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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/28853322/moving-from-knowledge-to-action-in-partnership-a-case-study-on-program-adaptation-to-support-optimal-aging-in-the-context-of-migration
#1
Emmelie Barenfeld, Lars Wallin, Elisabeth Björk Brämberg
This case study explored how a researcher-community partnership contributed to program adaptations when implementing person-centered group-based health promotion services to older people who have migrated to Sweden. The study was conducted over 3 years and various data sources were used: focus groups, individual interviews, documents, and archive material. Findings from different data sources and partners' perspectives were triangulated to an overall case description using an iterative process. Adaptations were shaped through a dynamic process, negotiating toward suitable solutions that culminated in actions taken to adapt or inhibit adaptations...
August 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/28845728/perceptions-of-the-meaningfulness-of-work-among-older-social-purpose-workers-an-ecological-momentary-assessment-study
#2
Christina Matz-Costa, Stephanie Cosner Berzin, Marcie Pitt-Catsouphes, Cal J Halvorsen
The ecological momentary assessment (EMA) method was used to examine the antecedents and correlates of older adults' in-the-moment perceptions of meaning at work. Data were collected six times per day for 7 days from 30 older adults who were mostly social entrepreneurs and who were engaged in purpose work (i.e., work that addresses a social problem or issue). We found concurrent effects of two types of affective states (i.e., relaxed and energetic) and generative work behaviors (i.e., sharing information about one's work and encouraging/inviting others into one's work) on three measures of perceptions of meaningful work (i...
August 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/28799443/community-dwelling-older-adults-adherence-to-environmental-fall-prevention-recommendations
#3
Suzänne F Taylor, Constance L Coogle, James J Cotter, E Ayn Welleford, Al Copolillo
This study examined the impact of personalized versus generalized education about environmental fall prevention recommendations on older adults' adherence with recommendations. Secondary aims focused on the impact of recent falls and perceived susceptibility of future falls on adherence with recommendations. Twenty-four community-dwelling older adults aged 65 to 89 years were randomized into two groups to receive either personalized or generalized education intervention on environmental fall prevention recommendations...
August 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/28786319/discharge-home-from-hospital-how-dire-can-it-be
#4
Priti Flanagan, Ronald Kelly
AIM: An easy-to-use "DIRE" questionnaire tool was developed to predict an adverse event (AE) within 30 days following discharge from a hospital to the community, among frail elderly individuals aged 65+ years. METHODS: Hospital-administered RAI-HC (Residential Assessment Instrument for Home Care) assessment data from 1,433 individuals were used to develop the tool. RESULTS: The DIRE tool outperformed two other instruments that have been used to predict risk in similar populations...
August 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/28786316/transitions-from-acute-care-to-long-term-care-evaluation-of-the-continued-access-model
#5
Rebecca Meehan
Improving communication during transitions from acute care hospitals into long-term post-acute care (LTPAC) settings is imperative for clinical staff to have the information they need to admit and care for the patient with accurate medical information provided in an efficient way. The research goals of this study are to examine the user experience of a new data sharing method, "Continued Access," a supplement to the standard summary of care, and to evaluate staff attitudes of the model on LTPAC residents' care...
August 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/28786311/predictors-of-nursing-staff-voluntary-termination-in-nursing-homes-a-case-control-study
#6
Yuan Zhang, Laura Punnett, Rebecca Gore
Workforce instability in the long-term care sector has raised wide attention about nursing staff turnover. Most attention has been devoted to understanding the relationship between facility's characteristics and organizational turnover. This case-control study examined the contribution of work characteristics to individual staff turnover. Surveys were collected with nursing staff in 18 for-profit nursing homes on up to five occasions between 2006 and 2012. A list of nursing staff voluntarily terminating jobs was provided by the company...
August 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/28774215/smartphone-based-health-technologies-for-dementia-care-opportunities-challenges-and-current-practices
#7
Ellen Leslie Brown, Nicole Ruggiano, Juanjuan Li, Peter J Clarke, Emma S Kay, Vagelis Hristidis
Most of the 5.4 million people affected by Alzheimer's disease and other forms of dementia (AD) are noninstitutionalized, receiving care by unpaid family caregivers and medically managed by a primary care provider (PCP). Health Information Technology has been recognized for its potential in improving efficiency and quality of AD care and support for AD caregivers. Simultaneously, smartphone technologies have become an increasingly common way to deliver physical and behavioral health care. However, little is known about how smartphone technologies have been used to support AD caregiving and care...
August 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/28774212/extending-the-comfort-zone-building-resilience-in-older-people-with-long-term-conditions
#8
Mark Robinson, Esmée Hanna, Gary Raine, Steve Robertson
This article examines how a 6-week mental health resilience course for people with long-term conditions (LTCs; diabetes, heart disease, and arthritis) increased perceived resilience of older participants. This article examines how peer support assisted participants to develop resilience, considers gender issues, examines the importance of course activities, and explores how resilience enhances quality of life. A mixed methods approach was used. A before-and-after questionnaire was administered 3 times, including 3-month follow-up...
August 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/28737101/intervention-to-prevent-falls-community-based-clinics
#9
Dorothy I Baker, Linda Leo-Summers, Terrence E Murphy, Barbara Katz, Beth A Capobianco
PURPOSE: The purpose of this study was to document results of State funded fall prevention clinics on rates of self-reported falls and fall-related use of health services. METHODS: Older adults participated in community-based fall prevention clinics providing individual assessments, interventions, and referrals to collaborating community providers. A pre-post design compares self-reported 6-month fall history and fall-related use of health care before and after clinic attendance...
July 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/28728463/perceived-accessibility-to-services-and-sites-among-israeli-older-adults
#10
Adi Vitman-Schorr, Liat Ayalon, Rabia Khalaila
OBJECTIVE: To explore the direct and indirect effects of settlement type (rural-kibbutz vs. urban mid-size cities) on perceived accessibility by sociospatial factors: (a) connection to the living area, (b) familiarity with the living area, (c) social participation, and (d) perceived safety of the living area. METHOD: A convenience sample of 279 older adults aged 65 and older was interviewed. Using bootstrapping, we tested the strength and significance of the conditional indirect effects of four simultaneous mediators of the relationship between settlement type and perceived accessibility...
July 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
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
#11
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
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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