Pub Date : 2026-01-30DOI: 10.1016/j.gerinurse.2026.103870
Meng Jin BSN , Dijuan Meng PhD , Qinan Shen BSN, Xueyi Sun BSN, Yu Ding BSN, Chang Sun MS
Objective
To analyze and synthesize qualitative evidence on how people with dementia (PWD) and their caregivers experience Namaste Care.
Method
Using the Joanna Briggs Institute (JBI) approach to qualitative systematic reviews, we searched PubMed, MEDLINE, CINAHL, Embase, China National Knowledge Infrastructure (CNKI), Wanfang Data through September 2025. Qualitative findings were synthesized via meta-aggregation into review findings, and confidence was assessed using GRADE-CERQual.
Results
Fourteen studies were included. In total, 156 study-level findings were aggregated into 22 categories, organized under 6 composite findings: caregiver-related barriers; PWD participation barriers; impacts on caregiver; benefits for PWD; overall program insights; and implementation facilitators. Based on GRADE-CERQual, confidence in the 22 categories was mostly moderate to high (9/22 high; 8/22 moderate), with fewer categories rated low (3/22) or very low (2/22), primarily due to methodological limitations and data adequacy concerns.
Conclusion
This qualitative synthesis suggests that Namaste Care can improve quality of life for PWD and enhance caregiver satisfaction and resilience. Implementation is frequently constrained by training and resource gaps and by the need for cultural adaptation. Programs should prioritize structured, skills-based caregiver training with supervision, adequate materials and protected time, proactive family partnership, and with fidelity monitoring to support effective and sustainable delivery across settings. Future research should evaluate Namaste Care in non-Western contexts and assess long-term outcomes, cost-effectiveness, and equity.
目的分析和综合痴呆症患者及其照护者如何体验合十礼的定性证据。方法采用Joanna Briggs Institute （JBI）方法进行定性系统评价，检索PubMed、MEDLINE、CINAHL、Embase、中国知网（CNKI）、万方数据等截至2025年9月的文献。通过meta-aggregation将定性结果合成为综述结果，并使用GRADE-CERQual评估置信度。结果共纳入14项研究。总共156项研究水平的发现被汇总为22类，按6项综合发现组织：与护理人员相关的障碍；残疾人士参与障碍；对照顾者的影响；残疾人士的福利；全面的项目洞察；以及实施促进者。基于GRADE-CERQual， 22个类别的置信度大多为中至高（9/22高；8/22中等），较少类别的置信度为低（3/22）或极低（2/22），主要是由于方法限制和数据充分性问题。结论合十礼护理可以改善PWD患者的生活质量，提高照护者的满意度和心理弹性。执行工作经常受到培训和资源差距以及文化适应需要的限制。项目应优先考虑结构化的、以技能为基础的护理人员培训，并提供监督、充足的材料和受保护的时间、积极的家庭伙伴关系和保真度监测，以支持在各种情况下有效和可持续地提供服务。未来的研究应该在非西方环境下评估合十礼护理，并评估长期结果、成本效益和公平性。
{"title":"Experiences of namaste care among people living with dementia and their caregivers: A qualitative meta-synthesis","authors":"Meng Jin BSN , Dijuan Meng PhD , Qinan Shen BSN, Xueyi Sun BSN, Yu Ding BSN, Chang Sun MS","doi":"10.1016/j.gerinurse.2026.103870","DOIUrl":"10.1016/j.gerinurse.2026.103870","url":null,"abstract":"<div><h3>Objective</h3><div>To analyze and synthesize qualitative evidence on how people with dementia (PWD) and their caregivers experience Namaste Care.</div></div><div><h3>Method</h3><div>Using the Joanna Briggs Institute (JBI) approach to qualitative systematic reviews, we searched PubMed, MEDLINE, CINAHL, Embase, China National Knowledge Infrastructure (CNKI), Wanfang Data through September 2025. Qualitative findings were synthesized via meta-aggregation into review findings, and confidence was assessed using GRADE-CERQual.</div></div><div><h3>Results</h3><div>Fourteen studies were included. In total, 156 study-level findings were aggregated into 22 categories, organized under 6 composite findings: caregiver-related barriers; PWD participation barriers; impacts on caregiver; benefits for PWD; overall program insights; and implementation facilitators. Based on GRADE-CERQual, confidence in the 22 categories was mostly moderate to high (9/22 high; 8/22 moderate), with fewer categories rated low (3/22) or very low (2/22), primarily due to methodological limitations and data adequacy concerns.</div></div><div><h3>Conclusion</h3><div>This qualitative synthesis suggests that Namaste Care can improve quality of life for PWD and enhance caregiver satisfaction and resilience. Implementation is frequently constrained by training and resource gaps and by the need for cultural adaptation. Programs should prioritize structured, skills-based caregiver training with supervision, adequate materials and protected time, proactive family partnership, and with fidelity monitoring to support effective and sustainable delivery across settings. Future research should evaluate Namaste Care in non-Western contexts and assess long-term outcomes, cost-effectiveness, and equity.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103870"},"PeriodicalIF":2.4,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-30DOI: 10.1016/j.gerinurse.2026.103880
Yunong Zhang PhD , Ye Tao PhD , Haitao Wang PhD , Mengyu Hao PhD
<div><h3>Background</h3><div>Altered muscle activation patterns are observed in patients undergoing total knee arthroplasty (TKA), resulting in reduced knee joint function, impaired balance, and an increased risk of falls during postoperative recovery. The Otago Exercise Program (OEP) is a rehabilitative intervention designed to enhance muscle strength and improve balance. However, its efficacy in restoring knee joint function and balance in TKA patients remains unclear, with limited clinical evidence. This systematic review and meta-analysis aim to evaluate the effectiveness of OEP on knee joint function, balance, and other recovery outcomes in TKA patients while identifying its essential exercise components.</div></div><div><h3>Objective</h3><div>To investigate the effects of the Otago Exercise Program on knee joint function, knee flexion angle, balance, fall efficacy, functional capacity, pain, and joint swelling in patients following total knee arthroplasty.</div></div><div><h3>Methods</h3><div>Randomized controlled trials (RCTs) examining the effects of the Otago Exercise Program on knee joint recovery in TKA patients were systematically retrieved from Web of Science, PubMed, Cochrane Library, Google Scholar, Embase, CKNI, and KISS databases. The search included studies published from database inception to November 30, 2024. Relevant references from the included studies were manually screened to supplement the literature. Two researchers independently conducted the search, screening, and data extraction. The risk of bias was independently assessed using the Cochrane Handbook, and publication bias was evaluated using Egger's test. Meta-analysis, including subgroup analyses, was performed using Review Manager 5.3. The continuous outcomes were analyzed by calculating the mean difference (MD) or standardized mean difference (SMD) with 95% confidence intervals (CI) according to whether combining outcomes were measured on different scales or not. The quality of evidence in this study was assessed according to the GRADE methodology.</div></div><div><h3>Results</h3><div>A total of 12 RCTs involving 1088 participants were included. Compared to conventional rehabilitation, the Otago Exercise Program significantly improved knee joint function. Subgroup analysis revealed that interventions with a frequency of ≤3 sessions per week (SMD = 1.80, 95% CI: [0.80, 2.79]) and a duration of >1 month (SMD = 2.57, 95% CI: [0.51, 4.64]) yielded larger effect sizes and better outcomes. Additionally, improvements were observed in knee flexion angle (MD = 11.24, 95% CI: [9.16, 13.32]), balance (MD = 3.45, 95% CI: [2.50, 4.40]), fall efficacy (SMD = 0.61, 95% CI: [0.43, 0.79]), and functional capacity (SMD = 0.99, 95% CI: [0.80, 1.18]). Descriptive analysis also indicated reductions in pain and joint swelling.</div></div><div><h3>Conclusion</h3><div>This meta-analysis demonstrates that the Otago Exercise Program significantly enhances knee joint function, knee flexi
{"title":"The impact of the Otago exercise program on knee joint function recovery, balance, fall efficacy and functional capacity in patients undergoing Total knee arthroplasty: a systematic review and meta-analysis","authors":"Yunong Zhang PhD , Ye Tao PhD , Haitao Wang PhD , Mengyu Hao PhD","doi":"10.1016/j.gerinurse.2026.103880","DOIUrl":"10.1016/j.gerinurse.2026.103880","url":null,"abstract":"<div><h3>Background</h3><div>Altered muscle activation patterns are observed in patients undergoing total knee arthroplasty (TKA), resulting in reduced knee joint function, impaired balance, and an increased risk of falls during postoperative recovery. The Otago Exercise Program (OEP) is a rehabilitative intervention designed to enhance muscle strength and improve balance. However, its efficacy in restoring knee joint function and balance in TKA patients remains unclear, with limited clinical evidence. This systematic review and meta-analysis aim to evaluate the effectiveness of OEP on knee joint function, balance, and other recovery outcomes in TKA patients while identifying its essential exercise components.</div></div><div><h3>Objective</h3><div>To investigate the effects of the Otago Exercise Program on knee joint function, knee flexion angle, balance, fall efficacy, functional capacity, pain, and joint swelling in patients following total knee arthroplasty.</div></div><div><h3>Methods</h3><div>Randomized controlled trials (RCTs) examining the effects of the Otago Exercise Program on knee joint recovery in TKA patients were systematically retrieved from Web of Science, PubMed, Cochrane Library, Google Scholar, Embase, CKNI, and KISS databases. The search included studies published from database inception to November 30, 2024. Relevant references from the included studies were manually screened to supplement the literature. Two researchers independently conducted the search, screening, and data extraction. The risk of bias was independently assessed using the Cochrane Handbook, and publication bias was evaluated using Egger's test. Meta-analysis, including subgroup analyses, was performed using Review Manager 5.3. The continuous outcomes were analyzed by calculating the mean difference (MD) or standardized mean difference (SMD) with 95% confidence intervals (CI) according to whether combining outcomes were measured on different scales or not. The quality of evidence in this study was assessed according to the GRADE methodology.</div></div><div><h3>Results</h3><div>A total of 12 RCTs involving 1088 participants were included. Compared to conventional rehabilitation, the Otago Exercise Program significantly improved knee joint function. Subgroup analysis revealed that interventions with a frequency of ≤3 sessions per week (SMD = 1.80, 95% CI: [0.80, 2.79]) and a duration of >1 month (SMD = 2.57, 95% CI: [0.51, 4.64]) yielded larger effect sizes and better outcomes. Additionally, improvements were observed in knee flexion angle (MD = 11.24, 95% CI: [9.16, 13.32]), balance (MD = 3.45, 95% CI: [2.50, 4.40]), fall efficacy (SMD = 0.61, 95% CI: [0.43, 0.79]), and functional capacity (SMD = 0.99, 95% CI: [0.80, 1.18]). Descriptive analysis also indicated reductions in pain and joint swelling.</div></div><div><h3>Conclusion</h3><div>This meta-analysis demonstrates that the Otago Exercise Program significantly enhances knee joint function, knee flexi","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103880"},"PeriodicalIF":2.4,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-30DOI: 10.1016/j.gerinurse.2026.103898
Silvia Wojczewski PhD , Flora Nagy MA , Simona Durisova MA
In home-care for older adults, several vulnerable groups come together: the older adult with care needs, family relatives who look after the older adults and, increasingly, migrant live-in careworkers who live with the older adult. Community engagement is recommended in order to reach and protect people in vulnerable situations, especially for crisis preparedness and prevention activities. This article aims at showing how a participatory approach and community involvement can lead to defining challenges and finding solutions for improving home-care for older adults in Austria. A network meeting was organized that brought family caregivers as well as live-in carers and Community Nurses together. The network meeting showed that it was possible to bring almost all affected and vulnerable groups in home-care together. The presence of Community Nurses and researchers also made it clear to the affected groups that their matters were of wider public importance.
{"title":"Shaping home care in community: Social networking between migrant live-in careworkers and family caregivers. A case study in Austria","authors":"Silvia Wojczewski PhD , Flora Nagy MA , Simona Durisova MA","doi":"10.1016/j.gerinurse.2026.103898","DOIUrl":"10.1016/j.gerinurse.2026.103898","url":null,"abstract":"<div><div>In home-care for older adults, several vulnerable groups come together: the older adult with care needs, family relatives who look after the older adults and, increasingly, migrant live-in careworkers who live with the older adult. Community engagement is recommended in order to reach and protect people in vulnerable situations, especially for crisis preparedness and prevention activities. This article aims at showing how a participatory approach and community involvement can lead to defining challenges and finding solutions for improving home-care for older adults in Austria. A network meeting was organized that brought family caregivers as well as live-in carers and Community Nurses together. The network meeting showed that it was possible to bring almost all affected and vulnerable groups in home-care together. The presence of Community Nurses and researchers also made it clear to the affected groups that their matters were of wider public importance.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103898"},"PeriodicalIF":2.4,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-30DOI: 10.1016/j.gerinurse.2026.103859
Yi Wang MSN , Ziwei Ye MSN , Rao Li MSN , Li Yuan BSc , Xiaoling Yang MSN , Jing Lv MSN , Ting He MSN
Aim
To build a comprehensive nursing risk model for older adults inpatients with multiple chronic conditions to identify nursing risks.
Method
This study was conducted in Sichuan Province, China from March 2020 to June 2022. We used Python to build logistic regression, decision tree and random forest models.
Results
The study included 4458 patients, 2529 were male (56.7 %) and had an average age of 74.31±6.79 years. The mean number of chronic diseases in elderly hospitalized patients was 2.81±0.96. Hypertension (67.0%), diabetes (43.4%), and coronary heart disease (31.4%) are the three diseases with the highest prevalence. There were 552 (12.4%) patients who had nursing risk event. The random forest model has the best comprehensive prediction ability. It has the highest accuracy(0.917), precision(0.667), recall(0.706), Macro-F1(0.933), and AUC values [0.933(95 % CI:0.924–0.943) ] in training set.
Conclusion
The random forest(AUC=0.933) superior compared to logistic regression and decision tree, suggesting strong potential for clinical implementation.
{"title":"Constructing a comprehensive nursing risk assessment model for older adults inpatients with multiple chronic conditions: A multicenter cross-sectional study","authors":"Yi Wang MSN , Ziwei Ye MSN , Rao Li MSN , Li Yuan BSc , Xiaoling Yang MSN , Jing Lv MSN , Ting He MSN","doi":"10.1016/j.gerinurse.2026.103859","DOIUrl":"10.1016/j.gerinurse.2026.103859","url":null,"abstract":"<div><h3>Aim</h3><div>To build a comprehensive nursing risk model for older adults inpatients with multiple chronic conditions to identify nursing risks.</div></div><div><h3>Method</h3><div>This study was conducted in Sichuan Province, China from March 2020 to June 2022. We used Python to build logistic regression, decision tree and random forest models.</div></div><div><h3>Results</h3><div>The study included 4458 patients, 2529 were male (56.7 %) and had an average age of 74.31±6.79 years. The mean number of chronic diseases in elderly hospitalized patients was 2.81±0.96. Hypertension (67.0%), diabetes (43.4%), and coronary heart disease (31.4%) are the three diseases with the highest prevalence. There were 552 (12.4%) patients who had nursing risk event. The random forest model has the best comprehensive prediction ability. It has the highest accuracy(0.917), precision(0.667), recall(0.706), Macro-F1(0.933), and AUC values [0.933(95 % CI:0.924–0.943) ] in training set.</div></div><div><h3>Conclusion</h3><div>The random forest(AUC=0.933) superior compared to logistic regression and decision tree, suggesting strong potential for clinical implementation.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103859"},"PeriodicalIF":2.4,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-30DOI: 10.1016/j.gerinurse.2026.103892
Christina E. Miyawaki PhD, MSW, MA , Angela McClellan LMSW
Dementia and depression are common neuropsychiatric disorders in older Americans and 40% experience both conditions simultaneously. Yet, interventions addressing both disorders are scarce. Life reviews, systematic recall and evaluation of people’s lives, have demonstrated efficacy in depression. We developed the Caregiver-Provided Life Review (C-PLR) and pilot-tested it with people with dementia and depression (PwDD) in communities and assisted living facilities (ALF) and their family caregivers during the COVID-19 pandemic. This mixed-methods study reports on the results of ALF-dwelling dyads (n=9). C-PLR reduced PwDD’s depression and improved the dyads’ relationship quality. Many dyads recorded their sessions to share with the next generations of families. Special attention should be given to ALF residents who have no families nearby. Given the structure of C-PLR, the ALF staff can play caregiver roles, record their life review sessions, and share the PwDD’s stories so that they can leave their legacy to relatives living afar.
{"title":"A life review depression intervention conducted in assisted living facilities during the COVID-19 pandemic: did it work?","authors":"Christina E. Miyawaki PhD, MSW, MA , Angela McClellan LMSW","doi":"10.1016/j.gerinurse.2026.103892","DOIUrl":"10.1016/j.gerinurse.2026.103892","url":null,"abstract":"<div><div>Dementia and depression are common neuropsychiatric disorders in older Americans and 40% experience both conditions simultaneously. Yet, interventions addressing both disorders are scarce. Life reviews, systematic recall and evaluation of people’s lives, have demonstrated efficacy in depression. We developed <em>the Caregiver-Provided Life Review (C-PLR)</em> and pilot-tested it with people with dementia and depression (PwDD) in communities and assisted living facilities (ALF) and their family caregivers during the COVID-19 pandemic. This mixed-methods study reports on the results of ALF-dwelling dyads (n=9). C-PLR reduced PwDD’s depression and improved the dyads’ relationship quality. Many dyads recorded their sessions to share with the next generations of families. Special attention should be given to ALF residents who have no families nearby. Given the structure of C-PLR, the ALF staff can play caregiver roles, record their life review sessions, and share the PwDD’s stories so that they can leave their legacy to relatives living afar.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103892"},"PeriodicalIF":2.4,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-30DOI: 10.1016/j.gerinurse.2026.103799
Han Wu MSc , Haijun Zhang MSc , Congzhi Wang MSc , Tian Pan MSc , Yue Zhao MSc , Xiang Chen MSc , Lin Zhang PhD
Background
Family support is related to the life satisfaction of hypertensive patients, but the mechanism is unclear. This study aimed to explore the influencing mechanism and analyze the multiple mediating roles of self-esteem and self-care.
Methods
From June to November 2022, in the First Affiliated Hospital of Wannan Medical College, patients with essential hypertension were surveyed using multiple scales, and the data were analyzed with SPSS 26.0 and PROCESS 4.1 macros.
Results
Family support directly affected the life satisfaction of patients (β = 0.068), and also indirectly affected it through three pathways: self-esteem, self-care, and the combination of both. The overall mediating effect was 48.48%.
Conclusions
Self-esteem and self-care act as mediators. Medical staff should encourage family members to support patients and improve patients' self-esteem and self-care abilities to enhance their life satisfaction.
{"title":"The relationship between family support and life satisfaction in hypertensive patients: the multiple mediating roles of self-esteem and self-care","authors":"Han Wu MSc , Haijun Zhang MSc , Congzhi Wang MSc , Tian Pan MSc , Yue Zhao MSc , Xiang Chen MSc , Lin Zhang PhD","doi":"10.1016/j.gerinurse.2026.103799","DOIUrl":"10.1016/j.gerinurse.2026.103799","url":null,"abstract":"<div><h3>Background</h3><div>Family support is related to the life satisfaction of hypertensive patients, but the mechanism is unclear. This study aimed to explore the influencing mechanism and analyze the multiple mediating roles of self-esteem and self-care.</div></div><div><h3>Methods</h3><div>From June to November 2022, in the First Affiliated Hospital of Wannan Medical College, patients with essential hypertension were surveyed using multiple scales, and the data were analyzed with SPSS 26.0 and PROCESS 4.1 macros.</div></div><div><h3>Results</h3><div>Family support directly affected the life satisfaction of patients (β = 0.068), and also indirectly affected it through three pathways: self-esteem, self-care, and the combination of both. The overall mediating effect was 48.48%.</div></div><div><h3>Conclusions</h3><div>Self-esteem and self-care act as mediators. Medical staff should encourage family members to support patients and improve patients' self-esteem and self-care abilities to enhance their life satisfaction.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103799"},"PeriodicalIF":2.4,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-30DOI: 10.1016/j.gerinurse.2026.103875
Takeru Oka MS , Tadao Ooka MD, PhD , Hiroshi Yokomichi MD, PhD , Zentaro Yamagata MD, PhD
Objective
Population aging highlights the importance of understanding social factors that promote healthy aging. We aimed to identify health status trajectories among older adults in Japan and determine social participation associated with each trajectory cluster.
Methods
Data from 497 older adults from Yamanashi Prefecture, Japan, were used to identify their health status trajectories based on caregiving levels defined by the Japan’s national care insurance system. We determined social participants associated with each trajectory cluster.
Results
Men aged 65–74 who worked and participated in “Mujin” were more likely to belong to beneficial health clusters. For men aged ≥75, frequent interactions with friends and neighbors and participation in vertical community groups were positively associated with these clusters. Among women, active participation in horizontal groups was positively linked to beneficial health clusters across both age groups.
Conclusion
Tailored approaches to promoting social activity participation are needed, considering differences by sex and age group.
{"title":"Association between social participation and health status trajectories in older adults: A 19-year yamanashi healthy life expectancy cohort study (Y-HALE)","authors":"Takeru Oka MS , Tadao Ooka MD, PhD , Hiroshi Yokomichi MD, PhD , Zentaro Yamagata MD, PhD","doi":"10.1016/j.gerinurse.2026.103875","DOIUrl":"10.1016/j.gerinurse.2026.103875","url":null,"abstract":"<div><h3>Objective</h3><div>Population aging highlights the importance of understanding social factors that promote healthy aging. We aimed to identify health status trajectories among older adults in Japan and determine social participation associated with each trajectory cluster.</div></div><div><h3>Methods</h3><div>Data from 497 older adults from Yamanashi Prefecture, Japan, were used to identify their health status trajectories based on caregiving levels defined by the Japan’s national care insurance system. We determined social participants associated with each trajectory cluster.</div></div><div><h3>Results</h3><div>Men aged 65–74 who worked and participated in “Mujin” were more likely to belong to beneficial health clusters. For men aged ≥75, frequent interactions with friends and neighbors and participation in vertical community groups were positively associated with these clusters. Among women, active participation in horizontal groups was positively linked to beneficial health clusters across both age groups.</div></div><div><h3>Conclusion</h3><div>Tailored approaches to promoting social activity participation are needed, considering differences by sex and age group.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103875"},"PeriodicalIF":2.4,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-30DOI: 10.1016/j.gerinurse.2026.103913
Florence Johnson PhD, MSN, MHA, CDP , Philip Veliz PhD , Namratha Boddakayala MA , Hannah Ratliff PhD, RN , Sheria Robinson-Lane PhD, MSN, MHA
Black and Hispanic family caregivers (CGs) provide 83% of care for individuals with dementia in their communities, while often facing higher burdens and limited support. This study examined how specific caregiving tasks, such as activities of daily living (ADLs) and instrumental activities of daily living (iADLs), are associated with symptoms of anxiety and depression among Black and Hispanic CGs, using White CGs as the reference group.
This cross-sectional secondary data analysis of 947 CGs aged 18 and older from the 2015 National Study of Caregiving (NSOC) was linked with the National Health and Aging Trends study (NHATS) data. Multivariable logistic regression modeling was used to assess the association between caregiving tasks and mental health, stratified by each race.
The sample was predominantly female (65%), with a mean age of 57 (SD 20.05). Black CGs assisting with feeding (ADL) had significantly higher odds of anxiety (aOR = 2.02, 95% CI = [1.08, 3.75]) and depressive (aOR = 2.45, 95% CI = [1.25, 4.78]) symptoms compared to White CGs, anxiety (aOR = 1.45, 95% CI = [0.89, 2.35]) and depressive (aOR = 1.21, 95% CI = [0.78, 1.88]) symptoms. No significant associations between individual ADLs and iADLs and symptoms of anxiety or depression were observed in Hispanic CGs.
Feeding and bathing tasks are associated with poorer mental health in Black CGs. Though results highlight the need for culturally responsive CG support; causal relationships cannot be made. Longitudinal research is recommended to better understand these associations before interventions are developed.
黑人和西班牙裔家庭照护者为其所在社区的痴呆症患者提供了83%的照护，但往往面临更高的负担和有限的支持。本研究以白人cg为参照组，研究了特定的护理任务，如日常生活活动（adl）和日常生活工具性活动（iadl），如何与黑人和西班牙裔cg的焦虑和抑郁症状相关。对2015年全国护理研究（NSOC）中947名18岁及以上的CGs的横断面二次数据分析与全国健康与老龄化趋势研究（NHATS）数据相关联。采用多变量逻辑回归模型评估护理任务与心理健康之间的关系，并按每个种族分层。样本以女性为主（65%），平均年龄为57岁（SD 20.05）。辅助喂养（ADL）的黑色CGs出现焦虑（aOR = 2.02, 95% CI =[1.08, 3.75]）和抑郁（aOR = 2.45, 95% CI =[1.25, 4.78]）症状的几率显著高于白色CGs、焦虑（aOR = 1.45, 95% CI =[0.89, 2.35]）和抑郁（aOR = 1.21, 95% CI =[0.78, 1.88]）症状的几率。在西班牙裔CGs中，没有观察到个体adl和iadl与焦虑或抑郁症状之间的显著关联。在黑人儿童中，喂食和洗澡任务与较差的心理健康有关。虽然结果强调需要文化响应的CG支持；不能建立因果关系。建议进行纵向研究，以便在制定干预措施之前更好地了解这些关联。
{"title":"A cross-sectional study of caregiving tasks and mental health outcomes among diverse family dementia caregivers","authors":"Florence Johnson PhD, MSN, MHA, CDP , Philip Veliz PhD , Namratha Boddakayala MA , Hannah Ratliff PhD, RN , Sheria Robinson-Lane PhD, MSN, MHA","doi":"10.1016/j.gerinurse.2026.103913","DOIUrl":"10.1016/j.gerinurse.2026.103913","url":null,"abstract":"<div><div>Black and Hispanic family caregivers (CGs) provide 83% of care for individuals with dementia in their communities, while often facing higher burdens and limited support. This study examined how specific caregiving tasks, such as activities of daily living (ADLs) and instrumental activities of daily living (iADLs), are associated with symptoms of anxiety and depression among Black and Hispanic CGs, using White CGs as the reference group.</div><div>This cross-sectional secondary data analysis of 947 CGs aged 18 and older from the 2015 National Study of Caregiving (NSOC) was linked with the National Health and Aging Trends study (NHATS) data. Multivariable logistic regression modeling was used to assess the association between caregiving tasks and mental health, stratified by each race.</div><div>The sample was predominantly female (65%), with a mean age of 57 (SD 20.05). Black CGs assisting with feeding (ADL) had significantly higher odds of anxiety (aOR = 2.02, 95% CI = [1.08, 3.75]) and depressive (aOR = 2.45, 95% CI = [1.25, 4.78]) symptoms compared to White CGs, anxiety (aOR = 1.45, 95% CI = [0.89, 2.35]) and depressive (aOR = 1.21, 95% CI = [0.78, 1.88]) symptoms. No significant associations between individual ADLs and iADLs and symptoms of anxiety or depression were observed in Hispanic CGs.</div><div>Feeding and bathing tasks are associated with poorer mental health in Black CGs. Though results highlight the need for culturally responsive CG support; causal relationships cannot be made. Longitudinal research is recommended to better understand these associations before interventions are developed.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103913"},"PeriodicalIF":2.4,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-30DOI: 10.1016/j.gerinurse.2026.103886
Parisa Gholambareshi MS , Zahra Arabpour MS , Esmaeel Gholizadeh PhD , Mohammadreza Aliakbari MS , Farzam Kamrani MS , Mohammad Amin Senobari MS , Alireza Saadati MD , Maryam Razaghi PhD , Maryam Khosravi PhD
Background
The global aging population presents significant health challenges, including malnutrition, sarcopenia, and frailty, which reduce physical performance and quality of life while increasing healthcare costs. Nutritional interventions, such as oral nutritional supplements (ONS) and protein-enriched diets, have been proposed to address these issues, but evidence remains inconsistent. This review examines the effectiveness of dietary interventions including ONS and protein supplementation in improving health outcomes among older people.
Methods
A systematic search of PubMed, Scopus, Embase, and Web of Science (2000–2024) identified 11,711 studies of which 48 clinical trials met the inclusion criteria. This review was conducted and reported in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) 2020 guideline. Key outcomes measured were body composition, muscle mass, physical performance, inflammatory markers and quality of life.
Results
ONS and protein supplements, particularly whey protein and leucine-enriched formulations improved muscle mass, strength and anthropometric measures including body weight (BW) and body mass index (BMI). Combined interventions with physical exercise yielded greater effects on gait speed and handgrip strength. ONS also reduced hospitalization days, inflammation and oxidative stress. However, effects on cognitive outcomes and fat mass reduction were variable and heterogeneity across studies limited direct comparisons.
Conclusion
Nutritional interventions, particularly when combined with exercise, significantly benefit older adults. Standardized, high-quality RCTs are needed to develop evidence-based dietary guidelines for promoting healthy aging across care settings.
全球人口老龄化带来了重大的健康挑战，包括营养不良、肌肉减少症和虚弱，这些问题降低了身体机能和生活质量，同时增加了医疗成本。营养干预措施，如口服营养补充剂（ONS）和富含蛋白质的饮食，已被提议解决这些问题，但证据仍然不一致。本综述探讨了饮食干预措施（包括ONS和蛋白质补充）在改善老年人健康结果方面的有效性。方法系统检索PubMed、Scopus、Embase和Web of Science（2000-2024）数据库，共纳入11711项研究，其中48项临床试验符合纳入标准。本综述按照PRISMA（系统评价和荟萃分析首选报告项目）2020指南进行和报告。测量的主要结果是身体成分、肌肉质量、身体表现、炎症标志物和生活质量。结果：ons和蛋白质补充剂，特别是乳清蛋白和富含亮氨酸的配方，改善了肌肉质量、力量和人体测量指标，包括体重（BW）和体重指数（BMI）。结合体育锻炼的干预措施对步态速度和握力产生了更大的影响。ONS还减少了住院天数、炎症和氧化应激。然而，对认知结果和脂肪量减少的影响是可变的，研究之间的异质性限制了直接比较。结论：营养干预，特别是与运动相结合，对老年人有显著益处。需要标准化、高质量的随机对照试验来制定循证饮食指南，以促进整个护理机构的健康老龄化。
{"title":"Promoting healthy aging: A systematic review of the transformative effects of nutritional interventions in elderly population","authors":"Parisa Gholambareshi MS , Zahra Arabpour MS , Esmaeel Gholizadeh PhD , Mohammadreza Aliakbari MS , Farzam Kamrani MS , Mohammad Amin Senobari MS , Alireza Saadati MD , Maryam Razaghi PhD , Maryam Khosravi PhD","doi":"10.1016/j.gerinurse.2026.103886","DOIUrl":"10.1016/j.gerinurse.2026.103886","url":null,"abstract":"<div><h3>Background</h3><div>The global aging population presents significant health challenges, including malnutrition, sarcopenia, and frailty, which reduce physical performance and quality of life while increasing healthcare costs. Nutritional interventions, such as oral nutritional supplements (ONS) and protein-enriched diets, have been proposed to address these issues, but evidence remains inconsistent. This review examines the effectiveness of dietary interventions including ONS and protein supplementation in improving health outcomes among older people.</div></div><div><h3>Methods</h3><div>A systematic search of PubMed, Scopus, Embase, and Web of Science (2000–2024) identified 11,711 studies of which 48 clinical trials met the inclusion criteria. This review was conducted and reported in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) 2020 guideline. Key outcomes measured were body composition, muscle mass, physical performance, inflammatory markers and quality of life.</div></div><div><h3>Results</h3><div>ONS and protein supplements, particularly whey protein and leucine-enriched formulations improved muscle mass, strength and anthropometric measures including body weight (BW) and body mass index (BMI). Combined interventions with physical exercise yielded greater effects on gait speed and handgrip strength. ONS also reduced hospitalization days, inflammation and oxidative stress. However, effects on cognitive outcomes and fat mass reduction were variable and heterogeneity across studies limited direct comparisons.</div></div><div><h3>Conclusion</h3><div>Nutritional interventions, particularly when combined with exercise, significantly benefit older adults. Standardized, high-quality RCTs are needed to develop evidence-based dietary guidelines for promoting healthy aging across care settings.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103886"},"PeriodicalIF":2.4,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-30DOI: 10.1016/j.gerinurse.2026.103906
Esther de Groot MSc , Hester Fidder MSc , Marike E. de Boer PhD , Ruth B. Veenhuizen PhD , Martin Smalbrugge PhD , Anouk M. van Loon PhD
Background & Objectives
Impaired awareness is common among people with Alzheimer's disease (AD) and the related disorders Huntington's disease (HD), and Korsakoff's syndrome (KS). Individuals with impaired awareness have an altered perception of their situation or functioning, which may pose challenges for care staff in nursing home settings. Yet, little is known about their experiences with impaired awareness.
Methods
We conducted five focus groups with professional caregivers (N = 28) of nursing home residents with AD, HD and KS about their experiences with impaired awareness (two AD, one HD, one KS and one mixed focus group). Participants were certified nursing assistants, vocationally trained nurses and social workers. Conversations were audio-taped and transcribed verbatim. Data were analyzed using thematic analysis.
Results
We identified three main themes: (1) Manifestations of impaired awareness, including observed expressions of impaired awareness and impact on resident interactions. These manifestations were consistent across all three disease groups. (2) Reflections and emotions on these manifestations (characterized by compassion, astonishment and uncertainty). Impaired awareness increased the overall emotional burden for professional caregivers. Additionally, they sometimes felt uncertain about whether impaired awareness was intentional or disease-related. (3) Dealing with impaired awareness, by balancing between moving along and setting boundaries. Caregivers had difficulties determining the most effective approach to deal with impaired awareness.
Conclusion
Impaired awareness impacts the work of caregivers of residents with AD, HD and KS. Gaining a better understanding of how impaired awareness affects residents' emotions and behavior can contribute to the development of effective care approaches for caregivers.
{"title":"Impaired awareness in people with Alzheimer’s Disease, Huntington’s Disease and Korsakoff’s Syndrome: Experiences of professional caregivers","authors":"Esther de Groot MSc , Hester Fidder MSc , Marike E. de Boer PhD , Ruth B. Veenhuizen PhD , Martin Smalbrugge PhD , Anouk M. van Loon PhD","doi":"10.1016/j.gerinurse.2026.103906","DOIUrl":"10.1016/j.gerinurse.2026.103906","url":null,"abstract":"<div><h3>Background & Objectives</h3><div>Impaired awareness is common among people with Alzheimer's disease (AD) and the related disorders Huntington's disease (HD), and Korsakoff's syndrome (KS). Individuals with impaired awareness have an altered perception of their situation or functioning, which may pose challenges for care staff in nursing home settings. Yet, little is known about their experiences with impaired awareness.</div></div><div><h3>Methods</h3><div>We conducted five focus groups with professional caregivers (<em>N</em> = 28) of nursing home residents with AD, HD and KS about their experiences with impaired awareness (two AD, one HD, one KS and one mixed focus group). Participants were certified nursing assistants, vocationally trained nurses and social workers. Conversations were audio-taped and transcribed verbatim. Data were analyzed using thematic analysis.</div></div><div><h3>Results</h3><div>We identified three main themes: (1) Manifestations of impaired awareness, including observed expressions of impaired awareness and impact on resident interactions. These manifestations were consistent across all three disease groups. (2) Reflections and emotions on these manifestations (characterized by compassion, astonishment and uncertainty). Impaired awareness increased the overall emotional burden for professional caregivers. Additionally, they sometimes felt uncertain about whether impaired awareness was intentional or disease-related. (3) Dealing with impaired awareness, by balancing between moving along and setting boundaries. Caregivers had difficulties determining the most effective approach to deal with impaired awareness.</div></div><div><h3>Conclusion</h3><div>Impaired awareness impacts the work of caregivers of residents with AD, HD and KS. Gaining a better understanding of how impaired awareness affects residents' emotions and behavior can contribute to the development of effective care approaches for caregivers.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103906"},"PeriodicalIF":2.4,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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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