Leila Tagharrobi, Zahra Tagharrobi, Nasibeh Zanjari, Ali Khaji, Yadollah Abolfathi Momtaz, Ahmad Delbari
{"title":"Filial Responsibility Toward Older Parents: A Systematic Review of the Tools Used.","authors":"Leila Tagharrobi, Zahra Tagharrobi, Nasibeh Zanjari, Ali Khaji, Yadollah Abolfathi Momtaz, Ahmad Delbari","doi":"10.1007/s10823-026-09582-z","DOIUrl":"10.1007/s10823-026-09582-z","url":null,"abstract":"<p><p>Understanding filial responsibility toward older parents enhances the quality of communication between adult children and their older parents, improves the psychological well-being of the children, elevates the level of care provided to the older adults, and helps prevent their institutionalization. Various tools have been designed, albeit in a fragmented manner, to assess filial responsibility. The researchers conducted this study with the aim of examining and introducing existing tools regarding filial responsibility towards older parents. The study was carried out as a systematic review conducted according to the PRISMA-COSMIN for OMIs 2024 guidelines. Studies on filial responsibility were searched across international databases, including PubMed, Scopus, Web of Science, ProQuest, and the search engine Google Scholar, using relevant keywords without time or language restrictions. Based on the study's objective, the tools used to assess filial responsibility in various studies were extracted, and their content, structure, target groups, and psychometric properties were analyzed and compared. A total of 24 tools were identified and among them, those developed by Shi & Wang (2019), Fu et al. (2020), Hanfei et al. (2020), and Wang et al. (2023) appeared to be more comprehensive. This is due to their use of factor analysis methods, criterion validity, convergent and divergent validity, and various approaches for examining internal consistency in the psychometric evaluation process. Additionally, these tools stand out for their recency, appropriate sample sizes, and the use of qualitative interview-based approaches in their design. The use of appropriate tools for assessing filial responsibility plays a critical role in accurately identifying the current situation and evaluating the effectiveness of interventions aimed at improving filial responsibility. Researchers should select the appropriate tool based on the objectives and context of their studies, and undertake the necessary steps for translation, cultural adaptation, and validation. Where a precise assessment is required, a hybrid approach may be preferable, and researchers should consider designing and validating a practical tool suited to the economic, social, and cultural conditions of each country.</p>","PeriodicalId":46921,"journal":{"name":"Journal of Cross-Cultural Gerontology","volume":"41 3","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148833451","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}
{"title":"Old-age Care Responsibilities in China's National Five-year Plans (2001-2025): Towards Active Ageing and Explicit Familialism.","authors":"Dongyang Yu, Virpi Timonen, Minna Zechner","doi":"10.1007/s10823-026-09594-9","DOIUrl":"10.1007/s10823-026-09594-9","url":null,"abstract":"<p><p>Rapid population ageing is challenging China's old-age care (OAC) system. The traditional role of the family in caring for older adults has been declining due to decreasing family size and urbanisation. The Five-Year Plans for National Economic and Social Development (FYPs) of the People's Republic of China provide a general framework for the direction of OAC policy. This article focuses on changes in OAC responsibilities among families, the government and individuals across five FYPs between 2001 and 2025. Content analysis indicates that policy in China is shifting from implicit familialism towards explicit familialism, with families remaining the primary providers of care while receiving indirect support in the form of tax relief. Alongside the indications of moving towards explicit familialism, the FYPs indicated a growing role for the government through expanding care provisions, integrating technology into OAC, improving older adults' economic security, and promoting home- and community-based care. These policy developments expand care provisions beyond families as complements to family care, support financial independence in later life and indicate incipient de-familialism. Individuals are increasingly expected to work longer, engage in personal pension arrangements and consume OAC products and services, thereby assuming greater responsibility for their own OAC and reflecting policy directions consistent with active ageing.</p>","PeriodicalId":46921,"journal":{"name":"Journal of Cross-Cultural Gerontology","volume":"41 3","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13500428/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148809313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Impact of Economic, Social, and Cultural Capital on Self-Rated Health of Older Adults in an Indian City.","authors":"Anamika Singh, Esha Chatterjee","doi":"10.1007/s10823-026-09591-y","DOIUrl":"10.1007/s10823-026-09591-y","url":null,"abstract":"<p><p>A rapid increase in ageing population across the globe has made it necessary for countries to focus on the health and well-being of older adults. City-level data on ageing is limited in the context of developing countries. The present study examines the associations between Bourdieu's core forms of capital (economic, cultural, and social) and self-rated health of older adults aged 60 and above, in Lucknow city, India. The study employs a multistage cluster sampling design. Face-to-face interviews were conducted with 410 respondents aged 60 years and older, between May 2023 to August 2023. Ordered logistic regression is used to assess the associations between all three forms of capital and self-rated health of older adults after controlling for their gender, caste and religious group, age group, overall fitness, and recreational participation. In the full model, high levels of social support from informal ties, and higher levels of cultural capital (higher education and cultural engagement) are associated with better self-rated health, while economic capital is not significant once social and cultural capital are accounted for. This study highlights the role of neighbourhood social capital and cultural engagement as possible intervention mechanisms for improving the health of older adults, which is key to policy and practice for achieving the goal of active ageing.</p>","PeriodicalId":46921,"journal":{"name":"Journal of Cross-Cultural Gerontology","volume":"41 3","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148594035","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}
Ehsan Abdekhodaie, Javad Hatami, Hadi Bahrami Ehsan
{"title":"Perceptions and Experiences of Iranian Older Adults with High Cognitive Performance on Psychosocial Determinants of Cognitive Health: A Qualitative Descriptive Study.","authors":"Ehsan Abdekhodaie, Javad Hatami, Hadi Bahrami Ehsan","doi":"10.1007/s10823-026-09593-w","DOIUrl":"10.1007/s10823-026-09593-w","url":null,"abstract":"<p><p>This article explores the perceptions and experiences of older adults with high cognitive function regarding the factors that influence cognitive health. Nineteen purposefully selected Iranian older adults with above-average performance in episodic memory and word fluency cognitive tasks participated in in-depth interviews and reflected on what causes good memory and cognitive function. By conducting a thematic analysis, the researchers identified 25 themes in the participants' articulations. The most frequently cited themes were: motivation, working and job, thought processes, social life and social network, reading and books, and ethics and responsibility. Although the participants' viewpoints reflected many determinants of cognitive maintenance found in the literature, they placed more emphasis on the importance of psychosocial factors in cognitive health. They particularly reflected on the importance of motivation to engage in mental stimulation and emphasized activities that occur naturally in daily life like work, social engagement, and reading for cognitive maintenance. Unlike previous literature on motivational reserve, our participants emphasized goal setting over regulatory processes, while their preference for diverse mental engagement aligns with the engagement-over-training framework.</p>","PeriodicalId":46921,"journal":{"name":"Journal of Cross-Cultural Gerontology","volume":"41 3","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148563295","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}
Sasha Bernard, Diadrey-Anne Sealy, W Lawrence Beeson, Naomi Modeste
{"title":"Older Adults' Perceptions of the Ageing Experience in Trinidad and Tobago: A Qualitative Study.","authors":"Sasha Bernard, Diadrey-Anne Sealy, W Lawrence Beeson, Naomi Modeste","doi":"10.1007/s10823-026-09592-x","DOIUrl":"10.1007/s10823-026-09592-x","url":null,"abstract":"<p><p>This study explores older adults' perceptions of the ageing experience in Trinidad and Tobago, and gains insight into their self-perceptions of ageing. A concurrent mixed-methods approach was utilized, targeting older adults living in Trinidad or Tobago. For this paper, only the qualitative component of the study will be discussed. Thirty-eight (38) participants engaged in six focus group discussions about their physical, mental, and social health and ageing experiences. The focus groups were audio-recorded and transcribed verbatim. The data were analyzed with MAXQDA software and themes found. Participants lived experiences were garnered from various aspects of their lives, including personal matters and cultural and societal influences with major themes such as ageism and disrespect, undesirable cultural norms, and fear of crime. Most themes reflected positive perceptions, including positive outlook on ageing, positive perceptions of one's health, enjoying retirement, satisfaction with available resources, and spirituality/religion. Negative experiences focused on the health system and in navigating financial challenges. The findings of our study show the need for a change in the framing of age and ageing at both the individual and societal level and shows the relevance of continued societal participation and adequate health care among older adults for a healthy ageing society. Multilevel and multisector efforts are required to reduce everyday ageism and promote positive beliefs, practices, and policies related to aging and older adults.</p>","PeriodicalId":46921,"journal":{"name":"Journal of Cross-Cultural Gerontology","volume":"41 3","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13391440/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Caring Against the Odds: Experiences of Male Dementia Caregivers from Lower Socioeconomic Settings in India.","authors":"Ashmanpreet Kaur, Mahee Grewal, Sabeen H Rizvi","doi":"10.1007/s10823-026-09590-z","DOIUrl":"10.1007/s10823-026-09590-z","url":null,"abstract":"<p><p>India's 8.8 million older adults living with dementia (World Health Organization, 2023) are cared for almost entirely within households. However, the men who bear this burden in economically disadvantaged families continue to be invisible in caregiving research and policy. This study contributes a structurally-based understanding of dementia caregiver burden that goes beyond caregiving demands to consider the compounding intersection of economic precarity, gendered cultural obligation, and institutionalized neglect for low-income male caregivers in patrilineal Indian households. Ten male familial caregivers of dementia patients were selected through purposive sampling from government hospitals of Jaipur and Fatehgarh Sahib, India, and interviewed using semi-structured methods, and the data were analyzed using Braun and Clarke's (2006) thematic analysis. Results show how the roles of being a provider for the sole income of the household, as well as a 24-hour caregiver, combine to create multiple disruptions of occupation, debt loads, and psychological stress. The cultural ethic of seva (moral and filial responsibility towards parents) was paradoxical, providing the caregiver with moral meaning and sustaining them while simultaneously increasing their entrapment in roles that were neither recognized nor supported. These were systematically foreclosed by hegemonic masculine stoicism and by class-based survival imperatives that made emotional processing an indulgence. These findings build on the caregiver burden scholarship by emphasizing that, in low and middle-income settings, burden is not just an individual phenomenon, and that reconceptualizing burden has implications for culturally adapted education and caregiving policies that address socioeconomic inequality as a primary determinant of caregiver well-being.</p>","PeriodicalId":46921,"journal":{"name":"Journal of Cross-Cultural Gerontology","volume":"41 3","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148431302","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}
{"title":"Family Caregivers' Knowledge, Attitudes, and Practices Regarding Sarcopenia Nutrition in Older Adults: A Scoping Review of Asia-Pacific Evidence.","authors":"Sehabudin Salasa, Dhika Dharmansyah, Rohman Hikmat, Tirta Adikusuma Suparto, Ridha Wahdini, Aditya Pratama","doi":"10.1007/s10823-026-09588-7","DOIUrl":"10.1007/s10823-026-09588-7","url":null,"abstract":"<p><p>Sarcopenia-the progressive loss of skeletal muscle mass, strength, and physical function-disproportionately affects older adults across the Asia-Pacific region, where family caregivers serve as primary providers of daily nutritional care. Cross-cultural variations in food beliefs, caregiving norms, and access to health education create a highly diverse landscape of caregiver knowledge, attitudes, and practices (KAP) that remains poorly characterised in the evidence base. This scoping review aimed to systematically map the extent, range, and nature of evidence on family caregivers' KAP regarding sarcopenia-related nutrition for older adults across the Asia-Pacific, with explicit attention to cross-cultural variations in beliefs, practices, and structural determinants. A scoping review was conducted following the Arksey and O'Malley (2005) framework, enhanced by Levac et al. (2010), and reported per PRISMA-ScR guidelines (Tricco et al., 2018). The KAP framework was applied as an a priori organising scaffold aligned to the review's PCC-structured objectives; themes within each domain were subsequently developed inductively through a thematic synthesis process, and domain boundaries were refined iteratively during cross-cultural comparative analysis. Systematic searches of PubMed, Scopus, and Web of Science identified 479 records; after removal of 147 duplicates and two-stage screening (Cohen's κ = 0.886 [Cohen's κ = 0.886]), 6 studies met inclusion criteria. Studies spanned three Asia-Pacific subregions: East Asia (n = 3), Oceania (n = 2), and Southeast Asia (n = 1). The practice domain was most frequently assessed, followed by knowledge and attitudes. Only two studies explicitly addressed sarcopenia. Thematic synthesis revealed three cross-cutting findings: (1) fragmented nutritional awareness with critical gaps in sarcopenia-specific protein knowledge; (2) culturally mediated attitudes shaped by filial piety, traditional food philosophies (e.g., Yin-Yang, Ayurveda), and structural barriers; and (3) variable dietary provision practices with a persistent disconnect between knowledge and behaviour. Subregional variation in caregiver KAP was observed across the Asia-Pacific subregions examined, with patterns suggestive of cross-cultural differences in food belief systems, structural access, and caregiving norms; however, these differences should be interpreted with caution given the limited and uneven distribution of evidence across subregions. The Asia-Pacific evidence base for family caregiver KAP in sarcopenia nutrition is nascent but growing. Given the preliminary nature of this evidence base, the findings are best understood as hypothesis-generating, identifying priority areas for primary research and intervention development. Culturally adapted, sarcopenia-specific nutrition education programmes are indicated across all subregions, particularly in Southeast Asia and South Asia where evidence remains critically sparse, pending confirmatory ","PeriodicalId":46921,"journal":{"name":"Journal of Cross-Cultural Gerontology","volume":"41 3","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425389","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}
{"title":"Emotional Partnership in Late Life: Cultural and Gendered Limits of Socioemotional Selectivity Theory in Turkish Nursing Homes.","authors":"Gulden Akin, Enes Demirel, Dilek Aydin","doi":"10.1007/s10823-026-09587-8","DOIUrl":"10.1007/s10823-026-09587-8","url":null,"abstract":"<p><p>This phenomenological study examines emotional partnership experiences among older adults living in Turkish nursing homes, employing Socioemotional Selectivity Theory (SST) as a critical theoretical lens to evaluate its cross-cultural applicability. The term emotional partnership is used to capture a continuum of relational orientations-including companionship, emotional intimacy, and romantic interest-that extends beyond strictly marital or sexualised categories and reflects culturally mediated expressions of late-life intimacy in Turkish nursing homes. Semi-structured interviews were conducted with 30 residents (14 women, 16 men; aged 65-85) across two nursing homes in Ankara. Data were analysed using Braun and Clarke's reflexive thematic analysis, generating five themes: (1) \"I Don't Want to Repeat That Experience\": past relationships shaping new beginnings, (2) \"We've Already Come to Life's End\": temporal awareness and the foreclosure of new partnerships, (3) \"The Children Didn't Want It, So I Gave Up Too\": intergenerational gatekeeping of late-life partnership, (4) \"Talking Too Much with a Man Creates Rumours\": cultural and institutional boundaries on cross-gender interaction, and (5) \"Will I Serve Him?\": gendered caregiving expectations shaping partnership avoidance. While the findings partly support the core mechanisms of SST, they also reveal significant cultural and gendered variations that call for theoretical refinement. We propose a culturally situated extension of SST that incorporates family gatekeeping, patriarchal gender norms, and institutional contexts. Drawing on Kandiyoti's concept of patriarchal bargaining, we further argue that older women's avoidance of partnership may represent an active negotiation of gendered expectations rather than passive compliance with social norms. Overall, the findings suggest that SST's individualistic assumptions require reconsideration when applied to collectivist and tradition-oriented contexts, where relational autonomy is shaped by family approval and broader cultural norms. By foregrounding these dynamics, the study contributes to cross-cultural gerontological scholarship on aging, intimacy, and gender.</p>","PeriodicalId":46921,"journal":{"name":"Journal of Cross-Cultural Gerontology","volume":"41 3","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148377425","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}
Britteny M Howell, Amber Worthington, Leslie Redmond, Vanessa Hiratsuka, Allexis Mahanna, Najma Musa, Gabriel Garcia
{"title":"A University Student-Led Hope-Based Intervention Improves Fruit and Vegetable Intake, Functional Fitness, and BMI Among Older Adults in Urban Alaska.","authors":"Britteny M Howell, Amber Worthington, Leslie Redmond, Vanessa Hiratsuka, Allexis Mahanna, Najma Musa, Gabriel Garcia","doi":"10.1007/s10823-026-09589-6","DOIUrl":"10.1007/s10823-026-09589-6","url":null,"abstract":"<p><p>For this program, we designed and delivered a 15-week, student-led health education intervention using Persuasive Hope Theory (PHT) with a diverse sample of older adults in urban Alaska to increase feelings of hope and improve health. This mixed-methods investigation into the intervention's efficacy utilized dependent sample t-tests to demonstrate that the number of servings of fruit and vegetables increased significantly after the program. Body mass index (BMI) was statistically lower and self-rated health was significantly higher compared to before the intervention. Descriptive statistics indicate that approximately half of participants' functional fitness improved but there were no significant differences in self-efficacy or physical activity patterns over time. Program satisfaction results qualitatively and quantitatively indicated that participants were satisfied with the intervention that helped to decrease BMI and increase fruit and vegetable intake, self-rated health, and functional fitness, which can serve as a model for other intergenerational healthy aging initiatives across the Circumpolar North.</p>","PeriodicalId":46921,"journal":{"name":"Journal of Cross-Cultural Gerontology","volume":"41 3","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148377394","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}
Rasha Ahmed Fouad, Hanan Abd-Allah Abozeid, Tasneem Ahmed-Shoulkamy
{"title":"A Nurse-Led, Age-Friendly Educational Program to Reduce Stroke Risk and Promote Healthy Behaviors among Older Adults: A Randomized Controlled Trial.","authors":"Rasha Ahmed Fouad, Hanan Abd-Allah Abozeid, Tasneem Ahmed-Shoulkamy","doi":"10.1007/s10823-026-09585-w","DOIUrl":"10.1007/s10823-026-09585-w","url":null,"abstract":"<p><p>Stroke remains a major cause of disability and mortality globally, particularly among older adults in low- and middle-income countries. Integrating the 4Ms framework (What Matters, Medication, Mentation, and Mobility) into nursing-led preventive interventions offers a holistic, person-centered model for promoting healthy aging and mitigating stroke risk. This study evaluated the effectiveness of a nurse-led, age-friendly educational program, grounded in the 4Ms framework, in reducing stroke risk and enhancing health-promoting behaviors among older adults. A randomized controlled trial was conducted with 170 community-dwelling adults (≥ 60 years) attending outpatient clinics in Egypt. Participants were randomized to either a 4Ms-based educational intervention (two structured sessions and materials) or a control group receiving routine care. Outcomes were measured using the Revised Framingham Stroke Risk Profile, the Health-Promoting Lifestyle Profile II, and a stroke prevention practices questionnaire. Post-intervention, the intervention group demonstrated a significant reduction in 10-year stroke risk scores (p<.001) and significant improvements across all health-promoting behavior domains, especially physical activity, nutrition, and stress management (all p<.001). The percentage of participants with good stroke-prevention practices increased from 7.1% to 55.3%. Stroke risk was also inversely correlated with domains like health responsibility and stress management. The nurse-led educational program based on the 4Ms framework was associated with short-term improvements in reducing stroke risk indicators and improving health-promoting behaviors among older adults. Integration of age-friendly principles into preventive nursing care may offer a feasible and holistic approach for supporting healthy ageing in low-resource settings. Longer-term studies remain necessary.Trial RegistrationPan African Clinical Trials Registry (PACTR), registration number PACTR202606898663018. Registration was completed retrospectively.</p>","PeriodicalId":46921,"journal":{"name":"Journal of Cross-Cultural Gerontology","volume":"41 3","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148362971","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}