A Case Report of Problem Solving Therapy for Reducing Suicide Risk in Older Adults with Anxiety Disorders.
Conclusions & Clinical Implications: Findings highlight the potential for PST as a psychotherapeutic intervention for reducing suicide risk in older adults with anxiety disorders. PMID: 31131742 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - May 28, 2019 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Predictors of Quality of Life among Older People with Mild Cognitive Impairment Attending Urban Primary Care Clinics.
Authors: Samy AL, Kamaruzzaman SB, Krishnaswamy S, Low WY Abstract OBJECTIVES: To study the prevalence of Mild Cognitive Impairment (MCI) among older people attending primary care clinics and its predictors of QOL. METHODS: A cross-sectional study was conducted at two primary care clinics in Kuala Lumpur, Malaysia, recruiting 271 participants by utilizing the universal sampling method. Every patient who attended both the clinics during the study period and met the inclusion and exclusion criteria were approached and briefed about the study. Patients who gave consent were recruited as study participants. Informa...
Source: Clinical Gerontologist - May 21, 2019 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Safety Planning to Manage Suicide Risk with Older Adults: Case Examples and Recommendations.
Authors: Conti EC, Jahn DR, Simons KV, Edinboro LPC, Jacobs ML, Vinson L, Stahl ST, Van Orden KA Abstract Adults age 65 and older have high rates of suicide, despite recent efforts to reduce the suicide rate in this population. One suicide prevention strategy with burgeoning empirical support is safety planning; however, there is a lack of information and resources on safety planning for older adults to support uptake of this evidence-based practice in clinical settings where older adults are commonly seen. Safety plans can address risk factors for suicide in older adults, including social isolation, physical illne...
Source: Clinical Gerontologist - May 18, 2019 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Innovating Mental Health Treatment for Older Adults.
Authors: Moye J PMID: 31090500 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - May 17, 2019 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Long Term Care for Geriatric Health Care Professionals.
Authors: Molinari V PMID: 30990374 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - April 17, 2019 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Denial of Human Rights: We Must Change the Paradigm of Dementia Care.
Authors: Camp CJ Abstract In far too many instances treatment of persons with dementia has reflected a fundamental denial of basic human rights. At times, these individuals are treated worse than the treatment of animals when the five basic freedoms of animals, described by Pachana in her editorial, are implemented. A number of such examples of dehumanizing (and "de-animalizing") persons with dementia are presented. A case is made for the position that this is the direct result of the "medicalization" of dementia and "Alzheimer Disease." This has led to the disenfranchisement of person...
Source: Clinical Gerontologist - March 22, 2019 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Assessment of Cognitive Training & Social Interaction in People with Mild to Moderate Dementia: A Pilot Study.
DISCUSSION: These results support the idea of social interaction influencing cognitive outcomes, cognitive training influencing NPS, and both social interaction and cognitive training influencing QoL. The findings illustrate the feasibility and importance of incorporating social activity to computerized cognitive training for people with dementia. CLINICAL IMPLICATIONS: Cognitive training that incorporates social interaction may be a promising intervention for individuals with dementia experiencing NPS. PMID: 30895883 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - March 22, 2019 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Too Old for Freedom? Not Too Late to Try.
Authors: Pachana NA Abstract The physical, psychological and social aspects of care for older adults in nursing homes has been the subject of research internationally for more than 50 years. Numerous guidelines, models and principles of care have been published, yet in many facilities the lack of care which is "person-focused" remains concerning. Potentially, a return to a basic set of simple principles guiding care, ones which are intrinsically focused on the person, would be of use. Despite the plethora of models within the human care literature, looking outside of this frame might be useful not on...
Source: Clinical Gerontologist - March 8, 2019 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Telephone-Delivered Cognitive Behavioural Therapy for Treating Symptoms of Anxiety and Depression in Parkinson's Disease: A Pilot Trial.
CONCLUSIONS: Telephone-based CBT reduced symptoms of depression in participants with Parkinson's disease but not anxiety. CLINICAL IMPLICATIONS: Telephone-based CBT is a promising treatment option. PMID: 30821649 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - March 5, 2019 Category: Geriatrics Tags: Clin Gerontol Source Type: research

The Relationship between Physical-Mental Comorbidity and Subjective Well-Being among Older Adults.
DISCUSSION: Findings suggest that mental health problem and physical-mental comorbidity negatively associated with SWB among older adults. CLINICAL IMPLICATIONS: Integrative interventions should be developed to target mental health issues and comorbid physical-mental health conditions in the older populations. PMID: 30831062 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - March 5, 2019 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Lighten UP! A Community-Based Group Intervention to Promote Eudaimonic Well-Being in Older Adults: A Multi-Site Replication with 6 Month Follow-Up.
CONCLUSIONS: Lighten UP! Program confirmed its positive effects for enhancing EWB in older adults living in multiple community settings. CLINICAL IMPLICATIONS: Programs that sustain or enhance EWB in older adults can be expected to yield improvements in diverse aspects of mental and physical health. PMID: 30767628 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - February 16, 2019 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Cognitive Self-Efficacy and Mental Health Ratings after a Memory Skills Group for Older Veterans with PTSD.
CONCLUSIONS: We found improvement in mental health outcomes following participation in a psychoeducational memory skills program, with differential impact on depressive symptoms for those with low baseline cognitive self-efficacy. CLINICAL IMPLICATIONS: Participation in this intervention led to improved life satisfaction and cognitive self-efficacy. Cognitive self-efficacy, in turn, appeared to have implications for improving depressive symptomology and may be a useful target of memory skills education. PMID: 30727839 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - February 9, 2019 Category: Geriatrics Tags: Clin Gerontol Source Type: research

The Impact of Risk and Resistance Factors on Quality of Life in Caregivers of Individuals with Dementia.
CONCLUSION: Caregiver age, relationship type, social problem-solving, perceived social support, and care recipient functional dependence are important contributors to caregiver QOL. Further research is needed to specify which caregiver and care recipient characteristics are most important to caregiver QOL. CLINICAL IMPLICATIONS: Health professionals should assess caregiver problem-solving skills, social support, and care recipient functional dependence, as these may provide important information about caregiver QOL. Study results also suggest that caregiving has more of a negative impact on caregiver QOL for midlife ad...
Source: Clinical Gerontologist - February 9, 2019 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Two, Four, Six, Eight, Don't Assume Your Grandma's Straight: The Intersectionality of Aging and Sexual Minority Status.
Authors: Beaudreau SA, Gallagher Thompson D, Pachana NA PMID: 30721120 [PubMed - in process] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - February 6, 2019 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Subscales of the Fear Survey Schedule-III in Community Dwelling Older Adults - Relations to Clinical and Cognitive Measures.
CONCLUSIONS: It is recommended that clinicians and researchers use subscale scores derived from the FSS-III, rather than total scores, when treating and studying fears of later life. CLINICAL IMPLICATIONS: Use of FSS-III subscales in assessment could result in improved detection and treatment of phobias in later life, and thus raise quality of life among the elderly. Older adults' fears of victimization should be prioritized as a possible treatment target in clinical settings. PMID: 30706768 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - February 4, 2019 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Clinical Applications of Technology in Aging.
Authors: Moye J PMID: 30698101 [PubMed - in process] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - February 1, 2019 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Providing Assistance for Older Adult Financial Exploitation Victims: Implications for Clinical Gerontologists.
CONCLUSION: Study findings advance our understanding of the impacts of FE on cognitive functioning, mental health, and financial decision-making. CLINICAL IMPLICATIONS: Clinicians need to be more attuned to the financial health of their older clients, who, if they are struggling with financial exploitation, may also be suffering from problems with cognitive functioning and physical and mental health. PMID: 30693849 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - January 30, 2019 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Positive Aging: The Impact of a Community Wellbeing and Resilience Program.
CONCLUSION: These studies point towards the potential benefits of wellbeing interventions for older adult from the general population and older adult carers, when delivered by community partners. CLINICAL IMPLICATIONS: Early interventions promoting mental health may contribute to reducing the burden of mental health conditions on individuals and the health care system. Studies with more rigorous designs and extended follow-up measurements are required to consolidate these positive initial findings. PMID: 30654716 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - January 20, 2019 Category: Geriatrics Tags: Clin Gerontol Source Type: research

The Link between Activities of Daily Living and Cortisol in Late-Life Depression.
CONCLUSIONS: The results of this study provide preliminary support for the hypothesis that elevated cortisol, in the context of depression, is associated with functional status deficits in older adults. CLINICAL IMPLICATIONS: Findings from this study begin to fill the gap in research examining the relationship between cortisol and functional impairment in older adults and suggest that unique information can be gathered with the use of different functional status measures. PMID: 30657029 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - January 20, 2019 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Self-Compassion, Health Outcomes, and Family Carers of Older Adults: An Integrative Review.
CONCLUSIONS: Self-compassion in family carers of older adults is a new and emerging research area, and there is very little published evidence about how self-compassion might be developed to improve health outcomes for family carers. CLINICAL IMPLICATIONS: To inform clinical understanding within this population, future quality research is needed, particularly regarding proof-of-concept, moderating effects of carer and care recipient factors, reliability of self-compassion measures, and the development and testing of self-compassion based interventions. PMID: 30612532 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - January 9, 2019 Category: Geriatrics Tags: Clin Gerontol Source Type: research

The Multidimensional Scale of Perceived Social Support (MSPSS): Reliability and Validity of Russian Version.
CONCLUSIONS: The Russian version of MSPSS corresponds closely with the English version in reliability, consistency, and internal structure. Test-retest reliability was satisfactorally high and construct validity was supported with the results of the correlation analysis. CLINICAL IMPLICATIONS: Our study confirms that MSPSS questionnaire is a high valid tool to estimate social support and it can be successfully applied to define social support in patients with cardiac pathology. PMID: 30587089 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - December 29, 2018 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Stress and Blood Pressure in Dementia Caregivers: The Moderator Role of Mindfulness.
The objective of this study was to analyze the moderating effect of trait mindfulness on the relationship between frequency of disruptive behaviors of the care recipient and blood pressure (BP) in dementia caregivers. METHOD: Participants were 110 dementia family caregivers. Two hierarchical regressions (for systolic and diastolic BP) were conducted to analyze whether mindfulness moderates the relationship between disruptive behaviors and BP after controlling for known predictors of cardiovascular outcomes. RESULTS: A significant moderator effect of mindfulness was found between the frequency of disruptive behavior...
Source: Clinical Gerontologist - December 20, 2018 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Care and LGBT Aging in Canada: A Focus Group Study on the Educational Gaps among Care Workers.
CONCLUSIONS: Care providers want to provide open space for sexual and gender diverse older adults but lack the knowledge to do so. CLINICAL IMPLICATIONS: There is an ongoing gap within formal education systems such that historically marginalized populations who are now aging may be systemically neglected within formal curricula. PMID: 30453853 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - November 21, 2018 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Management of Sleep Disturbances in Parkinson's Disease Patients, Carers and the Patient and Carer Dyadic Relationship: A Scoping Review.
CONCLUSIONS: While addressing individual factors associated with sleep disturbances, it is also important to emphasize the needs arising from the patient-carer dyadic relationship. While a number of non-pharmacological interventions were suggested in the literature, further well-controlled trials are still required. CLINICAL IMPLICATIONS: Multiple approaches are required to reduce sleep disturbances and associated burden in PD. PMID: 30422081 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - November 14, 2018 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Posttraumatic Stress Disorder in Older Adults: A Conceptual Review.
CONCLUSIONS: PTSD is an important clinical consideration in older adults, although the empirical database, particularly regarding psychotherapy, is limited. CLINICAL IMPLICATIONS: Assessment for trauma history and PTSD symptoms in older adults is essential, and may lead to increased recognition and treatment. PMID: 30422749 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - November 14, 2018 Category: Geriatrics Tags: Clin Gerontol Source Type: research

The Relationship Between Maladaptive Personality and Social Role Impairment in Depressed Older Adults in Primary Care.
This study is a secondary analysis examining the relationship between maladaptive personality traits and processes and social role impairment in depressed older adults in primary care. METHODS: Participants (N = 56) were 77% female and ranged in age between 55-89 (M = 66.82, SD = 8.75). Personality pathology was measured by maladaptive traits (NEO-FFI) and processes (Inventory of Interpersonal Problems; IIP-PD-15). Individual variable as well as combined predictive models of social role impairment were examined. RESULTS: Higher neuroticism (β = 0.30, p 
Source: Clinical Gerontologist - October 28, 2018 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Serving All Who Served: Piloting an Online Tool to Support Cultural Competency with LGBT U.S. Military Veterans in Long-Term Care.
CONCLUSIONS: Online-based LGBT cultural-competency training is useful in providing LTC staff with foundational knowledge that can help them work more competently with LGBT residents. CLINICAL IMPLICATIONS: LTC facilities can develop brief yet effective cultural competency trainings that increase the visibility of LGBT concerns in order to enhance clinical care. PMID: 30358503 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - October 27, 2018 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Medical Help-Seekers with Anxiety from Deterioration in Memory are Characterized with Risk Factors for Cognitive Decline.
CONCLUSIONS: People who are seeking help in memory clinics (even those who do not meet any criteria for memory decline) are liable to be at high risk for MCI and dementia. CLINICAL IMPLICATIONS: We recommend that HS with SMC should be treated as a high-risk group, even if they do not show objective memory deficits. PMID: 30346918 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - October 24, 2018 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Trajectories of Depressive Symptomatology and Loneliness in Older Adult Sexual Minorities and Heterosexual Groups.
CONCLUSIONS: Trajectories of depressive symptoms and loneliness in older adulthood do not vary by sexual orientation. Economic and family resources may allow sexual minorities to cope effectively with depressive symptoms and loneliness. CLINICAL IMPLICATIONS: Clinicians should be cautious about assuming that older sexual minority group members are more susceptible to depressive symptoms and loneliness than heterosexual groups by virtue of their sexual preference. PMID: 30321105 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - October 17, 2018 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Mental Health Differences Between Older and Younger Lesbian, Gay, Bisexual, and Transgender Veterans: Evidence of Resilience.
Authors: Cortes J, Fletcher TL, Latini DM, Kauth MR Abstract OBJECTIVE: To examine health and identity differences between older (50+) and younger (
Source: Clinical Gerontologist - October 17, 2018 Category: Geriatrics Tags: Clin Gerontol Source Type: research

A Short Form of the Lichtenberg Financial Decision Rating Scale.
CONCLUSIONS: The LFDRS-SF is a valid tool to assess real-world financial decision-making abilities. CLINICAL IMPLICATIONS: The LFDRS-SF offers an efficient way to assess financial decision-making. Training on the tool and automatic scoring and recommendations for next steps can be found at https://olderadultnestegg.com. PMID: 30321125 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - October 17, 2018 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Moderating Effects of Community Social Capital on Depression in Later Years of Life: A Latent Interaction Model.
This study tested the stress-buffering model and examined the buffering role of community social capital on late-life depression. METHODS: This study used the data from the second wave of National Social Life, Health, and Aging Project (NSHAP, 2010-2012). In the present study, a total of 2,362 older adults aged 65 and older (Mage = 74.5, SD = 6.69) were included. Latent moderated structural equations model was tested by comparing the main effect model and interaction model. Depression, stress, and community social capital were constructed as latent variables for the analyses. RESULTS: The main e...
Source: Clinical Gerontologist - September 21, 2018 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Clinical Gerontologist.
Authors: PMID: 30212310 [PubMed - in process] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - September 14, 2018 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Mindfulness-Based Stress Reduction and Mindfulness-Based Cognitive Therapy with Older Adults: A Qualitative Review of Randomized Controlled Outcome Research.
CONCLUSIONS: This review highlights the feasibility and possible benefits of MBSR and MBCT for older adults. Additional large scale RCTs conducted with older adults coping with the range of physical, behavioral, and cognitive challenges older adults commonly face still are needed. CLINICAL IMPLICATIONS: MBSR may be a promising intervention for older adults experiencing a variety of health concerns and possibly even cognitive decline. MBCT may reduce geriatric anxiety, although its effects on geriatric depression were not measured. PMID: 30204557 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - September 13, 2018 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Relations of religion with depression and loneliness in older sexual and gender minority adults.
CONCLUSIONS: Findings suggest that outness to religious communities may be beneficial to the mental health of older LGBTQ adults. Higher levels of distress may lead to higher levels of religious engagement. CLINICAL IMPLICATIONS: Religion, especially those that are supportive of sexual minorities, may help to improve the well-being of older LGBTQ adults. PMID: 30183539 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - September 7, 2018 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Focus on the family: A case example of end-of-life care for an older LGBT veteran.
Authors: Hinrichs KL, Christie KM Abstract The Department of Veterans Affairs (VA) is likely the largest provider of health care for LGBT persons in US. However, histories of homophobia, stigma, discrimination, and past military policies have all had a lasting impact on the health of LGBT veterans. Effects can be seen across healthcare needs, disparities, access, and utilization for or by LGBT veterans. A case from a VA hospice unit is used to illustrate some challenges and opportunities when providing end-of-life care for an older, lesbian veteran. This veteran had been cared for by her wife who was struggling to ...
Source: Clinical Gerontologist - August 2, 2018 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Risk Factors for Depression in Long-Term Care: A Systematic Review.
CONCLUSIONS: The studies lacked a systematic approach to investigating risk factors for depression, and the research remains largely atheoretical. Few risk factors were consistently studied, with over 20 risk factors examined no more than once each. Psychological and environmental risk factors, which may be modifiable and have the potential to inform therapeutic interventions and preventative strategies, remain under-studied. CLINICAL IMPLICATIONS: The most consistently supported risk factors - cognitive impairment, functional disability and baseline depression score - have the potential to inform screening protocols a...
Source: Clinical Gerontologist - June 20, 2018 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Mental Health Care for LGBT Older Adults in Long-Term Care Settings: Competency, Training, and Barriers for Mental Health Providers.
CONCLUSIONS: Mental health providers in LTC facilities would benefit from more training in LGBT-specific mental health problems and evidence-based treatments, and efforts to destigmatize LGBT identities in these settings might improve access to mental health care. CLINICAL IMPLICATIONS: LGBT-specific training and EBTs are needed. Facilities need to address stigma with residents and providers. PMID: 29877759 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - June 9, 2018 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Psychotherapy with Older Adults: Implementing and Refining Best Practices.
Authors: Moye J PMID: 29877781 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - June 9, 2018 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Quantifying risk of financial incapacity and financial exploitation in community-dwelling older adults: utility of a scoring system for the lichtenberg financial decision making rating scale.
CONCLUSIONS: Analyses supported the conceptual link between decision making deficits and risk for exploitation, and supported the use of the risk-scoring system in a community-based population. CLINICAL IMPLICATIONS: This study adds to the empirical evidence supporting the use of the rating scale as a clinical tool assessing risk for financial decisional impairment and/or financial exploitation. PMID: 29883276 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - June 9, 2018 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Subjective Experiences of Driving Cessation and Dementia: A Meta-Synthesis of Qualitative Literature.
CONCLUSION: This review identifies some important areas for consideration when designing supportive programs to address driving. CLINICAL IMPLICATIONS: Interventions to support driving cessation for people with dementia should prioritize support for communication, advanced planning, and emotional effects of stopping driving. PMID: 29863962 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - June 8, 2018 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Implementation and Evaluation of a Life Narrative Interview Program for Medical Inpatients.
CONCLUSIONS: The life narrative interview program appeared to improve the overall mood of participants while providing a satisfying activity to engage in while in the hospital. CLINICAL IMPLICATIONS: The project demonstrated a cost-effective method for employing volunteers to enhance the experience of patients at healthcare facilities. PMID: 29764314 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - May 19, 2018 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Is Fear of Falling the Missing Link to Explain Racial Disparities in Fall Risk? Data from the National Health and Aging Trends Study.
CONCLUSION: The decreased risk for falls in Black older adults could be explained by lower FOF in this group. CLINICAL IMPLICATIONS: These findings should inform public health fall prevention initiatives among community-dwelling older adults. PMID: 29764333 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - May 19, 2018 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Correlates of Mental Illness and Health Categories among Older Adults in China: An Empirical Study Based on the Two Continua Model.
DISCUSSION: We demonstrated the utility of the two continua model in identifying mental health needs in Chinese contexts. The findings suggest that future policy reforms and clinical interventions should establish a more comprehensive mental health category as a screening tool nationwide. The promotion of social engagement could play an important role in treating mental illness and improving positive mental health. PMID: 29746208 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - May 12, 2018 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Numeracy and Preventive Health Care Service Utilization among Middle-Aged and Older Adults in the U.S.
CONCLUSIONS: Middle-aged and older adults with sufficient numeracy skills are more likely to have had a dental check up in the past 12 months. Findings suggest that numeracy may be more relevant for long-term vs. short-term risk assessment in determining preventive health care service utilization. CLINICAL IMPLICATIONS: Two-level numeracy categories are recommended in preventive health contexts. Numeracy proficiency-sensitive risk communication by health care providers and education programs may enhance awareness of preventive health care and promote the utilization of specific preventive health service utilization amo...
Source: Clinical Gerontologist - May 9, 2018 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Staff-perceived Conflict between Resident-centered Care and Quality in the Skilled Nursing Facility: Are Both Possible?
CONCLUSIONS: CLC staff perceive conflicts between RCC and care consistent with quality imperatives. CLINICAL IMPLICATIONS: Variation in perceived RCC-quality conflicts suggests that policy clarifications and additional training may provide guidance in dealing with such dilemmas. It may be prudent to clearly communicate to what boundaries exist to RCC in the evolving CLC environment. PMID: 29733754 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - May 9, 2018 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Anxiety, Physical Functioning, and Integrated Care in Older Adults.
Authors: Moye J PMID: 29733776 [PubMed - in process] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - May 9, 2018 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Factors Influencing Family Surrogates' Intention with Regard to Do-Not-Resuscitate Directive for Patients with Dementia.
Authors: Fang YC, Pai MC, Wang LC, Yang YP, Li CY, Lee FP, Wang JJ Abstract 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. RESULTS: One hundre...
Source: Clinical Gerontologist - May 4, 2018 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Self-Compassion, Coping Strategies, and Caregiver Burden in Caregivers of People with Dementia.
CONCLUSION: Caregivers with higher levels of self-compassion report lower levels of burden and this is at least partly due to the use of less dysfunctional coping strategies. CLINICAL IMPLICATIONS: Interventions that develop self-compassion could represent a useful intervention for struggling caregivers. PMID: 29723129 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - May 4, 2018 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Communication and Healthcare: Self-Reports of People with Hearing Loss in Primary Care Settings.
CONCLUSIONS: This study clearly demonstrates the ongoing difficulties faced by individuals with hearing loss, particularly older adults, as they attempt to navigate both providers and situations associated with a typical primary care office visit. CLINICAL IMPLICATIONS: Inexpensive and efficient changes to improve communication include (1) Improving one-on-one provider communication by facing the individual with good lighting, clear speaking, and not obstructing one's mouth; (2) Environmental changes such as using visual or tactile alerting devices in waiting rooms and adding noise-dampening carpeting and curtains; and...
Source: Clinical Gerontologist - April 29, 2018 Category: Geriatrics Tags: Clin Gerontol Source Type: research