Rhiannon Y Ueberholz, Lauren Hytman, Carmen Dang, Alexandra Jasmine Fiocco
{"title":"Measuring Stress and Coping in Later Adulthood: Examining the Psychometric Properties of the Revised Stress Assessment Inventory for Older Adults.","authors":"Rhiannon Y Ueberholz, Lauren Hytman, Carmen Dang, Alexandra Jasmine Fiocco","doi":"10.1017/S0714980825100159","DOIUrl":"https://doi.org/10.1017/S0714980825100159","url":null,"abstract":"<p><strong>Background: </strong>Cognitive and behavioral factors contribute to the mitigation of stress-related health outcomes in later life. Given that stress management interventions for older adults are an important target for healthcare, there is a need for a relatively short and standardized assessment tool to comprehensively measure stress and coping in later adulthood while minimizing the burden on participants. The Stress Assessment Inventory (SAI), a 123-item measure designed to assess stress and coping resources in younger adults.</p><p><strong>Objective: </strong>The objective of this study was to examine the psychometric properties of the SAI in 294 older adults.</p><p><strong>Methods: </strong>The SAI was evaluated on its dimensionality, reliability, and validity.</p><p><strong>Findings: </strong>A shortened SAI is proposed for older adults, with good internal consistency and criterion validity. The Revised SAI was found to have a three-factor model that captures Adaptive Cognitive Resources, Maladaptive Behavioral and Cognitive Habits, and Adaptive Health Habits.</p><p><strong>Discussion: </strong>The current study supports the use of the Revised SAI in community-dwelling older adult populations as a comprehensive tool to assess stress and coping for use by researchers and healthcare professionals.</p>","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":" ","pages":"1-9"},"PeriodicalIF":1.2,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024417","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}
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":"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":"332-343"},"PeriodicalIF":1.2,"publicationDate":"2025-09-01","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}
Kenneth Micheal Madden, Boris Feldman, Graydon S Meneilly
{"title":"The Effects of Acarbose on the Postprandial Hypotensive Response in Older Adults.","authors":"Kenneth Micheal Madden, Boris Feldman, Graydon S Meneilly","doi":"10.1017/S0714980825100056","DOIUrl":"10.1017/S0714980825100056","url":null,"abstract":"<p><p>Postprandial hypotension (PPH) is defined as a postprandial decline in systolic blood pressure (SBP) of 20 mm of Hg. Some have recommended the use of acarbose (an alpha-glucosidase inhibitor) as a potential therapy for PPH based exclusively on studies of older adults with diabetes. Using a randomized placebo-controlled design, 43 older adults (23 women, 20 men, mean age 77.1 ± 0.9 years) were recruited from geriatric medicine outpatient clinics in an academic centre. Although the average decrease in SBP during the meal test was significantly attenuated in the acarbose group (standardized <b><i>β</i></b> = 0.724 ± 0.286, <i>p</i> = 0.017), the acarbose group experienced significantly more PPH events (standardized <b><i>β</i></b> = 0.593 ± 0.279, <i>p</i> = 0.040). Although acarbose attenuated the mean decrease in SBP during the meal test, it did not reduce the actual number of PPH events recorded in a general population of older adults.ClinicalTrials.gov ID NCT01914133.</p>","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":" ","pages":"370-376"},"PeriodicalIF":1.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733964","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":"Mild Behavioral Impairment as a Mediator of the Relationships Among Perceived Stress, Social Support, Physical Activity, and Cognitive Function in Older Adults with Transitional Cognitive Decline: A Structural Equation Modelling Analysis.","authors":"Wachira Suriyawong, Panawat Sanprakhon, Noppamas Pipatpiboon, Narongkorn Chaiwong, Ruksanudt Budda, Papan Thaipisuttikul","doi":"10.1017/S0714980825100172","DOIUrl":"10.1017/S0714980825100172","url":null,"abstract":"<p><p>Cognitive decline presents individual and societal challenges, underscoring the importance of identifying risk factors to inform interventions for older adults. This cross-sectional study examined how physical activity (PA), perceived stress, and social support were related to cognitive function, with mild behavioral impairment (MBI) as a mediator, among 410 Thai older adults. Structural equation model revealed that perceived stress was associated with increased MBI (<i>p</i> < .001), which was directly related to cognitive function (<i>p</i> < .05). Higher social support was associated with lower MBI (<i>p</i> < .05), while moderate-to-vigorous PA was related to reduced MBI (<i>p</i> < .001) and improved cognitive function (<i>p</i> < .001). MBI mediated the associations of perceived stress (indirect effect = -0.244) and moderate-to-vigorous PA (indirect effect = 0.08) with cognitive function. Perceived stress-MBI relationship was stronger in participants with chronic diseases (∆<i>χ</i><sup>2</sup> = 4.236; <i>p</i> = 0.025). Findings support developing interventions to mitigate MBI, with input from health care professionals.</p>","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":" ","pages":"413-421"},"PeriodicalIF":1.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745488","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":"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":"320-331"},"PeriodicalIF":1.2,"publicationDate":"2025-09-01","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}
{"title":"Associations of Frequent Emergency Department Use with Older Age, Multimorbidity, and Perceived Health: A Population-Based Study.","authors":"Sarah Filiatreault","doi":"10.1017/S0714980825100111","DOIUrl":"10.1017/S0714980825100111","url":null,"abstract":"<p><p>The purpose of this retrospective population-based study of adults aged ≥50 years was to examine associations between older age, multimorbidity, and self-rated perceptions of health with frequent emergency department (ED) visits. Using Canadian Community Health Survey (CCHS) 2015-16 data, a multivariate logistic regression model was generated to evaluate associations between predictor variables and frequent ED use. The study sample included data for 57,138 participants across Canada, equating to approximately 13,091,592 when sampling weights applied. Frequent ED use was associated with older age, male sex, multimorbidity, and lower household income. Lower self-rated levels of health were most strongly associated with frequent ED use. Having a primary health care provider was not a significant predictor in univariate or multivariate analyses. Older adults who are frequent ED attenders are a distinct population whose characteristics need to be understood to target strategies for those who most need them to improve quality care and outcomes.</p>","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":" ","pages":"396-402"},"PeriodicalIF":1.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733963","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}
Cynthia Onyejekwe, Helen Chong, Claire Wilson, Freddie Kim, Dawn C Mackey, Kathryn M Sibley, Stephen N Robinovitch
{"title":"Perceptions of Wearable Hip Protectors among Canadian Community-Dwelling Old Adults.","authors":"Cynthia Onyejekwe, Helen Chong, Claire Wilson, Freddie Kim, Dawn C Mackey, Kathryn M Sibley, Stephen N Robinovitch","doi":"10.1017/S071498082510007X","DOIUrl":"10.1017/S071498082510007X","url":null,"abstract":"<p><p>Falls account for 95 percent of hip fractures in older adults. Wearable hip protectors reduce hip fracture risk in long-term care settings, but their use is low among community-dwelling older adults. We conducted interviews to explore how hip protectors are perceived by 27 community-dwelling older adults who visited the Fraser Health Fall Prevention Mobile Clinic in British Columbia. Directed content analysis focused on perceived benefits, design preferences, and cost as a barrier to use of hip protectors. Most participants acknowledged the benefits of hip protectors in reducing the risk of hip fracture, enhancing physical activity, and reducing the fear of falling. However, most participants did not perceive they were at high enough risk to warrant the use of hip protectors. Participants also discussed how willingness to wear depended on design features, including style, pad thickness, appearance, ease of use, fit, comfort, and laundering. Participants also noted the cost, ranging from $60 to $120, as a barrier.</p>","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":" ","pages":"422-428"},"PeriodicalIF":1.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754830","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}
Béatrice Crettenand Pecorini, Emmanuel Duplàa, Anne Vallely
{"title":"[Caractériser les spécificités de l'apprentissage intergénérationnel à travers un atelier pilote en contexte universitaire].","authors":"Béatrice Crettenand Pecorini, Emmanuel Duplàa, Anne Vallely","doi":"10.1017/S0714980825000091","DOIUrl":"10.1017/S0714980825000091","url":null,"abstract":"<p><p>Notre société segmentée par l'âge offre peu de possibilités d'interactions intergénérationnelles authentiques. Cela contribue aux stéréotypes et préjugés envers les personnes de tous âges, particulièrement les adultes aînés. Pour favoriser une société plus inclusive et lutter contre l'âgisme, un changement de paradigme sociétal devient nécessaire. À partir d'une recherche basée sur la conception et l'apprentissage intergénérationnel, nous avons cherché à mieux caractériser ces apprentissages afin de développer des formations spécifiques pour les appuyer. Basé sur un questionnaire préliminaire (n=79), nous avons conçu un atelier pilote (français/anglais) avec huit adultes aînées et huit jeunes adultes au cours duquel les participants ont dû réaliser en binôme une vidéo sur TikTok. Nos résultats indiquent que l'apprentissage intergénérationnel doit se fonder sur une pédagogie active, les activités et les objectifs pédagogiques doivent être multiples pour être réalisées en binômes intergénérationnels, le format doit permettre de développer une relation de confiance et l'évaluation doit être personnelle.</p>","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":" ","pages":"344-355"},"PeriodicalIF":1.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041068","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}
Caroline Chevrier, Alexandra Lecours, Marie-Michèle Lord, Andrée-Anne Drolet
{"title":"[La coopération intergénérationnelle au travail: une analyse de concept].","authors":"Caroline Chevrier, Alexandra Lecours, Marie-Michèle Lord, Andrée-Anne Drolet","doi":"10.1017/S071498082500011X","DOIUrl":"10.1017/S071498082500011X","url":null,"abstract":"<p><p>Cinq générations doivent actuellement cohabiter sur le marché du travail, ce qui peut entraîner plusieurs bénéfices, mais également un risque de tensions et de conflits susceptibles de nuire à la collaboration des équipes de travail et à la santé des personnes vieillissantes. La coopération intergénérationnelle au travail (CIT) a été relevée dans la littérature comme une avenue intéressante pour diminuer le risque de conflits intergénérationnels, mais elle demeure peu concrètement définie. Cette étude vise à proposer une définition opérationnelle du concept de coopération intergénérationnelle au travail à l'aide de la méthode d'analyse de Walker and Avant (2019). Quarante-huit manuscrits ont été répertoriés, permettant d'identifier huit attributs caractérisant la CIT, sept antécédents et six conséquents du concept. Cette étude fait ressortir le rôle des différents acteurs dans la CIT, met en lumière les bénéfices de la CIT et permet de considérer son rôle en prévention des lésions professionnelles.</p>","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":" ","pages":"306-319"},"PeriodicalIF":1.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144034072","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}
Jae-Yung Kwon, Melissa Moynihan, Catherine Webster, Angela C Wolff, Hilary Horlock, Lorraine Wilson, Caroline Mariano, Richard Sawatzky
{"title":"Exploring Frailty in Older Adults with Cancer: Journey Mapping a Patient-reported Outcome Measure.","authors":"Jae-Yung Kwon, Melissa Moynihan, Catherine Webster, Angela C Wolff, Hilary Horlock, Lorraine Wilson, Caroline Mariano, Richard Sawatzky","doi":"10.1017/S0714980825100196","DOIUrl":"10.1017/S0714980825100196","url":null,"abstract":"<p><p>Frailty in older adults with cancer is complex, evolving, and often overlooked in care. This qualitative study explored how frailty is experienced and reported using patient-reported outcome measures (PROMs) and visualized over time through journey maps. Eleven participants (65+) completed the Comprehensive Frailty Assessment Instrument (CFAI) and semi-structured interviews. Individual journey maps combined CFAI scores with personal narratives to track changes in physical, mental, and social aspects of frailty over time. While PROMs showed variability in frailty severity, narratives revealed discrepancies, such as low frailty scores despite significant treatment-related challenges. Fatigue, emotional distress, and isolation were common during treatment, with lasting impacts post-treatment. Findings suggest PROMs alone may not fully capture lived experience. Integrating narrative dialogue provides a more person-centred approach to frailty assessment and care planning.</p>","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":" ","pages":"377-384"},"PeriodicalIF":1.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683396","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}