Shiping Gu, Xinnan Du, Sangsang Li, Dan Han, Yunyi Wu, Jie Zhao, Mei Zhang, Jing Wang
{"title":"A Longitudinal Study on the Relationship Between Family Size and Instrumental Activities of Daily Living: The Masking Effect of Depressive Symptoms.","authors":"Shiping Gu, Xinnan Du, Sangsang Li, Dan Han, Yunyi Wu, Jie Zhao, Mei Zhang, Jing Wang","doi":"10.3928/19404921-20240626-01","DOIUrl":"10.3928/19404921-20240626-01","url":null,"abstract":"<p><strong>Purpose: </strong>According to use and disuse theory, the decreasing size of families in China may have a considerable influence on older adults' health. However, research on the associations among family size, depression, and instrumental activities of daily living (IADL) in this population is limited. Thus, the current study examined the role of depression on the impact of family size on IADL and explored the differences between urban and rural areas.</p><p><strong>Method: </strong>Mediation analyses were performed with data from 7,290 older adults aged ≥60 years from the Harmonized China Health and Retirement Longitudinal Study in 2011, 2013, 2015, and 2018, using stepwise regression and bootstrap methods.</p><p><strong>Results: </strong>Family size had a positive impact on IADL limitations of older adults (0.29, <i>p</i> < 0.01), and the masking effects of depressive symptoms had a partial effect of family size on older adults' IADL. However, these effects only exist in rural areas.</p><p><strong>Conclusion: </strong>Providing emotional support through psychological counseling and guiding caregivers to provide moderate care support is crucial, particularly in rural areas, for alleviating depressive symptoms due to changes in family size and maintaining independent living skills among older adults. [<i>Research in Gerontological Nursing, 17</i>(4), 165-175.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"17 4","pages":"165-175"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141762489","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":"Prevalence and Outcomes of Cognitive Frailty Among Community-Dwelling Older Adults: A Systematic Review and Meta-Analysis.","authors":"Yixiong Zhang, Haozhi Xia, Xing Jiang, Qiuling Wang, Lili Hou","doi":"10.3928/19404921-20240621-01","DOIUrl":"10.3928/19404921-20240621-01","url":null,"abstract":"<p><strong>Purpose: </strong>To systematically review the available evidence regarding the prevalence and outcomes of cognitive frailty-a clinical syndrome characterized by the combination of physical frailty and cognitive impairment, without dementia-in community-dwelling older adults.</p><p><strong>Method: </strong>The following databases were searched: PubMed, Web of Science, Embase, EBSCO, Cochrane Central Register of Controlled Trials, ProQuest, CNKI, Wanfang, VIP, and CBMdisc (inception to October 2, 2023).</p><p><strong>Results: </strong>Twenty-four studies were included (<i>N</i> = 62,169) reporting a median prevalence of cognitive frailty among community-dwelling older adults of 12.2%. Frailty with cognitive impairment was independently associated with increased all-cause mortality (adjusted 8-year hazard ratio [HR] = 2.6, 95% confidence interval [CI] [2.05, 3.30]). There was evidence of increased risk of 3-year mortality for frailty (adjusted HR = 1.92, 95% CI [1.26, 2.93]) and prefrailty (adjusted HR = 1.79, 95% CI [1.33, 2.41]) with cognitive impairment. There was also evidence of increased risk of dementia for frailty (adjusted 24-month HR = 6.19, 95% CI [2.74, 13.99]; adjusted 4-year HR = 4.98, 95% CI [2.17, 11.41]) and prefrailty (adjusted 4-year HR = 5.21, 95% CI [2.95, 9.20]; adjusted 5-year HR = 14.5, 95% CI [1.68, 125.1]) with cognitive impairment. Activities of daily living (ADL) dependence was more frequent in individuals with cognitive impairment and frailty (adjusted 4-year odds ratio = 5.6, 95% CI [2.13, 14.72]).</p><p><strong>Conclusion: </strong>Of community-dwelling older adults, 12.2% have cognitive frailty as well as increased risk of all-cause mortality, dementia, and ADL dependence. Further studies on prevention and treatment of cognitive frailty is warranted. Health care providers should formulate specific interventions to decrease the impact of cognitive frailty. [<i>Research in Gerontological Nursing, 17</i>(4), 202-212.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"17 4","pages":"202-212"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141762492","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}
Rachel Kunkle, Haolin Xu, Laine E Thomas, Laura E Webb, Emily C O'Brien, Carol Reynolds Geary
{"title":"Nursing Home Workers' Experience During the COVID-19 Pandemic.","authors":"Rachel Kunkle, Haolin Xu, Laine E Thomas, Laura E Webb, Emily C O'Brien, Carol Reynolds Geary","doi":"10.3928/19404921-20240423-02","DOIUrl":"10.3928/19404921-20240423-02","url":null,"abstract":"<p><strong>Purpose: </strong>To understand nursing home workers' experience during the coronavirus disease 2019 (COVID-19) pandemic and investigate the prevalence of health-related quality of life, emotional distress, job satisfaction, and the impact of the pandemic.</p><p><strong>Method: </strong>The Healthcare Worker Exposure Response and Outcomes (HERO) Registry served as the data source for this descriptive cross-sectional analysis. Recruitment was conducted nationally. Eligible nursing home workers (<i>N</i> = 1,409) enrolled in the study online, self-reported demographic and employment characteristics, and completed electronic surveys.</p><p><strong>Results: </strong>Nursing home workers reported overall good physical health, frequent depressive symptoms, burnout, and a high prevalence of feeling tired, stressed, having trouble sleeping, and feeling worried. Age and race were found to be positively associated with the impact of the pandemic.</p><p><strong>Conclusion: </strong>Findings demonstrate the difficulties and challenges nursing home workers faced during the COVID-19 pandemic. Future research needs to evaluate the relationships among nursing home workers' roles, mental health, depressive symptoms, and prevalence of burnout with a larger, more diverse sample. [<i>Research in Gerontological Nursing, 17</i>(3), 131-140.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"17 3","pages":"131-140"},"PeriodicalIF":1.1,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141181445","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":"Reconceptualizing Limited English Proficiency: Achieving Person-Centered Care for Diverse Persons Living With Dementia Through Language.","authors":"Moroni Fernandez Cajavilca, Tina Sadarangani","doi":"10.3928/19404921-20240423-01","DOIUrl":"10.3928/19404921-20240423-01","url":null,"abstract":"","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"17 3","pages":"110-111"},"PeriodicalIF":1.1,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141181474","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 Between Square Dancing and Meaning in Life Among Older Adults: Examining an Age-Based Moderation Model.","authors":"Liang-Chih Chang, John Dattilo, Fei-Hsin Huang","doi":"10.3928/19404921-20240423-03","DOIUrl":"10.3928/19404921-20240423-03","url":null,"abstract":"<p><strong>Purpose: </strong>Square dancing may help older adults experience meaning in life (MIL). However, it remains unclear how square dancing facilitates MIL. To address this question, we examined whether participation frequency, transcendent experiences, and social support correlated positively with MIL, and whether age moderated the correlation between transcendent experiences and MIL.</p><p><strong>Method: </strong>We studied 268 older adults using in-person surveys to collect data on age, participation frequency, transcendent experiences, social support, and MIL. We analyzed data using hierarchical regression.</p><p><strong>Results: </strong>High frequency of participation and high levels of transcendent experiences and social support simultaneously predicted high levels of MIL, and age decreased the positive relationship between transcendent experiences and MIL.</p><p><strong>Conclusion: </strong>Based on the hierarchical regression results, we recommend strategies to increase older adults' MIL by providing square dancing opportunities; working with them to improve square dancing skills that facilitate transcendent experiences; and guiding them in seeking sources of social support. [<i>Research in Gerontological Nursing, 17</i>(3), 141-147.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"17 3","pages":"141-147"},"PeriodicalIF":1.1,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141181475","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":"Factors Contributing to Well-Being in Japanese Community-Dwelling Older Adults Who Experienced Spousal Bereavement","authors":"Kazuko Muroya, LLM, RN, Yasuko Tabuchi, PhD, RN, Yuki Kumagai, PhD, PHN, Maiko Sakamoto, PhD, Tsukasa Tajima, PhD","doi":"10.3928/19404921-20240403-01","DOIUrl":"https://doi.org/10.3928/19404921-20240403-01","url":null,"abstract":"<section><h3>Purpose:</h3><p>Providing support for older adults after spousal bereavement is crucial for psychological recovery through the grieving process and for promoting a healthy and happy remainder of life. The current study aimed to understand factors influencing well-being among Japanese community-dwelling older adults who experienced spousal bereavement by evaluating how their roles and activities affected their psychological well-being following the loss.</p></section><section><h3>Method:</h3><p>We conducted a cross-sectional, anonymous, self-administered questionnaire survey of 332 older adults who had experienced death of a spouse in later adulthood.</p></section><section><h3>Results:</h3><p>Identified factors that affected well-being after spousal loss were sex, ability to go out without assistance from others, long duration since spousal loss, having a hobby, and adopting a life-oriented approach to cope with bereavement. Well-being following spousal loss was influenced by participants' activities and roles.</p></section><section><h3>Conclusion:</h3><p>Findings of the current study provide potentially valuable suggestions for surviving spouses and their supporters when coping with grief following spousal loss. [<i>Research in Gerontological Nursing, xx</i>(x), xx–xx.]</p></section>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"14 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140602748","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}
Bothaina Hussein Hassan, PhD, RN, Manuel Fernández-Alcántara, PhD, María Paz García-Caro, PhD, RN, Nashwa Ibrahim, PhD, RN, Rasha Salah Eweida, PhD, RN
{"title":"Cross-Cultural Comparison of Older Adults' Emotional Responses Toward Death: A Pilot Study","authors":"Bothaina Hussein Hassan, PhD, RN, Manuel Fernández-Alcántara, PhD, María Paz García-Caro, PhD, RN, Nashwa Ibrahim, PhD, RN, Rasha Salah Eweida, PhD, RN","doi":"10.3928/19404921-20240402-01","DOIUrl":"https://doi.org/10.3928/19404921-20240402-01","url":null,"abstract":"<section><h3>Purpose:</h3><p>The current study reports preliminary findings from a pilot sample that sought to compare the emotional responses of older adults toward death in Egyptian and Spanish cultures.</p></section><section><h3>Method:</h3><p>A cohort of 90 eligible older adults from Egypt and Spain were recruited using a cross-sectional descriptive design.</p></section><section><h3>Results:</h3><p>Egyptian participants recorded a significantly higher score in approaching acceptance of death compared to their Spanish counterparts (mean = 21.57, <i>SD</i> = 9.4 and mean = 13.51, <i>SD</i> = 7.11, respectively). Post-hoc test showed there were differences in levels of valence (F[1,86] = 23.88, <i>p</i> < 0.001), indicating that older adults in Spain perceived such images as more unpleasant compared to Egyptian older adults. A significant difference related to death attitude profile scale was noted between Egyptian and Spanish older adults.</p></section><section><h3>Conclusion:</h3><p>Egyptian and Spanish older adults demonstrated different attitudes toward death in addition to differences in death anxiety and depression. This preliminary study validates the importance of developing effective nursing strategies to lessen anxiety and fear about death. [<i>Research in Gerontological Nursing, xx</i>(x), xx–xx.]</p></section>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"10 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140586769","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}
Marie Boltz, PhD, GNP-BC, FGSA, FAAN, Kimberly Van Haitsma, PhD, FGSA, Rosa R. Baier, MPH, Justine S. Sefcik, PhD, RN, Nancy A. Hodgson, PhD, RN, Ying-Ling Jao, PhD, RN, FGSA, Ann Kolanowski, PhD, RN, FGSA, FAAN
{"title":"Ready or Not: A Conceptual Model of Organizational Readiness for Embedded Pragmatic Dementia Research","authors":"Marie Boltz, PhD, GNP-BC, FGSA, FAAN, Kimberly Van Haitsma, PhD, FGSA, Rosa R. Baier, MPH, Justine S. Sefcik, PhD, RN, Nancy A. Hodgson, PhD, RN, Ying-Ling Jao, PhD, RN, FGSA, Ann Kolanowski, PhD, RN, FGSA, FAAN","doi":"10.3928/19404921-20240403-02","DOIUrl":"https://doi.org/10.3928/19404921-20240403-02","url":null,"abstract":"<p>The National Institute on Aging Alzheimer's Disease/Alzheimer's Disease and Related Dementias Research Implementation Milestones emphasize the need for implementation research that maximizes up-take and scale-up of evidence-based dementia care practices across settings, diverse populations, and disease trajectories. Organizational readiness for implementation is a salient consideration when planning and conducting embedded pragmatic trials, in which interventions are implemented by provider staff. The current article examines the conceptual and theoretical underpinnings of organizational readiness for implementation and the operationalization of this construct. We offer a preliminary conceptual model for explicating and measuring organizational readiness and describe the unique characteristics and demands of implementing evidence-based interventions targeting persons with dementia and/or their care partners. [<i>Research in Gerontological Nursing, xx</i>(x), xx–xx.]</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"16 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140612458","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":"Effects of Multicomponent Exercise on Community-Dwelling Older Adults With Mild Cognitive Impairment.","authors":"Jun Zhang, Chao Yang, Yujie Pan, Li Wang","doi":"10.3928/19404921-20240112-02","DOIUrl":"10.3928/19404921-20240112-02","url":null,"abstract":"<p><strong>Purpose: </strong>To explore the effects of a group-based multicomponent exercise program on general cognitive functioning, depression, and social functioning in community-dwelling older adults with mild cognitive impairment (MCI) and whether the effects can be maintained.</p><p><strong>Method: </strong>Fifty older adults with MCI were conveniently recruited from two communities in the study area and randomly assigned to the intervention group or control group. The intervention group received three sessions of 60-minute, multicomponent exercise per week for 3 months, plus MCI-related health education. The control group only received MCI-related health education. Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment Beijing Version (MoCA-BJ) were used to assess general cognitive function. The Functional Activities Questionnaire (FAQ) and Geriatric Depression Scale (GDS-30) were used to evaluate participants' social function and depression, respectively. Participants' exercise intensity was assessed using the Category Ratio Scale.</p><p><strong>Results: </strong>After the 3-month intervention, there were significant improvements in general cognitive function (<i>p</i> = 0.046), attention (<i>p</i> = 0.009), delayed recall (<i>p</i> = 0.015), and social function (<i>p</i> = 0.011) in the intervention group compared with the control group. However, after 3-month postintervention follow up, no significant differences in MMSE, MoCA-BJ, GDS-30, and FAQ scores were noted between groups.</p><p><strong>Conclusion: </strong>The 3-month multicomponent exercise program improved general cognitive function and social functioning in community-dwelling older adults with MCI. However, there was no evidence that these benefits lasted for another 3 months after stopping the exercise program. [<i>Research in Gerontological Nursing, 17</i>(2), 65-79.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":" ","pages":"65-79"},"PeriodicalIF":1.1,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139576718","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}
Terry Fulmer, Glenna S Brewster Glasgow, Heather M Young
{"title":"Remembering Claire M. Fagin.","authors":"Terry Fulmer, Glenna S Brewster Glasgow, Heather M Young","doi":"10.3928/19404921-20240229-01","DOIUrl":"10.3928/19404921-20240229-01","url":null,"abstract":"","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"17 2","pages":"54-56"},"PeriodicalIF":1.1,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140177656","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}