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Monica Cations, Natalie May, Maria Crotty, Lee-Fay Low, Lindy Clemson, Craig Whitehead, James McLoughlin, Kate Swaffer, Kate E Laver
Background and Objectives: Multidisciplinary rehabilitation is not incorporated into the usual care pathway for dementia despite increasing demand from key advocates. Clinician views regarding the relevance of rehabilitation in dementia care are not well known. This qualitative study explored the perspectives of health professionals regarding barriers to provision of multidisciplinary rehabilitation programs for people with dementia. Research Design and Methods: Sixteen health professionals from a variety of settings and professional backgrounds were purposively sampled using maximum variation sampling...
February 13, 2019: Gerontologist
Jim VandenBosch
No abstract text is available yet for this article.
February 12, 2019: Gerontologist
Raphael Eppler-Hattab, Ilan Meshoulam, Israel Doron
Creating age-friendly workplace environments is considered a central organizational approach for addressing the challenges of supporting an aging and older workforce. However, there are no concrete definitions or theoretical frameworks that explain the full meaning, assumptions, and basic processes of this concept. This article critically reviews the conceptualizations of the age-friendly workplace in the fields of organizational psychology and gerontology, and proposes (a) a new working definition of the concept, and (b) a multidimensional model that consists of a typology of age-friendly dimensions, representing the implications of human resource policies and practices that demonstrate the ways in which organizational climate and organizational culture support aging workers...
February 9, 2019: Gerontologist
Anao Zhang, Dexia Kong, Lin Jiang, Fei Sun, Ruth E Dunkle, Chun Liu
Background and Objectives: There exists an imperative need to comprehensively evaluate the effectiveness of psychosocial interventions for Chinese geriatric populations' mental wellbeing. This study conducted a systematic review and meta-analysis of psychosocial services for Chinese older adults' depression and anxiety. Research Design and Methods: A search of nine electronic databases, five geriatric mental health journals, and reference lists was conducted for studies published between 1980 and April...
February 7, 2019: Gerontologist
Billy A Caceres, Jasmine Travers, Jillian E Primiano, Rachel E Luscombe, Caroline Dorsen
Background and Objectives: Discrimination toward the lesbian, gay, bisexual and transgender (LGBT) population has raised concerns about the type of long-term services and supports (LTSS) that will be available to them as they age. To understand the unique needs of aging LGBT populations, we sought to synthesize and critique the evidence related to LTSS providers and LGBT individuals' perspectives of LGBT issues in LTSS in the United States. Research Design and Methods: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses, a systematic review of the literature was conducted...
February 6, 2019: Gerontologist
Cassandra Leighton, Beth Fields, Juleen L Rodakowski, Connie Feiler, Mary Hawk, Johanna E Bellon, A Everette James
Background and Objectives: The Commonwealth of Pennsylvania passed the Caregiver Advise, Record, Enable (CARE) Act on April 20, 2016. We designed a study to explore early implementation at a large, integrated delivery financing system. Our goal was to assess the effects of system-level decisions on unit implementation and the incorporation of the CARE Act's three components into routine care delivery. Research Design and Methods: We conducted a multisite, ethnographic case study at three different hospitals' medical-surgical units...
February 6, 2019: Gerontologist
Rick J Scheidt
No abstract text is available yet for this article.
February 4, 2019: Gerontologist
Patricia C Heyn, Suzanne Meeks, Rachel Pruchno
No abstract text is available yet for this article.
January 30, 2019: Gerontologist
Ifah Arbel, Kathleen S Bingham, Deirdre R Dawson
Background and Objectives: Sex and gender differences among dementia spousal caregivers have been investigated, but never systematically reviewed or synthesized. A synthesis of findings can help facilitate specificity in practice and in health policy development. As a first step towards such a synthesis, this scoping review reports the available evidence, identifies research gaps, and suggests possible directions for future research. Research Design and Methods: A scoping review methodology was used to identify articles, and to chart and analyze data...
January 24, 2019: Gerontologist
Vicki A Freedman, Jennifer C Cornman, Deborah Carr, Richard E Lucas
Background and Objectives: The diminished wellbeing of caregivers is well documented, but studies typically draw upon coarse measures of time use and thus provide limited understanding of the role of specific care activities in the daily lives of care providers. This study uses time diary data to explore whether there are signature care patterns throughout the day and whether these care patterns have implications for caregivers' experienced wellbeing. Research Design and Methods: Using a national sample of 511 time diaries from older caregivers in the Disability and Use of Time supplement to the Panel Study of Income Dynamics, we examine minutes of care provided on the prior day, overall and for four broad care categories (household, personal care, transportation, and visiting), and patterns of care over the day, the latter based on sequence and cluster analysis...
January 22, 2019: Gerontologist
Nicole DePasquale, Tori Crain, Orfeu M Buxton, Steven H Zarit, David M Almeida
Background and Objectives: Long-term care employees and employees with nonwork caregiving roles are at high risk for sleep problems and fatigue. Little is known, however, about relationships between sleep and fatigue among long-term care employees who occupy nonwork caregiving roles. This study examined whether longer sleep duration and better sleep quality reduce fatigue occurrence and severity within and between long-term care employees with nonwork caregiving roles, and investigated nonwork caregiving role occupancy as a moderator of these relationships...
January 18, 2019: Gerontologist
Helena Temkin-Greener, Jill Szydlowski, Orna Intrator, Tobie Olsan, Jurgis Karuza, Xueya Cai, Shan Gao, Suzanne M Gillespie
Background and Objectives: Previous studies have shown that staff perception of team effectiveness is related to better health outcomes in various care settings. This study focused on the Veterans Health Administration's Home-Based Primary Care (HBPC) program. We examined variations in HBPC interdisciplinary teamwork (IDT) and identified modifiable team and program characteristics that may influence staff perceptions of team effectiveness. Research Design: We used a broadly validated survey instrument to measure perceived team effectiveness, workplace conditions/resources, group culture, and respondents' characteristics...
January 18, 2019: Gerontologist
Lisa Fredman, Lynsie R Ranker, Lee Strunin, Meghan L Smith, Katie M Applebaum
Background and Objectives: Caregiving is associated with reduced mortality in recent studies. Investigations of caregiving intensity may reveal an underlying mechanism. However, studies of caregiving intensity and mortality have mixed results, perhaps due to imprecise measurement of caregiving intensity, not accounting for healthier persons likely having greater caregiving involvement, or temporal changes in intensity. We examined the relationship between caregiving intensity (based on tasks performed) and mortality, treating intensity and health status as time-varying, and lagging exposure...
January 12, 2019: Gerontologist
Linda S Ng, Jack M Guralnik, Cora Man, Carolyn DiGuiseppi, David Strogatz, David W Eby, Lindsay H Ryan, Lisa J Molnar, Marian E Betz, Linda Hill, Guohua Li, Christopher L Crowe, Thelma J Mielenz
Background and Objectives: Balancing both driver mobility and safety is important for the well-being of older adults. However, research on the association of physical function with these 2 driving outcomes has yielded inconsistent findings. This study examined whether physical functioning of older drivers, as measured by the Short Physical Performance Battery (SPPB), is associated with either driving space or crash involvement. Methods: Using cross-sectional data of active drivers aged 65-79 years from the AAA Longitudinal Research on Aging Drivers (LongROAD) study (n = 2,990), we used multivariate log-binomial and logistic regressions to estimate the associations of the SPPB with either self-reported restricted driving space in the prior 3 months or any crashes in the past year...
January 8, 2019: Gerontologist
Pallavi Sood, Sandra L Kletzel, Shilpa Krishnan, Hannes Devos, Ahmed Negm, Lilian Hoffecker, Joseph Machtinger, Xiaolei Hu, Patricia C Heyn
Background: Technological advances have allowed a variety of computerized cognitive training tools to be engineered in ways that are fun and entertaining yet challenging at a level that can maintain motivation and engagement. This revolution has created an opportunity for gerontological scientists to evaluate brain gaming approaches to improve cognitive and everyday function. The purpose of this scoping review is to provide a critical overview of the existing literature on nonimmersive, electronic brain gaming interventions in older adults with mild cognitive impairment or dementia...
January 3, 2019: Gerontologist
Namkee G Choi, C Nathan Marti, Diana M DiNitto, Mark E Kunik
Background and Objectives: Fall incidents and associated medical costs are increasing among older adults. This study examined longitudinal associations between older adults' falls status and depression at 2 time periods to further clarify bidirectional relationships. Methods: We used the National Health and Aging Trends Study (NHATS) Waves 5 and 6 data and included sample persons (N = 6,299) who resided in the community or residential care facilities (not nursing homes) at both waves (T1 and T2)...
January 3, 2019: Gerontologist
Mira Ahn, Jiyun Kang, Hyun Joo Kwon
Objectives: This study aimed to frame the aging in place (AIP) concept within an extended theory of planned behavior (TPB) model incorporating environmental domains. The proposed model depicts the direct and indirect effects of environmental domains on AIP intention. The environmental domains related to meanings of home embrace personal, built, and interpersonal environments. As partial mediators between the environmental domains and AIP intention, TPB components (attitude, subjective norm, and perceived behavioral control toward AIP) were included to the model...
January 3, 2019: Gerontologist
Suzanne Meeks
No abstract text is available yet for this article.
January 1, 2019: Gerontologist
Catherine Quinn, Gill Toms
Background and Objectives: There is a growing evidence base that informal caregivers can identify positive aspects of providing care and that this may have a beneficial influence on their well-being. The aim of this systematic review was to explore how positive aspects of caregiving (PAC) affects the well-being of caregivers of people with dementia. Research Design and Methods : We searched electronic databases for quantitative studies exploring the association between PAC and caregiver well-being...
December 28, 2018: Gerontologist
Bianca Brijnath, Luke Gahan, Ellen Gaffy, Briony Dow
Background and Objectives: Without an effective screening tool, accompanied by clear guidelines of what to do when elder abuse is suspected, health workers may face challenges when asking questions about elder abuse. This study aimed to find the most effective and acceptable existing elder abuse screening tool and to create guidelines for using the tool. Research Design and Methods: A rapid review of the literature identified existing validated elder abuse screening tools...
December 20, 2018: Gerontologist
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