Gerontologist最新文献

{"title":"Establishing Clinically Operational Domains of Multidimensional Frailty: A Consensus Approach to Improve Multidimensional Frailty Diagnosis at Point of Care.","authors":"Lauren M Shapiro, Shipra Arya, Ehsan Adeli, Michael Fredericson, Robert M Kaplan, Sara L Eppler, Karl Lorenz, Kate Lorig, Julianna Marwell, Cliff Schmiesing, Robin Schroeder, Kevin Schulman, Ranak Trivedi, Robin N Kamal","doi":"10.1093/geront/gnae183","DOIUrl":"10.1093/geront/gnae183","url":null,"abstract":"<p><strong>Background and objectives: </strong>Frailty is common among older patients; however, there is a lack of agreement on methods to diagnose and monitor frailty at point of care. The purpose of this study was to establish consensus on important, feasible, and usable domains for point-of-care frailty assessment within all conceptual models of frailty.</p><p><strong>Research design and methods: </strong>We reviewed instruments that assess frailty and extracted the domains measured by each tool. We developed 3 use cases for frailty assessment, which provided context for voters: (1) longitudinal tracking of frailty in the aging patient (>50 years), (2) preoperative evaluation of frailty before surgery in adults (>50 years), and (3) discharge disposition after hospital admission in adults (>50 years). We conducted a modified RAND Corporation/University of California Los Angeles Delphi with a panel of 11 experts. Panelists rated each domain for each use case on a scale from 1 to 9, where 1 is definitely not important/feasible/usable and 9 is definitely important/feasible/usable.</p><p><strong>Results: </strong>Panelists achieved agreement on the following domains for the respective clinical use cases: Physical Strength 1, 2, and 3; Balance 1 and 3; Cognition 1, 2, and 3; Nutrition 1; Physical Activity 1, 2, and 3; Depression 1; Disease 1, 2, and 3; and Social Environment 1 and 3. The remaining items were indeterminate.</p><p><strong>Discussion and implications: </strong>We established consensus on 8 domains of frailty across 3 use cases. These results can inform the measurement of domains to diagnose, monitor, and inform the management of frailty within the defined use cases.</p>","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":4.6,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143677410","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}

{"title":"Development of a Mindfulness and Self-compassion (MASC) Stress Reduction Program for Caregivers of Persons With Dementia With Behavioral Symptoms.","authors":"Sarah M Stone, Natalia Giraldo-Santiago, Angela Miller, Arden O'Donnell, Aniyah Travis, Christine S Ritchie, Ana-Maria Vranceanu","doi":"10.1093/geront/gnaf058","DOIUrl":"10.1093/geront/gnaf058","url":null,"abstract":"<p><strong>Background and objectives: </strong>Caregivers of persons living with dementia experience high stress triggered by the behavioral symptoms of care-recipients. Current stress management interventions exist but are primarily focused on providing support or education targeting general caregiving stress. We need caregiver interventions that also address stress triggered by the behavioral symptoms of persons living with dementia. Here, we showcase the development of the Mindfulness and Self Compassionate Care program (MASC), a new program that integrates emotional regulation skills (mindfulness, compassion, and self-compassion), with practical strategies to manage behavioral symptoms in persons living with dementia.</p><p><strong>Research design and methods: </strong>In this mixed-methods study, we conducted 5 focus groups (N = 28) with a racially and socioeconomically diverse sample of stressed caregivers of persons living with dementia who endorse behavioral symptoms. We aimed to understand their needs, preferences, and perceptions of the proposed MASC skills. Twenty-four of these caregivers completed an optional quantitative survey. We used a hybrid inductive-deductive approach for qualitative analyses and descriptive statistics to analyze quantitative data.</p><p><strong>Results: </strong>Qualitative analyses showed high stress in caregivers stemming from their care-recipients behavioral symptoms. Caregivers reported interest in a program like MASC, liked the proposed skills, and provided recommendations to enhance the program's format and content. Quantitative analyses supported the need of the program and the interrelation between program mechanisms and outcomes.</p><p><strong>Discussion and implications: </strong>Caregivers provided valuable information for adapting the program content and methodology. Current work includes an open pilot with exit interviews to refine the program with the goal of efficacy testing and implementation.</p>","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":4.6,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11973559/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility and Acceptability of Engaging Care Partners of Persons Living With Dementia With Electronic Outreach for Deprescribing.","authors":"Katharina Tabea Jungo, Niteesh K Choudhry, Edward R Marcantonio, Gauri Bhatkhande, Katherine L Crum, Nancy Haff, Kaitlin E Hanken, Julie C Lauffenburger","doi":"10.1093/geront/gnaf028","DOIUrl":"10.1093/geront/gnaf028","url":null,"abstract":"<p><strong>Background and objectives: </strong>Care partners are critical for making treatment decisions in persons living with dementia. However, identifying them is challenging, hindering the broader use of interventions, such as those using digital technologies. We aimed to (i) assess the feasibility of identifying and contacting care partners using electronic health record (EHR) systems, and (ii) elicit their perspectives on electronic interventions for deprescribing.</p><p><strong>Research design and methods: </strong>We systematically identified care partners of persons living with dementia ≥65 years of age via structured EHR data in a large health care system. Eligible care partners were contacted by patient portal (if they were an established proxy), mail, and phone to complete a survey.</p><p><strong>Results: </strong>Of 4,138 eligible persons living with dementia identified, 1,084 (26%) had a care partner name recorded in the EHR. Out of 259 (6%) with sufficient care partner contact information for outreach, 74 (29%) completed the survey. Among care partners, 62 (84%) reported being confident in managing dementia medications, 59 (80%) were willing to stop ≥1 medications, and 43 (58%) were very/extremely interested in using digital tools for decision-making.</p><p><strong>Discussion and implications: </strong>Despite the low percentage of care partners with sufficient contact information, reach rates were high for contacted care partners, suggesting feasibility for pragmatic system-level interventions. Most care partners showed great interest in using digital health tools for decision-making and managing medications. Therefore, electronic tools could help with identifying care partners and engaging them. However, scaling up interventions requires better care partner documentation or extracting information from free text.</p>","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":4.6,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11959457/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How Are Dehumanizing Perceptions of Homelessness Associated With Age?","authors":"Brooke Dolenc Nott, Daniel P Dowhower, Melissa L Cannon, Kathryn A Setter","doi":"10.1093/geront/gnaf026","DOIUrl":"10.1093/geront/gnaf026","url":null,"abstract":"<p><strong>Background and objectives: </strong>Increasing numbers of unhoused older individuals in the United States underscores the urgency for tailored services and support. Previous studies demonstrate prevalent negative attitudes and dehumanizing perceptions toward unhoused people. Additionally, past research highlights the influence of ageism and dehumanization on the care older adults receive. However, limited work addresses the layered dehumanization faced by unhoused aging individuals. This study investigated how dehumanizing perceptions of homelessness were associated with age.</p><p><strong>Research design and methods: </strong>In this experimental study, participants (N = 399; Mage = 23) were randomly assigned to scenarios depicting unhoused individuals who were discernibly either older or younger. Participants were prompted with different empathy tasks and assessed on dehumanization levels.</p><p><strong>Results: </strong>Results revealed older unhoused individuals faced significantly higher levels of dehumanization compared to their younger counterparts. Findings also indicated that older participants and male participants demonstrated stronger dehumanization toward unhoused adults.</p><p><strong>Discussion and implications: </strong>Dehumanization may be intensified for unhoused aging individuals due to their intersecting identities. In turn, this may affect willingness to provide care and the quality of services offered, impacting care settings, medical facilities, and policies focused on homelessness. This research sheds light on the complexities of dehumanization, emphasizing the urgency to address these linked biases to create more inclusive and supportive environments for unhoused aging individuals.</p>","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":4.6,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061108","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}

{"title":"Influence of Birthplace and Age at Migration on Cognitive Aging Among Hispanic/Latino Populations in the United States: Study of Latinos-Investigation of Neurocognitive Aging.","authors":"Mao-Mei Liu, Ariana M Stickel, Wassim Tarraf, Lehan Li, Krista M Perreira, Fernando Riosmena, Melissa Lamar, Fernando D Testai, Linda C Gallo, Tanya P Garcia, Jorge J Llibre-Guerra, Carmen R Isasi, Richard B Lipton, Martha Daviglus, William H Dow, Hector M González","doi":"10.1093/geront/gnaf009","DOIUrl":"10.1093/geront/gnaf009","url":null,"abstract":"<p><strong>Background and objectives: </strong>Although Hispanic/Latino populations in the United States are remarkably diverse in terms of birthplace and age at migration, we poorly understand how these factors are associated with cognitive aging. Our research seeks to operationalize a life course perspective of migration and health and contribute new understanding of Alzheimer's disease/Alzheimer's disease-related dementias among U.S.-based Hispanic/Latino older adults.</p><p><strong>Research design and methods: </strong>Harnessing the Hispanic Community Health Study/Study of Latinos (n = 16,415) and the Study of Latinos-Investigation of Neurocognitive Aging (n = 6,377) data, we compare baseline cognition and 7-year cognitive change among U.S./mainland-born Hispanic/Latino adults relative to foreign/island-born immigrants by age of migration (4 groups: born in mainland United States, immigrated <16 years, 16-34 years, >34 years). Global cognition was calculated as a composite measure, and domain-specific measures were considered in secondary analyses. We employed linear regressions, ANOVA contrasts, and Blinder-Oaxaca decomposition techniques.</p><p><strong>Results: </strong>All Hispanic/Latino immigrant adults, regardless of age at migration, have a cognitive health disadvantage (at each visit and over time) relative to U.S./mainland-born Hispanic/Latino individuals. Differences did not endure the inclusion of covariates and were explained predominantly by first socioeconomic and then acculturative factors, and far less by health and health behaviors. Acculturative factors are particularly important for individuals who migrated after childhood.</p><p><strong>Discussion and implications: </strong>Socioeconomic and acculturation factors have outsized roles in explaining gaps in cognitive aging among U.S.-born and migrant Hispanic/Latino adults. It is then vital to examine whether disrupting socioeconomic and acculturation inequalities closes such gaps in cognitive aging.</p>","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":4.6,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11973561/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Resilience Profiles Among Grandparents Raising Grandchildren in the United States: White and Black Differences.","authors":"Yanfeng Xu, Fei Pei, Nancy Mendoza, Theresa M Harrison","doi":"10.1093/geront/gnaf032","DOIUrl":"10.1093/geront/gnaf032","url":null,"abstract":"<p><strong>Background and objectives: </strong>Grandparents raising grandchildren face many challenges and stress regardless of race and ethnicity; however, they are generally resilient. The present study aims to classify resilience profiles of these grandfamilies using a person-centered approach and examine the association of race and ethnicity with these profiles.</p><p><strong>Research design and methods: </strong>The present study analyzed cross-sectional survey data collected from grandparents raising grandchildren in the United States (N = 287). A latent profile analysis was conducted.</p><p><strong>Results: </strong>Latent profile analysis identified 2 distinct latent profiles: (a) Profile 1: high interpersonal support but low spirituality and family confidence, and (b) Profile 2: low interpersonal support but high spirituality and family confidence. Results indicated that Black grandfamilies were more likely to be in Profile 2 compared to their White counterparts.</p><p><strong>Discussion and implications: </strong>This suggests the importance of recognizing grandfamilies' different resilience profiles, particularly between Black and White grandfamilies, to develop and implement tailored interventions that leverage their resilience to overcome challenges and stress.</p>","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":4.6,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061307","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}

{"title":"Codesigning Training for Health Providers to Improve Detection and Response to Elder Abuse.","authors":"Bianca Brijnath, Marina G Cavuoto, Peter Feldman, Briony Dow, Josefine Antoniades, Joan Ostaszkiewicz, Sigrid Nakrem, Catriona Stevens, Patricia Reyes, Gianna Renshaw, Micah D J Peters, Andrew Gilbert, Elizabeth Manias, Duncan Mortimer, Joanne Enticott, Claudia Cooper, Cheryl Durston, Brenda Appleton, Meghan O'Brien, Marion Eckert, Simona Markusevska","doi":"10.1093/geront/gnae153","DOIUrl":"10.1093/geront/gnae153","url":null,"abstract":"<p><strong>Background and objectives: </strong>Screening for elder abuse can improve detection, but many health providers lack the necessary skills and confidence. To address this, training for health providers on elder abuse screening was codesigned as part of a trial aimed at improving elder abuse detection and response.</p><p><strong>Research design and methods: </strong>Between March and April 2023, 7 health providers and 10 older people and family carers participated in 2 national Australian online codesign workshops. Using the World Café method, discussions focused on what knowledge and skills health providers needed for screening; clinical and social issues affecting screening and referral; and support older people needed throughout the process. Data were thematically analyzed.</p><p><strong>Results: </strong>Participants said health providers should take a trauma-informed, person-centered approach to screening, and explain the limits of confidentiality to older people. Clinical, social, and systemic issues such as dementia, ethnic diversity, and housing availability complicated screening and referrals. To facilitate disclosure, participants said health providers needed to reflect on whether they held ageist views. There were differing opinions on the length of the training and whether all health providers or only social workers should screen for abuse.</p><p><strong>Discussion and implications: </strong>Participants' feedback on trauma-informed care, consent, and cognitive impairment concorded with evidence on best practice responses to elder abuse and were integrated into the training. Given operational constraints in health services, feedback from health providers about the training length and the inclusion of all health providers in screening were prioritized. The training is being evaluated in a national trial.</p>","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":4.6,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11971684/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Daily Cognition in the Family Context: The Complex Associations Between Memory Lapses, Family Relationships, and Affect in Middle-Aged and Older Adults.","authors":"Heejung Jang, Nikki L Hill, Jennifer R Turner, David M Almeida, Mijin Jeong, Jacqueline Mogle PhD","doi":"10.1093/geront/gnaf035","DOIUrl":"10.1093/geront/gnaf035","url":null,"abstract":"<p><strong>Background and objectives: </strong>The analysis of daily memory lapses is an underutilized approach to understanding daily experiences of cognitive functioning. The present study adopts this approach, with the goals of exploring how the quality of family relationships predicts the frequency of daily memory lapses and moderates the link between daily memory lapses and daily affect.</p><p><strong>Research design and methods: </strong>We used longitudinal data from the third wave of Midlife in the United States and the National Study of Daily Experiences to assess our research goals. Participants (N = 1,236; Mage = 62.48 years, SD = 10.21, range 43-91; 57% female) completed 8 nightly telephone interviews that included reports of prospective and retrospective memory lapses as well as daily positive and negative affect.</p><p><strong>Results: </strong>During a separate baseline interview, participants reported the emotional support they received from their family. Latent profile analysis models identified 4 family relationship types: pleasant, ambivalent, neutral, and unpleasant. Compared with pleasant relationships, ambivalent (b = .23, p < .05) and neutral (b = .35, p < .01) relationships significantly predicted a higher frequency of prospective memory lapses; this effect was not found among retrospective lapses. In addition, relative to pleasant relationships, ambivalent (b = .02, p < .05), neutral (b = .02, p < .05), and unpleasant (b = .07, p < .001) relationships were associated with increased negative affect on days with a retrospective lapse, but not prospective lapse.</p><p><strong>Discussion and implications: </strong>This study contributes to the literature by revealing that family relationships are related to the memory lapses individuals experience in their daily lives, and identifies how lapses might contribute to affective symptom load over time.</p>","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":4.6,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11971686/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Opportunities to Digitally Enable Falls Prevention in Older Adults.","authors":"Hannah Gulline, Angela Melder, Anna Barker, Marissa Dickins, Karen Smith, Darshini Ayton","doi":"10.1093/geront/gnaf016","DOIUrl":"10.1093/geront/gnaf016","url":null,"abstract":"<p><p>Falls are a serious problem confronting older adults. Evidence demonstrates that multifactorial interventions that target multiple risk factors can reduce falls. However, resource and access constraints affect intervention uptake and sustainability. In comparison, digitally enabled interventions have the potential to provide greater support and convenience whilst being tailored to an individual. Although digital advancements present an opportunity to improve access, scalability, and sustainability, there is limited knowledge on how to digitally enable traditional interventions. In this article, we summarize the academic literature on digital falls prevention and propose future research directions for digital falls prevention. We examine barriers and enablers to digital falls prevention in aged care, although, given the scarcity of evidence, we draw on lessons from other digital healthcare innovations.</p>","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":4.6,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11934268/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Care Recipients' Cognitive Trajectories and Caregivers' Depressive Symptoms: The Mediating Role of Caregiving Burden.","authors":"Yifan Lou, Jiaowei Gong, Emma Zang","doi":"10.1093/geront/gnaf024","DOIUrl":"10.1093/geront/gnaf024","url":null,"abstract":"<p><strong>Background and objectives: </strong>The heterogeneity of population-based trajectories of care recipients' (CRs) cognitive functioning and how they are associated with their caregivers' mental health is less studied in the United States. Informed by the stress process model, this study examines the relationship between care recipients' cognitive trajectories and caregivers' depressive symptoms, and the mediating role of caregiving burden.</p><p><strong>Research design and methods: </strong>Data were from the National Health and Aging Trends Study (2011-2020) for 1,086 care recipients and their 1,675 caregivers from the 2021 National Study of Caregiving. We applied Bayesian group-based trajectory modeling to identify distinct cognitive trajectory groups among care recipients. Hierarchical linear models were then used to examine the associations between these trajectory group memberships and caregivers' depressive symptoms. Finally, Gelbach decomposition analysis was conducted to investigate the mediating role of physical, emotional, and financial caregiving burden.</p><p><strong>Results: </strong>Five cognitive trajectories were identified among care recipients: \"high start, stable\" (11.81%), \"medium-high start, slight decline\" (31.83%), \"medium start, slight decline\" (27.72%), \"medium-low start, sharp decline\" (20.60%), and \"low start, sharp decline\" (8.04%). Worse cognitive trajectories (e.g., lower baselines and steeper slopes) were associated with increasing caregivers' depressive symptoms; financial, emotional, and physical caregiving burdens jointly explained 63.5% of this association. Emotional caregiving difficulty is the most important contributing caregiving burden, explaining 49.6% of the observed association.</p><p><strong>Discussion and implications: </strong>When understanding caregiving experiences, it is critical to consider longitudinal cognitive course among care recipients. Interventions targeting multiple aspects of caregiving burden, especially emotional burden, should be prioritized.</p>","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":4.6,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11934274/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}