Canadian Journal on Aging-Revue Canadienne Du Vieillissement最新文献

Locating Missing Persons with Dementia: Using Knowledge-to-Action Framework for Implementation of Alert Systems. 寻找失智症失踪者：使用知识到行动的框架来实施警报系统。

IF 1.2 4区医学

Canadian Journal on Aging-Revue Canadienne Du Vieillissement Pub Date : 2025-10-06 DOI: 10.1017/S0714980825100317

Adebusola Adekoya, Lili Liu, Veronique Boscart, John P Hirdes

{"title":"Locating Missing Persons with Dementia: Using Knowledge-to-Action Framework for Implementation of Alert Systems.","authors":"Adebusola Adekoya, Lili Liu, Veronique Boscart, John P Hirdes","doi":"10.1017/S0714980825100317","DOIUrl":"https://doi.org/10.1017/S0714980825100317","url":null,"abstract":"Alert systems can engage the community to help locate missing persons with dementia. Evidence on the impact of implemented alert systems is minimal. Guided by three adapted Knowledge-to-Action Framework phases: identifying the problem, assessing barriers, and evaluating outcomes, this study aimed to examine understandings about alert systems and their implementation in Canada, Scotland, and the United States. A document review and interviews conducted with 40 interest holders (those with lived experience, first responders, service providers, and policymakers) underwent thematic analysis. Findings revealed variability in alert systems implementation and barriers at individual (limited understanding of alert systems, privacy concerns, alert fatigue) and organizational levels (sustainability, accessibility, privacy legislation). Participants recommended the following for successful implementation of alert systems: clear policy, collaboration, ongoing assessment, and a localized, opt-in system with accessibility, public education, and sustainable funding. This information indicates under what conditions alert systems for missing persons with dementia could be implemented.","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":" ","pages":"1-13"},"PeriodicalIF":1.2,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Listened to but Rarely Heard: A Scoping Review of Resident Engagement in the Organizational Design and Governance of their Long-Term Care Homes. 倾听但很少听到：长期护理院组织设计和治理中居民参与的范围审查。

IF 1.2 4区医学

Canadian Journal on Aging-Revue Canadienne Du Vieillissement Pub Date : 2025-10-06 DOI: 10.1017/S0714980825100263

Molly Hutchinson, Jim Gilhuly, Gale Ramsden, Chloe Lee, Dee Tripp, Beryl Collingwood, Julia Fineczko, Carrie McAiney, Katherine S McGilton, Melissa McVie, Jennifer Bethell

{"title":"Listened to but Rarely Heard: A Scoping Review of Resident Engagement in the Organizational Design and Governance of their Long-Term Care Homes.","authors":"Molly Hutchinson, Jim Gilhuly, Gale Ramsden, Chloe Lee, Dee Tripp, Beryl Collingwood, Julia Fineczko, Carrie McAiney, Katherine S McGilton, Melissa McVie, Jennifer Bethell","doi":"10.1017/S0714980825100263","DOIUrl":"https://doi.org/10.1017/S0714980825100263","url":null,"abstract":"Engaging residents of long-term care homes (LTCHs) in their home's environment, programs, and operations is required in some jurisdictions and could improve resident quality of life and other outcomes. This scoping review summarized existing research on resident engagement in LTCH organizational design and governance, including associated enablers, barriers, approaches, and outcomes. The database search yielded 5,580 records (after deduplication), and 62 articles covering 59 studies were included. These studies predominantly described Residents' Councils (n = 38; 64%) and enablers or barriers pertaining to resident and home perspectives, as well as implementation and sustainability infrastructure. Few studies described approaches to considerations of resident diversity (n = 8; 14%) or the presence of dementia and/or cognitive impairment (n = 12; 20%). Ten studies reported quantitative data evaluating resident engagement, and only four with resident-reported outcomes. Robust, evidence-informed frameworks that are co-designed with residents, staff, and others in the LTCH sector are needed to engage residents in their LTCHs.","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":" ","pages":"1-13"},"PeriodicalIF":1.2,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Five-Year Trajectory of Mild Cognitive Impairment: Insights from a Primary Care Memory Clinic. 轻度认知障碍的五年轨迹：来自初级保健记忆诊所的见解。

IF 1.2 4区医学

Canadian Journal on Aging-Revue Canadienne Du Vieillissement Pub Date : 2025-09-29 DOI: 10.1017/S0714980825100299

Linda Lee, Aaron Jones, Tejal Patel, Loretta M Hillier, Ruchi Parikh, Catherine Lee, Zahinoor Ismail, Frank Molnar, Howard Chertkow

{"title":"Five-Year Trajectory of Mild Cognitive Impairment: Insights from a Primary Care Memory Clinic.","authors":"Linda Lee, Aaron Jones, Tejal Patel, Loretta M Hillier, Ruchi Parikh, Catherine Lee, Zahinoor Ismail, Frank Molnar, Howard Chertkow","doi":"10.1017/S0714980825100299","DOIUrl":"https://doi.org/10.1017/S0714980825100299","url":null,"abstract":"Background: The trajectory of Mild Cognitive Impairment (MCI) to dementia within primary care is not well understood.Objective: We investigated the 5-year trajectory of patients initially diagnosed with MCI, evaluated their risk of developing dementia considering age, sex, and Montreal Cognitive Assessment (MoCA) test scores and determined the annual conversion rate from MCI to dementia for patients assessed in a MINT (Multispecialty Interprofessional Team) memory clinic.Methods: We conducted a longitudinal cohort study using a retrospective chart review of 751 patients assessed within a MINT memory clinic in Ontario, Canada. The conversion rate from MCI to dementia was estimated with the Kaplan-Meier method. Cox regression examined time to dementia diagnosis and the association between baseline MoCA scores and dementia risk.Findings: The observed 5-year conversion rate from MCI to dementia was 28.0%, though with limited follow-up data. Accounting for missing data, the estimated 5-year conversion rate was 48.8% (39.5%, 59.2%) with an average annual rate of 9.8%. Each one-point increase in MoCA score at initial visit was associated with a 10% lower rate of conversion to dementia (aHR: 0.90, 95%CI: 0.85-0.96).Discussion: Findings highlight the profile of patients assessed in MINT clinics, cognitive trajectory of those diagnosed with MCI, and the importance of primary care-based memory clinics in early detection and intervention.","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":" ","pages":"1-10"},"PeriodicalIF":1.2,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of the Use of an Intervention by Health Care Providers for Resident Transfers from Long-Term Care to Emergency Departments in Times of Medical Urgency: A Qualitative Study. 在医疗紧急情况下，卫生保健提供者对从长期护理转到急诊科的居民使用干预措施的评估：一项定性研究。

IF 1.2 4区医学

Canadian Journal on Aging-Revue Canadienne Du Vieillissement Pub Date : 2025-09-26 DOI: 10.1017/S0714980825100305

Tatiana Penconek, Abraham Munene, Jayna Holroyd-Leduc, Greta G Cummings, Leanna Wyer, Shawna Reid, Eddy Lang, Vivian Ewa, Ryan Kozicky, Marian George, Wayne Hykaway, Patrick McLane

{"title":"Evaluation of the Use of an Intervention by Health Care Providers for Resident Transfers from Long-Term Care to Emergency Departments in Times of Medical Urgency: A Qualitative Study.","authors":"Tatiana Penconek, Abraham Munene, Jayna Holroyd-Leduc, Greta G Cummings, Leanna Wyer, Shawna Reid, Eddy Lang, Vivian Ewa, Ryan Kozicky, Marian George, Wayne Hykaway, Patrick McLane","doi":"10.1017/S0714980825100305","DOIUrl":"https://doi.org/10.1017/S0714980825100305","url":null,"abstract":"Approximately 25% of older adult residents who experience an acute change in health status are transferred from Long-Term Care (LTC) to Emergency Departments (ED). We explored the use of an intervention (i.e., LTC to ED) care and referral pathway, INTERACT® Change in Condition cards, and STOP AND WATCH tool, in informing decision making regarding resident transfers. We conducted 22 semi-structured interviews with Health care Providers (HCPs) involved in the LTC to ED care pathway in Western Canada. Thematic analysis of the qualitative interviews was used to evaluate the use of the pathway and tools. We identified six themes influencing decision making around resident transfers including interprofessional practice and conflict, ambiguous and clear medical cases, ageism, health care providers' goals, family involvement in resident care, and intervention tools. The intervention may be useful in streamlining, documenting, and increasing transparency in complicated LTC resident care and transfer decisions.","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":" ","pages":"1-10"},"PeriodicalIF":1.2,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[La gestion socioterritoriale du vieillissement : Une analyse perceptuelle dans quatre localités en Acadie du Nouveau-Brunswick]. [老龄化的社会领土管理：新不伦瑞克阿卡迪四个地方的概念性分析]。

IF 1.2 4区医学

Canadian Journal on Aging-Revue Canadienne Du Vieillissement Pub Date : 2025-09-23 DOI: 10.1017/S0714980825100214

Majella Simard

{"title":"[La gestion socioterritoriale du vieillissement : Une analyse perceptuelle dans quatre localités en Acadie du Nouveau-Brunswick].","authors":"Majella Simard","doi":"10.1017/S0714980825100214","DOIUrl":"https://doi.org/10.1017/S0714980825100214","url":null,"abstract":"La gestion socioterritoriale du vieillissement constitue un enjeu fondamental au Nouveau-Brunswick. Comme cette province ne possède pas de stratégie territoriale du vieillissement, il revient aux municipalités d'aménager leur territoire afin de favoriser le vieillissement sur place. L'objectif de cet article consiste à évaluer la perception des élus municipaux, des intervenants communautaires et des aînés en ce qui a trait à la gestion socioterritoriale du vieillissement dans quatre villes du Nouveau-Brunswick. L'approche utilisée est celle des représentations sociales des acteurs à partir d'entrevues semi-dirigées. Sur le plan théorique, notre analyse s'appuie sur le modèle de gérontologie environnementale. Bien que les résultats de nos entretiens révèlent une satisfaction généralisée des répondants concernant l'implication des élus à la gestion socioterritoriale du vieillissement, des disparités persistent notamment au chapitre de l'accessibilité par rapport à certains édifices et au manque d'infrastructures dédiées spécifiquement aux aînés. Pour pallier ces difficultés, le déploiement d'une stratégie territoriale du vieillissement multiniveau constitue une piste de solutions à envisager.","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":" ","pages":"1-12"},"PeriodicalIF":1.2,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Navigating (Long-Term) Care in Crisis: A Critical Ethnography of Care Partners in a Pandemic. 在危机中导航（长期）护理：流行病中护理伙伴的关键民族志。

IF 1.2 4区医学

Canadian Journal on Aging-Revue Canadienne Du Vieillissement Pub Date : 2025-09-22 DOI: 10.1017/S0714980825100275

Alixe Ménard, Annie H Sun, Anne Bourbonnais, Michelle Fleming, Susan Macaulay, Amy T Hsu

引用次数: 0

[Sentiment de reconnaissance des familles]. [家庭的感激之情]。

IF 1.2 4区医学

Canadian Journal on Aging-Revue Canadienne Du Vieillissement Pub Date : 2025-09-19 DOI: 10.1017/S0714980825100147

Ingrid Hennebert, Thierry Darnaud, Christine-Vanessa Cuervo-Lombard

引用次数: 0

Caregiver Perspectives of Aging in Place with Dementia: A Qualitative Exploration of Barriers Using the Social Ecological Model. 照顾者对老年痴呆症的看法：使用社会生态模型对障碍的定性探索。

IF 1.2 4区医学

Canadian Journal on Aging-Revue Canadienne Du Vieillissement Pub Date : 2025-09-19 DOI: 10.1017/S0714980825100287

Jessica L Russell, Paula C Fletcher

引用次数: 0

Perceptions et attitudes des personnes âgées souffrant d'insomnie par rapport aux médicaments et aux produits de santé naturels. 患有失眠的老年人对药物和天然保健品的看法和态度。

IF 1.2 4区医学

Canadian Journal on Aging-Revue Canadienne Du Vieillissement Pub Date : 2025-09-19 DOI: 10.1017/S071498082510010X

Patrick Viet-Quoc Nguyen, Thanh Dang-Vu, Geneviève Forest, Lidia Saidi, Phillippe Desmarais

{"title":"Perceptions et attitudes des personnes âgées souffrant d'insomnie par rapport aux médicaments et aux produits de santé naturels.","authors":"Patrick Viet-Quoc Nguyen, Thanh Dang-Vu, Geneviève Forest, Lidia Saidi, Phillippe Desmarais","doi":"10.1017/S071498082510010X","DOIUrl":"https://doi.org/10.1017/S071498082510010X","url":null,"abstract":"La présente étude de méthode mixte explore les perceptions et attentes relatives aux hypnotiques et produits de santé naturels (PSN) chez les personnes âgées. Vingt-quatre personnes d'en moyenne 76 ans dont 58 % étaient des femmes ont participé à des entrevues semi-structurées. La moitié était des utilisateurs d'hypnotiques. Selon leur score de l'index de sévérité de l'insomnie, 54 % des participants avaient une insomnie légère, 38 % modérée et 8 % sévère. Les participants s'attendaient que les médicaments permettent un endormissement rapide, un sommeil ininterrompu et une augmentation de sa durée. Ils souhaitaient avoir des sensations comme la détente ou l'absence de pensées durant leur sommeil. Les sensations désirées au réveil comprenaient le calme, le bien-être et la satisfaction. Dans l'analyse de combinaison, les thèmes de la quantité de sommeil et le temps de latence court sont des critères d'efficacité les plus fréquemment cités autant chez ceux souffrant d'insomnie légère que modérée à sévère. L'absence d'éveils nocturne était l'autre critère d'efficacité plus fréquemment mentionné chez ceux ayant une insomnie légère alors que la sensation de bien-être au réveil était celui pour ceux ayant une insomnie modérée à sévère.","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":" ","pages":"1-12"},"PeriodicalIF":1.2,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Neighbourhood Walkability and Greenness Exhibit Different Associations with Social Participation in Older Males and Females: An Analysis of the CLSA - ERRATUM. 社区步行和绿化与老年男性和女性的社会参与表现出不同的关联：里昂证券勘误的分析。

IF 1.2 4区医学

Canadian Journal on Aging-Revue Canadienne Du Vieillissement Pub Date : 2025-09-15 DOI: 10.1017/S0714980825100251

Irmina Klicnik, Andrew Putman, David Rudoler, Michael J Widener, Shilpa Dogra

引用次数: 0