Journal of Applied Gerontology最新文献_第3页

Psychosocial Function in Mild Cognitive Impairment: Social Participation is Associated With Cognitive Performance in Multiple Domains. 轻度认知障碍患者的社会心理功能：社会参与与多领域认知表现相关。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2025-10-01 Epub Date: 2025-01-07 DOI: 10.1177/07334648241311661

Sana Rehan, Natalie A Phillips

{"title":"Psychosocial Function in Mild Cognitive Impairment: Social Participation is Associated With Cognitive Performance in Multiple Domains.","authors":"Sana Rehan, Natalie A Phillips","doi":"10.1177/07334648241311661","DOIUrl":"10.1177/07334648241311661","url":null,"abstract":"Psychosocial function is associated with cognitive performance cross-sectionally and cognitive decline over time. Using data from the COMPASS-ND study, we examined associations between psychosocial and cognitive function in 126 individuals with mild cognitive impairment, an at-risk group for Alzheimer's disease (AD). Psychosocial function was measured using questionnaires about mental health, social support, and social engagement. Composite scores for five cognitive domains were derived using principal component analysis. Multiple linear regression models were used to test the effects of various psychosocial factors on cognitive performance, controlling for age, sex, education, MoCA scores, and living circumstances. We found that low current participation in one's social networks, over other psychosocial factors, was associated with worse verbal fluency and processing speed scores than those endorsing normal or high social participation. Our findings provide groundwork for further psychosocial-cognitive analyses in individuals at-risk for AD to better understand the role of poor social engagement in cognitive decline.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1629-1640"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12420933/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956823","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

Feasibility and Usage of a Virtual Assistant Device in Cognitively Impaired Homebound Older Adults. 虚拟辅助设备在认知障碍居家老年人中的可行性与使用。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2025-10-01 Epub Date: 2025-01-10 DOI: 10.1177/07334648251314284

Matthew Nunez, Prisha Patel, Lindsey Ulin, Leslie Kian, Martin Cominsky, Jason Burnett, Jessica L Lee

{"title":"Feasibility and Usage of a Virtual Assistant Device in Cognitively Impaired Homebound Older Adults.","authors":"Matthew Nunez, Prisha Patel, Lindsey Ulin, Leslie Kian, Martin Cominsky, Jason Burnett, Jessica L Lee","doi":"10.1177/07334648251314284","DOIUrl":"10.1177/07334648251314284","url":null,"abstract":"Social technology in older adults can improve self-rated health; however, there can also be difficulties using it. Our study aimed to evaluate the feasibility and acceptance of virtual assistant device (VAD) use in cognitively impaired homebound older adults. 52 newly referred Meals on Wheels clients aged 60 and older were recruited for a three-phase study: 6 weeks of meals alone (control), followed by 6 weeks of meals+Alexa Echo Show 8 (AES8) basic usage, and lastly 6 weeks of meals+AES8 advanced usage. Technology acceptance with the AES8 was significantly higher by the end of the study and participants anecdotally enjoyed playing music, setting reminders, and accessing spiritual content. There were also associations with improvements in memory, depression, and gait speed, despite no specific health programming. Thus, we believe use of VADs for cognitively impaired homebound older adults have future potential to benefit their cognitive and physical health. ClinicalTrials.gov ID: NCT04581317. Impact Statement: We certify that this work is novel because we were able to highlight improvements in the feasibility of use of a voice-activated virtual assistant device, technology acceptance, and some health indicators for underserved, cognitively impaired homebound older adults.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1651-1660"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12241460/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142962331","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

Network Types for End-Of-Life Care and Home Deaths Among Older Adults in Europe During COVID-19 Pandemic. 2019冠状病毒病大流行期间欧洲老年人临终关怀和家庭死亡的网络类型

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2025-10-01 Epub Date: 2025-01-25 DOI: 10.1177/07334648251314938

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":"10.1177/07334648251314938","url":null,"abstract":"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.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1605-1614"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12420937/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Practice and Impact of Using Fall Screening Tools in Emergency Medicine for Older Adults: A Scoping Review. 老年人急诊医学中使用跌倒筛查工具的实践和影响：一项范围综述。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2025-10-01 Epub Date: 2025-02-12 DOI: 10.1177/07334648251315279

Arushi Milind Chalke, Grace Marie Leito, Azmat Sidhu, Jean McClelland, Sheneil Agyemang, Joy Kinko Luzingu, Nimit Agarwal, Leah Steckler, Angela Wu, Zhao Chen

{"title":"Practice and Impact of Using Fall Screening Tools in Emergency Medicine for Older Adults: A Scoping Review.","authors":"Arushi Milind Chalke, Grace Marie Leito, Azmat Sidhu, Jean McClelland, Sheneil Agyemang, Joy Kinko Luzingu, Nimit Agarwal, Leah Steckler, Angela Wu, Zhao Chen","doi":"10.1177/07334648251315279","DOIUrl":"10.1177/07334648251315279","url":null,"abstract":"Falls are a leading cause of injury among older adults in the United States which leads to significant morbidity and mortality. Though screening for fall risk is an important preventative measure in the emergency department (ED), fall screening tools' feasibility and utility remain a challenge in EDs. This scoping review aimed to identify the fall screening tools, their psychometric properties, their best practices, and their impact in the ED among patients aged 60 years and older. In the 25 publications included in this review, 6 functional assessments and 10 screening questionnaires were used. Even though this review found several tools that are easy to apply and have good psychometric properties in the ED setting, there is a need for increased feasibility, support, and effectiveness. Consistent education and resource allocation remains a challenge for fall screening. Future research needs to focus on optimizing fall screening tools and practices to improve fall prevention measures in ED.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1724-1743"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400284","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

Recruiting Sexual and Gender Minority Older Adults With and Without Dementia in Long-Term Care: Overcoming Barriers and Lessons Learned. 招募有或无痴呆的性少数和性别少数老年人进行长期护理：克服障碍和经验教训。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2025-09-29 DOI: 10.1177/07334648251378797

Morgan M Wright, Tetyana P Shippee, Tricia Skarphol, Jason Flatt, Andrew Alberth, Rajean P Moone, B R Simon Rosser

{"title":"Recruiting Sexual and Gender Minority Older Adults With and Without Dementia in Long-Term Care: Overcoming Barriers and Lessons Learned.","authors":"Morgan M Wright, Tetyana P Shippee, Tricia Skarphol, Jason Flatt, Andrew Alberth, Rajean P Moone, B R Simon Rosser","doi":"10.1177/07334648251378797","DOIUrl":"https://doi.org/10.1177/07334648251378797","url":null,"abstract":"Sexual and gender minority (SGM) older adults, including those in long-term care and living with cognitive impairment, are underrepresented in research. This study explored barriers and facilitators to recruiting SGM older adults using long-term services and supports (LTSS) into research. As part of a broader project on SGM policies in LTSS, we conducted qualitative interviews with 20 assisted living and nursing home administrators identified through a related survey. Thematic analysis revealed three key themes: difficulty identifying SGM residents, the need to address discrimination by other residents, and special considerations when working with SGM residents who have Alzheimer's disease or related dementias (AD/ADRD). These findings highlight the importance of developing strategies to identify SGM participants, mitigate discrimination, and ensure appropriate consent processes for those with cognitive impairment. The results offer guidance for researchers aiming to ethically and effectively include SGM older adults with AD/ADRD in LTSS settings.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251378797"},"PeriodicalIF":2.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193468","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

Can Meaningful Activity Mediate the Relationship Between Social Support and Cognitive Health Among Community-Dwelling Older Adults? 社区居住老年人社会支持与认知健康的关系是否有意义活动的中介作用？

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2025-09-29 DOI: 10.1177/07334648251381401

Eunyoung Lee, Jaclyn M Williams

引用次数: 0

Delivering Engaging and Meaningful Activities for Older Adults in Long-Term Care Using Principles of Interpretation. 使用解释原则为长期护理的老年人提供有吸引力和有意义的活动。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2025-09-27 DOI: 10.1177/07334648251383349

Anna Tulloh, Keith A Anderson, Megan R Westmore, Shannon L Bland, Rebecca L Mauldin

引用次数: 0

Ambulatory Care Follow-Up and Fragmentation After Emergency Department Visits Among Older Adults. 老年人急诊科就诊后的门诊护理随访和碎片化。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2025-09-25 DOI: 10.1177/07334648251383345

Cameron J Gettel, Yuxiao Song, Theodore A Lee, Craig Rothenberg, Courtney Kitchen, Yixuan Liang, Julie P W Bynum, Susan N Hastings, Arjun K Venkatesh

{"title":"Ambulatory Care Follow-Up and Fragmentation After Emergency Department Visits Among Older Adults.","authors":"Cameron J Gettel, Yuxiao Song, Theodore A Lee, Craig Rothenberg, Courtney Kitchen, Yixuan Liang, Julie P W Bynum, Susan N Hastings, Arjun K Venkatesh","doi":"10.1177/07334648251383345","DOIUrl":"10.1177/07334648251383345","url":null,"abstract":"ObjectivesThis study aimed to characterize ambulatory care patterns among older adults discharged from the emergency department (ED).MethodsThis retrospective cohort study of 55,391 ED visits from the 2015-2021 Medicare Current Beneficiary Survey examined ambulatory follow-up within 7 and 30 days. Care fragmentation was assessed by identifying visits where patients saw 2+ different providers. Zero-inflated negative binomial models analyzed associations between patient characteristics (e.g., dementia, multiple chronic conditions) and follow-up.ResultsFollow-up occurred in 22.9% and 44.2% of cases within 7 and 30 days, respectively. Care fragmentation occurred in 4.6% and 25.3% of cases. Dementia reduced follow-up odds (OR 0.74; 95% CI 0.66-0.84; p < 0.001), while multiple chronic conditions increased them (OR 1.27; 95% CI 1.19-1.36; p < 0.001).DiscussionMost older adults lack timely ED follow-up, and care can be fragmented. These patterns highlight the need for interventions to balance access and fragmentation while improving outcomes.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251383345"},"PeriodicalIF":2.0,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12519494/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139044","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

Who Meets the Emotional Support Needs of Home Healthcare Workers? Characterizing Help-Seeking Practices and Preferences in the Workplace. 谁能满足家庭保健工作者的情感支持需求？工作场所寻求帮助行为和偏好的特征。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2025-09-25 DOI: 10.1177/07334648251381410

Nicole A Moreira, Sonia Nizzer, Sandra M McKay, D Linn Holness, Emily C King

{"title":"Who Meets the Emotional Support Needs of Home Healthcare Workers? Characterizing Help-Seeking Practices and Preferences in the Workplace.","authors":"Nicole A Moreira, Sonia Nizzer, Sandra M McKay, D Linn Holness, Emily C King","doi":"10.1177/07334648251381410","DOIUrl":"https://doi.org/10.1177/07334648251381410","url":null,"abstract":"Home healthcare workers (HHCWs) experience high levels of occupational stress, yet their help-seeking practices and preferences for emotional support in the workplace are not well understood. This study was conducted in November and December 2021 at one large home care organization, using a cross-sectional web-based survey to report HHCWs' (n = 249; 118 personal support workers, 44 nurses, and 87 rehabilitation providers) current and preferred sources of emotional support at work and perceived barriers. All groups relied heavily on supervisors and expressed comfort sharing with their peers. Respondents reported reluctance to burden others with emotional sharing, not having enough time to seek or use resources, and a desire for more connection with leaders and peers. To meet the emotional support needs of this workforce, organizations can enhance training offered to key organizational leaders and leverage existing members of their workplace support network to provide stronger organization-based support, normalize help-seeking, and sustain a healthy workforce.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251381410"},"PeriodicalIF":2.0,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151356","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

Gender-Specific Effects of Social Participation on Depression Among Older Chinese: A Longitudinal Analysis. 社会参与对老年人抑郁的性别影响：一项纵向分析。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2025-09-19 DOI: 10.1177/07334648251380420

Shuxuan He, Siow Li Lai

引用次数: 0