Understanding Dissemination and Implementation of a New Intervention in Assisted Living Settings: The Case of Function-Focused Care
Function-focused care (FFC) was developed to change the philosophy of care in assisted living (AL) to one in which nurses, direct care workers (DCWs) and other members of the health care team work with residents to optimize function and time spent in physical activities. The purpose of this article is to describe dissemination and implementation of FFC within the two assisted living communities in Maryland that were randomized to our FFC for assisted living intervention (FFC-AL). The reach, efficacy/effectiveness, adoption, implementation, and maintenance (RE-AIM) model was used to evaluate dissemination and implementation...
Source: Journal of Applied Gerontology - March 12, 2013 Category: Geriatrics Authors: Resnick, B., Galik, E., Gruber-Baldini, A., Zimmerman, S. Tags: Articles Source Type: research

A Response to Cosco, Blossom, and Brayne
(Source: Journal of Applied Gerontology)
Source: Journal of Applied Gerontology - March 12, 2013 Category: Geriatrics Authors: Naaldenberg, J., Vaandrager, L., Koelen, M. Tags: Response to the letter Source Type: research

On the Success of the Successful Aging Paradigm
(Source: Journal of Applied Gerontology)
Source: Journal of Applied Gerontology - March 12, 2013 Category: Geriatrics Authors: Cosco, T. D., Stephan, B. C. M., Brayne, C. Tags: Letter to the Editor Source Type: research

Elder Abuse in Assisted Living
Assisted Living (AL) currently represents one of the most numerous institutional care settings for elders. Very little information exists on abuse in AL. Descriptive information on elder abuse reported by nurse aides working in AL is presented from a survey sent to nurse aides. The questionnaire had items addressing verbal, physical, psychological, caregiving, medication, material, and sexual abuse. The responses to the questions included in the verbal abuse, physical abuse, psychological abuse, caregiving abuse, medication abuse, and material exploitation abuse sections (28 questions) show that suspected abuse is not unco...
Source: Journal of Applied Gerontology - February 8, 2013 Category: Geriatrics Authors: Castle, N., Beach, S. Tags: Articles Source Type: research

Testing of Applicability of Mutuality Scale With Mexican American Caregivers of Older Adults
By 2050, Mexican Americans (MAs) will become the largest aged minority subgroup in the United States. Although older MAs often depend on family for care, no standard instrument is available to scale the motive for filial obligation. Building on previous work, the purpose of this study is to establish psychometric properties of the bilingual Mutuality Scale (MS) for use with MA family caregivers of older adults. A methodological design with a convenience sample is used. Through Principal Axis Factoring with Oblimin© rotation, a two-factor structure emerge—interaction between the caregiving dyad and reaction from ...
Source: Journal of Applied Gerontology - February 8, 2013 Category: Geriatrics Authors: Kao, H.-F. S., Lynn, M. R., Crist, J. D. Tags: Articles Source Type: research

Intervention Research With Minority Older Adults: Challenges Encountered, Solutions Enacted, and Implications for Future Work
This article discusses this and other ethical issues that may arise in the development and implementation of research protocols with minority older adults. By presenting specific examples of research challenges encountered the authors aim to encourage discussion about the clinically and ethically responsible ways of anticipating, preparing for, and addressing ethical research with minority older adults in ways that foster research integrity, best serve study participants, and contribute to greater knowledge and understanding for bridging disparities. (Source: Journal of Applied Gerontology)
Source: Journal of Applied Gerontology - February 8, 2013 Category: Geriatrics Authors: Gelman, C., Faul, A. C., Yankeelov, P. A. Tags: Articles Source Type: research

Analysis and Proposed Model of Family Caregivers' Relationships With Home Health Providers and Perceptions of the Quality of Formal Services
This study explores family caregivers’ accounts of relationships with home care nurses; findings inform a model of relationships and satisfaction with home health services. Ethnographic, qualitative interviews were conducted with 26 bereaved caregivers in one Western Canadian regional health agency. Data analysis was informed by symbolic interactionism. Participants described their relationships with home care nurses and spoke about their assessments of the care provided. Findings highlighted the importance of the length, frequency, and continuity of contact, conversation, socializing, and sharing information. Partic...
Source: Journal of Applied Gerontology - February 8, 2013 Category: Geriatrics Authors: Funk, L., Stajduhar, K. Tags: Articles Source Type: research

Truly Satisfied With Your Retirement or Just Resigned? Pathways Toward Different Patterns of Retirement Satisfaction
The main aim of the present study was to explore different patterns of retirement satisfaction. Following the dynamic model of job satisfaction, we identify different retirement satisfaction forms. We also examined a set of antecedents of observed retirement satisfaction forms and their impact on psychological well-being. Using a sample of 270 Spanish retirees, cluster analytical results showed four retirement satisfaction forms. These were stabilized-progressive, resigned-stabilized, and resigned retirement satisfaction and constructive-fixated retirement dissatisfaction. Gender, retirement intentions, and voluntariness o...
Source: Journal of Applied Gerontology - February 8, 2013 Category: Geriatrics Authors: Potocnik, K., Tordera, N., Peiro, J. M. Tags: Articles Source Type: research

The Impact of a Gerontology Course and a Service-Learning Program on College Students' Attitudes Toward People With Dementia
We examined the effects of a gerontology course and an intergenerational service-learning project for people with dementia (PWD) on three dimensions of students’ attitudes including attitudes toward older people, community service for older people, and working with PWD. Data consisted of a combination of pretest/posttest survey and review of journals that students maintained during the service-learning project. Results indicated that students who completed the gerontology course, and those who completed both the course and the service-learning project, reported significantly more positive attitudes toward older adult...
Source: Journal of Applied Gerontology - February 8, 2013 Category: Geriatrics Authors: Yamashita, T., Kinney, J. M., Lokon, E. J. Tags: Articles Source Type: research

Erratum
Zimmer, Z., & Chen, F.-F. Social Support and Change in Depression Among Older Adults in Taiwan. Journal of Applied Gerontology, 31(6),764-782. (Source: Journal of Applied Gerontology)
Source: Journal of Applied Gerontology - January 11, 2013 Category: Geriatrics Tags: Erratum Source Type: research

Working in Retirement: A Brief Report
Despite the relatively large number of working retirees, very little research has focused specifically on their job experiences. This brief report aims to address this gap in the literature by examining what facets of workplace environment affect job satisfaction and engagement for people who are working in retirement. Data from the 2008 National Study of the Changing Workforce, a sample representative of United States workers, are used to compare workers aged 50 and above who consider themselves retired (N = 203) to those in the same age group who do not consider themselves retired (N = 936). Results suggest that although...
Source: Journal of Applied Gerontology - January 11, 2013 Category: Geriatrics Authors: McNamara, T. K., Brown, M., Aumann, K., Pitt-Catsouphes, M., Galinsky, E., Bond, J. T. Tags: Brief Report Source Type: research

Understanding Fall Meaning and Context in Marketing Balance Classes to Older Adults
This study explored older, community-dwelling adults’ attitudes and values about proposed church-delivered balance classes for fall prevention. Community observation, group interviews with stakeholders, key informant interviews, and focus groups with church members ≥60 years of age were analyzed in two ways: first for inductive themes expressing community sentiment about fall prevention for older adults, then for content useful in creating locally tailored social marketing messages. Four themes expressed perceptions of fall-prevention programming: de-emphasizing fall risk and emphasizing strength and independence,...
Source: Journal of Applied Gerontology - January 11, 2013 Category: Geriatrics Authors: Clark, L., Thoreson, S., Goss, C. W., Zimmer, L. M., Marosits, M., DiGuiseppi, C. Tags: Articles Source Type: research

Providing End-of-Life Care in Care Homes for Older People: A Qualitative Study of the Views of Care Home Staff and Community Nurses
The study aimed to explore the views of care home staff (CHS) and community nurses (CNs) on providing end-of-life care (EOLC) in care homes. Participants were randomly selected and qualitative interviews conducted with 80 CHS and 10 CNs. Themes emerging from the data included the following: The meaning of EOLC; starting EOLC; dying in the care home; stress of providing EOLC; improving EOLC; and the role of the CN. CHS felt that planning for the end of life was important before residents reached the dying phase, which some found difficult to determine. Although CHS wished to avoid residents being transferred to hospital to ...
Source: Journal of Applied Gerontology - January 11, 2013 Category: Geriatrics Authors: Goddard, C., Stewart, F., Thompson, G., Hall, S. Tags: Articles Source Type: research

Social Engagement and Health in Younger, Older, and Oldest-Old Adults in the Louisiana Healthy Aging Study
In this study, we focus on social engagement as an umbrella construct that covers select social behaviors in a life span sample that included oldest-old adults, a segment of the adult population for whom very little data currently exist. We examined relationships among social engagement, positive health behaviors, and physical health to provide new evidence that addresses gaps in the extant literature concerning social engagement and healthy aging in very old adults. Participants were younger (21-59 years), older (60-89 years), and oldest-old (90-97 years) adults (N = 364) in the Louisiana Healthy Aging Study (LHAS). Linea...
Source: Journal of Applied Gerontology - January 11, 2013 Category: Geriatrics Authors: Cherry, K. E., Walker, E. J., Brown, J. S., Volaufova, J., LaMotte, L. R., Welsh, D. A., Su, L. J., Jazwinski, S. M., Ellis, R., Wood, R. H., Frisard, M. I. Tags: Articles Source Type: research

Workers' Experiences of Crises in the Delivery of Home Support Services to Older Clients: A Qualitative Study
In the provision of care to older clients, home support workers regularly confront, avert, and manage crises. Semistructured interviews were conducted to explore the nature, type, and management of crises from the perspective of home support workers (N = 118) of older persons in British Columbia, Canada. The delivery of home health care occurs within a context of unpredictability related to scheduling, time constraints, variability of client need, and changing work environments. These events are experienced by 91% of home support workers and range from a serious medical incident (e.g., fall, death) to an interpersonal dile...
Source: Journal of Applied Gerontology - January 11, 2013 Category: Geriatrics Authors: Sims-Gould, J., Byrne, K., Beck, C., Martin-Matthews, A. Tags: Articles Source Type: research