Journal of Applied Gerontology最新文献

{"title":"Social Media Use and Life Satisfaction Among Chinese Older Adults: A Moderated Mediation Model.","authors":"Yingcong Li, Xinyu Zhang, Zhihu Chen, Libo Ma, Zhi Wang, Jingjin Shao","doi":"10.1177/07334648241309483","DOIUrl":"10.1177/07334648241309483","url":null,"abstract":"<p><p>Accumulating evidence indicates that social media use (SMU) enhances life satisfaction among older adults, yet further research remains necessary to elucidate its underlying mechanisms. This study investigated whether SMU affects older adults' life satisfaction through online and offline social connectedness and whether loneliness and functional disability moderate these pathways. 232 Chinese older adults (<i>M</i> = 65.28, <i>SD</i> = 6.77) completed questionnaires assessing SMU, online and offline social connectedness, loneliness, functional disability, and life satisfaction. Results showed: (1) online and offline social connectedness played mediating roles between SMU and life satisfaction; (2) loneliness moderated the association between SMU and online social connectedness, with the mediation effect significant only for older adults experiencing higher loneliness; and (3) functional disability moderated the link between SMU and offline social connectedness, with the mediation effect significant only for those with greater functional disability. These findings could inform targeted interventions to advance successful aging.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1483-1494"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865700","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":"Developing and Testing Training Resources to Improve Social Connectedness With Homebound Older Adults Who Receive Home-Delivered Meals.","authors":"Jennifer N Bunker, Kim M Gans, Kristen C Smith, Kali S Thomas","doi":"10.1177/07334648241306176","DOIUrl":"10.1177/07334648241306176","url":null,"abstract":"<p><p>Social isolation is disproportionately experienced by homebound older adults, including those who receive home-delivered meals. We used a three-phase, human-centered design approach to create and evaluate training resources focused on social isolation for meal-delivery drivers. We hypothesized that these training resources would increase meal-delivery drivers' behavioral intentions to have meaningful interactions with their clients. Working with subject matter experts and meal-delivery drivers, our team developed and produced a training video and website and evaluated the resources with a sample of meal-delivery drivers in Rhode Island, Texas, and Mississippi via an online survey. Respondents (<i>n</i> = 94) were 64% female, 65% age 55+, and 79% white. Respondents reported improved (<i>p</i> < .001) agreement with the main outcome, \"I intend to regularly have meaningful social conversations with the clients I see.\" Through these scalable training resources, drivers may increase their intention to have meaningful conversations with older adults at risk for social isolation.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1392-1404"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802641","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":"Exploring the Role of Sex and Gender in the Adoption of Assistive Technology in Dementia Care: A Scoping Review.","authors":"Maren Salzwedel, Sytse Zuidema, Helianthe Kort, Sarah Janus","doi":"10.1177/07334648241310708","DOIUrl":"10.1177/07334648241310708","url":null,"abstract":"<p><p>Given that women are disproportionately affected by dementia on several levels and assistive technology (AT) is increasingly used to manage the care of the growing number of people with dementia (PwD), there is an urgent need to understand the role of sex and gender regarding adoption of AT in dementia care. We conducted a scoping review following the framework of Arksey and O'Malley. All identified topics of sex and gender analysis (compatibility, attitude, usage, acceptance, access, usefulness, and well-being) were related to AT adoption, where the majority revealed sex and gender differences. Relevance of topics is discussed in relation to generation, culture, and mental health, including a switch of perspective to the gender of the technology. Even though we demonstrated sex and gender differences in AT adoption, their practical implications need to be further elaborated on in future research.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1458-1471"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12335632/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956767","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":"Variations in State Essential Caregiver Programs for Nursing Homes During the COVID-19 Pandemic.","authors":"Yue Li, Daniel Maeng, H Benjamin Lee, Yusheng Jia, Xueya Cai","doi":"10.1177/07334648241309764","DOIUrl":"10.1177/07334648241309764","url":null,"abstract":"<p><p><b>Background:</b> During 2020-21, states established essential caregiver (EC) programs which allowed nursing home residents to receive in-person supports during the COVID-19 pandemic. This study presents comparative data on the designs of these programs. <b>Methods:</b> We conducted on-line searches for federal and states' nursing home visitation and reopening guidelines published in 2020-22. We also compared differences between states with and without an EC program in COVID-19 infection and death rates among nursing home residents or the general population, nursing home staff shortage rates, and rankings on restrictiveness of social distancing policies. Among states with an EC program, we summarized key program characteristics. <b>Results:</b> Twenty states established nursing home EC program from late 2020 to early 2021. Compared to states without an EC program, states with the program had slightly higher COVID-19 infection rate but slightly lower COVID-19 death rate, similar nurse staffing and nursing aids shortage rates in nursing homes, and somewhat lower rankings on the restrictiveness of social distancing measures. Compared to CMS guidelines that banned indoor visits to nursing homes under defined circumstances from March 2020 to November 2021, state EC programs were much less restrictive in specifying caregiver visits, for example, visits were allowed when county COVID-19 positivity rate>10% (18 programs), when the resident was not vaccinated (20 programs), or when the nursing home was in a COVID-19 outbreak (13 programs). However, state EC programs might still prohibit EC visits in certain situations, such as when the resident was in transmission-based precautions (13 programs), that is, when the resident had a confirmed COVID-19 infection, had COVID-19 symptoms although not yet confirmed, or was in observation for developing COVID-19 infection in the 14 days of nursing home (re)admission. <b>Conclusion:</b> States with and without a nursing home EC program did not differ appreciably in COVID-19 infection and death rates, or staffing shortage rates in nursing homes, although states with an EC program might have slightly less restrictive social distancing policies. State EC programs varied substantially in key designs. Comparative evaluations are needed to understand the effectiveness of these programs.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1533-1542"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12227690/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932510","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":"Internet Use and Depressive Symptoms among Older Adults in the U.S.: Unraveling the Differences by Gender.","authors":"Hee Yun Lee, Jeehoon Kim, Young Ji Yoon, Dongwook Kim, Edson Chipalo","doi":"10.1177/07334648241311651","DOIUrl":"10.1177/07334648241311651","url":null,"abstract":"<p><p>The daily Internet use among older adults has increased. This study examines how Internet usage affects depressive symptoms among older adults, focusing on gender differences. Using data from the 2015 National Health and Aging Trends Study (<i>N</i> = 6380), weighted multinomial logistic regression analysis was conducted. Men tended to access the Internet more for instrumental purposes and health-related matters compared to women. Conversely, women used social networking sites (SNSs) more frequently. Men were more inclined to use the Internet for personal tasks and health concerns than women. SNS use was positively associated with mild and major depression in men, while email or texting was negatively linked to their major depression. Internet use for health matters was negatively associated with major depression in women. The discussion emphasizes potential service and policy innovations aimed at leveraging digital technology to improve the mental health of older individuals, considering gender differences.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1472-1482"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956792","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":"Factors Associated With Life Satisfaction Among Veterans Enrolled in the Healthy Aging Project-Brain (HAP-B) Psychoeducational Class.","authors":"Maulika Kohli, Alice Verstaen, Emily H Trittschuh","doi":"10.1177/07334648241310948","DOIUrl":"10.1177/07334648241310948","url":null,"abstract":"<p><p>Healthy Aging Project-Brain (HAP-B) is a novel clinical psychoeducation offering developed to encourage engagement in activities associated with successful aging. HAP-B targets sleep, socialization, physical, and cognitive activity through myth-busting, developing SMART goals, and tracking behavioral change. Study aims: (1) assess feasibility/acceptability in a Veteran population; (2) analyze pre- and post-intervention ratings to examine health and well-being; (3) explore associations between health factors and life satisfaction. The 50 participants (mean age = 70.6 years) were predominantly male-identity (88%) and White (76%). Findings, based on independent <i>t</i> tests, revealed improvements in life satisfaction, emotional well-being, and energy levels post-intervention. Linear regression results found higher life satisfaction was associated with lower depressive symptoms, higher emotional well-being, and higher self-efficacy. This easily implementable education intervention can result in more positive self-appraisal with encouraging downstream effects. Healthcare providers are well-positioned to utilize classes such as HAP-B to promote patient-centric approaches to brain health.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1554-1564"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400282","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":"Empowering Older Veterans Through Self-Directed Care: A Mixed Methods Evaluation of a Technology Enabled Respite Homecare Model Pilot.","authors":"Melissa Harris-Gersten, Emily Franzosa, Kasey Decosimo, Sara Webb, Livia Anderson, Kaileigh Byrd, Amy Webster, Matthew Tucker, Leah Christensen, Jennifer L McKenzie, Daniel Schoeps, Courtney H Van Houtven","doi":"10.1177/07334648251371960","DOIUrl":"https://doi.org/10.1177/07334648251371960","url":null,"abstract":"<p><p>To remain living independently, many older and disabled adults rely on homecare workers, though workforce shortages and turnover can hinder access to care. The Veterans Health Administration piloted a Technology Enabled Respite Homecare Model allowing Veterans to select their homecare aide in collaboration with a coordinating agency to expand access to services. We used a convergent mixed method design, surveying Veterans (<i>n</i> = 97) and homecare aides (<i>n</i> = 110) and conducting qualitative interviews with staff (<i>n</i> = 8). Forty-four percent more Veterans accessed in-home care after enrollment compared to before and satisfaction was high (8.6 out of 10). Homecare aides were also satisfied (8.0 out of 10) and reported receiving $3.11 higher hourly compensation. Staff found no major changes to workflow but suggested nursing oversight, staff education, and communication coordination to improve implementation. Overall, this pilot increased Veteran access to in-home care, demonstrating one approach to filling gaps in unmet needs for older adults.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251371960"},"PeriodicalIF":2.0,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974404","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":"Association Between Senior Center Attendance and Older Adults' Health.","authors":"Hui Xie, Cinthia Camacho, Brenda Jauregui, Bing Han, Deborah Cohen","doi":"10.1177/07334648251369686","DOIUrl":"10.1177/07334648251369686","url":null,"abstract":"<p><p>Senior centers have the potential to promote healthy aging but have not been studied sufficiently. The purpose of this study was to examine the associations between senior center attendance and older adults' health outcomes (loneliness, mental health, and physical health), using survey data collected from older adults at 23 senior centers in the Greater Los Angeles Area. Results of linear mixed effects models showed that longer and more frequent senior center attendance was associated with lower levels of loneliness and better mental health, with variations between genders and age groups (age <75 vs. age ≥75). Additionally, senior center attendance length and frequency had a positive relationship with physical health for older adults aged 75+, but did not have a significant relationship with physical health for older adults younger than 75. This study highlights the importance of senior center engagement to older adults' health.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251369686"},"PeriodicalIF":2.0,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12435386/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974375","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":"Experience of Conjugality Among Older People in Long-Term Care Facilities: A Scoping Review.","authors":"Florbela Bia, Zaida Charepe, Cristina Marques-Vieira","doi":"10.1177/07334648251369264","DOIUrl":"https://doi.org/10.1177/07334648251369264","url":null,"abstract":"<p><p>This scoping review examines the underexplored impact of the transition to residential care on conjugal relationships among older couples in long-term care facilities (LTCFs). With an aging population and evolving care policies, understanding marital experiences in residential care settings becomes increasingly essential. Using the Joanna Briggs Institute methodology and the Population, Concept, and Context framework, a systematic search across six databases identified 17 studies from 529 articles. These studies were classified into three living arrangements: spouses in LTCFs with partners in the community, co-residing couples, and those addressing both scenarios. Findings reveal variations in living arrangements and the emotional complexity of these transitions, emphasizing the importance of maintaining marital bonds and relational identity. Influenced by institutional care policies and staff training, these outcomes highlight the need for longitudinal, quantitative and intervention-based research. Policy recommendations advocate relationship-centred care to promote privacy, marital continuity, and interventions enhancing marital well-being in LTCFs.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251369264"},"PeriodicalIF":2.0,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974361","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":"Traditional Complementary and Alternative Medicine Utilization Among Korean American Older Adults: A Multilevel Analysis.","authors":"Grace Yi, Yuri Jang, Leah Martinez","doi":"10.1177/07334648251366725","DOIUrl":"10.1177/07334648251366725","url":null,"abstract":"<p><p>Korean American older adults face challenges in accessing healthcare due to affordability and culturally distinct health beliefs. Many turn to traditional complementary and alternative medicine (TCAM) to address their health needs, yet research on TCAM use among this population remains limited. This study examined individual- and geographic-level factors associated with TCAM use using the data from the Study of Older Korean Americans (<i>N</i> = 2,150), a cross-sectional survey conducted across five U.S. states. Logistic regression analysis showed that TCAM use was predicted by health and well-being factors (arthritis, health needs, and lack of interest in work/leisure), acculturation (English use), demographic factors (gender and religion), and geographic factors (perceived Korean community density). Multilevel analysis revealed significant regional differences: individuals living in areas with higher Korean population density, both perceived and objective, were more likely to use TCAM. These findings support the need for culturally and regionally tailored healthcare practices and policies.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251366725"},"PeriodicalIF":2.0,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12412916/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974407","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}