Irina Mindlis, Thomas L Rodebaugh, Dimitris Kiosses, M Carrington Reid
{"title":"Feasibility and Acceptability of Ecological Momentary Assessments in Depressed Older Adults With Multimorbidity.","authors":"Irina Mindlis, Thomas L Rodebaugh, Dimitris Kiosses, M Carrington Reid","doi":"10.1177/07334648251362020","DOIUrl":"https://doi.org/10.1177/07334648251362020","url":null,"abstract":"<p><p>For depressed older adults with multimorbidity (OAMM), depression heterogeneity is exacerbated by MM heterogeneity. Individual-level (i.e., <i>idiographic</i>) methods are an unexplored approach to developing tailored treatments for depressed OAMM-we examined their feasibility and acceptability in this population. Ecological momentary assessment (EMA) data were collected from depressed OAMM. Data on depression and MM symptoms were collected for 14 days in three daily surveys. Participants (<i>N</i> = 23, average age 80.5) reported burdensome symptoms of depression and MM at baseline; 19 progressed to the EMA phase, with minimal attrition (5%). EMA adherence was high (89%), as was satisfaction with the study length, burden, and ease of use of the EMA platform. 55% perceived benefit from completing EMA surveys. This study provides preliminary evidence for the feasibility and acceptability of using EMA to assess depressive and MM-related symptoms among OAMM, and lay the groundwork for testing idiographic approaches in this expanding population.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251362020"},"PeriodicalIF":2.0,"publicationDate":"2025-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733994","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}
James Iveniuk, Lissette M Piedra, Ashwin Kotwal, Jocelyn Wilder, Louise Hawkley
{"title":"How Race, Gender, and Cohort Shape Social Isolation and Loneliness in Older Americans.","authors":"James Iveniuk, Lissette M Piedra, Ashwin Kotwal, Jocelyn Wilder, Louise Hawkley","doi":"10.1177/07334648251360449","DOIUrl":"https://doi.org/10.1177/07334648251360449","url":null,"abstract":"<p><p>Older adults' social lives vary by ethno-racial groups, gender, and cohort, and these differences may widen over time. This study used data from four rounds (2005-2023) of the National Social Life, Health, and Aging Project (NSHAP; <i>N</i> = 4328) to examine intersectional differences in social isolation and loneliness across two cohorts of Americans: the Silent Generation (born 1928-1945) and Baby Boomers (born 1946-1964). Using random-effects models, we tracked the Silent Generation over 15 years and Baby Boomers over 5 years. At baseline, Silent Generation Black men had higher social isolation than other groups. Silent Generation White women experienced the steepest increase in isolation. Silent Generation Hispanic women and Baby Boomer Hispanic men saw declines in loneliness. These findings highlight the need for targeted, culturally informed interventions to mitigate the ongoing consequences of the COVID-19 pandemic, and the importance of adopting an intersectional lens when studying loneliness and social isolation in older adults.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251360449"},"PeriodicalIF":2.0,"publicationDate":"2025-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733995","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":"The Influence of Physical, Social, and Organizational Environments on Recreational Activities in Long-Term Care for Residents With Dementia: A Scoping Review.","authors":"Ziying Zhang, Habib Chaudhury, Wenjin Wang","doi":"10.1177/07334648251360098","DOIUrl":"https://doi.org/10.1177/07334648251360098","url":null,"abstract":"<p><strong>Background: </strong>This scoping review explores how physical, social, and organizational factors influence recreational activity engagement for residents with dementia in long-term care settings.</p><p><strong>Methods: </strong>A literature search in AgeLine, PsycINFO, CINAHL, Medline, and Web of Science identified studies on environmental factors affecting recreational activities for long-term care residents with dementia. A narrative approach was used to collate and summarize the findings from peer-reviewed English studies available until June 30, 2024.</p><p><strong>Results: </strong>A total of 28 studies were reviewed, examining how physical, social, and organizational factors-such as homelike ambiance, staffing levels, and medicalized care culture-affect residents' engagement in recreational activities. The review also highlights the interrelationship among these factors.</p><p><strong>Discussion and implications: </strong>The findings emphasize the importance of creating care environments that support activity participation. These insights can inform future assessments and the development of long-term care settings to improve activity experiences and outcomes for residents.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251360098"},"PeriodicalIF":2.0,"publicationDate":"2025-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733996","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":"Shaping Active Aging: The Role of Built Environment Improvements in Older Adults' Time Use Patterns.","authors":"Huijun Liu, Hang Li, Lun Hai","doi":"10.1177/07334648251361612","DOIUrl":"https://doi.org/10.1177/07334648251361612","url":null,"abstract":"<p><p>This study explores whether improvements to the built environment can promote more active time use among older adults in rural China. Matching a panel of 1,533 observations with infrastructure investment data from Anhui Province, a Difference-in-Difference model was employed. The results show that infrastructure investment in rural areas increased the ratio of active pursuits to passive activities. However, this treatment effect was only observed in leisure activities. Time spent on volunteering rose by 9.58%, while time spent on personal care declined by 10.54%. Meanwhile, exercise time remained stable, though the proportion occurring during evening or night-time hours increased significantly. The findings indicate that improving the built environment encourages more active behavior among older adults. In resource-limited rural areas, such built environment improvements may be effective in addressing physical inactivity among older adults.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251361612"},"PeriodicalIF":2.2,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144668739","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":"Correlation Between Typology of Daily Behaviors and Attitudes Toward Aging Among Chinese Older Adults.","authors":"Yongmei Wang, Yang Cao, Shuangyan Li, Xuehui Wang","doi":"10.1177/07334648251360818","DOIUrl":"https://doi.org/10.1177/07334648251360818","url":null,"abstract":"<p><p><b>Objectives:</b> This study aims to identify typologies of daily activity patterns among older adults and analyze how these behavioral profiles correlate with aging attitudes. <b>Methods:</b> Data came from the 2020 China Longitudinal Aging Social Survey. Latent Class Analysis (LCA) categorized older adults, and OLS regression with an interaction term was applied. Stata MP 17.0 was used. <b>Results:</b> Four types of older adults' daily behaviors were identified: Active Producers, Healthy Homemakers, Unhealthy Homemakers, and Medical & Care Needy. These categories reflected the shift from professional roles to family duties and health concerns. The study found an inverted \"U\" shaped trend in self-perceptions of aging, with the most positive views among Unhealthy Homemakers. Notably, Healthy Homemakers, the largest group, had more negative perceptions than Unhealthy Homemakers, indicating a psychosocial gap that needs further study. <b>Discussion:</b> The findings emphasize the importance of recognizing how daily behaviors influence older adults' views on aging.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251360818"},"PeriodicalIF":2.2,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660719","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":"The Impact of Dynamic Income Disparities on Disability Progression in Older Adults: A Joint Group-Based Trajectory Modeling Study.","authors":"Zhijun He, Jinglin Han, Xinyi Huang, Mingming Xu","doi":"10.1177/07334648251358534","DOIUrl":"https://doi.org/10.1177/07334648251358534","url":null,"abstract":"<p><p>Understanding the relationship between income disparities and disability progression is crucial for developing effective aging strategies. Using data from the Chinese Longitudinal Healthy Longevity Survey (CLHLS), this study aims to assess the dynamic interplay between income and disability among the older adults in China. We used joint group-based trajectory modeling to identify distinct income and disability trajectories, and multinomial logistic regression was employed to explore the association between these trajectories. Our findings showed that participants aged 60-69 with low but stable income trajectories exhibited a higher likelihood of rapid disability recovery. In contrast, more than 30% of the participants aged 70-79 and 80+ experienced rapid disability deterioration, while higher income trajectories in these older cohorts were associated with accelerated disability. The findings highlight the importance of targeted financial support and preventive healthcare interventions for older adults, particularly those aged 60-69 with low but stable incomes.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251358534"},"PeriodicalIF":2.2,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660722","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}
Ming-Ting Yang, Helena Temkin-Greener, Peter Veazie, Shubing Cai
{"title":"Racial and Ethnic Differences in Post-acute Home Health Services Among Older Adults With Alzheimer's Disease and Related Dementias.","authors":"Ming-Ting Yang, Helena Temkin-Greener, Peter Veazie, Shubing Cai","doi":"10.1177/07334648251358532","DOIUrl":"https://doi.org/10.1177/07334648251358532","url":null,"abstract":"<p><p>Home health is critical for older adults with Alzheimer's Disease and Related Dementias (ADRD), and more therapy and/or nursing visits are linked to better home health outcomes. Yet, whether visit frequency varies by race and ethnicity remains unclear. Using Medicare claims data in 2019 and 2021, we analyzed a cohort of 301,916 fee-for-service hospitalized Medicare beneficiaries with ADRD, investigating differences in nursing and therapy visits within 30-day post-discharge across racial and ethnic groups, and changes during the COVID-19 pandemic. On average, patients received 5.1 nursing and 6.2 therapy visits pre-pandemic, declining to 4.6 and 5.2, respectively, in 2021. Black individuals experienced the most notable drop in nursing visits, while racially and ethnically minoritized groups consistently received fewer therapy visits compared to White counterparts, both before and during the pandemic. These results highlight persistent differences in home health utilization, with implications for policy promoting equitable access for minoritized populations.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251358532"},"PeriodicalIF":2.2,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660721","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":"Marital Loss, Race/Ethnicity, and Multimorbidity Among U.S. Older Adults.","authors":"Maki Karakida, Jeffrey E Stokes, Qian Song","doi":"10.1177/07334648251359062","DOIUrl":"https://doi.org/10.1177/07334648251359062","url":null,"abstract":"<p><p>Over two-thirds of older adults have two or more chronic conditions. Chronic multimorbidity, widowhood, and divorce/separation are common in late adulthood, but may have different impacts for racially/ethnically diverse populations along with cumulatively disadvantaged social and living conditions over time. We examined the associations between divorce/separation and widowhood, race/ethnicity, and multimorbidity among 8625 Americans aged 50 and above. Leveraging 2018 Health and Retirement Study data, we employed binomial logistic regression (using the logistic command in Stata) to analyze whether married/partnered adults in 2010 experienced marital loss and developed multimorbidity by 2018. Widowhood was not associated with chronic illness or multimorbidity among any racial/ethnic groups, whereas divorce/separation was associated with elevated odds of chronic condition(s) only for non-Hispanic Black older adults. Findings suggest that among racially/ethnically minoritized older adults, divorce/separation could cause worse late-life chronic health condition(s) than widowhood. Marital and racial-ethnic trajectories of multimorbidity need to be further examined.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251359062"},"PeriodicalIF":2.2,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660720","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}
Thelma J Mielenz, Austin Svancara, Haomiao Jia, Lindsay S Arnold, Katie Wheeler, Carolyn DiGuiseppi, David W Eby, Lisa J Molnar, Linda L Hill, David S Strogatz, Howard F Andrews, Guohua Li, C Y David Yang
{"title":"The Longitudinal Association of Physical Function and Frailty on Driving Strategic Self-Regulation Among Older Adults.","authors":"Thelma J Mielenz, Austin Svancara, Haomiao Jia, Lindsay S Arnold, Katie Wheeler, Carolyn DiGuiseppi, David W Eby, Lisa J Molnar, Linda L Hill, David S Strogatz, Howard F Andrews, Guohua Li, C Y David Yang","doi":"10.1177/07334648251359020","DOIUrl":"https://doi.org/10.1177/07334648251359020","url":null,"abstract":"<p><p>Older adults self-regulate their driving as it becomes more challenging. This study evaluated physical performance and frailty to see their impact on strategic self-regulation in older drivers. The AAA Longitudinal Research on Aging Drivers study was a multisite prospective cohort study. The Fried Frailty Phenotype (FFP) and the National Health and Aging Trends Study (NHATS) Short Physical Performance Battery (SPPB) were administered to 2990 older drivers. Mixed-effects Poisson regression models estimated strategic self-regulation associated with the SPPB and the FFP adjusting for age, sex, visual perception, cognition, miles driven, and urban/rural status. Compared to older drivers with good SPPB scores, strategic self-regulation increased 17% among those with fair scores and 38% among those with poor scores. Compared to older drivers who were not frail, strategic self-regulation increased 6% among pre-frail drivers and 26% among frail drivers. Strategic self-regulation increased in a dose-response relationship with both frailty and physical function.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251359020"},"PeriodicalIF":2.2,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638383","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":"Intergenerational Contact and Older Employees' Knowledge Sharing: Mediating Effect of Organization-Based Self-Esteem and the Moderating Effect of Age-Inclusive HR Practices.","authors":"Chuangang Shen, Jing Yang, Sanman Hu, Peixu He","doi":"10.1177/07334648251359001","DOIUrl":"https://doi.org/10.1177/07334648251359001","url":null,"abstract":"<p><p>Based on social identity theory, this study investigated the impact of intergenerational contact quality on older employees' knowledge sharing with younger coworkers. The empirical findings, based on a sample of 337 matched older employee-younger coworker pairs, revealed that intergenerational contact quality has a significant positive effect on older employees' knowledge sharing with younger coworkers. Furthermore, organization-based self-esteem (OBSE) was identified as a partial mediator in the relationship between intergenerational contact quality and older employees' knowledge sharing with younger coworkers. Additionally, age-inclusive HR practices were found to negatively moderate the relationship between intergenerational contact quality and OBSE. These findings contribute to the existing literature on intergenerational contact and knowledge management, offering valuable practical implications for fostering intergenerational knowledge sharing within organizations.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251359001"},"PeriodicalIF":2.2,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638382","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}