Laura Carlotta Nagel,Natalie Baumeister,Tanja Müller,Ulrich Stangier
BACKGROUND AND OBJECTIVESThe lack of psychotherapy in nursing homes can be explained by organisational obstacles but also by practitioners' reservations about this patient group and setting. This study aimed to inform practice by qualitatively exploring the experiences of psychotherapists delivering cognitive behavioural therapy (CBT) to residents of nursing homes diagnosed with depression.RESEARCH DESIGN AND METHODSSemi-structured interviews with six psychotherapists, who had delivered treatment within the DAVOS project (Depression in the nursing home: a cluster-randomized stepped-wedge collaborative case management approach to improve treatment) were recorded, transcribed, and analysed using a deductive-inductive content analysis.RESULTSTherapists experienced various difficulties, including practical (e.g., multi-professional collaboration) and existential issues (e.g., confrontation with their own mortality). Participants described correcting some stereotypical images of older people (in need of care) through their work within the DAVOS project. However, evidence of ageism was still included in their reports. In the interviews, psychotherapists more experienced with older patients addressed more existential issues, whereas more novice therapists tended to focus more on practical difficulties.DISCUSSION AND IMPLICATIONSTo ensure a more effective implementation of psychotherapeutic treatment in nursing homes, it appears necessary to address important contextual factors that facilitate interdisciplinary collaboration, interference free treatment rooms and tele-assisted sessions. Further, more setting-specific training, targeted supervision regarding death and suicide, and interventions that address stereotypical images of age and older people in residential care are needed.
{"title":"I simply have more of a role as a human being. Psychotherapists' Experience Delivering Psychotherapy to Nursing Home Residents with Depression.","authors":"Laura Carlotta Nagel,Natalie Baumeister,Tanja Müller,Ulrich Stangier","doi":"10.1093/geront/gnae130","DOIUrl":"https://doi.org/10.1093/geront/gnae130","url":null,"abstract":"BACKGROUND AND OBJECTIVESThe lack of psychotherapy in nursing homes can be explained by organisational obstacles but also by practitioners' reservations about this patient group and setting. This study aimed to inform practice by qualitatively exploring the experiences of psychotherapists delivering cognitive behavioural therapy (CBT) to residents of nursing homes diagnosed with depression.RESEARCH DESIGN AND METHODSSemi-structured interviews with six psychotherapists, who had delivered treatment within the DAVOS project (Depression in the nursing home: a cluster-randomized stepped-wedge collaborative case management approach to improve treatment) were recorded, transcribed, and analysed using a deductive-inductive content analysis.RESULTSTherapists experienced various difficulties, including practical (e.g., multi-professional collaboration) and existential issues (e.g., confrontation with their own mortality). Participants described correcting some stereotypical images of older people (in need of care) through their work within the DAVOS project. However, evidence of ageism was still included in their reports. In the interviews, psychotherapists more experienced with older patients addressed more existential issues, whereas more novice therapists tended to focus more on practical difficulties.DISCUSSION AND IMPLICATIONSTo ensure a more effective implementation of psychotherapeutic treatment in nursing homes, it appears necessary to address important contextual factors that facilitate interdisciplinary collaboration, interference free treatment rooms and tele-assisted sessions. Further, more setting-specific training, targeted supervision regarding death and suicide, and interventions that address stereotypical images of age and older people in residential care are needed.","PeriodicalId":520107,"journal":{"name":"The Gerontologist","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142252959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dorly J H Deeg,Theo van Tilburg,Marjolein Visser,Arjan Braam,Najada Stringa,Erik J Timmermans
BACKGROUND AND OBJECTIVES'Blue Zones' (BZs) are regions with exceptionally high numbers of longevous inhabitants. Several factors have been suggested to promote longevity in BZs, but the evidence generally does not meet scientific quality criteria. We aimed to characterize a municipality as a 'relative BZ', satisfying three criteria: compared to other municipalities, more exceptionally longevous inhabitants, a higher life expectancy, and a more stable population.RESEARCH DESIGN AND METHODSThe population-based Longitudinal Aging Study Amsterdam is ongoing since 1992 in 11 municipalities across the Netherlands with three- or four-yearly measurement waves. Using all available waves, we included 39 genetic, personal, socio-cultural, and environmental characteristics.RESULTSOne municipality satisfied the three BZ criteria. In comparison with participants in other municipalities in the same province and other provinces in the Netherlands, BZ-participants more often had a polygenic risk score linked to longevity, smoked less, consumed less alcohol and more fruit, biked more minutes, did more often paid work, practiced singing more often, attached higher importance to religion, and lived in a more walkable and livable environment. In contrast, BZ-participants had a slower walking speed, more depressive symptoms, felt less purpose in life, had a larger waist circumference, walked and did sports less often, consumed less vegetables, and exchanged less instrumental support. Other indicators of their physical and mental health and social connectedness did not substantially differ from non-BZ-participants.DISCUSSION AND IMPLICATIONSRather than clues to healthy aging, our findings suggest factors conducive to longevity regardless of impaired health.
{"title":"Identification of a 'Blue Zone' in the Netherlands: a genetic, personal, socio-cultural, and environmental profile.","authors":"Dorly J H Deeg,Theo van Tilburg,Marjolein Visser,Arjan Braam,Najada Stringa,Erik J Timmermans","doi":"10.1093/geront/gnae132","DOIUrl":"https://doi.org/10.1093/geront/gnae132","url":null,"abstract":"BACKGROUND AND OBJECTIVES'Blue Zones' (BZs) are regions with exceptionally high numbers of longevous inhabitants. Several factors have been suggested to promote longevity in BZs, but the evidence generally does not meet scientific quality criteria. We aimed to characterize a municipality as a 'relative BZ', satisfying three criteria: compared to other municipalities, more exceptionally longevous inhabitants, a higher life expectancy, and a more stable population.RESEARCH DESIGN AND METHODSThe population-based Longitudinal Aging Study Amsterdam is ongoing since 1992 in 11 municipalities across the Netherlands with three- or four-yearly measurement waves. Using all available waves, we included 39 genetic, personal, socio-cultural, and environmental characteristics.RESULTSOne municipality satisfied the three BZ criteria. In comparison with participants in other municipalities in the same province and other provinces in the Netherlands, BZ-participants more often had a polygenic risk score linked to longevity, smoked less, consumed less alcohol and more fruit, biked more minutes, did more often paid work, practiced singing more often, attached higher importance to religion, and lived in a more walkable and livable environment. In contrast, BZ-participants had a slower walking speed, more depressive symptoms, felt less purpose in life, had a larger waist circumference, walked and did sports less often, consumed less vegetables, and exchanged less instrumental support. Other indicators of their physical and mental health and social connectedness did not substantially differ from non-BZ-participants.DISCUSSION AND IMPLICATIONSRather than clues to healthy aging, our findings suggest factors conducive to longevity regardless of impaired health.","PeriodicalId":520107,"journal":{"name":"The Gerontologist","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142252957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BACKGROUND AND OBJECTIVESDental care utilization is an important, yet understudied aspect of health care in informal caregivers of persons with dementia. This study examined how caregiving-related characteristics are associated with dental care utilization among U.S. informal caregivers of persons with dementia and further examined gender differences.RESEARCH DESIGN AND METHODSPooled data came from the Behavioral Risk Factor Surveillance System in 2016, 2018, 2020, and 2022. A nationally representative sample of informal caregivers (n = 3,909) was included. Dental care utilization was "yes" versus "no" within the past year. Caregiving-related characteristics included caregiver role, intensity of care, duration of care, and type of care. Logistic regressions and subgroup analyses were conducted.RESULTSIn total sample, compared to adult child caregivers, spousal caregivers were 28% less likely to visit a dentist (odds ratio [OR] = 0.72; 95% confidence interval [CI] = 0.56, 0.94). Caregivers who provided care for more than 20 hours per week were 18% less likely to visit a dentist (OR = 0.82; 95% CI = 0.69, 0.98). In subgroup analyses, intensity of care was a barrier to dental care utilization for female caregivers (OR = 0.78; 95% CI = 0.62, 0.98), whereas caregiver role such as spousal caregiver (OR = 0.59; 95% CI = 0.39, 0.89) or other relative caregiver (OR = 0.70; 95% CI = 0.50, 0.99) was a barrier to dental care utilization for male caregivers.DISCUSSION AND IMPLICATIONSThe findings highlight the importance of caregiving-related characteristics in dental care utilization and suggest gender-tailored interventions.
{"title":"Caregiving-Related Characteristics and Dental Care Utilization in Informal Caregivers of Persons with Dementia: Is There a Gender Difference?","authors":"Weiyu Mao,Bei Wu,Fannie Zhang,Wei Yang","doi":"10.1093/geront/gnae133","DOIUrl":"https://doi.org/10.1093/geront/gnae133","url":null,"abstract":"BACKGROUND AND OBJECTIVESDental care utilization is an important, yet understudied aspect of health care in informal caregivers of persons with dementia. This study examined how caregiving-related characteristics are associated with dental care utilization among U.S. informal caregivers of persons with dementia and further examined gender differences.RESEARCH DESIGN AND METHODSPooled data came from the Behavioral Risk Factor Surveillance System in 2016, 2018, 2020, and 2022. A nationally representative sample of informal caregivers (n = 3,909) was included. Dental care utilization was \"yes\" versus \"no\" within the past year. Caregiving-related characteristics included caregiver role, intensity of care, duration of care, and type of care. Logistic regressions and subgroup analyses were conducted.RESULTSIn total sample, compared to adult child caregivers, spousal caregivers were 28% less likely to visit a dentist (odds ratio [OR] = 0.72; 95% confidence interval [CI] = 0.56, 0.94). Caregivers who provided care for more than 20 hours per week were 18% less likely to visit a dentist (OR = 0.82; 95% CI = 0.69, 0.98). In subgroup analyses, intensity of care was a barrier to dental care utilization for female caregivers (OR = 0.78; 95% CI = 0.62, 0.98), whereas caregiver role such as spousal caregiver (OR = 0.59; 95% CI = 0.39, 0.89) or other relative caregiver (OR = 0.70; 95% CI = 0.50, 0.99) was a barrier to dental care utilization for male caregivers.DISCUSSION AND IMPLICATIONSThe findings highlight the importance of caregiving-related characteristics in dental care utilization and suggest gender-tailored interventions.","PeriodicalId":520107,"journal":{"name":"The Gerontologist","volume":"106 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142205713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BACKGROUND AND OBJECTIVESSelf-perception of aging (SPA) is associated with various health outcomes in the aging process. This study aimed to conduct a systematic review of existing interventions targeting SPA among older adults, and to synthesize their effects on self-perception of aging, physical performance, and mental health.RESEARCH DESIGN AND METHODSA systematic search was performed in PubMed, Embase, PsycINFO, CINAHL, Web of Science, CENTRAL, CNKI, SinoMed, VIP, and WanFang databases for randomized controlled trials that reported intervention effects on self-perception of aging, physical performance, and mental health in older adults. Two researchers independently conducted study selection, data extraction and quality assessment.RESULTSA total of 16 studies were included for qualitative analysis, and 12 studies of them were included for meta-analysis. The results showed a significant impact of interventions on self-perception of aging, with the effect size of -0.56 (95% CI -1.06 to -0.07, P=0.03). And the results also supported a significant improvement in physical performance and mental health among older adults.DISCUSSION AND IMPLICATIONSSelf-perception of aging interventions present a promising approach to enhance positive aging perception for older adults, with potential benefits extending to physical performance and mental health. However, larger-scale and more robust trials are still required to validate these findings and obtain more accurate conclusions.
背景和目的自我衰老感知（SPA）与衰老过程中的各种健康结果有关。本研究旨在对现有的针对老年人 SPA 的干预措施进行系统回顾，并总结其对衰老自我感知、身体表现和心理健康的影响。研究设计和方法在 PubMed、Embase、PsycINFO、CINAHL、Web of Science、CENTRAL、CNKI、SinoMed、VIP 和 WanFang 数据库中进行了系统检索，以寻找报告了对老年人衰老自我感知、身体表现和心理健康的干预效果的随机对照试验。结果共有 16 项研究被纳入定性分析，其中 12 项研究被纳入荟萃分析。结果显示，干预对衰老的自我感知有明显影响，效应大小为-0.56（95% CI -1.06 至-0.07，P=0.03）。讨论与启示老龄化自我感知干预是一种很有前景的方法，可提高老年人对老龄化的积极感知，其潜在益处还包括身体表现和心理健康。然而，要验证这些发现并获得更准确的结论，仍需要进行更大规模和更有力的试验。
{"title":"Effects of self-perception of aging interventions in older adults: A systematic review and meta-analysis.","authors":"Mingyue Zhu,Huimin Chen,Xiaotong Ding,Zheng Li","doi":"10.1093/geront/gnae127","DOIUrl":"https://doi.org/10.1093/geront/gnae127","url":null,"abstract":"BACKGROUND AND OBJECTIVESSelf-perception of aging (SPA) is associated with various health outcomes in the aging process. This study aimed to conduct a systematic review of existing interventions targeting SPA among older adults, and to synthesize their effects on self-perception of aging, physical performance, and mental health.RESEARCH DESIGN AND METHODSA systematic search was performed in PubMed, Embase, PsycINFO, CINAHL, Web of Science, CENTRAL, CNKI, SinoMed, VIP, and WanFang databases for randomized controlled trials that reported intervention effects on self-perception of aging, physical performance, and mental health in older adults. Two researchers independently conducted study selection, data extraction and quality assessment.RESULTSA total of 16 studies were included for qualitative analysis, and 12 studies of them were included for meta-analysis. The results showed a significant impact of interventions on self-perception of aging, with the effect size of -0.56 (95% CI -1.06 to -0.07, P=0.03). And the results also supported a significant improvement in physical performance and mental health among older adults.DISCUSSION AND IMPLICATIONSSelf-perception of aging interventions present a promising approach to enhance positive aging perception for older adults, with potential benefits extending to physical performance and mental health. However, larger-scale and more robust trials are still required to validate these findings and obtain more accurate conclusions.","PeriodicalId":520107,"journal":{"name":"The Gerontologist","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142205712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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