Jenny Kubitza, Bernd Reuschenbach, Michael Drey, Inge Eberl
{"title":"Experiencing and Treating Fall-Related Long Lies: A Qualitative Triangulation Study From the Perspective of Those Affected and Their Health Care Professionals.","authors":"Jenny Kubitza, Bernd Reuschenbach, Michael Drey, Inge Eberl","doi":"10.3928/00989134-20260925-02","DOIUrl":"https://doi.org/10.3928/00989134-20260925-02","url":null,"abstract":"<p><strong>Purpose: </strong>To gain insights into the causes and effects of fall-related long lies and to develop resources and interventions to support affected individuals.</p><p><strong>Method: </strong>In the qualitative study, semi-structured interviews with affected patients (<i>n</i> = 5) and their informal caregivers (<i>n</i> = 2) were triangulated with a group discussion of health care professionals (<i>n</i> = 4). All conversations were recorded, transcribed, and analyzed using Bohnsack's documentary method.</p><p><strong>Results: </strong>The analysis resulted in three main categories: (1) causes of fall-related long lies, (2) effects of fall-related long lies, and (3) resources and interventions of fall-related long lies. Assessing the bio-psycho-social causes and effects of the long lie is necessary to stabilize the affected individual bio-psycho-socially and prevent future long lies.</p><p><strong>Conclusion: </strong>Affected individuals should be supported in managing fall-related long lies, helping to reduce negative emotions, recognize their resources, and cope with the incident.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"1-8"},"PeriodicalIF":1.1,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Danielle Scharp, Orna Intrator, Nihal Mohamed, Mollie Hobensack, Bian Liu
{"title":"Social Isolation and Urgency Urinary Incontinence Among Older Women in the United States: The Modifying Effect of Anxiety and Depression.","authors":"Danielle Scharp, Orna Intrator, Nihal Mohamed, Mollie Hobensack, Bian Liu","doi":"10.3928/00989134-20260925-03","DOIUrl":"https://doi.org/10.3928/00989134-20260925-03","url":null,"abstract":"<p><strong>Purpose: </strong>To examine associations between social isolation and urgency urinary incontinence (UUI) among older women and evaluate anxiety or depression as modifiers.</p><p><strong>Method: </strong>We conducted a cross-sectional study of women aged ≥65 years in two National Health and Nutrition Examination Survey cycles (2015 to 2016 and 2017 to 2018). UUI was defined as leakage in the past year with an urge to urinate. Social isolation was measured using a four-item index and categorized as <i>none</i>, <i>low</i>, or <i>high</i>. Anxiety was defined as feeling worried/nervous at least once per month, and depression as a Patient Health Questionnaire-9 score ≥5. We used survey-weighted logistic regression.</p><p><strong>Results: </strong>Among 1,126 older women, 54.1% reported UUI, 42.2% anxiety, and 26.4% depression. Compared to no social isolation, high social isolation was associated with greater odds of UUI (adjusted odds ratio = 1.54, 95% confidence interval [1.02, 2.33], <i>p</i> = .045). Depression (<i>p</i> = .001) was significantly associated with UUI. Depression (p<sub>interaction</sub> = .067) and anxiety (p<sub>interaction</sub> = .302) were not significant modifiers.</p><p><strong>Conclusion: </strong>Findings underscore the need for psychosocial screening and integrated support for older women with UUI.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"1-9"},"PeriodicalIF":1.1,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Health Belief Model-Based Education to Improve Water Intake and Hydration in Older Adults: A Randomized Controlled Trial.","authors":"Arzu Çimen, Reva Balcı Akpınar","doi":"10.3928/00989134-20260924-02","DOIUrl":"https://doi.org/10.3928/00989134-20260924-02","url":null,"abstract":"<p><strong>Purpose: </strong>The current randomized controlled trial examined the effects of Health Belief Model (HBM)-based education on daily water intake, hydration biomarkers, thirst discomfort, and dry eye complaints in older adults.</p><p><strong>Method: </strong>Eighty community-dwelling older adults aged ≥65 years with insufficient daily water intake (<1 L/day) were screened and randomly assigned to intervention (<i>n</i> = 40) and control (<i>n</i> = 40) groups. Eligibility was determined using predefined inclusion criteria and baseline assessments. The intervention included individualized HBM-based education supported by a booklet and intake log. Data were collected using a descriptive form, Thirst Discomfort Scale, Ocular Surface Disease Index, and refractometer-based measurements of urine specific gravity and refractive index.</p><p><strong>Results: </strong>Postintervention mean daily water intake significantly increased in the intervention group (mean = 749.8 [<i>SD</i> = 176] mL vs. 572.9 [<i>SD</i> = 159.3] mL; <i>p</i> < .001). Thirst discomfort scores decreased, and between-group differences were found in urine specific gravity and refractive index (<i>p</i> < .001). Although Ocular Surface Disease Index scores improved (<i>p</i> = .002), the clinical impact was limited.</p><p><strong>Conclusion: </strong>HBM-based education increased water intake and reduced thirst discomfort, supporting community-based geriatric nursing practice. Future studies should examine long-term effects and support integration of theory-based hydration education into nursing training and clinical practice.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"1-10"},"PeriodicalIF":1.1,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effect of Individualized Music Listening on Anxiety and Behaviors of People With Dementia: A Quasi-Experimental Study.","authors":"Pei-Chao Lin, You-Juan Wu, Chang-Chun Chen, Shu-Fen Wung","doi":"10.3928/00989134-20260924-01","DOIUrl":"https://doi.org/10.3928/00989134-20260924-01","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the effects of individualized music listening (IML) on anxiety levels and behaviors among older adults with dementia in Taiwan.</p><p><strong>Method: </strong>The current study was a quasi-experimental study. Thirty-two older adults were recruited through convenience sampling and assigned to either an experimental group (EG; <i>n</i> = 16) or control group (CG; <i>n</i> = 16) based on self-rated importance of music in their lives and personal preferences. Participants were selected from five Dementia Community Services Sites (DCSS). The EG received eight sessions of IML (20 minutes per session, twice per week for 4 weeks), whereas the CG engaged in their usual activities. Anxiety levels were assessed for both groups at baseline and after the intervention. The researcher observed behaviors before, during, and after the intervention, which compared IML with routine activities, using the Behavioral Observation Form.</p><p><strong>Results: </strong>Participants in the EG exhibited a significantly lower mean anxiety score compared to the CG after 4 weeks of IML. In addition, behaviors such as smiling, joyfulness, appearing relaxed, calmness, music recognition, singing, following the rhythm, and making eye contact were significantly more frequent in the EG than in the CG.</p><p><strong>Conclusion: </strong>IML can significantly reduce anxiety levels and enhance positive behaviors associated with mood, relaxation, connection to music, and social engagement in people with dementia. Care workers in community settings, such as those involving DCSS, may adopt this study's protocol to provide IML to people with dementia who enjoy music.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"1-12"},"PeriodicalIF":1.1,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Robin F Harris, Sangwoo Ahn, Jennifer L Smith, Joel G Anderson
{"title":"Effects of Physical Activity Guidelines on Memory Issues in Cardiovascular Disease.","authors":"Robin F Harris, Sangwoo Ahn, Jennifer L Smith, Joel G Anderson","doi":"10.3928/00989134--20260925-01","DOIUrl":"https://doi.org/10.3928/00989134--20260925-01","url":null,"abstract":"<p><strong>Purpose: </strong>To examine the association between adherence to physical activity (PA) guidelines and memory issues among older adults with or at risk of cardiovascular disease (CVD).</p><p><strong>Method: </strong>Data from the 2022 National Health Interview Survey for adults aged ≥50 years who self-reported CVD or risk factors (<i>N</i> = 13,432) were analyzed using logistic regression.</p><p><strong>Results: </strong>Approximately 25% reported some difficulty remembering or concentrating, whereas the majority (89.1%) had some level of increased CVD risk. One half (51%) of the sample did not meet current PA guidelines. After controlling for age, sex, race, ethnicity, and U.S. region, those with a poor or fair health status (<i>p</i> < .001), increased CVD risk (<i>p</i> = .002), or who did not meet current PA guidelines (<i>p</i> < .001) were more likely to report memory issues.</p><p><strong>Conclusion: </strong>Further research is warranted into the role of PA in memory issues, particularly for those at risk for CVD.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"1-7"},"PeriodicalIF":1.1,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Association Between Physical Function and Cognitive Function Among Older Adults With Cardiometabolic Multimorbidity: The Mediating Role of Physical Activity.","authors":"Mengying Deng, Chenming Guo, Hongdan Song, Mingming Yu","doi":"10.3928/00989134-20260925-05","DOIUrl":"https://doi.org/10.3928/00989134-20260925-05","url":null,"abstract":"<p><strong>Purpose: </strong>To examine the mediating effect of physical activity on the relationships between physical function (including upper and lower extremity functions) and cognitive function among older adults with cardiometabolic multimorbidity (CMM).</p><p><strong>Method: </strong>The current descriptive cross-sectional study was conducted on a total of 526 older adults with CMM in three community health care centers in Beijing, China. Participants completed questionnaires including the Mini-Mental State Examination, Physical Activity Scale for the Elderly, and Pittsburgh Sleep Quality Index. Upper and lower extremity functions were measured by grip strength and the Short Physical Performance Battery (SPPB), respectively.</p><p><strong>Results: </strong>Cognitive function had a positive correlation with physical activity and various physical functions (<i>p</i> < .05). Physical activity was also positively associated with various physical functions (<i>p</i> < .05). Indirect effect of physical activity on the association between grip strength and cognitive function was 0.034 and explained 13.93% of the total effect. Physical activity mediated 18.81% (effect = 0.038, 95% confidence interval [0.003, 0.077]) of the total effect of SPPB total score (overall lower extremity function) on cognitive function.</p><p><strong>Conclusion: </strong>Physical function not only directly influences cognitive function but also exerts an indirect effect through physical activity in older adults with CMM. It is necessary to monitor physical function regularly and encourage older adults to engage in physical activity and other community activities, which may delay cognitive decline and slow the progression of CMM.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"1-11"},"PeriodicalIF":1.1,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Relationship Between Sleep Duration and Physical Activity in Older Adults.","authors":"Eunjae Lee, Seung-Taek Lim","doi":"10.3928/00989134-20260925-04","DOIUrl":"https://doi.org/10.3928/00989134-20260925-04","url":null,"abstract":"<p><strong>Purpose: </strong>To explore the relationship between sleep duration and physical activity to provide a scientific basis for promoting a healthy lifestyle.</p><p><strong>Method: </strong>In total, 1,249 older adults (565 men, 684 women) were recruited from the first survey of the 2023 Korea National Health and Nutrition Examination Survey. All participants were assessed for sleep duration, physical activity levels, and grip strength.</p><p><strong>Results: </strong>For men and women, moderate-intensity physical activity (<i>p</i> < .001), vigorous-intensity physical activity (male, <i>p</i> = .004; female, <i>p</i> = .029), moderate-to-vigorous intensity physical activity (MVPA) (both <i>p</i> < .001), right grip strength (male, <i>p</i> = .044; female, <i>p</i> = .005), and left grip strength (male, <i>p</i> = .039; female, <i>p</i> = .017) were significantly higher among participants with ≥8 hours of sleep per day than among those with <8 hours. In the unadjusted model, compared with older adults who did not achieve the recommended sleep duration, those who did were more likely to exhibit greater durations of MVPA (odds ratio [OR] = 1.02, 95% confidence interval [CI] [1.011, 1.024]), vigorous-intensity physical activity (OR = 1.04, 95% CI [1.007, 1.072]), and moderate-intensity physical activity (OR = 1.02, 95% CI [1.010, 1.023], <i>p</i> < .001). Sleep duration was positively correlated with MVPA (<i>r</i> = .177, <i>p</i> < .001).</p><p><strong>Conclusion: </strong>Findings provide robust evidence that older adults who meet the recommended 8 hours of sleep duration have higher ORs for MVPA time compared to those who do not meet the recommended sleep duration.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"1-8"},"PeriodicalIF":1.1,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Humanoid Companion Robot in Residential Memory Care: Staff Perspectives During Early Implementation.","authors":"Jessica Rayo, Lingyi Shen, Duong Truong, Sunnie Kitnikone, Roschelle Fritz, Shu-Fen Wung","doi":"10.3928/00989134-20260914-02","DOIUrl":"https://doi.org/10.3928/00989134-20260914-02","url":null,"abstract":"<p><strong>Purpose: </strong>To examine memory support staff perspectives during early integration of a humanoid companion robot in a residential memory care neighborhood.</p><p><strong>Method: </strong>A qualitative descriptive design was used in a memory care neighborhood in Northern California. Data were collected from 15 staff participants through one pre-implementation focus group and three follow-up individual interviews. Interviews were conducted before and during the first 8 weeks of the robot's introduction and were audio recorded and transcribed verbatim. Six interdisciplinary team members performed thematic analysis through collaborative coding and team-based comparisons.</p><p><strong>Results: </strong>Three themes emerged: <i>Dynamics of Implementation Sense-Making</i>, <i>Ambivalent Imaginaries of the Robot</i>, and <i>Situated Interaction Work and Operational Burden</i>. Staff reported varied readiness, recognized promise and limitations, and emphasized the need for staff as ongoing intermediaries between the robot and residents during use.</p><p><strong>Conclusion: </strong>Humanoid companion robots may support social engagement in memory care; however, effective implementation requires staff preparation, technological refinement, and alignment with person-centered care.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"52 10","pages":"5-10"},"PeriodicalIF":1.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149081105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Community-Dwelling Older Adults' Experience With Activity Trackers: Effects of Monitoring Physical Activity.","authors":"Eunice Oladepe Ojo, Victoria Loerzel, Boon Peng Ng, Rui Xie, Ladda Thiamwong","doi":"10.3928/00989134-20260817-01","DOIUrl":"10.3928/00989134-20260817-01","url":null,"abstract":"<p><strong>Purpose: </strong>To explore the experiences of low-income community-dwelling older adults with the physical, cognitive, sociocultural, and behavioral effects of physical activity measured with an activity tracker.</p><p><strong>Method: </strong>The current qualitative descriptive study was conducted among participants in the Physio-Feedback Exercise Program, who were aged ≥60 years and from low-income settings in Central Florida (<i>n</i> = 19). A semi-structured interview guide was used to obtain participants' experiences, and the responses were transcribed verbatim, coded, and analyzed using thematic analysis.</p><p><strong>Results: </strong>Five interrelated themes were developed from participants' experiences, including (1) <i>Physical Activity Habit and the Activity Tracker</i>, (2) <i>Behavioral Effect</i>, (3) <i>Changes in Cognition</i>, (4) <i>Social Effect</i>, and (5) <i>Changes in Physical Function</i>.</p><p><strong>Conclusion: </strong>Physical activity monitored with an activity tracker enhanced engagement and overall well-being among community-dwelling older adults. Health care providers and caregivers should encourage physical activity and monitoring with an activity tracker to improve well-being in this population.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"35-43"},"PeriodicalIF":1.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13549505/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148808635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}