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Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society

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https://read.qxmd.com/read/30762453/problem-solving-in-technology-rich-environments-and-self-rated-health-among-adults-in-the-u-s-an-analysis-of-the-program-for-the-international-assessment-of-adult-competencies
#1
Roberto J Millar, Shalini Sahoo, Takashi Yamashita, Phyllis Cummins
Problem-solving skills in the context of technologically complex modern societies have become increasingly important to health management in later life. This study is designed to investigate the associations between problem-solving skills in technology-rich environments (PSTRE) and health, and to explore whether age differences exist. Using data from the 2012/2014 Program for the International Assessment of Adult Competencies (PIAAC), we used logistic regression to examine the relationship between PSTRE and self-reported health among a representative sample of American adults aged 35 years and older ( N = 3,260)...
February 14, 2019: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://read.qxmd.com/read/30741065/caregiving-recovery-and-death-after-incident-adl-iadl-disability-among-older-adults-in-the-united-states
#2
Claire K Ankuda, Deborah A Levine, Kenneth M Langa, Katherine A Ornstein, Amy S Kelley
This study assesses patterns of caregiving, death, and recovery after incident disability in older adults. We used the Health and Retirement Study to follow of a cohort of adults age ≥65 years in the United States with incident disability in activities of daily living (ADLs) or instrumental activities of daily living (IADLs; n = 8,713). Rates of care and function state were assessed biennially: deceased, nursing home dwelling, at home with paid help, at home with both paid and unpaid help, at home with unpaid help, at home with no assistance and recovered...
February 10, 2019: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://read.qxmd.com/read/30735079/racial-ethnic-differences-in-turnover-intent-among-home-health-aides
#3
Scott D Landes, Suzie S Weng
Home health aides are crucial to ensuring quality services for the growing older adult population needing home-based care in the United States. We utilize data from the nationally representative 2007 National Home Health Aide Survey ( N = 3,344) to analyze racial-ethnic disparity in turnover intent. Non-Hispanic Black and non-Hispanic Other home health aides had higher all-cause turnover intent than Non-Hispanic Whites. Cause-specific turnover intent varied by race-ethnicity. Compared with non-Hispanic White home health aides, (a) non-Hispanic Black home health aides were more likely to leave due to low pay and educational/advancement opportunities; (b) Hispanic home health aides were more likely to leave due to a perceived lack of respect or difficulty with their supervisor/agency; and (c) non-Hispanic home health aides were more likely to leave due to an impending move...
February 8, 2019: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://read.qxmd.com/read/30667344/planning-for-older-adult-day-programs-in-an-arab-american-community-perceptions-from-older-adults-caregivers-and-professional-providers
#4
Faith P Hopp, C M Cassady, Kristine J Ajrouch, Amne M Talab, Jennifer Mendez
BACKGROUND AND OBJECTIVE: This study explored Arab American stakeholders' perceptions about potential future adult day programming to inform geriatric service providers about relevant services for culturally diverse older adults. RESEARCH DESIGN AND METHOD: Participants ( N = 28) in five focus groups were recruited through a social service provider in Metropolitan Detroit, Michigan. Results were analyzed using thematic analysis. RESULTS: Themes included basic requirements, promoting clear and transparent understanding of adult day programs (ADPs), respecting the person, social engagement and activities, explaining complex ethnic and geographic identities, and implementing diversity...
January 22, 2019: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://read.qxmd.com/read/30658547/connecting-caregivers-to-support-lessons-learned-from-the-va-caregiver-support-program
#5
Rebecca Bruening, Nina Sperber, Katherine Miller, Sara Andrews, Karen Steinhauser, G Darryl Wieland, Jennifer Lindquist, Megan Shepherd-Banigan, Katherine Ramos, Jennifer Henius, Margaret Kabat, Courtney Van Houtven
Development and evaluation of supportive caregiver interventions has become a national priority. This study's aim was to evaluate how caregivers participating in the Department of Veterans Affairs (VA) Caregiver Support Program (CSP) use and value supportive services. Qualitative semi-structured interviews ( N = 50 caregivers) were the core of a mixed-methods design, and surveys ( N = 160) were supplemental. Caregivers who had used CSP services valued emotional, functional, and health care navigational support, calling support groups and the program coordinator their "lifeline...
January 18, 2019: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://read.qxmd.com/read/30623709/swallowing-impairments-increase-emotional-burden-in-spousal-caregivers-of-older-adults
#6
Samantha E Shune, Ashwini M Namasivayam-MacDonald
OBJECTIVE: The aim of this study was to determine the type and extent of caregiver burden uniquely experienced by spousal caregivers of older adults with dysphagia. METHOD: Using the Round 1 surveys from the National Health and Aging Trends Study and the National Study of Caregiving, we analyzed data on 422 community-dwelling older adults and their spousal caregivers. RESULTS: Approximately 17% of care recipients reported swallowing difficulties...
January 9, 2019: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://read.qxmd.com/read/30600748/the-impact-of-consolidating-aaa-on-the-delivery-of-hcbs-evidence-from-iowa
#7
Kanika Arora, Sato Ashida, Erin M Mobley, G Joseph Sample
In this study, the authors evaluate the 2013 consolidation of Iowa's Area Agencies on Aging (AAA) on the delivery of home and community-based services (HCBS) to older adults in the state. A mixed-methods approach combined a quasi-experimental design using longitudinal service delivery data with qualitative analyses of surveys and interviews with AAA staff and clients. Overall, consolidation had no detectable effect on the proportion of older adults served by the AAAs. Subgroup analysis showed that consolidation increased the average proportion of older adults served in nonmetropolitan counties and the proportion served through congregate meals...
January 2, 2019: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://read.qxmd.com/read/30584790/the-importance-of-religiosity-to-the-well-being-of-african-american-older-adults-living-with-dementia
#8
Fayron Epps, Ishan C Williams
This study was a post hoc analysis of a larger qualitative descriptive study exploring family involvement in health promotion activities for African Americans living with dementia where participants identified religious practices as meaningful health promotion activities. The purpose of this study was to explore ways in which religiosity may influence the well-being of older adults living with dementia. Semi-structured interviews were conducted among a sample of 22 family caregivers and 15 older adults living with dementia ( N = 37)...
December 25, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://read.qxmd.com/read/30574824/it-is-not-your-parents-long-term-services-system-nursing-homes-in-a-changing-world
#9
Robert Applebaum, Shahla Mehdizadeh, Diane Berish
The long-term services system has changed substantially since the mid-1970s, when the landmark book Last Home for the Aged argued that the move to the nursing home was the last move an older person would make until death. Using detailed nursing home utilization data from the Minimum Data Set, this study tracks three cohorts of first-time nursing home admissions in Ohio from 1994 through 2014. Each cohort was followed for a 3-year period. Study results report dramatic reductions in nursing home length of stay between the 1994 and 2011 cohorts...
December 21, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://read.qxmd.com/read/30569811/-it-s-not-just-a-simple-meal-it-s-so-much-more-interactions-between-meals-on-wheels-clients-and-drivers
#10
Kali S Thomas, Emily A Gadbois, Renee R Shield, Ucheoma Akobundu, Andrea M Morris, David M Dosa
BACKGROUND AND OBJECTIVES: Meals on Wheels (MOW) programs provide home-delivered meals to over 1.5 million older adults; yet, very little is known about the drivers who make meal deliveries possible. Specifically, we do not have clear insight into their interaction with clients or the benefits that they may receive through their service. The objective of this article is to describe the characteristics of MOW drivers, the interactions among drivers and clients, and the benefits of the program to both...
December 20, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://read.qxmd.com/read/30526191/are-older-adults-unique-examining-presenting-issues-and-changes-in-therapy-across-the-life-span
#11
Allen K Sabey, Jakob Jensen, Samuel Major, Richard Zinbarg, William Pinsof
With the urgent need to increase and improve mental health care of the growing population of older adults in the United States, clinical research is warranted to further the knowledge and improve the relevant training for mental health professionals working with older adults. This study drew from two diverse clinical samples of adults ages 18 years to 80 years to examine whether and how initial clinical presentations and changes over time in individual, family-of-origin, and relational measures differed across the life span...
December 10, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://read.qxmd.com/read/30376792/2018-year-in-review
#12
Julie Robison
No abstract text is available yet for this article.
December 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://read.qxmd.com/read/28380707/implementing-sustainable-evidence-based-interventions-in-the-community-a-fidelity-focused-training-framework-for-the-savvy-caregiver-program
#13
Carey Wexler Sherman, Sally C Steiner
Evidence-based (EB) programs provide a tested means for addressing serious public health concerns. While establishing and maintaining fidelity to these programs is critical for high-quality outcomes, unfortunately, implementation reports rarely describe the strategies used to train and monitor fidelity in community-based implementations. Thus, an essential translational ingredient is a clearly articulated model for establishing a systemic, sustainable fidelity framework. This article provides a detailed description of the fidelity-focused framework developed for Michigan's statewide implementation of the Savvy Caregiver Program...
December 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://read.qxmd.com/read/28380703/social-context-of-depressive-distress-in-aging-transgender-adults
#14
Jaclyn M White Hughto, Sari L Reisner
This study investigates the relationship between discrimination and mental health in aging transgender adults. Survey responses from 61 transgender adults above 50 ( Mage = 57.7, SD = 5.8; 77.1% male-to-female; 78.7% White non-Hispanic) were analyzed. Multivariable logistic regression models examined the relationship between gender- and age-related discrimination, number of everyday discrimination experiences, and past-week depressive distress, adjusting for social support, sociodemographics, and other forms of discrimination...
December 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://read.qxmd.com/read/27899701/-calm-satisfied-comforting-the-experience-and-meaning-of-rabbit-assisted-activities-for-older-adults
#15
Natalie Pitheckoff, Sara J McLaughlin, Kate de Medeiros
Animal-assisted activity programs are commonly used in long-term care facilities to enhance the well-being of older residents. Although research suggests that older adults benefit from these programs, little is known about the experience from the perspective of older adults themselves. In this qualitative study, we used direct observation and in-depth interviews to gain an understanding of the experience of participating in a unique rabbit-assisted activity program delivered in a Midwestern residential facility...
December 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://read.qxmd.com/read/27837055/the-residential-long-term-care-role-in-health-care-transitions
#16
Diane E Berish, Robert Applebaum, Jane K Straker
The objective of the current study is to describe the activities long-term care facilities are undertaking to reduce hospital admissions and readmissions by working to improve health care transitions. The data were collected via an online survey from 888 nursing facilities (NFs) and 527 residential care facilities (RCFs) that completed the care integration module of the Ohio Biennial Survey of Long-Term Care. Questions focused on partnerships, current work, type of care model, and perceived barriers to reducing hospital readmissions...
December 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://read.qxmd.com/read/27708073/exploring-path-models-of-disablement-in-residential-care-and-assisted-living-residents
#17
Lorraine J Phillips, Gregory F Petroski, Vicki S Conn, Marybeth Brown, Emily Leary, Linda Teri, Sheryl Zimmerman
This study examined the relationships between individual and environmental factors and physical activity, and between physical activity and functional limitations and disability in residential care/assisted living (RC/AL) residents. Participants completed questionnaires and physical performance tests, and wore the Fitbit Motion Tracker® to capture physical activity. Model fit was analyzed using two-level path models with residents nested within RC/AL settings. Model parameters were estimated using the MPlus robust maximum likelihood method...
December 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://read.qxmd.com/read/27655236/caregiving-subgroups-differences-in-the-associations-between-the-resilience-resources-and-life-satisfaction
#18
Seungyoun Kim, Bob G Knight
Using a model of resilience, this study compared the direct and indirect associations between resilience resources (sense of mastery, openness to experience, emotion regulation, and social support) and life satisfaction among caregiving subgroups (spouses, adult-children, and parents). Participants were included from the survey of Midlife in the United States (MIDUS II). Estimates of direct and indirect relationships between the resources and life satisfaction were calculated for each subgroup, and differences in the relationships between subgroups were tested...
December 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://read.qxmd.com/read/30466338/behind-the-wheel-process-evaluation-of-a-safe-transport-program-for-older-drivers-delivered-in-a-randomized-controlled-trial
#19
Kristy Coxon, Kate Hunter, Anna Chevalier, Julie Brown, Elizabeth Clarke, Kris Rogers, Soufiane Boufous, Rebecca Ivers, Lisa Keay
This process evaluation explores relationships between program outcomes and intervention implementation in a trial evaluating "Behind the Wheel," an education-based safe-transport program for older drivers. Participants (intervention group) were 190 Sydney drivers aged ⩾75 years ( M = 80 ± 4years). Process measures included fidelity, dose delivered, and received. Outcomes were self-reported driving regulation and objectively measured driving exposure. Relationships were explored using regression models...
November 22, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://read.qxmd.com/read/30453805/challenges-faced-by-family-caregivers-multiple-perspectives-on-eldercare
#20
Jane Strommen, Heather Fuller, Gregory F Sanders, Dustin M Elliott
The focus of this study was to identify challenges to family eldercare provision from the perspectives of both caregivers and community stakeholders. This qualitative study used data from 306 family caregivers and 116 stakeholders (aging, social, and health service professionals who work with older adults and their families) in North Dakota. Data sources included an American Association of Retired Persons-ND survey of 110 caregivers, a survey by the ND Family Caregiver Support Program (196 participants), and a Statewide Caregiving Stakeholder Survey (116 participants)...
November 19, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
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