Journal of Applied Gerontology最新文献_第3页

Frailty is Linked to Lower Subjective Life Expectancy in Korean Middle-Aged and Older Adults. 韩国中老年人的主观预期寿命较低与身体虚弱有关

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-11-01 Epub Date: 2025-11-19 DOI: 10.1177/07334648251400491

Juhyeong Lee, Yeonsoo Shin, Giyeon Kim

引用次数: 0

Refining an Advance Care Planning Implementation Assessment Tool for Nursing Homes (ACP-QAT): A Delphi Study. 完善养老院预先护理计划实施评估工具（ACP-QAT）：一项德尔菲研究。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-11-01 Epub Date: 2025-12-13 DOI: 10.1177/07334648251404132

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":"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.","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}

引用次数: 0

The Effectiveness of a Mindfulness-Based Healthy Lifestyle Program for Older Adults With Type 2 Diabetes. 以正念为基础的健康生活方式项目对老年2型糖尿病患者的有效性

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-11-01 Epub Date: 2025-11-15 DOI: 10.1177/07334648251395792

Chun-Chin Tsai, Hui-I Yu, Mei-Fang Chen

{"title":"The Effectiveness of a Mindfulness-Based Healthy Lifestyle Program for Older Adults With Type 2 Diabetes.","authors":"Chun-Chin Tsai, Hui-I Yu, Mei-Fang Chen","doi":"10.1177/07334648251395792","DOIUrl":"10.1177/07334648251395792","url":null,"abstract":"ObjectiveThis study evaluated the effectiveness of a mindfulness-based healthy lifestyle program in improving diabetes-related outcomes among older adults with type 2 diabetes.MethodsA quasi-experimental study recruited 82 older adults with type 2 diabetes from two hospitals in southern Taiwan. Participants chose either the intervention or control group. The experimental group underwent an 8-week mindfulness-based healthy lifestyle program that integrated diet/exercise board games (external wisdom) and mindfulness practices (internal wisdom). The control group received usual diabetes care. Outcome measures-symptom distress, emotional distress, interpersonal communication, self-management behavior, and HbA1C-were assessed at baseline (T0), post-intervention (T1), and 3 months later (T2).ResultsGeneralized estimating equation analysis revealed that the experimental group demonstrated significantly greater improvements in interpersonal communication, self-management behaviors, and HbA1C from T0 to T1 and T0 to T2 compared to the control group.ConclusionThe results support integrating mindfulness and gamified education into diabetes care for older adults.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"2352-2364"},"PeriodicalIF":2.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145524463","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

Association of the Timed Up and Go Test With Alzheimer's Disease: Systematic Review and Meta-Analysis. 计时Up和Go测试与阿尔茨海默病的关系：系统评价和荟萃分析。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-11-01 Epub Date: 2025-11-07 DOI: 10.1177/07334648251394486

Maria Fernanda Serna Orozco, Hilary Reinosa Rivera, Jennifer Jaramillo-Losada, Harold Andres Payan-Salcedo, Mildrey Mosquera Escudero

{"title":"Association of the Timed Up and Go Test With Alzheimer's Disease: Systematic Review and Meta-Analysis.","authors":"Maria Fernanda Serna Orozco, Hilary Reinosa Rivera, Jennifer Jaramillo-Losada, Harold Andres Payan-Salcedo, Mildrey Mosquera Escudero","doi":"10.1177/07334648251394486","DOIUrl":"10.1177/07334648251394486","url":null,"abstract":"PurposeTo evaluate and estimate the association between Time and Go (TUG) test performance and mild cognitive impairment (MCI) or Alzheimer's disease (AD) in older adults.MethodsA systematic review and meta-analysis were conducted to synthesize data from studies examining the relationship between TUG test score and AD or MCI in adult subjects. The search strategy was applied to MEDLINE (OVID), Web of Science, Scopus, LILACS, and the Cochrane Central Register of Controlled Trials (CENTRAL). Studies were selected based on predefined inclusion criteria. For meta-analysis, effect sizes were pooled using a random-effects model to account for heterogeneity across studies. Heterogeneity was assessed using the I2 statistic, and publication bias was evaluated through funnel plot analysis. Sensitivity analyses were performed to test the robustness of the findings.ResultsA total of 25 studies were included in this review, of which 15 were incorporated into the meta-analysis. Participants with AD (4.22 [95% CI 2.76-5.69 s], p < 0.00001) and those with MCI (1.83 [95% CI 1.03-2.57 s], p < 0.00001) exhibited significantly longer times in the simple TUG test compared to healthy controls. The Dual-Task TUG test showed a stronger association with AD in the studies included in the analysis. AD participants demonstrated significantly longer test times (12.28 [95% CI 6.56-18.0 s], p < 0.0001) compared to cognitively normal controls.ConclusionsThis review highlights a potential association between TUG completion time and cognitive impairment in individuals with AD and MCI. The TUG test shows promise as a tool for the early identification and screening of cognitive decline and AD.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"2117-2129"},"PeriodicalIF":2.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13672897/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145472189","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 Decision-Making Tools for Meaningful Discussions About Transfer Decisions From Long-Term Care to Hospital: A Scoping Review. 评估从长期护理到医院转移决策的有意义讨论的决策工具：范围审查。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-11-01 Epub Date: 2025-11-14 DOI: 10.1177/07334648251394471

Jia Qi Adam Bai, Alixe Ménard, Yamini Singh, Daniel Kobewka, Krystal Kehoe MacLeod

{"title":"Assessing Decision-Making Tools for Meaningful Discussions About Transfer Decisions From Long-Term Care to Hospital: A Scoping Review.","authors":"Jia Qi Adam Bai, Alixe Ménard, Yamini Singh, Daniel Kobewka, Krystal Kehoe MacLeod","doi":"10.1177/07334648251394471","DOIUrl":"10.1177/07334648251394471","url":null,"abstract":"The decision-making process for transferring long-term care (LTC) residents to acute care hospitals is complex. These transfers can carry significant health risks, such as loss of function, morbidity, and mortality. Decision-making tools have emerged to guide these transfers, offering structured frameworks for informed discussions. Despite their benefits, their application remains inconsistent across LTC settings. MEDLINE, Embase, and CENTRAL were searched, following PRISMA-Scr guidelines. Studies evaluating decision support tools for LTC-to-hospital transfers were included. Of 1,383 studies identified, 15 studies involving 50,175 patients were included. Tools were categorized into five intervention types: educational booklets, decision aid videos, multidisciplinary programs, advance directive programs, and checklists. Most studies reported reduced hospitalization rates and improved communication, but variability in tool types highlighted their fragmented application. This scoping review summarizes reported outcomes and highlights gaps in the application and evaluation of decision-making tools for LTC-to-hospital transfers, emphasizing the need for more standardized and culturally sensitive interventions.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"2101-2116"},"PeriodicalIF":2.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13672951/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145514419","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

Discrimination, Disclosure, and Working in Old Age: A Queer Life Course Analysis of Employment Trajectories Among LGBTQ+ Older Adults in Canada. 歧视、披露与老年工作：加拿大LGBTQI+老年人就业轨迹的酷儿生命历程分析。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-11-01 Epub Date: 2025-10-30 DOI: 10.1177/07334648251394117

Celeste Pang, Ellie Maclennan

引用次数: 0

Dose-Response Relationships of Tea, Coffee, and Alcohol Consumption With Cognitive Function in Middle-Aged and Older Adults: Analysis Based on the China Health and Nutrition Survey (CHNS). 基于中国健康与营养调查（CHNS）的中老年人茶、咖啡和酒精消费与认知功能的剂量-反应关系分析

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-11-01 Epub Date: 2025-11-12 DOI: 10.1177/07334648251395359

Zhengyang Zeng, Xing Ye, Hao He, Lun Li

引用次数: 0

Barriers to Social Engagement for Older Immigrants in the United States: A Scoping Review of the Literature. 美国老年移民的社会参与障碍：文献综述。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-11-01 Epub Date: 2025-11-20 DOI: 10.1177/07334648251396305

Dolapo O Adeniji, Vivian J Miller, Betty C Tonui

{"title":"Barriers to Social Engagement for Older Immigrants in the United States: A Scoping Review of the Literature.","authors":"Dolapo O Adeniji, Vivian J Miller, Betty C Tonui","doi":"10.1177/07334648251396305","DOIUrl":"10.1177/07334648251396305","url":null,"abstract":"Social engagement is vital for older adults, enhancing belonging, participation, and overall mental well-being. However, older immigrants often face barriers such as acculturation stress, language difficulties, and cultural differences, which can hinder their engagement. This scoping review examines older immigrants' participation in community programs, highlights challenges, and offers recommendations to improve program effectiveness and support integration. Informed by the PRISMA guidelines and the PICo framework, a search across 11 university databases identified 13 relevant articles (N = 13). Findings show that participation in community centers, religious groups, and volunteer opportunities improves health and life satisfaction while reducing isolation. However, older immigrants encounter barriers, including cultural unfamiliarity and lack of language support limits older immigrants' engagement. The findings suggest the need for practitioners to consider language support and highlight the importance of ethnic group engagement. Policymakers should focus on developing programs that effectively engage diverse older adults.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"2073-2087"},"PeriodicalIF":2.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145565969","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

Preferences for Health Science Popularization Short Videos Among Older Adults in China: A Discrete Choice Experiment. 中国老年人对健康科普短视频的偏好：离散选择实验

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-11-01 Epub Date: 2025-11-18 DOI: 10.1177/07334648251398602

Xinying Sun, Jieyu Zhang, Yibo Wu, Tingyu Duan, Hewei Min

引用次数: 0

Leveraging Cultural-Language Translation Apps to Support and Promote Equitable Older Adult Care: A Scoping Review. 利用文化语言翻译应用程序支持和促进公平的老年人护理：范围审查。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-11-01 Epub Date: 2026-01-07 DOI: 10.1177/07334648251404144

Leinic Chung-Lee, Abdolreza Akbarian, Rosanra Yoon, Abdul-Fatawu Abdulai, Anoushka Anoushka, Rade Zinaic, Mabel Ho, Vess Stamenova, Rui Hou, Josephine Pui-Hing Wong

{"title":"Leveraging Cultural-Language Translation Apps to Support and Promote Equitable Older Adult Care: A Scoping Review.","authors":"Leinic Chung-Lee, Abdolreza Akbarian, Rosanra Yoon, Abdul-Fatawu Abdulai, Anoushka Anoushka, Rade Zinaic, Mabel Ho, Vess Stamenova, Rui Hou, Josephine Pui-Hing Wong","doi":"10.1177/07334648251404144","DOIUrl":"10.1177/07334648251404144","url":null,"abstract":"Amidst global migration, aging immigrant communities face cultural-language barriers posing significant risks for social isolation, decreased quality of life, and equitable access to care. Language translation apps hold promise in addressing these barriers.MethodsA scoping review was conducted on cultural-language translation apps in older adult care. We present our findings, while offering methodological insights related to the integration of a critical equity lens.ResultsThere is a notable gap in the literature on the use of cultural-language translation apps with older adults. The use of translation apps and devices holds potential for enhanced relationships and communication. There are concerns about the accuracy of translation, limited availability of languages, and appropriateness of use beyond day-to-day conversations.ConclusionTechnological adoption offers prospects for reducing language barriers and redressing health inequities experienced by racialized immigrant older adults. However, based on this vast gap in research on the topic, future research is indicated.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"2088-2100"},"PeriodicalIF":2.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13672887/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145918848","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