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Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society

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https://www.readbyqxmd.com/read/28715932/the-association-of-socioeconomic-conditions-and-readiness-to-learn-new-ways-of-performing-daily-activities-in-older-adults-with-functional-difficulties
#1
Kelly T Gleason, Laura N Gitlin, Sarah L Szanton
Behavioral interventions for older adults can reduce difficulties in performing daily activities, hospitalizations, and mortality risk. The success of behavior change interventions, however, can be affected by a participant's readiness to adopt changes. This study evaluates whether socioeconomic conditions, particularly financial strain affording food, are associated with readiness to change. We conducted a cross-sectional, descriptive study of baseline data from disabled older adults ( N = 147) participating in an intervention to reduce physical disability...
July 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/28715925/factors-associated-with-care-workers-intention-to-leave-employment-in-nursing-homes-a-secondary-data-analysis-of-the-swiss-nursing-homes-human-resources-project
#2
Clergia Gaudenz, Sabina De Geest, René Schwendimann, Franziska Zúñiga
The emerging care personnel shortage in Swiss nursing homes is aggravated by high turnover rates. As intention to leave is a predictor of turnover, awareness of its associated factors is essential. This study applied a secondary data analysis to evaluate the prevalence and variability of 3,984 nursing home care workers' intention to leave. Work environment factors and care worker outcomes were tested via multiple regression analysis. Although 56% of care workers reported intention to leave, prevalences varied widely between facilities...
July 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/28671027/coping-cognitive-emotion-regulation-and-burnout-in-long-term-care-nursing-staff-a-preliminary-study
#3
Patricia Bamonti, Elizabeth Conti, Casey Cavanagh, Lindsay Gerolimatos, Jeffrey Gregg, Carol Goulet, Marisa Pifer, Barry Edelstein
Direct care workers (e.g., certified nursing assistants [CNAs]) employed in long-term care (LTC) are particularly vulnerable to the experience of burnout, yet they have received relatively less research attention compared to Licensed Practical Nurses and Registered Nurses. Within the burnout literature, evidence suggests that the deployment of certain coping strategies influences levels of burnout. The current study examined the extent to which coping (e.g., problem-focused, emotion-focused, and dysfunctional coping) and cognitive emotion regulation strategies (e...
June 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/28671023/successful-aging-as-a-predictor-of-long-term-care-among-oldest-old-the-vitality-90-study
#4
Lily Nosraty, Jutta Pulkki, Jani Raitanen, Linda Enroth, Marja Jylhä
AIM: The aim of the study was to investigate whether successful aging (SA) predicts entering long-term care (LTC) among nonagenarians. METHODS: Data originated from the linkage of the Vitality 90+ Study surveys with register data from Finnish Population Register and Care Registers. Altogether 1,966 community-dwelling individuals were followed for 2 years and 1,354 individuals for 5 years. Four models of SA were constructed by varying combinations of physical, psychological, and social components...
June 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/28653557/trends-in-cigarette-smoking-among-older-male-adults-in-china-an-urban-rural-comparison
#5
Kuiyun Zhi, Lan Wang, Yangdi Han, Michael G Vaughn, Zhengmin Qian, Yongjin Chen, Lili Xie, Jin Huang
This study compared urban/rural trends in cigarette smoking rates among older male adults in China. Data were derived from the China Health and Nutrition Survey ( N = 5,147). Logistic models were computed to assess the occurrence of cigarette smoking between 1991 and 2011 across urban/rural administrative districts. Cigarette smoking rates remained consistent (about 50%) in rural villages over the last two decades but decreased by about 1.1 percentage points annually in urban neighborhoods. After adjusting for individual and community characteristics, divergent urban/rural trends in cigarette smoking rates did not vary statistically...
June 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/28645235/external-validity-of-the-new-york-university-caregiver-intervention-key-caregiver-outcomes-across-multiple-demonstration-projects
#6
Elizabeth B Fauth, Mark A Jackson, Donna K Walberg, Nancy E Lee, Leisa R Easom, Gayle Alston, Angel Ramos, Kristen Felten, Asenath LaRue, Mary Mittelman
PURPOSE OF THE STUDY: The Administration on Aging funded six New York University Caregiver Intervention (NYUCI) demonstration projects, a counseling/support intervention targeting dementia caregivers and families. Three sites (Georgia, Utah, Wisconsin) pooled data to inform external validity in nonresearch settings. This study (a) assesses collective changes over time, and (b) compares outcomes across sites on caregiver burden, depressive symptoms, satisfaction with social support, family conflict, and quality of life...
June 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/28645225/medication-regimen-complexity-and-low-adherence-in-older-community-dwelling-adults-with-substantiated-self-neglect
#7
Sharon Abada, Leslie E Clark, Arup K Sinha, Rui Xia, Kathleen Pace-Murphy, Renee J Flores, Jason Burnett
OBJECTIVE: Determine whether medication regimen complexity predicts medication adherence levels in a sample of community-dwelling adults 65 years and older with Adult Protective Services-substantiated self-neglect. METHODS: A cross-sectional analysis of baseline data ( N = 31 participants) from a pilot intervention to increase medication adherence among the target group was performed. The Medication Regimen Complexity Index (MRCI) and the 8-item Morisky Medication Adherence Scale (MMAS-8)™ were the primary independent and dependent measures, respectively...
June 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/28643549/examination-of-the-psychometric-properties-of-the-geriatric-fear-of-falling-measure-among-community-dwelling-older-adults-in-the-united-states
#8
Tuo-Yu Chen, Jerri D Edwards, Megan Janke
This current study investigated the construct validity and reliability of the Geriatric Fear of Falling Measure (GFFM) among community-dwelling older adults in the United States. Eighty-eight participants were assessed on the GFFM together with demographics, falls, and fear of falling and falls-efficacy measures at baseline and an 8-week follow-up visit. Cronbach's alpha, regression analyses, and correlation analyses were used to examine the psychometric properties of the GFFM. The results showed that the GFFM demonstrated good construct validity and reliability among community-dwelling older adults in the United States...
June 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/28587587/book-review-complementary-and-integrative-therapies-for-mental-health-and-aging-lavretsky-h-sajatovic-m-reynolds-c-iii-eds-2016-complementary-and-integrative-therapies-for-mental-health-and-aging-new-york-ny-oxford-university-press-571-pp-125-isbn-978-0199380862
#9
Nora Rye, Tess Schleitwiler, Keith A Anderson
No abstract text is available yet for this article.
June 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/28573936/exploring-variation-in-certified-nursing-assistant-assignments-from-the-perspective-of-nursing-home-residents-a-comparison-of-adopters-and-nonadopters-of-consistent-assignment
#10
Tonya J Roberts, Kimberly Nolet, Barbara Bowers
OBJECTIVE: To describe and compare certified nursing assistant (CNA) staffing between adopter and nonadopters of consistent assignment. DATA SOURCES: One month of preexisting CNA assignment and scheduling sheets from a purposive sample of 30 homes. STUDY DESIGN: A descriptive comparative study was conducted to calculate and compare numbers of CNAs assigned per resident across homes. DATA EXTRACTION: Resident names and CNA assignments were abstracted from assignment records and entered into the Advancing Excellence consistent assignment tool to calculate numbers of CNAs assigned per resident...
June 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/28554264/health-variables-are-informative-in-screening-for-mild-cognitive-impairment-among-elderly-african-americans
#11
Siny Tsang, Scott A Sperling, Moon-Ho Park, Ira M Helenius, Ishan C Williams, Carol Manning
To aid primary care providers in identifying people at increased risk for cognitive decline, we explored the relative importance of health and demographic variables in detecting potential cognitive impairment using the Mini-Mental State Examination (MMSE). Participants were 94 older African Americans coming to see their primary care physicians for reasons other than cognitive complaints. Education was strongly associated with cognitive functioning. Among those with at least 9 years of education, patients with more vascular risk factors were at greater risk for mild cognitive impairment...
May 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/28554239/video-communication-with-cognitively-intact-nursing-home-residents-a-scoping-review
#12
Amy M Schuster, Elizabeth G Hunter
Limited research exists examining video communication among cognitively intact nursing home residents to connect with family. This scoping review evaluated existing literature for video communication usage with nursing home residents, family, and nursing homes. A comprehensive search was completed using PubMed and EBSCOhost (including AgeLine, CINAHL, and PsycINFO) between 1972 and 2016 to locate English-language articles. The analysis identified five eligible studies (four involved an intervention, one assessed family views) meeting inclusion criteria...
May 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/28506145/areas-of-control-desired-by-patients-and-families-referred-to-hospice-care-perspectives-of-hospice-admissions-staff
#13
Hyunjin Noh
Sense of control in end-of-life (EOL) care plays a critical role in the patient's well-being. However, little is known about the areas of control essential to patients and families at a specific time point in the illness trajectory: when patients stop curative treatments and are referred to hospice. This study qualitatively explored such areas. Sixteen admissions staff members from four hospice agencies were interviewed about their perceptions of areas in which patients and families worried about losing control by accepting hospice...
May 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/28506093/the-virtual-short-physical-performance-battery-psychometric-properties-and-validation-in-older-adults-with-multiple-sclerosis
#14
Rachel E Bollaert, Anthony P Marsh, Gary R Cutter, Robert W Motl
BACKGROUND: There are increasing numbers of older adults with multiple sclerosis (MS) who undergo declines in physical function that require attention of clinicians and researchers. Objective and perceived measures of disablement feasible for clinical and residential settings, such as the Short Physical Performance Battery and its virtual counterpart (vSPPB), are critical for defining the degree of disablement. OBJECTIVE: We evaluated the psychometric properties and validity of the vSPPB as a measure of perceived lower extremity physical function in older adults with MS (age ≥60 years)...
May 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/28460561/assisting-frail-seniors-with-toileting-in-a-home-bathroom-approaches-used-by-home-care-providers
#15
Emily C King, Veronique M Boscart, Brett M Weiss, Tilak Dutta, Jack P Callaghan, Geoff R Fernie
Home care providers experience high occupational injury rates. Improving safety is becoming increasingly urgent as this sector expands to support the aging population. Caregivers identify assisting with toileting as a particularly frequent and difficult activity. This mixed-methods observational study identified and analyzed the toileting subactivities that place care providers at the greatest risk of musculoskeletal injury. Eight personal support workers (home care aides) assisted a frail older adult (actor) in a simulated home bathroom...
April 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/28460557/an-online-program-for-caregivers-of-persons-living-with-dementia-lessons-learned
#16
Mariya Kovaleva, Lindsey Blevins, Patricia C Griffiths, Kenneth Hepburn
The population of individuals living with dementia and their caregivers and the need to provide caregiver training will increase in the next several decades. In-person caregiver educational programs are delimited by logistical and resource boundaries that could be overcome with online programs. The purpose of this qualitative descriptive study was to explore the acceptability and ways to improve the content and delivery of an online 7-week psychoeducational pilot program-Tele-Savvy. Thirty-six caregivers who completed the pilot were interviewed about their experience with Tele-Savvy and their suggestions for its improvement...
April 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/28452250/implementation-of-a-complex-intervention-to-support-leadership-development-in-nursing-homes-a-multimethod-participatory-study
#17
Belinda Dewar, Karen Barrie, Cathy Sharp, Julienne Meyer
Leadership is key to quality improvement in nursing homes. This article reports on the initial analysis of the transformational My Home Life Leadership Support program for nursing home managers being implemented in Scotland. It analyses learning from a multimethod participatory descriptive study. Contribution analysis theory informed the evaluation. Evidence-Based Practice, Relationship-Centered Care, Appreciative Inquiry, and Caring Conversations informed the intervention to develop transformational leadership...
April 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/28452242/the-homecare-aide-workforce-initiative-implementation-and-outcomes
#18
Penny H Feldman, Miriam Ryvicker, Lauren M Evans, Yolanda Barrón
Improved training and support are thought to improve retention among direct care workers. However, few studies have examined actual retention. This study examined satisfaction and retention among home health aides enrolled in the "Homecare Aide Workforce Initiative" (HAWI) at three New York agencies. Data included surveys of HAWI trainees and new hires and payroll data for HAWI graduates and others. Three months after hire, 91% of HAWI hires reported they were "very satisfied" or "satisfied" with the job; 57% reported they were "not at all likely" to leave their job in the coming year...
April 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/28438063/measuring-the-needs-of-family-caregivers-of-people-with-dementia-an-assessment-of-current-methodological-strategies-and-key-recommendations
#19
Lauren R Bangerter, Joan M Griffin, Steven H Zarit, Rachel Havyer
While dementia caregivers are regarded as a population with high unmet needs, there is little consensus as to how caregivers' needs should be conceptualized and measured. This article describes how dementia caregivers' needs are currently assessed in the scientific literature with the goal of suggesting guidelines for the enhancement of future measurement of caregiver needs. A review of 26 articles identified overarching themes within measurement approaches including variation in methodological rigor, proxy indicators of need, dual needs assessment of caregiver and person with dementia (PWD), and third-party needs assessment...
April 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/28398129/using-tai-chi-to-reduce-fall-risk-factors-among-older-adults-an-evaluation-of-a-community-based-implementation
#20
Mary P Gallant, Meaghan Tartaglia, Susan Hardman, Kara Burke
This study aimed to evaluate a community-based implementation of an evidence-based fall prevention program, in which 131 individuals participated in Tai Chi: Moving for Better Balance. Self-report and functional performance assessments included demographics, health and fall history, the Activities-Specific Balance Scale, the Timed Up and Go test, and the Functional Reach test. Pre-post scores were compared with the Wilcoxon signed rank test. The mostly female participants were 73 years old, on average. At baseline, 18% reported being afraid or very afraid of falling, and 18% had fallen in the past 6 months...
April 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
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