Pub Date : 2025-10-23DOI: 10.1016/j.gerinurse.2025.103684
Lili Ji PhD , Baoqi Zhu MSc , Junpeng Li BSc , Xinru Wang BSc , Xiaoyan Li BSc , Xiaoxia Qiao PhD , Huaxin Si PhD , Yaru Jin PhD , Cuili Wang PhD
Background
Assessment of Advanced Activities of Daily Living (AADL) is of great significance for early disability diagnosis in older adults; however, validated tools are lacking for Chinese populations.
Objective
To cross-culturally adapt and validate the AADL scale among Chinese community-dwelling older adults.
Methods
The original AADL scale was forward-backward translated, with culturally relevant items added through interviews; its validity and reliability were assessed in 433 community-dwelling Chinese older adults.
Results
The exploratory factor analysis identified three factors (social, productive, leisure), accounting for 47.31 % of variance. Confirmatory analysis confirmed good model fit. The AADL scores correlated significantly with GDS-5 and SF-12 scores and differed across employment, cognitive status, and functional disability groups. The Cronbach’s alpha coefficient and test-retest reliability for the overall scale were 0.78 and 0.85, respectively.
Conclusions
The Chinese AADL scale exhibits satisfactory psychometric properties and can be readily employed to detect mild functional deficits in Chinese older adults.
{"title":"Cross-cultural adaptation and validation of the advanced activities of daily living scale in Chinese community-dwelling older adults","authors":"Lili Ji PhD , Baoqi Zhu MSc , Junpeng Li BSc , Xinru Wang BSc , Xiaoyan Li BSc , Xiaoxia Qiao PhD , Huaxin Si PhD , Yaru Jin PhD , Cuili Wang PhD","doi":"10.1016/j.gerinurse.2025.103684","DOIUrl":"10.1016/j.gerinurse.2025.103684","url":null,"abstract":"<div><h3>Background</h3><div>Assessment of Advanced Activities of Daily Living (AADL) is of great significance for early disability diagnosis in older adults; however, validated tools are lacking for Chinese populations.</div></div><div><h3>Objective</h3><div>To cross-culturally adapt and validate the AADL scale among Chinese community-dwelling older adults.</div></div><div><h3>Methods</h3><div>The original AADL scale was forward-backward translated, with culturally relevant items added through interviews; its validity and reliability were assessed in 433 community-dwelling Chinese older adults.</div></div><div><h3>Results</h3><div>The exploratory factor analysis identified three factors (social, productive, leisure), accounting for 47.31 % of variance. Confirmatory analysis confirmed good model fit. The AADL scores correlated significantly with GDS-5 and SF-12 scores and differed across employment, cognitive status, and functional disability groups. The Cronbach’s alpha coefficient and test-retest reliability for the overall scale were 0.78 and 0.85, respectively.</div></div><div><h3>Conclusions</h3><div>The Chinese AADL scale exhibits satisfactory psychometric properties and can be readily employed to detect mild functional deficits in Chinese older adults.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"66 ","pages":"Article 103684"},"PeriodicalIF":2.4,"publicationDate":"2025-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145361971","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 : 2025-10-23DOI: 10.1016/j.gerinurse.2025.103681
Jizhe WANG , Xiaohong LU , Xinyang YU , Tong QIN , Fan LI , Xiuli ZHU
This study aimed to explore potential profiles and influencing factors of risk perception of disease aggravation for older patients with non-communicable diseases.
Applying convenience sampling, we recruited 598 participants. Latent profile analysis and multivariate disordered logistic regression analysis were conducted to explore profiles and influencing factors. Four latent profiles were identified: higher risk perception − lower affection experience (Profile 1), moderate risk perception (Profile 2), lower risk perception (Profile 3) and higher risk perception − higher serious outcome (Profile 4). Compared with patients in Profile 2, patients in Profile 1 were male and had longer time since diagnosis; patients in Profile 3 had primary school or lower education level; and patients in Profile 4 had higher age, reimbursement proportion of medical insurance <30 % or 30 % − 50 %, and longer time since diagnosis. Personalized interventions for improving risk perception of disease aggravation can be developed according to the results.
{"title":"Risk perception of disease aggravation among older patients with non-communicable diseases: a latent profile analysis","authors":"Jizhe WANG , Xiaohong LU , Xinyang YU , Tong QIN , Fan LI , Xiuli ZHU","doi":"10.1016/j.gerinurse.2025.103681","DOIUrl":"10.1016/j.gerinurse.2025.103681","url":null,"abstract":"<div><div>This study aimed to explore potential profiles and influencing factors of risk perception of disease aggravation for older patients with non-communicable diseases.</div><div>Applying convenience sampling, we recruited 598 participants. Latent profile analysis and multivariate disordered logistic regression analysis were conducted to explore profiles and influencing factors. Four latent profiles were identified: higher risk perception − lower affection experience (Profile 1), moderate risk perception (Profile 2), lower risk perception (Profile 3) and higher risk perception − higher serious outcome (Profile 4). Compared with patients in Profile 2, patients in Profile 1 were male and had longer time since diagnosis; patients in Profile 3 had primary school or lower education level; and patients in Profile 4 had higher age, reimbursement proportion of medical insurance <30 % or 30 % − 50 %, and longer time since diagnosis. Personalized interventions for improving risk perception of disease aggravation can be developed according to the results.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"66 ","pages":"Article 103681"},"PeriodicalIF":2.4,"publicationDate":"2025-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145362061","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 : 2025-10-22DOI: 10.1016/j.gerinurse.2025.103677
Dawon Baik PhD, RN , Larry A. Allen MD, MHS , Heather Coats PhD, APRN-BC , Daniel D. Matlock MD , Catherine Jankowski PhD
This study examined the perceptions of older family care partners of persons with heart failure (HF-FCPs) about a tailored digital physical activity program, TPA4You, consisting of Zoom sessions with a health coach, Fitbit, and motivational text messages. A scenario-based design was used to identify determinants of engagement. Semi-structured interviews were conducted with 15 older HF-FCPs from September 2022 to January 2023. Thematic analysis guided by the Theory of Planned Behavior was used. Participants reported that TPA4You would be acceptable and useful for managing their health in the caregiving context. TPA4You was perceived as convenient and potentially effective, but challenges such as limited time for use and age-related technical difficulties were reported. Support from health coaches and encouragement from other FCPs were highlighted as helpful. The findings underscore the importance of technology-supported health strategies tailored to caregiving burden, age-related health challenges, and digital literacy limitations to enhance engagement among older HF-FCPs.
{"title":"Engagement in a digital health physical activity program, TPA4You, among older family care partners of persons with heart failure: A Scenario-based design","authors":"Dawon Baik PhD, RN , Larry A. Allen MD, MHS , Heather Coats PhD, APRN-BC , Daniel D. Matlock MD , Catherine Jankowski PhD","doi":"10.1016/j.gerinurse.2025.103677","DOIUrl":"10.1016/j.gerinurse.2025.103677","url":null,"abstract":"<div><div>This study examined the perceptions of older family care partners of persons with heart failure (HF-FCPs) about a tailored digital physical activity program, <em>TPA4You,</em> consisting of Zoom sessions with a health coach, Fitbit, and motivational text messages. A scenario-based design was used to identify determinants of engagement. Semi-structured interviews were conducted with 15 older HF-FCPs from September 2022 to January 2023. Thematic analysis guided by the Theory of Planned Behavior was used. Participants reported that <em>TPA4You</em> would be acceptable and useful for managing their health in the caregiving context. <em>TPA4You</em> was perceived as convenient and potentially effective, but challenges such as limited time for use and age-related technical difficulties were reported. Support from health coaches and encouragement from other FCPs were highlighted as helpful. The findings underscore the importance of technology-supported health strategies tailored to caregiving burden, age-related health challenges, and digital literacy limitations to enhance engagement among older HF-FCPs.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"66 ","pages":"Article 103677"},"PeriodicalIF":2.4,"publicationDate":"2025-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145356920","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 : 2025-10-22DOI: 10.1016/j.gerinurse.2025.103683
Hui-lin Yan , Meng-meng Li
Objective
Cognitive impairment and depression are common non-motor symptoms in individuals with Parkinson’s disease (PD), often leading to a significant decline in quality of life. Although exercise has been recognized as a promising non-pharmacological intervention, the relative effectiveness of different exercise modalities on cognitive and emotional outcomes remains unclear.
Methods
A systematic search was conducted in Web of Science, PubMed, EmBase, Cochrane Library, and SPORTDiscus for randomized controlled trials (RCTs) published up to November 10, 2024. Studies evaluating the effects of exercise on cognitive function and depressive symptoms in PD patients were included. Both paired meta-analysis and network meta-analysis (NMA) were performed to compare the efficacy of different exercise modalities.
Results
A total of 34 RCTs were included. Virtual reality training showed the highest efficacy in improving global cognitive function, while dance was the most effective for alleviating depressive symptoms. Resistance training demonstrated the greatest benefits for enhancing quality of life. Subdimension analysis revealed that different modalities exerted specific effects across cognitive and emotional domains.
Conclusions
This study provides comprehensive evidence that multiple exercise modalities can effectively improve cognitive function, depressive symptoms, and quality of life in individuals with PD. Each modality exhibits domain-specific advantages, underscoring the importance of individualized exercise prescriptions. While preliminary findings also suggest potential benefits of combining exercise with cognitive training for further enhancing quality of life, this requires confirmation in future targeted studies.
目的：认知障碍和抑郁是帕金森病（PD）患者常见的非运动症状，常导致生活质量显著下降。尽管运动已被认为是一种很有前途的非药物干预手段，但不同运动方式对认知和情绪结果的相对有效性尚不清楚。方法：系统检索Web of Science、PubMed、EmBase、Cochrane Library和SPORTDiscus中截止2024年11月10日发表的随机对照试验（rct）。研究评估运动对PD患者认知功能和抑郁症状的影响。采用配对荟萃分析和网络荟萃分析（NMA）比较不同运动方式的疗效。结果：共纳入34项rct。虚拟现实训练在改善整体认知功能方面表现出最高的功效，而舞蹈在缓解抑郁症状方面最有效。阻力训练对提高生活质量有最大的好处。子维度分析显示，不同的模式在认知和情绪领域产生了特定的影响。结论：本研究提供了全面的证据，证明多种运动方式可以有效改善PD患者的认知功能、抑郁症状和生活质量。每一种运动方式都表现出特定领域的优势，强调了个性化运动处方的重要性。虽然初步研究结果也表明，将运动与认知训练结合起来，可以进一步提高生活质量，但这需要在未来的针对性研究中得到证实。
{"title":"Effects of exercise modalities on cognitive function and depression in patients with Parkinson’s disease: A systematic review and network meta-analysis","authors":"Hui-lin Yan , Meng-meng Li","doi":"10.1016/j.gerinurse.2025.103683","DOIUrl":"10.1016/j.gerinurse.2025.103683","url":null,"abstract":"<div><h3>Objective</h3><div>Cognitive impairment and depression are common non-motor symptoms in individuals with Parkinson’s disease (PD), often leading to a significant decline in quality of life. Although exercise has been recognized as a promising non-pharmacological intervention, the relative effectiveness of different exercise modalities on cognitive and emotional outcomes remains unclear.</div></div><div><h3>Methods</h3><div>A systematic search was conducted in Web of Science, PubMed, EmBase, Cochrane Library, and SPORTDiscus for randomized controlled trials (RCTs) published up to November 10, 2024. Studies evaluating the effects of exercise on cognitive function and depressive symptoms in PD patients were included. Both paired meta-analysis and network meta-analysis (NMA) were performed to compare the efficacy of different exercise modalities.</div></div><div><h3>Results</h3><div>A total of 34 RCTs were included. Virtual reality training showed the highest efficacy in improving global cognitive function, while dance was the most effective for alleviating depressive symptoms. Resistance training demonstrated the greatest benefits for enhancing quality of life. Subdimension analysis revealed that different modalities exerted specific effects across cognitive and emotional domains.</div></div><div><h3>Conclusions</h3><div>This study provides comprehensive evidence that multiple exercise modalities can effectively improve cognitive function, depressive symptoms, and quality of life in individuals with PD. Each modality exhibits domain-specific advantages, underscoring the importance of individualized exercise prescriptions. While preliminary findings also suggest potential benefits of combining exercise with cognitive training for further enhancing quality of life, this requires confirmation in future targeted studies.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"66 ","pages":"Article 103683"},"PeriodicalIF":2.4,"publicationDate":"2025-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145356832","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 : 2025-10-21DOI: 10.1016/j.gerinurse.2025.103658
Ana Rosa Tavares da Paixão , Amanda Loyse da Costa Miranda , Wenderson Melo Martins , Vanessa Ladyanne da Silva Costa , Maurício das Neves Pereira , Marília de Fátima Vieira de Oliveira , Andressa Tavares Parente , Eliã Pinheiro Botelho , Renata Karina Reis , Glenda Roberta Oliveira Naiff Ferreira , Sandra Helena Isse Polaro
Background
The post-COVID-19 condition has been recognized by persistent symptoms that affect functionality and quality of life, especially in the elderly. Objective: to analyze the association between post-COVID condition symptoms and self-care capacity among older adults in a metropolitan region of the Brazilian Amazon.
Method
cross-sectional study carried out from January to April 2024 in the Brazilian Amazon. Participants: older adults with a self-reported diagnosis of COVID-19 and symptoms of post-COVID condition were included. Sample size: a sample number of 287 participants.Data source: the “Global COVID-19 Clinical Platform: Case Report Form for Post COVID condition” questionnaire was applied. Statistical analysis: mann-Whitney, Kruskal-Wallis and linear regression tests were performed.
Results
A total of 288 older adults participated. In the final model. The analysis demonstrated that the factors that increase the disability score are being older, 70 years or more and Shortness of breath.
Conclusion
Specific care and self-care strategies should be planned.
{"title":"Disability and associated factors among elderly people with post-COVID condition, in a metropolitan region in the Brazilian amazon: A cross-sectional using the World Health Organization disability assessment schedule (WHODAS) 2.0","authors":"Ana Rosa Tavares da Paixão , Amanda Loyse da Costa Miranda , Wenderson Melo Martins , Vanessa Ladyanne da Silva Costa , Maurício das Neves Pereira , Marília de Fátima Vieira de Oliveira , Andressa Tavares Parente , Eliã Pinheiro Botelho , Renata Karina Reis , Glenda Roberta Oliveira Naiff Ferreira , Sandra Helena Isse Polaro","doi":"10.1016/j.gerinurse.2025.103658","DOIUrl":"10.1016/j.gerinurse.2025.103658","url":null,"abstract":"<div><h3>Background</h3><div>The post-COVID-19 condition has been recognized by persistent symptoms that affect functionality and quality of life, especially in the elderly<strong>.</strong> Objective: to analyze the association between post-COVID condition symptoms and self-care capacity among older adults in a metropolitan region of the Brazilian Amazon.</div></div><div><h3>Method</h3><div>cross-sectional study carried out from January to April 2024 in the Brazilian Amazon. Participants: older adults with a self-reported diagnosis of COVID-19 and symptoms of post-COVID condition were included. Sample size: a sample number of 287 participants.Data source: the “Global COVID-19 Clinical Platform: Case Report Form for Post COVID condition” questionnaire was applied. Statistical analysis: mann-Whitney, Kruskal-Wallis and linear regression tests were performed.</div></div><div><h3>Results</h3><div>A total of 288 older adults participated. In the final model. The analysis demonstrated that the factors that increase the disability score are being older, 70 years or more and Shortness of breath.</div></div><div><h3>Conclusion</h3><div>Specific care and self-care strategies should be planned.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"66 ","pages":"Article 103658"},"PeriodicalIF":2.4,"publicationDate":"2025-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145350183","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 : 2025-10-21DOI: 10.1016/j.gerinurse.2025.103690
Pablo Villalobos Dintrans
Objectives
Identify gaps in the World Health Organization’s framework on long-term care and propose a new framework to support the design and implementation of LTC systems.
Study Setting and Design
Policy paper
Data Source and Analytic Sample
Based on the World Health Organization’s framework on long-term care, as well as the literature on health systems frameworks, this article develops a new proposal that considers missing elements as well as the need to introduce long-term care idiosyncratic components.
Principal Findings
The framework establishes the need to consider functions such as prevention and rehabilitation and assessment of needs, as well as other elements like the existence of different types of beneficiaries, different schemes to provide services, and the inclusion of individual preferences into the framework.
Conclusions
Incorporating idiosyncratic elements to the debate can help countries in the task of designing and implementing better long-term care systems.
{"title":"A framework for understanding and implementing long-term care systems","authors":"Pablo Villalobos Dintrans","doi":"10.1016/j.gerinurse.2025.103690","DOIUrl":"10.1016/j.gerinurse.2025.103690","url":null,"abstract":"<div><h3>Objectives</h3><div>Identify gaps in the World Health Organization’s framework on long-term care and propose a new framework to support the design and implementation of LTC systems.</div></div><div><h3>Study Setting and Design</h3><div>Policy paper</div></div><div><h3>Data Source and Analytic Sample</h3><div>Based on the World Health Organization’s framework on long-term care, as well as the literature on health systems frameworks, this article develops a new proposal that considers missing elements as well as the need to introduce long-term care idiosyncratic components.</div></div><div><h3>Principal Findings</h3><div>The framework establishes the need to consider functions such as prevention and rehabilitation and assessment of needs, as well as other elements like the existence of different types of beneficiaries, different schemes to provide services, and the inclusion of individual preferences into the framework.</div></div><div><h3>Conclusions</h3><div>Incorporating idiosyncratic elements to the debate can help countries in the task of designing and implementing better long-term care systems.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"66 ","pages":"Article 103690"},"PeriodicalIF":2.4,"publicationDate":"2025-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145350236","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 : 2025-10-18DOI: 10.1016/j.gerinurse.2025.103671
Baoqi Zhu MSc , Lili Ji PhD , Xinru Wang BSc , Xiaoyan Li BSc , Junpeng Li BSc , Xiaoxia Qiao PhD , Yaru Jin PhD , Huaxin Si PhD , Cuili Wang PhD
Objectives
To examine perceived family support and intrusive rumination as serial mediators in the relationship between sarcopenia and depressive symptoms.
Methods
A cross-sectional study was conducted among 603 older medical inpatients. Sarcopenia, perceived family support, intrusive rumination and depressive symptoms were measured by the enhancing SARC-F scale (SARCCalF), Family APGAR Scale, 10-item rumination response scale (RRS) and 5-item Geriatric Depression Scale (GDS-5), respectively.
Results
Multiple linear regression showed that sarcopenia was negatively related to perceived family support, which was a protective factor for intrusive rumination. Elevated intrusive rumination was related to heightened depressive symptoms. The bias-corrected 95 % CI confirmed perceived family support and intrusive rumination as serial mediators linking sarcopenia to depressive symptoms. Structural Equation Modeling demonstrated the robustness of the findings.
Conclusions
Perceived family support and intrusive rumination underlies the association of sarcopenia with depression. Interventions on depression among older adults with sarcopenia should address these mediators.
{"title":"The chain-mediating roles of perceived family support and intrusive rumination in the relationship between sarcopenia and depressive symptoms among older inpatients","authors":"Baoqi Zhu MSc , Lili Ji PhD , Xinru Wang BSc , Xiaoyan Li BSc , Junpeng Li BSc , Xiaoxia Qiao PhD , Yaru Jin PhD , Huaxin Si PhD , Cuili Wang PhD","doi":"10.1016/j.gerinurse.2025.103671","DOIUrl":"10.1016/j.gerinurse.2025.103671","url":null,"abstract":"<div><h3>Objectives</h3><div>To examine perceived family support and intrusive rumination as serial mediators in the relationship between sarcopenia and depressive symptoms.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted among 603 older medical inpatients. Sarcopenia, perceived family support, intrusive rumination and depressive symptoms were measured by the enhancing SARC-F scale (SARC<img>CalF), Family APGAR Scale, 10-item rumination response scale (RRS) and 5-item Geriatric Depression Scale (GDS-5), respectively.</div></div><div><h3>Results</h3><div>Multiple linear regression showed that sarcopenia was negatively related to perceived family support, which was a protective factor for intrusive rumination. Elevated intrusive rumination was related to heightened depressive symptoms. The <em>bias-corrected 95 % CI</em> confirmed perceived family support and intrusive rumination as serial mediators linking sarcopenia to depressive symptoms. Structural Equation Modeling demonstrated the robustness of the findings.</div></div><div><h3>Conclusions</h3><div>Perceived family support and intrusive rumination underlies the association of sarcopenia with depression. Interventions on depression among older adults with sarcopenia should address these mediators.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"66 ","pages":"Article 103671"},"PeriodicalIF":2.4,"publicationDate":"2025-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145318978","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 : 2025-10-18DOI: 10.1016/j.gerinurse.2025.103664
Guangyuan Dong MS , Nanyan Li MS , Jihua Li BS , Pingjuan Tan BS , Yun Lu BS , Qingzhao Liang MS , Lei Shi PhD
Objective
To investigate the prevalence of sarcopenia in middle-aged and older adults with knee osteoarthritis (KOA) and to analyze its influencing factors.
Methods
A cross-sectional survey was conducted on 435 patients with KOA from three general hospitals in Guangdong Province, China. Patients with sarcopenia were identified according to the 2019 criteria of the Asian Working Group for Sarcopenia (AWGS). Sociodemographic variables, clinical characteristics and body composition were collected. Univariate analysis of variance and binary logistic regression analysis were used to determine the influencing factors.
Results
The prevalence of sarcopenia among patients with KOA was 21.43%, indicating a considerable burden in this population. Binary logistic regression analysis showed that older age, abnormal calf circumference, higher body fat percentage, higher Kellgren-Lawrence classification, and sedentary behavior were significant risk factors for sarcopenia, while body mass index was identified as a protective factor.
Conclusion
Sarcopenia is relatively common among patients with KOA, underscoring the importance of greater clinical awareness and prioritization of muscle health in this population. These findings provide important evidence for identifying high-risk individuals and inform future strategies for early recognition and intervention.
{"title":"Prevalence and factors affecting sarcopenia in middle-aged and older adults with knee osteoarthritis: A multicenter cross-sectional study from South China","authors":"Guangyuan Dong MS , Nanyan Li MS , Jihua Li BS , Pingjuan Tan BS , Yun Lu BS , Qingzhao Liang MS , Lei Shi PhD","doi":"10.1016/j.gerinurse.2025.103664","DOIUrl":"10.1016/j.gerinurse.2025.103664","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate the prevalence of sarcopenia in middle-aged and older adults with knee osteoarthritis (KOA) and to analyze its influencing factors.</div></div><div><h3>Methods</h3><div>A cross-sectional survey was conducted on 435 patients with KOA from three general hospitals in Guangdong Province, China. Patients with sarcopenia were identified according to the 2019 criteria of the Asian Working Group for Sarcopenia (AWGS). Sociodemographic variables, clinical characteristics and body composition were collected. Univariate analysis of variance and binary logistic regression analysis were used to determine the influencing factors.</div></div><div><h3>Results</h3><div>The prevalence of sarcopenia among patients with KOA was 21.43%, indicating a considerable burden in this population. Binary logistic regression analysis showed that older age, abnormal calf circumference, higher body fat percentage, higher Kellgren-Lawrence classification, and sedentary behavior were significant risk factors for sarcopenia, while body mass index was identified as a protective factor.</div></div><div><h3>Conclusion</h3><div>Sarcopenia is relatively common among patients with KOA, underscoring the importance of greater clinical awareness and prioritization of muscle health in this population. These findings provide important evidence for identifying high-risk individuals and inform future strategies for early recognition and intervention.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"66 ","pages":"Article 103664"},"PeriodicalIF":2.4,"publicationDate":"2025-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145330912","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 : 2025-10-18DOI: 10.1016/j.gerinurse.2025.103660
Yue En Chow , Si Qi Yoong , Kei Oide , Changwu Chen , Poh Yin Lee , Matthew Chin Heng Chua , Ying Jiang
This was a process evaluation of a pilot randomized controlled trial, assessing intervention group participants’ perceptions and experiences of a 6-week Singapore-contextualized Dance-based exergame (SinDance) for older adults to improve physical functions and psychological well-being and reduce falls. All intervention group participants who completed SinDance (n = 24) were invited to complete a questionnaire seeking feedback on the songs and dances used. Eleven agreed to participate in a semi-structured interview. Transcripts were analyzed using deductive thematic analysis. Twenty-three participants completed the survey. For nine of the 10 songs, at least 90 % of participants liked or liked the songs and dances very much. Seven themes and 19 subthemes were developed, such as areas for improvement, benefits of group activities, commitment towards the intervention, improved physical and mental health, and increased motivation to exercise after the intervention. SinDance is a versatile intervention that can promote older adults' physical, mental, and social well-being.
{"title":"Older adults’ perceptions and experiences of the SinDance exergame: A process evaluation","authors":"Yue En Chow , Si Qi Yoong , Kei Oide , Changwu Chen , Poh Yin Lee , Matthew Chin Heng Chua , Ying Jiang","doi":"10.1016/j.gerinurse.2025.103660","DOIUrl":"10.1016/j.gerinurse.2025.103660","url":null,"abstract":"<div><div>This was a process evaluation of a pilot randomized controlled trial, assessing intervention group participants’ perceptions and experiences of a 6-week <strong>Sin</strong>gapore-contextualized <strong>Dance</strong>-based exergame (SinDance) for older adults to improve physical functions and psychological well-being and reduce falls. All intervention group participants who completed SinDance (<em>n</em> = 24) were invited to complete a questionnaire seeking feedback on the songs and dances used. Eleven agreed to participate in a semi-structured interview. Transcripts were analyzed using deductive thematic analysis. Twenty-three participants completed the survey. For nine of the 10 songs, at least 90 % of participants liked or liked the songs and dances very much. Seven themes and 19 subthemes were developed, such as areas for improvement, benefits of group activities, commitment towards the intervention, improved physical and mental health, and increased motivation to exercise after the intervention. SinDance is a versatile intervention that can promote older adults' physical, mental, and social well-being.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"66 ","pages":"Article 103660"},"PeriodicalIF":2.4,"publicationDate":"2025-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145318947","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 : 2025-10-18DOI: 10.1016/j.gerinurse.2025.103674
Eva Gil Pons , Carolina Pinazo-Clapés , Alicia Sales Galan , Sacramento Pinazo-Hernandis , Irene Checa Esquiva
Background
Ageism is recognized by the World Health Organization as the third most common form of discrimination globally. In middle-aged and older adults, this type of discrimination has been linked to poorer mental health outcomes and an increased risk of suicide. However, this connection remains insufficiently studied. Gaining deeper insight into how ageism contributes to suicide risk is essential to inform prevention strategies and improve care for older populations. In this context, high-fidelity clinical simulation emerges as a promising educational approach to train professionals, foster empathy, and reduce age-related biases in mental health care.
Aims
To analyse the relationship between mistaken beliefs about suicide and ageism and to evaluate the effectiveness of clinical simulation in reducing ageism in students.
Methods
Quantitative cross-sectional design. A total of 370 nursing and psychology students participated. Structural equation modelling (SEM) was used to relate mistaken beliefs about suicide and the subdimensions of the CENVE questionnaire on stereotypes towards old age.
Results
Students underestimated the risk of suicide in older adults. Misconceptions about suicide predicted ageist attitudes. High-fidelity simulation significantly reduced stereotypes on motivation and personality dimensions. A well-fitting model (χ² = 218.612; df = 111; CFI = 0.942; RMSEA = 0.045; CI [.036–.054]; SRMR = 0.039) showed that the "attention-seeking" suicide myth significantly predicted ageist attitudes in health, motivation, and personality. The "normal-for-age" myth significantly predicted ageist health and personality stereotypes.
Conclusions
Clinical simulation is effective in reducing ageism and encourages a more empathetic and respectful approach to suicidal ideation and behavior in older adults.
{"title":"Ageism and suicide: A structural equation modeling analysis and evaluation of a high-fidelity simulation-based intervention for future healthcare professionals","authors":"Eva Gil Pons , Carolina Pinazo-Clapés , Alicia Sales Galan , Sacramento Pinazo-Hernandis , Irene Checa Esquiva","doi":"10.1016/j.gerinurse.2025.103674","DOIUrl":"10.1016/j.gerinurse.2025.103674","url":null,"abstract":"<div><h3>Background</h3><div>Ageism is recognized by the World Health Organization as the third most common form of discrimination globally. In middle-aged and older adults, this type of discrimination has been linked to poorer mental health outcomes and an increased risk of suicide. However, this connection remains insufficiently studied. Gaining deeper insight into how ageism contributes to suicide risk is essential to inform prevention strategies and improve care for older populations. In this context, high-fidelity clinical simulation emerges as a promising educational approach to train professionals, foster empathy, and reduce age-related biases in mental health care.</div></div><div><h3>Aims</h3><div>To analyse the relationship between mistaken beliefs about suicide and ageism and to evaluate the effectiveness of clinical simulation in reducing ageism in students.</div></div><div><h3>Methods</h3><div>Quantitative cross-sectional design. A total of 370 nursing and psychology students participated. Structural equation modelling (SEM) was used to relate mistaken beliefs about suicide and the subdimensions of the CENVE questionnaire on stereotypes towards old age.</div></div><div><h3>Results</h3><div>Students underestimated the risk of suicide in older adults. Misconceptions about suicide predicted ageist attitudes. High-fidelity simulation significantly reduced stereotypes on motivation and personality dimensions. A well-fitting model (χ² = 218.612; df = 111; CFI = 0.942; RMSEA = 0.045; CI [.036–.054]; SRMR = 0.039) showed that the \"attention-seeking\" suicide myth significantly predicted ageist attitudes in health, motivation, and personality. The \"normal-for-age\" myth significantly predicted ageist health and personality stereotypes.</div></div><div><h3>Conclusions</h3><div>Clinical simulation is effective in reducing ageism and encourages a more empathetic and respectful approach to suicidal ideation and behavior in older adults.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"66 ","pages":"Article 103674"},"PeriodicalIF":2.4,"publicationDate":"2025-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145330873","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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