Ariz Amoroso Guzman, Mary-Lynn Brecht, Paul M Macey, Bernice Coleman, Harriet Aronow, Janet C Mentes
{"title":"Social Media Integration, Social Support, and Depression Among Older Adults.","authors":"Ariz Amoroso Guzman, Mary-Lynn Brecht, Paul M Macey, Bernice Coleman, Harriet Aronow, Janet C Mentes","doi":"10.3928/19404921-20250627-01","DOIUrl":"https://doi.org/10.3928/19404921-20250627-01","url":null,"abstract":"<p><strong>Purpose: </strong>Understanding how social media use (SMU) embedded in daily routines influences mental health in older adulthood is crucial. We explored whether integration-based SMU relates to depressive symptoms and whether social support mediates that link, considering online network size.</p><p><strong>Method: </strong>A cross-sectional survey of 371 community-dwelling adults aged ≥55 years measured SMU integration, social support, depressive symptoms, demographics, health, and network size. Mediation analysis with bias-corrected bootstrapping assessed direct and indirect paths.</p><p><strong>Results: </strong>Greater SMU integration corresponded with slightly higher depressive scores. Higher social support predicted lower symptoms but did not explain the SMU-depression association. Participants with medium-sized networks reported the strongest support; larger networks offered no additional benefit.</p><p><strong>Conclusion: </strong>Deeply embedding social media in daily routines may modestly intensify depressive feelings, whereas maintaining a moderate circle of online ties seems most supportive. Interventions should foster balanced engagement and manageable networks among older adult users. [<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":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144644113","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}
Jane Chung, Jisook Ko, Yong K Choi, Amanda Lazar, Kristen Fessele, Suzanne Ameringer
{"title":"Developing the ASSIST Survey to Guide a Smart Speaker-Based Chronic Disease Management Intervention for Underserved Older Adults.","authors":"Jane Chung, Jisook Ko, Yong K Choi, Amanda Lazar, Kristen Fessele, Suzanne Ameringer","doi":"10.3928/19404921-20250516-01","DOIUrl":"https://doi.org/10.3928/19404921-20250516-01","url":null,"abstract":"<p><strong>Purpose: </strong>To rapidly develop the Attitudes Toward Smart Speaker Integration for Self-Management of Chronic Conditions (ASSIST) survey to evaluate attitudes toward various smart speaker functions for guiding a chronic disease self-management intervention among low-income older adults with chronic conditions and cognitive impairment.</p><p><strong>Method: </strong>The development process included four phases: conceptualization and survey category determination, item development, content validation, and refinement. An expert panel of nurse researchers and health informatics researchers assisted in identifying self-management categories and developing survey items by providing iterative feedback.</p><p><strong>Results: </strong>Six major categories of chronic condition self-management were identified. The survey initially comprised 29 items within the six categories, later refined to a final set of 22 items, each reflecting relevant self-management tasks that could be supported by smart speakers.</p><p><strong>Conclusion: </strong>The ASSIST survey offers a practical tool for assessing perceived usefulness of various smart speaker-based tasks in chronic disease management that can inform an individualized intervention design for underserved older adults with cognitive impairment, although further validation is necessary to broaden its application. [<i>Research in Gerontological Nursing, xx</i>(x), xx-xx.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":" ","pages":"1-10"},"PeriodicalIF":1.1,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250753","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}
Dehong Yu, Yue Xu, Yulong Wang, Chao Ren, Song Ge, Mei Li, Xianping Tang
{"title":"Effectiveness of Health Management Services Using the Mobile Health Platform \"Aged Smart-Care\" for Community-Dwelling Older Adults: A Randomized Controlled Trial.","authors":"Dehong Yu, Yue Xu, Yulong Wang, Chao Ren, Song Ge, Mei Li, Xianping Tang","doi":"10.3928/19404921-20250603-01","DOIUrl":"https://doi.org/10.3928/19404921-20250603-01","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the effectiveness of a mobile health application (app), Aged Smart-Care (ASC), on improvement of health behaviors and quality of life among community-dwelling older adults.</p><p><strong>Method: </strong>A total of 230 participants were randomly assigned to either the intervention group (<i>n</i> = 115), which used the ASC app, or control group (<i>n</i> = 115), which received standard health management and a home health self-management manual. The ASC app provided personalized disease management, dietary advice, exercise recommendations, medication guidance, and access to health care consultations during daytime business hours. Follow up was conducted via telephone.</p><p><strong>Results: </strong>The intervention group had significant improvements in body mass index, daily alcohol consumption, daily smoking quantity, weekly exercise frequency, self-efficacy, medication adherence, number of physician visits, and quality of life metrics. Notably, improvements were seen in physical functioning, physical role, general health, vitality, social functioning, emotional role, and mental health dimensions (<i>p</i> < 0.05); however, no significant differences were observed in the bodily pain dimension of quality of life or number of hospitalizations (<i>p</i> > 0.05).</p><p><strong>Conclusion: </strong>The current study demonstrates that mobile health apps, such as ASC, can effectively enhance health behaviors and quality of life in older adults. [<i>Research in Gerontological Nursing, xx</i>(x), xx-xx.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":" ","pages":"1-13"},"PeriodicalIF":1.1,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250754","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}
Elizabeth A Luth, Carlin Brickner, Harivony Rakotoarivelo, Oude Gao, Kathryn H Bowles
{"title":"Adding Functional Ability Measures to a Mortality Algorithm to Support Palliative Care Eligibility Decisions.","authors":"Elizabeth A Luth, Carlin Brickner, Harivony Rakotoarivelo, Oude Gao, Kathryn H Bowles","doi":"10.3928/19404921-20250522-01","DOIUrl":"https://doi.org/10.3928/19404921-20250522-01","url":null,"abstract":"<p><strong>Purpose: </strong>To codify functional ability measures using administrative claims data to identify individuals for palliative care and examine their associations with mortality.</p><p><strong>Method: </strong>A retrospective cohort analysis of July 2022-June 2023 administrative claims data for 6,625 Medicare Advantage plan enrollees identified functional ability measures-activities of daily living (ADL), feeding and respiratory support, physical therapy and occupational therapy (PT/OT), and skilled nursing-as key mortality predictors. Logistic regression tested associations between functional ability and mortality.</p><p><strong>Results: </strong>One hundred eighty-six (4.6%) individuals died during the study period. PT/OT services were associated with lower odds of mortality (adjusted odds ratio = 0.74, 95% confidence interval [0.65, 0.85]). ADL support, skilled nursing, and pain management were associated with higher odds of mortality.</p><p><strong>Conclusion: </strong>Attention to whether a seriously ill individual is receiving PT/OT, ADL support, or skilled nursing may help make timely referrals to palliative care. [<i>Research in Gerontological Nursing, xx</i>(x), xx-xx.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":" ","pages":"1-10"},"PeriodicalIF":1.1,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250752","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":"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}