Discrepancies between Perceived and Physiological Fall Risks and Repeated Falls among Community-Dwelling Medicare Beneficiaries Aged 65 Years and Older.
This study examined the associations of discrepancies between perceived and physiological fall risks with repeated falls. METHODS: We analyzed the 2016 Medicare Current Beneficiary Survey of 2,487 Medicare beneficiaries aged ≥ 65 years with ≥ 1 fall. The outcome variable was repeated falls (≥ 2 falls), the key independent variable was a categorical variable of discrepancies between perceived (fear of falling) and physiological fall risks (physiological limitations), assessed using multivariate logistic regression. RESULTS: Among Medicare beneficiaries with ≥ 1 fall, 25.1% had low fear of falling bu...
Source: Clinical Gerontologist - October 23, 2020 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Cognitive Emotion Regulation Strategies Predict Burnout in Geriatric Nursing Staff.
CONCLUSIONS: Findings suggest that depersonalization may be most impacted by ER; however, other ER strategies may be important that were not included in the current study (e.g., experiential avoidance, mindfulness). Future research is needed with additional ER strategies and larger samples. CLINICAL IMPLICATIONS: Findings support the use of person-centered interventions, such as cognitive-behavioral and mindfulness-based techniques, to improve stress management and decrease depersonalization. PMID: 33090948 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - October 23, 2020 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Reconnecting: Strategies for Supporting Isolated Older Adults during COVID-19 through Tele-palliative Care.
We describe how technology and tele-palliative care were utilized to reconnect the patient with clinicians and family and to provide clinical care that enhanced coping skills and support. Using telemedicine to restructure the approach to care was crucial in improving multiple domains of care and can be considered a resource for caring for older adults, especially during the challenging times brought on by the COVID-19 pandemic. PMID: 33074777 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - October 22, 2020 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Social Cognitive Theory as a Theoretical Framework to Predict Sexual Risk Behaviors among Older Adults.
CONCLUSIONS: Sexual risk behaviors among older adults are more influenced by environmental factors in their healthcare settings and their perception and prioritization of sexual wellness goals. CLINICAL IMPLICATIONS: Providers play a key role in initiating and maintaining sexual health discussions with older patients, potentially mitigating sexual risk and bolstering self-efficacy. PMID: 33059520 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - October 20, 2020 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Satisfaction with a Vacuum Constriction Device for Erectile Dysfunction among Middle-Aged and Older Veterans.
CONCLUSIONS: The majority of male patients and their female partners receiving comprehensive training for vacuum constriction device use reported satisfaction with the device. CLINICAL IMPLICATIONS: Vacuum constriction devices can be highly effective in improving the sexual health and intimacy of Veterans of all ages experiencing erectile dysfunction. PMID: 33012263 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - October 7, 2020 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Cultural Adaptation of Cognitive Stimulation Therapy (CST) for Portuguese People with Dementia.
CONCLUSIONS: CST seems feasible and culturally appropriate in Portugal. A systematically developed and culturally adapted manual is ready to be used in a large-scale implementation and validation of CST in Portugal. CLINICAL IMPLICATIONS: CST is a valid program for the Portuguese culture, contributes to the availability of a structured and effective clinical intervention for PwD in Portugal and to the possibility of comparing programs across countries. PMID: 33012271 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - October 7, 2020 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Barriers to Aging in Place for Rural, Institutionalized Older Adults: A Qualitative Exploration.
CONCLUSIONS: Findings suggest the importance of specifically supporting caregivers, to ease burden and allow for increased agency for rural older adults. A lack of access to caregiver supports and other services limits the ability of community-dwelling rural older adults to age in place or plan for the future. CLINICAL IMPLICATIONS: Existing networks of rural community resources and innovative solutions should be leveraged to improve access to services for older adults and their informal caregivers. PMID: 32981469 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - September 30, 2020 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Depressive Symptoms among Older Jordanian Patients with Cancer Undergoing Treatment.
CONCLUSION: Understanding the risk factors correlated with depression could help develop early interventions to enhance the psychological consequences for patients with cancer at risk for depression. CLINICAL IMPLICATIONS: Health-care providers need to develop psychological care for older patients with cancer and interventions directed at minimizing depression. Also, nurses should focus on providing holistic care including physical, social, psychological, and spiritual dimensions. Depression care should be an important part of the comprehensive treatment care plan for older patients undergoing cancer treatment. PMI...
Source: Clinical Gerontologist - September 16, 2020 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Risk Factors for Cannabis-Related Mental Health Harms in Older Adults: A Review.
CONCLUSIONS: Frequent use was associated with increased risk for mental health consequences related to cannabis use. Certain motives for use (i.e., using to cope, using as a sleep aid) may increase susceptibility to cannabis-related harms, although more empirical work is required. Mental health conditions may predispose to cannabis-related harms through a variety of mechanisms, including increased vulnerability for cannabis-related psychiatric disorders, poorer prognosis for preexisting psychiatric disorders, and possibility of cannabis-medication interactions. Personal characteristics (younger age, being male, lower socio...
Source: Clinical Gerontologist - September 1, 2020 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Cancer Bereavement and Depression Symptoms in Older Spouses: The Possible Modifying Role of the Circadian Rest-Activity Rhythm.
CONCLUSIONS: Settling down earlier in the evening is important for older spouses bereaved by cancer, in terms of fewer symptoms of depression. CLINICAL IMPLICATIONS: Objectively specifying the activity patterns of older spouses bereaved by cancer is a promising avenue for interventions that aim to reduce depression symptoms. PMID: 32856562 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - August 29, 2020 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Assessing Health-Related Outcomes of Medical Cannabis Use among Older Persons: Findings from Colorado and Illinois.
Authors: Croker Iii JA, Bobitt JL, Arora K, Kaskie B Abstract OBJECTIVES: To assess health-related outcomes associated with medical cannabis use among older patients in Colorado and Illinois enrolled in their home state's medical cannabis program. METHODS: Cross-sectional data from anonymous surveys were collected from 139 persons over the age of 60 using medical cannabis in the past year. We used structural equation modeling (SEM) to confirm the hypothesized four-factor structure that includes health-related quality of life (HRQL), health-care utilization (HCU), symptom effects, and adverse events. We then exa...
Source: Clinical Gerontologist - August 28, 2020 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Social Connection and Psychosocial Adjustment among Older Male Veterans Who Return to the Community from VA Nursing Homes.
CONCLUSIONS: Identified themes aligned with respondents' social connectedness and perceived psychosocial and physical well-being. Our results suggest that social connectedness is one part of the larger milieu of healthy aging including the importance of engagement with social opportunities and having a purpose. CLINICAL IMPLICATIONS: Social connectedness is critical to assess for older adults transitioning between care settings. Developing screening tools and other interventions focused on social isolation are needed. PMID: 32852256 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - August 28, 2020 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Expanding Perspectives on Family Caregiving.
Authors: O'Malley K, Moye J PMID: 32840188 [PubMed - in process] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - August 27, 2020 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Patient Perspectives about Mild Cognitive Impairment: A Systematic Review.
CONCLUSIONS: Patient and care partner perspectives were affected by the quality of information and support provided, possibly influenced by clinicians' understanding of the concept. Personal perceptions and experiences, living circumstance and coping styles also shaped experiences of being informed. CLINICAL IMPLICATIONS: Clinicians should develop their understanding of MCI to deliver clear information to patients and consider the necessity of applying the label. Offering support tailored to patients' specific needs may improve perceptions about the label's utility, whilst aiding coping and adjustment. PMID: 328192...
Source: Clinical Gerontologist - August 22, 2020 Category: Geriatrics Tags: Clin Gerontol Source Type: research

"It's Huge, in a Way." Conflicting Stakeholder Priorities for Managing Hearing Impairment for People Living with Dementia in Residential Aged Care Facilities.
CONCLUSIONS: Residents with dementia and hearing impairment living in RACFs are not receiving optimal hearing management. Further research is required to understand the factors that influence this. CLINICAL IMPLICATIONS: Changes in practices of both care staff and audiologists are required to improve hearing impairment management for this population. PMID: 32807024 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - August 19, 2020 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Older Adults' Responses to a Meaningful Activity Using Indoor-Based Nature Experiences: Bird Tales.
CONCLUSIONS: Findings from our study suggest the potential of Bird Tales as a meaningful activity for older adults in residential care settings. We discuss implications for research as well as practice and present our recommendations. CLINICAL IMPLICATIONS: Activities in long-term care should be meaningful to meet the psychological and social needs of older adults. Older adults enjoy and may benefit from indoor-based nature activities. PMID: 32799781 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - August 18, 2020 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Loneliness, Sense of Control, and Risk of Dementia in Healthy Older Adults: A Moderated Mediation Analysis.
Conclusions Our findings underscore the critical role of control beliefs and working memory in protecting against dementia risk. Clinical implications Our findings have implications for intervention programs that target alleviating dementia risk and promoting healthy aging in older adults by improving socioemotional health and cognitive functioning. PMID: 32783599 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - August 15, 2020 Category: Geriatrics Tags: Clin Gerontol Source Type: research

"It's Our Gang" - Promoting Social Inclusion for People with Dementia by Using Digital Communication Support in a Group Activity.
CONCLUSIONS: Taking part in a group activity targeting communication made participants with dementia feel that they were part of a social group, that they had learnt things, and that they had been able to contribute with their expertise to others. CLINICAL IMPLICATIONS: Group activities targeting communication give people with dementia the opportunity to exercise their social inclusion practices. Group activities may render a feeling of social community and a sense of belonging to the participants. The use of digital communication support may enhance such activities. PMID: 32791946 [PubMed - as supplied by publishe...
Source: Clinical Gerontologist - August 15, 2020 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Synchrony in Old Age: Playing the Mirror Game Improves Cognitive Performance.
CONCLUSIONS: Our preliminary findings suggest that the mirror-game, rather than the exercise class, may have an immediate impact on mood and some attentional functions. CLINICAL IMPLICATIONS: The mirror-game is a novel intervention, with potential benefits of social-emotional and cognitive functioning, which can be easily implemented into the daily routine care of older adults. Future studies should explore the effect of the mirror-game on additional cognitive and socio-emotional aspects. PMID: 32762289 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - August 14, 2020 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Piloting a Dementia Caregiver Intervention in a Primary Care Setting.
CONCLUSIONS: Results suggest that this 6-week caregiver support group may be a promising caregiver intervention in primary care clinics. CLINICAL IMPLICATIONS: Findings support the importance of caregiver support for persons with dementia in primary care. PMID: 32684094 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - July 22, 2020 Category: Geriatrics Tags: Clin Gerontol Source Type: research

"I Remember the Fall": Memory of Falls in Older Adults.
CONCLUSIONS: The negative emotional valence of memories of falls, as well as their ability to trigger significant levels of mental time travel, visual imagery, importance, and rehearsal, demonstrate how these memories are different from other memories in older adults. CLINICAL IMPLICATIONS: The findings demonstrate how falls can modulate memory of personal events in older adults. PMID: 32631209 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - July 9, 2020 Category: Geriatrics Tags: Clin Gerontol Source Type: research

A Seat at the Table: Supporting Persons with Severe Dementia in Communicating Their Preferences.
CONCLUSIONS: This study addresses a gap in current research and holds important implications for enhancing care planning participation by residents with severe dementia. CLINICAL IMPLICATIONS: Residents with severe dementia can successfully participate in activity preference discussions without proxy participation. Residents may comprehend interview questions better when provided in a supported format. PMID: 32633699 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - July 9, 2020 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Does Social Support Affect Older Adults' General Practitioner Attendance Rates? Findings from the North West Coast Household Health Survey.
CONCLUSIONS: Increasing social support impacts to a small, but important, extent on reducing GP attendance in older adults. Future research needs to explore whether improving social support in old age can reduce GP utilization. CLINICAL IMPLICATIONS: Findings suggest a need for improving social prescribing in older adults to reduce some GP visits which could be avoided and might not be necessary. PMID: 32594861 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - July 2, 2020 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Innovative Interprofessional Approaches to Improving Well Being for Older Adults with Interacting Mental and Physical Health Concerns.
Authors: Moye J PMID: 32594905 [PubMed - in process] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - July 2, 2020 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Sleep Disturbance, Mental Health Symptoms, and Quality of Life: A Structural Equation Model Assessing Aspects of Caregiver Burden.
CONCLUSIONS: Findings highlight the adverse outcomes associated with sleep disturbance among caregivers and suggest that higher caregiving demands increases the effect of sleep disturbance on quality of life. CLINICAL IMPLICATIONS: Increased caregiving is associated with adverse physical and mental health consequences. Assessing and treating sleep disturbance among caregivers is needed and may lead to improvements in mental health and quality of life. PMID: 32597344 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - July 2, 2020 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Long-Distance Caregivers: What are Their Experiences with Formal Care Providers?
CONCLUSIONS: This study provides insights into the experiences of a growing segment of the caregiver population managing care from a distance, specifically in their interactions with formal care providers. CLINICAL IMPLICATIONS: The results of this study point to the possible necessity for the development of novel interventions to improve and enhance communication and collaboration between FCPs and informal caregivers. PMID: 32589110 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - June 28, 2020 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Validation of a Comprehensive Measure of the Family Caregiver Experience: The Caregiver Reaction Scale.
CONCLUSIONS: The CRS offers a valid and reliable assessment of the caregiving experience as evidenced by the convergent and discriminant validity of CRS subscales with well-validated measures of burden and positive aspects of caregiving. CLINICAL IMPLICATIONS: The CRS assesses multiple dimensions of caregiving that can be used to better understand the caregiver's experience, guide clinical interventions and referrals, and identify caregiver strengths. PMID: 32573394 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - June 25, 2020 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Pre-Morbid IQ Moderates the Relationship between Cognitive Performance and Performance-Based Functional Status in Older Adults.
CONCLUSIONS: Results suggest that for individuals with high reserve, assessment of cognitive performance alone may not be robust a predictor of IADLs functioning. CLINICAL IMPLICATIONS: In estimating functional abilities as a consequence of cognitive performance, consideration should be given to premorbid-IQ/cognitive reserve. PMID: 32543295 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - June 18, 2020 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Health of Vietnamese Older Adults and Caregiver's Psychological Status in the United States: Result from the Vietnamese Aging and Care Survey.
CONCLUSIONS: This study showed care recipients and caregivers' years of education were positively associated with caregivers' psychological distress. Vietnamese families lived in ethnic enclaves and shared caregiving responsibilities within the family. However, using available outside resources may alleviate psychological distress of not only caregivers but also families as a whole. CLINICAL IMPLICATIONS: Healthcare professionals should encourage educated caregivers and educated care recipients to use outside resources to ease caregiving duties. PMID: 32543347 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - June 18, 2020 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Experiences and Needs of Children Who Have a Parent with Young Onset Dementia: A Meta-ethnographic Review.
CONCLUSIONS: These themes synthesize the existing literature and produce a line of argument explaining the experience of children whose parents have YOD. CLINICAL IMPLICATIONS: Information and policies regarding YOD should take account of the experiences of patients' children and should include targeted support for children of parents with YOD. PMID: 32496888 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - June 5, 2020 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Effects of A Benefit-Finding Intervention in Stroke Caregivers in Communities.
Authors: Fu B, Mei Y, Lin B, Guo Y, Zhang Z, Qi B, Wang Y Abstract OBJECTIVES: To verify the effectiveness and feasibility of a nine-week benefit-finding intervention on the burden, quality of life, and benefit finding of caregivers, as well as on the quality of life of stroke survivors. METHODS: Benefit finding refers to the individual, social, psychological and spiritual benefits perceived by an individual experiencing stress or post-traumatic events. A randomized controlled trial was performed in which 68 stroke survivors and their caregivers were recruited from the Zhengzhou community, China, and randomly s...
Source: Clinical Gerontologist - June 5, 2020 Category: Geriatrics Tags: Clin Gerontol Source Type: research

"I Feel Guilty". Exploring Guilt-Related Dynamics in Family Caregivers of People with Dementia.
CONCLUSIONS: Guilt is a relevant variable in understanding caregiver distress, and its analysis is necessary for therapeutic work in the field of care. CLINICAL IMPLICATIONS: Psychological interventions aimed at family caregivers should include specific techniques in order to address guilt feelings. PMID: 32496935 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - June 5, 2020 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Using Focus Group Feedback to Identify Patient-Centered Initiatives for Older Persons with HIV.
CONCLUSIONS: Results highlight the need for community-based organizations to address social engagement and isolation among older people living with HIV. CLINICAL IMPLICATIONS: These findings exemplify the need for programs to be specifically designed for OPH, and created with the primary goals of socialization and helping develop social support networks. PMID: 32497461 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - June 5, 2020 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Social Interactions between Family and Community-Based Service Providers in Dementia Caregiving.
CONCLUSIONS: Participants reported varying levels of provider-family collaboration. The extent of collaborations and support exchange may have implications on the psychological well-being of those providing care to individuals with dementia including families and providers. CLINICAL IMPLICATIONS: It may be beneficial to identify providers and families who perceive low levels of collaboration and implement intervention to facilitate positive social interactions. Developing organizational culture and payment systems that value high-quality social interactions may help enhance the psychological well-being of service provi...
Source: Clinical Gerontologist - May 27, 2020 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Care Demands and Well-Being of Primary and Secondary Non-Spousal Caregivers of Aging Adults.
Conclusions: Secondary caregivers provide less care but report emotional stress comparable to primary caregivers. Primary caregivers of friends provide high levels of assistance that may increase their physical strain.Clinical Implications: Caregiver research and intervention should include greater attention to needs of secondary caregivers, and caregivers of friends, and ways to strengthen their potentially critical roles. PMID: 32414302 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - May 19, 2020 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Trajectories of Mini-Mental State Examination Scores over the Lifespan in General Populations: A Systematic Review and Meta-Regression Analysis.
Conclusions: Between the age of 29 and 105 years MMSE scores decline, with the highest decline between age 84 and 105 years.Clinical Implementations: The use of MMSE should be restricted to higher age categories in aging general populations. PMID: 32374211 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - May 7, 2020 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Prescription Pain Reliever Use and Misuse among Cannabis Users Aged 50+ Years.
Conclusions: Correlates of dual cannabis and PPNR use/misuse among older adults are poor physical and mental health problems and problematic cannabis use.Clinical Implications: Older adults with cannabis and PPNR misuse need access to evidence-based treatment, including medication-assisted treatment when needed. PMID: 32374215 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - May 7, 2020 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Cognition in Successful Aging: Systematic Review and Future Directions.
Conclusions: The results highlight that cognition is being included in SA using different levels of complexity. Even though research investigating SA in pathology is emerging, there is currently a lack of utilization of the concept in pathological and at-risk populations.Clinical implications: The current research of cognition in SA provides several valid options to evaluate if a person is aging successfully. The emerging research indicates that people from at-risk and pathological populations can age successfully. PMID: 32336218 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - April 29, 2020 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Strategies for Implementing Group Mental Health Interventions in a VA Community Living Center.
Conclusions: The results provide insight into implementing a group MH treatment into the CLC setting, with implications for the MH care of older adults residing in CLCs.Clinical Implications: 1) Group leaders should consider matching attendees for ability levels (physical or cognitive). 2) At the facility level, leaders may take steps to address stigma toward MH by adopting approaches (e.g., music) or framing MH issues (e.g., use of language) in a way that is approachable. 3) Modifiable barriers at the individual and facility level could be addressed to encourage ease of implementation. PMID: 32314668 [PubMed - as supp...
Source: Clinical Gerontologist - April 23, 2020 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Advancing Assessment in Clinical Gerontology.
Authors: Moye J PMID: 32308143 [PubMed - in process] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - April 22, 2020 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Measuring Health Status in Long-Term Residential Care: Adapting the Veterans RAND 12 Item Health Survey (VR-12 ©).
Conclusions: Study findings informed the development of an adapted version of the VR-12 for older adults living in Canadian LTRC homes and provided content validity evidence regarding its relevance and appropriateness for this population.Clinical implications: Measuring the health status of older adults living in LTRC can help to monitor changes in health status over time and support person-centered care. PMID: 32299327 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - April 19, 2020 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Feasibility of the Cognitive Model for Behavioral Interventions in Older Adults with Behavioral and Psychological Symptoms of Dementia.
Conclusions: CoMBI is a feasible treatment model for challenging behavior in patients with BPSD and CMPT. CoMBI is associated with a significant decrease in challenging behaviors regardless of etiology.Clinical implications: Focusing on personality and associated core needs could have a key role in the non-pharmacological treatment of the elderly with BPSD. PMID: 32286161 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - April 16, 2020 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Measuring Social Engagement among Low-Income, Depressed Homebound Older Adults: Validation of the Social Engagement and Activities Questionnaire.
Conclusions: The present study provides evidence of validity for the use of the SEAQ to assess social engagement and activities among low-income, depressed homebound older adults.Clinical Implications: The SEAQ may be used in future studies measuring changes in social engagement and activities in these older adults. PMID: 32292129 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - April 16, 2020 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Race and Personal Exposure to AD Influence Projected Memory Failure Attributions and Help-Seeking Behaviors.
Conclusion: African Americans were more influenced by personal experience when considering the causes of hypothetical memory failures.Clinical Implications: Healthcare providers should emphasize to African American families the value of early AD detection and treatment in terms of quality of life for both patient and caregiver. PMID: 32274979 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - April 12, 2020 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Using Video Telehealth to Deliver Patient-Centered Collaborative Care: The G-IMPACT Pilot.
Conclusions: Nurse practitioner facilitated video visits allowed geriatric patients to meet with multiple specialists simultaneously with both high patient satisfaction and increased real-time care coordination.Clinical Implications: This project identified challenges and opportunities afforded by this type of real-time telehealth care delivery and can inform the development of future interdisciplinary mobile medical teams. PMID: 32228299 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - April 3, 2020 Category: Geriatrics Tags: Clin Gerontol Source Type: research

The Effects of Perceived Enjoyment of Activities on Cognition in Late-Life.
Conclusions: The results imply that frequency and perceived enjoyment of some activities are related to cognition in later life.Clinical Implications: Although the frequency of activities is often measured and subsequently used to address mental health and cognitive concerns in late-life (e.g., Behavioral Activation), we discuss the importance for clinicians to formally assess for enjoyment of these activities as well. PMID: 32223532 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - April 2, 2020 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Exploring New Use of Cannabis among Older Adults.
Conclusions: Older adults who begin using cannabis are likely using for what they perceive to be medicinal purposes for a range of issues. However, they receive minimal guidance from their family physicians and instead obtain information from non-clinician sources.Clinical implications: Cannabis screening should be included in geriatric assessments and medicine reconciliation. Continuing education for clinicians needs to address knowledge gaps about cannabis use among older adults. PMID: 32223535 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - April 2, 2020 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Effectiveness of Cannabinoids for Treatment of Dementia: A Systematic Review of Randomized Controlled Trials.
Conclusions: Findings from a few robust randomized controlled trials suggest that nabilone might be useful for the treatment of agitation in patients with dementia, but there is no convincing evidence for THC. Additional studies are needed to further clarify and assess the benefits of these treatments.Clinical Implications: There were no randomized controlled trials investigating the use of cannabinoids for the treatment of cognitive decline in dementia. Studies on THC reported no significant improvement in agitation. It may be too early to postulate that cannabinoids have any effect on dementia symptoms or their progressi...
Source: Clinical Gerontologist - March 20, 2020 Category: Geriatrics Tags: Clin Gerontol Source Type: research

The Association between Age and Experienced Emotions in Hoarding Disorder.
Conclusions: Fear may not be the emotion experienced when discarding items, particularly for older adults with HD. Future work should focus on mechanisms of action in HD treatment.Clinical Implications: Clinicians should not assume fear or anxiety to be the primary emotional response in older adults with HD when engaged in an exposure to sorting/discarding. Older hoarding patients with a more fear-oriented aversion to sorting possessions may require a treatment emphasis on increasing the percentage of items discarded. PMID: 32175823 [PubMed - as supplied by publisher] (Source: Clinical Gerontologist)
Source: Clinical Gerontologist - March 17, 2020 Category: Geriatrics Tags: Clin Gerontol Source Type: research

A Quasi-experimental Study Measuring the Effectiveness of Two Empathy Enhancement Programs on Caregivers Working with Older Adults Living Alone.
Conclusions: More studies are needed to identify helpful components of empathy enhancement programs to direct care workers working with older adults living alone. Also, a further randomized controlled trial study is needed to assess programs' effectiveness on older adults living alone and direct care workers.Clinical implications: A lecture-based empathy enhancement program can increase levels of empathy and caring efficacy of direct care workers working with older adults and decrease care workers' levels of burnout and stress. Training for direct care workers of older adults is needed to improve the empathy of direct care...
Source: Clinical Gerontologist - February 26, 2020 Category: Geriatrics Tags: Clin Gerontol Source Type: research