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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/29781358/building-consensus-on-an-integrated-care-pathway-in-geriatric-rehabilitation-a-modified-delphi-study-among-professional-experts
#1
Irma H J Everink, Jolanda C M van Haastregt, Gertrudis I J M Kempen, Jos M G A Schols
To improve continuity and coordination of care in geriatric rehabilitation, an integrated care pathway was developed in the south of the Netherlands. This study aims to reach nationwide consensus on the content and structure of this locally developed pathway using a two-round Delphi study with specialized elderly care physicians ( n = 37) as experts. In the first round, experts indicated their level of agreement on 65 statements representing the pathway on a 5-point Likert-type scale. Statements that did not gain consensus (interquartile range > 1) were redistributed to participants in Round 2...
May 1, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29779422/patient-portal-use-among-older-adults-what-is-really-happening-nationwide
#2
Eun-Shim Nahm, Shijun Zhu, Michele Bellantoni, Linda Keldsen, Kathleen Charters, Vince Russomanno, Matt Rietschel, HyoJin Son, Leslie Smith
Patient portals (PPs), secure websites that allow patients to access their electronic health records and other health tools, can benefit older adults managing chronic conditions. However, studies have shown a lack of PP use in older adults. Little is known about the way they use PPs in community settings and specific challenges they encounter. The aim of this study was to examine the current state of PP use in older adults, employing baseline data (quantitative and qualitative) from an ongoing nationwide online trial...
May 1, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29766761/use-of-home-and-community-based-services-in-taiwan-s-national-10-year-long-term-care-plan
#3
Hsiao-Wei Yu, Yu-Kang Tu, Po-Hsiu Kuo, Ya-Mei Chen
We aimed to understand the relationships between care recipients' profiles and home- and community-based services (HCBS use patterns. Data were from the 2010 to 2013 Long-Term Care Service Management System in Taiwan ( N = 78,205). We used latent class analysis and multinomial logistic regression analyses. Three HCBS use patterns were found. Care recipients who lived alone, lived in less urbanized areas, and had instrumental activities of daily living disabilities were more likely to be in the home-based personal care group...
May 1, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29708007/corrigendum
#4
(no author information available yet)
Gary, R., Dunbar, S. B., Higgins, M., Butts, B., Corwin, E., Hepburn, K., … Miller, A. H. (2018). An Intervention to Improve Physical Function and Caregiver Perceptions in Family Caregivers of Persons With Heart Failure. Journal of Applied Gerontology. E pub ahead of print 19 January 2018. DOI: 10.1177/0733464817746757 In this article, the acknowledgment for the funder in the funding statement was missing. The correct funding statement is given below. The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work is supported in part by the National Institutes of Health National Institute of Nursing Research grant no...
April 1, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29703128/relevance-of-perpetrator-identity-to-reporting-elder-financial-and-emotional-mistreatment
#5
Ron Acierno, Mara Steedley, Melba A Hernandez-Tejada, Gabrielle Frook, Jordan Watkins, Wendy Muzzy
OBJECTIVE: The National Elder Mistreatment Study (NEMS) found that 5.2% of community older adults experienced financial abuse, and 4.6% experienced emotional mistreatment in the past year. Unfortunately, the majority of abuse was not reported to the authorities. This study investigated reasons for non-reporting. METHOD: In all, 774 NEMS participants were surveyed 8 years later via telephone to assess past-year financial and emotional mistreatment, perpetrator status, and whether any of these episodes were reported to authorities...
April 1, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29690809/factors-that-contribute-to-recovery-of-community-mobility-after-hospitalization-among-community-dwelling-older-adults
#6
Elina U Wells, Courtney P Williams, Richard E Kennedy, Patricia Sawyer, Cynthia J Brown
This study aimed to determine the proportion of older adults who recovered community mobility after hospitalization and identify factors associated with recovery. Using a random sample of 1,000 Medicare beneficiaries ≥65 years of age, we identified individuals with at least one hospitalization over 8.5 years of follow-up. Data were collected at baseline and every 6 months, including demographics, function, social support, community mobility measured by the UAB Life-Space Assessment (LSA), and overnight hospital admissions...
April 1, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29661052/older-adults-internet-use-for-health-information-digital-divide-by-race-ethnicity-and-socioeconomic-status
#7
Hyunwoo Yoon, Yuri Jang, Phillip W Vaughan, Michael Garcia
Building upon literature suggesting low Internet use among racial/ethnic minorities and socioeconomically disadvantaged groups, this study examined how race/ethnicity and socioeconomic status (SES) influence the Internet use for health information, addressing both independent and interactive effects. Using data from 17,704 older adults in the California Health Interview Survey, logistic regression models were estimated with race/ethnicity (Whites, African Americans, Latinos, and Asians), SES index, and the interaction between race/ethnicity and SES index...
April 1, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29644908/life-course-stage-and-social-support-mobilization-for-end-of-life-caregivers
#8
Susan A LaValley, Elizabeth A Gage-Bouchard
Caregivers of terminally ill patients are at risk for anxiety, depression, and social isolation. Social support from friends, family members, neighbors, and health care professionals can potentially prevent or mitigate caregiver strain. While previous research documents the importance of social support in helping end-of-life caregivers cope with caregiving demands, little is known about differences in social support experiences among caregivers at different life course stages. Using life course theory, this study analyzes data from in-depth interviews with 50 caregivers of patients enrolled in hospice services to compare barriers to mobilizing social support among caregivers at two life course stages: midlife caregivers caring for parents and older adult caregivers caring for spouses/partners...
April 1, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29577800/cognitive-social-capital-and-formal-volunteering-among-older-adults-in-urban-china-does-gender-matter
#9
Nan Lu, Changmin Peng, Nan Jiang, Vivian W Q Lou
This study examined the moderating effect of gender on the relationship between cognitive social capital and formal volunteering among older adults in urban China. Cognitive social capital refers to individuals' perceptions of their social relationships in local communities. We used quota sampling to recruit 456 older adults aged 60 years and older from 16 communities of Gusu district, Suzhou city, in late 2015. Multiple group analysis was used to examine the proposed model. Gender had a moderating effect on the relationship between cognitive social capital and volunteering...
March 1, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29577799/what-affects-the-demand-for-long-term-care-insurance-a-study-of-middle-aged-and-older-adults-in-hong-kong
#10
Alex Jingwei He, Kee-Lee Chou
Despite the potential of private insurance in financing long-term care (LTC), its coverage remains rather limited. This study is built on a comprehensive framework to examine the demand for LTC insurance in Hong Kong, a rapidly aging Asian society. A telephone survey was conducted in 2016 to collect data that formed a sample of 1,474 middle-aged and older adults. Multivariate analysis reveals more nuanced characteristics of Hong Kong middle-aged and older adults who tend to show a demand for LTC insurance, including: (a) being younger, better educated, relatively high status, and financially literate; (b) living with children but reluctant to be a burden on the family; (c) being in a better financial situation and able to afford premiums; and (d) anticipation of LTC needs and dependence, and a preference for formal care...
March 1, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29528767/online-education-improves-dementia-knowledge-evidence-from-an-international-intervention
#11
Michael J Annear
Dementia education disseminated through massive open online courses (MOOCs) has the potential to improve knowledge and care provision among health professionals and lay people. The potential learning effects of a dementia MOOC were assessed using a reliable and valid measure with international volunteers ( N = 3,649) who completed the measure before and after online education. Evaluation of learning effects suggests that the MOOC significantly increased dementia knowledge by at least 17% across six cohorts...
March 1, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29514542/development-of-a-transgender-and-gender-nonconforming-language-self-efficacy-scale-for-social-service-providers-working-with-older-adults
#12
Allison R Warren, Ann M Steffen
There is consensus that providers who work with transgender and gender nonconforming (TGNC) older adults should use the language preferred by the older adult; however, assessment tools to document professional training efforts are lacking. This study presents data on a new TGNC Language Self-Efficacy Scale, using responses collected from employees and volunteers of area agencies on aging (AAA) across the United States ( N = 155). Exploratory factor analysis supports a two-factor model: Interactions and Information subscales significantly correlated with knowledge of TGNC terminology, genderism and transphobia, gender role beliefs, beliefs about gender and gender identity, and attitudes toward lesbians and gay men...
March 1, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29504489/an-action-research-to-optimize-the-well-being-of-older-people-in-nursing-homes-challenges-and-strategies-for-implementing-a-complex-intervention
#13
Anne Bourbonnais, Francine Ducharme, Philippe Landreville, Cécile Michaud, Marie-Andrée Gauthier, Marie-Hélène Lavallée
Few studies have been conducted on strategies to promote the implementation of complex interventions in nursing homes (NHs). This article presents a pilot study intended to assess the strategies that would enable the optimal implementation of a complex intervention approach in NHs based on the meanings of screams of older people living with Alzheimer's disease. An action research approach was used with 19 formal and family caregivers from five NHs. Focus groups and individual interviews were held to assess different implementation strategies...
March 1, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29504488/-it-s-like-a-cyber-security-blanket-the-utility-of-remote-activity-monitoring-in-family-dementia-care
#14
Lauren L Mitchell, Colleen M Peterson, Shaina R Rud, Eric Jutkowitz, Andrielle Sarkinen, Sierra Trost, Carolyn M Porta, Jessica M Finlay, Joseph E Gaugler
Technologies have emerged that aim to help older persons with Alzheimer's disease and related dementias (ADRDs) remain at home while also supporting their caregiving family members. However, the usefulness of these innovations, particularly in home-based care contexts, remains underexplored. The current study evaluated the acceptability and utility of an in-home remote activity monitoring (RAM) system for 30 family caregivers of persons with ADRD via quantitative survey data collected over a 6-month period and qualitative survey and interview data collected for up to 18 months...
March 1, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29504440/effects-of-a-community-based-exercise-program-on-older-adults-physical-function-activities-of-daily-living-and-exercise-self-efficacy-feeling-fit-club
#15
Susan S Levy, Katie J Thralls, Daniel J Goble, Taylor B Krippes
Community-based exercise programs have demonstrated feasibility, yet many lack controlled studies examining their efficacy. This study examined the efficacy of a community-based exercise program, using a controlled design. Participants ( N = 262, Mage = 74.0 years, SD = 8.4) were women (77%) and men recruited from senior centers served by the county Area Agency on Aging. Intervention participants ( n = 133) were newly enrolled in classes. Controls ( n = 129) were recruited from matched sites not offering classes...
March 1, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29529912/innovative-interventions-and-models-for-people-living-with-dementia-and-their-care-partners
#16
Julie T Robison
No abstract text is available yet for this article.
May 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29537354/perspectives-and-insights-from-the-long-term-services-and-supports-workforce
#17
Julie T Robison
No abstract text is available yet for this article.
April 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/27572341/work-life-stress-and-career-resilience-of-licensed-nursing-facility-administrators
#18
Dennis R Myers, Rob Rogers, Harold H LeCrone, Katherine Kelley, Joel H Scott
Career resilience provided a frame for understanding how Licensed Nursing Facility Administrators (LNFAs) sustain role performance and even thrive in stressful skilled nursing facility work environments. Quantitative and qualitative analyses of in-depth interviews with18 LNFAs, averaging 24 years of experience were conducted by a five-member research team. Analysis was informed by evidence-based frameworks for career resilience in the health professions as well as the National Association of Long-Term Care Administrator Boards' (NAB) five domains of competent administrative practice...
April 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/27566304/staff-empowerment-practices-and-cna-retention-findings-from-a-nationally-representative-nursing-home-culture-change-survey
#19
Clara Berridge, Denise A Tyler, Susan C Miller
This article examines whether staff empowerment practices common to nursing home culture change are associated with certified nursing assistant (CNA) retention. Data from 2,034 nursing home administrators from a 2009/2010 national nursing home survey and ordered logistic regression were used. After adjustment for covariates, a greater staff empowerment practice score was positively associated with greater retention. Compared with the low empowerment category, nursing homes with scores in the medium category had a 44% greater likelihood of having higher CNA retention (odds ratio [OR] = 1...
April 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/27269288/-their-today-is-our-future-direct-carers-work-experience-and-formal-caring-relationships-in-a-community-based-eldercare-program-in-shanghai
#20
Lin Chen, Minzhi Ye, Eva Kahana
The purpose of this study is to explore direct carers' work experience and formal caring relationships with older adults in a community-based eldercare program in Shanghai. Existing evidence has primarily focused on direct carers' work experience in residential care settings. However, direct carers' experiences of caring older adults in the community also deserve exploration. This qualitative study purposively sampled direct carers who worked in government-sponsored programs. Carers participated in semi-structured, in-depth interviews ( N = 37)...
April 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
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