Developing self-care behaviors is a fundamental yet challenging strategy to prevent the complications of diabetes. This three-arm randomized controlled trial aimed to compare the effectiveness of combined mindfulness and self-regulation-based intervention with self-regulation-based intervention on self-care behaviors of Iranian older adults with…

Objective: Memory loss affects a large proportion of older adults. Research indicates a positive association between memory training and better memory performance as people age. However, studies on specific memory training using an experimental design are limited. This study explored whether memory training has improved memory performance in a…

Objective: The purpose of this study was to evaluate the relationship between health literacy, self-care agency, social support and health status among elderly Chinese nursing home residents in Xinjiang. Design: Participants were selected using a stratified cluster random sampling design. Setting: The study was conducted from September 2011 to…

Clinical Question: Do individuals with mild cognitive impairment (MCI) benefit from memory strategies/supports training versus no training, based on their performance on prospective memory tasks? Method: Systematic Review. Sources: PSYCINFO®, CINAHL®, PubMed®, and ASHA® journal search. Search Terms: MCI, cognitive rehabilitation, cognitive…

Purpose of the Study: A novel logistic regression tree-based method was applied to identify fall risk factors and possible interaction effects of those risk factors. Design and Methods: A nationally representative sample of American older adults aged 65 years and older (N = 9,592) in the Health and Retirement Study 2004 and 2006 modules was used.…

Purpose: The original version of the Direct Assessment of Functional Status (DAFS), a measure of instrumental activities of daily living (IADLs), was found to have a ceiling effect in older adults living independently in the community. This suggested that the tasks measured, although relevant, do not require full use of this population's…

Purpose: Families of dementia patients receiving skilled homecare do not receive supportive services. We evaluated whether a proven intervention, Environmental Skill-building Program (ESP), which reduces caregiver burden and enhances skills managing patient functioning, can be integrated into homecare practices of occupational therapists (OTs) and…

This article examined the differences between rural/urban older adults in their trajectories of activities of daily living (ADL) over a 4-year period. The sample included 2,490 community dwelling older adults who completed three waves (1998, 2000, and 2002) of the Chinese Longitudinal Healthy Longevity Survey. Among them, 63.5% were from rural…

Purpose: To report the impact on patient and informal caregiver satisfaction, patient empowerment, and health and disability status of a primary care-affiliated disease self-management-health promotion nurse intervention for Medicare beneficiaries with disabilities and recent significant health services use. Design and Methods: The Medicare…

Family members--whether people related by birth and marriage or friends and neighbors (sometimes called a "family of choice")--are the main caregivers for millions of older Americans. These family caregivers assist those they care for with activities of daily living such as bathing and dressing, with instrumental activities of daily living such as…

Purpose: This study used the Disablement Process Model to predict whether a sample of the oldest-old maintained their disability or disability-free status over a 2- and 4-year follow-up, or whether they transitioned into a state of disability during this time. Design and Methods: We followed a sample of 149 Swedish adults who were 86 years of age…

The Model of Human Occupation was used to design a program to train and support four dementia patients in daily living activities focused on motor skills and procedural memory. The Assessment for Motor and Process Skills showed gains for three of the four, paralleled by a decrease in the amount of support needed from therapists in task…

Purpose: Getting dressed is an activity that is of particular difficulty for many persons with dementia, given the need for hand-eye coordination, fine motor skills, and overall planning skills. Despite several studies concerning interventions to improve dressing behavior, very little is known about the dressing process as it is currently…

Diabetes mellitus is a disabling, deadly disease, affecting one in five of adults over 65. Unfortunately, for the few elders that receive diabetes self-care training it is often taught using traditional didactic methods that are insensitive to their unique needs and immersed in the traditional medical paradigm. Integrating diabetes self-care into…

Purpose: We examine 6-month effects of the Environmental Skill-Building Program on caregiver well-being and care recipient functioning and whether effects vary by caregiver gender, race (White or non-White), and relationship (spouse or nonspouse). Design and Methods: We enrolled 255 family caregivers of community-residing persons with Alzheimer's…