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Journal of Applied Gerontology最新文献

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A Cross-Lagged Panel Analysis of Social Participation in the Relationship Between Functional Limitations and Cognitive Functioning: Evidence From CHARLS 功能限制与认知功能关系中社会参与的跨滞后面板分析：来自 CHARLS 的证据
IF 3 3区 医学
Journal of Applied Gerontology Pub Date : 2024-09-19 DOI: 10.1177/07334648241282756
Alex Pak Lik Tsang, Chi Ko Lee, Stephen Cheong Yu Chan
{"title":"A Cross-Lagged Panel Analysis of Social Participation in the Relationship Between Functional Limitations and Cognitive Functioning: Evidence From CHARLS","authors":"Alex Pak Lik Tsang, Chi Ko Lee, Stephen Cheong Yu Chan","doi":"10.1177/07334648241282756","DOIUrl":"https://doi.org/10.1177/07334648241282756","url":null,"abstract":"Functional limitations refer to the dependency to perform activities of daily living. Increasing evidence has demonstrated a bidirectional association between functional limitations and cognitive functioning, although the exact mechanism remains unclear. This study investigated whether social participation bidirectionally mediates the association between functional limitations and cognitive decline. We analyzed a sample of 16,385 middle-aged and older adults (aged over 50 years) using longitudinal data from the China Health and Retirement Longitudinal Study (CHARLS; Waves 1–4). We utilized a cross-lagged panel model to examine the bidirectional mediation of social participation between functional limitations and cognitive functioning over a span of eight years. The results indicated that social participation bidirectionally and partially mediated the relationship between the onset of functional limitations and cognitive decline, indicating that social participation may play an important role in mitigating the disablement process.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142249821","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
How High-Performing Personal Support Workers Set and Maintain Boundaries When Providing Care: A Case Study in Ontario, Canada 高绩效的个人支持工作者在提供护理时如何设定和保持界限？加拿大安大略省案例研究
IF 3 3区 医学
Journal of Applied Gerontology Pub Date : 2024-09-19 DOI: 10.1177/07334648241263500
Elizabeth A. Kalles, Emily C. King, Paul Holyoke
{"title":"How High-Performing Personal Support Workers Set and Maintain Boundaries When Providing Care: A Case Study in Ontario, Canada","authors":"Elizabeth A. Kalles, Emily C. King, Paul Holyoke","doi":"10.1177/07334648241263500","DOIUrl":"https://doi.org/10.1177/07334648241263500","url":null,"abstract":"Personal support workers (PSWs) provide a large proportion of in-home care services for Canadians. PSWs must negotiate with clients and their family on how prescribed care is delivered. How PSWs set and maintain professional and personal boundaries during care is poorly understood, and failure to manage boundaries can expose both PSWs and clients to risk. High-performing PSWs ( n = 9) and supervisors ( n = 4) within an Ontario, Canada, home care agency were engaged in workshops ( n = 3) to identify field-tested strategies and tactics for identifying, managing, and supporting PSW boundaries. A boundary-management framework was generated, including types of boundary challenges; decision-making principles (e.g., consider the purpose of home care); response strategies (e.g., work with the client on an alternative solution); and tactics for action (e.g., use proactive reminders). Supervisory and organizational supports (e.g., enabling “shop-talk”) were identified. The framework can inform teaching and practice materials for PSWs in Canada and other countries.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142249825","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
Examining the Impact of the Design-Thinking Intergenerational Service-Learning Model on Older Adults' Self-Care Behaviors and Well-Being. 研究 "设计-思维 "代际服务学习模式对老年人自理行为和幸福感的影响。
IF 2.2 3区 医学
Journal of Applied Gerontology Pub Date : 2024-09-19 DOI: 10.1177/07334648241286327
Jeffrey T Tseng, Tsuann Kuo, Chih-Kun Huang, Ling-Hui Chang, Yu-Jung Hsu, Ying-Wei Wang, Hsin-Yi Hsiao
{"title":"Examining the Impact of the Design-Thinking Intergenerational Service-Learning Model on Older Adults' Self-Care Behaviors and Well-Being.","authors":"Jeffrey T Tseng, Tsuann Kuo, Chih-Kun Huang, Ling-Hui Chang, Yu-Jung Hsu, Ying-Wei Wang, Hsin-Yi Hsiao","doi":"10.1177/07334648241286327","DOIUrl":"https://doi.org/10.1177/07334648241286327","url":null,"abstract":"<p><p>The Design-Thinking Intergenerational Service-Learning Model (DTISLM), rooted in the biopsychosocial model, aims to empower older adults to improve their chronic-disease management behavior through tailored programs addressing their specific healthcare needs. This study, conducted in Taiwan, used a convenience sampling method (<i>n</i> = 172) to evaluate the impact of DTISLM on Taiwan's adult day center participants' perception of self-care behaviors, feelings of happiness, depression, and perceived social support using pretest-posttest surveys. The results indicated a significant enhancement in participants' perception of self-care behaviors, reduction in depression score, and improvements in perceived social support following the completion of the program. The findings underscore the efficacy of applying a design-thinking framework in an intergenerational context. Future studies should investigate how the DTISLM can be scaled to various demographics and healthcare settings to enhance its applicability and understand its long-term effects.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298771","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
Outcomes of Medicaid Rebalancing May Differ Across Enrollee Populations 医疗补助重新平衡的结果可能因参保人群而异
IF 3 3区 医学
Journal of Applied Gerontology Pub Date : 2024-09-18 DOI: 10.1177/07334648241282700
Jordan M. Harrison, Esther M. Friedman, Sarah Edgington, Bonnie Ghosh-Dastidar, Daniel Siconolfi, Regina A. Shih
{"title":"Outcomes of Medicaid Rebalancing May Differ Across Enrollee Populations","authors":"Jordan M. Harrison, Esther M. Friedman, Sarah Edgington, Bonnie Ghosh-Dastidar, Daniel Siconolfi, Regina A. Shih","doi":"10.1177/07334648241282700","DOIUrl":"https://doi.org/10.1177/07334648241282700","url":null,"abstract":"Access to home- and community-based services (HCBS) may prevent or delay nursing home transitions among older adults. Medicaid’s Balancing Incentive Program (BIP) (2011–2015) provided assistance for U.S. states to increase access to HCBS through infrastructure changes and spending benchmarks. We combined longitudinal data from the 2008–2019 Medicare Current Beneficiary Survey and Minimum Data Set and used survival modeling to examine the association between BIP exposure (living in a BIP-participant state vs. not) and time to long-term institutionalization (LTI, defined as a nursing home episode of 90+ days) among dual enrollees ages 65 and older. In the main effects model, BIP exposure was not associated with hazard of LTI. Interaction models showed that BIP exposure was associated with a lower hazard of LTI among Hispanic/Latinx enrollees, while the opposite was true among non-Hispanic White enrollees. Our findings suggest the outcomes of Medicaid rebalancing efforts may differ across enrollee subgroups.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142249822","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
Extreme Heat, Functional Disability, and Social Isolation: Risk Disparity Among Older Adults 酷热、功能障碍和社会隔离：老年人的风险差异
IF 3 3区 医学
Journal of Applied Gerontology Pub Date : 2024-09-17 DOI: 10.1177/07334648241282904
Hyunjung Ji, Su Hyun Shin, Alexandria Coronado, Hee Yun Lee
{"title":"Extreme Heat, Functional Disability, and Social Isolation: Risk Disparity Among Older Adults","authors":"Hyunjung Ji, Su Hyun Shin, Alexandria Coronado, Hee Yun Lee","doi":"10.1177/07334648241282904","DOIUrl":"https://doi.org/10.1177/07334648241282904","url":null,"abstract":"This study examines how functional disability worsens among older adults exposed to extreme heat, particularly those socially isolated. Analyzing data from over 35,000 older adults aged 50 or older from the Health and Retirement Study from 1996–2018, this study found that more frequent exposure to extreme heat is associated with an increase in the number of instrumental activities of daily living (IADL) that older adults find difficulty in performing over time. This heat-related disability progression is greater among those living alone and not working. However, findings indicate that maintaining contact with children and receiving higher levels of support from friends can alleviate the risk of IADL disability progression amidst extreme heat days for older adults with limited social relationships at home and work. By examining various aspects of social isolation and their nuanced effects, this study underscores the need for social support and assistance for older adults during extreme heat.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142249820","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
Unmet Needs and Factors Impacting Home- and Community-Based Service Use Among Rural Appalachian Caregivers of People With Alzheimer’s and Dementia 阿巴拉契亚农村地区照顾阿尔茨海默氏症和痴呆症患者的人未满足的需求以及影响其使用家庭和社区服务的因素
IF 3 3区 医学
Journal of Applied Gerontology Pub Date : 2024-09-12 DOI: 10.1177/07334648241280041
David Russell, Christina E. Miyawaki, Jennifer M. Reckrey, Erin D. Bouldin
{"title":"Unmet Needs and Factors Impacting Home- and Community-Based Service Use Among Rural Appalachian Caregivers of People With Alzheimer’s and Dementia","authors":"David Russell, Christina E. Miyawaki, Jennifer M. Reckrey, Erin D. Bouldin","doi":"10.1177/07334648241280041","DOIUrl":"https://doi.org/10.1177/07334648241280041","url":null,"abstract":"Family caregivers of persons with Alzheimer’s disease and related dementias (ADRD) living in rural areas face significant health and healthcare challenges. Limited research, however, has explored factors shaping their use of home- and community-based services (HCBS). This study identifies unmet needs among caregivers of people with ADRD in rural Western North Carolina and highlights contextual factors that facilitate HCBS use. Nineteen qualitative interviews were conducted with 21 family caregivers and 1 person with ADRD between 2021 and 2022. Thematic analyses revealed unmet needs among caregivers for information, service navigation, and caregiving support. HCBS use was shaped by multiple factors including illness needs, cultural beliefs, preferences for home-based care, and place-based resources. These findings suggest that culturally tailored HCBS are needed to support people with ADRD and their caregivers in rural Appalachian communities, especially those which facilitate access to paid caregiving, clearly communicate program eligibility requirements, and emphasize service availability.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142197900","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
Development and validation of Social Support Needs Questionnaire (SSNQ) for the left-behind older adults in rural China. 针对中国农村留守老年人的社会支持需求问卷（SSNQ）的开发与验证。
IF 3 3区 医学
Journal of Applied Gerontology Pub Date : 2024-09-12 DOI: 10.1177/07334648241282239
Tongyu Zhang,Yanan Kang,Qi Liang,Siai Zhang,Wentong Wei,Chunmei Zhang,Xueshi Yang,Ruirui Wang,Ting Yang,Huifeng Yang
{"title":"Development and validation of Social Support Needs Questionnaire (SSNQ) for the left-behind older adults in rural China.","authors":"Tongyu Zhang,Yanan Kang,Qi Liang,Siai Zhang,Wentong Wei,Chunmei Zhang,Xueshi Yang,Ruirui Wang,Ting Yang,Huifeng Yang","doi":"10.1177/07334648241282239","DOIUrl":"https://doi.org/10.1177/07334648241282239","url":null,"abstract":"Objectives: This study compiled a Social Support Needs Questionnaire (SSNQ) for the left-behind older adults in rural China and assessed its psychometric properties. Methods: The formation of the SSNQ included three stages. First, item pool was established based on literature analysis. Second, through expert consultation, the 1-version questionnaire items were determined. Third, pre-survey with 901 cases of rural left-behind older adults was used to develop and test final-version of the Social Support Needs Questionnaire (SSNQ). Results: The Cronbach's α of the SSNQ was 0.914, ranging from 0.815 to 0.886 for each factor. The item-content validity index ranged from 0.875 to 1.00, and the scale-content validity index was 0.969. Conclusions: The SSNQ prepared by this study can be used as an evaluation tool for the social support needs of left-behind older adults in rural China, providing a basis for further establishment of the social support system.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142197725","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
Elder Mistreatment Within Stroke Family Caregiving 中风家庭护理中的虐待老人问题
IF 3 3区 医学
Journal of Applied Gerontology Pub Date : 2024-09-12 DOI: 10.1177/07334648241277042
Carina Katigbak, Wesley R. Browning, Sean Savitz, Carolyn E. Z. Pickering
{"title":"Elder Mistreatment Within Stroke Family Caregiving","authors":"Carina Katigbak, Wesley R. Browning, Sean Savitz, Carolyn E. Z. Pickering","doi":"10.1177/07334648241277042","DOIUrl":"https://doi.org/10.1177/07334648241277042","url":null,"abstract":"This secondary data analysis sought to identify characteristics associated with mistreatment among chronic stroke survivors who transition to dementia. We examined baseline data from a multi-time series survey study ( n = 453; where caregivers of those with stroke n = 107, and those without stroke, n = 346) on caregiving experiences influencing dementia family caregivers’ abusive or neglectful behaviors. Inferential statistical analysis indicated that baseline mistreatment rates were similar across stroke and non-stroke subgroups, though this finding was not significant. Caregiver depression was significantly associated with mistreatment. Multi-morbidity, prescription medication use, and limited mobility were more common among stroke survivors. Stroke-related complications may impose a greater burden of care upon family caregivers whose care recipients also have dementia. Determining timepoints of heightened mistreatment risk for stroke survivors may significantly impact long-term trajectories of stroke management to screen and identify those who may benefit from added support and intervention.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142197726","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
Control Beliefs after a Diagnosis of Alzheimer’s Disease and Related Dementias: The Need to Foster Resilience 确诊阿尔茨海默病和相关痴呆症后的控制信念：培养复原力的必要性
IF 3 3区 医学
Journal of Applied Gerontology Pub Date : 2024-09-10 DOI: 10.1177/07334648241282778
Addam Reynolds, Takashi Amano, Clara Scher, Yuane Jia
{"title":"Control Beliefs after a Diagnosis of Alzheimer’s Disease and Related Dementias: The Need to Foster Resilience","authors":"Addam Reynolds, Takashi Amano, Clara Scher, Yuane Jia","doi":"10.1177/07334648241282778","DOIUrl":"https://doi.org/10.1177/07334648241282778","url":null,"abstract":"Objectives: Positive adaptation, like higher control beliefs, following a disability diagnosis is important to buffer against excess disability; however, no study has examined how the recent diagnosis of Alzheimer’s disease and related dementias (ADRD) impacts control beliefs. The current study addresses this gap in the literature. Method: We use data from the 2012–2016 waves of the Health and Retirement Study. Propensity score weighting was used to address the systematic selection of an ADRD diagnosis to understand how control beliefs (perceived constraints and mastery) are impacted two years following a diagnosis. Results: A new diagnosis of ADRD was associated with a lower mastery score two years later, regardless of baseline functional ability (b = -0.652, p &lt; .001). No associations were noted between a new ADRD diagnosis and perceived constraints. Conclusions: Our results suggest that a recent diagnosis of ADRD has negative implications for mastery, which may facilitate excess disability.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142197901","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
Reducing Ageism and Enhancing Social Activism in Middle School: The Use of Diverse Measures of Ageism 减少中学中的年龄歧视，提高社会活动能力：使用不同的年龄歧视衡量标准
IF 3 3区 医学
Journal of Applied Gerontology Pub Date : 2024-09-10 DOI: 10.1177/07334648241271930
Assaf Suberry, Sarit Okun, Liat Ayalon
{"title":"Reducing Ageism and Enhancing Social Activism in Middle School: The Use of Diverse Measures of Ageism","authors":"Assaf Suberry, Sarit Okun, Liat Ayalon","doi":"10.1177/07334648241271930","DOIUrl":"https://doi.org/10.1177/07334648241271930","url":null,"abstract":"The aim of the study was to assess the effectiveness of a short educational intervention to reduce ageism and enhance social activism among adolescents. The study involved a 90-min workshop for 318 Israeli adolescents (aged 11 to 15, 73.9% females). Familiarity with the concept “ageism” and attitudes toward older persons were assessed before and after the intervention. The findings indicate an improved familiarity with the concept “ageism,” while adolescents drew upon concepts such as discrimination and racism to define ageism. Following the intervention, a diverse range of age-related stereotypes emerged, signaling a shift toward more positive perceptions, with notable growth in positive age stereotypes, especially among females. Finally, about two-thirds of created memes targeted ageism against older persons, 18.98% promoted an age-inclusive world, and 17.15% addressed ageism toward children and young persons. Implications for reducing ageism in adolescence and for measuring social change in ageism are discussed.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142197728","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
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