Gregory L Alexander, Anne Livingstone, Soojeong Han, Wendy Chapman, Tracy Comans, George Demiris, Malcolm Fisk, Mariann Fossum, Celeste Fung, Rosemary Kennedy, Terrence A O'Malley, Marjorie Skubic
{"title":"Emerging Models of Care Using IT in Long-Term/Post-Acute Care: A Comparative Analysis of Human and AI-Driven Qualitative Insights.","authors":"Gregory L Alexander, Anne Livingstone, Soojeong Han, Wendy Chapman, Tracy Comans, George Demiris, Malcolm Fisk, Mariann Fossum, Celeste Fung, Rosemary Kennedy, Terrence A O'Malley, Marjorie Skubic","doi":"10.3928/00989134-20250307-01","DOIUrl":"10.3928/00989134-20250307-01","url":null,"abstract":"<p><strong>Purpose: </strong>As the global population ages, long-term/post-acute care (LTPAC) systems face challenges in ensuring quality care for older adults with complex medical needs. Using health information technology (IT) is a promising strategy to address these challenges. However, evidence gaps remain regarding barriers and facilitators to technology integration in LTPAC. Thus, the current study explored barriers and facilitators to technology adoption in emerging models of care for older adults through the International Summit on Innovation and Technology for the Care of Older People (IS-ITCOP).</p><p><strong>Method: </strong>The IS-ITCOP Summit, held in June 2024, brought together 47 interdisciplinary experts from eight countries. Qualitative data were collected via facilitated discussion groups and analyzed using two approaches: human-coded thematic analysis and ChatGPT 4.0-driven analysis.</p><p><strong>Results: </strong>Shared themes included technology barriers, ethical considerations, workforce challenges, and patient-centered care. Human analysis emphasized abstract themes, whereas ChatGPT provided granular insights on emerging technologies.</p><p><strong>Conclusion: </strong>Combining human and artificial intelligence-driven analyses enriched understanding, highlighting opportunities and challenges for integrating IT into LTPAC systems. [<i>Journal of Gerontological Nursing, 51</i>(4), 6-11.].</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"51 4","pages":"6-11"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143753027","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}
Lorena Carlo, Maria Paula Jaramillo Carlo, Alexander O'Donnell, Leah V Estrada
{"title":"Technology-Based Mental Health Interventions in Dementia Care: A Systematic Review.","authors":"Lorena Carlo, Maria Paula Jaramillo Carlo, Alexander O'Donnell, Leah V Estrada","doi":"10.3928/00989134-20250305-01","DOIUrl":"10.3928/00989134-20250305-01","url":null,"abstract":"<p><strong>Purpose: </strong>To summarize current evidence on the effectiveness of digital health interventions in improving the mental health of people with dementia (PWD) and their caregivers.</p><p><strong>Method: </strong>Four databases were searched for peer-reviewed articles from January 2013 to September 2023. Two reviewers screened titles and abstracts, and a third settled disagreements. At least two reviewers completed full-text reviews and reached consensus through discussion. Three reviewers abstracted the data. At least two reviewers conducted quality appraisals, with discrepancies resolved by a third reviewer.</p><p><strong>Results: </strong>Nineteen articles met inclusion criteria. Evidence suggests digital health interventions improve caregivers' burden, depression, stress, quality of life, anxiety, coping, and well-being. No significant changes were found in caregivers' mood or mental health outcomes for PWD.</p><p><strong>Conclusion: </strong>Digital mental health interventions supporting PWD and caregivers are evolving. Further research should use more diverse and larger samples. Enhancing nurse participation in digital mental health design, implementation, and evaluation is crucial. [<i>Journal of Gerontological Nursing, 51</i>(4), 19-28.].</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"51 4","pages":"19-28"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143753058","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}
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":"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, 51</i>(4), 12-18.].</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"12-18"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","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":"Understanding the Whole of Aging.","authors":"Sarah McKiddy","doi":"10.3928/00989134-20250317-01","DOIUrl":"https://doi.org/10.3928/00989134-20250317-01","url":null,"abstract":"","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"51 4","pages":"3-4"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143753060","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":"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, 51</i>(4), 37-45.].</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"37-45"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","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}
Kalisha Bonds Johnson, Theodore M Johnson, Laura Medders, Cotenna Clark, Alison Schlenger, Elisabeth Barre, Dheeraj Chilamakuri, Carolyn Clevenger
{"title":"Lessons Learned From a Dementia-Friendly Primary Care Practice.","authors":"Kalisha Bonds Johnson, Theodore M Johnson, Laura Medders, Cotenna Clark, Alison Schlenger, Elisabeth Barre, Dheeraj Chilamakuri, Carolyn Clevenger","doi":"10.3928/00989134-20250305-02","DOIUrl":"10.3928/00989134-20250305-02","url":null,"abstract":"","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"51 4","pages":"58-60"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12206519/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143753056","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}
Vitor H F Oliveira, Andre P Dos Santos, Allison R Webel
{"title":"The Importance of a Healthy Lifestyle in the Prevention and Treatment of Sarcopenia and Frailty.","authors":"Vitor H F Oliveira, Andre P Dos Santos, Allison R Webel","doi":"10.3928/00989134-20250212-01","DOIUrl":"https://doi.org/10.3928/00989134-20250212-01","url":null,"abstract":"","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"51 3","pages":"3-5"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523131","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":"Update on New Payable Services for Advanced Primary Care.","authors":"Mark A Supiano","doi":"10.3928/00989134-20250212-02","DOIUrl":"https://doi.org/10.3928/00989134-20250212-02","url":null,"abstract":"","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"51 3","pages":"55-56"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523138","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":"Post-Stroke Cognitive Impairment: A Narrative Review of the Comprehensive Screening and Detecting Process.","authors":"Pauline J Hwang, Donna M Fick","doi":"10.3928/00989134-20250212-03","DOIUrl":"10.3928/00989134-20250212-03","url":null,"abstract":"<p><strong>Purpose: </strong>To examine screening procedures and tools for post-stroke cognitive impairment (PSCI) to guide future practices and research.</p><p><strong>Method: </strong>Searches in PubMed, CINAHL, PsycINFO, and Google Scholar included articles from 2013 to 2023 focusing on individuals with first ever ischemic stroke and confirming PSCI within 1 year. Thematic analysis was synthesized narratively.</p><p><strong>Results: </strong>Eight studies (two cross-sectional and six prospective cohorts) with 25,443 participants were reviewed. Screening for PSCI was typically performed within 3 to 6 months post-stroke. Montreal Cognitive Assessment and Mini-Mental State Examination were the most commonly used tools, but cutoff scores varied widely. Screening involved pre- and post-stroke cognitive screening and identifying risk factors.</p><p><strong>Conclusion: </strong>Significant variability exists in PSCI assessment tools, cutoff, and timing. Further research is needed to standardize screening protocols, focusing on criteria, timing, accuracy, and feasibility. Early and repeated screening with risk management can improve PSCI prevention. [<i>Journal of Gerontological Nursing, 51</i>(3), 19-27.].</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"51 3","pages":"19-27"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523113","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":"Use of Continuous Glucose Monitoring in Skilled Nursing Facilities: Strategies for Managing Implementation.","authors":"Lucy G Keers, Michael R Brodeur, Lara Tran","doi":"10.3928/00989134-20250212-04","DOIUrl":"10.3928/00989134-20250212-04","url":null,"abstract":"<p><strong>Purpose: </strong>Continuous glucose monitoring (CGM) devices are increasingly used by older adults. Although these devices offer several advantages over traditional techniques, such as fingerstick capillary blood glucose, the current article discusses the impact and benefits of CGMs in the context of older adults in skilled nursing facilities (SNFs) and explores ways to improve and manage their use through the collaboration of an interprofessional team.</p><p><strong>Method: </strong>Current evidence and guidance on implementing CGM devices in SNFs is reviewed.</p><p><strong>Results: </strong>Current strategies for the successful and safe use of CGM devices in SNFs include staff and patient education, close monitoring, operational workflow, and interprofessional collaboration.</p><p><strong>Conclusion: </strong>To manage patients with diabetes in SNFs, an interactive, multidisciplinary, and multifaceted approach is needed. Larger studies on the management of CGM devices in SNFs are required. [<i>Journal of Gerontological Nursing, 51</i>(3), 7-12.].</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"51 3","pages":"7-12"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523355","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}