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Cindy L Cain, Steven P Wallace, Ninez A Ponce
No abstract text is available yet for this article.
November 14, 2017: Gerontologist
Bonnie Armstrong, Sara N Gallant, Lingqian Li, Khushi Patel, Brenda I Wong
No abstract text is available yet for this article.
November 14, 2017: Gerontologist
Karen Watchman, Matthew P Janicki
An International Summit on Intellectual Disability and Dementia, held in Glasgow, Scotland (October 13-14, 2016), drew individuals and representatives of numerous international and national organizations and universities with a stake in issues affecting adults with intellectual disability (ID) affected by dementia. A discussion-based consensus process was used to examine and produce a series of topical reports examining three main conceptual areas: (a) human rights and personal resources (applications of the Convention for Rights of People with Disabilities and human rights to societal inclusion, and perspectives of persons with ID), (b) individualized services and clinical supports (advancing and advanced dementia, post-diagnostic supports, community supports and services, dementia-capable care practice, and end-of-life care practices), and (c) advocacy, public impact, family caregiver issues (nomenclature/terminology, inclusion of persons with ID in national plans, and family caregiver issues)...
November 2, 2017: Gerontologist
Xue Bai, Rachel Pruchno
Background and Objectives: The quality of intergenerational relationships is crucial for maintaining the well-being of parents and adult children. This study developed and validated an Intergenerational Relationship Quality Scale for Aging Chinese Parents (IRQS-AP) based on the solidarity, conflict, and ambivalence models. Research Design and Methods: The data were derived from a cross-sectional study in Hong Kong which included a random sample of 1,001 community-dwelling individuals aged ≥50 years...
October 17, 2017: Gerontologist
Jeon Small, Carolyn Aldwin, Paul Kowal, Somnath Chatterji, Rachel Pruchno
Background and Objectives: We reviewed the literature on older adults (OAs) who are caring for persons living with HIV/AIDS in sub-Saharan Africa (SSA), with the goal of adapting models of caregiver stress and coping to include culturally relevant and contextually appropriate factors specific to SSA, drawing on both life course and cultural capital theories. Research Design and Methods: A systematic literature search found 81 articles published between 1975 and 2016 which were reviewed using a narrative approach...
October 17, 2017: Gerontologist
Mary Ersek, Susan E Hickman, Anne C Thomas, Brittany Bernard, Kathleen T Unroe, Suzanne Meeks
Background and Objectives: The need to reduce burdensome and costly hospitalizations of frail nursing home residents is well documented. The Optimizing Patient Transfers, Impacting Medical Quality, and Improving Symptoms: Transforming Institutional Care (OPTIMISTIC) project achieved this reduction through a multicomponent collaborative care model. We conducted an implementation-focused project evaluation to describe stakeholders' perspectives on (a) the most and least effective components of the intervention; (b) barriers to implementation; and (c) program features that promoted its adoption...
October 17, 2017: Gerontologist
Willow C Glasier, Kelly J Arbeau
Background and Objectives: We explored the meaning of the experience of involuntary separation, as defined formally by the Canadian government and informally by our participants, in formerly caregiving spouses whose partners had been admitted to long-term care. Our goal was to explore their lifeworld experience of separation, including factors influencing well-being as spouses shifted from at-home caregiving to involuntary separation. Research Design and Methods: Guided, semi-scripted personal interviews were conducted with 10 individuals who had become involuntarily separated up to 4 years prior to the interview...
October 13, 2017: Gerontologist
Netta Bentur, Shelley Sternberg
Although public health has traditionally been concerned with primary, secondary, and tertiary prevention, more attention needs to be focused on patient-centered care at the end of life. Improved access to quality end-of-life care can be achieved by advance care planning (ACP). In this article, we present an example of the processes of change regarding ACP and preparing advance directives (ADs) that have begun to take place in Israel in recent years. We argue that these processes derive from the synergy between legislation on the one hand, and initiatives and action by health organizations on the other...
October 13, 2017: Gerontologist
Sylivia Karen Rutagumirwa, Ajay Bailey
Background and Objectives: This study explores how older women with low socioeconomic status living in rural Tanzania give meaning to their (aging) body in relation to the ideals of femininity. Research Design and Methods: Ten qualitative in-depth interviews and 10 focus group discussions (N = 60) were conducted among women aged 60 and older. Results: The findings reveal that older women perceive their aging body as "a burden." This characterization of the body is linked to the inability of the aging body to live up to the women's gendered lives...
October 13, 2017: Gerontologist
Cindy L Cain, Steven Wallace, Ninez Ponce
Background and Objectives: Growing literature documents that where you live has an impact on your health, due in part to social capital. Building on social capital literature, we assess how subjective appraisals of neighborhood quality are associated with self-reported health (SRH) for older adults. Research Design and Methods: Cross-sectional analysis of the 2014 California Health Interview Survey, a representative survey of diverse, noninstitutionalized California residents...
September 23, 2017: Gerontologist
Karen L Fingerman, Meng Huo, Jamie L Graham, Kyungmin Kim, Kira S Birditt
Background and Objectives: Midlife adults are a "pivot" generation, responding to parents' and grown children's problems. Yet, some midlife adults may have families where multiple members suffer sorrows, whereas other midlife adults may have families with few problems. This study examined: (a) typologies of problems across generations and (b) associations between profiles of problems and midlife adults' well-being. Research Design and Methods: Midlife adults (N = 633) reported their own, each parent's (n = 868), and grown child's (n = 1,785) physical (e...
September 23, 2017: Gerontologist
Meng Huo, Jamie L Graham, Kyungmin Kim, Steven H Zarit, Karen L Fingerman
Background and Objectives: Aging parents often incur disabilities in activities of daily living, which may limit their ability to give support and necessitate increased support from middle-aged children. Research has predominantly assessed disabled parents' retrospective reports of receiving support, but we know little about their daily support exchanges with middle-aged children. This study examined practical support, emotional support, and advice that aging parents with and without disabilities provided and received from middle-aged children, and links between these support exchanges and parents' daily mood...
September 23, 2017: Gerontologist
Larry Polivka, Baozhen Luo
Publicly (mainly Medicaid) funded long-term care (LTC) services have evolved from a nursing home dominated system of service to a much more balanced system including home- and community-based services (HCBS) programs over the last 30 years. The HCBS programs have been largely administered by the state and local level nonprofit aging networks (ANs) consisting of Area Agencies on Aging and thousands of service providers. Over the last decade, however, for-profit HMOs administered primarily by large insurance companies have begun to displace AN organizations...
September 23, 2017: Gerontologist
Jeffrey E Stokes, Sara M Moorman
Purpose of the Study: In later life, adults' social networks grow smaller through a combination of intentional selection and involuntary loss. This study examined whether older adults who lack a high-quality marriage compensate for this using support from other ties. We analyzed how relationships with family and friends are associated with depressive symptoms across multiple marital statuses. Design and Methods: Data from 3,371 older adults who participated in the most recent wave of the National Social Life, Health, and Aging Project (NSHAP) were analyzed using analysis of variance (ANOVA) and ordinary least squares (OLS) regression...
September 18, 2017: Gerontologist
Gerben J Westerhof, Sanne M A Lamers, Marloes G Postel, Ernst T Bohlmeijer
Objectives: Life review therapy is recognized as an evidence-based treatment for depression in later life. The current article evaluates an online life review therapy in middle-aged and older persons, comparing a counselor-led to a peer-supported mode of delivery. Methods: A pilot randomized controlled trial (RCT) was carried out with 3 conditions and 4 measurement points: (a) online life review therapy with online counseling, (b) online life review therapy with online peer support, and (c) a waitlist control condition...
September 18, 2017: Gerontologist
Sato Ashida, Christopher Steven Marcum, Laura M Koehly
Background and Objectives: Perceptions about family members not contributing enough to caregiving are documented to create psychological stress among caregivers. This study investigated whether individuals' perception that family members are under-contributing in caregiving processes was associated with their psychological well-being and explored the factors that may contribute to such perception borrowing concepts from a previous study: malfeasance, nonfeasance, and uplift. Research Design and Methods: Seventy-two members of 30 families recruited through residential and adult daycare settings provided information about 960 familial network members (e...
September 18, 2017: Gerontologist
Namkee G Choi, Diana M DiNitto, C Nathan Marti, Yeates Conwell
Background and Objectives: In light of high late-life suicide rates, we compared older suicide decedents with and without physical health problems as a suicide precipitant with respect to their clinical characteristics and suicide means. We also examined health-related concerns noted in summary coroner/medical examiner or law enforcement (CME/LE) reports. Research Design and Methods: The National Violent Death Reporting System, 2005-2014, provided data (N = 16,924 aged 65 or older)...
September 18, 2017: Gerontologist
Marc A Garcia, Brian Downer, Chi-Tsun Chiu, Joseph L Saenz, Sunshine Rote, Rebeca Wong
Background and Objectives: To document racial/ethnic and nativity differences by gender in cognitive life expectancies among older adults in the United States. Research Design and Methods: Sullivan-based life tables were used to estimate cognitively normal, cognitively impaired/no dementia (CIND), and dementia life expectancies by gender for White, Black, U.S.-born Hispanic, and foreign-born Hispanic adults 50 years and older in the Health and Retirement Study. Results: Among women, the number of years spent living with dementia for Whites, Blacks, U...
September 16, 2017: Gerontologist
Carl-Philipp Jansen, Mona Diegelmann, Oliver K Schilling, Christian Werner, Eva-Luisa Schnabel, Hans-Werner Wahl, Klaus Hauer
Background and Objectives: To determine whether a multicomponent, individually tailored intervention to promote physical activity (PA) enhances life-space (LS) utilization in nursing home (NH) residents and whether intervention effects can be sustained at follow-up after continuation of the program as part of institutional daily routines. Research Design and Methods: Pre-post-assessed controlled trial in two highly similar NHs with a 3month follow-up in 143 NH residents (intervention group: n = 78; control group: n = 65) and LS as primary outcome...
September 15, 2017: Gerontologist
Yang Li, Jeffrey A Burr, Edward Alan Miller
Background and Objectives: The ongoing shift from defined benefit (DB) to defined contribution (DC) pension plans means that middle-aged and older adults are increasingly being called upon to manage their own fiscal security in retirement. Yet, half of older Americans are financially illiterate, lacking the knowledge and skills to manage financial resources. This study investigates whether pension plan types are associated with varying levels of financial literacy among older Americans...
September 9, 2017: Gerontologist
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