M. Taani, S. Strath, Chi C Cho, J. Ellis, Hyunkyoung Oh
{"title":"Objective Physical Activity Levels, Sedentary Time, and Muscle Mass, Strength, and Function: Impact on Physical and Mental Health-Related Quality of Life in Older Adults.","authors":"M. Taani, S. Strath, Chi C Cho, J. Ellis, Hyunkyoung Oh","doi":"10.3928/19404921-20220408-01","DOIUrl":"https://doi.org/10.3928/19404921-20220408-01","url":null,"abstract":"Limited physical activity, sedentary behavior, and reduction in muscle mass, strength, and function are accompanied by negative outcomes. The relationship between these factors and physical and mental health-related quality of life (HRQoL) has yet to be elucidated in continuing care retirement community (CCRC) residents. The current study investigated the relationships among physical activity, sedentary behavior, and muscle mass, strength, and function to physical and mental HRQoL. A sample of 105 CCRC residents participated in this cross-sectional correlational study. Findings demonstrated that low physical activity and muscle function were significantly associated with low physical HRQoL and explained 38% of the variance in physical HRQoL. Handgrip strength was significantly associated with low mental HRQoL and explained 8% of the variance in mental HRQoL. Older adults living in CCRCs may benefit from interventions targeting physical activity and the distinct muscle components of sarcopenia that have the potential to improve physical and mental HRQoL. [Research in Gerontological Nursing, xx(x), xx-xx.].","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"13 1","pages":"1-9"},"PeriodicalIF":1.6,"publicationDate":"2022-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83379434","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":"Korean Family Caregivers' Experiences With Managing Behavioral and Psychological Symptoms of Dementia: Keeping Harmony in Daily Life.","authors":"Jiyeon Kim, Jun-Ah Song, S. Jung, H. Cheon","doi":"10.3928/19404921-20220324-02","DOIUrl":"https://doi.org/10.3928/19404921-20220324-02","url":null,"abstract":"Behavioral and psychological symptoms of dementia (BPSD) are symptoms of dementia that family care-givers find difficult to manage. Competence in managing BPSD differs according to individual family caregiver. The current study investigated the competence in managing BPSD, focusing on family caregivers who were recognized as managing them well. Twenty-four Korean family caregivers (83% female, mean age = 67 years) living with persons with dementia (PWD) were interviewed. Four themes were derived from the content analysis: Entering and Looking into the World of PWD, Keeping Daily Life in Harmony With BPSD, Becoming an Expert in BPSD, and Balancing Between Caregiving and Myself. Family caregivers minimized the impact of BPSD and maintained life balance. As a result, they were able to continue a harmonious life with PWD. [Research in Gerontological Nursing, xx(x), xx-xx.].","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"6 1","pages":"1-10"},"PeriodicalIF":1.6,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72747687","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":"The Role of Social Engagement in Older Adults' Health.","authors":"J. Steppe, M. Ramos, Ryan Falvai","doi":"10.3928/19404921-20220324-01","DOIUrl":"https://doi.org/10.3928/19404921-20220324-01","url":null,"abstract":"The purpose of the current study was to explore the association between social engagement and the health status, cognition, and perceived well-being of older adults using data from the National Health and Aging Trends Study. Descriptive statistics, clustering, and regression modeling were performed to analyze the data. We used the regression model to identify statistically significant relationships between the representative variables and the extent to which participants participated in social activities. The most representative variable for each of the three clusters was selected and fitted to the regression model, which consists of (1) acute health problems and events, (2) cognitive and communication barriers, and (3) chronic conditions contributing to long-term health status. A regression model found that two factors-cognitive and communication barriers and chronic conditions contributing to long-term health status-were statistically significant in determining social engagement in older adults. Health care providers should consider various factors in planning and implementing social programs that can positively engage older adults. [Research in Gerontological Nursing, xx(x), xx-xx.].","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"51 1","pages":"1-9"},"PeriodicalIF":1.6,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88016058","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}
J. Baumbusch, E. Blakey, Anna M Carapellotti, Marleen D W Dohmen, D. Fick, S. Kagan, G. Melendez-Torres, Brianna E Morgan, Ellen Munsterman, B. Resnick, H. Young
{"title":"Nurses and the Decade of Healthy Ageing: An Unprecedented Opportunity.","authors":"J. Baumbusch, E. Blakey, Anna M Carapellotti, Marleen D W Dohmen, D. Fick, S. Kagan, G. Melendez-Torres, Brianna E Morgan, Ellen Munsterman, B. Resnick, H. Young","doi":"10.3928/19404921-20220420-01","DOIUrl":"https://doi.org/10.3928/19404921-20220420-01","url":null,"abstract":"","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"43 1","pages":"1-4"},"PeriodicalIF":1.6,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86474298","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}
Gregory L Alexander, Chelsea B Deroche, Kimberly R Powell, Abu Saleh Mohammad Mosa, Lori Popejoy, Richelle J Koopman, Jianfang Liu
{"title":"Development and Pilot Analysis of the Nursing Home Health Information Technology Maturity Survey and Staging Model.","authors":"Gregory L Alexander, Chelsea B Deroche, Kimberly R Powell, Abu Saleh Mohammad Mosa, Lori Popejoy, Richelle J Koopman, Jianfang Liu","doi":"10.3928/19404921-20220218-04","DOIUrl":"https://doi.org/10.3928/19404921-20220218-04","url":null,"abstract":"<p><p>The current research includes a psychometric test of a nursing home (NH) health information technology (HIT) maturity survey and staging model. NHs were assembled based on HIT survey scores from a prior study representing NHs with low (20%), medium (60%), and high (20%) HIT scores. Inclusion criteria were NHs that completed at least two annual surveys over 4 years. NH administrators were excluded who participated in the Delphi panel responsible for instrument recommendations. Recruitment occurred from January to May 2019. Administrators from 121 of 429 facilities completed surveys. NHs were characteristically for-profit, medium bed size, and metropolitan. A covariance matrix demonstrated that all dimensions and domains were significantly correlated, except HIT capabilities and integration in administrative activities. Cronbach's alpha was very good (0.86). Principal component analysis revealed all items loaded intuitively onto four components, explaining 80% variance. The HIT maturity survey and staging model can be used to assess nine dimensions and domains, total HIT maturity, and stage, leading to reliable assumptions about NH HIT. [<i>Research in Gerontological Nursing, 15</i>(2), 93-99.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"15 2","pages":"93-99"},"PeriodicalIF":1.6,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10671516","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}
Martha C Coates, Janeway Granche, Justine S Sefcik, Rose Ann DiMaria-Ghalili
{"title":"The Source of Purchased Medications and Its Impact on Medication Mistakes and Hospitalizations.","authors":"Martha C Coates, Janeway Granche, Justine S Sefcik, Rose Ann DiMaria-Ghalili","doi":"10.3928/19404921-20220131-02","DOIUrl":"https://doi.org/10.3928/19404921-20220131-02","url":null,"abstract":"<p><p>Older adults self-administer prescribed medication regimens to treat chronic diseases, which can lead to mismanagement, medication-related harm, and hospitalization. Using the National Health and Aging Trends Study (NHATS) dataset, we examined the extent to which the medication source could impact the occurrence of self-reported medication mistakes and hospitalizations in community-dwelling adults aged ≥65 years who managed medications independently (<i>N</i> = 3,899). The majority (65%) picked up medications, 18% had medications delivered, and 17% used both methods. Compared to those picking up their medications, those using delivery only were less likely to have a hospital stay (odds ratio [OR] = 0.61, 95% confidence interval [CI] [0.51, 0.94]) but had no difference in odds of medication mistakes (OR = 1.13, 95% CI [0.57, 2.23]). Those using both methods were more likely to report hospital stays (OR = 1.43, 95% CI [1.11, 1.85]) and medication mistakes (OR = 1.65, 95% CI [1.00, 2.73]). Health care providers should consider medication source when assessing older adults' ability to safely self-manage medications. [<i>Research in Gerontological Nursing, 15</i>(2), 69-75.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"15 2","pages":"69-75"},"PeriodicalIF":1.6,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9205362/pdf/nihms-1807676.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10809120","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}
Sheria G Robinson-Lane, Laura Block, Barbara J Bowers, Pamela Z Cacchione, Andrea Gilmore-Bykovskyi
{"title":"The Intersections of Structural Racism and Ageism in the Time of COVID-19: A Call to Action for Gerontological Nursing Science.","authors":"Sheria G Robinson-Lane, Laura Block, Barbara J Bowers, Pamela Z Cacchione, Andrea Gilmore-Bykovskyi","doi":"10.3928/19404921-20211209-03","DOIUrl":"https://doi.org/10.3928/19404921-20211209-03","url":null,"abstract":"<p><p>The health consequences of systemic racism and ageism have received growing attention as the coronavirus disease 2019 pandemic has illuminated long-standing inadequacies and injustices that are structurally engrained in our health systems. The current State of the Science Commentary addresses the intersecting influences of systemic racism and ageism, and other \"-isms\" that conspire to create disparate health outcomes for older adults from historically excluded and marginalized backgrounds. We focus specifically on the long-term care sector as a representative microcosm of structural inequities, while recognizing that these unjust barriers to health are widespread, endemic, and pervasive. We present a call to action for gerontological nursing science to engage deeply and robustly in these realities, and the ethical and scientific imperative they present to ensure that all older adults encounter just conditions for maximizing their health and well-being. [<i>Research in Gerontological Nursing, 15</i>(1), 6-13.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"15 1","pages":"6-13"},"PeriodicalIF":1.6,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8856583/pdf/nihms-1778298.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10819421","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}
Chiyoung Lee, Belong Cho, Qing Yang, Sun Ju Chang, So-Im Ryu, Eun-Young Noh, Yeon-Hwan Park
{"title":"A Psychometric Analysis of the 20-item Revised University of California Los Angeles Loneliness Scale Among Korean Older Adults Living Alone.","authors":"Chiyoung Lee, Belong Cho, Qing Yang, Sun Ju Chang, So-Im Ryu, Eun-Young Noh, Yeon-Hwan Park","doi":"10.3928/19404921-20210924-03","DOIUrl":"https://doi.org/10.3928/19404921-20210924-03","url":null,"abstract":"<p><p>The current study aimed to explore the factor structure of the Korean version of the Revised University of California Los Angeles loneliness scale for the Korean older adult population. Analyses were based on a cross-sectional cohort of 1,041 community-dwelling older adults (age ≥65 years) living alone in one Korean city. Exploratory factor analysis (EFA) was conducted to determine the underlying structure of the scale, and confirmatory factor analysis (CFA) was used to ascertain the validity of the outcomes. For reliability, Cronbach's alpha was computed. Based on EFA and CFA results, a two-factor structure was found. The first factor reflected \"intimate loneliness\" and the second \"relational loneliness.\" Derived factors demonstrated satisfactory reliability (>0.8). The two factors of loneliness identified in this study could be considered when attempting to treat loneliness among older adults. Nevertheless, future studies should confirm the findings of this study and evaluate aspects of validity beyond factorial validity to further support the conceptual separation of the two identified factors. [<i>Research in Gerontological Nursing, 14</i>(6), 305-316.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"14 6","pages":"306-316"},"PeriodicalIF":1.6,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39486264","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}
Mary Elizabeth Bowen, Beatrice Gaynor, Lorraine J Phillips
{"title":"Changes in Physical and Cognitive Function Predict Sedentary Behavior in Older Adults With Mild Cognitive Impairment.","authors":"Mary Elizabeth Bowen, Beatrice Gaynor, Lorraine J Phillips","doi":"10.3928/19404921-20211021-01","DOIUrl":"https://doi.org/10.3928/19404921-20211021-01","url":null,"abstract":"<p><p>The current longitudinal study examined the influence of cognitive and lower extremity function on sedentary behavior continuously over 6 months in community-dwelling older adults with mild cognitive impairment (MCI). Multilevel models examined Montreal Cognitive Assessment (MoCA) change scores and the Short Physical Performance Battery (SPPB) on percent time in sedentary behavior among 17 older adults with MCI (50 to 74 observations for analysis). Sedentary behavior was measured daily and averaged monthly using wrist-worn actigraphy. Each 1-unit decrease in MoCA score was associated with an increase of 2 percentage points in sedentary behavior (<i>p</i> ≤ 0.01). In addition, each 1-unit decrease in chair stand score (lower extremity strength) was associated with an increase of 5 percentage points in sedentary behavior (<i>p</i> ≤ 0.01). Older adults experiencing cognitive decline and concurrent changes in lower extremity strength had the sharpest increase in sedentary behavior. Findings suggest lower body strengthening interventions may reduce sedentary behavior time and subsequently preserve physical functioning in this vulnerable population. [<i>Research in Gerontological Nursing, 14</i>(6), 285-291.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"14 6","pages":"285-291"},"PeriodicalIF":1.6,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39646532","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":"Navigating Research in a Pandemic: Implications for Publication.","authors":"Heather M Young, Janice F Bell","doi":"10.3928/19404921-20211103-01","DOIUrl":"https://doi.org/10.3928/19404921-20211103-01","url":null,"abstract":"","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"14 6","pages":"274-276"},"PeriodicalIF":1.6,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39646533","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}