Monique J Brown, Jeremy Holloway, Morgan Bookbinder, Ayse Malatyali, Jingkai Wei, Jodi L Southerland, Elyse Couch, Juanita-Dawne Bacsu, Matthew Lee Smith, Muzi Na
{"title":"Cancer Survivorship and Subjective Cognitive Decline in the United States.","authors":"Monique J Brown, Jeremy Holloway, Morgan Bookbinder, Ayse Malatyali, Jingkai Wei, Jodi L Southerland, Elyse Couch, Juanita-Dawne Bacsu, Matthew Lee Smith, Muzi Na","doi":"10.3928/00989134-20250218-01","DOIUrl":"https://doi.org/10.3928/00989134-20250218-01","url":null,"abstract":"<p><strong>Purpose: </strong>Studies examining the link between cancer survivorship and subjective cognitive decline (SCD) are lacking. Therefore, the current study aimed to determine the association between cancer survivorship and SCD among a nationally representative sample of middle-aged and older adults.</p><p><strong>Method: </strong>Data were obtained from the 2021 Behavioral Risk Factor Surveillance System Survey. Crude and adjusted logistic regression models, controlling for age, gender, race/ethnicity, educational level, income, and work status, were used to determine the association between cancer survivorship characteristics and SCD.</p><p><strong>Results: </strong>Respondents who were currently undergoing treatment had 86% higher odds of SCD (adjusted odds ratio [aOR] = 1.86; 95% confidence interval [CI] [1.06, 3.27]) compared to respondents who completed treatment. However, those who refused treatment were less likely to report SCD (aOR = 0.006; 95% CI [<0.001, 0.059]) compared to respondents who completed treatment.</p><p><strong>Conclusion: </strong>Cognition interventions may be helpful for individuals diagnosed with cancer who are undergoing treatment, middle-aged, and have not started treatment. [<i>Journal of Gerontological Nursing, xx</i>(x), xx-xx.].</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"1-7"},"PeriodicalIF":1.1,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143492143","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 Moderating Effect of Age on the Association Between Circadian Syndrome and Instrumental Activities of Daily Living Disability in People With Diabetes: A Cross-Sectional Study.","authors":"Qiuhong Li, Ruyue Li","doi":"10.3928/00989134-20250218-05","DOIUrl":"https://doi.org/10.3928/00989134-20250218-05","url":null,"abstract":"<p><strong>Purpose: </strong>To examine the association between circadian syndrome (CircS) and instrumental activities of daily living (IADL) disability in middle-aged and older adults with diabetes, as well as the moderating effect of age on CircS and IADL disability.</p><p><strong>Method: </strong>Participants included 939 individuals with diabetes. IADL disability was defined as having trouble finishing specific tasks. CircS was defined as having four or more specific symptoms. Binary logistic regression analysis was used to examine associations among CircS, age, and IADL disability.</p><p><strong>Results: </strong>Of total participants, 29.3% had IADL disability. CircS and age were associated with IADL disability (CircS: odds ratio [OR] = 1.898, 95% confidence interval [CI] [1.370, 2.630]; age: OR = 1.045, 95% CI [1.027, 1.063]; both <i>p</i> < 0.001). The interaction effect of age on CircS and IADL disability was significant (OR = 1.047, 95% CI [1.004, 1.092], <i>p</i> = 0.032).</p><p><strong>Conclusion: </strong>Individuals with diabetes and CircS had a higher risk of IADL disability than those without CircS, and the difference in predicted probabilities of IADL disability between the two groups increased with age. [<i>Journal of Gerontological Nursing, xx</i>(xx), xx-xx.].</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"1-9"},"PeriodicalIF":1.1,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143492163","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}
Carmen R Stephens, Kelly A Henrichs, Sophia M Centi, Bryan McNair, Aimee Luna, Dora K Cheung
{"title":"Interdisciplinary Fall Prevention Education in the Community: Nurses Making an Impact.","authors":"Carmen R Stephens, Kelly A Henrichs, Sophia M Centi, Bryan McNair, Aimee Luna, Dora K Cheung","doi":"10.3928/00989134-20250218-03","DOIUrl":"https://doi.org/10.3928/00989134-20250218-03","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this 8-week interdisciplinary educational program was to provide evidence-based fall prevention information to adults aged ≥65 years residing in an assisted living community.</p><p><strong>Method: </strong>Eight 1-hour sessions on fall education were performed by interdisciplinary experts at an assisted living community. Control and intervention groups completed four assessments at baseline and completion of the program.</p><p><strong>Results: </strong>Both groups had decreased Timed Up and Go (TUG) and Fear of Falling scores. The intervention group had increased scores on the knowledge of falling questionnaire, whereas the control group had decreased scores, indicating the education was effective in increasing knowledge of falls. Although not statistically significant, these results are clinically significant and reveal the positive effects of the interdisciplinary program.</p><p><strong>Conclusion: </strong>Fall prevention education was successful in increasing older adults' knowledge about fall risk factors. There were decreases in TUG and Fear of Falling scores, revealing a positive impact of the program. [<i>Journal of Gerontological Nursing, xx</i>(xx), xx-xx.].</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"1-4"},"PeriodicalIF":1.1,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143492160","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":"Preventing Depression Among Older Adults With Severe Illness: The Mediating Role of Life Satisfaction and the Moderating Role of Gender.","authors":"Juan Liu, Wei Wei, Zhihong Ding","doi":"10.3928/00989134-20241122-03","DOIUrl":"10.3928/00989134-20241122-03","url":null,"abstract":"<p><strong>Purpose: </strong>The occurrence of severe illness, the risk for which increases as people age, often results in depression. The current study aimed to explore how and when severe illness leads to depression among older adults.</p><p><strong>Method: </strong>Data collected from a sample of 756 older adults were analyzed using moderated mediation analysis to examine the underlying mechanism between severe illness and depression.</p><p><strong>Results: </strong>Results, as verified by a robustness check, demonstrated that life satisfaction mediated the association between severe illness and depression among older men and women, and that gender moderated the direct relationship between severe illness and depression.</p><p><strong>Conclusion: </strong>The formation path of depression from severe illness among older adults varies according to gender. For men, severe illness did not directly trigger depression, but indirectly triggered depression through decreased life satisfaction; for women, severe illness not only triggered depression directly, but also indirectly triggered depression through decreased life satisfaction. Results yield theoretical and practical implications for gerontological nursing. [<i>Journal of Gerontological Nursing, 51</i>(2), 43-52.].</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"43-52"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142769535","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":"Family Care Intervention Effect on the Family Support Needs of Residents in Nursing Homes: A Cluster Randomized Trial.","authors":"Mingli Zhao, Xue Wang, Yijia Zhuo, Shuangshuang Dai, Wenya Zhao, Jordan Tovera Salvador, Siyuan Feng","doi":"10.3928/00989134-20241122-02","DOIUrl":"10.3928/00989134-20241122-02","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the impact of a home care intervention on the family support needs of nursing home residents through a group clinical trial and blinded outcome assessment.</p><p><strong>Method: </strong>A cluster randomized trial was conducted at two nursing homes in Zhengzhou. Each nursing home was randomized to either the intervention or control group. Eighty-two residents were enrolled in the study. Intervention group participants (<i>n</i> = 41) received a family support intervention, and those in the control group (<i>n</i> = 41) received the institution's standard daily care routine. The Questionnaire of Family Support Needs; Perceived Social Support Scale; and Family Adaptation, Partnership, Growth, Affection, Resolve Index were used to assess post-intervention outcomes.</p><p><strong>Results: </strong>There were no significant differences between groups regarding baseline data. There were statistically significant (<i>p</i> < 0.05) within-subject, between-subject, and interaction effects for both groups regarding family support needs, perceived social support, and family functioning.</p><p><strong>Conclusion: </strong>Findings contribute to strengthening the care of residents in nursing homes, indicating the importance of family support, which can positively influence perceived social support and family function. The long-term efficacy of the intervention should be further verified. [<i>Journal of Gerontological Nursing, 51</i>(2), 24-31.].</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"24-31"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142769515","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":"Factor Structure of the Brief Pain Inventory-Short Form in African American Older Adults With Osteoarthritis.","authors":"Jianli Wu, Ann L Horgas, Staja Q Booker","doi":"10.3928/00989134-20250102-01","DOIUrl":"https://doi.org/10.3928/00989134-20250102-01","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the factor structure of the Brief Pain Inventory-Short Form (BPI-SF) and measurement invariance across two age groups for African American (AA) older adults with osteoarthritis (OA).</p><p><strong>Method: </strong>Participants were AA older adults aged 50 to 94 years with self-reported OA and chronic pain (<i>N</i> = 110). Cross-sectional data from the BPI-SF were obtained from all participants, and confirmatory factor analysis (CFA) was used to evaluate the factor structure. Measurement invariance across young-old (aged 50 to 69 years) and old-old (aged 70 to 94 years) participants was examined at configural, full metric, and full scalar levels.</p><p><strong>Results: </strong>CFA revealed that a three-factor model (i.e., pain intensity, activity interference, and affective interference) demonstrated the best fit (χ<sup>2</sup>/df = 1.595, comparative fit index [CFI] = 0.949, root-mean-square error of approximation = 0.074). The change of CFI between configural and metric invariance was below the cutoff point of 0.01, supporting full metric (i.e., factor loadings) invariance across the two age groups. However, full scalar (i.e., item intercepts) invariance was not demonstrated.</p><p><strong>Conclusion: </strong>Results support a three-factor structure of the BPI-SF, which is consistent across two age groups for AA older adults with OA. This study provides evidence that the BPI-SF can reliably measure pain intensity and two distinct dimensions of pain interference in this population. [<i>Journal of Gerontological Nursing, 51</i>(2), 13-22.].</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"51 2","pages":"13-22"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080283","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":"Promoting Equity and Social Justice for Caregivers: A Frank Conversation for Gerontological Nurses.","authors":"Harleah G Buck","doi":"10.3928/00989134-20250115-01","DOIUrl":"https://doi.org/10.3928/00989134-20250115-01","url":null,"abstract":"","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"51 2","pages":"4-5"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080288","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":"Loneliness and Health Status Among Omani Older Adults.","authors":"Salma Al Yazeedi, Chanam Shin","doi":"10.3928/00989134-20241122-01","DOIUrl":"10.3928/00989134-20241122-01","url":null,"abstract":"<p><strong>Purpose: </strong>Despite advances in health care and increased life expectancy, many older adults are at high risk for poor health and loneliness. The current study examined loneliness and its association with health among Omani older adults (aged ≥60 years).</p><p><strong>Method: </strong>This descriptive, correlational study used structured questionnaires to collect data from 113 Omani older adults.</p><p><strong>Results: </strong>More than one half (67.3%) of participants felt moderate to severe loneliness. Hierarchical regression analyses revealed that being female, older age (≥85 years), living with non-family members, and being unemployed were significant predictors of loneliness. Loneliness was a significant predictor of poor mental health status when sociodemographic and environmental factors were controlled.</p><p><strong>Conclusion: </strong>Findings indicate a significant number of Omani older adults are experiencing loneliness. We suggest that RNs specialize or practice in the care of older adults, and that researchers and policy makers take prompt action to address this urgent health issue before the occurrence of severe adverse health outcomes among this population. [<i>Journal of Gerontological Nursing, 51</i>(2), 33-42.].</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"33-42"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142769529","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 Social Security Fairness Act: Evaluating Potential Impact, Limitations, and Implications for Research, Policy, and Practice.","authors":"G Adriana Perez","doi":"10.3928/00989134-20250122-01","DOIUrl":"https://doi.org/10.3928/00989134-20250122-01","url":null,"abstract":"<p><p>The impact of laws and policies that involve social determinants of health (SDOH), particularly among older, retired populations, needs to be considered as a public health intervention. The Social Security Fairness Act was signed into law in 2025, as a new amendment to the Social Security Act first introduced in 1935. The Social Security Fairness Act ends two provisions that have reduced benefits for spouses, widows, and widowers and for public service workers, which include teachers, fire fighters, police officers, nurses, and others who are receiving pensions from state or local government. Specifically, this new bill involves economic stability, which is considered an important SDOH for older adults. The purpose of the current article is to evaluate policy changes through the Social Security Fairness Act, including potential impact and benefits, limitations or unintended consequences, and implications and recommendations for future research, policy, and practice. Findings will help guide gerontological nurses and interprofessional researchers, clinicians, and educators promoting healthy aging. [<i>Journal of Gerontological Nursing, 51</i>(2), 7-12.].</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"51 2","pages":"7-12"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080294","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}
Heather Becker, Alexa K Stuifbergen, Nani Kim, Darla Grimes
{"title":"Relationships Between Resilience and Health, Health Promotion, and Quality of Life Among Community-Dwelling Older Adults With Long-Standing Multiple Sclerosis.","authors":"Heather Becker, Alexa K Stuifbergen, Nani Kim, Darla Grimes","doi":"10.3928/00989134-20241009-02","DOIUrl":"10.3928/00989134-20241009-02","url":null,"abstract":"<p><strong>Purpose: </strong>As people with long-standing disabling conditions age, the interplay between pre-existing conditions and new comorbidities can present unique challenges. Therefore, the current study explored relationships between resilience and health, health promotion, and quality of life among older adults living with multiple sclerosis (MS).</p><p><strong>Method: </strong>Adults recruited from National MS Society chapters completed a mailed survey about their health, health promotion, and well-being.</p><p><strong>Results: </strong>The 147 respondents (mean age = 72 years) reported an average of three additional comorbidities and had been diagnosed with MS for 35 years on average. Resilience scores were most highly correlated with depressive symptoms, spiritual growth, social support, incapacity status, and quality of life. Resilience scores significantly improved prediction of emotional health, after controlling for other functional and psychosocial variables.</p><p><strong>Conclusion: </strong>Nurses can help patients with chronic conditions, such as MS, develop strategies for regulating their emotional health to adapt to new health challenges. [<i>Journal of Gerontological Nursing, 51</i>(1), 15-23.].</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"15-23"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467327","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}