Journal of Applied Gerontology最新文献

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Are Family Caregiving Programs Appropriate for Minority Caregivers? A Systematic Review of 37 Caregiving Programs. 家庭照顾计划是否适合少数民族照顾者?对 37 个护理计划的系统回顾。
IF 2 3区 医学
Journal of Applied Gerontology Pub Date : 2025-07-01 Epub Date: 2024-11-05 DOI: 10.1177/07334648241298109
Naomi R Meinertz, Jeongeun Lee, Yulri Kim
{"title":"Are Family Caregiving Programs Appropriate for Minority Caregivers? A Systematic Review of 37 Caregiving Programs.","authors":"Naomi R Meinertz, Jeongeun Lee, Yulri Kim","doi":"10.1177/07334648241298109","DOIUrl":"10.1177/07334648241298109","url":null,"abstract":"<p><p>The extent to which dementia caregiving programs are effective among racially or ethnically diverse caregivers is unknown<b>.</b> Limited information about program effectiveness for minority caregivers may further exacerbate health disparities and contribute to unmet needs. Guided by the PRISMA guidelines, this systematic review aimed to determine whether 37 evidence-based dementia caregiving programs were efficacious with racially and ethnically diverse caregiving populations. Using six databases (APA PsycINFO<b>,</b> APA PsycArticles, Academic Search Elite, Academic Search Premier, CINAHL, and Scopus), 140 empirical studies were identified as program evaluation studies of the 37 programs with diverse populations. After reviewing these articles, 24 empirical studies supported 11 programs as efficacious with racially/ethnically diverse populations. The 24 studies form three categories: no program alterations; targeted recruitment efforts; and program adaptations that address culturally specific needs. The findings of this review underscore the gaps in current family caregiving programs and identify the need for culturally appropriate programs.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1125-1141"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142582761","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
Recruitment and Retention of Direct Care Workers During the COVID-19 Pandemic: Challenges and Opportunities. COVID-19大流行期间直接护理人员的招聘和保留:挑战和机遇。
IF 2.2 3区 医学
Journal of Applied Gerontology Pub Date : 2025-07-01 Epub Date: 2025-01-14 DOI: 10.1177/07334648241298665
Julie Robison, Kathy Kellett, Deborah Migneault, Noreen Shugrue
{"title":"Recruitment and Retention of Direct Care Workers During the COVID-19 Pandemic: Challenges and Opportunities.","authors":"Julie Robison, Kathy Kellett, Deborah Migneault, Noreen Shugrue","doi":"10.1177/07334648241298665","DOIUrl":"10.1177/07334648241298665","url":null,"abstract":"<p><p>The COVID-19 pandemic exacerbated the challenges of home- and community-based service (HCBS) providers in recruiting and retaining direct care workers (DCWs). One of the largest and fastest-growing occupations in the U.S., DCWs are essential to the growing population of persons in need of long-term services who wish to remain in their homes. We surveyed all Connecticut Medicaid HCBS providers about their pandemic-era recruitment and retention challenges, strategies employed to overcome them, recommendations for regulatory and policy changes, and use of American Rescue Plan Act (ARPA) funding. Respondents (<i>n</i> = 447) noted the continuing key roles played by compensation and working conditions, emphasized unintended consequences of government unemployment policies, provided creative suggestions for professionalization of DCW work, and suggested best practices for consideration, including the success of word-of-mouth and employee referral bonuses in recruiting and the importance of organizational culture in retention.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1056-1067"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12163192/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985190","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
"We're Preventing People From Going Into the Most Expensive Level of Care in Every Way that We Can": Barriers and Recommendations for Use of Local Funds. "我们正在尽一切可能防止人们接受最昂贵的护理":使用地方资金的障碍和建议。
IF 2 3区 医学
Journal of Applied Gerontology Pub Date : 2025-07-01 Epub Date: 2024-11-09 DOI: 10.1177/07334648241298108
Bailee Brekke, Leah M Janssen, Oksana Dikhtyar, Ian Nelson, Robert Applebaum
{"title":"\"We're Preventing People From Going Into the Most Expensive Level of Care in Every Way that We Can\": Barriers and Recommendations for Use of Local Funds.","authors":"Bailee Brekke, Leah M Janssen, Oksana Dikhtyar, Ian Nelson, Robert Applebaum","doi":"10.1177/07334648241298108","DOIUrl":"10.1177/07334648241298108","url":null,"abstract":"<p><p>Most older Americans do not financially qualify for Medicaid and support provided through the Older Americans Act is quite limited. In response, Ohio has generated funds for services for older adults through the use of local county tax levy programs. Ohio currently leads the nation in the utilization and support of local levy funding, generating more than US$200 million annually. This study conducted qualitative descriptive interviews with 15 locally funded programs across the state. Thematic analysis revealed that local programs encounter an array of implementation barriers, including increased state and federal eligibility requirements, staffing issues, lack of access to services in rural locations, and low reimbursement rates. These barriers are coupled with added pressure from county officials to move individuals onto state-funded programs, rather than locally funded programs. This paper also provides recommendations for how these programs can be better supported to ensure their sustainability for the future.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1030-1038"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630555","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
Priorities to Support Care Partners of People Living With Dementia: Results of a Modified Delphi Process. 支持痴呆症患者护理伙伴的优先事项:改良德尔菲程序的结果。
IF 2 3区 医学
Journal of Applied Gerontology Pub Date : 2025-07-01 Epub Date: 2024-11-06 DOI: 10.1177/07334648241297130
Sherril B Gelmon, Jenn Reed, Walter D Dawson
{"title":"Priorities to Support Care Partners of People Living With Dementia: Results of a Modified Delphi Process.","authors":"Sherril B Gelmon, Jenn Reed, Walter D Dawson","doi":"10.1177/07334648241297130","DOIUrl":"10.1177/07334648241297130","url":null,"abstract":"<p><p><b>Objective:</b> To determine priorities for services and policies that better support care partners of people living with dementia. <b>Methods:</b> A modified Delphi process engaged participants from organizations serving people living with dementia and care partners, focusing on historically and currently underserved communities. Eight thematic areas were identified. Participants (<i>N</i> = 40) responded to three surveys, generating ideas, rating each, and ranking priorities. <b>Results:</b> Each survey received 13-17 responses. Top ranked ideas were arrayed across six thematic areas: care partner supports; programs; funding; information; care coordination; and workforce development. <b>Discussion:</b> The Delphi process empowered participants to share knowledge, and respected their opinions. Anonymity removed power imbalances. The survey iterations blended qualitative and quantitative approaches, and built consensus. The Delphi invited the voices of diverse participants; all voices were weighed equally. This process could be extended to efforts to further engage dementia care partners, helping to value their voices in decision-making for services and policies.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1142-1149"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142592005","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
"I Needed to be That Voice": A Multi-Party Study of the Healthcare and Social Service Experiences and Needs of Transgender and Gender-diverse Older Adults in Canada. "我需要成为那个声音":关于加拿大变性和性别多元化老年人的医疗保健和社会服务经验与需求的多方研究》(A Multi-Party Study of the Healthcare and Social Service Experiences and Needs of Transgender and Gender-Diverse Older Adults in Canada)。
IF 2.2 3区 医学
Journal of Applied Gerontology Pub Date : 2025-07-01 Epub Date: 2024-10-22 DOI: 10.1177/07334648241295570
Hannah Kia, Celeste Pang, Kaan Göncü, Brittany Jakubiec, Kinnon Ross MacKinnon, Ingrid Handlovsky, Lori E Ross
{"title":"\"I Needed to be That Voice\": A Multi-Party Study of the Healthcare and Social Service Experiences and Needs of Transgender and Gender-diverse Older Adults in Canada.","authors":"Hannah Kia, Celeste Pang, Kaan Göncü, Brittany Jakubiec, Kinnon Ross MacKinnon, Ingrid Handlovsky, Lori E Ross","doi":"10.1177/07334648241295570","DOIUrl":"10.1177/07334648241295570","url":null,"abstract":"<p><p>The social contexts of transgender and gender-diverse (TGD) older adults remain under-examined. In this qualitative study, which involved six virtual focus groups with a total of 21 participants inclusive of TGD adults ages 50+, service providers, and community advocates, we sought to examine the healthcare and social service experiences and needs of TGD older adults in Canada. Drawing theoretically on critical gerontology and intersectionality, and methodologically on interpretive description, we examined the perspectives of different participant groups to develop insight into TGD older adults' issues and priorities in the context of their engagements with systems of care. Our findings revealed the role of histories of marginalization, precarity, contemporary sources of intersectional oppression, and resistance in shaping the experiences of this population, while also highlighting community-driven ground-up activities to address evolving needs. Drawing on this conceptualization, we explored the implications of our research for ongoing inquiry, policy, and practice.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1039-1046"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12163191/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510466","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
Exploring the Impact of Regional Environment and Institutional Factors on Operation Period of Nursing Facilities in Taiwan. 探讨地区环境和制度因素对台湾护理机构运营期的影响。
IF 2.2 3区 医学
Journal of Applied Gerontology Pub Date : 2025-07-01 Epub Date: 2024-11-12 DOI: 10.1177/07334648241293945
Charlotte Wang, Ching-Yun Chang, Chen-Fen Chen
{"title":"Exploring the Impact of Regional Environment and Institutional Factors on Operation Period of Nursing Facilities in Taiwan.","authors":"Charlotte Wang, Ching-Yun Chang, Chen-Fen Chen","doi":"10.1177/07334648241293945","DOIUrl":"10.1177/07334648241293945","url":null,"abstract":"<p><p>This study examines factors influencing the operational durations of nursing facilities in Taiwan. It departs from previous closure-focused research by analyzing the duration of facility operation. A Cox regression model was employed to assess the impact of regional, governmental, and individual institutional factors on 199 facilities across diverse areas in Taiwan from 2011 to 2019. Results demonstrate closure hazards associated with rising property prices, particularly for rented facilities, with metropolitan locations exhibiting superior survival rates and lower institutional appraisal grades significantly increasing closure. Additionally, operator background, facility type, and bed occupancy emerged as influential factors. These findings underscore the financial vulnerability of rented facilities to market fluctuations and the challenges associated with adjusting resident fees. Furthermore, the study highlights the unique challenges faced by facilities in low-density areas regarding resident access to resources. Policymakers should closely monitor regional factors and consider proactively implementing early warning systems to address these challenges.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1011-1021"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630559","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
Evaluating Human-Robot Interactions to Support Healthy Aging-in-Place. 评估人机互动,支持健康的就地养老。
IF 2.2 3区 医学
Journal of Applied Gerontology Pub Date : 2025-07-01 Epub Date: 2024-12-16 DOI: 10.1177/07334648241301485
Delaram Sirizi, Morteza Sabet, Amir Abbas Yahyaeian, Juanita-Dawne R Bacsu, Matthew Lee Smith, Zahra Rahemi
{"title":"Evaluating Human-Robot Interactions to Support Healthy Aging-in-Place.","authors":"Delaram Sirizi, Morteza Sabet, Amir Abbas Yahyaeian, Juanita-Dawne R Bacsu, Matthew Lee Smith, Zahra Rahemi","doi":"10.1177/07334648241301485","DOIUrl":"10.1177/07334648241301485","url":null,"abstract":"<p><p>Declines in older adults' cognitive and physical health pose challenges to maintaining their independence. Robots can improve independent living and facilitate aging-in-place. Despite recent innovations in healthcare robotics, the use of robots has not advanced significantly among older adults. This review seeks to understand human-robot interactions in older adults, focusing on their experiences and perceptions of robots for independent living. We identified 17 studies that utilized qualitative methods to investigate older adults and/or their caregivers' experiences and perceptions of robots designed to help older adults improve independent living. Drawing on content analysis, we identified eight themes: usefulness, ease of use, safety, reliability, self-efficacy, satisfaction, emotional connection with the robot and reciprocity, and intention to use. The findings provide insights to improve existing robots and guide future research about designing robots with higher acceptance. This review may have implications for policymakers, practitioners, and researchers working with robotics to support healthy aging-in-place.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1109-1124"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12167747/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142840033","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
Housing Hardship Among Older Adults Living Alone: The Protective Roles of Aging and Housing Policies. 独居老人的住房困难:老龄化和住房政策的保护作用》。
IF 2 3区 医学
Journal of Applied Gerontology Pub Date : 2025-07-01 Epub Date: 2024-11-02 DOI: 10.1177/07334648241296913
Gum-Ryeong Park
{"title":"Housing Hardship Among Older Adults Living Alone: The Protective Roles of Aging and Housing Policies.","authors":"Gum-Ryeong Park","doi":"10.1177/07334648241296913","DOIUrl":"10.1177/07334648241296913","url":null,"abstract":"<p><p>This study investigates the association between living arrangements and housing hardship among older adults across 21 high-income countries. Using data from the Gallup World Poll (2016-2020) and OECD databases, we employ multilevel regression models that can assess how individual- and country-level factors, including public spending on pensions and housing policies such as social housing stock and rent control, moderate these associations. Older adults living alone experience significantly higher rates of housing hardship compared to their counterparts, even after adjusting for demographic and economic factors. Public spending on old age pensions attenuates housing hardship for older adults living alone. While public spending on housing shows limited effectiveness, social housing availability and rent control emerge as protective measures, reducing housing hardship among older adults living alone by providing stable and affordable housing options. This study emphasizes the need for targeted interventions to support independent living.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1022-1029"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142564589","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
"Not Having Family, not Having Insurance, not Having Money, Experiencing lots of Pain": Fears About Cancer Among Older Latino Men. "没有家人、没有保险、没有钱、经历很多痛苦":拉美裔老年男性对癌症的恐惧。
IF 2 3区 医学
Journal of Applied Gerontology Pub Date : 2025-07-01 Epub Date: 2024-11-12 DOI: 10.1177/07334648241298564
Iraida V Carrion, Crystal Bonano, Jorge Estapé, Tania Estapé
{"title":"\"Not Having Family, not Having Insurance, not Having Money, Experiencing lots of Pain\": Fears About Cancer Among Older Latino Men.","authors":"Iraida V Carrion, Crystal Bonano, Jorge Estapé, Tania Estapé","doi":"10.1177/07334648241298564","DOIUrl":"10.1177/07334648241298564","url":null,"abstract":"<p><p>Cancer among older adults is pervasive, placing excessive strain on the individual, caregivers, and wider society. Focusing on cancer among older immigrant Latino men is critical to identifying knowledge gaps, diagnosis and treatment while providing insights to improving cancer care to this growing population. As such, this article presents the multifactorial experience of fears and beliefs about cancer and cancer prevention of 57 older immigrant Latino men based on qualitative responses. From the results emerged three significant sub-themes that provided crucial insight into the thought processes that influence decision-making in regard to cancer for this population. A major concern is the financial impacts of cancer and treatment without insurance. Factors regarding their ability to continuing providing for their families if they were to undergo treatment, and their families' future financial security once they were gone provide valuable insights to improving cancer care information among older immigrant Latino men.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1047-1055"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630554","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
Unveiling Relationship Between Specific Domain, Intensity, and Dose of Physical Activity and Biological Age: A Cross-Sectional Study. 揭示体育锻炼的特定领域、强度和剂量与生理年龄之间的关系:一项横断面研究。
IF 2 3区 医学
Journal of Applied Gerontology Pub Date : 2025-07-01 Epub Date: 2024-11-07 DOI: 10.1177/07334648241297049
Jundan Huang, Shuhan Zhou, Xiaoyang Li, Yinan Zhao, Hui Feng, Mingyue Hu
{"title":"Unveiling Relationship Between Specific Domain, Intensity, and Dose of Physical Activity and Biological Age: A Cross-Sectional Study.","authors":"Jundan Huang, Shuhan Zhou, Xiaoyang Li, Yinan Zhao, Hui Feng, Mingyue Hu","doi":"10.1177/07334648241297049","DOIUrl":"10.1177/07334648241297049","url":null,"abstract":"<p><p>Existing studies have separately explored the association between specific intensity and domain of physical activity (PA) and biological age (BA), potentially impeding more precise guide. We used data of 5216 middle-aged and older adults aged 45 and over to explore and compare the relationship of different domains, intensities, and doses of PA and BA. Transport-related walking and leisure-time moderate-intensity PA (MPA) were significantly associated with younger BA, rather than other intensity of work-related PA. There were U-shaped dose-response relationships between transport-related BA or leisure-time MPA and BA. In subgroup analyses for older adults, all intensities of PA were significantly associated with decreased BA. These findings highlighted the importance of considering the domain, intensity, and dose of PA in designing effective age-delaying interventions.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1181-1192"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142592010","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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