Yawen Li, Jay Chok, Geoffrey Cui, Kenneth S Shultz, Keith A Anderson
{"title":"Assessing Dynamic Capabilities in Adult Day Services: A Pilot Study for Measurement Development.","authors":"Yawen Li, Jay Chok, Geoffrey Cui, Kenneth S Shultz, Keith A Anderson","doi":"10.1177/07334648251337834","DOIUrl":"https://doi.org/10.1177/07334648251337834","url":null,"abstract":"<p><p>Research on Community-based Adult Day Services (ADS) primarily focuses on individual-level outcomes, often neglecting broader organizational factors that impact service quality and accessibility. In this study, we aim to develop a structured tool to assess the dynamic capabilities of ADS to meet the needs of a diversifying aging population. Utilizing a mixed-method approach, including literature review, expert consultations, online surveys, and interviews, we formulated a theory-driven set of measures. Preliminary analysis assessed the scale's performance and validity. The findings from this study provide valuable insights to further refine and validate the measure, which may serve as a useful tool for researchers and ADS providers in assessing and enhancing the dynamic capabilities of this vital community-based service.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251337834"},"PeriodicalIF":2.2,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020725","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}
Edwin Ka Hung Chung, Hera Hiu-Wah Leung, Dannii Yuen-Lan Yeung, Eman Yee-Man Leung, Eliza Lai-Yi Wong, Eng-Kiong Yeoh, Frank Youhua Chen
{"title":"Health Coaching Enhanced Older Adults' Self-Efficacy in Managing Their Chronic Diseases: A Randomized Controlled Trial.","authors":"Edwin Ka Hung Chung, Hera Hiu-Wah Leung, Dannii Yuen-Lan Yeung, Eman Yee-Man Leung, Eliza Lai-Yi Wong, Eng-Kiong Yeoh, Frank Youhua Chen","doi":"10.1177/07334648251336537","DOIUrl":"https://doi.org/10.1177/07334648251336537","url":null,"abstract":"<p><p>Although health coaching is a well-known self-management intervention for individuals with chronic diseases, the research on its effect on older adults is limited. A total of 414 older Hong Kong adults were randomly assigned to the intervention group, which received 12-week health coaching sessions, and the control group without intervention. Participants in the intervention group completed assessments at three time points (baseline, postintervention, and three-month follow-up), and those in the control group completed baseline and three-month follow-up assessments. Generalized estimating equations first revealed a significant improvement in self-efficacy and blood pressures among the intervention group participants, and such improvements were maintained at follow-up. In addition, the self-efficacy of the intervention group significantly increased while that of the control group significantly decreased from baseline to follow-up. Thus, the overall results demonstrate the effectiveness of the health coaching intervention in improving the self-efficacy of older adults in managing their chronic diseases and health risks.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251336537"},"PeriodicalIF":2.2,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057667","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":"Hindi Adaptation and Psychometric Validation of the Successful Aging Scale (SAS).","authors":"Akanksha Bharti, Das Ambika Bharti","doi":"10.1177/07334648251337132","DOIUrl":"https://doi.org/10.1177/07334648251337132","url":null,"abstract":"<p><p>Gerontological research on successful aging has received the least attention in Indian culture, possibly due to a lack of psychometric tools to assess it among Hindi-speaking older adults. This study conducted the Hindi adaptation and psychometric validation of the popular Successful Aging Scale (SAS). Following translation and language adaptation, primary data was obtained from 136 older Indian adults drawn using a stratified random sampling technique. Quantitative data was collected on the Hindi-adapted version of the SAS along with WHO Quality of Life-BREF, Self-rated physical health (SRPH), General health questionnaire (GHQ-12), and Depression Scale (of DASS) for psychometric validation purposes. The Hindi version of SAS showed excellent internal consistency (r = 0.94). The significant correlation between the Hindi version of SAS and the criterion variables indicated significant construct validity (convergent and divergent) of the scale. The exploratory factor analysis identified two underlying factors: the engagement and the functioning aspect of aging.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251337132"},"PeriodicalIF":2.2,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024860","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":"Countering Deficits: Relational Sanctification, Forgiveness, and Family Functioning Among Older, Romantically Involved African Americans.","authors":"Seungjong Cho, Antonius D Skipper, Andrew H Rose","doi":"10.1177/07334648251336799","DOIUrl":"https://doi.org/10.1177/07334648251336799","url":null,"abstract":"<p><p>Despite the significance of romantic relationships in later life, relatively little research has focused on older African Americans, a population highly engaged in religious behaviors. Forgiveness often mediates the relationship between relational sanctification and various positive relational outcomes. This study examined forgiveness as a mediator between relational sanctification and family functioning among older African American couples. It used dyadic data from 194 African American couples aged 50 to 86. The relationships between men's relational sanctification and men's reports of family functioning were partially mediated by men's self-reported ability to forgive their partner (<i>B</i> = .045) and the sum of all men's and women's reported abilities to forgive and perceive forgiveness (<i>B</i> = .124). However, these associations were not statistically significant for women. These findings highlight the growing yet underrecognized need to understand the religiosity of older African American men relative to positive relational outcomes.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251336799"},"PeriodicalIF":2.2,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022278","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}
Alison C Rataj, Kate L Lapane, Brian R Ott, Jonggyu Baek, Shiwei Liang, Matthew Alcusky
{"title":"COVID-19 Factors Associated With Medication Changes Among Nursing Home Residents With Dementia.","authors":"Alison C Rataj, Kate L Lapane, Brian R Ott, Jonggyu Baek, Shiwei Liang, Matthew Alcusky","doi":"10.1177/07334648251332388","DOIUrl":"https://doi.org/10.1177/07334648251332388","url":null,"abstract":"<p><p>This study examined associations of COVID-19 mortality rates, staffing, and resident behavior with changes in antidementia and psychotropic medication initiation among nursing home (NH) residents with dementia. A nationally representative survey of Directors of Nursing was analyzed to assess changes in medication initiation at the peak of the pandemic. NHs with higher COVID-19 mortality rates were less likely to report increases in antidementia medication initiation. COVID-19 mortality rates were not associated with significant increases or decreases in psychotropic initiation. NH's that reported increased resident behavioral problems during the pandemic had higher odds of psychotropic initiation. In summary, NHs most affected by COVID-19 deaths were less likely than NHs with a milder pandemic experience to increase initiation of antidementia medications. Increased behavioral symptoms, possibly due to consequences of COVID-19, were associated with more psychotropic drug use. More research is needed to understand factors influencing prescribing practices during public health emergencies.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251332388"},"PeriodicalIF":2.2,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143990747","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}
Lauren J Parker, Manka Nkimbeng, Alma Rincongallardo, Katherine A Marx, Elma Johnson, Sokha Koeuth, Joseph E Gaugler, Laura N Gitlin
{"title":"\"But Then They Don't Use the Same Money to Give Us Services\": Attitudes and Perspectives on Dementia Care Community-Based Research in Hispanic Communities.","authors":"Lauren J Parker, Manka Nkimbeng, Alma Rincongallardo, Katherine A Marx, Elma Johnson, Sokha Koeuth, Joseph E Gaugler, Laura N Gitlin","doi":"10.1177/07334648251331719","DOIUrl":"https://doi.org/10.1177/07334648251331719","url":null,"abstract":"<p><p>Core cultural values, along with commonly held beliefs about dementia, influence the caregiving roles assumed by Hispanic/Latino caregivers. Further, cultural values inform the utilization of available supportive programs and may influence participation in community-based dementia-support interventions. This paper discusses attitudes and perspectives on participating in community-based dementia-support interventions using a focus group methodology of Hispanic/Latino staff (<i>n</i> = 5). Findings from longitudinal focus groups (<i>n</i> = 3) with Hispanic/Latino staff, serving predominantly Hispanic/Latino populations, are presented. Findings highlight the value of research funding to support immediate care-related needs over future-focused research. They also emphasize the importance of culturally appropriate terminology and the centrality of cultural values that align with dementia-support research to effectively engage Hispanic/Latino populations. As supportive interventions for dementia caregivers are developed and implemented in real-world settings, including and aligning with cultural elements (i.e., family-oriented, family relationships) may encourage greater participation of Hispanic/Latino caregivers in research.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251331719"},"PeriodicalIF":2.2,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143991189","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 Who Have Experienced Homelessness: Findings from an Exploratory Study.","authors":"Kelseanne Breder, Christine Jacob, Van Yu","doi":"10.1177/07334648251333845","DOIUrl":"https://doi.org/10.1177/07334648251333845","url":null,"abstract":"<p><p>We report results of a workforce initiative to increase functional screenings for older adults with lived experiences of homelessness. Thirty-four healthcare practitioners screened 253 patients ages 50 years + using a battery of screening tools aligned with the 4 Ms. Using secondary analyses, we describe practitioners' participation in the workforce initiative, patients' functional scores, and a qualitative analysis of \"what matters\" to patients. Many practitioners did not complete all screenings. Among patient respondents, 6% reported moderate to severe ADL impairment; 24% scored positive cognitive impairment; 32% reported being unable to walk 250 feet; 46% reported moderate to severe pain. Resilience strategies developed during homelessness \"matter.\" Few participants reported impaired ADL performance, which may reflect levels of independence needed to survive homelessness or to maintain services while homelessness. Findings suggest a need for additional workforce training to increase functional screenings for older adults in this population.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251333845"},"PeriodicalIF":2.2,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143988146","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}
Meiling Ying, Zijing Cheng, Richard A Hirth, Karen E Joynt Maddox, Yue Li
{"title":"Association of Cognitive Impairments and Alzheimer's Disease and Related Dementias With Hospital and Skilled Nursing Facility Utilization Among Community-Dwelling Older Adults.","authors":"Meiling Ying, Zijing Cheng, Richard A Hirth, Karen E Joynt Maddox, Yue Li","doi":"10.1177/07334648251333496","DOIUrl":"https://doi.org/10.1177/07334648251333496","url":null,"abstract":"<p><p>This observational cohort study examined the association between Alzheimer's disease and related dementias (ADRD) and hospital and skilled nursing facility (SNF) utilization among community-dwelling older adults aged 65 and older. Using four waves of longitudinal survey data from the 2016-2022 Health and Retirement Study conducted by the University of Michigan and multivariate, individual-level regressions, we found that the cognitive impairment but no dementia (CIND) and ADRD groups exhibited similar patterns in hospitalizations, hospital visits, and total hospital days compared to the normal cognition group. However, CIND was significantly associated with increased odds of SNF stays (odds ratio [OR], 1.22) and a higher number of SNF visits (incidence rate ratio [IRR], 1.45) than the normal cognition group. Higher odds of any SNF stay (OR, 1.26) and number of SNF visits (IRR, 1.45) were also observed for ADRD compared to normal cognition. These findings suggest that CIND or ADRD was not associated with hospital use but was significantly associated with increased SNF use.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251333496"},"PeriodicalIF":2.2,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056719","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":"Prevalence and Determinants of Loneliness Among Older Adults Living Alone: Evidence From a National Survey Conducted During the COVID-19 Lockdown in Mexico.","authors":"Angélica Ángeles-Llerenas, Rocío Rodríguez-Valentín, Martín Romero-Martínez, Gregorio Katz-Guss, Eduardo Madrigal-de León, Luis Salvador-Carulla, Eduardo Lazcano-Ponce","doi":"10.1177/07334648251323689","DOIUrl":"https://doi.org/10.1177/07334648251323689","url":null,"abstract":"<p><p>Older people living alone are particularly vulnerable to loneliness. To contribute to the understanding of this issue in the Global South, we estimated the prevalence of loneliness and analyzed the association between sociodemographic characteristics, digital social isolation, and loneliness in older adults living alone, during the COVID-19 lockdown in Mexico. Data were drawn from the National Health and Nutrition Survey (ENSANUT) Continua COVID-19 conducted in 2020. The prevalence of loneliness was 49.8% (95% confidence interval [CI] 44.7-54.8); while the prevalence of digital social isolation was 45.3% (95% CI 40.5-50.2). A multivariate logistic regression model demonstrated that lack of education (odds ratio [OR] = 2.40, 95% CI 1.23-4.69; <i>p</i> = .011) and widowhood (OR = 2.51, 95% CI 1.54-4.10; <i>p</i> < .001) were significantly associated with loneliness. Identifying the sociodemographic characteristics of older adults living alone who are most likely to feel lonely can inform the designing of targeted interventions and policies to address loneliness in this vulnerable group.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251323689"},"PeriodicalIF":2.2,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781609","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":"Retirement, Leisure Activities, and Depressive Symptoms Among Older Adults: Evidence From China Longitudinal Aging Social Survey Data.","authors":"Jieqiong Wang, Liming Li","doi":"10.1177/07334648251328139","DOIUrl":"https://doi.org/10.1177/07334648251328139","url":null,"abstract":"<p><p>Previous research has reported both positive and negative associations between retirement and depressive symptoms; however, little is known about the actual situation in Chinese society, as well as potential mediators in this association. Drawing from the 2020 China Longitudinal Aging Social Survey data (CLASS) (<i>N</i> = 9,883), we employed OLS regression models and the bootstrap approach to assess the association between retirement and depressive symptoms and the mediating effect of engagement in leisure activities. Results showed that retirement is associated with reduced depressive symptoms among older adults in China. Besides, engagement in leisure activities including group and individual activities partially mediated the average association between retirement and depressive symptoms, and individual activities exert stronger mediating effects than group activities. China should take small steps to raise the retirement age and implement its flexibility. A promising strategy to prevent depressive symptoms entails encouraging retirees to engage more in leisure activities, especially individual activities.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251328139"},"PeriodicalIF":2.2,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774516","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}