Emily M Winters, Jennifer L Gordon, Thomas Hadjistavropoulos
{"title":"Patterns of Nabilone Prescriptions in Canadian Long-Term Care Facilities.","authors":"Emily M Winters, Jennifer L Gordon, Thomas Hadjistavropoulos","doi":"10.1017/S0714980824000448","DOIUrl":"10.1017/S0714980824000448","url":null,"abstract":"<p><p>The purpose of the current study was to understand the prevalence and patterns of cannabinoid use among LTC residents across Canada. We gathered data on cannabinoid prescriptions among LTC residents for one year before and after recreational cannabis legalization. Multi-level modelling was used to examine the effects of demographic and diagnostic characteristics on rates of cannabinoid prescription over time. All prescriptions were for nabilone. There was a significant increase in the proportion of residents prescribed nabilone following the legalization of recreational cannabis in Canada. Residents with relatively more severe pain (based on the Minimum Data Set pain scale), a diagnosis of depression, or a diagnosis of an anxiety disorder were more likely to have received a nabilone prescription. Our results provide valuable information regarding the increasing use of synthetic cannabinoids in LTC. The implications for clinical practice and policy decision-makers are discussed.</p>","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":" ","pages":"235-242"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899293","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}
Samantha A Oostlander, Camille Joanisse, Linda Garcia, Michael S Mulvey, Martine Lagacé, Sarah Fraser, Louise Bélanger-Hardy, Annie Robitaille, Margaret Gillis, Jill Courtemanche, Tracey L O'Sullivan
{"title":"\"<i>I have an image of myself, it's strong and resilient\":</i> Assets Supporting Resilience of Older Adults and Their Communities during the COVID-19 Pandemic.","authors":"Samantha A Oostlander, Camille Joanisse, Linda Garcia, Michael S Mulvey, Martine Lagacé, Sarah Fraser, Louise Bélanger-Hardy, Annie Robitaille, Margaret Gillis, Jill Courtemanche, Tracey L O'Sullivan","doi":"10.1017/S0714980824000370","DOIUrl":"10.1017/S0714980824000370","url":null,"abstract":"<p><p>Despite societal perceptions of older adults as vulnerable, literature on resilience suggests that exposure to adversity and resources gained with life experience contribute to adaptation. One way to explore the nature of resilience is to document assets supporting adaptation. Interviews were conducted with older adults living in Canada at two time points during the COVID-19 pandemic, September 2020-May 2021 (T1) and January-August 2022 (T2). Reflexive thematic analysis was completed to report on what older adults identified as assets and how they understood the value of those assets for resilience. Participants indicated that the potential value of their contributions went largely untapped at the level of the community but supported individual and household adaptation. In line with calls for an all-of-society approach to reduce disaster risk and support resilience, creating a culture of inclusivity that recognizes the potential contributions of older adults should be paired with opportunities for action.</p>","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":" ","pages":"194-202"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773616","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":"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":"243-253"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","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}
Marie-Chantal Falardeau, Marie Beaulieu, Hélène Carbonneau, Mélanie Levasseur
{"title":"Evaluation of the Test Phase of the \"Program GIFT in Residence\": Results from a Pilot Participatory Action Research.","authors":"Marie-Chantal Falardeau, Marie Beaulieu, Hélène Carbonneau, Mélanie Levasseur","doi":"10.1017/S0714980824000436","DOIUrl":"10.1017/S0714980824000436","url":null,"abstract":"<p><p>Despite the negative effects on older adults, resident-to-resident aggression (RRA) remains a complex and understudied problem. Few interventions exist that address this issue by promoting goodwill. Using the intervention mapping approach, the evaluation of the test phase of the pilot Program GIFT in private seniors' residences (PSRs) (Quebec, Canada) was conducted through qualitative interviews with 25 residents, 21 staff members, and 4 managers. The results indicate that the program achieved its objectives of promoting goodwill, although the strategies to manage RRA and intervention tools were more difficult to integrate into the PSRs' culture. Obstacles and facilitators were reported. Recommendations were identified to enhance the program's content, promote it more effectively, and ensure long-term sustainability. This research is the first endeavour to develop, test, and evaluate the test phase of a pilot program co-created with residents, staff members and managers of PSRs, aiming simultaneously at promoting goodwill and countering RRA.</p>","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":" ","pages":"284-294"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899290","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 Medications.","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":"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":"254-261"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","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}
Linda Lee, Tejal Patel, Loretta M Hillier, Carrie McAiney, Kara Skimson, Emma Conway, Caitlin Agla, Jane McKinnon Wilson, Susie Gregg
{"title":"Frailty Screening in Primary Care-Based Memory Clinics: Feasibility, Acceptability, and Preliminary Findings.","authors":"Linda Lee, Tejal Patel, Loretta M Hillier, Carrie McAiney, Kara Skimson, Emma Conway, Caitlin Agla, Jane McKinnon Wilson, Susie Gregg","doi":"10.1017/S0714980824000394","DOIUrl":"10.1017/S0714980824000394","url":null,"abstract":"<p><p>We evaluated the feasibility and acceptability of frailty screening using handgrip strength with gait speed measures within four primary care-based memory clinics in Ontario. This mixed methods quality improvement initiative examined the reach, effectiveness, adoption, implementation, and maintenance of frailty screening from the perspective of patients (<i>N</i> = 216), care partners (<i>N</i> = 142), and healthcare providers (<i>N</i> = 9). Frailty screening was well-received by patients and care partners and perceived as quick and easy to administer and integrate into assessment processes by healthcare providers at all four memory clinics. The ease of integrating frailty screening into clinic processes was a key factor facilitating implementation; few challenges or suggestions for improvement were identified. All four clinics plan to continue frailty screening, three using the methods adopted in this study. Integrating frailty screening into memory assessments is feasible and acceptable and, given the interactional relationship between frailty and dementia, provides a significant opportunity to improve health outcomes for older adults.</p>","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":" ","pages":"168-180"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142710236","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}
Marie-Christine Hallé, Caroline Malo, Marie D Martel, Guylaine Le Dorze, Sophie Chesneau
{"title":"[Perspectives de personnes aînées et de personnes employées à propos de leur communication et interaction en bibliothèque].","authors":"Marie-Christine Hallé, Caroline Malo, Marie D Martel, Guylaine Le Dorze, Sophie Chesneau","doi":"10.1017/S0714980825000157","DOIUrl":"https://doi.org/10.1017/S0714980825000157","url":null,"abstract":"<p><p>La communication constitue un élément déterminant dans la participation sociale des personnes aînées. Or, les interactions entre ces dernières et le personnel d'institutions publiques, dont les bibliothèques, demeurent peu étudiées. Cette étude visait donc à identifier les composantes déterminantes de l'interaction entre les personnes aînées et le personnel de la bibliothèque. Des entrevues individuelles et de groupes ont été menées auprès de 10 personnes employées et de 19 personnes aînées avec et sans troubles cognitifs ou de communication, puis analysées qualitativement. Un modèle théorique représentant comment l'interaction en bibliothèque est influencée par des facteurs relatifs à la personne aînée (ex.: besoin d'interaction), la personne employée (ex.: stratégies de communication), l'environnement (ex.: achalandage) et la modalité (ex.: téléphone) a été développé. L'identification de ces facteurs pourra soutenir les bibliothèques dans l'adaptation de leurs modes de fonctionnement pour promouvoir la pleine participation sociale des personnes aînées.</p>","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":" ","pages":"1-11"},"PeriodicalIF":1.7,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175332","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":"https://doi.org/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":"1-14"},"PeriodicalIF":1.7,"publicationDate":"2025-05-08","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}
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":"https://doi.org/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":"1-12"},"PeriodicalIF":1.7,"publicationDate":"2025-05-08","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}
Cindy Whitten, Hayley Baker, Brooklyn Sparkes, Marlise Ball, Julia Curtis
{"title":"An Evaluation of the Use of Physical and Chemical Restraints in Geriatric Psychiatric Patients: A Retrospective Cohort Study.","authors":"Cindy Whitten, Hayley Baker, Brooklyn Sparkes, Marlise Ball, Julia Curtis","doi":"10.1017/S071498082500008X","DOIUrl":"https://doi.org/10.1017/S071498082500008X","url":null,"abstract":"<p><strong>Background: </strong>Restraints are used in various medical settings to control or restrict problematic patient behavior and can be physical, chemical, or environmental. Restraints can produce harmful psychological and physical effects.</p><p><strong>Objectives: </strong>The prevalence of restraints in geriatric populations in psychiatric hospital settings in the province of Newfoundland and Labrador (NL) has not yet been documented.</p><p><strong>Methods: </strong>This retrospective cohort study examined whether any form of restraint was used on patients admitted to the Geriatric Psychiatry Unit (GPU) at the Waterford Hospital in St. John's, NL, from June 1, 2019, to June 1, 2021.</p><p><strong>Findings: </strong>There were 277 admissions to the GPU during the period of observation, and of these, 189 (68.2%) had a chemical restraint administered, 135 (48.7%) had a physical restraint administered, and 123 patients (44.4%) had both a chemical and physical restraint administered.</p><p><strong>Discussion: </strong>Restraints are used to control patient behavior for a number of reasons and in a variety of ways. While this practice is used to promote safer environments for patients, it is not without medical, ethical, and political concerns.This study could promote alternatives to restraints for this geriatric psychiatric population in light of the construction of a new mental health and addictions facility in NL.</p>","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":" ","pages":"1-6"},"PeriodicalIF":1.7,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144006501","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}