Hannah M O'Rourke, Vanessa Trinca, Hana Dakkak, Sarah A Wu, Ruth Harvie, Christina Lengyl, Natalie Carrier, Allison Cammer, Susan E Slaughter, Heather Keller
{"title":"What Explains Interest to Promote Relationship-Centred Mealtimes in Care Homes? A Secondary Analysis of Cross-Sectional Survey Data.","authors":"Hannah M O'Rourke, Vanessa Trinca, Hana Dakkak, Sarah A Wu, Ruth Harvie, Christina Lengyl, Natalie Carrier, Allison Cammer, Susan E Slaughter, Heather Keller","doi":"10.1017/S0714980825000145","DOIUrl":"https://doi.org/10.1017/S0714980825000145","url":null,"abstract":"<p><p>Relationship-centred mealtimes can support care home residents, who are at high risk for loneliness. However, care home staff do not consistently promote relationship-centred mealtimes. This secondary analysis examined the impact of factors (selected based on the Theory of Planned Behaviour) upon care home staff interest in making mealtimes more relationship-centred. Data were from a cross-sectional, quantitative survey of 670 care home staff from North America. We used multivariable logistic regression to test hypotheses. The model was statistically significant, and explained 13 per cent of the variance in staff members' interest in making mealtimes more relationship-centred. Respondents who were more satisfied with current mealtime practices, had used collaborative change strategies in the past, and who perceived organizational support for relationship-centred care were more likely to have interest in making mealtimes more relationship-centred. These are modifiable factors to target in interventions designed to promote care home staff interest in making mealtimes more relationship-centred.</p>","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":" ","pages":"1-12"},"PeriodicalIF":1.7,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796672","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}
Cayla N Wood, Paula M van Wyk, Leslee Ward, Lisa Raffoul, Noor Zahwe, Noeman A Mirza, Jennifer Voth
{"title":"Lessons Learned from Implementing a Designated Care Partner Program in a Community Hospital.","authors":"Cayla N Wood, Paula M van Wyk, Leslee Ward, Lisa Raffoul, Noor Zahwe, Noeman A Mirza, Jennifer Voth","doi":"10.1017/S0714980825000133","DOIUrl":"https://doi.org/10.1017/S0714980825000133","url":null,"abstract":"<p><p>Restrictions on family presence during the COVID-19 pandemic negatively impacted the health of patients and their families. Although there was an expressed need for family involvement in care, guidelines for integrating family members as care partners were lacking. To facilitate family members' involvement, the Designated Care Partner (DCP) program was implemented at a community hospital. This paper describes the development, implementation, and evaluation of this program. Findings aim to inform healthcare organizations that are seeking ways to integrate family members as care partners.</p>","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":" ","pages":"1-8"},"PeriodicalIF":1.7,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796670","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}
Valérie Bourgeois-Guérin, David Lavoie, Émilie Cormier, Jonathan Morin, Gabrielle Poulin, Andréanne Côté, Isabelle Wallach, Isabelle Van Pevenage, Tamara Sussman, Patrick Durivage
{"title":"[La place du genre et des rôles dans la souffrance des hommes âgés atteints d'un cancer incurable].","authors":"Valérie Bourgeois-Guérin, David Lavoie, Émilie Cormier, Jonathan Morin, Gabrielle Poulin, Andréanne Côté, Isabelle Wallach, Isabelle Van Pevenage, Tamara Sussman, Patrick Durivage","doi":"10.1017/S0714980825000054","DOIUrl":"https://doi.org/10.1017/S0714980825000054","url":null,"abstract":"<p><p>Plusieurs personnes atteintes d'un cancer incurable sont des hommes, âgés de plus de 65 ans. Même si, à notre connaissance, aucune recherche ne porte sur les souffrances de ces hommes, des écrits dévoilent que ces dernières pourraient être considérables. Les réalités du vieillissement au masculin couplées à celles d'être atteint d'une maladie incurable peuvent effectivement engendrer des souffrances particulières. Cette recherche qualitative vise à mieux comprendre les souffrances vécues par les hommes âgés atteints d'un cancer incurable (HACI). Nous explorerons si et comment leurs souffrances se rapportent à des enjeux identitaires de genre et/ou aux transformations de leurs rôles. Dix-sept hommes âgés de 65 ans et plus atteints d'un cancer incurable furent rencontrés en milieu urbain (Montréal) dans le cadre d'entretiens semi-dirigés. L'analyse thématique des résultats a permis de relever des enjeux identitaires et de rôles, la nature des changements affectant l'identité et ses rôles et les enjeux de genre vécus par les HACI.</p>","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":" ","pages":"1-11"},"PeriodicalIF":1.7,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765415","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}
Stephanie Chesser, Ruheena Sangrar, Julia Cacoilo, Saadia Ahmed, Michelle M Porter
{"title":"Early COVID-19 Public Messaging and its Impact on Older Adult Demonstrations of Personal Agency.","authors":"Stephanie Chesser, Ruheena Sangrar, Julia Cacoilo, Saadia Ahmed, Michelle M Porter","doi":"10.1017/S0714980825000108","DOIUrl":"https://doi.org/10.1017/S0714980825000108","url":null,"abstract":"<p><strong>Background: </strong>Exposure to COVID-19 messaging that conflates older age with risk/infirmity has been suggested to have negative effects on older people's sense of personal agency (i.e., sense of capacity to exercise control over one's life).</p><p><strong>Objectives: </strong>This qualitative study sought to determine how older adults perceived this vulnerability narrative within early COVID-19 public messaging and how this may have influenced their personal agency.</p><p><strong>Methods: </strong>Semi-structured interviews with 15 community-dwelling older adults in Manitoba were completed and analysed using inductive thematic analysis.</p><p><strong>Findings: </strong>Study findings suggest that early COVID-19 public health messaging created associations between vulnerability and older age that increased the participants' sense of age-related risk. As a response, many participants described engaging in certain actions (e.g., lifestyle behaviours, following public health protocols, coping mechanisms) to potentially increase their feelings of personal agency.</p><p><strong>Discussion: </strong>This study suggests that creators of public messaging pertaining to older age must be mindful of the ways that it may fuel a vulnerability narrative.</p>","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":" ","pages":"1-9"},"PeriodicalIF":1.7,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143731495","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}
Silvia Fraga Dominguez, Jennifer E Storey, Emily Glorney
{"title":"Fighting Against Many Walls: The Help-Seeking Experience of Supporters of Older Abuse Victims.","authors":"Silvia Fraga Dominguez, Jennifer E Storey, Emily Glorney","doi":"10.1017/S0714980825000121","DOIUrl":"https://doi.org/10.1017/S0714980825000121","url":null,"abstract":"<p><strong>Background: </strong>Elder abuse (EA) often remains hidden, and many victims do not interact with formal systems. Concerned persons (CPs) are family, friends, and neighbours who play an essential role in supporting EA victims.</p><p><strong>Objective: </strong>The aim of this study was to understand CPs' role and help-seeking experiences.</p><p><strong>Methods: </strong>Nineteen self-identified CPs shared their experience of being involved in an EA case via an interview and/or survey, with responses analysed qualitatively.</p><p><strong>Findings: </strong>CPs were primarily the victims' female relatives, often related to the perpetrator, and had sought help from a wide range of formal and informal sources, facing many barriers in protecting victims from harm. Challenges commonly related to formal services and EA perpetrators. Through knowing about the abuse and/or seeking help, participants experienced negative impacts, particularly psychological ones.</p><p><strong>Discussion: </strong>Findings suggest that CPs can play a key role in supporting EA victims but require further support and recognition from services to fulfil this role.</p>","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":" ","pages":"1-13"},"PeriodicalIF":1.7,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143731563","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}
Mari Aaltonen, Kimberlyn McGrail, Jani Raitanen, Anne Martin-Matthews
{"title":"Satisfaction with Life of Older Men and Women in the Canadian Longitudinal Study on Aging (CLSA) and its Association with Formal and Informal Home Care.","authors":"Mari Aaltonen, Kimberlyn McGrail, Jani Raitanen, Anne Martin-Matthews","doi":"10.1017/S0714980825000066","DOIUrl":"https://doi.org/10.1017/S0714980825000066","url":null,"abstract":"<p><strong>Background: </strong>Home care aims to reduce harmful effects of poor health and increase well-being.</p><p><strong>Objective: </strong>We studied whether receiving formal or informal home care was associated with changes in satisfaction with life (SwL).</p><p><strong>Methods: </strong>The study includes people aged 70+ who participated in the Canadian Longitudinal Study on Aging (CLSA) at baseline and three-year follow-up. Linear regression models adjusted for individual factors were used to examine the relationship between home care and changes in SwL at two time points.</p><p><strong>Results: </strong>Receiving home care was associated with declining SwL. The association was different for formal and informal care, and to some extent, for men and women. Changes in health mainly explained the association of SwL with formal but not informal care.</p><p><strong>Discussion: </strong>The connection between home care and declining SwL suggests that some people's needs are not met, especially by informal care, which negatively affects life satisfaction. This finding deserves more attention when planning home-based care.</p>","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":" ","pages":"1-12"},"PeriodicalIF":1.7,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732062","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}
Mary Jean Hande, Lori E Weeks, Stephanie A Chamberlain, Emily Hubley, Rosanne Burke, Grace Warner, Melissa K Andrew, Janice Keefe
{"title":"Caregivers' Experiences of Nursing Home Restrictions During the COVID-19 Pandemic - CORRIGENDUM.","authors":"Mary Jean Hande, Lori E Weeks, Stephanie A Chamberlain, Emily Hubley, Rosanne Burke, Grace Warner, Melissa K Andrew, Janice Keefe","doi":"10.1017/S0714980825000017","DOIUrl":"https://doi.org/10.1017/S0714980825000017","url":null,"abstract":"","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":" ","pages":"1"},"PeriodicalIF":1.7,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143664932","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}
{"title":"[Maltraitance organisationnelle envers les personnes aînées lors de services de soutien à domicile: enjeux éthiques identifiés par des ergothérapeutes].","authors":"Chantal Viscogliosi, Marie-Josée Drolet, Marie-Michèle Lord, Chantal Pinard, Mélanie Ruest","doi":"10.1017/S0714980825000042","DOIUrl":"https://doi.org/10.1017/S0714980825000042","url":null,"abstract":"<p><p>La maltraitance organisationnelle envers les personnes aînées est présente dans différentes organisations, y compris dans le secteur de la santé et des services sociaux. Elle peut entraîner des conséquences négatives importantes sur la santé mentale et physique, ainsi que la qualité de vie, des personnes aînées qui la subissent. L'objectif de cet article est de présenter les enjeux éthiques liés à la maltraitance organisationnelle perpétrée envers les personnes aînées qui reçoivent des services de soutien à domicile. Une approche d'inspiration phénoménologique utilisée auprès d'ergothérapeutes pour identifier les enjeux éthiques de leur pratique a mené à une analyse des enjeux éthiques spécifiquement liés à des situations de maltraitance organisationnelle. Quinze ergothérapeutes (n=15) œuvrant en soutien à domicile au Québec ont été rencontrés dans le cadre d'entretiens individuels. L'analyse a été effectuée en utilisant une perspective écologique. Les résultats de l'analyse révèlent plusieurs enjeux éthiques complexes de nature micro, méso et macrosystémiques, dont l'abandon administratif des bonnes pratiques, l'accès déficitaire aux services, la chosification de l'aîné, la dépersonnalisation des services et la tolérance des violences.</p>","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":" ","pages":"1-13"},"PeriodicalIF":1.7,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143650767","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}
Sabina Staempfli, Farinaz Havaei, Lisa Dawson, Sheila Novek, Kim Slater, Megan Kaulius, Amira Ahmed
{"title":"Raise Your Voice: How to Increase the Effectiveness of Resident and Family Councils in Long-Term Care Homes.","authors":"Sabina Staempfli, Farinaz Havaei, Lisa Dawson, Sheila Novek, Kim Slater, Megan Kaulius, Amira Ahmed","doi":"10.1017/S0714980825000029","DOIUrl":"https://doi.org/10.1017/S0714980825000029","url":null,"abstract":"<p><p>The devastating impacts of the COVID-19 pandemic highlighted the missing voices of families and residents in long-term care (LTC) decision-making and policy processes. Family and resident councils constitute one method of raising these voices, but there is currently a gap in evidence of how to promote the effectiveness of these councils. We conducted five focus groups and two interviews with LTC home leaders, residents, family members, and advocates in British Columbia using a participatory approach integrating knowledge-users throughout the research process. Using a framework analysis, we found modifiable (communication, structure, recruitment/engagement, council leadership, culture/attitudes, and resources/supports) and non-modifiable factors (medical complexity of residents and short lengths of stay) affecting council effectiveness. We discuss strategies implemented by knowledge-users to address modifiable effectiveness factors and construct a preliminary tool (a 35-question survey) that operationalizes and identifies areas that can increase council effectiveness in practice to ensure that their voices are heard in LTC decision making.</p>","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":" ","pages":"1-10"},"PeriodicalIF":1.7,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544176","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}
Benoit Cossette, Patrick Boissy, Marie-Hélène Milot, Sarah N Hilmer, Lisa Kouladjian O'donnell, Danijela Gnjidic, Caroline Sirois, Dee Mangin, Geneviève Ricard, Jennifer E Isenor, Jacynthe Roy-Petit, Bessam Abdulrazak, Marilyn Tousignant, Karina Lebel
{"title":"Feasibility of Measuring Physical Function by Wearable Devices During Deprescribing of Anticholinergic and Sedative Medicatiossns.","authors":"Benoit Cossette, Patrick Boissy, Marie-Hélène Milot, Sarah N Hilmer, Lisa Kouladjian O'donnell, Danijela Gnjidic, Caroline Sirois, Dee Mangin, Geneviève Ricard, Jennifer E Isenor, Jacynthe Roy-Petit, Bessam Abdulrazak, Marilyn Tousignant, Karina Lebel","doi":"10.1017/S0714980825000078","DOIUrl":"https://doi.org/10.1017/S0714980825000078","url":null,"abstract":"<p><p>Cumulative exposure to anticholinergic and sedative medications has been associated with worsening physical function in older adults. We evaluated the feasibility of measuring physical function using wearable devices and explored the impact of reducing the anticholinergic and sedative medication burden in a pilot study of community-dwelling adults aged 60 years and older. Evaluations included the 10-meter walk test (10MWT), the Short Physical Performance Battery (SPPB), and the mini-BESTest. Two participants/month were recruited in one clinic in 2022. The five participants had a median age of 67, a median DBI of 1.7, and four were female. The feasibility analysis showed that the 10MWT and SPPB tests were completed on 12/12, and the mini-BESTest on 11/12. An exploratory analysis showed clinically meaningful improvements in gait speed (mean +0.18 m/s) and SPPB (mean +2.2 points). We showed the feasibility of measuring physical function by wearable devices during deprescribing of anticholinergic and sedative medications.</p>","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":" ","pages":"1-8"},"PeriodicalIF":1.7,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143516476","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}