Innovation in Aging

Estimating the causal impact of chewing disability on depressive symptoms mediated by loneliness: a longitudinal marginal structural model study of older adults in Singapore
Tay JRH, Nascimento GG, Chan A, Malhotra R, Tonetti MS and Peres MA
Chewing disability may contribute to depressive symptoms in older adults, but causal pathways, accounting for time-varying confounding factors, remain unexplored. Previous research shows an association between chewing disability, loneliness, and depression. This study examines the causal relationship between chewing disability and clinically significant depressive symptoms (CSDS) and whether loneliness mediates this association among older adults.
Perceived stress and cognitive decline: the moderating role of emotion regulation
Jurgens S, Howard E, Einstein D, Prieto S and Hayes JP
Perceived stress is associated with poor health outcomes, including accelerated cognitive decline and increased risk for dementia. Prior research suggests that emotion regulation may determine the extent to which stress impairs cognition with age. This study extends this work by examining the moderating role of two emotion regulation strategies (cognitive reappraisal; expressive suppression) on the relationship between perceived stress and cognitive decline over 10 years in a sample of older adults.
Who stays? Understanding the attrition in a longitudinal aging study of older Chinese immigrants in the United States
Jiang Y, Zhu Y, Bergren S, Da W, Kong D and Tang F
Despite the rapid growth of older Asian American populations, little is known about their retention and its associated factors in longitudinal aging studies, partially due to the limited longitudinal studies among this population. This study addresses this critical gap by examining key predictors of attrition in this understudied population.
Relationships between frailty, housing characteristics, and heat-health outcomes in community-dwelling older adults in Hong Kong
Lai ETC, Chu WL and Woo J
Previous evidence showed that frailty in older age and precarious housing characteristics, respectively, contribute to poorer heat-related health outcomes. It is not known whether these conditions would interact with each other to produce a larger impact on older people's health.
Feasibility and acceptability of WeCare Mentoring, an online peer mentoring program for aged care support workers
Czuba KJ, Vandal AC and Kayes NM
In recognition of the aging population and aged care workforce shortages, calls have been made for responsive and effective strategies for this workforce group. This study aimed to investigate the feasibility, acceptability, and preliminary efficacy of an online mentoring program for aged care support workers serving older adults in New Zealand residential care facilities.
Predicting active and productive engagement: introducing the index of aging in midlife and beyond (IAM+)
Abrams L, Mudrazija S, Butrica B, Carpenter R, Sonnega A and Carr D
Indicators of midlife health decline are needed to determine people's ability to engage in meaningful activities as they age and to implement early interventions to improve long-term health trajectories. Existing measures of physiological aging are unidimensional, expensive, difficult to collect, or focused on advanced disability, making it challenging to identify exposures that contribute to accelerate aging beginning in midlife.
Sex- and age-specific multimorbidity networks in middle-aged inpatients: a network-based comparative study between China and the United Kingdom
Bao Y, Liu H, Lu Q, Sun Y, Wang L, Su S, Lu P, Wang M, Ma T, Xie X, Wang W, Wang L, Zhai Y, Lu F, Wei Y, Li R, Ding M, Yan Y, Jia S, Zhang X, Yang J and Zhang L
Multimorbidity is increasingly prevalent among the middle-aged population, yet it is largely often overlooked. We aimed to explore and compare the differences in multimorbidity patterns by sex and age among middle-aged inpatients from China and the United Kingdom.
Risk factors for elder abuse severity: findings from the Canadian longitudinal study on aging
Burnes D, Rotsaert C, Lachs MS and Pillemer KA
Elder abuse (EA) conceptualizations are evolving from conventional binary understandings toward a severity lens that more accurately captures the spectrum of victim experiences and complexity of EA intervention. Although momentum behind a focus on severity has grown, our understanding of EA severity risk factors is methodologically limited by studies using clinical convenience samples and/or cross-sectional designs. Informed by the Contextual Theory of Elder Abuse, this article sought to advance the state of science surrounding EA severity risk factors using data from a longitudinal, population-based design and examining factors from several levels of ecological influence.
Equitable aging in health framework: a multi-systems and multilevel approach to health challenges and supports for transgender older adults
Perone AK, Zhou L, Coldon T, Solorio M, Paget A and Osborne A
While research on transgender older adults and health is growing, gaps remain about transgender older adults of color, immigrants, and other groups experiencing multiple forms of marginalization who are shaped by concurring experiences of oppression across the life course. This article aims to address these gaps by examining health challenges and supports among transgender older adults-many of whom are racially minoritized and immigrants-through an Equitable Aging in Health framework.
Back pain precedes sleep problems in older men
Lee S, Muhammad T, Roseen EJ, McNaughton DT, Mu CX, Øverås CK, Jenkins H, Nim C, Young JJ, Fink HA, Ensrud KE, Almeida DM, Small BJ, Cawthon PM and Stone KL
While cross-sectional associations between any pain and sleep problems have been established, longitudinal studies examining the temporal relationship between back pain and multidimensional sleep health remain limited. We evaluated whether the association between back pain and sleep problems was bidirectional in older men aged 65 years and above.
Assessing a peer-led pain and wellness self-management program with older adults
Hou E, Hatch M, Tanbonliong GD, Vafiadis DK and Guidry JA
In 2021, the National Council on Aging developed the Self-Management Curriculum for Wellness and Pain Relief (NCWPR), a peer-based pain self-management program that provides person-centered pain management strategies, credible information on pain management methods and medications, and safe practices for the use of OTC drugs. This study describes a larger-scale, controlled intervention study of the NCWPR implemented to demonstrate its efficacy and readiness for more rigorous translation studies of the NCWPR's impact on participants.
Perceived neighborhood environments and cardiovascular disease in older adults: the moderating role of cognitive activity
Law J
Cardiovascular disease (CVD) remains a leading cause of morbidity and mortality among older adults. While clinical risk factors are well documented, less is known about how perceived neighborhood environments interact with individual coping resources to influence CVD risk. Informed by the Stress Process Model and the Transactional Model of Stress and Coping, this study examines the associations between perceived neighborhood social cohesion and physical disorder and CVD among U.S. older adults, and whether cognitive activity moderates these associations.
Suicide risk among spouses of patients with dementia: a population-based cohort study
Yang HJ, Huang YH and Cheng WJ
Caregiver burden among spouse caregivers is associated with mental health burdens, including suicide. However, longitudinal studies on suicide risk among spouses of dementia patients are limited. This study aimed to investigate suicide risk among spouses of patients with dementia and to examine how sociodemographic factors and healthcare service utilization influence this risk.
Technology support preferences for prospective memory among older adults with subjective cognitive complaints
Sanders EC and Boot WR
Prospective memory (PM), the ability to remember to execute an intention in the future, is critical for performing everyday tasks contributing to health, financial, and social outcomes. PM declines with greater age and in the presence of a cognitive impairment. Toward the goal of developing technology-based support for older adults experiencing cognitive challenges, this study aimed to assess the attitudes of older adults with subjective cognitive complaints (SCCs) toward technology to support PM and their preferences regarding device type and the type of activity being supported.
Age-related variations in HbA1c improvements: insights from a telehealth-supported community-based intervention
Porterfield L, Yu X, Amspoker AB, Johnston CA, Naik AD, Virani SS, Ballantyne CM, Balasubramanyam A and Vaughan EM
We previously demonstrated that a telehealth-supported community health worker (CHW) intervention significantly improved clinical outcomes in diabetes care. However, the extent to which these benefits vary across different age groups remains unclear. This study evaluated the effectiveness of a CHW-led multidimensional diabetes intervention in reducing HbA1c across age groups.
From curing to caring: exploring social care needs after the onset of chronic conditions among European older adults (50+)
Calderón-Jaramillo M, Rentería E and Spijker J
Population aging affects health and social care needs. Although its effects on healthcare needs have been widely discussed, less has been said about its implications on social care needs, even though the consequences of living with chronic conditions are related to functional decline, disability, dependency, and mobility limitation. This study aims to identify trajectories of healthcare and social care needs after the onset of chronic conditions, as well as to explore through cross-country comparisons how demographic, socioeconomic, living arrangements, and health-related dimensions explain individuals' trajectories.
Resident- and family-led huddles for collaborative care planning in long-term care: a feasibility study
Cranley LA, McGillis Hall L, Duggleby W, Helfenbaum S, Galessiere D, Meyer RM, Sivakumaran G, Just D, MacEachern L and McGilton KS
Engaging long-term care residents and families in decisions and as active partners in care can improve the quality of care. However, barriers to effective communication among the care team, residents, and families remain. This study aimed to assess the feasibility, acceptability, and satisfaction with an intervention to engage residents, their family, and team members in a collaborative approach to care planning to support person- and relationship-centered care.
Self-perceptions of aging and memory in later life: the social pathways
Hu RX and Li LW
This study examined the association of self-perceptions of aging (SPA) and memory trajectories and the mediating role of social connections in their association.
The relationship between home and community-based services utilization and self-reported quality of life for community-dwelling and assisted living residents with and without dementia
Jutkowitz E, Mulcahy JF, Huckeldt P, Woodhouse M, Jarosek S, Fabius CD, Tarter W, Wolf JM and Shippee TP
Home and community-based services (HCBS) intend to allow individuals to age in their home or a home-like environment. The relationship between receiving specific types of HCBS and person-reported HCBS quality remains unclear.
Aging in rural areas: balancing land, care, and connection of family caregivers of persons with dementia: a qualitative analysis
Santoyo-Olsson J, Rosenberg M, Chesla C and Yank V
Caregiving for people with dementia is especially challenging in rural areas of the United States, where services and support are often limited. This study explores how contextual factors-environmental conditions, resource availability, and family and social dynamics-intersect to shape experiences of rural family caregivers.
Does cognitive capital reduce the risk of cognitive decline in later life?
Ferraro KF and Han B
Although considerable evidence shows that various neighborhood characteristics are related to cognitive function, we propose the concept of cognitive capital as a theoretically informed and parsimonious way to guide research on how neighborhood contextual factors may influence cognitive function in later life.