{"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":"https://doi.org/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":"7334648251313872"},"PeriodicalIF":2.2,"publicationDate":"2025-01-09","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}
Haley M Shiff, Theresa A Allison, Madina Halim, Kenneth E Covinsky, Alexander K Smith, Deborah E Barnes, Jennie M Gubner, Kara Zamora
{"title":"\"I Aim to Fulfill My Promise\": Dementia Caregiving from the Perspective of Spouses and Partners.","authors":"Haley M Shiff, Theresa A Allison, Madina Halim, Kenneth E Covinsky, Alexander K Smith, Deborah E Barnes, Jennie M Gubner, Kara Zamora","doi":"10.1177/07334648241310707","DOIUrl":"https://doi.org/10.1177/07334648241310707","url":null,"abstract":"<p><p>In the United States, spouses provide 17% of in-home care for people living with dementia. Negative impacts of dementia care on spouses/partners are well-documented, but we lack information about the holistic experience for spouses/partners. We conducted a secondary thematic analysis of data from two observational studies about everyday music engagement and dementia care at home. In this paper, we report on experiences of dementia care from the perspectives of spouses/partners. Participants included 15 people living with dementia (20% women, 20% people of color); 15 spouses/partners (73% women, 27% people of color). Individual experiences varied, but underlying patterns emerged: 1) Caregiving approaches were grounded in loyalty and commitment 2) Spouses<b>/</b>partners struggled to accept changes occurring with dementia progression, and 3) As verbal skills diminished, spouses/partners found meaning in small gestures. Spousal/partner dementia care poses unique challenges and rewards. Identifying underlying motivations and sources of strength can support the caregiving experience.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648241310707"},"PeriodicalIF":2.2,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956725","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}
Molly McHugh, Ellen Munsterman, Hannah Cho, Mary D Naylor
{"title":"Effective Solutions for Caregivers of Older Adults: A Review of Systematic Reviews.","authors":"Molly McHugh, Ellen Munsterman, Hannah Cho, Mary D Naylor","doi":"10.1177/07334648241312999","DOIUrl":"10.1177/07334648241312999","url":null,"abstract":"<p><p>This umbrella review aims to describe caregiver interventions tested across populations of informal caregivers of older adults and to examine the effect of caregiver interventions on depression, burden, and quality of life across intervention types and care-recipient populations. PubMed, Scopus, APA PsycInfo, ABIM, Sociological Abstracts, PAIS, and EconLit databases were systematically searched. Forty systematic reviews were identified as meeting inclusion criteria. Most commonly, interventions focused on improving outcomes for caregivers of older adults with dementia. Among the included reviews, caregiver depression was most likely to be reduced by caregiver interventions, and cognitive behavioral therapy (CBT) and mindfulness-based interventions (MBI) were most effective. The use of information and communication technologies to deliver caregiver interventions is increasingly common. Standardization of intervention classifications and transparent reports of intervention delivery details will strengthen research in this field.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648241312999"},"PeriodicalIF":2.2,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956744","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}
Colby P Smith, Molly M Perkins, Kenneth W Hepburn, Dio Kavalieratos, Jane Lowers
{"title":"Examining Help-Seeking Behavior in People Living Alone With Cognitive Impairment.","authors":"Colby P Smith, Molly M Perkins, Kenneth W Hepburn, Dio Kavalieratos, Jane Lowers","doi":"10.1177/07334648241309478","DOIUrl":"10.1177/07334648241309478","url":null,"abstract":"<p><p>More than 4 million people in the United States live alone with cognitive impairment or early dementia, yet research on their experiences is limited. Previous research has shown this population has higher levels of unmet care needs and lower financial resources than their married peers. By exploring the experiences of people living alone with cognitive impairment (PLACI), this research examines the successes and barriers within their journey to inform how interventions can improve their quality of life. We conducted qualitative interviews with 15 PLACI (median age 69, 87% white, and 80% female) to explore perceptions of future care needs and resources. Through a modified ideal-type analysis, participants' thought processes and actions regarding help-seeking were mapped to the five stages of the transtheoretical model. These perspectives suggest opportunities such as connecting them to community social work that could help facilitate their understanding of their needs, help them identify resources, and promote proactive aging.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648241309478"},"PeriodicalIF":2.2,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956672","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":"Childhood Housing Condition and Old Age Health Among Chinese: The Mediation Role of Adulthood Socioeconomic and Medical History.","authors":"Peiyi Lu, Dexia Kong, Vivian W Lou","doi":"10.1177/07334648241309733","DOIUrl":"https://doi.org/10.1177/07334648241309733","url":null,"abstract":"<p><p>Guided by the lifecourse perspective and social determinants of health framework, this study examined the association of childhood housing with old age health among Chinese and its midlife mediators. Respondents were middle-aged and older adults (aged 45+) from the China Health and Retirement Longitudinal Study (<i>N</i> = 12,842). They were asked about their childhood housing conditions (e.g., if their houses had clean water, water toilet, and electricity). Adulthood socioeconomic and medical history and middle- and old-age health were measured. Causal mediation analysis showed childhood better housing was directly associated with fewer depressive symptoms and better cognition in middle- and older-age, and indirectly through increasing education level. However, the proportion-mediated estimate had very wide confidence intervals. Our findings suggested the importance of broad infrastructure development and adult continuing education programs among those who grew up in poor housing conditions to promote mental health in older age.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648241309733"},"PeriodicalIF":2.2,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956738","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":"Identifying Needs and Support Services for Family Caregivers of Older Community-Based Family Members: Mixed-Method Research Findings.","authors":"Donna M Wilson, Jennifer Heron, Gilbert Banamwana","doi":"10.1177/07334648241308726","DOIUrl":"https://doi.org/10.1177/07334648241308726","url":null,"abstract":"<p><p>A recent Canadian study conducted in one province identified family caregiver support needs and essential support services when caring for older community-based family members requiring assistance with activities of daily living. Weekly interviews of 150 volunteer caregivers over 6 months identified 11 support needs and 5 essential support services. Scoping literature reviews of the 11 needs found they had all been identified before. Program logic investigations of the 5 support services identified a patch-work of temporarily available support services in existence across the province. Two governmental policies are recommended: (a) provincial policy assuring access to the five support services, and (b) federal policy for federal-provincial funding transfers to address the provincial cost of assured community-based support services. Family caregivers require this support to maintain their own and their family member's well-being, particularly as this caregiving prevents or delays older family member hospitalizations and nursing home entry.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648241308726"},"PeriodicalIF":2.2,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956771","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":"Impact of Older Adults' Internet Use on Economic Burden of Informal Caregiving.","authors":"Jeehoon Kim, Heesoo Joo, Sally A Hageman","doi":"10.1177/07334648241311653","DOIUrl":"10.1177/07334648241311653","url":null,"abstract":"<p><p>This article is temporarily under embargo.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648241311653"},"PeriodicalIF":2.2,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956776","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}
Maren Salzwedel, Sytse Zuidema, Helianthe Kort, Sarah Janus
{"title":"Exploring the Role of Sex and Gender in the Adoption of Assistive Technology in Dementia Care: A Scoping Review.","authors":"Maren Salzwedel, Sytse Zuidema, Helianthe Kort, Sarah Janus","doi":"10.1177/07334648241310708","DOIUrl":"https://doi.org/10.1177/07334648241310708","url":null,"abstract":"<p><p>Given that women are disproportionately affected by dementia on several levels and assistive technology (AT) is increasingly used to manage the care of the growing number of people with dementia (PwD), there is an urgent need to understand the role of sex and gender regarding adoption of AT in dementia care. We conducted a scoping review following the framework of Arksey and O'Malley. All identified topics of sex and gender analysis (compatibility, attitude, usage, acceptance, access, usefulness, and well-being) were related to AT adoption, where the majority revealed sex and gender differences. Relevance of topics is discussed in relation to generation, culture, and mental health, including a switch of perspective to the gender of the technology. Even though we demonstrated sex and gender differences in AT adoption, their practical implications need to be further elaborated on in future research.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648241310708"},"PeriodicalIF":2.2,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956767","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}
Roberto J Millar, Christin Diehl, Nancy Kusmaul, Ian Stockwell
{"title":"Nursing Facility Characteristics Are Differentially Associated With Family Satisfaction and Regulatory Star Ratings.","authors":"Roberto J Millar, Christin Diehl, Nancy Kusmaul, Ian Stockwell","doi":"10.1177/07334648241311380","DOIUrl":"https://doi.org/10.1177/07334648241311380","url":null,"abstract":"<p><p>Research suggests that nursing facility structural characteristics are important contributors toward residents' quality of care. We use 2021 data from 220 Maryland nursing facilities to examine associations between two different quality-of-care metrics: family satisfaction and Care Compare five-star quality ratings. We used descriptive statistics to explore differences in quality metrics across facility ownership (for-profit vs. non-profit), geographic location (urban vs. rural), and resident census (1-60, 61-120, and 121+). Relationships were examined across overall ratings, as well as across subdomains of the two frameworks (e.g., staffing). Family members of residents in non-profit, rural, and low-census facilities rated facilities higher. Non-profit and low-resident census facilities were more likely to be rated four or five stars, while no significant association was observed across geographic location, or interactions across structural factors. Findings emphasize the need for comprehensive quality-of-care frameworks that explore quality care across stakeholders and types of facilities.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648241311380"},"PeriodicalIF":2.2,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956813","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":"Psychosocial Function in Mild Cognitive Impairment: Social Participation is Associated With Cognitive Performance in Multiple Domains.","authors":"Sana Rehan, Natalie A Phillips","doi":"10.1177/07334648241311661","DOIUrl":"https://doi.org/10.1177/07334648241311661","url":null,"abstract":"<p><p>Psychosocial function is associated with cognitive performance cross-sectionally and cognitive decline over time. Using data from the COMPASS-ND study, we examined associations between psychosocial and cognitive function in 126 individuals with mild cognitive impairment, an at-risk group for Alzheimer's disease (AD). Psychosocial function was measured using questionnaires about mental health, social support, and social engagement. Composite scores for five cognitive domains were derived using principal component analysis. Multiple linear regression models were used to test the effects of various psychosocial factors on cognitive performance, controlling for age, sex, education, MoCA scores, and living circumstances. We found that low current participation in one's social networks, over other psychosocial factors, was associated with worse verbal fluency and processing speed scores than those endorsing normal or high social participation. Our findings provide groundwork for further psychosocial-cognitive analyses in individuals at-risk for AD to better understand the role of poor social engagement in cognitive decline.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648241311661"},"PeriodicalIF":2.2,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956823","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}