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GERONTOLOGY AND GERIATRICS (125 journals)                     

Showing 1 - 122 of 122 Journals sorted alphabetically
Activities, Adaptation & Aging     Hybrid Journal   (Followers: 6)
Advances in Alzheimer's Disease     Open Access   (Followers: 8)
Advances in Geriatrics     Open Access   (Followers: 4)
Advances in Gerontology     Partially Free   (Followers: 9)
Advances in Parkinson's Disease     Open Access   (Followers: 2)
Age and Ageing     Hybrid Journal   (Followers: 106)
Aging & Mental Health     Hybrid Journal   (Followers: 40)
Aging and Cancer     Open Access   (Followers: 2)
Aging and Health Research     Open Access   (Followers: 1)
Aging Clinical and Experimental Research     Hybrid Journal   (Followers: 3)
Aging Medicine     Open Access   (Followers: 1)
Aging, Neuropsychology, and Cognition     Hybrid Journal   (Followers: 41)
Alzheimer's & Dementia     Hybrid Journal   (Followers: 50)
Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring     Open Access   (Followers: 5)
Alzheimer's & Dementia: Translational Research & Clinical Interventions     Open Access   (Followers: 5)
American Journal of Alzheimer's Disease and Other Dementias     Hybrid Journal   (Followers: 21)
American Journal of Geriatric Psychiatry     Hybrid Journal   (Followers: 19)
Anales en Gerontología     Open Access  
Angewandte GERONTOLOGIE Appliquée     Full-text available via subscription  
Annual Review of Gerontology and Geriatrics     Hybrid Journal   (Followers: 14)
Arthritis und Rheuma     Hybrid Journal  
Australasian Journal On Ageing     Hybrid Journal   (Followers: 12)
Australian Ageing Agenda     Full-text available via subscription   (Followers: 5)
B&G Bewegungstherapie und Gesundheitssport     Hybrid Journal   (Followers: 2)
Biogerontology     Hybrid Journal   (Followers: 1)
BMC Geriatrics     Open Access   (Followers: 17)
Canadian Geriatrics Journal     Open Access   (Followers: 6)
Canadian Journal on Aging     Hybrid Journal   (Followers: 17)
Clinical Gerontologist     Hybrid Journal   (Followers: 3)
Clinics in Geriatric Medicine     Full-text available via subscription   (Followers: 6)
Current Geriatrics Reports     Hybrid Journal   (Followers: 1)
Current Gerontology and Geriatrics Research     Open Access   (Followers: 11)
Dementia and Geriatric Cognitive Disorders     Full-text available via subscription   (Followers: 36)
Dementia and Geriatric Cognitive Disorders Extra     Open Access   (Followers: 19)
Drugs & Aging     Full-text available via subscription   (Followers: 10)
European Geriatric Medicine     Full-text available via subscription   (Followers: 3)
European Journal of Ageing     Hybrid Journal   (Followers: 16)
European Review of Aging and Physical Activity     Open Access   (Followers: 11)
Experimental Aging Research: An International Journal Devoted to the Scientific Study of the Aging Process     Hybrid Journal   (Followers: 2)
Experimental Gerontology     Hybrid Journal   (Followers: 5)
Frontiers in Aging Neuroscience     Open Access   (Followers: 22)
Gait & Posture     Hybrid Journal   (Followers: 17)
Generations     Full-text available via subscription   (Followers: 3)
Geriatric Care     Open Access   (Followers: 4)
Geriatric Medicine in General Practice     Full-text available via subscription   (Followers: 8)
Geriatric Orthopaedic Surgery Rehabilitation     Open Access   (Followers: 5)
Geriatrics     Open Access   (Followers: 3)
Geriatrics & Gerontology International     Hybrid Journal   (Followers: 12)
Geriatrie up2date     Hybrid Journal  
Geriatrie-Report : Forschung und Praxis in der Altersmedizin     Full-text available via subscription  
Gerodontology     Hybrid Journal   (Followers: 2)
Gerokomos     Open Access   (Followers: 1)
Geron     Full-text available via subscription  
Gerontologia     Open Access  
Gerontology     Full-text available via subscription   (Followers: 22)
Gerontology & Geriatrics Education     Hybrid Journal   (Followers: 8)
Gerontology and Geriatric Medicine     Open Access   (Followers: 5)
GeroPsych: The Journal of Gerontopsychology and Geriatric Psychiatry     Hybrid Journal   (Followers: 5)
GeroScience : Official Journal of the American Aging Association (AGE)     Hybrid Journal   (Followers: 8)
Global Journal of Geriatrics Nursing     Open Access   (Followers: 4)
Hip International     Hybrid Journal  
I Advance Senior Care     Full-text available via subscription  
Immunity & Ageing     Open Access   (Followers: 9)
Innovation in Aging     Open Access   (Followers: 1)
International Journal of Ageing and Later Life     Open Access   (Followers: 1)
International Journal of Aging and Human Development     Full-text available via subscription   (Followers: 11)
International Journal of Alzheimer's Disease     Open Access   (Followers: 8)
JMIR Aging     Open Access  
Journal for Healthcare Quality     Hybrid Journal   (Followers: 28)
Journal of Adult Protection, The     Hybrid Journal   (Followers: 16)
Journal of Aging and Environment     Hybrid Journal   (Followers: 4)
Journal of Aging and Health     Hybrid Journal   (Followers: 28)
Journal of Angiogenesis Research     Open Access   (Followers: 2)
Journal of Applied Gerontology     Hybrid Journal   (Followers: 18)
Journal of Elder Abuse & Neglect     Hybrid Journal   (Followers: 6)
Journal of Frailty & Aging     Hybrid Journal  
Journal of Geriatric Cardiology     Open Access   (Followers: 3)
Journal of Geriatric Mental Health     Open Access   (Followers: 6)
Journal of Geriatric Oncology     Hybrid Journal   (Followers: 2)
Journal of Geriatric Physical Therapy     Hybrid Journal   (Followers: 14)
Journal of Geriatrics     Open Access   (Followers: 1)
Journal of Geriatrics and Palliative Care     Open Access   (Followers: 5)
Journal of Gerontological Social Work     Hybrid Journal   (Followers: 14)
Journal of Mid-life Health     Open Access  
Journal of Military and Veterans Health     Full-text available via subscription   (Followers: 7)
Journal of Parkinsonism and Restless Legs Syndrome     Open Access   (Followers: 2)
Journal of Parkinson’s Disease and Alzheimer’s Disease     Open Access   (Followers: 1)
Journal of Prevention of Alzheimer's Disease     Hybrid Journal   (Followers: 1)
Journal of Religion Spirituality & Aging     Hybrid Journal   (Followers: 7)
Journal of Social Work in End-of-Life & Palliative Care     Hybrid Journal   (Followers: 22)
Journal of the American Geriatrics Society     Hybrid Journal   (Followers: 68)
Journal of the Indian Academy of Geriatrics     Open Access   (Followers: 4)
Maturitas     Hybrid Journal   (Followers: 10)
Medycyna Wieku Podeszłego (Geriatric Medicine)     Open Access  
Mortality: Promoting the interdisciplinary study of death and dying     Hybrid Journal   (Followers: 9)
Neurodegenerative Diseases     Full-text available via subscription   (Followers: 1)
Neuroembryology and Aging     Full-text available via subscription   (Followers: 1)
NOVAcura     Hybrid Journal  
npj Aging and Mechanisms of Disease     Open Access   (Followers: 1)
npj Parkinson's Disease     Open Access   (Followers: 4)
Nursing Older People     Full-text available via subscription   (Followers: 9)
OA Elderly Medicine     Open Access  
Paediatrics & Child Health in General Practice     Full-text available via subscription   (Followers: 5)
Palliative Care & Social Practice     Open Access   (Followers: 3)
Parkinson's Disease     Open Access   (Followers: 12)
Pathobiology of Aging & Age-related Diseases     Open Access  
Physical & Occupational Therapy in Geriatrics     Hybrid Journal   (Followers: 56)
Quality in Ageing and Older Adults     Hybrid Journal   (Followers: 44)
Quality of Life Research     Hybrid Journal   (Followers: 20)
RASP - Research on Ageing and Social Policy     Open Access   (Followers: 4)
Revista Española de Geriatría y Gerontología     Full-text available via subscription  
Senex: Yaşlılık Çalışmaları Dergisi / Senex: Journal of Aging Studies     Open Access  
The Aging Male     Hybrid Journal   (Followers: 2)
The Gerontologist     Hybrid Journal   (Followers: 23)
The Journals of Gerontology : Series A     Hybrid Journal   (Followers: 22)
Topics in Geriatric Rehabilitation     Hybrid Journal   (Followers: 15)
Translational Medicine of Aging     Open Access  
Work, Aging and Retirement     Open Access   (Followers: 4)
Working with Older People     Hybrid Journal   (Followers: 40)
Zeitschrift fur Gerontologie und Geriatrie     Hybrid Journal   (Followers: 1)
Zeitschrift für Gerontopsychologie und -psychiatrie     Full-text available via subscription   (Followers: 1)
Zeitschrift für Palliativmedizin     Hybrid Journal  


Similar Journals
Journal Cover
Gerontology and Geriatric Medicine
Number of Followers: 5  

  This is an Open Access Journal Open Access journal
ISSN (Print) 2333-7214
Published by Sage Publications Homepage  [1174 journals]
  • Mood Lifters for Seniors: Development and Evaluation of an Online,
           Peer-Led Mental Health Program for Older Adults

    • Authors: J. Scott Roberts, Rebecca A. Ferber, Courtney N. Funk, Anne W. Harrington, Susan M. Maixner, Jennifer L. Porte, Paul Schissler, Cecilia M. Votta, Patricia J. Deldin, Cathleen M Connell
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Effective, scalable mental health programs are greatly needed for older adults. In this study, Mood Lifters—a peer-led, community-based program promoting mental well-being—was adapted to more specifically address the needs of older adults. Two groups completed the 14-week program via Zoom. A total of 24 participants enrolled (Mage = 72 years), with 20 (83%) completing the program. Compared to baseline, program completers showed significant improvements in depression symptoms (p 
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-08-10T12:36:53Z
      DOI: 10.1177/23337214221117431
      Issue No: Vol. 8 (2022)
  • Assessing Emotional Expressions During a Cycling-Based Initiative for
           Older Care Home Residents Using Video-Based Recordings

    • Authors: Ryan Gray, Shana Faraghat, Alan J. Gow
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Objective: Through Cycling Without Age, trained volunteers use specially designed trishaws to provide rides for older adults living in care homes and other supported living environments. Qualitative and quantitative research suggests benefits in terms of improvements in mood and wellbeing. Those studies have predominantly been interviews with participants reflecting on previous rides, or as pre-/post-assessments. The current study assessed emotional experiences using video recordings acquired during participants’ rides. Methods: Twelve older adults (50% female; 67-92 years old (M = 81.8, SD = 7.4)) living in care homes or supported living environments were recruited. During a Cycling Without Age ride, participants were filmed using an action camera mounted on the trishaw. Recordings were rated using the Facial Expression Coding System by two researchers to assess the frequency, duration and intensity of positive and negative emotions. Results: On average, 23.7 positive emotional expressions were observed per ride, significantly higher than negative emotions (0.4). As well as more frequent, positive emotions were observed over a longer duration in total (139.5 seconds vs. 1.3) and rated as more intense (1.9 out of 5 vs. 0.3). Conclusion: The study supported the value of directly assessing emotional responses during this cycling-based initiative, including minimising the input required from participants. The predominantly positive emotional expressions observed were consistent with both qualitative and quantitative assessments of Cycling Without Age, and suggests a potential pathway by which those benefits manifest. Future studies might adopt a triangulated approach, using in-activity monitoring, quantitative assessments and participant reflections.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-08-09T12:50:16Z
      DOI: 10.1177/23337214221099689
      Issue No: Vol. 8 (2022)
  • The Association between Late-Life Alcohol Consumption and Incident
           Dementia among Mexican Americans Aged 75 and Older

    • Authors: Alan F. Villarreal Rizzo, Brian Downer
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Background: Evidence for late-life alcohol consumption being associated with reduced dementia risk is largely based on cohort studies of predominately non-Hispanic white older adults. Our objective was to investigate the relationship between late-life alcohol consumption and dementia risk among Mexican-America adults aged 75 and older. Methods: This study was a retrospective analysis of waves 5 (2004/05) to 8 (2012/13) of the Hispanic Established Populations for the Epidemiologic Study of the Elderly. The final sample included 1,255 participants. Late-life alcohol consumption status was classified as life-long abstainer, former drinker, and current drinker. Dementia was defined as a score of 18 points or lower on the Mini-Mental Status Examination or a proxy-reported diagnosis of dementia. Results: 41.8% of participants were life-long abstainers, 42.0% were former drinkers, and 16.3% were current drinkers. Current alcohol consumers had significantly lower dementia risk compared to life-long abstainers (HR=0.63, 95% CI = 0.44–0.89). Dementia risk for former alcohol consumers compared to life-long abstainers was not statistically significant (HR = 0.85, 95% CI = 0.67–1.09). Conclusions: Current alcohol consumption was associated with lower dementia risk for Mexican Americans aged 75 and older. Continued research is needed to identify pathways for the protective association between late life alcohol consumption and dementia risk.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-08-09T05:32:35Z
      DOI: 10.1177/23337214221109823
      Issue No: Vol. 8 (2022)
  • The Upsurge of Diarrhea Amid COVID-19 Pandemic Makes Matter Worse in
           Bangladesh: A Call to Action

    • Authors: Smaranika Rahman, Md. Jamal Hossain, Md. Rabiul Islam
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      We have seen an alarming increase in diarrhea prevalence amid Coronavirus Disease-2019 (COVID-19) in Bangladesh. Healthcare professionals might face difficulty in diagnosis as these two infectious diseases have some common symptoms. Though there are confirmatory diagnostic tests for individual cases, there are chances of misdiagnosis as co-infections occur. Here we presented distinct clinical features of diarrhea and COVID-19 for differential diagnosis. We demonstrated the common overlapping symptoms of these two infectious diseases to facilitate fast diagnosis of patients. Also, we have discussed possible reasons for this upsurge of diarrheal infections in Bangladesh. Finally, we have made some recommendations based on our findings for managing this upsurge of diarrheal disease during the COVID-19 pandemic in Bangladesh. The healthcare authorities should take immediate measures before the tremendous twin effects of these two infectious diseases.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-08-08T07:20:55Z
      DOI: 10.1177/23337214221117419
      Issue No: Vol. 8 (2022)
  • Feasibility of Measuring Frailty and Patient-Reported Outcomes During and
           After Post-Acute Skilled Nursing Facility Rehabilitation

    • Authors: Sandra Shi, Ellen P. McCarthy, Susan L. Mitchell, Dae Hyun Kim
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Functional status and quality of life are not routinely assessed after skilled nursing facility (SNF) discharge. We determined feasibility of measuring frailty among adults ≥65 years admitted to SNF after hospitalization, and post-discharge outcomes. We calculated a frailty index (non-frail [≤0.25], mild frailty [0.26–0.35], moderate [0.36–0.45], and severe [>0.45]). After SNF discharge, we conducted serial telephone interviews measuring ability to perform functional activities and Patient Reported Outcome Measurement Information System (PROMIS) scores. Overall of 68 screened patients, 42 were eligible, and 24 (57.1%) eligible patients were enrolled. Of these, 5 (20.8%) were admitted after elective hospitalizations, 17 (70.8%) were female, and 11 (45.8%) had moderate-to-severe frailty. Frailty was measured in all participants in a mean 32.1 minutes. At 90 days, a total of three participants died, and two were lost to follow-up. Post-discharge functional status varied by frailty, with moderate-to-severe frailty having persistent impairment and lower PROMIS scores (worse quality of life) compared to those with no or mild frailty (38.2 [13.7] vs. 47.3 [8.1] p = .04). Measuring frailty and quality of life in older patients admitted to SNF is feasible. Furthermore, measuring frailty may help identify those at particularly high risk of poor recovery and lower quality of life after discharge.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-08-05T09:06:02Z
      DOI: 10.1177/23337214221116978
      Issue No: Vol. 8 (2022)
  • A Scoping Review and Conceptual Framework Examining the Role of Sleep
           Disturbance in Financial Exploitation in Older Adults

    • Authors: Jessica R. Armendariz, S. Duke Han, Constance H. Fung
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Sleep disturbances and financial exploitation have both been linked to impaired cognitive ability, loneliness, and depressed mood in older adults, suggesting a potential role of sleep disturbances in increasing vulnerability to financial exploitation. We sought to identify evidence linking sleep disturbances to financial exploitation. We conducted a systematic search of MEDLINE, PubMed Central, and National Center for Biotechnology Information Bookshelf for relevant published articles on sleep and financial exploitation. Three studies examining both sleep and financial exploitation were identified. None of the studies explored sleep disturbances as a cause of financial exploitation. More work needs to be done to examine the role of sleep disturbances in financial exploitation. We propose a conceptual framework for identifying possible associations among sleep disturbance, biopsychosocial, and decision-related situational factors to guide further exploration of relationships between sleep and financial exploitation.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-08-04T08:53:20Z
      DOI: 10.1177/23337214221116233
      Issue No: Vol. 8 (2022)
  • Aging Services Workers in the Pandemic: Voiced Experience of Senior Center
           Staff and Case Workers

    • Authors: Esther Narkie Okang, Siohban Aaron, Katherine Supiano, Abdukrazak Osman
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      We conducted a qualitative descriptive study, using focus groups to understand the experience and perspective of the older adult service staff during both the first and second wave of the COVID-19 pandemic. Participants expressed the need for more education and training and ongoing psychosocial support, yet demonstrated sustained resiliency coping, work self-efficacy, and a deepened dedication to community residing older adult clients.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-08-03T06:56:10Z
      DOI: 10.1177/23337214221116470
      Issue No: Vol. 8 (2022)
  • Social Isolation of Older Adults With Diabetes

    • Authors: Satoshi Ida, Kazuya Murata
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      We aimed to conduct a scoping review of social isolation in elderly patients with diabetes and to clarify current knowledge and gaps and future challenges. A literature search was conducted using Medline, Web of Science, CINAHL, CiNii, and Ichushi, and included studies with an eligibility criterion of a survey of social isolation in elderly patients with diabetes and aged ≥60 years. Social isolation was defined as limited or non-face-to-face contact with family and community. A data extraction form describing characteristics of studies incorporated in the present review was prepared. A total of six studies met eligibility criterion (sample size, 451–3,500). Subjects’ age averaged 67 years, and 42% were female. Social isolation ranged from 9% to 49%. Factors related to social isolation included vascular complications,decreased activities of daily living, death, dementia, glycemic fluctuation, disturbance of lifestyle habits, and poor self-management and -rated health. However, research on the cause and mechanism of the relationship and impact of sex-based differences was lacking. In conclusion, additional research is needed on the definition of social isolation in elderly patients with diabetes, the causal relationship with related factors and their mechanisms, and the relationship with other outcomes.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-08-02T07:22:58Z
      DOI: 10.1177/23337214221116232
      Issue No: Vol. 8 (2022)
  • Older Adults’ Resilience Against Impact of Lifestyle Changes During
           the COVID-19 Pandemic

    • Authors: Ayaka Kasuga, Saori Yasumoto, Takeshi Nakagawa, Yoshiko Ishioka, Akari Kikuchi, Hiroki Inagaki, Madoka Ogawa, Noriko Hori, Yukie Masui, Hwang Choe, Hiroyuki Muto, Mai Kabayama, Kayo Godai, Kazunori Ikebe, Kei Kamide, Tatsuro Ishizaki, Yasuyuki Gondo
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Background:Older adults were expected to experience a decline in physical activities and an increase in social isolation during the COVID-19 pandemic.Methods:We investigated the changes in living conditions of 508 older adults (79.70 years ± 0.88) before (from July to December 2019) and during (in August 2020) the pandemic. We compared the mean score for the same individual instrumental activities of daily living (IADL), frequency of going out, exercise, and social interaction at two-time points. We also examined the influence of living arrangement (living alone or not) on the frequency of exercise and social interaction.Results:The frequency of going out decreased during the pandemic (in 2020); however, there was no significant change in IADL. The frequency of exercise and social interaction increased irrespective of the living arrangement. The frequency of exercise increased more in those living alone.Conclusions:Although older adults refrained from going out, they compensated for the risks of inactivity in daily life by increasing or maintaining their frequency of exercise and social interactions. The view that “older adults have a poor ability to accommodate the lifestyle changes during the COVID-19 pandemic” may be a stereotypical assumption.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-08-02T07:22:05Z
      DOI: 10.1177/23337214221116226
      Issue No: Vol. 8 (2022)
  • The Incidence and Burden of Risk Factors for Mild Cognitive Impairment in
           Older Rural Chinese Persons

    • Authors: Jiang Xue, Yongyong Jiao, Jiayu Wang, Shulin Chen
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Objective: The study investigated the prevalence of mild cognitive impairment (MCI), a common cognitive disorder in late life, among rural older residents in China. The associated risk factors were also analyzed. Methods: Two thousand one hundred forty-six older adults aged 60 or more in a rural town of Zhejiang Province, China, were recruited and analyzed. Demographic characteristics were collected by a self-designed questionnaire. Diagnosis of MCI was made by well-trained primary care physicians according to the Petersen criteria. Results: 23.16% of the analyzed sample were diagnosed with MCI, while the prevalence was significantly higher in women, those never married, not employed, and with older age, lower education, diabetes, coronary heart disease and stroke. Stepwise logistic regression indicated that age, education, diabetes, coronary heart disease, and stroke were significant predictive factors of MCI. Conclusion: The prevalence of MCI in rural older residents in China is high, and those with specific demographic characteristics like women, never married, not employed, and with older age, lower education and chronic physical conditions should be more concerned in primary care management. Integrated care approaches managing MCI and comorbid chronic conditions are recommended in future management practices.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-07-30T05:16:05Z
      DOI: 10.1177/23337214221114559
      Issue No: Vol. 8 (2022)
  • Effectiveness of Information Sessions About COVID-19 Vaccines in
           Healthcare Professionals Working in Geriatrics

    • Authors: Hélène Girard, Wanda Bosshard, Hélène Krief, Christophe J. Büla
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Objectives: To determine change in (a) perceived knowledge about COVID-19 vaccines; (b) level of confidence in transmitting information about vaccines; and (c) intention to get vaccinated; among healthcare professionals (HCP) working in a Swiss academic geriatric department who attended a 30-minute information session about COVID-19 vaccines. Measurements: At the session’s end, a self-administered questionnaire collected information about socio-demographics, personnel, and/or relatives’ experience with COVID-19. In addition, participants were asked to rate their: (a) perceived knowledge about COVID-19 vaccines; (b) level of confidence in transmitting information about COVID-19 vaccines to patients and relatives; and (c) intention to get vaccinated; before and after the session. Results: Overall, 97 (42.2% of all HCPs) participated to 14 sessions and completed the questionnaire. Improvements were observed in knowledge, confidence in providing information, and intention to be vaccinated after the session (all p 
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-07-25T11:07:14Z
      DOI: 10.1177/23337214221115235
      Issue No: Vol. 8 (2022)
  • Multidimensional Determinants of Well-Being Among Community-Dwelling Older
           Adults During the Early Stage of the COVID-19 Pandemic in Taiwan

    • Authors: Jia-Jen Chen, Li-Fan Liu, Chung-I Lin, Heng-Chun Lin
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Objectives: Due to the insufficient and inadequate policies on the psychological well-being of the aged population, we aimed to examine the multidimensional determinants of well-being during the early stage of the COVID-19 pandemic. Method: Data were collected from face-to-face interviews with1,232 participants aged 50 and older living in Southern Taiwan. We used multivariate logistic regression to examine the associations between demographics, the physical health, mental health, social ties domains, and well-being. Results: We found that (i) in physical health, no dental problems and exercise were related to better well-being; (ii) in mental health, stress and depression decreased well-being, but laughing every day, and a positive attitude toward aging had adverse effects; and (iii) in social ties, subjective social status, family support, and place attachment to the community were positively associated with well-being. Discussion: Our findings highlight the multidimensional needs at the individual and community levels for the Chinese population.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-07-22T06:24:55Z
      DOI: 10.1177/23337214221111227
      Issue No: Vol. 8 (2022)
  • Sexual Expression, Policies, and Practices in Skilled Nursing Settings
           Serving Older Adults: An Updated Assessment in the State of Kansas

    • Authors: Sarah Jen, Mijin Jeong, Olivia Lafountain, Gayle Doll, Laci Cornelison
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Doll assessed sexual expressions, policies, and practices in Skilled Nursing Facilities (SNFs) in the state of Kansas. This study provided an updated and expanded assessment. A mixed-methods survey was distributed to administrators of all SNFs in the state of Kansas. Among 60 administrations, 84% reported any sexual expression among residents in their community within the past year and 55% reported expressions involving an individual with cognitive impairment. In response to sexual expressions, 70% of administrators believe staff would treat residents with dignity and respect and about 40% anticipated staff discomfort. About 40% of administrators reported having a policy related to sexual expression. Attitudes and responses of staff and administrators appear to be shifting in a sex-positive direction. While policies related to sexuality are more common than a decade ago, there is room for additional uptake, standardization, and infusion of person-centered language and practices.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-07-19T12:30:02Z
      DOI: 10.1177/23337214221113137
      Issue No: Vol. 8 (2022)
  • Eating Behavior and Environments of Severe Alzheimer’s Disease Patients
           With Loss of Language Skills

    • Authors: Ketu Rie, Teruo Yokoi, Yayoi Miyoshi, Hiroyuki Watanabe, Toshihide Fukuda
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Background: As Alzheimer’s disease (AD) progresses, AD patients become more and more dependent on the environment. To prevent the patients from being distracted from eating, it is necessary to pay attention to the environment. Purpose: Five severe AD patients with loss of language skills were observed closely to identify the environments that interfered with their eating behaviors and environments that encouraged them to eat. Methods: The author, a certified care worker, recorded the behaviors of five severe AD patients while providing care for the overall aspects of their daily lives. From these records, the author extracted the situations in which the subjects exhibited self-eating behavior and situations in which they were distracted from eating, and organized the meanings of these environments for the subjects. Results: Eating behavior was interrupted: (1) when staff members started conversations nearby a subject, or when a caregiver attempted to stop a subject’s behavior in order to get her to eat; (2) by physical environmental changes, such as phone ringing and reflection of artificial light on their table. Conclusion: By organizing the meanings of the environments surrounding each individual, we can identify the environments that encourage a patient to start eating and environments that interfere with a patient’s eating behavior.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-07-19T05:29:18Z
      DOI: 10.1177/23337214221113848
      Issue No: Vol. 8 (2022)
  • Circumstances Precipitating Rural Older Adults for Co-Residential Family
           Care Arrangements in Central Ethiopia

    • Authors: Kidus Yenealem Mefteh
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      This study aims to explore circumstances that precipitate rural older adults for co-residential family care arrangements employing a phenomenological study method. Data from in-depth interviews with 12 rural older adults were inductively coded and developed into themes. Physical limitations and health problems, separation and divorce, death of a spouse, economic problem, neglect, inheritance dispute, and inaccessible locations are the circumstances that precipitate older adults to give up their independent living and start living with their children in the study area. The study points out to policymakers and other concerned bodies that actions must be geared toward maintaining a positive living environment for rural older adults and tackling challenges that are decisive in co-residential family care setting. Increasing health care accessibility, expanding senior/adult care centers and community health insurance programs, training geriatric social workers, enhancing collaboration between family caregivers and formal services, and provision of assistive devices for debilitating health conditions and subsequent disability will enhance the quality of life of rural older adults in co-residential family care arrangement.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-07-19T05:25:03Z
      DOI: 10.1177/23337214221113100
      Issue No: Vol. 8 (2022)
  • The Forgotten and Misdiagnosed Care Transition: Live Discharge From
           Hospice Care

    • Authors: Stephanie P. Wladkowski, Cara L. Wallace
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Every aspect of the United States healthcare industry presents transitions in care—hospitalizations, rehabilitation, long-term care placement—each requiring careful attention. With a goal of maintaining safety during a known point of vulnerability for patients, discharge planning is required in hospitals, skilled nursing facilities, and home health agencies under Medicare guidelines. Yet, no required discharge planning or clear guidelines are available for a discharge from hospice; it is a forgotten care transition in our healthcare system. Of the 1.6 million Medicare recipients hospices serve each year, hospices discharge 17.4% alive. Under Medicare regulations, if clinicians cannot document acceptable patient decline, then patients are decertified from hospice categorized as “no longer terminally ill”, otherwise known as a live discharge. These patients are often referred to as “not dying fast enough,” or “failure to die on time,” as ultimately, they are still dying, and they are still terminally ill, just not within the prescribed 6-month framework. This paper outlines what is known about the occurrences and experiences of live discharge from hospice care and provides suggestions for improving both practice and policy.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-07-12T10:42:29Z
      DOI: 10.1177/23337214221109984
      Issue No: Vol. 8 (2022)
  • A Systematic Review of Horticultural Therapy’s Influence on Chinese
           Older Adults’ Psychosocial Wellbeing

    • Authors: Peilin Lin, Paul G. Morris, Jingni Ma, Joanne M. Williams
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Aim: This systematic review aims to evaluate changes in Chinese older adults’ psychosocial wellbeing after receiving horticultural therapy, and examine existing evidence regarding horticultural therapy’s effectiveness in a Chinese setting. Method: Intervention studies measuring relevant outcomes amongst older adults and conducted in China were identified from ASSIA, CIHAHL Plus, PsycINFO, EMBASE, MEDLINE, SCOPUS, Web of Science Core Collection and CNKI. Cochrane risk of bias assessment tools were used to appraise study quality. Result: 16 studies were selected, among which four were published in English and 12 in Chinese. Findings suggested that after receiving horticultural therapy, older adults’ psychosocial wellbeing is generally improved, but causal relationships between improvements and horticulture therapy were less clear. Conclusion: Features of horticultural therapy conducted in China is with its cultural and social uniqueness. Existing evidence supports the post-intervention benefits on completion of horticultural therapies, but the limitations in programme design, sample representativeness and methodological robustness limited the quality of the evidence.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-07-07T07:26:25Z
      DOI: 10.1177/23337214221093891
      Issue No: Vol. 8 (2022)
  • Validity of the Malnutrition Universal Screening Tool for Evaluation of
           Frailty Status in Older Hospitalised Patients

    • Authors: Yogesh Sharma, Peter Avina, Emelie Ross, Chris Horwood, Paul Hakendorf, Campbell Thompson
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      The malnutrition-universal-screening-tool (MUST) is commonly used for screening malnutrition in hospitalised patients but its utility in the detection of frailty is unknown. This study determined the utility of MUST in detection of frailty in older hospitalised patients. This prospective-study enrolled 243 patients ⩾65 years in a tertiary-teaching hospital in Australia. Patients with a MUST score of ⩾1 were classified as at-risk of malnutrition. Frailty status was determined by the Edmonton-Frail-Scale (EFS) and patients with an EFS score of>8 were classified as frail. We validated the MUST against the EFS by plotting a receiver-operating-characteristic-curve (ROC) curve and area-under-the-curve (AUC) was determined. The mean (SD) age was 83.9 (6.5) years and 126 (51.8%) were females. The EFS determined 149 (61.3%) patients as frail, while 107 (44.1%) patients were at-risk of malnutrition according to the MUST. There was a positive linear but weak association between the MUST and the EFS scores (Pearson’s correlation coefficient= .22, 95% CI .12– .36, p < .001). The sensitivity, specificity, positive and negative predictive value of MUST in the detection of frailty was 51%, 67%, 78.5% and 37%, respectively and the AUC was .59 (95% CI .53–.65, p < .001). The MUST is moderately sensitive in detection of frailty in older-hospitalised patients.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-07-06T10:01:57Z
      DOI: 10.1177/23337214221107817
      Issue No: Vol. 8 (2022)
  • Effects of Corona Virus-2019 (COVID-19) Pandemic on Older People

    • Authors: Pooyan Ghorbani Vajargah, Sahar Miri, Mohammad Javad Ghazanfari, Abbas Farhadi Farouji, Atefeh Falakdami, Amirabbas Mollaei, Poorya Takasi, Samad Karkhah
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.

      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-07-04T07:05:01Z
      DOI: 10.1177/23337214221109822
      Issue No: Vol. 8 (2022)
  • Changing Hospital Care For Older Adults: The Case for Geriatric Hospitals
           in the United States

    • Authors: Joseph H. Flaherty, Miriam B. Rodin, John E. Morley
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Hospital care of frail older adults is far from optimal. Although some geriatric models of care have been shown to improve outcomes, the effect size is small and models are difficult to fully implement, sustain and replicate. The two root causes for these shortcomings are competing interests (high revenue generating diseases, procedures and surgeries) and current hospital cultures (for example a culture of safety that emphasizes bed alarms and immobility rather than frequent ambulation). Geriatric hospitals would be hospitals completely dedicated to the care of frail older patients, a group which is most vulnerable to the negative consequences of a hospitalization. They would differ from a typical adult hospital because they could implement evidence based principles of successful geriatric models of care on a hospital wide basis, which would make them sustainable and allow for scaling up of proven outcomes. Innovative structural designs, unachievable in a typical adult hospital, would enhance mobility while maintaining safety. Financial viability and stability would be a challenge but should be feasible, likely through affiliation with larger health care systems with other hospitals because of cost savings associated with geriatric models of care (decreased length of stay, increased likelihood of discharge home, without increasing costs).
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-07-04T01:30:31Z
      DOI: 10.1177/23337214221109005
      Issue No: Vol. 8 (2022)
  • Association between Social Activity and Development of Dementia in Hearing
           Impairment: A Cohort Study in Japan from Japan Gerontological Evaluation

    • Authors: Kaori Kojima, Eisaku Okada, Toshiyuki Ojima, Jun Aida, Yoshimune Hiratsuka, Katsunori Kondo
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      We aimed to clarify the association between social activity and the development of dementia in older adults by hearing-impaired (HI) status. We applied a community-based prospective cohort study over 6 years as part of the Japan Gerontological Evaluation Study. The study included 53,549 participants aged 65 years and older who did not require long-term care. A baseline questionnaire survey was conducted; explanatory variables included physical and social activities, and the objective variable was dementia onset assessed by standardized protocol. Cox regression models were used to calculate hazard ratios (HRs) for dementia stratified by HI status. During the follow-up period, 6013 (11.2%) participants developed dementia. Analyses revealed increased dementia risk for participants with HI who participated in the following activities less than once a month: sport groups (HR 2.17, 95% CI 1.53-3.08), hobby groups (HR 1.70, 95% CI 1.34-2.17), going out (HR 2.19, 95% CI 1.51-3.17), and meeting with friends (HR 1.27, 95% CI 1.06-1.53). HI and lack of social activity increase the risk of dementia. The study results indicate that there is an association between low social activity and the development of dementia in people with HI; the strongest associations were found for low participation in sports and hobby groups.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-07-02T01:11:42Z
      DOI: 10.1177/23337214221100621
      Issue No: Vol. 8 (2022)
  • Tele-Rehabilitation in Community-Dwelling Older People with Reduced
           Functional Capacity: A 4-Patient Case Report

    • Authors: Bodil B Jørgensen, Merete Gregersen, Søren Holm Pallesen, Else Marie Damsgaard
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Tele-rehabilitation (TR) can limit physical contact in older patients if long transportation times or physical attendance challenges their health. Digital literacy decreases with age, which might interfere with geriatric patients’ ability to benefit from TR. The purpose was to describe the TR intervention, adherence to training sessions, and level of digital literacy. TR via videoconferencing was delivered both individually and in groups where more were challenged by joining training outside their homes. Improvements in functional capacity were found. Combining individual and group exercises, high adherence to the TR programme was achieved. Digital literacy was on par with younger adult computer users. Individual-and group TR sessions might secure high adherence to the exercise programme. Digital literacy at a certain level might be a prerequisite when supplied with both oral and written material Suggestions on how to raise older people’s digital literacy to use telehealth solutions in the future are provided.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-06-27T09:05:07Z
      DOI: 10.1177/23337214221109820
      Issue No: Vol. 8 (2022)
  • Changes to Physical Activity Levels in Adults Aged 50+ in the First Six
           Months of the COVID-19 Pandemic

    • Authors: Maya Baughn, Amanda Grimes, Carol Kachadoorian
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      The purpose of this study is to qualitatively explore the impact of the COVID-19 pandemic on older adults’ PA nearly 6 months into the pandemic. Approximately 230 interviews were conducted with a diverse sample of participants (22.1% Black and 10.8% Hispanic). Data were transcribed in fall 2020 and analyzed using NVivo 12. Overall, most older adults (54.6%) interviewed reported no change in their PA, often reporting that their work kept them active. Decreases in PA for older adults (42.7%) were attributed to little social connectedness and stay-at-home restrictions. The few reporting an increase in PA (2.6%) had more time available to be active, including setting goals while staying home. This data provides an insight on how COVID-19 impacted PA levels for older adults. These findings can inform tailored interventions to promote PA during the pandemic.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-06-10T06:05:38Z
      DOI: 10.1177/23337214221106848
      Issue No: Vol. 8 (2022)
  • The Relationship Between Community Adherence to COVID-19 Containment
           Measures and the Wellbeing of Older Adults in Rural Kenya

    • Authors: Pauline Thuku
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      The COVID-19 pandemic has disrupted lives globally but disproportionately affected older adults due to their increased vulnerability to severe illness and higher mortality. To protect older adults from infection, community members in rural Kenya have ensured enhanced adherence to COVID-19 containment measures. However, while restricted social contact is highly recommended in the control of COVID-19 infection, limited research exists on its effect on the psychosocial wellbeing of older adults. This study therefore assessed the relationship between community adherence to COVID-19 containment measures and the overall wellbeing of older adults. Nyeri County in Central Kenya was selected for the study and all adults aged 70 years and above targeted. Snowball sampling was used to collect data from a sample of 360 respondents. Both descriptive and inferential statistics were used in data analysis. The study established a significant inverse relationship between the level of community adherence to COVID-19 protocols and the wellbeing of older adults. Furthermore, the wellbeing of most older adults had deteriorated during the pandemic, with older married women with higher incomes being less affected. The study concluded that although the COVID-19 pandemic had affected everyone, effective containment is a multi-dimensional issue that requires targeted interventions.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-06-06T12:55:31Z
      DOI: 10.1177/23337214221105981
      Issue No: Vol. 8 (2022)
  • Staff Assessment Person-Directed Care Questionnaire: Adaptation and
           Validation for the Portuguese Population

    • Authors: Maria M. Barbosa, Laetitia Teixeira, Javier Yanguas, Constança Paul, Rosa M. Afonso
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Person-centered care aims to increase and guarantee the quality of care at residential care facilities for older adults. The implementation and development of this approach requires validated assessment tools, which are still lacking in Portugal. This study aims to adapt and validate for the Portuguese population the internationally and widely used essential instrument that is the Staff Assessment Person-Directed Care (SAPDC). The adaptation of the SAPDC included its translation, back translation, and a pilot-study. For validation, staff members were recruited by distributing the study via email and on social media. Respondents included 546 native Portuguese-speaking staff members working at residential care facilities for over 6 months. The mean score of SAPDC was 165.74 (SD = 36.78). The exploratory factor analysis showed eight conceptually distinct dimensions, considered adequate by the expert team. The total scale showed a very good internal consistency (α = .96) and excellent temporal stability assessed by Intraclass Correlation Coefficient (> .90). Providing a Portuguese version of the SAPDC is useful to substantiate technical and scientific advancements and define policies with implications on evolving care approaches. This tool helps optimize the quality and dignification of gerontological practices, which is urgent at Portuguese residential care facilities.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-06-04T10:36:00Z
      DOI: 10.1177/23337214221103394
      Issue No: Vol. 8 (2022)
  • What Predicts Falls, and what are the Circumstances and Consequences of
           Falls in Community-Dwelling Older Adults Who Need Walking Aids or Home
           Help Service

    • Authors: Susanna Tuvemo Johnson, Elisabeth Anens, Ann-Christin Johansson, Karin Hellström
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      The objective was to analyze predictive variables for falls in older community-dwelling adults who needed walking aids or home help service, to describe the circumstances and consequences of falls and fall injuries, and to describe the activities preceding falls, n = 175, mean age 83 years. Falls were self-reported monthly in a fall calendar and were followed up by a telephone interview. A logistic regression analysis was performed to investigate predictive baseline variables for falls. Injuries were reported in 82 of the 185 fall events. Previous falls and a high level of education had a significant association with falls odds ratios 1.9 (95% CI 1.3–2.7), and 2.7 (95% CI 1.4–5.3). Activities preceding the falls were classified according to the International Classification of Functioning (ICF). Falls and fall injuries were most common while moving around within the home and rising from sitting to standing.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-06-04T04:57:28Z
      DOI: 10.1177/23337214221098900
      Issue No: Vol. 8 (2022)
  • Social Return on Investment of Home Exercise and Community Referral for
           People With Early Dementia

    • Authors: Ned Hartfiel, John Gladman, Rowan Harwood, Rhiannon Tudor Edwards
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Exercise can improve physical function and slow the progression of dementia. However, uncertainty exists around the costeffectiveness of exercise programmes for people with early dementia. The aim of this study was to determine whether a home-based supervised exercise programme (PrAISED – promoting activity, independence, and stability in early dementia) could generate a positive social return on investment (SROI). SROI analysis was conducted as part of a randomised controlled feasibility trial comparing PrAISED with usual care. Wellbeing valuation was used to compare the costs of the programme with the monetised benefits to participants, carers, and healthcare service providers. The PrAISED programme generated SROI ratios ranging from £3.46 to £5.94 for every £1 invested. Social value was created from improved physical activity, increased confidence, more social connection and PrAISED participants using healthcare services less often than usual care. This study found that home-based supervised exercise programmes could generate a positive SROI for people with early dementia. Trial registration: NCT02874300 (first posted 22 August 2016), ISRCTN: 10,550,694 (date assigned 31 August 2016).
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-06-03T02:46:01Z
      DOI: 10.1177/23337214221106839
      Issue No: Vol. 8 (2022)
  • Training Actors’ Knowledge of the Lived Experience of People With
           Advanced Dementia

    • Authors: Guus Timmerman, Judith Leest
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Do professional actors playing someone with dementia in training situations have knowledge of what it is like to be someone with dementia' And what knowledge' In preparation of a phenomenological study into the experience of people with advanced dementia in residential care, we interviewed four of these actors. Reflecting on their own experience with people with dementia and other experiences in their life enabled them to explore and find a reservoir of movements, gestures, postures, gazes, emotions, and responses from which they draw during their play. This reservoir is confirmed and refined in their playing persons with dementia. Their preparation, experience while playing, and reflection, validated by the response from caregivers, family members and people with dementia, make their knowledge as near as we can get to the experience of people with advanced dementia. Taking in this knowledge contributes to a larger repertoire to draw from in practising moral imagination.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-06-01T09:31:40Z
      DOI: 10.1177/23337214221097837
      Issue No: Vol. 8 (2022)
  • Perceived Unmet Need and Need-Related Distress of People Living With

    • Authors: Morgan J. Minyo, Katherine S. Judge
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      The unmet needs of people living with dementia have been shown to be multidimensional and impact well-being. However, there are a lack of studies examining variability of unmet needs and need-related distress from the person living with dementia’s perspective. The current study (n = 12) examined the self-reported unmet needs and need-related distress of people with mild to moderate dementia. Seventy-five percent of participants (n = 9) identified at least one unmet need and 50% (n = 6) reported 10 or more unmet needs. “Finding and Arranging Services” and “Health Information” subscales had the highest reported average unmet needs. The most frequently reported unmet need-item was “getting information about your memory problems'” Participants reported variability in distress for both unmet and met needs. Continued research can provide beneficial information on the relationship between unmet needs, need-related distress, and outcomes of well-being for future interventions.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-05-26T01:07:59Z
      DOI: 10.1177/23337214221092886
      Issue No: Vol. 8 (2022)
  • Description and Functional Benefits of Meeting Frequency, Intensity, and
           Time of Resistance and Cardiovascular Exercises: A Study of Older Adults
           in a Community-Based, Slow-Stream Rehabilitation, Hospital-to-Home
           Transition Program

    • Authors: Melody Maximos, Paul Stratford, Ada Tang, Vanina Dal Bello-Haas
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      This prospective cohort study described cardiovascular and resistance exercises completed by older adults in a community-based, slow-stream rehabilitation, hospital-to-home transition program; compared exercises completed to the American College of Sports Medicine (ACSM) exercise guidelines; and, assessed differences in Late Life Function and Disability Index (LLFDI)-Function Component (FC) between older adults who met and did not meet the ACSM guidelines. Descriptive statistics and Factorial ANCOVA were conducted. For cardiovascular exercise 59.3% of participants met frequency, 73.4% met intensity, and 35.9% met time. For resistance exercise, 67.2% of participants met frequency, 42.2% met intensity, and 76.6% number of repetitions. Participants who met both frequency and time for cardiovascular exercise had higher LLFDI-FC scores, as did those who met intensity and/or number of repetitions for resistance exercise. The findings provide support that older adults engaged in a slow-stream rehabilitation program can meet the ACSM exercise guidelines for community-dwelling older adults, and that meeting the guidelines improves function.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-05-20T06:52:51Z
      DOI: 10.1177/23337214221096303
      Issue No: Vol. 8 (2022)
  • Racial Differences in Trust and Risk Disclosure Preferences Among Older
           Registered Research Volunteers Screened for Prodromal Synucleinopathies

    • Authors: Carly Marshall, Isabelle Havis, Emily Herreshoff, Cate Lewis, Vikas Kotagal
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Background/ObjectivesThe equitable enrollment of minority participants in synucleinopathy trials is an emerging public health concern. Differing views regarding risk disclosure may influence research involvement in at-risk adults.MethodsWe conducted a brief mailed survey, including questions about trust and hypothetical risk disclosure preferences, to 100 participants in the Healthier Black Elders Center cohort in Detroit, MI and 100 participants in the Claude D. Pepper Older Americans Independence Center Research Participant Program at the University of Michigan.Results125 recipients without a diagnosis of a neurodegenerative disorder returned the survey, 52 (41.6%) of whom identified as being Black or African American. Black respondents reported less trust in medical providers (t=2.02, p=0.045) and medical researchers (t=2.52, p=0.013) and a greater desire to be informed about the presence of unchangeable risk factors for neurodegenerative disorders (t=2.02, p=0.045).ConclusionsThese findings have implications for the recruitment of representative populations in prodromal neurodegenerative research.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-05-18T10:30:29Z
      DOI: 10.1177/23337214221094184
      Issue No: Vol. 8 (2022)
  • Prevalence of Computer Use among Geriatric In- and Outpatients

    • Authors: Bodil B. Jørgensen, Else Marie Damsgaard, Mia M. Simonsen, Merete Gregersen
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Objective: Despite its many benefits, tele-rehabilitation is not widely used by the older generations. This study aimed to investigate the opportunity to offer tele-rehabilitation in a geriatric population by determining the prevalence of computer use and to examine whether the patients’ characteristics affect computer use. Design: Cross-sectional study. Patients: Cognitive well-functioning in- and outpatients aged 65 years or older. Methods: Patients were consecutively included and surveyed. Results: A total of 249 patients participated in the survey. Among them, 124 were computer users. Four of these never went online. Compared to non-users, computer users were younger OR: 0.91 (95% CI: 0.87; 0.94) p = 0.001, less frail OR: 0.37 (95% CI: 0.25;0.55) p = 0.001, had a higher functional capacity OR: 1.02 (95% CI 1.01; 1.03) p = 0.001 and more often had an education at high school level or higher OR: 1.7 (95% CI: 1.41; 2.40). Conclusion: Only half of the geriatric patients are computer users. If tele-rehabilitation is to be adopted by a wider geriatric population challenged by reduced mobility, long transportation times, or frailty, computer training, user friendly devices and computer support should be considered beforehand.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-05-16T07:35:38Z
      DOI: 10.1177/23337214221100642
      Issue No: Vol. 8 (2022)
  • Connecting Through Conversation: A Novel Video-Feedback Intervention to
           Enhance Long-Term Care Aides’ Person-Centred Dementia Communication

    • Authors: Deanne J. O’Rourke, Michelle M. Lobchuk, Genevieve N. Thompson, Christina Lengyel
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      ObjectiveTo pilot test a novel communication intervention incorporating a video-feedback component on the person-centred dementia communication skills of long-term care aides.MethodsEffectiveness was assessed using a single group pre-test/post-test design. 11 care aide-resident dyads participated in the study. Objective outcomes included provider statements demonstrating linguistic (i.e., reciprocity, clarity/coherence, and continuity categories) and relational elements of person-centred dementia communication, measured via video-recorded observations of usual care interactions. Subjective outcomes of care aide communication confidence/competence, satisfaction with the resident relationship, relationship closeness, and self-reflection at work were measured using self-report questionnaires.ResultsIn respect to observed person-centred dementia communication skills, there was an increase in the use of linguistic statements in the reciprocity and continuity categories, as well as total linguistic statements overall. Relational statements and overall person-centred dementia communication (i.e., linguistic plus relational strategies) increased. Care aide-reported communication confidence and competence, relationship closeness with the resident, and self-reflection at work also increased after the communication intervention.DiscussionThe communication intervention showed promise as an effective approach to enhance person-centred dementia communication behaviours in care aides. These results support undertaking a larger trial to examine the intervention’s effectiveness more fulsomely.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-05-14T12:34:36Z
      DOI: 10.1177/23337214221101266
      Issue No: Vol. 8 (2022)
  • Disparity and Multimorbidity in Heart Failure Patients Over the Age of 80

    • Authors: Anna Blach, Amanda Pangle, Gohar Azhar, Jeanne Wei
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Background: Healthcare is currently struggling to provide access and coverage for an increasingly diverse aging population who frequently have multiple co-morbid conditions complicating their care and medical management. Methods: This retrospective study analyzed the prevalence and distribution of common co-morbid conditions (hypertension, dyslipidemia, dementia, and diabetes mellitus) in 316 elderly heart failure patients (age range 80–103; mean 87 ±4.9). Results: Chart review analysis showed a racial distribution of 65 African American versus 251 Caucasian patients (21 vs. 79%). Hypertension was comparable in both groups (98.5% African American vs. 92.4% Caucasian). Dyslipidemia, diabetes and dementia diagnoses were all approximately 20% higher in African American versus Caucasian patients. The concurrent presence of all four conditions was approximately three times more prevalent in African Americans (18.5%) versus Caucasians (7.2%). Conclusion: Our study is unique for studying disparity in octogenarian and nonagenarians residing in a rural setting. Our results also highlight the importance of making a special effort to engage older African American patients in seeking healthcare. In addition, strategies must be designed to reduce barriers that impede access and availability of resources and clinical care, especially in economically underserved regions of the country.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-05-12T12:29:37Z
      DOI: 10.1177/23337214221098901
      Issue No: Vol. 8 (2022)
  • Prevalence and Social Risk Factors of Functional Limitations Among
           Slum-Dwelling Older Adults: Findings From the Nairobi Urban Health and
           Demographic Surveillance System

    • Authors: Razak M. Gyasi, Isabella Aboderin, Gershim Asiki
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Objective: In this study, we investigate the patterns and the risk factors of functional limitations in a sample of 1323 slum-dwelling older adults in Kenya who participated in the Nairobi Urban Health and Demographic Surveillance Systems. Methods: We conducted crude and adjusted logistic regression analyses to evaluate the associations. Results: The prevalence of activities of daily living (ADL) and instrumental ADL (IADL) limitations were approximately 5% and 8%, respectively; some 4.5% reported both limitations. Estimates varied significantly between sexes and age (p < .001). After adjustments, age, female, and Garre ethnic group were associated with ADL and IADL limitations. ADL decline was determined by co-residence (aOR = 0.93, 95% CI = 0.34–0.95), household size (aOR = 1.19, 95% CI = 1.04–1.37) and educational level (aOR = 0.45, 95% CI = 0.05–0.72). Conclusions: Older slum-dwellers in Nairobi experience functional impairments with marked age and sex differences. These findings may encourage salient policy planning and public health interventions to promote healthy aging in informal settlements.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-05-11T09:25:45Z
      DOI: 10.1177/23337214221088700
      Issue No: Vol. 8 (2022)
  • Serious Mental Illness in the Nursing Home Literature: A Scoping Review

    • Authors: Taylor Bucy, Kelly Moeller, John R Bowblis, Nathan Shippee, Shekinah Fashaw-Walters, Tyler Winkelman, Tetyana Shippee
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Nursing homes (NH) and other institutional-based long-term care settings are not considered an appropriate place for the care of those with serious mental illness, absent other medical conditions or functional impairment that warrants skilled care. Despite policy and regulatory efforts intended to curb the unnecessary placement of people with serious mental illness (SMI) in these settings, the number of adults with SMI who receive care in NHs has continued to rise. Through a scoping review, we sought to summarize the available literature describing NH care for adults with SMI from 2000 to 2020. We found that SMI was operationalized and measured using a variety of methods and diagnoses. Most articles focused on a national sample, with the main unit of analysis being at the NH resident-level and based on analysis of secondary data sets. Understanding current evidence about the use of NHs by older adults with SMI is important to policy and practice, especially as we continue to grapple as a nation with how to provide quality care for older adults with SMI.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-05-10T12:30:01Z
      DOI: 10.1177/23337214221101260
      Issue No: Vol. 8 (2022)
  • Characteristics of Frailty in Haemodialysis Patients

    • Authors: Heidy Hendra, Sivakumar Sridharan, Ken Farrington, Andrew Davenport
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Background: Both frailty and cachexia increase mortality in haemodialysis (HD) patients. The clinical frailty score (CFS) is a seven-point scale and less complex than other cachexia and frailty assessments. We wished to determine the characteristics of frail HD patients using the CFS. Methods: Single centre cross-sectional study of HD patients completing physical activity questionnaires with bioimpedance measurements of body composition and hand grip strength (HGS). Results: We studied 172 HD patients. The CFS classified 54 (31.4%) as frail, who were older (70.4±12.2 vs 56.2 ± 16.1 years, p < 0.001), greater modified Charlson co-morbidity (3 (2–3) versus 1.5 (0–3), p < 0.001), and body fat (33 (25.4–40.2) versus 26.2 (15.8–34) %, p < 0.01), but lower total energy expenditure (1720 (1574–1818) versus 1870 (1670–2194) kcal/day, p < 0.01), lean muscle mass index (9.1 (7.7–10.1) versus 9.9 (8.9–10.8) kg/m2), and HGS (15.3 (10.3–21.9) versus 23.6 (16.7–34.4) kg), both p < 0.001. On multivariable logistic analysis, frailty was independently associated with lower active energy expenditure (odds ratio (OR) 0.98, 95% confidence limits (CL) 0.98–0.99, p = 0.001), diabetes (OR 5.09, CL 1.06–16.66) and HGS (OR 0.92, CL 0.86–0.98). Discussion: Frail HD patients reported less active energy expenditure, associated with reduced muscle mass and strength. Frail patients were more likely to have greater co-morbidity, particularly diabetes. Whether physical activity programmes can improve frailty remains to be determined.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-05-06T07:40:25Z
      DOI: 10.1177/23337214221098889
      Issue No: Vol. 8 (2022)
  • Who’s in the House' Staffing in Long-Term Care Homes Before and
           During COVID-19 Pandemic

    • Authors: Shirin Vellani, Franziska Zuniga, Karen Spilsbury, Annica Backman, Nancy Kusmaul, Kezia Scales, Charlene H. Chu, José Tomás Mateos, Jing Wang, Anette Fagertun, Katherine S. McGilton
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Critical gaps exist in our knowledge on how best to provide quality person-centered care to long-term care (LTC) home residents which is closely tied to not knowing what the ideal staff is complement in the home. A survey was created on staffing in LTC homes before and during the COVID-19 pandemic to determine how the staff complement changed. Perspectives were garnered from researchers, clinicians, and policy experts in eight countries and the data provides a first approximation of staffing before and during the pandemic. Five broad categories of staff working in LTC homes were as follows: (1) those responsible for personal and support care, (2) nursing care, (3) medical care, (4) rehabilitation and recreational care, and (5) others. There is limited availability of data related to measuring staff complement in the home and those with similar roles had different titles making it difficult to compare between countries. Nevertheless, the survey results highlight that some categories of staff were either absent or deemed non-essential during the pandemic. We require standardized high-quality workforce data to design better decision-making tools for staffing and planning, which are in line with the complex care needs of the residents and prevent precarious work conditions for staff.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-05-04T12:46:54Z
      DOI: 10.1177/23337214221090803
      Issue No: Vol. 8 (2022)
  • Effectiveness of Weekend Physiotherapy on Geriatric In-Patients’
           Physical Function

    • Authors: Venkadesan Rajendran, Deepa Jeevanantham, Dylan Falk
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      PurposeHospital-associated disability (HAD) is significant among geriatric patients admitted to acute care hospitals. The objective of the study is to evaluate the effectiveness of additional weekend physiotherapy on mobility impairments of high-risk older patients admitted to the acute medical unit.MethodsA prospective, non-randomized controlled trial was conducted in one of the medical units in a northern Ontario hospital. A total of 41 patients were recruited using a consecutive sampling method and assigned to a control group (n = 19) and an experimental group (n = 22). The de Morton Mobility Index (DEMMI) and the Barthel Index (BI) were the outcome measures.ResultsA Mann-Whitney U test was used to analyze the group differences, and it showed that there was a statistically significant difference (p < .05) between the experimental and control groups on the DEMMI and the BI.ConclusionAdditional weekend physiotherapy significantly improves elderly patients’ physical function and gets them physically ready for discharge when medically stable. This may significantly reduce the alternate level of care for patients.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-05-04T10:47:00Z
      DOI: 10.1177/23337214221100072
      Issue No: Vol. 8 (2022)
  • Trends in Location of Death Among Older Adult Americans After Falls

    • Authors: Sarah H. Cross, David M. Anderson, Christopher E. Cox, Suresh Agarwal, Krista L. Haines
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Introduction: Fall-related mortality is increasing among older adults, yet trends and changes in the location of fall-attributed deaths are unknown; additionally, potential disparities are understudied. Methods: To assess trends/factors associated with place of death among older adult fall deaths in the US, a cross-sectional analysis of deaths using mortality data from 2003–2017 was performed. Results: Most deaths occurred in hospitals, however, the proportion decreased from 66.4% (n = 9,095) to 50.7% (n = 15,817). The proportion occurring in nursing facilities decreased from 15.9% (n = 2175) to 15.3% (n = 4,778), while deaths at home and in hospice facilities increased. Male, Black, Native American, and married decedents had increased odds of hospital death. Conclusion: As fall deaths increase among older adults, end-of-life needs of this population deserve increased attention. Research should explore needs and preferences of older adults who experience falls and their caregivers to reduce disparities in place of death and to ensure high quality of care is received.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-04-28T05:27:02Z
      DOI: 10.1177/23337214221098897
      Issue No: Vol. 8 (2022)
  • Exploring Differences in Older Adult Accelerometer-Measured Sedentary
           Behavior and Resting Blood Pressure Before and During the COVID-19

    • Authors: Mikael Anne Greenwood-Hickman, Jing Zhou, Andrea Cook, Kayne D. Mettert, Bev Green, Jennifer McClure, David Arterburn, Stefani Florez-Acevedo, Dori E. Rosenberg
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Older adults have higher sedentary behavior (SB), lower physical activity, and are particularly susceptible to negative impacts from the COVID-19 pandemic and associated public health restrictions. Pandemic impacts to SB and health, particularly via objective assessment, are not well documented in the literature. Here we described differences in SB, physical activity, and blood pressure (BP) for older adults before and during the pandemic. Baseline thigh-worn activPAL accelerometer and BP measurements from 95 participants enrolled in a SB intervention trial pre-pandemic were compared to 60 enrolled post-pandemic. We used linear regression models adjusted for demographic and health factors to estimate differences in sample means of SB measures and BP. The post-COVID sample was older (age 67 vs. 70), more female (60% vs. 72%), and included more individuals of color (21% vs. 32%). In fully adjusted models, systolic BP was statistically significantly higher in the post-COVID group (6.8, 95% CI: [0.3,13.3]). After adjustment, activPAL-measured and self-reported activity were non-significant but trended towards greater total sitting (0.4 hours [−0.3, 1.1]), fewer daily steps (−270 [−1078, 538]), and greater self-reported TV time (0.4 hours, [-0.3, 1.1]) post-COVID. Future analyses are warranted to better quantify these impacts and guide clinical care and future interventions.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-04-27T11:42:18Z
      DOI: 10.1177/23337214221096007
      Issue No: Vol. 8 (2022)
  • Social Support, General Self-Efficacy, Fear of Falling, and Physical
           Activity Among Older Adults in a Middle-Income Country

    • Authors: Emmanuel C. Okoye, Ifeoma U. Onwuakagba, Cynthia C. Akile, Uchenna P. Okonkwo, Christopher O. Akosile, Ukamaka G. Mgbeojedo, Taiwo J. Oyewumi, Oluwaseun S. Kubeyinje
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Objectives: To investigate the levels and interrelationships between fear of falling (FOF), physical activity (PA), social support (SS), and general self-efficacy (GSE) among older adults in a Nigerian community. Methods: This was a cross-sectional survey involving 100 older adults (65.0% females; mean age = 74.25 ± 8.01 years) consecutively recruited from Nnewi community. Participants’ FOF, PA, GSE, and SS were assessed using standardized questionnaires. Data were analyzed using descriptive statistics, Spearman rank order correlation, and structural equation modeling at a 0.05 level of significance. Results: The participants’ mean FOF, PA, GSE, and SS scores were 15.22 ± 7.43 (fearful), 114.76 ± 90.18 (low), 21.64 ± 8.25 (low) and 5.72 ± 1.19 (high) respectively. There were significant correlations between each pair of FOF, PA, GSE, and SS scores of the participants (p < .05). FOF and GSE were significant predictors of PA while GSE and SS were significant predictors of FOF. Conclusion: FOF and SS were high while PA and GSE were low in this sample of Nigerian older adults. Significant correlations existed between FOF, SS, GSE, and PA, with FOF and GSE being predictors of PA while GSE and SS significantly predicted FOF. Measures should be geared towards reducing FOF and improving PA, GSE, and SS in this group.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-04-23T08:23:48Z
      DOI: 10.1177/23337214221097750
      Issue No: Vol. 8 (2022)
  • Addressing Online Health Privacy Risks for Older Adults: A Perspective on
           Ethical Considerations and Recommendations

    • Authors: Ari B. Friedman, Chris Pathmanabhan, Allen Glicksman, George Demiris, Anne R. Cappola, Matthew S. McCoy
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      The rise in online health information seeking among older adults promises significant benefits but also presents potentially serious privacy risks. In light of these risks, we argue that ongoing research and advocacy aimed at promoting online health information seeking among older adults must be coupled with efforts to identify and address threats to their online privacy. We first detail how internet users reveal sensitive health information to third parties through seemingly innocuous web browsing. We then describe ethical concerns raised by the inadvertent disclosure of health information, which include the potential for dignitary harms, subjective injuries, online health scams, and discrimination. After reviewing ways in which existing privacy laws fail to meet the needs of older adults, we provide recommendations for individual and collective action to protect the online privacy of older adults.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-04-21T12:31:09Z
      DOI: 10.1177/23337214221095705
      Issue No: Vol. 8 (2022)
  • Social Participation Benefit in Elderly Patients With Diabetes: A Scoping

    • Authors: Satoshi Ida, Kazuya Murata
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Aims: To conduct a scoping review on the proportion of social participation in elderly patients with diabetes and related factors to clarify what is known and what needs to be addressed in the future. Methods: Literature searches were conducted using MEDLINE, Web of Science, CINAHL, CiNii, and Ichu-shi. Articles that surveyed social participation in elderly patients with diabetes were included. Social participation was defined as participation in community activities/groups (exercise, sports, hobbies, volunteer activities, neighborhood associations, senior citizens associations, and political and religious organizations). Results: The mean age of the subjects was 67 years, and 42% were women. The percentage of social participation was 13%–36%. Moreover, factors contributing to social participation included self-management of treatment, lifestyle, mobility, subjective assessment of health, and quality of life. Conclusion: This study showed the percentage of social participation in elderly patients with diabetes and related factors. Further study is required to evaluate the causal relationship, the mechanism between social participation and contributing factors, the relationship between social participation and other outcomes, and several stratified analyses in elderly patients with diabetes.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-04-19T02:29:31Z
      DOI: 10.1177/23337214221093887
      Issue No: Vol. 8 (2022)
  • Keeping Your Glass Half Full: Cognitive Strategy Intervention for Older

    • Authors: Thomas M. Vorwerk, Shelton T. Shelton, Ralph W. Hood
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      When older adults experience memory dysfunction it often compromises their confidence. Older adults’ confidence in their memory can be improved through interventions designed to teach strategies for improving everyday memory functioning. The present study examines the efficacy of a five-session cognitive strategy program designed to be optimistic and inclusive for older adults living in a residential community. The memory self-efficacy of participants in the intervention group improved significantly relative to a control group. Additionally, participants’ knowledge of memory strategies improved overall after completion of this program. Such findings highlight the benefits of practical cognitive-behavioral interventions for bolstering older adults’ confidence and knowledge of memory strategies.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-04-16T12:48:14Z
      DOI: 10.1177/23337214221089178
      Issue No: Vol. 8 (2022)
  • A Comprehensive Oral Intake Evaluation Tool (the Kuchi-kara Taberu Index)
           Facilitated Functional Eating Rehabilitation: A Case Report in a Frail
           Older Patient with Malnutrition and Suspected Iatrogenic Sarcopenia

    • Authors: Yoshifumi Hidaka, Satomi Watanabe, Yumiko Nishikawa, Iroha Irie
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Frail older hospital patients are susceptible to malnutrition and iatrogenic sarcopenia. This can be linked to the decreased appetite and oral intake that can arise in largely bed-bound patients who do not get up even for rehabilitation and meals. The KT index was devised as an easy-to-use evaluation tool to address oral intake issues, and it has potential utility for expediting a multidisciplinary comprehensive rehabilitation program. To our knowledge, no reports have described real-world evidence on multidisciplinary team interventions with this tool. Herein, we report the case of a frail older patient whose oral intake improved following a KT Index-based intervention.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-04-12T11:04:59Z
      DOI: 10.1177/23337214221090284
      Issue No: Vol. 8 (2022)
  • Ageism and Psychological Well-Being Among Older Adults: A Systematic

    • Authors: Hyun Kang, Hansol Kim
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Ageism may have harmful effects on the psychological well-being of older adults, leading to mental health issues, such as depression and anxiety. However, there are insufficient data to establish this hypothesis, and most work on the subject has appeared only in the form of conceptual or theoretical papers. This study reviewed quantitative studies of the relationship between ageism and psychological well-being of older adults. We conducted a comprehensive review using searches of academic databases, the grey literature, hand searches, and reference mining. A total of thirteen articles were selected using the inclusion criteria. All the reviewed studies showed a negative association between ageism and the psychological well-being of older adults. The study confirmed a negative association between ageism and older adults’ psychological well-being, finding that older adults with a high level of psychological well-being may be less negatively affected by ageism, especially those who were proud of their age group, experienced less negative emotions, were more optimistic about aging and their future, were more self-confident about their bodies, and were flexible in setting goals. The identified mediators of the association can inform intervention development to the effects of ageism and improve older adults’ psychological well-being.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-04-12T02:45:10Z
      DOI: 10.1177/23337214221087023
      Issue No: Vol. 8 (2022)
  • Lived Experiences of Older Adults in the COVID-19 Pandemic in a Teaching
           Hospital in Ghana

    • Authors: Irene K. Aboh, Andrew L. Arthur, Philomina Woolley
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      AimThe study sought to assess the impact or lived experiences of COVID-19 pandemic on older adults in the midst of the COVID-19 pandemic in a Teaching Hospital in Ghana.MethodsThe study employed an explorative qualitative research design where older adults were purposively identified and recruited to partake in in-depth interviews from April to June 2021. They were located in the hospital environment where they came for review or physician attention. 10 out of 20 of these population were successfully used as saturation was reached and data was analyzed thematically.ResultThe results of the study showed that a considerable number of older adults who receive care from the Hospital were knowledgeable of COVID-19 and demonstrated a positive attitude towards it by being sensitive to the appropriate preventive measures. Almost all the participants had heard of COVID-19, knew what it was, its mode of transmission and knew of the fact that asymptomatic persons could spread or transmit the disease and its prevention. They also believed that following proper handwashing with soap under running water, maintaining social distance, wearing of nose masks, using of hand sanitizers, avoiding crowded places, and consuming balanced diets as well as Vitamin C to boost the immune system are helpful. And, most of them received help from their partners, family, children, friends, healthcare professionals, and the media.ConclusionCOVID 19 has brought a new dimension to how people relate and interact with each other. Literature documents that older adults were at risk of the disease and fatality rate of the disease was high. This created anxiety and it was evident that this anxiety was handled differently.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-04-11T08:02:33Z
      DOI: 10.1177/23337214221094195
      Issue No: Vol. 8 (2022)
  • Understanding Physical Activity Differences Among Older Adults: Validating
           a Proposed Typology of Physical Activity as a Tool to Increase Physical
           Activity by Older Adults

    • Authors: Amanda Grimes, Carol Kachadoorian
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      ObjectiveBeing physically active as one ages benefits both physical and mental health and remains a public health need. A typology to understand older adults’ PA level and intentions can be vital to developing strategies to promote PA.MethodsThe researchers developed a comprehensive interview guide and interviewed adults 50 years and older (n=232) to test the validity of the four-type typology (1). Frail, (2). Ambivalent, (3). Aspiring, (4). Active).ResultsThe Kruskal–Wallis test and the Bonferonni post hoc analysis indicated that there were significant differences between types and for each PA category measured, revealing a continuum of PA levels by type and confirmed the four types within this continuum.DiscussionThe validated typology and the associated tool can be used to identify and implement built environment improvements and interventions aimed to support PA needs of older adults.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-04-11T05:36:37Z
      DOI: 10.1177/23337214221094187
      Issue No: Vol. 8 (2022)
  • The Recovery After COVID-19 in Nursing Home Residents

    • Authors: Inge E. J. van der Krogt, Eefje M. Sizoo, Anouk M. van Loon, Simone A. Hendriks, Martin Smalbrugge
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      IntroductionMany nursing homes (NHs) are affected by COVID-19 and 30-day mortality is high. Knowledge on recovery of NH residents after COVID-19 is limited. Therefore, we investigated the trajectory in the first three months after a COVID-19 infection in NH residents.MethodsRetrospective observational cohort study of Dutch NH residents with COVID-19 between 1 September 2020 and 1 March 2021. Prevalence of COVID-19 symptoms and functioning was determined using interRAI (ADL-Hierarchy Scale (ADL-HS), Cognitive Performance Scale (CPS) and Revised Index of Social Engagement (RISE)) at four time points. Descriptive and pattern analyses were performed.ResultsEighty-six residents were included. Symptom prevalences after three months were higher than at baseline. At group level, functioning on all domains deteriorated and was followed by recovery towards baseline, except for ADL functioning. There were four trajectories; 9.3% had no deterioration. Total and partial recovery occurred in respectively 30.2% and 55.8% of the residents. In 4.7% there was no recovery.ConclusionIn 86% of NH residents surviving three months after COVID-19, occurrence of COVID-19 symptoms and deterioration in functioning was followed by recovery. COVID-19 symptoms fatigue and sleeping behaviour were significantly more prevalent, and ADL functioning was significantly lower, at three months compared to baseline.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-04-11T05:28:15Z
      DOI: 10.1177/23337214221094192
      Issue No: Vol. 8 (2022)
  • The Social Bridging Project: Intergenerational Phone-Based Connections
           With Older Adults During the COVID-19 Pandemic

    • Authors: Louise W. Noble, Emma Olson, Tasha Woodall, Jeff Jones, Thomas Smythe, Cathy Whitlock, Meredith Silver, Lyndi Hewitt, Amy J. Lanou
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Millions of Americans aged 65+ are socially isolated and millions more report feeling lonely. Social isolation and loneliness in older adults were compounded by stay-at-home orders and other COVID-19 prevention measures. Although many Americans experienced no difficulties transitioning to the use of electronic devices as their primary means of communication and connection, some older adults were not similarly able to espouse this shift. Our aim was to reduce the impact of social isolation on older adults, increase their comfort in expressing feelings of loneliness, and assist them in acquiring technology skills and accessing telehealth and community supports. Participants received wellness calls for conversation, resource access and technology-based support. Most participants reported decreased loneliness and increased connectedness after the calls; half reported increased ease in expressing their feelings. Programs that provide phone-based support for older adults may reduce loneliness and increase social connectedness.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-04-05T03:49:55Z
      DOI: 10.1177/23337214221083473
      Issue No: Vol. 8 (2022)
  • COVID-19 and the Vulnerabilities of Community-Dwelling Other Adults:
           Findings From a Statewide Survey of Home-Delivered Meals Recipients*

    • Authors: Julie L. Masters, Lindsay R. Wilkinson, Christopher M. Kelly, Miechelle McKelvey, Ladan Ghazi Saidi, Toni L. Hill, David Drozd, Heng Wu, Taylor O’Brien
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      COVID-19’s impact on community-dwelling older adults, especially those in rural and underserved areas, as well as those who are homebound, is of interest to policy makers and clinicians, now and in the future. This study aims to examine the consequences of the COVID-19 pandemic on community-dwelling older adults with the greatest social and economic needs residing in a mostly rural state. Using a self-administered survey, we collected data from 1852 home-delivered meal recipients, age 60 years and older, served by Nebraska’s eight Area Agencies on Aging. Results highlight three areas of importance: social connections, healthcare access and utilization, and technology. We found that while most older adults maintained social interaction, despite the restrictions imposed by the pandemic, feelings of loneliness persisted or even increased, with 35% of respondents feeling lonelier because of the pandemic. Our findings further reveal that 42% of older adults skipped or postponed healthcare visits during the pandemic, although the majority expressed interest in using telehealth. Finally, the rural‐urban divide was evident in our data, with less than one-half of respondents (45%) having access to reliable internet. Suggestions on how to prepare the most vulnerable people for similar crises are included.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-04-01T08:36:00Z
      DOI: 10.1177/23337214221086465
      Issue No: Vol. 8 (2022)
  • Investigating the Relationship Between Perception and Attitude With
           Responsibility for Elderly Care in Nurses of Emergency Wards of Ardabil
           Hospitals in 2020

    • Authors: Indira Modarres Sadraei, Behrouz Dadkhah, Mohammad Ali Mohammadi
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Nurses’ knowledge, attitudes, and their professional responsibility regarding elderly people are vital determinants in delivery of quality care for older people. Thus, this study aimed to identify the perception and attitude of nurses toward elderly care and their correlation with professional responsibility in nurses working in emergency departments. This descriptive-correlational study was conducted on 252 nurses working in the emergency departments of five general hospitals located in the province of Ardabil, Iran. Data was collected a demographic questionnaire and standard questionnaire of nursing care for the elderly of Persoon et al. The majority of nurses reported a positive knowledge and attitude towards elderly care. Only half of the nurses had a desirable professional responsibility towards elderly care. Based on the results of multivariate regression model, the variables of knowledge, attitude, age, work experience, and previous care of older client had a significant relationship with nurses ‘professional responsibility for elderly care (p < 0.01). Knowledge, attitude, age, and previous history of elderly care are significant determinants for professional responsibility towards elderly care; therefore, periodical evaluation of elderly care and its related factors can help the hospital managers to construct the basics of healthcare delivery for older people in emergency departments.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-03-30T10:48:59Z
      DOI: 10.1177/23337214221087094
      Issue No: Vol. 8 (2022)
  • Linking Problems Reported by Care Partners of Individuals With
           Alzheimer’s Disease and Lewy Body Dementia to the International
           Classification of Functioning Disability and Health

    • Authors: Chung Lin Kew, Shannon B. Juengst, Brendan Kelley, Candice L. Osborne
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      AimThis study aims to classify, describe, and compare the problems reported by care partners of adults with Alzheimer’s disease (AD) and Lewy body dementia (LBD) using the International Classification of Functioning Disability and Health (ICF)MethodsProblems that care partners experience were collected during a problem-solving training intervention. The meaningful concepts were then extracted and linked to the ICF using a standardized linking technique.Results402 meaningful concepts were extracted from 128 problems reported by care partners. 79.4% of the concepts were linkable to the ICF. “Body functions” was most frequently addressed followed by “Activities and participation.” LBD care partners reported more problems (M = 23.6 ± 13.4) on average than AD care partners (M = 19.4 ± 12.1). LBD care partners reported greater relative proportions of problems in mental function (emotional and sleep functions) than AD care partners.ConclusionThis study suggests that the experience of LBD care partners may include significantly more challenges and may be more emotionally demanding than the care experience of AD care partners. Interventions designed to support care partners of adults with dementia may need to be tailored to meet the needs of care partners based on the care receiver’s type of dementia.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-03-30T02:45:03Z
      DOI: 10.1177/23337214221086810
      Issue No: Vol. 8 (2022)
  • Comparison Between the Physical Performance Test and the Clinical Frailty
           Score in Adult Patients With Chronic Kidney Disease Treated by

    • Authors: Andrew Davenport
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Elderly patients with chronic kidney disease treated by haemodialysis are at increased risk of malnutrition and cachexia, becoming frail, with associated greater mortality. The physical performance test (PPT), using nine tasks to assess multiple domains of physical function is robust and reproducible, but time consuming, whereas the clinical frailty score (CFS) is more rapid. We compared the results from independent blinded observers in 22 haemodialysis patients, 16 (72.7%) male, mean age 65 ± 12.5 years. The PPT and CFS scores were highly correlated (r = −0.88, p < .001), with a high level of agreement (kappa score 0.91) for classifying patients as frail. Both scores were strongly associated with serum creatinine (PPT r=0.76, CFS r=−0.86, p < .001), hand grip strength (PPT r = 0.68, p = .001 CFS r = 0.64, p = .002), lean body mass index (PPT r = 0.50, p = .02, CFS r = −0.46, p = .038). We found that the CFS performed favourably compared to the PPT for haemodialysis patients in identifying and screening patients for frailty.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-03-28T09:50:21Z
      DOI: 10.1177/23337214221085875
      Issue No: Vol. 8 (2022)
  • Lessons Learned From the COVID-19 Pandemic as Experienced by Older Adults
           Treated for COVID-19

    • Authors: Ruth E. Pel-Littel, Diny E. Stekelenburg, Hanna C. Willems, Steffy W.M. Jansen, Jan Festen, Carolien M.J. van der Linden
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      BackgroundIn order to provide the best care, the perspective of older COVID-19 patients must be involved in the development of treatment protocols. This study describes the experiences of older adults affected by COVID-19 who recovered in the hospital or at home.MethodsQualitative semi-structured interviews were conducted with 23 older adults affected by COVID-19. A content-based thematic analysis was conducted.ResultsNine categories were identified as recurring topics, which were grouped into three major themes. The first theme describes experiences in the first phase of the disease when older adults fell ill. The second theme includes experiences during the illness, ranging from illness severity to participation in decision-making, communication barriers and isolation effects. The final theme covers the recovery course, residual symptoms and social aspects.ConclusionOlder adults treated for COVID-19 experienced a feeling of being in a fast-paced whirlwind and lost total control over the situation. Extra attention should be paid to shared decision making, coordinated information provision and the instalment of a primary contract to the patient. The uncertainty of their situation, isolation measures and fears could result in psychological consequences and hinder rehabilitation in older adults.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-03-27T11:07:27Z
      DOI: 10.1177/23337214221086831
      Issue No: Vol. 8 (2022)
  • A Preliminary Study on Self-Healing and Self-Health Management in Older
           Adults: Perspectives From Healthcare Professionals and Older Adults in

    • Authors: Kuei-Hui Chu, Heng-Hsin Tung, Daniel L Clinciu, Hua-I Hsu, Yi-Chen Wu, Ching-I Hsu, Shu-Wei Lin, Shi-Jun Pan
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      The human body has tremendous self-healing capacity and regeneration after injuries and pathogen invasions. These factors are particularly important in older adults which take longer to heal and recover physically. In addition to clinical investigations, perspectives from both experts in the field and the living experiences of the general public could play significant roles to enhance the body’s healing mechanisms in older adults. A semi-structured interview was conducted which included 15 participants (9 experts and 6 older adults aged 65 years and older). Content analysis with an inductive approach was employed about participants’ experiences and perspectives. All participants in this study revealed that self-healing mechanisms can be enhanced through physiological, psychological, and socio-environmental factors. When more of these factors can be integrated into a recovery management plan, it can hasten self-healing in older adults. Social capability has a profound impact on an individual’s mental health while oral health and hygiene significantly affect the nutritional intake status. In regards to physical aspects, regular daily activity patterns, nutritious eating, moderate exercise, and sleep quality are significant, while psychological aspects such as cheerfulness, positive attitudes, and good interpersonal relationships can help control chronic diseases.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-03-25T06:13:14Z
      DOI: 10.1177/23337214221077788
      Issue No: Vol. 8 (2022)
  • Fruit and Vegetable Intake Among Older African American and Hispanic
           Adults With Cardiovascular Risk Factors

    • Authors: Lucy W. Kibe, Mohsen Bazargan
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      African Americans and Hispanics are disproportionately burdened by cardiovascular risk factors including hypertension, diabetes mellitus, and obesity. There is evidence that fruits and vegetables have protective benefits for cardiovascular health. Factors associated with fruit and vegetable intake among older minority adults are not well established. A cross-sectional analysis of African American and Hispanic adults >55 years with diagnosis of hypertension and/or diabetes was conducted. Daily intake of fruits and vegetables was analyzed by socio-demographic, health status, health behaviors, and access to fruits and vegetables. 77% of participants did not meet the United States Department of Agriculture ≥5 a day serving guidelines. Fruit and vegetable consumption was not associated with having hypertension or diabetes. Body mass index >25 and regular exercise were significantly associated with more vegetable intake, but not fruit. African Americans consumed significantly less fruits and vegetables than Hispanics. Among those with access to fruits and vegetables, 78% did not meet the guidelines. Many older African American and Hispanic adults with cardiovascular disease risk factors do not meet the fruit and vegetable intake guidelines. Inadequate intake is worse among African Americans, sedentary, and non-overweight/obese adults. Studies are needed to understand the barriers associated with fruit and vegetable intake in this population.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-03-22T06:33:09Z
      DOI: 10.1177/23337214211057730
      Issue No: Vol. 8 (2022)
  • Reliability of the ICECAP-O Quality of Life Scale With Community-Dwelling
           People With Dementia

    • Authors: Iram Bibi, Remco Polman, Samuel R. Nyman
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Currently, measures of quality of life used with older people with dementia (PWD) are mainly health related. Health is not an actual attribute of but a means to attain quality of life. The Investigating Choice Experiments for the Preferences of Older People - CAPability index (ICECAP-O) measures attributes of quality of life. While its construct validity has been tested with PWD, no study has yet published data on the reliability of this scale used directly with PWD. In this study, we tested the external (test-retest) reliability of the ICECAP-O with 54 community-dwelling older PWD from the south of England. The ICECAP-O had acceptable test-retest reliability (r = .68, p < .01 and r = .56, p < .01 for raw and tariff scores, respectively). This suggests that the ICECAP-O is both a reliable and valid measure of quality of life for use directly with community-dwelling PWD.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-03-22T03:03:01Z
      DOI: 10.1177/23337214221086802
      Issue No: Vol. 8 (2022)
  • Dual Caregivers of Persons living with Dementia: The Added Stress of
           COVID-19 Pandemic

    • Authors: Emily Atkinson, Jyoti Savla, Karen A. Roberto, Rosemary Blieszner, Brandy R. McCann, Aubrey L. Knight
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Serving in dual caregiving roles presents challenges and has consequences for caregivers’ physical and mental health. Forty-six dual caregivers in rural southwest Virginia participated in one semi-structured telephone interview pre-pandemic. Of these caregivers, nine dual caregivers of multiple older adults (MOA) and six caregivers of multiple generations (MG) participated in two telephone interviews during the COVID-19 pandemic. Pre-pandemic health, stress, and support data were used to compare dual caregivers of MOA and MG; differences were minimal. Responses to interviews conducted during the pandemic highlighted the effects of social restrictions on MOA and MG caregivers, revealing five themes (1) Increased isolation, (2) Increased need for vigilance, (3) Negative impact on mental health, (4) Tendency to “do it all,” and (5) Increased informal help. MOA and MG caregivers differed on managing care responsibilities and ensuring the health of care recipients. In general, dual caregivers experienced decreased mental health, increased social isolation, and increased caregiving responsibilities. Antecedents of the pandemic experiences differentiated MOA and MG caregiver. Findings suggest that programs and services should target dual caregivers’ unique needs.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-03-18T10:31:49Z
      DOI: 10.1177/23337214221081364
      Issue No: Vol. 8 (2022)
  • STEADI Self-Report Measures Independently Predict Fall Risk

    • Authors: Katherine Ritchey, Amanda Olney, Sunny Chen, Elizabeth A. Phelan
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Falls are a significant contributor to disability and death among older adults. Despite practice guidelines to increase falls screening in healthcare settings, preventive care for falls continues to be infrequently delivered. Simplifying screening by relying on self-report of balance, gait, or strength concerns, alone may increase the frequency of falls screening. We assessed the diagnostic accuracy of self-report measures of gait, strength, and balance from the Centers for Disease Control and Prevention’s Stopping Elderly Accidents, Deaths, and Injuries (STEADI) for identification of fall risk. The criterion standard for fall risk was the Timed Up-and-Go (TUG). Assessments were conducted with 95 adults aged 65 years or older in an outpatient osteoporosis clinic between May 2015 and September 2016. Receiver operating characteristic curve analysis found that two self-report questions (“I feel unsteady with walking” and “I need my arms to stand from a chair”) had high discriminatory ability (AUC 0.906; 95% CI 0.870–0.942) to identify those at high fall risk; additional questions did not substantially improve discrimination. These findings suggest that two self-report questions identify those at risk of falling who would benefit from interventions (e.g., physical therapy). Performance testing as part of routine falls screening of older persons in the outpatient setting may be unnecessary.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-03-14T03:51:53Z
      DOI: 10.1177/23337214221079222
      Issue No: Vol. 8 (2022)
  • Socioeconomic Effects on Psychosocial Factors Among Low-Income Older

    • Authors: Lana Sargent, Faika Zanjani, Jodi Winship, Tracey Gendron, Marissa Mackiewicz, Ana Diallo, Leland Waters, Kimberly Battle, Gregory Ford, Katherine Falls, Jane Chung, Elvin T. Price, Melissa Cisewski, Pamela Parsons, VCU iCubed Health
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Objectives: Older adults have been disproportionately affected by COVID-19. The primary goal of this study is to determine the socioeconomic effects on psychosocial factors among low-income independent-living older adults, in an urban setting, during the COVID-pandemic. Methods: Participants were recruited through Virginia Commonwealth University’s Richmond Health and Wellness Program. Telephone surveys (n=100) were conducted using the Epidemic – Pandemic Impacts Inventory Geriatric with the Racial/Ethnic Discrimination addendum. Responses were analyzed for income and education effects across seven domains: home life, social activities/isolation, economic, emotional health-wellbeing, physical health, COVID-infection history, and positive change behaviors/experiences. Results: The sample population was between 51 and 87 years of age, 88% were Black, 57% reported incomes of $10,000/year or less, and 60% reported a high-school education or less. There were income effects for social activities/isolation (f = 3.69, p
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-03-13T07:39:11Z
      DOI: 10.1177/23337214221084866
      Issue No: Vol. 8 (2022)
  • The Influence of Emotional Framing and Graph Complexity on Biases in
           Graphical Memory for COVID-19 Data in a Lifespan Sample

    • Authors: Ouxun Jiang, Mary C. Whatley, Alan D. Castel
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      The coronavirus disease 2019 (COVID-19) is one of the biggest recent threats to public health. People rely on news for up-to-date information during such major events, but news is often emotional in nature, which can affect how we learn and remember information. Additionally, graphs are widely used in news, but comprehension and memory for graphical information can be influenced by various factors, including emotions. We tested how the emotional framing of news would affect graphical memory across the lifespan. Participants studied a graph showing the number of weekly or daily new COVID-19 deaths after reading COVID-19 news framed as more positive or negative. Participants also reported their attitudes toward the pandemic, political leaning, news consumption habits, mood, and need for cognition. There was no overall difference in memory across conditions or age, but memory was more biased by the emotional framing of the news when the graphs were less visually complex. A number of exploratory correlations are also discussed. The findings indicate that framing news with a more positive or negative lens can bias understanding of and memory for related graphical information in some cases and can have implications for improving media literacy and public health compliance.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-03-12T12:36:19Z
      DOI: 10.1177/23337214221082763
      Issue No: Vol. 8 (2022)
  • Mind-Body Practice, Personality Traits, and Cognitive Performance: A
           10-Years Study in US Adults

    • Authors: Kallol Kumar Bhattacharyya, Debra Dobbs, Gizem Hueluer
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      It is widely established that physical activity is associated with better cognitive outcomes, and accumulating evidence suggests that mind-body practice (MBP, e.g., movement therapies such as yoga) may yield similar benefits. Personality is related to both daily activities and cognition, but its role in the association between MBP and cognition is not well understood. Using data from waves 2 and 3 (2004–2014) of the Midlife in the United States (MIDUS) study, the current study examines bidirectional temporal associations between personality traits, MBP, and cognition in healthy adults (N = 2050). We applied a cross-lagged regression analysis to examine bidirectional effects between MBP, Big Five personality traits, and two cognitive domains (episodic memory and executive function) and controlled for relevant variables (sociodemographic factors, health, and functional status) at wave 2. MBP at baseline was independently associated with more favorable change in episodic memory, but not in executive function, both before and after including control variables. Also, episodic memory and executive function at baseline were related to increase in MBP. The findings show that MBP and cognitive function predict each other over time. There is also some evidence for cognition and personality associations over time; however, personality traits are not related to subsequent MBP.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-03-12T03:46:01Z
      DOI: 10.1177/23337214221083475
      Issue No: Vol. 8 (2022)
  • Creating Exercise Spaces in Parks for Older Adults With Fitness,
           Rehabilitation, and Play Elements: A Review and Perspective

    • Authors: Janet Lok Chun Lee, Rainbow Tin Hung Ho
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Parks usually create a protective playground space for children to perform physical activity like jumping, running, and climbing. Specific spaces have rarely been created for older adults to perform physical activity in public parks. Now that park designs increasingly include outdoor exercise spaces for older adults, yet the important elements or considerations when designing this space remain unclear. Here, we present the emerging importance of and evidence for creating well-designed activity spaces for senior citizens in public parks in the era of population aging.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-03-11T01:46:39Z
      DOI: 10.1177/23337214221083404
      Issue No: Vol. 8 (2022)
  • Filial Piety and Mental Health Among Older Chinese Immigrants in the

    • Authors: Sie-Long Cheung, Wim P. Krijnen, Yuanyuan Fu, Cees P. van der Schans, Hans Hobbelen
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Filial piety is important to Chinese adults and is associated with mental health among older Chinese immigrants in the United States. However, it is unclear whether filial piety is linked to the mental health of Chinese immigrants in European countries. Therefore, this study aims to gain insights into the association between mental health and filial piety of first-generation Chinese immigrants in the Netherlands. A random sample of 143 participants took part in the study. A cross-sectional design was used. Data were collected through a postal survey conducted in the Chinese language between January 2021 and March 2021. The survey included a Mental Health Continuum-Short Form (MHC), and expected and perceived filial piety scale. The results indicated that in general, perceived filial piety exceeded expected filial piety (‘filial piety sufficient’). Regression analysis revealed that ‘filial piety sufficient’ is associated with a higher emotional MHC (B =.498, p =.035). This study provided new insights into the wellbeing of older Chinese immigrants in the Netherlands and showed accordance with the literature that filial piety remains an important factor for mental health.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-03-10T03:42:10Z
      DOI: 10.1177/23337214221083470
      Issue No: Vol. 8 (2022)
  • Frailty in Elderly Patients with Covid-19: A Narrative Review

    • Authors: Sara Salini, Andrea Russo, Giuseppe De Matteis, Andrea Piccioni, Davide Della Polla, Luigi Carbone, Christian Barillaro, Francesco Landi, Francesco Franceschi, Marcello Covino
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      IntroductionThe SARS CoV-2 pandemic still generates a very high number of affected patients and a significant mortality rate. It is essential to establish objective criteria to stratify COVID-19 death risk. Frailty has been identified as a potential determinant of increased vulnerability in older adults affected by COVID-19, because it may suggest alterations of physical performance and functional autonomy.MethodsWe have conducted a narrative review of the literature on the evidences regarding COVID-19 and the frailty condition. Thirteen observational studies were included.ConclusionData emerging from the studies indicate that older COVID-19 patients with a frailty condition have an increased risk of mortality compared with non-frail patients, and this association is independent of other clinical and demographic factors. A frailty evaluation is required to help clinicians to better stratify the overall risk of death for older patients with COVID-19.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-03-04T11:39:45Z
      DOI: 10.1177/23337214221079956
      Issue No: Vol. 8 (2022)
  • The Text4HealthyAging Program: An Evidence-Based Text Messaging Innovation
           to Support Healthy Urban Aging in Canada and Australia

    • Authors: Ejemai Eboreime, Arto Ohinmaa, Benjamin Rusak, Keri-Leigh Cassidy, Jason Morrison, Patrick McGrath, Rudolf Uher, Sandra Meier, Marie-Josee Fleury, Srividya N. Iyer, Soham Rej, Frances Batchelor, Pazit Levinger, Christa Dang, Malcolm Hopwood, Francis N. L. Acquah, Janet Dzator, Gail Tomblin Murphy, Jordan Warford, Lori Wozney, Isabelle Vedel, Jacqueline Gahagan, Olga Theou, Prosper Koto, Tara Sampalli, Susan Kirkland, Nicholas Watters, Vincent I. O. Agyapong
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Age-friendly cities are crucial to achieve the WHO goal of healthy aging. Such cities promote opportunities for health, participation, and security, thus enhancing quality of life as people age. Older people commonly experience psychosocial challenges such as anxiety, depression, substance abuse, loss of autonomy, grief, fear, and loneliness. Australian and Canadian cities continue to seek innovation to improve healthy urban aging and create more age-friendly environments for older adults. There is increasing evidence on the effectiveness and feasibility of mobile technology in health promotion and closing psychological treatment gaps. Older adults have been demonstrated to engage frequently with mobile devices, particularly text messaging. In this article, we conceptualize the Text4HealthyAging, an evidence-based text messaging innovation to support healthy urban aging in Canadian and Australian cities.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-03-01T10:12:15Z
      DOI: 10.1177/23337214221081378
      Issue No: Vol. 8 (2022)
  • The Digital Divide Exacerbates Disparities in Latinx Recruitment for
           Alzheimer’s Disease and Related Dementias Online Education During

    • Authors: Ángela Gutiérrez, Rosalba Cain, Nadine Diaz, María P. Aranda
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Latinx adults experience a high burden of dementia. Given that modifiable factors drive dementia disparities, engaging Latinxs in Alzheimer’s disease and related dementias (ADRD) education is critical to address dementia burden among this aging population. Yet, no studies have documented the role of the COVID-19 pandemic on dementia education among Latinxs. This study: (1) elucidates the recruitment and retention processes targeting Latinxs for online educational events during the pandemic; (2) describes facilitators/barriers to participation; and (3) offers lessons learned. We developed online dementia-focused workshops (English and Spanish) and employed a cold-calling approach to invite Latinx participants enrolled in clinical studies (N = 209). Bivariate tests assessed demographic and cognitive differences between those who recruiters did (n = 60) and did not (n = 149) successfully engage. Frequency counts assessed participants’ technological access. Only 8/209 attended the online events; all held university degrees, most reported English as their primary language, and none experienced cognitive impairment. Results underscore how educational attainment, cognitive impairment, language preference, and age intersect to shape recruitment in dementia-focused online education. To promote healthy aging and to ameliorate dementia disparities, barriers to online engagement among older Spanish-speaking Latinxs with cognitive impairment and low educational attainment must be addressed.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-03-01T09:58:55Z
      DOI: 10.1177/23337214221081372
      Issue No: Vol. 8 (2022)
  • Psychological Resilience and Cognitive Function Among Older Military

    • Authors: Justin T. McDaniel, Erin R. Hascup, Kevin N. Hascup, Mehul Trivedi, Harvey Henson, Robert Rados, Mary York, David L. Albright, Taryn Weatherly, Kaitlyn Frick
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      The purpose of this study was to explore the association between psychological resilience and cognitive function in military veterans. We obtained public-use data from the Health and Retirement Study (HRS) for this cross-sectional study of military veterans aged 52 to 101 years (n = 150). We estimated a multivariable linear regression model in which cognitive function served as the dependent variable and psychological resilience served as the independent variable. After controlling for demographics, health conditions, and health behaviors, veterans who had higher psychological resilience scores had better cognitive function (b = 0.22, p = 0.03). Our findings suggest that psychological resilience may be associated with cognitive function among veterans. These findings highlight the importance of assessing psychological resilience in gerontological social work practice.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-02-28T12:18:06Z
      DOI: 10.1177/23337214221081363
      Issue No: Vol. 8 (2022)
  • COVID-19 and Healthcare Challenges for Older Adults in Colombia

    • Authors: William Arbey Gutiérrez Cortes
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.

      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-02-25T12:09:10Z
      DOI: 10.1177/23337214211040313
      Issue No: Vol. 8 (2022)
  • COVID in Context: The Lived Experience of Richmond’s Low-Income
           Older Adults

    • Authors: Jodi M. Winship, Tracey Gendron, Leland Waters, Jane Chung, Kimberly Battle, Melissa Cisewski, Melody Gregory, Lana Sargent, Faika Zanjani, Patrica Slattum, Marissa Mackiewicz, Ana Diallo, Gregory Ford, Katherine Falls, Elvin T. Price, Pamela L. Parsons
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Taking a phenomenological approach, this qualitative study describes the lived experiences of low-income older adults during the COVID-19 pandemic. A socio-ecological model was used to organize the five identified themes describing the lived experience: socio-economic context, Black Lives Matter and the politics of race, COVID and polarized views of COVID, interpersonal context (social connections), and individual context (feelings, beliefs, and behaviors). Study findings illustrate the intersectionality of contextual influences on the experience of low-income older adults. Study participants demonstrated remarkable resilience and coping strategies developed in response to the challenges they experienced throughout their lifetime which benefited them when faced with the pandemic, social unrest, and political events that took place in 2020. This study highlights the importance of understanding the larger context of COVID-19 which has significant implications for policy makers and public health leaders.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-02-25T08:47:43Z
      DOI: 10.1177/23337214221079208
      Issue No: Vol. 8 (2022)
  • Aging and Gait Function: Examination of Multiple Factors that Influence
           Gait Variability

    • Authors: Hope E. Gamwell, Seaver O. Wait, Jackson T. Royster, Brody L. Ritch, Sarah C. Powell, Jared W. Skinner
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      This investigation aimed to identify parameters of reduced functionality that are responsible for variations in the normal gait cycle. Sixteen older adults (55–85 years; nine males) and eighteen young adults (18–40 years; eight males) were enrolled. Assessments included walking trials, questionnaires, and assessed maximal and submaximal dorsiflexors (DF) and plantar flexors (PF) force. Multiple relationships were found between the muscular capabilities of the ankle and gait variability in older adults. For both the DF and PF muscles, the older adults produced significantly lower maximal force production and higher levels of force variability than younger adults; physical activity (PA) level was also significantly correlated. The reduction in muscular strength was concurrent with increased force variability and deficits in spatiotemporal gait parameters, suggesting an age-related worsening of the central motor control. Our results found that PA engagement could preserve gait quality and independence. These are essential considerations for further research on the cause and reduction of falls in older adults.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-02-25T02:45:00Z
      DOI: 10.1177/23337214221080304
      Issue No: Vol. 8 (2022)
  • Depression: Determinants That Influence the Mental Health of Older People
           (60 Years +) in Botswana

    • Authors: Tiro Bright Motsamai, Magen Mhaka-Mutepfa
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Correlates of depression in older people were explored in this study. The prevalence of depression was also calculated. Data were collected using a cross-sectional study stratified by district in urban and rural Botswana using the Patient Health Questionnaire. A snowballing technique was utilized to recruit older participants (N = 378; age = 71.8; SD = 9.1) with low to high incomes. Univariate and multivariate analyses were used to investigate the associations among demographics, individual, social, and environmental factors, and depression. The prevalence of depression and social impairment in older people was 7.8% and 20.6%. The correlates significantly associated with depression in Model 2 were education, income earned, resilience, and self-esteem (F (6, 358) = 19.5, p < .001; R2 = 23%) after adjusting for all influencing factors. Self-perceived health was associated with depression in Model 3 [F (11,340) = 12.5, p < .001; R2 = 28%]. In the final model, resilience, quality of life (QOL), and leisure were significantly associated with depression (p < .001), followed by anxiety, somatic symptoms, and social impairment (p < .05) [F (20,214) = 9.2, p < .001; R2 = 46%]. Findings provide preliminary information on the determinants of depression for further review by the research community. Stakeholders should also take cognizance of these correlates during their practice to curb depression in older people.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-02-24T05:04:26Z
      DOI: 10.1177/23337214211053121
      Issue No: Vol. 8 (2022)
  • Crafting in COVID: Engagement With Textile Arts and Crafts Among Senior
           Living Residents Throughout the COVID-19 Pandemic

    • Authors: Kate Nartker
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      When the World Health Organization declared the COVID-19 pandemic in March 2020, the elderly were identified as a vulnerable group due to their significantly higher risk of severe or fatal outcome of COVID-19. Senior residential facilities were heavily affected and in an effort to constrain the spread of the virus, many organized enrichment programs were paused. This was a concern to many as clinical literature in the fields of Occupational Therapy and Art Therapy has found that art enrichment courses, including textile arts and crafts activities, are effective in managing excess time and coping with loneliness and other emotional challenges. The purpose of this research is to understand how senior residents engaged with textile arts and crafts independently and through a time of increased stress. Due to socializing restrictions, the pandemic provided a unique opportunity to examine the benefits and challenges seniors face when working with textile crafts. Twelve interviews with senior participants were conducted and analyzed to locate key themes related to their experiences. Results of this analysis have applications for enrichment programming in senior housing facilities, design planning for senior housing, and in shaping further clinical research on the potential benefits of textile crafts.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-02-23T06:30:55Z
      DOI: 10.1177/23337214221079164
      Issue No: Vol. 8 (2022)
  • Nurses’ Experiences of Caring for Long-Term Care Residents With Dementia
           During the COVID-19 Pandemic

    • Authors: Anthony Scerri, Christian Borg Xuereb, Charles Scerri
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      The COVID-19 pandemic has had a negative impact on older persons who reside in long-term care settings, especially residents living with dementia. The physical and psychological burden of the current pandemic has also been felt by frontline caring staff including nurses caring for persons living with dementia. The aim of the study was to explore the experiences of nurses while caring for residents with dementia who resided in long-term dementia care units during the COVID-19 pandemic. Nine Maltese nurses working in dementia care units were interviewed during the month of February 2021. Following analysis of the transcripts, three themes were identified; ‘living the challenges of the pandemic’, ‘passing through a roller coaster of emotions’ and ‘building on personal and organisational resilience’. The participants lived through several challenges which in turn generated both positive and negative emotions. Moving forward through this period mostly relied on their coping strategies, how they negotiated infection control measures with the residents’ quality of life and how their organisation was able to provide quality dementia care pre-COVID-19. The study indicated how personal and organisational resilience could have influenced the participants’ experience of the pandemic and helped nursing staff in developing new ways of working.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-02-23T05:49:18Z
      DOI: 10.1177/23337214221077793
      Issue No: Vol. 8 (2022)
  • Does Living Alone Affect Self-Perceptions of Aging' Findings From Two
           Waves of the Health and Retirement Study

    • Authors: Sunwoo Lee
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      The current study examined if living alone is associated with self-perceptions of aging (SPA). The study used two-wave longitudinal data, sampled from the Health and Retirement Study (HRS), and collected in 2014 and 2018. In total, 6506 older adults aged 60–99 years at baseline were followed up with a 4-year lag. Results indicated that there was no significant change in SPA at follow-up regardless of changes in living arrangements. However, at follow-up, there was a significant cross-sectional difference in SPA between older adults who remained in partnership and those who transitioned to living alone due to widowhood or separation/divorce over a 4-year period. Findings suggest that SPA is relatively stable over time and is barely affected by living alone.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-02-22T05:52:40Z
      DOI: 10.1177/23337214221077798
      Issue No: Vol. 8 (2022)
  • A Typology of COVID-19 Data Gaps and Noise From Long-Term Care Facilities:
           Approximating the True Numbers

    • Authors: Terry E. Hill, David J. Farrell
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Although there is agreement that COVID-19 has had devastating impacts in long-term care facilities (LTCFs), estimates of cases and deaths have varied widely with little attention to the causes of this variation. We developed a typology of data vulnerabilities and a strategy for approximating the true total of COVID-19 cases and deaths in LTCFs. Based on iterative qualitative consensus, we categorized LTCF reporting vulnerabilities and their potential impacts on accuracy. Concurrently, we compiled one dataset based on LTCF self-reports and one based on confirmatory matching with California’s COVID-19 databases, including death certificates. Through March 2021, Alameda County LTCFs reported 6663 COVID-19 cases and 481 deaths. In contrast, our confirmatory matching file includes 5010 cases and 594 deaths, corresponding to 25% fewer cases but 23% more deaths. We argue that the higher (self-report) case total approximates the lower bound of true COVID-19 cases, and the higher (confirmed match) death total approximates the lower bound of true COVID-19 deaths, both of which are higher than state and federal counts. LTCFs other than nursing facilities accounted for 35% of cases and 29% of deaths. Improving the accuracy of COVID-19 figures, particularly across types of LTCFs, would better inform interventions for these vulnerable populations.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-02-22T05:11:07Z
      DOI: 10.1177/23337214221079176
      Issue No: Vol. 8 (2022)
  • Veterans Health Administration Staff Perceptions of Overseeing Care in
           Community Nursing Homes During COVID-19

    • Authors: Leah M. Haverhals, Kate H. Magid, Kelly N. Blanchard, Cari R. Levy
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      IntroductionThe Veterans Health Administration (VA) contracts with non-VA owned and operated community nursing homes (CNHs) to provide Veterans nursing home care. This study explored VA staffs’ experiences coordinating care with CNH staff during the COVID-19 pandemic.MethodsQualitative study interviewing VA staff overseeing and coordinating care for CNH Veterans. Interviews were recorded, transcribed, and analyzed using inductive and deductive thematic analysis.ResultsThree themes influenced care coordination. (1) Pre-established working relationships strengthened trust in CNH staff and remote access to CNH electronic medical records (EMRs). (2) Remote oversight proved challenging as virtual visits did not fully capture Veterans’ needs and Veterans experienced challenges due to cognitive status, hearing impairment, and discomfort with technology. (3) Partnerships strengthened as VA staff provided CNHs personal protective equipment, COVID-19 testing, infection control education, and emotional support.DiscussionDespite pre-existing relationships and improved partnerships, most VA staff felt uncertain about the quality of oversight provided through remote monitoring and preferred in-person interactions. However, they found benefit in remote access to CNH EMRs and shared optimism with expanding virtual care.ConclusionsFostering strong partnerships between VAs and CNHs improve care coordination during crises like the COVID-19 pandemic and for daily care.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-02-16T12:28:18Z
      DOI: 10.1177/23337214221080307
      Issue No: Vol. 8 (2022)
  • Plasma Vitamin B-12 Levels and Risk of Alzheimer’s Disease: A
           Case-Control Study

    • Authors: Lochana Shrestha, Bikal Shrestha, Keyoor Gautam, Sagar Khadka, Namrata Mahara Rawal
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Introduction: Vitamin B-12 deficiency is a frequent condition in the elderly population. High homocysteine levels, which can contribute to arterial damage and blood clots in blood vessels, usually indicate a deficiency in vitamin B-12. Different studies have shown an association of raised total homocysteine with incident Alzheimer’s disease. This study aimed to evaluate the association between vitamin B-12 levels and the risk of Alzheimer’s disease (AD). Methods: A case-control study with a sample size of 90 was conducted at Tertiary hospital, Kathmandu. The participants who visited the psychiatric outpatient department from 2019 onward at Tertiary hospital, Kathmandu, were recruited. The Mini-Mental State Examination (MMSE) was administered to the participants by a trained medical doctor. The medical doctor used the MMSE scores to classify the participants into two groups: the healthy control group and the AD group. Results: The AD group had higher percentages of hypertension (20.9%), diabetes (13.6%), smoking habit (27.3%), vitamin B-12 deficiency (22.7%), and alcohol consumption (13.8%) relative to the control group. Among these features, a significant association was found between alcohol and vitamin B-12 status and between systolic blood pressure and MMSE score. Conclusion: This study concluded that there is an association between low levels of vitamin B-12 and the risk of AD. Further studies are needed to determine the cause-effect.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-02-07T12:46:35Z
      DOI: 10.1177/23337214211057715
      Issue No: Vol. 8 (2022)
  • Identifying Target Values of Body Composition for Preventing Frailty: A
           Descriptive Study in Older Adults

    • Authors: Shigeharu Tanaka, Hungu Jung, Ryo Tanaka
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      This study investigated the relationship between frailty and body composition and the target values for preventing frailty in body composition. Frailty status and body composition such as the percent body fat and skeletal mass index was measured. Logistic regression analysis was performed by sex. Receiver operating characteristic curve was used to extract the cutoff values for body composition. The participants were 259 in females and 84 in males for 343 of which 75.5% females. Among the females, age was a significant independent variable. Percent body fat was significantly associated with frailty status in males, with a cutoff value of 27.6%. The area under the curve was significant (0.689, p < 0.01, sensitivity = 0.574, specificity = 0.784). New target value of percent body fat in males for preventing frailty is identified. Findings of this study could contribute to the establishment of preventive intervention for frailty in clinical practice.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-01-29T09:26:22Z
      DOI: 10.1177/23337214211064493
      Issue No: Vol. 8 (2022)
  • Long-Term Outcomes After Transfemoral-Transcatheter Aortic Valve
           Implantation in Very Old Patients Using the Balloon-Expandable

    • Authors: Dritan Useini, Markus Schlömicher, Assem Aweimer, Peter Haldenwang, Justus Strauch, Polykarpos C. Patsalis
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Transcatheter aortic valve implantation (TAVI) can be safely performed in old patients. Increasing longevity raises often the question whether TAVI can be still useful for patients beyond a certain age limit. Data on long-term outcomes of elderly patients after TAVI are sparse. We sought to assess the impact of very advanced age on long-term outcomes after transfemoral (TF)-TAVI. Data of 103 patients undergoing TF-TAVI with the balloon-expandable bioprosthesis between May/2014 and May/2019 were analyzed. We divided the cohort into two age groups: ≥85 years (group1: n = 37; 87.5 ± 2.6 years; STS-Score 3.9 ± 1.4) versus < 85 years (group2: n = 66; 80 ± 3.1 years; STS-Score 3.4 ± 1.8). We conducted up to 6 years clinical follow-up. Overall mortality at 30 days was 3.8% without significant differences between the two age groups. Incidence of major vascular injury (8.6 vs. 6.3%, p = .695) and stroke (2.8 vs. 3%, p = 1) was not significantly different between group 1 and 2, respectively. More than mild paravalvular leakage was found in 1 patient (group 1). The mean long-term survival probability was 51.3 months [95% CI: 42.234–60.430] in group 1 versus 49.5 months [95% CI: 42.155–56.972] in group2 (p = .921). Long-term outcomes of very old patients after TF-TAVI show a similar treatment benefit compared to the younger patients.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-01-19T10:27:43Z
      DOI: 10.1177/23337214211073246
      Issue No: Vol. 8 (2022)
  • COVID-19 Across the Landscape of Long-Term Care in Alameda County:
           Heterogeneity and Disparities

    • Authors: Terry E. Hill, David J. Farrell
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Throughout the pandemic, public health and long-term care professionals in our urban California county have linked local and state COVID-19 data and performed observational exploratory analyses of the impacts among our diverse long-term care facilities (LTCFs). Case counts from LTCFs through March 2021 included 4309 (65%) in skilled nursing facilities (SNFs), 1667 (25%) in residential care facilities for the elderly (RCFEs), and 273 (4%) in continuing care retirement communities (CCRCs). These cases led to 582 COVID-19 resident deaths and 12 staff deaths based on death certificates. Data on decedents’ age, race, education, and country of birth reflected a hierarchy of wealth and socioeconomic status from CCRCs to RCFEs to SNFs. Mortality rates within SNFs were higher for non-Whites than Whites. Staff accounted for 42% of LTCF-associated COVID-19 cases, and over 75% of these staff were unlicensed. For all COVID-19 deaths in our jurisdiction, both LTCF and community, 82% of decedents were age 65 or over. Taking a comprehensive, population-based approach across our heterogenous LTCF landscape, we found socioeconomic disparities within COVID-19 cases and deaths of residents and staff. An improved data infrastructure linking public health and delivery systems would advance our understanding and potentiate life-saving interventions within this vulnerable ecosystem.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-01-14T05:01:22Z
      DOI: 10.1177/23337214211073419
      Issue No: Vol. 8 (2022)
  • Do Personality Traits Influence the Association Between Depression and
           Dementia in Old Age'

    • Authors: Adeleye A. Adaralegbe, Henry Egbuchiem, Oluwatomi Adeoti, Khuzeman Abbasi, Esther Ezeani, Ngozi Jane-Frances Adaralegbe, Abdulraheem Olaide Babarinde, Maureen Boms, Chidiebube Nzeako, Olumide Ayeni
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Depression and personality traits are independent predictors of dementia or cognitive impairment. Despite the well-established relationship between these two psychosocial factors and dementia, no research has been documented on how personality traits can influence dementia in older adults exhibiting depressive symptoms. This study explores the influence of personality traits on the association between change in depression and dementia in old age. A population-based longitudinal cohort study involving two waves of data collected 5 years apart, containing 2210 American older adults, from the National Social Life, Health, and Aging Project to explore if personality traits influence how change in depression predicts the development of dementia. We assessed these relationships while adjusting for sociodemographic characteristics. Change in depression increased the likelihood of dementia at T2 by 4.2% (AOR = 1.04, p = 0.019) in the co-variate adjusted model. Personality traits, overall, did not influence how depression predicts the development of dementia. However, agreeableness individually nullified the effect of depression on the development of dementia, whereas extraversion was the only personality trait that significantly predicted dementia. Prosocial behaviors should be promoted in old age as these appear to be protective. In addition, early life education and a strong social support can keep the depression–dementia spectrum at bay in old age.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-01-13T06:16:06Z
      DOI: 10.1177/23337214211068257
      Issue No: Vol. 8 (2022)
  • Sensory Processing Abnormalities in Community-Dwelling Older Adults with
           Cognitive Impairment: A Mixed Methods Study

    • Authors: Elizabeth K. Rhodus, Elizabeth G. Hunter, Graham D. Rowles, Shoshana H. Bardach, Kelly Parsons, Justin Barber, MaryEllen Thompson, Gregory A. Jicha
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Mild cognitive impairment (MCI) or dementia often leads to behavioral and psychiatric symptoms of dementia (BPSD). Sensory processing abnormalities may be associated with BPSD. The purpose of this study was to explore relationships among sensory processing, behavior, and environmental features within the homes of people with MCI or dementia. This project used mixed methods to assess participants’ sensory processing, care partner perspectives on behaviors, and in situ observations of the home environment. Nine participants with cognitive impairment (MCI n = 8, early dementia = 1) and their care partners were included. Seven participants with cognitive impairment were reported to have abnormal sensory processing. Findings suggest that unique environmental adaptations, tailored to personal and sensory preferences for each participant, were associated with a decreased level of behavioral disruption during the observation periods. Implementing sensory-based approaches to maximize environment adaptation may be beneficial in reducing disruptive behaviors for adults with cognitive impairment.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-01-08T01:01:55Z
      DOI: 10.1177/23337214211068290
      Issue No: Vol. 8 (2022)
  • Sleep Quality Among Informal Caregivers During the COVID-19 Pandemic: A
           Cross-Sectional Study

    • Authors: Mary L. Greaney, Zachary J. Kunicki, Meghan M. Drohan, Caitlin C. Nash, Steven A. Cohen
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Sleep is an integral component of health. The impact of the COVID-19 pandemic on sleep quality among informal caregivers, individuals who provide unpaid care or assistance to family members or friends, assisting older adults is not well understood. Therefore, informal caregivers in the United States providing care for individuals aged 50+ were recruited via Amazon’s Mechanical Turk, an online platform for enrolling study participants into social and behavioral science research, to complete an online survey. The sample of informal caregivers (n = 835) was 69% male and 55% non-Hispanic. Multivariable linear regression models were constructed to assess the associations between sleep disturbance scores (SDS) and sleep-related impairment scores (SIS) and caregiving-related measures (hours caregiving/week, length of time spent caregiving, and caregiver burden), demographics, and region of the United States. The analysis determined that Black (β = 2.6, 95% CI [−4.3, −0.9]) and Asian informal caregivers (β = −1.8, 95% CI [−3.4, −0.3]) had lower mean SIS than White caregivers, the referent group. In addition, increasing caregiver burden was associated with increased SDS (β = 0.8, 95% CI [0.6, 1.0]) and SIS (β = 1.3, 95% CI [0.7, 1.6]). In conclusion, higher caregiver burden was associated with higher SIS and SDS, suggesting that informal caregivers' sleep should be assessed, and when needed interventions should be offered.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-01-06T04:06:39Z
      DOI: 10.1177/23337214211057387
      Issue No: Vol. 8 (2022)
  • Physical and Mental Health Differences Reported by Three Age Groups of
           Older Adults With Diabetes

    • Authors: Jungjoo Lee, Junhyung Kim, Richard Holden
      Abstract: Gerontology and Geriatric Medicine, Volume 8, Issue , January-December 2022.
      Most studies have classified older adults with diabetes into one group despite substantial variation in health status across different stages of late adulthood. In this study, we examined difference in self-reported physical and mental health among three age groups of older adults with diabetes. Using data from the 2016 National Social Life, Health and Aging Project, Wave 3, we classified 424 individuals diagnosed with diabetes into three age groups, young-old (YO): 50–64 years; middle-old (MO): 65–74; and oldest old (OO): 75+ years. A one-way multivariate analysis of covariance was used to assess group differences, followed by univariate analyses. The results indicate that the YO group reported significantly lower physical health and higher depression than the MO group and higher levels of loneliness than the MO and OO groups. These findings indicate that physical and mental health may differ among different age groups of older adults with diabetes and suggest that the YO might be more vulnerable to diminished physical and mental health than the other age groups.
      Citation: Gerontology and Geriatric Medicine
      PubDate: 2022-01-05T07:22:01Z
      DOI: 10.1177/23337214211055897
      Issue No: Vol. 8 (2022)
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