Yunjeong Eom, Yaena Ha, Sanghun Nam, Ickpyo Hong, Min-Ye Jung
{"title":"Comparison of Driving Self-Regulation Practices Between Older Drivers With and Without Risk of Dementia.","authors":"Yunjeong Eom, Yaena Ha, Sanghun Nam, Ickpyo Hong, Min-Ye Jung","doi":"10.1177/07334648251394097","DOIUrl":"10.1177/07334648251394097","url":null,"abstract":"<p><p>Older drivers with cognitive impairment face greater driving risk, and self-regulation is a key strategy. However, research on self-regulation among older drivers at risk of dementia remains limited. This study used 2020 National Health and Aging Trends Study (NHATS) data to examine the association between self-regulation practices and high-risk driving situations in older drivers at risk of dementia. The sample included 2,521 older adults who had driven within the past year and were classified using NHATS criteria. Demographic and self-reported driving behaviors were analyzed. Poisson regression showed that drivers at risk engaged in more self-regulation practices than those without risk (IRR = 1.23; 95% CI = 0.05-0.36; <i>p</i> = .0081). Logistic regression showed a significant difference only for driving in the rain or other bad weather conditions (OR = 1.63; 95% CI = 1.12-2.36; <i>p</i> = .0104). Findings support the need for targeted education and interventions to promote safe driving.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"2191-2199"},"PeriodicalIF":2.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145702635","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":"Effects of Nursing Home Participation in the Medicare Shared Savings Program on Staffing and Deficiency Citations.","authors":"Huang Huang, Xi Zhu, George Wehby","doi":"10.1177/07334648251392996","DOIUrl":"10.1177/07334648251392996","url":null,"abstract":"<p><p>The Medicare Shared Savings Program (MSSP) is the largest value-based payment model in the United States, yet its impacts on participating nursing homes remain poorly understood. This study investigates the effects of nursing home participation in the MSSP on nursing home staffing patterns and deficiency citations. Using comprehensive data on all U.S. nursing homes from 2013 to 2018 and employing difference-in-differences models, we find evidence that MSSP participation is associated with increased registered nurse (RN) staffing, reduced licensed practical nurse (LPN) staffing, and a decline in deficiency citations. As nursing home participation in the MSSP continues to grow, more evidence is needed to understand the program's broader implications for facility operations, care quality, and patient health outcomes.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"2047-2057"},"PeriodicalIF":2.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145394101","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":"Acculturation, Socioeconomic Status, and Cognitive Functioning Among Older Immigrants in the United States: An Interaction Analysis.","authors":"Xiang Qi, Shahmir H Ali, Yaolin Pei, Bei Wu","doi":"10.1177/07334648251400488","DOIUrl":"10.1177/07334648251400488","url":null,"abstract":"<p><p>This study investigated how acculturation and socioeconomic status (SES) jointly influence cognitive health among older immigrants in the US. We analyzed nationally representative data from the 2011-2014 NHANES for 797 older immigrants aged 60 and older. Acculturation was measured by language spoken at home (English vs. other) and length of US residence, while SES was derived by latent class analysis using family poverty-to-income ratio, education, longest-held occupation, and health insurance coverage. Cognitive performance was evaluated using standardized neuropsychological tests. Speaking English at home was associated with better cognitive performance (<i>p</i> < 0.01). Crucially, SES significantly moderated this relationship (<i>p</i> < 0.05 for interaction); the cognitive benefits of English use were more pronounced for low-SES immigrants. Length of US residence showed weaker associations and was not moderated by SES. Linguistic acculturation is a vital component of comprehensive approaches to mitigate cognitive decline and advance health equity in the US' rapidly growing aging immigrant population.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"2177-2190"},"PeriodicalIF":2.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12629604/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145543303","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}
Melissa Harris-Gersten, Pamela Birchett-Street, Kelli Essex, Colleen Blue, Adrian Brown, Yujung Choi, Cassandra Dictus, Nadya Majette, Darrius Mcmillian, Megan Shepherd-Banigan, Imari Z Smith, Courtney H Van Houtven, Olivia Whitt, Andrea L Nevedal
{"title":"Acceptability of the Veterans Health Administration's Caregiver Health and Wellbeing Coaching Program: Evidence From a Mixed-Methods Evaluation.","authors":"Melissa Harris-Gersten, Pamela Birchett-Street, Kelli Essex, Colleen Blue, Adrian Brown, Yujung Choi, Cassandra Dictus, Nadya Majette, Darrius Mcmillian, Megan Shepherd-Banigan, Imari Z Smith, Courtney H Van Houtven, Olivia Whitt, Andrea L Nevedal","doi":"10.1177/07334648251404131","DOIUrl":"10.1177/07334648251404131","url":null,"abstract":"<p><p>This explanatory, sequential mixed-methods evaluation assessed the acceptability of the Veterans Health Administration's Caregiver Health and Wellbeing Coaching (CHWC) program from the perspectives of caregivers and staff. Guided by the Theoretical Framework of Acceptability, cross-sectional surveys were completed by 153 caregivers and 53 program delivery staff, followed by semi-structured interviews with 20 caregivers and 14 staff. Quantitative and qualitative data were integrated to examine affective attitudes, participation burden, and perceived effectiveness. Caregivers and staff reported high satisfaction with CHWC, noting improvements in caregiver wellbeing, self-care, and caregiver-Veteran relationships. Participation barriers included scheduling challenges and limited session duration; facilitators included flexible delivery and supportive coaching relationships. Staff also described personal and professional benefits from delivering CHWC. CHWC offers a strength-based, person-centered approach to advancing Veteran caregiver wellbeing and informing enhancements to caregiver support services.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"2221-2234"},"PeriodicalIF":2.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145758025","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":"A Cross-Sectional Evaluation of the Mahoning County, Ohio's Mandatory Reporters of Adult Protective Services.","authors":"Daniel J Van Dussen, Rachel E Ward","doi":"10.1177/07334648251397711","DOIUrl":"10.1177/07334648251397711","url":null,"abstract":"<p><p>Adult protective services (APS) are an emerging key component of the aging network. The current research examines Mahoning County, Ohio's system using snowball sampling of mandatory reporters working in the county (<i>n</i> = 240). Descriptive data and thematic analyses of responses revealed five primary themes: education, reporting process, follow-through, communication, and relationships. Demographic information collected about the participants included gender, age, years of experience, highest level of education, and current profession. Participants reported confidence in their knowledge of elder abuse and neglect. A majority of participants had reported suspected elder abuse to APS (51.2%). Recommendations include increased staffing, increased education of the role of APS and the rest of the Aging Network, and improved communication-within ethical guidelines-of outcomes from reports of suspected elder abuse, neglect, or exploitation. At this time, the Mahoning County's APS does not meet the new standards set forth by the Administration for Community Living guidelines.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"2130-2138"},"PeriodicalIF":2.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145514441","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}
Serena Sabatini, Fiona S Rupprecht, Emily Mroz, Shelbie Turner, Robyn Capithorne Crainey, Eugene Y H Tang, Claire V Burley, Jennifer Dunne, Elissa Burton, Stephanie Wong, Bethany Wilton-Harding, Tim Windsor, Rachel C Ambagtsheer, Katya Numbers, Blossom Stephan
{"title":"Cross-Sectional Associations Between Personal and General Views on Aging and Future Care Preparation in Individuals Aged 50 and Over and Living in the United Kingdom.","authors":"Serena Sabatini, Fiona S Rupprecht, Emily Mroz, Shelbie Turner, Robyn Capithorne Crainey, Eugene Y H Tang, Claire V Burley, Jennifer Dunne, Elissa Burton, Stephanie Wong, Bethany Wilton-Harding, Tim Windsor, Rachel C Ambagtsheer, Katya Numbers, Blossom Stephan","doi":"10.1177/07334648251398098","DOIUrl":"10.1177/07334648251398098","url":null,"abstract":"<p><p>IntroductionFuture care preparation refers to those processes during which individuals discuss with healthcare professionals or family members about their future care. This study investigated whether views on aging are associated with future care preparation and whether age moderates these associations.MethodsWe conducted a cross-sectional survey with 1,699 participants (mean age = 68 years). Views on aging indicators were perceived age-related gains and losses and expectations regarding aging. Linear regressions were used.ResultsHigher perceived age-related gains (B = 0.12; p-value <0.001) and losses (B = 0.16; p-value <0.001) and less positive expectations regarding physical health while aging (B = -0.11; p-value <0.05) were associated with higher future care preparation. Age did not moderate any association.DiscussionGiven the importance of future care preparation in ensuring optimal health outcomes for older adults, encouraging older adults to have open and frank conversations about their views on aging may be an important first step in eliciting care needs.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"2235-2246"},"PeriodicalIF":2.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13672912/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145565967","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}
{"title":"Exploring Challenges With Providing Care to Residents With Dementia and Comorbidities in U.S. Nursing Homes.","authors":"Frances M Hawes, Serena Sabatini","doi":"10.1177/07334648251398122","DOIUrl":"10.1177/07334648251398122","url":null,"abstract":"<p><p>This study examines the challenges and potential solutions for supporting staff who care for nursing home residents with dementia and other comorbidities in the U.S. Data were collected from 38 nursing home staff members across nine nursing facilities in Iowa, Minnesota, and Wisconsin. Participants completed a survey consisting of three open-ended questions regarding the comorbidities that make it challenging to provide care to residents who also have dementia, the causes of the difficulties in managing care for them, and potential solutions. Respondents identified key challenges such as managing the complex needs of residents with both mental health conditions and chronic diseases, staffing shortages, communication barriers, and family awareness and expectations. The study suggests several strategies for improving care quality: increasing funding for dementia programs, ensuring adequate staffing levels, providing comprehensive dementia training for staff, maintaining consistent caregivers, and offering support resources for families.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1993-2006"},"PeriodicalIF":2.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145641253","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}
Melissa Batchelor, Sana Smaoui, Lígia Passos, Wen Liu
{"title":"Behavioral Challenges and Adaptive Strategies in Providing Mealtime Care to Residents With Dementia: A Qualitative Study of Nursing Home Clinical and Administrative Staff.","authors":"Melissa Batchelor, Sana Smaoui, Lígia Passos, Wen Liu","doi":"10.1177/07334648251391869","DOIUrl":"10.1177/07334648251391869","url":null,"abstract":"<p><p>This study examined how nursing home staff adapt to challenging mealtime behaviors in residents with dementia, such as turning away or refusing food. Ten focus groups were conducted with 52 clinical and administrative staff from three southeastern U.S. nursing homes. Transcripts were analyzed using four key codes: feeding behaviors, interventions, training, and communication. Staff described a range of mealtime challenges, including cognitive and functional decline, dysphagia, and elopement. Feeding-related behaviors like refusing to eat reflect the complexity of care required. Staff reported adapting interventions based on residents' abilities, their own interactions, or environmental factors. Most strategies aligned with evidence-based practices, though one novel tactic involved \"sprinkling sugar\" to stimulate appetite. Findings suggest that reframing feeding behaviors as communication may improve care and reinforces the need for tailored interventions. Differences in staff perspectives emphasize the value of cross-role collaboration in managing mealtime challenges and improving outcomes for residents with dementia.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"2032-2046"},"PeriodicalIF":2.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12889387/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145423213","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}
Peiyuan Zhang, Nancy Kusmaul, Joan Davitt, Paul Sacco, Kathleen T Unroe, Kaipeng Wang, John G Cagle
{"title":"Refining an Advance Care Planning Implementation Assessment Tool for Nursing Homes (ACP-QAT): A Delphi Study.","authors":"Peiyuan Zhang, Nancy Kusmaul, Joan Davitt, Paul Sacco, Kathleen T Unroe, Kaipeng Wang, John G Cagle","doi":"10.1177/07334648251404132","DOIUrl":"10.1177/07334648251404132","url":null,"abstract":"<p><p>Advance care planning (ACP) can improve end-of-life care, yet practices in U.S. nursing homes (NHs)-where nearly 30% of older adults die-remain inconsistent. This study aimed to revise the Advance Care Planning Implementation Quality Assessment Tool (ACP-QAT) to measure NH-level ACP implementation quality through Delphi method. In Round 1, five focus groups provided feedback on each item, followed by iterative revisions and Delphi surveys. Panelists rated items as endorse, endorse with modification, or not endorse. Deductive content analysis summarized revisions, and consensus was defined as interquartile range = 0, median = 1, and ≥75% agreement. Eighteen interdisciplinary clinical experts (mean experience = 23 years; 83% female; 89% White) participated. Six main categories for revision were identified (e.g., defining ACP scope, specifying processes, clarifying team collaboration, specific training, and improving documentation) resulted in 10 revisions to items and all achieved consensus. ACP-QAT is the first tool to assess ACP implementation quality in NHs and may guide policy and practice.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"2058-2072"},"PeriodicalIF":2.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145752369","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":"Frailty is Linked to Lower Subjective Life Expectancy in Korean Middle-Aged and Older Adults.","authors":"Juhyeong Lee, Yeonsoo Shin, Giyeon Kim","doi":"10.1177/07334648251400491","DOIUrl":"10.1177/07334648251400491","url":null,"abstract":"<p><p>While Socioemotional Selectivity Theory suggests that individuals perceive their remaining time as limited with age, this perception may vary with health. This study examined differences in subjective life expectancy (SLE) between frail and non-frail middle-aged and older adults in South Korea across age groups. A cross-sectional sample was drawn from Wave 1 of the Korean Longitudinal Study of Aging. Propensity score matching produced two comparable groups (749 frail and 749 non-frail) with no significant demographic differences. Using the matched sample (<i>N</i> = 1,498), multiple linear regression models were conducted. Results showed that frailty was negatively associated with SLE (<i>B</i> = -17.48, <i>p</i> < .001), with the frailty-age interaction showing more pronounced effects in younger-old than mid-old (<i>B</i> = 18.03, <i>p</i> < .001) and oldest-old groups (<i>B</i> = 21.52, <i>p</i> < .001). These findings underscore the importance of both physical and psychological interventions targeting frailty to improve SLE in aging populations.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"2308-2319"},"PeriodicalIF":2.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145551443","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}