Sage open aging最新文献_第3页

Investigating the Relationship Between Caregiver Burden and Health Literacy Among Caregivers of Older Adult Stroke Survivors: A Comparison Between Iran and Iraq. 调查老年中风幸存者照顾者负担与健康素养之间的关系：伊朗和伊拉克的比较

Sage open aging Pub Date : 2026-05-13 eCollection Date: 2026-01-01 DOI: 10.1177/30495334261443855

Najmeh Valizadeh Zare, Hassan Mohammad Ahmad, Akram Ghanbari Moghaddam, Mohammed Aljanabi, Tahereh Sadeghi, Mohammad Namazinia

{"title":"Investigating the Relationship Between Caregiver Burden and Health Literacy Among Caregivers of Older Adult Stroke Survivors: A Comparison Between Iran and Iraq.","authors":"Najmeh Valizadeh Zare, Hassan Mohammad Ahmad, Akram Ghanbari Moghaddam, Mohammed Aljanabi, Tahereh Sadeghi, Mohammad Namazinia","doi":"10.1177/30495334261443855","DOIUrl":"10.1177/30495334261443855","url":null,"abstract":"The growing aging population has led to an increasing number of older adults with chronic illnesses such as stroke, placing significant caregiving responsibilities on informal caregivers. However, little is known about how health literacy (HL) affects caregiver burden (CB), particularly in Middle Eastern countries. This study explores the relationship between CB and HL among informal caregivers of older adult stroke survivors in Iran and Iraq. Conducted in 2021 with 300 participants selected through convenience sampling from Ghaem Hospital in Iran and Al-Sadr Hospital in Iraq, data were collected using the Health Literacy Instrument for Adults (HELIA) and the Caregiver Burden Inventory (CBI). Results indicated that Iranian caregivers experienced higher CB and HL than Iraqi caregivers. A multivariable linear regression analysis showed that CB was significantly associated with HL (β = -.25, p < .01), caregiver age (β = .21, p < .05), and the age of the stroke survivor (β = .18, p < .05), explaining 15% of the variation in CB. Higher HL correlated with lower CB, while older caregiver and patient ages were linked to higher CB. The study concludes that improving HL through educational programs can reduce CB, and health officials should consider demographic factors to enhance caregiver support.","PeriodicalId":520851,"journal":{"name":"Sage open aging","volume":"12 ","pages":"30495334261443855"},"PeriodicalIF":0.0,"publicationDate":"2026-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13176553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147966979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Patient Navigation Programs in Canada for People With Dementia, Their Caregivers and Care Providers: An Environmental Scan. 加拿大痴呆症患者导航项目，他们的照顾者和护理提供者：环境扫描。

Sage open aging Pub Date : 2026-05-05 eCollection Date: 2026-01-01 DOI: 10.1177/30495334261446734

Grailing Anthonisen, Alison Luke, Pat Charlton, Shelley Doucet

引用次数: 0

Physicians' Agreement on the Use of NECPAL as a Tool for Identifying Patients Suitable for Palliative Care: A Cross-Sectional Study. 医生同意使用NECPAL作为确定适合姑息治疗的患者的工具：一项横断面研究。

Sage open aging Pub Date : 2026-04-30 eCollection Date: 2026-01-01 DOI: 10.1177/30495334261446720

Iyad Bou Mehdi, Husam Ghusn

{"title":"Physicians' Agreement on the Use of NECPAL as a Tool for Identifying Patients Suitable for Palliative Care: A Cross-Sectional Study.","authors":"Iyad Bou Mehdi, Husam Ghusn","doi":"10.1177/30495334261446720","DOIUrl":"10.1177/30495334261446720","url":null,"abstract":"Background: Palliative care aims to optimize the quality of life of critically ill patients.Objectives: This study assessed Lebanese physicians' attitudes toward palliative care and their use of NECPAL tool in clinical decision-making.Methods: A cross-sectional design was adopted among 259 physicians using a structured questionnaire. Data analysis was conducted using IBM SPSS Statistics software.Results: Among 259 physicians, 83.4% used NECPAL tool, with a mean attitude score toward palliative care of 4.37 (SD = 0.39). Higher attitude scores were significantly associated with NECPAL use (p < .001), presence of institutional policies supporting advanced care planning (p = .017). Multivariable regression confirmed NECPAL use, facility policies, and availability of palliative care units as independent predictors of attitudes (p < .05).Conclusion: The findings highlight the role of institutional infrastructure and validated assessment tools in shaping physician's perceptions and promoting better integration of palliative care in Lebanon.","PeriodicalId":520851,"journal":{"name":"Sage open aging","volume":"12 ","pages":"30495334261446720"},"PeriodicalIF":0.0,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13153492/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147871282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Validity and Reliability of the Five-Item Version of the Geriatric Depression Scale (GDS-5) Among Iranian Older Adults. 伊朗老年人老年抑郁量表GDS-5的效度和信度

Sage open aging Pub Date : 2026-04-29 eCollection Date: 2026-01-01 DOI: 10.1177/30495334261431489

Seyede Salehe Mortazavi, Mohsen Shati, Ensiyeh Najjari, Mobin Fathi, Fariba Tabrizi, Ahmad Ashouri, Roghie Bagheri, Sahar Sarmadi, Sadaf Agahi

{"title":"Validity and Reliability of the Five-Item Version of the Geriatric Depression Scale (GDS-5) Among Iranian Older Adults.","authors":"Seyede Salehe Mortazavi, Mohsen Shati, Ensiyeh Najjari, Mobin Fathi, Fariba Tabrizi, Ahmad Ashouri, Roghie Bagheri, Sahar Sarmadi, Sadaf Agahi","doi":"10.1177/30495334261431489","DOIUrl":"10.1177/30495334261431489","url":null,"abstract":"Background: The Geriatric Depression Scale (GDS) is widely used to screen depression in older adults, yet culturally adapted brief forms require validation.Objective: This study aimed to evaluate the validity and reliability of the Persian Five-Item Geriatric Depression Scale (GDS-5) to ensure its suitability for accurate and efficient depression screening among Iranian older adults.Methods: This cross-sectional study evaluated the psychometric properties of the Persian Five-Item GDS (GDS-5) in 200 Iranian older adults. Structural validity was examined using Exploratory Factor Analysis (EFA). Concurrent validity, test-retest reliability, and diagnostic accuracy were assessed using standard correlation and ROC analyses.Results: EFA supported a coherent one-factor structure. The GDS-5 showed strong concurrent validity with the CES-D (r = .71, p < .001) and excellent test-retest reliability (ICC = 0.809, p < .001). ROC analysis demonstrated high diagnostic accuracy (AUC = 0.924). At the optimal cutoff, sensitivity was 0.98 and specificity was 0.77.Conclusion: Overall, the present study demonstrates that the Persian version of the GDS-5 is a valid, reliable, and diagnostically accurate screening instrument for depressive symptoms among Iranian older adults. Future research should focus on validating the instrument in diverse settings (e.g., primary care clinics, long-term care facilities) and utilizing a wider sample with diverse sociodemographic characteristics to improve generalizability.","PeriodicalId":520851,"journal":{"name":"Sage open aging","volume":"12 ","pages":"30495334261431489"},"PeriodicalIF":0.0,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13150090/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147871275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Navigating Barriers and Enablers to Advance Care Planning for Residents Living With Alzheimer's Disease and Related Dementias Nursing Homes: Strategies for Effective Implementation of the Goals of Care Video a Content Analysis. 为阿尔茨海默病患者和相关痴呆症养老院的居民推进护理计划的障碍和推动因素：有效实施护理目标的策略视频内容分析。

Sage open aging Pub Date : 2026-04-24 eCollection Date: 2026-01-01 DOI: 10.1177/30495334261436936

Latarsha Chisholm, Susan Hickman, Wan-Yun Chou, Kathleen T Unroe

{"title":"Navigating Barriers and Enablers to Advance Care Planning for Residents Living With Alzheimer's Disease and Related Dementias Nursing Homes: Strategies for Effective Implementation of the Goals of Care Video a Content Analysis.","authors":"Latarsha Chisholm, Susan Hickman, Wan-Yun Chou, Kathleen T Unroe","doi":"10.1177/30495334261436936","DOIUrl":"10.1177/30495334261436936","url":null,"abstract":"Background: Providing high-quality advance care planning conversations for nursing home residents living with Alzheimer's Disease and Related Dementias is a persistent challenge, but implementation of advance care planning interventions remains limited.Objective: This study explored barriers and enablers to implementing the Goals of Care video with nursing home staff and identified strategies to implement the video intervention.Methods: Nursing home administrators identified staff members involved in ACP discussions with residents and families. A research team member contacted these individuals by email or telephone. Fourteen staff members across six Florida nursing homes participated in in-person or virtual semi-structured interviews. A summative content analysis quantified the frequency of each CFIR construct coded as an enabler or barrier, with frequencies calculated at the nursing home level.Results: The primary enabler was the alignment of the Goals of Care video with nursing homes' organizational mission. The most identified barrier was the video's perceived length. Strategies to improve implementation included adapting materials, assessing readiness, and addressing site-specific challenges.Conclusions: Tailoring the Goals of Care video to the organizational context is essential. Addressing barriers, such as video concerns, while leveraging existing enablers can strengthen adoption and support more consistent advance care planning practices.","PeriodicalId":520851,"journal":{"name":"Sage open aging","volume":"12 ","pages":"30495334261436936"},"PeriodicalIF":0.0,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13125846/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147826328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ambiguous Loss and Psychological Distress: A Qualitative Study of Well-Being Among Older Migrants Living in the United States. 模糊损失和心理困扰：生活在美国的老年移民幸福感的定性研究。

Sage open aging Pub Date : 2026-04-18 eCollection Date: 2026-01-01 DOI: 10.1177/30495334261442264

Magdalena Leszko, James Baladi, Aarifa Rabbani

{"title":"Ambiguous Loss and Psychological Distress: A Qualitative Study of Well-Being Among Older Migrants Living in the United States.","authors":"Magdalena Leszko, James Baladi, Aarifa Rabbani","doi":"10.1177/30495334261442264","DOIUrl":"10.1177/30495334261442264","url":null,"abstract":"International migration is a stressful life event that contributes to significant health disparities and well-being concerns among aging migrants living their retirement years in a host country. This study utilized a qualitative cross-sectional design employing semi-structured interviews with a diverse sample of 16 older migrants, aged 60 to 79, residing in the United States. Narratives were analyzed using thematic analysis with a reflexive approach. Three key themes emerged from the data, defining the experience of well-being and ambiguous loss: (1) The fluid nature of \"Home\" and belonging, reflecting profound identity-based ambiguous loss; (2) Active engagement and social connection as a foundation for well-being, highlighting structured activity as a vital coping mechanism against isolation and decline; and (3) Maintaining core identity and values, illustrating the participants' successful selective acculturation strategies to preserve internal cultural, religious, and ethical values as a source of stability. The findings confirm that older migrants experience significant ambiguous loss centered on a disrupted sense of self and place. The study identifies active engagement and preservation of core identity as strategies for resilience and mitigating psychological distress. These results underscore the need for culturally responsive care practices that prioritize community integration, promote purposeful activity, and support the maintenance of transnational and internal cultural continuity to enhance the well-being of this growing population.","PeriodicalId":520851,"journal":{"name":"Sage open aging","volume":"12 ","pages":"30495334261442264"},"PeriodicalIF":0.0,"publicationDate":"2026-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13100424/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147795959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectiveness of Structured Memory Training on Cognitive Recovery in Stroke Survivors: A Quasi-Experimental Study. 结构记忆训练对脑卒中幸存者认知恢复的有效性：一项准实验研究。

Sage open aging Pub Date : 2026-03-31 eCollection Date: 2026-01-01 DOI: 10.1177/30495334261436452

Shu-Mei Tsai, Yan-Zin Chang, Wen-Miao Liu

{"title":"Effectiveness of Structured Memory Training on Cognitive Recovery in Stroke Survivors: A Quasi-Experimental Study.","authors":"Shu-Mei Tsai, Yan-Zin Chang, Wen-Miao Liu","doi":"10.1177/30495334261436452","DOIUrl":"10.1177/30495334261436452","url":null,"abstract":"Background: Memory impairments are among the most common and disabling consequences of stroke, significantly affecting cognitive recovery and daily independence. Structured memory training strategies offer a promising, non-pharmacological approach to cognitive rehabilitation.Purpose: This study investigated the effects of a 14-day memory training program grounded in five core strategies-repetition, association, method of loci, chunking, and attention training-on cognitive and functional outcomes in stroke survivors.Methods: In a quasi-experimental design, 60 participants were assigned to either a memory strategy training group or a control group receiving standard care. Cognitive performance was evaluated using the MMSE and RBMT-II, while functional ability was assessed with the Barthel Index, pre- and post-intervention.Results: The memory training strategy group showed significant improvements in MMSE (t = -10.29, p < .001) and RBMT-II (t = -11.52, p < .001) compared to controls. No significant difference was observed in Barthel Index scores.Conclusions: Memory training strategies are effective in enhancing post-stroke memory and cognitive function. These findings support the integration of mnemonic-based education into early rehabilitation programs for stroke patients.","PeriodicalId":520851,"journal":{"name":"Sage open aging","volume":"12 ","pages":"30495334261436452"},"PeriodicalIF":0.0,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13039643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147611633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Repeated Administration of Social and Structural Determinants of Health (SSDOH) Questions in an Alzheimer's Disease Research Center: The Aging Brain Study (ABC) Life Experience Survey. 在阿尔茨海默病研究中心的健康的社会和结构决定因素（SSDOH）问题的重复管理：老化的大脑研究（ABC）生活经验调查。

Sage open aging Pub Date : 2026-03-31 eCollection Date: 2026-01-01 DOI: 10.1177/30495334261430788

Shana D Stites, Daniel S Lee, Carolyn Kuz, Valerie Humphreys, Marissa L Streitz, Sharon X Xie, Jason Flatt, Crystal M Glover, Dawn Mechanic-Hamilton

{"title":"Repeated Administration of Social and Structural Determinants of Health (SSDOH) Questions in an Alzheimer's Disease Research Center: The Aging Brain Study (ABC) Life Experience Survey.","authors":"Shana D Stites, Daniel S Lee, Carolyn Kuz, Valerie Humphreys, Marissa L Streitz, Sharon X Xie, Jason Flatt, Crystal M Glover, Dawn Mechanic-Hamilton","doi":"10.1177/30495334261430788","DOIUrl":"10.1177/30495334261430788","url":null,"abstract":"Social and structural determinants of health (SSDOH) must be measured longitudinally to understand how lived experiences shape trajectories of Alzheimer's disease and related dementias (ADRD). This study evaluated the feasibility of administering an SSDOH survey to cognitively unimpaired older adults, examining response consistency, changes over time, and missing data patterns. A follow-up survey was conducted with participants in the UPenn Alzheimer's Disease Research Center clinical cohort an average of 1.7 years after the initial survey. The 225-item questionnaire covered domains including education, social networks, and stressors. At follow-up, markers of feasibility included a 60% completion rate (81 of 135 participants), high item completion (>93%), and minimal missing data (<3% missed more than 10% of data). Logistic regression identified gender, social network size, and social readjustment experiences as predictors of nonrandom missingness. Response changes between administrations were likely due to ambiguity in item phrasing, instructions, or changes in participants' experiences. Overall, repeated administration of the SSDOH survey was feasible. The response rate was reasonable but lower than expected for a volunteer research sample, suggesting multiple modes of completion may increase engagement. Repeated administration also helped identify ambiguous items and methods for improving the validity and reliability of SSDOH measures.","PeriodicalId":520851,"journal":{"name":"Sage open aging","volume":"12 ","pages":"30495334261430788"},"PeriodicalIF":0.0,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13039568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147611617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Older Adults at Heightened Risk in the 2025 to 2026 Sumatra Floods: A Call for Age-Responsive and Inclusive Disaster Care in Indonesia. 2025年至2026年苏门答腊岛洪水中老年人风险增加：呼吁印度尼西亚针对年龄和包容性的灾害护理。

Sage open aging Pub Date : 2026-03-13 eCollection Date: 2026-01-01 DOI: 10.1177/30495334261434151

Lola Felnanda Amri, Nova Yanti, Yosi Suryarinilsih, Deharnita, Heppi Sasmita

引用次数: 0

Understanding the Facilitators and Barriers to Serious Illness Conversations With Older Adults: A Qualitative Analysis using the Socio-Ecological Framework. 了解与老年人进行严重疾病对话的促进因素和障碍：使用社会生态框架的定性分析。

Sage open aging Pub Date : 2026-03-04 eCollection Date: 2026-01-01 DOI: 10.1177/30495334261429789

Eleanor Hummel, Jasmine Yun-Ting Tan, Shirlyn Hui-Shan Neo

{"title":"Understanding the Facilitators and Barriers to Serious Illness Conversations With Older Adults: A Qualitative Analysis using the Socio-Ecological Framework.","authors":"Eleanor Hummel, Jasmine Yun-Ting Tan, Shirlyn Hui-Shan Neo","doi":"10.1177/30495334261429789","DOIUrl":"10.1177/30495334261429789","url":null,"abstract":"Serious illnesses impact a large and growing number of older adults globally and in Singapore. Serious illness conversations (SICs) are a useful tool for clinicians to understand patients' priorities and increase alignment between priorities and care. This study aimed to understand barriers and facilitators to SICs among older adults, noting that this population is understudied yet more impacted by serious illness. In-depth interviews were conducted with older adults living with serious illnesses (n = 11) and family caregivers (n = 6). Facilitators and barriers were identified at the individual, interpersonal, institutional, and socio-cultural levels of the socio-ecological framework. Facilitators included acceptance and awareness of their condition, patient readiness and willingness, hope and support on the journey, early and careful initiation, direct communication, accessible patient-centered and high-quality care, and religious support. Barriers included limited awareness and acceptance of their condition, poor emotional well-being, uncertainty about the future, lack of provider communication, information imbalances, low support on the journey, unclear and confusing language, inaccessible and low-quality care, religious beliefs, and cultural stigmas around prognosis and decision-making. Understanding these facilitators and barriers can inform changes in policy and clinical practice to improve SICs with older adults.","PeriodicalId":520851,"journal":{"name":"Sage open aging","volume":"12 ","pages":"30495334261429789"},"PeriodicalIF":0.0,"publicationDate":"2026-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12961146/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147380418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0