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Clinical Gerontologist

Rebecca Chau, David W Kissane, Tanya E Davison
OBJECTIVES: Depression rates are substantially higher among older adults in long-term care compared to older adults in the community. Furthermore, the needs of older adults in long-term care are increasingly complex, and risk factors that contribute to depression in this population are unclear. This limits not only the identification of those at risk of depression but the development of therapeutic interventions. This review summarises the evidence on risk factors for depression. METHODS: Searches were performed using CINAHL, Cochrane Library, Ovid Medline, PsycINFO and Scopus for research published 1980-2017...
June 19, 2018: Clinical Gerontologist
Peter A Lichtenberg, Evan Gross, Lisa J Ficker
OBJECTIVES: This work examines the clinical utility of the scoring system for the Lichtenberg Financial Decision-making Rating Scale (LFDRS) and its usefulness for decision making capacity and financial exploitation. Objective 1 was to examine the clinical utility of a person centered, empirically supported, financial decision making scale. Objective 2 was to determine whether the risk-scoring system created for this rating scale is sufficiently accurate for the use of cutoff scores in cases of decisional capacity and cases of suspected financial exploitation...
June 8, 2018: Clinical Gerontologist
Jennifer Moye
No abstract text is available yet for this article.
June 7, 2018: Clinical Gerontologist
Ronald W Smith, Jennifer K Altman, Suzanne Meeks, Kate Lm Hinrichs
OBJECTIVES: To assess mental health providers' experience with LGBT older adults in long-term care (LTC) settings and perceived barriers to quality care. METHODS: Providers (N = 57) completed an online survey on demographics and practice characteristics. They were also asked about: number of LGBT residents they've worked with, relevance of LGBT issues to their practice, preparedness, willingness to learn, hours of formal/informal training, and barriers to providing care to LGBT patients...
June 7, 2018: Clinical Gerontologist
Sarah Sanford, Gary Naglie, Duncan H Cameron, Mark J Rapoport
OBJECTIVES: To review qualitative research on the specific challenges and strategies that relate to driving cessation for older adults with dementia, from the perspectives of key informant groups. METHOD: A meta-synthesis of qualitative studies was conducted. Structured inclusion criteria were applied to screen 616 titles and abstracts, and 9 qualitative studies were included, published from 2002 to 2016. Descriptive themes were identified using content analysis and synthesized to generate analytic themes...
June 4, 2018: Clinical Gerontologist
Nan Jiang, Nan Lu
OBJECTIVE: Keyes' two continua model is a useful concept in which mental health and mental illness exist on two separate axes. Based on this model, this study examined the prevalence and correlates of three mental health categories among older adults in China. METHODS: Cross-sectional data were derived from Wave 1 of the Study on Global AGEing and Adult Health. Participants were categorized into complete mental health (CMH), complete mental illness (CMI), and moderate mental health (MMH) groups...
April 30, 2018: Clinical Gerontologist
Joanna Lloyd, Jane Muers, Tom G Patterson, Magdalena Marczak
OBJECTIVE: Caring for someone with dementia can have negative consequences for caregivers, a phenomenon known as caregiver burden. Coping strategies influence the impact of caregiving-related stress. Specifically, using emotion-focused strategies has been associated with lower levels of burden, whereas dysfunctional strategies have been related to increased burden. The concept of self-compassion has been linked to both positive outcomes and the coping strategies that are most advantageous to caregivers...
April 30, 2018: Clinical Gerontologist
Bruce Rybarczyk, Andrea Shamaskin- Garroway, Autumn Lanoye, Sarah Griffin, Albert Bellg, Richard Stone, Sharon Nelson
OBJECTIVES: Two studies in the early 1990s demonstrated that life narrative interviews conducted by age-peer volunteers strengthened the coping of older patients undergoing invasive medical procedures. The present article reports on the implementation of a similar life narrative interview program for medical inpatients and subsequent evaluation of the mood and coping effects of the intervention. METHODS: Three volunteers (mean age = 69 years) were trained to administer 45- to 60-minute life narrative interviews...
April 26, 2018: Clinical Gerontologist
Tanvee Singh, Emmanuelle Bélanger, Kali Thomas
OBJECTIVES: Emerging research suggests Black older adults experience a 30% decreased risk for falls compared with their White U.S. counterparts, and this is mediated neither by physical performance nor activity. Fear of falling (FOF) is a significant risk factor for falls, yet we know little about how FOF varies by race/ethnicity. The purpose of this original research brief was to investigate the relationship between race/ethnicity and FOF among older adults. METHODS: 4,981 community-dwelling Medicare beneficiaries from the National Health and Aging Trends Study (NHATS) who had not self-reported a fall in the past 12 months were analyzed...
April 25, 2018: Clinical Gerontologist
Takashi Yamashita, Anthony R Bardo, Roberto J Millar, Darren Liu
OBJECTIVES: Determine whether a specific numeracy skill cut-point(s) reflects an empirical threshold in the context of preventive health service utilization, and identify associations between numeracy and preventive health services utilization among middle-aged and older adults in the United States. METHODS: A nationally representative sample (n = 2,989) of adults 45 years and older from the International Assessment of Adult Competencies (PIAAC) was analyzed. Binary logistic regression was used to examine the utilization of dental checkup, vision screening, influenza vaccination, and osteoporosis screening, using multiple numeracy level classifications...
April 25, 2018: Clinical Gerontologist
Jennifer Moye
No abstract text is available yet for this article.
July 2018: Clinical Gerontologist
Lana Bobić Lucić, Simeon Grazio
OBJECTIVES: The objective of this study was to explore the impact of balance confidence on different activities of daily living (ADL) in older people with knee osteoarthritis (OA). METHODS: Forty-seven consecutive participants with knee OA were included in this cross-sectional study. They were divided according to the results of the Activities-specific Balance Confidence (ABC) Scale into a group with a low level of confidence in physical functioning (ABC < 50, n = 22) and a group with moderate and high levels of confidence (ABC ≥ 50, n = 25)...
July 2018: Clinical Gerontologist
Sharon M Nelis, Jeanette M Thom, Ian Rees Jones, John V Hindle, Linda Clare
OBJECTIVE: We report a mixed method evaluation of the feasibility and implementation of the AgeWell goal-setting intervention to promote healthy ageing later life. METHOD: Researcher field notes, goal-setting interview content, and semi-structured interviews with participants were content analysed to review trial implementation and participants' perspective on the goal-setting and mentoring intervention. RESULTS: 75 people were recruited: 21 in the goal-setting and 22 in the goal-setting with mentoring arms of the intervention...
July 2018: Clinical Gerontologist
Shoshana H Bardach, Nancy E Schoenberg
OBJECTIVES: This study sought to identify older patients' perceptions of primary care providers' influence on their likelihood of improving diet and physical activity. METHODS: 104 adults ages 65 and older were interviewed immediately following a routine primary care visit about their plans and motivations for behavior change and how their clinic visit would influence their likelihood of making lifestyle changes. All interviews were recorded, transcribed and analyzed using a constant comparison approach...
July 2018: Clinical Gerontologist
Joanne Woodford, Paul Farrand, Edward R Watkins, David J LLewellyn
OBJECTIVES: Health and social care services are increasingly reliant on informal caregivers to provide long-term support to stroke survivors. However, caregiving is associated with elevated levels of depression and anxiety in the caregiver that may also negatively impact stroke survivor recovery. This qualitative study aims to understand the specific difficulties experienced by caregivers experiencing elevated symptoms of anxiety and depression. METHODS: Nineteen semi-structured interviews were conducted with caregivers experiencing elevated levels of depression and anxiety, with a thematic analysis approach adopted for analysis...
July 2018: Clinical Gerontologist
Laura Gallego-Alberto, Andrés Losada, Carlos Vara, Javier Olazarán, Ruben Muñiz, Karl Pillemer
OBJECTIVES: Although research shows that nursing home staff experience significant levels of stress and burnout, studies analyzing the relationship of psychosocial variables on their feelings of anxiety are scarce. This study aims to analyze the relationship between psychosocial variables and levels of anxiety among staff. METHOD: Participants were 101 nursing home professionals. In addition to anxiety, socio-demographic variables, depersonalization, burden, relationship with families of the residents, and guilt about the care offered to the residents were assessed...
July 2018: Clinical Gerontologist
Koutatsu Nagai, Hisashi Ikutomo, Keiichi Tagomori, Namika Miura, Tadao Tsuboyama, Kensaku Masuhara
OBJECTIVES: To determine the prevalence and time course in changes regarding the fear of falling and whether there are consequent restrictions in activities of daily living (ADL) after total hip arthroplasty (THA). METHODS: This is 1-year longitudinal observational study. We recruited ninety-eight patients before and after THA. Fear of falling was assessed for 12 ADLs preoperatively and postoperatively at 3, 6, and 12 months following THA. In addition, we asked patients to answer whether they had refrained from performing each ADL because of fear of falling...
July 2018: Clinical Gerontologist
Mona Shah, Daniel Paulson, Vu Nguyen
OBJECTIVES: The primary goal was to examine the relationship between alcohol use and frailty, a variable characterizing late-life decline, in a national, longitudinal survey of older adults living in the United States. METHODS: The sample drawn from the Health and Retirement Study included 9,499 stroke-free participants over age 65 in 2000. The sample was 59.1% female, and had a mean age of 74.25 years (SD = 6.99). Follow-up data was from 2004, 2008, and 2012...
July 2018: Clinical Gerontologist
Aimee Marie L Zapata, Sherry A Beaudreau, Ruth O'Hara, Sylvia Bereknyei Merrell, Janine Bruce, Christina Garrison-Diehn, Christine E Gould
OBJECTIVE: We sought to learn where older veterans seek information about anxiety and coping. Due to increasing use of technology in health care, we also explored benefits and barriers of using technology to teach coping skills. METHODS: Twenty veterans (mean age = 69.5 years, SD = 7.3) participated in semi-structured interviews in which we inquired about where they seek information about anxiety. We explored quantitative and qualitative differences for veterans with high versus low anxiety...
July 2018: Clinical Gerontologist
Andrew J Petkus, Julie Loebach Wetherell, Murray B Stein, Denise A Chavira, Michelle G Craske, Cathy Sherbourne, Greer Sullivan, Alexander Bystritsky, Peter Roy-Byrne
OBJECTIVES: The objective of this study was to examine age differences in the likelihood of endorsing of death and suicidal ideation in primary care patients with anxiety disorders. METHOD: Participants were drawn from the Coordinated Anxiety Learning and Management (CALM) Study, an effectiveness trial for primary care patients with panic disorder (PD), generalized anxiety disorder (GAD), post-traumatic stress disorder (PTSD), and/or social anxiety disorder (SAD)...
July 2018: Clinical Gerontologist
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