Journal of the American Geriatrics Society最新文献

{"title":"Home- and Community-Based Service Use Among Veterans: The National Landscape","authors":"Katherine E. M. Miller,&nbsp;Megan Price,&nbsp;Katherine O'Malley,&nbsp;Sooyeon Song,&nbsp;Melissa M. Garrido","doi":"10.1111/jgs.19492","DOIUrl":"10.1111/jgs.19492","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The Veteran population is aging rapidly, with already higher rates of disability compared to non-Veteran peers. Consequently, demand for home- and community-based long-term services and supports (HCBS) is increasing. Understanding who needs and uses HCBS is particularly important in the Veterans Health Administration (VHA)—a payer for HCBS. Our objective is to describe the characteristics of Veterans who use HCBS, how Veterans who use HCBS differ from those who do not use HCBS, and how Veterans who use different types of HCBS differ from each other.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We use administrative data for VHA-provided and VHA-purchased care for 2021–2023 in a cohort of Veterans aged 65+. We describe Veteran HCBS users versus nonusers, services used, and the association of Veteran demographic characteristics, health status, and prior health care use on the probability of receiving HCBS using generalized estimating equations with binomial family, logit link, and exchangeable correlation structure.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>One in 10 older Veterans uses at least one HCBS service, and this share is growing over time. Veterans use home health care and homemaker/home health aide services the most. Most Veterans receive one service. We find that Veterans who are female, Black, or diagnosed with dementia are more likely to use HCBS, while Veterans residing in rural areas are less likely.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Like the challenges facing the aging civilian population, the VHA faces the test of meeting the growing demand for HCBS. Understanding these dynamics is essential to ensuring that HCBS is both accessible and effective in supporting Veterans.</p>\u0000 </section>\u0000 </div>","PeriodicalId":17240,"journal":{"name":"Journal of the American Geriatrics Society","volume":"73 6","pages":"1884-1894"},"PeriodicalIF":4.5,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061221","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":"An Objective Method to Determine Nurse Staffing for an Acute Care for Elders (ACE) Hospital Unit: Discrete Event Simulation","authors":"Sandra F. Simmons,&nbsp;Emily K. Hollingsworth,&nbsp;Jason M. Slagle,&nbsp;Jennifer Kim,&nbsp;Lucy Wilson,&nbsp;Avantika Shah,&nbsp;Mariu C. Duggan,&nbsp;John F. Schnelle","doi":"10.1111/jgs.19507","DOIUrl":"10.1111/jgs.19507","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Many hospitals have acute care for elders (ACE) units or engage in programs to enhance care for older inpatients. However, few studies have objectively evaluated nurse staffing models to support care for older inpatients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study applied discrete event simulation (DES) to an ACE unit to objectively evaluate registered nurse (RN) and nursing assistant (NA) staffing allocations. Research staff collected standardized, objective data related to nursing tasks and time requirements to model the ACE unit clinical care environment and evaluate varying RN and NA staffing allocations on measures of nursing workload, care quality, and care efficiency.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>On a 22-bed ACE unit, 85% of patients were aged 65 or older, 37% had cognitive impairment, and 89% required toileting and/or mobility assistance. Nurse care routines were interrupted frequently by unscheduled patient care requests, with an average frequency of 6.1 (±1.6) requests per hour. DES was used to simulate four different RN and NA staffing allocations. Results showed the most common staffing (four RNs and one NA) resulted in the highest nursing workload rates (89% and 88% for RNs and NAs, respectively) and the highest rate of predicted care omissions (6.2%). Additionally, RNs were predicted to help with 83% of NA care tasks related to toileting and mobility assistance. Alternative allocations of four RNs and three NAs or five RNs and two NAs resulted in more feasible workload rates, lower rates of care omissions, and less reliance on RNs for NA care tasks.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>DES provides an objective method to identify nurse staffing needs for an ACE hospital unit. This approach can be used to safely evaluate the potential impact of varying nurse staffing allocations. The DES model for the ACE unit is adaptable to other types of hospital units that care for older patients.</p>\u0000 </section>\u0000 </div>","PeriodicalId":17240,"journal":{"name":"Journal of the American Geriatrics Society","volume":"73 7","pages":"2146-2154"},"PeriodicalIF":4.5,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jgs.19507","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Post-Discharge COVID-19 Symptoms Predict 1-Year Functional Decline, Falls, and Emergency Department Visits: A Cohort Study","authors":"Murilo Bacchini Dias,&nbsp;Thiago J. Avelino-Silva,&nbsp;Eduardo Ferriolli,&nbsp;Leandro Utino Taniguchi,&nbsp;Wilson Jacob-Filho,&nbsp;Claudia Kimie Suemoto,&nbsp;Márlon Juliano Romero Aliberti,&nbsp;the CO-FRAIL Study Group for the COVID HCFMUSP Study Group","doi":"10.1111/jgs.19490","DOIUrl":"10.1111/jgs.19490","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Hospitalization frequently results in persistent symptoms among older adults, raising concerns about the long-term impacts of acute events—a problem amplified by COVID-19. We investigated the effects of persistent symptoms on functional decline and unplanned events over 1 year in older patients recovering from COVID-19 hospitalization.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This prospective cohort included patients aged ≥ 50 years who survived COVID-19 hospitalization between March and December 2020 as part of the CO-FRAIL study at Brazil's largest academic medical center. Persistent symptoms were defined as those reported at admission and continuously present at one-, three-, six-, nine-, and 12-month post-discharge, covering 16 symptoms. Outcomes included functional decline in basic activities of daily living (ADL), mobility activities, instrumental activities of daily living (IADL), number of falls, emergency department (ED) visits, and hospital readmissions. Associations between persistent symptoms and outcomes were examined using mixed-effects negative binomial regression models adjusted for sociodemographic, clinical, hospitalization-related factors, and post-discharge rehabilitation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among 1019 patients (mean age = 65 ± 10 years; women = 45%; White = 62%), 324 (32%) experienced persistent symptoms throughout the year. Fatigue (28%), myalgia (19%), and dyspnea (13%) were the most common. Patients with ≥ 2 symptoms had an increased risk of functional decline in mobility activities (IRR = 2.11; 95% CI = 1.50–2.96), IADL (IRR = 2.00; 95% CI = 1.44–2.79), falls (IRR = 2.56; 95% CI = 1.14–5.75), and ED visits (IRR = 2.69; 95% CI = 1.27–5.70), but not readmissions. Among women, ≥ 1 persistent symptom was associated with a twofold increased risk of ADL decline. One year after discharge, patients with ≥ 2 persistent symptoms developed 1.27 more new disabilities (3.26 vs. 1.99 on a 15-point functional scale) and had 31 more unplanned events per 100 person-years (54.3 vs. 23.2) than those without symptoms.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Persistent symptoms after hospitalization are common and contribute to functional decline, falls, and ED visits in older COVID-19 survivors. These findings suggest that greater attention to symptom burden may support risk identification and improve post-discharge care planning.</p>\u0000 </section>\u0000 </div>","PeriodicalId":17240,"journal":{"name":"Journal of the American Geriatrics Society","volume":"73 6","pages":"1722-1732"},"PeriodicalIF":4.5,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jgs.19490","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Disease and Race-Based Differences in Inpatient Palliative Care Consultation in Cancer and Noncancer Serious Illnesses","authors":"Emily E. Moin,&nbsp;Brian Bayes,&nbsp;Vanessa Madden,&nbsp;Scott D. Halpern,&nbsp;Katherine R. Courtright","doi":"10.1111/jgs.19509","DOIUrl":"10.1111/jgs.19509","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Guidelines recommend timely palliative care consultation (PCC) for hospitalized patients with serious illness, but adherence to such guidelines and variability in access are not well described.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Prospective cohort study from March 21, 2016 to August 8, 2018 during the usual care period of a cluster-randomized trial at 11 hospitals in 8 US states. We included adults age 45 and older with cancer, chronic obstructive pulmonary disease (COPD), dementia, heart failure, or kidney failure. Exposures included diagnoses, demographics, and hospital characteristics, and outcomes included predicted probability and timing of PCC.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among 40,074 inpatient encounters (median age 72 years [IQR 62–82], 46.9% male, 22.7% Black, 4.6% Hispanic), the most common serious illness was heart failure (66.0%), followed by COPD (39.3%), kidney failure (12.4%), cancer (12.3%), and dementia (11.6%). The overall rate of PCC was 11.6% (95% CI 11.3%–11.9%), ranging across hospitals from 4.2% (95% CI 3.3%–5.3%) to 23.3% (95% CI 19.6%–27.4%). Patients with dementia (20.6%, 95% CI 19.4%–21.7%) and cancer (19.5%, 95% CI 18.5%–20.7%) received PCC the most, and those with kidney failure the least (8.2%, 95% CI 7.5%–9.0%). Median time to PCC after admission was 3 days (IQR 1–6); patients with heart failure, COPD, and kidney failure received PCC 1 day later at the median compared to cancer and dementia. Predictors of increased odds of receiving PCC included being Black or Asian (aOR 1.12, 95% CI 1.02–1.23; aOR 1.67, 95% CI 1.31–2.12, respectively) and being admitted to a hospital with a higher overall rate of PCC orders (aOR 1.11, 95% CI 1.08–1.13).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>PCC was underutilized overall and varied substantially in frequency and timing across hospitals, diseases, and patient race. These findings underscore the need to implement standardized approaches to improve adherence to guideline-recommended PCC.</p>\u0000 </section>\u0000 </div>","PeriodicalId":17240,"journal":{"name":"Journal of the American Geriatrics Society","volume":"73 7","pages":"2155-2165"},"PeriodicalIF":4.5,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jgs.19509","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Proposed Universal “Home Time” Quality of Life Measure for Older Adults","authors":"Courtney H. Van Houtven,&nbsp;Nathan A. Boucher,&nbsp;Kasey Decosimo,&nbsp;Chelsea L. Whitfield,&nbsp;Paul A. Dennis,&nbsp;Valerie A. Smith,&nbsp;Karen M. Stechuchak,&nbsp;Brystana G. Kaufman,&nbsp;S. Nicole Hastings,&nbsp;Semra Ozdemir,&nbsp;Nina R. Sperber","doi":"10.1111/jgs.19506","DOIUrl":"10.1111/jgs.19506","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Researchers and insurers use “home time,” or an individual's time at home compared to time in different health care settings, as a population-level quality of life (QoL) or quality of care measure. With varying definitions, it is unknown which components of a home time measure most closely reflect QoL. Our objective is to develop a person-centered universal home time measure agnostic to condition.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We used an iterative, structured approach based on Delphi methods to obtain expert input on what a measure should include, using qualitative and quantitative evidence from prior work. A total of 28 expert panelists, including Veterans Affairs (VA) leaders, clinician researchers, and non-clinician researchers, participated. In the first round, panelists voted on components (settings, weights, timeframes) to include in a home time measure. In the second round, panelists discussed results. The third round was final voting and explanations of choices and caveats.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Qualitative and quantitative data suggested that emergency department, inpatient care, and post-acute care settings all affect older adults' QoL in different ways, supporting inclusion; 75% of the experts endorsed all settings, and discussion suggested that future work should limit ED days to visits resulting in an inpatient admission. Our data did not reveal a clear indication for weighting settings: 56% of the expert panel suggested continuing to explore the use of weights to arrive at values that would reflect qualitative differences in settings, and 44% did not support the use of any weights. Our 6-month models resulted in QoL outcomes for all settings, and 30% of experts endorsed a 6-month timeframe, while 65% said that timeframe would depend on the situation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>A “1.0” universal person-centered home time measure that reflects QoL should include days in the emergency department, inpatient care, and post-acute care. Expert input revealed domains of agreement and disagreement. Future validation efforts that incorporate expert input are needed to iterate and arrive at the optimal measure.</p>\u0000 </section>\u0000 </div>","PeriodicalId":17240,"journal":{"name":"Journal of the American Geriatrics Society","volume":"73 8","pages":"2366-2375"},"PeriodicalIF":4.5,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063359","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":"Attitudes About Clinical Trials of Medications in Older Hispanic/Latino Adults With Multimorbidity","authors":"Ruey-Ying Liu,&nbsp;Janice B. Schwartz,&nbsp;Bruno Renero-Hannan,&nbsp;Irene Del Mastro N,&nbsp;Derjung M. Tarn","doi":"10.1111/jgs.19495","DOIUrl":"10.1111/jgs.19495","url":null,"abstract":"&lt;p&gt;Hispanic/Latino individuals represent a rapidly growing segment of the US population, yet older Hispanic/Latino adults remain underrepresented in clinical trials of new medications [&lt;span&gt;1, 2&lt;/span&gt;]. Since people of different ages, races, or ethnicities may respond differently to therapeutic agents [&lt;span&gt;3-5&lt;/span&gt;], this gap raises concerns about medication efficacy and safety. This study explores barriers and facilitators of clinical trial participation among older Hispanic/Latino adults with multiple chronic conditions.&lt;/p&gt;&lt;p&gt;We conducted focus groups between February and September 2023 with adults aged 65 years and older who self-identified as Hispanic/Latino of Mexican origin and reported taking five or more prescription medications. Participants were recruited from senior centers in Los Angeles and San Francisco through information sessions and flyers and from UCLA and UCSF through electronic health record data extractions and email invitations. Respondents were sampled based on their preferred language (English or Spanish) and previous participation in research studies (Supporting Information Figure S1).&lt;/p&gt;&lt;p&gt;Focus groups were conducted in person or via Zoom, moderated by a Spanish-English bilingual researcher using a semi-structured guide to investigate participants' perspectives of clinical trial participation. Participants received compensation for their participation. Focus groups were analyzed in ATLAS.ti 23 using thematic analysis [&lt;span&gt;6&lt;/span&gt;]. Theoretical saturation [&lt;span&gt;7&lt;/span&gt;] was achieved. The UCSF Institutional Review Board (IRB) approved the study protocol.&lt;/p&gt;&lt;p&gt;We conducted 14 focus groups with 93 participants (Table 1): nine with 61 participants without previous research experience and five with 32 participants with previous research experience, including 7 who had participated in clinical trials. The mean age was 72.1 years (SD = 5.4); 55 (59.1%) were female, and 51 (54.8%) opted for Spanish-speaking groups. See Supporting Information Tables S1 and S2 for additional participant characteristics. We identified major themes concerning clinical trial participation (Table 2).&lt;/p&gt;&lt;p&gt;Our findings reveal key barriers to clinical trial participation among older Hispanic/Latino adults. While participants expressed general concerns about medication safety and logistical burdens, limited awareness and culturally specific barriers—especially mistrust—were particularly prominent. To build trust, involving physicians and family members in recruitment may be critical, as both were identified as influential in enrollment decisions.&lt;/p&gt;&lt;p&gt;Our results align with existing recommendations of providing linguistically and culturally appropriate engagement to enhance clinical trial participation among ethnic minority groups [&lt;span&gt;5, 9, 10&lt;/span&gt;]. However, participants also emphasized within-group diversity, including Spanish dialects, country of origin, and generational differences, which should be considered when developing inter","PeriodicalId":17240,"journal":{"name":"Journal of the American Geriatrics Society","volume":"73 8","pages":"2607-2612"},"PeriodicalIF":4.5,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://agsjournals.onlinelibrary.wiley.com/doi/epdf/10.1111/jgs.19495","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Deprescribing Benzodiazepine Receptor Agonists in Older Adults and People With Cognitive Impairment: A Systematic Review","authors":"Aisling M. McEvoy,&nbsp;Aili V. Langford,&nbsp;Shin J. Liau,&nbsp;Darshna Goordeen,&nbsp;Emily Reeve,&nbsp;Justin P. Turner","doi":"10.1111/jgs.19512","DOIUrl":"10.1111/jgs.19512","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Benzodiazepine receptor agonists (BZRAs) (benzodiazepines and z-drugs) may provide limited benefits in the management of insomnia when used short-term. However, they increase the risk of harms including falls, fractures, hospitalizations, and cognitive impairment. Deprescribing (cessation) of BZRAs may be beneficial for older adults and people living with cognitive impairment as they are at heightened risk of adverse events. This review investigated the effects of patient-directed, non-pharmacological interventions to support deprescribing of BZRAs used for insomnia in older adults and people living with cognitive impairment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Embase, CENTRAL, Scopus, and Medline were searched in January 2024 with no publication date restrictions. Screening, data extraction, and risk of bias assessments (ROB2 for randomized studies, ROBINS-I for non-randomized studies) were conducted independently by two authors. Outcomes of interest included the proportion of participants who ceased BZRAs, reduction in BZRAs, switching to another medication, sleep outcomes, and clinical outcomes. Studies were included if they investigated BZRA deprescribing in older adults (≥ 65 years) or people living with cognitive impairment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Seventeen reports analyzing 16 studies in hospital, community, and aged care settings were included. BZRA cessation rates ranged between 23% to 72% for written education (<i>n</i> = 6); 14% to 57% for combined written and verbal education (<i>n</i> = 5); and 9% to 100% for multi-component interventions (<i>n</i> = 6). One report investigated a BZRA deprescribing educational intervention in people with cognitive impairment and found comparable effectiveness to participants without cognitive impairment. Most studies were at a high risk of bias.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Patient-directed interventions led to BZRA cessation, although there was significant variability between studies. It is unknown if all interventions examined are similarly effective for people living with cognitive impairment. Further research investigating approaches to deprescribing BZRAs in older adults or people with cognitive impairment is required.</p>\u0000 </section>\u0000 </div>","PeriodicalId":17240,"journal":{"name":"Journal of the American Geriatrics Society","volume":"73 9","pages":"2905-2913"},"PeriodicalIF":4.5,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://agsjournals.onlinelibrary.wiley.com/doi/epdf/10.1111/jgs.19512","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Volunteering as a Modifiable Determinant of Depression in Older Adults: Comments on the LongROAD Study","authors":"Gokhan Koker","doi":"10.1111/jgs.19517","DOIUrl":"10.1111/jgs.19517","url":null,"abstract":"<p>We read with great interest the article by Xi and colleagues, “Prevalence of Depression in Older Adults and the Potential Protective Role of Volunteering: Findings From the LongROAD Study,” recently published in the <i>Journal of the American Geriatrics Society</i> [<span>1</span>]. The authors found that 6.2% of community-dwelling older adults aged 65–79 years had depression and that volunteering was associated with significantly reduced odds of depression (adjusted OR: 0.57; 95% CI: 0.40–0.81).</p><p>We commend the authors for identifying volunteering as a potentially modifiable protective factor. However, we would like to offer several points to further contextualize their findings.</p><p>The cross-sectional design limits causal interpretation. Longitudinal studies are needed to distinguish whether volunteering actively reduces depression or whether individuals with better mental health are more inclined to volunteer [<span>2</span>].</p><p>Secondly, the mediating mechanisms through which volunteering impacts mental health—such as social connectedness, role identity, and cognitive engagement—were not explored and deserve further investigation [<span>3, 4</span>].</p><p>Disparities in access to volunteering opportunities across sociodemographic groups (e.g., income, education) may confound these associations. Prior research suggests selection processes significantly influence both volunteering behaviors and their mental health outcomes [<span>5</span>].</p><p>Finally, while the PROMIS Depression scale is valid, incorporating geriatric-specific instruments such as the Geriatric Depression Scale (GDS) would enhance sensitivity in older populations [<span>6</span>].</p><p>In summary, this study highlights a promising avenue for psychosocial intervention in aging populations. We support further longitudinal and mechanistic work to better understand how volunteerism can be leveraged as a strategy to reduce late-life depression.</p><p>The author is solely responsible for the conception, drafting, and revision of this letter.</p><p>The author has nothing to report.</p><p>The author declares no conflicts of interest.</p>","PeriodicalId":17240,"journal":{"name":"Journal of the American Geriatrics Society","volume":"73 8","pages":"2627-2628"},"PeriodicalIF":4.5,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://agsjournals.onlinelibrary.wiley.com/doi/epdf/10.1111/jgs.19517","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editing Geriatric Medicine Journals: Perspectives From the Editors-in-Chief of Age and Ageing, European Geriatric Medicine and the Journal of the American Geriatrics Society","authors":"Roy L. Soiza,&nbsp;Alfonso J. Cruz Jentoft,&nbsp;Joseph G. Ouslander","doi":"10.1111/jgs.19429","DOIUrl":"10.1111/jgs.19429","url":null,"abstract":"<div>\u0000 \u0000 <p>This article has been simultaneously published in <i>Journal of the American Geriatrics Society</i> (published by Wiley Periodicals LLC on behalf of The American Geriatrics Society), <i>Age and Ageing</i> (published by Oxford University Press on behalf of British Geriatrics Society), and <i>European Geriatric Medicine</i> (published by Springer on behalf of European Geriatric Medicine Society). All rights reserved. The articles are identical except for minor stylistic and spelling differences in keeping with each journal's style.</p>\u0000 </div>","PeriodicalId":17240,"journal":{"name":"Journal of the American Geriatrics Society","volume":"73 6","pages":"1975-1978"},"PeriodicalIF":4.5,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059015","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":"Waiting for the Other Shoe to Drop","authors":"John R. Burton","doi":"10.1111/jgs.19505","DOIUrl":"10.1111/jgs.19505","url":null,"abstract":"","PeriodicalId":17240,"journal":{"name":"Journal of the American Geriatrics Society","volume":"73 6","pages":"1940-1942"},"PeriodicalIF":4.5,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144065548","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}