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The Journal of Applied Gerontology最新文献

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What Quality Paid Home Care Means to Family Caregivers 优质的有偿家庭护理对家庭照顾者意味着什么
The Journal of Applied Gerontology Pub Date : 2004-09-01 DOI: 10.1177/0733464804267972
K. Piercy, G. Dunkley
{"title":"What Quality Paid Home Care Means to Family Caregivers","authors":"K. Piercy, G. Dunkley","doi":"10.1177/0733464804267972","DOIUrl":"https://doi.org/10.1177/0733464804267972","url":null,"abstract":"The authors investigate the meanings of paid home care for family caregivers to frail older adults, comparing and contrasting what good and poor quality home care means to their caregiving efforts. Semistructured interviews were conducted with caregivers and were analyzed qualitatively, using McCracken’s (1988) five-step method for analysis of long interviews. Data from two studies were combined because of similarities in sample characteristics and interview questions and because data from the second study included both positive and negative experiences with home care providers. The authors find that caregivers perceived that good-quality paid home care facilitated enhanced quality of life for care recipients and improved perceptions of their performances as caregivers. When paid home care was of poor quality, caregivers felt more stress and increased their monitoring of providers. Caregiver circumstances, as well as care recipient needs, should be considered in making decisions about who receives formal home care services.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"66 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2004-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114759559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 21
Coping Behaviors as Predictors of Drinking Practices among Primary in-Home Dementia Caregivers 应对行为作为主要家庭痴呆照护者饮酒习惯的预测因子
The Journal of Applied Gerontology Pub Date : 2004-09-01 DOI: 10.1177/0733464804267577
L. Mjelde-Mossey, M. Barak, B. Knight
{"title":"Coping Behaviors as Predictors of Drinking Practices among Primary in-Home Dementia Caregivers","authors":"L. Mjelde-Mossey, M. Barak, B. Knight","doi":"10.1177/0733464804267577","DOIUrl":"https://doi.org/10.1177/0733464804267577","url":null,"abstract":"This study examines the predictive value of coping behaviors in discriminating drinkers from nondrinkers among 109 primary in-home dementia caregivers. The participants were enrolled in a caregivers education project and completed comprehensive health and psychosocial assessments prior to receiving education. Coping was measured using the Ways of Coping Questionnaire. Questions on alcohol use were embedded in a self-administered portion of the assessment. A model testing the predictive value of coping behaviors in discriminating drinkers from nondrinkers was found to be significant (p < .0393). Caregivers who used self-controlling or distancing coping were more likely to be classified as drinkers, and those who used positive reappraisal or confrontive coping were more likely to be classified as nondrinkers. As the number of caregivers increases, gaininga greater understanding of relationships between caregiver copingand behaviors with potential for negative health and psychosocial consequences, such as alcohol use, can have useful applications in practice.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2004-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121943291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
Is the APOE ∊4 Allele a Risk to Person-Environment Fit? APOE 4等位基因对人-环境契合度有影响吗?
The Journal of Applied Gerontology Pub Date : 2004-09-01 DOI: 10.1177/0733464804267565
J. Hays, B. Burchett, G. Fillenbaum, D. Blazer
{"title":"Is the APOE ∊4 Allele a Risk to Person-Environment Fit?","authors":"J. Hays, B. Burchett, G. Fillenbaum, D. Blazer","doi":"10.1177/0733464804267565","DOIUrl":"https://doi.org/10.1177/0733464804267565","url":null,"abstract":"This study uses Lawton’s model of “the good life” to examine whether the Apolipoprote in E-∊4 genotype functions as a risk factor not only for specific diseases but also for a misfit between elders’ personal needs and their physical and social environments. A biracial cohort of communitydwelling elders from five North Carolina Piedmont counties was assessed annually for 10 years. Six-year survivors (N = 2,076) were genotyped for this retrospective-prospective cohort study. Compared to those in whom this allele was absent, participants with the 4 allele were not different in social or residential resources, social behavioral competence, or perceived quality of resources. Exposed elders had an excess 10-year adjusted risk of institutionalization of 1.72 (95% CI = 1.29, 2.29), totally mediated by cognitive problems. The threat of the APOE 4 genotype to person-environment fit is mediated by cognitive problems, a finding that has focused but important implications for residential decision making in late life.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2004-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131497163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
Factors Effecting Volunteer Ombudsman Effort and Service Duration: Comparing Active and Resigned Volunteers 影响志愿调查员工作努力和服务时间的因素:比较现役和离职志愿者
The Journal of Applied Gerontology Pub Date : 2004-09-01 DOI: 10.1177/0733464804267581
H. Wayne Nelson, F. Ellen Netting, R. Huber, K. Borders
{"title":"Factors Effecting Volunteer Ombudsman Effort and Service Duration: Comparing Active and Resigned Volunteers","authors":"H. Wayne Nelson, F. Ellen Netting, R. Huber, K. Borders","doi":"10.1177/0733464804267581","DOIUrl":"https://doi.org/10.1177/0733464804267581","url":null,"abstract":"Volunteers are key to successful ombudsmen programs. Motivating them and keeping them is difficult. The principal goal of this article is to compare active and resigned volunteer ombudsman perceptions (along with select demographic influences) of factors that either encouraged or discouraged their work. The authors find that former ombudsmen felt more role ambiguity, greater nursing facility resistance, higher boredom, and desired better supervision than active volunteer ombudsmen. They also served less time in significantly smaller facilities. Both active and resigned volunteers perceived relatively high role conflict. Implications regarding strategies to improve volunteer ombudsman work effort and retention are discussed.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2004-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131146871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 10
The Structure and Stability of Perceived Togetherness in Elderly People during a 5-Year Follow-Up 5年随访中老年人感知团聚的结构和稳定性
The Journal of Applied Gerontology Pub Date : 2004-09-01 DOI: 10.1177/0733464804267582
P. Tiikkainen, R. Heikkinen, E. Leskinen
{"title":"The Structure and Stability of Perceived Togetherness in Elderly People during a 5-Year Follow-Up","authors":"P. Tiikkainen, R. Heikkinen, E. Leskinen","doi":"10.1177/0733464804267582","DOIUrl":"https://doi.org/10.1177/0733464804267582","url":null,"abstract":"The objective of this study was to study the structure andstability of perceived togetherness using cross-sectional and longitudinal confirmatory factor analysis models. Togetherness was measured with the self-administered Social Provision Scale (SPS). The sample consisted of 111 persons interviewed in connection with the Evergreen project’s 5-year follow-up at ages 80 and 85. One and two-factormodels were specified separately at two different pointsof measurement. The stability of the factor models’ structure and the level of latent factors was studied using longitudinal factor analysis models. The two-factor model fit the data better than the one-factor model. Perceived togetherness was differentiated into factors of emotional and social togetherness. The structure of perceived togetherness remainedunchanged during the 5-year follow-up. In terms of means, the latent factors showed a statistically highly significant decline in time (i.e. perceived togetherness decreased with increasing age).","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2004-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128376655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 18
Retirement Planning and Retirement Satisfaction: The Need for a National Retirement Program and Policy in Hong Kong 退休计划与退休满意度:香港对全国性退休计划及政策的需要
The Journal of Applied Gerontology Pub Date : 2004-09-01 DOI: 10.1177/0733464804268591
W. K. Lee, Kenneth Law
{"title":"Retirement Planning and Retirement Satisfaction: The Need for a National Retirement Program and Policy in Hong Kong","authors":"W. K. Lee, Kenneth Law","doi":"10.1177/0733464804268591","DOIUrl":"https://doi.org/10.1177/0733464804268591","url":null,"abstract":"This study, based on a telephone survey, examines retirement planning behaviors and retirement satisfaction of 1,078 middle-aged respondents in Hong Kong. The findings show that, in general, middle-aged Hong Kong adults do little retirement planning. Retirement planning behaviors focus on a very narrow set of activities, including financial and health planning. Of the 19 planning variables, only a few were significantly related to perception of sufficiency in retirement planning and retirement satisfaction. More important, middle-aged adults in Hong Kong no longer feel that they can depend on their family for support for retirement planning or satisfaction during retirement. The lack of private and public support for retirement planning left the respondents feeling unsure as to whether they have the capability to plan sufficiently for retirement. The discussion concludes with policy implications related to assisting middle-aged individuals in planning for retirement.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"19 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2004-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134195118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 65
Problem Identification and Care Plan Responses in a Home and Community-Based Services Program 家庭和社区服务项目中的问题识别和护理计划回应
The Journal of Applied Gerontology Pub Date : 2004-09-01 DOI: 10.1177/0733464804267970
S. Diwan, L. Shugarman, B. Fries
{"title":"Problem Identification and Care Plan Responses in a Home and Community-Based Services Program","authors":"S. Diwan, L. Shugarman, B. Fries","doi":"10.1177/0733464804267970","DOIUrl":"https://doi.org/10.1177/0733464804267970","url":null,"abstract":"This study examines how case managers identify and respond to home care client needs through chart reviews of 169 randomly selected clients in a homecare program. Algorithms from the Minimum Data Set for Home Care to identify client needs were applied to the existing data to determine whether a potential problem existed in any of 23 broad categories of need. The authors also determine whether these problems were noted by the case manager and identify various types of responses made in the care plan. Compared to the range of problems identified with the algorithms, case managers were more likely to note functional and mental health problems than clinical health problems. Some problem categories (e.g., functional performance and brittle support) almost always received a response, whereas others (e.g., sensory performance, mental health, and some clinical problems) remained unmet even when the problem was noted. Implications for training case managers and resource development in the community are discussed.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2004-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126824227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 13
Care Managers as Research Interviewers: A Test of a Strategy for Gathering Consumer Satisfaction Information 护理经理作为研究采访者:收集消费者满意度信息策略的测试
The Journal of Applied Gerontology Pub Date : 2004-09-01 DOI: 10.1177/0733464804267971
L. D. Murdoch, S. Kunkel, R. Applebaum, J. Straker
{"title":"Care Managers as Research Interviewers: A Test of a Strategy for Gathering Consumer Satisfaction Information","authors":"L. D. Murdoch, S. Kunkel, R. Applebaum, J. Straker","doi":"10.1177/0733464804267971","DOIUrl":"https://doi.org/10.1177/0733464804267971","url":null,"abstract":"Care managers from local Area Agencies on Aging, operating Ohio’s home- and community based waiver program (PASSPORT), were trained as research interviewers to collect consumer satisfaction data from clients receiving in-home services using the Home Care Satisfaction Measure (Geron, Smith, Tennstedt, Jette, Chassler, & Kasten, 2000). The data for homemaker and home health aide scales were comparable to those collected by independent research interviewers for interrater reliability and showed no significant difference between the two groups. The scores on the home-delivered meals index obtained by care managers were slightly but significantly higher than those obtained by the research interviewers. A slight, but significant, difference was found on the home-delivered meals index, although differences between most individual items were not significant. Overall, findings indicate that care managers, when appropriately trained, can collect reliable, scientifically sound data, providing a cost-effective method for collecting satisfaction information from consumers receiving in-home care.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"107 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2004-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133155795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
The Role of Social Engagement in Life Satisfaction: Its Significance among Older Individuals with Disease and Disability 社会参与在生活满意度中的作用:在老年疾病和残疾个体中的意义
The Journal of Applied Gerontology Pub Date : 2004-09-01 DOI: 10.1177/0733464804267579
Y. Jang, J. Mortimer, W. Haley, A. Graves
{"title":"The Role of Social Engagement in Life Satisfaction: Its Significance among Older Individuals with Disease and Disability","authors":"Y. Jang, J. Mortimer, W. Haley, A. Graves","doi":"10.1177/0733464804267579","DOIUrl":"https://doi.org/10.1177/0733464804267579","url":null,"abstract":"The present study examines social engagement (social network and participationin social activities) and its relation to life satisfaction among 354 community-dwelling, cognitively intact older individuals (M age = 72.4 years) with different combinations of disease and disability. Specifically, the analysis focused on individuals with disease but no disability (N = 186) and those with both disease and disability (N = 168). Individuals with both disease and disability had significantly lower levels of participation in social activities and life satisfaction; however, their level of social engagement was more strongly associated with life satisfaction as compared with individuals with disease but no disability. Disabled individuals may compensate for their lower physical function by placing more emphasis on social networks and social activities. Implications for enhancing social engagement and improving the quality of life among disabled older individuals are discussed.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2004-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126393076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 120
Join Now!!! 现在加入! !
The Journal of Applied Gerontology Pub Date : 2002-12-01 DOI: 10.1177/073346480402300310
{"title":"Join Now!!!","authors":"","doi":"10.1177/073346480402300310","DOIUrl":"https://doi.org/10.1177/073346480402300310","url":null,"abstract":"","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115045909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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