Journal of the American Medical Directors Association最新文献

{"title":"Muscle Strength Comparison in Immune-Mediated Rheumatic Disease vs Healthy Adults: A Meta-Analysis","authors":"Rafaela Cavalheiro do Espírito Santo PhD ,&nbsp;Leonardo Peterson dos Santos MD ,&nbsp;Geiziane Melo PhD ,&nbsp;Viney Prakash Dubey PhD ,&nbsp;Alona Rauckiene-Michaelsson PhD ,&nbsp;Cesar Agostinis-Sobrinho PhD","doi":"10.1016/j.jamda.2024.105293","DOIUrl":"10.1016/j.jamda.2024.105293","url":null,"abstract":"<div><h3>Objectives</h3><div>Patients with immune-mediated rheumatic diseases (IMRDs) often exhibit reduced muscle strength. Therefore, this review aimed to evaluate muscle strength in patients with IMRDs compared with healthy control and to summarize the relationship between low muscle strength and clinical features in patients with IMRDs.</div></div><div><h3>Design</h3><div>Systematic review with meta-analysis of case-control studies.</div></div><div><h3>Setting and Participants</h3><div>Patients with IMRDs.</div></div><div><h3>Methods</h3><div>A comprehensive search was conducted in the Embase, MEDLINE, Web of Science, and Cochrane databases to identify relevant studies published up to November 2023 on rheumatoid arthritis, systemic lupus erythematosus, systemic sclerosis, and spondyloarthritis. Meta-analysis was performed using a random-effects model to determine the mean difference (MD) in muscle strength between patients with IMRDs and an age- and sex-matched healthy control group.</div></div><div><h3>Results</h3><div>We identified 11,692 studies, and 760 studies were selected for screening. Ultimately, 26 studies met the inclusion criteria, composed of 2661 individuals, mostly women. The IMRDs women group had lower handgrip muscle strength (MD, −9.53; 95% CI, −11.78 to −7.28 kg) than the healthy control group, whereas the handgrip strength men groups did not differ significantly from that of the healthy control group. Similar trend was observed in lower limb muscle strength for the IMRDs women group than the healthy control group (MD, −63.10; 95% CI, −94.18 to −32.01 Nm). Four studies examined muscle strength and clinical features in rheumatoid arthritis: one associated it with age and disease activity, 2 associated it with disease duration, and 3 associated it with physical function. In systemic lupus erythematosus, only 2 studies associated low muscle strength with age, disease activity, and fatigue. No associations were found in spondyloarthritis, and none were found in systemic sclerosis.</div></div><div><h3>Conclusions and Implications</h3><div>Patients with IMRD exhibit lower muscle strength than healthy counterparts, with low strength moderately associated with longer disease duration, worsening disease activity, and decline in physical function. Targeted interventions are crucial for preventing and managing muscle weakness in IMRDs.</div></div>","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":"25 12","pages":"Article 105293"},"PeriodicalIF":4.2,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142375617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"General Information","authors":"","doi":"10.1016/S1525-8610(24)00738-2","DOIUrl":"10.1016/S1525-8610(24)00738-2","url":null,"abstract":"","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":"25 10","pages":"Article 105316"},"PeriodicalIF":4.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142432729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Nursing Home Administrator (NHA) Pipeline—Obstacles and Opportunities","authors":"Robert Tyler Braun PhD ,&nbsp;John Bowblis PhD ,&nbsp;Cass Hames MHA ,&nbsp;Dunc Williams PhD","doi":"10.1016/j.jamda.2024.105177","DOIUrl":"10.1016/j.jamda.2024.105177","url":null,"abstract":"","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":"25 10","pages":"Article 105177"},"PeriodicalIF":4.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142432732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Directions & Connections","authors":"","doi":"10.1016/S1525-8610(24)00737-0","DOIUrl":"10.1016/S1525-8610(24)00737-0","url":null,"abstract":"","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":"25 10","pages":"Article 105315"},"PeriodicalIF":4.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142432730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hyperlipidemia, Age of Diagnosis, and Risk of Dementia","authors":"Tomoyuki Kawada MD","doi":"10.1016/j.jamda.2024.105214","DOIUrl":"10.1016/j.jamda.2024.105214","url":null,"abstract":"","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":"25 10","pages":"Article 105214"},"PeriodicalIF":4.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141995957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Events and Products","authors":"","doi":"10.1016/j.jamda.2024.105332","DOIUrl":"10.1016/j.jamda.2024.105332","url":null,"abstract":"","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":"25 10","pages":"Article 105332"},"PeriodicalIF":4.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142432731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influences of Social Disengagement and Depressive Symptoms on Sleep Disturbance in Dementia Caregiving Dyads: A Nationally Representative Study","authors":"Shanshan Wang PhD, RN ,&nbsp;Sze Him Isaac Leung PhD ,&nbsp;Xinyi Xu PhD, RN ,&nbsp;Minhui Liu PhD, RN ,&nbsp;Peng Wang PhD ,&nbsp;Weihong Zhang PhD ,&nbsp;Wendy Moyle PhD, RN","doi":"10.1016/j.jamda.2024.105197","DOIUrl":"10.1016/j.jamda.2024.105197","url":null,"abstract":"<div><h3>Objectives</h3><div>To examine the influence of social disengagement and depressive symptoms on sleep disturbance among dementia caregiving dyads and the actor-partner interdependence nature of these influences.</div></div><div><h3>Design</h3><div>Actor-partner interdependence model through structural equation modeling for dyadic analyses.</div></div><div><h3>Setting and Participants</h3><div>A total of 310 dyads of older adults with dementia and their care partners from 2 national representative studies in the United States, the National Health and Aging Trends Study (NHATS) and its companion study, the National Study of Caregiving (NSOC).</div></div><div><h3>Methods</h3><div>Data from the NHATS Round 11 and NSOC IV were analyzed using descriptive statistics, Pearson correlation analysis, and the actor-partner interdependence model. Structural equation modeling was used to assess the mediation effects of depressive symptoms within the actor-partner interdependence models.</div></div><div><h3>Results</h3><div>In the model of caregivers, social disengagement had a direct impact on sleep disturbance (β = 0.49, <em>P</em> &lt; .001) and an indirect impact through depressive symptoms (β = 0.25, <em>P</em> &lt; .001). In the model of older adults with dementia, social disengagement only had an indirect effect on sleep disturbance through depressive symptoms. In models examining partner effects, caregivers' social disengagement directly influenced their care partners' depressive symptoms (β = 0.20, <em>P</em> = .019), which subsequently affected caregivers’ sleep disturbance (β = 0.17, <em>P</em> &lt; .001). Social disengagement (β = 0.17, <em>P</em> = .001) and depressive symptoms (β = 0.17, <em>P</em> &lt; .001) in older adults with dementia directly impacted their caregivers' sleep disturbance. Depressive symptoms of older adults with dementia served as multiple mediators linking one member's social disengagement to both their own and partner's sleep.</div></div><div><h3>Conclusions and Implications</h3><div>This study represents one of the first attempts to investigate the influencing mechanism of sleep disturbances among older adults with dementia and their informal caregivers through a dyadic perspective. The sleep disturbance of caregivers may be directly influenced by the social disengagement and depressive symptoms exhibited by both members of the dyad, whereas the sleep disturbance experienced by older adults with dementia can only be indirectly influenced by the dyad's social disengagement via their own depressive symptoms. Dyadic social activities targeting depressive symptoms could be designed to address sleep disturbances in dementia caregiving dyads.</div></div>","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":"25 10","pages":"Article 105197"},"PeriodicalIF":4.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141913073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interest in Dyadic Physical Activity Programs among Informal Caregivers of Patients with Neurocognitive Disorders","authors":"Fanny Buckinx PhD,&nbsp;Fabien Ruiz PhD,&nbsp;Stéphanie Dilemme MSc,&nbsp;Marie-Jeanne Kergoat MD, PhD,&nbsp;Olivier Bruyere PhD,&nbsp;Mylène Aubertin-Leheudre PhD","doi":"10.1016/j.jamda.2024.105194","DOIUrl":"10.1016/j.jamda.2024.105194","url":null,"abstract":"","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":"25 10","pages":"Article 105194"},"PeriodicalIF":4.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141913074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Receipt of Home Health and 30-day Outcomes Among Veterans With Dementia Following Inpatient Surgery","authors":"Heather Davila PhD, MPA,&nbsp;Yubo Gao PhD,&nbsp;Katherine E. Hadlandsmyth PhD,&nbsp;Andrea L. Strayer PhD, APRN, CNRN,&nbsp;Michael A. Jacobs MS,&nbsp;Robert A. Tessler MD, MPH,&nbsp;Paula K. Shireman MD, MS, MBA,&nbsp;George L. Wehby PhD,&nbsp;Susanne Schmidt PhD,&nbsp;Leslie R.M. Hausmann PhD, MS,&nbsp;Carly A. Jacobs MPH,&nbsp;Daniel E. Hall MD, MDiv, MHSc, FACS,&nbsp;Mary Vaughan Sarrazin PhD","doi":"10.1016/j.jamda.2024.105291","DOIUrl":"10.1016/j.jamda.2024.105291","url":null,"abstract":"","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":"25 12","pages":"Article 105291"},"PeriodicalIF":4.2,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142365684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Housing Adaptations and Long-Term Care Facility Admissions among Older Adults with Care Needs in Japan","authors":"Rumiko Tsuchiya-Ito PhD ,&nbsp;Seigo Mitsutake PhD ,&nbsp;Satomi Kitamura PhD ,&nbsp;Reina Taguchi PhD ,&nbsp;Yoshinori Takeuchi DVM ,&nbsp;Shinji Hattori PhD ,&nbsp;Shota Hamada DrPH","doi":"10.1016/j.jamda.2024.105290","DOIUrl":"10.1016/j.jamda.2024.105290","url":null,"abstract":"<div><h3>Objectives</h3><div>Housing adaptations may contribute to aging in place for older adults with care needs by reducing the risk of long-term care facility (LTCF) admissions, but this association remains unclear. We examined the association between housing adaptations and LTCF admissions among older adults with care needs.</div></div><div><h3>Design</h3><div>Retrospective cohort study using data from a Japanese municipality.</div></div><div><h3>Setting/Participants</h3><div>Adults aged ≥65 years who were newly certified with care needs under the public long-term care insurance system between April 2014 and March 2016.</div></div><div><h3>Methods</h3><div>The study exposure was the implementation of insurance-covered housing adaptations (maximum covered cost: ¥200,000) during the 2 years after certification. Based on this exposure, participants were assigned to a non-implementation group (no housing adaptations), sub-maximum cost group (housing adaptations below the maximum cost), or maximum cost group (housing adaptations at the maximum cost). A Fine-Gray subdistribution hazards model was used to analyze the associations between the exposure groups and new LTCF admissions after adjusting for various risk factors. Death was regarded as a competing risk, and participants were followed until March 2022.</div></div><div><h3>Results</h3><div>Among 4610 participants, 1261 (27.3%) had implemented housing adaptations. Among these, 943 (74.8%) were in the sub-maximum cost group and 318 (25.2%) were in the maximum cost group. During the follow-up period (median: 51 months), the incidence of LTCF admission was 3.9/1000 person-months in the non-implementation group, 3.8/1000 person-months in the sub-maximum cost group, and 2.8/1000 person-months in the maximum cost group. The adjusted subdistribution hazard ratio of LTCF admission (reference: non-implementation) was 0.90 (95% CI: 0.75–1.08) for the sub-maximum cost group and 0.67 (0.49–0.93) for the maximum cost group.</div></div><div><h3>Conclusions and Implications</h3><div>Housing adaptations can support aging in place for older adults with care needs. Health care professionals and policymakers should consider the suitability of housing environments to reduce the risk of institutionalization.</div></div>","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":"25 12","pages":"Article 105290"},"PeriodicalIF":4.2,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142365683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}