Research in Gerontological Nursing最新文献

Barriers to and Facilitators of Sleep Health in Family Caregivers of Persons Living With Dementia: A Qualitative Study. 痴呆患者家庭照护者睡眠健康的障碍与促进因素：一项定性研究

IF 1.6 4区医学

Research in Gerontological Nursing Pub Date : 2025-09-23 DOI: 10.3928/19404921-20250915-02

Jiwon Lee, Alexus Copes, Elliane Irani, Regena Spratling, Glenna S Brewster

{"title":"Barriers to and Facilitators of Sleep Health in Family Caregivers of Persons Living With Dementia: A Qualitative Study.","authors":"Jiwon Lee, Alexus Copes, Elliane Irani, Regena Spratling, Glenna S Brewster","doi":"10.3928/19404921-20250915-02","DOIUrl":"https://doi.org/10.3928/19404921-20250915-02","url":null,"abstract":"Purpose: Sleep disturbances are common among family caregivers of persons living with dementia (PLWD), yet few interventions are designed to address these sleep challenges. Existing sleep interventions often overlook the specific barriers and facilitators that shape caregivers' sleep experiences. A clearer understanding of these factors is essential for developing tailored, acceptable, and effective interventions to support caregiver sleep health.Method: The current secondary data analysis used a qualitative descriptive design. Nineteen family caregivers of PLWD who provided unpaid care for >4 hours per day and had insomnia symptoms (Insomnia Severity Index score >5) participated in the current study. Semi-structured interviews were audio recorded, transcribed verbatim, and analyzed using thematic analysis.Results: Caregivers, on average, were aged 63 years (SD = 8.2 years), and primarily female (57.9%), White (68.4%), and spouses (78.9%). Themes for barriers to good sleep were: (1) Connectedness of the PLWD Behavior With Caregiver Sleep, (2) Caregiver Responsibilities and Worries, and (3) Pre-Existing Sleep Problems and Age-Related Health Conditions. Themes for facilitators of good sleep were: (1) Physical Activity and Mindfulness Practices, (2) Using Sleep Hygiene Strategies, and (3) Preferring Nonpharmacological Sleep Solutions Despite Medication Benefits.Conclusion: The current study identified several modifiable barriers and facilitators that can inform future interventions. These findings underscore the need for early, proactive interventions that incorporate nonpharmacological strategies and consider the interconnected nature of sleep within the caregiving relationship.","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":" ","pages":"1-9"},"PeriodicalIF":1.6,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132292","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}

引用次数: 0

Practical Screening Approaches for Identifying Participants With Dementia for Research in Nursing Home Studies. 在养老院研究中识别痴呆参与者的实用筛选方法。

IF 1.6 4区医学

Research in Gerontological Nursing Pub Date : 2025-09-23 DOI: 10.3928/19404921-20250915-03

Barbara Resnick, Rachel McPherson, Nayeon Kim, Elizabeth Galik, Shijun Zhu

引用次数: 0

Nursing Leadership in Nursing Homes: An Evolutionary Concept Analysis. 疗养院护理领导：一个演化的概念分析。

IF 1.6 4区医学

Research in Gerontological Nursing Pub Date : 2025-09-23 DOI: 10.3928/19404921-20250915-04

J Clorrice Briggs

引用次数: 0

Association Between Patient Activation and Health Behaviors in People With Parkinson's Disease. 帕金森病患者激活与健康行为的关系

IF 1.6 4区医学

Research in Gerontological Nursing Pub Date : 2025-09-23 DOI: 10.3928/19404921-20250915-01

Ripley Fricano Hensley, Wanli Xu, Stephen J Walsh

{"title":"Association Between Patient Activation and Health Behaviors in People With Parkinson's Disease.","authors":"Ripley Fricano Hensley, Wanli Xu, Stephen J Walsh","doi":"10.3928/19404921-20250915-01","DOIUrl":"https://doi.org/10.3928/19404921-20250915-01","url":null,"abstract":"Purpose: Patient activation encompasses the knowledge, skills, confidence, and willingness to manage health, particularly critical for people with Parkinson's disease (PD) in effective disease management. The current study investigated the relationship between patient activation and health behaviors.Method: Participants (N = 57) were recruited via social media. Patient activation was measured using the Patient Activation Measure® (PAM®), and health behaviors were assessed through the Health-Promoting Lifestyle Profile II (HPLP-II). Partial correlation analyzed associations, and analysis of variance (ANOVA) tested differences across groups.Results: Patient activation was significantly correlated with overall health behaviors (r = 0.64, p < 0.001) and all subscales, including health responsibility, physical activity, nutrition, spiritual growth, interpersonal relations, and stress management (range = 0.39 to 0.64). A one-way ANOVA confirmed significant differences in health behaviors across activation levels.Conclusion: Higher patient activation is associated with better health-promoting behaviors in people with PD. Assessing activation may help tailor interventions to support healthy aging in this population.","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":" ","pages":"1-7"},"PeriodicalIF":1.6,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132265","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}

引用次数: 0

Effectiveness of Health Management Services Using the Mobile Health Platform "Aged Smart-Care" for Community-Dwelling Older Adults: A Randomized Controlled Trial. 使用移动健康平台“老年智能护理”为社区居住老年人提供健康管理服务的有效性：一项随机对照试验

IF 1.6 4区医学

Research in Gerontological Nursing Pub Date : 2025-09-01 Epub Date: 2025-06-10 DOI: 10.3928/19404921-20250603-01

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":"10.3928/19404921-20250603-01","url":null,"abstract":"Purpose: 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.Method: A total of 230 participants were randomly assigned to either the intervention group (n = 115), which used the ASC app, or control group (n = 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.Results: 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 (p < 0.05); however, no significant differences were observed in the bodily pain dimension of quality of life or number of hospitalizations (p > 0.05).Conclusion: The current study demonstrates that mobile health apps, such as ASC, can effectively enhance health behaviors and quality of life in older adults.","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":" ","pages":"260-272"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","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}

引用次数: 0

Social Media Integration, Social Support, and Depression Among Older Adults. 社交媒体整合、社会支持与老年人抑郁

IF 1.6 4区医学

Research in Gerontological Nursing Pub Date : 2025-09-01 Epub Date: 2025-07-18 DOI: 10.3928/19404921-20250627-01

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":"10.3928/19404921-20250627-01","url":null,"abstract":"Purpose: 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.Method: 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.Results: 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.Conclusion: 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.","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":" ","pages":"235-245"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","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}

引用次数: 0

Adding Functional Ability Measures to a Mortality Algorithm to Support Palliative Care Eligibility Decisions. 在死亡率算法中增加功能能力测量以支持姑息治疗资格决策。

IF 1.6 4区医学

Research in Gerontological Nursing Pub Date : 2025-09-01 Epub Date: 2025-06-10 DOI: 10.3928/19404921-20250522-01

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":"10.3928/19404921-20250522-01","url":null,"abstract":"Purpose: To codify functional ability measures using administrative claims data to identify individuals for palliative care and examine their associations with mortality.Method: 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.Results: 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.Conclusion: Attention to whether a seriously ill individual is receiving PT/OT, ADL support, or skilled nursing may help make timely referrals to palliative care.","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":" ","pages":"225-234"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","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}

引用次数: 0

A Strong Partnership Promoting Gerontological Nursing. 促进老年护理的强大伙伴关系。

IF 1.6 4区医学

Research in Gerontological Nursing Pub Date : 2025-09-01 DOI: 10.3928/19404921-20250820-01

Donna C Owen

引用次数: 0

Impact of State-Level Metrics of Equity on Psychosocial Outcomes for Sexual and Gender Minority Caregivers of People Living With Alzheimer's Disease and Related Dementias. 国家级公平指标对阿尔茨海默病和相关痴呆患者的性和性别少数照护者心理社会结局的影响

IF 1.6 4区医学

Research in Gerontological Nursing Pub Date : 2025-09-01 DOI: 10.3928/19404921-20250822-01

Joel G Anderson, Krystal R Kittle, Joseph Winberry, Kari A Hancock, Jordan B Westcott, Namrata Mukherjee, Jennifer M Jabson Tree, Lora H Beebe, Jason D Flatt

{"title":"Impact of State-Level Metrics of Equity on Psychosocial Outcomes for Sexual and Gender Minority Caregivers of People Living With Alzheimer's Disease and Related Dementias.","authors":"Joel G Anderson, Krystal R Kittle, Joseph Winberry, Kari A Hancock, Jordan B Westcott, Namrata Mukherjee, Jennifer M Jabson Tree, Lora H Beebe, Jason D Flatt","doi":"10.3928/19404921-20250822-01","DOIUrl":"https://doi.org/10.3928/19404921-20250822-01","url":null,"abstract":"Purpose: We examined the relationship between state-level equity scores as it relates to protections and supports of sexual and gender minority (SGM) individuals at the state level and psychosocial caregiving outcomes among SGM caregivers of people living with Alzheimer's disease and related dementias (ADRD).Method: Data collected from SGM caregivers of people with ADRD were combined with publicly available state-level equity scores. We used mixed linear models to examine the relationships between equity scores and levels of family quality of life and depressive symptoms.Results: SGM caregivers living in low-equity states experienced significantly more microaggressions, poorer family quality of life, and greater levels of caregiver stigma and depressive symptoms. Equity score was a significant predictor of family quality of life.Conclusion: Future research to understand the influence of the policy context in which SGM caregivers live is needed to create tailored supports to promote their well-being.","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"18 5","pages":"246-259"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132337","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}

引用次数: 0

Developing the ASSIST Survey to Guide a Smart Speaker-Based Chronic Disease Management Intervention for Underserved Older Adults. 开发ASSIST调查以指导基于智能扬声器的老年人慢性病管理干预。

IF 1.1 4区医学

Research in Gerontological Nursing Pub Date : 2025-07-01 Epub Date: 2025-06-10 DOI: 10.3928/19404921-20250516-01

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":"10.3928/19404921-20250516-01","url":null,"abstract":"Purpose: 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.Method: 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.Results: 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.Conclusion: 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.","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":" ","pages":"211-220"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","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}

引用次数: 0