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Paulette V Hunter, Lilian Thorpe, Celine Hounjet, Thomas Hadjistavropoulos
Background and Objectives: Montessori-based interventions (MBIs) have potential to improve the life quality of long-term care residents with dementia. In this study, we aimed to understand the processes by which staff integrated a volunteer-led MBI into practice within a special dementia care unit, and to explore staff members ' perceptions of associated strengths and limitations. Research Design and Methods: This study relied on a qualitative descriptive design...
September 14, 2018: Gerontologist
Ulrike Boehmer, Melissa A Clark, Emily M Lord, Lisa Fredman
Background and Objectives: Insufficient research attention has been paid to the diversity of informal caregivers, including sexual and gender minority caregivers. This study examined health effects of caregiving separately from sexual orientation or gender identity status, while stratifying by gender among cisgender adults. We hypothesized that compared with heterosexual cisgender noncaregivers, heterosexual caregivers and lesbian/gay/bisexual (LGB), and transgender (T) noncaregivers would report poorer health outcomes (i...
September 12, 2018: Gerontologist
Catherine García, Marc A Garcia, Chi-Tsun Chiu, Fernando I Rivera, Mukaila Raji
Background and Objectives: Prior studies examining depression among older Mexican Americans suggest both women and immigrants are at higher risk of depressive symptomatology than males and U.S.-born Mexican Americans. We use data from the Hispanic Established Populations for the Epidemiologic Study of the Elderly to examine whether life expectancy with depression and without depression varies by nativity, age of migration, and gender. Research Design and Methods: Sullivan-based life tables were used to estimate depression life expectancies among Mexican Americans aged 65 years and older residing in the Southwestern United States...
September 8, 2018: Gerontologist
Bret T Howrey, Carri L Hand
Background and Objectives: Large data sets have the potential to reveal useful information regarding social participation; however, most data sets measure social participation via individual items without a global assessment of social participation. Research Design and Methods: We used data from the Health and Retirement Study (HRS) to assess whether 8 items from questionnaire pertaining to social participation (religious attendance, caring for an adult, activities with grandchildren, volunteering, charity work, education, social clubs, nonreligious organizations) formed a reliable, cohesive scale and to explore the predictive validity of this scale...
August 30, 2018: Gerontologist
Takashi Yamashita, Anthony R Bardo, Darren Liu
Background and Objectives: The encore years, or later life stages when adults enjoy health and free time, are the prime opportunity for leisure to maximize the overall quality of life. Physically active leisure is widely known to be linked to overall subjective well-being (SWB). However, experienced SWB or momentary emotion during active leisure as well as passive leisure has yet to be examined. Research Design and Methods: Data were derived from the 2012/2013 American Time Use Survey Well-being modules...
August 29, 2018: Gerontologist
Lydia Brown, Jeff C Huffman, Christina Bryant
Abstract Background and Objectives: There is considerable heterogeneity in experiences of aging, with some experiencing greater well-being and adapting more successfully to the challenges of aging than others. Self-compassion is a modifiable psychological skill that might help explain individual differences in well-being and adjustment in later life. The aim of this study was to systematically review the literature on self-compassion and well-being outcomes in studies of older adults aged 65 and older...
August 29, 2018: Gerontologist
Sarah N Forrester, Joseph J Gallo, Keith E Whitfield, Roland J Thorpe
Cognitive impairment and dementia continue to threaten the aging population. Although no one is immune, certain groups, namely black older persons, are more likely to have a diagnosis of certain dementias. Because researchers have not found a purely biological reason for this disparity, they have turned to a biopsychosocial model. Specifically, black persons in the United States are more likely to live with social conditions that affect their stress levels which in turn affect physiological regulation leading to conditions that result in higher levels of cognitive impairment or dementia...
August 29, 2018: Gerontologist
Gloria Puurveen, Heather Cooke, Rupali Gill, Jennifer Baumbusch
Background and Objectives: Current nursing home policy emphasizes the need for collaborative, team-based care planning in which families and/or residents are actively involved. Resident care conferences are common where care providers, families, and/or residents discuss and coordinate resident care needs and evaluate care goals. This study critically examines the process, structure, and content of care conferences to expand our understanding of how resident care is negotiated among care providers and families in this context...
August 29, 2018: Gerontologist
William E Mansbach, Ryan A Mace
Background and Objectives: Diagnostic criteria for mild cognitive impairment (MCI) exclude functional deficits, yet recent studies suggest that older adults with MCI can exhibit impairment in instrumental activities of daily living (IADL). To assist health care providers in detecting functional vulnerabilities that often precipitate loss of independence, we: (a) compared IADL dependence in MCI to older adults without cognitive impairment and those with dementia, (b) estimated the odds of dependence on specific IADLs in MCI, and (c) investigated the differential contributions of memory and executive functions to IADL dependence...
August 18, 2018: Gerontologist
Amy Y M Chow, Michael Caserta, Dale Lund, Margaret H P Suen, Daiming Xiu, Iris K N Chan, Kurtee S M Chu
Background and Objectives: To examine the primary and secondary outcomes of a theory-driven group bereavement intervention for widowed older adults through a cluster-randomized controlled trial. Research Designs and Methods: Twelve community centers providing health and social services for elderly people were randomly assigned to the experimental condition, the dual-process bereavement group intervention-Chinese (DPBGI-C) and to the control condition, the loss-oriented bereavement group intervention-Chinese (LOBGI-C)...
August 17, 2018: Gerontologist
Emily Franzosa, Emma K Tsui, Sherry Baron
Background and Objectives: Interventions to strengthen the home care workforce focus on workers' economic and physical well-being, without acknowledging the caring labor affecting emotional well-being. Our study examined workers' perceptions of the emotional effects of caring work, coping mechanisms, and desired support. Research Design and Methods: We conducted 4 worker focus groups (n = 27). Moderators cross-checked codes and themes, and aides provided input through report-backs...
August 17, 2018: Gerontologist
Mustafa Ozkaynak, Blaine Reeder, Cynthia Drake, Peter Ferrarone, Barbara Trautner, Heidi Wald
Background and Objectives: Clinical decision support systems (CDSS) hold promise to influence clinician behavior at the point of care in nursing homes (NHs) and improving care delivery. However, the success of these interventions depends on their fit with workflow. The purpose of this study was to characterize workflow in NHs and identify implications of workflow for the design and implementation of CDSS in NHs. Research Design and Methods: We conducted a descriptive study at 2 NHs in a metropolitan area of the Mountain West Region of the United States...
August 16, 2018: Gerontologist
Emily A Greenfield, Kathy Black, Tine Buffel, Jarmin Yeh
We introduce "community gerontology" as an area of research, policy, and practice that aims to advance understanding of communities as fundamental contexts for aging and its diversity, and to leverage this understanding for change. We present a foundational framework for community gerontology in three parts. First, we discuss the mesolevel as the unifying construct for community gerontology. Second, we describe community gerontology's focus on pathways of mutual influence between the mesolevel with more micro and macro contexts over time...
August 13, 2018: Gerontologist
Kendon J Conrad, Karen M Conrad
Background and Objectives: Within the elder abuse field, research on the characteristics of the abusers is scant, and no validated measure of abuser risk exists. The purpose of this study was to develop and test the Abuser Risk Measure (ARM). Research Design and Methods: The Rasch measurement model and traditional psychometrics were used on a sample of 425 elder abuse cases that completed an elder abuse investigation and had a substantiation decision (yes/no). All had usable ARM responses that were obtained primarily from the alleged victim...
August 4, 2018: Gerontologist
Christina Matz-Costa, Elizabeth P Howard, Carmen Castaneda-Sceppa, Antonia Diaz-Valdes Iriarte, Margie E Lachman
Despite the documented and well-publicized health and well-being benefits of regular physical activity (PA), low rates of participation have persisted among American older adults. Peer-based intervention strategies may be an important component of PA interventions, yet there is inconsistent and overlapping terminology and a lack of clear frameworks to provide a general understanding of what peer-based programs are exactly and what they aim to accomplish in the current gerontological, health promotion literature...
August 4, 2018: Gerontologist
Katie Paddock, Christine Brown Wilson, Catherine Walshe, Chris Todd
Background and Objectives: The transition to a care home can involve multiple changes and losses that can affect an older person's well-being and identity. It is not clear how older people perceive and manage their identity within a care home over time. This study explores how living in a care home affects the identities of residents and how they address this in their daily lives. Research Design and Methods: A multiple qualitative case study approach incorporated interview and observational data...
August 4, 2018: Gerontologist
Nikki L Hill, Jaqueline Mogle, Emily B Whitaker, Andrea Gilmore-Bykovskyi, Sakshi Bhargava, In Young Bhang, Logan Sweeder, Pooja Anushka Tiwari, Kimberly Van Haitsma
Background and Objectives: Self-reported cognitive difficulties are common in the years before an Alzheimer's disease (AD) diagnosis. Understanding how older adults interpret and respond to questions about their cognition is critical to recognize response biases that may limit the accuracy of cognitive self-reports in identifying AD risk. Cognitive interviewing is a systematic approach for examining sources of response bias that influence individuals' answers to specific questions. The purpose of this study was to identify features of common cognitive self-report items that contribute to (a) differing interpretations among respondents and (b) older adults' decisional processes when responding...
July 31, 2018: Gerontologist
Oded Zafrani, Galit Nimrod
Background and Objectives: Implementation of robotics technology in eldercare depends on successful human-robot interaction (HRI). Relying on a systematic literature review, this article proposes a holistic approach to the study of such interaction. Research Design and Methods: A literature search was carried out in five databases. A Boolean phrase search included the term robot and at least one term referencing older age, leading to an initial corpus of 543 articles...
July 17, 2018: Gerontologist
Luca Kleineidam, Myriam V Thoma, Andreas Maercker, Horst Bickel, Edelgard Mösch, André Hajek, Hans-Helmut König, Marion Eisele, Tina Mallon, Tobias Luck, Susanne Röhr, Siegfried Weyerer, Jochen Werle, Michael Pentzek, Angela Fuchs, Birgitt Wiese, Silke Mamone, Martin Scherer, Wolfgang Maier, Steffi G Riedel-Heller, Michael Wagner
Background and Objectives: We examined the validity of 5 successful aging (SA) operationalizations that assessed different facets of the SA construct (cognitive and physical health and disability; well-being; social engagement). Research Design and Methods: A total of 2,478 participants (mean age = 82.5 years, standard deviation [SD] = 3.47) were studied. We used confirmatory factor analysis to investigate the relationships between facets and to determine the convergent validity as well as short-term (1...
July 17, 2018: Gerontologist
Mirjam Marjolein Garvelink, Leontine Groen-van de Ven, Carolien Smits, Rob Franken, Myrra Dassen-Vernooij, France Légaré
Background: Persons with dementia (PWDs) and their caregivers often face difficult housing decisions, that is, decisions about their living arrangements, in which the perspectives of all members of the care network should be involved. Objective: We performed a qualitative data analysis to assess the extent to which housing decisions for PWDs with their formal and informal caregivers correspond to an interprofessional shared decision making (IP-SDM) approach, and what light this approach sheds on their experiences with decision making...
July 10, 2018: Gerontologist
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