Jordana L Clayton, Katherine P Supiano, Nancy Aruscavage, Sara Bybee, Rebecca L Utz, Eli Iacob, Kara B Dassel
BACKGROUND AND OBJECTIVES: Individuals with dementia may require a surrogate decision-maker as their disease progresses. To prepare for this potential role, dementia care partners need to develop a thorough understanding of their care recipient's end-of-life values and preferences, or care dyad ACP concordance. As part of our pilot study implementing the LEAD intervention with dementia care dyads, we conducted a multi-method investigation to define care dyad ACP concordance. RESEARCH DESIGN AND METHODS: We conducted a scoping review of peer-reviewed studies published after 1991 in English focusing on care dyad ACP concordance in dementia care and included 34 articles...
March 27, 2024: Gerontologist
Mary Kris Stringfellow, Noelle L Fields, Kathy Lee, Keith A Anderson, Eva Brokaw
BACKGROUND AND OBJECTIVES: Autism Spectrum Disorder (ASD) is a lifelong diagnosis. While several studies have examined the effects of autism throughout childhood, few have considered older adulthood and the difference between the allistic (i.e., persons who are not autistic) population and autistic older adults. In literature regarding healthy aging, there is sparse evidence regarding the intersections of older adulthood and autism. The purpose of this scoping review was to examine the state of literature regarding autistic older adults and the domains of healthy aging, utilizing the framework conceived by Arksey and O'Malley (2005)...
March 23, 2024: Gerontologist
Karen Watchman, Paula Jacobs, Louise Boustead, Andrew Doyle, Lynn Doyle, Jan Murdoch, Jill Carson, Louise Hoyle, Heather Wilkinson
BACKGROUND AND OBJECTIVES: People with intellectual disability are at increased risk of dementia at an earlier age. This is the first study to explore experiences of couples with an intellectual disability when one partner has dementia. RESEARCH DESIGN AND METHODS: Four people with intellectual disability whose partner had dementia and one partner who had both an intellectual disability and dementia took part in narrative life story interviews. One of the interviews was conducted as a couple giving direct perspectives from four couples overall...
March 20, 2024: Gerontologist
K Godde, Margaret Gough Courtney, Josephine Roberts
BACKGROUND AND OBJECTIVES: Although it is well-established that psychological disorders and osteoporosis risk are linked, how the relationship manifests is not. This study examines depressive symptoms and a history of psychological problems as potential risk factors for osteoporosis diagnosis, adjudicating between four theoretical models rarely tested together. We analyze these models across multiple domains (i.e., demographic, socioeconomic, and health-related), while accounting for bone mineral density (BMD) scans, which have been shown to improve health equity across sex and racial/ethnic identities...
March 19, 2024: Gerontologist
Dereck L Salisbury, Keenan A Pituch, Fang Yu
BACKGROUND AND OBJECTIVES: The primary aim of this Stage IB randomized controlled trial (RCT) was to test the preliminary effects of a dual-task exergaming telerehabilitation intervention on cognition and aerobic fitness, compared to aerobic exercise (AEx) only and attention control (stretching) in older adults with SCD. RESEARCH DESIGN AND METHODS: This RCT randomized 39 participants on a 2:1:1 allocation ratio to supervised exergame (n=20), AEx (n=11), and stretching (n=8) for 12 weeks...
March 15, 2024: Gerontologist
Emily E Wiemers, I-Fen Lin, Anna Wiersma Strauss, Janecca Chin, V Joseph Hotz, Judith A Seltzer
BACKGROUND AND OBJECTIVES: The oldest adults faced the highest risk of death and hospitalization from COVID-19, but less is known about whether they also were the most likely to experience pandemic-related economic, health care, and mental health challenges. Guided by prior research on vulnerability versus resilience among older adults, the current study investigated age differences in economic hardship, delays in medical care, and mental health outcomes among adults aged 55 and older...
March 6, 2024: Gerontologist
Joyce Weil
BACKGROUND AND OBJECTIVES: Gerontology offers a range of participatory research options with more commonly used community participatory-based research (CPBR) or participatory action research (PAR) approaches. Photovoice's visual representation of lived experiences offers a unique opportunity for older adults to fully co-create research. This article describes the process of co-designing a virtual photovoice study with older adults. The design process is described in three phases: codesign during the initial study design, throughout the study and data-collection process, and during dissemination...
March 1, 2024: Gerontologist
Natalie Chong, Joseph Caldwell, H Stephen Kaye, Monika Mitra
BACKGROUND AND OBJECTIVES: Person-centered planning (PCP) allows recipients of home and community-based service (HCBS) to plan services and supports according to their preferences and needs. The extent to which HCBS systems engage in PCP and evidence for the relationship between PCP and beneficiary outcomes is limited. We examine the prevalence of PCP among HCBS recipients and the relationship between PCP and person-reported outcomes. RESEARCH DESIGN AND METHODS: We used the 2018-2019 National Core Indicators-Aging and Disability survey, collected among adult Medicaid HCBS recipients in 12 states (n = 5,849)...
February 28, 2024: Gerontologist
Weidi Qin, Viktoryia Kalesnikava, Linh Dang, Rodlescia S Sneed, Rossella Messina, Paola Rucci, Briana Mezuk
BACKGROUND AND OBJECTIVES: While coordinated care (CC) seeks to improve patient experiences and ultimately health outcomes, evidence from empirical research on the impacts of CC is mixed. This study examined the relationship between CC and healthcare outcomes over a four-year period among older adults with multiple chronic conditions. RESEARCH DESIGN AND METHODS: This observational cohort study is based on data come from the 2016-2020 Health and Retirement Study...
February 28, 2024: Gerontologist
Maricel Oró-Piqueras, Núria Casado-Gual, Verónica Vizcaíno
Fictional stories set in care homes have increased in the last decades and, with them, the perspectives from which care homes are constructed and re-presented have become diversified (Chivers and Kriebernegg, 2017). Through the alternative worlds that are offered by literary narratives, these stories allow the reader to glimpse into the increasingly varied possibilities of care that a residential settlement can offer. At the same time, they highlight the attributes attached to human beings once their bodies are not regarded as fully functional or able by their carers and society at large...
February 28, 2024: Gerontologist
Raina Croff, Sophia Aron, Anne Wachana, Patrice Fuller, Nora Mattek, Juell Towns, Jeffrey Kaye
BACKGROUND AND OBJECTIVES: Two exploratory 6-month pilots of triadic walking with culturally celebratory social reminiscence in gentrifying neighborhoods tested feasibility and health impact among normal and mildly cognitively impaired (MCI) older Black adults. RESEARCH DESIGN AND METHODS: Fourteen triads walked 1-mile 3x/week, using a navigational application with image-based reminiscence prompts. Focus groups evaluated perceived health impact and experience. Primary outcome measures were program evaluations (feasibility), pre-post self-report health, Montreal Cognitive Assessment, blood pressure, and weight...
February 27, 2024: Gerontologist
Karen A Roberto, Brandy Renee McCann, Jyoti Savla, Rosemary Blieszner
BACKGROUND AND OBJECTIVES: Behavioral expressions of dementia are often stressful for family caregivers to manage as they strive to ensure their relative's needs are met. Guided by Lazarus and Folkman's Transactional Model of Stress and Coping, we identified specific behaviors that disrupt daily routines and challenge the achievement of caregiving goals, and the approaches and strategies caregivers employ to address them. RESEARCH DESIGN AND METHODS: We conducted semi-structured interviews with 30 family caregivers in rural Appalachia caring for a relative living with dementia...
February 26, 2024: Gerontologist
Brian Kaskie, Divya Bhagianadh, Julie Bobitt, Fadi Martinos, Gary Milavetz, Kanika Arora
BACKGROUND AND OBJECTIVES: Cannabis use among aging Americans continues to increase. We examine correlates of cannabis use including attitudes, state of residence, health status and service use. RESEARCH DESIGN AND METHODS: Using the 2018 Health and Retirement Study Cannabis module completed by 1,372 respondents aged 50 and older, we distinguished current cannabis users from those who have never used or have some prior use. We linked 2018 and 2016 core HRS data and used multinomial regressions to identify associations among current use, attitudes, place of residence, as well as current (2018) and past (2016) medical conditions, pain and sleep issues...
February 24, 2024: Gerontologist
Aparna Ananthasubramaniam, David Jurgens, Eskira Kahsay, Briana Mezuk
BACKGROUND AND OBJECTIVES: Suicide rates typically increase during recessions. However, few studies have explored how recessions impact risk among older adults nearing retirement. This study used a large suicide mortality registry to characterize and quantify suicide related to retirement during the Great Recession (GR). RESEARCH DESIGN AND METHODS: Data come from the National Violent Death Reporting System (NVDRS, 2004-2017; N=53,298 suicide deaths ages ≥50)...
February 19, 2024: Gerontologist
Nicole K Dalmer, Amanda Bull, Bria Mitrovica
Chronological age is invariably used as a categorizing tool for spaces, collections, and programs in public libraries. Stemming from a larger project that seeks to bring attention to the ways in which public libraries engage with community-dwelling older adults, this paper explores older patrons' perspectives on the language (e.g. older adult, seniors, adult) assigned to older adults in library programs and which label best (or least) suits their sense of identity and, in turn, what language encourages or deters their engagement with library programs...
February 15, 2024: Gerontologist
Tai-Te Su, Shannon T Mejía
BACKGROUND AND OBJECTIVES: Although assistive technologies have the potential to bridge the gap between personal capabilities and environmental demands, they may not always fully accommodate disability. This study examined the implications of change in the extent of accommodation provided by assistive technology for well-being in older adulthood. RESEARCH DESIGN AND METHODS: Data from five waves (2015-2019) of the National Health and Aging Trends Study provided information on disability and assistive technology use among older adults aged 65 and above in the United States (n = 7,057)...
February 15, 2024: Gerontologist
Dara Kiu Yi Leung, Annabelle Pui Chi Fong, Frankie Ho Chun Wong, Tianyin Liu, Gloria Hoi Yan Wong, Terry Yat Sang Lum
BACKGROUND AND OBJECTIVES: Gate control theory and fear-avoidance model of chronic pain posit that biopsychosocial factors can modulate pain. Non-pharmacological interventions are recommended in managing chronic pain, but little information is available regarding their efficacy in older adults. We examined and compared the efficacy of different non-pharmacological intervention approaches for chronic pain management among older adults via meta-analysis and subgroup analysis. RESEARCH DESIGN AND METHODS: Following the PRISMA guidelines (PROSPERO number CRD42020222767), a systematic search was undertaken using MEDLINE, Embase, and PsycINFO up to 21 March 2022...
February 15, 2024: Gerontologist
Kevin Brazil, Catherine Walshe, Julie Doherty, Andrew J E Harding, Nancy Preston, Laura Bavelaar, Nicola Cornally, Paola Di Giulio, Silvia Gonella, Irene Hartigan, Catherine Henderson, Sharon Kaasalainen, Martin Loucka, Tamara Sussman, Karolina Vlckova, Jenny T van der Steen
BACKGROUND AND OBJECTIVES: The inability of individuals in the advanced stage of dementia to communicate about preferences in care at the end-of-life poses a challenge for healthcare professionals and family carers. The proven effective Family Carer Decision Support intervention, has been designed to inform family carers about end-of-life care options available to a person living with advanced dementia. The objectives of the mySupport study was to adapt the application of the intervention for use in different countries, assess impact on family satisfaction and decision-making and , and identify costs and supportive conditions for the implementation of the intervention...
February 13, 2024: Gerontologist
Nhi Thi Vo, Yu-Kang Tu, Kuan-Chia Lin, Hsiao-Yean Chiu, Hui-Chuan Huang
BACKGROUND AND OBJECTIVES: This study aimed to investigate the diagnostic accuracy of four questionnaire-based tools (i.e., the FRAIL scale, Groningen Frailty Indicator [GFI], Tilburg Frailty Indicator [TFI], and PRISMA-7) for screening frailty in older adults. RESEARCH DESIGN AND METHODS: Four databases comprising the Cumulative Index to Nursing and Allied Health Literature, Embase, PubMed, and ProQuest were searched from inception to June 20, 2023. Study quality comprising risks of bias and applicability were assessed via a QUADAS-2 questionnaire...
February 9, 2024: Gerontologist
Karah Alexander, Nkosi Cave, Sloan Oliver, Stephanie Bennett, Melinda Higgins, Ken Hepburn, Carolyn Clevenger, Fayron Epps
BACKGROUND AND OBJECTIVES: Psychoeducation interventions using distance learning modalities to engage caregivers in active learning environments have demonstrated benefits in enhancing caregiving mastery. However, few of these programs have been specifically adapted to develop mastery in Black caregivers. RESEARCH DESIGN AND METHODS: A multi-method approach was carried out to assess Caregiving While Black (CWB), including pre-post surveys and in-depth interviews...
February 8, 2024: Gerontologist
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