Aging & Mental Health最新文献_第6页

Effectiveness of a 14-week protocol for cognitive stimulation therapy for mild dementia: results from a pragmatic study using routinely collected clinical data. 为期 14 周的认知刺激疗法对轻度痴呆症的疗效：利用日常收集的临床数据进行的实用性研究结果。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2024-10-04 DOI: 10.1080/13607863.2024.2410256

Hesham Abdelkhalek, Karen Elliott, Tim Whitfield, Karina Pazvantova, Sedigheh Zabihi, Jennifer Wenborn, Zuzana Walker

{"title":"Effectiveness of a 14-week protocol for cognitive stimulation therapy for mild dementia: results from a pragmatic study using routinely collected clinical data.","authors":"Hesham Abdelkhalek, Karen Elliott, Tim Whitfield, Karina Pazvantova, Sedigheh Zabihi, Jennifer Wenborn, Zuzana Walker","doi":"10.1080/13607863.2024.2410256","DOIUrl":"https://doi.org/10.1080/13607863.2024.2410256","url":null,"abstract":"Objectives: To explore the effectiveness of an adapted 14-week cognitive stimulation therapy (CST) protocol on psychoaffective symptoms and quality of life (QOL) for people living with mild dementia.Method: The sample for this pragmatic study were people with dementia who underwent CST between May 2016 and September 2022 during routine healthcare. Measures of participants' psychoaffective symptoms and QOL were administered before CST ('baseline') and following CST ('post-intervention'). The Hospital Anxiety and Depression Scale (HADS) was used to measure anxiety symptoms, depression symptoms, and their sum score (referred to as HADS-total). The Quality of Life-Alzheimer's Disease (QOL-AD) scale was used to measure participants' quality of life (both patient and carer ratings were available). Change in these outcomes was assessed using linear mixed models.Results: Two hundred and twenty-five participants attended ≥1 session of adapted CST (84% attended at least 9/14 sessions, considered 'high' adherence). The mean change [95% confidence interval] in HADS-total scores indicated improvement (-0.9; [-1.9, -0.0]). Mean scores on the other outcomes showed neither improvement nor worsening.Conclusion: Overall, this pragmatic study shows that an adapted 14-week face-to-face CST protocol is effective in improving mental health in people with mild dementia and has the potential to be widely implemented within routine healthcare.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

The association between religious beliefs and values with inflammation among Middle-age and older adults. 中老年人的宗教信仰和价值观与炎症的关系。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2024-10-01 Epub Date: 2024-03-29 DOI: 10.1080/13607863.2024.2335390

Katherine Carroll Britt, Augustine C O Boateng, Joshua Sebu, Hayoung Oh, Ruby Lekwauwa, Lauren Massimo, Benjamin Doolittle

{"title":"The association between religious beliefs and values with inflammation among Middle-age and older adults.","authors":"Katherine Carroll Britt, Augustine C O Boateng, Joshua Sebu, Hayoung Oh, Ruby Lekwauwa, Lauren Massimo, Benjamin Doolittle","doi":"10.1080/13607863.2024.2335390","DOIUrl":"10.1080/13607863.2024.2335390","url":null,"abstract":"Objectives: Dimensions of religion and spirituality are associated with better emotional, physical, and cognitive health. However, the underlying physiological mechanisms are not well known. We investigated the relationship between dimensions of religion and spirituality with levels of C-reactive protein (CRP), a biomarker of systematic inflammation, in middle-aged and older adults in the United States.Methods: In this descriptive longitudinal study using secondary data, we used proportional odds models of the generalized estimating equation (GEE) to assess the association between religious beliefs and values and religious service attendance with CRP levels from respondents (n = 2,385) aged 50 years and older in the Health and Retirement Study from 2006 to 2014.Results: Middle-aged to older adults who reported higher religious beliefs and values had lower levels of CRP, controlling for age, sex, education, marital status, race, household income, and health, such as hypertension, diabetes, cancer, and body mass index (BMI).Conclusion: Religious beliefs and values are associated with lower CRP levels among middle-aged and older adults in the U.S. This study adds to the understanding of biological processes underlying the relationship between dimensions of religion and spirituality with better cognitive and physical health, potentially through inflammation.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11390335/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140327429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

The role of implicit theories of intelligence and personality in older adults' resilience: cognitive functioning and social participation as two mediators. 内隐智力和人格理论在老年人复原力中的作用：认知功能和社会参与是两个中介。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2024-10-01 Epub Date: 2024-03-05 DOI: 10.1080/13607863.2024.2323950

Yatian Zhou, Tianyuan Li

{"title":"The role of implicit theories of intelligence and personality in older adults' resilience: cognitive functioning and social participation as two mediators.","authors":"Yatian Zhou, Tianyuan Li","doi":"10.1080/13607863.2024.2323950","DOIUrl":"10.1080/13607863.2024.2323950","url":null,"abstract":"Objectives: Resilience during old age reflects the capacity to adapt to changes and challenges associated with normative aging and is an important component of successful aging. Belief in the incremental theory of intelligence and personality could help older adults maintain cognitive functioning and social engagement, which may further contribute to their resilience. The current study investigated how implicit theories of intelligence and personality affected older adults' resilience and examined cognitive functioning and social participation as two mediators.Method: A total of 108 older adults aged 60-92 were recruited and completed relevant scales and cognitive tasks. Path analyses were conducted to estimate the expected mediation model.Results: The incremental theory of intelligence, but not personality, was positively related to older adults' resilience. Both cognitive functioning and social participation mediated the effect of the implicit theory of intelligence in the model without covariates. When background variables were controlled, the mediation effect of cognitive functioning remained significant, while the link between the implicit theory of intelligence and social participation was weakened.Conclusion: Older adults' implicit theory of intelligence plays a significant role in fostering resilience in late adulthood, especially through maintaining older adults' cognitive functioning.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140040922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Elder abuse victimization, mental health, and protective factors. 虐待老人的受害情况、心理健康和保护因素。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2024-10-01 Epub Date: 2024-03-18 DOI: 10.1080/13607863.2024.2326992

Sukyung Yoon

{"title":"Elder abuse victimization, mental health, and protective factors.","authors":"Sukyung Yoon","doi":"10.1080/13607863.2024.2326992","DOIUrl":"10.1080/13607863.2024.2326992","url":null,"abstract":"Objectives: This study investigated the association between elder abuse and depressive symptoms, as well as protective factors against adverse mental health outcomes from elder abuse.Methods: Participants were drawn from the 5928 graduates of the WLS, Wave 3 study (age range 70-73) who completed both in-person and telephone interviews. From this large group, 975 (16.4%) participants reported having experienced elder abuse and were included in the sample. Path analysis using Mplus was employed.Results: Elder abuse victimization was significantly associated with depressive symptoms, and those who had suffered multiple types of elder abuse experienced more severe mental health outcomes. However, both light physical activity conducted alone and having a friend as a confidant were negatively associated with depressive symptoms among older adults who had experienced elder abuse.Conclusion: Given the significant association between elder abuse and negative mental health outcomes among older survivors, screening and prevention programs are recommended. Older adults who have experienced elder abuse may benefit from programs designed to increase physical activity and help older adults build and maintain close relationships with friends and confidants.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140144707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Substance use problems and disorders among adults 50 years and older receiving mental health treatment for a primary neurocognitive disorder. 因原发性神经认知障碍而接受心理健康治疗的 50 岁及以上成年人的药物使用问题和障碍。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2024-10-01 Epub Date: 2024-03-27 DOI: 10.1080/13607863.2024.2335396

Orrin D Ware, Sol Baik, Todd D Becker, Hannah Neukrug, Sheryl Zimmerman

{"title":"Substance use problems and disorders among adults 50 years and older receiving mental health treatment for a primary neurocognitive disorder.","authors":"Orrin D Ware, Sol Baik, Todd D Becker, Hannah Neukrug, Sheryl Zimmerman","doi":"10.1080/13607863.2024.2335396","DOIUrl":"10.1080/13607863.2024.2335396","url":null,"abstract":"Objectives: This study sought to (1) identify the percentage of high-risk substance use or substance use disorder (SUD) and (2) examine the factors associated with high-risk substance use or SUD in adults aged 50 years and older receiving mental health treatment with a primary delirium or dementia diagnosis.Method: This study used 7 years (2013-2019) of national administrative data on community mental health center patients aged 50 years and older with a primary delirium or dementia diagnosis receiving treatment in the United States (U.S.). To examine factors associated with the dependent variable (high-risk substance use or SUD), a multivariable binary logistic regression model was utilized.Results: The sample included 77,509 individuals who were mostly aged 65 years and older (69.7%), and did not have co-occurring high-risk substance use or SUD (90.1%). Receiving treatment in a U.S. region other than the Northeast, being younger, male, not non-Hispanic White, and having multiple mental health diagnoses had greater odds of co-occurring high-risk substance use or SUD.Conclusion: One in ten persons in this sample having high-risk substance use or SUD highlights the clinical necessity for screening and subsequent treatment for co-occurring high-risk substance use among persons receiving treatment for a neurocognitive disorder.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140295452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Specific cultural traits of the precarity of older Latinos living alone with cognitive impairment in the San Francisco Bay Area. 旧金山湾区患有认知障碍的拉美独居老人不稳定的特殊文化特征。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2024-09-27 DOI: 10.1080/13607863.2024.2407180

Daniel Velez Ortiz, Nicole Ransom, Elizabeth Rivera, Julene K Johnson, Sahru Keiser, Thi Tran, Jacqueline Torres, Elena Portacolone

{"title":"Specific cultural traits of the precarity of older Latinos living alone with cognitive impairment in the San Francisco Bay Area.","authors":"Daniel Velez Ortiz, Nicole Ransom, Elizabeth Rivera, Julene K Johnson, Sahru Keiser, Thi Tran, Jacqueline Torres, Elena Portacolone","doi":"10.1080/13607863.2024.2407180","DOIUrl":"https://doi.org/10.1080/13607863.2024.2407180","url":null,"abstract":"Objectives: Latinos are about twice as likely to develop cognitive impairment. Culturally, filial support and familismo are expected within Latino families. Yet approximately twenty percent of Latinos live alone in the United States. The purpose of this study is to explore the concerns and priorities of older Latinos living alone with cognitive impairment, using a precarity framework.Method: We conducted 22 in-home interviews with older Latinos living alone with cognitive impairment, and we supplemented the interviews with interviews with members of the older adults' social circle and providers. Themes influencing the precarity of Latino older adults living alone were organized through the major areas of the precarity lens; 1) Limited awareness of cognitive impairment; 2) Self-management of cognitive impairment; and 3) Lacking tailored services for cognitive impairment.Results: Latino culture permeated and intersected across the lived experiences of participants living alone with cognitive impairment. Precarity was prevalent in all participants' lives and was exacerbated by familismo combined with cognitive impairment.Conclusion: Findings showed precarity in the experiences the participants shared. Participant narratives reveal how the Latino culture intersects with the experience of precarity while living alone with cognitive impairment, especially in reference to the role that family plays through the expectation of familismo. However, given the difficult demands of employment and raising their own families, familismo can become more like a goal than a practice. Further research is needed to better understand how to bridge the gap between the needs of these older Latino adults living alone with cognitive impairment, their families, and formal services.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Falls as a mental health risk among Korean-American residents in subsidized senior housing: mediating effect of fall-related self-efficacy. 摔倒是住在老年补贴住房的韩裔美国人的心理健康风险：与摔倒有关的自我效能的中介效应。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2024-09-25 DOI: 10.1080/13607863.2024.2407586

Yuri Jang, Min-Kyoung Rhee, Juyoung Park, Jung Eun Ko, Nan Sook Park, Benjamin F Henwood, Stacey L Schepens Niemiec, Soondool Chung

{"title":"Falls as a mental health risk among Korean-American residents in subsidized senior housing: mediating effect of fall-related self-efficacy.","authors":"Yuri Jang, Min-Kyoung Rhee, Juyoung Park, Jung Eun Ko, Nan Sook Park, Benjamin F Henwood, Stacey L Schepens Niemiec, Soondool Chung","doi":"10.1080/13607863.2024.2407586","DOIUrl":"https://doi.org/10.1080/13607863.2024.2407586","url":null,"abstract":"Objectives: The study examined the mediating role of fall-related self-efficacy in the association between falls and mental health among older Korean Americans living in subsidized senior housing in the greater Los Angeles area. We focused on serious fall incidents (i.e. multiple falls or any fall with a fracture) and used symptoms of depression and anxiety as indicators of mental health.Method: Survey data from 315 participants (M age = 79.4 years) were used to examine the direct effects of serious fall incidents on mental health symptoms, as well as indirect effects through fall-related self-efficacy.Results: The mediating effect of fall-related self-efficacy was found to be significant in both models for depressive symptoms (B [SE] = 0.15 [0.07], bias-corrected 95% CI = [0.03, 0.31]) and anxiety symptoms (B [SE] = 0.11 [0.05], bias-corrected 95% CI = [0.02, 0.23]).Conclusion: The mental health impact of serious fall incidents was shaped by older individuals' perceived concerns about falls and confidence in performance. The findings highlight the importance of addressing fall-related psychological responses in preventing falls and promoting mental health among senior housing residents.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Profiles of resilience resources among spousal caregivers. 配偶照顾者的复原力资源概况。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2024-09-25 DOI: 10.1080/13607863.2024.2407169

Hyojin Choi, Kristin Litzelman

{"title":"Profiles of resilience resources among spousal caregivers.","authors":"Hyojin Choi, Kristin Litzelman","doi":"10.1080/13607863.2024.2407169","DOIUrl":"https://doi.org/10.1080/13607863.2024.2407169","url":null,"abstract":"Objectives: Resilience resources play a significant role in a caregiver's adaptation process. Previous studies have primarily focused on the effects of individual resilience resources. This study aimed to examine diverse patterns of how those multiple resources simultaneously operate in a caregiving situation with the person-centered approach.Method: This study utilized data from the Health and Retirement Study. Participants were eligible if they completed the Left-Behind questionnaire at two consecutive timepoints (2014 and 2016; or 2016 and 2018) and provided care for their spouse with limitations in activities of daily living (n = 692).Results: Latent profile analysis identified three distinct groups among spousal caregivers: (1) Lack of Resilience Resources (17%), (2) Low Psychological and Cognitive Resources, but Having Moderate Support (21%), and (3) Strong Resilience Resources (62%). Spousal caregivers having functional limitations (Odds = 0.37, p = 0.016) and greater depressive symptoms (Odds = 0.59, p = 0.000), and high ongoing caregiving stress (Odds = 0.37, p = 0.007) were less likely to be in 'Strong Resilience Resources' than 'Lack of Resilience Resources'.Conclusion: The findings highlight the importance of taking a holistic view of resilience resources. It provides insights into potentially vulnerable groups and caregivers' adaptation process, thereby contributing to the development of interventions or policies aimed at enhancing the resilience resources of family caregivers.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Resiliency amid the COVID-19 pandemic: engagement in meaningful activities as a mediator between coping ability and depressive symptoms among older adults. 在 COVID-19 大流行中的复原力：参与有意义的活动是老年人应对能力和抑郁症状之间的中介。

IF 2.8 3区医学

Aging & Mental Health Pub Date : 2024-09-16 DOI: 10.1080/13607863.2024.2403567

Katja Pynnönen, Katja Kokko, Sini Siltanen, Erja Portegijs, Katja Lindeman, Taina Rantanen

{"title":"Resiliency amid the COVID-19 pandemic: engagement in meaningful activities as a mediator between coping ability and depressive symptoms among older adults.","authors":"Katja Pynnönen, Katja Kokko, Sini Siltanen, Erja Portegijs, Katja Lindeman, Taina Rantanen","doi":"10.1080/13607863.2024.2403567","DOIUrl":"https://doi.org/10.1080/13607863.2024.2403567","url":null,"abstract":"Objectives: This study investigated the longitudinal association between coping ability and depressive symptoms from before to during and after the COVID-19 pandemic and whether engagement in meaningful activities plays a mediating role in this association.Method: Individuals aged 75, 80, and 85 years (n = 1021) were interviewed in 2017-2018 (T1, pre-pandemic). Of these persons, 608 were interviewed in 2020 (T2, first wave) and 2021-2022 (T3, partly post-pandemic). Coping ability, depressive symptoms, and engagement in meaningful activities were assessed using the 10-item Connor-Davidson Resilience Scale, 10-item Center for Epidemiologic Studies Depression Scale, and 17-item activity subscore of the University of Jyväskylä Active Aging Scale, respectively. Structural equation modeling was used for the mediation analyses.Results: Higher coping ability was associated with decreased depressive symptoms, partly mediated by higher activity scores between T1 and T2. From T2 to T3, higher coping ability reduced the depressive symptoms, but the activity scores did not mediate the changes during this period.Conclusion: Good coping ability may help older people sustain good mental well-being. With good coping ability, active engagement in meaningful activities contributed to the low level of depressiveness during the early phases of the pandemic, when many social activities were restricted.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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 think we just saw happier residents": nursing home provider reported readiness assessment of the individualized positive psychosocial interaction (IPPI) program. "我想我们看到的是更快乐的居民"：疗养院提供者对个性化积极社会心理互动 (IPPI) 计划的准备评估报告。

IF 3.4 3区医学

Aging & Mental Health Pub Date : 2024-09-12 DOI: 10.1080/13607863.2024.2401960

Alexis Talmage,Miranda C Kunkel,Kamryn Kasler,Cassie Keiser,Nahida Akter,Kimberly Van Haitsma,Katherine M Abbott

{"title":"\"I think we just saw happier residents\": nursing home provider reported readiness assessment of the individualized positive psychosocial interaction (IPPI) program.","authors":"Alexis Talmage,Miranda C Kunkel,Kamryn Kasler,Cassie Keiser,Nahida Akter,Kimberly Van Haitsma,Katherine M Abbott","doi":"10.1080/13607863.2024.2401960","DOIUrl":"https://doi.org/10.1080/13607863.2024.2401960","url":null,"abstract":"OBJECTIVESThis study assessed the readiness of The Individualized Positive Psychosocial Interaction (IPPI) program in the nursing home (NH) setting from the perspective of NH providers implementing the IPPI. The evidence-based IPPI program is designed to help remediate distress and improve mood for residents living with dementia. NH staff are trained to engage residents in brief (i.e. 10-min) one-to-one, preference-based activities to alleviate emotional distress and enhance quality of life.METHODNH providers (n = 15) who championed the IPPI implementation completed an exit interview based on the nine domains of the Readiness Assessment for Pragmatic Trials (RAPT). Interviews were audio-recorded, transcribed, and coded by RAPT domains, then scored by the research team to reflect an average for each domain.RESULTSProviders rated the IPPI program's readiness high on the domains of alignment, impact, risk, implementation protocol, evidence, cost, and acceptability. The domains of measurement and feasibility scored lower, likely due to broader contextual issues and require particular attention.CONCLUSIONResults illustrate that the IPPI program successfully aligns with stakeholder priorities, is a safe intervention with minimal risk, and has beneficial outcomes. The IPPI's low cost, design, and alignment with organizational goals also facilitated implementation while measuring outcomes and staffing considerations impacted organizational capacity for implementation.","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142185714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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