Journal of Applied Gerontology最新文献

Positive Neuropsychological Factors Associated With Greater Engagement in Brain Health Behaviors in Older Adults. 积极的神经心理学因素与老年人更多地参与脑健康行为有关。

IF 2.2 3区医学

Journal of Applied Gerontology Pub Date : 2025-08-01 Epub Date: 2024-11-25 DOI: 10.1177/07334648241302461

Luke R Miller, Ross Divers, Katrail Davis, Ashlyn Runk, Christopher Reed, Matthew Calamia

{"title":"Positive Neuropsychological Factors Associated With Greater Engagement in Brain Health Behaviors in Older Adults.","authors":"Luke R Miller, Ross Divers, Katrail Davis, Ashlyn Runk, Christopher Reed, Matthew Calamia","doi":"10.1177/07334648241302461","DOIUrl":"10.1177/07334648241302461","url":null,"abstract":"Background: Research has examined the influence of positive psychological factors including purpose in life (PIL), need for cognition (NFC), and psychological flexibility on behaviors that support brain health (i.e., preserved cognitive functioning and brain structures). However, more research is needed to examine their predictive validity in relation to other important factors in this context including emotional distress and dementia worry. Objective: The current study included 348 older adults who completed self-report measures of PIL, NFC, psychological flexibility, emotional distress, dementia worry, and brain health behavior engagement via Qualtrics. Results: Greater PIL was associated with more engagement in all brain health behaviors while NFC was only associated with more cognitive activity, heart health monitoring, and stress management. Psychological flexibility mediated the association between PIL and engagement. Conclusion: Our findings add evidence to the incremental validity of positive neuropsychological factors on engagement in brain health behaviors. Implications for neuropsychological interventions are discussed.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1230-1240"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711311","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}

引用次数: 0

Developing and Testing a Two-Part Intervention: Enhancing Dementia Instruction and Tool in Home Hospice Care. 开发和测试由两部分组成的干预措施：加强家庭安宁疗护中的痴呆症指导和工具。

IF 2.2 3区医学

Journal of Applied Gerontology Pub Date : 2025-08-01 Epub Date: 2024-12-17 DOI: 10.1177/07334648241305484

Sophia Rose Geisser, Abigail Amponsah, Felix Vasquez, Margaret McDonald, Noreen Coyne, Ebtesam Tamer, Elizabeth A Luth

{"title":"Developing and Testing a Two-Part Intervention: Enhancing Dementia Instruction and Tool in Home Hospice Care.","authors":"Sophia Rose Geisser, Abigail Amponsah, Felix Vasquez, Margaret McDonald, Noreen Coyne, Ebtesam Tamer, Elizabeth A Luth","doi":"10.1177/07334648241305484","DOIUrl":"10.1177/07334648241305484","url":null,"abstract":"Family care partners (FCP) of persons living with dementia provide extensive care and experience significant stress. Hospice nurses and social workers seldom receive training to help FCP. This article describes the development and pilot testing of Enhancing Dementia Instruction and Tool in Home Hospice Care (EDITH-HC). This intervention provides 1) instructional videos for clinicians about dementia-specific end-of-life care and 2) a worksheet for clinicians and FCP to complete together to identify and address FCP stressors and concerns. EDITH-HC development involved co-developing and revising draft intervention materials based on two rounds of structured input from FCP (n = 10), hospice nurses and social workers (n = 5), and research/content experts (n = 4); and a single-arm pilot test of the intervention to assess initial feasibility and acceptability (n = 13). Initial pilot testing indicates the intervention is feasible and acceptable. A larger randomized pilot study to determine feasibility and acceptability is underway.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1371-1378"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848175","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}

引用次数: 0

Examining Engagement Calendar Deviations in Assisted Living: A Focus on Residents With Dementia. 研究辅助生活设施中的参与日历偏差：聚焦老年痴呆症患者。

IF 2.2 3区医学

Journal of Applied Gerontology Pub Date : 2025-08-01 Epub Date: 2024-12-17 DOI: 10.1177/07334648241306572

Jasmine Sease, Candace L Kemp

{"title":"Examining Engagement Calendar Deviations in Assisted Living: A Focus on Residents With Dementia.","authors":"Jasmine Sease, Candace L Kemp","doi":"10.1177/07334648241306572","DOIUrl":"10.1177/07334648241306572","url":null,"abstract":"Early in our longitudinal qualitative study on meaningful engagement and quality of life among assisted living (AL) residents with dementia, researchers observed differences between the activities scheduled on monthly engagement calendars and those taking place. Yet, we were unable to identify any research examining such deviations or their implications. Thus, drawing on data from three diverse AL communities studied over a one-year period, we aim to: 1) examine deviations in scheduled engagement programming; 2) identify influential factors; and 3) understand resident outcomes. Our analysis identified general adherence to calendars but also deviations involving cancellations and substitutions. Factors influencing deviations included staff and staffing, engagement capacity, programming guidance and support, care staff attitudes and beliefs, and unforeseen circumstances. Cancellations typically meant resident inactivity and sometimes boredom, disappointment, and anxiety; substitutions appear less detrimental. This analysis has implications for research and practice and underscores the significance of engagement among persons living with dementia.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1328-1337"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12170916/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142840038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Strengthening the Frontline Response to Elder Abuse: Qualitative Insights From Australian Paramedics. 加强一线应对虐待老人的措施：澳大利亚辅助医务人员的定性见解。

IF 2.2 3区医学

Journal of Applied Gerontology Pub Date : 2025-08-01 Epub Date: 2024-11-19 DOI: 10.1177/07334648241302455

Navindhra Naidoo, Peter Feldman, Rachel Muoio, Simon Sawyer, Bianca Brijnath

{"title":"Strengthening the Frontline Response to Elder Abuse: Qualitative Insights From Australian Paramedics.","authors":"Navindhra Naidoo, Peter Feldman, Rachel Muoio, Simon Sawyer, Bianca Brijnath","doi":"10.1177/07334648241302455","DOIUrl":"10.1177/07334648241302455","url":null,"abstract":"In this research we identified the training needs of paramedics in Australia regarding elder abuse identification and response. Ten qualitative interviews with paramedics and paramedic educators from each state and territory were conducted between January and March 2024. Participants encountered elder abuse in their professional capacity, often manifesting as neglect although responses were variable, influenced by the jurisdiction, whether the paramedic had specialist training, how much \"scene time\" was permitted, workload pressures, and if there were clear protocols and guidelines from the ambulance service on how to respond to elder abuse. The existing training was perceived as \"patchy\" and ad hoc, but participants offered recommendations for training content and preferred training delivery method in detecting and responding to elder abuse. Given population aging and increased use of ambulance services by older people, paramedics have a crucial role to play in elder abuse early detection and referral. This research presents a critical first step in addressing this gap.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1257-1266"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12227804/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Shedding Light on Falls: The Effect of Lighting Levels on Fall Risk in Long-Term Residential Care Facilities. 照明对跌倒的影响：照明水平对长期住宿护理机构跌倒风险的影响。

IF 2.2 3区医学

Journal of Applied Gerontology Pub Date : 2025-08-01 Epub Date: 2024-12-03 DOI: 10.1177/07334648241302552

Yasaman Emad, Sonja P Neef, Lynne Taylor, Ngaire Kerse, Alana Cavadino, Simon A Moyes, Kate Comber, Xiaojing S Wu, Janine Molloy, Catherine J Bacon

{"title":"Shedding Light on Falls: The Effect of Lighting Levels on Fall Risk in Long-Term Residential Care Facilities.","authors":"Yasaman Emad, Sonja P Neef, Lynne Taylor, Ngaire Kerse, Alana Cavadino, Simon A Moyes, Kate Comber, Xiaojing S Wu, Janine Molloy, Catherine J Bacon","doi":"10.1177/07334648241302552","DOIUrl":"10.1177/07334648241302552","url":null,"abstract":"To compare lighting levels in care facilities with local recommendations and determine their cross-sectional association with fall rate, we recruited residents (n = 126) from 12 long-term care facilities (mean ± SD age 85.1 ± 7.9 years; 64.3% female). Lighting levels were measured at different times in various areas within facilities, according to each resident's movements and habitual use of light. Lighting fell short of focused activity recommendations in 57.7% of bedrooms and 68.5% of bathrooms (bathing and toileting areas); 22.8% and 41.9%, respectively, were also below general activity recommendations. Lower bedroom and overall lighting correlated with higher fall rates (all p < .05). Covariate-adjusted negative binomial models showed lighting in dining rooms (incidence rate ratio [IRR] = 0.92 (95% CI 0.87-0.98; p = .005) for 100 lux increase), bathrooms (IRR = 0.87 [0.78-0.98]; p = .016), and overall (IRR = 0.91 [0.83-1.00]; p = .03-.04) predicted lower fall rates. Areas used by care facility residents commonly have lower than recommended lighting levels, which increases fall risk.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1318-1327"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12227831/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Does Retirement Increase Fraud Exposure and Fraud Victimization? Evidence From China. 退休是否会增加欺诈暴露和欺诈受害？——来自中国的证据。

IF 2.2 3区医学

Journal of Applied Gerontology Pub Date : 2025-08-01 Epub Date: 2024-12-01 DOI: 10.1177/07334648241305319

Yang Liu, Jianmei Zhao

引用次数: 0

More Positive Attitudes to Aging are Associated with Lower Subjective Cognitive Decline: Moderating Roles of Affective Well-Being. 积极的老龄化态度与较低的主观认知衰退相关：情感幸福感的调节作用。

IF 2.2 3区医学

Journal of Applied Gerontology Pub Date : 2025-08-01 Epub Date: 2024-12-10 DOI: 10.1177/07334648241303028

Renata Komalasari, Nikki L Hill, Diane Berish, Jacqueline Mogle

{"title":"More Positive Attitudes to Aging are Associated with Lower Subjective Cognitive Decline: Moderating Roles of Affective Well-Being.","authors":"Renata Komalasari, Nikki L Hill, Diane Berish, Jacqueline Mogle","doi":"10.1177/07334648241303028","DOIUrl":"10.1177/07334648241303028","url":null,"abstract":"This study cross-sectionally examined associations between older adults' aging attitudes and subjective cognitive decline as well as moderating effects of current positive affect and depressive symptoms. Data were collected via an online survey among U.S. adults 65+ (N = 339, 55.5% female, Mage = 71.7, SD ± 4.78) with no self-reported diagnosis of dementia. SCD was measured with the Everyday Cognition scale; attitudes to physical change, psychological growth, and psychosocial loss in aging were measured with the Attitudes to Aging Questionnaire. A Poisson regression analysis showed that overall aging attitudes, attitudes to physical change, and psychosocial loss were associated with SCD, but attitudes to psychosocial growth were not. More positive attitudes to physical change were associated with lower SCD; more negative attitudes to psychosocial loss were associated with higher SCD. The association between more positive attitudes to physical change in aging and lower SCD was accentuated with lower current positive mood and higher current depressive symptoms.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1241-1251"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802643","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}

引用次数: 0

Adopting Network Analysis to Understand Grief and Loneliness Among Bereaved Older Adults. 运用网络分析了解丧亲老人的悲伤与孤独。

IF 2.2 3区医学

Journal of Applied Gerontology Pub Date : 2025-08-01 Epub Date: 2024-12-09 DOI: 10.1177/07334648241303019

Keyuan Jiao, Yong Hao Ng, Margaret H P Suen, Amy Y M Chow

引用次数: 0

Inter-Specialty Communication for Older and High-Risk Surgical Patients: "A Huge Opportunity to Really Impact Our Patients' Care". 针对老年和高危外科患者的跨专业交流：“真正影响患者护理的巨大机会”。

IF 2.2 3区医学

Journal of Applied Gerontology Pub Date : 2025-08-01 Epub Date: 2024-12-12 DOI: 10.1177/07334648241302458

Donna Ron, Madison M Ballacchino, Christine M Gunn, Alexandra Briggs, Stacie G Deiner

{"title":"Inter-Specialty Communication for Older and High-Risk Surgical Patients: \"A Huge Opportunity to Really Impact Our Patients' Care\".","authors":"Donna Ron, Madison M Ballacchino, Christine M Gunn, Alexandra Briggs, Stacie G Deiner","doi":"10.1177/07334648241302458","DOIUrl":"10.1177/07334648241302458","url":null,"abstract":"Older adults benefit from a multidisciplinary approach to perioperative care, with reductions in length of stay and postoperative readmission. To explore perioperative communication, we conducted in-depth, semi-structured interviews with anesthesia, surgery, and primary care providers caring for older patients in northern New England. Communication barriers included cumbersome health information exchange with system fragmentation across and within electronic health records resulting in clinician and administrative burden and unnecessary duplication of services. Clinicians expressed the value of preoperative communication across specialties but described a lack of timely communication with colleagues caring for shared patients and uncertainty about specialty roles and responsibilities. Preferences and use patterns of communication modalities varied across specialties, but the need for direct, secure communication linked to the patient chart was consistent. Clinicians emphasized the importance of communication for efficiency and patient safety and suggested strengthening perioperative care pathways through improvements in technological and organizational infrastructure and interprofessional relationships.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1297-1308"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814702","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}

引用次数: 0

Association between Cardiovascular Disease and Handgrip Strength Risk among Community-Dwelling Older Adults in India. 印度社区老年人心血管疾病与握力风险之间的关系

IF 2.2 3区医学

Journal of Applied Gerontology Pub Date : 2025-08-01 Epub Date: 2024-12-09 DOI: 10.1177/07334648241302457

Manacy Pai, Vishal Vennu

{"title":"Association between Cardiovascular Disease and Handgrip Strength Risk among Community-Dwelling Older Adults in India.","authors":"Manacy Pai, Vishal Vennu","doi":"10.1177/07334648241302457","DOIUrl":"10.1177/07334648241302457","url":null,"abstract":"The literature does not adequately examine the relationship between cardiovascular disease (CVD) and risk in handgrip strength (HGS) among community-dwelling older adults in India. The study aimed to investigate this relationship, considering sociodemographic, lifestyle, and clinical variables. A cross-sectional study involving 31,001 individuals aged ≥60 assessed HGS in kilograms using a handheld Smedley Hand Dynamometer and self-reported CVD status. Participants were classified into two groups: with (n = 2291) and without CVD (n = 28,710). Multivariate logistic regression analyses revealed a significant odds ratio (OR) of HGS among older adults with CVD, adjusted for age, gender, education, marital status, place of residence (sociodemographic), alcohol consumption, smoking, activity, body mass index (lifestyle), hypertension, diabetes, and chronic bone/joint diseases (clinical) (right-handed: OR = 1.23, 95% confidence interval [CI] = 1.09-1.38; left-handed: OR = 1.16, 95% CI = 1.04-1.30). CVD is associated with an increased risk of reduced HGS in older Indians, underscoring that improving HGS may help reduce death rates in this population.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1289-1296"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802638","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}

引用次数: 0