{"title":"Relationship of Physical Well-Being, Emotional Well-Being, and Social Engagement to Cognition in a Multiethnic Older Population.","authors":"Rebecca S Koszalinski, Ruth Tappen, David Newman","doi":"10.3928/19404921-20250303-01","DOIUrl":"10.3928/19404921-20250303-01","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the association between cognition, social engagement, physical well-being, and emotional well-being in a diverse older population.</p><p><strong>Method: </strong>A secondary data analysis was conducted using a factor score structural equation model in a multiethnic sample of African American, Afro-Caribbean, Hispanic American, and European American participants.</p><p><strong>Results: </strong>Statistically significant (direct effects) between the latent constructs of physical well-being, emotional well-being, and social engagement were found. Model invariance testing suggests a partial invariance model with differences in life space, depression, and anxiety across racial/ethnic groups. As a mediator, social engagement significantly diminished the effects of emotional well-being (i.e., anxiety and depression) and increased the effects of physical well-being (Life Space Assessment and SF-36 Physical Component Summary: β = -0.07, standard error [SE] = 0.14, <i>p</i> = 0.045, and β = -0.15, SE = 0.14, <i>p</i> = 0.040, respectively) on cognition.</p><p><strong>Conclusion: </strong>Results suggest good model fit and a critical role for social engagement in its impact on cognition. [<i>Research in Gerontological Nursing, 18</i>(3), 124-136.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":" ","pages":"124-136"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Priyanka Shrestha, Donna M Fick, Allison Susman, Nahida Akter
{"title":"Empowering Family Care Partners to Optimize Delirium Care for Persons Living With Dementia.","authors":"Priyanka Shrestha, Donna M Fick, Allison Susman, Nahida Akter","doi":"10.3928/19404921-20250303-02","DOIUrl":"10.3928/19404921-20250303-02","url":null,"abstract":"<p><strong>Purpose: </strong>To explore family care partners' (FCPs) common support needs, preferences, and caregiving priorities for persons with delirium superimposed on dementia (DSD) to inform intervention development.</p><p><strong>Method: </strong>A descriptive qualitative study was performed, using semi-structured interviews with 12 FCPs from an assisted living community and integrated memory care clinic.</p><p><strong>Results: </strong>Findings reveal the importance of structured education, proactive caregiving strategies, and empathetic communication in improving care outcomes for individuals with DSD. FCPs emphasized the need for health care providers to prioritize their care recipients' baseline and preferences and provide mental health support for caregivers.</p><p><strong>Conclusion: </strong>The study highlights the significant role FCPs play in DSD care and the urgent need for interventions that address their educational and emotional needs to improve patient and caregiver well-being. [<i>Research in Gerontological Nursing, 18</i>(3), 113-123.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":" ","pages":"113-123"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eunice Oladepe Ojo, Victoria Loerzel, Ladda Thiamwong
{"title":"Older Adults' Experiences and Perceived Barriers to Access and Adoption of the Technology-Based Physio-Feedback Exercise Program.","authors":"Eunice Oladepe Ojo, Victoria Loerzel, Ladda Thiamwong","doi":"10.3928/19404921-20250304-01","DOIUrl":"10.3928/19404921-20250304-01","url":null,"abstract":"<p><strong>Purpose: </strong>To explore participants' experiences with the Physio-Feedback Exercise Program (PEER) and potential barriers to access and adoption of the program.</p><p><strong>Method: </strong>The current qualitative descriptive study was conducted among 32 older adults aged ≥60 years in Central Florida who participated in the PEER. A semi-structured interview guide was used to obtain participants' experiences with the program. They were individually interviewed and audio recorded. Responses were transcribed verbatim, coded, and analyzed using thematic analysis.</p><p><strong>Results: </strong>Four major themes emerged: <i>Positive Aspects of Using Technology</i>, <i>Sociocultural Influence on Participation</i>, <i>Impact of the PEER</i>, and <i>Barriers and Challenges to the PEER</i>.</p><p><strong>Conclusion: </strong>Participants were satisfied with the intervention and made healthier lifestyle changes to improve their health. They adopted the program and intended to continue practicing what they learned beyond the program. Future studies should address barriers to adopting and sustaining the PEER. [<i>Research in Gerontological Nursing, 18</i>(3), 137-145.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":" ","pages":"137-145"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12094888/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Development and Validation of the Medication Use Competency Scale for Older Adults.","authors":"Eun Min Cho, Eun Joo Kim","doi":"10.3928/19404921-20250320-01","DOIUrl":"10.3928/19404921-20250320-01","url":null,"abstract":"<p><strong>Purpose: </strong>To develop a scale for evaluating the medication use competency of older adults and verify its psychometric properties.</p><p><strong>Method: </strong>The Medication Use Competency Scale (MUCS) was initially formulated based on a literature review, theoretical frameworks, and qualitative interviews using a hybrid model. The scale was then tested on 245 older adults.</p><p><strong>Results: </strong>Exploratory factor analysis identified 23 items across five factors: attitude, physical skills, knowledge, effort to sustain, and cognitive skills, explaining a significant portion of the variance. Construct validity was verified, along with criterion validity, which demonstrated a moderate correlation (<i>r</i> = 0.40, <i>p</i> < 0.001) with the eight-item Morisky Medication Adherence Scale. The scale exhibited strong internal consistency, with a Cronbach's alpha of 0.84, and test-retest reliability of 0.73 (<i>p</i> < 0.01).</p><p><strong>Conclusion: </strong>The MUCS is a reliable and valid tool for assessing medication use competency in the older adult population. [<i>Research in Gerontological Nursing, 18</i>(3), 154-164.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":" ","pages":"154-164"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Policy Is Nursing Intervention at the Societal Level.","authors":"Susan C Reinhard","doi":"10.3928/19404921-20250425-01","DOIUrl":"https://doi.org/10.3928/19404921-20250425-01","url":null,"abstract":"","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"18 3","pages":"110-111"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Classification and Characteristics of Frailty State Transitions in Older Adults: Group-Based Multivariate Trajectory Modeling.","authors":"Shigeya Tanaka, Daisuke Higuchi, Kosuke Saida, Akihiko Murayama, Tomoyuki Shinohara","doi":"10.3928/19404921-20250304-02","DOIUrl":"10.3928/19404921-20250304-02","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the classification and characteristics of frailty transition in older adults over a 1-year period.</p><p><strong>Method: </strong>A three-wave mailed cohort survey was conducted in a community setting. Data from 361 participants who answered all items were analyzed. Group-based multivariate trajectory modeling (GBTM) was used to classify frailty transitions over the three time points.</p><p><strong>Results: </strong>GBTM revealed the best fit when participants were divided into four trajectory groups (G1: \"worsened frailty after 1 year\" [<i>n</i> = 94, 26%]; G2: \"maintained frailty status\" [<i>n</i> = 149, 41.3%]; G3: \"improved frailty status\" [<i>n</i> = 49, 13.6%]; and G4: \"worsened frailty after 6 months\" [<i>n</i> = 69, 19.1%]). Swallowing function was a significant association in participants in G1 and G3. Walking speed and exercise habits worsened between baseline and second surveys in G4.</p><p><strong>Conclusion: </strong>Four frailty transition types were identified in the three-wave survey conducted over 1 year. Swallowing function was associated with the progression or improvement of frailty. [<i>Research in Gerontological Nursing, 18</i>(3), 146-153.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":" ","pages":"146-153"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Robin L Whitney, Janice F Bell, Everlyne Ogugu, Shikha Bhurtel, Benjamin M Link, Orly Tonkikh, Kathleen Kelly, Heather M Young
{"title":"Caregiving Activities and Outcomes Among Family Caregivers of Individuals With and Without Parkinson's Disease and Lewy Body Dementia in California Caregiver Resource Centers.","authors":"Robin L Whitney, Janice F Bell, Everlyne Ogugu, Shikha Bhurtel, Benjamin M Link, Orly Tonkikh, Kathleen Kelly, Heather M Young","doi":"10.3928/19404921-20250416-01","DOIUrl":"https://doi.org/10.3928/19404921-20250416-01","url":null,"abstract":"<p><strong>Purpose: </strong>To describe characteristics and outcomes of family caregivers for persons with Parkinson's disease and Lewy body dementia (PD/LBD) and compare them to those of other family caregivers.</p><p><strong>Method: </strong>Using a California statewide database, we examined caregiver characteristics and outcomes (strain, loneliness, worse health, and depressive symptoms) and compared them by care recipient diagnosis (PD/LBD, Alzheimer's disease and related dementias, or other chronic conditions) using descriptive statistics and multivariable logistic regression.</p><p><strong>Results: </strong>PD/LBD caregivers were more likely to identify as female, married, and college-educated; engage in high-intensity caregiving; and report their care recipient wakes them or others up at night. In multivariable models, PD/LBD caregiving was associated with worse health. Among PD/LBD caregivers, performing medical/nursing tasks was associated with higher odds of strain, loneliness, worse health, and depressive symptoms.</p><p><strong>Conclusion: </strong>PD/LBD caregivers are a distinct group who often experience high-demand caregiving. Tailored support can help address the unique needs of this population. [<i>Research in Gerontological Nursing, xx</i>(x), xx-xx.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":" ","pages":"1-12"},"PeriodicalIF":1.1,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
An-Yun Yeh, Susan J Pressler, Kevin Kupzyk, Ying-Yu Chao, Bruno Giordani
{"title":"The Interaction of Hypertension and Obstructive Sleep Apnea Risk on Cognitive Function in Healthy Older Adults.","authors":"An-Yun Yeh, Susan J Pressler, Kevin Kupzyk, Ying-Yu Chao, Bruno Giordani","doi":"10.3928/19404921-20250407-01","DOIUrl":"https://doi.org/10.3928/19404921-20250407-01","url":null,"abstract":"<p><strong>Purpose: </strong>To preliminarily examine the individual and interaction effects of hypertension and obstructive sleep apnea (OSA) risk on cognitive functions (i.e., global cognition, memory, attention, and executive function).</p><p><strong>Method: </strong>The current study was a secondary data analysis. Forty older adults were retrieved from a descriptive study. OSA risk was measured by the STOP-BANG questionnaire, and hypertension by self-report and medications used. Spearman rho correlation and two-way analysis of covariance were used in the data analysis.</p><p><strong>Results: </strong>After controlling for covariates (i.e., age, educational years, health conditions, body mass index, and depressive symptoms), older adults with hypertension had poorer memory and attention; older adults with high OSA risk had poorer memory and better executive function. This interaction effect of hypertension and OSA risk on executive function was significant.</p><p><strong>Conclusion: </strong>The association between hypertension and memory and attention and between OSA risk and memory in older adults was supported. The interaction effect was found in executive function but unexpected. Future studies are needed to recruit older adults with hypertension and diagnosed OSA to explore these interaction effects. [<i>Research in Gerontological Nursing, xx</i>(x), xx-xx.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":" ","pages":"1-11"},"PeriodicalIF":1.1,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Cycle of Love: A Daughter's Perspective on Dementia Caregiving and Research.","authors":"Sarah L Szanton","doi":"10.3928/19404921-20250218-01","DOIUrl":"https://doi.org/10.3928/19404921-20250218-01","url":null,"abstract":"","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"18 2","pages":"55-56"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Geriatric Syndromes in Older Adults With and Without Diabetes: A Systematic Review and Meta-Analysis.","authors":"Khadija Elmotia, Oumaima Abouyaala, Soukaina Bougrine, Moulay Laarbi Ouahidi","doi":"10.3928/19404921-20250115-01","DOIUrl":"10.3928/19404921-20250115-01","url":null,"abstract":"<p><strong>Purpose: </strong>Diabetes prevalence is increasing among older adults globally. The current study aimed to compare geriatric syndrome prevalence in older adults with and without diabetes.</p><p><strong>Method: </strong>Primary research (2011 to 2024) in English, French, or Spanish was included. We used multiple databases following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Pooled log odds ratios (ORs) and prevalence rates were calculated using random-effects models. Sensitivity analysis explored heterogeneity, and publication bias was assessed.</p><p><strong>Results: </strong>Older adults with diabetes exhibited higher prevalence rates of cognitive impairment (9.13% vs. 4.22%, log OR: 0.1884), depression (8.96% vs. 5.44%, log OR: 0.3543), falls (11.5% vs. 4.47%, log OR: 0.4237), functional impairment (14.2% vs. 10.6%, log OR: 1.02), urinary incontinence (9.72% vs. 4.35%, log OR: 1.3668), frailty (22.8% vs. 12.1%, log OR: 1.3443), and polypharmacy (22.9% vs. 5.78%, log OR: 2.5420). Diabetes was also associated with a higher comorbidity burden.</p><p><strong>Conclusion: </strong>Multidisciplinary strategies addressing diabetes and associated conditions are crucial for older adults with diabetes. Future research should delve into underlying mechanisms and optimize care strategies. [<i>Research in Gerontological Nursing, 18</i>(2), 99-108.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":" ","pages":"99-108"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}