The Gerontologist最新文献

What We Leave Behind 我们留下了什么

The Gerontologist Pub Date : 2024-07-20 DOI: 10.1093/geront/gnae090

Jim Vandenbosch

引用次数: 0

The Last Days of Ptolemy Grey 托勒密-格雷的末世

The Gerontologist Pub Date : 2024-06-14 DOI: 10.1093/geront/gnae070

R. Capp

引用次数: 0

The Great Escaper 大逃亡

The Gerontologist Pub Date : 2024-05-11 DOI: 10.1093/geront/gnae032

R. Capp

引用次数: 0

Caregiving: A First-Hand Account 护理：第一手资料

The Gerontologist Pub Date : 2024-05-11 DOI: 10.1093/geront/gnae043

Emily Merkel

引用次数: 0

Narrative Inquiry and Reminiscentia: Tools for Gero-Reflection 叙事探究与回忆：老年反思工具

The Gerontologist Pub Date : 2024-05-09 DOI: 10.1093/geront/gnae044

Frank Bennett

引用次数: 0

Reframing Fall Prevention and Risk Management as a Chronic Condition through the Lens of the Expanded Chronic Care Model: Will Integrating Clinical Care and Public Health Improve Outcomes? 通过扩展慢性病护理模式的视角，将跌倒预防和风险管理重塑为一种慢性病：整合临床护理和公共卫生能否改善结果？

The Gerontologist Pub Date : 2024-04-26 DOI: 10.1093/geront/gnae035

Jennifer L Vincenzo, Gwen Bergen, Colleen M Casey, Elizabeth Eckstrom

{"title":"Reframing Fall Prevention and Risk Management as a Chronic Condition through the Lens of the Expanded Chronic Care Model: Will Integrating Clinical Care and Public Health Improve Outcomes?","authors":"Jennifer L Vincenzo, Gwen Bergen, Colleen M Casey, Elizabeth Eckstrom","doi":"10.1093/geront/gnae035","DOIUrl":"https://doi.org/10.1093/geront/gnae035","url":null,"abstract":"Falls are a leading cause of morbidity and mortality among adults aged 65 years and older (older adults) and are increasingly recognized as a chronic condition. Yet, fall-related care is infrequently provided in a chronic care context despite fall-related death rates increasing 41% between 2012 and 2021. One of the many challenges to addressing falls is the absence of fall-focused chronic disease management programs, which improve outcomes of other chronic conditions, like diabetes. Policies, information systems, and clinical-community connections help form the backbone of chronic disease management programs, yet these elements are often missing in fall prevention. Reframing fall prevention through the Expanded Chronic Care Model (ECCM) guided by implementation science to simultaneously support the uptake of evidence-based practices could help improve the care of older adults at risk for falling. The ECCM includes seven components: 1) self-management/develop personal skills, 2) decision support, 3) delivery system design/re-orient health services, 4) information systems, 5) build healthy public policy, 6) create supportive environments, and 7) strengthen community action. Applying the ECCM to falls-related care by integrating healthcare delivery system changes, community resources, and public policies to support patient-centered engagement for self-management offers the potential to prevent falls more effectively among older adults.","PeriodicalId":364845,"journal":{"name":"The Gerontologist","volume":"2 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140652907","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

Agents of Change: Geriatrics Workforce Programs Addressing Systemic Racism and Health Equity. 变革的推动者：解决系统性种族主义和健康平等问题的老年医学人才计划。

The Gerontologist Pub Date : 2024-04-26 DOI: 10.1093/geront/gnae038

Barbara A Gordon, Lilian Azer, Katherine Bennett, Linda S Edelman, Monica Long, A. Goroncy, Charles Alexander, Jung-Ah Lee, R. Rosich, Jennifer J Severance

{"title":"Agents of Change: Geriatrics Workforce Programs Addressing Systemic Racism and Health Equity.","authors":"Barbara A Gordon, Lilian Azer, Katherine Bennett, Linda S Edelman, Monica Long, A. Goroncy, Charles Alexander, Jung-Ah Lee, R. Rosich, Jennifer J Severance","doi":"10.1093/geront/gnae038","DOIUrl":"https://doi.org/10.1093/geront/gnae038","url":null,"abstract":"Many factors impact how individuals and populations age, including race, ethnicity and diversity, which can contribute to increased disease risk, less access to quality health care, and increased morbidity and mortality. Systemic racism - set of institutional policies and practices within a society or organization that perpetuate racial inequalities and discrimination - contributes to health inequities of vulnerable populations, particularly older adults. The National Association of Geriatrics Educators (NAGE) recognizes the need to address and eliminate racial disparities in healthcare access and outcomes for older adults who are marginalized due to the intersection of race and age. In this paper, we discuss an anti-racist framework that can be used to identify where an organization is on a continuum to becoming anti-racist and to address organizational change. Examples of NAGE member Geriatric Workforce Enhancement Programs (GWEPS) and Geriatrics Academic Care Awardees (GACA) activities to become anti-racist are provided to illustrate the framework and to guide other workforce development programs and healthcare institutions as they embark on the continuum to become anti-racist and improve the care and health of vulnerable older adults.","PeriodicalId":364845,"journal":{"name":"The Gerontologist","volume":"27 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140651980","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

Dementia Care in Rural Appalachia: Multilevel Analysis of Individual and County-level Factors. 阿巴拉契亚农村地区的痴呆症护理：对个人和县级因素的多层次分析》（Dementia Care in Rural Appalachia: Multilevel Analysis of Individual and County-level Factors.

The Gerontologist Pub Date : 2024-04-25 DOI: 10.1093/geront/gnae037

Suyoung Nah, J. Savla, Karen A. Roberto

{"title":"Dementia Care in Rural Appalachia: Multilevel Analysis of Individual and County-level Factors.","authors":"Suyoung Nah, J. Savla, Karen A. Roberto","doi":"10.1093/geront/gnae037","DOIUrl":"https://doi.org/10.1093/geront/gnae037","url":null,"abstract":"BACKGROUND AND OBJECTIVES\u0000Home- and community-based services (HCBS) are underutilized, despite offering significant health benefits to both care recipients and caregivers. Drawing upon Andersen's extended behavioral model of health services use, we examined individual and county-level factors influencing HCBS utilization for dementia care in rural Appalachia.\u0000\u0000\u0000RESEARCH DESIGN AND METHODS\u0000We analyzed data from telephone interviews with 123 dementia family caregivers in rural Appalachian counties (Mage = 64.7, SDage = 12.2). Multilevel analyses were conducted to examine the effects of individual-level and county-level factors on the use of home-based services (home health care and personal care services) as well as community-based services (adult day care and transportation services).\u0000\u0000\u0000RESULTS\u0000Results indicated that caregivers' receipt of informal support from family or friends were associated with more use of home-based services (B = 0.42, p = 0.003). Conversely, longer travel times to service providers were linked to use of fewer community-based services (B = -0.21, p < .001). Residing in counties with more home health agencies was associated with higher utilization of home-based services (B = 0.41, p = 0.046). However, higher county tax expenditures for HCBS were not linked to home-based or community-based service use.\u0000\u0000\u0000DISCUSSION AND IMPLICATIONS\u0000Findings suggest that informal support in caring for the person living with dementia enables HCBS use in rural Appalachia. In contrast, limited geographic accessibility and service availability can impede HCBS use in rural regions. Policymakers are urged to allocate direct public funding to service providers to expand service availability in under-resourced rural regions.","PeriodicalId":364845,"journal":{"name":"The Gerontologist","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140654502","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

Strategies to Improve Emergency Transitions from Long-Term Care Facilities: A Scoping Review. 改善从长期护理机构紧急转院的策略：范围审查。

The Gerontologist Pub Date : 2024-04-25 DOI: 10.1093/geront/gnae036

Kaitlyn Tate, Greta G. Cummings, Frode Jacobsen, Gayle Halas, Graziella Van den Bergh, R. Devkota, Shovana Shrestha, Malcolm Doupe

{"title":"Strategies to Improve Emergency Transitions from Long-Term Care Facilities: A Scoping Review.","authors":"Kaitlyn Tate, Greta G. Cummings, Frode Jacobsen, Gayle Halas, Graziella Van den Bergh, R. Devkota, Shovana Shrestha, Malcolm Doupe","doi":"10.1093/geront/gnae036","DOIUrl":"https://doi.org/10.1093/geront/gnae036","url":null,"abstract":"BACKGROUND AND OBJECTIVES\u0000Older adults residing in residential aged care facilities (RACFs) often experience sub-standard transitions to emergency departments (EDs) through rationed and delayed ED care. We aimed to identify research describing interventions to improve transitions from RACFs to EDs.\u0000\u0000\u0000RESEARCH DESIGN AND METHODS\u0000In our scoping review, we included English language articles that 1) examined an intervention to improve transitions from RACF to EDs, and 2) focused on older adults (>65 years). We employed content analysis. Dy et al.'s Care Transitions Framework was used to assess the contextualization of interventions and measurement of implementation success.\u0000\u0000\u0000RESULTS\u0000Interventions in 28 studies included: geriatric assessment or outreach services (n=7), standardized documentation forms (n=6), models of care to improve transitions from RACFs to EDs (n=6), telehealth services (n=3), nurse-led care coordination programs (n=2), acute-care geriatric departments (n=2), an extended paramedicine program (n=1), and a web-based referral system (n=1). Many studies (n=17) did not define what 'improvement' entailed and instead assessed documentation strategies and distal outcomes (e.g., hospital admission rates, length of stay). Few authors reported how they contextualized interventions to align with care environments and/or evaluated implementation success. Few studies included clinician perspectives and no study examined resident or family/friend caregiver reported outcomes.\u0000\u0000\u0000DISCUSSION AND IMPLICATIONS\u0000Mixed or non-significant results prevent us from recommending (or discouraging) any interventions. Given the complexity of these transitions and the need to create sustainable improvement strategies, future research should describe strategies used to embed innovations in care contexts and to measure both implementation and intervention success.","PeriodicalId":364845,"journal":{"name":"The Gerontologist","volume":"60 14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140656198","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

Adaptation and Implementation of a Volunteer-delivered, Telephone-based, Social Support Program HOW-R-U? during the COVID-19 Pandemic: A Pragmatic Study. 在 COVID-19 大流行期间调整和实施由志愿者提供、基于电话的社会支持计划 HOW-R-U?：实用性研究。

The Gerontologist Pub Date : 2024-04-24 DOI: 10.1093/geront/gnae034

Elizabeth Robinson, Marissa Dickins, Lina Lad, Deidre McGill, Sharryn Beard, Johanna Hayes, Anne Marie Fabri, Henni Wade, Claudia Meyer, Judy A. Lowthian

{"title":"Adaptation and Implementation of a Volunteer-delivered, Telephone-based, Social Support Program HOW-R-U? during the COVID-19 Pandemic: A Pragmatic Study.","authors":"Elizabeth Robinson, Marissa Dickins, Lina Lad, Deidre McGill, Sharryn Beard, Johanna Hayes, Anne Marie Fabri, Henni Wade, Claudia Meyer, Judy A. Lowthian","doi":"10.1093/geront/gnae034","DOIUrl":"https://doi.org/10.1093/geront/gnae034","url":null,"abstract":"BACKGROUND AND OBJECTIVES\u0000Public health concerns surrounding social isolation and loneliness heightened during the COVID-19 pandemic, as infection prevention measures led to increased feelings of loneliness and depression.Our objective was to evaluate the implementation of the HOW-R-U? program, during the pandemic (March 2020-December 2021). HOW-R-U? is a weekly volunteer-delivered telephone program designed to facilitate social connection and ease feelings of social isolation, loneliness and depression in older people.\u0000\u0000\u0000RESEARCH DESIGN AND METHODS\u0000This pragmatic study used the Implementation Framework for Aged Care to adapt and implement HOW-R-U? in an Australian aged and community care organization and a tertiary health service in Melbourne. The evaluation involved analysis of program data, semi-structured interviews and surveys with program recipients, volunteers, and referrers. A process evaluation was conducted alongside assessment of outcomes including pre- and post- symptoms of isolation, depression, and loneliness.\u0000\u0000\u0000RESULTS\u0000The implementation evaluation indicated that codesigned systems and processes effectively supported ongoing implementation of HOW-R-U? with transition into business as usual across both organisations. Recipients reported the telephone calls had a positive impact on their lives, while volunteers reported enjoyment supporting others. Several challenges were identified, namely in program reach and fidelity.\u0000\u0000\u0000DISCUSSION AND IMPLICATIONS\u0000: HOW-R-U? was well regarded by all involved and evaluation learnings have informed implementation into business as usual by both organizations.","PeriodicalId":364845,"journal":{"name":"The Gerontologist","volume":"51 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140665769","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