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Guo Y, Shi J. Factors Associated With Psychological Wellbeing in Home Care Older Adults With Alzheimer's Disease: A Longitudinal Analysis. J Appl Gerontol 2024:7334648241231406. [PMID: 38311959 DOI: 10.1177/07334648241231406] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2024] Open
Abstract
The long-term symptoms associated with Alzheimer's disease pose significant challenges to the psychological wellbeing of patients. This longitudinal study aims to analyze the effects of socioeconomic factors and physical health factors on the psychological wellbeing of older patients diagnosed with Alzheimer's disease (AD) receiving home care, as well as the moderating role of aging and care support in influencing their psychological wellbeing. Data from the Health and Retirement Study (N = 628 older Alzheimer's patients) were analyzed using pooled ordinary least squares fixed-effects models. Findings suggest that Alzheimer's patients' psychological wellbeing was significantly affected by factors including cohabitation, gender, assistance frequency, age, education, and daily activity challenges, with assistance and increasing age mitigating some daily difficulties. The findings underline the multifactorial nature of psychological wellbeing among older Alzheimer's patients in home care and the critical role of social and physical health determinants in shaping these outcomes.
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Affiliation(s)
- Yuqi Guo
- School of Social Work, College of Health and Human Services, The University of North Carolina Charlotte, Charlotte, NC, USA
- School of Data Science, The University of North Carolina Charlotte, Charlotte, NC, USA
| | - Jingyi Shi
- Department of Mathematics and Statistics, College of Arts and Sciences, Mississippi State University, Mississippi State, MS, USA
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Schierer A, Miller-Winder A, Murawski A, Relerford RR, Olvera C, Liggett A, Ramirez-Zohfeld V, Lindquist LA. Fluctuating decision making about aging-in-place/long term care planning among older adults. J Am Geriatr Soc 2023; 71:3938-3940. [PMID: 37555587 PMCID: PMC10840837 DOI: 10.1111/jgs.18536] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2023] [Revised: 06/26/2023] [Accepted: 06/27/2023] [Indexed: 08/10/2023]
Affiliation(s)
- Allison Schierer
- Division of Geriatrics, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Amber Miller-Winder
- Division of Geriatrics, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Alaine Murawski
- Division of Geriatrics, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Raven R. Relerford
- Division of Geriatrics, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Charles Olvera
- Division of Geriatrics, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Anna Liggett
- Division of Geriatrics, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Vanessa Ramirez-Zohfeld
- Division of Geriatrics, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Lee A. Lindquist
- Division of Geriatrics, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
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Miller-Winder AP, Schierer A, Relerford RR, Murawski A, Opsasnick L, Olvera C, Curtis LM, Kim KY, Ramirez-Zohfeld V, Lindquist LA. Subjective cognitive decline and missed aging-in-place/long-term care planning. J Am Geriatr Soc 2023; 71:3314-3316. [PMID: 37235515 PMCID: PMC10592648 DOI: 10.1111/jgs.18425] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2023] [Revised: 05/05/2023] [Accepted: 05/08/2023] [Indexed: 05/28/2023]
Affiliation(s)
- Amber P. Miller-Winder
- Division of Geriatrics, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
- Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Allison Schierer
- Division of Geriatrics, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Raven R. Relerford
- Division of Geriatrics, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Alaine Murawski
- Division of Geriatrics, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Lauren Opsasnick
- Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Charles Olvera
- Division of Geriatrics, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Laura M. Curtis
- Division of Geriatrics, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
- Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Kwang-Youn Kim
- Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Vanessa Ramirez-Zohfeld
- Division of Geriatrics, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Lee A. Lindquist
- Division of Geriatrics, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
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Cox B, Ricossa KA, Vergara JG. The Ethical Concerns and Dilemma in Caring for the Aging Loved Ones. CLIN NURSE SPEC 2023; 37:156-159. [PMID: 37410557 DOI: 10.1097/nur.0000000000000759] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/08/2023]
Affiliation(s)
- Bronwyn Cox
- Author Affiliations: Kaiser Permanente Santa Clara, Oakland, California
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Lindquist LA, Miller-Winder AP, Schierer A, Murawski A, Opsasnick L, Kim KY, Ramirez-Zohfeld V. Improvement in self-efficacy among older adults aging-in-place during COVID-19. J Am Geriatr Soc 2022; 70:3318-3321. [PMID: 35838195 PMCID: PMC9349408 DOI: 10.1111/jgs.17946] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2022] [Revised: 06/06/2022] [Accepted: 06/09/2022] [Indexed: 12/15/2022]
Affiliation(s)
- Lee A. Lindquist
- Division of Geriatrics, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Amber P. Miller-Winder
- Division of Geriatrics, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Allison Schierer
- Division of Geriatrics, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Alaine Murawski
- Division of Geriatrics, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Lauren Opsasnick
- Division of Geriatrics, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Kwang-Youn Kim
- Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Vanessa Ramirez-Zohfeld
- Division of Geriatrics, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
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Lindquist LA, Miller‐Winder AP, Schierer A, Murawski A, Opsasnick L, Curtis LM, Kim K, Ramirez‐Zohfeld V. Aspects of cognition that impact aging-in-place and long-term care planning. J Am Geriatr Soc 2022; 70:2646-2652. [PMID: 35726136 PMCID: PMC9489627 DOI: 10.1111/jgs.17927] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2022] [Revised: 05/10/2022] [Accepted: 05/19/2022] [Indexed: 01/01/2023]
Abstract
BACKGROUND Older adults frequently defer decisions about their aging-in-place/long-term care (AIP-LTC) needs. As a result, when older adults experience worsening Alzheimer's disease, family members/friends become surrogate decision makers. We sought to understand what aspects of cognition impact older adult AIP-LTC planning. METHODS As part of the PlanYourLifespan (PYL)-LitCog study, we longitudinally examined AIP-LTC decision-making among a cohort (LitCog) of community-based older adults (65 years and older) recruited from hospital-associated primary care clinics in Chicago, Illinois, with extensive cognitive testing. PlanYourLifespan.org (PYL) is an evidence-based online intervention that facilitates AIP-LTC planning. Subjects underwent baseline testing, received the PYL online intervention, and then were surveyed at 1, 6, and 12 months about AIP-LTC decision-making. Cross-sectional logistic regression analysis was conducted examining cognitive variables that impacted AIP-LTC decision-making. RESULTS Of the 293 older adults interviewed (mean age 73.0 years, 40.4% non-White), subjects were more likely to have made AIP-LTC decisions if they had adequate inductive reasoning (ETS letter sets total-OR = 1.14 (95% CI = 1.03-1.27; p < 0.05)) and adequate working memory (size judgment span total-OR = 1.76 (95% CI = 1.13-2.73; p < 0.05)). There were no differences in decision-making observed in verbal abilities, long-term memory, or processing speed. All analyses were adjusted for participant gender, race, age, and decision-making response at baseline. CONCLUSION Inductive reasoning and working memory are critical to AIP-LTC decision-making. Screening routinely for these specific cognitive domains is important in targeting and helping older adults prepare in time for their future AIP-LTC needs.
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Affiliation(s)
- Lee A. Lindquist
- Division of Geriatrics, Feinberg School of MedicineNorthwestern UniversityChicagoIllinois
| | - Amber P. Miller‐Winder
- Division of Geriatrics, Feinberg School of MedicineNorthwestern UniversityChicagoIllinois
| | - Allison Schierer
- Division of Geriatrics, Feinberg School of MedicineNorthwestern UniversityChicagoIllinois
| | - Alaine Murawski
- Division of Geriatrics, Feinberg School of MedicineNorthwestern UniversityChicagoIllinois
| | - Lauren Opsasnick
- Division of Geriatrics, Feinberg School of MedicineNorthwestern UniversityChicagoIllinois
| | - Laura M. Curtis
- Division of Geriatrics, Feinberg School of MedicineNorthwestern UniversityChicagoIllinois
| | - Kwang‐Youn Kim
- Division of Preventative MedicineNorthwestern UniversityChicagoIllinoisUSA
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Nakagawa T, Noguchi T, Komatsu A, Ishihara M, Saito T. Aging-in-place preferences and institutionalization among Japanese older adults: a 7-year longitudinal study. BMC Geriatr 2022; 22:66. [PMID: 35062887 PMCID: PMC8780808 DOI: 10.1186/s12877-022-02766-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2021] [Accepted: 01/13/2022] [Indexed: 11/29/2022] Open
Abstract
Background In Asia, where autonomous decision-making is not well accepted, little is known about whether and how individuals’ preferences are considered when deciding where they receive care. This study examined whether individuals preferring to age in place if confined to bed were less likely to be institutionalized, using longitudinal data of Japanese older adults. Methods We analyzed nationally representative data of 1,290 community-dwelling older adults aged 70 and above. Baseline data were collected in 1999, shortly before the long-term care insurance system was introduced. The outcome was measured as self- or proxy-reported years of institutionalization over seven years. The explanatory variable was whether individuals preferred to age in place if they were confined to bed. Participants were asked about their desired place of care (facility, home, or other) if confined to bed. Covariates were sociodemographic and health-related factors. We used Cox proportional hazards models and calculated hazard ratios (HRs) with 95% confidence intervals (CIs) to evaluate the association of aging-in-place preferences if confined to bed with institutionalization. We applied multiple imputation to deal with missing data. Results Seventy-eight respondents (6.0%) were institutionalized during the follow-up period. Compared to individuals preferring to reside in long-term care facilities if confined to bed (48.7%), those preferring to stay in their homes (39.6%) were less likely to be institutionalized, even after adjusting for relevant covariates (HR = 0.47, 95% CI 0.27–0.79 for model 1 including residential status; HR = 0.45, 95% CI 0.27–0.76 for model 2 including marital status and co-resident children). Conclusions Our findings suggest that individuals’ aging-in-place preferences tend to be considered under the long-term care insurance system. Individuals’ preferences should be shared with families and clinicians when deciding the place of care. Supplementary Information The online version contains supplementary material available at 10.1186/s12877-022-02766-5.
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Nordin S, Sturge J, Ayoub M, Jones A, McKee K, Dahlberg L, Meijering L, Elf M. The Role of Information and Communication Technology (ICT) for Older Adults' Decision-Making Related to Health, and Health and Social Care Services in Daily Life-A Scoping Review. Int J Environ Res Public Health 2021; 19:ijerph19010151. [PMID: 35010408 PMCID: PMC8750227 DOI: 10.3390/ijerph19010151] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/15/2021] [Revised: 12/15/2021] [Accepted: 12/17/2021] [Indexed: 05/08/2023]
Abstract
Information and communication technology (ICT) can potentially support older adults in making decisions and increase their involvement in decision-making processes. Although the range of technical products has expanded in various areas of society, knowledge is lacking on the influence that ICT has on older adults' decision-making in everyday situations. Based on the literature, we aimed to provide an overview of the role of ICT in home-dwelling older adults' decision-making in relation to health, and health and social care services. A scoping review of articles published between 2010 and 2020 was undertaken by searching five electronic databases. Finally, 12 articles using qualitative, quantitative, and mixed-method designs were included. The articles were published in journals representing biology and medicine, nursing, informatics, and computer science. A majority of the articles were published in the last five years, and most articles came from European countries. The results are presented in three categories: (i) form and function of ICT for decision-making, (ii) perceived value and effect of ICT for decision-making, and (iii) factors influencing ICT use for decision-making. According to our findings, ICT for decision-making in relation to health, and health and social care services was more implicitly described than explicitly described, and we conclude that more research on this topic is needed. Future research should engage older adults and health professionals in developing technology based on their needs. Further, factors that influence older adults' use of ICT should be evaluated to ensure that it is successfully integrated into their daily lives.
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Affiliation(s)
- Susanna Nordin
- School of Health and Welfare, Dalarna University, 791 88 Falun, Sweden; (M.A.); (K.M.); (L.D.); (M.E.)
- Correspondence:
| | - Jodi Sturge
- Population Research Center, Urban and Regional Studies Institute, Faculty of Spatial Sciences, University of Groningen, P.O. Box 800, 9700 AV Groningen, The Netherlands; (J.S.); (L.M.)
| | - Maria Ayoub
- School of Health and Welfare, Dalarna University, 791 88 Falun, Sweden; (M.A.); (K.M.); (L.D.); (M.E.)
| | - Allyson Jones
- Department of Physical Therapy, University of Alberta, Edmonton, AB T6G 2G4, Canada;
| | - Kevin McKee
- School of Health and Welfare, Dalarna University, 791 88 Falun, Sweden; (M.A.); (K.M.); (L.D.); (M.E.)
| | - Lena Dahlberg
- School of Health and Welfare, Dalarna University, 791 88 Falun, Sweden; (M.A.); (K.M.); (L.D.); (M.E.)
- Aging Research Center, Karolinska Institutet & Stockholm University, 171 77 Stockholm, Sweden
| | - Louise Meijering
- Population Research Center, Urban and Regional Studies Institute, Faculty of Spatial Sciences, University of Groningen, P.O. Box 800, 9700 AV Groningen, The Netherlands; (J.S.); (L.M.)
| | - Marie Elf
- School of Health and Welfare, Dalarna University, 791 88 Falun, Sweden; (M.A.); (K.M.); (L.D.); (M.E.)
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