Rebecca Rossom, Greg Knowlton, Hsueh-Han Yeh, Robert Penfold, Ashli Owen-Smith, Stephanie Hooker, Gregory Simon, Lisa Miller-Matero, Esther Akinyemi, Brian Ahmedani
{"title":"Psychotherapy Engagement Before and After a Rapid Transition to Telehealth During COVID-19 for Older Adults With Dementia.","authors":"Rebecca Rossom, Greg Knowlton, Hsueh-Han Yeh, Robert Penfold, Ashli Owen-Smith, Stephanie Hooker, Gregory Simon, Lisa Miller-Matero, Esther Akinyemi, Brian Ahmedani","doi":"10.1177/07334648241271922","DOIUrl":"10.1177/07334648241271922","url":null,"abstract":"<p><p><b>Objective:</b> To understand the impact of the transition to telehealth during COVID-19 on psychotherapy visits for patients with dementia. <b>Method:</b> Retrospective study of older adults with dementia who had at least one psychotherapy visit in the 9 months before and after the onset of COVID-19 at 3 U.S. health systems. Care disruptions were gaps of 45+ days. Descriptive statistics and logistic mixed-effects models examined factors associated with care disruption. <b>Results:</b> 4953 patients with dementia made 19,902 psychotherapy visits. Gaps in psychotherapy were less frequent during COVID-19 (29.4%) than before (48.9%), with the odds of a patient experiencing a care disruption during COVID-19 0.54 times the odds prior to COVID-19 (95% CI: 0.50-0.59). Almost all patient subgroups had lower adjusted odds of care disruption during COVID-19. <b>Discussion:</b> There were fewer disruptions in psychotherapy care following the rapid shift to virtual care. Telehealth may be a viable option for patients with dementia.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"337-346"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11717635/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141894614","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}
Mélanie Levasseur, Olivier Dezutter, T H Trang Nguyen, Julie Babin, Nathalie Bier, Marie Lee Biron
{"title":"Influence of Reading or Writing Activities Shared with Others on Older Adults: Results From a Scoping Study.","authors":"Mélanie Levasseur, Olivier Dezutter, T H Trang Nguyen, Julie Babin, Nathalie Bier, Marie Lee Biron","doi":"10.1177/07334648241274532","DOIUrl":"10.1177/07334648241274532","url":null,"abstract":"<p><p>This study aimed to provide integrated knowledge on the influence of shared reading or writing activities, that is, recreational occupations involving dynamic relationships based on personal development, on adults aged 55 and older. Using a scoping study framework, six databases were searched with 25 relevant keywords for papers, theses, and scientific reports published in 2001-2023. Based on the Human Development Model-Disability Creation Process, the content analysis of 20 documents showed that shared reading or writing activities mostly benefited aging adults' behavioral capabilities like positive affect, their intellectual capacities, such as developing new perspectives on life, their interpersonal relationships, and social support. Negative instances, such as frustration, were often mentioned at the beginning of the activities but decreased over time. These results suggest the importance of shared reading or writing activities for healthy aging and the necessity to better support these activities for more inclusive and caring aging societies.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"298-311"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142127007","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}
Se Won Lee, Jonathan Holt, Keong M Joung, Napatkamon Ayutyanont
{"title":"Characteristics and Factors Associated With Nonoperative Management and Hospital Outcomes After Hip Fractures Among Community-Dwelling Older Adults: Retrospective Analysis.","authors":"Se Won Lee, Jonathan Holt, Keong M Joung, Napatkamon Ayutyanont","doi":"10.1177/07334648241265204","DOIUrl":"10.1177/07334648241265204","url":null,"abstract":"<p><p>Nonoperative treatment is used at varying rates among older adults with hip fractures despite the high mortality. This retrospective analysis of 7803 patients 65 and older admitted with hip fractures is to estimate the odds of nonoperative treatment and in-hospital mortality after hip fractures among community-dwelling older adults. 13.6% underwent nonoperative treatment. Compared to the group with operative treatment, the nonoperative group had a higher in-hospital mortality rate (6.51% vs. 1.32%, <i>p</i> < .0001). Male sex, nondisplaced fracture, and comorbidities of acute myocardial infarction, congestive heart failure, cerebrovascular disorder, dementia, and liver disease were associated with an increased likelihood of nonoperative treatment. Nonoperative treatment, advanced age, use of osteoporosis pharmacotherapy, multiple medical comorbidities, and hospital-acquired complications were associated with increased in-hospital mortality. Specific characteristics were associated with nonoperative management and in-hospital mortality among older adults with hip fractures. Additional research is necessary to improve the care of this vulnerable population.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"289-297"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141727921","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}
Perla K Ortiz-Acosta, Jairo E Martínez, Clara Vila-Castelar, Joshua T Fox-Fuller, Celina Pluim, Ganesh M Babulal, Liliana Ramírez-Gómez, Diana Munera, Yakeel T Quiroz, Edmarie Guzmán-Vélez
{"title":"Physical Activity and Neurocognitive Symptoms in Older Adults During COVID-19 Pandemic.","authors":"Perla K Ortiz-Acosta, Jairo E Martínez, Clara Vila-Castelar, Joshua T Fox-Fuller, Celina Pluim, Ganesh M Babulal, Liliana Ramírez-Gómez, Diana Munera, Yakeel T Quiroz, Edmarie Guzmán-Vélez","doi":"10.1177/07334648241271975","DOIUrl":"10.1177/07334648241271975","url":null,"abstract":"<p><p><b>Objectives:</b> Examine whether physical activity (PA) changes during the COVID-19 pandemic were related to subjective cognitive decline (SCD), depression, and anxiety in older adults and whether these varied by sociodemographic variables. <b>Methods:</b> 301 older adults completed an online survey between May and October 2020 and 3 months later, including self-report questionnaires of SCD, depression, and anxiety. PA changes were determined with a question. <b>Results:</b> 60% of participants reported decreased PA. Those who reduced their PA were more likely to be from low to middle income and younger. PA increase was related to less SCD and depressive symptoms compared to those who decreased it. Participants who maintained their PA had fewer SCD concerns, depressive, and anxiety symptoms than those who decreased it. <b>Discussion:</b> Reducing PA was associated with worse neuropsychiatric and cognitive symptoms. Encouraging older adults to increase PA may help mitigate some of the pandemic's adverse effects on psychological well-being.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"327-336"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11719454/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142127008","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}
Usha Dhakal, Sara J McLaughlin, Seonjin Kim, Jonathon M Vivoda, Amy Restorick Roberts, J Scott Brown
{"title":"It's Not Too Late: Physical and Social Activity Slow Cognitive Decline in Those Living With Mild Cognitive Impairment.","authors":"Usha Dhakal, Sara J McLaughlin, Seonjin Kim, Jonathon M Vivoda, Amy Restorick Roberts, J Scott Brown","doi":"10.1177/07334648251316955","DOIUrl":"https://doi.org/10.1177/07334648251316955","url":null,"abstract":"<p><p>Current evidence concerning the effect of physical activity and social engagement on cognitive functioning in older adults with mild cognitive impairment (MCI) is underdeveloped. Drawing upon cognitive reserve theory, we used linear mixed models to investigate the impact of physical activity and social engagement on cognitive functioning in older adults living with MCI utilizing 16 years of data from the Health and Retirement Study (<i>n</i> = 1462). The average cognitive score (sum of immediate and delayed word recall, serial seven subtraction test, counting backwards, range: 0-27) at baseline was 9.6, with the average score decreasing by 0.14 points each year. Controlling for covariates, each unit increase in physical activity and social engagement, respectively, reduced the effect of time on cognitive functioning by 0.01 (β = 0.007, <i>p</i> < .0001) and 0.03 (β = 0.029, <i>p</i> = .04) points, small effects that accumulate over time. Findings suggest that greater physical activity and social engagement offer cognitive protection among older adults experiencing MCI.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251316955"},"PeriodicalIF":2.2,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068977","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":"https://doi.org/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":"7334648251313889"},"PeriodicalIF":2.2,"publicationDate":"2025-01-29","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}
Tzu-Yu Lin, Fang-Wen Hu, Hao-Ming Li, Mark D Griffiths, Amir H Papour, I-Hua Chen, Chung-Ying Lin
{"title":"Psychometric Properties of Chinese Version of the Multiple Intelligence Scale (MIS) Among Older Adults: Rasch Analysis and Confirmatory Factor Analysis.","authors":"Tzu-Yu Lin, Fang-Wen Hu, Hao-Ming Li, Mark D Griffiths, Amir H Papour, I-Hua Chen, Chung-Ying Lin","doi":"10.1177/07334648241313002","DOIUrl":"https://doi.org/10.1177/07334648241313002","url":null,"abstract":"<p><p>The present study utilized advanced psychometric methods (i.e., Rasch analysis and confirmatory factor analysis [CFA]) to evaluate the factor structure of the Multiple Intelligence Scale (MIS) and its validity among Taiwanese older adults.</p><p><strong>Methods: </strong>A cross-sectional study design using convenience sampling was conducted among 200 community-dwelling participants aged 65 years or older.</p><p><strong>Results: </strong>The Rasch analyses showed that the MIS had good structure validity and unidimensionality. Among various CFA models testing the MIS factor structure, exploratory structural equation modelling performed the best given its parsimonious and excellent fit indices.</p><p><strong>Conclusions: </strong>The MIS can be used among older adults in a culturally-fair way for understanding their multiple intelligences. Using the MIS, healthcare providers could encourage older people to assess their own strengths and weaknesses of intelligence. The results suggest that more research on older adults' MI is needed to tailor bespoke therapeutic programs to individual needs in community settings.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648241313002"},"PeriodicalIF":2.2,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048291","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}
Liora Cohen, Sharon Shiovitz-Ezra, Avi Cohen, Bracha Erlich
{"title":"Network Types for End-Of-Life Care and Home Deaths Among Older Adults in Europe During COVID-19 Pandemic.","authors":"Liora Cohen, Sharon Shiovitz-Ezra, Avi Cohen, Bracha Erlich","doi":"10.1177/07334648251314938","DOIUrl":"https://doi.org/10.1177/07334648251314938","url":null,"abstract":"<p><p>The study identified care network types comprising informal and formal care providers during the end-of-life period, and examined their relationship with home deaths. End-of-life interviews were conducted with proxies during the two waves of the COVID-19 pandemic in the Survey of Health, Ageing and Retirement in Europe (SHARE). The sample included 486 participants who passed away during the pandemic and received care during their final year. Latent Class Analysis identified three care network types: \"mixed-care\", mostly consisting of adult children in an informal network; \"spouse\", dominated by spouses with adult children and formal caregivers; and \"professional\", mainly with formal caregivers and some informal support. Patients with mixed-care were more likely to die at home compared to those with professional networks. Informal care, particularly from adult children, played a crucial role in end-of-life care. Policymakers should support adult children in end-of-life care and promote effective models that integrate formal care services.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251314938"},"PeriodicalIF":2.2,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143042278","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":"https://doi.org/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":"7334648251314283"},"PeriodicalIF":2.2,"publicationDate":"2025-01-24","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}
Areum Han, Ickpyo Hong, Hon K Yuen, Jessica Hawkins, Ho Kyung Lee, Julian Montoro-Rodriguez, Yoonjeong Lim, Hee Yun Lee, Emily S Delzell
{"title":"Relationships Among Caregiver Burden, Psychological Flexibility Processes, and Depressive Symptoms in Family Caregivers of People with Dementia: Path Analyses.","authors":"Areum Han, Ickpyo Hong, Hon K Yuen, Jessica Hawkins, Ho Kyung Lee, Julian Montoro-Rodriguez, Yoonjeong Lim, Hee Yun Lee, Emily S Delzell","doi":"10.1177/07334648251315991","DOIUrl":"https://doi.org/10.1177/07334648251315991","url":null,"abstract":"<p><p>This study examined relationships among caregiver burden, depressive symptoms, and key processes related to psychological flexibility (experiential avoidance, cognitive fusion, values-driven actions, and mindfulness) in 157 family caregivers of individuals with dementia in the United States. Path analyses were used. Participants' mean age was 59.5 years, ranging between 24 and 87 years. The model fit indices indicated excellent fit to the data. Caregiver burden had a direct effect on depressive symptoms (51.6 % of the total effect), while indirect effects accounted for 48.4%. The largest indirect effect was through values-driven action (14.6% of the total effect), followed by the paths through cognitive fusion → experiential avoidance (13.5%) and through mindfulness → cognitive fusion → experiential avoidance (8.7%). Targeting these key processes related to psychological flexibility with interventions such as acceptance and commitment therapy may help reduce the negative impact of caregiver burden on depressive symptoms in these caregivers.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251315991"},"PeriodicalIF":2.2,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034356","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}