Gerontologist最新文献_第6页

Nursing home workforce: perspectives on maintaining and improving staff morale. 养老院员工：维护和提高员工士气的观点。

IF 3.2 2区医学

Gerontologist Pub Date : 2025-09-08 DOI: 10.1093/geront/gnaf171

Dominique H Como, Carin M Wong, Victoria L Shier, Cara Lekovitch, Felicia Chew, Julie Britton, Natalie E Leland

{"title":"Nursing home workforce: perspectives on maintaining and improving staff morale.","authors":"Dominique H Como, Carin M Wong, Victoria L Shier, Cara Lekovitch, Felicia Chew, Julie Britton, Natalie E Leland","doi":"10.1093/geront/gnaf171","DOIUrl":"10.1093/geront/gnaf171","url":null,"abstract":"Background and objectives: To explore nursing home staff perspectives on maintaining and improving staff morale for those who provide direct and indirect care, to residents living with dementia.Research design and methods: This qualitative analysis was embedded within a multisite pragmatic randomized trial that compared two nonpharmacological approaches to providing dementia care. Semistructured interviews with a purposive sample of nursing home staff (n = 327) were conducted. Staff morale emerged from the interview data. A thematic analysis approach was utilized to identify patterns and relationships related to staff morale.Results: Three themes emerged (1) self-care strategies, (2) peer-to-peer support, and (3) leadership approaches and practices. Staff described the use of self-care strategies to support their own mental or physical well-being. Descriptions of peer-to-peer support reflected instances where staff supported one another through teamwork and mentorship. Staff also highlighted how organizational leadership contributed to morale by ensuring staff felt appreciated and supported.Discussion and implications: Results of this study support a multidimensional approach to maintaining and improving nursing home staff morale in order to retain the workforce. Prioritizing staff morale can be manageable even in this challenging health care landscape. Therefore, policies and practices should be put into place to support staff morale.","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745929","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 dynamic microsimulation of health outcomes in Mexico's aging population. 墨西哥老龄化人口健康结果的动态微观模拟[j]。

IF 3.2 2区医学

Gerontologist Pub Date : 2025-09-08 DOI: 10.1093/geront/gnaf177

Hanke Heun-Johnson, Tadeja Gracner, Bryan Tysinger

{"title":"A dynamic microsimulation of health outcomes in Mexico's aging population.","authors":"Hanke Heun-Johnson, Tadeja Gracner, Bryan Tysinger","doi":"10.1093/geront/gnaf177","DOIUrl":"10.1093/geront/gnaf177","url":null,"abstract":"Background and objectives: Mexico faces health policy challenges because of rising prevalence of health conditions, a rapidly aging population, and disparities in health care access. Nationally representative longitudinal surveys released in recent years allow for projections of health care needs that can support policymakers to mitigate these challenges. This study validates the Mexico Future Older Adult Model (MFOAM), a dynamic microsimulation model for Mexico's aging population. Using 2012-2018 data from individuals aged 51+ years in the Mexican Health and Aging Study (MHAS), the simulation builds on the Future Elderly Model from the United States.Research design and methods: The model predicts lifetime health outcomes and risk factors, functional limitations, and mortality. Internal validation compares simulation outcomes to survey data at the individual and cohort level. External validation compares outcomes with 2012-2021 data from the National Health and Nutrition Survey (ENSANUT).Results: Internal and external validation showed robust performance. Population projections indicated almost a doubling of the 51+ population in Mexico between 2018 and 2051, with increasing prevalence of hypertension (52.3% to 66.1%), diabetes (24.6% to 31.9%), respiratory disease (10.2% to 15.1%), myocardial infarction (5.5% to 9.7%), stroke (4.3% to 8.0%), cancer (3.6% to 7.0%), and functional limitations (6.6% to 10.2%), reflecting national health trends.Discussion and implications: The MFOAM projects population outcomes through 2051, or specific age cohorts until all members reach the end of their lives. Harmonized variables from the Gateway to Global Aging allow for cross-country comparisons and expansion with other health and economic variables. These forecasts help support policy planning and health care strategies in Mexico.","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12453544/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977881","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}

引用次数: 0

Development and validation of a carer need screening tool (CNST-11) for carers of older adults: a need-stratified tool for services matching. 老年人照护者需求筛选工具（CNST-11）的开发与验证：服务匹配的需求分层工具。

IF 3.2 2区医学

Gerontologist Pub Date : 2025-09-08 DOI: 10.1093/geront/gnaf151

Vivian Weiqun Lou, Sonia Kin Lai Chan, Vera Mun Yu Tang, Tarani Chandola, Wai Sze Chan, Jianchao Quan, Terry Yat Sang Lum, Tom Chun Wai Tsoi, Wendie Wenyi Lin, Dara Kiu Yi Leung

{"title":"Development and validation of a carer need screening tool (CNST-11) for carers of older adults: a need-stratified tool for services matching.","authors":"Vivian Weiqun Lou, Sonia Kin Lai Chan, Vera Mun Yu Tang, Tarani Chandola, Wai Sze Chan, Jianchao Quan, Terry Yat Sang Lum, Tom Chun Wai Tsoi, Wendie Wenyi Lin, Dara Kiu Yi Leung","doi":"10.1093/geront/gnaf151","DOIUrl":"10.1093/geront/gnaf151","url":null,"abstract":"Background and objectives: Carers play an imperative role in enabling older adults to age in place. Enhancing support for carers is increasingly recognized as essential to the social welfare system. The study aims to develop and validate a short self-administration Carer Need Screening Tool (CNST-11) to enable carers' understanding of their needs in caring for older adults and inform service providers for need-stratified intervention matching.Research design and methods: The scale was developed through a three-phase approach. Items were generated via literature review, two rounds of Delphi study with 48 experts and a focus group with 10 carers of older adults at Phase I. Survey data of 803 carers was used to perform item reduction analysis at Phase II. Need stratification and psychometric property analysis were performed at Phase III.Results: The CNST-11 consists of 11 items from the 37 items generated at Phase I. A revised two-factor model considering clinical applicability was adapted based on exploratory factor analysis (EFA) and supported by confirmatory factor analysis (CFA) with excellent fit (CFI=0.955, RMSEA=0.052). Cronbach's alpha of the CNST-11 was 0.818. Concurrent and divergent validity were achieved.Discussion and implications: The CRNT-11 is the first screening tool for carers of older adults, developed by considering both stakeholders' opinions and validated empirical data, that adopted an outcome-oriented approach in item selection. It provides helping professionals with a brief and reliable tool for quick screening and need stratification, which enables the provision of timely and accurate support services to carers in different caregiving stages.","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12453543/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509308","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}

引用次数: 0

Demographic shifts and aging in the middle of the world: health challenges and policy opportunities in Ecuador. 世界中部的人口变化和老龄化：厄瓜多尔的卫生挑战和政策机遇。

IF 3.2 2区医学

Gerontologist Pub Date : 2025-09-08 DOI: 10.1093/geront/gnaf176

Marco Faytong-Haro, Alonso Quijano-Ruiz, Daniel Sánchez-Pazmiño, Sebastián Salazar-Nicholls, Andrea X Gómez Ayora, Dayana Tipán Jiménez, Omar Galarraga, Alexis R Santos-Lozada

{"title":"Demographic shifts and aging in the middle of the world: health challenges and policy opportunities in Ecuador.","authors":"Marco Faytong-Haro, Alonso Quijano-Ruiz, Daniel Sánchez-Pazmiño, Sebastián Salazar-Nicholls, Andrea X Gómez Ayora, Dayana Tipán Jiménez, Omar Galarraga, Alexis R Santos-Lozada","doi":"10.1093/geront/gnaf176","DOIUrl":"10.1093/geront/gnaf176","url":null,"abstract":"Ecuador is a middle-income country in South America with approximately 18 million residents. While still young, the country is undergoing a demographic shift that has led to an aging population. The percent of adults aged 65 and above is projected to increase from 7.84% in 2022 to nearly 18% by 2050. This transformation presents substantial challenges that require social and policy solutions. Gerontological research in Ecuador has largely emphasized biomedical science. National datasets, including the Survey of Health, Welfare, and Aging (SABE), the National Health and Nutrition Survey (ENSANUT), and the Atahualpa Project, have provided valuable insights into population health. However, gaps remain due to the absence of national and longitudinal data that capture the population subgroups that call Ecuador their home. We conclude by emphasizing the need to address national issues such as: ensuring social security coverage, strengthening poverty alleviation programs, and improving access to healthcare. By addressing these issues, Ecuador will be better equipped to meet the evolving needs of its aging population.","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735200","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

"I know you didn't want to stay": emergency department conversations about disposition for people living with dementia. “我知道你不想留下来”：关于痴呆症患者处置的急诊科对话。

IF 3.2 2区医学

Gerontologist Pub Date : 2025-09-08 DOI: 10.1093/geront/gnaf184

Justine Seidenfeld, Matthew Tucker, Melissa Harris-Gersten, Gemmae M Fix, Nina R Sperber, Susan N Hastings

{"title":"\"I know you didn't want to stay\": emergency department conversations about disposition for people living with dementia.","authors":"Justine Seidenfeld, Matthew Tucker, Melissa Harris-Gersten, Gemmae M Fix, Nina R Sperber, Susan N Hastings","doi":"10.1093/geront/gnaf184","DOIUrl":"10.1093/geront/gnaf184","url":null,"abstract":"Background and objectives: When people living with dementia present to the emergency department (ED), the disposition decision-to admit them to the hospital or discharge them home-can be difficult for providers. However, little is known about current real-world practices in disposition conversations.Research design and methods: This ethnographic study used direct observations of ED encounters with people living with dementia, their care partners, and ED providers at a Veteran Affairs facility in the Southeast United States. Follow-up interviews were conducted with patients and care partners. Interview guides and code book were informed by the Ottawa Decision Support Framework. Data were analyzed using the constant comparative method.Results: Data were collected over 45 days, with 20 ED encounters, 18 follow-up interviews, and baseline surveys obtained. For the 20 Veteran participants living with dementia, all were male, mean age was 79.4, and 50% were Black or African American. Major themes included: (1) Disposition conversations had significant variation in depth and content, (2) patient and care partner participation varied with disposition, and (3) satisfaction was driven by alignment of disposition preferences.Discussion and implications: Our study suggests that there are no consistent formats of disposition conversations for people living with dementia. Improving quality may be most needed when preferences are misaligned, and this should be identified early in the encounter.","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12370273/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977894","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}

引用次数: 0

A latent class analysis of instrumental activities of daily living for Mexican American caregiver health. 墨西哥裔美国照护者日常生活工具活动的潜在类别分析。

IF 3.2 2区医学

Gerontologist Pub Date : 2025-09-08 DOI: 10.1093/geront/gnaf164

Suyoung Kim, Jacqueline L Angel, Sunshine Rote, Flavia Cristina Drumond Andrade, Philip Cantu

{"title":"A latent class analysis of instrumental activities of daily living for Mexican American caregiver health.","authors":"Suyoung Kim, Jacqueline L Angel, Sunshine Rote, Flavia Cristina Drumond Andrade, Philip Cantu","doi":"10.1093/geront/gnaf164","DOIUrl":"10.1093/geront/gnaf164","url":null,"abstract":"Background and objectives: Mexican American caregivers often face time-intensive responsibilities; however, studies examining the diverse caregiving needs within this group remain limited. This study (1) utilizes latent class analysis (LCA) to classify caregivers based on care recipient instrumental activities of daily living (IADLs) care needs and (2) examines caregiver psychological outcomes by care recipient support needs.Research design and methods: Data from the Hispanic Established Populations for the Epidemiologic Study of the Elderly (Wave 7, N = 888) were analyzed using LCA. Characteristics of caregivers and care recipients were included as predictors to identify latent classes of IADL care needs, and caregivers' perceived stress, depression, and overall life satisfaction were investigated as outcomes.Results: Mexican American caregivers were classified into four distinct groups based on the care recipient IADL care needs: comprehensive (38%), social task (29%), minimal (23%), and physical mobility only (10%). Care recipients' cognitive functioning, nativity status, and caregiver homeownership status were associated with the IADL latent classes. Caregivers providing comprehensive assistance reported the highest perceived stress, while those assisting with social tasks had the lowest perceived stress. Depressive symptoms were more prevalent among caregivers assisting with comprehensive needs or physical mobility-related IADLs, whereas caregiver life satisfaction did not have significant differences.Discussion and implications: Caregiving needs, especially for physical mobility and comprehensive care, are associated with a greater psychological burden for caregivers. Targeted, culturally competent interventions aimed at improving the mental health of Mexican American caregivers should address the unique challenges with mobility and comprehensive care needs.","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144664074","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

Do Social Security benefits rules perpetuate marital status and gender inequalities? 社会保障福利制度是否使婚姻状况和性别不平等永久化？

IF 3.2 2区医学

Gerontologist Pub Date : 2025-09-08 DOI: 10.1093/geront/gnaf158

Deborah Carr, Leping Wang, Pamela J Smock

{"title":"Do Social Security benefits rules perpetuate marital status and gender inequalities?","authors":"Deborah Carr, Leping Wang, Pamela J Smock","doi":"10.1093/geront/gnaf158","DOIUrl":"10.1093/geront/gnaf158","url":null,"abstract":"Background and objectives: Social Security benefits rules privilege married persons and penalize divorced, prematurely widowed, and lifelong single older adults. Program rules may be an engine driving cumulative (dis)advantage, because marriage is increasingly an institution of economically privileged persons. Women are more likely than men to be divorced or prematurely widowed, increasing their vulnerability to late-life economic insecurity. We examine Social Security and household income, and poverty rates of White older adults based on marital categories aligned with Social Security benefits rules: (re)married; divorced (after short vs long marriage), widowed (before vs after the age of 65 years), and never married.Research design and methods: Data are from the Wisconsin Longitudinal Study, which tracked White high school graduates from age 18 years (1957) to age 72 years (2011). Our analytic sample includes 5,269 persons (2,498 men and 2,711 women). We used ordinary least squares (OLS) and logistic regression to estimate Social Security income, household income, and poverty status at age 72, adjusted for covariates. We tested two-way interaction terms to evaluate gender differences across marital categories.Results: Fully adjusted models show that married older adults have higher Social Security and household income and lower poverty rates than all unmarried categories. Divorced women, regardless of marital duration, fare worst across all outcomes. Prematurely widowed persons are worse off than those widowed at older ages. Never-married men are less financially secure than other men.Discussion and implications: Revisions to Social Security, including caregiver credits for years in which a worker had no/low earnings, could mitigate disparities in late-life economic security.","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509309","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

Caregiving network precarity among community-living, dually enrolled persons with dementia. 社区生活、双重登记的痴呆症患者护理网络的不稳定性。

IF 3.2 2区医学

Gerontologist Pub Date : 2025-09-08 DOI: 10.1093/geront/gnaf156

Julia G Burgdorf, David Russell, Chanee D Fabius, Katherine E M Miller, Jennifer M Reckrey

{"title":"Caregiving network precarity among community-living, dually enrolled persons with dementia.","authors":"Julia G Burgdorf, David Russell, Chanee D Fabius, Katherine E M Miller, Jennifer M Reckrey","doi":"10.1093/geront/gnaf156","DOIUrl":"10.1093/geront/gnaf156","url":null,"abstract":"Background and objectives: Most persons with dementia live in the community, relying on caregiving networks to meet their needs. Caregiving network precarity refers to insecurity or instability in these networks, defined as caregiver(s) being unable or unwilling to continue in their role. Given the importance of caregiving to aging in place and the high burden associated with dementia caregiving, we sought to identify factors associated with caregiving network precarity for community-living, dually enrolled persons with dementia.Research design and methods: We linked 2021-2022 administrative, claims, and clinical assessment (baseline and follow-up) data for a diverse sample of community-living, dually enrolled persons with dementia in New York State. We operationalized caregiving network precarity as having one or more caregivers report being unable or unwilling to continue providing care. We modelled incident caregiving network precarity as a function of care recipient characteristics, health services utilization, and caregiving network factors using multivariable logistic regression.Results: Declines in health status among care recipients were strongly associated with caregiving network precarity. Individuals were more likely to experience caregiving network precarity if they had recently experienced an increase in cognitive impairment (aOR: 2.98; 95% CI: 1.97-4.51), functional impairment (aOR: 1.71; 95% CI: 1.07-2.74), or bowel incontinence frequency (aOR: 2.33; 95% CI: 1.38-3.93), or began resisting care (aOR: 2.47; 95% CI: 1.69-3.61).Discussion and implications: Findings highlight the importance of identifying and addressing shifts in care recipient status and offering targeted supports to caregivers during key inflection points in the care recipient's disease trajectory.","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12453545/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509307","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}

引用次数: 0

Ageing behind bars: a photovoice study in a geromedical prison unit. 监狱老化：在老年医学监狱单位的光声研究。

IF 3.2 2区医学

Gerontologist Pub Date : 2025-09-08 DOI: 10.1093/geront/gnaf165

Diete Humblet

{"title":"Ageing behind bars: a photovoice study in a geromedical prison unit.","authors":"Diete Humblet","doi":"10.1093/geront/gnaf165","DOIUrl":"10.1093/geront/gnaf165","url":null,"abstract":"Background and objectives: This study aims to uncover the lived experiences and lifeworld of incarcerated older adults within an underexamined type of carceral setting, through direct engagement with their voices and perspectives.Research design and methods: By drawing on a Photovoice methodology, the study explored the everyday life of seven incarcerated male older adults (Mage = 68, range = 60-79) residing in a geromedical unit within a Flemish prison, located in northern Belgium. Over the course of 1 week, participants captured their lifeworld through photography, followed by individual photo-elicited interviews and one focus group interview. Participant observation provided additional contextual insights. Data are analyzed using a thematic analysis with an inductive approach.Results: Three identified themes capture how residents manifested, experienced, and navigated daily life in this prison unit: (1) silent stigma and taint (Figure 1), (2) systemic segregation and isolation (Figure 2), and (3) resilience and redemption (Figures 3 and 4). These themes illuminate the lifeworld of the residents while providing insight into the cultural norms and attitudes prevalent in this unit. Through the use of Photovoice, the study does not only provide a unique platform for participants to share their experiences but also empowers them as active agents in (re)shaping knowledge on carceral ageing.Discussion and implications: The study highlights the wealth of participants' experiences. It offers valuable insights to inform the development of prison policies, programs, and practices to cultivate positive norms, relationships, and attitudes that challenge and dismantle negative attitudes and systemic barriers associated with carceral ageing.","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735199","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

Reliability and validity of The Assessment of Readiness for Mobility Transition short form. 机动过渡短形式（arm - sf）准备评估的信度和效度。

IF 3.2 2区医学

Gerontologist Pub Date : 2025-09-08 DOI: 10.1093/geront/gnaf185

Kellia J Hansmann, Mary Bachman DeSilva, Thomas M Meuser

{"title":"Reliability and validity of The Assessment of Readiness for Mobility Transition short form.","authors":"Kellia J Hansmann, Mary Bachman DeSilva, Thomas M Meuser","doi":"10.1093/geront/gnaf185","DOIUrl":"10.1093/geront/gnaf185","url":null,"abstract":"Background and objectives: Some adults outlive their driving life expectancy and face retirement from driving. The Assessment of Readiness for Mobility Transition (ARMT) is a 24-item tool designed to measure emotional and attitudinal readiness for such a transition. The objective of this study was to determine the reliability and validity of an eight-item Short Form (ARMT-SF) to increase the feasibility of using this tool in time-constrained clinical contexts.Research design and methods: We conducted factor analysis of ARMT-SF items in a sample of community-dwelling older adults (n = 304; age = 55-96 years) from New England who completed annual wellness surveys in 2019-2021. We used principal component analyses to compare (1) factor structure of the ARMT-SF to the original ARMT and (2) correlations between the ARMT-SF and other gerontological assessments.Results: Participants were White (98%), female (74%), married/partnered (67%), and retired (71%). We identified three factors (Eigenvalues > 1) which accounted for 61% of variance. Seven of the items loaded distinctly on these factors. Validity correlations showed the ARMT-SF is not associated with age, but is associated with depression, anxiety, and perceived cognitive decline.Discussion and implications: The ARMT-SF is a valid instrument to assess attitudinal and emotional readiness for a mobility transition. This readiness construct is embedded in broader aging-related adjustment and so relevant to geriatric assessment. By using this brief screening tool to identify patients' readiness for change and tailor communication and care planning accordingly, clinicians may be able to reduce time barriers to important mobility transition counseling.","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12450281/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977885","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}

引用次数: 0