Journal of Applied Gerontology最新文献_第2页

The Evolving Landscape of Dementia Caregiver Needs: A Large-Scale Analysis of Online Communities to Inform Digital Interventions. 不断变化的痴呆症照顾者需求：在线社区的大规模分析，为数字干预提供信息。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-09-01 Epub Date: 2025-10-24 DOI: 10.1177/07334648251386532

Ethan D L Brown, Duncan Sciubba, Barnabas Obeng-Gyasi, Brett Silber, Daniel Schneider

引用次数: 0

Meaning in Life, Happiness, and Well-Being as Protective Factors Against Depression in Community-Dwelling Older Adults: A Cross-Sectional Study. 生活意义、快乐和幸福是社区居住老年人抗抑郁的保护因素：一项横断面研究。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-09-01 Epub Date: 2025-10-09 DOI: 10.1177/07334648251386540

Theodosios Paralikas, Ioanna Dimitriadou, Theodora Plataniti, Evangelos C Fradelos, Aikaterini Toska, Foteini Malli, Georgios Tsioumanis, Maria Saridi

{"title":"Meaning in Life, Happiness, and Well-Being as Protective Factors Against Depression in Community-Dwelling Older Adults: A Cross-Sectional Study.","authors":"Theodosios Paralikas, Ioanna Dimitriadou, Theodora Plataniti, Evangelos C Fradelos, Aikaterini Toska, Foteini Malli, Georgios Tsioumanis, Maria Saridi","doi":"10.1177/07334648251386540","DOIUrl":"10.1177/07334648251386540","url":null,"abstract":"This cross-sectional study examined the associations between existential meaning, subjective happiness, psychological well-being, and depressive symptoms in 181 community-dwelling older adults (≥65 years) living in rural Greece. Using validated self-report measures, hierarchical multiple regression identified psychological and sociodemographic predictors of depressive symptoms. Results indicated that psychological well-being, the presence of existential meaning, and subjective happiness were significantly and negatively correlated with depressive symptoms. Well-being and presence of existential meaning emerged as the strongest independent predictors, while the search for meaning was not significant. Social support from children was associated with lower depressive symptoms, whereas living alone and receiving care from paid caregivers predicted higher levels. Additionally, advanced age and low income were identified as risk factors. These findings suggest that positive psychological resources, particularly well-being and existential meaning, serve as protective factors against depressive symptoms in later life.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1761-1771"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259590","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

Sedentary Behaviors and Functional Disability Among Chinese Older Adults (2008-2018): Evidence Including Mahjong. 中国老年人久坐行为与功能障碍（2008-2018）：包括麻将在内的证据

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-09-01 Epub Date: 2025-10-25 DOI: 10.1177/07334648251391867

Yen-Han Lee, Yen-Chang Chang, Minzhi Ye, Cai Xu

引用次数: 0

Barriers and Facilitators for Implementing a Dementia Family Caregiver Support Strategy Among Latinos in Primary Care. 在拉丁美洲初级保健中实施痴呆症家庭照顾者支持策略的障碍和促进因素。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-09-01 Epub Date: 2025-10-18 DOI: 10.1177/07334648251390013

Jaime Perales-Puchalt, Emily Morrow, Maria Val Roche-Dean, Ton Miras, Angela Scott, Mariana Ramirez-Mantilla, Ladson Hinton, Dolores Gallagher-Thompson, Kristine N Williams, Jeffrey M Burns, Edward Ellerbeck

{"title":"Barriers and Facilitators for Implementing a Dementia Family Caregiver Support Strategy Among Latinos in Primary Care.","authors":"Jaime Perales-Puchalt, Emily Morrow, Maria Val Roche-Dean, Ton Miras, Angela Scott, Mariana Ramirez-Mantilla, Ladson Hinton, Dolores Gallagher-Thompson, Kristine N Williams, Jeffrey M Burns, Edward Ellerbeck","doi":"10.1177/07334648251390013","DOIUrl":"10.1177/07334648251390013","url":null,"abstract":"Latino family caregivers of people with dementia face significant challenges and limited access to support. Community health workers (CHWs) may help deliver culturally tailored education in primary care settings. This qualitative study explored barriers and facilitators to implementing ¡Unidos Podemos! a caregiver support intervention using a comic-style educational booklet, group discussions, and follow-up calls by CHWs. We conducted interviews with 20 CHWs, primary care providers, and clinic staff across the U.S. and analyzed transcripts using deductive methods guided by the Consolidated Framework for Implementation Research. Twenty-one themes emerged across five domains, highlighting enthusiasm for the intervention and its simplicity, particularly the booklet format. Participants recommended addressing logistical challenges including reimbursement for group sessions, staff training, and support infrastructure. Findings offer practical insights to inform future implementation strategies, supporting the integration of CHWs into dementia care for Latino families in primary care.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1714-1725"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12645505/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145318441","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

Adverse Childhood Experiences, Depression and Subjective Cognitive Decline by Gender: A Moderated Mediation Analysis. 童年不良经历、抑郁与主观认知衰退的性别差异：一个有调节的中介分析。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-09-01 Epub Date: 2025-10-06 DOI: 10.1177/07334648251386108

Monique J Brown, Darlingtina K Esiaka, Jaya Viswanathan

{"title":"Adverse Childhood Experiences, Depression and Subjective Cognitive Decline by Gender: A Moderated Mediation Analysis.","authors":"Monique J Brown, Darlingtina K Esiaka, Jaya Viswanathan","doi":"10.1177/07334648251386108","DOIUrl":"10.1177/07334648251386108","url":null,"abstract":"Studies assessing depression as a mediating factor between adverse childhood experiences (ACEs) and subjective cognitive decline (SCD) are lacking. Therefore, the aims of this study were to: (1) determine the mediating role of depression in the association between ACEs and SCD; and (2) assess the moderating role of gender. Data were obtained from the 2023 Behavioral Risk Factor Surveillance Study (BRFSS) survey (N = 38,600). Crude and adjusted path analyses were used to determine the mediating role of depression between ACEs and SCD. Adjusted analyses controlled for sociodemographic confounders. ACEs were positively associated with depression (B = 0.129, p < 0.001), depression was positively associated with SCD (B = 0.224, p < 0.001), and ACEs were positively associated with SCD (B = 0.066, p < 0.001). Depression mediated the association between ACEs and SCD in the overall population (B = 0.029, p < 0.001), and for men (B = 0.025, p < 0.001) and women (B = 0.032, p < 0.001). Intervention programs addressing ACEs may reduce depression and help with cognition for men and women.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1772-1779"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12555987/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233805","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

A Scoping Review of Technology Acceptance Models and Theories for Sustainable Use in People With Dementia. 痴呆症患者可持续使用的技术接受模型和理论的范围审查。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-09-01 Epub Date: 2025-10-30 DOI: 10.1177/07334648251386493

Alba Felpete, João Filipe Carvalho, Teodora Figueiredo, Maximina Rodríguez, Luís Midão, Sara Alves, Natália Duarte, Arturo X Pereiro, Elísio Costa, David Facal

{"title":"A Scoping Review of Technology Acceptance Models and Theories for Sustainable Use in People With Dementia.","authors":"Alba Felpete, João Filipe Carvalho, Teodora Figueiredo, Maximina Rodríguez, Luís Midão, Sara Alves, Natália Duarte, Arturo X Pereiro, Elísio Costa, David Facal","doi":"10.1177/07334648251386493","DOIUrl":"10.1177/07334648251386493","url":null,"abstract":"Digital health technologies offer promising solutions for enhancing the quality of life for people with dementia, but they have some drawbacks. The aim of this scoping review was to explain the factors influencing acceptance of such technologies, by identifying and exploring the empirical support for different theoretical models. Following the PRISMA-ScR checklist, data were collected from PubMed, Web of Science, Scopus, PsycInfo, and IEEE Xplore. The review explored technology acceptance in people with dementia through any model or theory including the factors that could potentially determine acceptance. Thirty-one articles were included in the review. Different perspectives, approaches, and modifications of well-known technology acceptance models and theories regarding their underlying constructs were reported in the articles selected. Perceived usefulness, perceived ease of use, and social influence, the most studied constructs, have been found to have the greatest impact on the acceptance of different technologies in people with dementia.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1659-1672"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145410515","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

Dancing for Brain Health and Mobility: A Mixed-Methods Evaluation of the Implementation of Virtual GERAS DANCE Across Diverse Settings. 跳舞对大脑健康和流动性：跨不同设置的虚拟GERAS舞蹈实施的混合方法评估。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-09-01 Epub Date: 2025-10-30 DOI: 10.1177/07334648251387388

Patricia Hewston, Caroline Marr, Esther Coker, George Ioannidis, Courtney C Kennedy, Genevieve Hladysh, Ali Dashti, Sharon Marr, Alexandra Papaioannou

{"title":"Dancing for Brain Health and Mobility: A Mixed-Methods Evaluation of the Implementation of Virtual GERAS DANCE Across Diverse Settings.","authors":"Patricia Hewston, Caroline Marr, Esther Coker, George Ioannidis, Courtney C Kennedy, Genevieve Hladysh, Ali Dashti, Sharon Marr, Alexandra Papaioannou","doi":"10.1177/07334648251387388","DOIUrl":"10.1177/07334648251387388","url":null,"abstract":"This study examines the implementation of virtual GERAS DANCE in community, hospital, and long-term care (LTC) settings. Using the Consolidated Framework for Implementation Research (CFIR), we conducted surveys and semi-structured interviews. Key CFIR constructs analyzed included innovation characteristics, outer setting, inner setting, individual characteristics, and implementation process. We gathered feedback from 22 healthcare professionals across 11 sites in five practice settings. Virtual GERAS DANCE reached 135 older adults. Implementation was most influenced by innovation characteristics (enjoyable music, socialization, exercise, and evidence-based design) and inner setting factors within participating organizations (cost-effective implementation, experienced staff in virtual programs, and high demand for virtual options). Barriers included technical limitations such as limited Wi-Fi capacity in rural communities. The success of virtual GERAS DANCE was largely driven by its evidence-based design and the organizational readiness for virtual health interventions.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1833-1843"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145410455","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

Long-Distance Family Caregivers' Perceptions of Burden and Strain Scales Developed for Proximate Family Caregivers. 异地家庭照顾者负担与压力感知量表在近距离家庭照顾者中的应用

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-09-01 Epub Date: 2025-11-26 DOI: 10.1177/07334648251389670

Richard E Chunga, Verena Cimarolli, Francesca Falzarano, Catherine Riffin, Sara Czaja, Kathrin Boerner

{"title":"Long-Distance Family Caregivers' Perceptions of Burden and Strain Scales Developed for Proximate Family Caregivers.","authors":"Richard E Chunga, Verena Cimarolli, Francesca Falzarano, Catherine Riffin, Sara Czaja, Kathrin Boerner","doi":"10.1177/07334648251389670","DOIUrl":"10.1177/07334648251389670","url":null,"abstract":"There is a growing number of long-distance family caregivers (LDCs) of older adults with dementia, yet burden and strain scales have not been designed to consider their unique needs, challenges, and experiences. This report draws on open-ended responses from 40 LDCs in a pilot intervention study regarding the Zarit Burden Interview-12 (ZBI-12) and Pearlin's Family Conflict, Job Caregiving Conflict, and Role Captivity scales. Participants provided insights on the relevance of these scales to the LDC experience and whether they encountered challenges in responding to specific items. Some participants remarked that lower hands-on, everyday caregiving engagement and geographic distance made questions difficult to answer or irrelevant to their experiences. Across scales, most participants stated that the questions captured their experiences as LDCs. Findings suggest that these scales developed for the use of proximate caregivers may be appropriate to use with LDCs, though results merit confirmation in larger studies with more representative samples.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1726-1731"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12662591/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145641235","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

Family Caregivers' Perspectives on Challenges and Support Needs in Hospital-Based Palliative Care for Persons Living With Dementia. 家庭照顾者对痴呆症患者医院姑息治疗的挑战和支持需求的看法。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-09-01 Epub Date: 2025-11-17 DOI: 10.1177/07334648251389300

Jung Kwak, Anita Chary, Sarah Stayer, Kwaku Duah Oppong, Sumin Yoon, Snehal Patel, Elizabeth A Kvale

{"title":"Family Caregivers' Perspectives on Challenges and Support Needs in Hospital-Based Palliative Care for Persons Living With Dementia.","authors":"Jung Kwak, Anita Chary, Sarah Stayer, Kwaku Duah Oppong, Sumin Yoon, Snehal Patel, Elizabeth A Kvale","doi":"10.1177/07334648251389300","DOIUrl":"10.1177/07334648251389300","url":null,"abstract":"Palliative care needs of hospitalized persons living with dementia (PLWD) and their family caregivers remain poorly understood. This mixed-methods study explored caregivers' perspectives on challenges and support needs when hospitalized PLWD received specialist palliative care consultations. Thirty-two caregivers were recruited from two hospitals; 18 completed interviews and surveys, and 14 completed surveys only. Participants were racially and ethnically diverse (19% Black or African American, 34% Latino or Hispanic). Most identified as women (65%) and adult children (56%). Commonly reported challenges included managing health issues (59%), emotional distress (56%), and decision-making (47%). Thematic analysis of interviews revealed three themes: the value of palliative care in navigating end-of-life uncertainty in dementia, uncoordinated and reactive care during hospitalization, and lack of guidance for post-hospital transitions. While caregivers valued palliative care for emotional and decision-making support, findings underscore the need for earlier integration and improved coordination across hospital teams to better support families.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1696-1702"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13437996/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145543236","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

Assessing the Mediating Roles of Global Sensory Impairment, Social Isolation, and Loneliness in the Association Between Education and Cognitive Function. 评估整体感觉障碍、社会孤立和孤独在教育与认知功能之间的中介作用。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-09-01 Epub Date: 2025-10-25 DOI: 10.1177/07334648251386107

Alyssa W Goldman, Kristen E Wroblewski, Jayant M Pinto

{"title":"Assessing the Mediating Roles of Global Sensory Impairment, Social Isolation, and Loneliness in the Association Between Education and Cognitive Function.","authors":"Alyssa W Goldman, Kristen E Wroblewski, Jayant M Pinto","doi":"10.1177/07334648251386107","DOIUrl":"10.1177/07334648251386107","url":null,"abstract":"Education is a key predictor of cognitive function and dementia. Sensory impairments and social well-being are underexplored modifiable pathways through which education may influence cognitive function. Using longitudinal data from the National Social Life, Health, and Aging Project, we created a latent measure of global sensory impairment (GSI) encompassing all five \"classical\" senses. We estimated the indirect influence of education on Montreal Cognitive Assessment (MoCA) scores-our primary measure of cognitive function-through GSI, loneliness, and social isolation. Positive dementia screening was a secondary outcome. GSI accounted for 5.32% and social isolation for 3.79% of college attendance's influence on MoCA scores. For years of education, GSI accounted for 3.87% and social isolation for 2.85% of its influence on MoCA scores. Loneliness accounted for smaller percentages. Sensory impairments and social isolation may be targets for public health interventions aimed at reducing educational disparities in cognitive function and improving older adults' quality of life.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1749-1760"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12857255/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145369114","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