Grace Liu, Kristina M Kokorelias, Amanda Knoepfli, Tracey Dasgupta, Naomi Ziegler, Sara J T Guilcher, Sander L Hitzig
{"title":"Characteristics and Trajectory of Older Adults Supported by a Patient Navigator Program in a Hospital Setting: A Cohort Observational Study.","authors":"Grace Liu, Kristina M Kokorelias, Amanda Knoepfli, Tracey Dasgupta, Naomi Ziegler, Sara J T Guilcher, Sander L Hitzig","doi":"10.1017/S0714980824000321","DOIUrl":"10.1017/S0714980824000321","url":null,"abstract":"<p><p>To improve transitions in care, a new patient navigation (PN) program was introduced to support older adults with complex care needs transition from hospital to home. The patient navigator is a community social worker embedded in the hospital's care teams. A cohort observational design was used to conduct the study by analysing the patient navigator's clinical notes and hospital's administrative data to describe the characteristics of patients, scope of the patient navigator's activities, and patient outcomes. Ninety patients were assigned to the patient navigator's caseload (November 2019-November 2021) in which the average age was 78.9 (range 55-95). The most frequent PN intervention types were referrals to community services (66%, <i>n</i> = 59) and discharge planning (61%, <i>n</i> = 55). The patient navigator supported 66% patients (<i>n</i> = 59) in returning home and provided follow-up care for 74 days (average). This study provides important insights into the patient navigator's role to guide decision makers in implementing PN programs for older adults in a hospital setting.</p>","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":" ","pages":"105-114"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630099","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}
Jason Steffener, Joanne Nicholls, Shireen Farghal, Dylan Franklin
{"title":"The Beneficial, Formative Role of Lifetime Exposures across Cognitive Domains in Barbados Using Data from the SABE Study.","authors":"Jason Steffener, Joanne Nicholls, Shireen Farghal, Dylan Franklin","doi":"10.1017/S0714980824000242","DOIUrl":"10.1017/S0714980824000242","url":null,"abstract":"<p><p>This study tested the hypothesis that within older Barbadian adults, sex, education, and occupation type lessen age-related cognitive decline. The analyses used a cross-sectional data set from 1325 people collected in the 2006 SABE Study (Health, Well-being, and Aging). Cognition was assessed as scores in each subdomain of the Mini-Mental State Exam. The loss of a single point in each subdomain was predicted by sex, years of education, job type, and their interactions with age. Results demonstrated that age and protective factors affect each cognitive domain differently. High education combined with mentally complex employment helped maintain cognitive performance in later life. Beneficial lifetime exposures are additive, providing combined benefits. Findings provide insight into public policy aiming to minimize the number of adults with cognitive decline and dementia in Barbados and the Caribbean.</p>","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":" ","pages":"78-88"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141155766","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}
Joyce Weil, Ronica N Rooks, Emily E Leonard, Emily Evans
{"title":"Older Adults and Gentrification: The Positive Role of Social Policy.","authors":"Joyce Weil, Ronica N Rooks, Emily E Leonard, Emily Evans","doi":"10.1017/S0714980824000333","DOIUrl":"10.1017/S0714980824000333","url":null,"abstract":"<p><p>Supportive public policies are suggested as ways to lessen gentrification's impact for older adults. While explicit policies designed to help older adults with gentrification are rare, literature on age-friendly cities is a close proxy. We utilized three North American cases undergoing gentrification: New York City, NY, and Denver, CO, in the United States and Hamilton, in Ontario, Canada, to present existing neighbourhood-based policies as social determinants of health in housing, resource access, healthcare, transportation, and communal places. Age-friendly policy application gap examples and COVID-19's impact were included. Using a qualitative comparative case study method, we found policies were not specifically designed to address older adults' gentrification needs. With the call for age-friendly designations, the role of gentrification in neighbourhoods with older populations must be included. We call for gentrification-specific policies for older adults to provide greater safeguards especially when events such as COVID-19 compete for existing, over-stretched resources.</p>","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":" ","pages":"126-136"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584662","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}
Michaella Miller, Elena Neiterman, Heather Keller, Carrie McAiney
{"title":"Being a Husband and Caregiver: The Adjustment of Roles When Caring for a Wife Who Has Dementia.","authors":"Michaella Miller, Elena Neiterman, Heather Keller, Carrie McAiney","doi":"10.1017/S0714980824000291","DOIUrl":"10.1017/S0714980824000291","url":null,"abstract":"<p><p>As demographics and gender norms shift, more older men will be providing care for their wives living with dementia than ever before. Research on husbands as caregivers is limited and offers an incomplete picture of their role development and how they experience caregiving. This study examined husbands whose wives have dementia and how they provide care and construct their sense of self. Semi-structured interviews with 11 men aged 61-88 were conducted in Ontario, Canada. Data were analyzed using constant comparison analysis and a constructivist grounded theory (CGT) approach. Two categories were developed: <i>Adapting to the Role of Caregiver</i> and <i>Staying a Husband.</i> Caregiving as a husband for a wife living with dementia required revision of the role of husband to include that of caregiver by reimaging intimacy, being a protector in new ways, and finding new meanings to being a provider and the value of wealth.</p>","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":" ","pages":"68-77"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510391","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}
Katherine A P Zagrodney, Emily C King, Deborah Simon, Kathryn A Nichol, Sandra M McKay
{"title":"A Good Investment: Expanding Capacity to Care for Older Adults in the Home and Community Care Sector Through Increased Personal Support Worker Wages-ERRATUM.","authors":"Katherine A P Zagrodney, Emily C King, Deborah Simon, Kathryn A Nichol, Sandra M McKay","doi":"10.1017/S0714980823000727","DOIUrl":"10.1017/S0714980823000727","url":null,"abstract":"","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":"44 1","pages":"158"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051061","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}
Monique Richard, Mario Paris, Suzanne Dupuis-Blanchard
{"title":"[Stratégies pour la mise en place d'un chœur intergénérationnel dans une résidence pour personnes aînées afin de contribuer à leur bien-être physique, mental et social].","authors":"Monique Richard, Mario Paris, Suzanne Dupuis-Blanchard","doi":"10.1017/S0714980824000400","DOIUrl":"10.1017/S0714980824000400","url":null,"abstract":"<p><p>Dans le contexte pandémique de la COVID-19, les personnes aînées se sont retrouvées confinées et isolées, et ce, même dans le cadre d'un milieu de vie collective. Cet article fait état d'une étude de la portée sur les bienfaits d'un chœur intergénérationnel pour personnes aînées et les stratégies à considérer pour sa mise en place. L'analyse de 16 études sur ce sujet a permis de se familiariser avec les résultats, les recommandations et les pistes de recherche en lien avec le bien-être et le sens de satisfaction que retirent les personnes aînées qui participent à un chœur, de même que des interventions en chant choral à privilégier. De plus, cette activité qui est peu couteuse et bénéfique est considérée comme une intervention de nature préventive qui contribue au bien-être des personnes aînées et à leur prise en charge pour un vieillissement en santé. Par ailleurs, les résultats suggèrent de continuer à documenter l'efficacité des stratégies proposées pour les améliorer ou les adapter afin de maximiser les effets positifs d'une telle activité sur le bien-être physique, social, émotionnel et cognitif des personnes aînées.</p>","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":" ","pages":"52-67"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830510","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}
Isabelle Lacroix, Mélanie Levasseur, François Michaud, Marika Lussier-Therrien
{"title":"[Coconstruire autrement avec des personnes aînées grâce à la science-fiction: nouveaux regards sur la recherche en robotique d'assistance sociale].","authors":"Isabelle Lacroix, Mélanie Levasseur, François Michaud, Marika Lussier-Therrien","doi":"10.1017/S0714980824000424","DOIUrl":"10.1017/S0714980824000424","url":null,"abstract":"<p><p>Cette note de recherche vise à présenter comment la science-fiction fut utilisée dans un projet de recherche pour coconstruire une vision commune de la robotique sociale favorisant la participation sociale des personnes aînées. Une recherche-action a été réalisée à l'aide de deux forums d'informateurs-clés regroupant des personnes aînées animés à partir d'extraits d'œuvres cinématographiques de science-fiction dans le but de stimuler leur réflexion. Une analyse de contenu thématique de ces forums a permis de mettre en évidence la contribution de l'usage de la science-fiction dans le cadre de cette démarche de recherche. Trois contributions complémentaires de la science-fiction ont été identifiées, soit 1) les illustrations; 2) les comparaisons et 3) le déclenchement de réflexions.</p>","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":" ","pages":"151-157"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899287","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}
Sherry Dahlke, Jeffrey I Butler, Madeline Toubiana, Shovana Shrestha, Kelly Baskerville, Rashmi Devkota, Kathleen F Hunter, Maya R Kalogirou, Joanna Law, Melissa Scheuerman
{"title":"Understanding Older Adults' Experiences with Cannabis for Medicinal Purposes: A Mixed Methods Study.","authors":"Sherry Dahlke, Jeffrey I Butler, Madeline Toubiana, Shovana Shrestha, Kelly Baskerville, Rashmi Devkota, Kathleen F Hunter, Maya R Kalogirou, Joanna Law, Melissa Scheuerman","doi":"10.1017/S0714980824000357","DOIUrl":"10.1017/S0714980824000357","url":null,"abstract":"<p><p>The aim of this study was to explore the perspectives of older medicinal cannabis consumers and those advising them on older Canadians' experiences accessing cannabis and information about it, as well as how stigma may influence their experiences. A concurrent triangulation mixed methods design was used. The design was qualitatively driven and involved conducting semi-structured interviews with older adults and advisors and developing a survey for older adults. We used a Qualitative Descriptive approach for the analysis of qualitative data and descriptive statistics for quantitative survey data. Findings demonstrate that many older adults are accessing information about cannabis for medical purposes from retailers, either because they are reticent to talk to their healthcare professionals or were rebuffed when bringing up the subject. We recommend cannabis education be required for healthcare professionals working with older persons and that future research examines their perspectives on medicinal cannabis and older adults.</p>","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":" ","pages":"10-19"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773618","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}
Julia Rowat, Nicole Akan, Joyla Furlano, Letebrhan Ferrow, Felix Ashdohonk, Diane Smith, Karen Ryder, Theresa O'Watch, Gail Boehme, Jennifer Walker
{"title":"Nakoda Oyáde Ománi Agíktųža: Adapting the Canadian Indigenous Cognitive Assessment in a Nakoda First Nation Community.","authors":"Julia Rowat, Nicole Akan, Joyla Furlano, Letebrhan Ferrow, Felix Ashdohonk, Diane Smith, Karen Ryder, Theresa O'Watch, Gail Boehme, Jennifer Walker","doi":"10.1017/S0714980824000278","DOIUrl":"10.1017/S0714980824000278","url":null,"abstract":"<p><p>Increasing rates of dementia in First Nations populations require culturally grounded approaches to dementia diagnosis and care. To respond to the need for a culturally appropriate cognitive assessment tool, a national team of health services researchers and community partners, guided by a Nakoda Advisory Group, aimed to adapt the Canadian Indigenous Cognitive Assessment tool for a Nakoda First Nation in Carry the Kettle First Nation, Saskatchewan, Canada. The adaptation of the CICA for a Nakoda First Nation community resulted in a slightly modified version of the CICA signalling that the CICA requires minimal adaptation to be used in different First Nations contexts.</p>","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":" ","pages":"20-25"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689210","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}