BMC Geriatrics最新文献

{"title":"Monitoring utilisation patterns of home- and community-based services for healthy ageing: a cross-sectional study.","authors":"Wusi Zhou, Xiangjing Zhang, Xiaoyang Lyu","doi":"10.1186/s12877-025-05918-5","DOIUrl":"https://doi.org/10.1186/s12877-025-05918-5","url":null,"abstract":"<p><strong>Background: </strong>The home- and community-based care model has been developed to enable older people healthy ageing in place. However, few studies have investigated how well particular home- and community-based services (HCBS) have reached older people. This is crucial to address the issue of inequity in healthcare for seniors living independently. This study aims to examine the utilisation of the overall HCBS as well as its three main categories: life care services (LCS), medical health services (MHS) and spiritual comfort services (SCS). It will compare various predictors influencing the uptake of these services and highlight broader policy implications for building an integrated care system that promotes ageing within communities.</p><p><strong>Methods: </strong>The research adopted a cross-sectional research design with a comparative analysis approach. A questionnaire survey was carried out with 1246 older adults in Zhejiang province, yielding 1171 valid responses and an overall response rate of 93.98%. Descriptive statistics and binary logistic regression analyses were applied to identify differences in service utilisation and key determinants.</p><p><strong>Results: </strong>The research findings showed that overall HCBS utilisation was relatively low, influenced by factors such as age, family support, self-assessed economic status, community type, type of social security benefits, awareness of regular HCBS, self-care capability and self-rated health. Substantial variations were observed in the utilisation rates of LCS, MHS and SCS. The young-old population was less likely to use LCS and MHS, whereas individuals with family support and chronic diseases were more inclined to utilise MHS and SCS. Economic condition and community type emerged as key determinants affecting the use of all three services.</p><p><strong>Conclusions: </strong>This study highlights that HCBS have not been fully utilised and are influenced by various factors. Moving forward, it is crucial to address the care needs of different income groups, with particular attention to the unique challenges faced by rural older adults. Targeted policies and interventions are necessary to enhance accessibility for those with chronic illnesses and limited family support. Local governments should work in partnership with families to develop higher-quality, place-based integrated care services, ensuring that both medical care and spiritual well-being services are effectively delivered to meet the evovling needs of an ageing population.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"291"},"PeriodicalIF":3.4,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12036149/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143960883","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":"Healthy, moderate, or distressed: identification of latent profiles of mental health of a Chilean older primary care user sample.","authors":"Sandra Saldivia, Claudio Bustos, Joseph Aslan, Carolina Inostroza, Anabel Castillo-Carreño, Félix Cova","doi":"10.1186/s12877-025-05903-y","DOIUrl":"https://doi.org/10.1186/s12877-025-05903-y","url":null,"abstract":"<p><strong>Background: </strong>In older adults, medium and high levels of life satisfaction can coexist with mental health symptoms. The combination of these variables continues to be a challenge for public mental health; even more so for middle-income countries where evidence is scarce. This study aimed to identify latent mental health profiles in a sample of older adults attending primary healthcare centres (PHC) in the Province of Concepción, Chile.</p><p><strong>Methods: </strong>A convenience sample of individuals aged 65 and older who sought care in 15 PHC centres was recruited. Perception of well-being and the presence of anxiety and depression symptoms, all of these in relation to variables such as age, sex, cohabitation, health history, alcohol use, social participation, social support, loneliness, stressful events, presence of previous major depressive episodes, and generalized anxiety disorders. The relationship between the variables was analysed using a latent profile model.</p><p><strong>Results: </strong>A total of 573 interviews were conducted, with 7.85% having a psychiatric diagnosis in the last year. Four latent profiles were identified: healthy (15%); moderate mental health with lower anxiety (22%), moderate mental health with higher anxiety (34%), and distressed (29%). The multinomial regression model for predictor variables significantly predicted the class for each subject. Key predictors include loneliness, stressful events, satisfaction with health status, and sex.</p><p><strong>Conclusions: </strong>The combined assessment of mental distress variables (anxiety and depressive symptoms) and well-being forms a gradient ranging from positive (healthy) and negative (distressed) mental health, with anxiety playing a crucial role in its differentiation.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"287"},"PeriodicalIF":3.4,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12036285/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143961988","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":"The impact of perceived social support on chronic disease self-management among older inpatients in China: The chain-mediating roles of psychological resilience and health empowerment.","authors":"Chunni Lin, Xiayi Zhu, Xiaohui Wang, Lingyue Wang, Ying Wu, Xiang Hu, Jing Wen, Li Cong","doi":"10.1186/s12877-025-05902-z","DOIUrl":"https://doi.org/10.1186/s12877-025-05902-z","url":null,"abstract":"<p><strong>Background: </strong>Chronic disease self-management is a critical concern in public health, in which perceived social support plays an important role. However, the underlying pathways and mechanisms linking perceived social support to chronic disease self-management remained unclear. This study investigated whether psychological resilience and health empowerment mediated the relationship between perceived social support and the effectiveness of chronic disease self-management.</p><p><strong>Methods: </strong>A total of 368 older inpatients with chronic non-communicable diseases were recruited from three grade-A tertiary hospitals in Changsha City, China, using a convenience sampling method between January and June 2023. Data were collected using the General Information Questionnaire, the Chronic Disease Self-Management Scale, the Perceived Social Support Scale, the Connor-Davidson Resilience Scale, and the Health Empowerment Scale. Descriptive demographic analysis and Pearson correlation analysis were conducted using SPSS 26.0, and model 6 in the macro program Process 4.1 was employed to test the chain mediation effect.</p><p><strong>Results: </strong>Most older inpatients were aged 60-69 years (52.2%), followed by those aged 70-79 years (30.7%). Regression analysis revealed that perceived social support, psychological resilience, and health empowerment collectively explained 45.7% of the variance in chronic disease self-management. Mediation analysis demonstrated that perceived social support not only had a direct positive impact on chronic disease self-management (effect = 0.141, 95% CI: LL = 0.041, UL = 0.241), but also indirectly affected chronic disease self-management through three significant mediating pathways: the independent mediating effect of psychological resilience (effect = 0.102, 95% CI: LL = 0.061, UL = 0.155), the independent mediating effect of health empowerment (effect = 0.042, 95% CI: LL = 0.010, UL = 0.080), and the chain mediating effect between psychological resilience and health empowerment (effect = 0.024, 95% CI: LL = 0.006, UL = 0.047).</p><p><strong>Conclusion: </strong>Perceived social support influenced chronic disease self-management directly and indirectly through psychological resilience and health empowerment. These findings offered practical guidance for developing more effective intervention strategies aimed at improving chronic disease self-management among older inpatients.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"284"},"PeriodicalIF":3.4,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12032646/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143972735","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":"Predictive model to identify multiple synergistic effects of geriatric syndromes on quality of life in older adults: a hospital-based pilot study.","authors":"Chien-Chou Su, Yung-Chen Yu, Deng-Chi Yang","doi":"10.1186/s12877-025-05931-8","DOIUrl":"https://doi.org/10.1186/s12877-025-05931-8","url":null,"abstract":"<p><strong>Background: </strong>Quality of life (QOL) has been reported to be associated with sociodemographic characteristics and geriatric syndromes in older adults, but the impact of interactions among multiple geriatric syndromes on QOL remains unexplored. We aimed to apply a machine learning method to evaluate the effects of interactions among multiple geriatric syndromes on QOL in older adults.</p><p><strong>Methods: </strong>We recruited adults aged ≥ 65 years admitted to a tertiary medical center from June 2018 to September 2018. The main outcome was the three-level five-dimensional Euro-Quality of Life tool (EQ-5D-3 L) utility value. The random forest algorithm was used to identify and rank the strongest predictors of geriatric syndromes. The relation between predictors and outcomes was visualized with accumulated local effects plots and interaction effects. Model performance was evaluated by 5-fold cross-validation with metrics of R-square, the mean square error of estimation and the mean absolute error of estimation.</p><p><strong>Results: </strong>The study included 160 older adults with a mean age of 79 years. The top ten features that significantly influenced the utility prediction were activities of daily living (ADL), frailty, pain, the number of medications used, age, depression, the Charlson Comorbidity Index (CCI), body mass index (BMI), peptic ulcer, and emotional loneliness. The two-way interactions between ADL, frailty, and pain significantly interacted with other predictors.</p><p><strong>Conclusion: </strong>ADL, frailty, and pain are important factors to be considered when assessing QOL in older adults. It is important for clinicians to consider them together in clinical decision-making.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"283"},"PeriodicalIF":3.4,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12032690/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143973374","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":"Longitudinal influences of adverse childhood experience patterns on mental health among older Chinese people.","authors":"Yue Zeng, Renhui Lyu","doi":"10.1186/s12877-025-05913-w","DOIUrl":"https://doi.org/10.1186/s12877-025-05913-w","url":null,"abstract":"<p><strong>Background: </strong>Childhood experiences have been shown to affect mental health in later life. However, the relationships between childhood adversity patterns and mental health trajectories in later life have not been fully examined. Using a pattern-based approach, this research identified distinct patterns of exposure to adverse childhood experiences (ACEs) and longitudinal relationships between ACE patterns and mental health trajectories among older Chinese people.</p><p><strong>Methods: </strong>Using data on 4,343 respondents aged 60 or older from four waves of the China Health and Retirement Longitudinal Study (2011, 2013, 2015, and 2018) and a 2014 life history survey, latent class analysis was employed to identify patterns of ACEs. Parallel process latent growth curve models were applied to examine the longitudinal relationships between ACE patterns and depressive symptoms and cognitive function.</p><p><strong>Results: </strong>Three meaningful patterns of ACE emerged: Low ACEs, Polyvictimization, and Absence of parental care. ACE patterns were associated with the trajectory of cognitive function but not depression, and the effects were particularly evident in the Polyvictimization class.</p><p><strong>Conclusions: </strong>This study emphasizes the significant influences of ACE patterns on cognition in later life. Additionally, early screening, prevention, assessment, and interventions for people with polyvictimization experiences are critical for alleviating or delaying cognitive decline in later life.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"286"},"PeriodicalIF":3.4,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12032650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143963669","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":"Developing an indicator for community-level age-friendly communities: the Japan gerontological evaluation study.","authors":"Satoko Fujihara, Taiji Noguchi, Kazushige Ide, Seungwon Jeong, Katsunori Kondo, Toshiyuki Ojima","doi":"10.1186/s12877-025-05919-4","DOIUrl":"https://doi.org/10.1186/s12877-025-05919-4","url":null,"abstract":"<p><strong>Background: </strong>Age-friendly communities (AFCs) aim to create inclusive societies for older adults. The World Health Organization (WHO) highlights dementia considerations in AFC development; however, few community-level indicators include these elements. This study aimed to develop a community-level AFC indicator incorporating dementia-friendly elements based on WHO guidelines and to test its validity and reliability.</p><p><strong>Methods: </strong>A repeated cross-sectional design used data from the 2016 and 2019 waves of the Japan Gerontological Evaluation Study (JAGES) covering 61 school districts in 16 municipalities (45,162 individuals aged 65 and older in 2016 and 39,313 in 2019). The 2016 and 2019 datasets served as the development and retest samples, respectively. The item selection process involved extracting indicators from the JAGES survey items that aligned with WHO guidelines as well as those based on prior research on dementia-friendly communities (DFCs). Following expert consultations, 23 candidate items were identified. Data were aggregated at the school district level. Exploratory factor analysis (EFA) was conducted on the 2016 data to derive the factor structure, and confirmatory factor analysis (CFA) was used to assess model fit. The reproducibility of the factor structure was evaluated using EFA on the 2019 retest sample. Internal consistency and test-retest reliability were assessed.</p><p><strong>Results: </strong>The final 17-item indicator comprised three subscales: Social inclusion and dementia-friendliness (7 items, α = 0.86; e.g., Sense of belonging to the community), Social engagement and communication (5 items, α = 0.78; e.g., Participation in hobby groups), and Age-friendly physical environment (5 items, α = 0.82; e.g., Accessibility of barrier-free streets). The CFA showed an unsatisfactory model fit; however, test-retest reliability was adequate (r = 0.71-0.79; ICC = 0.67-0.78).</p><p><strong>Conclusions: </strong>A valid and reliable 17-item community-level indicator was developed, aligning with the WHO framework and incorporating dementia-friendly elements. This indicator is a valuable tool for monitoring, evaluation, and inter-community comparisons, aiding the development of AFCs and DFCs in aging societies like Japan. Additionally, this indicator can be adapted for other high-income countries with similar socioeconomic backgrounds, healthcare systems, and community structures, providing a useful tool for age- and dementia-friendly initiatives.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"285"},"PeriodicalIF":3.4,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12032818/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143973366","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":"Proactive end-of-life conversations in residential care homes: a qualitative interview study exploring residents' and family members' experiences.","authors":"Åsa Mikaelsson, Lars E Eriksson, Terese Stenfors, Ida Goliath","doi":"10.1186/s12877-025-05916-7","DOIUrl":"https://doi.org/10.1186/s12877-025-05916-7","url":null,"abstract":"<p><strong>Background: </strong>Due to population aging, residential care homes are increasingly providing end-of-life care for residents with multiple chronic illnesses and cognitive decline. Proactive end-of-life communication, a component of Advance Care Planning, has been suggested as a means of providing high-quality care aligned with residents' preferences and supporting involved family members. Despite growing knowledge about the benefits of early communication concerning end-of-life care preferences, such conversations are still rare in the context of residential care homes, and little is known about how they are perceived by residents and family members. The aim of this study is to explore the outcomes experienced by residents and family members who have participated in proactive end-of-life conversations in residential care homes.</p><p><strong>Methods: </strong>This qualitative study is embedded within a participatory action research project implementing proactive end-of-life conversations in five Swedish residential care homes, using a conversation tool. In this study we performed 18 interviews with eleven residents and eight family members after they had participated in staff initiated proactive end-of-life conversations. Data were analyzed using interpretive description.</p><p><strong>Results: </strong>Residents and family members experienced several outcomes of proactive end-of-life conversations presented in three closely interconnected themes: (1) Enabling open communication, (2) Creating space for knowledge exchange, and (3) Contributing to feelings of confidence and relationship building.</p><p><strong>Conclusions: </strong>Proactive end-of-life conversations generated several beneficial outcomes for residents and family members, including those with cognitive decline. The study demonstrated that the conversations may strengthen person-centered care and family support in this context. Based on these findings, proactive end-of-life conversations have the potential for use by residential care home staff.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"279"},"PeriodicalIF":3.4,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12032711/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143963631","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":"Successful sexual aging: conceptualization and Bi-Country (Croatia and Germany) measure validation.","authors":"Aleksandar Štulhofer, Laura Pietras, Ivan Landripet, Goran Koletić","doi":"10.1186/s12877-025-05899-5","DOIUrl":"https://doi.org/10.1186/s12877-025-05899-5","url":null,"abstract":"<p><strong>Background: </strong>The increasing importance of sexual expression among older Europeans calls for a more comprehensive understanding of the process of sexual aging. Combining social gerontological and sexological theories, the current study aimed to conceptualize and operationalize a process-focused model of successful sexual aging (the SSAM).</p><p><strong>Methods: </strong>Using a Croatian sample of older partnered individuals (n = 200; M_age = 71.2) and a large-scale German sample of both partnered (n = 442; M_age = 69.2) and non-partnered individuals (n = 971; M_age = 69.2), we developed and validated a 9-item measure of successful sexual aging.</p><p><strong>Results: </strong>The 3-dimensional Successful Sexual Aging Scale (SSAS) reflects two internal processes (acceptance of and adaptation to aging-related changes) and an external one (opportunities for sexual expression). The measure was age, gender, and (to a large extent) culture invariant in older partnered individuals. With a minor adjustment (re-wording of a single item), the SSAS assessed positive sexual aging comparably well in non-partnered individuals. As hypothesized, the measure was significantly related to positive attitudes about older people's sexuality, life and relationship satisfaction, subjective age, and self-reported health. SSAS scores, which were lower among Croatian than German participants, were also linked to lower levels of social isolation, as well as depression and anxiety symptoms.</p><p><strong>Conclusions: </strong>The new measure can be useful in a range of quantitative assessments of older people's sexuality and well-being. Furthermore, the concept of successful sexual aging may assist in challenging ageism and in interventions focusing on positive sexual aging.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"277"},"PeriodicalIF":3.4,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12032653/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143963657","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":"Cognitive frailty: a useful concept or a source of confusion? Insights from a survey of European geriatricians.","authors":"Suzanne Timmons, Mary Faherty, Catriona Curtin, Maria Cristina Ferrara, Giuseppe Bellelli, Enrico Brunetti, Mario Bo, Alessandro Morandi, Antonio Cherubini, Massimiliano Fedecostante, Alessandra Coin, Susan D Shenkin, Pinar Soysal","doi":"10.1186/s12877-025-05930-9","DOIUrl":"https://doi.org/10.1186/s12877-025-05930-9","url":null,"abstract":"<p><strong>Background: </strong>This report examines how European geriatricians understand the concept of 'cognitive frailty', which was first formally defined by the International Academy on Nutrition and Aging (IANA) and the International Association of Gerontology and Geriatrics (IAGG) in 2013.</p><p><strong>Methods: </strong>An online survey about delirium, dementia and frailty relationships and pathways was distributed across Europe through appropriate professional groups. Eligible participants were geriatricians or trainees in their final two years of specialist geriatric training, in a European country. Snowball sampling was used. In total, 440 people replied to the survey, of which 324 responded to the section on cognitive frailty. Respondents were predominantly female and there was a marked under-representation of Eastern European participants.</p><p><strong>Results: </strong>From a list of possible definitions, only one in four of the 324 respondents identified cognitive frailty as defined by the IANA and the IAGG, i.e., a combination of physical frailty and mild cognitive impairment. Almost two thirds of those who stated that they currently use the term in their work did not choose the IANA-IAGG definition. After the definition was shared with respondents, only 44% strongly agreed with it as an apt description of cognitive frailty, with some considering it too narrow (by omitting delirium and dementia) while others considered it too broad (by including physical frailty).</p><p><strong>Conclusions: </strong>There is no clear consensus opinion among geriatricians in Europe on the definition of 'cognitive frailty'. While there is some core support for the IANA-IAGG definition, it is not intuitive to those not already familiar with the term. The variance in the current understanding of cognitive frailty among geriatricians suggests the time is right for a meaningful debate on this issue. While there is ongoing, growing research on a shared pathophysiology between physical frailty and cognitive impairment, further studies are required to evaluate the added benefit of this particular conceptual theorization in older persons care rather than its single components, and if beneficial, how awareness, understanding and correct usage of the concept can be improved.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"280"},"PeriodicalIF":3.4,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12032811/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970460","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":"Inactivity is isolation: insights from a sedentary time intervention in assisted living.","authors":"Irmina Klicnik, Brianna Leadbetter, Milena Zdjelar, Danielle R Bouchard, Jennifer L Copeland, Shilpa Dogra","doi":"10.1186/s12877-025-05921-w","DOIUrl":"https://doi.org/10.1186/s12877-025-05921-w","url":null,"abstract":"<p><strong>Background: </strong>As Canada's aging population continues to grow, a larger number of older adults will be residing in assisted living (residences with some on-site care and services). Research is needed to understand how to support active aging - defined as a combination of movement and social behaviours-in this unique living environment. In this study, we explored insights generated about active aging from older residents of assisted living who participated in an intervention designed to encourage standing breaks.</p><p><strong>Methods: </strong>This was a multi-method exploratory study. Residents of three assisted living facilities participated in a 12-week intervention called Stand When You Can. The Keele Assessment of Participation (KAP) was used to assess perceived levels of participation in various domains of assisted living at pre- and post-intervention. Focus group sessions were conducted to explore insights on active aging. Transcripts were thematically analyzed to generate themes and sub-themes.</p><p><strong>Results: </strong>A total of 18 residents (84.4 ± 6.8 years, 72% female), participated in the focus groups. KAP scores at pre-intervention were indicative of a high level of social participation within the residences. Five primary themes emerged from the focus group sessions: 1) intervention effectiveness, 2) physical and social engagement go hand in hand, 3) the congregate living environment can influence movement behaviour, 4) congregate living supports interpersonal relationships, and 5) personal preferences for solitary activity.</p><p><strong>Conclusions: </strong>The natural communal setting of assisted living, along with supportive staff, presents a valuable opportunity to promote active aging, which is a complex interplay of social and movement behaviour. Our preliminary findings suggest that in addition to supporting individual behaviour change, a comprehensive approach that addresses the environment, social engagement, and staff engagement is needed in this setting. Future interventions should consider addressing each of these components to facilitate successful behaviour change related to active aging.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"281"},"PeriodicalIF":3.4,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12032736/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143965119","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}