Geriatric Nursing (New York, N.Y.)[JOURNAL]
Sun
200 papers
Sarcopenic obesity as a distinct geriatric syndrome: Implications for screening, risk stratification, and Dual-target care.
Ganamurali N, Devarajan MP, Sabarathinam S
Geriatr Nurs · 2026 Jun · PMID 42235242 · Publisher ↗
Sarcopenic obesity (SO) the coexistence of reduced muscle mass and excess adiposity represents a distinct geriatric syndrome rather than a coincidental overlap of two conditions. SO is driven by inflammation, insulin res...
Sarcopenic obesity (SO) the coexistence of reduced muscle mass and excess adiposity represents a distinct geriatric syndrome rather than a coincidental overlap of two conditions. SO is driven by inflammation, insulin resistance, and myosteatosis, leading to accelerated functional decline, cardiometabolic risk, and higher mortality. Current diagnostic tools relying on BMI or isolated sarcopenia markers fail to capture this entity, delaying intervention. Recognition of SO requires integrated screening methods, novel risk indices, and dual-target therapies balancing fat loss with muscle preservation. Establishing SO as a clinical syndrome is essential for advancing risk stratification, optimizing management, and informing policy.
The coping strategies and needs of caregiving burnout among family caregivers of elderly stroke survivors.
Zou T, Zhang J, Qi W … +2 more , Liu L, Chen M
Geriatr Nurs · 2026 Jun · PMID 42235241 · Publisher ↗
AIMS: Research on caregiving burnout among family caregivers of elderly stroke survivors with partial disability is limited, and their coping strategies and needs remain unclear. Therefore, this study aimed to explore ho...
AIMS: Research on caregiving burnout among family caregivers of elderly stroke survivors with partial disability is limited, and their coping strategies and needs remain unclear. Therefore, this study aimed to explore how these caregivers cope with burnout and what unmet needs they have. METHODS: This study employed a descriptive qualitative research design. From March to May 2025, 15 family caregivers were recruited from a tertiary hospital via the purposive sampling method. Data were collected through semi-structured interviews and analyzed via inductive content analysis. RESULTS: Caregivers used both positive coping strategies, such as emotion regulation, cognitive reappraisal, and seeking social support, and negative ones like emotional suppression, self‑isolation, passive acceptance, and avoidance. Their unmet needs fell into two categories. Emotional needs included a desire for family care and social recognition. Resource needs included home care knowledge, long‑term financial support, and professional home rehabilitation devices. These needs were driven by financial strain, limited health literacy, and the heavy burden of care. CONCLUSIONS: This qualitative study highlights the complexity of caregivers' experiences. The findings emphasize that interventions for caregiving burnout should specifically promote positive coping strategies and precisely address their emotional and resource needs. This requires building family collaboration, providing hospital‑based discharge guidance and psychological support, setting up community peer platforms, and expanding long‑term care insurance and subsidies for home rehabilitation equipment at the policy level.
Factors associated with frailty in older adults hospitalized for cardiovascular disease: A multidimensional cross-sectional observational study.
Rivas-González N, López M, Martín-Gil B … +4 more , Rodríguez-Gabella E, Fernández-Castro M, Castro MJ, Román JAS
Geriatr Nurs · 2026 Jun · PMID 42229270 · Publisher ↗
OBJECTIVE: To identify the prevalence of frailty and analyze its associated factors in older adults hospitalized for cardiovascular disease. METHODS: Cross-sectional observational study conducted in 157 patients ≥60 year...
OBJECTIVE: To identify the prevalence of frailty and analyze its associated factors in older adults hospitalized for cardiovascular disease. METHODS: Cross-sectional observational study conducted in 157 patients ≥60 years admitted to a cardiology unit between 2022 and 2024. Frailty was assessed using Fried's criteria. Clinical, functional (Barthel Index), social (Gijón scale) and analytical variables were collected. Multivariate analysis was performed and the area under the curve (AUC) of the predictive model and stratified analysis by sex were calculated. RESULTS: 28.66% of patients were frail and 52.23% were pre-frail. Frailty was independently associated with age (OR=1.12; 95%CI: 1.07-1.18; p < 0.001), dyspnea on admission (OR=2.73; 95%CI: 1.33-5.63; p = 0.005), functional dependence (Barthel, OR=0.91; 95%CI: 0.87-0.95; p < 0.001), social risk (OR=3.82; 95%CI: 1.24-11.74; p = 0.019), hemoglobin (OR=0.77; 95%CI: 0.65-0.92; p = 0.004) and obesity (BMI≥30; OR=2.41; 95%CI: 1.16-4.98; p = 0.018). Differences were identified in the clinical expression according to sex, highlighting the obesity and dyspnea in men, while in women the association with social risk stood out (OR=0.26; 95%CI: 0.15-0.40; p = 0.002). The multivariate model-age, Barthel Index, obesity, and ischemic heart disease-showed good discriminative ability to identify frail patients (AUC=0.82; 95%CI: 0.74-0.89; p < 0.001). CONCLUSIONS: Frailty is highly prevalent in older patients hospitalized for cardiovascular disease and is associated with clinical, functional, and social factors. Sex differences highlight the need for comprehensive, individualized geriatric assessment from admission. Simple markers like hemoglobin, C-reactive protein, and functional dependence should be used in routine screening. These findings support the role of nurses in early detection and tailored care in cardiology settings.
Impact of job demand on the mutuality between family caregivers and their family member patients with dementia: A cross-sectional correlational study.
Wang YN, Liu AN, Lin YK … +2 more , Hsu WC, Shyu YL
Geriatr Nurs · 2026 Jun · PMID 42229269 · Publisher ↗
BACKGROUND/PURPOSE: Family caregivers are key to dementia care; however, many face the dual pressures of work and caregiving. These competing roles may create stress that undermines the emotional connections between care...
BACKGROUND/PURPOSE: Family caregivers are key to dementia care; however, many face the dual pressures of work and caregiving. These competing roles may create stress that undermines the emotional connections between caregivers and care recipients, known as mutuality, a key element of quality care. This study examined the influence of job demands on mutuality among family caregivers of persons with dementia in Taiwan. METHODS: A cross-sectional correlational design was used to analyze secondary data collected between 2010 and 2011 from 214 family caregivers of adults living with dementia recruited from a medical center in Taiwan. Hierarchical regression analyses were conducted to examine associations between job demands and mutuality after controlling for demographic characteristics, caregiving resources, and caregiving demands. RESULTS: Caregivers reported long work hours, limited workplace flexibility, and challenges balancing work and caregiving. The average mutuality score reflected a low-to-moderate level of relational closeness between caregivers and care recipients. Job demands were significant predictors of mutuality after controlling for demographic, caregiving resource, and caregiving demand variables. Fewer working hours (β = -0.207, p < 0.01), greater work flexibility (β = -0.305, p < 0.001), and better work-care balance (β =0.312, p < 0.01) were associated with stronger mutuality. CONCLUSION: Workplace stressors may play critical roles in shaping the quality of caregiving relationships. Although caregiver support policies in Taiwan have expanded in recent years, many employed family caregivers continue to face challenges balancing work and caregiving responsibilities. Nurses should evaluate caregivers' work-related strain and develop supportive interventions that sustain mutuality and family-based dementia care.
Use of trigger tools associated with a one-third increase in detection of adverse drug events in hospitalized older adults: a cross-sectional study.
Schiavo G, Forgerini M, Mendonça HL … +2 more , Varallo FR, Mastroianni PC
Geriatr Nurs · 2026 Jun · PMID 42229268 · Publisher ↗
INTRODUCTION: Older adults are at high risk of adverse drug events (ADEs), yet detection and reporting remain limited. This study evaluated the performance of two trigger tools for identifying in-hospital ADEs and estima...
INTRODUCTION: Older adults are at high risk of adverse drug events (ADEs), yet detection and reporting remain limited. This study evaluated the performance of two trigger tools for identifying in-hospital ADEs and estimating underreporting. METHODS: A retrospective cross-sectional study was conducted at a Brazilian hospital (February 2022 - February 2023), including older adults aged ≥ 60 years hospitalized for ≥24 hours. Structured chart reviews were used to collect clinical variables and identify ADEs. ADEs were screened using the TRIGGER-CHRON (32 triggers) and OPERAM (16 triggers) tools. Performance was assessed using positive predictive value (PPV), negative predictive value (NPV), sensitivity, and specificity. Utility was evaluated based on screening time and qualitative assessment. Logistic regression was used to identify factors associated with ADEs occurrence. RESULTS: ADEs were identified in 241 of 622 hospitalizations, totaling 760 events (38.7%). Of these, 213 ADEs (28.0%) were not reported by the healthcare team and 49 (6.5%) were considerable preventable. Insulin, diuretics, corticosteroids, and antipsychotics were the drug classes most frequently involved. TRIGGER-CHRON showed higher PPV (0.29) and specificity (0.90) than OPERAM (PPV 0.25; specificity 0.84), while sensitivity (0.94) and NPV (1.00) were the same for both tools. Screening time was shorter with OPERAM (2 vs. 3 min; p < 0.001). Facilitators included real-time access to records, whereas inconsistent documentation was the main barrier. Longer hospital stay and number of in-hospital medicines were associated with ADE (p < 0.001). CONCLUSION: TRIGGER-CHRON outperformed OPERAM. Approximately one in three older adults experienced an ADE, with 28.0% underreported.
Frailty in older adults as a predictor of adverse outcomes in Moroccan emergency departments: A prospective cohort study.
El Rhanbouri M, Amane M, Boussaa S … +1 more , Abou El Hassan T
Geriatr Nurs · 2026 Jun · PMID 42229267 · Publisher ↗
The global rise in life expectancy is increasing the proportion of older adults requiring acute medical care, particularly in emergency departments. As aging populations face complex health trajectories, the concept of f...
The global rise in life expectancy is increasing the proportion of older adults requiring acute medical care, particularly in emergency departments. As aging populations face complex health trajectories, the concept of frailty has emerged as a critical determinant of prognosis in this vulnerable group. In Morocco, this demographic shift is mirrored by limited integration of geriatric tools in emergency settings, where frailty often goes undetected. In this study, we explored whether clinical frailty, assessed at admission, could predict short-term adverse outcomes in older adults presenting to emergency services. We show here that frailty is strongly associated with increased risk of death, unplanned returns to emergency care, and rehospitalizations within three months following an initial visit. These findings highlight the clinical utility of frailty assessment to anticipate risk in older patients and emphasize the need for early identification strategies in emergency settings, especially in low-resource contexts. By demonstrating that a simple clinical scale can reliably stratify risk, our study reinforces the importance of incorporating frailty screening into acute care workflows and sets the stage for broader implementation of age-sensitive emergency practices.
Enhancing transitional care after TAVI: The strategic role of the nurse coordinator.
Limonti F, Ramacciati N
Geriatr Nurs · 2026 May · PMID 42217333 · Publisher ↗
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Enhancing geriatric nursing care: Policy recommendations for improving long-term care quality.
T S, Vanaja P, P F … +7 more , Brown AE, Jangpangi N, Kumar CN, Barman B, Talukdar R, Talukdar K, Devi HS
Geriatr Nurs · 2026 May · PMID 42214295 · Publisher ↗
BACKGROUND: Rapid population ageing has intensified demand for nursing home-based long-term care (LTC), placing geriatric nursing at the center of care quality, safety, and system sustainability. Despite policy attention...
BACKGROUND: Rapid population ageing has intensified demand for nursing home-based long-term care (LTC), placing geriatric nursing at the center of care quality, safety, and system sustainability. Despite policy attention, nursing home systems across countries continue to face persistent challenges related to workforce shortages, fragmented financing, limited integration, and variable regulatory oversight. PURPOSE: This paper critically examines nursing home-based LTC policies using the World Health Organization's Integrated Long-Term Care (ILTC) framework to identify strengths, gaps, and opportunities for system improvement. APPROACH: A comparative policy analysis was conducted across selected countries, structured around the five ILTC domains: person-centered care, workforce capacity, sustainable financing, integrated service delivery, and governance and accountability. FINDINGS: Evidence indicates that high-performing nursing home systems align investments across ILTC domains, while fragmented approaches undermine care quality and equity. CONCLUSION: Strengthening geriatric nursing in nursing homes requires coherent, needs-based policy reform grounded in the ILTC framework to ensure dignified, high-quality care for older adults.
Mind map-based evaluation of outcomes in pacemaker patients across different age groups.
Lv Y, Yu Z, Tang C … +2 more , Shen L, Li Z
Geriatr Nurs · 2026 May · PMID 42190621 · Publisher ↗
BACKGROUND: This study aimed to assess the effectiveness of mind mapping-based health education in post-pacemaker implantation patients across different age groups and to inform optimization of discharge education strate...
BACKGROUND: This study aimed to assess the effectiveness of mind mapping-based health education in post-pacemaker implantation patients across different age groups and to inform optimization of discharge education strategies. METHODS: A total of 120 patients who underwent pacemaker implantation at the Department of Cardiology, Huzhou Central Hospital, from June 2024 to December 2024 were included. Patients were stratified into three age groups: young group (18-44 years, n = 20), middle-aged group (45-59 years, n = 30), and elderly group (≥60 years, n = 70). Discharge readiness and the quality of discharge education were assessed and compared among the groups. RESULTS: Significant differences were observed among the young, middle-aged, and elderly groups in personal status, adaptability, anticipated support, and overall discharge readiness, all statistically significant (P < 0.05). In the young group, the received content score was significantly higher than the needed content score (P < 0.05), whereas in the elderly group, the received content scorewas significantly lower than the needen content score (P < 0.05).Moreover, significant intergroup differences were observed in total scores of received content, guidance skills and effectiveness, and overall discharge education quality, all statistically significant (P < 0.05). CONCLUSION: Elderly patients exhibited lower scores in both discharge readiness and discharge education quality. Healthcare providers should implement targeted health education for this population, providing personalized interventions. Mind maps should be tailored to different age groups to improve the effectiveness of discharge guidance.
Summary of the evidence on TCM nonpharmacological interventions for cognitive impairment in patients with Alzheimer's disease.
Hu JX, Wen Q, Zhou H … +6 more , Hui Q, Yuan QX, Cai H, Cheng X, Liu J, Lin L
Geriatr Nurs · 2026 May · PMID 42184493 · Publisher ↗
OBJECTIVE: To systematically synthesize the best available evidence on nonpharmacological interventions in traditional Chinese medicine (TCM) for cognitive impairment in patients with Alzheimer's disease (AD). METHODS: G...
OBJECTIVE: To systematically synthesize the best available evidence on nonpharmacological interventions in traditional Chinese medicine (TCM) for cognitive impairment in patients with Alzheimer's disease (AD). METHODS: Guided by the "6S" evidence pyramid model, a comprehensive search was conducted across multiple databases from their inception to March 2025. Two researchers independently assessed the quality of the literature, while four researchers extracted the evidence using a standardized form. The best available evidence was ultimately identified through group discussion. RESULTS: A total of ten articles were included, comprising two guidelines, one expert consensus statement, and seven systematic reviews. Eighteen evidence items were summarized across five areas: acupuncture, acupuncture combined with Chinese herbal medicine (CHM), five-element music therapy, Baduanjin exercise, and Tai Chi. CONCLUSION: Evidence regarding TCM nonpharmacological interventions for AD-related cognitive impairment is both scientific and comprehensive. However, further high-quality, large-scale clinical trials are still warranted.
Risk factors for falls in hospitalized older people.
Caetano GM, de Oliveira SFG, de Lima FM … +1 more , Fhon JRS
Geriatr Nurs · 2026 May · PMID 42184492 · Publisher ↗
INTRODUCTION: To identify risk factors for falls in hospitalized older patients by healthcare professionals, especially nurses, is essential to ensure patient safety and well-being. OBJECTIVE: To determine the associatio...
INTRODUCTION: To identify risk factors for falls in hospitalized older patients by healthcare professionals, especially nurses, is essential to ensure patient safety and well-being. OBJECTIVE: To determine the association between the risk of falls and demographic, health, and clinical factors in hospitalized older people. METHOD: A quantitative, cross-sectional, and analytical study. The study population consisted of 146 older people receiving care at the Adult Unit of the University Hospital. The following instruments were used to collect data: Demographic profile, clinical data, 10-point Cognitive Screener, Morse Scale, Charlson Comorbidity Index, Simple questionnaire to rapidly diagnose sarcopenia, Tilburg Frailty Indicator, and Barthel Index. The information was analyzed using the Statistical Package for the Social Sciences software (Armonk, NY: IBM Corp.). Logistic linear regression analysis was used to identify the association between the variables. Statical significance was set a prior a p < 0.05, two-tailed. RESULTS: The sample consisted of 51.4% men. Their mean age was 71.4 years, and 50.7% reported having a partner. The mean years of education level was 6.1. Patients had a mean of 3.6 medical diagnoses (SD = 1.5). Cognitive screening showed that 43.8% were "Normal". The risk of falls was classified as 6.8% with a low risk, 24.7% with a moderate risk, and 68.5% with a high risk. Regarding functional capacity, the mean score was 80.3 points, and 57.5% had no signs suggestive of sarcopenia. The association analysis found that increased heart rate (p = 0.02), functional capacity decreased (p < 0.001), risk of sarcopenia (p < 0.001), and medical diagnoses number (p = 0.009) increased the risk of falls in older people. CONCLUSIONS: A high prevalence of fall risk was identified among hospitalized older adults, associated with elevated heart rate, reduced functional capacity, risk of sarcopenia, and multiple comorbidities. These findings highlight the need for targeted preventive strategies, including heart rate monitoring, sarcopenia management, and interventions such as early mobilization and physical therapy to preserve functional capacity. DESCRIPTORS: Accidental Falls, Health Services for the Aged, Nurses Improving Care for Health System Elders, Hospitals, Risk Factors.
Development and validation of the O-MAMA - 'Older adults' meaningful maternal-role activities assessment'.
Maman R, Avrech Bar M, Rand D
Geriatr Nurs · 2026 May · PMID 42172888 · Publisher ↗
BACKGROUND AND OBJECTIVES: Participation is necessary for healthy aging. Identifying meaningful activities of older adults is crucial for promoting participation. This study aimed to describe the development and content...
BACKGROUND AND OBJECTIVES: Participation is necessary for healthy aging. Identifying meaningful activities of older adults is crucial for promoting participation. This study aimed to describe the development and content validity of the O-MAMA, a self-report questionnaire for assessing participation in meaningful maternal-role activities among older women, and to establish its internal reliability and construct validity. METHODS: The O-MAMA measures participation in meaningful maternal-role activities, producing two scores among activities identified as meaningful: %Participation, indicating the proportion of activities in which the mother actively participates, and %Non-Participation, indicating the proportion of activities in which she does not participate. A cross-sectional study included community-dwelling older mothers. In addition to the O-MAMA, the Reintegration to Normal Living Index (RNL) and the Lawton Instrumental Activities of Daily Living (IADLq) were administered to assess participation and independence in daily living (respectively). Cognition and mobility were also assessed. Correlations between O-MAMA scores to the other assessments were conducted. RESULTS: Expert feedback from five occupational therapy practitioners (11-28 years of experience) and three older mothers (aged 70-74) was used to improve O-MAMA. Sixty-one women, mean (SD) age 78.6 (5.9) participated in the study. Their median (IQR) RNL score was 93.63 (81.8-89.1)/100 and IADLq 22.0 (21.0-23.0)/23. Cronbach's alpha was α = 0.85 for both %Participation and %Non-Participation. RNL correlated positively with %Participation (r = 0.54, p<.01) and IADLq correlated negatively with %Non-Participation (r=-0.29, p<.05). CONCLUSIONS: O-MAMA is reliable and valid for assessing participation in maternal-role activities of community-dwelling older women. Further research should assess its clinical use in health-promotion interventions.
Spatial inequality in depression among middle-aged and older adults in China: Evidence from a regression-based Shapley value decomposition analysis.
Zhao G, Sun J, Su C … +1 more , Chen H
Geriatr Nurs · 2026 May · PMID 42172887 · Publisher ↗
Drawing on Lefebvre's spatial theory, this paper conceptualizes spatial inequality in depression. Using data from the China Health and Retirement Longitudinal Study and Shapley value decomposition approach, this paper qu...
Drawing on Lefebvre's spatial theory, this paper conceptualizes spatial inequality in depression. Using data from the China Health and Retirement Longitudinal Study and Shapley value decomposition approach, this paper quantifies spatial inequality in depression and assesses its contribution to total depression inequality among middle-aged and older adults in China. The findings reveal that the average value for Gini coefficient of spatial inequality in depression is 0.103, and the relative contribution rate to total inequality is 24.91 %. Notably, the contribution of urban-rural institutional space to spatial inequality exceeds that of eastern-central-western-northeastern physical space. Moreover, there is a significant upward trend in total spatial inequality. The primary policy implication underscores the need to narrow the inequality in depression and prioritize the equilibrium of urban and rural institutional space in mental health development.
Quality assurance and performance improvement (QAPI) in assisted living: A comprehensive overview and how it improves outcomes.
Groeneweg C
Geriatr Nurs · 2026 May · PMID 42168016 · Publisher ↗
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Oral Health in Assisted Living Communities: A Hidden Driver of Systemic Disease.
Sayabalian L
Geriatr Nurs · 2026 May · PMID 42168015 · Publisher ↗
Oral health is an important part of overall health, but it is often overlooked in older adults, especially those in memory care and skilled nursing communities. This paper discusses oral health problems in assisted livin...
Oral health is an important part of overall health, but it is often overlooked in older adults, especially those in memory care and skilled nursing communities. This paper discusses oral health problems in assisted living, how they are connected to serious health conditions, and a few practical steps one can take to mitigate or even prevent these conditions. Older adults are more likely to develop oral diseases due to changes in hygiene habits, normal aging, age-related medical conditions, and reliance on caregivers for daily oral hygiene. In many communities, limited time, lack of training, and poor access to dental services lead to untreated issues like gum disease, tooth loss, and infections. This paper explains how oral problems can affect the rest of the body and serves as a warning and practice guide for all assisted living and skilled nursing management teams, emphasizing the importance of daily oral care for the overall well-being of every resident. Poor oral health can make it harder for individuals to eat properly, leading to kidney failure, severe weight loss, etc. Poor oral care can cause long-term inflammation, allow bacteria to enter the bloodstream, which is linked to serious conditions such as bacterial pneumonia, heart disease, and cognitive decline.
Barriers and facilitators to deprescribing in older adults: an integrative review.
Barbuiani G, Consolo L, Terzoni S … +2 more , Cilluffo S, Lusignani M
Geriatr Nurs · 2026 May · PMID 42167086 · Publisher ↗
BACKGROUND/PURPOSE: Polypharmacy and the use of potentially inappropriate medications are increasing among older adults. Deprescribing represents a potential solution to optimize medication regimens and align treatment w...
BACKGROUND/PURPOSE: Polypharmacy and the use of potentially inappropriate medications are increasing among older adults. Deprescribing represents a potential solution to optimize medication regimens and align treatment with patient preferences. This integrative review aimed to identify older adults' barriers and facilitators to deprescribing and to integrate qualitative and quantitative evidence to provide a comprehensive understanding of these factors. METHODS: We conducted an integrative review following Whittemore and Knafl's five-step framework. We performed a search in MEDLINE, Embase, CINAHL, and Scopus for studies published between 2020 and 2025. We included qualitative, quantitative, and mixed-method studies involving adults aged 65 years or older that explored perceptions of deprescribing. Data were extracted and each study was critically appraised using the CASP checklists. Findings from qualitative and quantitative studies were then integrated using joint displays to identify areas of convergence, complementarity, and divergence. RESULTS: The review included 37 studies (24 quantitative and 13 qualitative). Four themes describing barriers to deprescribing were identified: perceived appropriateness of medications, the deprescribing process, social and contextual influences, and concerns and fears related to stopping medication. Facilitators overlapped with the first three themes and included an additional theme related to the perceived burden of medication use. Key barriers included perceived necessity of medications, fragmented medical care and limited patient knowledge about medications. Key facilitators included shared decision-making with healthcare professionals, trust in healthcare professionals, and adequate monitoring or follow-up. The integration of findings revealed both convergence, such as the importance of trust, and divergence, with quantitative studies suggesting higher levels of medication knowledge than those reported in the qualitative findings. CONCLUSIONS: These findings highlight that older adults' willingness to deprescribe is strongly influenced by trust in healthcare professionals, shared decision-making, and the availability of appropriate monitoring and follow-up. Addressing these factors may support more effective medication review and deprescribing discussions in clinical practice. The results also suggest that improving coordination of care and involving patients and caregivers in medication-related decisions may help address barriers to deprescribing in older adults.
The feasibility and preliminary efficacy of video-based PITS health education to enhance health literacy and self-management among older adults with hypertension: A pilot study.
Codrington S, Yakong N, Inmueang K
Geriatr Nurs · 2026 May · PMID 42167085 · Publisher ↗
This pilot study evaluated video-based PITS (Pathophysiology, Indications, Treatment and Specific) health education among 24 older adults with hypertension. Health literacy was assessed in week 5, and self-management in...
This pilot study evaluated video-based PITS (Pathophysiology, Indications, Treatment and Specific) health education among 24 older adults with hypertension. Health literacy was assessed in week 5, and self-management in week 11. The program was feasible, well-received, and improved both outcomes. Although structured, repeatable video supports independent learning and effective hypertension management, larger controlled trials are needed to confirm efficacy.
PrevineQuedas: An immersive virtual reality serious game for fall prevention in older adults.
Diniz JL, Coutinho JFV, Pillon CB … +6 more , Coelho MMF, de Araújo ÍL, Moreira ACA, Barbosa RGB, Marques MB, Silva RDRL
Geriatr Nurs · 2026 May · PMID 42167084 · Publisher ↗
OBJECTIVE: To develop and evaluate an immersive virtual reality serious game for fall prevention among older adults. METHOD: This pilot study followed the stages of Design Science Research and was conducted between Janua...
OBJECTIVE: To develop and evaluate an immersive virtual reality serious game for fall prevention among older adults. METHOD: This pilot study followed the stages of Design Science Research and was conducted between January 2023 and February 2025. Development and evaluation followed a User-Centered Design approach through three focus group discussions with 10 participants from an older adult community center in Fortaleza, Ceará, Brazil. Participants suggested aspects related to furniture, objects, and environmental elements for the game scenarios set inside the home (bedroom and bathroom). The prototype was developed using Unity 3D, the Google Cardboard SDK, and Google Cardboard. Usability and player experience were evaluated using the Model for the Evaluation of Educational Games. Data analysis employed the Agreement Index (AI) and Spearman's correlation. The study was approved by the Research Ethics Committee. RESULTS: The PrevineQuedas game includes two scenarios with risk objects and two with preventive objects. Gameplay requires a Samsung smartphone, Google Cardboard VR headset, the corresponding application, and a swivel chair. The player selects a scenario and has up to two minutes to identify objects by interacting through head and eye movements (up-down, left-right), providing an immersive experience. The evaluation showed a usability AI of 91.42% and a player experience AI of 100%. Exploratory analyses indicated alignment in responses among items related to ease of use and content organization. CONCLUSION: The game received a positive evaluation and may be considered a promising tool for fall prevention among older adults.
Fear of falling in older adults: The role of fear of dependency and tiredness as key determinants.
Pires PM, Carvalho J, Pires T … +2 more , Pires C, Ribeiro O
Geriatr Nurs · 2026 May · PMID 42167083 · Publisher ↗
UNLABELLED: FEAR OF FALLING (FOF) IS A MULTIFACTORIAL CONDITION WITH ADVERSE HEALTH OUTCOMES. OBJECTIVE: This study explored factors associated with FoF in community-dwelling older adults, with a particular focus on the...
UNLABELLED: FEAR OF FALLING (FOF) IS A MULTIFACTORIAL CONDITION WITH ADVERSE HEALTH OUTCOMES. OBJECTIVE: This study explored factors associated with FoF in community-dwelling older adults, with a particular focus on the role of fear of dependency and tiredness as potential determinants, building on the Multifactorial Causation Model of Falls and Fear of Falling proposed by Hadjistavropoulos et al. METHODS: A cross-sectional study of 509 adults aged ≥65 evaluated sociodemographic, clinical, and psychological factors. Simple and multiple linear regressions were used to identify FoF-related factors. RESULTS: FoF was significantly higher in women and increased with age. Other significant predictors included greater fear of dependency, poorer visual acuity, lower levels of physical activity, greater number of falls in the previous year, higher anxiety, tiredness, and lower mobility/balance (TUG) - which showed the strongest association with FoF (p < 0.05). The multiple regression model explained 47.3% of the variance in FoF. CONCLUSION: Fear of dependency and tiredness were significant predictors of FoF and may represent additional determinants of FoF in community-dwelling older adults.
Impact of social prescribing on quality of life and loneliness in geriatric populations: A comprehensive meta-analysis of RCTs with implications for nursing practice.
Wang Y, Xu Y, Gao L … +1 more , Bai X
Geriatr Nurs · 2026 May · PMID 42167082 · Publisher ↗
OBJECTIVE: To address the fragmented evidence on the comparative efficacy of social prescribing modalities, this meta-analysis systematically evaluates the differential effects of arts-, physical-, and social-based inter...
OBJECTIVE: To address the fragmented evidence on the comparative efficacy of social prescribing modalities, this meta-analysis systematically evaluates the differential effects of arts-, physical-, and social-based interventions on quality of life (QoL) and loneliness reduction in older adults. METHODS: Following the PRISMA 2020 guidelines, we systematically searched nine Chinese and international databases (CNKI, VIP, Wanfang, Sinomed, PubMed, etc.) for randomized controlled trials (RCTs) published between 2016 and 2024. Inclusion criteria encompassed community-dwelling adults aged ≥60 years receiving structured social prescribing (arts/physical/social activities) alongside standard care. Methodological rigor was ensured using the Cochrane Risk of Bias 2.0 tool. Anticipating substantial clinical heterogeneity due to cross-cultural variations in intervention delivery, we selected the Random-effects model, supplemented by subgroup analyses to explore intervention type (arts/physical/social), duration (short-term ≤3 months; long-term >3 months), and cultural dimensions. RESULTS: Twenty-six RCTs (n = 3892) were ultimately included. Social prescribing demonstrated significant improvements in QoL and moderate reductions in loneliness. Subgroup analyses indicated that arts-based interventions yielded the largest effect sizes for both QoL and loneliness. The effect of arts-based interventions on loneliness was significantly greater than that of physical- (p < 0.01) and social-based (p < 0.01) approaches, though its larger effect on QoL compared to physical interventions did not reach statistical significance (p = 0.10). CONCLUSION: This meta-analysis delineates critical advancements in geriatric social prescription research, providing evidence that arts-based interventions are a particularly potent option for alleviating loneliness. These findings suggest that nurses should consider incorporating arts-based activities into psychosocial care plans, tailored to individual preferences and cultural contexts. To operationalize these outcomes, future research could explore adaptive intervention frameworks that integrate multidisciplinary resources while addressing heterogeneity in program delivery. Policymakers should support culturally sensitive community programs, recognizing the potential of artistic engagement as a valuable strategy for geriatric mental health.
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