BMC Geriatrics最新文献

{"title":"Older adult stroke survivors' needs and perspectives of a stroke app: a qualitative study.","authors":"Wenjing Cao, Afang Li, Azidah Abdul Kadir, Juan Chen, Lanying Chen, Qing Li, Intan Idiana Hassan","doi":"10.1186/s12877-025-05849-1","DOIUrl":"https://doi.org/10.1186/s12877-025-05849-1","url":null,"abstract":"<p><strong>Background: </strong>Stroke continues to be the second leading cause of death and a significant contributor to disability globally, with a more pronounced impact on older adults compared to other age groups. Along with evidence that mobile health (mHealth) apps have promising possibilities for supporting individuals pursuing health and wellness goals, the development of stroke apps is increasing. However, there remains a notable lack of research investigating the needs and perspectives of stroke survivors during the development of such apps.</p><p><strong>Objective: </strong>We aimed to describe the needs and perspectives of older adult stroke survivors regarding a stroke app.</p><p><strong>Methods: </strong>We employed an empirical phenomenological approach for a qualitative study. Using purposive and snowball sampling, older adult stroke survivors were recruited from three tertiary hospitals in Hunan province. Face-to-face semi-structured interviews were conducted between August and October 2024. Data were transcribed verbatim and analysed using Haase's adaptation of Colaizzi's phenomenological method.</p><p><strong>Findings: </strong>Thirteen older adult stroke survivors (eight men and five women aged 63-84 years) participated in the study in China. Three main categories and ten subcategories were extracted. The themes were the following: (1) optimism about the app (a good thing and eager to use); (2) desire for an app tailored to the unique (particular to older adults, information at fingertips, and reminding); and (3) concern (privacy issues, more depersonalized interactions with their doctors, the validity of the information provided on the app, cost, and having problems in using the app).</p><p><strong>Conclusion: </strong>This study pinpointed crucial factors from users' needs and perspectives that should be considered in developing a mobile app for older adult stroke survivors. Future research on app development should gather users' needs and preferences to enhance acceptability and increase the likelihood of successful implementation.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"212"},"PeriodicalIF":3.4,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143742161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cross-sectional assessment of the Tinetti performance-oriented mobility tool for screening physical frailty syndrome in older adults.","authors":"Mahta Hayati, Guilherme Eustáquio Furtado, Parvaneh Nazarali, Mahta Sardroodian, Haniyeh Mohammadi, Mahdi Hosseinzadeh","doi":"10.1186/s12877-025-05858-0","DOIUrl":"https://doi.org/10.1186/s12877-025-05858-0","url":null,"abstract":"<p><strong>Background: </strong>Physical-functional fitness (PFF) assessments have become crucial tools for identifying physical frailty syndrome (PFS) in older adults, helping guide preventive and interventional strategies.</p><p><strong>Purpose: </strong>This study aimed to evaluate the predictive value of performance-based PFF tests for detecting PFS among community-dwelling older adults in Tehran, Iran. Additionally, it sought to compare PFF variables between PFS groups to assess the applicability of these tests as practical screening tools in clinical and community settings.</p><p><strong>Methods: </strong>Data were collected from 161 participants (91 males, 56.5%; 70 females, 43.5%), including sociodemographic, anthropometric, medical history, PFF, and PFS assessments.</p><p><strong>Results: </strong>Frail participants exhibited significantly lower scores in various PFF tests, including the Tinetti balance, walking, and total score components, physical activity levels (PAL), mean hand grip strength (MGS), 30-s arm curl (30 s-AC), 30 s-chair stand (30 s-CS), Standing Stork Balance (SSB), and back stretch (BST) tests (p < 0.001). Frail individuals also had lower levels of education, shorter stature, and higher BMI compared to non-frail/pre-frail participants, highlighting broader vulnerabilities. Logistic regression analyses showed that all PFF tests, including Tinetti balance and walking components, MGS, 30 s-AC, 30 s-CS, were significant protective factors against FS. However, ROC curve analysis revealed optimal cutoff points for PFS identification, with PAL and MGS demonstrating the highest sensitivity and specificity for predicting PFS. The all components of Tinetti scale also proved to be strong predictors of FS.</p><p><strong>Conclusion: </strong>Our findings demonstrate that, regardless of age, sex, education level, stature, and fall incidence, PFF assessments remain critical for identifying older adults at risk for PFS. The study highlights the predictive strength of key variables, such as PAL, MGS, and the Tinetti-POMA components, offering novel insights into the role of these tests in improving PFS screening accuracy. These results underscore the importance of integrating PFF assessments into routine clinical and community-based health evaluations, enabling early detection and timely interventions to promote healthier aging trajectories.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"214"},"PeriodicalIF":3.4,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143742254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impaired sleep, depressive symptoms, and pain as determinants of physical activity and exercise intervention adherence: an exploratory analysis of a randomized clinical trial.","authors":"Eija Kekkonen, Anette Hall, Riitta Antikainen, Satu Havulinna, Miia Kivipelto, Jenni Kulmala, Tiina Laatikainen, Teemu I Paajanen, Shireen Sindi, Hilkka Soininen, Timo Strandberg, Jaakko Tuomilehto, Tiia Ngandu, Alina Solomon","doi":"10.1186/s12877-025-05830-y","DOIUrl":"https://doi.org/10.1186/s12877-025-05830-y","url":null,"abstract":"<p><strong>Background: </strong>Physical activity (PA) and exercise interventions offer health benefits can reduce dementia risk. However, there might be barriers to engage in PA, such as sleep problems, depressive symptoms and pain, which are common complaints with older adults. We investigated sleep duration, sleep quality, depressive symptoms, and pain at baseline as potential determinants of: (i) adherence to the exercise intervention component of a 2-year multidomain lifestyle intervention; (ii) intervention's effect on PA after 2 years; and (iii) overall PA after 2 years (exploratory analyses).</p><p><strong>Methods: </strong>The FINGER trial included 1259 individuals at risk for dementia, aged 60-77 years who were randomized (1:1) to a multidomain lifestyle intervention (exercise, diet, cognitive training, vascular risk factor management) or a control (regular health advice) group. Logistic regression analyses were used with exercise adherence (adherent: ≥66% participation) or self-reported PA (active: ≥2 times/week) as outcomes, adjusted for relevant baseline characteristics. Data on PA at baseline and at 2-years were available for 1100 participants.</p><p><strong>Results: </strong>Adherence to the exercise intervention was less likely with sleep duration < 6 h or ≥ 9 h per night compared with 7-8 h. OR (95% CI) were 0.46 (0.21-0.99) and 0.38 (0.20-0.74), respectively. The intervention group was more likely to be physically active than the control group at two years (OR 1.87, 95% CI 1.36-2.55). This intervention benefit did not significantly vary by baseline sleep duration, depressive symptoms, or pain (p > 0.3 for all interactions). Regardless of randomization group, those sleeping < 6 h were less likely to be physically active at two years, compared with participants sleeping 7-8 h (OR 0.36, 95% CI 0.18-0.72). Depressive symptoms or pain were not related to PA at two years.</p><p><strong>Conclusions: </strong>Older adults with sleep problems, depressive symptoms, or pain may benefit from lifestyle interventions. However, both short and long sleep duration can pose barriers to engaging in exercise intervention and should be carefully considered when designing strategies to promote PA among older populations at risk for dementia.</p><p><strong>Trial registration: </strong>The FINGER trial was registered at ClinicalTrials.gov with identifier NCT01041989 on 04/01/2010.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"211"},"PeriodicalIF":3.4,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143742120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interprofessional collaboration during multidisciplinary team meetings in geriatric rehabilitation: an observational study.","authors":"Arno J Doornebosch, Wilco P Achterberg, Hanneke J A Smaling","doi":"10.1186/s12877-025-05870-4","DOIUrl":"https://doi.org/10.1186/s12877-025-05870-4","url":null,"abstract":"<p><strong>Background: </strong>Interprofessional collaboration (IPC), which involves healthcare professionals from different professions collaborating with patients and informal caregivers, is essential for the provision of high-quality person-centred geriatric rehabilitation. Person-centred geriatric rehabilitation involves addressing each patient's unique needs throughout geriatric rehabilitation and multidisciplinary team meetings (MDTMs), where patients' condition, goals, and treatment are discussed and evaluated; IPC is essential. However, there is a lack of knowledge about essential factors that influence IPC during MDTMs in geriatric rehabilitation. This study examined the factors affecting IPC during MDTMs, including the participants' perceptions of IPC during the MDTM and the patient outcome measures used.</p><p><strong>Methods: </strong>The research is a naturalistic observation study performed during 7 MDTMs with 41 participants from four geriatric rehabilitation facilities situated in nursing homes in the Netherlands. After the MDTM, participants completed a brief survey that included a VAS to determine their IPC experiences. They used the VAS to score their satisfaction with collaboration, MDTM conditions, and communication.</p><p><strong>Results: </strong>Chair roles, time management, clear procedures, and actively participating healthcare professionals who share information and ask clarifying questions are all necessary for effective IPC during MDTMs. Involving patients and informal caregivers is also essential. Participants' VAS scores were 7.9 (mean), 8.0 (median), and [7.3-8.9] IQR for collaboration, 7.8, 8.0, and [7.1-8.5] for sharing knowledge, and 6.6, 6.6, and [5.8-8.0] for MDTM conditions. Nonetheless, they identified areas for improvement, such as increasing interdependence. Occasionally, patient outcome measures were used.</p><p><strong>Conclusion: </strong>Effective leadership and communication among the participants enhances IPC during MDTM. Being inactive and adopting a wait-and-see strategy during the MDTM hampers IPC and thereby potentially hinders optimal person-centred care. To establish effective MDTMs for high-quality person-centred geriatric rehabilitation, participants must be involved, accept responsibility, and collaborate with the chair.</p><p><strong>Trial registration: </strong>Not applicable.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"213"},"PeriodicalIF":3.4,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143742127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A cross-sectional study comparing machine learning and logistic regression techniques for predicting osteoporosis in a group at high risk of cardiovascular disease among old adults.","authors":"Yuyi Peng, Chi Zhang, Bo Zhou","doi":"10.1186/s12877-025-05840-w","DOIUrl":"https://doi.org/10.1186/s12877-025-05840-w","url":null,"abstract":"<p><strong>Background: </strong>Osteoporosis has become a significant public health concern that necessitates the application of appropriate techniques to calculate disease risk. Traditional methods, such as logistic regression,have been widely used to identify risk factors and predict disease probability. However,with the advent of advanced statistics techniques,machine learning models offer promising alternatives for improving prediction accuracy. What's more, studies that use risk factors and prediction models for osteoporosis in high-risk groups for cardiovascular diseases are scarce. We aimed to explore the risk factors and disease probability of osteoporosis by comparing logistic regression with four machine learning models. By doing so,we seek to provide insights into the most effective methods for osteoporosis risk assessment and contribute to the development of tailored prevention strategies at high risk of cardiovascular disease among old adults.</p><p><strong>Methods: </strong>We carried out a cross-sectional investigation of a high-risk group in cardiovascular patients. A logistic regression model and four common machine learning methods,DT,RF,SVM,and XGBoost were implemented to create a prediction model using information from 211 participants who met the inclusion requirements. Metrics for calibration and discrimination were used to compare the models.</p><p><strong>Results: </strong>In total,211 patients were enrolled. The AUCs were 0.751 for the logistic regression model,0.72 for the SVM model,0.70 for the random forest model,0.697 for the model XGBoost,and 0.69 for the decision tree model. The logistic regression model outperforms other models for machine learning. According to the logistic regression model,there were nine predictors,including age,sex,glucose,TG (triglyceride),fracture history,stroke history,and CNV (copy number variation) nssv659422, and low-sodium salt. A well-calibrated result of 0.199 on the Brier scale. The findings of the internal validation demonstrated the high degree of repeatability of the prediction model employed in this study.</p><p><strong>Conclusions: </strong>In this study, we discovered that when predicting osteoporosis,a number of machine learning techniques fell short of logistic regression. In a specific population, we have innovatively developed a risk prediction model for osteoporosis events that integrates genetic and environmental factors, is an effective tool for assessing osteoporosis risk and can serve as the basis for specialized intervention approaches.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"209"},"PeriodicalIF":3.4,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143742250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction: Deprescribing psychoactive drugs in older orthogeriatric patients: findings from the GIOG2.0 Italian survey.","authors":"Andrea Cavalli, Antonio De Vincentis, Claudio Pedone, Alice Laudisio, Lucrezia Santoro, Maria Cristina Ferrara, Caterina Trevisan, Elena Tassistro, Maria Grazia Valsecchi, Giuseppe Castoldi, Chiara Mussi, Giuseppe Sergi, Andrea Ungar, Stefano Volpato, Rocco Papalia, Raffaele Antonelli Incalzi, Giuseppe Bellelli","doi":"10.1186/s12877-025-05847-3","DOIUrl":"https://doi.org/10.1186/s12877-025-05847-3","url":null,"abstract":"","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"210"},"PeriodicalIF":3.4,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143742252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The predictive values of sarcopenia screening tools in preoperative elderly patients with colorectal cancer: applying the diagnostic criteria of EWGSOP2 and AWGS2019.","authors":"Ling Li, Mengchen Xing, Rong Wang, Xiaoyue Ding, Xia Wan, Xin Yu","doi":"10.1186/s12877-025-05806-y","DOIUrl":"https://doi.org/10.1186/s12877-025-05806-y","url":null,"abstract":"<p><strong>Background: </strong>Sarcopenia predicts worse postoperative outcomes and lower survival rates in patients with colorectal cancer (CRC). There is a scarcity of studies on the most effective assessment tools for detecting sarcopenia in preoperative elderly patients with CRC. Our objective was to compare the diagnostic accuracy of various tools such as calf circumference (CC), strength, need for assistance with walking, rising from a sitting position, climbing stairs, and the incidence of falls (SARC-F), SARC-F plus CC (SARC-CalF), the short version of mini sarcopenia risk assessment (MSRA-5), the full version of mini sarcopenia risk assessment (MSRA-7), and Ishii score chart in screening sarcopenia in preoperative elderly patients with CRC.</p><p><strong>Methods: </strong>During the period of April 2021 to September 2023, we conducted a cross-sectional study involving consecutive elderly patients who were undergoing colorectal surgery. Sarcopenia was defined using the diagnostic criteria proposed by the European Working Group on Sarcopenia in Older People 2 (EWGSOP2) and the 2019 Asian Working Group for Sarcopenia (AWGS2019). The screening tools' performances were evaluated through receiver operating characteristic (ROC) curves, area under the ROC curves (AUC), and sensitivity/specificity analyses, based on the criteria proposed by EWGSOP2 and AWGS2019.</p><p><strong>Results: </strong>We enrolled 482 patients with an average age of 71.86 ± 5.60 years. According to the EWGSOP2 and AWGS2019 diagnostic standards, the incidence of sarcopenia was 19.5% and 21.6% respectively. The sensitivity of SARC-F, SARC-CalF, MSRA-5, MSRA-7, and Ishii score chart ranged from 51.92 to 56.38%, 84.62-85.11%, 86.54-88.30%, 65.96-67.31%, and 73.08-74.47% respectively, while the specificity ranged from 84.92 to 85.05%, 70.36-71.69%, 36.86-37.04%, 60.57-61.64%, and 77.32-78.31% respectively. Regardless of the sarcopenia diagnostic criteria used, the AUCs of Ishii score chart (0.87 to 0.88) and SARC-CalF (0.89 to 0.90) were significantly larger than those of other tools (P<0.05). There was no significant difference in AUCs among SARC-F, SARC-CalF, and Ishii score chart in females.</p><p><strong>Conclusion: </strong>Among the five sarcopenia screening tools, Ishii score chart and SARC-CalF had the largest overall diagnostic accuracy for sarcopenia in preoperative elderly patients with CRC.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"206"},"PeriodicalIF":3.4,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951566/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143742174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of fall-risk-increasing drugs in Australian aged care residents: a retrospective cross-sectional study.","authors":"Catherine Laird, Kylie A Williams, Helen Benson","doi":"10.1186/s12877-025-05851-7","DOIUrl":"https://doi.org/10.1186/s12877-025-05851-7","url":null,"abstract":"<p><strong>Background: </strong>Globally, falls are considered a serious healthcare problem for aged care residents. Fall-risk-increasing drugs (FRIDs) are medications that can increase the risk of falling, given their adverse effects. Medication reviews are advocated to identify potentially inappropriate use of FRIDs. However, their impact on clinical and resident-centered outcomes is unclear. This study explored aged care residents' use of FRIDs and the content of medication review reports concerning these.</p><p><strong>Methods: </strong>A retrospective cross-sectional study of medication review reports completed between 1st July 2021 and 30th June 2022 was conducted. Statistical descriptive analysis was used to examine the use of FRIDs (defined as medications listed in the Screening Tool of Older Persons Prescriptions in older adults with high fall risk (STOPPFall)). The resident's medicine experience, identified drug-related problems (DRPs), and related recommendations concerning FRIDs were explored via content analysis. For recommendations to deprescribe FRIDs, clinical situations detailed in the reports were compared to those presented in STOPPFall.</p><p><strong>Results: </strong>Medication review reports relating to 966 residents were analysed. Of these residents, 83.2% (n = 804) used FRIDs, with 31.2% (n = 301) taking three or more FRIDs. In total, pharmacists made recommendations concerning 2635 identified DRPs, of which 19.7% (n = 520) were the potentially inappropriate use of FRIDs and deprescribing was recommended. The clinical situation for which deprescribing was most frequently recommended was the use of a FRID for an indication of limited clinical benefit 37.9% (n = 197). The clinical situation was not detailed for 130 (25.0%) recommendations to deprescribe FRIDs, and only three reports included the resident's viewpoint on deprescribing.</p><p><strong>Conclusions: </strong>FRID use was found to be highly prevalent among aged care residents. Pharmacists frequently identified opportunities to deprescribe FRIDs. However, reports often omitted resident viewpoints and the clinical grounds for deprescribing. Using resident-centered communication in medication review reports could improve their impact on FRID use and resident outcomes.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"205"},"PeriodicalIF":3.4,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951507/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143742142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Internet use patterns and their relationship with frailty in older Japanese adults.","authors":"Yaya Li, Kayo Godai, Michiko Kido, Susumu Komori, Ryoichi Shima, Kei Kamide, Mai Kabayama","doi":"10.1186/s12877-025-05708-z","DOIUrl":"https://doi.org/10.1186/s12877-025-05708-z","url":null,"abstract":"<p><strong>Background: </strong>Internet use is increasing among older adults worldwide, raising interest in its potential empowering effects on healthy aging. However, the relationship between internet use and frailty among older adults remains underexplored.</p><p><strong>Methods: </strong>We conducted a postal survey between February and March 2021 in Osaka, Japan. The survey included 1,288 respondents aged ≥ 65 years, yielding a response rate of 71.6%. Internet use patterns were divided based on the frequencies of 8 internet use activities using a k-means cluster analysis. Frailty was assessed using the Japanese Kihon Checklist with a cut-off score of ≥ 8 defining a frail status. Covariates included age, sex, living alone, economic status, work, multimorbidity, smoking, and physical activity. We employed logistic regression models to investigate the associations. Stratified analyses were also conducted by sex and age (65-74 years, ≥ 75 years).</p><p><strong>Results: </strong>After excluding individuals with incomplete data on internet use or long-term care users or living a nursing home, we analyzed 908 participants (45.42% female, average age 73.74 years, 25.37% frail). The K-means cluster analysis identified three internet use patterns: \"less use\" (n = 478), \"social use\" (n = 261), and \"functional use\" (n = 169). Logistic regressions with less use as a reference showed a negative relationship between social use and frailty (adjusted OR, 0.54; 95% CI, 0.35-0.84). The stratified analysis revealed significant relationships between social use and frailty only in males aged 65-74 years and females ≥ 75 years. A relationship was not observed between functional use and frailty.</p><p><strong>Conclusions: </strong>We confirmed the segmentation of internet use patterns and its associations with frailty in older populations, noting age-sex differences. The heterogeneity in the association between internet use and frailty provides evidence for the incorporation of digital technology into health care for older adults, highlighting its role in enhancing social interaction. These findings are cross-sectional, which limits causal inference. Further longitudinal study is needed.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"207"},"PeriodicalIF":3.4,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951635/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143742123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Facilitators and barriers faced by community organizations supporting older adults during the COVID-19 pandemic.","authors":"Kristen R Haase, Ailsa C Sirois, Dmitri Detwyler, Bahareh Kardeh, Shelley Peacock, Theodore D Cosco, Marjan Kamali, Megan E O'Connell","doi":"10.1186/s12877-025-05816-w","DOIUrl":"https://doi.org/10.1186/s12877-025-05816-w","url":null,"abstract":"<p><strong>Background: </strong>During the COVID-19 pandemic, olderadult-focused community organizations played an essential role in supporting the wellbeing of older adults. Supporting older adults during this time required extensive modifications to existing programming but their adaptations during the COVID-19 pandemic are not well documented. The purpose of this study was to understand how older adult-focused community organizations adopted virtual delivery formats during the COVID-19 pandemic and their perspectives of the barriers and facilitators for organizations and older adults.</p><p><strong>Methods: </strong>To understand the changes that were made, we conducted a qualitative environmental scan of community-based services across British Columbia. Online searches were complemented by snowball sampling and key informant interviews. We identified 90 older adult-serving community organizations and interviewed 26. We used reflexive thematic analysis to understand the main strategies.</p><p><strong>Results: </strong>These community organizations described barriers related to older adults' wellbeing, information technology proficiency, and personal/organizational losses related to changes in program structure. Facilitators for virtual activities and events included inter- and intra-organizational collaboration, intrinsic qualities of program design, physical resources to supporting virtual programming, and availability of technological resources. Organizations described meeting the challenge by increasing the 'depth' and 'breadth' of their reach.</p><p><strong>Conclusion: </strong>Older adult-focused community organizations recognized the critical role they played for older adults and adapted their resources to meet those needs. Informational technology was quickly and effectively leveraged to promote social interaction for older adults when physical distancing was required during the COVID-19 pandemic. Barriers related to cost, time, and ultimately older adults' interest in a virtual delivery format were critical limitations.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"204"},"PeriodicalIF":3.4,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951528/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143741807","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}