Purpose: Pragmatic clinical trials are essential for moving evidence-based practices into routine care for people living with dementia, yet few early career researchers (ECRs) receive formal preparation to design or conduct such trials. Method: This methods-focused article synthesizes lessons learned by ECRs using pragmatic data sources across nursing, social work, neuropsychology, occupational therapy, and speech-language pathology. Guidance was organized on four principles: engaging partners across roles and care levels; including representative participants; attending to organizational strain and readiness; and learning from adaptations. Results: Case examples show how teams identify and use existing data, collaborate with care teams and families to collect data in a feasible manner, tailor methods to cultural and linguistic contexts, and balance fidelity with necessary flexibility during implementation. Conclusion: Situated within these principles, this methods-focused article offers practical direction to advance pragmatic trials in dementia care and supports early career development.
PURPOSE:The current integrative review examines anticipated stigma as a newer subdomain of stigma barrier to cannabis use disclosure among older adults and synthesizes current evidence on its implications for care delivery, patient safety, and provider engagement. METHOD:Using Whittemore and Knafl's integrative review framework, a systematic literature search was performed across CINAHL, PubMed, PsycINFO, and Scopus to identify peer-reviewed articles published from 2010 to 2025. These studies were screened and analyzed to assess their relevance to anticipated stigma, cannabis use, and disclosure among adults aged ≥60 years. RESULTS:Twenty-five studies met inclusion criteria. Results indicate that stigma, stemming from ageism, legal ambiguity, and provider bias, leads to nondisclosure of cannabis use. This concealment affects medication safety, therapeutic relationships, and health outcomes. CONCLUSION:Addressing anticipated stigma is essential for enhancing cannabis-related care for older adults. Future research should inform stigma-aware communication strategies and provider training programs that encourage disclosure and focus on patient-centered care.
PURPOSE:To examine the association between intergenerational support from children and successful aging among older adults. METHOD:Using data from 6,573 adults (aged ≥60 years) in the 2020 China Health and Retirement Longitudinal Study, intergenerational support was measured across three dimensions, and successful aging was defined according to Rowe and Kahn. Multivariate logistic regression analyzed their association, and a classification and regression tree (CART) model explored multi-factor interactions. RESULTS:Caregiving, higher financial support, and moderate monthly emotional contact were each significantly associated with greater odds of successful aging. CART analysis further revealed that although health and education served as foundational factors, their associations with successful aging were synergistically moderated by intergenerational support. CONCLUSION:Successful aging is closely linked to the interplay of individual characteristics and intergenerational support. Policies should therefore prioritize health promotion and educational investment while facilitating differentiated intergenerational support strategies.
PURPOSE:The current study aimed to assess the status and associated factors of fall risk perception among community-dwelling older adults in China, conceptualized within the Theory of Planned Behavior as a determinant of attitudes and intentions toward fall prevention behaviors, which could provide evidence for fall prevention strategies. METHOD:Between November 2023 and March 2024, a convenience sampling method was used to recruit older adults from a community in Quzhou, Zhejiang Province. Data were collected using a self-designed questionnaire and the Community Elderly Fall Risk Perception Scale. RESULTS:A total of 267 community-dwelling older adults participated in the current study, with a mean fall risk perception score of 62.12 (SD = 13.25). Univariate analysis revealed that age, educational level, household location, history of falls within the past year, vision condition, number of medications, use of walking aids, perceived physical health condition, fear of falling, and living situation, were significantly associated with fall risk perception among older adults (all p < .05). Subsequent multivariate linear regression analysis identified fear of falling, number of medications, use of walking aids, educational level, and living alone as independent predictors of fall risk perception (all p < .05). There were differential effects of these factors on fall risk perception in men and women. CONCLUSION:Community-dwelling older adults from this sample exhibited a moderate level of fall risk perception, indicating that although they recognize potential for falls, there may still be gaps in their awareness or understanding of personal risk factors. This perception is shaped by a combination of factors, underscoring importance of fall prevention. It is imperative that community health workers assist older adults to gain an accurate understanding of their fall risks and facilitate development of tailored fall prevention strategies.
