Journal of Applied Gerontology最新文献

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Recruiting Spousal Caregivers of People Living With Alzheimer's or a Related Dementia for Caregiver Intervention Research: Lessons Learned From a Feasibility Study. 招募阿尔茨海默氏症或相关痴呆症患者的配偶照顾者进行照顾者干预研究:来自可行性研究的经验教训。
IF 2.2 3区 医学
Journal of Applied Gerontology Pub Date : 2025-04-03 DOI: 10.1177/07334648251326621
Alexandria Henderson, Samantha Weiss, Katherine Harris, Valentina I Maza, Olivia L Carney, Sierra Wickline, Trudy Widjaja, Brighton Garrett, Katherine Beach, Angie S LeRoy
{"title":"Recruiting Spousal Caregivers of People Living With Alzheimer's or a Related Dementia for Caregiver Intervention Research: Lessons Learned From a Feasibility Study.","authors":"Alexandria Henderson, Samantha Weiss, Katherine Harris, Valentina I Maza, Olivia L Carney, Sierra Wickline, Trudy Widjaja, Brighton Garrett, Katherine Beach, Angie S LeRoy","doi":"10.1177/07334648251326621","DOIUrl":"https://doi.org/10.1177/07334648251326621","url":null,"abstract":"<p><p>Improving caregivers' quality of life begins with conducting research that aims to understand caregiver's needs. However, caregivers may be reluctant to participate in research studies, adding to the importance of developing, tracking, and evaluating recruitment strategies. Here, we review the nationwide community outreach practices we implemented as our lab embarked on a program of research to develop an online intervention tailored for those caring for a spouse with Alzheimer's Disease or a Related Dementia (ADRD). We made hundreds of \"cold\" calls and e-mails to organizations across the US who may have access to caregivers, but whom we had no prior relationship with. It took 36.5 contact attempts to possible recruitment sites for every 1 enrolled caregiver. While time consuming, this low-cost recruitment method may offer a route for research teams to recruit caregivers into research studies without access to a medical center or collaborating physician(s).</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251326621"},"PeriodicalIF":2.2,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774513","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
The Association Between Cognitive Behavioral Therapy for Insomnia and Incident Cognitive Impairment Among Older Veterans. 认知行为疗法治疗失眠症与老年退伍军人认知障碍的关系。
IF 2.2 3区 医学
Journal of Applied Gerontology Pub Date : 2025-04-02 DOI: 10.1177/07334648251330666
Hana Kusumoto, Anjali Khakharia, Adam D Bramoweth, Lawrence Phillips, Constance H Fung, Rina Eisenstein, Camille P Vaughan
{"title":"The Association Between Cognitive Behavioral Therapy for Insomnia and Incident Cognitive Impairment Among Older Veterans.","authors":"Hana Kusumoto, Anjali Khakharia, Adam D Bramoweth, Lawrence Phillips, Constance H Fung, Rina Eisenstein, Camille P Vaughan","doi":"10.1177/07334648251330666","DOIUrl":"https://doi.org/10.1177/07334648251330666","url":null,"abstract":"<p><p>Among older adults, chronic insomnia is a risk factor for cognitive decline. Cognitive behavioral therapy for insomnia (CBT-I) is recommended as the initial treatment. We conducted a retrospective cohort study of 84,739 Veterans, using national Veterans Health Administration data, to evaluate the association between CBT-I completion and incident cognitive impairment among older Veterans. Veterans were classified as administration of <i>Any CBT-I</i> versus <i>Referral only</i> using electronic documented notes. Incident cognitive impairment was defined by dementia-related diagnosis codes or an associated medication prescription. Among Veterans not using sedative-hypnotics, there was a decreased incidence of cognitive impairment for Veterans completing <i>Any CBT-I</i> compared to <i>Referral only</i>, RR= 0.87 (95% CI: 0.80-0.98). Yet, for Veterans taking sedative-hypnotic medications, there was an increased incidence of cognitive impairment between groups, RR= 1.18 (95% CI: 1.07-1.30). CBT-I may offer a protective effect from incident cognitive impairment; however, the presence of sedative-hypnotics reverses this trend.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251330666"},"PeriodicalIF":2.2,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774518","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
Paramedic Roles, Purpose, and Practices When Responding to Older Adults in Abusive Contexts: A Systematic Review. 护理人员的角色,目的和实践时,应对老年人虐待环境:系统回顾。
IF 2.2 3区 医学
Journal of Applied Gerontology Pub Date : 2025-04-02 DOI: 10.1177/07334648251330347
Megan De Silva, Aidan Peters, Benjamin De Waal, Lloyd Christopher, Navindhra Naidoo
{"title":"Paramedic Roles, Purpose, and Practices When Responding to Older Adults in Abusive Contexts: A Systematic Review.","authors":"Megan De Silva, Aidan Peters, Benjamin De Waal, Lloyd Christopher, Navindhra Naidoo","doi":"10.1177/07334648251330347","DOIUrl":"https://doi.org/10.1177/07334648251330347","url":null,"abstract":"<p><p>Older adults are disproportionately exposed to increased harm and adverse outcomes in abusive contexts. This systematic review aimed to explore and evaluate current literature on the role of paramedics responding to older adults in abusive contexts, with a specific focus on the vulnerability-reducing and protective potential of paramedics. A systematic review of the literature was undertaken using the Joanna Briggs Institute Systematic Review Guidelines. From an initial yield of 584 results, 18 sources of evidence met the criteria for inclusion and subsequent data extraction. Predominantly North-American literature indicated that older adults experience nuanced, disproportionate and complex vulnerability in abusive contexts, and that paramedics have a poorly defined and inconsistently applied duty of care. Consequently, this systematic review provides key recommendations for enhancing the capacity of paramedics to respond to the unmet needs and vulnerabilities of older adults either experiencing or at risk of abuse or neglect.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251330347"},"PeriodicalIF":2.2,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774510","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
Correlates of Positive and Negative Marital Quality Among Older Hispanic Adults in the United States. 美国老年西班牙裔成年人中积极和消极婚姻质量的相关因素。
IF 2.2 3区 医学
Journal of Applied Gerontology Pub Date : 2025-04-01 DOI: 10.1177/07334648251324999
Jaminette M Nazario-Acevedo, Takashi Yamashita, Jennifer Roebuck Bulanda, J Scott Brown
{"title":"Correlates of Positive and Negative Marital Quality Among Older Hispanic Adults in the United States.","authors":"Jaminette M Nazario-Acevedo, Takashi Yamashita, Jennifer Roebuck Bulanda, J Scott Brown","doi":"10.1177/07334648251324999","DOIUrl":"https://doi.org/10.1177/07334648251324999","url":null,"abstract":"<p><p>Marital quality is linked to the well-being of older adults. Social networks tend to shrink in later life, and older adults often rely on their spouses for social support. A better understanding of subpopulations with distinctive sociocultural characteristics, such as older Hispanic adults, is warranted. Hispanic cultural values represented as <i>familismo</i>-the value placed on family relationships-make marital relationships even more critical. The present study investigated the correlates of positive and negative marital quality constructs among older Hispanic adults aged 51 years and older. Regression analysis of the 2016/2018 Health and Retirement Study (HRS) data (<i>n</i> = 1012) showed that women (b = -0.25, <i>p</i> < .05) reported lower positive marital quality than men. Also, depressive symptoms (b = -0.14, <i>p</i> < .05) were associated with greater negative marital quality. The present study evaluated marital quality correlates among unique and understudied older Hispanic populations and explored possible theoretical explanations.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251324999"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755077","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 Study on Health-Promoting Effects of Assistive Technology. 辅助技术对促进健康的影响研究。
IF 2.2 3区 医学
Journal of Applied Gerontology Pub Date : 2025-04-01 Epub Date: 2024-10-21 DOI: 10.1177/07334648241285975
Hua Jiang, Minlu Zhou, Liquan Dong, Mei Yan
{"title":"A Study on Health-Promoting Effects of Assistive Technology.","authors":"Hua Jiang, Minlu Zhou, Liquan Dong, Mei Yan","doi":"10.1177/07334648241285975","DOIUrl":"10.1177/07334648241285975","url":null,"abstract":"<p><p>This study evaluated the health-promoting effects of assistive technology(AT) from a holistic health perspective with the data from the rapid Assistive Technology Assessment (rATA) survey conducted by the World Health Organization (WHO) in China in 2021. Through a generalized ordered logit regression, we found that AT mainly aids in the reduction of \"severe impairment\" in basic activities of daily living (BADL) and facilitates the attainment of \"minimal impairment\" in instrumental activities of daily living (IADL), indicating that AT at the current stage not only serves as a tool to maintain basic survival, but also plays a crucial role in promoting overall health. Further research ascertained that the effects of assistive technology on BADL and IADL bear resemblances between two age groups but differ between urban and rural residents. Consequently, efforts must be made to enhance the supply system of AT, thereby improving social well-being for all.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"638-650"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477715","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
Nursing Home Palliative Care Referral Process, Barriers, and Proposed Solutions: A Qualitative Study. 养老院姑息关怀转介流程、障碍和建议解决方案:定性研究。
IF 2.2 3区 医学
Journal of Applied Gerontology Pub Date : 2025-04-01 Epub Date: 2024-10-21 DOI: 10.1177/07334648241286326
Connie S Cole, Amy Jackson, C Robert Bennett, Regina M Fink, Kathleen T Unroe, Cari R Levy, Joan G Carpenter
{"title":"Nursing Home Palliative Care Referral Process, Barriers, and Proposed Solutions: A Qualitative Study.","authors":"Connie S Cole, Amy Jackson, C Robert Bennett, Regina M Fink, Kathleen T Unroe, Cari R Levy, Joan G Carpenter","doi":"10.1177/07334648241286326","DOIUrl":"10.1177/07334648241286326","url":null,"abstract":"<p><p>Despite evidence that specialized care for seriously ill nursing home (NH) residents is needed, barriers to accessing palliative care (PC) remain. A significant issue is the complexity of the referral process that inhibits timely and equitable access to care. This qualitative descriptive study explored the PC referral process in NHs. Using rapid qualitative analysis with semi-structured interview data from NH staff, primary care, and specialty PC providers (<i>N</i> = 17) in six states, this study outlines a multistep referral process along with barriers and proposed solutions. Key recommendations include comprehensive PC education program development, implementation of an evidence-based PC screening tool, and the holistic integration of PC services in NHs.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"582-590"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477736","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
Physical Activity and Acute Care Utilization Among Older Adults With Mild Cognitive Impairment and Dementia. 患有轻度认知障碍和痴呆症的老年人的体育锻炼和急症护理使用情况。
IF 2.2 3区 医学
Journal of Applied Gerontology Pub Date : 2025-04-01 Epub Date: 2024-10-22 DOI: 10.1177/07334648241284828
Mairead M Bartley, Jennifer L St Sauver, Darrell R Schroeder, Nandita Khera, Emma Fortune, Joan M Griffin
{"title":"Physical Activity and Acute Care Utilization Among Older Adults With Mild Cognitive Impairment and Dementia.","authors":"Mairead M Bartley, Jennifer L St Sauver, Darrell R Schroeder, Nandita Khera, Emma Fortune, Joan M Griffin","doi":"10.1177/07334648241284828","DOIUrl":"10.1177/07334648241284828","url":null,"abstract":"<p><p>People living with dementia have high rates of hospitalizations. Identifying factors that influence hospitalization is important. This study examines the influence of physical activity levels on risk of hospitalization and emergency department (ED) use among older people living with mild cognitive impairment (MCI) or dementia followed in our primary care practice in Rochester, Minnesota, United States. We included those age 55 years and older, who had a clinic visit between June 1, 2019 and June 30, 2021 and completed a social determinants of health questionnaire about physical activity levels (<i>n</i> = 3090). Physical activity was classified as sufficiently active, insufficiently active, or physically inactive. Risk of hospitalization and ED visits by physical activity levels were examined. People who were physically inactive were at higher risk of hospitalization and ED visits (<i>p</i> < .001) compared with those who were sufficiently active. This highlights an area for health promotion in people living with MCI and dementia.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"571-581"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11903203/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510433","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
Urbanicity and Disparities in the Functional and Physical Abilities of Older Adults Using the Health and Retirement Study: A Cross-Sectional Study. 基于健康和退休研究的城市化与老年人功能和身体能力差异:一项横断面研究。
IF 2.2 3区 医学
Journal of Applied Gerontology Pub Date : 2025-04-01 DOI: 10.1177/07334648251326654
Amal Alzahmi, Kenneth Covinsky, Claire Ankuda, Irena Cenzer
{"title":"Urbanicity and Disparities in the Functional and Physical Abilities of Older Adults Using the Health and Retirement Study: A Cross-Sectional Study.","authors":"Amal Alzahmi, Kenneth Covinsky, Claire Ankuda, Irena Cenzer","doi":"10.1177/07334648251326654","DOIUrl":"https://doi.org/10.1177/07334648251326654","url":null,"abstract":"<p><p>This study investigates disparities between older adults based on urbanicity in the United States. We analyzed data from 8259 participants aged 65+ from the 2018 Health and Retirement Study. The mean age was 74 (SD 8). Low-urbanicity participants (29%) were more likely white (88% vs. 77%, <i>p</i> < .001), and had lower education (20% vs. 16%, <i>p</i>-value = .017), higher rates of hypertension (69% vs. 66.3%, <i>p</i> = .035), lung disease (15% vs. 11%, <i>p</i>=<.001), and cognitive impairment (24% vs. 19%, <i>p</i> < .001). After adjustment for demographics, they were less physically active (60% vs. 55%, <i>p</i> = .021) and more dependent on IADLs (19% vs. 16%, <i>p</i> = .018). Urbanicity significantly affects physical abilities (i.e., jogging, climbing stairs, and handling objects) more in younger participants (65-75) than older ones (75+) (<i>p</i> for interaction = .003, .007, and .012, respectively). Significant urbanicity-based disparities in older adults' physical and functional abilities must be addressed to tailor interventions that improve their quality of life.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251326654"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765440","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 Qualitative Study of the Effects of Opioids on Chronic Pain, Function, and Cognition in Community-Dwelling Older Adults. 阿片类药物对社区居住老年人慢性疼痛、功能和认知影响的定性研究。
IF 2.2 3区 医学
Journal of Applied Gerontology Pub Date : 2025-04-01 DOI: 10.1177/07334648251326347
Nafisseh S Warner, Dawn M Finnie, Jamie L Smith, Brandon P Verdoorn, Ericka E Tung, David O Warner, Michelle M Mielke, Joan M Griffin
{"title":"A Qualitative Study of the Effects of Opioids on Chronic Pain, Function, and Cognition in Community-Dwelling Older Adults.","authors":"Nafisseh S Warner, Dawn M Finnie, Jamie L Smith, Brandon P Verdoorn, Ericka E Tung, David O Warner, Michelle M Mielke, Joan M Griffin","doi":"10.1177/07334648251326347","DOIUrl":"https://doi.org/10.1177/07334648251326347","url":null,"abstract":"<p><p>Chronic pain is common with aging. Yet, little is known about the attitudes, beliefs, and experiences of older adults with chronic pain regarding opioids, particularly in regard to effects on daily functioning and cognition. This qualitative analysis employed semi-structured interviews in 25 community-dwelling older adults with chronic pain and current or recent prescription opioid use. Interviews focused on perceptions, beliefs, and experiences of living with chronic pain, use of prescription opioids, and the impact of opioids on pain control, cognition, and daily function. Older adults display adaptability and acceptance in living with chronic pain, desire person-centered pain care, approach the risks-benefits of opioids with regards to cognition differently, and perceive stigma as a barrier to effective partnership with clinicians.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251326347"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755072","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
Experience of Being Fall-Prone and Participating in Research: Fallers' Perspectives. 容易跌倒和参与研究的经历:跌倒者的观点
IF 2.2 3区 医学
Journal of Applied Gerontology Pub Date : 2025-04-01 Epub Date: 2024-09-04 DOI: 10.1177/07334648241278210
Jessica O'Brien, Marie Dollard, May Cleary, Anna Trace, Jason Chan, Annalisa Setti
{"title":"Experience of Being Fall-Prone and Participating in Research: Fallers' Perspectives.","authors":"Jessica O'Brien, Marie Dollard, May Cleary, Anna Trace, Jason Chan, Annalisa Setti","doi":"10.1177/07334648241278210","DOIUrl":"10.1177/07334648241278210","url":null,"abstract":"<p><p>The importance of giving a voice to groups considered hard-to-reach for research purposes is becoming increasingly apparent, with insights into their experience having the potential to improve research participation. Fall-prone older adults are a cohort underrepresented in research, often excluded in large-scale research and considered difficult to recruit. This study aims to explore older fallers' experiences of being fall-prone and participating in research. Seven older fallers (4 males, aged 69-88) participated in semi-structured telephone interviews following participation in an experimental research project. Interviews explored participants' personal experience of being fall-prone and participating in research. The resulting data was analyzed using thematic analysis. Three primary themes emerged: \"Research through the eyes of older fallers\", \"Living with falls\", and \"It's all in the mind is it?\". Our study gives voice to older fallers who have recently participated in experimental research to learn of their personal views on research participation.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"542-550"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11894910/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142127006","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
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