Gerontology and Geriatric Medicine最新文献_第2页

Exploring Family Caregivers' Likelihood of Adopting a Novel App That Connects Care Teams of Persons Living With Dementia: A Mixed-Methods Study. 探索家庭护理人员采用连接痴呆症患者护理团队的新型应用程序的可能性：混合方法研究

IF 2.1

Gerontology and Geriatric Medicine Pub Date : 2024-10-05 eCollection Date: 2024-01-01 DOI: 10.1177/23337214241275638

Moroni Fernandez Cajavilca, Amy Zheng, Kehinde Bamidele-Sanni, Tina Sadarangani

{"title":"Exploring Family Caregivers' Likelihood of Adopting a Novel App That Connects Care Teams of Persons Living With Dementia: A Mixed-Methods Study.","authors":"Moroni Fernandez Cajavilca, Amy Zheng, Kehinde Bamidele-Sanni, Tina Sadarangani","doi":"10.1177/23337214241275638","DOIUrl":"10.1177/23337214241275638","url":null,"abstract":"Family caregivers of persons living with dementia (PLWD) are often expected to coordinate and manage all aspects of a loved one's day-to-day care across settings with limited modern, user-friendly resources to support them. We developed CareMOBI, a mHealth app prototype that aims to support improved care coordination and communication between care team members. A concurrent mixed-methods triangulation design was used to assess the acceptability and likelihood of adopting CareMOBI among family caregivers of PLWD. Caregivers (n = 13) completed the Technology Acceptance Model questionnaire (quantitative) and semi-structured interviews (qualitative). Integration occurred using the four themes of the Technology Acceptance Model. There was strong agreement among family caregivers that CareMOBI had a high perceived value for care (M = 6.23/7), was easy to use (M = 6.20/7), and enhanced current workflows (M = 5.86/7). However, training in utilizing mHealth apps and the need for a Spanish-language version were cited as necessary enhancements to increase the widespread adoption of CareMOBI.","PeriodicalId":52146,"journal":{"name":"Gerontology and Geriatric Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11462565/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395199","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

Subsidized Versus Unsubsidized Senior Housing Communities in PA: A Window on Variation in Health, Function, and Access to Services in Old Age. 宾夕法尼亚州有补贴与无补贴老年住房社区：宾夕法尼亚州有补贴与无补贴老年公寓社区：老年健康、功能和获得服务方面差异的窗口》（A Window on Variation in Health, Function, and Access to Services in Old Age.

IF 2.1

Gerontology and Geriatric Medicine Pub Date : 2024-10-05 eCollection Date: 2024-01-01 DOI: 10.1177/23337214241271929

Janelle J Christensen, Steven M Albert, Subashan Perera, Jennifer S Brach, David A Nace, Neil M Resnick, Susan L Greenspan

{"title":"Subsidized Versus Unsubsidized Senior Housing Communities in PA: A Window on Variation in Health, Function, and Access to Services in Old Age.","authors":"Janelle J Christensen, Steven M Albert, Subashan Perera, Jennifer S Brach, David A Nace, Neil M Resnick, Susan L Greenspan","doi":"10.1177/23337214241271929","DOIUrl":"https://doi.org/10.1177/23337214241271929","url":null,"abstract":"Introduction: Independent Living residences for older adults can be divided into two categories and require better definitions for research purposes; the purpose of this manuscript is to provide those definitions and explore variation in provided services and resident characteristics: (a) Subsidized age-based housing (55+) (Department of Housing and Urban Development (HUD) housing units for low-income adults), and (b) non-subsidized age-based housing. Methods: Residents in the two settings were compared: 37 subsidized locations (p = 289 residents) and 19 non-subsidized (p = 208). Aging support services in each housing type were quantified. Results: Subsidized residents are more likely to be female (84.6% vs. 70.2%, p = .0002) and have fair-poor health (36.5% vs. 12.5%, p < .0001), frequent pain (28.4% vs. 12.8%, p < .0001), and fair-poor mobility (37.5% vs. 23.5%, p = .0298). Non-subsidized locations are more likely to offer support services; on average, residents are older (mean age 83vs. 75; p < .0001) and white (97.6% vs. 69.2%, p < .0001). Conclusion: Significant differences exist between populations living in subsidized and non-subsidized housing, suggesting the effect of cumulative disadvantage over the lifespan; populations in poorer health have access to fewer services. Research is needed to explore generalizability on a national level.","PeriodicalId":52146,"journal":{"name":"Gerontology and Geriatric Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11459494/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395200","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

Exploring How Older Adult's Gender Role is Associated with Studied Outcomes Following an Outdoor Exercise Structure Program. 探索老年人的性别角色如何与户外运动结构计划的研究结果相关联。

IF 2.1

Gerontology and Geriatric Medicine Pub Date : 2024-10-05 eCollection Date: 2024-01-01 DOI: 10.1177/23337214241278132

Evelyn Araneda, Brianna Leadbetter, Martin Sénéchal, Danielle R Bouchard

{"title":"Exploring How Older Adult's Gender Role is Associated with Studied Outcomes Following an Outdoor Exercise Structure Program.","authors":"Evelyn Araneda, Brianna Leadbetter, Martin Sénéchal, Danielle R Bouchard","doi":"10.1177/23337214241278132","DOIUrl":"10.1177/23337214241278132","url":null,"abstract":"This study aimed to describe the gender roles of people interested in an exercise program done on outdoor exercise structures and test if gender roles were associated with studied outcomes. Older adults aged 65+ who were not currently performing resistance training were invited to participate. Gender roles were quantified using the Bem Sex Role Inventory 30-item questionnaire (-60 [feminine] to +60 [masculine]). Outcomes included completing the 6-week intervention (Y/N) and changes in physical function (one leg stance, 30-s chair stand), strength (predicted maximal chest press and leg press, grip strength), power (knee extensor power), and overall health via the SF-36 questionnaire. Twenty-nine adults (65.5% female; median 72 years old) participated in the study, and 17 completed the intervention (58.6%). The median (interquartile) gender role score was -13.0 (-19.5 to -8.5), with no gender role difference (p = .62) between completers and non-completers. These results suggest that older adults interested in such a program portray themselves as more feminine. No association was found between gender role scores and changes in any study outcomes. In this setting, gender roles did not seem to impact the study outcomes and therefore may not need to be considered when designing an outdoor exercise structure program.","PeriodicalId":52146,"journal":{"name":"Gerontology and Geriatric Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11456215/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142382366","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

Mediators of Functional Disability at Mid- and Late-Life. 中年和晚年功能性残疾的中介因素。

IF 2.1

Gerontology and Geriatric Medicine Pub Date : 2024-09-28 eCollection Date: 2024-01-01 DOI: 10.1177/23337214241285753

Carly E Pullen, Julie Hicks Patrick

引用次数: 0

Depression and Plasma pTau₁₈₁ Levels Are Associated with Frailty Status in Hispanic Community-Dwelling Older Women. 抑郁和血浆 pTau181 水平与西班牙裔社区老年妇女的虚弱状态有关。

IF 2.1

Gerontology and Geriatric Medicine Pub Date : 2024-09-27 eCollection Date: 2024-01-01 DOI: 10.1177/23337214241283546

Giselle A Rangel, Adam E Tratner, Diana C Oviedo, Alcibiades E Villarreal, Maria B Carreira, Sofia Rodriguez-Araña, Eugenia Flores Millender, Casey Xavier Hall, Frank Y Wong, Sid O'Bryant, Gabrielle B Britton

{"title":"Depression and Plasma pTau181 Levels Are Associated with Frailty Status in Hispanic Community-Dwelling Older Women.","authors":"Giselle A Rangel, Adam E Tratner, Diana C Oviedo, Alcibiades E Villarreal, Maria B Carreira, Sofia Rodriguez-Araña, Eugenia Flores Millender, Casey Xavier Hall, Frank Y Wong, Sid O'Bryant, Gabrielle B Britton","doi":"10.1177/23337214241283546","DOIUrl":"10.1177/23337214241283546","url":null,"abstract":"The population of Hispanic older adults is growing along with the burden of chronic diseases. This cross-sectional study aims to assess the factors associated with frailty among community-dwelling Hispanic women aged ≥60 years (n = 357) enrolled in the Panama Aging Research Initiative-Health Disparities study of cognitive-functional health of older persons in Panama. Cognitive function was assessed with a neuropsychological test battery. Depression was measured with the Geriatric Depression Scale. Frailty was defined using the Fried criteria and participants were classified as non-frail, pre-frail or frail. A subsample (n = 281) provided fasting blood samples for quantification of protein biomarkers. Associations were examined using hierarchical multiple linear regressions. 59.4% and 9.0% of participants (M = 69.2 years, SD = 6.3) were pre-frail and frail, respectively. Having more depression (β = .28, p < .001) was significantly associated with frailty, even after covariate adjustment. Cognitive function was not associated with frailty. Higher pTau181 levels were associated with increased frailty (β = .13, p = .039), whereas higher α2M levels were associated with decreased frailty (β = -.16, p = .004). These findings advance the search for health indicators and biomarkers of frailty and warrant further studies to decrease the burden of frailty among older Hispanic women.","PeriodicalId":52146,"journal":{"name":"Gerontology and Geriatric Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11445770/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367416","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

The Nutritional Status of Elderly Chinese Patients With Parkinson's Disease. 中国老年帕金森病患者的营养状况。

IF 2.1

Gerontology and Geriatric Medicine Pub Date : 2024-09-26 eCollection Date: 2024-01-01 DOI: 10.1177/23337214241284181

Sheng Wu, Peng Liu, Xiulin Tian, Bo Wang, Zhiyuan Ouyang, Wei Luo

{"title":"The Nutritional Status of Elderly Chinese Patients With Parkinson's Disease.","authors":"Sheng Wu, Peng Liu, Xiulin Tian, Bo Wang, Zhiyuan Ouyang, Wei Luo","doi":"10.1177/23337214241284181","DOIUrl":"https://doi.org/10.1177/23337214241284181","url":null,"abstract":"Introduction: To investigate the nutritional status of elderly Chinese patients with Parkinson's disease (PD) and analyze possible factors related to nutritional problems. Methods: Patients with PD aged 65 years or older were enrolled. Anthropometric assessment and Mini Nutritional Assessment were used to determine nutritional status. Various scales were completed to identify potentially related factors, such as Hoehn and Yahr stage (H&Y stage), 30 mL water swallow test, Clock Drawing Test (CDT), and Charlson Comorbidity Index (CCI). Results: 785 patients were enrolled. The prevalence of malnutrition and risk of malnutrition was 3.1% (24/785) and 25.7% (202/785), respectively. Regression analyses indicated that H&Y stage ≥ 3 (OR: 2.151; 95%CI: 1.174-3.941; p = .013), abnormal water swallow test (OR: 4.559; 95%CI: 2.130-9.759; p < .001), CDT score < 6 (OR: 2.810; 95%CI: 1.534-5.148; p = .001), and CCI (OR: 1.621; 95%CI: 1.238-2.124; p < .001) were considered to be potential factors associated with low BMI. Conclusion: 28.8% of elderly PD patients were in abnormal nutritional status. Disease severity, dysphagia, cognitive function, and comorbidities might be related factors.","PeriodicalId":52146,"journal":{"name":"Gerontology and Geriatric Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11437553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332103","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

Codeine Withdrawal Presenting as Acute Delirium in an Older Adult. 可待因戒断后出现急性谵妄的老年人。

IF 2.1

Gerontology and Geriatric Medicine Pub Date : 2024-09-24 eCollection Date: 2024-01-01 DOI: 10.1177/23337214241284909

Ina Dubin, Ami Schattner

引用次数: 0

COVID-19 Hospitalization Outcomes for Long-Term Care Facility Residents With Dementia: Mediation by Pre-existing Health Conditions. COVID-19 痴呆症长期护理机构住院患者的住院治疗结果：既往健康状况的中介作用。

IF 2.1

Gerontology and Geriatric Medicine Pub Date : 2024-09-24 eCollection Date: 2024-01-01 DOI: 10.1177/23337214241284035

Cheng Yin, Elias Mpofu, Kaye Brock, Stan Ingman

{"title":"COVID-19 Hospitalization Outcomes for Long-Term Care Facility Residents With Dementia: Mediation by Pre-existing Health Conditions.","authors":"Cheng Yin, Elias Mpofu, Kaye Brock, Stan Ingman","doi":"10.1177/23337214241284035","DOIUrl":"https://doi.org/10.1177/23337214241284035","url":null,"abstract":"Background: This study explores COVID-19 emergency admission and length of hospital stay hospitalization outcomes for Long-Term Care Facility (LTCF) residents with dementia. Methods: Utilizing a cross-sectional case control design, we employed logistic regression to analyze Texas Inpatient Public Use Data File (PUDF) for 1,413 dementia patients and 1,674 non-dementia patients (>60 years) to predict emergency admission and length of hospital stay with mediation by pre-existing conditions. Results: LTCF residents with dementia have a higher likelihood of COVID-19 emergency admission and shorter hospital stays. Adjusting for confounders of demographics, health insurance, and lifestyle, dementia diagnosis remained significantly associated with emergency admission and shorter hospital stays with preexisting conditions. Conclusion: Findings underscore the heightened risk for adverse COVID-19 hospitalization care disparities with dementia. Targeted health support programs for LTCF residents with dementia should aim to improve their COVID19 hospitalization outcomes, treating pre-existing health conditions and reducing their risk for excess mortality.","PeriodicalId":52146,"journal":{"name":"Gerontology and Geriatric Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11423368/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332100","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

Improving Hurricane Preparedness Among Galveston County Older Adults: Description of a Successful Community-Based Quality Improvement Model. 提高加尔维斯顿县老年人的飓风防范能力：描述一个成功的社区质量改进模式。

IF 2.1

Gerontology and Geriatric Medicine Pub Date : 2024-09-21 eCollection Date: 2024-01-01 DOI: 10.1177/23337214241278550

Jennifer Young, Jessica den Herder, Tammie Michael, Diana P Bernardez, Zachary Carson, Mukaila Raji, Yong Fang Kuo

{"title":"Improving Hurricane Preparedness Among Galveston County Older Adults: Description of a Successful Community-Based Quality Improvement Model.","authors":"Jennifer Young, Jessica den Herder, Tammie Michael, Diana P Bernardez, Zachary Carson, Mukaila Raji, Yong Fang Kuo","doi":"10.1177/23337214241278550","DOIUrl":"10.1177/23337214241278550","url":null,"abstract":"Older adults are at high risk of experiencing injury, exacerbations of their chronic conditions, and death when evacuations are ordered because of hurricanes or natural disasters. The Homebound seniors residing in Galveston County are at a particularly high risk of morbidity and mortality during evacuations for hurricanes. This paper described the impact of a quality improvement intervention designed and implemented by nurse practitioners during the 2022 and 2023 hurricane season. The education program aimed at increasing the hurricane preparedness of the home-bound patients. Of these patients, 190 returned pre and post surveys. Interventions showed a 43% increase in patients having an evacuation plan in the event of a hurricane, 633% increase in STEAR registration, 16% increase in patients having access to emergency supplies, and 34% increase in patients having an emergency contact list with up-to-date medication list. All improvements on hurricane preparedness items were significant (p < .0001) except for the need for assistance in case of an evacuation. Our findings suggest a need for continuous hurricane preparedness education in the community to ensure safe evacuation, improve hurricane preparation, and increase the number of seniors who registered with the State of Texas Emergency Assistance Registry.","PeriodicalId":52146,"journal":{"name":"Gerontology and Geriatric Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11418349/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142309113","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

Health Care Access and Quality of Life of Community-Dwelling Senior Citizens in Pampanga, Philippines. 菲律宾邦板牙省居住在社区的老年人获得医疗保健的机会和生活质量。

IF 2.1

Gerontology and Geriatric Medicine Pub Date : 2024-09-17 eCollection Date: 2024-01-01 DOI: 10.1177/23337214241280851

Rogie Royce Carandang, Ann Dreyko Olea, Precious Kaila Legaspi, Yessamin Quimen, Ma Niña Ebrada, Kevin Jace Miranda

{"title":"Health Care Access and Quality of Life of Community-Dwelling Senior Citizens in Pampanga, Philippines.","authors":"Rogie Royce Carandang, Ann Dreyko Olea, Precious Kaila Legaspi, Yessamin Quimen, Ma Niña Ebrada, Kevin Jace Miranda","doi":"10.1177/23337214241280851","DOIUrl":"10.1177/23337214241280851","url":null,"abstract":"This study examined the association between healthcare access and quality of life (QOL) among senior citizens in Pampanga, Philippines. We conducted a cross-sectional study among 410 community-dwelling senior citizens aged 60 and above. Using validated scales, we assessed both healthcare access and QOL. Descriptive statistics were employed to characterize the senior citizens, and multiple linear regression was used to examine the association between healthcare access and QOL. Senior citizens, averaging 69 years old, were predominantly women, single/widowed, and with comorbidities. They reported high healthcare access (mean = 120.13) and moderate QOL (mean = 70.79). Environmental health scored highest in QOL domains, while social relationships scored lowest. Overall healthcare access was positively associated with overall QOL (B [unstandardized beta] = .22, 95% CI [confidence interval] 0.10, 0.33) and its domains. Significant associations with overall QOL were observed for accessibility (B = 1.95, 95% CI 0.98, 2.91) and affordability (B = -1.60, 95% CI -2.46, -0.74). Filipino senior citizens in Pampanga demonstrated high healthcare access and moderate QOL. The study highlights the importance of healthcare access in enhancing senior citizens' QOL, particularly regarding accessibility and affordability. Further research is needed to explore the nuanced relationships between healthcare access subscales and specific QOL domains.","PeriodicalId":52146,"journal":{"name":"Gerontology and Geriatric Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11440559/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332101","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