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The Journal of Applied Gerontology最新文献

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Predictors of Anticipating Caregiving in Multigeneration Families: An Exploratory Study 多代家庭预期照顾的预测因素:一项探索性研究
The Journal of Applied Gerontology Pub Date : 1998-12-01 DOI: 10.1177/073346489801700406
S. Sörensen
{"title":"Predictors of Anticipating Caregiving in Multigeneration Families: An Exploratory Study","authors":"S. Sörensen","doi":"10.1177/073346489801700406","DOIUrl":"https://doi.org/10.1177/073346489801700406","url":null,"abstract":"This study exploredfactors that predict anticipation of future caregiving by aging mothers, their daughters, and their granddaughters in 33 three-generation families. Results indicated that daughters'tendency to discussfuture caregiving with others was predicted by their mother's age but not health. Dyadic relationship quality predicted granddaughters', but not mothers' or daughters'anticipation of care needs. Internal locus of control was associated with more prepa ration for caregiving. The effect offilial obligation was moderated by dyadic relationship quality (for daughters) and health (for mothers). Three implications for practitioners and policy makers are discussed: (a) A complex interplay of variables must be considered when encouraging peo ple to prepare for caregiving; (b) individuals may actively avoid preparation, especially when unfavorable expectations limit their ability to process relevant information; (c) efforts to encour age future planning should take into account the complex networks of assistance and obligation in which older adults are embedded.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"141 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131694085","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: 36
Primary Care Physicians' Knowledge and Behavior Related to Alzheimer's Disease 初级保健医生与阿尔茨海默病相关的知识和行为
The Journal of Applied Gerontology Pub Date : 1998-12-01 DOI: 10.1177/073346489801700404
Courtney Brown, E. Mutran, P. Sloane, K. Long
{"title":"Primary Care Physicians' Knowledge and Behavior Related to Alzheimer's Disease","authors":"Courtney Brown, E. Mutran, P. Sloane, K. Long","doi":"10.1177/073346489801700404","DOIUrl":"https://doi.org/10.1177/073346489801700404","url":null,"abstract":"A national sample of primary care physicians from the American Medical Association database was surveyed to examine primary care physician knowledge and physician practices related to Alzheimer's disease (AD). A previously validated instrument, The University of Alabama at Bir mingham Alzheimer's Disease Knowledge Testfor Health Professionals, was used to assess phy sician knowledge. The survey also included questions regarding the frequency of performing di agnostic, treatment, and support behaviors for Alzheimer's patients and families. Scores on the knowledge portion of the questionnaire varied widely, with internists and family practitioners scoring better than general practitioners, and younger physicians scoring higher than older physicians. Overall, primary care physicians made few new diagnoses and infrequently per formed behaviors related to the diagnostic process, treatment, and recommendation of support services. Weak, positive associations werefound between physician level of knowledge and six of the nine AD practice behaviors investigated. Implications of these findings are discussed, and strategies to improve knowledge of physicians caring for people with AD are outlined.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134538861","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: 27
An Examination of Nursing Home Personnel's Perceptions of Residents' Autonomy 养老院工作人员对居民自主性认知的调查
The Journal of Applied Gerontology Pub Date : 1998-12-01 DOI: 10.1177/073346489801700403
L. Mullins, L. Moody, R. Colquitt, A. Mattiasson, L. Andersson
{"title":"An Examination of Nursing Home Personnel's Perceptions of Residents' Autonomy","authors":"L. Mullins, L. Moody, R. Colquitt, A. Mattiasson, L. Andersson","doi":"10.1177/073346489801700403","DOIUrl":"https://doi.org/10.1177/073346489801700403","url":null,"abstract":"Autonomy, especially of nursing home residents, concerns the essence of values such as personal freedom and independence. This study examines Collopy's six polar dimensions of autonomy from the perspective of 202 nursing home personnel from a sample of 15 nursing homes in West Central Florida. Using regression analysis, autonomy was examined with respect to four catego ries of variables: (a) nursing home staff background factors, for example, education; (b) nursing home staff attitudinal issues, for example, job satisfaction; (c) staffing issues, for example, turn over rates of nurses; and (d) formal facility and resident characteristics, for example, percentage of residents physically restrained. The results confirm that autonomy is a complex construct with considerable subtlety. The most predictive set of variables overall include race, educational at tainment, and employee type (i.e., certified nursing assistants vs. others). The results are dis cussed with respect to their implications for care.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116695142","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: 16
Targets, Messages, and Channels for Educational Interventions on Urinary Incontinence 尿失禁教育干预的目标、信息和途径
The Journal of Applied Gerontology Pub Date : 1998-12-01 DOI: 10.1177/073346489801700401
S. Mcfall, A. Yerkes
{"title":"Targets, Messages, and Channels for Educational Interventions on Urinary Incontinence","authors":"S. Mcfall, A. Yerkes","doi":"10.1177/073346489801700401","DOIUrl":"https://doi.org/10.1177/073346489801700401","url":null,"abstract":"This article documents a collaborative health agency-university community demonstration project on urinary incontinence in older women. The basic program-research division of respon sibility was blurred substantially in this collaboration. The article focuses on a telephone survey of 321 elderly women conducted as part of a needs assessment, which also served as baseline data in the evaluation of a public education initiative. The survey provided information for defin ing target populations, shaping educational messages, and selecting communication channels. The prevalence of involuntary urine loss was 34%, with 20% of all women reporting weekly in continence. There were few differences by continence status in health, sociodemographic char acteristics, orbeliefs about incontinence. Women used many communication channels for health information and had a preference for information from health professionals. Factors that con tributed to the collaborative relationship included technical expertise, diversity of expertise and perspectives, and the enhancement of capacity in collaborators.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"163 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128099626","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
Promoting Help-Seeking Behavior for Urinary Incontinence 促进尿失禁的求助行为
The Journal of Applied Gerontology Pub Date : 1998-12-01 DOI: 10.1177/073346489801700402
Theodore M. Johnson, J. Busby‐Whitehead, C. Ashford-Works, M. Kimberly Clarke, Lauren L. Fowler, Mark E. Williams
{"title":"Promoting Help-Seeking Behavior for Urinary Incontinence","authors":"Theodore M. Johnson, J. Busby‐Whitehead, C. Ashford-Works, M. Kimberly Clarke, Lauren L. Fowler, Mark E. Williams","doi":"10.1177/073346489801700402","DOIUrl":"https://doi.org/10.1177/073346489801700402","url":null,"abstract":"The authors evaluated the effectiveness of a combined primary care physician education and public awareness campaign about urinary incontinence. The campaign was designed to (a) trig ger help-seeking behavior in older adults with urine leakage problems and (b) encourage pri mary care providers to offer appropriate treatment for urinary incontinence (UI). Outcome measures included datafrom helpline callers and physician surveys before and after the two in terventions. Most callers who later sought care turned to their primary care physician. The me dian estimated number of patients presenting with UI in primary care doctor's offices changed from 9 per month to 11 per month, a change that was not statistically significant. Physicians'op timism for the potential gains from incontinence treatment increased.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126194045","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: 8
How Linked Are Physicians to Community Support Services for Their Patients With Dementia? 医生与痴呆症患者社区支持服务的关系如何?
The Journal of Applied Gerontology Pub Date : 1998-12-01 DOI: 10.1177/073346489801700405
R. Fortinsky
{"title":"How Linked Are Physicians to Community Support Services for Their Patients With Dementia?","authors":"R. Fortinsky","doi":"10.1177/073346489801700405","DOIUrl":"https://doi.org/10.1177/073346489801700405","url":null,"abstract":"Physicians increasingly are expected to link patients affected by dementia and theirfamilies with community support services; yet, little is known about physicians' referral patterns or their fa miliarity with such services. This study of 206 physicians found that respondents were more likely to refer dementia patients and families to home health agencies and nursing homes than to respite or adult day care, the local Alzheimer's Association, or the local Area Agency on Aging. Physicians with more than 20 dementia patients in their practices were most likely to refer. Un certainty about available community services was ranked higher than time or reimbursement constraints as a barrier to care for dementia patients. Physicians in practice 1 to 5 years were more uncertain about available services than physicians in practice more than 20 years. Crea tive interventions to link physicians with community support services specializing in dementia care would benefit physicians, patients, and family caregivers.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129843813","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: 36
Introduction: Seniors and the Drug Information Age 导言:老年人与毒品信息时代
The Journal of Applied Gerontology Pub Date : 1998-09-01 DOI: 10.1177/073346489801700301
N. Chappell, M. Maclure
{"title":"Introduction: Seniors and the Drug Information Age","authors":"N. Chappell, M. Maclure","doi":"10.1177/073346489801700301","DOIUrl":"https://doi.org/10.1177/073346489801700301","url":null,"abstract":"Health reform of the 1990s has been largely cost-driven, with attention focused on cost efficiency and some, albeit less, emphasis on intervention effectiveness. Together with a health care crisis, the decade has simultaneously been characterized by an information crisis, yet little research has focused on the relevance of the knowledge explosion in health care. What is commonly called the health care &dquo;crisis&dquo; (defined as a turning point in The Concise Oxford Dictionary) is an international problem resulting from the increase in supply of and demand for health care services beyond the capacity of third-party payers’ budgets (Evans, Barer, & Hertzman,1991 ). At the same time, the information revolution is increasing the supply of and demand for information beyond the capacity of people to handle it. The two, the health care and information crises, merge in the area of prescription drugs. Seniors, clinicians, and third-party payers are deluged with conflicting information from multiple sources. The articles in this special section deal with the information age in the area of prescription medication use and seniors. They variously explore the information overload for policy makers (in this in-","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"195 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1998-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114252914","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: 1
Exploring Strain in Community and Nursing Home Family Caregivers 社区和养老院家庭照顾者的压力研究
The Journal of Applied Gerontology Pub Date : 1998-09-01 DOI: 10.1177/073346489801700306
K. Bowman, Snigdha Mukherjee, R. Fortinsky
{"title":"Exploring Strain in Community and Nursing Home Family Caregivers","authors":"K. Bowman, Snigdha Mukherjee, R. Fortinsky","doi":"10.1177/073346489801700306","DOIUrl":"https://doi.org/10.1177/073346489801700306","url":null,"abstract":"This research compared strain among 581 family caregivers of nursing home and community dwelling older persons whose level of cognitive impairment ranged from none to severe. The study explored differences between the two caregiver groups in global and domain-specific strain, the impact of elders' cognitive impairments on strain, and correlates of strain. In models controlling for important correlates of caregiving, findings revealed no differences between caregiver groups on any measure of strain. Cognitive impairment was associated with increases in all strain measures for community caregivers, but only increased overall and emotional strain for nursing home caregivers. Characteristics of caregivers and caregiving situations were related to strain differently, depending on the domain of strain and examined and the site of care. Implications for practice in nursing home settings are discussed.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1998-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124748856","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: 23
Taking Policy Action to Reduce Benzodiazepine Use and Promote Self-Care Among Seniors 采取政策行动减少苯二氮卓类药物的使用并促进老年人的自我护理
The Journal of Applied Gerontology Pub Date : 1998-09-01 DOI: 10.1177/073346489801700304
N. Hall
{"title":"Taking Policy Action to Reduce Benzodiazepine Use and Promote Self-Care Among Seniors","authors":"N. Hall","doi":"10.1177/073346489801700304","DOIUrl":"https://doi.org/10.1177/073346489801700304","url":null,"abstract":"This article reviews current knowledge on the risks and benefits of benzodiazepine use for seniors and addresses potential policies that could be made to reduce use and support sentors' mental health. Although seniors are only 12% to 15% of the population, they consume between 35% and 52% of all benzodiazepines prescribed in Canada and the United States. Despite significant long-term use among seniors, relatively few studies demonstrate the efficacy of more than short-term use for anxiety and insomnia. There is significant data to suggest that use is associated with increased potential for injury, cognitive and memory deficits, and a dependency syndrome. This article argues that the current controversy rests not so much in the scientific data but in the willingness of clinicians to interpret and act on that information. As internationally developed guidelines for practice suggest that benzodiazepine treatment for anxiety and insomnia may not be without risks, other first-line treatments should be developed.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1998-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121568700","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: 17
Assessing the Effectiveness of Government and Industry Media Campaigns on Seniors' Perceptions of Reference-Based Pricing Policy 评估政府和行业媒体活动对老年人对参考定价政策的看法的有效性
The Journal of Applied Gerontology Pub Date : 1998-09-01 DOI: 10.1177/073346489801700302
J. Howard Brunt, Neena L. Chappell, M. Maclure, A. Cassels
{"title":"Assessing the Effectiveness of Government and Industry Media Campaigns on Seniors' Perceptions of Reference-Based Pricing Policy","authors":"J. Howard Brunt, Neena L. Chappell, M. Maclure, A. Cassels","doi":"10.1177/073346489801700302","DOIUrl":"https://doi.org/10.1177/073346489801700302","url":null,"abstract":"Introduction of a cost-containment program, reference-based pricing (RBP), to British Colum bia's Pharmacare system illuminates the competing perspectives and agendas of government and the pharmaceuttcal industry when implementing health care funding policy affecting seniors. We examine the intensive public relations campaigns and media messages used by these stakeholders, exploring the impact they had on seniors'views about RBP. Whereas Pharmacare stressed the fiscal ments of RBP, industry focused on the possible threat to public health and attempted to rally seniors and health care providers against it. A survey of seniors shortly after the policy's introduction indicates much skepticism about the anti-RBP information received from industry and moderate support for the policy, which was seen as good stewardship of tax dollars. The pharmaceutical industry's campaign was unsuccessful because Pharmacare's messages resonated more effectively with seniors'views on public health policy.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1998-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126160997","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: 12
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