Nurse Practitioners Rising to the Challenge During the COVID-19 Pandemic in Long-Term Care Homes
This study aims to understand the NPs' roles in optimizing resident care and supporting LTC staff during the pandemic.RESEARCH DESIGN AND METHODS: This exploratory qualitative study employed a phenomenological approach. A purposive sample of 14 NPs working in LTC homes in Ontario, Canada was recruited. Data was generated using semi-structured interviews and examined using thematic analysis.RESULTS: Four categories relating to the NPs' practices and experiences during the pandemic were identified: a) containing the spread of COVID-19; b) stepping in where needed; c) supporting staff and families; and d) establishing links b...
Source: The Gerontologist - March 4, 2021 Category: Geriatrics Authors: Katherine S McGilton Alexandra Krassikova Veronique Boscart Souraya Sidani Andrea Iaboni Shirin Vellani Astrid Escrig-Pinol Source Type: research

Results of a Randomized Trial Testing the Efficacy of Tele-Savvy, an Online Synchronous/Asynchronous Psychoeducation Program for Family Caregivers of Persons Living with Dementia
DISCUSSION AND IMPLICATIONS: Findings attest to program efficacy and the viability of employing distance means to improve family caregivers' emotional well-being and sense of mastery in the caregiving role over a 6-month period. Next steps entail finding alternate ways to deliver the program to those with connectivity and/or time constraint problems.PMID:33640979 | DOI:10.1093/geront/gnab029 (Source: The Gerontologist)
Source: The Gerontologist - February 28, 2021 Category: Geriatrics Authors: Kenneth Hepburn Joe Nocera Melinda Higgins Fayron Epps Glenna S Brewster Allison Lindauer Darby Morhardt Raj Shah Rachel Nash Patricia C Griffiths Source Type: research

Results of a Randomized Trial Testing the Efficacy of Tele-Savvy, an Online Synchronous/Asynchronous Psychoeducation Program for Family Caregivers of Persons Living with Dementia
DISCUSSION AND IMPLICATIONS: Findings attest to program efficacy and the viability of employing distance means to improve family caregivers' emotional well-being and sense of mastery in the caregiving role over a 6-month period. Next steps entail finding alternate ways to deliver the program to those with connectivity and/or time constraint problems.PMID:33640979 | DOI:10.1093/geront/gnab029 (Source: The Gerontologist)
Source: The Gerontologist - February 28, 2021 Category: Geriatrics Authors: Kenneth Hepburn Joe Nocera Melinda Higgins Fayron Epps Glenna S Brewster Allison Lindauer Darby Morhardt Raj Shah Rachel Nash Patricia C Griffiths Source Type: research

Results of a Randomized Trial Testing the Efficacy of Tele-Savvy, an Online Synchronous/Asynchronous Psychoeducation Program for Family Caregivers of Persons Living with Dementia
DISCUSSION AND IMPLICATIONS: Findings attest to program efficacy and the viability of employing distance means to improve family caregivers' emotional well-being and sense of mastery in the caregiving role over a 6-month period. Next steps entail finding alternate ways to deliver the program to those with connectivity and/or time constraint problems.PMID:33640979 | DOI:10.1093/geront/gnab029 (Source: The Gerontologist)
Source: The Gerontologist - February 28, 2021 Category: Geriatrics Authors: Kenneth Hepburn Joe Nocera Melinda Higgins Fayron Epps Glenna S Brewster Allison Lindauer Darby Morhardt Raj Shah Rachel Nash Patricia C Griffiths Source Type: research

Advance care planning practices in the nursing home setting: A secondary analysis
DISCUSSION AND IMPLICATIONS: Advance care planning may contribute towards a reductionist approach to decision-making. There is an urgent need for the development of evidence-based policy and legislation to support residents, families, and healthcare workers to make appropriate decisions, including withholding invasive treatment when a resident deteriorates.PMID:33624074 | DOI:10.1093/geront/gnab028 (Source: The Gerontologist)
Source: The Gerontologist - February 24, 2021 Category: Geriatrics Authors: Bridget L Laging Rhonda Nay Michael Bauer Rohan Laging Katie Walker Amanda Kenny Source Type: research

Residents' and relatives' experiences of acute situations: a qualitative study to inform a care model
DISCUSSION AND IMPLICATIONS: Our findings suggest differences between care providers' and participants' perspectives regarding acute situations and care priority setting. Alongside efforts to promote staff awareness of and responsiveness to acute situations, care staff must commit to learning and meeting individual residents' and relatives' needs. Implications for the development and implementation of a new nurse-led model of care are discussed.PMID:33624766 | DOI:10.1093/geront/gnab027 (Source: The Gerontologist)
Source: The Gerontologist - February 24, 2021 Category: Geriatrics Authors: Kornelia Basinska Patrizia K ünzler-Heule Rapha ëlle Ashley Guerbaai Franziska Z úñiga Michael Simon Nathalie I H Wellens Christine Serdaly Dunja Nicca Source Type: research

Advance care planning practices in the nursing home setting: A secondary analysis
DISCUSSION AND IMPLICATIONS: Advance care planning may contribute towards a reductionist approach to decision-making. There is an urgent need for the development of evidence-based policy and legislation to support residents, families, and healthcare workers to make appropriate decisions, including withholding invasive treatment when a resident deteriorates.PMID:33624074 | DOI:10.1093/geront/gnab028 (Source: The Gerontologist)
Source: The Gerontologist - February 24, 2021 Category: Geriatrics Authors: Bridget L Laging Rhonda Nay Michael Bauer Rohan Laging Katie Walker Amanda Kenny Source Type: research

Residents' and relatives' experiences of acute situations: a qualitative study to inform a care model
DISCUSSION AND IMPLICATIONS: Our findings suggest differences between care providers' and participants' perspectives regarding acute situations and care priority setting. Alongside efforts to promote staff awareness of and responsiveness to acute situations, care staff must commit to learning and meeting individual residents' and relatives' needs. Implications for the development and implementation of a new nurse-led model of care are discussed.PMID:33624766 | DOI:10.1093/geront/gnab027 (Source: The Gerontologist)
Source: The Gerontologist - February 24, 2021 Category: Geriatrics Authors: Kornelia Basinska Patrizia K ünzler-Heule Rapha ëlle Ashley Guerbaai Franziska Z úñiga Michael Simon Nathalie I H Wellens Christine Serdaly Dunja Nicca Source Type: research

Advance care planning practices in the nursing home setting: A secondary analysis
DISCUSSION AND IMPLICATIONS: Advance care planning may contribute towards a reductionist approach to decision-making. There is an urgent need for the development of evidence-based policy and legislation to support residents, families, and healthcare workers to make appropriate decisions, including withholding invasive treatment when a resident deteriorates.PMID:33624074 | DOI:10.1093/geront/gnab028 (Source: The Gerontologist)
Source: The Gerontologist - February 24, 2021 Category: Geriatrics Authors: Bridget L Laging Rhonda Nay Michael Bauer Rohan Laging Katie Walker Amanda Kenny Source Type: research

Residents' and relatives' experiences of acute situations: a qualitative study to inform a care model
DISCUSSION AND IMPLICATIONS: Our findings suggest differences between care providers' and participants' perspectives regarding acute situations and care priority setting. Alongside efforts to promote staff awareness of and responsiveness to acute situations, care staff must commit to learning and meeting individual residents' and relatives' needs. Implications for the development and implementation of a new nurse-led model of care are discussed.PMID:33624766 | DOI:10.1093/geront/gnab027 (Source: The Gerontologist)
Source: The Gerontologist - February 24, 2021 Category: Geriatrics Authors: Kornelia Basinska Patrizia K ünzler-Heule Rapha ëlle Ashley Guerbaai Franziska Z úñiga Michael Simon Nathalie I H Wellens Christine Serdaly Dunja Nicca Source Type: research

Advance care planning practices in the nursing home setting: A secondary analysis
DISCUSSION AND IMPLICATIONS: Advance care planning may contribute towards a reductionist approach to decision-making. There is an urgent need for the development of evidence-based policy and legislation to support residents, families, and healthcare workers to make appropriate decisions, including withholding invasive treatment when a resident deteriorates.PMID:33624074 | DOI:10.1093/geront/gnab028 (Source: The Gerontologist)
Source: The Gerontologist - February 24, 2021 Category: Geriatrics Authors: Bridget L Laging Rhonda Nay Michael Bauer Rohan Laging Katie Walker Amanda Kenny Source Type: research

Residents' and relatives' experiences of acute situations: a qualitative study to inform a care model
DISCUSSION AND IMPLICATIONS: Our findings suggest differences between care providers' and participants' perspectives regarding acute situations and care priority setting. Alongside efforts to promote staff awareness of and responsiveness to acute situations, care staff must commit to learning and meeting individual residents' and relatives' needs. Implications for the development and implementation of a new nurse-led model of care are discussed.PMID:33624766 | DOI:10.1093/geront/gnab027 (Source: The Gerontologist)
Source: The Gerontologist - February 24, 2021 Category: Geriatrics Authors: Kornelia Basinska Patrizia K ünzler-Heule Rapha ëlle Ashley Guerbaai Franziska Z úñiga Michael Simon Nathalie I H Wellens Christine Serdaly Dunja Nicca Source Type: research

Advance care planning practices in the nursing home setting: A secondary analysis
DISCUSSION AND IMPLICATIONS: Advance care planning may contribute towards a reductionist approach to decision-making. There is an urgent need for the development of evidence-based policy and legislation to support residents, families, and healthcare workers to make appropriate decisions, including withholding invasive treatment when a resident deteriorates.PMID:33624074 | DOI:10.1093/geront/gnab028 (Source: The Gerontologist)
Source: The Gerontologist - February 24, 2021 Category: Geriatrics Authors: Bridget L Laging Rhonda Nay Michael Bauer Rohan Laging Katie Walker Amanda Kenny Source Type: research

Residents' and relatives' experiences of acute situations: a qualitative study to inform a care model
DISCUSSION AND IMPLICATIONS: Our findings suggest differences between care providers' and participants' perspectives regarding acute situations and care priority setting. Alongside efforts to promote staff awareness of and responsiveness to acute situations, care staff must commit to learning and meeting individual residents' and relatives' needs. Implications for the development and implementation of a new nurse-led model of care are discussed.PMID:33624766 | DOI:10.1093/geront/gnab027 (Source: The Gerontologist)
Source: The Gerontologist - February 24, 2021 Category: Geriatrics Authors: Kornelia Basinska Patrizia K ünzler-Heule Rapha ëlle Ashley Guerbaai Franziska Z úñiga Michael Simon Nathalie I H Wellens Christine Serdaly Dunja Nicca Source Type: research

Catching Up on Grandparenting
Gerontologist. 2021 Feb 23;61(2):289-290. doi: 10.1093/geront/gnaa122.NO ABSTRACTPMID:33620486 | DOI:10.1093/geront/gnaa122 (Source: The Gerontologist)
Source: The Gerontologist - February 23, 2021 Category: Geriatrics Authors: Donald C Reitzes Source Type: research

Playing With Mortality
Gerontologist. 2021 Feb 23;61(2):287-288. doi: 10.1093/geront/gnaa198.NO ABSTRACTPMID:33620487 | DOI:10.1093/geront/gnaa198 (Source: The Gerontologist)
Source: The Gerontologist - February 23, 2021 Category: Geriatrics Authors: Jim VandenBosch Source Type: research

Erratum to: Reactive, Agentic, Apathetic, or Challenged? Aging, Emotion, and Coping During the COVID-19 Pandemic
Gerontologist. 2021 Feb 23;61(2):296. doi: 10.1093/geront/gnab022.NO ABSTRACTPMID:33620488 | DOI:10.1093/geront/gnab022 (Source: The Gerontologist)
Source: The Gerontologist - February 23, 2021 Category: Geriatrics Authors: Nathaniel A Young Christian E Waugh Alyssa R Minton Susan T Charles Claudia M Haase Joseph A Mikels Source Type: research

Co-Composing an Aesthetic Self Through Play: Towards a Transformative Framework for Dementia Care
This article introduces the implementation of an innovative program, Play Intervention for Dementia (PID), at a nursing home in Hong Kong, with emphasis on its contribution to the conceptual framework for understanding selfhood of older adults with dementia.RESEARCH DESIGN AND METHODS: As a community-based participatory action research (CBPAR) project, this study democratized knowledge production by integrating voices of practitioners with diverse backgrounds through video-based methods.RESULTS: Play, as an activity replete with free expressions and impulsive interactions, is an ideal realm for exploring and establishing s...
Source: The Gerontologist - February 19, 2021 Category: Geriatrics Authors: Bing Yu Li Source Type: research

Understanding key home and community environment challenges encountered by older adults undergoing total knee or hip arthroplasty
This study explored specific home and community physical environment challenges faced by community-dwelling older adults while performing daily activities and actions taken to modify their homes before surgery.RESEARCH DESIGN AND METHODS: Using a qualitative descriptive methodology, semi-structured interviews were conducted with 22 older adult-care partner dyads pre- and post-surgery to identify key built environment barriers and facilitators in addition to home modifications made pre-and post-surgery.RESULTS: Challenges anticipated by participants to perform daily activities pre-surgery varied from those experienced post-...
Source: The Gerontologist - February 19, 2021 Category: Geriatrics Authors: Rutali Joshi Anjali Joseph Sahar Mihandoust Lisa Hoskins Susan O'Hara Cheryl J Dye Kapil Chalil Madathil Source Type: research

A Systematic Review of Interventions to Increase Physical Activity Among American Indian and Alaska Native Older Adults
DISCUSSION AND IMPLICATIONS: The narrow yet promising evidence represents a need for expanded research and a call to action for using culture-centered strategies. An advanced understanding of cultural and contextual aspects of PA may produce more impactful interventions, supporting health and mobility across the lifespan.PMID:33605417 | DOI:10.1093/geront/gnab020 (Source: The Gerontologist)
Source: The Gerontologist - February 19, 2021 Category: Geriatrics Authors: Maja Pedersen Kari Jo Harris Blakely Brown Keith Anderson Jordan P Lewis Source Type: research

Co-Composing an Aesthetic Self Through Play: Towards a Transformative Framework for Dementia Care.
This article introduces the implementation of an innovative program, Play Intervention for Dementia (PID), at a nursing home in Hong Kong, with emphasis on its contribution to the conceptual framework for understanding selfhood of older adults with dementia. RESEARCH DESIGN AND METHODS: As a community-based participatory action research (CBPAR) project, this study democratized knowledge production by integrating voices of practitioners with diverse backgrounds through video-based methods. RESULTS: Play, as an activity replete with free expressions and impulsive interactions, is an ideal realm for exploring and es...
Source: The Gerontologist - February 19, 2021 Category: Geriatrics Authors: Li BY Tags: Gerontologist Source Type: research

Understanding key home and community environment challenges encountered by older adults undergoing total knee or hip arthroplasty.
This study explored specific home and community physical environment challenges faced by community-dwelling older adults while performing daily activities and actions taken to modify their homes before surgery. RESEARCH DESIGN AND METHODS: Using a qualitative descriptive methodology, semi-structured interviews were conducted with 22 older adult-care partner dyads pre- and post-surgery to identify key built environment barriers and facilitators in addition to home modifications made pre-and post-surgery. RESULTS: Challenges anticipated by participants to perform daily activities pre-surgery varied from those exper...
Source: The Gerontologist - February 19, 2021 Category: Geriatrics Authors: Joshi R, Joseph A, Mihandoust S, Hoskins L, O'Hara S, Dye CJ, Chalil Madathil K Tags: Gerontologist Source Type: research

A Systematic Review of Interventions to Increase Physical Activity Among American Indian and Alaska Native Older Adults.
DISCUSSION AND IMPLICATIONS: The narrow yet promising evidence represents a need for expanded research and a call to action for using culture-centered strategies. An advanced understanding of cultural and contextual aspects of PA may produce more impactful interventions, supporting health and mobility across the lifespan. PMID: 33605417 [PubMed - as supplied by publisher] (Source: The Gerontologist)
Source: The Gerontologist - February 19, 2021 Category: Geriatrics Authors: Pedersen M, Harris KJ, Brown B, Anderson K, Lewis JP Tags: Gerontologist Source Type: research

Knowledge Exchanges and Decision-Making Within Hospital Dementia Care Triads: An Ethnographic Study.
This study explores how the care needs of people with dementia are understood by the person, their family, and hospital staff (the care triad), and how these perspectives shape decision-making. RESEARCH DESIGN AND METHODS: Ethnographic data were collected from 2 care-of-older-people general hospital wards via observations, conversations, and interviews with people with dementia, families, and staff. In total, 400 hr of observation and 46 interviews were conducted across two 7- to 9-month periods. RESULTS: The person's care needs were often understood differently between and within arms of the care triad. A lack o...
Source: The Gerontologist - February 18, 2021 Category: Geriatrics Authors: Kelley R, Godfrey M, Young J Tags: Gerontologist Source Type: research

Depression and Elevated Inflammation Among Chinese Older Adults: Eight Years After the 2003 SARS Epidemic.
This study examined associations between exposure to the 2003 Severe Acute Respiratory Syndrome (SARS) epidemic and Chinese older adults' depression and inflammation 8 years after the crisis. Further, this study investigated the buffering effects of perceived social support and social participation. RESEARCH DESIGN AND METHODS: Data were drawn from the 2011 China Health and Retirement Longitudinal Survey, including N = 4,341 Chinese adults aged 60 years and older. For the survey, local officials identified whether the 2003 SARS outbreak was one of the major disasters in the history of their communities. Depression was...
Source: The Gerontologist - February 18, 2021 Category: Geriatrics Authors: Wang H, Stokes JE, Burr JA Tags: Gerontologist Source Type: research

Development and Initial Validation of the Adolescents' Ageism Toward Older Adults Scale.
DISCUSSION AND IMPLICATIONS: The Adolescents' Ageism Toward Older Adults Scale is a promising measure of adolescents' negative and positive attitudes toward older adults. Its validation highlighted some criticalities that can be resolved by a few modifications. Further testing of the scale should be conducted after these modifications. PMID: 33592099 [PubMed - as supplied by publisher] (Source: The Gerontologist)
Source: The Gerontologist - February 16, 2021 Category: Geriatrics Authors: Marchetti A, Lommi M, Barbaranelli C, Piredda M, De Marinis MG, Matarese M Tags: Gerontologist Source Type: research

Typologies of Dementia Caregiver Support Networks: A Pilot Study.
This study suggests that there are different types of care and support networks available to caregivers to PWDs, and that the size and structure of networks vary considerable among demographic groups. As the population ages, a better understanding of the supports available to caregivers will be crucial for ensuring that caregivers are adequately supported, and caregiving needs of families are met. PMID: 33585929 [PubMed - as supplied by publisher] (Source: The Gerontologist)
Source: The Gerontologist - February 15, 2021 Category: Geriatrics Authors: Friedman EM, Kennedy D Tags: Gerontologist Source Type: research

Corrigendum to: Older People's Nonphysical Contacts and Depression During the COVID-19 Lockdown.
ró A PMID: 33577640 [PubMed - as supplied by publisher] (Source: The Gerontologist)
Source: The Gerontologist - February 12, 2021 Category: Geriatrics Authors: Arpino B, Pasqualini M, Bordone V, Solé-Auró A Tags: Gerontologist Source Type: research

Dementia-friendly neighbourhood and the built environment: A scoping review.
DISCUSSION AND IMPLICATIONS: The body of literature needs expansion into planning and design fields to foster community participation of PLWD by optimizing environmental stimuli, minimizing environmental barriers, and engaging PLWD in dementia-friendly community initiatives. While evidence has accumulated on landmarks and social participation at the individual level, research at the community- and policy- levels are limited. This requires advanced mixed methods. PMID: 33564829 [PubMed - as supplied by publisher] (Source: The Gerontologist)
Source: The Gerontologist - February 10, 2021 Category: Geriatrics Authors: Gan DRY, Chaudhury H, Mann J, Wister AV Tags: Gerontologist Source Type: research

Enhancing Older Adults' Well-Being and Quality of Life through Purposeful Activity: A Systematic Review of Intervention Studies.
DISCUSSION AND IMPLICATIONS: There is preliminary evidence that purposeful activity interventions, particularly those that involved taking on a functional role, can improve well-being and quality of life outcomes in older adults aged 80 years and over. These findings have implications for professionals and carers to support older adults to access more purposeful social roles and create opportunities for helping and reciprocation. PMID: 33558898 [PubMed - as supplied by publisher] (Source: The Gerontologist)
Source: The Gerontologist - February 9, 2021 Category: Geriatrics Authors: Owen R, Berry K, Brown LJE Tags: Gerontologist Source Type: research

Gender Disparities in Life Satisfaction after Retirement: The Role of Leisure, Family, and Finances.
Abstract BACKGROUND AND OBJECTIVES: Recent research on life satisfaction in retirement explores gender differences but yields inconsistent patterns and does not consider gendered sources of satisfaction. We use a gender relations framework to examine whether women and men experience different changes in life satisfaction with retirement, and whether observed differences are a consequence of different assessments of the leisure, family, and financial situations that characterize their post-retirement lives. RESEARCH DESIGN AND METHODS: We use longitudinal data drawn from men and women in the Health and Retirem...
Source: The Gerontologist - February 4, 2021 Category: Geriatrics Authors: Calasanti T, Carr D, Homan P, Coan V Tags: Gerontologist Source Type: research

Correlates of Strength and Balance Training Exercises in Older African American Adults.
This study investigated the behavioral and psychological correlates of strength and balance training (SBT) participation among older African Americans. RESEARCH DESIGN AND METHODS: A cross-sectional survey of 90 older African Americans (M = 66.7 ± 8.7 years; 70% female) was conducted to assess correlates of intention to undertake SBT exercises and the number of days that they currently engage in SBT. The Theory of Planned Behavior (TPB) and the threat appraisal of the Protection Motivation Theory (PMT) were used as frameworks for the analyses. RESULTS: The intention to do SBT exercises was positively assoc...
Source: The Gerontologist - February 4, 2021 Category: Geriatrics Authors: Jiakponnah NN, Unson C, Chukwurah QC Tags: Gerontologist Source Type: research

Measuring Caregiver Retention in Nursing Homes.
DISCUSSION AND IMPLICATIONS: The findings presented provide some evidence that caregiver retention may be an important metric that can be used as a means of improving quality of care in nursing homes. However, the findings also show practitioners and policy makers should be more nuanced in the use of caregiver retention metrics. PMID: 33524130 [PubMed - as supplied by publisher] (Source: The Gerontologist)
Source: The Gerontologist - February 1, 2021 Category: Geriatrics Authors: Castle NG Tags: Gerontologist Source Type: research

Impact of a New Home-Care Payment Mechanism on Growth of the Home Care Workforce in Taiwan.
This study assesses these mechanisms' impact on growth in numbers of home care workers and use of home care services in Taiwan. RESEARCH DESIGN AND METHODS: Data was collected from the Ministry of Health and Welfare (2014-2019) and the Division of Long-Term Care (2017-2019). Generalized estimating equations compared rates of growth in the number of home care, institutional care, and foreign care workers and the number of care recipients receiving care from each group before and after 2018. RESULTS: Before 2018, rates of growth in all three groups of care workers increased slowly. After 2018, the rate of growth fo...
Source: The Gerontologist - January 25, 2021 Category: Geriatrics Authors: Wu SC, Peng MC, Hsueh JY, Chiang TL, Tu YK, Tung YC, Chen YM Tags: Gerontologist Source Type: research

Retraction to: Intersectionality and Inequalities in Medical Risk for Severe COVID-19 in the Canadian Longitudinal Study on Aging.
PMID: 33480990 [PubMed - as supplied by publisher] (Source: The Gerontologist)
Source: The Gerontologist - January 22, 2021 Category: Geriatrics Authors: Lin SL Tags: Gerontologist Source Type: research

Gerontology in a Time of Pandemic: An Introduction to the Special Collection.
PMID: 33475758 [PubMed - in process] (Source: The Gerontologist)
Source: The Gerontologist - January 21, 2021 Category: Geriatrics Authors: Meeks S Tags: Gerontologist Source Type: research

A Typical Week with Mild Cognitive Impairment.
DISCUSSION AND IMPLICATIONS: Participant-generated images aided data collection and facilitated discussion of sensitive topics with individuals with MCI. Such narratives may illustrate the needs and opportunities to promote well-being in individuals with MCI, including engagement in meaningful and health-promoting activities, assessing barriers to important daily activities, and considering supports that match the experience and needs of those with MCI. PMID: 33460437 [PubMed - as supplied by publisher] (Source: The Gerontologist)
Source: The Gerontologist - January 18, 2021 Category: Geriatrics Authors: Renn BN, Wool JL, Belza B Tags: Gerontologist Source Type: research

Heterogeneity in Husbands' and Wives' Physical Pain Trajectories over Mid-Later Years: Biopsychosocial Stratification and Implications for Later Life Well-Being.
DISCUSSION AND IMPLICATIONS: The identification of pain trajectory groups and characteristics of group members provides a potentially useful prognostic tool for early preventive intervention efforts, treatment, and policy formation. Such interventions can promote and develop resiliency factors, thereby aiding in the redirection of middle-aged husbands' and wives' adverse pain trajectories. PMID: 33453117 [PubMed - as supplied by publisher] (Source: The Gerontologist)
Source: The Gerontologist - January 16, 2021 Category: Geriatrics Authors: Wickrama KAS, Lee TK, O'Neal CW Tags: Gerontologist Source Type: research

The Effect of Lifestyle Interventions on the ICF Participation Domain in Older Adults: A Systematic Review and Meta-Analysis.
DISCUSSION AND IMPLICATIONS: Lifestyle or behavior change interventions showed limited effect on participation in later life. However, there remains much uncertainty in the estimate of this effect due, in part, to the low quality of the included studies. Measurement tools that are responsive to changes in participation in older adulthood should be used to determine the effect of such interventions. Improving study design will lead to more efficacious interventions that promote the participation for our aging population. PMID: 33433560 [PubMed - as supplied by publisher] (Source: The Gerontologist)
Source: The Gerontologist - January 12, 2021 Category: Geriatrics Authors: Hoski SO, Chauvin S, Vrkljan B, Beauchamp MK Tags: Gerontologist Source Type: research

Associations of neighborhood walkability and walking behaviors by cognitive trajectory in older adults.
Abstract BACKGROUND AND OBJECTIVES: Lawton's Ecological Model of Aging suggests that associations between environment and mobility differ based on individual factors such as cognitive decline. RESEARCH DESIGN AND METHODS: Virtual walkability audits were conducted within 1/8 mile of residences of older adults (n=545; average age=82; 57% female; 33% Black) who had been enrolled in the Health ABC cohort for 10 years. The primary outcome was self-reported walking in past week and secondary was mobility disability, self-reported difficulty to walk ¼ mile. Linear mixed models of general cognitive function ov...
Source: The Gerontologist - January 11, 2021 Category: Geriatrics Authors: Rosso AL, Harding AB, Clarke PJ, Studenski SA, Rosano C Tags: Gerontologist Source Type: research

Maximizing Home Health Aide Retention: The Impact of Control and Support on the Job.
This study examined relationships between the level of control and support and Home Health Aide's (HHAs) job satisfaction and intent to leave the job. RESEARCH DESIGN AND METHODS: Data derives from a survey of 512 HHAs in Massachusetts. Logistic regression using generalized estimating equations was employed for the analysis. Dependent variables included satisfaction and intent to leave the job as a home care aide generally and satisfaction and intent to leave the job at the aide's current agency. RESULTS: The findings showed that greater control and support on the job were important predictors of positive work ou...
Source: The Gerontologist - January 10, 2021 Category: Geriatrics Authors: Gleason HP, Miller EA Tags: Gerontologist Source Type: research

Corrigendum to: Stress, Burden, and Well-Being in Dementia and Nondementia Caregivers: Insights From the Caregiving Transitions Study.
PMID: 33415329 [PubMed - as supplied by publisher] (Source: The Gerontologist)
Source: The Gerontologist - January 8, 2021 Category: Geriatrics Authors: Sheehan OC, Haley WE, Howard VJ, Huang J, Rhodes JD, Roth DL Tags: Gerontologist Source Type: research

Long-Term Residential Care Policy Guidance for Staff to Support Resident Quality of Life.
This study used an asset-based approach by scanning existing LTRC regulations in 4 Canadian jurisdictions for promising staff-related policy guidance for enhancing resident QoL. A modified objective hermeneutics method was used to determine how 63 existing policy documents might be interpreted to support Kane's 11 QoL domains. RESULTS: Analysis revealed regulations that covered all 11 resident QoL domains, albeit with an overemphasis on safety, security, and order. Texts that mentioned other QoL domains often outlined passive or vague roles for staff. However, policy texts were found in all 4 jurisdictions that provid...
Source: The Gerontologist - January 8, 2021 Category: Geriatrics Authors: Hande MJ, Keefe J, Taylor D Tags: Gerontologist Source Type: research

The Effects of the COVID-19 Pandemic on the Lived Experience of Diverse Older Adults Living Alone With Cognitive Impairment.
DISCUSSION AND IMPLICATIONS: This pandemic put a spotlight on the precarity and unmet needs of older adults living alone with cognitive impairment. Findings underscore the need to expand access to home care aides and mental health services for this population. PMID: 33404634 [PubMed - as supplied by publisher] (Source: The Gerontologist)
Source: The Gerontologist - January 6, 2021 Category: Geriatrics Authors: Portacolone E, Chodos A, Halpern J, Covinsky KE, Keiser S, Fung J, Rivera E, Tran T, Bykhovsky C, Johnson JK Tags: Gerontologist Source Type: research

Obtaining Information from Different Sources Matters During the COVID-19 Pandemic.
This study examined the association between age and information-seeking patterns, and how information-seeking patterns influenced worry about Coronavirus Disease 2019 (COVID-19) and protective measures taken during the pandemic. RESEARCH DESIGN AND METHODS: This study was conducted from March to May 2020. Ninety younger adults and 105 older adults were recruited in a 21-day daily diary study. Participants reported the types of sources where they received COVID-19-related information, worry from these information sources and protective health behaviors performed each day. Multilevel serial mediation analysis was perfor...
Source: The Gerontologist - January 3, 2021 Category: Geriatrics Authors: Chu L, Fung HH, Tse DCK, Tsang VHL, Zhang H, Mai C Tags: Gerontologist Source Type: research

Patient-centeredness in older adults with multimorbidity: Results of an online expert Delphi study.
DISCUSSION AND IMPLICATIONS: The experts' ratings were higher regarding relevance than regarding clarity, which emphasizes the still existing conceptual uncertainty of PC. Our results give further directions regarding the operationalization of PC in older adults with multimorbidity, which is essential for its implementation in routine care. Further refined using focus groups with geriatric patients, our adapted model serves as a basis for a systematic review of assessment instruments. PMID: 33388770 [PubMed - as supplied by publisher] (Source: The Gerontologist)
Source: The Gerontologist - January 3, 2021 Category: Geriatrics Authors: Kivelitz L, Schäfer J, Kanat M, Mohr J, Glattacker M, Voigt-Radloff S, Dirmaier J Tags: Gerontologist Source Type: research

Developing a new behavioral framework for dementia care partner resilience (CP-R): A mixed research synthesis.
DISCUSSION AND IMPLICATIONS: The CP-R framework emerged as a result of a new focus on identifying and cultivating strengths instead of evaluating strain and burden. It serves as a useful foundation for understanding the impact of specific behaviors on dementia care partner resilience. Once validated, this framework will inform the development of future measures, research, interventions, and policies for dementia care partners. PMID: 33367603 [PubMed - as supplied by publisher] (Source: The Gerontologist)
Source: The Gerontologist - December 26, 2020 Category: Geriatrics Authors: Zhou Y, O'Hara A, Ishado E, Borson S, Sadak T Tags: Gerontologist Source Type: research

Race and Ethnic Group Disparities in Emotional Distress Among Older Adults During the COVID-19 Pandemic.
DISCUSSION AND IMPLICATIONS: The findings reflected the disproportionate negative impact of COVID-19 stressors on emotional distress among older persons of color, providing a baseline for future studies to further examine the impacts of the pandemic among diverse older adult populations. PMID: 33367785 [PubMed - as supplied by publisher] (Source: The Gerontologist)
Source: The Gerontologist - December 25, 2020 Category: Geriatrics Authors: Bui CN, Peng C, Mutchler JE, Burr JA Tags: Gerontologist Source Type: research

Daily Social Interactions and HPA Axis Activity Among Midlife and Older Adults.
DISCUSSION AND IMPLICATIONS: Strategies to increase positive interactions may help to build physiological resilience to stress, particularly among midlife and young-old adults. PMID: 33367791 [PubMed - as supplied by publisher] (Source: The Gerontologist)
Source: The Gerontologist - December 25, 2020 Category: Geriatrics Authors: Polenick CA, Birditt KS, Turkelson A, Perbix EA, Salwi SM, Zarit SH Tags: Gerontologist Source Type: research

Transforming Aging Services: Area Agencies on Aging and the COVID-19 Response.
This article begins with a description of the Aging Network and its history before turning to how the community-specific, collaborative, and evolving nature of AAAs places them at a unique position to respond to the challenges that arise with COVID-19. It concludes with how AAAs can continue to adapt to meet the needs of older adults and the people who care for them. PMID: 33349841 [PubMed - as supplied by publisher] (Source: The Gerontologist)
Source: The Gerontologist - December 22, 2020 Category: Geriatrics Authors: Gallo HB, Wilber KH Tags: Gerontologist Source Type: research