GERONTOLOGIST

The National Institute on Aging's Resource Centers for Minority Aging Research: Development, Evolution, and Impact
Stahl SM, Lichtenberg PA, Barnes LL, Muramatsu N and Manson SM
Spanning nearly 30 of the 50 years in which the National Institute on Aging (NIA) has existed, the Resource Centers for Minority Aging Research (RCMAR) program represents one of the most successful initiatives for advancing minority aging research and diversifying the scientific workforce within the Institute and across the National Institutes of Health. This article celebrates the genesis of the RCMAR program, beginning with the need to enhance this work, ranging from theories underlying the then-nascent field of health disparities research to study design, measurement, and analytic procedures. It describes the companion focus on preparing, expanding, and diversifying generations of future scholars/scientists to carry forward these advances. RCMAR's emphasis on promoting a comprehensive approach to research career development and building supportive learning communities heralded a more holistic approach to training than was previously the case. The discussion describes the evolution of the structure and emphases of the RCMAR program as it has responded to the frequently changing political, funding, and research environments. The article concludes by highlighting the major successes of this initiative, the challenges it faces, and opportunities afforded future growth as individual centers, the program at large, and NIA as a whole continue to innovate as they collectively address the original goals which remain relevant today and in the near future.
Nursing Home Administrators' Experiences of Work Stress and Intention to Quit during the COVID-19 Pandemic
Nelson HW, Weil J, McSweeney-Feld MH, Yang BK, Barry TT and Thayer N
The COVID-19 pandemic negatively impacted nursing home administrators (NHAs). This study explores licensed and employed NHA's perceptions about what work stress events would drive their turnover intentions (TI) in year three of the pandemic.
Celebrating the National Institute on Aging's 50th Anniversary: The Gerontologist Special Collection
Gaugler JE
Digital Contact as Strain or Support: How Does Type of Contact Shape the Association between Mother-child Interactions and Adult Children's Depressive Symptoms in Later-life Families?
He R, Suitor JJ and Gilligan M
This paper aims to extend research on the association between mother-child contact and adult children's psychological well-being in later-life families by differentiating between in-person, virtual, and written digital contact, examining the moderating role of children's gender, and exploring the processes that underlie these associations.
The Evolution in Dementia Caregiving Research: NIA's Catalyst Role
Ory MG and Stevens AB
This article celebrates the National Institute of Aging (NIA)'s successes over the past fifty years in advancing the science base informing the need for and response to dementia caregiving. In parallel with other public and private efforts, insightful NIA leadership supported by funding initiatives established the field of dementia caregiving research. In support of the health and well-being of family caregivers, NIA was a catalyst of innovation that led to numerous evidence-based caregiving interventions informed by basic research on care tasks and consequences. As evidence of the impending burden of dementia care on US families mounted, NIA-funded multidisciplinary collaboratives of researchers generated comprehensive models of family caregiving across diverse populations. Today, the dementia caregiving evidence base is shaping public policy and making possible dementia caregiving support services in health systems and community-based organizations. NIA continues to support the scientific study of dementia caregiving with a collaboratory of leading scientists and by making available state-of-the-art datasets and encouraging standardized research methodologies. NIA's leadership in the field of dementia caregiving research has never been more significant as the number of persons living with dementia in the US approaches 7 million, and the value of family caregiving is estimated to be $350 billion.
Usability Testing of the PACE-App to Support Family Caregivers in Managing Pain for People with Dementia
Chi NC, Nguyen K, Shanahan A, Demir I, Fu YK, Chi CL, Perkhounkova Y, Hein M, Buckwalter K, Wolf M, Williams K and Herr K
Pain management is often suboptimal in individuals with dementia, and their family caregivers are tasked with supporting pain management despite limited preparation. The web-based PACE-app (PAin Control Enhancement) was designed to assist caregivers in managing pain for individuals with dementia. This study aimed to evaluate the usability of the PACE-app.
Caregiving Challenges from Persistent Pain Among Family Caregivers to People with Dementia
Turner SG, Mindlis I, Reid MC and Pillemer KA
Many family caregivers to people with dementia experience persistent physical pain. Though caregivers' pain is associated with poor caregiving outcomes, there is little research on how pain challenges caregiving to yield poor outcomes. This study developed a typology of caregiving challenges from pain among family caregivers to people with dementia.
The Intersecting Effects of Lifetime Experiences of Homelessness and Incarceration on Cognitive Aging and Dementia Risk Factors in the United States
Hanes DW and Clouston SAP
Alzheimer's disease and related dementias (ADRD) remain a pressing concern in the US, which also has one of the highest incarceration rates worldwide. Existing research has analyzed dementia risk and care among currently incarcerated and homeless populations; this paper fills a gap by examining later-life cognitive disparities facing formerly incarcerated and/or homeless individuals.
'It Made Me Change the Way I Do Business': Outcomes from Age-Friendly Community Initiatives as Systems Change
Greenfield EA and Pope NE
Since the early 2000s, a global age-friendly communities (AFC) movement has called for improving the built, social, and service environments of localities for aging. Yet research on the outcomes of AFC initiatives, as programmatic efforts toward AFC progress, remains in its nascence. Drawing on "The Water of Systems Change" framework, our study aimed to address this gap by exploring the extent to which accomplishments of AFC initiatives are indicative of altering six conditions for systems change: policies, organizational practices, resource allocations, power dynamics, relationships, and mental models.
Nursing Home Staff with Children: Unique Needs Among Single and Partnered Parents
Kennedy KA, Mohr DC and Mills WL
Nursing home (NH) staff job dissatisfaction and turnover are associated with lower care quality. However, little is known about the impact of being single on workplace experiences. Guided by the Job Demands-Control-Support Model, we compared job satisfaction, turnover intention, and psychological distress for single and partnered parents working in NHs.
Risks and Outcomes of New Onset of Unmet Need for Mobility and Self-care Daily Activities
Sands LP, Lee L, Zhu X, Khan M and Du P
Among community-living older adults who have limitations in completing Activities of Daily Living (ADLs), unmet need occurs when they cannot complete an ADL task because no one was available to help. Prior research described correlates of existing unmet needs but did not consider which older adults are at risk for new onset of unmet needs. This study assessed health characteristics that increased risk for new onset of unmet needs within a year and subsequent health outcomes.
Changes in Dental Care Use Following Marital Status Change in the Health and Retirement Study
Hubbard S and Cornell PY
Previous studies have indicated that married people are generally healthier than unmarried people, with lower mortality rates. Most work in this area has employed cross-sectional data, and few studies have examined change in marital status from married to unmarried as a potential social ecological determinant of dental health behavior. Here we used longitudinal data to examine change in dental behavior over time following marital status change, and to explore whether self-reported gender may play a modifying role in any behavioral change.
Assessing Age-Friendly Community Initiatives: Developing a Novel Survey Tool for Assessment and Evaluation
Webster S, Robertson M, Keresztes C and Puxty J
Age-Friendly Community Initiatives (AFCIs) have gained recognition as essential responses to the needs of aging populations. Despite their growing significance, there is a notable lack of effective measurement tools to assess the planning, implementation, and sustainability of AFCIs. The purpose of this study was to develop and validate a survey tool for evaluating AFCIs.
Reducing Ageism and Ableism with Brief Videos Providing Education about Aging and Disabilities and Exposure to Positive Intergenerational Contact
Monahan C, Levy SR and Lytle A
Older adults living with a disability (LWD) face both ageism and ableism, but there are few interventions to address this significant and growing social problem.
Delineating Care Recipient Burden Constructs: Development and Validation of the CARE-2B Scale for Care Recipient Self-Perceived Burden and Proxy Assessment of Caregiver Burden
Kuharic M, Mulhern B, Sharp LK, Turpin RS and Pickard AS
Care Recipient Self-Perceived Burden (CR-SPB) to Caregivers is an important but overlooked aspect within the caregiver-care recipient relationship. This study aimed to 1) develop and validate the CARE-2B (Care Recipient's Two Burden) Scale, assessing both CR-SPB and their proxy assessment of caregiver burden (Proxy-CB); 2) examine whether the CR-SPB and Proxy-CB differ from caregiver burden's own assessment and other health and social care constructs.
A Novel Time Use Approach on Daily Active Engagement with Life: The Intersectionality of Race and Gender
Wong J, Lu S, Lou Y, Zang E and Carr D
Active engagement with life (AE) is an integral aspect of successful aging. Using time diary data, this study explored how U.S. older adults structure their daily lives involving social participation and productive engagement, and the extent to which these patterns differ by race and gender.
Codesigning training for health providers to improve detection and response to elder abuse
Brijnath B, Cavuoto MG, Feldman P, Dow B, Antoniades J, Ostaszkiewicz J, Nakrem S, Stevens C, Reyes P, Renshaw G, Peters MDJ, Gilbert A, Manias E, Mortimer D, Enticott J, Cooper C, Durston C, Appleton B, O'Brien M, Eckert M and Markusevska S
Screening for elder abuse can improve detection, but many health providers lack the necessary skills and confidence. To address this, training for health providers on elder abuse screening was co-designed as part of a trial aimed at improving elder abuse detection and response.
The interaction between Indigenous identity and rural residency in dementia prevalence among Ecuadorian older adults
Amano T, Gallegos-Riofrío CA, Freire WB and Waters WF
While recognizing the acknowledged difference in dementia prevalence between Indigenous and non-Indigenous populations, most previous studies were conducted in the Global North. This study aims to examine the relationship between Indigenous ethnic identity and dementia status with a special focus on urban-rural differences among older adults in Ecuador.
Non-exercise-based interventions to support healthy ageing in older adults: A systematic review and meta-analysis of randomised controlled trials
Koh WQ, Wora N, Liong NWL, Ludlow K, Pachana NA and Liddle J
Healthy ageing is a multidimensional construct, where various factors play a role in influencing wellbeing in older age. Many studies heavily emphasise the importance of physical activity, negating other aspects such as psychosocial or cognitive influences. This review aimed to evaluate the effectiveness of non-exercise-based interventions on the quality of life (QoL) and life satisfaction of community-dwelling, healthy older adults.
End-of-life doulas: A systematic integrative review and redirection
Thompson AD and Utz RL
End-of-life doulas (EOLD) are an emerging role providing non-medical support and advocacy for the dying and their families. Research about EOLD is new and currently highlights a need for more clarity in role definition and application. This review aims to comprehensively analyze existing knowledge regarding EOLD and their role in end-of-life care.
Multi-stakeholder aged care research networks: A scoping review
Gillard AK, McNeair T, Andrew NE, Haines T, Hill KD, Moran C, Rawson H, Russell G and Long KM
An ageing population worldwide has highlighted the need for improved care in long term aged care homes. In Australia, such homes are called Residential Aged Care homes, and reform is underway to improve the quality and safety of aged care. A key enabler of quality improvement is increasing evidence-based practice through creating a system to support research translation. Collaborative multi-stakeholder research networks offer a potential solution by bringing together stakeholders to identify evidence-to-practice gaps, co-design research and translate knowledge into practice. The aim of this scoping review was to understand the current evidence on the creation and maintenance of multi-stakeholder aged care research networks internationally, reported facilitators and barriers, and outcomes.