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Gerontologist

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https://www.readbyqxmd.com/read/28402419/a-systematic-review-of-sexual-assaults-in-nursing-homes
#1
Daisy Smith, Lyndal Bugeja, Nicola Cunningham, Joseph E Ibrahim
Purpose of the Study: The dramatic growth in the older adults (65 years+) has created an equivalent increase in the number of nursing home (NH) residents. NH residents often lack physical and cognitive abilities, making them particularly vulnerable to assault. Although sexual assault is among one of the most shocking types of assault, it is also the least acknowledged, detected, and reported type of assault against NH residents. This systematic review examines victim/perpetrator sociodemographic and relationship characteristics as well as the forensic characteristics of sexual assaults occurring in NH...
April 12, 2017: Gerontologist
https://www.readbyqxmd.com/read/28402533/caregiver-perspectives-about-using-antipsychotics-and-other-medications-for-symptoms-of-dementia
#2
John William Kerns, Jonathan D Winter, Katherine M Winter, Christine C Kerns, Rebecca S Etz
Background and Objectives: To avoid "chemical restraints," policies and guidelines have been implemented to curb the use of medications for behavioral and psychological symptoms of dementia (BPSD). Antipsychotics have been particularly targeted because of their rare severe side effects. Consequently, caregiver directed non-pharmacologic therapies have increased while medication use for BPSD has diminished. Despite such initiatives, however, antipsychotics continue to be prescribed "off-label" for roughly 20% of nursing home patients...
April 11, 2017: Gerontologist
https://www.readbyqxmd.com/read/28402474/the-nursing-home-physical-performance-test-a-secondary-data-analysis-of-women-in-long-term-care-using-item-response-theory
#3
Subashan Perera, David A Nace, Neil M Resnick, Susan L Greenspan
Background and Objectives: The Nursing Home Physical Performance Test (NHPPT) was developed to measure function among nursing home residents using sit-to-stand, scooping applesauce, face washing, dialing phone, putting on sweater, and ambulating tasks. Using item response theory, we explore its measurement characteristics at item level and opportunities for improvements. Research Design and Methods: We used data from long-term care women. We fitted a graded response model, estimated parameters, and constructed probability and information curves...
April 11, 2017: Gerontologist
https://www.readbyqxmd.com/read/28398577/theatre-involvement-and-well-being-age-differences-and-lessons-from-long-time-subscribers
#4
Suzanne Meeks, Sarah Kelly Shryock, Russell J Vandenbroucke
Background and Objectives: Activities that provide positive emotions, meaningful social interaction, and psychological stimulation can bolster well-being throughout life. We tested a model of psychological benefit from, and age differences in, adult ticket buyers' involvement with a large regional theatre. Research Design and Methods: We sent online surveys to Actors Theatre of Louisville ticketbuyers, measuring involvement with the theatre, satisfaction/enjoyment, social engagement, flow, and sense of belonging while attending, and well-being...
April 8, 2017: Gerontologist
https://www.readbyqxmd.com/read/28379357/the-german-long-term-care-insurance-program-evolution-and-recent-developments
#5
Pamela Nadash, Pamela Doty, Matthias von Schwanenflügel
Background and Objectives: Since 1995, Germany has operated one of the longest-running public programs providing universal support for the cost of long term services and supports (LTSS). Its self-funding, social insurance approach provides basic supports to nearly all Germans. We discuss its design and development, including recent reforms expanding the program and ensuring its ongoing sustainability. Research Design and Methods: The study reviews legislative and programmatic changes, using program data, as well as legislative documents and program reports...
April 4, 2017: Gerontologist
https://www.readbyqxmd.com/read/28379425/later-life-disability-in-environmental-context-why-living-arrangements-matter
#6
Carrie Henning-Smith, Tetyana Shippee, Benjamin Capistrant
Background and Objectives: Household social and environmental context are key elements of the disablement process, yet few studies explicitly examine the relationship between household composition, housing type, and disability progression. This study investigates the risk of older adults' disability progression by type of living arrangement (e.g., household composition, housing type) and whether the relationship varies by socioeconomic status. Research Design and Methods: We used Health and Retirement Study data (waves 1998-2012; n = 41,467 total observations) and fit time-series logistic regression models to estimate increases in activities of daily living (ADLs) and instrumental activities of daily living (IADLs) limitations...
April 3, 2017: Gerontologist
https://www.readbyqxmd.com/read/28379352/involvement-of-hospitalized-persons-with-dementia-in-everyday-decisions-a-dyadic-study
#7
Lyndsey M Miller, Christopher S Lee, Carol J Whitlatch, Karen S Lyons
Background and Objectives: To examine the involvement of persons with dementia (PWDs) in everyday decision making from the perspectives of hospitalized PWDs and their family caregivers, and to identify determinants thereof. Research Design and Methods: Using multilevel modeling, we examined cross-sectional data collected prospectively from 42 family care dyads regarding the care values of the PWD. Results: Both members of the dyad rated the PWD, on average, as being "somewhat involved"...
April 3, 2017: Gerontologist
https://www.readbyqxmd.com/read/28329856/adult-day-center-programs-and-their-associated-outcomes-on-clients-caregivers-and-the-health-system-a-scoping-review
#8
Moriah E Ellen, Peter Demaio, Ariella Lange, Michael G Wilson
Purpose of the Study: Adult day centers (ADCs) offer a heterogeneous group of services that provide for the daily living, care, nutritional, and social needs of older adults. We sought to conceptually map and identify key gaps and findings from literature focused on ADCs, including the types of programs that exist and their associated outcomes on improving health and strengthening health systems. Design and Methods: We conducted a scoping review by searching 5 databases for studies evaluating the outcomes of ADCs specifically for community-dwelling older adults...
March 17, 2017: Gerontologist
https://www.readbyqxmd.com/read/28329867/effectiveness-of-a-virtual-reality-forest-on-people-with-dementia-a-mixed-methods-pilot-study
#9
Wendy Moyle, Cindy Jones, Toni Dwan, Tanya Petrovich
Purpose of the Study: To measure and describe the effectiveness of a Virtual Reality Forest (VRF) on engagement, apathy, and mood states of people with dementia, and explore the experiences of staff, people with dementia and their families. Design and Methods: A mixed-methods study conducted between February and May 2016. Ten residents with dementia, 10 family members, and 9 care staff were recruited from 2 residential aged care facilities, operated by one care provider, located in Victoria, Australia...
March 15, 2017: Gerontologist
https://www.readbyqxmd.com/read/28329849/development-and-inter-rater-reliability-of-the-mealtime-scan-for-long-term-care
#10
Heather H Keller, Habib Chaudhury, Kaylen J Pfisterer, Susan E Slaughter
Background and Objectives: Poor food intake is common in long-term care (LTC). The mealtime experience has been identified as influential, yet, research has been limited by lack of quality, standardized measures. The purpose of this study was to develop and test for inter-rater reliability the Mealtime Scan (MTS), an observational measure. Research Design and Methods: MTS was derived from the literature on ambiance, mealtime experience, social interactions at mealtimes, and social models of care...
March 15, 2017: Gerontologist
https://www.readbyqxmd.com/read/28329844/the-influence-of-exercise-on-cognitive-function-in-older-hispanic-latino-adults-results-from-the-%C3%A2-caminemos-study
#11
Lissette M Piedra, Flavia C D Andrade, Rosalba Hernandez, Seth William Boughton, Laura Trejo, Catherine A Sarkisian
Purpose of the Study: We examined the prospective effect of an evidence-based exercise intervention (¡Caminemos!) on cognitive function among older Hispanic/Latino adults and the potential synergistic effects (if any) of an attribution-retraining intervention given to a random sample to counter negative ascriptions of the aging process. Design and Methods: We analyzed baseline and follow-up (1- and 2-year) data collected from Hispanics/Latinos ≥60 years (N = 571) who participated in ¡Caminemos! across 27 senior centers...
March 15, 2017: Gerontologist
https://www.readbyqxmd.com/read/28329843/consumer-decision-making-of-older-people-a-45-year-review
#12
Dominik Hettich, Stefan Hattula, Torsten Bornemann
Background and Objectives: Aging is one of the key future challenges for global life. Of particular interest is the consumption-related decision-making of older people, as its better understanding would enable the effective influence of behavior, which would help to secure the economic well-being and ensure a better quality of life for this population. This article explores the respective literature and identifies gaps for future research. Research Design and Methods: We conducted a holistic review of peer-reviewed literature that examined the decision-making of older consumers...
March 15, 2017: Gerontologist
https://www.readbyqxmd.com/read/28329852/overcoming-elderspeak-a-qualitative-study-of-three-alternatives
#13
Anna I Corwin
Purpose: This study identifies genres of communication that avoid the features of elderspeak and successfully engage cognitively or physically affected older adults in rich communicative interaction. Design and Methods: The study examined 100 hr of audio- and video-recorded interaction between older Catholic nuns and their caregivers. The data were collected as part of a 7-year study on the linguistic and communicative factors that contribute to successful aging in a Catholic convent infirmary...
March 14, 2017: Gerontologist
https://www.readbyqxmd.com/read/28329826/supportive-supervision-and-staff-intent-to-turn-over-in-long-term-care-homes
#14
Jennifer Bethell, Charlene H Chu, Walter P Wodchis, Kevin Walker, Steven C Stewart, Katherine S McGilton
Background and Objectives: To examine the association between supervisory support and intent to turn over among personal support workers (PSWs) employed in long-term care (LTC) homes in Ontario, Canada, by assessing whether the association is mediated by job satisfaction and the potential confounding effect of happiness. Research Design and Methods: Cross-sectional survey data of 5,645 PSWs working within 398 LTC homes in Ontario, Canada, were obtained and analysed through a series of multilevel regression models...
March 14, 2017: Gerontologist
https://www.readbyqxmd.com/read/28329823/a-typology-to-explain-changing-social-networks-post-stroke
#15
Sarah Northcott, Shashivadan P Hirani, Katerina Hilari
Background and Objectives: Social network typologies have been used to classify the general population but have not previously been applied to the stroke population. This study investigated whether social network types remain stable following a stroke, and if not, why some people shift network type. Research Design and Methods: We used a mixed methods design. Participants were recruited from two acute stroke units. They completed the Stroke Social Network Scale (SSNS) two weeks and six months post stroke and in-depth interviews 8-15 months following the stroke...
March 14, 2017: Gerontologist
https://www.readbyqxmd.com/read/28329847/the-impact-of-the-great-recession-on-midlife-and-older-parents-of-individuals-with-a-mental-health-problem-or-a-developmental-disability
#16
Jieun Song, Marsha R Mailick, Jan S Greenberg
Background and Objectives: Parents of sons and daughters with disabilities have ongoing financial burdens and vulnerability due to the demands of caregiving responsibilities and their related direct and indirect costs. This study aims to investigate whether midlife and older parents of individuals with a mental health problem or a developmental disability were particularly vulnerable to the impact of the recession. Research Design and Methods: The data were drawn from Midlife in the United States (MIDUS), a longitudinal survey of a national probability sample in the United States, Waves II (2004-2006) and III (2013-2014; 84 parents of individuals with a mental health problem, 98 parents of individuals with a developmental disability, and 2,029 parents of individuals without any conditions as a comparison group)...
March 13, 2017: Gerontologist
https://www.readbyqxmd.com/read/28329865/what-doesn-t-kill-you-doesn-t-make-you-stronger-the-long-term-consequences-of-nonfatal-injury-for-older-adults
#17
Dongjuan Xu, Julia A Rivera Drew
Purpose: The majority of research efforts centering on injury among older adults focus on fall-related injuries and short-term consequences of injury. Little is known about the long-term consequences of all-cause nonfatal injuries, including minor injuries. Using a recent, large, and nationally representative sample of the U.S. non-institutionalized civilian population, the current study examines whether older adults who sustained a nonfatal injury (serious and minor) have higher risk of long-term morbidity and mortality outcomes compared with noninjured seniors...
March 10, 2017: Gerontologist
https://www.readbyqxmd.com/read/28329848/attitudes-toward-alzheimer-s-care-seeking-among-korean-americans-effects-of-knowledge-stigma-and-subjective-norm
#18
Banghwa Lee Casado, Michin Hong, Sang E Lee
Purpose: Early detection of Alzheimer's disease (AD) ensures that affected individuals and their caregivers can make appropriate plans for health care needs, yet many ethnic minorities delay seeking care for AD until the disease has progressed. This study examined attitudes toward care-seeking for AD among Korean Americans (KAs) and identified factors affecting their attitudes. Methods: A cross-sectional survey was used to collect data from 234 KA adults. We conducted hierarchical regression analyses to examine the effects of sociocultural background (age, gender, education, cultural orientation), AD knowledge and exposure to AD, and beliefs about AD (stigma of pity, shame, and public avoidance) and AD care (subjective norm) on KAs' attitudes toward seeking AD care from primary care physicians (PCPs) and AD specialists...
March 10, 2017: Gerontologist
https://www.readbyqxmd.com/read/28329840/a-multi-faceted-approach-to-promote-comprehension-of-online-health-information-among-older-adults
#19
Jessie Chin, Darcie D Moeller, Jessica Johnson, Elise A G Duwe, James F Graumlich, Michael D Murray, Daniel G Morrow
Purpose of the Study: Older adults' self-care often depends on understanding and utilizing health information. Inadequate health literacy among older adults poses a barrier to self-care because it hampers comprehension of this information, particularly when the information is not well-designed. Our goal was to improve comprehension of online health information among older adults with hypertension who varied in health literacy abilities. Design and Methods: We identified passages about hypertension self-care from credible websites (typical passages)...
March 10, 2017: Gerontologist
https://www.readbyqxmd.com/read/28329837/associations-across-caregiver-and-care-recipient-symptoms-self-organizing-map-and-meta-analysis
#20
Ari Voutilainen, Nora Ruokostenpohja, Tarja Välimäki
Purpose of the Study: The main objective of this study was to reveal generalizable associations across caregiver burden (CGB), caregiver depression (CGD), care recipient cognitive ability (CRCA), and care recipient behavioral and psychological symptoms of dementia (BPSD). Design and Methods: Studies published between 2004 and 2014 and reporting CGB and/or CGD together with CRCA and/or BPSD were included. Only 95 out of 1,955 studies provided enough data for data clustering with the Self-Organizing Map (SOM) and 27 of them for meta-analyses based on correlation coefficients...
March 10, 2017: Gerontologist
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