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Laura E Balis, Thomas Strayer, NithyaPriya Ramalingam, Meghan Wilson, Samantha M Harden
Background and Objectives: Open-access, community-based programs are recommended to assist older adults in meeting physical activity guidelines, but the characteristics, impact, and scalability of these programs is less understood. The Land-Grant University Cooperative Extension System, an organization providing education through county-based educators, functions as a delivery system for these programs. A systematic review was conducted to determine characteristics of effective older adult physical activity programs and the extent to which programs delivered in Extension employ these characteristics...
January 10, 2018: Gerontologist
Courtney A Polenick, Nicole DePasquale
Background and Objectives: Aging spouses commonly care for a partner with functional disability, but little is known about how spousal caregiving may impact different life domains. This study evaluated how caregiving characteristics are associated with secondary role strains among spousal caregivers. Research Design and Methods: This cross-sectional study examined 367 spousal caregivers and their partners from the 2011 National Health and Aging Trends Study and National Study of Caregiving...
January 8, 2018: Gerontologist
Adrian N S Badana, Ross Andel
The Philippines is a diverse country that will experience an increase in its aging population in the near future. The aim of this article is to provide an overview of the main issues surrounding population aging, as well as family caregiving and policies that are of concern to older adults in the Philippines. Policymakers and government leaders must plan for the expected growth in the numbers of older adults, which is likely to increase the demand for services and support for elders and their caregiving families...
January 8, 2018: Gerontologist
Lisa Miebach, Steffen Wolfsgruber, Ingo Frommann, Klaus Fließbach, Frank Jessen, Rachel Buckley, Michael Wagner
Background and Objectives: Cognitive complaints are discussed as early signs of Alzheimer's disease (AD). However, they are also very common in cognitively normal older adults and in patients with depression. Qualitative, interview-based approaches might be useful to identify those features of cognitive complaints specific for the experiences of cognitive decline in preclinical or prodromal AD versus those complaints typically reported by depressed patients. Research Design and Methods: A semi-structured interview was administered to 21 cognitively normal older adults (HC), 18 nondemented memory clinic patients (MC), and 11 patients with a major depression (MD), all above 55 years...
January 8, 2018: Gerontologist
Petra Boersma, Julia C M van Weert, Birgit I Lissenberg-Witte, Berno van Meijel, Rose-Marie Dröes
Background and Objectives: There is a lack of research on implementation of person-centered care in nursing home care. The purpose of this study was to assess the implementation of the Veder contact method (VCM), a new person-centered method using theatrical, poetic and musical communication for application in 24-hr care. Research Design and Methods: Caregivers (n = 136) and residents (n = 141) participated in a 1-year quasi-experimental study. Foundation Theater Veder implemented VCM on six experimental wards and rated implementation quality...
January 8, 2018: Gerontologist
Meredith L Stensland, Sara Sanders
Background and Objectives: The study objective was to understand how Chronic low back pain (CLBP) impacts key aging concepts such as retirement, housing, health, and independence. Research Design and Methods: Twenty-one pain clinic patients (66-83 years old) with CLBP engaged in 23 in-depth semistructured interviews, which were audio-recorded and transcribed verbatim. Guided by van Manen's phenomenological method, researchers used line-by-line thematic coding to analyze data through an iterative process...
January 8, 2018: Gerontologist
Matthew Manierre
Purpose: Though many models of successful aging exist, there is a need for assessments of the empirical validity of these models and their measures. This study tests the validity of the multidimensional model of successful aging presented by Young and colleagues. Design and Methods: Expanding on an earlier validation study, this analysis uses 1,211 respondents from the Americans' Changing Lives (ACL) study to determine predictive and discriminant validity. Respondents were surveyed in 1986, 1989, and 1994, providing an opportunity to assess if a baseline 5-point successful aging scale is associated with present and future outcomes...
January 4, 2018: Gerontologist
Sally A Norton, Susan Ladwig, Thomas V Caprio, Timothy E Quill, Helena Temkin-Greener
Background and Objectives: Building palliative care (PC) capacity in nursing homes (NH) is a national priority and essential to providing high quality care for residents with advanced illness. We report on NH staff experiences in developing and sustaining Palliative Care Teams (PCTeams) as part of a randomized clinical trial to "Improve Palliative Care through Teamwork" (IMPACTT). Research Design and Methods: We conducted rapid ethnographic assessments of all NH (N = 14) in the intervention arm...
January 3, 2018: Gerontologist
Christopher T Fast, Daniel Houlihan, Jeffrey A Buchanan
Introduction: Existing measures designed to assess family involvement in the lives of older adults residing in long-term care facilities are basic, using visitation frequency as the prominent gauge of involvement in a situation specific fashion. The purpose of this study was to design and validate a measure of family involvement that could be used to gauge more aspects of family involvement than visitation alone and be useful in a variety of settings for both researchers and long-term care facility administrators...
January 3, 2018: Gerontologist
Nicole E Werner, Michelle Tong, Amy Borkenhagen, Richard J Holden
Background and Objectives: Facilitating older adults' successful hospital-to-home transitions remains a persistent challenge. To address this challenge, we applied a systems lens to identify and understand the performance-shaping factors (PSFs) related older adults' hospital-to-home transition success. Research Design and Methods: This study was a secondary analysis of semi-structured interviews from older adults (N = 31) recently discharged from a hospital and their informal caregivers (N = 13)...
January 3, 2018: Gerontologist
Rosanne van Seben, Lucienne A Reichardt, Dirk R Essink, Barbara C van Munster, Jos A Bosch, Bianca M Buurman
Background: The transition between hospital and home is a vulnerable period for acutely hospitalized older patients during which they are at increased risk for adverse health outcomes. Yet, studies describing experiences of a geriatric patient population postdischarge from a patient perspective are missing. Objective: To characterize patient experiences with recovering at home after acute hospitalization. Design and Methods: Qualitative semi-structured interviews, involving 20 recently discharged patients (age ≥ 70), were conducted...
January 3, 2018: Gerontologist
Raven H Weaver, Jill J Naar, Shannon E Jarrott
Background and Objectives: Project TRIP (Transforming Relationships through Intergenerational Programs) was developed as a sustainable intergenerational community project involving child care participants and elders attending an elder care program or volunteering at the children's program. The project focused on staff development of evidence-based intergenerational practices. To enhance available intervention research, contact theory provided a theoretical framework to explore how staff members' and administrators' perceptions of the intervention influenced their ability to implement programming in social care settings...
December 25, 2017: Gerontologist
John Alexander Harris, Nicholas George Castle
Background and Objectives: Obesity is increasing among people residing in nursing homes, and resident obesity substantially affects services needed, equipment and facilities provided, and morbidity in this setting. The purpose of this article is to describe the scope and depth of evidence regarding the impact of obesity among nursing home residents in the United States. Research Design and Methods: A systematic literature review was performed in PubMed, EMBASE, CINAHL, and Web of Science databases as well as additional hand-searched documents...
December 14, 2017: Gerontologist
Chongming Wang
Background and Objectives: Older adults are at greater risk than other age groups throughout all stages of a disaster. To date, the bulk of empirical disaster research concerning older adults has centered on the consequences of a disaster. This study focuses on older residents in a hurricane-prone community and investigates the extent and level of their reported preparedness for hurricanes, which takes place prior to a disaster. Research Design and Methods: This study engaged year-round older residents of Sarasota County, Florida...
December 14, 2017: Gerontologist
Kira S Birditt, Lauren A Tighe, Michael R Nevitt, Steven H Zarit
Background and Objectives: According to the strength and vulnerability integration (SAVI) model, older people are better able to avoid negative social interactions than younger people, but when they do experience negative interactions, they are equally or more emotionally and physiologically reactive than younger people. Less is known about the links between daily negative and positive social encounters and the sympathetic adrenal medullary system (a key stress pathway) and whether there are age differences in these links...
December 12, 2017: Gerontologist
Mioara Zoutewelle-Terovan, Aart Cornelis Liefbroer
Background and Objectives: Relatively little research investigated whether experiences during young adulthood have long-lasting consequences for older age loneliness. This article examines whether deviations from culturally based scripts regarding family transitions represent risk factors for later-life loneliness. Moreover, it analyzes whether and in which conditions long-term associations between family transitions and loneliness differ across nations. Research Design and Methods: The analyses use micro-level data from the Generations and Gender Survey Wave 1 for 12 European countries...
December 9, 2017: Gerontologist
Kylie Meyer, Jeanine Yonashiro-Cho, Zachary D Gassoumis, Laura Mosqueda, S Duke Han, Kathleen H Wilber, Rachel Pruchno
Elder mistreatment (EM) is a public health problem that harms millions of older Americans each year. Despite growing recognition of its occurrence, there are no evidence-based primary prevention programs. Although EM is distinct from other areas of family violence, including child maltreatment and intimate partner violence, common risk factors and theoretical underpinnings point to opportunities for prevention strategies. Drawing on evidence-based best practices found in other fields of family violence, we identify approaches that could be tested to prevent EM at the hands of family caregivers, who are among the most likely to commit mistreatment...
November 28, 2017: Gerontologist
Gabriele Wilz, Maren Reder, Franziska Meichsner, Renate Soellner, Suzanne Meeks
Background and Objectives: This study evaluated the effectiveness of a telephone-based cognitive-behavioral therapy for family caregivers of people with dementia in existing health care provision structures. Research Design and Methods: Two hundred seventy-three family caregivers of people with dementia were randomly assigned to receive the intervention or usual care. Usual care included unrestricted access to community resources. Intervention group participants received twelve 50-min sessions of individual cognitive-behavioral therapy by trained psychotherapists within 6 months...
November 28, 2017: Gerontologist
Dilbagh Gill, Saleh Almutairi, Parastou Donyai
Background and Objectives: Because antipsychotics are associated with an increased risk of morbidity and mortality, they should only be prescribed in dementia in limited circumstances. But antipsychotics are prescribed to a large proportion of residents in formal care settings despite guidance and warnings to the contrary, justifying a study into how professionals define and in turn create realities about antipsychotic usage in dementia. Research Design and Methods: Twenty-eight professionals with a role in the care and management of patients with dementia in care homes were recruited and interviewed in this qualitative study...
November 21, 2017: Gerontologist
Rahul Malhotra, Mary Ann C Bautista, Ngiap Chuan Tan, Wern Ee Tang, Sarah Tay, Audrey Siok Ling Tan, Annie Pouliot, Seyed Ehsan Saffari, Choy-Lye Chei, Regis Vaillancourt, Suzanne Meeks
Background and Objectives: In Singapore, primarily English-language prescription medication labels challenge elderly Singaporeans, many of whom are unable to read English. We investigated whether bilingual text and pictograms can help them understand prescription medication labels. Research Design and Methods: We randomized 1,414 elderly respondents of a national survey into four prescription medication labels: English-text; English-text-and-pictograms; Bilingual-text; and Bilingual-text-and-pictograms, which were similar except for the addition of another language and/or pictograms (International Pharmaceutical Federation, FIP)...
November 19, 2017: Gerontologist
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