Jimmy A Reyes, Trina Radske-Suchan, Joy Doll, Julia Chevan
{"title":"Advancing Equitable Healthy Aging Through Cross-Sector Community Partnerships: Policy Pathways for Community-Integrated Care.","authors":"Jimmy A Reyes, Trina Radske-Suchan, Joy Doll, Julia Chevan","doi":"10.3928/00989134-20260701-02","DOIUrl":"https://doi.org/10.3928/00989134-20260701-02","url":null,"abstract":"<p><strong>Purpose: </strong>To examine how cross-sector community partnerships can address gaps in care for older adults and propose policy recommendations that support the integration, sustainability, and scalability of community-based models.</p><p><strong>Method: </strong>Drawing on practice-informed insights from MyHealthIowa and the Iowa Community HUB, key policy barriers were identified, including misaligned financing, limited system integration, workforce constraints, and insufficient infrastructure to support cross-sector collaboration.</p><p><strong>Results: </strong>Actionable policy recommendations include reimbursement for community health navigators, expanded federal support for cross-sector community partnerships, integration of community care hub models into health systems, workforce diversification strategies, and the adoption of equity-focused quality metrics.</p><p><strong>Conclusion: </strong>Findings highlight the scalability and national relevance of community-integrated models and underscore the critical role of nursing leadership in advancing policy, redesigning care systems, and promoting equitable, population-centered approaches to healthy aging.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"52 8","pages":"7-12"},"PeriodicalIF":1.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148620457","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":"What Nurses Can Learn From Care Partners.","authors":"Shandra D Burton","doi":"10.3928/00989134-20260701-01","DOIUrl":"https://doi.org/10.3928/00989134-20260701-01","url":null,"abstract":"","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"52 8","pages":"3-5"},"PeriodicalIF":1.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148620395","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 Virtual Reality Glasses on Mild Cognitive Impairment in Older Adults: A Randomized Controlled Trial.","authors":"Buket Daştan, Hediye Ünal","doi":"10.3928/02793695-20260522-02","DOIUrl":"10.3928/02793695-20260522-02","url":null,"abstract":"<p><strong>Purpose: </strong>The current randomized controlled trial evaluated the effect of a virtual reality (VR) glasses intervention on mild cognitive impairment (MCI) in older adults.</p><p><strong>Method: </strong>This study was conducted with 24 participants (12 in the intervention group and 12 in the control group) admitted to a neurology outpatient clinic. Participants completed a descriptive information form, the Mini-Mental State Examination, and Montreal Cognitive Assessment. The intervention group watched VR videos 3 days per week for 4 weeks, whereas the control group received no intervention.</p><p><strong>Results: </strong>Participants in the VR intervention group showed improvement in MCI, whereas no significant change was observed in the control group.</p><p><strong>Conclusion: </strong>VR interventions may serve as effective tools to enhance cognitive functions in older adults with MCI. Expanding the intervention content and tailoring applications to address specific symptoms may yield more comprehensive results.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"1-9"},"PeriodicalIF":1.1,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148396978","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 Activity and Cognitive Function: Observational and Genetic Analysis.","authors":"Hao Zou, Lijie Jiang, Lijun Xie, Furong Che","doi":"10.3928/00989134-20260316-03","DOIUrl":"10.3928/00989134-20260316-03","url":null,"abstract":"<p><strong>Purpose: </strong>To combine observational study with Mendelian randomization (MR) to clarify the potential causal relationship between physical activity (PA) and cognitive function (CF).</p><p><strong>Method: </strong>We performed MR analysis by collecting five PA phenotypes and CF datasets from the IEU Open GWAS project, applying inverse variance weighting to assess causal effects, and conducting sensitivity analyses to ensure the robustness of results. We also extracted data on PA and CF from the CHARLS in 2011 and 2018, including a total of 2,795 participants, and conducted statistical analyses using a generalized linear model.</p><p><strong>Results: </strong>According to the MR analysis, results showed that aerobic exercises (e.g., swimming, cycling, group exercise classes, bowling) had a significant and stable genetic causal relationship with CF (β = 0.86, <i>p</i> < .001), whereas other PA, such as walking for pleasure (β = 0.40, <i>p</i> = .148), heavy do-it-yourself (DIY) (e.g., weeding, mowing the lawn, carpentry, digging) (β = 0.20, <i>p</i> = .456), strenuous sports (β = 1.06, <i>p</i> =.085), and light DIY (e.g., pruning, watering the lawn) (β = 0.56, <i>p</i> = .01) had no significant or stable correlation with CF. In the observational study, after controlling for confounders and subgroup analysis by sex, we found that maintained moderate-high intensity PA (β = 1.008, <i>p</i> = .049) or increased PA (β = 1.118, <i>p</i> = .042) had a significant protective effect on CF compared to maintained low PA in only the female subgroup.</p><p><strong>Conclusion: </strong>Maintaining moderate-high intensity PA or increasing from low to moderate-high intensity may have a protective effect on CF among females; aerobic exercises, such as swimming, cycling, group exercise classes, and bowling, may be the most effective activities for protecting CF.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"38-47"},"PeriodicalIF":1.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147512577","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":"Music for Health: Considerations for the Role of Music in Delirium Care.","authors":"Zahra Karimi","doi":"10.3928/00989134-20260608-02","DOIUrl":"10.3928/00989134-20260608-02","url":null,"abstract":"","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"52 7","pages":"4-6"},"PeriodicalIF":1.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148375844","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":"Self-Efficacy-Based Leader Development Program to Address Loneliness in Older Adults.","authors":"Thanida Nilamphachat, Farkjit Rattanapanyakorn, Wachira Suriyawong, Tharadol Rodkaeo, Decha Tamdee, Rukchanok Koshakri, Theerachol Satsin, Natsuda Khatichop, Nuth Graipaspong, Sasiri Tangsasom, Panawat Sanprakhon","doi":"10.3928/00989134-20260317-01","DOIUrl":"10.3928/00989134-20260317-01","url":null,"abstract":"<p><strong>Purpose: </strong>The current study aimed to co-design an intervention and evaluate its effects on knowledge, perceived self-efficacy, group facilitation skills, and core competencies in alleviating loneliness among Thai older adults.</p><p><strong>Method: </strong>A quasi-experimental design with two groups and pre-/posttest measures was used. Sixty-one health volunteers from a district in Thailand were randomly assigned to a control group (<i>n</i> = 30), which received a 1-day educational session on addressing loneliness, or an experimental group (<i>n</i> = 31), which participated in a 7-week self-efficacy-based leader development program. Outcome measures included the Loneliness Multiple-Choice Examination and General Perceived Self-Efficacy Scale. Skills and competencies were assessed using the Skills in Facilitating Groups to Address Loneliness Scale and Loneliness Alleviation Competency Scale, with evaluations conducted by trained assessors during simulated sessions and supervised community practicums.</p><p><strong>Results: </strong>The experimental group demonstrated significantly greater improvements in knowledge and perceived self-efficacy compared with the control group (<i>p</i> < .05). Furthermore, participants in the experimental group achieved proficiency in ≥75% of skills and core competencies for alleviating loneliness in older adults during real-world community practice.</p><p><strong>Conclusion: </strong>The self-efficacy-based leader development program effectively enhanced health volunteers' knowledge, self-efficacy, and competencies in addressing loneliness. Structured, competency-based training can strengthen community-based interventions led by health volunteers and contribute to improved psychosocial well-being among older adults.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"18-28"},"PeriodicalIF":1.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147512635","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}
John Robert Bautista, Olivia Goth, Allison B Anbari, Kimberly R Powell
{"title":"Readability and Linguistic Characteristics of Alzheimer's Disease and Related Dementias Prevention, Symptom, and Treatment Information from Generative Artificial Intelligence Chatbots.","authors":"John Robert Bautista, Olivia Goth, Allison B Anbari, Kimberly R Powell","doi":"10.3928/00989134-20260608-03","DOIUrl":"https://doi.org/10.3928/00989134-20260608-03","url":null,"abstract":"<p><strong>Purpose: </strong>To examine the readability and linguistic characteristics of Alzheimer's disease and related dementias (ADRD) prevention, symptom, and treatment information from generative artificial intelligence (GenAI) chatbots.</p><p><strong>Method: </strong>We analyzed 66 outputs from free-to-use GenAI chatbots. We extracted readability (word count, Fleisch Reading Ease, and Fleisch-Kincaid Grade Level) and linguistic scores (analytical thinking, clout, authenticity, and emotional tone) using Microsoft Word and the Linguistic Inquiry and Word Count software. Data were analyzed using descriptive statistics, <i>t</i> tests, analysis of variance, and multivariate analysis of variance.</p><p><strong>Results: </strong>ADRD information from GenAI chatbots, especially treatment information, had college-level readability. Linguistic analyses indicate a high analytical thinking score and low scores for clout, authenticity, and emotional tone.</p><p><strong>Conclusion: </strong>Our sample of ADRD GenAI information exceeded recommended reading levels for patient education materials. Although the outputs exhibited logical thinking, they also included uncertain, inauthentic, and negative tones. ADRD caregivers should be aware of these characteristics when using GenAI chatbots for ADRD information-seeking.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"52 7","pages":"7-11"},"PeriodicalIF":1.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148375903","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":"Research on Angiotensin Receptor-Neprilysin Inhibitor Use Across Care Settings, the Effectiveness of ALIGN, and Validating Measures Between the Electronic Health Record and Medicare Claims Showcased at #AGS26.","authors":"Alison A Moore","doi":"10.3928/00989134-20260608-01","DOIUrl":"https://doi.org/10.3928/00989134-20260608-01","url":null,"abstract":"","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"52 7","pages":"55-56"},"PeriodicalIF":1.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148375879","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":"Consistency in Advance Care Planning Awareness, Attitudes, and Engagement Among Older Adults With Chronic Diseases and Their Families in China: A Mixed Methods Study.","authors":"Xiaoyue Zhang, Xuebing Liu, Dongling Liu, Ziwen Wang, Tengyun Si, Shuangqi Yan","doi":"10.3928/00989134-20260522-01","DOIUrl":"10.3928/00989134-20260522-01","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate consistency in awareness, attitudes, and engagement in advance care planning (ACP) among older adults with chronic illnesses and their families, as well as influencing factors.</p><p><strong>Method: </strong>A mixed methods sequential explanatory design was used, with data collected from 312 patient-family member dyads via validated questionnaires and 11 dyads through semi-structured interviews.</p><p><strong>Results: </strong>Key findings revealed low consistency in ACP awareness (Kappa = 0.191 to 0.449), with 97.76% of participants unfamiliar with ACP terminology. General positive attitudes toward ACP were observed, with 70.51% viewing it as meaningful (Kappa = 0.431), although engagement consistency was low (intraclass correlation coefficient = 0.109 to 0.390). Qualitative findings identified personal and familial characteristics, family dynamics, traditional culture, and clinical decision-making models as influential factors.</p><p><strong>Conclusion: </strong>Despite generally positive attitudes toward ACP, low consistency in awareness and engagement among Chinese older adults and their families necessitate the implementation of culturally sensitive, family-centered ACP interventions.</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"29-37"},"PeriodicalIF":1.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148143604","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}