Innovation in Aging最新文献_第8页

POSTPANDEMIC SUCCESSES AND CHALLENGES IN REOPENING OLDER AMERICANS ACT CONGREGATE MEALS 重新开放老年美国人集中供餐行动的地方后成功与挑战

IF 7 3区医学

Innovation in Aging Pub Date : 2023-12-01 DOI: 10.1093/geroni/igad104.0292

A. A. Korat, Kyla Shea, Paul Jacques, Paola Sebastiani, Molin Wang, Walter Willett, Qi Sun, Jean Mayer, Harvard T.H. Chan, Gail Rogers, Kathryn Barger, Jennifer Lee, Kerry Wellenstein, Gregory Matuszek

{"title":"POSTPANDEMIC SUCCESSES AND CHALLENGES IN REOPENING OLDER AMERICANS ACT CONGREGATE MEALS","authors":"A. A. Korat, Kyla Shea, Paul Jacques, Paola Sebastiani, Molin Wang, Walter Willett, Qi Sun, Jean Mayer, Harvard T.H. Chan, Gail Rogers, Kathryn Barger, Jennifer Lee, Kerry Wellenstein, Gregory Matuszek","doi":"10.1093/geroni/igad104.0292","DOIUrl":"https://doi.org/10.1093/geroni/igad104.0292","url":null,"abstract":"Abstract The COVID-19 pandemic required Older Americans Act (OAA) congregate nutrition programs to shut down in-person dining but continue serving meals in innovative ways. Re-opening provided a unique opportunity for congregate nutrition programs to continue these innovative changes and/or reinvent how they serve meals. These changes will be crucial for OAA nutrition programs to maintain their relevance, as all adults over age 60 qualify for OAA meals, yet fewer than that attend. To identify successful practices that could be adopted nationally and describe continuing challenges, we conducted surveys, focus groups, and interviews of congregate nutrition programs. Overall, 523 completed the entire survey, nine participated in focus groups, and three were interviewed. Responses came from across 47 states with most (94%) reporting permanently adopting service delivery methods implemented during the COVID-19 pandemic. Overall, nutrition programs described grab-and-go meals having attracted new participants during the pandemic and programs pairing other services with meals to appeal to and retain a wide range of participants. These include medically tailored meals, culturally relevant meals, partnerships with other organizations, and entertainment. These results can be used to strengthen congregate nutrition programs.","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"59 21","pages":"90 - 90"},"PeriodicalIF":7.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138985960","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

RISE: A COMMUNITY-BASED ELDER ABUSE AND SELF-NEGLECT RESPONSE INTERVENTION ADDRESSING A CRITICAL SYSTEMS GAP 崛起：以社区为基础的虐待老人和自我忽视应对措施，解决关键的系统差距问题

IF 7 3区医学

Innovation in Aging Pub Date : 2023-12-01 DOI: 10.1093/geroni/igad104.1152

D. Burnes, Karl Pillemer

{"title":"RISE: A COMMUNITY-BASED ELDER ABUSE AND SELF-NEGLECT RESPONSE INTERVENTION ADDRESSING A CRITICAL SYSTEMS GAP","authors":"D. Burnes, Karl Pillemer","doi":"10.1093/geroni/igad104.1152","DOIUrl":"https://doi.org/10.1093/geroni/igad104.1152","url":null,"abstract":"Abstract Knowledge of effective interventions for elder abuse and self-neglect (EASN) is limited. Adult Protective Services (APS) represents the primary agency responsible for receiving reports and investigating suspected cases of EASN in the US. However, APS lacks a distinct, conceptually informed intervention phase to support EASN cases. Based on theory, research, and consultations with stakeholders, RISE was designed to address this intervention gap within overall EASN response systems. Informed by ecological-systems, relational, and client-centered perspectives, RISE is a community-based EASN intervention that integrates core modalities (motivational interviewing, restorative justice, teaming, supported decision making) demonstrating evidence and/or promising results in EASN and other domains. The intervention operates at Relational, Individual, Social, and Environmental levels of ecological influence. Specifically, RISE works with both older adult victims and others, including alleged harmers, their relationships, and strengthens the social supports surrounding them. RISE began as a pilot in two Maine counties, was expanded to the entire state, has been used in over 450 cases, was written into Maine’s 2023 budget, is now being implemented and tested in New Hampshire and Toronto, Canada, and is being expanded to the criminal justice system. This symposium will describe RISE’s development and conceptual underpinnings (presentation 1), findings on implementing “teaming” (social support), an intervention modality (presentation 2), a qualitative evaluation of RISE from the perspective of APS caseworkers (presentation 3), evidence of RISE reducing EASN recidivism (presentation 4), and case studies of implementing RISE (and its restorative justice modality) in the criminal justice diversion context (presentation 5). This is an Abuse, Neglect and Exploitation of Older Persons Interest Group Sponsored Symposium.","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"364 1","pages":"346 - 346"},"PeriodicalIF":7.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138986003","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 STRONGERMEMORY PROGRAM: EXPLORING COGNITIVE BENEFITS AND FOSTERING COMMUNITY 强化记忆计划：探索认知益处，促进社区发展

IF 7 3区医学

Innovation in Aging Pub Date : 2023-12-01 DOI: 10.1093/geroni/igad104.2882

Catherine Tompkins, Emily Ihara, Francesca Keesee, Mckenzie Lauber, Catherine Magee, Jessica Fredericksen, Rob Liebreich

{"title":"THE STRONGERMEMORY PROGRAM: EXPLORING COGNITIVE BENEFITS AND FOSTERING COMMUNITY","authors":"Catherine Tompkins, Emily Ihara, Francesca Keesee, Mckenzie Lauber, Catherine Magee, Jessica Fredericksen, Rob Liebreich","doi":"10.1093/geroni/igad104.2882","DOIUrl":"https://doi.org/10.1093/geroni/igad104.2882","url":null,"abstract":"Abstract Background StrongerMemory is a brain health program centered on spending 30 minutes per day on handwritten journaling, reading aloud, and arithmetic exercises as a method to enhance cognition in older adults. The StrongerMemory research protocol is a 12-week program that includes a weekly meeting. After 104 participants completed the StrongerMemory research protocol, they were invited to participate in a focus group to share their experiences. Six focus groups were conducted by members of the StrongerMemory research team yielding 30 participants. Methods Focus groups were conducted virtually, with a set of pre-determined, open-ended questions centering around participant experiences and attitudes towards the StrongerMemory program. Participants were also asked to reflect on differences in their memory, cognition and well-being before and after StrongerMemory participation. Two researchers independently coded the focus group transcripts, and utilized the grounded theory analysis techniques of memoing and constant comparative analysis to explore the data. Common themes were then discussed. Results Five overarching themes emerged: Motivating, appreciating, challenging, committing, and enhancing. Conceptualizations of these themes focused on participants’ experiences and suggestions for strengthening the program. “Fostering community” was an outcome of the program often discussed. Conclusion The participant experience in StrongerMemory revealed unique perspectives on their motivation for participation and provided the researchers with new insights into the program such as fostering community within older adult groups. Further research includes exploring cognitive and social benefits of group participation in the StrongerMemory program.","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"359 1","pages":"896 - 896"},"PeriodicalIF":7.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138986007","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

INTERDISCIPLINARY WELLNESS CLINICS IN LOW-INCOME SENIOR HOUSING COMMUNITIES 低收入老年住房社区的跨学科健康诊所

IF 7 3区医学

Innovation in Aging Pub Date : 2023-12-01 DOI: 10.1093/geroni/igad104.0598

Sarah Holmes

{"title":"INTERDISCIPLINARY WELLNESS CLINICS IN LOW-INCOME SENIOR HOUSING COMMUNITIES","authors":"Sarah Holmes","doi":"10.1093/geroni/igad104.0598","DOIUrl":"https://doi.org/10.1093/geroni/igad104.0598","url":null,"abstract":"Abstract Low-income older adults may qualify to live in subsidized housing via the Housing and Urban Development (HUD) Section 202 program. Established in 1959, Section 202 is the only HUD program that provides housing exclusively for older adults. More than 1.8 million older adults receive this type of federal housing assistance. Older adults living in low-income senior housing communities are mostly people of color, socioeconomically disadvantaged, and at risk for poor physical and mental health and adverse health outcomes. Additionally, they have limited access to healthcare services and other resources such as internet use, healthy food options, opportunities for physical activity, and safe indoor and outdoor physical environments. Further they are at increased risk of high emergency room utilization and transfer to nursing home settings. The purpose of this project was to develop Interdisciplinary Wellness Clinics for older adults living in low-income senior housing communities and provide direct services including such things as blood pressure monitoring, medication management, hearing evaluation and cerumen removal, foot and nail care, pain management, management of acute medical problems, immunizations, and Medicare Annual Wellness Visits. Interdisciplinary Wellness Clinics are provided monthly to four low-income senior housing communities and serve approximately 500 residents living in these communities. This symposium will provide a review of residents seen and services provided with a focus on findings identified and interventions implemented; a description of the Medicare Annual Wellness services; and a review of approaches used to engage residents in using these services.","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"58 1","pages":"181 - 181"},"PeriodicalIF":7.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138986015","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

RESEARCHERS BEWARE: CAUTIONARY TALES OF FRAUDULENT RESEARCH PARTICIPANTS AND WHAT TO DO ABOUT THEM 研究人员当心：关于欺诈性研究参与者的警示故事及应对措施

IF 7 3区医学

Innovation in Aging Pub Date : 2023-12-01 DOI: 10.1093/geroni/igad104.1174

Justine Sefcik, Harleah Buck

{"title":"RESEARCHERS BEWARE: CAUTIONARY TALES OF FRAUDULENT RESEARCH PARTICIPANTS AND WHAT TO DO ABOUT THEM","authors":"Justine Sefcik, Harleah Buck","doi":"10.1093/geroni/igad104.1174","DOIUrl":"https://doi.org/10.1093/geroni/igad104.1174","url":null,"abstract":"Abstract This symposium presents a series of cases where gerontological researchers identified fraudulent participants and bots engaging in their studies. These presentations describe the complex nature of participants misrepresenting themselves and being creative to enroll in studies for financial incentives. Dr. Sefcik shares how a snowball sample led to participants enrolling in a study and misrepresenting themselves during virtual qualitative interviews. Dr. Boon illuminates how Facebook recruitment led to bot responses and steps taken to identify if participants were real. Dr. Frechman reveals how recruitment on social media platforms and email distribution lists led to bot attacks of the study survey. Dr. Carpenter explains a study involving a multi-methods approach in which a bot completed several surveys and an interviewee gave nonsensical responses. Dr. Wallace explains two types of fraudulent activity occurring, the first with bots completing an online survey and the second with deception during interviews. All presenters discuss their experiences of suspecting fraudulent research participation, approaches on how they verified participants, action steps to address misrepresentation, processes put in place to uphold the integrity of their studies, and tips to mitigate future fraud. This is a Nursing Care of Older Adults Interest Group Sponsored Symposium.","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"345 2","pages":"353 - 353"},"PeriodicalIF":7.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138986026","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

A QUALITATIVE ANALYSIS OF A DIGITAL FALL PREVENTION EXERCISE PROGRAM FOR OLDER ADULTS WITH INCREASED FALL RISK 对针对跌倒风险较高的老年人的数字化预防跌倒锻炼计划的定性分析

IF 7 3区医学

Innovation in Aging Pub Date : 2023-12-01 DOI: 10.1093/geroni/igad104.3146

Shannon Farrell, Nicole Bajdek, Mary Dishaw, Pamela Garabedian, Alisha Williams, Naomi Hachen, Kieran Reid, Nancy Latham

{"title":"A QUALITATIVE ANALYSIS OF A DIGITAL FALL PREVENTION EXERCISE PROGRAM FOR OLDER ADULTS WITH INCREASED FALL RISK","authors":"Shannon Farrell, Nicole Bajdek, Mary Dishaw, Pamela Garabedian, Alisha Williams, Naomi Hachen, Kieran Reid, Nancy Latham","doi":"10.1093/geroni/igad104.3146","DOIUrl":"https://doi.org/10.1093/geroni/igad104.3146","url":null,"abstract":"Abstract Falls are a significant public health problem; one third of individuals aged 65 years or older fall each year. Strength and balance exercises reduce fall risk, but most older adults are inactive. Individuals at risk of falls need clear guidance to ensure exercises performed at home are safe and provide adequate challenge. The aim of this qualitative study was to investigate the experiences and perceptions of older adults with increased fall risk enrolled in a 3-month digitally delivered home-based fall prevention exercise program (DFP). Semi-structured interviews were conducted by an interview specialist on a sample of 16 participants (81% female, age 77.3±5.8 years). Interviews were transcribed, imported, and coded into Dedoose, a tool for qualitative analysis. Codes were refined with each interview and themes were generated from the final codes. Three themes were identified: adherence to a home-based digitally delivered fall prevention exercise program, impact of fall prevention exercises on activities of daily living (ADL), and benefits of home-balance exercises. Participants attributed adherence to the home exercise program with minimal in-person visits. Participants reported fear of falling increased as they aged; upon completion, participants felt reduced fear of falling in their ADL. Balance exercises were the most appealing due to the level of difficulty and motivation to improve balance. Participants recommended changes to improve the DFP exercise program, with majority wanting to continue the program. This qualitative analysis provides guidance to health professionals about the acceptability and recommended changes for a digitally delivered home fall prevention exercise program.","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"93 7","pages":"979 - 979"},"PeriodicalIF":7.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138986419","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

PROSPECTIVE MULTI-OMIC ANALYSIS OF HUMAN LONGEVITY COHORTS IDENTIFIES ANALYTE NETWORKS ASSOCIATED WITH LONGEVITY 对人类长寿队列的前瞻性多组学分析确定了与长寿相关的分析物网络

IF 7 3区医学

Innovation in Aging Pub Date : 2023-12-01 DOI: 10.1093/geroni/igad104.2245

Lance Pflieger, Kengo Watanabe, Max Robinson, Gustavo Glusman, J. Lapidus, Oliver Fiehn, Robert Moritz, N. Rappaport

{"title":"PROSPECTIVE MULTI-OMIC ANALYSIS OF HUMAN LONGEVITY COHORTS IDENTIFIES ANALYTE NETWORKS ASSOCIATED WITH LONGEVITY","authors":"Lance Pflieger, Kengo Watanabe, Max Robinson, Gustavo Glusman, J. Lapidus, Oliver Fiehn, Robert Moritz, N. Rappaport","doi":"10.1093/geroni/igad104.2245","DOIUrl":"https://doi.org/10.1093/geroni/igad104.2245","url":null,"abstract":"Abstract Serum based biomarkers of longevity have long been sought to explain the mechanisms of healthy aging and longevity. Using a 1:3 case cohort design, the Longevity Consortium has produced untargeted mass spectrometry based proteomic and metabolomic datasets from serum of four cohorts with longevity status, defined as those that reached the age corresponding to the 98th percentile of survival using sex specific and birth cohort specific survival percentiles. The cohorts are the Osteoporotic Fractures in Men study, the Study of Osteoporotic Fractures, the Health, Aging, and Body Composition Study, and the Cardiovascular Health Study. In this study, we integrate metabolomics and proteomics using machine learning and system biology approaches to construct multi-omic signatures predictive of longevity and healthy aging. We identify networks enriched for biomarkers previously shown to be associated with longevity such as apolipoproteins, along with novel associations, and we further compare with our findings in a mouse omics LC dataset of molecular changes induced by life-extending interventions. We show substantial differences between male and female longevity networks. The study highlights the effectiveness of using integrative systems biology methods to capture the heterogeneity of underlying molecular aging phenotypes, in order to generate a robust signature of longevity. The identified biomarker signatures may have significant implications for the development of personalized interventions aimed at promoting healthy aging and preventing age-related diseases.","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"254 ","pages":"691 - 692"},"PeriodicalIF":7.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138986476","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

PRECARIOUS HOUSING BEFORE, DURING, AND AFTER AN EPISODE OF LATE-LIFE HOMELESSNESS 晚年无家可归之前、期间和之后的住房不稳定情况

IF 7 3区医学

Innovation in Aging Pub Date : 2023-12-01 DOI: 10.1093/geroni/igad104.0206

Anthony C Traver, Holly Dabelko-Schoeny

{"title":"PRECARIOUS HOUSING BEFORE, DURING, AND AFTER AN EPISODE OF LATE-LIFE HOMELESSNESS","authors":"Anthony C Traver, Holly Dabelko-Schoeny","doi":"10.1093/geroni/igad104.0206","DOIUrl":"https://doi.org/10.1093/geroni/igad104.0206","url":null,"abstract":"Abstract This qualitative study aims to understand how the living environments occupied by older adults before, during, and after an episode of homelessness inform their access to a healthy, stable, and dignified life. Indicators of accommodation, quality, and service integration are explored using the Aging in the Right Place conceptual framework. Through partnerships with a homeless shelter, a meal site, and a mental health outreach team in Columbus, OH, demographic questionnaires and semi-structured interviews were completed with 22 older adults with an episode of late-life homelessness. Nine direct service providers were also interviewed. Interviews were analyzed using the team-based flexible coding method in Nvivo 1.6.1. Results indicated that low or no income in late life forced older adults to occupy a continuum of precarious and low-quality living environments that include shared housing, doubling up, emergency shelters, institutional settings, and living on the land. AIRP indicators are discussed for each. Conflict, death of a support person, mental and behavioral challenges, unit deterioration, rental price increases, and social isolation forced OA down the housing continuum and into homelessness. Sub-optimal conditions interacted with age to exacerbate health conditions, create social isolation, and expose OA to harm. Informal and formal relationships, emergency shelter services, vouchers, and specific behaviors and attitudes were identified as critical for securing affordable and accommodating housing in which to age. Understanding the experiences of OPEH who are striving to occupy their subjective right place to age can help service providers and policymakers meet the unique needs of precariously housed OA.","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"89 8","pages":"64 - 64"},"PeriodicalIF":7.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138986482","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

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