James J Clarke, S Alexander Haslam, Leah S Sharman, Briana Guerrini, Kirsten Holmes, Rebecca Talbot, James Wild, Peter M McEvoy
{"title":"Leading by Example: Identity Leadership and Mental Health in Men's Sheds Members.","authors":"James J Clarke, S Alexander Haslam, Leah S Sharman, Briana Guerrini, Kirsten Holmes, Rebecca Talbot, James Wild, Peter M McEvoy","doi":"10.1177/07334648241289020","DOIUrl":"10.1177/07334648241289020","url":null,"abstract":"<p><p>The impact of leadership on members' mental health outcomes in community-based mutual-aid organizations such as Men's Shed is unknown. We analyzed (a) whether identity leadership is associated with Shed members' mental health, and (b) whether these links are mediated by psychological safety, social network quality, and social identity. Path analysis on data collected from 162 Australian Men's Shed members revealed statistically significant associations between identity leadership and each mechanism, and our model accounted for significant variance in mental health outcomes (14%-24%, <i>p</i>s < .001). Only social network quality and psychological safety were associated with unique variance in mental health outcomes. All indirect effects via social network quality and psychological safety were significant. These findings suggest the proposed mechanisms explain the relationship between identity leadership mental health outcomes in mutual-aid organizations such as Men's Sheds.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"815-824"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11997286/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142336988","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}
Oludolapo Fakeye, Prashant Rana, Fei Han, Morgan Henderson, Ian Stockwell
{"title":"Behavioral, Cognitive, and Functional Risk Factors for Repeat Hospital Episodes Among Medicare-Medicaid Dually Eligible Adults Receiving Long-Term Services and Supports.","authors":"Oludolapo Fakeye, Prashant Rana, Fei Han, Morgan Henderson, Ian Stockwell","doi":"10.1177/07334648241286608","DOIUrl":"10.1177/07334648241286608","url":null,"abstract":"<p><p>Repeat hospitalizations adversely impact the well-being of adults dually eligible for Medicare and Medicaid in the United States. This study aimed to identify behavioral, cognitive, and functional characteristics associated with the risk of a repeat hospital episode (HE) among the statewide population of dually eligible adults in Maryland receiving long-term services and supports prior to an HE between July 2018 and May 2020. The odds of experiencing a repeat HE within 30 days after an initial HE were positively associated with reporting difficulty with hearing (adjusted odds ratio, AOR: 1.10 [95% confidence interval: 1.02-1.19]), being easily distractible (AOR: 1.09 [1.00-1.18]), being self-injurious (AOR: 1.33 [1.09-1.63]), and exhibiting verbal abuse (AOR: 1.15 [1.02-1.30]). Conversely, displaying inappropriate public behavior (AOR: 0.62 [0.42-0.92]) and being dependent for eating (AOR: 0.91 [0.83-0.99]) or bathing (AOR: 0.79 [0.67-0.92]) were associated with reduced odds of a repeat HE. We also observed differences in the magnitude and direction of these associations among adults 65 years of age or older relative to younger counterparts.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"688-701"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142336986","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}
T Anne Richards, Doug Oman, Angela DiMartino, Ashwin A Kotwal
{"title":"A Technology-Based Intervention Impacts Quality of Life for Low-Income Older Adults by Reducing Loneliness and Improving Healthcare Self-Efficacy and Self-Rated Health.","authors":"T Anne Richards, Doug Oman, Angela DiMartino, Ashwin A Kotwal","doi":"10.1177/07334648241289928","DOIUrl":"10.1177/07334648241289928","url":null,"abstract":"<p><p>This paper describes a technology program aimed at developing technical skills and confidence, reducing social isolation and loneliness, and increasing healthcare self-management and self-efficacy among older adults. We conducted a mixed-methods study using surveys collected at baseline and 12 months from 90 older adults. Focus group data (<i>n</i> = 7) collected at 12 months were examined for convergence with key quantitative outcomes, emergent value-related themes, and evaluation of program structure and staff. Outcome data showed improvements in loneliness (Cohen's d = -0.24, <i>p</i> = .004) (validated by qualitative data), self-rated health (d = 0.23, <i>p</i> = .011), and healthcare self-efficacy (d = 0.31, <i>p</i> = .004). Participants with higher healthcare self-efficacy (β = 0.24, <i>p</i> = .03) and higher negative emotions (β = 0.28, <i>p</i> = .01) had greater frequency of internet use to search for health information. Qualitative findings described program mechanisms supporting increases in self-efficacy, including increased technology use and confidence, and values statements demonstrating the meaningfulness of learning technology and its impact on multiple domains of quality of life.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"825-837"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11978907/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394292","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}
{"title":"Social Engagement and Happiness in Older Adults With and Without Cognitive Impairment.","authors":"Kumi Morishita-Suzuki","doi":"10.1177/07334648241288726","DOIUrl":"10.1177/07334648241288726","url":null,"abstract":"<p><p>This study investigated the associations between in-person and remote engagement and self-rated happiness in older adults aged 50 years and above in three cognitive function subgroups: Normal Cognition, Cognitive Impairment not Dementia (CIND), and Dementia. Data were obtained from the 2014 Health and Retirement Study. Results showed that remote engagement was significantly associated with higher self-rated happiness, particularly in the CIND group. However, its association with in-person engagement was less consistent. No significant association was observed among individuals with dementia. However, the direction of the relationship between the two types of social engagement and self-rated happiness was positive. Instrumental activities of daily living, depression, and social capital were identified as potential factors influencing the relationship between social engagement and self-rated happiness. These findings emphasize promotion of both in-person and remote social engagement opportunities to enhance the well-being of older adults across different cognitive function subgroups.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"759-767"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142336989","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}
Ishan C Williams, Crystal D Chu, Dorothy Coker, Kara Anderson, Dan Wilson, Randy Jones, Jennifer Wenzel
{"title":"Screening for Cognitive Decline by Lay Navigators: A Scoping Review.","authors":"Ishan C Williams, Crystal D Chu, Dorothy Coker, Kara Anderson, Dan Wilson, Randy Jones, Jennifer Wenzel","doi":"10.1177/07334648241289690","DOIUrl":"10.1177/07334648241289690","url":null,"abstract":"<p><p>Innovative ways of screening for cognitive decline are urgently needed to increase detection and access to early treatment, particularly for those at highest risk for morbidity and mortality. The aim of this scoping review was to identify how cognitive screening is conducted within primary care and other clinical settings, specifically focusing on the use of lay navigators. Using Arksey and O'Malley's framework for scoping reviews, inclusive of collaborators' feedback, we included English-language research articles published after 2010 and identified ten articles. We found that lay navigators could effectively screen for common memory problems, provide support to patients and caregivers' needs, and deliver standardized education. Incorporating cognitive screening by lay navigators can facilitate earlier access to effective treatment, especially by those burdened by existing disparities. Future research and widespread adoption of these innovative methods may improve earlier screening and thus early detection and treatment in primary care settings.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"768-780"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510435","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":"Widowhood Shock, Family Reconstruction, and Mild Cognitive Impairment Among Older Adults: A Prospective Cohort Study.","authors":"Xiaohan Zhu, Huameng Tang, Mingxing Wang, Dianqi Yuan, Chao Guo","doi":"10.1177/07334648241288732","DOIUrl":"10.1177/07334648241288732","url":null,"abstract":"<p><p>Mild cognitive impairment (MCI), especially among widowed older adults, is increasingly urging public concern. This study aimed to investigate the association of widowhood, remarriage, and widowed life characteristics with the MCI risk among Chinese older adults. With an average age of 86.49 ± 10.20, a sample of 5377 participants aged between 65 and 116 was collected from four waves of the Chinese Longitudinal Healthy Longevity Survey between 2008 and 2018. Cox proportional hazards models and restricted cubic spline models were employed to estimate and plot the associations. Results showed that widowhood is associated with an increasing MCI risk, which could not be alleviated by remarriage. This negative impact was pronounced among women and those at older age. The association of living alone duration after widowhood and MCI onset displayed an inverse U-shape, with a peak risk at the 10<sup>th</sup> year. These findings have practical implications for pointing out the most vulnerable groups to MCI.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"781-791"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510440","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}
Katherine Kruger, Christina Kuhnmuench, Ryoko Ikari, Karen Gates, Sue Anne Bell
{"title":"\"I Don't Know What I'm Going to Meet Today\": Home Care Workers' Decision-Making About Safety During the COVID-19 Pandemic.","authors":"Katherine Kruger, Christina Kuhnmuench, Ryoko Ikari, Karen Gates, Sue Anne Bell","doi":"10.1177/07334648241288659","DOIUrl":"10.1177/07334648241288659","url":null,"abstract":"<p><p>The home care workforce provides supportive healthcare services to older adults. The COVID-19 pandemic heightened the need for knowledge that can better support this high-risk and understudied group of essential workers. The study aimed to understand decision-making about safety and well-being during the COVID-19 pandemic. The study design used a descriptive qualitative study approach, and 34 participants completed individual video or phone interviews. The results were organized into three themes specific to decision-making around safety and well-being for home care workers (HCWs) during the pandemic: 1) Responsibility, commitment, and dedication to their clients led HCWs to continue to provide essential services, 2) Safety concerns did not prevent HCWs from reporting to work, and 3) HCWs expressed more concern about clients than their own safety. Understanding the experiences of HCWs can offer important insights for developing strategies and policies to address the safety of these essential yet often overlooked healthcare professionals.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"838-845"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142381989","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":"Assessing Older Adults' Readiness for Adopting Fall Prevention Recommendations Using the Transtheoretical Stages of Change.","authors":"Janice A Mark, Ankita Henry, Briana Moreland, Dawson Dobash, Gwen Bergen","doi":"10.1177/07334648241289933","DOIUrl":"10.1177/07334648241289933","url":null,"abstract":"<p><p><b>Objectives:</b> Reducing fall risk requires older adults (age 65+) to adopt effective prevention strategies. This study has three aims: 1) understand Stage of Change (SOC) for three fall prevention strategies; 2) determine strategies older adults' use; and 3) understand which characteristics relate to readiness to take action. <b>Methods:</b> A survey of 1063 older adults assessed fall risk, SOC, and use of fall prevention strategies. Data analysis included descriptive statistics and regression analysis. <b>Results:</b> The most common SOC for older adults by strategy was <i>action</i> for overall fall prevention (61%), <i>contemplation</i> for medication management (45%), and <i>preparation</i> and <i>action</i> for strength/balance (29% each). Believing falls are preventable was most strongly related to being in a <i>Change</i> stage (e.g., <i>action, maintenance</i>) for overall fall prevention (Risk Ratio: 1.4, 95% CI: 1.1, 1.7). <b>Discussion:</b> Health promotion can focus on increasing knowledge of evidence-based fall prevention strategies to encourage older adults to take action.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"726-736"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12012151/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510467","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}
Gardenia A Juarez, Jennifer Tripken, Subashan Perera, Kathleen Cameron, Jennifer L Vincenzo, Jennifer S Brach
{"title":"Adoption, Implementation, and Maintenance of Evidence-Based Falls Prevention Programs.","authors":"Gardenia A Juarez, Jennifer Tripken, Subashan Perera, Kathleen Cameron, Jennifer L Vincenzo, Jennifer S Brach","doi":"10.1177/07334648241287496","DOIUrl":"10.1177/07334648241287496","url":null,"abstract":"<p><p>We evaluate the implementation of evidence-based falls prevention programs (EBFPPs) of the Administration for Community Living (ACL) Grantees by (1) describing adoption; (2) evaluating implementation through participant adherence; and (3) describing program maintenance. Secondary data analysis of a national data repository included forty-four ACL grantees spanning 31 states who were funded between September 2014 and December 2019 and provided information on over 80,000 older adult participants. Descriptive statistics including frequencies, percentages, and means were used to describe adoption, implementation (adherence), and maintenance of EBFPPs. Senior centers were the most common organizations to adopt EBFPPs. Most programs were maintained at their respective organizational site through repeat offerings, with several programs (60%) being offered greater than 10 times. Information regarding adoption, implementation, and maintenance of EBFPPs is valuable in identifying the best programs suited for different organizations and their clientele, which can inform policy for scaling and sustaining EBFPPs across the nation.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"715-725"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932943/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142336985","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}
{"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":"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":" ","pages":"679-687"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","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}