{"title":"Prevalence and Factors Associated With Frailty Among Middle-Aged Adults.","authors":"Meng-Ting Lee, Yu-Wun Teng, Hui-Chen Lin, Chieh-Hsin Pan, Hui-Chuan Huang","doi":"10.3928/19404921-20250219-01","DOIUrl":"10.3928/19404921-20250219-01","url":null,"abstract":"<p><strong>Purpose: </strong>To examine the prevalence and factors related to frailty in 200 community-dwelling middle-aged adults (aged 50 to 64 years).</p><p><strong>Method: </strong>Frailty was assessed using the Fried Frailty Phenotype scale. The following parameters were recorded: demographic characteristics, lifestyle characteristics, nutritional supplements, sleep quality, and mood status.</p><p><strong>Results: </strong>Prevalences of frailty and pre-frailty in the population were 1% and 36.5%, respectively. Low physical activity was the predominant symptom experienced by middle-aged adults with pre-frailty. Moreover, males, those with low educational levels, and those with poor mood status had a higher risk of frailty (<i>p</i> < 0.05). In addition, those who consumed milk more than three times per week had a lower risk of frailty compared to their counterparts (<i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>Health care programs that focus on increasing physical activity, milk consumption, and psychological support could be suitable strategies for preventing and managing pre-frailty in this population. [<i>Research in Gerontological Nursing, 18</i>(2), 81-89.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"18 2","pages":"81-89"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674977","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":"Status Quo of Mental Health and Influencing Factors Among Older Adults in Different Living Situations: A Random Forest Analysis Based on CHARLS Data.","authors":"Meng Yu, Jialin Wang, Ying Xia, Yingying Fan, Qi Tang, Shuping Wang, Qianqian Ren, Yanmin Tao","doi":"10.3928/19404921-20250122-02","DOIUrl":"10.3928/19404921-20250122-02","url":null,"abstract":"<p><strong>Purpose: </strong>To determine the status of depression and its key influencing factors among Chinese older adults in different living situations.</p><p><strong>Method: </strong>Data of 7,092 older adults were obtained from the China Health and Retirement Longitudinal Survey. This study analyzed key variables influencing depressive symptoms using random forest modeling and logistic regression.</p><p><strong>Results: </strong>The prevalence of depressive symptoms in older adults is 33.2%, with the highest prevalence of depression in older adults living alone (41.2%). Cognitive functioning and life satisfaction are psychological factors that affect older adults' mental health, whereas self-rated health and child relationship satisfaction are biological and social factors affecting their mental health, respectively. Furthermore, self-rated pain and limitations in activities of daily living were identified as risk factors for their mental health. Key factors affecting older adults' mental health differ between living situations.</p><p><strong>Conclusion: </strong>Key factors of depressive symptoms in older adults differ across living situations, providing a priority and reference for differential prevention and precise intervention of depressive symptoms to promote a healthy aging process. Results of the current study may help clinicians better understand the pathogenesis of depression in older adults, guide clinical diagnosis and treatment, and develop individualized depression prevention and management strategies. [<i>Research in Gerontological Nursing, 18</i>(2), 91-98.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":" ","pages":"91-98"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143059919","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}
Karen Lowe Graham, Olimpia Paun, Dawn Bounds, Audrey Stillerman, Lynn D Mohr, Lisa L Barnes
{"title":"Examining the Impact of Adverse Childhood Experiences and Active Coping in Black Older Adults: A Mixed Methods Study.","authors":"Karen Lowe Graham, Olimpia Paun, Dawn Bounds, Audrey Stillerman, Lynn D Mohr, Lisa L Barnes","doi":"10.3928/19404921-20250122-01","DOIUrl":"10.3928/19404921-20250122-01","url":null,"abstract":"<p><strong>Purpose: </strong>To gain a deeper understanding of Black older adults' (aged ≥65 years) experiences with adverse childhood experiences (ACEs), including racism, and their use of active coping throughout their life course.</p><p><strong>Method: </strong>Qualitative interviews were conducted with 21 Black older adults followed by administration of the First 18 Years Survey (measuring ACEs) and the John Henryism Active Coping Scale. Qualitative data were analyzed using thematic narrative analysis. Quantitative data were analyzed using descriptive statistics. Qualitative and quantitative data were integrated using a triangulation process.</p><p><strong>Results: </strong>Four major themes emerged from the qualitative data. Participants reported experiencing pervasive racism throughout their lives. Quantitative results indicated participants experienced fewer ACEs and made high use of active coping. Triangulation indicates qualitative findings and explains the quantitative results.</p><p><strong>Conclusion: </strong>Although participants faced ACEs including racism, they found strategies to help them actively cope. [<i>Research in Gerontological Nursing, 18</i>(2), 57-67.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":" ","pages":"57-67"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061402","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}
Chava Pollak, Jennifer Winter, Lin Drury, Claudene George, Amy R Ehrlich, Joe Verghese, Helena M Blumen
{"title":"Implementation of a Loneliness Screening and Referral Program in Primary Care: A Mixed Methods Pilot Study.","authors":"Chava Pollak, Jennifer Winter, Lin Drury, Claudene George, Amy R Ehrlich, Joe Verghese, Helena M Blumen","doi":"10.3928/19404921-20250219-02","DOIUrl":"10.3928/19404921-20250219-02","url":null,"abstract":"<p><strong>Purpose: </strong>Loneliness screening is recommended as best practice in primary care for older adults, yet it is not widely implemented. The purpose of the current study was to assess feasibility of a loneliness screening and referral program (SOCIAL Rx) in a primary care practice.</p><p><strong>Method: </strong>Loneliness was assessed using the 3-item UCLA Loneliness Scale and curated referrals were provided for those who screened positive. Outcome measures were organized using the RE-AIM framework domains of reach, effectiveness, and adoption. Qualitative interviews were conducted to explore feasibility/acceptability and patient preferences regarding referrals.</p><p><strong>Results: </strong>Eighty-one percent of patients were screened for loneliness; 33.3% were somewhat lonely and 17.7% were very lonely. Fifty-two percent of those who were lonely were provided a referral, and 40% of providers referred ≥50% of eligible patients.</p><p><strong>Conclusion: </strong>Loneliness was prevalent in this population of older adults, highlighting the imperative for screening and intervention. [<i>Research in Gerontological Nursing, 18</i>(2), 69-80.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"18 2","pages":"69-80"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674847","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":"Reminder: Nursing Practice Informs and Shapes Research and Policy.","authors":"Terry Fulmer, Jennie Chin Hansen","doi":"10.3928/19404921-20241211-01","DOIUrl":"https://doi.org/10.3928/19404921-20241211-01","url":null,"abstract":"","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"18 1","pages":"2-3"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015927","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":"Development and Validation of a Predictive Model for Fall Risk in Pre-Frail Older Adults.","authors":"Haiyan Jing, Peiying Song, Ziqing Yan, Yupeng Su, Yulan Chen, Bijuan Liang, Wenxuan Kong, Liping Cheng","doi":"10.3928/19404921-20241211-05","DOIUrl":"10.3928/19404921-20241211-05","url":null,"abstract":"<p><strong>Purpose: </strong>To develop a predictive model for fall risk in pre-frail older adults, providing a basis for early identification and prevention of falls among this population.</p><p><strong>Method: </strong>This was a multicenter prospective cohort study. A total of 473 pre-frail older adults were included, 335 as the training set and 142 as the test set. Univariate and stepwise binary logistic regression analyses were conducted to identify the relationship between pre-frail and fall risk and establish the frailty risk prediction nomogram. The nomogram was constructed based on the results of logistic regression. The model assessment relied on the receiver operating characteristic (ROC) curve, Hosmer-Lemeshow test, calibration curves, and decision curve analysis.</p><p><strong>Results: </strong>Fall incidence rate among pre-frail older adults within 6 months was 13.63%. The final fall risk prediction model identified that sex, history of falls in the past year, visual impairment, increased nocturia, and fear of falling are the most critical risk factors for falls in pre-frail older adults. The model exhibited good accuracy in the testing set, with an area under the ROC curve of 0.825 (95% confidence interval [0.736, 0.914]).</p><p><strong>Conclusion: </strong>Pre-frail older adults have a higher incidence of falls. The logistic regression model constructed in this study shows promising predictive capabilities and can be used as a screening tool to identify pre-frail older adults at high risk of falls in clinical practice. We anticipate that this model will assist clinical nurses in enhancing the efficiency of fall prevention efforts and reducing the incidence of falls among pre-frail older adults. [<i>Research in Gerontological Nursing, 18</i>(1), 29-39.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"18 1","pages":"29-39"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015843","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":"Response to the Annual Review: Comprehensive Dementia Care Models: State of the Science and Future Directions.","authors":"Pamela Z Cacchione","doi":"10.3928/19404921-20241211-03","DOIUrl":"https://doi.org/10.3928/19404921-20241211-03","url":null,"abstract":"","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"18 1","pages":"17-19"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015929","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}
Shandra D Burton, Olimpia Paun, Todd Ruppar, Lynn Mohr, Chuka N Emezue, Sarah L Szanton
{"title":"Resilience in Black/African American Partner Caregivers of Persons With Alzheimer's Disease and Related Dementias.","authors":"Shandra D Burton, Olimpia Paun, Todd Ruppar, Lynn Mohr, Chuka N Emezue, Sarah L Szanton","doi":"10.3928/19404921-20241211-04","DOIUrl":"10.3928/19404921-20241211-04","url":null,"abstract":"<p><strong>Purpose: </strong>To explore cultural factors related to resilience among Black/African American Alzheimer's disease and related dementias (ADRD) partner caregivers.</p><p><strong>Method: </strong>This study used a qualitative design. An adapted Resilience Framework informed the in-depth interviews with 10 Black/African American ADRD partner caregivers.</p><p><strong>Results: </strong>Four major themes emerged: <i>Unfolding Process of ADRD Discovery</i>, <i>Resilience is Multifaceted in Caregiving</i>, <i>Resilience is an Adaptive Process</i>, and <i>Cultural Heritage Shapes Caregivers' Resilience Experiences</i>. The major themes include a total of 18 subthemes.</p><p><strong>Conclusion: </strong>Findings provide an in-depth understanding of how race, ethnicity, and cultural positive adaptive factors influence resilience among diverse ADRD partner caregivers. [<i>Research in Gerontological Nursing, 18</i>(1), 21-28.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"18 1","pages":"21-28"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015928","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}
Justine S Sefcik, Martha C Coates, Darina V Petrovsky, Amy Glasofer, Safiyyah Okoye, Daniel T Vader, Reneé H Moore, Zachary G Baker, Kris Pui Kwan Ma, Zahra Rahemi, Juanita-Dawne R Bacsu, Matthew Lee Smith, Rose Ann DiMaria-Ghalili
{"title":"Factors Associated With Outdoor Frequency Among U.S. Community-Dwelling Medicare Beneficiaries: A Cross-Sectional Study.","authors":"Justine S Sefcik, Martha C Coates, Darina V Petrovsky, Amy Glasofer, Safiyyah Okoye, Daniel T Vader, Reneé H Moore, Zachary G Baker, Kris Pui Kwan Ma, Zahra Rahemi, Juanita-Dawne R Bacsu, Matthew Lee Smith, Rose Ann DiMaria-Ghalili","doi":"10.3928/19404921-20241211-06","DOIUrl":"10.3928/19404921-20241211-06","url":null,"abstract":"<p><strong>Purpose: </strong>Despite the benefits of outdoor activity in older adults, a paucity of research explores factors associated with the frequency of older adults going outdoors. The aim of the current study was to investigate if factors of cognitive status, physical performance, and neighborhood characteristics were associated with outdoor frequency among older adults.</p><p><strong>Method: </strong>This cross-sectional study used National Health and Aging Trends Study data to characterize outdoor frequency among Medicare beneficiaries by participant demographics, health, and neighborhood characteristics, and estimated relationships between participant factors and outdoor frequency.</p><p><strong>Results: </strong>The sample included 3,368 participants. The majority (51.6%) were aged 75 to 84 years and female (57.2%). Most (60.4%) participants went outside daily. Probable dementia, physical limitations, and presence of street disorder and sidewalk continuity were associated with decreased outdoor frequency.</p><p><strong>Conclusion: </strong>Research is needed to develop interventions addressing neighborhood conditions and promoting outdoor activity among older adults living with dementia and physical limitations. [<i>Research in Gerontological Nursing, 18</i>(1), 40-52.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"18 1","pages":"40-52"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12015538/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015770","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}