{"title":"Association of Age-Friendly Communities With Health and Well-Being Among Older Adults: An Ecological and Multilevel Analysis From the Japan Gerontological Evaluation Study.","authors":"Taiji Noguchi, Satoko Fujihara, Kazushige Ide, Seungwon Jeong, Tami Saito, Katsunori Kondo, Toshiyuki Ojima","doi":"10.1177/07334648251352306","DOIUrl":"https://doi.org/10.1177/07334648251352306","url":null,"abstract":"<p><p>This cross-sectional study examined the association of age-friendly communities (AFC) with health and well-being among older adults, using the Japan Gerontological Evaluation Study 2016 data. Ecological and multilevel analyses of 71,824 older adults across 145 communities revealed that the community's age-friendliness consistently showed associations with health and well-being. Age-friendly physical environments (accessibility to barrier-free outdoor spaces, buildings, and transportation resources) exhibited an inverse association with functional health deficits. Social engagement and communication (participation in community groups, volunteer engagement, and information use) were inversely associated with depressive symptoms. Social inclusion and dementia-friendliness (respect and inclusion for older adults and positive attitudes toward people with dementia) were positively associated with happiness. Community's age-friendliness is well-linked to the multiple aspects of older adults' health and well-being, underscoring the AFC promotion for healthy aging.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251352306"},"PeriodicalIF":2.2,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486583","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}
Laura Mo, Katharine Scrivener, Alice Pashley, Diane Gibson, Kasia Bail, Nathan D'Cunha, Stephen Isbel
{"title":"Multidisciplinary Allied Health Reablement Model of Care for Older People in Residential Aged Care and Community Settings: Mixed-Methods Evaluation.","authors":"Laura Mo, Katharine Scrivener, Alice Pashley, Diane Gibson, Kasia Bail, Nathan D'Cunha, Stephen Isbel","doi":"10.1177/07334648251351690","DOIUrl":"https://doi.org/10.1177/07334648251351690","url":null,"abstract":"<p><p>This study aimed to explore the feasibility, acceptability, and clinical outcomes of a best practice-aligned multidisciplinary allied health reablement model of care for older people. A mixed-methods pre-post-intervention study was conducted in two nursing homes and the community. Quantitative measures were collected for frailty, physical function, and quality of life for all participants pre-implementation and 12 weeks post-implementation. Semi-structured interviews were conducted with a sub-group of participants and allied health professionals involved in the intervention. Participants' (<i>n</i> = 50) physical function increased (SPPB 4.2 vs. 4.9) while frailty (FRAIL-NH 6.0 vs. 5.5) and quality of life (16 vs. 16) were maintained. There was a high retention (93%) and attendance rate (84%), indicating acceptability. Participants received a daily median of 16 allied health minutes, costing $26AUD. Findings confirm acceptability and feasibility of the model with potential to maintain or improve clinical outcomes. Future work is needed to define long-term outcomes, scalability and sustainability. The study was registered with the ANZCTR [Trial ID: ACTRN12623000915651; Registration Date: 12/1/2024].</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251351690"},"PeriodicalIF":2.2,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477282","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}
Kimberley J Smith, Rachel Lawrence, Julie Round, Alison Benzimra, Andrew King
{"title":"The Experience of Deciding to Move to a Retirement Community: A UK Study.","authors":"Kimberley J Smith, Rachel Lawrence, Julie Round, Alison Benzimra, Andrew King","doi":"10.1177/07334648251352591","DOIUrl":"https://doi.org/10.1177/07334648251352591","url":null,"abstract":"<p><p>Twenty-five older adults living in three retirement communities that catered to people from different sociodemographic backgrounds completed a semi-structured interview to share their experiences of making the decision to move to a retirement community in the UK. Data were analyzed with framework analysis, and three themes were generated. The overarching theme of maintaining independence and autonomy captured the importance that independence had in decision making. Theme 1 described the contextual factors that influenced older people when making their decision to move to a retirement community. Theme 2 encapsulated the importance of first impressions with a subtheme of existential and identity challenges capturing the tension that some people felt between wanting to move to a retirement community with the reality that this was a space for older people. The findings from this study are useful in highlighting the challenging circumstances that can influence the decision to move to a retirement community.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251352591"},"PeriodicalIF":2.2,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477283","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":"Bridging Healthcare and Prevention: Community-based Health Education for Improving Older Adults' Health.","authors":"Cangcang Jia, Yang Yi, Qinglin Xu","doi":"10.1177/07334648251355051","DOIUrl":"https://doi.org/10.1177/07334648251355051","url":null,"abstract":"<p><p>This study examines the effects of community-based health education (CBHE) on the well-being of older adults in China. Using data from the 2018 wave of the Chinese Longitudinal Healthy Longevity Survey (CLHLS), we first estimate ordinary least square (OLS) regressions to assess the association between CBHE participation and three health outcomes-self-rated health, self-rated quality of life, and anxiety. To ensure robustness, we complement our main analyses with entropy balancing, ordered logit models, propensity score matching (PSM), and alternative health indicators. Results indicate that CBHE participants report significantly better self-rated health, higher quality of life, and lower anxiety than non-participants. These benefits are most pronounced among rural residents, young-old adults (aged 65-79), and those with lower incomes. We conclude that early and targeted CBHE interventions-particularly focused on vulnerable subgroups in rural and low-income areas-are vital for improving health equity among China's aging population.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251355051"},"PeriodicalIF":2.2,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477350","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}
Soe Han Tha, Katrina Hough, Nhat Bui, Sarah Dulaney, Carla Perissinotto
{"title":"The Use of Age-Friendly Technology in the Care of Older Adults: Two Implementation Case Studies.","authors":"Soe Han Tha, Katrina Hough, Nhat Bui, Sarah Dulaney, Carla Perissinotto","doi":"10.1177/07334648251343513","DOIUrl":"https://doi.org/10.1177/07334648251343513","url":null,"abstract":"<p><p>Telemedicine has become standard in health care, and telehealth access is increasingly important. Some populations such as older adults may not have the tools nor the understanding to successfully use telehealth. We describe two cases where GrandPad, a tablet designed for older adults, was implemented at the University of California, San Francisco in (1) a home-based primary care practice and (2) a dementia specialty clinic. Using the Consolidated Framework for Implementation Research, we assess the barriers and facilitators to implementing GrandPad and present user outcomes. Most participants found GrandPad easy and comfortable to use, though there were mixed results about connecting with the provider's office. Our implementation science analysis demonstrates that GrandPad may best be used when there is otherwise no access to telehealth, where there are frequent visits, and a need for continuity of care. Successful implementation includes clear integration into existing clinic processes, understanding users' abilities, reducing provider barriers, and fostering potential users' interest.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251343513"},"PeriodicalIF":2.2,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477284","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 Influencing Foreign-Born Care Workers' Acceptance in Residential Care Facilities in Japan: Work and Organizational Characteristics, Work Conditions, Job Stress, and Work Environment.","authors":"Maki Tei-Tominaga, Miharu Nakanishi, Masae Tanaka","doi":"10.1177/07334648251353261","DOIUrl":"https://doi.org/10.1177/07334648251353261","url":null,"abstract":"<p><p>Japan, a super-aging society, faces a native care worker shortage and increased demand for foreign-born care workers (FBCWs) in geriatric care facilities. We investigated factors influencing native care workers' concerns and reluctance toward accepting FBCWs in Japan from four areas. Native care workers (<i>N</i> = 1060) in 10 geriatric care facilities (response rate = 71%), recruited using convenience sampling considering the regional job vacancies, responded to a self-report questionnaire survey. After excluding ineligible data (e.g., for day-care facilities) or missing data, the analysis included 589 participants (67.2% women, M<sub>age</sub> = 42.63 ± 12.16 years). Results indicated that facilities not accepting FBCWs had significant concerns about managerial positions and job stress. Native care workers with concerns about accepting FBCWs and those working 50+ hours per week were three times more reluctant to accept FBCWs. However, ethical leadership reduced this reluctance. Therefore, facility employers in aging countries must address native care workers' concerns and ensure workplace improvement before hiring FBCWs.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251353261"},"PeriodicalIF":2.2,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477351","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}
Amy M Schuster, Noor Nishan, Travis Kadylak, Shelia R Cotten
{"title":"How Older Adult Internet Users Stay Online When Technical Problems Arise.","authors":"Amy M Schuster, Noor Nishan, Travis Kadylak, Shelia R Cotten","doi":"10.1177/07334648251349906","DOIUrl":"https://doi.org/10.1177/07334648251349906","url":null,"abstract":"<p><p>While older adults are increasingly using a variety of information and communication technologies (ICTs), keeping them online and using these ICTs may be challenging when technology difficulties arise. Using data from an online survey of U.S. older adults, 65 years and older (<i>N</i> = 1173), we investigate the sources of technical support older adults draw upon when technical problems arise and the factors that influence which sources are used for technical support. Most reported fixing technical issue themselves (71%) or getting help from family (65%) at least some of the time. Higher online self-efficacy was positively associated with fixing technical issues themselves, finding answers online, and using more sources of technical support. Older adults with lower online self-efficacy were more likely to receive help from family. Those with more social support were more likely to get help from family and less likely to use customer support or fix technical issues themselves.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251349906"},"PeriodicalIF":2.2,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477352","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}
Bobo Hi-Po Lau, Eric Ngai-Yin Shum, Jong-Sung Yoon
{"title":"Attitudes and Perceptions Toward Mobile and Wearable Technologies to Support Health and Cognition Among Middle-Aged and Older Adults in Hong Kong.","authors":"Bobo Hi-Po Lau, Eric Ngai-Yin Shum, Jong-Sung Yoon","doi":"10.1177/07334648251349907","DOIUrl":"https://doi.org/10.1177/07334648251349907","url":null,"abstract":"<p><p>Despite their considerable potential to address health and cognitive challenges, mobile and wearable health devices remain underutilized by older adults compared to other smart products, suggesting skeptical attitudes toward these health devices in older adults. Using an online scenario-based survey describing hypothetical individuals with health vulnerabilities, we examined the attitudes of middle-aged and older adults (<i>N</i> = 737) toward mobile and wearable devices for (1) predicting cognitive decline, (2) suggesting health behaviors, and (3) diagnosing diseases. Our results showed that the presence of health vulnerability was associated with higher perceived usefulness, lower privacy concerns, and greater intention to adopt these devices. Additionally, technological readiness, experiences, and various demographic factors influence attitudes, highlighting the complex structure shaping attitudinal barriers against adoption of these devices. These results emphasize the need for more tailored market segmentation and strategies to enhance the adoption of health-related gerotechnologies while addressing privacy concerns.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251349907"},"PeriodicalIF":2.2,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477349","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}
Deana F Morrow, Hanna Thurman, Madison C Martin, Mandana Weirich, Amber Moore
{"title":"Advancing Professional Training for Adult Protective Services Workers: A Gerontology Professional Certificate Partnership.","authors":"Deana F Morrow, Hanna Thurman, Madison C Martin, Mandana Weirich, Amber Moore","doi":"10.1177/07334648251353262","DOIUrl":"https://doi.org/10.1177/07334648251353262","url":null,"abstract":"<p><p>Adult Protective Services (APS) programs are mandated throughout all states in the United States. APS provides support and services to vulnerable adults to improve the safety, well-being, and independence of adults coping with abuse, neglect, self-neglect, and financial exploitation. This study investigated the impact of a 15-module online professional gerontology training program for APS workers in a rural state situated in the Appalachian Mountain region of the United States. The project was a partnership between the state APS office and a university-based research team, and focused on the development, implementation, and evaluation of the online training program. A total of 82 APS workers throughout the state completed the program. Using a mixed methods research design, quantitative and qualitative outcome data indicated program efficacy for improving APS worker content knowledge in gerontology and participant satisfaction with the program.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251353262"},"PeriodicalIF":2.2,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477348","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}
Hannah Cho, Emma Cho, Sang Bin You, Justine S Sefcik, Nancy A Hodgson, George Demiris
{"title":"Understanding Digital Literacy of Persons With Dementia and Their Caregivers: A Scoping Review and an Evolutionary Concept Analysis of Empirical Studies.","authors":"Hannah Cho, Emma Cho, Sang Bin You, Justine S Sefcik, Nancy A Hodgson, George Demiris","doi":"10.1177/07334648251348703","DOIUrl":"10.1177/07334648251348703","url":null,"abstract":"<p><p>This study constitutes both a scoping review and a concept analysis, as it systematically examines digital literacy across settings (home, assisted living facilities, and other long-term care facilities) in the context of persons with dementia and their caregivers. We performed a scoping review of 22 empirical studies to examine how the literature has defined digital literacy in dementia care, followed by a concept analysis to conceptualize digital literacy's antecedents, attributes, and consequences. Our analysis revealed three antecedents of digital literacy: technology-enhanced support systems, individual characteristics, and sociodemographic characteristics, which collectively impact persons with dementia and their caregivers' abilities to utilize digital resources effectively. We identified two critical attributes-technological skills and critical thinking skills-to evaluate digital health information. Our findings revealed that digital literacy is tied to several important consequences: technology acceptance, impacts on psychosocial factors, and the promotion of digital equity. These findings provide a foundation for future research that can incorporate the core components of digital literacy when designing technology-mediated interventions. While our findings conceptualized digital literacy among persons living with dementia and their caregivers, more research is needed to promote standardized terminology and consider the digital literacy level of end-users in developing technology-mediated interventions in the future.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251348703"},"PeriodicalIF":2.2,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334214","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}