ABSTRACT Social isolation is a social and public health problem that affects people of all ages, especially elders. Previous studies have found across numerous industrialised countries associated with negative outcomes. However, it unknown whether how this association differs by race/ethnicity age. To begin to address gap, study examines the physical mental among Black, White Hispanic elders in United States America. Building on Cornwell Waite's perceived disconnectedness dimension model...

Abstract Background Subjective age refers to how young or old individuals experience themselves be and is associated with health status, behavioral, cognitive, biological processes that influence frailty. However, little research has examined the relationship between subjective frailty among older adults. This study bidirectional association community-dwelling Methods We used data from 2011 2015 waves of National Health Aging Trends Study. Our sample consists 2,592 adults complete on main...

We examine facilitators and barriers to the implementation maintenance of Enhance®Fitness (EF), a group exercise program for older adults, at early-adopter YMCA-affiliated sites, summarize strategies employed by EF instructors staff overcome challenges. This qualitative study used semi-structured phone interviews with 32 instructors, members, master trainers from 24 different sites. Interviews were digitally recorded, transcribed, analyzed focus on components RE-AIM framework. identified...

Abstract Previous studies have found a strong association between activities of daily living (ADL)/instrumental (IADL) disability, chronic conditions, and depressive symptoms, these associations with specific disability diseases varied by racial/ethnic groups. However, information is unavailable on associations, especially the older generation refugee populations. Authors examined explored which might be associated symptoms among 208 Vietnamese-origin adults (≥65 years) from Vietnamese Aging...

Aim To examine gender differences in the prevalence of cognitive impairment across two age cohorts China: old (aged 65–79 years) and oldest‐old 80–116 years). Methods The Chinese Longitudinal Healthy Longevity Survey with waves from 2008 to 2011 was used ( N = 13 586). Regression analysis model effects on baseline function onset impairment. Independent variables included demographics, socioeconomic status (SES), social network, leisure activities functional disabilities. Results Among...

This study examines the expected and experienced benefits among participants in Enhance®Fitness (EF), an evidence-based group physical activity program for older adults. We also describe implications dissemination (reach, implementation, maintenance) within RE-AIM effectiveness, adoption, framework. Twenty semistructured interviews were conducted with EF enrolled from 2005 to 2012. Interviews digitally recorded, professionally transcribed, analyzed using a deductive approach. Participants...

Abstract Background Anxiety and depressive symptoms are associated with fear of falling falling-related activity restrictions. However, it remains unknown whether anxiety or alone could predict restrictions in older adults. We sought to determine if be an independent predictor community-dwelling Methods This longitudinal analysis used waves 5 (time 1, [T1]) 6 2, [T2], 1 year from T1) data ( N = 6376) the National Health Aging Trends Study. The Generalized Disorder Scale 2 Patient...

To describe aerobic physical activity among middle-aged and older adults by their self-reported cognitive decline receipt of informal care for declines in functioning most common type activity.

Challenges of filial caregiving practices by 1st-generation immigrants due to differences in values between their home and host countries are well documented. This study explored the responsibility later generation Japanese American caregivers older adults. Acculturation were measured using Suinn-Lew Asian Self Identity scale Filial Values Index, respectively. A qualitative interview guide was developed Gordon's assimilation theory, 21 ( M age = 68 years, 86% female, seven each generation)...

Baby boomers, people born from 1946 through 1964, represent a substantial portion of the US population. Generally, baby boomers have more chronic disease and disability than those in previous generation. Frequently, they also provide informal care to others. The objective our study was estimate prevalence caregiving among compare health boomer caregivers noncaregivers.Using data Behavioral Risk Factor Surveillance System (2015-2017) for 44 states, District Columbia, Puerto Rico, we...

Over thirty years ago, William Julius Wilson declared that class trumped race as the more significant determinant of social mobility and economic opportunity. Despite acclaim scrutiny for Wilson's work, United States has grown increasingly divided by intersecting factors race, other demographic such place (Massey, 2007). These divisions are especially evident in public education system. We analyze how interact to predict high school graduation rates a national sample schools students....

To identify facilitators and barriers among early adopters of Enhance(®)Fitness (EF), in Young Men's Christian Association-affiliated (Y-affiliated) sites from the perspective program staff. EF is an evidence-based group exercise for seniors.This qualitative study used semi-structured phone interviews with 15 staff members representing 14 Y-affiliated sites. Interviews were digitally recorded, transcribed, analyzed using content analysis informed by RE-AIM framework.Staff were, on average,...

Due to linguistic and cultural adjustments a new country, first-generation immigrant’s caregiving challenges have been well-documented. However, little is known of U.S.-born, U.S.-educated, English-speaking later-generation caregivers’ (2nd, 2.5, 3rd-generation) attitudes needs regarding caregiving. Given this context, we interviewed 40 Chinese-American caregivers in Seattle Houston. Caregivers had mean age 59 years, were married, college-educated, working females with children. The later...

The efficacy of reminiscence and life review (LR) therapy in alleviating depression among older adults is well established. However, providers nonresearch settings might implement these interventions inadequately, such rarely can evaluate their outcomes using control groups. Alternatively, evaluators calculate a within-group effect size then compare it with average benchmarks derived from the randomized clinical trials (RCTs) supporting intervention's effectiveness. This study developed...

Background: Due to the high prevalence of depressive symptoms and Alzheimer’s disease related dementias in older Americans (≥65 years), we developed a six-week depression intervention, Caregiver-Provided Life Review (C-PLR) for care recipients (CRs) with early-stage dementia mild depression. Objective: The objective study was examine feasibility efficacy C-PLR delivered by virtually-trained caregivers (CGs) on CRs who live community long-term settings (N = 25 CG-CR dyads). Methods: We used...

Background. A strong association between Activities of Daily Living (ADL)/Instrumental (IADL) disability, chronic disease, and depressive symptoms among different racial/ethnic groups older adults has been well established. However, whether this relationship remains true refugee populations such as Vietnamese in the United States not yet investigated. 
 Methods. Using linear regressions, we tested relationships ADL/IADL common diseases, 208 Vietnamese-origin from two convenience samples...

Abstract Background and Objectives The scarcity of resources available caregiving services in rural areas the United States has been well documented. However, less research compared unmet service needs between caregivers people with Alzheimer’s disease related dementias (ADRD) versus urban areas. Research Design Methods Using semistructured interviews guided by theories health use dependent care, we interviewed 20 family residing Western North Carolina 18 within setting Houston, Texas, their...

To alleviate the high prevalence of depressive symptoms and dementia in older Americans (≥65 years), we developed a depression intervention,