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Sangbo Nam, Sae Hwang Han, Megan Gilligan
Background and Objectives: The aim of this study was to examine the link between internet use and preventive health behaviors. We focused on couples to examine whether there were cross-partner associations between internet use and preventive health behaviors. Research Design and Methods: The data for this study came from the 2010 and 2012 waves of the Health and Retirement Study and the sample consisted of 5,143 pairs of coupled-individuals. Preventive health behaviors included cancer screenings (mammogram and prostate tests), cholesterol tests, and flu shots...
May 22, 2018: Gerontologist
Gerald C Gannod, Katherine M Abbott, Kimberly Van Haitsma, Nathan Martindale, Alexandra Heppner
Background and Objectives: Nursing homes (NHs) using the Preferences for Everyday Living Inventory (PELI-NH) to assess important preferences and provide person-centered care find the number of items (72) to be a barrier to using the assessment. Research Design and Methods: Using a sample of n = 255 NH resident responses to the PELI-NH, we used the 16 preference items from the MDS 3.0 Section F to develop a machine learning recommender system to identify additional PELI-NH items that may be important to specific residents...
May 21, 2018: Gerontologist
Jim VandenBosch
No abstract text is available yet for this article.
May 21, 2018: Gerontologist
Michael M McKee, HwaJung Choi, Shelby Wilson, Melissa J DeJonckheere, Philip Zazove, Helen Levy
Background and Objectives: Hearing loss (HL) is common among older adults and is associated with significant psychosocial, cognitive, and physical sequelae. Hearing aids (HA) can help, but not all individuals with HL use them. This study examines how social determinants may impact HA use. Research Design and Methods: We conducted an explanatory sequential mixed methods study involving a secondary analysis of a nationally representative data set, the Health and Retirement Study (HRS; n = 35,572)...
May 21, 2018: Gerontologist
Rick J Scheidt
No abstract text is available yet for this article.
May 21, 2018: Gerontologist
Sebastian Merkel, Alexander Kucharski
Purpose of the Study: Participatory design (PD) is widely used within gerontechnology but there is no common understanding about which methods are used for what purposes. This review aims to examine what different forms of PD exist in the field of gerontechnology and how these can be categorized. Design and Methods: We conducted a systematic literature review covering several databases. The search strategy was based on 3 elements: (1) participatory methods and approaches with (2) older persons aiming at developing (3) technology for older people...
May 19, 2018: Gerontologist
Elizabeth E Chen, Charles T Pu, Rachelle E Bernacki, Julia Ragland, Jonathon H Schwartz, Jan E Mutchler
Background and Objectives: The purpose of this study is to compare treatment preferences of patients to those of surrogates on the Physician Orders for Life-Sustaining Treatment (POLST) forms. Research Design and Methods: Data were collected from a sequential selection of 606 Massachusetts POLST (MOLST) forms at 3 hospitals, and corresponding electronic patient health records. Selections on the MOLST forms were categorized into All versus Limit Life-Sustaining Treatment...
May 17, 2018: Gerontologist
Victoria J Palmer, Cindy M Gray, Claire F Fitzsimons, Nanette Mutrie, Sally Wyke, Ian J Deary, Geoff Der, Sebastien F M Chastin, Dawn A Skelton
Background and Objectives: Sitting less can reduce older adults' risk of ill health and disability. Effective sedentary behavior interventions require greater understanding of what older adults do when sitting (and not sitting), and why. This study compares the types, context, and role of sitting activities in the daily lives of older men and women who sit more or less than average. Research Design and Methods: Semistructured interviews with 44 older men and women of different ages, socioeconomic status, and objectively measured sedentary behavior were analyzed using social practice theory to explore the multifactorial, inter-relational influences on their sedentary behavior...
May 15, 2018: Gerontologist
Nimali Jayasinghe, B Isabel Moallem, Margo Kakoullis, Mary-Jane Ojie, Lili Sar-Graycar, Katarzyna Wyka, M Cary Reid, John P Leonard
Purpose of the Study: This mixed-methods study explored the feasibility and acceptability of using a tablet-based research consent process with adults aged ≥65 years. Design and Methods: In the first phase, focus group participants reported on their perceptions of a tablet-based consent process. In the second phase, older adults were randomized to view either a tablet-based or paper-based consent for a mock clinical trial. Measurements included: time to complete, adverse/unexpected events, user-friendliness, immediate comprehension, and retention at a 1-week delay...
May 11, 2018: Gerontologist
Mei Lan Fang, Sarah L Canham, Lupin Battersby, Judith Sixsmith, Mineko Wada, Andrew Sixsmith
Background and Objectives: The digital revolution has resulted in innovative solutions and technologies that can support the well-being, independence, and health of seniors. Yet, the notion of the "digital divide" presents significant inequities in terms of who accesses and benefits from the digital landscape. To better understand the social and structural inequities of the digital divide, a realist synthesis was conducted to inform theoretical understandings of information and communication technologies (ICTs); to understand the practicalities of access and use inequities; to uncover practices that facilitate digital literacy and participation; and to recommend policies to mitigate the digital divide...
May 10, 2018: Gerontologist
Annie M Racine, Madeline D'Aquila, Eva M Schmitt, Jacqueline Gallagher, Edward R Marcantonio, Richard N Jones, Sharon K Inouye, Dena Schulman-Green
Background and Objectives: Delirium creates distinct emotional distress in patients and family caregivers, yet there are limited tools to assess the experience. Our objective was to develop separate patient and family caregiver delirium burden instruments and to test their content and construct validity. Research Design and Methods: Two hundred forty-seven patients and 213 family caregivers were selected from an ongoing prospective cohort of medical-surgical admissions aged ≥70 years old...
May 8, 2018: Gerontologist
Raven H Weaver, Karen A Roberto
Background and Objectives: We explore how an understudied population of older individuals addresses their ongoing care needs when ineligible for Medicaid waiver services. Research Design and Methods: Using regression techniques, we identified factors associated with service use and health outcomes among 1,008 older adults (60+) who applied for Medicaid waiver assistance. Exploratory follow-up interviews with eight waiver-ineligible rural-dwelling individuals identified strategies used for managing their care needs...
May 3, 2018: Gerontologist
Christine W Hartmann, Whitney L Mills, Camilla B Pimentel, Jennifer A Palmer, Rebecca S Allen, Shibei Zhao, Nancy J Wewiorski, Jennifer L Sullivan, Kristen Dillon, Valerie Clark, Dan R Berlowitz, Andrea Lynn Snow
Background and Objectives: For nursing home residents, positive interactions with staff and engagement in daily life contribute meaningfully to quality of life. We sought to improve these aspects of person-centered care in an opportunistic snowball sample of six Veterans Health Administration nursing homes (e.g., Community Living Centers-CLCs) using an intervention that targeted staff behavior change, focusing on improving interactions between residents and staff and thereby ultimately aiming to improve resident engagement...
April 30, 2018: Gerontologist
Frida V M Ryman, Jetske C Erisman, Lea M Darvey, Jacob Osborne, Ella Swartsenburg, Elena V Syurina
Background and Objectives: Research into the relocation (including international relocation) of people with dementia is increasingly important due to the aging population and latest developments in the international politics (including globalization and concerns over international migration). There is need for an overview of the health effects of relocation to facilitate and inform decision- and policy-making regarding these relocations. The aim of this literature review was to provide insight into the physical, psychological, and social consequences of varied types of relocations of older adults suffering from dementia...
April 28, 2018: Gerontologist
Crystal N Steltenpohl, Michael Shuster, Eric Peist, Amber Pham, Joseph A Mikels
Background and Objectives: Increasing exercise continues to be an important health issue for both older and younger adults. Researchers have suggested several methods for increasing exercise motivation. Socioemotional selectivity theory (SST) posits that people's motivation shift from future-oriented instrumental goals to present-oriented emotionally meaningful goals as we age, which provides insight into how people's motivations for exercise may differ for older versus younger adults...
April 23, 2018: Gerontologist
Agnes Szabo, Joanne Allen, Christine Stephens, Fiona Alpass
Purpose: There is support for the role of Internet use in promoting well-being among older people. However, there are also contradictory findings which may be attributed to methodological issues. First, research has focused on frequency of online activity rather than how engagement in different types of online activities may influence well-being. Secondly, previous studies have used either cross-sectional designs, which cannot elucidate causality or intervention designs with uncontrolled extraneous variables...
April 23, 2018: Gerontologist
Giyeon Kim, Minjung Kim, Soohyun Park, Daniel E Jimenez, David A Chiriboga
Background and Objectives: This study examined the effect of limited English proficiency (LEP) on trajectories of depressive symptoms among Mexican American older adults in the United States. Research Design and Methods: The sample was drawn from Waves 1 to 6 (1993-2007) of the Hispanic Established Population for Epidemiological Studies of the Elderly (H-EPESE). A total of 2,945 Mexican American older adults were included in the analyses. A latent growth curve modeling was conducted...
April 23, 2018: Gerontologist
Carmen Zamorano Llena
Background and Objectives: Associations of young-old age with successful aging have contributed to relegating negatively perceived aspects of aging to very old age. This has prompted the formation of the social imaginary of the fourth age. Re-examinations of the fourth age foreground the diversity of aging experiences among the oldest old. In this sense, literature is in a privileged position to contribute individual narratives of aging to this field. The main aim of this article is to analyze Irish writer Jennifer Johnston's later fiction and how particularly two of her later fictional works contribute a nuanced re-examination of the fourth age through the narrativization of individual aging experiences of the oldest old in the contemporary Irish context...
April 21, 2018: Gerontologist
Kyeongmo Kim
Background and Objectives: Although older Hispanics experience high rates of depression, they tend to underuse mental health services. The study examined the association between county characteristics and mental health service use among older Hispanics, controlling for individual characteristics. Research Design and Methods: The study used the 2008-2012 Medical Expenditure Panel Study and linked county-level data from the 2013-2014 Area Health Resources Files and the 2008-2012 Chronic Conditions Data Warehouse, using the Federal Information Processing Standard county code...
April 16, 2018: Gerontologist
Yi-Ling Hu, Kristin Junge, An Nguyen, Kelsey Hiegel, Emily Somerville, Marian Keglovits, Susan Stark
Background and Objectives: Participation in leisure physical activity (PA) and engagement in PA interventions among older adults is influenced by socioeconomic status (SES), race/ethnicity, and environment. However, studies of PA for medically underserved older adults have not yet been systematically evaluated. The objective of this study is to map the nature and extent of research conducted on PA participation, interventions, and components of effective leisure PA programs for medically underserved older adults...
April 16, 2018: Gerontologist
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