Pub Date : 2022-07-01Epub Date: 2022-05-27DOI: 10.3928/19404921-20220518-01
Yeonsu Song, Gery W Ryan, Diane Lee, Haesook Kim, Jennifer L Martin, B Josea Kramer, Ron D Hays, Sarah E Choi
Despite poor sleep among older adults, little is known about the sleep habits of older immigrants living in the United States. The current pragmatic qualitative descriptive study explored sleep among older Korean immigrants, using a focus group with six participants and individual phone interviews with 22 Korean immigrants aged ≥60 years. Transcripts were coded to identify underlying themes. Several thematic categories were identified under six domains: daytime function, getting ready for bed, falling asleep, awakenings during sleep, going back to sleep, and seeking advice from peers. Unhealthy sleep behaviors were found during daytime and bedtime, particularly among those who were retired/unemployed or living alone. Seeking advice from peers was common but none of the advice helped participants sleep. Sleep education programs in Korean-speaking communities can be used to target those who are socially isolated and may benefit older Korean immigrants with sleep difficulties. [Research in Gerontological Nursing, 15(4), 193-202.].
{"title":"Experiences of Sleep Problems Among Older Korean Immigrants.","authors":"Yeonsu Song, Gery W Ryan, Diane Lee, Haesook Kim, Jennifer L Martin, B Josea Kramer, Ron D Hays, Sarah E Choi","doi":"10.3928/19404921-20220518-01","DOIUrl":"10.3928/19404921-20220518-01","url":null,"abstract":"<p><p>Despite poor sleep among older adults, little is known about the sleep habits of older immigrants living in the United States. The current pragmatic qualitative descriptive study explored sleep among older Korean immigrants, using a focus group with six participants and individual phone interviews with 22 Korean immigrants aged ≥60 years. Transcripts were coded to identify underlying themes. Several thematic categories were identified under six domains: daytime function, getting ready for bed, falling asleep, awakenings during sleep, going back to sleep, and seeking advice from peers. Unhealthy sleep behaviors were found during daytime and bedtime, particularly among those who were retired/unemployed or living alone. Seeking advice from peers was common but none of the advice helped participants sleep. Sleep education programs in Korean-speaking communities can be used to target those who are socially isolated and may benefit older Korean immigrants with sleep difficulties. [<i>Research in Gerontological Nursing, 15</i>(4), 193-202.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9355790/pdf/nihms-1826044.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9730922","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}
Pub Date : 2022-07-01DOI: 10.3928/19404921-20220610-01
Casey R Shillam, Heather M Young
{"title":"Congressional Attention Provides Opportunity for High Impact Gerontological Nursing Research in Family Caregiving.","authors":"Casey R Shillam, Heather M Young","doi":"10.3928/19404921-20220610-01","DOIUrl":"https://doi.org/10.3928/19404921-20220610-01","url":null,"abstract":"","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40522687","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}
Pub Date : 2022-06-17DOI: 10.3928/19404921-20220609-02
H. Cuevas, Elizabeth M. Heitkemper, Bilal Haque
The aim of the current study was to explore relationships among perceived cognitive function, glucose variability, and self-management in older adults with type 2 diabetes mellitus (T2DM). A mixed methods design was used with data from: (a) questionnaires on perceived cognitive function and diabetes self-management; (b) continuous glucose monitoring (CGM) reports; and (c) semi-structured interviews. Thirty adults with T2DM (47% female; mean age = 68.5 [SD = 5.2] years) participated. Those who exercised more days per week had more stable glucose. Those who reported fewer days of diet adherence had more hypoglycemia. Participants who reported higher levels of memory dissatisfaction exhibited higher levels of glucose variability. Findings point to the potential of glucose variability as a target to reduce the effect of diabetes on cognitive function. Instruction in recognition of glucose patterns found via CGM can be integrated into self-management education to improve self-management and subsequent glucose control and cognitive function. [Research in Gerontological Nursing, xx(x), xx-xx.].
{"title":"Relationships Among Perception of Cognitive Function, Diabetes Self-Management, and Glucose Variability in Older Adults: A Mixed Methods Study.","authors":"H. Cuevas, Elizabeth M. Heitkemper, Bilal Haque","doi":"10.3928/19404921-20220609-02","DOIUrl":"https://doi.org/10.3928/19404921-20220609-02","url":null,"abstract":"The aim of the current study was to explore relationships among perceived cognitive function, glucose variability, and self-management in older adults with type 2 diabetes mellitus (T2DM). A mixed methods design was used with data from: (a) questionnaires on perceived cognitive function and diabetes self-management; (b) continuous glucose monitoring (CGM) reports; and (c) semi-structured interviews. Thirty adults with T2DM (47% female; mean age = 68.5 [SD = 5.2] years) participated. Those who exercised more days per week had more stable glucose. Those who reported fewer days of diet adherence had more hypoglycemia. Participants who reported higher levels of memory dissatisfaction exhibited higher levels of glucose variability. Findings point to the potential of glucose variability as a target to reduce the effect of diabetes on cognitive function. Instruction in recognition of glucose patterns found via CGM can be integrated into self-management education to improve self-management and subsequent glucose control and cognitive function. [Research in Gerontological Nursing, xx(x), xx-xx.].","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2022-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83021639","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}
Pub Date : 2022-06-17DOI: 10.3928/19404921-20220609-01
A. Antony, J. Champion
Preventing acute care transfers from skilled nursing facilities (SNFs) is a challenge secondary to residents' associated debilitated status and comorbidities. Acute care transfers often result in serious complications and unnecessary health care expenditure. Literature implies that approximately two thirds of these acute care transfers could be prevented using proactive interventions. The purpose of the current study was to identify the predictors of acute care transfers for SNF residents in developing relevant prevention strategies. A retrospective chart review using multivariate logistic regression analysis showed increased odds of SNF hospitalization was significantly associated with impaired cognition, chronic obstructive pulmonary disease, and chronic kidney disease, whereas decreased odds of hospitalization was identified among non-Hispanic White residents. Study recommendations include prompt assessment of comorbid symptomatology among SNF residents for the timely management and prevention of unnecessary acute care transfers. [Research in Gerontological Nursing, xx(x), xx-xx.].
{"title":"Predictors of Acute Care Transfers From Skilled Nursing Facilities: Recommendations for Preventing Unnecessary Hospitalization.","authors":"A. Antony, J. Champion","doi":"10.3928/19404921-20220609-01","DOIUrl":"https://doi.org/10.3928/19404921-20220609-01","url":null,"abstract":"Preventing acute care transfers from skilled nursing facilities (SNFs) is a challenge secondary to residents' associated debilitated status and comorbidities. Acute care transfers often result in serious complications and unnecessary health care expenditure. Literature implies that approximately two thirds of these acute care transfers could be prevented using proactive interventions. The purpose of the current study was to identify the predictors of acute care transfers for SNF residents in developing relevant prevention strategies. A retrospective chart review using multivariate logistic regression analysis showed increased odds of SNF hospitalization was significantly associated with impaired cognition, chronic obstructive pulmonary disease, and chronic kidney disease, whereas decreased odds of hospitalization was identified among non-Hispanic White residents. Study recommendations include prompt assessment of comorbid symptomatology among SNF residents for the timely management and prevention of unnecessary acute care transfers. [Research in Gerontological Nursing, xx(x), xx-xx.].","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2022-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76990711","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}
Pub Date : 2022-05-27DOI: 10.3928/19404921-20220518-03
Carolyn B. Sue-Ling, N. Jairath
The current study sought to identify social, hemodynamic, and comorbid risk factors associated with 31-to 60-day heart failure (HF) rehospitalization in African American and Caucasian older (aged >65 years) women. A non-equivalent, case-control, quantitative design study using secondary data analysis of medical records from a local community hospital in the Southeast region of the United States was performed over a 3-year period. Relationships between predictor variables and the outcome variable, 31- to 60-day HF rehospitalization, were explored. The full model containing all predictors was not able to distinguish between predictors (χ2[21, N = 188] = 35.77, p = 0.12). However, a condensed model showed that body mass index (BMI) level 1 (<25 kg/m2), BMI level 2 (>25 and <30 kg/m2), age 75 to 80 years, and those taking lipid-lowering agents were significant predictors. Subtype of HF (reduced or preserved) and race did not predict HF rehospitalization within the specified time period. Multiple comorbid risk factors failed to consistently predict rehospitalization, which may reflect dated HF-specific approaches and therapies. Future studies should evaluate contributions of current targeted post-discharge methods or therapies. [Research in Gerontological Nursing, xx(x), xx-xx.].
目前的研究旨在确定非裔美国人和白种人老年妇女(年龄>65岁)31- 60天心力衰竭(HF)再住院相关的社会、血液动力学和合并症危险因素。一项非等量、病例对照、定量设计研究利用美国东南地区一家当地社区医院病历的二次数据分析进行了为期3年的研究。研究了预测变量与结果变量(31- 60天HF再住院)之间的关系。包含所有预测因子的完整模型无法区分预测因子(χ2[21, N = 188] = 35.77, p = 0.12)。然而，一个浓缩模型显示，体重指数(BMI)水平1(25和<30 kg/m2)、年龄75至80岁以及服用降脂药物的人是显著的预测因素。HF亚型(减少或保留)和种族不能预测在规定时间内HF再住院。多种合并症风险因素未能一致预测再住院，这可能反映了过时的hf特异性方法和治疗方法。未来的研究应评估当前的靶向出院后方法或治疗的贡献。[老年护理研究，xx(x)， xx-xx.]
{"title":"Predicting 31- to 60-Day Heart Failure Rehospitalization Among Older Women.","authors":"Carolyn B. Sue-Ling, N. Jairath","doi":"10.3928/19404921-20220518-03","DOIUrl":"https://doi.org/10.3928/19404921-20220518-03","url":null,"abstract":"The current study sought to identify social, hemodynamic, and comorbid risk factors associated with 31-to 60-day heart failure (HF) rehospitalization in African American and Caucasian older (aged >65 years) women. A non-equivalent, case-control, quantitative design study using secondary data analysis of medical records from a local community hospital in the Southeast region of the United States was performed over a 3-year period. Relationships between predictor variables and the outcome variable, 31- to 60-day HF rehospitalization, were explored. The full model containing all predictors was not able to distinguish between predictors (χ2[21, N = 188] = 35.77, p = 0.12). However, a condensed model showed that body mass index (BMI) level 1 (<25 kg/m2), BMI level 2 (>25 and <30 kg/m2), age 75 to 80 years, and those taking lipid-lowering agents were significant predictors. Subtype of HF (reduced or preserved) and race did not predict HF rehospitalization within the specified time period. Multiple comorbid risk factors failed to consistently predict rehospitalization, which may reflect dated HF-specific approaches and therapies. Future studies should evaluate contributions of current targeted post-discharge methods or therapies. [Research in Gerontological Nursing, xx(x), xx-xx.].","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2022-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87036046","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}
Pub Date : 2022-05-27DOI: 10.3928/19404921-20220518-02
Elizabeth Hill, P. Bekker, Susan M. Strouse, Rebecca Davis
The purpose of the current qualitative phenomenological study is to learn about the lived experiences of assisted living (AL) community administrators during the coronavirus disease 2019 (COVID-19) pandemic. Little is known about how administrators coped with the ever-changing mandates (e.g., visitation, testing, communal activities, acceptance of COVID-positive residents). Semi-structured interviews with AL administrators were conducted, transcribed verbatim, and analyzed for meaning and essence using a modified Giorgi's approach. Data analysis showed that administrators experienced a multitude of feelings and actions related to the well-being of staff, residents, and residents' families. Findings also identified the complexity of the constant changes, including limited resources and policy changes, of the AL administrators' lived experiences during the pandemic. Results from this study can inform policies and strategies for providing care to this often-overlooked population of older adults. [Research in Gerontological Nursing, xx(x), xx-xx.].
{"title":"\"We Weathered the Storm\": A Qualitative Phenomenological Study of the Lived Experience of Assisted Living Administrators During the COVID-19 Pandemic.","authors":"Elizabeth Hill, P. Bekker, Susan M. Strouse, Rebecca Davis","doi":"10.3928/19404921-20220518-02","DOIUrl":"https://doi.org/10.3928/19404921-20220518-02","url":null,"abstract":"The purpose of the current qualitative phenomenological study is to learn about the lived experiences of assisted living (AL) community administrators during the coronavirus disease 2019 (COVID-19) pandemic. Little is known about how administrators coped with the ever-changing mandates (e.g., visitation, testing, communal activities, acceptance of COVID-positive residents). Semi-structured interviews with AL administrators were conducted, transcribed verbatim, and analyzed for meaning and essence using a modified Giorgi's approach. Data analysis showed that administrators experienced a multitude of feelings and actions related to the well-being of staff, residents, and residents' families. Findings also identified the complexity of the constant changes, including limited resources and policy changes, of the AL administrators' lived experiences during the pandemic. Results from this study can inform policies and strategies for providing care to this often-overlooked population of older adults. [Research in Gerontological Nursing, xx(x), xx-xx.].","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2022-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79738709","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}
Pub Date : 2022-05-01DOI: 10.3928/19404921-20220428-01
Ling-ling Zhu, Quan Zhou
{"title":"Medication Errors are Indeed Related to Source of Purchased Medication.","authors":"Ling-ling Zhu, Quan Zhou","doi":"10.3928/19404921-20220428-01","DOIUrl":"https://doi.org/10.3928/19404921-20220428-01","url":null,"abstract":"","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72449002","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}
Pub Date : 2022-05-01DOI: 10.3928/19404921-20220426-01
D. Fick, S. Kagan, B. Resnick, H. Young
[...]workplace concerns, such as low staffing levels, low morale, and subsequent burnout, are pushing nurses out of health care entirely. In those settings, resources are limited and have been for decades. [...]complexity characterizes the needs of all residents under these nurses' care. [...]nursing homes specifically need policy and practice changes to optimize scope of practice and provide around-the-clock professional nurse leadership. Other local efforts include nursing schools offering robust clinical rotations in nursing homes and programs providing opportunities to students to work in long-term care facilities.
{"title":"Making Care for Older People the Choice of Nurses Today, Tomorrow, and Forever.","authors":"D. Fick, S. Kagan, B. Resnick, H. Young","doi":"10.3928/19404921-20220426-01","DOIUrl":"https://doi.org/10.3928/19404921-20220426-01","url":null,"abstract":"[...]workplace concerns, such as low staffing levels, low morale, and subsequent burnout, are pushing nurses out of health care entirely. In those settings, resources are limited and have been for decades. [...]complexity characterizes the needs of all residents under these nurses' care. [...]nursing homes specifically need policy and practice changes to optimize scope of practice and provide around-the-clock professional nurse leadership. Other local efforts include nursing schools offering robust clinical rotations in nursing homes and programs providing opportunities to students to work in long-term care facilities.","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80572046","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}
Pub Date : 2022-05-01DOI: 10.3928/19404921-20220428-02
Chih-Ying Li, Paul Arthur, Brian Downer, Craig A Velozo, Yong-Fang Kuo, Huey-Ming Tzeng, Kenneth J Ottenbacher
The Brief Interview for Mental Status (BIMS) is used to identify delirium and needed supports in patients living in skilled nursing facilities (SNFs) and long-term care facilities (LTCFs). We analyzed 3,537,404 patients discharged from acute hospitals to SNFs or LTCFs with factor and Rasch analyses to examine the clinical utility of the BIMS. More than 40% of the sample had maximum scores, indicating a ceiling effect. "Repetition of three words" was the easiest and the only misfit item (Outfit = 3.14). The ability of the BIMS to distinguish individuals into two cognitive levels (with person strata of 1.48) was limited. Although the BIMS is a widely used screening tool for cognitive impairment, we found it lacked sensitivity for approximately one half of patients admitted to SNFs/LTCFs. Our results suggest the BIMS should be interpreted with caution, particularly for patients with mild cognitive impairment. [Research in Gerontological Nursing, 15(3), 124-130.].
{"title":"Examining the Clinical Utility of the Brief Interview for Mental Status.","authors":"Chih-Ying Li, Paul Arthur, Brian Downer, Craig A Velozo, Yong-Fang Kuo, Huey-Ming Tzeng, Kenneth J Ottenbacher","doi":"10.3928/19404921-20220428-02","DOIUrl":"10.3928/19404921-20220428-02","url":null,"abstract":"<p><p>The Brief Interview for Mental Status (BIMS) is used to identify delirium and needed supports in patients living in skilled nursing facilities (SNFs) and long-term care facilities (LTCFs). We analyzed 3,537,404 patients discharged from acute hospitals to SNFs or LTCFs with factor and Rasch analyses to examine the clinical utility of the BIMS. More than 40% of the sample had maximum scores, indicating a ceiling effect. \"Repetition of three words\" was the easiest and the only misfit item (Outfit = 3.14). The ability of the BIMS to distinguish individuals into two cognitive levels (with person strata of 1.48) was limited. Although the BIMS is a widely used screening tool for cognitive impairment, we found it lacked sensitivity for approximately one half of patients admitted to SNFs/LTCFs. Our results suggest the BIMS should be interpreted with caution, particularly for patients with mild cognitive impairment. [<i>Research in Gerontological Nursing, 15</i>(3), 124-130.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5e/0b/nihms-1828061.PMC9377165.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10512019","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}
Pub Date : 2022-04-15DOI: 10.3928/19404921-20220408-02
Carol M Vos, Nancy Ambrose-Gallagher, Katelyn E. Webster, J. Larson
Low physical activity (PA) and high sedentary behavior (SB) place residents in assisted living at risk for physical decline, but little is known about factors that influence PA/SB in this setting. In the current cross-sectional study, we described objectively measured PA/SB (activPAL™) and examined the relationships between PA/SB and use of an assistive walking device, depression, sleep disturbance, pain, fatigue, social isolation, and the tendency to make social comparisons. Fifty-four residents from eight assisted living facilities participated. Mean time spent in PA was 252.9 (SD = 134.3) minutes/day. Mean time spent in SB was 660.8 (SD = 181.4) minutes/day. Depression predicted PA (R2 = 0.16). Residents using an assistive device spent significantly more time in SB (p = 0.02). Fatigue correlated with time in longer bouts of SB (r = 0.19, p = 0.04). The tendency to make social comparisons correlated with SB (r = 0.22, p = 0.04). Findings show residents in assisted living are inactive and further research is needed to fully understand factors that influence PA/SB. [Research in Gerontological Nursing, xx(x), xx-xx.].
{"title":"Physical Activity and Sedentary Behavior of Residents in Assisted Living: A Preliminary Study.","authors":"Carol M Vos, Nancy Ambrose-Gallagher, Katelyn E. Webster, J. Larson","doi":"10.3928/19404921-20220408-02","DOIUrl":"https://doi.org/10.3928/19404921-20220408-02","url":null,"abstract":"Low physical activity (PA) and high sedentary behavior (SB) place residents in assisted living at risk for physical decline, but little is known about factors that influence PA/SB in this setting. In the current cross-sectional study, we described objectively measured PA/SB (activPAL™) and examined the relationships between PA/SB and use of an assistive walking device, depression, sleep disturbance, pain, fatigue, social isolation, and the tendency to make social comparisons. Fifty-four residents from eight assisted living facilities participated. Mean time spent in PA was 252.9 (SD = 134.3) minutes/day. Mean time spent in SB was 660.8 (SD = 181.4) minutes/day. Depression predicted PA (R2 = 0.16). Residents using an assistive device spent significantly more time in SB (p = 0.02). Fatigue correlated with time in longer bouts of SB (r = 0.19, p = 0.04). The tendency to make social comparisons correlated with SB (r = 0.22, p = 0.04). Findings show residents in assisted living are inactive and further research is needed to fully understand factors that influence PA/SB. [Research in Gerontological Nursing, xx(x), xx-xx.].","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2022-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82408581","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}
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