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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/29347863/an-intervention-to-improve-physical-function-and-caregiver-perceptions-in-family-caregivers-of-persons-with-heart-failure
#1
Rebecca Gary, Sandra B Dunbar, Melinda Higgins, Brittany Butts, Elizabeth Corwin, Kenneth Hepburn, Javed Butler, Andrew H Miller
OBJECTIVE: This randomized controlled trial was conducted to determine whether a 12-week home-based aerobic and resistance exercise program would improve physical function and caregiving perceptions among family caregivers (FCGs) of persons with heart failure. METHOD: Overall, 127 FCGs were randomized to one of three groups: usual care attention control (UCAC), psychoeducation only (PE), and psychoeducation plus exercise (PE + EX). Physical function measures (6-min walk test, handgrip, and upper and lower strength) and caregiving perceptions (Bakas Caregiving Outcomes Scale) were obtained at baseline and at 6 months...
January 1, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29313420/knowledge-of-dementia-among-the-australian-health-workforce-a-national-online-survey
#2
Michael J Annear
Dementia is a leading cause of death and disability in Australia. This research evaluated dementia knowledge and educational needs among the Australian health workforce. An online version of the validated Dementia Knowledge Assessment Scale (DKAS) was administered with a random sample of 234 health professionals across eight Australian states. Respondents provided additional self-report data concerning dementia experiences, educational needs, and demographic information. Dementia knowledge deficiencies were identified concerning risk factors, prevalent typologies of the condition, and cognitive symptoms...
January 1, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29307258/choosing-the-best-and-scrambling-for-the-rest-hospital-nursing-home-relationships-and-admissions-to-post-acute-care
#3
Renée Shield, Ulrika Winblad, John McHugh, Emily Gadbois, Denise Tyler
OBJECTIVE: We explored post-Affordable Care Act hospital and skilled nursing facility (SNF) perspectives in discharge and admission practices. METHOD: Interviews were conducted with 138 administrative personnel in 16 hospitals and 25 SNFs in eight U.S. markets and qualitatively analyzed. RESULTS: Hospitals may use prior referral rates and patients' geographic proximity to SNFs to guide discharges. SNFs with higher hospital referral rates often use licensed nurses to screen patients to admit more preferred patients...
January 1, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29295652/long-lasting-neuropsychological-effects-of-a-computerized-cognitive-training-in-patients-affected-by-early-stage-alzheimer-s-disease-are-they-stable-over-time
#4
Marco Cavallo, Chiara Angilletta
INTRODUCTION: We investigated the stability of effects of a computerized cognitive training previously administered to a large group of early stage Alzheimer's disease (AD) patients, as compared with a control group. METHOD: Eighty AD patients were randomized in two groups and underwent a computerized cognitive training, or a control intervention. RESULTS: A Repeated Measures General Linear Model (RM-GLM) showed a significant interaction effect for the following neuropsychological tests: the digit span forward and backward, and the two-syllable words test, as measures of short-term memory and working memory; the Rivermead Behavioural Memory Test (RBMT) story immediate and the RBMT story delayed, as measures of ecologically oriented memory; the Token test, as measure of language comprehension; and the Brixton test, as an executive functions measure...
January 1, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29291679/predicting-use-of-outdoor-fall-prevention-strategies-considerations-for-prevention-practices
#5
Tracy Chippendale
PURPOSE: Outdoor falls are just as common as indoor falls, but have received less attention in research and practice. Behavioral strategies play an important role in outdoor fall prevention. The purpose of this study was to examine predictors of strategy use. METHOD: Backward stepwise regression was used to study factors associated with use of outdoor fall prevention strategies among a random sample ( N = 120) of community-dwelling seniors. RESULTS: Significant negative predictors of strategy use included higher education levels ( p < ...
January 1, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29291678/utilization-of-formal-and-informal-home-care-how-do-older-canadians-experiences-vary-by-care-arrangements
#6
Yeonjung Lee, Rachel Barken, Ernest Gonzales
This study investigates how the receipt of formal, informal, and/or a combination of both types of care at home relates to older adults' perceived loneliness, life satisfaction, and day-to-day lives. Quantitative analyses using the Canadian Community Health Survey ( n = 3,928) reveal that older adults who only received formal care reported lower levels of loneliness and higher levels of life satisfaction when compared with respondents who received informal or a blend of home care. Qualitative analyses of persons aged 65+ years receiving formal and informal home care in Ontario ( n = 34) suggest that formal care bolstered care recipients' autonomy and reduced their sense of being a burden on family...
January 1, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29291677/the-role-of-perceived-discrimination-and-other-psychosocial-factors-in-explaining-diabetes-distress-among-older-african-american-and-white-adults
#7
Ishan C Williams, Olivio J Clay, Fernando Ovalle, Deidra Atkinson, Michael Crowe
BACKGROUND: Diabetes distress, also referred to as diabetes-related emotional distress, has been shown to contribute to worsening diabetes status over time as well as increased depressive symptoms. Other psychosocial factors, including perceived discrimination, are also related to poorer diabetes outcomes. This study explores the relationships between diabetes distress and several psychosocial variables relevant to health disparities (i.e., race, cognition, social support, physician trust, and perceived discrimination) among older adults with type 2 diabetes mellitus...
January 1, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29284327/the-influence-of-supportive-supervisory-practices-and-health-care-aides-self-determination-on-the-provision-of-person-centered-care-in-long-term-care-facilities
#8
Sienna Caspar, Anne Le, Katherine S McGilton
Person-centred care (PCC) is recognized as best practice in long-term care (LTC). Using a cross-sectional design, we examined the relationship between supportive supervisory practices and health care aides' (HCAs) self-determination on HCAs' perceived ability to provide PCC. A total of 131 HCAs from four LTC facilities participated in the study. There were strong, positive associations between HCAs' self-determination and their perceived ability to provide PCC, r = .59, p < .0001, and how supportive their supervisors were, r = ...
December 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29277156/supporting-aging-in-place-well-findings-from-a-cluster-analysis-of-the-reasons-for-aging-in-place-and-perceptions-of-well-being
#9
Mira Ahn, Hyun Joo Kwon, Jiyun Kang
Prior research on gerontology and housing has frequently adopted a perspective that aging-in-place is the "goal." Despite these meaningful results and policy implications, opportunities to explore consequences of aging-in-place, such as the association of this with overall well-being, have been overlooked. This study aims to fill this gap by investigating perceptions of well-being that could act as a driver or result of aging-in-place. With a nationwide random sample of non-Hispanic White, older individuals (60+), living in their homes ( N = 328), three segments of senior residents based on their reasons for aging-in-place were identified...
December 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29276843/making-your-wishes-known-who-completes-an-advance-directive-and-shares-it-with-their-health-care-team-or-loved-ones
#10
Megumi Inoue, Emily Ihara, Albert Terrillion
Using Andersen's health behavioral model as a framework, this study examined factors associated with the completion of advance directives and the behavior of sharing them with one's family and health care providers. Data were from the 2014 United States of Aging Survey ( N = 1,153; aged 60 or older), and multinomial logistic regression was used for analysis. We found that 73% of respondents had advance directives. However, 28% have not shared their advance directives with anyone. The sense of having completed a great deal of preparation for the future and the number of illnesses were found to be relevant to the behavior of sharing advance directives...
December 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29271282/implementation-of-a-psychosocial-intervention-program-for-working-caregivers
#11
Daniel E Jimenez, Richard Schulz, Dolores Perdomo, Chin Chin Lee, Sara J Czaja
The overall aim of this pilot study was to examine the feasibility and acceptability of a multicomponent, psychosocial intervention specifically designed to meet the unique needs of caregivers who are balancing caregiving duties with work responsibilities. Seventy-one family caregivers employed at a private, nonprofit institution in South Florida were randomized to either the Caregiver Workstation condition ( n = 35) or a control condition ( n = 36). Sixty-two caregivers completed the 5-month follow-up. Our results indicate that an intervention tailored to the time demands of a working caregiver is feasible, acceptable to caregivers, and has the potential to have positive long-term effects...
December 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29258374/falls-prevention-process-in-assisted-living-communities
#12
DaRae Coughlin, Susan E Nordman-Oliveira, Mary Schlaak, James H Ford
Falls are a significant issue for older adults, and many older adults who once received care in nursing homes now reside in assisted living communities (ALCs). ALC staff needs to address resident falls prevention; however, federal or state requirements or oversight are limited. This research explores falls prevention in Wisconsin ALCs in the context of the Kotter Change Model to identify strategies and inform efforts to establish a more consistent, proactive falls prevention process for ALCs. A mixed methods approach demonstrated inconsistency and variability in the use of falls risk assessments and prevention programs, which led to the development of standardized, proactive falls prevention process flowcharts...
December 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29249190/barriers-to-nursing-home-care-for-nonelderly-rural-residents
#13
Carrie Henning-Smith, Katy Kozhimannil, Shailendra Prasad
Rural residents experience higher disability, mortality, and poverty rates than their urban counterparts; they also have more barriers to accessing care, including nursing home care. Meanwhile, the proportion of nonelderly adult nursing home residents (<65 years old) is growing, yet little is known about this population and barriers they face trying to access care, especially in rural areas. This qualitative study uses data from 23 semistructured interviews with rural hospital discharge planners in five states to identify specific barriers to finding nursing home care for nonelderly rural residents...
December 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29249189/medical-care-avoidance-among-older-adults
#14
Bryan Leyva, Jennifer M Taber, Amal N Trivedi
OBJECTIVE: To examine factors and reasons associated with medical care avoidance among older adults in the United States. METHOD: Analysis of data on 2,155 adults aged 65 and older, who completed the 2008 Health Information National Trends Survey. RESULTS: Nearly one fourth of older adults reported medical care avoidance ( n = 449; weighted % = 22.5%). Of these, more than one third reported doing so because of feeling uncomfortable when their body is examined (34...
December 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29249188/negotiating-the-lack-of-intimacy-in-assisted-living-resident-desires-barriers-and-strategies
#15
Alexis A Bender, Elisabeth O Burgess, Christina Barmon
Despite continuity in the desire for sex and partnership, many older adults experience a lack of intimacy in late life. The use of assisted living is a complicating factor for understanding issues of partnership, sex, and intimacy for older adults. Using in-depth interviews with 23 assisted living residents and grounded theory methods, we examined how residents negotiate a lack of intimacy in assisted living. The process of negotiation entailed three factors: desire, barriers, and strategies. Although some residents continued to desire intimacy, there was a marked absence of dating or intimacy in our study sites...
December 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29199501/older-adults-driving-under-the-influence-associations-with-marijuana-use-marijuana-use-disorder-and-risk-perceptions
#16
Namkee G Choi, Diana M DiNitto, C Nathan Marti
Despite increasing marijuana use among the 50+ age group, little research has been done on marijuana's impact on older adults' driving under the influence (DUI). Using the 2013 to 2014 National Survey on Drug Use and Health data, this study examined the association of older adults' self-reported DUI with marijuana use, marijuana abuse/dependence, and marijuana risk perception. The findings show that one third of past-year marijuana users aged 50+ reported past-year DUI, two thirds of which involved drugs. Those with marijuana abuse/dependence were 2...
December 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29183239/the-social-context-of-driving-cessation-understanding-the-effects-of-cessation-on-the-life-satisfaction-of-older-drivers-and-their-social-partners
#17
Emily Schryer, Kathrin Boerner, Amy Horowitz, Joann P Reinhardt, Steven E Mock
Older adults with vision loss and a friend or family member were interviewed over a 2-year period. We examined the effects of driving cessation on life satisfaction among older adults and a social contact. Drivers' use of public transportation was examined as a moderator. Driving cessation was associated with a decline in life satisfaction among social partners but not for the drivers. Drivers' use of public transportation at baseline moderated the effects of cessation on changes in well-being among social partners, but had little effect on the life satisfaction of the drivers...
November 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29166818/can-digital-technology-enhance-social-connectedness-among-older-adults-a-feasibility-study
#18
Barbara Barbosa Neves, Rachel Franz, Rebecca Judges, Christian Beermann, Ron Baecker
This study examined the feasibility of a novel communication technology to enhance social connectedness among older adults in residential care. Research suggests that technology can create opportunities for social connectedness, helping alleviate social isolation and loneliness. Studies on implementation and feasibility of such technological interventions, particularly among frail and institutionalized older adults, are scant. Data were gathered in a 3-month deployment with 12 older adults, including semistructured interviews with participants and relatives/friends, psychometric scales, field observations, and usability tests...
November 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29165029/brief-report-active-ingredients-for-adherence-to-a-tracker-based-physical-activity-intervention-in-older-adults
#19
Maria C Swartz, Zakkoyya H Lewis, Michael D Swartz, Eloisa Martinez, Elizabeth J Lyons
OBJECTIVES: To identify factors associated with weekly adherence to a 12-week tracker-based activity intervention in older adults. METHOD: Using generalized linear mixed models in a secondary analysis ( N = 35), we examined factors associated with weekly adherence (defined as wore the Jawbone Up24 tracker for ≥5 days and completed weekly calls). Factors examined included individual characteristics, gave and received virtual support, achieved step goals, barrier and task self-efficacy, and self-comment...
November 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29165001/beyond-home-like-design-visitor-responses-to-an-immersive-creative-space-in-a-canadian-long-term-care-facility
#20
Megan E Graham, Andréa Fabricius
This study examined the benefits of expanding upon the "home-like" design by introducing an immersive creative space for residents, staff, and visitors to explore in a long-term care facility in Eastern Ontario, Canada. Data were collected through guestbook comments ( N = 93) and coded for themes according to guidelines for thematic analysis. Selected themes included visitors' enjoyment of the winter aesthetic, expressions of gratitude to the artists, time spent socializing with family and visitors in a creative milieu, and the experience of remembering in an evocative space...
November 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
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