Psychometric Evaluation of the Social Isolation Scale in Older Adults.
The objective wasto describe the psychometric testing of a brief instrument constructed from theoretical underpinnings to measure social isolation in older adults. RESEARCH DESIGN AND METHODS: A sample of 9,245 participants, all aged 60 years and older, was obtained from 44 states in the United States. Summary descriptive statistics were calculated, followed by exploratory factor analysis using Geomin rotation and subsequently confirmatory factor analysis (CFA). After finding the best model, differential item functioning (DIF) was conducted using a multiple indicator multiple cause structural equation model to determi...
Source: The Gerontologist - June 15, 2019 Category: Geriatrics Authors: Nicholson NR, Feinn R, Casey EA, Dixon J Tags: Gerontologist Source Type: research

Tiredness of Life in Older persons: A Qualitative Study on Nurses' Experiences of Being Confronted With This Growing Phenomenon.
This study aimed to gain insight into nurses' (a) perceptions of, (b) attitude(s) toward, and (c) ways of dealing with ToL in older patients. RESEARCH DESIGN AND METHODS: Qualitative study with elements of constructivist grounded theory. Data were collected by means of semi-structured interviews between February 2016 and June 2017 with a purposive sample of 25 nurses working in home care and nursing homes. RESULTS: A careful consideration indicative of an oscillation between 3 levels (e.g., behavioral, cognitive, and affective) is present. The confrontation with persons having ToL instigates a cognitive process o...
Source: The Gerontologist - June 11, 2019 Category: Geriatrics Authors: Van Humbeeck L, Dillen L, Piers R, Van Den Noortgate N Tags: Gerontologist Source Type: research

Working with Older Adults Scale: Application of the Theory of Planned Behavior.
DISCUSSION AND IMPLICATIONS: The WOAS, and underlying theory, offers new insights and ideas for future exploration of the service gap between older adults' needs and professional availability across health service fields. PMID: 31185082 [PubMed - as supplied by publisher] (Source: The Gerontologist)
Source: The Gerontologist - June 11, 2019 Category: Geriatrics Authors: Graham KL, Rosén LA Tags: Gerontologist Source Type: research

Helping Hispanic Family Caregivers of Persons With Dementia "Get the Picture" About Health Status Through Tailored Infographics.
DISCUSSION AND IMPLICATIONS: Tailored infographics supported caregivers' comprehension of their health status and served as cues to engaging in self-management. As such, they should be presented in the context of informational support that can facilitate selection of appropriate next steps. This can mitigate the potential mental and physical health consequences of caregiving and enable caregivers to continue to care for their relatives with dementia with less damage to their own well-being. PMID: 31185098 [PubMed - as supplied by publisher] (Source: The Gerontologist)
Source: The Gerontologist - June 11, 2019 Category: Geriatrics Authors: Arcia A, Suero-Tejeda N, Spiegel-Gotsch N, Luchsinger JA, Mittelman M, Bakken S Tags: Gerontologist Source Type: research

The Effectiveness of Biographical Approaches in Long-Term Care: A Systematic Review.
DISCUSSION AND IMPLICATIONS: Although benefits were observed, it remains unclear why some interventions led to improvements in subjective elements of QoL and others did not. Exploration of the participant perspective through qualitative data collection and more detailed description of interventions in future studies could lead to a better understanding of the treatment components that are related to improved outcomes for older adults. PMID: 31175820 [PubMed - as supplied by publisher] (Source: The Gerontologist)
Source: The Gerontologist - June 8, 2019 Category: Geriatrics Authors: Menn L, Corsten S, Lauer N, Wallace SJ Tags: Gerontologist Source Type: research

Does Empathy Have a Cost? Older Adults and Social Partners Experiencing Problems.
This study emphasizes the importance of empathy in late life and refines our understanding of older adults' social lives and well-being. Findings carry implications for interventions that aim to protect older adults' well-being when their close others incur crises. PMID: 31152585 [PubMed - as supplied by publisher] (Source: The Gerontologist)
Source: The Gerontologist - June 1, 2019 Category: Geriatrics Authors: Huo M, Fuentecilla JL, Birditt KS, Fingerman KL Tags: Gerontologist Source Type: research

A Preference-Based Model of Care: An Integrative Theoretical Model of the Role of Preferences in Person-Centered Care.
This article proposes a theoretical model of PCC entitled the Preference-Based Model of Care that integrates the Theory of Human Motivation, Self-determination Theory, the Competence-Press Model of person and environment fit, the Living Systems Framework, and the Broaden-and-Build theory of positive emotions to deepen our understanding of the processes through which preference-based care affects well-being among older adults receiving LTSS. The Preference-Based Model of Care illustrates how goal-directed behaviors facilitate need fulfillment through the expression of individual preferences and how these behaviors mediate t...
Source: The Gerontologist - June 1, 2019 Category: Geriatrics Authors: Van Haitsma K, Abbott KM, Arbogast A, Bangerter LR, Heid AR, Behrens LL, Madrigal C Tags: Gerontologist Source Type: research

Health-related Work Limitations Among Older Workers-the Role of Flexible Work Arrangements and Organizational Climate.
This study shows that offering flexible working hours and ensuring a psychologically safe climate, where older workers with health issues are inclined to share their work needs and preferences, are likely to contribute to healthy ageing in the workplace. PMID: 31150535 [PubMed - as supplied by publisher] (Source: The Gerontologist)
Source: The Gerontologist - May 31, 2019 Category: Geriatrics Authors: Vanajan A, Bültmann U, Henkens K Tags: Gerontologist Source Type: research

Making Decisions About Long-Term Institutional Care Placement Among People With Dementia and Their Caregivers: Systematic Review of Qualitative Studies.
The objective of this review is to describe experiences and perspectives of people with dementia and their family caregivers in making decisions about institutional care placement. RESEARCH DESIGN AND METHODS: MEDLINE, Embase, PsycINFO, and CINAHL were searched from inception to August 2018. Thematic synthesis was used to analyze results. RESULTS: We included 42 studies involving 123 people with dementia and 705 family caregivers from 12 countries. We identified five themes: ensuring safety (avoiding injury due to frailty, protecting against dangerous behaviors, preventing aggressive encounters), reaching breakin...
Source: The Gerontologist - May 29, 2019 Category: Geriatrics Authors: Teng C, Loy CT, Sellars M, Pond D, Latt MD, Waite LM, Sinka V, Logeman C, Tong A Tags: Gerontologist Source Type: research

Racial Segregation Across U.S. Nursing Homes: A Systematic Review of Measurement and Outcomes.
DISCUSSION AND IMPLICATIONS: The measurement of racial segregation among nursing homes is heterogeneous. While there are limitations to each methodology, this review can be used as a reference when trying to determine the best approach to measure racial segregation in future studies. Moreover, racial segregation among nursing homes remains a problem and should be further evaluated. PMID: 31141135 [PubMed - as supplied by publisher] (Source: The Gerontologist)
Source: The Gerontologist - May 29, 2019 Category: Geriatrics Authors: Mack DS, Jesdale BM, Ulbricht CM, Forrester SN, Michener PS, Lapane KL Tags: Gerontologist Source Type: research

Stereotypes of Older Adults: Development and Evaluation of an Updated Stereotype Content and Strength Survey.
DISCUSSION AND IMPLICATIONS: This updated assessment has the potential to contribute to an understanding of the existence of age-related stereotypes as well as the strength, or the proportion of older adults who could be described by each of the items used in the SCSS. PMID: 31141138 [PubMed - as supplied by publisher] (Source: The Gerontologist)
Source: The Gerontologist - May 29, 2019 Category: Geriatrics Authors: Carlson KJ, Black DR, Holley LM, Coster DC Tags: Gerontologist Source Type: research

Exploring Elder Neglect: New Theoretical Perspectives and Diagnostic Challenges.
DISCUSSION AND IMPLICATIONS: The identified elements and categories of indicators provide the framework for developing standard definitions and measures of elder neglect. The proposed diagram demonstrates gaps in identification and can be useful in detecting potential neglect in various categories of needs. Further research on perceptions and prevalence of elder neglect in different countries would be helpful for cross-country analysis as well as for adaptation of the instruments to cultural specifics. PMID: 31115433 [PubMed - as supplied by publisher] (Source: The Gerontologist)
Source: The Gerontologist - May 22, 2019 Category: Geriatrics Authors: Stodolska A, Parnicka A, Tobiasz-Adamczyk B, Grodzicki T Tags: Gerontologist Source Type: research

Natural Regression of Frailty Among Community-Dwelling Older Adults: A Systematic Review and Meta-Analysis.
DISCUSSION AND IMPLICATIONS: Although frailty is highly prevalent in older people, natural remission is possible and common. Improved understanding of the factors that confer increased likelihood of frailty regression may support the design of interventions to reduce the burden of frailty. PMID: 31115434 [PubMed - as supplied by publisher] (Source: The Gerontologist)
Source: The Gerontologist - May 22, 2019 Category: Geriatrics Authors: Ofori-Asenso R, Lee Chin K, Mazidi M, Zomer E, Ilomaki J, Ademi Z, Bell JS, Liew D Tags: Gerontologist Source Type: research

Development of a Combined Sensory-Cognitive Measure Based on the Common Cause Hypothesis: Heterogeneous Trajectories and Associated Risk Factors.
This study aims to develop a combined measure of sensory-cognitive functioning, and to identify heterogeneous trajectories and associated risk factors. RESEARCH DESIGN AND METHODS: Two thousand two hundred and fifty-five individuals aged 60 years and over selected from the first six waves (2002-2012) of the English Longitudinal Study of Ageing completed a set of five self-reported visual and hearing functioning items and four cognitive items. Several health-related outcomes were also collected. RESULTS: The common cause model presented longitudinal factorial invariance (Tucker-Lewis index [TLI] = 0.989; Comparati...
Source: The Gerontologist - May 22, 2019 Category: Geriatrics Authors: Fuente J, Moreno-Agostino D, Torre-Luque A, Prina AM, Haro JM, Caballero FF, Ayuso-Mateos JL Tags: Gerontologist Source Type: research

Nursing Staff Time and Care Quality in Long-Term Care Facilities: A Systematic Review.
DISCUSSION AND IMPLICATIONS: Because the evidence was inconsistent and of low quality, there is uncertainty about the direction and magnitude of the association between nursing staff time and type of coverage on quality of care. More rigorously designed studies are needed to test the effects of different cutoffs of care hours and different nursing coverage models on the quality of resident care in LTC facilities. PMID: 31115444 [PubMed - as supplied by publisher] (Source: The Gerontologist)
Source: The Gerontologist - May 22, 2019 Category: Geriatrics Authors: Armijo-Olivo S, Craig R, Corabian P, Guo B, Souri S, Tjosvold L Tags: Gerontologist Source Type: research

A Systematic Review of Older Adults' Attitudes towards Depression and its Treatment.
DISCUSSION AND IMPLICATIONS: Supporting older adults to self-manage milder depressive symptoms may be more acceptable than professional interventions. Assisting older adults with accessing professional help for more severe symptoms might be better achieved by integrating access to help within familiar, convenient locations to reduce stigma and increase accessibility. Discussing treatment choices using narratives that engage with older adults' lived experiences of depression may lead to greater acceptability and engagement. PMID: 31115449 [PubMed - as supplied by publisher] (Source: The Gerontologist)
Source: The Gerontologist - May 22, 2019 Category: Geriatrics Authors: Nair P, Bhanu C, Frost R, Buszewicz M, Walters KR Tags: Gerontologist Source Type: research

Eliciting Life Priorities of Older Adults Living in Permanent Supportive Housing.
This study examined (1) how older adults in PSH identify and rank their life priorities, (2) how they describe these priorities in their own words, and (3) how life course adversity deepens an understanding of these priorities. RESEARCH DESIGN AND METHODS: A convergent parallel mixed methods design was used in which qualitative case study analyses informed by a life course perspective provided a deeper understanding of how 14 older residents of PSH viewed their life priorities using quantitative card-sort rankings of 12 life domains. RESULTS: Housing, family, mental health, physical health, and partner were the m...
Source: The Gerontologist - May 21, 2019 Category: Geriatrics Authors: Padgett DK, Bond L, Gurdak K, Henwood BF Tags: Gerontologist Source Type: research

"Now I write songs": Growth and Reciprocity After Long-Term Nursing Home Placement.
DISCUSSION AND IMPLICATIONS: Nursing home scheduled activities can facilitate the transformation of identity from resident or patient to the normalized social roles of artist, Torah scholar, and productive member of society. PMID: 31112596 [PubMed - as supplied by publisher] (Source: The Gerontologist)
Source: The Gerontologist - May 21, 2019 Category: Geriatrics Authors: Allison TA, Smith AK Tags: Gerontologist Source Type: research

Developing a Short Multidimensional Measure of Pain Self-efficacy: The Chronic Pain Self-efficacy Scale-Short Form.
This study aims to develop a short form (CPSS-SF) that retains the multidimensional structure of the instrument. RESEARCH DESIGN AND METHODS: Six hundred sixty-four community-dwelling Chinese older adults aged 60-95 years with chronic pain completed a survey. Confirmatory factor analysis (CFA) was conducted on the 22-item CPSS. Regression analyses were performed to examine the items' correlations with criterion variables. After CPSS-SF items were selected, the performance of CPSS-SF subscales in terms of accounting for pain-related outcomes was compared with the full version. RESULTS: CFA supported a modified 3-f...
Source: The Gerontologist - May 21, 2019 Category: Geriatrics Authors: Cheng ST, Chen PP, Chow YF, Chung JWY, Law ACB, Lee JSW, Leung EMF, Tam CWC Tags: Gerontologist Source Type: research

Shades of Blue and Gray: A Comparison of the Center for Epidemiologic Studies Depression Scale and the Composite International Diagnostic Interview for Assessment of Depression Syndrome in Later Life.
DISCUSSION AND IMPLICATIONS: Depression cases identified by the CESD have poor agreement with those identified by the CIDI-SF. Conceptually, psychological distress as measured by the CESD is not interchangeable with depression syndrome as measured by the CIDI-SF. Population estimates of depression among older adults based on the CESD should be interpreted with caution. PMID: 31112598 [PubMed - as supplied by publisher] (Source: The Gerontologist)
Source: The Gerontologist - May 21, 2019 Category: Geriatrics Authors: Dang L, Dong L, Mezuk B Tags: Gerontologist Source Type: research

A Scoping Review: Characteristics and Outcomes of Residents Who Experience Involuntary Relocation.
DISCUSSION AND IMPLICATIONS: Based on the collective findings, we propose a conceptual model of critical factors at play during relocation for consideration for guiding future research and developing provisions to current policies guiding relocation processes. Facilities and policymakers need to consider procedures that enhance planning efforts and decision-making among this vulnerable population and their families. PMID: 31112600 [PubMed - as supplied by publisher] (Source: The Gerontologist)
Source: The Gerontologist - May 21, 2019 Category: Geriatrics Authors: Weaver RH, Roberto KA, Brossoie N Tags: Gerontologist Source Type: research

Paid Caregiver Communication With Homebound Older Adults, Their Families, and the Health Care Team.
This study explored how paid caregivers (i) communicate when older adults experience symptoms or clinical changes and (ii) interact with the health care team. RESEARCH DESIGN AND METHODS: We conducted separate one-on-one, semi-structured interviews (n = 30) lasting 40-60 min with homebound older adults (or their proxies if they had cognitive impairment) and their paid caregivers (provided they had worked with the older adult for ≥8 hr per week for ≥6 months). Interviews were audio-recorded, transcribed, and coded. RESULTS: Thematic analysis identified four themes: (i) older adults or their families were the...
Source: The Gerontologist - May 21, 2019 Category: Geriatrics Authors: Reckrey JM, Geduldig ET, Lindquist LA, Morrison RS, Boerner K, Federman AD, Brody AA Tags: Gerontologist Source Type: research

Personality Moderates Intervention Effects on Cognitive Function: A 6-Week Conversation-Based Intervention.
Abstract BACKGROUND AND OBJECTIVES: Social isolation is associated with a higher risk of dementia. We previously conducted and showed the efficacy of an intervention which uses conversation (the core component of social interactions) as a tool to enhance cognitive function. We now explore whether cognitive improvements through conversation-based intervention depend on an individual's personality. RESEARCH DESIGN AND METHODS: We reexamined data from a 6-week randomized controlled trial (ClinicalTrials.gov Number: NCT01571427) to determine whether conversation-based intervention effects were moderated by person...
Source: The Gerontologist - May 21, 2019 Category: Geriatrics Authors: Cerino ES, Hooker K, Goodrich E, Dodge HH Tags: Gerontologist Source Type: research

What Is Meaningful Participation for Older People? An Analysis of Aging Policies.
This article addresses the question: "How is meaningful participation reflected and enabled in policy?" RESEARCH DESIGN AND METHODS: Eleven global, national, and local policies were purposively selected and analyzed using thematic and discourse analysis. RESULTS: Policies framed population aging as a challenge and active aging as a value as or part of the policy-making process, participation is enabled (or not) through the types of participation encouraged by policy makers and the kinds of participation used to engage with older people. DISCUSSION AND IMPLICATIONS: Our analysis identifies a strong ...
Source: The Gerontologist - May 21, 2019 Category: Geriatrics Authors: Dizon L, Wiles J, Peiris-John R Tags: Gerontologist Source Type: research

Advances in Sensor Monitoring Effectiveness and Applicability: A Systematic Review and Update.
DISCUSSION AND IMPLICATIONS: Wireless sensor networks appear to be developing into an effective solution for measuring ADLs and for identifying changes in their patterns. They offer a promising solution to support older adults living independently at home. However, there is too much focus on technology, and practical usefulness still needs to be further elaborated. Sensors should focus on ADLs that are sensitive to the earliest signs of cognitive decline, as well as quantitative markers, such as errors in the execution of ADLs. PMID: 31102436 [PubMed - as supplied by publisher] (Source: The Gerontologist)
Source: The Gerontologist - May 18, 2019 Category: Geriatrics Authors: Lenouvel E, Novak L, Nef T, Klöppel S Tags: Gerontologist Source Type: research

Why Older Adults and Their Children Disagree About In-Home Surveillance Technology, Sensors, and Tracking.
DISCUSSION AND IMPLICATIONS: Studying privacy in isolation overlooks privacy's instrumental role in enabling other values. Shared decision-making tools are needed to promote remote monitoring use consistent with older adults' values and to prevent conflict and caregiver overreach. PMID: 31102442 [PubMed - as supplied by publisher] (Source: The Gerontologist)
Source: The Gerontologist - May 18, 2019 Category: Geriatrics Authors: Berridge C, Wetle TF Tags: Gerontologist Source Type: research

Recreational Activity in Assisted Living Communities: A Critical Review and Theoretical Model.
DISCUSSION AND IMPLICATIONS: To address these limitations, the current review proposes a multivariate measurement model and an interdisciplinary theoretical model of factors relating to RA, consistent with an ecological framework. The proposed models appreciate individual psychological factors that influence the multiple facets of human choice and behavior, as well as the interaction between individuals and the unique sociophysical environment of AL. This paper concludes with recommendations for future research, emphasizing studies that have applied implications for practice and policy. PMID: 31099851 [PubMed - in pro...
Source: The Gerontologist - May 17, 2019 Category: Geriatrics Authors: Plys E Tags: Gerontologist Source Type: research

Communicating About Stopping Cancer Screening: Comparing Clinicians' and Older Adults' Perspectives.
DISCUSSION AND IMPLICATIONS: Given the heterogeneity in older adults' preferences, it is important to assess whether patients want to discuss life expectancy when discussing stopping cancer screening, though use of the specific term "life expectancy" may not be necessary. Instead, focusing discussion on the benefits/risks of cancer screening and mentioning shift in health priorities are acceptable communication strategies for both clinicians and older adults. PMID: 31100135 [PubMed - in process] (Source: The Gerontologist)
Source: The Gerontologist - May 17, 2019 Category: Geriatrics Authors: Schoenborn NL, Boyd CM, Lee SJ, Cayea D, Pollack CE Tags: Gerontologist Source Type: research

Association Between Sun Protection Behaviors and Sunburn Among U.S. Older Adults.
DISCUSSION AND IMPLICATIONS: The prevalence of sunburn among older adults suggests opportunities to reduce skin cancer risk within this demographic group by preventing overexposure to the sun. The lack of reduced sunburn risk among those who regularly used sun protection may be related to inadequate or inconsistent use of sun protection or the way the sun protection behaviors were measured. Multi-sector approaches to facilitate sun-safety among older adults are warranted and could include targeted efforts focused on those most likely to get sunburned, including men and those with sun-sensitive skin. PMID: 31100136 [Pu...
Source: The Gerontologist - May 17, 2019 Category: Geriatrics Authors: Holman DM, Ding H, Freeman M, Shoemaker ML Tags: Gerontologist Source Type: research

Highlights From an Expert Meeting on Opportunities for Cancer Prevention Among Older Adults.
Abstract This paper provides highlights from an expert meeting to explore opportunities to reduce cancer risk and promote health at older ages. Factors that increase cancer risk among older adults include exposure to carcinogens from multiple sources, chronic conditions such as obesity and diabetes, and unhealthy behaviors. Emerging research points to chronic social stressors - social isolation, loneliness, and financial hardship - as being linked to accelerated biological aging and increased cancer risk later in life. Older adults may disproportionately encounter these stressors as well as barriers to preventive...
Source: The Gerontologist - May 17, 2019 Category: Geriatrics Authors: Cancer Prevention During Older Adulthood Writing Group Tags: Gerontologist Source Type: research

Effects of Age Discrimination on Self-perceptions of Aging and Cancer Risk Behaviors.
DISCUSSION AND IMPLICATIONS: The enduring effects of age discrimination were found through a reduction in positive SPA. Elevating positive SPA could be as important as reducing negative SPA for future health behaviors related to cancer risk. PMID: 31100138 [PubMed - in process] (Source: The Gerontologist)
Source: The Gerontologist - May 17, 2019 Category: Geriatrics Authors: Hooker K, Mejía ST, Phibbs S, Tan EJ, Stevens J Tags: Gerontologist Source Type: research

Complex Multimorbidity and Breast Cancer Screening Among Midlife and Older Women: The Role of Perceived Need.
This study examines the interplay between complex multimorbidity, age, and subjective assessments of health and longevity for screening mammography receipt. RESEARCH DESIGN AND METHOD: This cross-sectional study uses self-reported data from 8,938 women over the age of 52 in the 2012 Health and Retirement Study. Logistic regression models estimated the association between women's complex multimorbidity (co-occurrence of chronic conditions, functional limitations, and/or geriatric syndromes), subjective health and longevity assessments, age, and screening mammography in the 2 years before the interview. These associatio...
Source: The Gerontologist - May 17, 2019 Category: Geriatrics Authors: Warner DF, Koroukian SM, Schiltz NK, Smyth KA, Cooper GS, Owusu C, Stange KC, Berger NA Tags: Gerontologist Source Type: research

Attitude Toward Own Aging Among Older Adults: Implications for Cancer Prevention.
We examined data in 1,140 adults from the Successful Aging Evaluation (SAGE) study, a structured multi-cohort investigation of community-based adults selected using random digit dialing. There were 219 participants with cancer (excluding skin cancer) and 912 without cancer. ATOA was assessed with the Philadelphia Geriatric Morale Scale, and its relationship with measures of physical, cognitive, and mental health, as well as resilience was evaluated. RESULTS: Individuals with cancer reported slightly more pessimistic ATOA than individuals without cancer. ATOA correlated with physical and mental health in individuals wi...
Source: The Gerontologist - May 17, 2019 Category: Geriatrics Authors: Martin A, Eglit GML, Maldonado Y, Daly R, Liu J, Tu X, Jeste DV Tags: Gerontologist Source Type: research

Impact of Natural Disasters on Health Outcomes and Cancer Among Older Adults.
This article describes the potential consequences of exposure to natural disasters that contribute to cancer and disruption of cancer care treatment systems for older adults. It is argued that exposures to floods and wildfires in particular present an underestimated threat to the onset and/or progression of cancer and cancer care management in older adults. We propose that these impacts should be examined not only from an emergency preparedness perspective during the event but also from a public health focus that prospectively assesses risks for cancer and other health disparities. Recommendations for comprehensive longitu...
Source: The Gerontologist - May 17, 2019 Category: Geriatrics Authors: Prohaska TR, Peters KE Tags: Gerontologist Source Type: research

Health Literacy Considerations for a New Cancer Prevention Initiative.
Abstract Cancer prevention efforts are newly focused on the older adult population. Adult literacy and health literacy findings and suggestions can help shape more efficacious health communication strategies and thereby increase the "accessibility" of important health information and the potential for healthful action. National and international surveys of adult literacy skills have consistently offered problematic findings that older adults have more limited proficiencies than do younger working adults and face difficulties using commonly available materials to accomplish everyday tasks. Clinical as wel...
Source: The Gerontologist - May 17, 2019 Category: Geriatrics Authors: Rudd RE Tags: Gerontologist Source Type: research

Multisectoral Collaborations to Increase the Use of Recommended Cancer Screening and Other Clinical Preventive Services by Older Adults.
This article describes HAPPI's collaborative efforts to enhance local capacity by training personnel from community health centers (CHCs) and community-based organizations (CBOs), implementing a small grants program, and forming a community advisory council. HAPPI demonstrates that existing resources in the region can be successfully linked and leveraged to increase awareness and receipt of CPS. Five CHCs expanded quality improvement efforts and eight CBOs reached 2,730 older African Americans and Latinos through locally tailored educational programs that encouraged community-clinic linkages. A community council assumed le...
Source: The Gerontologist - May 17, 2019 Category: Geriatrics Authors: Kietzman KG, Toy P, Bravo RL, Duru OK, Wallace SP Tags: Gerontologist Source Type: research

Material-Psychosocial-Behavioral Aspects of Financial Hardship: A Conceptual Model for Cancer Prevention.
We present a conceptual model of financial hardship that can be applied to cancer prevention research among older adults to provide guidance on the conceptualization, measurement, and intervention on financial hardship in this population. The conceptual model advances a research agenda that calls for greater conceptual and measurement clarity of the material, psychosocial, and behavioral aspects of the socioeconomic environment to inform the identification of potentially modifiable socioeconomic factors associated with cancer risk-related behaviors among older adults. PMID: 31100144 [PubMed - in process] (Source: The Gerontologist)
Source: The Gerontologist - May 17, 2019 Category: Geriatrics Authors: Tucker-Seeley RD, Thorpe RJ Tags: Gerontologist Source Type: research

Risk of Psychological Distress Among Community-Dwelling Older Adults Experiencing Spousal Loss in Ghana.
Abstract BACKGROUND: Spousal loss, common in older age, has been linked to negative mental health outcomes and well-being, yet the mechanisms linking spousal loss and mental health are still unclear. OBJECTIVE: To investigate whether physical activity, social support, and gender modify the psychological distress effects of marital loss among community-dwelling older persons in Ghana. METHODS: Data from a 2016/2017 Ageing, Health, Psychological Well-being, and Health-seeking Behavior Study (N = 1,200) were examined. OLS regression models examined associations between spousal loss and psychological distres...
Source: The Gerontologist - May 16, 2019 Category: Geriatrics Authors: Gyasi RM, Phillips DR Tags: Gerontologist Source Type: research

Engaging Caregivers in Health-Related Housing Decisions for Older Adults With Cognitive Impairment: A Cluster Randomized Trial.
ute;garé F Abstract BACKGROUND AND OBJECTIVES: Informal caregivers are rarely as involved as they want to be in the housing decisions of cognitively impaired older adults. Lack of awareness of available options and their benefits and risks may lead to decisions that do not reflect older adults' preferences, and to guilt and regret. We assessed the effect of training home care teams in interprofessional shared decision-making (SDM) on the proportion of caregivers who report being active in this decision. RESEARCH DESIGN AND METHODS: In a two-arm pragmatic cluster randomized trial with home care teams wo...
Source: The Gerontologist - May 16, 2019 Category: Geriatrics Authors: Adekpedjou R, Stacey D, Brière N, Freitas A, Garvelink MM, Dogba MJ, Durand PJ, Desroches S, Croteau J, Rivest LP, Légaré F Tags: Gerontologist Source Type: research

The Impact of Retirement on Cardiovascular Disease and Its Risk Factors: A Systematic Review of Longitudinal Studies.
This study systematically reviewed the impact of retirement on cardiovascular disease (CVD) and its risk factors (metabolic risk factors, blood biomarkers, physical activity, smoking, drinking, and diet). RESEARCH DESIGN AND METHODS: Longitudinal studies published in Medline, Embase, Social Science Citation Index, PsycINFO, and Social Policy and Practice were searched. No language restrictions were applied if there was an English abstract. Eighty-two longitudinal studies were included after critical appraisals. RESULTS: Studies in the United States often found no significant effect of retirement on CVD, while stu...
Source: The Gerontologist - May 15, 2019 Category: Geriatrics Authors: Xue B, Head J, McMunn A, Heyn PC Tags: Gerontologist Source Type: research

Experiences of Living in the Community for Older Aboriginal Persons With Dementia Symptoms in Taiwan.
DISCUSSION AND IMPLICATIONS: Our results suggest that this Aboriginal community and culture offer important DFC components, and these strengths could be further studied to enhance DFC models elsewhere. Despite these strengths in supporting PWDS, environmental challenges to transportation access still cause difficulties for PWDS and their families and need improvement. The Atayal community's low dementia awareness suggests that services introduced must be culturally appropriate and nondisruptive to existing supportive helping systems. Our study can be a model for future studies to understand and identify PWDS' needs in Indi...
Source: The Gerontologist - May 15, 2019 Category: Geriatrics Authors: Chen MC, Huang HL, Chiu YC, Yip PK, Wu SM, Hsu WC, Wang WS, Huang YF, Shyu YL Tags: Gerontologist Source Type: research

Getting Back to Normal: A Grounded Theory Study of Function in Post-hospitalized Older Adults.
This study provides a detailed understanding of how older adults transition and the complexity of that transition. Findings provide a foundation for broadening our understanding of function beyond typical activities of daily living and reveal a more complex transition process that can span months to years. PMID: 31087040 [PubMed - as supplied by publisher] (Source: The Gerontologist)
Source: The Gerontologist - May 14, 2019 Category: Geriatrics Authors: Liebzeit D, Bratzke L, Boltz M, Purvis S, King B Tags: Gerontologist Source Type: research

Measuring Attitudes Toward Medical and Recreational Cannabis Among Older Adults in Colorado.
DISCUSSION AND IMPLICATIONS: Medical and recreational cannabis attitude scales can inform the development and evaluation of tailored interventions targeting older adult attitudes that aim to influence cannabis use behaviors. These scales also enable researchers to measure cannabis-specific attitudes among older adults more accurately and parsimoniously, which in turn can facilitate a better understanding of the complex interplay between cannabis policy, use, and attitudes. PMID: 31087043 [PubMed - as supplied by publisher] (Source: The Gerontologist)
Source: The Gerontologist - May 14, 2019 Category: Geriatrics Authors: Arora K, Qualls SH, Bobitt J, Lum HD, Milavetz G, Croker J, Kaskie B Tags: Gerontologist Source Type: research

Revolutionizing Dementia Care.
PMID: 31074769 [PubMed - as supplied by publisher] (Source: The Gerontologist)
Source: The Gerontologist - May 10, 2019 Category: Geriatrics Authors: Scheidt RJ Tags: Gerontologist Source Type: research

Erratum: Navigating the Complexities of the Aging Services Network.
PMID: 31070228 [PubMed - as supplied by publisher] (Source: The Gerontologist)
Source: The Gerontologist - May 9, 2019 Category: Geriatrics Authors: Guest MA Tags: Gerontologist Source Type: research

Coupling with a Faustian Bargain.
PMID: 31065681 [PubMed - as supplied by publisher] (Source: The Gerontologist)
Source: The Gerontologist - May 8, 2019 Category: Geriatrics Authors: VandenBosch J Tags: Gerontologist Source Type: research

Responding the "Wrong Way": The Emotion Work of Caring for a Family Member With Dementia.
DISCUSSION AND IMPLICATIONS: Programs and policies must recognize the complex emotion work of family carers. There is a need for more nuanced education materials, support with household tasks, inclusion of carers' emotional needs in transition planning, and support for carers to exit the caring role when necessary. PMID: 31050725 [PubMed - as supplied by publisher] (Source: The Gerontologist)
Source: The Gerontologist - May 3, 2019 Category: Geriatrics Authors: Herron RV, Funk LM, Spencer D Tags: Gerontologist Source Type: research

Social Relationships and Functional Impairment in Aging Cancer Survivors: A Longitudinal Social Network Study.
This study examined the relationships between changes in the egocentric social network and functional impairment in older adult cancer survivors and a similarly aged group without cancer (older adults). RESEARCH DESIGN AND METHODS: Data were analyzed from 1,481 community dwelling older adults (n = 201 cancer survivors) aged 57-85 years, from Waves 1 and 2 (2005-2006 and 2010-2011) of the National Social Life, Health and Aging Project. Associations were analyzed with multiple logistic regression. RESULTS: Cancer survivors and older adults reported similar levels of functional impairment and social network change. ...
Source: The Gerontologist - May 3, 2019 Category: Geriatrics Authors: Guida JL, Holt CL, Dallal CM, He X, Gold R, Liu H Tags: Gerontologist Source Type: research

Nonpharmacological Interventions for Anxiety and Dementia in Nursing Homes: A Systematic Review.
Abstract Anxiety is a major mental disorder in later life that impacts on activities of daily living and quality of life for adults living with dementia in nursing homes. The aim of this article was to systematically review nonpharmacological interventions for older adults living in nursing homes who experience comorbid anxiety and dementia. METHOD: A systematic literature search was conducted across key databases (Cinahl, ASSIA, Cochrane reviews and trials, psycARTICLES, psycINFO, and PubMed) to identify studies measuring anxiety as an outcome for an intervention for older adults living with dementia in nurs...
Source: The Gerontologist - May 3, 2019 Category: Geriatrics Authors: Brown Wilson C, Arendt L, Nguyen M, Scott TL, Neville CC, Pachana NA Tags: Gerontologist Source Type: research

A Scoping Review of Nonpharmacological Interventions to Reduce Disability in Older Adults.
We examined the effect sizes of nonpharmacological intervention studies in reducing disability and explored the active ingredients of interventions. RESEARCH DESIGN AND METHODS: A scoping review was conducted via PubMed, PsycINFO, and CINAHL databases. Thirty-one randomized controlled trials were included. Eight active ingredients were identified by three experts (exercise, problem-solving, cognitive behavioral therapy, environmental modification, education, goal setting, comprehensive geriatric assessment, and cognitive training). RESULTS: The range of Cohen's d was -0.85 to 1.76 across 31 studies (included 33 i...
Source: The Gerontologist - April 19, 2019 Category: Geriatrics Authors: Wu CY, Rodakowski JL, Terhorst L, Karp JF, Fields B, Skidmore ER Tags: Gerontologist Source Type: research