BMC Geriatrics最新文献

{"title":"Prevalence of self-neglect and related factors among older adults living in Western Turkey: a cross-sectional study.","authors":"Canan Bulut Ayaz, Melike Yalçin Gürsoy","doi":"10.1186/s12877-024-05558-1","DOIUrl":"10.1186/s12877-024-05558-1","url":null,"abstract":"<p><strong>Background: </strong>Self-neglect is a serious public health problem affecting older people. This study was conducted to determine the prevalence of self-neglect and related factors in the elderly, which has become more important with the increase in the elderly population.</p><p><strong>Methods: </strong>The cross-sectional study included individuals aged 65 years and over. Data were collected via face-to-face interviews using a questionnaire. The questionnaire content included questions related to sociodemographic and health-related characteristics, the Istanbul Medical School Elder Self-Neglect questionnaire, standardized Mini Mental State Examination, Geriatric Depression Scale: Short Form, and Katz Activities of Daily Living Scale. Factors associated with self-neglect were identified using logistic regression analysis.</p><p><strong>Results: </strong>In this study, the prevalence of self-neglect in the elderly was 36.6%. In addition, living alone (OR: 2.71), low monthly income perception (OR: 1.86), poor/very poor health perception (OR: 2.30), having mild dementia (OR: 3.00), having severe dementia (OR: 4.54), being severely dependent (OR: 3.39) and lower levels of education (OR: 1.70) were found to be significant factors associated with self-neglect.</p><p><strong>Conclusion: </strong>The results of this study showed that approximately one in three elderly people neglected themselves, and that some sociodemographic and health-related characteristics of the elderly were associated with self-neglect.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"24 1","pages":"1036"},"PeriodicalIF":3.4,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11668096/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142881234","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":"Happiness, sleep quality, and self-care ability among community-dwelling older adults in Tehran, 2023.","authors":"Milad Bakhtiyary, Farshad Sharifi, Keyvan Karimi, Mohammad Salehpoor-Emran, Fatemeh Sadat Mirzadeh, Pouya Farokhnezhad Afshar","doi":"10.1186/s12877-024-05623-9","DOIUrl":"10.1186/s12877-024-05623-9","url":null,"abstract":"<p><strong>Background: </strong>Population aging presents a significant challenge that requires comprehensive planning. Limited research has been done on the interconnections between happiness, sleep, and self-care in older adults. This study aimed to determine the Happiness, Sleep quality, and Self-care ability among community-dwelling older adults in Tehran, 2023.</p><p><strong>Methods: </strong>This is a cross-sectional study. We selected 306 eligible, community-dwelling older adults through multistage sampling. Participants were recruited from comprehensive health service centers. We employed three assessments: the Oxford Happiness Inventory (OHI), the Pittsburgh Sleep Quality Index (PSQI), and the Self-Care Ability Scale for the Elderly (SASE). Data analysis was conducted using SPSS version 27, the Spearman correlation test, and univariate and multivariate linear regression analyses.</p><p><strong>Results: </strong>The results indicated that 58% of older adults were male, 67.6% were married, and 44% were retired. A multivariate linear regression analysis revealed a significant association with happiness. Self-care ability had a negative impact (β = -1.50, p < 0.001), while sleep quality had a positive effect (β = 0.50, p < 0.001).</p><p><strong>Conclusion: </strong>Self-care and sleep quality are associated with overall happiness. Policymakers and planners should prioritize happiness enhancement by addressing its relationship with sleep and self-care practices.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"24 1","pages":"1034"},"PeriodicalIF":3.4,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665221/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142881228","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":"COVID-19 vaccine safety and effectiveness at 3 months in institutionalized old people.","authors":"Mathilde Malignac, Adrien Besseiche, Anaïs Cloppet-Fontaine, Mohand Ouali Sadeg, Jamileh Jafarbay, Mathilde Gourdon, Christophe Trivalle, Claude Jeandel, Jean-Sébastien Vidal, Olivier Hanon","doi":"10.1186/s12877-024-05609-7","DOIUrl":"10.1186/s12877-024-05609-7","url":null,"abstract":"<p><strong>Background: </strong>Older age and associated comorbid conditions increase the risk of severe form of COVID-19 and death. The SARS-CoV-2 vaccination campaign began in France in December 2020 targeting institutionalized older population before having been evaluated in this population. The objective of our study was to assess the tolerability of vaccination 21 days (D21) and 90 days after the first vaccination (D90) in institutionalized old people. Secondary objective was to assess its effectiveness (mortality, hospitalization and occurrence of COVID) at D21 and D90.</p><p><strong>Methods: </strong>People living in nursing homes or in long-term hospitalization facilities in France were included 12-2020-06-2021. They were divided into SARS-CoV-2 vaccinated and unvaccinated groups. Vaccine tolerability was prospectively assessed by the occurrence of health events at D21 and D90 (local and systemic side effects, geriatric syndromes, cardiovascular events). Vaccine efficacy was assessed by the occurrence of COVID-19 and serious adverse events (unscheduled hospitalization and all-cause mortality).</p><p><strong>Results: </strong>The mean age of the 2595 participants was 86 years, 83% received COVID-19 vaccine. There were no significant difference between the vaccinated and unvaccinated for systemic or local adverse events at D21 and D90. At D90, vaccinated participants had significantly fewer SARS-CoV-2 infections (odds ratio (95% confidence interval) = 0.35 (0.22-0.58)), fewer deaths or hospitalizations (0.50 (0.31-0.81)), fewer cardiovascular events (0.28 (0.12-0.64)) and fewer pressure ulcers (0.38 (0.17-0.88)).</p><p><strong>Conclusions: </strong>In this prospective cohort study, COVID-19 vaccine in a very old institutionalized geriatric population had a reassuring safety profile and a protective effect on COVID-19, hospitalizations and deaths, cardiovascular events and pressure ulcers.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"24 1","pages":"1032"},"PeriodicalIF":3.4,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11664901/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142881225","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":"Perceptions, opportunities and barriers of social engagement among the Chinese older adults: a qualitative study.","authors":"Jining Li, Xinzhao Cai, Marius Wamsiedel","doi":"10.1186/s12877-024-05629-3","DOIUrl":"10.1186/s12877-024-05629-3","url":null,"abstract":"<p><strong>Background: </strong>Understanding and promoting healthy aging are increasingly important as China transitions into an aging society. Our study examines the challenges and opportunities faced by the older adults in urban areas regarding social engagement, potentially informing the development of effective, context-sensitive interventions and policies.</p><p><strong>Methods: </strong>The study is based on in-depth interviews with 30 participants from a Northern city in Mainland China regarding their daily lives, attitudes towards and subjective experiences of aging, and involvement in social activities. The participants were selected through purposive sampling, with the aim to maximize the diversity of perspectives and experiences. The data was subjected to thematic analysis.</p><p><strong>Results: </strong>The factors that facilitate social engagement among the older adults in urban China include financial security, available free time, heightened health awareness, access to organized recreational activities, community amenities, and well-developed urban infrastructure. Among the barriers to social engagement for urban Chinese older adults, the study identifies physical limitations, chronic illnesses, shrinking social networks, institutional ageism, and limited digital literacy.</p><p><strong>Conclusion: </strong>The social engagement of the older adults in urban China reflects and is influenced by the wider socio-economic transformation of the country in the recent decades. Financial security afforded by the pension system has lessened the older adults' need to engage in income-generating activities. Combined with an increase in leisure time, this represents a luxury previously unavailable to earlier generations. However, institutional ageism and low digital literacy are important constraints, particularly for the 'oldest old' and those with limited socio-economic status.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"24 1","pages":"1033"},"PeriodicalIF":3.4,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11664919/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142881231","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":"Association of timed up and go test results with future injurious falls among older adults by sex: a population-based cohort study.","authors":"Jiyun Kim, Sookja Choi","doi":"10.1186/s12877-024-05588-9","DOIUrl":"10.1186/s12877-024-05588-9","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to determine whether sex-specific timed up and go (TUG) test results are associated with injurious fall occurrence in older adults and to identify risk factors for injurious falls based on TUG test results.</p><p><strong>Methods: </strong>Data were obtained from an older adult cohort database provided by the National Health Insurance Service, which included 34,030 individuals aged 66 years or older who underwent life-transition health examinations in 2007 and 2008 and were followed up until 2019. To identify the risk factors for injurious falls, this study performed a Cox proportional hazard regression analysis by sex, with individual characteristics, including TUG test results, as independent variables.</p><p><strong>Results: </strong>The TUG test was associated with injurious falls occurrence in older adult men, but not in older adult women. Among men with abnormal TUG results, those with abnormal systolic blood pressure had a greater risk of injurious falls. In women, dysuria, hearing impairment, underweight, abnormal systolic blood pressure, diabetes, depressive mood, and low bone mineral density (osteopenia and osteoporosis) were identified as risk factors for injurious falls, regardless of the TUG test results. Risk factors for injurious falls after the TUG test differed by sex.</p><p><strong>Conclusions: </strong>The TUG test is useful for detecting injurious falls in older adult men. This study identified important risk factors for injurious falls in older adult women that can be targeted in prevention strategies.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"24 1","pages":"1035"},"PeriodicalIF":3.4,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11664902/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142881213","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":"Empowering informal caregivers and nurses to take a person-centred view: adaptation and clinical utility of the Integrated Palliative Outcome Scale (IPOS-Dem) for use in acute and community care settings.","authors":"Susanne de Wolf-Linder, Iris Kramer, Margarete Reisinger, Fliss E M Murtagh, Maria Schubert, Christina Ramsenthaler","doi":"10.1186/s12877-024-05608-8","DOIUrl":"10.1186/s12877-024-05608-8","url":null,"abstract":"<p><strong>Background: </strong>Dementia is a progressive and terminal illness. Symptoms are present for people with dementia across all stages, leading to poor quality of life and considerable carer burden. In acute and community care services, no holistic, person-centred outcome tools are available for nurses and informal caregivers to measure symptoms and needs from the person`s with dementia point of view. We therefore undertook validation (exploring semantic/conceptual equivalence, content validity, and views on clinical utility) for a measure (IPOS-Dem) in the community and acute care setting in Switzerland.</p><p><strong>Methods: </strong>This was a rigorous, multi-step, cross-sectional, multi-method study conducted with nurses and relatives caring for people with dementia in the community and acute care setting. Multiple components were aligned: 1) forward and backward translation from German to Swiss German to achieve semantic equivalence; 2) focus groups to explore clinical utility and conceptual equivalence; 3) cognitive debriefing to review content validity. An expert review was included at the end of each phase.</p><p><strong>Results: </strong>Six people from the public and 24 nurses/relatives were included. Semantic equivalence was achieved after making 14 changes to the wording of items. Participants judged the IPOS-Dem (CH) as a clinically useful intervention in the domains of appropriateness, accessibility, practicability, and acceptability for the following reasons: (1) it enables support for informal caregivers, (2) it provides an overview of the priorities of care, thus supporting symptom review, (3) it allows nurses with different qualifications to contribute critical observations, thus fostering communication and teamwork, and (4) it increases an awareness of change in symptoms throughout the disease trajectory. In the cognitive debriefing interviews, setting and respondent-dependent differences in the conceptual understanding of item descriptors were observed for 11 of 31 items.</p><p><strong>Conclusion: </strong>In this novel work, we demonstrate the newly-translated and culturally-adapted IPOS-Dem (CH) is a relevant and comprehensive measure for persons with mild to severe dementia. It can aid a generalist workforce across settings to assess palliative care-relevant symptoms and concerns.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"24 1","pages":"1030"},"PeriodicalIF":3.4,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11662603/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142871293","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":"Prevalence of cognitive impairment and metabolic syndrome among older adults in calabar metropolis and the associated risk factors.","authors":"Idongesit KokoAbasi Isong, Kingsley John Emmanuel, Iya Eze Bassey, Mercy Etim Jackson, Unwana Paul Obadare, Ifure Uwem KokoAbasi, Glory Okoi Abam","doi":"10.1186/s12877-024-05627-5","DOIUrl":"10.1186/s12877-024-05627-5","url":null,"abstract":"<p><strong>Background: </strong>The number of people reaching old age is rising, bringing an increase in age-related diseases like cardiovascular conditions and cognitive dysfunction. Cognitive impairment (CI) impacts various brain functions, affecting daily activities and quality of life. Metabolic syndrome (MetS), a cluster of cardiovascular risk factors, has been implicated in CI. This study examines the prevalence of MetS and CI among older adults in Calabar Metropolis and the associated risk factors.</p><p><strong>Methods: </strong>This study was conducted in Calabar Metropolis, Cross River State, Nigeria, with 236 older adults (aged 65 years and above) selected via a multi-stage sampling technique. Informed consent was obtained from all participants. Physical examinations and biomarker assessments included measurements of blood pressure, height, weight, waist and hip circumference, fasting plasma glucose, cholesterol, triglycerides, and high-density lipoprotein (HDL) levels. MetS was defined according to the NCEP Adult Treatment Panel III criteria. CI was assessed using the Mini-Cog™ test, with scores ≤ 3 indicating poor cognitive status. Data analysis utilized SPSS version 26.0, employing chi-square tests and binary logistic regression. Significance was set at p < 0.05.</p><p><strong>Results: </strong>The prevalence of MetS was 32.2%, and CI was observed in 44% of participants. Females had a slightly higher prevalence (57.9%) of MetS compared to males (42.1%). Significant differences were found between MetS and non-MetS groups in systolic blood pressure, fasting blood sugar, triglycerides, abdominal obesity, and cardiovascular risk. MetS overall was not significantly associated with CI. However, reduced HDL levels were significantly linked to poor cognitive status (OR = 70.528, 95% CI = 3.269-1521.748). Other MetS components did not show significant associations with CI.</p><p><strong>Conclusions: </strong>This study highlights the prevalence of MetS and CI among older adults in Calabar Metropolis. The findings suggest that while MetS as a whole is not associated with CI, reduced HDL levels are significantly linked to poor cognitive status. The findings emphasize the importance of managing specific metabolic risk factors, particularly HDL, to maintain cognitive health in elderly population.</p><p><strong>Clinical trial registration: </strong>Not applicable.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"24 1","pages":"1031"},"PeriodicalIF":3.4,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11663320/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142871264","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":"Digital divide as a determinant of health in the U.S. older adults: prevalence, trends, and risk factors.","authors":"Rumei Yang, Shiying Gao, Yun Jiang","doi":"10.1186/s12877-024-05612-y","DOIUrl":"10.1186/s12877-024-05612-y","url":null,"abstract":"<p><strong>Background: </strong>The rapid development of digital technologies has fundamentally changed the care for older adults. However, not all older adults have equal opportunities to access and use the technologies, more importantly, be able to benefit from the technologies. We aimed to explore (1) the prevalence and the trend in the prevalence of digital divide in older adults, including digital access gap, digital use gap (specifically, using digital technologies for health commutation [e-communication gap]), and self-efficacy in information seeking gap (cognitive gap); (2) sociodemographic factors related to three perspectives of digital divide; and (3) the association between digital divide and self-rated health (exploratory).</p><p><strong>Methods: </strong>Adults aged 65 years or older (N = 5,671, weighted mean [SD] age = 74.26 [10.09] years) from the Health Information National Trends Surveys (2017-2020) were analyzed using the weighted logistic and linear regression models.</p><p><strong>Results: </strong>There was a significant linear decrease in the adjusted prevalence of digital access gap (odds ratio [OR] = 0.86, 95% CI = 0.78, 0.94) and the e-communication gap (OR = 0.88, 95% CI = 0.82, 0.95) over time. However, there were no significant changes in cognitive gap between 2017 and 2019, and between 2018 and 2020. Overall, older adults with digital divide were more likely to be less educated, have less income, and self-identified as Hispanic people. Univariate analyses found that three perspectives of digital divide were significantly associated with poor self-rated health. Multivariate analyses adjusted for covariates (e.g., age and sex) found that the access gap but not the e-commutation gap was associated with self-rated health and that cognitive gap was only associated with self-rated health between 2018 and 2020 but not between 2017 and 2019.</p><p><strong>Conclusions: </strong>Digital divide is decreasing but remains persistent and disproportionately affects self-rated health of older adults, particularly those who are socially disadvantaged (e.g., lower education and income). Continued efforts are needed to address digital divide among them.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"24 1","pages":"1027"},"PeriodicalIF":3.4,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11662839/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142871290","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":"ExerG - an exergame-based training device for the rehabilitation of older adults: a functional model usability study.","authors":"Jane Muheim, Isabella Hotz, Franziska Kübler, Silvia Herren, Simon Sollereder, Katharina Kruszewski, Anna Lisa Martin-Niedecken, Alexandra Schättin, Frank Behrendt, Sonja Böckler, Stefan Schmidlin, Roman Jurt, Stephan Niedecken, Yanick Riederer, Christian Brenneis, Leo H Bonati, Barbara Seebacher, Corina Schuster-Amft","doi":"10.1186/s12877-024-05617-7","DOIUrl":"10.1186/s12877-024-05617-7","url":null,"abstract":"<p><strong>Background: </strong>Exergames are interactive technology-based exercise programs. By combining physical and cognitive training components, they aim to preserve independence in older adults and reduce their risk of falling. This study explored whether primary end users (PEU, healthy older adults and patients with neurological and geriatric diagnoses) and secondary end users (SEU, health professionals) evaluated the ExerG functional model to be usable, providing a positive experience and therefore acceptable.</p><p><strong>Methods: </strong>We conducted a multi-methods study using several assessments to quantify usability and enjoyment outcomes, along with semi-structured interviews to gain an in-depth understanding of the users' experiences. Descriptive statistics were used for quantitative outcome measures. For qualitative data, a thematic analysis (TA) using an inductive, data-driven approach was carried out to develop themes for each user group.</p><p><strong>Results: </strong>We interviewed 20 PEUs (13 healthy older adults, 7 patients) and 22 SEUs at two rehabilitation centres in Austria and Switzerland. Users' scores of over 70 on the System Usability Scale denoted good usability. On the Physical Activity Enjoyment Scale-16, both PEU groups rated the ExerG highly. Our TA approach identified four themes per user group. Themes from both PEU groups confirmed their enjoyment of training with the ExerG, however more variety and greater challenges were requested. Whilst the patient group appreciated the security given by the harness system, the healthy older adults reported feeling restricted. SEU themes reflected their approval of this novel training device, although a desire for increased difficulty and more individualisation was expressed. Clear instructions and an easy-to-use harness system were acknowledged and useful feedback for the developers emerged.</p><p><strong>Conclusions: </strong>The ExerG is usable, offers a positive experience, and can therefore be regarded as an acceptable solution for the combined physical and mental training of older adults. Our findings contribute to the ongoing development of the ExerG, which will be a welcome addition to current training options for this target group. Further research is needed to confirm its effectiveness in preserving or improving functional independence in daily life and reducing the risk of falling.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"24 1","pages":"1029"},"PeriodicalIF":3.4,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11662804/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142871297","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 changes following the introduction of socially assistive robots in nursing homes: a qualitative study with ICF framework and causal loop diagramming.","authors":"Eri Otaka, Kenji Sato, Daiki Shimotori, Tsuneki Ninomiya, Naoki Sugimoto, Yoshihiro Nakabo, Yoshio Matsumoto, Taiki Yoshida, Izumi Kondo","doi":"10.1186/s12877-024-05628-4","DOIUrl":"10.1186/s12877-024-05628-4","url":null,"abstract":"<p><strong>Background: </strong>Socially assistive robots introduced in nursing care settings have multidimensional psychological impacts on care recipients and caregivers. This study aims to explore the longitudinal changes induced by socially assistive robots, focusing on a chain of human behaviors.</p><p><strong>Methods: </strong>In this qualitative study, nine participants from two nursing homes who had experience in manipulating socially assistive robots were interviewed in a semi-structured focus group using a topic guide to explore the changes in care recipients and caregivers. Following the framework analysis method, the transcripts were coded using the International Classification of Functioning, Disability, and Health (ICF). The identified codes were charted for each side-care recipients and caregivers sides- using a causal loop diagram, a tool used to visualize nonlinear dynamics in complex systems.</p><p><strong>Results: </strong>Three and seven kinds of codes in the domains of \"body functions\" and \"activities and participation\", respectively, were identified on the care recipients' side; whereas on the caregivers' side, one and five kinds of codes in the domains of \"body functions\" and \"activities and participation\", respectively, were found. The codes obtained from the facility with longer experience were represented graphically as a reinforcing feedback loop, in which favorable changes were amplified in a chain of events. Robot use directly changed the mental functions of care recipients, and the caregivers' perceptions of these positive changes led to their own emotional and behavioral changes, which would reduce the burden of care. Moreover, the findings suggest that sharing information regarding these changes and objectively recognizing the effectiveness of robots among staff members can be the key to continuous robot use in nursing care settings. Conversely, the figure obtained from the novice facility shows fragmented chain relationships of the codes, indicating that all the effects of robot use are recognizable and form a chain reaction after continuous robot use for more than several months.</p><p><strong>Conclusions: </strong>This study revealed important aspects regarding the longitudinal effects of socially assistive robots in nursing care settings. These implications should be broadly implemented for effective robot use and reduction of the burden of care in nursing care settings.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"24 1","pages":"1026"},"PeriodicalIF":3.4,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11662548/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142871259","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}