Journal of Applied Gerontology最新文献

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Effects of Age-Friendly Education on Helping Intention and Attitude for Older Adults of Elementary Students: A Quasi-Experimental Study in Japan. 年龄友好教育对日本小学生老年人帮助意向和态度的影响:一项准实验研究
IF 2 3区 医学
Journal of Applied Gerontology Pub Date : 2026-06-01 Epub Date: 2025-07-09 DOI: 10.1177/07334648251358542
Ayumi Igarashi, Manami Takaoka, Yoshifusa Fujita, Chie Koizumi, Nobuchika Miyazawa, Hiroshige Matsumoto, Noriko Yamamoto-Mitani
{"title":"Effects of Age-Friendly Education on Helping Intention and Attitude for Older Adults of Elementary Students: A Quasi-Experimental Study in Japan.","authors":"Ayumi Igarashi, Manami Takaoka, Yoshifusa Fujita, Chie Koizumi, Nobuchika Miyazawa, Hiroshige Matsumoto, Noriko Yamamoto-Mitani","doi":"10.1177/07334648251358542","DOIUrl":"10.1177/07334648251358542","url":null,"abstract":"<p><p>This study aimed to evaluate the effects of a comprehensive, age-friendly educational program in Japanese elementary schools on sixth-grade students' intentions to engage in helping behaviors, recognition of the need for help, knowledge of dementia, and attitudes toward people with dementia. The program comprised the following three components: raising awareness; understanding older adults, including those with dementia; and learning about community support for older adults. A quasi-experimental design with an intervention group and a control group was used. The intervention group showed significant improvements compared with the control group regarding intention to help, recognition of the need for help, knowledge of dementia, and attitudes toward people with dementia. In conclusion, a comprehensive educational program that combines knowledge acquisition and experiential learning can effectively improve young students' attitudes and intentions to help. Future studies should refine educational approaches to promote supportive behaviors toward older adults and examine changes in helping behaviors.Trial registrationUMIN Clinical Trials Registry (UMIN000054470, https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000062216).</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1065-1076"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592682","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
Assessment of Later-Life Workplace Index Domains in Organizations in the Midwest. 中西部地区组织晚年工作场所指数域的评估。
IF 2 3区 医学
Journal of Applied Gerontology Pub Date : 2026-06-01 Epub Date: 2025-07-09 DOI: 10.1177/07334648251358538
Lacey Loomer, Monica Haynes, Sophia Nevills, Kim Nichols Dauner, Lin Xiu
{"title":"Assessment of Later-Life Workplace Index Domains in Organizations in the Midwest.","authors":"Lacey Loomer, Monica Haynes, Sophia Nevills, Kim Nichols Dauner, Lin Xiu","doi":"10.1177/07334648251358538","DOIUrl":"10.1177/07334648251358538","url":null,"abstract":"<p><p>This study used data from 230 respondents of 16 organizations from a regional study of organizations' employee working conditions in the Midwest. We used linear regression to assess practices related to turnover intention and stratified analysis within age groups. Employees with supportive managers are less likely to consider leaving their positions (coefficient = 0.36, <i>p</i>-value = .049). For respondents younger than 40 years old, employees with flexible work design were less likely to consider leaving their positions (coefficient = 0.52, <i>p</i>-value = .013). For those aged 60 years or older, having better institutional knowledge transfer and intergenerational collaboration (coefficient = 1.23; <i>p</i>-value = .02) and better planning for retirement (coefficient = 0.90; <i>p</i>-value = .01) were less likely to consider leaving their positions. Those with comprehensive retirement and health insurance plans were more likely to consider leaving their positions (coefficient = -0.763; <i>p</i>-value = .02). Small actions by organizations could influence employees' perceptions of their working conditions.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1199-1208"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592681","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
Understanding Older Adults' Purchase Intentions Toward Smartwatches for Health Management in Taiwan: An Extended UTAUT Model with PLS-SEM Analysis. 了解台湾老年人对健康管理智能手表的购买意向:一个扩展的UTAUT模型与PLS-SEM分析。
IF 2 3区 医学
Journal of Applied Gerontology Pub Date : 2026-06-01 Epub Date: 2025-07-09 DOI: 10.1177/07334648251358543
Chia-Chen Wu, Po-Chan Yeh, Kuo-Chen Huang, Kun-Kuo Huang
{"title":"Understanding Older Adults' Purchase Intentions Toward Smartwatches for Health Management in Taiwan: An Extended UTAUT Model with PLS-SEM Analysis.","authors":"Chia-Chen Wu, Po-Chan Yeh, Kuo-Chen Huang, Kun-Kuo Huang","doi":"10.1177/07334648251358543","DOIUrl":"10.1177/07334648251358543","url":null,"abstract":"<p><p>This study investigates the factors that influence older adults' intentions to purchase smartwatches for health management, incorporating self-efficacy and perceived risk to examine understanding of technology adoption in the context of healthy aging. A sample of 199 older adults in Taiwan was analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM) and Importance-Performance Map Analysis (IPMA). Results indicate that performance expectancy, effort expectancy, social influence, and facilitating conditions significantly impact purchase intention, whereas the hypothesized negative impact of perceived risk on purchase intention was not supported. Self-efficacy enhances perceived usability and helps mitigate perceived risk, while IPMA results identify social influence as the most important factor influencing purchase intention. These findings highlight the potential of smartwatches to promote active aging by supporting health monitoring, independence, and quality of life. Practically, marketers should enhance usability, leverage social influence, and offer accessible support to strengthen purchase intention toward smartwatches among older adults.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1111-1124"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592686","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
Marital Loss, Race/Ethnicity, and Multimorbidity Among U.S. Older Adults. 美国老年人的婚姻损失、种族/民族和多重疾病。
IF 2 3区 医学
Journal of Applied Gerontology Pub Date : 2026-06-01 Epub Date: 2025-07-17 DOI: 10.1177/07334648251359062
Maki Karakida, Jeffrey E Stokes, Qian Song
{"title":"Marital Loss, Race/Ethnicity, and Multimorbidity Among U.S. Older Adults.","authors":"Maki Karakida, Jeffrey E Stokes, Qian Song","doi":"10.1177/07334648251359062","DOIUrl":"10.1177/07334648251359062","url":null,"abstract":"<p><p>Over two-thirds of older adults have two or more chronic conditions. Chronic multimorbidity, widowhood, and divorce/separation are common in late adulthood, but may have different impacts for racially/ethnically diverse populations along with cumulatively disadvantaged social and living conditions over time. We examined the associations between divorce/separation and widowhood, race/ethnicity, and multimorbidity among 8625 Americans aged 50 and above. Leveraging 2018 Health and Retirement Study data, we employed binomial logistic regression (using the logistic command in Stata) to analyze whether married/partnered adults in 2010 experienced marital loss and developed multimorbidity by 2018. Widowhood was not associated with chronic illness or multimorbidity among any racial/ethnic groups, whereas divorce/separation was associated with elevated odds of chronic condition(s) only for non-Hispanic Black older adults. Findings suggest that among racially/ethnically minoritized older adults, divorce/separation could cause worse late-life chronic health condition(s) than widowhood. Marital and racial-ethnic trajectories of multimorbidity need to be further examined.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1169-1179"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660720","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
The Influence of Physical, Social, and Organizational Environments on Recreational Activities in Long-Term Care for Residents With Dementia: A Scoping Review. 物理、社会和组织环境对老年痴呆症患者长期护理中娱乐活动的影响:一项范围综述。
IF 2 3区 医学
Journal of Applied Gerontology Pub Date : 2026-06-01 Epub Date: 2025-07-27 DOI: 10.1177/07334648251360098
Ziying Zhang, Habib Chaudhury, Wenjin Wang
{"title":"The Influence of Physical, Social, and Organizational Environments on Recreational Activities in Long-Term Care for Residents With Dementia: A Scoping Review.","authors":"Ziying Zhang, Habib Chaudhury, Wenjin Wang","doi":"10.1177/07334648251360098","DOIUrl":"10.1177/07334648251360098","url":null,"abstract":"<p><strong>Background: </strong>This scoping review explores how physical, social, and organizational factors influence recreational activity engagement for residents with dementia in long-term care settings.</p><p><strong>Methods: </strong>A literature search in AgeLine, PsycINFO, CINAHL, Medline, and Web of Science identified studies on environmental factors affecting recreational activities for long-term care residents with dementia. A narrative approach was used to collate and summarize the findings from peer-reviewed English studies available until June 30, 2024.</p><p><strong>Results: </strong>A total of 28 studies were reviewed, examining how physical, social, and organizational factors-such as homelike ambiance, staffing levels, and medicalized care culture-affect residents' engagement in recreational activities. The review also highlights the interrelationship among these factors.</p><p><strong>Discussion and implications: </strong>The findings emphasize the importance of creating care environments that support activity participation. These insights can inform future assessments and the development of long-term care settings to improve activity experiences and outcomes for residents.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1136-1148"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13133420/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733996","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
Physical Function and Residential Relocation of Older Adults Living With Chronic Conditions. 老年慢性病患者的身体功能与居住搬迁。
IF 2 3区 医学
Journal of Applied Gerontology Pub Date : 2026-05-07 DOI: 10.1177/07334648261449885
Marielle Jensen-Battaglia, Kah Poh Loh, Emily M Agree, Robert C Block, Ying Wang, Supriya G Mohile, Christopher L Seplaki
{"title":"Physical Function and Residential Relocation of Older Adults Living With Chronic Conditions.","authors":"Marielle Jensen-Battaglia, Kah Poh Loh, Emily M Agree, Robert C Block, Ying Wang, Supriya G Mohile, Christopher L Seplaki","doi":"10.1177/07334648261449885","DOIUrl":"https://doi.org/10.1177/07334648261449885","url":null,"abstract":"<p><p>Environmental Gerontology has shown that mobility difficulty can be a barrier to aging in place when the home environment is not physically accessible. However, difficulty may vary by underlying chronic conditions. Using data from a cohort of community-dwelling adults age 65 or older in the 2011-2019 National Health and Aging Trends Study, we found that mobility difficulty was associated with moving to housing with fewer environmental barriers. Mobility difficulty was not associated with moving to other destinations, such as housing with the same or more barriers, or nursing home. Those with dementia or cancer were more likely to move to a nursing home, and those with cancer were less likely to move to housing with the same or more barriers. However, having these chronic conditions did not change the relationship between mobility difficulty and relocation. These findings suggest that addressing mobility and reducing environmental barriers may promote aging in place.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648261449885"},"PeriodicalIF":2.0,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844055","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
Increasing Access to Caregiver-Friendly Workplaces: Stakeholder Perspectives. 增加获得照顾者友好型工作场所的机会:利益相关者的观点。
IF 2 3区 医学
Journal of Applied Gerontology Pub Date : 2026-05-07 DOI: 10.1177/07334648261443028
Pamela Nadash, Eileen J Tell, Maryssa Pallis
{"title":"Increasing Access to Caregiver-Friendly Workplaces: Stakeholder Perspectives.","authors":"Pamela Nadash, Eileen J Tell, Maryssa Pallis","doi":"10.1177/07334648261443028","DOIUrl":"https://doi.org/10.1177/07334648261443028","url":null,"abstract":"<p><p>In the U.S, the roughly 70% of family caregivers who are employed face challenges balancing work and family responsibilities-which can threaten their longer-term financial well-being. Thus, the National Strategy to Support Family Caregivers (2022) focuses on increasing the availability of workplace protections and supports. This study provides stakeholder perspectives on caregiver-friendly workplace policies, drawing on data collected to support the development of the Strategy. Data were collected from qualitative interviews and focus groups with stakeholder organizations, comprising 34 individuals, aiming to identify key issues in encouraging caregiver-friendly workplaces. Respondents supported the need for systematic approaches in support of that shift and offered ideas for catalyzing it, stressing the importance of supportive workplace environments. They highlighted employer variation in capacity to adopt practices and the need for a range of options that accommodate employer and employee heterogeneity. Furthermore, they described the role of data in informing employers and policy.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648261443028"},"PeriodicalIF":2.0,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844074","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
Race-Stratified Randomized Trial Examining Advance Care Planning Engagement Among Older Adults. 研究老年人预先护理计划参与的种族分层随机试验。
IF 2 3区 医学
Journal of Applied Gerontology Pub Date : 2026-05-06 DOI: 10.1177/07334648261444783
Rachel Creamer, Daniel Paulson, Madison Maynard, Emma G Churchill, Apollonia E Lysandrou, Nicole V McClure
{"title":"Race-Stratified Randomized Trial Examining Advance Care Planning Engagement Among Older Adults.","authors":"Rachel Creamer, Daniel Paulson, Madison Maynard, Emma G Churchill, Apollonia E Lysandrou, Nicole V McClure","doi":"10.1177/07334648261444783","DOIUrl":"https://doi.org/10.1177/07334648261444783","url":null,"abstract":"<p><p>Advance care planning (ACP), including creation of advance care directives (ACDs), is underutilized by Black American older adults. This study aimed to evaluate the effects of a culturally sensitive ACD (Five Wishes), versus a standard state directive, on ACP engagement and value congruence scores among Black and White Americans. A race-stratified sample of 189 participants was randomized into ACD conditions. Race and condition were not independent predictors of ACP and value congruence engagement. Physician trust predicted ACP engagement and value congruence differentially. Results indicate that the use of state directives negatively impacts trust among Black Americans, which negatively impacts ACP engagement. Primary limitations include metrics of ACP/ACD completion, sample size, and demographic distribution. Findings add to the growing body of literature implying that values-driven, person-centered directives may increase engagement and reduce the disparity in ACP between Black and White Americans, promoting better quality, equitable care at the end of life.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648261444783"},"PeriodicalIF":2.0,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844121","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
Trajectory of Cognitive Decline After Incident Hearing Loss: A 24-year Population-Based Longitudinal Cohort Study. 偶发性听力损失后认知能力下降的轨迹:一项24年基于人群的纵向队列研究。
IF 2 3区 医学
Journal of Applied Gerontology Pub Date : 2026-05-05 DOI: 10.1177/07334648261449869
Qin Li, Haohong Lai, Juntao Wu, Haidi Yang
{"title":"Trajectory of Cognitive Decline After Incident Hearing Loss: A 24-year Population-Based Longitudinal Cohort Study.","authors":"Qin Li, Haohong Lai, Juntao Wu, Haidi Yang","doi":"10.1177/07334648261449869","DOIUrl":"https://doi.org/10.1177/07334648261449869","url":null,"abstract":"<p><p>BackgroundThe extent of cognitive decline following incident hearing loss (HL) remains inadequately unexplored.MethodsUsing data from the Health and Retirement Study (from 1998 to 2022), we assessed global cognition, measured by orientation, calculation, and memory tasks, across survey waves. Linear mixed-effects models were employed to estimate annual cognitive decline associated with incident HL.ResultsAmong 7,598 participants, 2,241 developed incident HL. Significant accelerations in annual decline were observed following HL onset in global cognition (β = -0.080SD/year; 95% CI: -0.092 to -0.069), memory (-0.017SD/year; -0.023 to -0.012), orientation (-0.106SD/year; -0.125 to -0.088), and calculation (-0.014SD/year; -0.019 to -0.008). Acute declines were also identified at the time of HL onset in global cognition (-0.101SD; -0.144 to -0.059), memory (-0.119SD; -0.148 to -0.090), and calculation (-0.067SD; -0.097 to -0.036).ConclusionsIncident HL was associated with both acute declines and accelerated long-term declines in global cognition, memory, and orientation.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648261449869"},"PeriodicalIF":2.0,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844115","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
Adult Social Day Services: A Promising, Yet Underutilized Community-Based Support for Individuals With Alzheimer's Disease and Related Dementias. 成人社会日服务:一个有希望的,但未充分利用的社区支持与阿尔茨海默病和相关痴呆的个人。
IF 2 3区 医学
Journal of Applied Gerontology Pub Date : 2026-05-05 DOI: 10.1177/07334648261448267
Adriana Hernandez, Setarreh Massihzadegan, Caitlin Coyle
{"title":"Adult Social Day Services: A Promising, Yet Underutilized Community-Based Support for Individuals With Alzheimer's Disease and Related Dementias.","authors":"Adriana Hernandez, Setarreh Massihzadegan, Caitlin Coyle","doi":"10.1177/07334648261448267","DOIUrl":"https://doi.org/10.1177/07334648261448267","url":null,"abstract":"<p><p>As Alzheimer's disease and related dementias (ADRD) become more common, there is a growing need for programs that improve the quality of life for individuals living with these conditions. Understanding existing community-based models of engagement is essential for identifying effective, scalable solutions. Adult Social Day Services (ASDS) offer opportunities for socialization and cognitive engagement for individuals who require minimal assistance with activities of daily living. Although promising, ASDS programs are used unevenly, and their overall effectiveness remains unclear. To address this gap, we conducted a parallel convergent mixed-methods study using data from a fee-based ASDS program located at a senior center in a northeastern U.S. town. Using a population-level survey, stakeholder focus groups, and in-depth interviews with current and former participants and their families, we examined the program from multiple perspectives. Findings suggest the ASDS model has strong potential for scaling, replication, and adaptation as a community-based dementia intervention, with benefits for participant well-being and caregiver support.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648261448267"},"PeriodicalIF":2.0,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844063","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
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