Mobile health (mHealth) is being actively developed for healthcare and can be an effective intervention through active engagement. However, despite the rapidly growing older adult population, mHealth is often designed for younger populations, and there is a need to explore engagement strategies that are appropriate for older adults. Therefore, this systematic review aimed to summarise the evidence for improving older adult engagement in community-based mHealth intervention studies.
Methods
Participants were community-dwelling older adults. Interventions included mHealth for self-care, self-management, health promotion or health education with no restriction on type. Eligible studies were randomised controlled trials, excluding those involving hospitalised older adults, focusing solely on treatment compliance or symptom monitoring without reporting mHealth engagement outcomes or published in non-English languages. Searches were conducted in Cochrane CENTRAL, PubMed, EMBASE and CINAHL to identify studies on December 1, 2023 (date of last searched studies). Risk of bias in the included studies was assessed using the RoB 2 tool. The focus was on presenting engagement strategies for community-dwelling older adults in a summary of findings table.
Results
Ten studies with 1293 participants were included. Delivery modes varied, with the most engagement-associated outcome being improved physical functioning. Participant dropout rates ranged from 0% to 28%. While 10 studies employed strategies to encourage ongoing engagement, none included ‘engage as early as possible’ or ‘include a plan for evaluation’.
Conclusion
While mHealth interventions show potential, their engagement strategies remain underdeveloped. Limitations include heterogeneity in study designs and the inability to perform meta-analysis. Future research should incorporate comprehensive engagement plans and evaluation systems to optimise the use of mHealth for community-dwelling older adults.
Implications for Practice
The findings highlight the need to strengthen nurses’ digital health competencies and implement tailored clinical strategies, such as early support and ongoing feedback, to promote sustained engagement and adherence to mHealth among community-dwelling older adults.
{"title":"Patient Engagement in Mobile Health for Community-Dwelling Older Adults: A Systematic Review","authors":"Yun-Hee Kim, Yi Kyung Ha","doi":"10.1111/opn.70062","DOIUrl":"10.1111/opn.70062","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Mobile health (mHealth) is being actively developed for healthcare and can be an effective intervention through active engagement. However, despite the rapidly growing older adult population, mHealth is often designed for younger populations, and there is a need to explore engagement strategies that are appropriate for older adults. Therefore, this systematic review aimed to summarise the evidence for improving older adult engagement in community-based mHealth intervention studies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Participants were community-dwelling older adults. Interventions included mHealth for self-care, self-management, health promotion or health education with no restriction on type. Eligible studies were randomised controlled trials, excluding those involving hospitalised older adults, focusing solely on treatment compliance or symptom monitoring without reporting mHealth engagement outcomes or published in non-English languages. Searches were conducted in Cochrane CENTRAL, PubMed, EMBASE and CINAHL to identify studies on December 1, 2023 (date of last searched studies). Risk of bias in the included studies was assessed using the RoB 2 tool. The focus was on presenting engagement strategies for community-dwelling older adults in a summary of findings table.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Ten studies with 1293 participants were included. Delivery modes varied, with the most engagement-associated outcome being improved physical functioning. Participant dropout rates ranged from 0% to 28%. While 10 studies employed strategies to encourage ongoing engagement, none included ‘engage as early as possible’ or ‘include a plan for evaluation’.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>While mHealth interventions show potential, their engagement strategies remain underdeveloped. Limitations include heterogeneity in study designs and the inability to perform meta-analysis. Future research should incorporate comprehensive engagement plans and evaluation systems to optimise the use of mHealth for community-dwelling older adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>The findings highlight the need to strengthen nurses’ digital health competencies and implement tailored clinical strategies, such as early support and ongoing feedback, to promote sustained engagement and adherence to mHealth among community-dwelling older adults.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146042050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Understanding nursing students' attitudes toward older adults is important as these attitudes influence their career choices and the quality of future gerontological care for older adults.
Methods
The aim of this study was to explore and compare attitudes toward older adults among nursing students in Finland and Japan. A cross-sectional comparative design was employed. Data were collected in 2024 using a structured questionnaire, which included demographic variables and Kogan's Attitude toward Old People Scale (KAOP). The participants consisted of 65 nursing students from Finland and 74 nursing students from Japan. Data were analysed using descriptive and comparative methods, and regression analysis to examine associations between KAOP scores and background factors.
Results
Japanese nursing students had more positive attitudes and greater score variability (KAOP mean 127.0, SD 10.9) than Finnish nursing students (KAOP mean 115.9, SD 5.9). The mean difference of 11.1 (95% CI: 8.2–14.0) was statistically highly significant p < 0.001, with a large Cohen's d effect size (1.27).
Conclusion
The observed differences may be influenced by the cultural and structural contexts of aged care in Finland and Japan.
{"title":"Finnish and Japanese Nursing Students' Attitudes Toward Older Adults: A Comparative Study","authors":"Sini Eloranta, Auvo Rauhala, Susanna Mört, Yasuko Kato, Rie Konno","doi":"10.1111/opn.70063","DOIUrl":"10.1111/opn.70063","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Understanding nursing students' attitudes toward older adults is important as these attitudes influence their career choices and the quality of future gerontological care for older adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The aim of this study was to explore and compare attitudes toward older adults among nursing students in Finland and Japan. A cross-sectional comparative design was employed. Data were collected in 2024 using a structured questionnaire, which included demographic variables and Kogan's Attitude toward Old People Scale (KAOP). The participants consisted of 65 nursing students from Finland and 74 nursing students from Japan. Data were analysed using descriptive and comparative methods, and regression analysis to examine associations between KAOP scores and background factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Japanese nursing students had more positive attitudes and greater score variability (KAOP mean 127.0, SD 10.9) than Finnish nursing students (KAOP mean 115.9, SD 5.9). The mean difference of 11.1 (95% CI: 8.2–14.0) was statistically highly significant <i>p</i> < 0.001, with a large Cohen's <i>d</i> effect size (1.27).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The observed differences may be influenced by the cultural and structural contexts of aged care in Finland and Japan.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145999406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
<div> <section> <h3> Objective</h3> <p>This study aimed to promote cognitive health and emotional well-being in older adults by implementing a culturally adapted Five-Domain Lifestyle Intervention (FDLI) in Taiwan. Building upon the internationally recognised Finnish FINGER model, the FDLI included core components—nutritional guidance, physical activity, cognitive training and cardiometabolic risk management—while integrating nostalgic music as a culturally meaningful fifth domain to enhance emotional engagement.</p> </section> <section> <h3> Methods</h3> <p>An 8-month quasi-experimental intervention study was conducted among 38 community-dwelling older adults (aged ≥ 65 years) with mild cognitive impairment (MCI) in Southern Taiwan. Participants were non-randomly assigned to either an experimental group (<i>n</i> = 20) or a control group (<i>n</i> = 18) based on residential community. The experimental group received the FDLI intervention; the control group received no intervention. Outcomes were assessed using validated measures of cognition (MoCA), well-being, positive emotion and depression, analysed using linear mixed models.</p> </section> <section> <h3> Results</h3> <p>Compared to controls, participants in the intervention group demonstrated significant improvements in global cognitive function, well-being and depressive symptoms over time. Although positive emotion scores did not change significantly, the multi-domain intervention yielded holistic benefits across cognitive and emotional domains.</p> </section> <section> <h3> Conclusion</h3> <p>The FDLI effectively improved cognitive and emotional outcomes among Taiwanese older adults with MCI. By incorporating culturally grounded strategies like nostalgic music, this study contributes to international gerontological nursing by demonstrating the feasibility and benefits of nurse-led, context-specific, non-pharmacological interventions in underrepresented regions. Findings have practical implications for nursing care planning and dementia prevention in aging societies.</p> </section> <section> <h3> Implications for Practice</h3> <p>The FDLI model emphasises the practical role of gerontological nurses in implementing community-based interventions that promote healthy ageing. It can be readily adapted for other cultural contexts and applied in low-resource settings. Training programs for health professionals can incorporate FDLI principles to support person-centred care, especially in underserved populations. Policy-makers may consider supporting the integration of lifestyle interventions into comm
{"title":"‘Shelter From the Storm’: A FINGER-Like Five-Domain Lifestyle Intervention to Promote Cognitive Health and Well-Being in Older Adults in Taiwan","authors":"Pai-Lin Lee, Chih-Kun Huang, Hui-Hsiang Chang, Min-Wei Huang, Chun-Hua Cheng, Luan-Chen Lin, Wen-Chen Cheng","doi":"10.1111/opn.70060","DOIUrl":"10.1111/opn.70060","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aimed to promote cognitive health and emotional well-being in older adults by implementing a culturally adapted Five-Domain Lifestyle Intervention (FDLI) in Taiwan. Building upon the internationally recognised Finnish FINGER model, the FDLI included core components—nutritional guidance, physical activity, cognitive training and cardiometabolic risk management—while integrating nostalgic music as a culturally meaningful fifth domain to enhance emotional engagement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An 8-month quasi-experimental intervention study was conducted among 38 community-dwelling older adults (aged ≥ 65 years) with mild cognitive impairment (MCI) in Southern Taiwan. Participants were non-randomly assigned to either an experimental group (<i>n</i> = 20) or a control group (<i>n</i> = 18) based on residential community. The experimental group received the FDLI intervention; the control group received no intervention. Outcomes were assessed using validated measures of cognition (MoCA), well-being, positive emotion and depression, analysed using linear mixed models.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Compared to controls, participants in the intervention group demonstrated significant improvements in global cognitive function, well-being and depressive symptoms over time. Although positive emotion scores did not change significantly, the multi-domain intervention yielded holistic benefits across cognitive and emotional domains.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The FDLI effectively improved cognitive and emotional outcomes among Taiwanese older adults with MCI. By incorporating culturally grounded strategies like nostalgic music, this study contributes to international gerontological nursing by demonstrating the feasibility and benefits of nurse-led, context-specific, non-pharmacological interventions in underrepresented regions. Findings have practical implications for nursing care planning and dementia prevention in aging societies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>The FDLI model emphasises the practical role of gerontological nurses in implementing community-based interventions that promote healthy ageing. It can be readily adapted for other cultural contexts and applied in low-resource settings. Training programs for health professionals can incorporate FDLI principles to support person-centred care, especially in underserved populations. Policy-makers may consider supporting the integration of lifestyle interventions into comm","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145935395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Launching the New Year With Vision: Battling 21st Century Ageism in Gerontological Nursing and Beyond.","authors":"Sarah H Kagan","doi":"10.1111/opn.70066","DOIUrl":"https://doi.org/10.1111/opn.70066","url":null,"abstract":"","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 1","pages":"e70066"},"PeriodicalIF":2.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146133373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Xiaoling Bai, Yutian Niu, Shihong Guo, Jingjing Huang, Xue Jiang, Ting Lou, Anni Wang
Background
Psychological Distress Among Family Caregivers of Older People With Functional Impairment Are a Significant Concern. However, the Lack of Simple and Rapid Tools to Assess Psychological Distress in These Caregivers Delays Timely Intervention.
Aim
The aim was to examine the convergent validity and retest reliability of the Chinese version of the Distress Thermometer (DT) and document the cut-off score in family caregivers.
Methods
This was a diagnostic accuracy study and descriptive cross-sectional survey to examine the validity of the DT. The cut-off score was determined by using receiver operating characteristic analysis with the Depression Anxiety Stress Scale (DASS-21) as the reference standard in a sample of 248 family caregivers.
Results
Good convergent validity with the DASS-21 (0.72–0.75) and good retest reliability (r = 0.93) were both illustrated for the DT. At a cut-off score of five, the sensitivity, specificity, Youden index, positive predictive value and negative predictive value were most satisfactory, and area under the curve values demonstrated significantly excellent discrimination. 37.1% of participants scoring higher than the cut-off score experienced a significant number of problems.
Conclusions
DT is a reliable tool for measuring the distress of family caregivers of older people with functional impairment. It is advisable for nurses to routinely employ DT to assess the distress of family caregivers.
Imlications for Practice
Healthcare professionals can use the DT as a routine screening tool to identify caregivers with psychological distress at an early stage, which facilitates the timely implementation of supportive interventions for caregivers.
{"title":"Validation of Distress Thermometer for Family Caregivers of Community-Dwelling Older People With Functional Impairment in China","authors":"Xiaoling Bai, Yutian Niu, Shihong Guo, Jingjing Huang, Xue Jiang, Ting Lou, Anni Wang","doi":"10.1111/opn.70059","DOIUrl":"10.1111/opn.70059","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Psychological Distress Among Family Caregivers of Older People With Functional Impairment Are a Significant Concern. However, the Lack of Simple and Rapid Tools to Assess Psychological Distress in These Caregivers Delays Timely Intervention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The aim was to examine the convergent validity and retest reliability of the Chinese version of the Distress Thermometer (DT) and document the cut-off score in family caregivers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This was a diagnostic accuracy study and descriptive cross-sectional survey to examine the validity of the DT. The cut-off score was determined by using receiver operating characteristic analysis with the Depression Anxiety Stress Scale (DASS-21) as the reference standard in a sample of 248 family caregivers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Good convergent validity with the DASS-21 (0.72–0.75) and good retest reliability (<i>r</i> = 0.93) were both illustrated for the DT. At a cut-off score of five, the sensitivity, specificity, Youden index, positive predictive value and negative predictive value were most satisfactory, and area under the curve values demonstrated significantly excellent discrimination. 37.1% of participants scoring higher than the cut-off score experienced a significant number of problems.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>DT is a reliable tool for measuring the distress of family caregivers of older people with functional impairment. It is advisable for nurses to routinely employ DT to assess the distress of family caregivers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Imlications for Practice</h3>\u0000 \u0000 <p>Healthcare professionals can use the DT as a routine screening tool to identify caregivers with psychological distress at an early stage, which facilitates the timely implementation of supportive interventions for caregivers.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145758045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Adult day services in Japan operate under the Long-Term Care Insurance Law, and care is provided mainly by caregivers. However, because doctors are often not on site, nurses manage the health of the person requiring long-term care. Adult day services provide bathing and functional training; however, although Japanese-style bathing relieves fatigue and brings a sense of well-being, it also entails the risk of bathing accidents for those in need of care. To continue living at home, those in need of care who have difficulty bathing at home must be provided with safe bathing during adult day services and supported in returning home safely. Nurses are responsible for accurately assessing the health status of users and implementing safe bathing. This study aimed to identify how nurses working in adult day services make bathing decisions for home-dwelling persons requiring long-term care.
Method
Qualitative manifest and latent content analyses were performed using a focused ethnography.
Findings
Six themes were identified: ‘gather information to compare with baseline’, ‘make observations based on information from others to understand the big picture’, ‘give persons time to get in shape’, ‘consideration of life at home’, ‘determining the need for medical institutions’ and ‘devise ways to communicate to promote collaboration’.
Conclusions
Adult day service nurses' decisions about whether to bathe persons requiring care are characterised by their emphasis on information from others, consideration of the home living conditions of persons requiring care and their wishes regarding bathing. In addition, based on their observations, they determine the need for cooperation with medical institutions and communicate this information to family members and multiple professions.
{"title":"Japanese Adult Day Service Nurses' Bathing Decisions for Persons Requiring Long-Term Care: A Focused Ethnography","authors":"Kanako Miyoshi, Keiko Mori","doi":"10.1111/opn.70052","DOIUrl":"10.1111/opn.70052","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Adult day services in Japan operate under the Long-Term Care Insurance Law, and care is provided mainly by caregivers. However, because doctors are often not on site, nurses manage the health of the person requiring long-term care. Adult day services provide bathing and functional training; however, although Japanese-style bathing relieves fatigue and brings a sense of well-being, it also entails the risk of bathing accidents for those in need of care. To continue living at home, those in need of care who have difficulty bathing at home must be provided with safe bathing during adult day services and supported in returning home safely. Nurses are responsible for accurately assessing the health status of users and implementing safe bathing. This study aimed to identify how nurses working in adult day services make bathing decisions for home-dwelling persons requiring long-term care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Qualitative manifest and latent content analyses were performed using a focused ethnography.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Six themes were identified: ‘gather information to compare with baseline’, ‘make observations based on information from others to understand the big picture’, ‘give persons time to get in shape’, ‘consideration of life at home’, ‘determining the need for medical institutions’ and ‘devise ways to communicate to promote collaboration’.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Adult day service nurses' decisions about whether to bathe persons requiring care are characterised by their emphasis on information from others, consideration of the home living conditions of persons requiring care and their wishes regarding bathing. In addition, based on their observations, they determine the need for cooperation with medical institutions and communicate this information to family members and multiple professions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12703052/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145758050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rhiannon N. Turner, Tim Wildschut, Constantine Sedikides
Introduction
There is limited evidence on how to tackle stigma toward individuals with Alzheimer's Disease and Related Disorders (ADRD). This study addressed this issue by examining how nostalgia (a sentimental longing for a personally experienced past) for experiences involving people with ADRD can be used to harness more positive attitudes and behavioral tendencies.
Method
One hundred student nurses were randomly assigned to either recall a nostalgic or (in the control condition) an ordinary interaction involving a person with ADRD, before completing questionnaire measures of inclusion of people with ADRD (i.e., an outgroup) in the self (IOGS), stigma toward those with ADRD, and tendency to approach those with ADRD.
Results
We found that experimentally induced nostalgia led to higher inclusion of people with ADRD in the self (IOGS; F [1, 98] = 5.69, p = 0.02, η2 = 0.06) which was in turn linked to reduced stigma toward people with ADRD (F [, 98] = 8.07, p = 0.005, η2 = 0.08) and a greater tendency to approach them (F [1, 98] = 4.35, p = 0.04, η2 = 0.06).
Conclusion
Induced nostalgia can reduce stigma and promote approach behavioral tendencies toward people within a medical context by promoting inclusion of people with ADRD in the self. These findings have interventional potential in a context where negative perceptions of people with ADRD can be problematic.
关于如何解决阿尔茨海默病及相关疾病（ADRD）患者的耻辱感的证据有限。这项研究通过研究怀旧（对个人经历的一种情感上的渴望）如何利用与ADRD患者有关的经历来驾驭更积极的态度和行为倾向来解决这个问题。方法：100名护理专业学生被随机分配回忆与ADRD患者有关的怀旧或（在对照条件下）普通互动，然后完成问卷调查，测量ADRD患者（即外群体）在自我（IOGS）中的包容程度、对ADRD患者的耻耻感和接近ADRD患者的倾向。结果：我们发现，实验诱导的怀旧情绪导致ADRD患者更容易融入自我（IOGS; F [1,98] = 5.69, p = 0.02, η2 = 0.06），这反过来又与减少对ADRD患者的耻耻感（F [, 98] = 8.07, p = 0.005, η2 = 0.08）和更倾向于接近他们（F [1,98] = 4.35, p = 0.04, η2 = 0.06）有关。结论：诱导怀旧可以通过促进自我对ADRD患者的包容来减少对他人的耻辱感和促进对他人的接近行为倾向。在对ADRD患者的负面看法可能存在问题的背景下，这些发现具有干预潜力。
{"title":"Combatting Stigma Toward Individuals With Alzheimer's Disease and Related Disorders: The Role of Nostalgia","authors":"Rhiannon N. Turner, Tim Wildschut, Constantine Sedikides","doi":"10.1111/opn.70056","DOIUrl":"10.1111/opn.70056","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>There is limited evidence on how to tackle stigma toward individuals with Alzheimer's Disease and Related Disorders (ADRD). This study addressed this issue by examining how nostalgia (a sentimental longing for a personally experienced past) for experiences involving people with ADRD can be used to harness more positive attitudes and behavioral tendencies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>One hundred student nurses were randomly assigned to either recall a nostalgic or (in the control condition) an ordinary interaction involving a person with ADRD, before completing questionnaire measures of inclusion of people with ADRD (i.e., an outgroup) in the self (IOGS), stigma toward those with ADRD, and tendency to approach those with ADRD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We found that experimentally induced nostalgia led to higher inclusion of people with ADRD in the self (IOGS; <i>F</i> [1, 98] = 5.69, <i>p</i> = 0.02, <i>η</i><sup>2</sup> = 0.06) which was in turn linked to reduced stigma toward people with ADRD (<i>F</i> [, 98] = 8.07, <i>p</i> = 0.005, <i>η</i><sup>2</sup> = 0.08) and a greater tendency to approach them (<i>F</i> [1, 98] = 4.35, <i>p</i> = 0.04, <i>η</i><sup>2</sup> = 0.06).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Induced nostalgia can reduce stigma and promote approach behavioral tendencies toward people within a medical context by promoting inclusion of people with ADRD in the self. These findings have interventional potential in a context where negative perceptions of people with ADRD can be problematic.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12701764/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145752242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Digital health literacy is a key long-term health determinant in the digital era, influencing outcomes by enabling individuals to access, evaluate and apply health information in ways that support their personal goals. However, no tool targets older adults to assess digital health literacy with self-regulation as a core component. Accordingly, we developed and validated a Self-Regulation-Incorporated Digital Health Literacy scale (SR-DHLs) for this population.
Methods
This conceptually grounded study included instrument development and psychometric validation phases. We generated 23 preliminary items after content and face validity evaluation. Psychometric testing involved item analysis and construct validity assessments conducted through exploratory and confirmatory factor analyses with 506 older adults. Convergent validity was examined using the Korean version of the eHealth Literacy Scale. Reliability was measured using Cronbach's α and the intraclass correlation coefficient.
Results
The SR-DHLs comprises 16 items across four factors: ‘Interaction with other users and systems’, ‘Regulated need-based selection’, ‘Willingness to actively engage’ and ‘Actualising informed decision-making’, explaining 63.617% of the variance. Construct validity and acceptable reliability were established.
Conclusions
The SR-DHLs is a valid and reliable tool for assessing digital health literacy in older adults. It integrates self-regulation and resource management—essential aspects for navigating digital environments.
Implications for Practice
The SR—DHLs could help nurses identify older adults' needs related to digital health and guide the design of accessible and equitable services.
{"title":"The Self-Regulation-Incorporated Digital Health Literacy Scale for Older Adults: Instrument Development and Validation","authors":"Suyeon Ban, Yirang Kim, GyeongAe Seomun","doi":"10.1111/opn.70058","DOIUrl":"https://doi.org/10.1111/opn.70058","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Digital health literacy is a key long-term health determinant in the digital era, influencing outcomes by enabling individuals to access, evaluate and apply health information in ways that support their personal goals. However, no tool targets older adults to assess digital health literacy with self-regulation as a core component. Accordingly, we developed and validated a Self-Regulation-Incorporated Digital Health Literacy scale (SR-DHLs) for this population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This conceptually grounded study included instrument development and psychometric validation phases. We generated 23 preliminary items after content and face validity evaluation. Psychometric testing involved item analysis and construct validity assessments conducted through exploratory and confirmatory factor analyses with 506 older adults. Convergent validity was examined using the Korean version of the eHealth Literacy Scale. Reliability was measured using Cronbach's <i>α</i> and the intraclass correlation coefficient.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The SR-DHLs comprises 16 items across four factors: ‘Interaction with other users and systems’, ‘Regulated need-based selection’, ‘Willingness to actively engage’ and ‘Actualising informed decision-making’, explaining 63.617% of the variance. Construct validity and acceptable reliability were established.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The SR-DHLs is a valid and reliable tool for assessing digital health literacy in older adults. It integrates self-regulation and resource management—essential aspects for navigating digital environments.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>The SR—DHLs could help nurses identify older adults' needs related to digital health and guide the design of accessible and equitable services.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145719544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jennifer Baumbusch, Sarah H. Kagan, G. J. Melendez-Torres
<p>As the year closes, we are looking back to 2024 and announcing our tenth annual <i>International Journal of Older People Nursing (IJOPN)</i> awards. We are, as editors, endlessly grateful to lead the wonderful <i>IJOPN</i> community of nurses and their colleagues. Members of this global community contribute to our discipline of gerontological nursing in diverse and noteworthy ways. Each year, we recognise those making outstanding contributions during the prior year. This year, we celebrate the contributions made by the authors of three papers reporting noteworthy research. Likewise, we acknowledge the service of six notably dedicated peer reviewers and five of our superlative cadre of editorial board members. We are pleased to highlight the reflections of these scholars on their awards for you, our readers, as we applaud their contributions.</p><p>We recognized three outstanding papers published in 2024. Regarding the paper Wi, D., Park, C.G., Lee, J., Kim, E. and Kim, Y. (2025), A Network Analysis of Quality of Life Among Older Adults with Arthritis. <i>International Journal of Older People Nursing</i>, 20: e70010. https://doi.org/10.1111/opn.70010, first author Dahee Wi wrote on behalf of the author team that, ‘this research was inspired by our research team's desire to better understand the complex interplay of factors affecting quality of life in older adults with arthritis. As Korea faces rapid population aging, we wanted to provide evidence-based insights that could help healthcare professionals develop more targeted, holistic interventions for this vulnerable population. The network analysis approach allowed us to identify key indicators that could serve as intervention targets to improve overall well-being’.</p><p>For Stavrou, F., Adams, J., Patel, H., Vassilev, I. and Samuel, D. (2024), Exploring Older People's Experiences and Factors Associated With 30-Day Hospital Readmission: A Qualitative Study Using Interpretive Phenomenological Analysis. <i>International Journal of Older People Nursing</i>, 19: e12662. https://doi.org/10.1111/opn.12662, first author Fanis Stavrou said that ‘as both a researcher and a healthcare professional, I was inspired to undertake this study to gain a deeper understanding of how hospital readmissions impact older adults, the healthcare system, and the broader care network. The ageing of the world population is placing increasing pressure on health and social care services, with older people living longer with chronic conditions, workforce shortages, and rising hospital admissions creating significant challenges. Despite its frequency, hospital readmission among older people remains poorly understood, yet it carries substantial costs, affects well-being, and disrupts daily life. Focusing on patients’ perspectives in research is especially important, as the majority of studies on hospital readmission are based primarily on routinely collected hospital data. Relying solely on statistics limits our understandin
{"title":"Celebrating Our 10th Annual International Journal of Older People Nursing Awards","authors":"Jennifer Baumbusch, Sarah H. Kagan, G. J. Melendez-Torres","doi":"10.1111/opn.70055","DOIUrl":"10.1111/opn.70055","url":null,"abstract":"<p>As the year closes, we are looking back to 2024 and announcing our tenth annual <i>International Journal of Older People Nursing (IJOPN)</i> awards. We are, as editors, endlessly grateful to lead the wonderful <i>IJOPN</i> community of nurses and their colleagues. Members of this global community contribute to our discipline of gerontological nursing in diverse and noteworthy ways. Each year, we recognise those making outstanding contributions during the prior year. This year, we celebrate the contributions made by the authors of three papers reporting noteworthy research. Likewise, we acknowledge the service of six notably dedicated peer reviewers and five of our superlative cadre of editorial board members. We are pleased to highlight the reflections of these scholars on their awards for you, our readers, as we applaud their contributions.</p><p>We recognized three outstanding papers published in 2024. Regarding the paper Wi, D., Park, C.G., Lee, J., Kim, E. and Kim, Y. (2025), A Network Analysis of Quality of Life Among Older Adults with Arthritis. <i>International Journal of Older People Nursing</i>, 20: e70010. https://doi.org/10.1111/opn.70010, first author Dahee Wi wrote on behalf of the author team that, ‘this research was inspired by our research team's desire to better understand the complex interplay of factors affecting quality of life in older adults with arthritis. As Korea faces rapid population aging, we wanted to provide evidence-based insights that could help healthcare professionals develop more targeted, holistic interventions for this vulnerable population. The network analysis approach allowed us to identify key indicators that could serve as intervention targets to improve overall well-being’.</p><p>For Stavrou, F., Adams, J., Patel, H., Vassilev, I. and Samuel, D. (2024), Exploring Older People's Experiences and Factors Associated With 30-Day Hospital Readmission: A Qualitative Study Using Interpretive Phenomenological Analysis. <i>International Journal of Older People Nursing</i>, 19: e12662. https://doi.org/10.1111/opn.12662, first author Fanis Stavrou said that ‘as both a researcher and a healthcare professional, I was inspired to undertake this study to gain a deeper understanding of how hospital readmissions impact older adults, the healthcare system, and the broader care network. The ageing of the world population is placing increasing pressure on health and social care services, with older people living longer with chronic conditions, workforce shortages, and rising hospital admissions creating significant challenges. Despite its frequency, hospital readmission among older people remains poorly understood, yet it carries substantial costs, affects well-being, and disrupts daily life. Focusing on patients’ perspectives in research is especially important, as the majority of studies on hospital readmission are based primarily on routinely collected hospital data. Relying solely on statistics limits our understandin","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 6","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70055","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145543334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Noora Narsakka, Riitta Suhonen, Johanna Finskas, Minna Stolt
Introduction
Older adults living in institutional long-term care benefit from engaging in physical activity adapted to their functioning. Despite evidence of solutions to promote physical activity, recurrent evidence shows that older adults spend their time sedentary. More in-depth knowledge is needed about the current state of promoting the physical activity of older adults in institutional long-term care for improved practice in the future. We aimed to increase the understanding of older adults' physical activity promotion in institutional long-term care by investigating how, how much and by whom older adults' physical activity is promoted.
Methods
This is a concurrent mixed-method case study using data from a larger research project performed in an institutional, full-time, long-term care unit in Finland. Thirteen older adults and 12 staff members participated. Data were collected through focus groups, interviews, patient record transcripts and actigraphy between May and October 2023. A mixed-method analysis was conducted using the framework ‘Following a thread’. Separate analyses of datasets were conducted, including analyses of qualitative and quantitative data using reflexive thematic analysis and descriptive statistics. Analytical questions were identified and further explored using all datasets to synthesise findings.
Results
Four themes were developed: (1) lack of physical activity, (2) plans for physical activity promotion, (3) nurses' role in activity promotion and (4) accessibility and freedom of movement.
Conclusion
Current activity promotion is not sufficient for older adults to achieve the benefits of physical activity for their health and functioning. Improvements are needed in delivering sufficient physical activities. Nurses' role in activity promotion should be developed to include care-integrated activities, spontaneous and organised activities and instrumental activities of daily living for older adults. Interprofessional work to promote activity could be used more. Stimulating elements in the physical environment and increasing freedom of movement could produce improvements in physical activity. Improvements in activity promotion can potentially be achieved with simple strategies and low additional costs.
{"title":"Promoting the Physical Activity of Older Adults in Institutional Long-Term Care: A Mixed-Method Case Study","authors":"Noora Narsakka, Riitta Suhonen, Johanna Finskas, Minna Stolt","doi":"10.1111/opn.70053","DOIUrl":"10.1111/opn.70053","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Older adults living in institutional long-term care benefit from engaging in physical activity adapted to their functioning. Despite evidence of solutions to promote physical activity, recurrent evidence shows that older adults spend their time sedentary. More in-depth knowledge is needed about the current state of promoting the physical activity of older adults in institutional long-term care for improved practice in the future. We aimed to increase the understanding of older adults' physical activity promotion in institutional long-term care by investigating how, how much and by whom older adults' physical activity is promoted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This is a concurrent mixed-method case study using data from a larger research project performed in an institutional, full-time, long-term care unit in Finland. Thirteen older adults and 12 staff members participated. Data were collected through focus groups, interviews, patient record transcripts and actigraphy between May and October 2023. A mixed-method analysis was conducted using the framework ‘Following a thread’. Separate analyses of datasets were conducted, including analyses of qualitative and quantitative data using reflexive thematic analysis and descriptive statistics. Analytical questions were identified and further explored using all datasets to synthesise findings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Four themes were developed: (1) lack of physical activity, (2) plans for physical activity promotion, (3) nurses' role in activity promotion and (4) accessibility and freedom of movement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Current activity promotion is not sufficient for older adults to achieve the benefits of physical activity for their health and functioning. Improvements are needed in delivering sufficient physical activities. Nurses' role in activity promotion should be developed to include care-integrated activities, spontaneous and organised activities and instrumental activities of daily living for older adults. Interprofessional work to promote activity could be used more. Stimulating elements in the physical environment and increasing freedom of movement could produce improvements in physical activity. Improvements in activity promotion can potentially be achieved with simple strategies and low additional costs.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"20 6","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.70053","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145543371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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