Gerontologist最新文献_第2页

From access to agency: Empowering older adults for critical AI use. 从获取到代理：赋予老年人关键的人工智能使用能力。

IF 3.2 2区医学

Gerontologist Pub Date : 2026-05-04 DOI: 10.1093/geront/gnag092

Shinwoo Choi, Alfonso J Rojas-Alvarez, Jennifer Salinas

{"title":"From access to agency: Empowering older adults for critical AI use.","authors":"Shinwoo Choi, Alfonso J Rojas-Alvarez, Jennifer Salinas","doi":"10.1093/geront/gnag092","DOIUrl":"https://doi.org/10.1093/geront/gnag092","url":null,"abstract":"Efforts to bridge the digital divide for older adults have prioritized access and interface usability. However, the proliferation of generative AI introduces interpretive challenges that access alone cannot address. This Forum article argues that digital inclusion must evolve from operational competence to critical engagement. We introduce the concept of epistemic vulnerability to characterize a distinct risk where older adults (65+) trust AI outputs not due to cognitive deficits, but because the system's confident, fluent delivery mimics authoritative sources they have historically learned to trust. Grounding this argument in the socio-technical co-constitution model of ageing and technology, we conceptualize epistemic vulnerability as emerging from misalignments among older adults' life-worlds, design worlds, technological artefacts, and broader images of ageing. Rejecting protectionist restrictions, we propose a framework of Critical AI Literacy supported by Ethical Scaffolding, emphasizing empowerment through structural aids that help users distinguish linguistic fluency from factual accuracy. Furthermore, the risk profiles and the feasibility of scaffolding vary across the young-old (65-74), middle old (75-84) and the oldest-old (85+) subgroups. By outlining concrete strategies for adapting information-verification habits, this work provides a roadmap for ensuring older adults remain active, competent agents in an increasingly algorithmic society.","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Book review of "digital media and the daily lives of China's senior citizens". “数字媒体与中国老年人的日常生活”书评。

IF 3.2 2区医学

Gerontologist Pub Date : 2026-05-04 DOI: 10.1093/geront/gnag090

Liru Zhang, Biyu Wu

引用次数: 0

Modifiable risk factors for falls in community-dwelling older adults. 社区居住老年人跌倒的可改变危险因素。

IF 3.2 2区医学

Gerontologist Pub Date : 2026-05-04 DOI: 10.1093/geront/gnag086

Kelly Cotton, Ying Jin, Joe Verghese

{"title":"Modifiable risk factors for falls in community-dwelling older adults.","authors":"Kelly Cotton, Ying Jin, Joe Verghese","doi":"10.1093/geront/gnag086","DOIUrl":"https://doi.org/10.1093/geront/gnag086","url":null,"abstract":"Background and objectives: Nearly 30% of U.S. adults aged 65 and older fall each year, and falls are the leading cause of injury and injury-related deaths in this population. Our objective was to identify potentially modifiable risk factors for falls, which will be important in determining the most effective targets for interventions and help refine fall prevention guidelines.Research design and methods: Our sample included 3,111 community-dwelling older adults (65 years and older, 57% women) without dementia from the Health and Retirement Study (2010 wave) who reported falls at baseline and two years later. We examined the association between reported falls at follow-up and fifteen potentially modifiable medical and lifestyle risk factors using logistic regression models, overall and stratified by sex. We calculated the adjusted odds ratio (aOR) and Population Attributable Fraction (PAF) for each risk factor.Results: Falls were reported in 1,027 participants (33%) at follow-up. In females, previous fall history (aOR 2.95), heart conditions (aOR 1.38) and pain (aOR 1.40) predicted incident falls and together accounted for 42% of the PAF for falls. In males, previous fall history (aOR 4.74), poor balance (aOR 1.64), poor hearing (aOR 1.83), and physical inactivity (aOR 1.42) predicted incident falls and together accounted for 52% of the PAF for falls.Discussion and implications: Several potentially modifiable risk factors were associated with incident falls in older adults and differed by sex. These results are a key initial step in identifying older adults with the highest fall-risk and who may most benefit from targeted interventions.","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Great-Grandparenthood as a Late-Life Family Role: Identity and Continuity. 曾祖父母作为晚年家庭角色：同一性和连续性。

IF 3.2 2区医学

Gerontologist Pub Date : 2026-05-04 DOI: 10.1093/geront/gnag084

Zuzana Talašová

{"title":"Great-Grandparenthood as a Late-Life Family Role: Identity and Continuity.","authors":"Zuzana Talašová","doi":"10.1093/geront/gnag084","DOIUrl":"https://doi.org/10.1093/geront/gnag084","url":null,"abstract":"Background and objectives: This article examines great-grandparenthood as a late-life family role that has remained overlooked in gerontological and sociological research. The study draws on life course theory, critical and narrative gerontology, and the concept of doing family to explore how great-grandparents perceive and negotiate this role in later life.Research design and methods: Based on qualitative, timeline-based interviews with ten participants, the analysis applies a thematic narrative approach to examine how meanings of intergenerational connection, family identity, and aging are constructed across the life course.Results: Findings suggest that great-grandparenthood is rarely recognized as a distinct identity and tends to remain relationally and culturally invisible. The role does not emerge automatically from biological status but is enacted through episodic relational engagement, such as presence, emotional rituals, and shared time. It is also shaped by symbolic recognition within family narratives and generational positioning. Positioned at the margins of family life, great-grandparenthood emerges as a liminal late-life identity reflecting broader dynamics of aging, intergenerational relations, and cultural scripts.Discussion and implications: These findings contribute to gerontological debates on family roles and relational aging by highlighting the symbolic and narrative dimensions of very late-life family positions. They also point to the need for future research incorporating intergenerational perspectives and comparative cultural contexts.","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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 communication phenotype for varying information needs among caregivers of persons with dementia. 痴呆症患者照顾者之间不同信息需求的交流表型。

IF 3.2 2区医学

Gerontologist Pub Date : 2026-05-04 DOI: 10.1093/geront/gnag091

Jordan M Alpert, Michael B Rothberg, Michael K Paasche-Orlow, Ardeshir Z Hashmi, Silvia Perez-Protto, Jacqueline Fox, Victoria Criswell, Elaine Wittenberg

{"title":"A communication phenotype for varying information needs among caregivers of persons with dementia.","authors":"Jordan M Alpert, Michael B Rothberg, Michael K Paasche-Orlow, Ardeshir Z Hashmi, Silvia Perez-Protto, Jacqueline Fox, Victoria Criswell, Elaine Wittenberg","doi":"10.1093/geront/gnag091","DOIUrl":"https://doi.org/10.1093/geront/gnag091","url":null,"abstract":"Background and objectives: Informal caregivers of persons with Alzheimer's disease and Alzheimer's disease-related dementias (AD/ADRD) have limited knowledge of the disease, yet they have immense responsibility, such as medication administration, managing symptoms, assisting with activities of daily living, and making end-of-life decisions. Our objective was to explore information seeking among informal caregivers to learn about their information needs.Research design and methods: We interviewed informal caregivers of persons with AD/ADRD who passed away in the last two years. Interviews occurred from July 2024 to June 2025 in a large academic health system. We analyzed information needs of AD/ADRD caregivers using an adapted version of the Four States of Information Needs conceptual framework. We used a deductive-inductive approach, beginning with the existing framework, and then refining it with inductive observations.Results: Twenty-seven informal caregivers were interviewed (median age 65 years; 77.8% female; 81.5% white; care provided for a median of 5 years; 63.0% were the patient's child). Four phenotypes were revealed: 1) Proactive Caregivers, who were assertive communicators and motivated to seek information in advance, 2) Activated Caregivers, who had less knowledge than Proactive Caregivers, but communicated with staff and took preemptive measures, 3) Responsive Caregivers, who were overwhelmed and rarely communicated their needs to clinical staff, and 4) Reflective Caregivers, who identified information gaps, but did not always attempt to rectify them.Discussion and implications: The needs of informal caregivers vary. Potentially, clinicians can recognize caregivers' phenotypes and adapt the support they provide to improve the caregiver experience.","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Assessing Quality of Life in Nursing Home Residents: A Systematic Review of Measurement Tools. 评估疗养院居民的生活品质：测量工具的系统回顾。

IF 3.2 2区医学

Gerontologist Pub Date : 2026-05-04 DOI: 10.1093/geront/gnag066

Candice Gruyaert, Eva Pattyn, Kathleen Leemans, Mieke Deschodt, Delphine De Smedt, Jeroen Trybou

{"title":"Assessing Quality of Life in Nursing Home Residents: A Systematic Review of Measurement Tools.","authors":"Candice Gruyaert, Eva Pattyn, Kathleen Leemans, Mieke Deschodt, Delphine De Smedt, Jeroen Trybou","doi":"10.1093/geront/gnag066","DOIUrl":"https://doi.org/10.1093/geront/gnag066","url":null,"abstract":"Background and objectives: Nursing homes (NHs) are key to supporting older adults' quality of life (QoL). With many QoL instruments available, selecting an appropriate tool is challenging. This study inventories instruments used with NH residents, and examines whether they conceptualize QoL as a multidimensional construct.Research design and methods: A systematic review was conducted to identify QoL instruments used in NHs. Five databases were searched in March 2025 using terms related to \"elderly\", \"nursing home\", \"questionnaire\", \"psychometrics\", and \"quality of life\". Empirical English- or Dutch-language studies were eligible, with no geographic or date restrictions. Reference and citation searches were added. Quality was assessed using COSMIN Risk of Bias checklist, and questionnaire characteristics and QoL subdomains were analyzed using a QoL concept map.Results: A total of 15,516 records were identified (MEDLINE n = 4,536; Web of Science n = 4,738; CINAHL n = 1,395; Scopus n = 3,395; Embase n = 1452), of which 6,680 duplicates were removed. After screening 8,836 titles and abstracts, 370 full texts were assessed, yielding 28 eligible studies. Most questionnaires were setting-specific, QoL-focused, and designed for self-report. Across all instruments, 157 unique themes were mapped onto seven QoL dimensions; 'context and environment' and 'social relationships' were most common, whereas 'relationship with staff' and 'physical health' were addressed less often.Discussion and implications: This study provides an overview of conceptual and practical diversity in QoL tools for NH residents. It highlights the absence of a standardized, comprehensive tool tailored to both residents and the NH context.","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Daily closeness discrepancies and marital interaction quality in the context of chronic pain: Mediating effect of loneliness. 慢性疼痛背景下的日常亲密差异与婚姻互动质量：孤独的中介作用。

IF 3.2 2区医学

Gerontologist Pub Date : 2026-05-04 DOI: 10.1093/geront/gnag096

Yan Huang, Lynn M Martire, John M Felt, Harry T Reis

{"title":"Daily closeness discrepancies and marital interaction quality in the context of chronic pain: Mediating effect of loneliness.","authors":"Yan Huang, Lynn M Martire, John M Felt, Harry T Reis","doi":"10.1093/geront/gnag096","DOIUrl":"https://doi.org/10.1093/geront/gnag096","url":null,"abstract":"Background and objectives: Feelings of closeness are key to individual and relational well-being. However, individuals may desire different degrees of relationship closeness compared to the actual closeness they feel with their partners. Such discrepancies in closeness may affect marital interaction quality, especially in the context of chronic pain. This study aimed to investigate associations of daily closeness discrepancies with same-day marital interaction quality and the potential mediating effect of same-day loneliness among older individuals with chronic back pain (ICBPs; N = 147) and their partners.Research design and methods: Participants reported daily actual and desired closeness, marital interaction quality, and loneliness for 30 days. Closeness discrepancy was defined by the absolute value of actual closeness minus desired closeness. Separate multilevel models were run for ICBPs and partners, and the Monte Carlo method was employed in multilevel mediation models.Results: Closeness discrepancies on a given day were significantly related to decreased marital interaction quality that day in both ICBPs and partners, and such daily associations were in part explained by loneliness that day. Specifically, on days when participants reported greater closeness discrepancies, their levels of loneliness were also higher, and loneliness was in turn related to less positive and more negative marital interaction quality. These associations remained significant after including all covariates.Discussion and implications: Findings provide evidence for the daily dynamics of closeness discrepancies and marital interaction quality in the context of chronic pain and suggest loneliness as an indirect psychosocial pathway linking such daily associations in late life.","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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 Modified Sequential Intercept Model for People Living with Dementia to Prevent Interactions with the Criminal System. 一个改进的序贯截距模型，以防止痴呆症患者与犯罪系统的相互作用。

IF 3.2 2区医学

Gerontologist Pub Date : 2026-05-04 DOI: 10.1093/geront/gnag095

Lillian M Morgado, Ana M Tyler, Krystal L Karunungan, Victoria Helmly, Jalayne J Arias

{"title":"A Modified Sequential Intercept Model for People Living with Dementia to Prevent Interactions with the Criminal System.","authors":"Lillian M Morgado, Ana M Tyler, Krystal L Karunungan, Victoria Helmly, Jalayne J Arias","doi":"10.1093/geront/gnag095","DOIUrl":"https://doi.org/10.1093/geront/gnag095","url":null,"abstract":"Background and objectives: People living with dementia (PLWD) may experience symptoms and behaviors that increase the risk of contact with the criminal legal system as arrestees. This manuscript aims to evaluate the Sequential Intercept Model (SIM) as a mechanism of reducing exposure to the criminal system for PLWD.Research design and methods: A secondary analysis of two complementary semi-structured interview studies of legal professionals (study 1) and caregivers of persons affected by frontotemporal dementia (study 2). Both studies collected insights and experiences with dementia-related behavior increasing the risk of contact or as the focus of a criminal charge, arrest, or incarceration. We applied the Framework Method to code, chart, and identify overlapping themes between studies. We compared overlapping themes to the Sequential Intercept Model (SIM)for applicability to PLWD.Results: Thirteen caregivers and fifteen legal practitioners completed interviews across two studies. We observed (1) caregiver interventions and use of pre-crisis resources as key to PLWD avoiding criminal involvement(2) caregivers may not perceive symptoms and behaviors as posing a criminal risk. The SIM lacks pre-crisis resources to reduce risks for criminal-system interaction for PLWD. We propose an adapted model, the Modified Sequential Intercept Model for People Living with Dementia (SIM-D), to integrate 'pre-crisis community resources' and 'crisis' stages.Discussion and implications: We propose SIM-D as a tool to bridge research on PLWD in the community and the justice system. This research will be central to advancing policy and support resources that can mitigate negative consequences of PLWD's exposure to the criminal system.","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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 gamification to improve depressive symptoms among older adults with cognitive impairment: a systematic review and meta-analysis. 游戏化改善老年认知障碍患者抑郁症状的有效性：一项系统回顾和荟萃分析

IF 3.2 2区医学

Gerontologist Pub Date : 2026-05-04 DOI: 10.1093/geront/gnag094

Zhi Chen, Danting Chen, Ziping Zhu, Xinying Lin, Hong Li, Rong Lini

{"title":"Effectiveness of gamification to improve depressive symptoms among older adults with cognitive impairment: a systematic review and meta-analysis.","authors":"Zhi Chen, Danting Chen, Ziping Zhu, Xinying Lin, Hong Li, Rong Lini","doi":"10.1093/geront/gnag094","DOIUrl":"https://doi.org/10.1093/geront/gnag094","url":null,"abstract":"Background and objectives: Cognitive impairment, a growing public health issue linked to aging, is often accompanied by depressive symptoms in older adults. We conducted a systematic review and meta-analysis to assess the effectiveness of gamification in improving depressive symptoms in older adults with cognitive impairment.Research design and methods: Randomized controlled trials investigating the effectiveness of gamification in improving depressive symptoms in older adults with cognitive impairment were included in this study. Methodological quality of included studies was assessed using The Cochrane Risk of Bias Tool version 2, while overall certainty of evidence was evaluated through the GRADE system. Data synthesis was conducted using meta-analysis for quantitative data synthesis, complemented by narrative synthesis where appropriate.Results: Twenty-one randomized controlled trials involving 1385 participants were included in this study. Gamification was modestly but significantly effective in improving depressive symptoms of older adults with cognitive impairment (standardized mean difference = -0.92, 95% CI = -1.25 to -0.60, P < 0.00001). Subgroup analyses based on different depression scales, forms of gamification interventions, intervention durations, and gamification design elements showed that the interventions may reduce depression scores compared with the control condition. The evidence level for depression scores as the primary outcome was rated as moderate.Discussion and implications: Gamification shows promise as a supplementary intervention for reducing depressive symptoms in clinical settings. Future studies should focus on optimizing intervention design and ensuring real-world applicability. Identifying key features linked to symptom improvement can guide the development of more effective therapeutic tools.","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Aging in South Korea: the first penguin of the fastest aging nations. 韩国的老龄化：老龄化最快的国家中的第一只企鹅。

IF 3.2 2区医学

Gerontologist Pub Date : 2026-05-03 DOI: 10.1093/geront/gnag061

Jeongmin Park, Meejung Chin, Kyungmin Kim, Soomi Lee, Alexis R Santos-Lozada

引用次数: 0