Mohammad Essawi, Hadass Goldblatt, Ruth Stashefsky-Margalit, Anat Drach-Zahavy
{"title":"Cultural Awareness and Family Satisfaction: The Moderating Roles of Nurses' Positive Emotions and Nurse-Family Cultural Similarity.","authors":"Mohammad Essawi, Hadass Goldblatt, Ruth Stashefsky-Margalit, Anat Drach-Zahavy","doi":"10.1177/07334648251383639","DOIUrl":"https://doi.org/10.1177/07334648251383639","url":null,"abstract":"<p><p>This study examined whether nurses' cultural awareness is associated with family members' satisfaction with care in nursing homes and whether this relationship is influenced by cultural dissimilarity and nurses' positive emotions. A cross-sectional, multi-informant design included 121 nurse-family member encounters across three facilities. Nurses reported cultural awareness and positive emotions; family members rated satisfaction after each encounter. A double moderated multiple linear regression with hierarchical variable entry was used to test the study hypotheses. Cultural awareness alone did not significantly predict satisfaction (b = -0.07, p = .525). However, cultural dissimilarity was associated with lower satisfaction (b = -0.35, p < .001), and higher nurse-reported positive emotions were also accompanied by reduced satisfaction (b = -0.13, p = .015). Cultural awareness interacted with both moderators: its effect on satisfaction was stronger when dissimilarity was low (b = -0.51, p = .040) and emotional expression was high (b = -0.33, p = .029). These findings highlight the complexity of cultural and emotional dynamics in shaping family satisfaction in care.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251383639"},"PeriodicalIF":2.0,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145309563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emily L Mroz, Rarinsri P Assakul, Jenna L Wells, Molly M Perkins, Kenneth Hepburn, James K Rilling
{"title":"\"One More Picture:\" A Mixed-Methods Examination of Caption Content in a Photo Captioning Cognitive Empathy Intervention for Dementia-Caregivers.","authors":"Emily L Mroz, Rarinsri P Assakul, Jenna L Wells, Molly M Perkins, Kenneth Hepburn, James K Rilling","doi":"10.1177/07334648251378791","DOIUrl":"https://doi.org/10.1177/07334648251378791","url":null,"abstract":"<p><p>Empathic perspective-taking may support mental health in caregivers of people living with dementia (PLWD). A photo captioning intervention can promote perspective-taking by guiding caregivers to capture the inner voice of the PLWD. Caregivers' approaches to captioning may be an important mechanism of intervention efficacy. Using a mixed-methods design including subgroup parallel sampling and descriptive content-analysis of 310 captions from an intervention trial, we identified patterns in caregivers' photo captioning. Captions from caregivers who experienced increases in perspective-taking (1) maintained first-person, PLWD focused language, (2) highlighted engagement and intention, and (3) illustrated resilient living. Captions from caregivers who experienced little-to-no increases in perspective-taking (1) offered inconsistent, incomplete phrasing, (2) provided generic, detached descriptions, and (3) adopted a negative, critical tone. Captions from both subgroups (1) connected PLWDs' emotions to events and (2) recorded PLWDs' wonders, wants, and wishes. Results support the development and refinement of perspective-taking interventions to maximize caregiver benefits.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251378791"},"PeriodicalIF":2.0,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cognitive Engagement and Dementia Risk: A Dose-Response Comparison of Nursing Home and Community Residents.","authors":"Jungjoo Lee, Junhyoung Kim","doi":"10.1177/07334648251386106","DOIUrl":"https://doi.org/10.1177/07334648251386106","url":null,"abstract":"<p><p>This study examined the relationship between participation in cognitive activities (CA), the risk of Alzheimer's disease and related dementias (AD/ADRD), and the residential setting using Health and Retirement Study data from 2012 to 2020 (<i>n</i> = 18,111). A Cox proportional hazards regression model assessed risk factors. Findings revealed that residential setting significantly predicted dementia risk. Older adults living in nursing homes were 3.57 times more likely to develop AD/ADRD than those residing in the community (95% CI [2.23, 5.07]). Although both groups showed reduced risk with increased CA participation, community dwellers experienced a 12% risk reduction compared to only 2% among nursing home residents, even when both participated in cognitive activities three to four times per week. These results underscore the dual importance of engaging in cognitive activities and considering environmental context in mitigating AD/ADRD risk among older adults.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251386106"},"PeriodicalIF":2.0,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Applying the Decomposed Theory of Planned Behavior to Explore Long-Term Care Residents' Participation in an Augmented Reality Aromatherapy Education Program.","authors":"Vivian Ya-Wen Cheng, Chiu-Mieh Huang, Su-Fei Huang, Ching-Hao Chang, Li-Ting Lu, Ying-Jie Chang, Jong-Long Guo","doi":"10.1177/07334648251380904","DOIUrl":"https://doi.org/10.1177/07334648251380904","url":null,"abstract":"<p><p>This study examined the applicability of the Decomposed Theory of Planned Behavior (DTPB) in understanding long-term care residents' intention to continue using an augmented reality (AR) aromatherapy education program designed to manage behavioral and psychological symptoms of dementia (BPSD). Eighty-five residents participated in a cross-sectional survey following their experience with a series of AR-based modules. Partial least squares structural equation modeling showed that attitude, subjective norms, and perceived behavioral control significantly predicted continuous use intention, explaining 69.0% of the variance. Perceived usefulness and playfulness shaped attitude, while interpersonal influence and self-efficacy influenced subjective norms and perceived behavioral control, respectively. Perceived usefulness demonstrated both direct and indirect effects on use intention. Findings support the theoretical fit of the DTPB in evaluating technology-based interventions for older adults. Integration of AR aromatherapy education into long-term care may enhance resident engagement and support non-pharmacological BPSD management.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251380904"},"PeriodicalIF":2.0,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Theodosios Paralikas, Ioanna Dimitriadou, Theodora Plataniti, Evangelos C Fradelos, Aikaterini Toska, Foteini Malli, Georgios Tsioumanis, Maria Saridi
{"title":"Meaning in Life, Happiness, and Well-Being as Protective Factors Against Depression in Community-Dwelling Older Adults: A Cross-Sectional Study.","authors":"Theodosios Paralikas, Ioanna Dimitriadou, Theodora Plataniti, Evangelos C Fradelos, Aikaterini Toska, Foteini Malli, Georgios Tsioumanis, Maria Saridi","doi":"10.1177/07334648251386540","DOIUrl":"https://doi.org/10.1177/07334648251386540","url":null,"abstract":"<p><p>This cross-sectional study examined the associations between existential meaning, subjective happiness, psychological well-being, and depressive symptoms in 181 community-dwelling older adults (≥65 years) living in rural Greece. Using validated self-report measures, hierarchical multiple regression identified psychological and sociodemographic predictors of depressive symptoms. Results indicated that psychological well-being, the presence of existential meaning, and subjective happiness were significantly and negatively correlated with depressive symptoms. Well-being and presence of existential meaning emerged as the strongest independent predictors, while the search for meaning was not significant. Social support from children was associated with lower depressive symptoms, whereas living alone and receiving care from paid caregivers predicted higher levels. Additionally, advanced age and low income were identified as risk factors. These findings suggest that positive psychological resources, particularly well-being and existential meaning, serve as protective factors against depressive symptoms in later life.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251386540"},"PeriodicalIF":2.0,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Financial Well-Being in Older Adults: A Machine Learning Analysis of 47 Potential Predictors.","authors":"Mohsen Joshanloo","doi":"10.1177/07334648251386155","DOIUrl":"https://doi.org/10.1177/07334648251386155","url":null,"abstract":"<p><p>This study examined potential predictors of financial well-being in older adults. Data were drawn from the Health and Retirement Study, focusing on psychosocial, demographic, and lifestyle variables. Random Forest analysis was performed to assess the relative importance of 47 potential predictors, offering a data-driven evaluation of which factors are most strongly associated with subjective financial well-being. Results showed that psychological variables (particularly chronic stress, life satisfaction, perceived control, and optimism) were stronger predictors than demographic indicators. Among demographic variables, education was the most important. The results suggest that financial well-being reflects individuals' ability to maintain a sense of satisfaction, optimism, and agency in the face of life challenges, rather than being determined solely by economic or demographic conditions.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251386155"},"PeriodicalIF":2.0,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Monique J Brown, Darlingtina K Esiaka, Jaya Viswanathan
{"title":"Adverse Childhood Experiences, Depression and Subjective Cognitive Decline by Gender: A Moderated Mediation Analysis.","authors":"Monique J Brown, Darlingtina K Esiaka, Jaya Viswanathan","doi":"10.1177/07334648251386108","DOIUrl":"https://doi.org/10.1177/07334648251386108","url":null,"abstract":"<p><p>Studies assessing depression as a mediating factor between adverse childhood experiences (ACEs) and subjective cognitive decline (SCD) are lacking. Therefore, the aims of this study were to: (1) determine the mediating role of depression in the association between ACEs and SCD; and (2) assess the moderating role of gender. Data were obtained from the 2023 Behavioral Risk Factor Surveillance Study (BRFSS) survey (<i>N</i> = 38,600). Crude and adjusted path analyses were used to determine the mediating role of depression between ACEs and SCD. Adjusted analyses controlled for sociodemographic confounders. ACEs were positively associated with depression (B = 0.129, <i>p</i> < 0.001), depression was positively associated with SCD (B = 0.224, <i>p</i> < 0.001), and ACEs were positively associated with SCD (B = 0.066, <i>p</i> < 0.001). Depression mediated the association between ACEs and SCD in the overall population (B = 0.029, <i>p</i> < 0.001), and for men (B = 0.025, <i>p</i> < 0.001) and women (B = 0.032, <i>p</i> < 0.001). Intervention programs addressing ACEs may reduce depression and help with cognition for men and women.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251386108"},"PeriodicalIF":2.0,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Different Associations Between Dimensions of Daytime Sleepiness and Subjective Well-Being in Community-Dwelling Older Adults: The Yilan Study, Taiwan.","authors":"Shih-Ying Ni, Nai-Wei Hsu, Hsi-Chung Chen","doi":"10.1177/07334648251313872","DOIUrl":"10.1177/07334648251313872","url":null,"abstract":"<p><p>This study aimed to examine the associations between the different constructs of daytime sleepiness and subjective well-being (SWB), and to investigate whether physical disability moderated these associations in community-dwelling older adults. We examined daytime sleepiness using the Epworth Sleepiness Scale (ESS) and SWB was evaluated in terms of self-rated health and happiness. Exploratory factor analysis (EFA) was used to determine latent constructs of ESS, yielding two primary factors, which were designated as active and passive factors. The active factor was positively correlated with self-rated health and self-rated happiness. By contrast, the passive factor was negatively correlated with self-rated health but not with self-rated happiness. Physical disability was evaluated using the Groningen Activity Restriction Scale (GARS). By examining the interaction terms between the ESS factors and GARS, we demonstrated that the physical disability moderated the associations of active and passive factors with self-rated health.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1669-1680"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Elder Abuse During COVID-19 Pandemic in Canada.","authors":"Srinivasan Chokkanathan, Jayashree Mohanty","doi":"10.1177/07334648251313889","DOIUrl":"10.1177/07334648251313889","url":null,"abstract":"<p><p>The current study attempts to estimate the prevalence rate of, and factors associated with, elder abuse in Ontario, Canada. The data for this study was collected using a cross-sectional study design, which involved a Qualtrics survey. Various recruitment strategies were used to reach respondents, including Facebook advertisements, email listservs, and a Qualtrics research panel. The sample size consisted of 933 adults. The analysis for this study focused on 361 respondents aged 51 years and older. The prevalence rate of abuse was found to be 16.1% during the COVID-19 pandemic. Hierarchical logistic regression results revealed that the model's explanatory fit improved significantly after including family- and community variables. Factors that significantly increased vulnerability to abuse were male gender, living with others, family conflicts, ageism, loneliness, and COVID-19-related stressors. Innovative multisectoral and multilevel interventions are needed to prevent and deal with elder abuse during pandemics.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1595-1604"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ageism and Loneliness in People Over 50: Understanding the Role of Self-Perception of Aging and Social Isolation in a Chilean Sample.","authors":"Oscar Terán-Mendoza, Vicente Cancino","doi":"10.1177/07334648251314283","DOIUrl":"10.1177/07334648251314283","url":null,"abstract":"<p><p>Population aging represents a global challenge. In this context, loneliness has positioned itself as a critical problem with adverse effects on the physical and mental health of the elderly. This study aimed to explore the role of negative self-perception of aging (SPA) and social isolation as mediators in the relationship between ageism and loneliness. Structural equation modeling (SEM) was used in a sample of 307 people over 50 in Chile. The results show that both age discrimination and ageist stereotypes are directly associated with higher levels of loneliness. Negative SPA significantly mediated the relationships between discrimination and loneliness, as well as between stereotypes and loneliness. These findings highlight the importance of psychological and cultural variables in objective and subjective outcomes of interpersonal relationships, suggesting the need for interventions to mitigate the effects of ageism and improve SPA to favor healthy aging.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1681-1690"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}