEEN 10-YEAR CHANGES IN COGNITIVE ABILITY AND SUBSEQUENT MORTALITY: FINDINGS FROM THE ACTIVE","authors":"Diefei Chen, Alden L. Gross, Sherry Willis, George W. Rebok","doi":"10.1093/geroni/igad104.1297","DOIUrl":"https://doi.org/10.1093/geroni/igad104.1297","url":null,"abstract":"Abstract Cognitive ability and cognitive decline have been linked with mortality in older adults. However, little was understood about the role of cognitive interventions on mortality outcomes in this population. Using twenty-year follow-up data from the Advanced Cognitive Training for Independent and Vital Elderly (ACTIVE) trial, we examined the association between cognitive change and mortality risk, and the effect of ACTIVE cognitive training (memory, reasoning, and speed of processing) on mortality risk. Mortality was ascertained through linkage to the National Death Index database. To model time to death as a function of cognitive change and training effect, we used shared growth-survival models with simultaneously estimated latent intercepts and slopes as predictors. Among the 2802 participants, 2021 died on or before the year 2019 (72.1%). Both higher baseline level and slower decline in global cognition were associated with lower hazards of all-cause mortality after adjusting for covariates (HR = 0.68, 95% CI 0.58, 0.79; HR = 0.42, 95% CI 0.40, 0.44, respectively). We did not observe any significant effects of ACTIVE cognitive training in memory, reasoning, or speed of processing on all-cause mortality. Our findings demonstrated the association between the trajectory of cognitive change and mortality among older adults, independent of cognitive training interventions. More work is needed to identify relevant timing as well as modalities of non-pharmaceutical interventions that can promote healthy longevity.","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"190 ","pages":"392 - 392"},"PeriodicalIF":7.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138987167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

INCREASING THE REPERTOIRE FOR DEPRESSION CARE: PEER SUPPORT AS DEPRESSION CARE FOR VULNERABLE OLDER ADULTS 增加抑郁护理的范围：同伴互助作为对弱势老年人的抑郁症护理

IF 7 3区医学

Innovation in Aging Pub Date : 2023-12-01 DOI: 10.1093/geroni/igad104.1799

Ryan Mace, A. Vranceanu, Nathaniel R. Choukas, Elizabeth A Rochon, Katherine McDermott, Julia E Hooker, Christine Ritchie

{"title":"INCREASING THE REPERTOIRE FOR DEPRESSION CARE: PEER SUPPORT AS DEPRESSION CARE FOR VULNERABLE OLDER ADULTS","authors":"Ryan Mace, A. Vranceanu, Nathaniel R. Choukas, Elizabeth A Rochon, Katherine McDermott, Julia E Hooker, Christine Ritchie","doi":"10.1093/geroni/igad104.1799","DOIUrl":"https://doi.org/10.1093/geroni/igad104.1799","url":null,"abstract":"Abstract Despite facing greater risks for poorer health, low-income White and BIPOC older adults underutilize mental health services even when they have indicated need. Increasing the repertoire for depression care that is community-based and uses paraprofessionals has potential to increase access and engagement. We are testing the effectiveness of a peer support intervention called Peer Enhanced Depression Care (PEERS) which is an 8-week community-based intervention that uses trained peer mentors to deliver emotional, appraisal and informational support in addition to encouraging self-care skills to depressed low-income white and BIPOC older adults. Enrolled participants are randomized to either the peer support intervention (PEERS) or to the social interaction control and followed for 12 months. The primary outcome is depression and secondary outcomes include engagement, mental health service use, and social, emotional, and physical functioning. Challenges related to the onset of the COVID-19 pandemic and social isolation required a shift from recruitment initially focused on the health care system to community-based organizations serving older adults. Required contactless recruitment strategies eg. flyers and newspaper ads, led to self-referral of community-dwelling older adults to the study. Challenges to participant enrollment included barriers related to communication, stigma related to help-seeking, distrust and unfamiliarity with research. Recruitment of peer mentors was facilitated by a robust infrastructure supporting the employment of the peer support workforce. Continued PM supervision after initial training, review of skills and evaluation of performance were important in maintaining quality and fidelity to the intervention.","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"84 ","pages":"548 - 549"},"PeriodicalIF":7.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138987256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

MAINTAINING BRAIN HEALTH VIA TELEHEALTH-BASED CHAIR YOGA FOR RURAL UNDERSERVED OLDER ADULTS 通过基于远程保健的椅上瑜伽，为农村服务不足的老年人保持大脑健康

IF 7 3区医学

Innovation in Aging Pub Date : 2023-12-01 DOI: 10.1093/geroni/igad104.0520

Juyoung Park, Lisa Ann Wiese, Janet Holt

{"title":"MAINTAINING BRAIN HEALTH VIA TELEHEALTH-BASED CHAIR YOGA FOR RURAL UNDERSERVED OLDER ADULTS","authors":"Juyoung Park, Lisa Ann Wiese, Janet Holt","doi":"10.1093/geroni/igad104.0520","DOIUrl":"https://doi.org/10.1093/geroni/igad104.0520","url":null,"abstract":"Abstract We conducted a randomized control pilot trial in an underserved, racially/ethnically diverse community, to examine the efficacy of (1) computer literacy training provided by high school students meeting rural older adults in their homes, followed by 2) telehealth-based online chair yoga (OCY) or computer brain games (CBG). First, high school students engaged in a “train the trainer” computer skills course using a previously-tested curriculum designed for the target population. Students mentored the older adults in learning computer skills and to access either the OCY (n = 15) or CBG (n=15), which were randomly assigned. Outcomes measured at pre, post, and three months following the 12-week intervention included computer proficiency, cognitive function, pain levels, and psychosocial well-being. In a linear mixed growth model with random intercepts, there was a significant linear trend in computer-based competency, t(50, 19) = 2.56, p = .013. Computer proficiency (computer basics, Internet and email use, communication, and calendaring) increased significantly in both the OCY and CBG groups. Importantly, there was a significant linear change in pain by group, controlling for age and living alone, F(1, 14) = 6.64, p = .022, η2 = .32 (large effect size). Chronic pain in the OCY group decreased significantly from baseline to 3-month follow-up (18.89 to 11.35) but increased in the CBG group (14.27 to 17.28). Increases in cognitive function increased pre/post t(29) = -2.98, p = .003 (one-tailed). These results are promising for older adults with limited exercise opportunities, who also face cognitive risk exacerbated by elevated pain levels.","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"122 ","pages":"158 - 159"},"PeriodicalIF":7.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138988183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

CONECTAR: A MINDSET TO INCREASE HISPANIC ENGAGEMENT IN DIGITAL TECHNOLOGY RESEARCH CONCTAR：提高西班牙裔参与数字技术研究的心态

IF 7 3区医学

Innovation in Aging Pub Date : 2023-12-01 DOI: 10.1093/geroni/igad104.1460

Vanessa Young, Luis Serrano-Rubio, Carlos Gaona, Floyd Jones, Sudra Seshadri, J. Kaye, Zach Beattie, Mitzi Gonzales

{"title":"CONECTAR: A MINDSET TO INCREASE HISPANIC ENGAGEMENT IN DIGITAL TECHNOLOGY RESEARCH","authors":"Vanessa Young, Luis Serrano-Rubio, Carlos Gaona, Floyd Jones, Sudra Seshadri, J. Kaye, Zach Beattie, Mitzi Gonzales","doi":"10.1093/geroni/igad104.1460","DOIUrl":"https://doi.org/10.1093/geroni/igad104.1460","url":null,"abstract":"Abstract In-home digital technology affords the opportunity for more precise and ecologically valid assessments of daily activity engagement. However, concerns about loss of privacy can hinder recruitment, especially within communities already underrepresented in research. Literature on effective, culturally tailored recruitment strategies is limited. Herein, we describe strategies employed for an in-home digital technology study with 100% Mexican American representation. Hispanic participants were recruited from the greater San Antonio area. Direct recruitment strategies conducted in both English and Spanish included community outreach events, a participant repository, cross-enrollment with other research studies, and by word of mouth. Mass recruitment strategies included flyer dissemination, newsletters, and digital announcements through community organizations (i.e., Salud America!) and national (i.e., Research Match) and institutional websites. Between September 2022 and February 2023, 31 participants were enrolled out of 154 individuals who were contacted. Of these, 29% were recruited from community events, 22.6% from word of mouth, 19.4% from cross-enrollment, 12.9% from the research repositories, and 16.1% from mass recruitment strategies. The most common reasons for non-enrollment included lack of interest (n=49), screen failure (n=29), and privacy concerns (n=12).Direct recruitment efforts achieved higher rates of enrollment, while mass media campaigns yielded lower responses and resulted in more unsuccessful contact attempts. Understanding the relationship between social networks and research beliefs may be particularly relevant given the Hispanic culture’s collectivist and family-oriented nature. Hence, social network theories, combined with a diffusion of innovation framework, may be advantageous for increasing trust and may consequently improve representation of diverse groups in research.","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"26 1","pages":"443 - 444"},"PeriodicalIF":7.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138988271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

PLANNING AHEAD FOR POSTHOSPITALIZATION DISCHARGE NEEDS AMONG OLDER ADULTS 提前规划老年人出院后的需求

IF 7 3区医学

Innovation in Aging Pub Date : 2023-12-01 DOI: 10.1093/geroni/igad104.2584

Jie Chen, Zequan Wang, Angela Starkweather, Ming-Hui Chen, Hongyu Miao, Hyochol Ahn, Xiaomei Cong

{"title":"PLANNING AHEAD FOR POSTHOSPITALIZATION DISCHARGE NEEDS AMONG OLDER ADULTS","authors":"Jie Chen, Zequan Wang, Angela Starkweather, Ming-Hui Chen, Hongyu Miao, Hyochol Ahn, Xiaomei Cong","doi":"10.1093/geroni/igad104.2584","DOIUrl":"https://doi.org/10.1093/geroni/igad104.2584","url":null,"abstract":"Abstract Frequently hospitalized older adults require assistance at discharge – either with transfer to a skilled nursing facility (SNF) or additional support at home. Our research has demonstrated that older adults can effectively plan ahead for their discharge needs (e.g., selecting SNFs) prior to hospitalization but some chose not to. Very little is known about what motivates older adults to plan. We sought to identify what variables impact older adults’ post-hospitalization planning. We surveyed a cohort of non-hospitalized adults age 65+ who received PlanYourLifespan.org (PYL), a tool to help older adults plan for their post-hospitalization needs, and then completed follow-up surveys at one month and every 6 months thereafter. Surveys inquire about their post-discharge plans if they were to be hospitalized, specifically rehabilitation/caregiver preferences. Multivariate logistic regression models adjusted for baseline hospitalization decision-making, sex, race, self-efficacy, living status, cognitive impairment, and PYL use. 293 subjects were enrolled (mean 73.5 yrs,40.4% non-White;12 mo. retention rate 94.5%). Subjects were more likely to have plans if they had increased chronic conditions (OR 1.23;p>0.05,1.02-1.47), increased medications (OR 1.15;p< 0.01,1.07-1.25), power of attorney (OR 1.84;p< 0.05,1.01-3.38), and used PYL (OR 2.61;p< 0.01,1.45-4.72). Subjects were more likely to have plans if they had higher medical complexity (OR 1.13 [p< 0.05, 1.03-1.24]), limited health literacy (OR 3.13 [p< 0.05, 1.25-7.81]), and used the PYL website (OR 1.72 [P< 0.05,1.00-2.93]) when asked about planning for future post-hospitalization requiring help in the home. Higher medical complexity, limited health literacy, and use of the planning website were associated with increased hospitalization discharge planning.","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"24 1","pages":"800 - 801"},"PeriodicalIF":7.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138988272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

LONGITUDINAL REPORTS OF NEIGHBORHOOD ENVIRONMENT ON COGNITIVE PERFORMANCE AMONG BLACK ADULTS 邻里环境对黑人成年人认知能力影响的纵向报告

IF 7 3区医学

Innovation in Aging Pub Date : 2023-12-01 DOI: 10.1093/geroni/igad104.2678

Yeonsoo Shin, Giyeon Kim

{"title":"LONGITUDINAL REPORTS OF NEIGHBORHOOD ENVIRONMENT ON COGNITIVE PERFORMANCE AMONG BLACK ADULTS","authors":"Yeonsoo Shin, Giyeon Kim","doi":"10.1093/geroni/igad104.2678","DOIUrl":"https://doi.org/10.1093/geroni/igad104.2678","url":null,"abstract":"Abstract Limited research has explored the association between neighborhood environments and cognitive functioning using longitudinal reports of neighborhood quality. The current study examined the longitudinal association between perceived neighborhood characteristics and computerized cognitive performance among Black adults. This study included 584 community-dwelling socioeconomically diverse Black adults (Mage = 56.27, SDage = 8.94; 58% female) from waves 3 & 4 of the Healthy Aging in Neighborhood of Diversity across the Life Span (HANDLS) study. Neighborhood quality was assessed using three scales about built environment disorder (e.g., litter), social cohesion (e.g., close-knit neighborhood), and social control (e.g., neighbors act if fight in front of house). Cognitive functioning was assessed using the computerized Joggle battery. Multivariable linear regression analyses were conducted with each cognitive measure as the outcome measure. Models were adjusted for age, sex, education, reading literacy, poverty status, and depressive symptoms. In the adjusted models, living in a neighborhood with increasing built environment disorder was associated with slower performance (p <.05) on an attention measure. Increasing social cohesion was associated with faster performance (p <.05) on memory, attention, and visual orientation measures. Similarly, increasing social control was associated with faster performance (p <.05) on attention, executive function/reasoning, visual orientation, and speed measures. Additionally, increasing social control was associated with greater number of correct responses (p <.05) on an attention and executive function/reasoning measure. Significant interactions were observed between changes in neighborhood quality and covariates. These findings amplify the importance of understanding how changes in neighborhood quality impact cognitive performance among Black adults.","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"19 12","pages":"830 - 831"},"PeriodicalIF":7.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138988320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

FOSTERING PRACTICE CHANGE BY INTEGRATING INTERPROFESSIONAL EDUCATION IN A COMMUNITY HEALTH COLLABORATION 将跨专业教育纳入社区卫生合作，促进实践变革

IF 7 3区医学

Innovation in Aging Pub Date : 2023-12-01 DOI: 10.1093/geroni/igad104.2393

Jennifer DeGennaro, L. Bodenheimer, E. Perweiler, Margaret Avallone, Marilyn Mock, Sreelekha Prakash

{"title":"FOSTERING PRACTICE CHANGE BY INTEGRATING INTERPROFESSIONAL EDUCATION IN A COMMUNITY HEALTH COLLABORATION","authors":"Jennifer DeGennaro, L. Bodenheimer, E. Perweiler, Margaret Avallone, Marilyn Mock, Sreelekha Prakash","doi":"10.1093/geroni/igad104.2393","DOIUrl":"https://doi.org/10.1093/geroni/igad104.2393","url":null,"abstract":"Abstract NJGWEP undertook an interprofessional community/public health initiative collaborating with Rutgers University School of Nursing-Camden, Stockton University, NJ Housing and Mortgage Finance Agency, and four affordable housing sites located in underserved communities, with a potential to reach approximately 600 older residents. An IPE curriculum delivered to faculty, students, and staff from multiple health professions disciplines prepares them for assessing residents with chronic health problems using the 4Ms framework (What Matters, Mind, Medications, Mobility), adding the Geriatric 5th M for multi-complexity. Using a Resident Health Risk Assessment (RHRA) to assess residents’ health/biopsychosocial needs by capturing critical information needed to support “aging in place,” students and staff develop person-centered plans of care that address maintenance of independence, health, and referral to needed services/supports to delay or prevent institutional placement. From 2019-2022, 84 students from multiple disciplines (i.e., nursing, social work, counseling, OT) participated in community-based rotations, completed 279 RHRAs, and developed 101 IPE case reviews and person-centered plans of care. Evaluating residents’ co-morbid conditions (Hypertension 46%, Diabetes Mellitus 42%, Mental Health 40%; 8.6 medications per/resident, 44% Mini-Cog < 3; 19% PHQ+, 51% + Falls Screen; 48% TUG>12; 58% ADL/IADL deficits) highlighted the 5th M, Multi-Complexity. IPE is a sustainable venue for training a health care workforce that acknowledges/values the person-centered approach and encourages learning the roles and responsibilities of other disciplines. Implementation of a customized database in 2022 facilitates longitudinal tracking of outcomes related to resident needs, referrals, interventions, access to services to support aging in place, and informs policy and practice change.","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"14 2","pages":"739 - 739"},"PeriodicalIF":7.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138988601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

SELF-PERCEPTIONS OF AGING AS A PSYCHOLOGICAL RESOURCE FOR ENRICHMENT SEEKING 对衰老的自我认知是寻求充实的心理资源

IF 7 3区医学

Innovation in Aging Pub Date : 2023-12-01 DOI: 10.1093/geroni/igad104.2710

Grace Caskie, Benjamin Johnson, Eve Root

{"title":"SELF-PERCEPTIONS OF AGING AS A PSYCHOLOGICAL RESOURCE FOR ENRICHMENT SEEKING","authors":"Grace Caskie, Benjamin Johnson, Eve Root","doi":"10.1093/geroni/igad104.2710","DOIUrl":"https://doi.org/10.1093/geroni/igad104.2710","url":null,"abstract":"Abstract In older adulthood, positive perceptions of one’s own aging can facilitate enrichment seeking–the underlying motivation to seek out new experiences and perform intellectually challenging activities–by diminishing and buffering reactions to perceived threats to one’s sense of self and perceived capabilities. In this study, we examined the extent to which self-perceptions of aging were associated with cognitive performance and affective experience while completing a series of challenging foraging tasks in the form of word puzzle games within the presence and absence of resources in the environment, such as a fireplace or an observing neurologist. The study employed a 2x2 within-person design (fireplace on vs. not; neurologist present vs. not) and took place within the home office of a home simulation environment. In each of the four conditions, 61 participants (age 50-82, 57% female) played the foraging task and then endorsed adjectives representing their feelings while playing that game. Multilevel models, which nested study stages within participants, showed individuals with higher self-perceptions of aging benefited significantly from both environmental manipulations, with the fireplace acting as environmental support and the observing neurologist raising the stakes of the task. However, despite providing additional motivation and being associated with stronger cognitive performance, the neurologist’s presence also provoked a higher negative affect response. The relationship between self-perceptions of aging and receptiveness to environmental resources merits further investigation to assess how certain environmental resources might act as a moderator of both cognition and affect.","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"67 21","pages":"840 - 841"},"PeriodicalIF":7.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138988708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

GERIATRIC WORKFORCE ENHANCEMENT PROGRAMS AS AAA AGE-FRIENDLY INITIATIVES PARTNER 作为 AAA 老龄友好倡议合作伙伴的老年医学劳动力提升计划

IF 7 3区医学

Innovation in Aging Pub Date : 2023-12-01 DOI: 10.1093/geroni/igad104.2067

J. Severance, Linda Edelman, Barbara Gordon, S. Luk-Jones, Jacqueline Telonidis, Jennifer Morgan

{"title":"GERIATRIC WORKFORCE ENHANCEMENT PROGRAMS AS AAA AGE-FRIENDLY INITIATIVES PARTNER","authors":"J. Severance, Linda Edelman, Barbara Gordon, S. Luk-Jones, Jacqueline Telonidis, Jennifer Morgan","doi":"10.1093/geroni/igad104.2067","DOIUrl":"https://doi.org/10.1093/geroni/igad104.2067","url":null,"abstract":"Abstract The Health Resources and Services Administration funded 48 Geriatric Workforce Enhancement Programs (GWEPs) to partner with community-based organizations in addressing gaps in health care for older adults, promoting Age-Friendly ecosystems, and addressing social determinants of health. This paper discusses three GWEPs collaborative projects with Area Agencies on Aging (AAAs) that deliver community-based programs . The University of Utah’s GWEP, a rural AAA, the Alzheimer’s Association, and the Utah Department of Veterans and Military Affairs provided a hybrid Dementia Caregiver Conference to six counties, reaching 65 in-person attendees and 10 senior centers online. Attendees agreed the content met their educational needs, would positively influence care, and was motivation to form a caregiver coalition. The University of Louisville Trager Institute (Trager), AAA, and Kentucky Coalition for Healthy Communities provided focused regional training and sharing of community resources utilizing the Project ECHO training model for 11 AAA regions, reaching 412 home and community-based services professionals. The University of North Texas Health Science Center, AAA, and emergency management services expanded evidence-based programs in falls prevention, medication safety, and dementia caregiving, serving an additional 23 urban postal codes, rural counties, and over 1,900 individuals. These examples utilize unique community relationships and partnership strategies to identify local needs, maximize older adult and family caregiver engagement, measure outcomes, and achieve GWEP goals to educate diverse, underserved and rural communities.","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"39 ","pages":"634 - 634"},"PeriodicalIF":7.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138988798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0