Journal of Applied Gerontology最新文献_第5页

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

Factors Influencing Staff Support for Sensory Device Use for People in Long-Term Care Settings. 影响工作人员对长期护理人员使用感觉装置的支持的因素。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2025-09-19 DOI: 10.1177/07334648251377485

Najwan El-Saifi, Carly J Meyer, Naomi Rose, Kasia Bail, Colette Browning, Dayna R Cenin, Melanie Ferguson, Chyrisse Heine, Lisa Keay, Sheela Kumaran, John Newall, Emma Scanlan, Hamid R Sohrabi, Melinda Toomey, Johanna Westbrook, Piers Dawes

引用次数: 0

Trajectories of Depressive Symptoms Before and After Retirement Based on Educational Level and Retirement Type. 基于受教育程度和退休类型的退休前后抑郁症状轨迹

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2025-09-15 DOI: 10.1177/07334648251362556

Heesoo Yoon, Minsung Sohn

引用次数: 0

Evaluation of the African American Alzheimer's Caregiver Training and Support Project 2 (ACTS2) Facebook Live Workshop Series: A Mixed Methods Analysis. 评估非裔美国人阿尔茨海默氏症护理人员培训和支持项目2 (ACTS2) Facebook现场研讨会系列：混合方法分析。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2025-09-13 DOI: 10.1177/07334648251378273

Nik M Lampe, Alexandra Xan C H Nowakowski, Tomeka Norton-Brown, Jayson Bakshi, Marin Savage-Paik, Amar Patel, Sarah McCrackin, Khori Howard, Madisyn Opstal, Joshua M Paredes, Skyler Bastow, Robert L Glueckauf

{"title":"Evaluation of the African American Alzheimer's Caregiver Training and Support Project 2 (ACTS2) Facebook Live Workshop Series: A Mixed Methods Analysis.","authors":"Nik M Lampe, Alexandra Xan C H Nowakowski, Tomeka Norton-Brown, Jayson Bakshi, Marin Savage-Paik, Amar Patel, Sarah McCrackin, Khori Howard, Madisyn Opstal, Joshua M Paredes, Skyler Bastow, Robert L Glueckauf","doi":"10.1177/07334648251378273","DOIUrl":"https://doi.org/10.1177/07334648251378273","url":null,"abstract":"The African American Alzheimer's Caregiver Training and Support Project 2 (ACTS2) is a faith-integrated, skills-building, and support program primarily focusing on Black caregivers (CGs) of persons living with dementia (PLWDs) throughout Florida. In response to the COVID-19 pandemic, ACTS2 launched a Facebook Live Workshop Series, offering dementia caregiving and self-care information to Black communities. Employing mixed methodologies, we evaluated viewer reach, engagement, and satisfaction for 28 workshops from the series, delivered from May 2020 to December 2024. The series reached 1,427 pre-registered individuals and 1,124 workshop attendees. Themes from attendee engagement revealed information requests, sharing personal experiences, and gratitude for presenters' contributions. Approximately 106 participants (7.4%) completed post-workshop surveys, indicating high overall satisfaction. Themes from survey data included appreciation for presenters, satisfaction with community resources, and centering Black community needs. Findings suggested the workshops effectively engaged Black communities and facilitated participant communication. Future research will address enhancing evaluation survey completion.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251378273"},"PeriodicalIF":2.0,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145055883","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

Caregiver Neglect in Older Adults With Cognitive Impairment: Characteristics and Themes From a Large Registry of Cases. 照顾者忽视的老年人与认知障碍：特点和主题，从一个大的注册病例。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2025-09-11 DOI: 10.1177/07334648251372353

Amy L Shaw, Alyssa Elman, Daniel Baek, Elaine Gottesman, Kristin Lees Haggerty, David W Hancock, Sara J Czaja, Mark S Lachs, Karl Pillemer, Tony Rosen

{"title":"Caregiver Neglect in Older Adults With Cognitive Impairment: Characteristics and Themes From a Large Registry of Cases.","authors":"Amy L Shaw, Alyssa Elman, Daniel Baek, Elaine Gottesman, Kristin Lees Haggerty, David W Hancock, Sara J Czaja, Mark S Lachs, Karl Pillemer, Tony Rosen","doi":"10.1177/07334648251372353","DOIUrl":"10.1177/07334648251372353","url":null,"abstract":"Cognitively impaired older adults are at risk for caregiver neglect, but characteristics of these neglected older adults and their circumstances have not been well described. We quantitatively and qualitatively examined case records from an emergency department/hospital-based elder mistreatment response team, analyzing data from 146 cognitively impaired older adults experiencing caregiver neglect. Nearly half of cases involved suspicion of multiple forms of mistreatment. The neglecting caregiver was most often the patient's child. We identified nine key themes from these cases: (1) caregiver impairment, (2) conflict between caregivers, (3) sudden appearance of relative or new \"friend\" offering to help, (4) inadequate supervision or care, (5) unsafe physical home environment, (6) isolation from family and friends, (7) delays in seeking medical care, (8) interference with care, and (9) attempts to honor patient preferences. The wide range of situations that may lead to neglect emphasizes the need for multifaceted interventions.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251372353"},"PeriodicalIF":2.0,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12486393/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145042003","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

Emergency Department Visits and Hospital Admissions Among Older Adults With and Without Dementia Receiving Medicaid-Funded Home- and Community-Based Services. 接受医疗补助资助的家庭和社区服务的老年痴呆症患者的急诊科就诊和住院率

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2025-09-09 DOI: 10.1177/07334648251377491

Richard H Fortinsky, Julie Robison, James Grady, Deborah Migneault, David C Steffens, Chae Man Lee, Dorothy Wakefield

{"title":"Emergency Department Visits and Hospital Admissions Among Older Adults With and Without Dementia Receiving Medicaid-Funded Home- and Community-Based Services.","authors":"Richard H Fortinsky, Julie Robison, James Grady, Deborah Migneault, David C Steffens, Chae Man Lee, Dorothy Wakefield","doi":"10.1177/07334648251377491","DOIUrl":"10.1177/07334648251377491","url":null,"abstract":"This research determined how dementia status is associated with emergency department (ED) visits and hospitalizations among older adults receiving Medicaid-funded home- and community-based services (HCBS). We conducted a retrospective cohort study of HCBS enrollees in a single state aged 65 or older (N = 7,176). We linked clinical assessment data and up to 12 months of medical claims data following clinical assessment at the individual level. After controlling for covariates, we found no difference in ED use between those with and those without dementia. Individuals with dementia had a lower relative rate of hospitalizations than those without dementia (rate ratio = 0.90, p = 0.03). We conclude that dementia was not associated with an increase in ED visits and that dementia was associated with less hospital use, among older adults receiving Medicaid HCBS. More research is needed to understand how and why dementia confers no greater risk for ED and hospital use among Medicaid HCBS beneficiaries.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251377491"},"PeriodicalIF":2.0,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030881","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

A Feasibility Study on the Effectiveness of Welfare Technology Living Lab-Based Interventions on Emotional and Cognitive Function for Older Adults. 福利科技生活实验室干预老年人情绪与认知功能的可行性研究。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2025-09-08 DOI: 10.1177/07334648251377150

Soo-Wan Kim, Jung-Won Lim

{"title":"A Feasibility Study on the Effectiveness of Welfare Technology Living Lab-Based Interventions on Emotional and Cognitive Function for Older Adults.","authors":"Soo-Wan Kim, Jung-Won Lim","doi":"10.1177/07334648251377150","DOIUrl":"https://doi.org/10.1177/07334648251377150","url":null,"abstract":"Welfare technology is becoming essential for promoting older adults' well-being, reducing health risks, and enhancing social engagement. While many welfare technology living lab studies focus on single devices, integrating multiple digital tools may offer greater emotional and cognitive benefits. This study investigates the effects of a living lab-based intervention using two digital devices: one targeting cognitive function (D1) and the other targeting physical function (D2). A community-based pretest-posttest design was conducted in South Korea with 65 participants, divided into three groups using D1, D2, or both. Over 10 weeks, participants attended weekly 60-minute sessions. Results showed the combined use of D1 and D2 led to greater reductions in anxiety, depression, and memory loss than single-device interventions. These findings highlight the importance of integrating cognitive and physical activities through interactive technology. This study contributes to social gerontology by demonstrating the value of multi-modal digital interventions in supporting older adults' care.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251377150"},"PeriodicalIF":2.0,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024482","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