Articles

Primary care providers’ perceptions and experiences of family-centered care for older adults: a qualitative study of community-based diabetes management in China

Family-centered care, as a contemporary model of health service delivery, involves a mutually beneficial partnership between healthcare providers, patients and their families. Although evidence on the positive...

Authors: Jiong Tu and Jing Liao

Poor clinical outcomes associated with suboptimal antibiotic treatment among older long-term care facility residents with urinary tract infection: a retrospective cohort study

Antibiotic use is associated with several antibiotic-related harms in vulnerable, older long-term care (LTC) residents. Suboptimal antibiotic use may also be associated with harms but has not yet been investig...

Authors: Haley J. Appaneal, Theresa I. Shireman, Vrishali V. Lopes, Vincent Mor, David M. Dosa, Kerry L. LaPlante and Aisling R. Caffrey

Impact of a patient-centered medical home demonstration on quality of life and patient activation for older adults with complex needs in Singapore

The first Patient-Centered Medical Home (PCMH) demonstration in Singapore was launched in November 2016, which aimed to deliver integrated and patient-centered care for patients with bio-psycho-social needs. I...

Authors: Grace Sum, Soon Hoe Ho, Zoe Zon Be Lim, Junxing Chay, Mimaika Luluina Ginting, Mary Ann Tsao and Chek Hooi Wong

The effect of a multimodal comprehensive care methodology for family caregivers of people with dementia

Caregivers experience social, physical and psychological burdens in caring for people with dementia. A study was conducted to assess the efficacy of a multimodal comprehensive care methodology training program...

Authors: Masaki Kobayashi and Miwako Honda

Effect of 12-weeks elastic band resistance training on MyomiRs and osteoporosis markers in elderly women with Osteosarcopenic obesity: a randomized controlled trial

Interorgan communication networks established during exercise in several different tissues can be mediated by several exercise-induced factors. Therefore, the present study aimed to investigate the effects of ...

Authors: Ebrahim Banitalebi, Majid Mardaniyan Ghahfarrokhi and Mortaza Dehghan

Shaping the next steps of research on frailty: challenges and opportunities

Authors: Ivan Aprahamian and Qian-Li Xue

Pain assessment and management in care homes: understanding the context through a scoping review

Internationally, 2–5% of people live in residential or nursing homes, many with multi-morbidities, including severe cognitive impairment. Pain is frequently considered an expected part of old age and morbidity...

Authors: Jan Pringle, Ana Sofia Alvarado Vázquez Mellado, Erna Haraldsdottir, Fiona Kelly and Jo Hockley

The longitudinal association between the use of antihypertensive medications and 24-hour sleep in nursing homes: results from the randomized controlled COSMOS trial

Antihypertensive medication use and sleep problems are highly prevalent in nursing home patients. While it is hypothesized that blood pressure and antihypertensive medication use can affect sleep, this has not...

Authors: Elisabeth Flo-Groeneboom, Tony Elvegaard, Christine Gulla and Bettina S Husebo

Interventions to prevent aspiration in older adults with dysphagia living in nursing homes: a scoping review

Dysphagia is highly prevalent condition in older adults living in nursing homes. There is also evidence indicating that aspiration is one of the major health risks for these older adults, which is more likely ...

Authors: Shen Chen, Bridie Kent and Yan Cui

Using hand grip strength to detect slow walking speed in older adults: the Yilan study

Walking speed is an important health indicator in older adults, although its measurement can be challenging because of the functional decline due to aging and limited environment. The aim of this study was to ...

Authors: Yen-Huai Lin, Hsi-Chung Chen, Nai-Wei Hsu and Pesus Chou

Assessing the perspective of well-being of older patients with multiple morbidities by using the LAVA tool - a person-centered approach

Older patients with multiple morbidities are a particularly vulnerable population that is likely to face complex medical decisions at some time in their lives. A patient-centered medical care fosters the inclu...

Authors: B. Wild, V. S. Wurmbach, F. Böhlen, M. K.-P. Kusch, H. M. Seidling, P. Reich, M. Hartmann, W. E. Haefeli, H. C. Friederich and J. Slaets

Determinants of acquired disability and recovery from disability in Indian older adults: longitudinal influence of socio-economic and health-related factors

There is a higher burden of functional disability for Indian older adults with substantial variations across different geographic regions and socioeconomic groups as compared to other ageing Asian countries. T...

Authors: Ronak Paul, Shobhit Srivastava, T. Muhammad and Rashmi Rashmi

Describing people with cognitive impairment and their complex treatment needs during routine care in the hospital – cross-sectional results of the intersec-CM study

Cognitive impairment is an important determinant in health care. In the acute hospital setting cognition has a strong impact on treatment and care. Cognitive impairment can negatively affect diagnostics and tr...

Authors: F. Kracht, M. Boekholt, F. Schumacher-Schönert, A. Nikelski, N. Chikhradze, P. Lücker, H. C. Vollmar, W. Hoffmann, S. H. Kreisel and J. R. Thyrian

Correction to: Convergent and discriminative validity of the Frail-VIG index with the EQ-5D-3L in people cared for in primary health care

Authors: Juan-José Zamora-Sánchez, Edurne Zabaleta-del-Olmo, Vicente Gea-Caballero, Iván Julián-Rochina, Gemma Pérez-Tortajada and Jordi Amblàs-Novellas

The impact of physical exercises with elements of dance movement therapy on the upper limb grip strength and functional performance of elderly wheelchair users living in nursing homes – a randomized control trial

Over the last few decades, the quality of care and the quality of life of nursing home (NH) residents have significantly improved, but insufficient physical activity and social involvement still represent subs...

Authors: Natalia Wołoszyn, Agnieszka Wiśniowska-Szurlej, Joanna Grzegorczyk and Andrzej Kwolek

Factors associated with physical, psychological and social frailty among community-dwelling older persons in Europe: a cross-sectional study of Urban Health Centres Europe (UHCE)

Frailty is an age-related condition resulting in a state of increased vulnerability regarding functioning across multiple systems. It is a multidimensional concept referring to physical, psychological and soci...

Authors: Lizhen Ye, Liset E. M. Elstgeest, Xuxi Zhang, Tamara Alhambra-Borrás, Siok Swan Tan and Hein Raat

Association between the inability to identify particular odors and physical performance, cognitive function, and/or brain atrophy in community-dwelling older adults from the Fukuoka Island City study

Olfactory dysfunction is associated with severe brain atrophy and cognitive impairment in Parkinson’s disease. However, it remains unknown whether an inability to identify particular odors is associated with p...

Authors: Yujiro Kose, Yoichi Hatamoto, Rie Takae, Yuki Tomiga, Jun Yasukata, Takaaki Komiyama and Yasuki Higaki

Disability trajectories prior to death for ten leading causes of death among middle-aged and older adults in Taiwan

Prolonged life expectancy is associated with increased prevalence of chronic diseases. The aim of this study was to determine the different disability trajectories for the top ten leading causes of death in Ta...

Authors: Ching-Ju Chiu, Meng-Ling Li, Chia-Ming Chang, Chih-Hsing Wu and Maw Pin Tan

Sex disparities in the prevalence of physical function disabilities: a population-based study in a low-income community

Functional disability continues to be a significant public health problem that increases older adults’ vulnerability to experience a diminished quality of life, loss of independence, higher healthcare costs an...

Authors: Elsa M. Orellano-Colón, Erick L. Suárez-Pérez, Marta Rivero-Méndez, Claudia X. Boneu-Meléndez, Nelson Varas-Díaz, Mauricio Lizama-Troncoso, Ivonne Z. Jiménez-Velázquez, Arelí León-Astor and Jeffrey W. Jutai

Perspectives of older adults with a chronic condition on functioning, social participation and health: a qualitative study

Problems with mobility, functioning and social participation make living independently difficult for frail older adults. To continue living independently, therapy adherence is a prerequisite. The causes for no...

Authors: Leen De Coninck, Anja Declercq, Leen Bouckaert, Mieke Vermandere, Maud J. L. Graff and Bert Aertgeert

Intra-day variation in daily outdoor walking speed among community-dwelling older adults

Walking speed is an important measure associated with health outcomes in older individuals, such as dependency and death. This study aimed to examine whether the walking speed of community-dwelling older adult...

Authors: Hisashi Kawai, Shuichi Obuchi, Ryo Hirayama, Yutaka Watanabe, Hirohiko Hirano, Yoshinori Fujiwara, Kazushige Ihara, Hunkyung Kim, Yoshiyuki Kobayashi, Masaaki Mochimaru, Eiki Tsushima and Kozo Nakamura

Factors associated to functioning and health in relation to home rehabilitation in Sweden: a non-randomized pre-post intervention study

Home rehabilitation is a growing rehabilitation service in many countries, but scientific knowledge of its components and outcomes is still limited. The aim of this study was to investigate; 1) which changes i...

Authors: Anette Johansson, Marie Ernsth Bravell, Eleonor I. Fransson and Sofi Fristedt

Age differences in the association of comorbid burden with adverse outcomes in SARS-CoV-2

Older age and comorbid burden are both associated with adverse outcomes in SARS-CoV-2, but it is not known whether the association between comorbid burden and adverse outcomes differs in older and younger adults.

Authors: A. M. O’Hare, K. Berry, V. S. Fan, K. Crothers, M. C. Eastment, J. A. Dominitz, J. A. Shah, P. Green, E. Locke and G. N. Ioannou

Process evaluation of a tailored intervention to Reduce Inappropriate psychotropic Drug use in nursing home residents with dementia

Research suggests that collaborative and tailored approaches with external expertise are important to process implementations. We therefore performed a process evaluation of an intervention using participatory...

Authors: Claudia M. Groot Kormelinck, Charlotte F. van Teunenbroek, Sytse U. Zuidema, Martin Smalbrugge and Debby L. Gerritsen

Is multimorbidity associated with risk of elder abuse? Findings from the AHSETS study

With an increasing number of older adults in low- and middle-income countries (LMIC), the burden of multimorbidity and functional dependence is on the rise. At the same time, a higher prevalence of elder abuse...

Authors: Jaya Singh Kshatri, Trilochan Bhoi, Shakti Ranjan Barik, Subrata Kumar Palo and Sanghamitra Pati

Digital health interventions for healthy ageing: a qualitative user evaluation and ethical assessment

Digital health technologies are being increasingly developed with the aim of allowing older adults to maintain functional independence throughout the old age, a process known as healthy ageing. Such digital healt...

Authors: Marcello Ienca, Christophe Schneble, Reto W. Kressig and Tenzin Wangmo

Screening tools to expedite assessment of frailty in people receiving haemodialysis: a diagnostic accuracy study

Frailty is associated with multiple adverse outcomes in stage-5 chronic kidney disease (CKD-5) and upwards of one third of people receiving haemodialysis (HD) are frail. While many frailty screening methods ar...

Authors: Tobia Zanotto, Thomas H. Mercer, Marietta L. van der Linden and Pelagia Koufaki

Mortality of older acutely admitted medical patients after early discharge from emergency departments: a nationwide cohort study

The mortality of older patients after early discharge from hospitals is sparsely described. Information on factors associated with mortality can help identify high-risk patients who may benefit from preventive...

Authors: Martin Aasbrenn, Christian Fynbo Christiansen, Buket Öztürk Esen, Charlotte Suetta and Finn Erland Nielsen

Psychometric properties of modified MOS social support survey 5-item (MSSS-5-item) among Iranian older adults

Social support is a key factor in public health. Since the precise evaluation of it is critical, the current study has been developed to evaluate the psychometric properties of the MOS-SSS questionnaire’s abbr...

Authors: Maryam Bakhshandeh Bavarsad, Mahshid Foroughan, Nasibeh Zanjari, Zahra Jorjoran Shushtari and Gholamreza Ghaedamini Harouni

Systematic geriatric assessment for older patients with frailty in the emergency department: a randomised controlled trial

Comprehensive geriatric assessment provided in hospital wards in frail patients admitted to hospital has been shown to reduce mortality and increase the likelihood of living at home later. Systematic geriatric...

Authors: Janne Alakare, Kirsi Kemp, Timo Strandberg, Maaret Castrén, Dimitrije Jakovljević, Jukka Tolonen and Veli-Pekka Harjola

The PROMOTe study: targeting the gut microbiome with prebiotics to overcome age-related anabolic resistance: protocol for a double-blinded, randomised, placebo-controlled trial

Loss of skeletal muscle mass and strength occurs with increasing age and is associated with loss of function, disability, and the development of sarcopenia and frailty. Dietary protein is essential for skeleta...

Authors: Mary Ni Lochlainn, Ayrun Nessa, Alyce Sheedy, Rachel Horsfall, María Paz García, Deborah Hart, Gulsah Akdag, Darioush Yarand, Samuel Wadge, Andrei-Florin Baleanu, Kevin Whelan and Claire Steves

Stratification in health and survival after age 100: evidence from Danish centenarians

The existence of a super-select group of centenarians that demonstrates increased survivorship has been hypothesized. However, it is unknown if this super-select group possesses similar characteristics apart f...

Authors: Jesús-Adrián Alvarez, Anthony Medford, Cosmo Strozza, Mikael Thinggaard and Kaare Christensen

The association between visual attention and body movement-controlled video games, balance and mobility in older adults

Body movement-controlled video games involving physical motion and visual attention may have the potential to train both abilities simultaneously. Our purpose was to determine the associations between performa...

Authors: Mansour Alghamdi, Lori Ann Vallis and Susan Jennifer Leat

“Caregiving is like on the job training but nobody has the manual”: Canadian caregivers’ perceptions of their roles within the healthcare system

Stepping into the role of an unpaid caregiver to offer help is often considered a natural expectation of family members or friends. In Canada, such contributions are substantial in terms of healthcare provisio...

Authors: Susan Law, Ilja Ormel, Stephanie Babinski, Kerry Kuluski and Amélie Quesnel-Vallée

Trajectories of end-of-life medical and long-term care expenditures for older adults in Japan: retrospective longitudinal study using a large-scale linked database of medical and long-term care claims

An accurate understanding of the current state of end-of-life care is important for healthcare planning. The objectives of this study were to examine the trajectories of end-of-life medical and long-term care ...

Authors: Emi Teraoka, Susumu Kunisawa and Yuichi Imanaka

Development of a multivariable prognostic PREdiction model for 1-year risk of FALLing in a cohort of community-dwelling older adults aged 75 years and above (PREFALL)

Falls are the leading cause of fatal and non-fatal injuries in older adults, and attention to falls prevention is imperative. Prognostic models identifying high-risk individuals could guide fall-preventive int...

Authors: Gustav Valentin Gade, Martin G. Jørgensen, Jesper Ryg, Tahir Masud, Lasse Hjort Jakobsen and Stig Andersen

Psychometric properties and diagnostic accuracy of the short form of the geriatric anxiety scale (GAS-10)

Anxious symptoms have a negative impact on different aspects of the elderly’s quality of life, ranging from the adoption of unhealthy lifestyle behaviours to an increased functional impairment and a greater ph...

Authors: Leonardo Carlucci, Matteo Balestrieri, Elisa Maso, Alessia Marini, Nadia Conte and Michela Balsamo

A national survey on COVID-19 second-wave lockdowns on older adults’ mental wellbeing, health-seeking behaviours and social outcomes across Australia

The impact of severe second lockdown measures on older adults’ wellbeing is unknown. We aimed to (i) identify the impact of the second lockdown that resulted from the second wave of COVID-19 cases on older Aus...

Authors: Joyce Siette, Karla Seaman, Laura Dodds, Kristiana Ludlow, Carly Johnco, Viviana Wuthrich, Joanne K. Earl, Piers Dawes, Paul Strutt and Johanna I. Westbrook

Knowledge, attitude and practice of dentists toward providing care to the geriatric patients

Tooth loss, systemic diseases and medications add to the complexity of the oral conditions in geriatric popuation, making this age group a special group in need of specific preventive and curative oral health ...

Authors: Bahareh Tahani and Skekoufeh Sedaghat Manesh

Service providers’ use of harm reduction approaches in working with older adults experiencing abuse: a qualitative study

Although abuse experienced by older adults is common and expected to increase, disclosure, reporting and interventions to prevent or mitigate abuse remain sub-optimal. Incorporating principles of harm reductio...

Authors: Donna Goodridge, Kerstin Stieber Roger, Christine A. Walsh, Elliot PausJenssen, Marina Cewick and Carla Liepert

‘One feels somewhere that one is insignificant in that system’ – older multimorbid patients’ between lifeworld and system in healthcare

When older multimorbid people are acutely hospitalized, continuity of care is a fundamental goal in the healthcare process. However, some acute hospitalized older multimorbid patients do not experience continu...

Authors: Lilian Keene Boye, Christian Backer Mogensen, Pernille Tanggaard Andersen, Frans Boch Waldorff and Thorbjørn Hougaard Mikkelsen

Exploring life-space in the nursing home. An observational longitudinal study

Traditional performance-based measurements of mobility fail to recognize the interaction between the individual and their environment. Life-space (LS) forms a central element in the broader context of mobility...

Authors: Karen Sverdrup, Sverre Bergh, Geir Selbæk, Jūratė Šaltytė Benth, Bettina Husebø, Irene Mari Røen, Pernille Thingstad and Gro Gujord Tangen

Bidirectional relationship between subjective age and frailty: a prospective cohort study

Subjective age refers to how young or old individuals experience themselves to be and is associated with health status, behavioral, cognitive, and biological processes that influence frailty. However, little r...

Authors: Yuxiao Li, Minhui Liu, Christina E. Miyawaki, Xiaocao Sun, Tianxue Hou, Siyuan Tang and Sarah L. Szanton

Recumbent cycling to improve outcomes in people with hip fracture: a feasibility randomized trial

Early mobilization after surgery is a key recommendation for people with hip fracture, however this is achieved by only 50% of people. Recumbent bike riding has been used in other populations with limited mobi...

Authors: Catherine M. Said, Marisa Delahunt, Andrew Hardidge, Paul Smith, Phong Tran, Luke McDonald, Emmanuel Kefalianos, Cathy Daniel and Sue Berney

Validation of the revised 9-scale clinical frailty scale (CFS) in Greek language

Among many screening tools that have been developed to detect frailty in older adults, Clinical Frailty Scale (CFS) is a valid, reliable and easy-to-use tool that has been translated in several languages. The ...

Authors: Ioannis Vrettos, Panagiota Voukelatou, Stefani Panayiotou, Andreas Kyvetos, Andreas Kalliakmanis, Konstantinos Makrilakis, Petros P. Sfikakis and Dimitris Niakas

Domain-specific self-perceptions of aging are associated with different gait patterns in older adults: a cross-sectional latent profile analysis

Previous studies have pointed to the impact of self-perceptions of aging (SPA) on self-reported physical function in later life. However, less is known about associations of SPA with objectively measured physi...

Authors: Anne Blawert, Sebastian Krumpoch, Ellen Freiberger and Susanne Wurm

Association of serum 25-hydroxyvitamin D with metabolic syndrome and type 2 diabetes: a one sample Mendelian randomization study

Vitamin D deficiency has been associated with type 2 diabetes (T2D) and metabolic syndrome (MS) and its components. However, it is unclear whether a low concentration of vitamin D is the cause or consequence o...

Authors: Jing Xiao, Jingyi Lv, Shiyu Wang, Yang Zhou, Lunwen Chen, Juying Lu, Xiaoyi Zhang, Xiaojian Wang, Yunjuan Gu and Qingyun Lu

Quality of life measurement in community-based aged care – understanding variation between clients and between care service providers

Measuring person-centred outcomes and using this information to improve service delivery is a challenge for many care providers. We aimed to identify predictors of QoL among older adults receiving community-ba...

Authors: Joyce Siette, Mikaela L. Jorgensen, Andrew Georgiou, Laura Dodds, Tom McClean and Johanna I. Westbrook

Different aspects of frailty and COVID-19: points to consider in the current pandemic and future ones

Older adults at a higher risk of adverse outcomes and mortality if they get infected with Severe acute respiratory syndrome coronavirus 2 (SARS- CoV-2). These undesired outcomes are because ageing is associate...

Authors: Hani Hussien, Andra Nastasa, Mugurel Apetrii, Ionut Nistor, Mirko Petrovic and Adrian Covic

Older people’s experiences of oral health and assisted daily oral care in short-term facilities

Older people’s oral health has improved, and many retain their natural teeth throughout their life. However, their daily oral care can be more difficult because of compromised general health and the reduced ca...

Authors: Susanne Koistinen, Katri Ståhlnacke, Lena Olai, Anna Ehrenberg and Eva Carlsson