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Clinical Gerontologist

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https://www.readbyqxmd.com/read/29746208/correlates-of-mental-illness-and-health-categories-among-older-adults-in-china-an-empirical-study-based-on-the-two-continua-model
#1
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
https://www.readbyqxmd.com/read/29723129/self-compassion-coping-strategies-and-caregiver-burden-in-caregivers-of-people-with-dementia
#2
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
https://www.readbyqxmd.com/read/29764314/implementation-and-evaluation-of-a-life-narrative-interview-program-for-medical-inpatients
#3
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
https://www.readbyqxmd.com/read/29764333/is-fear-of-falling-the-missing-link-to-explain-racial-disparities-in-fall-risk-data-from-the-national-health-and-aging-trends-study
#4
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
https://www.readbyqxmd.com/read/29733753/numeracy-and-preventive-health-care-service-utilization-among-middle-aged-and-older-adults-in-the-u-s
#5
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
https://www.readbyqxmd.com/read/29733754/staff-perceived-conflict-between-resident-centered-care-and-quality-in-the-skilled-nursing-facility-are-both-possible
#6
Victoria Parker, Ryann L Engle, Melissa K Afable, Denise A Tyler, Katelyn Gormley, Kelly Stolzmann, Michael Shwartz, Jennifer L Sullivan
OBJECTIVES: The purpose of this study was to understand if and how Veterans Affairs (VA) nursing home (CLC) staff experience difficulty in providing care that is both resident-centered (RCC) and concordant with quality standards. METHODS: Twelve VA CLCs were selected for site visits, stratified based on rankings on a composite quality measure (calculated from various indicators) and resident-centered care (RCC) progress (based on a culture change tool). Staff were interviewed about efforts and barriers to achieving goals in RCC and quality, and the interview transcripts systematically analyzed for themes...
April 23, 2018: Clinical Gerontologist
https://www.readbyqxmd.com/read/29723128/factors-influencing-family-surrogates-intention-with-regard-to-do-not-resuscitate-directive-for-patients-with-dementia
#7
Yu-Chiung Fang, Ming-Chyi Pai, Liang-Chao Wang, Ya-Ping Yang, Chung-Yi Li, Feng-Ping Lee, Jing-Jy Wang
OBJECTIVE: To investigate the prevalence of family surrogates' do-not-resuscitate (DNR) intention for patients with dementia (PwD), and factors influencing family surrogates' decisions. METHODS: This is a descriptive and cross-sectional study. Patients with dementia and their family surrogates from Dementia Outpatient Clinic of a teaching hospital in southern Taiwan were included. Data were collected using chart review and questionnaire survey. Influential factors were analyzed using multiple logistic regression...
April 10, 2018: Clinical Gerontologist
https://www.readbyqxmd.com/read/29617194/the-intersectionality-of-stigmas-among-key-populations-of-older-adults-affected-by-hiv-a-thematic-analysis
#8
Megan Johnson Shen, Ryann Freeman, Stephen Karpiak, Mark Brennan-Ing, Liz Seidel, Eugenia L Siegler
OBJECTIVES: The present study examined the intersectionality of stigma across varying groups of older persons living with HIV (PWH). METHODS: Four focus groups of older PWH (gay/bisexual men, heterosexual men, heterosexual and bisexualwomen, and Spanish-speaking) were audio-recorded and transcribed. Inductive thematic text analysis was used to identify qualitative themes. RESULTS: Five major themes emerged from the data: 1) disclosure of HIV status; 2) types of stigma experienced; 3) discrimination experienced; 4) other outcomes associated with experiencing stigma; and 5) influence of aging on social isolation experienced due to stigma...
March 26, 2018: Clinical Gerontologist
https://www.readbyqxmd.com/read/29589803/psychometric-evaluation-of-the-symptoms-of-dementia-screener-sds-in-a-geriatric-primary-care-population
#9
Lauren B Flaherty, Allison Midden, Benjamin T Mast
OBJECTIVES: The Symptoms of Dementia Screener (SDS) is an 11-item scale developed to screen for cognitive impairment. We aim to evaluate the psychometric properties of the SDS for use in primary care. METHODS: We analyzed data from 192 patients: 25 not impaired, 42 with mild cognitive impairment (MCI), and 125 with dementia. Cronbach's reliability, convergent validity, and clinical utility were examined. The SDS was investigated at the item level using binary two-parameter model item response theory (IRT) techniques...
March 22, 2018: Clinical Gerontologist
https://www.readbyqxmd.com/read/29702039/communication-and-healthcare-self-reports-of-people-with-hearing-loss-in-primary-care-settings
#10
Madelyn N Stevens, Judy R Dubno, Margaret I Wallhagen, Debara L Tucci
OBJECTIVES: To assess the experiences of people with hearing loss in healthcare environments to characterize miscommunication and unmet needs, and guide recommendations for improving outcomes and access. METHODS: Anonymous survey developed by subject-matter experts was posted on a large national hearing-loss consumer and advocacy organization website and email listserv. Data were collected and managed via RedCAP. RESULTS: Responses were received from 1581 individuals...
March 20, 2018: Clinical Gerontologist
https://www.readbyqxmd.com/read/29617207/impact-of-balance-confidence-on-daily-living-activities-of-older-people-with-knee-osteoarthritis-with-regard-to-balance-physical-function-pain-and-quality-of-life-a-preliminary-report
#11
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)...
March 20, 2018: Clinical Gerontologist
https://www.readbyqxmd.com/read/29558337/using-a-reminiscence-based-approach-to-investigate-the-cognitive-reserve-of-a-healthy-aging-population
#12
Barbara Colombo, Stefania Balzarotti, Allison Greenwood
OBJECTIVES: The concept of Cognitive Reserve (CR) has been used to account for brain plasticity in older adults that may underlie the resilience against the effects of aging or pathology on cognitive abilities. This study aims at exploring the proxies of CR in a sample of healthy older adults by analyzing their spontaneous reminiscence through a discourse analysis approach. METHOD: Fifteen community-dwelling older adults were asked to participate in a video-recorded, spontaneous reminiscence interview...
March 5, 2018: Clinical Gerontologist
https://www.readbyqxmd.com/read/29543580/a-systematic-review-evaluating-the-use-of-the-interrai-home-care-instrument-in-research-for-older-people
#13
Mohammed Saji Salahudeen, Prasad S Nishtala
OBJECTIVE: To summarize studies that used the international Resident Assessment home care instrument (interRAI HC) to examine study outcomes for older people. METHODS: A comprehensive systematic search was performed to identify relevant studies, using five databases from 1990 until October 2016. The Cochrane Risk-Bias assessment tool and Newcastle-Ottawa Scale was used to assess the quality of RCTs and non-RCTs, respectively. RESULTS: Based on the full-text analysis, 40 studies met the inclusion criteria out of 506 total records...
March 2, 2018: Clinical Gerontologist
https://www.readbyqxmd.com/read/29533159/risk-of-social-isolation-among-older-patients-what-factors-affect-the-availability-of-family-friends-and-neighbors-upon-hospitalization
#14
Jung-Hwa Ha, Gavin W Hougham, David O Meltzer
OBJECTIVES: To examine the prevalence of social isolation among older patients admitted to a hospital, and the effects of sociodemographic and health-related factors on the availability of their family, friends, and neighbor networks. METHODS: Analyses are based on interviews with a sample of 2,449 older patients admitted to an urban academic medical center in the United States. A nine-item version of Lubben's Social Network Scale was developed and used to assess the availability of different social networks...
March 2, 2018: Clinical Gerontologist
https://www.readbyqxmd.com/read/29733776/anxiety-physical-functioning-and-integrated-care-in-older-adults
#15
Jennifer Moye
No abstract text is available yet for this article.
July 2018: Clinical Gerontologist
https://www.readbyqxmd.com/read/28452644/self-management-and-yoga-for-older-adults-with-chronic-stroke-a-mixed-methods-study-of-physical-fitness-and-physical-activity
#16
Jennifer Dickman Portz, Emily Waddington, Karen E Atler, Marieke Van Puymbroeck, Arlene A Schmid
OBJECTIVE: This study investigated changes in physical fitness and physical activity among older patients with chronic stroke (stroke ≥ 6 months previous) after participation in a yoga infused self-management intervention. METHODS: A mixed-methods secondary data analysis examined quantitative measures of endurance, strength, and gait speed and qualitative perspectives of intervention participants. RESULTS: Based on Wilcoxon analysis, physical fitness outcome measures including endurance and lower and upper body strength significantly (p < ...
July 2018: Clinical Gerontologist
https://www.readbyqxmd.com/read/29482470/the-importance-of-attention-to-cultural-factors-in-the-approach-to-dementia-care-services-for-older-persons
#17
Nancy A Pachana, Dolores Gallagher-Thompson
No abstract text is available yet for this article.
May 2018: Clinical Gerontologist
https://www.readbyqxmd.com/read/29419364/perspectives-and-insights-from-vietnamese-american-mental-health-professionals-on-how-to-culturally-tailor-a-vietnamese-dementia-caregiving-program
#18
Van Ta Park, Khue Nguyen, Yvonne Tran, Gwen Yeo, Quyen Tiet, Joyce Suen, Dolores Gallagher-Thompson
OBJECTIVE: Little is known about dementia and caregiving among the rapidly growing Vietnamese American population. This qualitative study elicited insights on culturally tailoring an intervention to address mental health needs in Vietnamese American dementia caregivers from Vietnamese American mental health professionals. METHODS: Eight Vietnamese American mental health professionals were interviewed to explore: experiences working with and needs of the community; Vietnamese attitudes toward treatment; and acculturation in Vietnamese caregiving...
May 2018: Clinical Gerontologist
https://www.readbyqxmd.com/read/29338663/cultural-competency-in-dementia-care-an-african-american-case-study
#19
Jennie Leeder Clark, Sarah Phoenix, Ann Choryan Bilbrey, Terese McManis, Kristel Anne Escal, Rohini Arulanantham, Tiana Sisay, Rita Ghatak
Age is the greatest risk factor for Alzheimer's disease, the most common cause of dementia. The older population in the United States is growing, and within this demographic ethnic and racial diversity is also on the rise. This article introduces Stanford Health Care's Memory Support Program (MSP) as a model for culturally competent dementia care that spans inpatient and outpatient settings. The case study of an African American patient and family dealing with an Alzheimer's disease diagnosis and comorbid conditions is presented and explored to illustrate the MSP model...
May 2018: Clinical Gerontologist
https://www.readbyqxmd.com/read/28990871/cultural-adaptation-of-a-dyadic-intervention-for-korean-couples-coping-with-alzheimer-s-disease
#20
Minyoung Kwak, Jung-Hwa Ha, So-Yeon Hwang, Berit Ingersoll-Dayton, Beth Spencer
OBJECTIVES: The Couples Life Story Approach (CLSA) was recently developed in the U.S. for older couples dealing with dementia to improve their quality of life. The purpose of this article is to describe how the CLSA was adapted to be culturally appropriate for older Korean couples and to discuss cultural themes that emerged during the implementation process. METHODS: The intervention was adapted using the Cultural Adaptation Process Model. The revised materials were implemented on 56 Korean couples...
May 2018: Clinical Gerontologist
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