GERONTOLOGIST老年学家
GERONTOLOGIST(英文缩写 GERONTOLOGIST),ISSN 0016-9013,eISSN 1758-5341,中文译名:老年学家 是一本学术期刊。本页汇总该期刊的最新影响因子、分区信息以及最新收录于 PubMed 的文献,帮助您快速了解期刊全貌。
发文量统计区间：2025-11-01 至 2026-10-31，按本站收录文献的发表日期统计。
期刊介绍
历年影响因子趋势
| JCR 数据年份 | 影响因子 | JCR 分区 |
|---|---|---|
| 2021 | 5.422 | Q1 |
| 2022 | 5.700 | Q1 |
| 2023 | 4.600 | Q1 |
| 2024 | 3.200 | Q1 |
| 2025 | 3.900 | Q1 |
GERONTOLOGIST 最新收录文献
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1. Implementing Person-Centered Dementia Care Practices Using a Care Community Coaching Intervention.
PMID:日期:2026-10-03As person-centeredness is key to quality dementia care, the Care Community Coaching Program (CCCP) was created to implement the 2018 Alzheimer's Association Dementia Care Practice Recommendations (DCPR) in long-term care communities. This paper describes the implementation and preliminary efficacy of the CCCP on adoption of the DCPR for person-centered care (PCC) and workforce practices, and current DCPR implementation in care communities. Uses a single group, pre- and posttest design drawing on field notes and data collected from 38 communities in a study on the impact of the CCCP in care communities in Ohio. Changes in the implementation of the DCPR for PCC were measured using a paired t test; changes in the DCPR for workforce practices were measured using a Wilcoxon signed-rank test. Additional post-hoc descriptive statistics describe current implementation of the DCPR. Participating communities saw statistically significant improvements related to the implementation of all but one DCPR for PCC and none related to workforce practices. Pre-intervention implementation rates for the DCPR for PCC and for workforce practices were 61.8% (n = 35 communities), and 78.3% (n = 10 communities), respectively. Exemplar practice changes, and facilitators and barriers to change are additionally described. The CCCP can be effectively implemented in care communities and shows preliminary efficacy in increasing the adoption of the DCPR for PCC. Areas for future research on the impact of the CCCP, and implications for improving the person-centeredness of dementia care in care communities, are identified and discussed.
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2. Healthcare Provider Experiences Delivering Dementia Care in Indigenous Communities: Challenges and Recommendations.
PMID:日期:2026-09-29Little is known regarding the effects of Alzheimer's disease and related dementias (AD/ADRD) in in American Indian and First Nation (AI/FN) communities in the US and Canada. Yet, research suggests FN populations in Canada experience 34% higher dementia rates and over half of US-based Indigenous adults demonstrate incident cognitive impairment, including dementia due to AD and/or cerebrovascular disease. Already higher than the general population, rates will increase as Indigenous populations age. The Indigenous Cultural Understandings of ADRD-Research and Engagement (ICARE) project was established to understand lived-experiences of dementia in AI/FN communities around the Great Lakes. We report themes describing practitioner experiences providing dementia care in selected US and Canadian Indigenous communities. Healthcare practitioners (n = 14) providing care in Indigenous communities were interviewed by community-based researchers using semi-structured guides exploring a range of topics. Thematic analysis was used to identify challenges and recommendations to improve care. Trustworthiness checks included reflexivity, consensus, prolonged engagement, member checking and audit. Thematic analysis yielded six superordinate themes. Provider-perceived challenges included: 1) Limited Resources for Providing Dementia Care, 2) Need for Caregiver-focused Preparation and Support, 3) Communication and Relationship Gaps, 4) Low-levels of Community Dementia-related Awareness, Education and Engagement. Provider recommendations were characterized as: 5) Increase Dementia-related Awareness, Education and Engagement, 6) Invest in Dementia Caregiver Support and Community Strengths. Findings were contextualized with post-colonial and relational care frameworks. Providers described relevant challenges and provided culturally safe and equitable strategies to improve dementia care outcomes.
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3. Workplace Violence in Home Health: Staff and Leadership Experiences and Strategies.
PMID:日期:2026-09-25Workplace violence (WPV) in healthcare has increased over the last decade, yet limited evidence exists to guide home health agency (HHA) prevention efforts. This study examined HHA leaders and staff WPV experiences, including the type of violence, risk factors, and prevention strategies. We conducted one-on-one semi-structured phone interviews with a purposive HHA sample of (a) 105 leaders, each representing a different organization, between November 2020-December 2022 and (b) 28 staff from five agencies between April 2023-August 2025. The socioecological framework guided the thematic analysis. Leaders and staff contrasted the solitary, uncontrolled, and unpredictable HHA work environment with institutional healthcare contexts. HHA staff experiences reflected three types of WPV (i.e., criminal intent, violence perpetrated by the patient or others in the home, ideological violence perpetrated by the public). WPV risk factors spanned all domains of the socioecological framework. HHA staff and leaders described individual- and organizational-level WPV prevention strategies that targeted risk factors across framework domains. There was an absence of prevention strategies initiated at the community- and societal-level (e.g., WPV prevention legislation). Organizational strategies extended beyond annual staff training to include patient-specific safety plans, employing safety escorts, and discharge protocols for patient non-compliance with safety plans. Fostering HHA staff safety within the context of service delivery is complex and multi-dimensional. Findings emphasized the importance of a comprehensive approach that is tailored to the HHA's community and populations served and a need for societal-level policies addressing WPV prevention and mitigation.
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4. Understanding the Care Priorities, Service Needs, and Lived Experiences of Rural Older Adults with Dementia and Cognitive Impairment in Canada: A Scoping Review.
PMID:日期:2026-09-25Research on dementia care remains largely urban-centric, with limited understanding about the lived experiences and needs of people with cognitive impairment and dementia in rural communities. This scoping review aimed to understand the care priorities, service needs, and lived experiences of rural older adults with cognitive impairment and dementia in Canada. Following Arksey and O'Malley's scoping review framework, we searched CINAHL, PubMed, PsycINFO, Scopus, and Web of Science for journal articles published from January 2015 to January 2025. Two reviewers independently screened the articles and extracted data from the relevant articles. We used reflexive thematic analysis to analyze the data. The scoping review identified 616 initial articles, with 16 relevant studies included in our review. Four interconnected themes were identified: i) complex navigational pathways and barriers in rural dementia care; ii) limited dementia knowledge creates challenges across the disease trajectory; iii) gaps in access to dementia-related services and supports; and iv) dementia-related stigma, fear, and social isolation. The findings revealed critical challenges in navigating rural dementia care, where geographical distance, misinformation, limited services, and dementia-related stigma exacerbate cognitive care disparities. Addressing these challenges requires ingenuity and prioritizing lived experience research to inform community-relevant solutions. Strategic investment and implementation science are needed to co-design, implement, and evaluate navigational support models and interdisciplinary dementia care hubs to improve rural access. Advancing rural dementia care requires moving beyond documenting challenges to evaluating scalable population-level interventions.
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5. Participatory Approaches with Older Adults in Technology and Innovation Research: A Scoping Review of Reviews.
PMID:日期:2026-09-24Compared to other age groups, older adults are often marginalized in the design processes of digital technologies leading to digital and social exclusion. While these aspects have been discussed in several reviews, an overarching perspective on how older adults are involved in Participatory Approaches (PA) in technology and innovation development is currently missing. This scoping review of reviews provides an overarching view on the narratives, trends, and gaps in PA in different fields of innovation, and proposes future research and practice directions. The study followed the Arksey & O'Malley's protocol for scoping reviews and the PRISMA-ScR checklist as the reporting guideline. Seven databases were screened for studies with a thematic focus on older adults, applying PA in technology and technology-related innovation, and published between 2014-2024. Twenty-two reviews were included. PA with older adults have seemingly evolved over the years with an increased focus on values equity, empowerment, power-sharing, and mutual learning. Nevertheless, deficit narratives on aging and ageism still constrain meaningful participation. A "participation gap" persists in which: terminology remains inconsistent; older adults are predominantly assigned roles of informants or testers rather than co-designers or equal partners; methods are mainly data-extractive; marginalized subgroups remain systematically underrepresented; and the technology scope remains predominantly care-centric. Identified gaps highlight the need for standardizing meaningful participation by creating a seal of quality for participatory approaches, improved reporting, and stronger inclusion of underrepresented populations and life domains of older persons.
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6. Impact of supervised physical exercise on inflammatory and oxidative stress biomarkers in older adults: a systematic review and meta-analysis of randomized controlled trials.
PMID:日期:2026-09-24Physical exercise is widely recognized as an effective non-pharmacological intervention that improves not only functional capacity, but also cognition and quality of life in older adults. However, the molecular pathways through which it influences aging-related processes remain incompletely understood. This systematic review and meta-analysis aimed to synthesize current evidence on the effects of structured physical exercise intervention on molecular biomarkers associated with inflammation and oxidative stress in older adults. Randomized controlled trials which included participants ≥65 years old were identified through searches of PubMed, Scopus, Web of Science, CINAHL, and the Cochrane Library. A total of 50 reports (4,379 participants) were included in the qualitative synthesis, and 38 of them in the different meta-analyses performed. Exercise interventions ranged from 8 weeks to 12 months and included aerobic, resistance, and multicomponent training. Pooled analyses indicated modest but significant reductions in C-Reactive Protein (CRP) and high-sensitivity CRP, as well as increases in IL-10. Effects on other pro-inflammatory cytokines, including IL-6 and TNF-α, were inconsistent across studies. Evidence from a limited number of trials (n = 6) also suggested improvements in redox balance. Overall, structured physical exercise demonstrates a moderate immunomodulatory and antioxidant effect in older adults, although bias was moderate to high. PROSPERO registry: CRD420251006248.
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7. Relationship Quality Trajectories and Financial Abuse Among Older Adults.
PMID:日期:2026-09-21Financial abuse is a prevalent yet underreported form of elder abuse with serious health and economic consequences. Prior research has linked poor relationship quality to financial abuse risk, but most studies rely on cross-sectional designs and focus on a single relationship type. This study examined whether 10-year changes in relationship quality with spouses, family, and friends are associated with subsequent financial abuse. Guided by social exchange theory, this study used data from three waves of the National Social Life, Health, and Aging Project. Relationship quality was categorized as stable, improving, or worsening over a 10-year period. Logistic regression models were estimated for each relationship type, adjusting for sociodemographic characteristics. Older adults with worsening family or friendship relationships over the 10-year period had more than twice the odds of experiencing subsequent financial abuse compared with those with stable relationships. Improving relationship trajectories were not significantly associated with financial abuse risk. Changes in spousal relationship quality were also not significantly associated with financial abuse. These findings suggest that worsening family and friendship relationships over time may be an early indicator of financial abuse risk. Monitoring changes in older adults' social relationships and supporting relationship stability may be important strategies for preventing financial abuse in later life.
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8. Timing Matters: Effects of Delayed versus Immediate Access to a Web-Based Application on Caregiver Outcomes: The WeCareAdvisor Trial.
PMID:日期:2026-09-21Dementia-related behavioral symptoms are common and distressing to caregivers who lack access to nonpharmacological strategies. WeCareAdvisor, a web-based application, used the DICE (Describe, Investigate, Create, Evaluate) approach to help caregivers identify nonpharmacological strategies. We compared caregivers with delayed access to those with immediate access on engagement and outcomes. Community-dwelling caregivers (N = 262) were randomized to immediate (n = 131) or 3-month delayed access (n = 131) and interviewed at baseline, 1, 3, and 6-months. Engagement among delayed users (3-6 months) was compared to immediate users (baseline-3 months), along with caregiver distress, confidence in managing behaviors, behavioral frequency by severity (primary outcomes), and number of behaviors, functional dependence and associated upset, caregiver well-being, and communications (secondary). Caregivers were aged 63.8±10.6 years, female (82%), White (83%), spouses (65%), co-residing (87%), and managing 6.4±2.8 behaviors. Persons with dementia were 75.1±10.5 years, male (57%), with moderate-to-severe dementia (62%). Delayed users completed one less DICE session (3.1) than immediate users (4.2) over 3 months (p = 0.0052) and reported enhanced wellbeing (p < 0.001) and confidence managing behaviors (p = 0.0069) but no changes in behavioral symptoms (p > 0.05). Immediate users improved more than delayed users on most outcomes (p < 0.05) except wellbeing, where both groups benefited, and confidence, where only delayed users benefited. Delayed users were slightly less engaged with WeCareAdvisor than immediate users and had fewer areas of improvement except for enhanced confidence managing behaviors and wellbeing. Web-based applications can support caregiver wellbeing but the importance of timely delivery of nonpharmacological strategies for caregivers must be underscored. # NCT05012410; URL: https://clinicaltrials.gov/study/NCT05012410Initial registration date: 08/12/2021.
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9. Living History, Fading Minds: Dementia as the Gateway to Historical Past in South Africa via Antjie Krog's Blood's Inner Rhyme (2025) and Julia Martin's The Blackridge House (2019).
PMID:日期:2026-09-12This manuscript analyzes the literary, social and cultural representations of dementia in Antjie Krog's Blood's Inner Rhyme (2025) and Julia Martin's The Blackridge House (2019). I contend that the authors' accounts of their mothers' struggle with dementia, from its onset to its end, function as living archives of personal and national history. I employ life writing, aging studies, and, to a lesser extent, historiography to examine the literary, social cultural, and historical dimensions of such experiences. I address the narrative construction of the mothers' identity in later life by highlighting the role of archives and family memories in the context of contemporary South Africa. Thus, I aim to illustrate the instrumental role of life narratives in the creation of safe spaces for intergenerational dialogue and reconciliation with a troubled past on a personal and national level. I also contend that humanities-based inquiry brings to the fore the essential aspects of later life, thereby challenging the pathologizing medical in the representation of dementia, which often disregards the reality of old people as vessels of knowledge. Eventually, I showcase that illness life narratives function as accessible repositories of public knowledge that render visible the realities of aging.
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10. There must be fifty ways to reduce ageism: A theoretical perspective on possible interventions to reduce self- and other-directed ageism among older persons.
10. 减少年龄歧视必有五十种方法：关于减少老年人自我导向和他人导向年龄歧视的可能干预措施的理论视角PMID:日期:2026-09-12Ageism is defined as stereotypes, prejudices, and discrimination toward people because of their age. It represents a substantial public health concern given its high prevalence and extensive impact on the health and well-being of older persons. Although interventions to reduce ageism toward older persons among younger persons as agents of ageism exist, much less is known about interventions to reduce self- and other-directed ageism toward older persons among older persons. This theoretical paper addresses the gap by proposing a comprehensive framework for the development of interventions to reduce ageism among older persons in the second half of life. Drawing on established theories, such as contact theory, terror management theory, stereotype embodiment theory, and social identity theory, we propose various mechanisms through which ageism among older persons can be reduced. The paper explores theoretical assumptions about which interventions work for whom and why to guide further empirical research on the reduction of ageism in the second half of life. We argue that although at the present time, effective interventions to reduce ageism among older persons are scarce, there are many theoretical avenues that may prove effective.