Jessica O'Brien, Marie Dollard, May Cleary, Anna Trace, Jason Chan, Annalisa Setti
{"title":"Experience of Being Fall-Prone and Participating in Research: Fallers' Perspectives.","authors":"Jessica O'Brien, Marie Dollard, May Cleary, Anna Trace, Jason Chan, Annalisa Setti","doi":"10.1177/07334648241278210","DOIUrl":"10.1177/07334648241278210","url":null,"abstract":"<p><p>The importance of giving a voice to groups considered hard-to-reach for research purposes is becoming increasingly apparent, with insights into their experience having the potential to improve research participation. Fall-prone older adults are a cohort underrepresented in research, often excluded in large-scale research and considered difficult to recruit. This study aims to explore older fallers' experiences of being fall-prone and participating in research. Seven older fallers (4 males, aged 69-88) participated in semi-structured telephone interviews following participation in an experimental research project. Interviews explored participants' personal experience of being fall-prone and participating in research. The resulting data was analyzed using thematic analysis. Three primary themes emerged: \"Research through the eyes of older fallers\", \"Living with falls\", and \"It's all in the mind is it?\". Our study gives voice to older fallers who have recently participated in experimental research to learn of their personal views on research participation.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"542-550"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11894910/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142127006","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}
Nafisseh S Warner, Dawn M Finnie, Jamie L Smith, Brandon P Verdoorn, Ericka E Tung, David O Warner, Michelle M Mielke, Joan M Griffin
{"title":"A Qualitative Study of the Effects of Opioids on Chronic Pain, Function, and Cognition in Community-Dwelling Older Adults.","authors":"Nafisseh S Warner, Dawn M Finnie, Jamie L Smith, Brandon P Verdoorn, Ericka E Tung, David O Warner, Michelle M Mielke, Joan M Griffin","doi":"10.1177/07334648251326347","DOIUrl":"https://doi.org/10.1177/07334648251326347","url":null,"abstract":"<p><p>Chronic pain is common with aging. Yet, little is known about the attitudes, beliefs, and experiences of older adults with chronic pain regarding opioids, particularly in regard to effects on daily functioning and cognition. This qualitative analysis employed semi-structured interviews in 25 community-dwelling older adults with chronic pain and current or recent prescription opioid use. Interviews focused on perceptions, beliefs, and experiences of living with chronic pain, use of prescription opioids, and the impact of opioids on pain control, cognition, and daily function. Older adults display adaptability and acceptance in living with chronic pain, desire person-centered pain care, approach the risks-benefits of opioids with regards to cognition differently, and perceive stigma as a barrier to effective partnership with clinicians.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251326347"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755072","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}
Abigail T Stephan, Hye Won Chai, Ava McVey, Briana N Sprague, Annamaria V Wolf, Christine B Phillips, Lesley A Ross
{"title":"Differential Longitudinal Associations Between Depressive Symptoms and Cognitive Status by Living Situation in Older Adults.","authors":"Abigail T Stephan, Hye Won Chai, Ava McVey, Briana N Sprague, Annamaria V Wolf, Christine B Phillips, Lesley A Ross","doi":"10.1177/07334648241285602","DOIUrl":"10.1177/07334648241285602","url":null,"abstract":"<p><p>This study explores whether living situation modifies longitudinal associations between depressive symptoms and changes in cognitive status across ten years in generally healthy, community-dwelling older adults. Participants (<i>N</i> = 687, <i>M</i><sub>age</sub> = 73.92 years) from the no-contact control condition of a multisite longitudinal study completed the Mini-Mental State Examination, Center for Epidemiological Studies Depression scale, and self-reported living situation. Multilevel models revealed that for older adults living alone, having clinically meaningful depressive symptoms was associated with greater decline in MMSE over ten years. However, reporting clinically meaningful depressive symptoms was not associated with decline in MMSE for adults who were living with others. These results suggest that living situation may be a modifying factor of cognitive change over time for older adults with clinically meaningful depressive symptoms. This highlights the need for targeted interventions for adults who may be at a greater risk of cognitive decline across older adulthood.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"651-659"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477719","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 Phenotypes of Older Adults With Pain and Their Associated Clinical Outcomes.","authors":"Ashleigh Holmes, Weijun Wang, Yu-Ping Chang","doi":"10.1177/07334648241281148","DOIUrl":"10.1177/07334648241281148","url":null,"abstract":"<p><p>A comprehensive understanding of the patterns of psychosocial characteristics in older adults with pain is needed. Our objectives were to (1) identify psychosocial phenotypes (comprising depression, anxiety, affect, self-realization, resilience, and social participation) among older adults with pain and (2) compare pain characteristics, physical health, and cognition among the identified phenotypes. Using cross-sectional 2021 data from the National Health and Aging Trends Study, we performed latent class analysis to identify four psychosocial phenotypes of older adults with pain (<i>N</i> = 1903): Favorable (best psychosocial characteristics, 67.7%), Adverse (worst psychosocial characteristics, 4.9%), Intermediate (moderate scores on psychosocial variables, 12.6%), and Compensated (moderate scores with relatively high self-realization and resilience, 14.9%). Phenotypes with less psychosocial adversity had generally better clinical outcomes. Future research should explore precision pain management interventions in older adults based on their psychosocial phenotypes, longitudinal trajectories of phenotypes, and technology-based, point-of-care clinical insights for pain management.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"600-613"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142127009","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}
Kristine J Ajrouch, Fatmeh M Barada, Mary R Janevic, Toni C Antonucci
{"title":"Supporting Arab-American Families Living With Dementia: Testing a Culturally Adapted Program.","authors":"Kristine J Ajrouch, Fatmeh M Barada, Mary R Janevic, Toni C Antonucci","doi":"10.1177/07334648241281153","DOIUrl":"10.1177/07334648241281153","url":null,"abstract":"<p><p>Limited access to support services due to language and cultural barriers often results in a belief that family alone is the only option during times of need among Arab Americans. We test whether participation in a culturally adapted version of the Alzheimer's Association \"Living with Alzheimer's\" educational program is associated with positive outcomes for Arab-American care partners (<i>N</i> = 58). We present a single group design using paired t-tests that demonstrate reduced care burden and increased care satisfaction from pre- to post-participation. Family conflict trended downward after program participation. Findings provide preliminary data to illustrate culturally adapted Alzheimer's disease and related dementia (ADRD) educational programs hold promise to help family members caring for a person living with ADRD, even when such programs are not generally accepted by cultural norms.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"515-519"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142308784","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":"Importance of Lifestyle Activities for Older Adults' Psychosomatic Functions After Driving Cessation: Interpretation by a Mixed-Methods Study.","authors":"Shoma Akaida, Hyuma Makizako, Mana Tateishi, Daijo Shiratsuchi, Yoshiaki Taniguchi, Yuto Kiuchi, Ryoji Kiyama, Toshihiro Takenaka, Takuro Kubozono, Mitsuru Ohishi","doi":"10.1177/07334648241277043","DOIUrl":"10.1177/07334648241277043","url":null,"abstract":"<p><p>Older adults who cease driving are more likely to experience psychosomatic decline than those who continue driving. This mixed-methods study was intended to examine differences in psychosomatic functions depending on driving status and lifestyle activities, and factors affecting engagement in additional lifestyle activities after driving cessation. The quantitative analysis included individuals aged 60 and above. Driving status, lifestyle activities, and psychosomatic functions were assessed. For qualitative analysis, semi-structured interviews were conducted with the driving-cessation group to determine the factors affecting involvement in various lifestyle activities after driving cessation. Analysis of covariance was used for quantitative data, while text mining and qualitative inductive analysis were used for qualitative data. Older adults who engaged in more lifestyle activities walked faster than those who engaged in fewer lifestyle activities, even after driving cessation. Actively using local and personal resources may increase engagement in lifestyle activities after driving cessation.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"530-541"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142156388","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}
Shuya Xie, Li Zhang, Ruikai Zhu, Zhentao Yao, Yulong Wu, Jia Huang, Fuzhi Lian, Jun Yang, Xianrong Xu
{"title":"The Associations Between Social Support From Adult Children (SSAC) and the Risk of Later-Life Depression (LLD) Among Rural Older Individuals: A Longitudinal Study Based on 2011 to 2018 China Health and Retirement Longitudinal Study Data.","authors":"Shuya Xie, Li Zhang, Ruikai Zhu, Zhentao Yao, Yulong Wu, Jia Huang, Fuzhi Lian, Jun Yang, Xianrong Xu","doi":"10.1177/07334648241285956","DOIUrl":"10.1177/07334648241285956","url":null,"abstract":"<p><p>This study was designed to investigate the implications of perceived social support from adult children (SSAC) on the incidence of later-life depression (LLD) among rural older adults in China. A total of 1762 participants without depressive symptoms and aged ≥60 years at baseline were recruited from three waves (2011, 2013, and 2015) of the China Health and Retirement Longitudinal Study (CHARLS) and followed up until 2018. After following-up for 2-7 years (average 4.6 years), a total of 746 participants (43.2%) were identified with LLD and the overall incidence of LLD was 128.5 per 1000 person-years. Univariate and multiple Cox regression analysis consistently indicated that receiving living care support was the sole form of SSAC that may significantly reduce the risk of LLD in rural older adults in China (HR: 0.81, 95% CI: 0.70-0.95, <i>p</i> = .008). These results may be of assistance in comprehensively understanding the role of SSAC in the mental health of older adults.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"660-671"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477738","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}
Huiwen Xu, John R Bowblis, Shuang Li, Jennifer Heston-Mullins, Yong-Fang Kuo, James S Goodwin
{"title":"Changes in Federal and State Policies on Visitation Restrictions in Nursing Homes During the COVID-19 Pandemic.","authors":"Huiwen Xu, John R Bowblis, Shuang Li, Jennifer Heston-Mullins, Yong-Fang Kuo, James S Goodwin","doi":"10.1177/07334648251324269","DOIUrl":"10.1177/07334648251324269","url":null,"abstract":"<p><p>Visitation restrictions in nursing homes were a major policy intervention in response to the COVID-19 pandemic. This study conducted a systematic review of the changes in federal and state visitation policies. After the federal recommendations restricting all visitors and non-essential healthcare personnel, 31 states implemented state-wide indoor visitation bans in March and April of 2020. Federal guidance changed in September 2020 and again after the introduction of COVID-19 vaccines in early 2021. State visitation bans were lifted from 6/15/2020 to 11/2/2020, lasting an average of 163 days. When lifting bans, most states required that nursing homes have no resident COVID-19 cases and implement mitigation measures during the visit. Resident COVID-19 infection rates decreased by an average of 7.2 cases per 10,000 residents per week in the six weeks before state bans were lifted (<i>p</i> = .003). Large variations in state bans call for more consistent policy implementation in a future pandemic.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251324269"},"PeriodicalIF":2.2,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143744210","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}
Henrietha C Adandom, Chiedozie J Alumona, Israel I Adandom, Adesola C Odole, Lisa L Cook, Gongbing Shan, Oluwagbohunmi A Awosoga
{"title":"Personality Traits and Health Behaviors as Predictors of Fall Among Community-Dwelling Older Adults: Findings From the Canadian Longitudinal Study on Aging.","authors":"Henrietha C Adandom, Chiedozie J Alumona, Israel I Adandom, Adesola C Odole, Lisa L Cook, Gongbing Shan, Oluwagbohunmi A Awosoga","doi":"10.1177/07334648251328427","DOIUrl":"https://doi.org/10.1177/07334648251328427","url":null,"abstract":"<p><p><b>Objectives:</b> To examine whether personality traits and health behaviors predict falls in community-dwelling older adults. <b>Methods:</b> Longitudinal data from the Canadian Longitudinal Study on Aging (CLSA) at baseline (2011-2015) and follow-up two (2018-2021) were analyzed using logistic regression for 5270 adults aged 65 and older, with an alpha level of 0.05. <b>Results:</b> At baseline, participants' mean age was 72 years, with 51.1% female. Most identified as White (96.7%) and had education beyond secondary (81.5%). Increased physical activity (OR: 1.012, 95% CI: 1.01-1.014), decreased alcohol consumption (OR: 1.634, 95% CI: 1.419-1.883), and smoking cessation (OR: 2.8, 95% CI: 2.198-3.568) increased fall risk, while conscientiousness (OR: 0.832, 95% CI: 0.792-0.874) and openness (OR: 0.959, 95% CI: 0.922-0.998) were protective at follow-up two. Personality changes significantly influence falls. <b>Discussion:</b> Findings highlight the complex interplay between personality traits, health behaviors, and falls, suggesting a one-size-fits-all approach to fall prevention may be insufficient.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251328427"},"PeriodicalIF":2.2,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701496","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}
Sara M Ulla-Díez, Silvia Oliva Manzano, Adelina Comas-Herrera, Erica Breuer, Álvaro García-Soler, María Ramón Jiménez
{"title":"Transforming Long-Term Care: A Participatory Theory of Change Approach Toward Community-Centered Solutions.","authors":"Sara M Ulla-Díez, Silvia Oliva Manzano, Adelina Comas-Herrera, Erica Breuer, Álvaro García-Soler, María Ramón Jiménez","doi":"10.1177/07334648251328113","DOIUrl":"https://doi.org/10.1177/07334648251328113","url":null,"abstract":"<p><p>Long-term care is a priority for public policy in Spain, especially after COVID-19. The InCARE Project (Supporting INclusive development of community-based long-term CARE services through multi-stakeholder participatory approaches) promoted participatory policy and service development, using a Theory of Change (ToC) approach. The Theory of Change describes a causal pathway for making strategic changes in the long-term care system over the next decade, aiming to achieve the desired impacts. A two-day workshop was held with 32 stakeholders, including policymakers, professionals, family carers, and people who use care services. A national ToC and a specific pilot project ToC outlined the steps required to improve the long-term care system to fulfill the needs and preferences of people in situations of dependency. The Theory of Change approach can be highly valuable for policy design, and it provides an integrated action map to guide the changes and inform political and management actions in the coming years.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251328113"},"PeriodicalIF":2.2,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693940","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}