TY - JOUR AB - Background: Being socially connected is essential for health and well-being. Nonetheless, many older adults face social isolation, especially in ethnically diverse societies. Digital technologies offer a pragmatic approach to addressing problems with social connectedness; however, a consolidated understanding of their association with social connectedness among ethnic minority older adults remains unaddressed. Objective: We conducted a systematic review and meta-analysis to investigate the prevalence and utility of digital resources in promoting social connectedness among ethnic minority older adults. Methods: This systematic review and meta-analysis was guided by the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Studies were retrieved from 4 electronic databases. A random-effects meta-analysis was used to estimate the pooled prevalence along with its 95% CI. Results: Twelve studies were included. The research approaches used by the included studies were as follows: quantitative (n=5), qualitative (n=5), and mixed methods (n=2). Overall, the estimated prevalence of internet use, which was defined as engaging in online activities through digital devices, was 81.8%. Commonly used digital devices were computers (66.7%), smartphones (63.2%), and tablets (29.3%). Sociodemographic, economic, and health-related factors influenced the adoption and use of digital resources among ethnic minority older adults. These older adults relied on digital resources to build meaningful social connections through social participation, maintaining cultural and religious ties, promoting transnational social networks, and fostering their potential for social connectedness. However, digital resources were not always useful for social connectedness and adversely affected in-person contact. Conclusions: Digital resources can promote social connectedness among ethnic minority older adults by enabling them to maintain their cultural and social values. Cities and regions aiming to promote the social connectedness and well-being of ethnic minority older adults should consider intersectional factors that affect access to digital resources and the sustainable adoption of digital resources. AU - Amoah, Padmore Adusei AU - Ameyaw, Edward Kwabena AU - Bhowmik, Miron Kumar AU - Adotey, Prince Nyansah AU - Donkor, Andrew DA - 2026/4/2 DO - 10.2196/84962 KW - digital resources ethnic minority older adults social connectedness N1 - ARIIA SR Collection 2026 PY - 2026 RN - OPEN SN - 2561-7605 SP - e84962 ST - Digital Resources and Social Connectedness Among Ethnic Minority Older Adults: Systematic Review and Meta-Analysis T2 - JMIR Aging TI - Digital Resources and Social Connectedness Among Ethnic Minority Older Adults: Systematic Review and Meta-Analysis UR - https://aging.jmir.org/2026/1/e84962 https://doi.org/10.2196/84962 VL - 9 ID - 115 ER - TY - JOUR AB - BACKGROUND AND OBJECTIVES: Despite the high prevalence of hearing and vision impairment among people living in long-term care (LTC) and their impact on quality of life, these sensory challenges are often disregarded. Hence, this systematic review aims to identify the actors and factors influencing hearing and vision care behavior in LTC and construct a literature informed behavioral systems map to demonstrate this complex system. RESEARCH DESIGN AND METHODS: A systematic review across five databases yielded 23 articles from 3644 screened (January 2013-September 2024). Data on sensory care behaviors in LTC (screening, referring, receiving care, device use, and communication adaptation) were extracted, coded, and mapped to the COM-B (Capability, Opportunity, and Motivation-Behavior) framework with associated actors. A behavioral systems mapping prototype was developed with the synthesized data. RESULTS: Actors included residents, family members, care staff, LTC management, and hearing and vision professionals. Analysis revealed 31 factors across the COM-B framework related to the five sensory care behaviors. Seventeen factors affected multiple behaviors. Most salient among the interconnecting factors were collaborative care, family engagement, infrastructure, and perception of value. The synthesized behavioral systems map revealed ten feedback loops driving sensory care behaviors. DISCUSSION AND IMPLICATIONS: The behavioral systems map provides crucial groundwork for developing comprehensive solutions to enhance hearing and vision care across LTC settings globally. It reveals that hearing and vision care involves multiple stakeholder groups and interconnected COM-B factors, whose components of capability, opportunity and motivation collectively influence care through feedback dynamics, creating emergent, self-organizing behaviors requiring multifaceted approaches. AD - University of Queensland Centre for Hearing Research (CHEAR), School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia. Bolton Clarke Research Institute, Brisbane, Queensland, Australia. School of Optometry and Vision Science, Faculty of Medicine and Health, UNSW Sydney, New South Wales, 2052Australia. The George Institute for Global Health, UNSW Sydney, New South Wales, 2052Australia. The University of Queensland Centre for the Business and Economics of Health, The University of Queensland, Brisbane, Queensland, Australia. AN - 41830425 AU - Anantharaman, D. AU - Meyer, C. AU - Nisar, M. AU - Kumaran, S. AU - Keay, L. AU - McAvoy, S. AU - Dawes, P. DA - Mar 14 DO - 10.1093/geront/gnag020 DP - NLM ET - 20260314 KW - aged care audiology eye integrated care residents L1 - internal-pdf://3071475500/The ABCs of Hearing and Vision Care in Long-Te.pdf LA - eng N1 - ARIIA SR Collection 2026 PY - 2026 RN - OPEN * SN - 0016-9013 ST - The ABCs of Hearing and Vision Care in Long-Term Care Communities: A Systematic Review and Behavioral Systems Map of Actors, Behaviors, and COM-B Factors T2 - Gerontologist TI - The ABCs of Hearing and Vision Care in Long-Term Care Communities: A Systematic Review and Behavioral Systems Map of Actors, Behaviors, and COM-B Factors ID - 106 ER - TY - JOUR AB - Teledermatology (TD), which involves providing dermatology services, including diagnosis and management, remotely, has grown as a result of the COVID-19 pandemic, becoming a critical tool for delivering dermatologic care, especially to aging populations. Specifically, for nursing home residents who often face mobility and cognitive limitations, multimorbidity, and an increased risk of complications, TD may allow for earlier diagnoses, improved access to care and quality of life, and timely management. A scoping review of studies published between 2015 and 2025 was conducted to evaluate clinical and system-level outcomes. A comprehensive search was conducted by three independent researchers using multiple databases, including Ovid MEDLINE, EMBASE, and Web of Science. To analyze the most common dermatologic diagnoses in nursing homes, the inclusion criteria included geriatric patients (>60 years old), nursing home patients, and studies published in English between 2015 and 2025. For analyzing the overall benefits of using TD, the inclusion criteria were identical except that dermatology patients of any age were eligible. Exclusion criteria for analyzing the most common dermatologic diagnoses in nursing homes and the benefits of using TD included articles that were older than 15 years and case reports. Overall, this review will provide a comprehensive analysis of the benefits of using TD as a diagnostic and management tool for dermatologic conditions in the elderly nursing home setting. AD - Dermatology, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Davie, USA. Rheumatology, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Davie, USA. AN - 41798556 AU - Armstrong, J. L. AU - Bennis, S. AU - Smock, J. N. AU - Kesselman, M. M. C1 - Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. C2 - PMC12964319 DA - Feb DO - 10.7759/cureus.102891 DP - NLM ET - 20260203 IS - 2 KW - assisted living diagnosis elderly nursing home quality of life remote dermatologic care store-and-forward dermatology teledermatology telehealth virtual dermatology L1 - internal-pdf://2619332388/Teledermatology for Older Adults With a Focus.pdf LA - eng N1 - ARIIA SR Collection 2026 PY - 2026 RN - OPEN* SN - 2168-8184 (Print) 2168-8184 SP - e102891 ST - Teledermatology for Older Adults With a Focus on Nursing Home Residents: A Scoping Review of Clinical and System-Level Benefits T2 - Cureus TI - Teledermatology for Older Adults With a Focus on Nursing Home Residents: A Scoping Review of Clinical and System-Level Benefits UR - https://www.cureus.com/articles/448320-teledermatology-for-older-adults-with-a-focus-on-nursing-home-residents-a-scoping-review-of-clinical-and-system-level-benefits#!/ VL - 18 ID - 110 ER - TY - JOUR AB - BACKGROUND: Polypharmacy is a major concern among older adults in long-term care facilities (LTCFs), as it increases the risk of potentially inappropriate medications (PIMs) and related adverse outcomes. Medication review and deprescribing interventions may help optimise therapy and reduce harm. DESIGN: Systematic review and meta-analysis. METHODS: This study was conducted according to PRISMA guidelines (PROSPERO: CRD42023486056). PubMed, Embase and Scopus were searched up to 27 August 2024, for experimental studies evaluating the impact of medication review/deprescribing interventions in older LTCF residents with polypharmacy. Outcomes included medication appropriateness indexes, falls, hospitalisations and mortality. We calculated risk ratios for dichotomous data and mean differences for continuous data [with 95% confidence intervals (CIs)]. The quality of the studies was assessed using RoB 2 for the randomised controlled trials (RCTs) and the ROBINS-I for non-randomised studies. RESULTS: From 3548 records, 38 studies (22 RCTs, 16 quasi-experimental) were included. Pooled analyses demonstrated significant reductions in the number of drugs per patient [within 12 months: -0.89 (95% CI -1.46, -0.32); at ≥12 months: -1.60 (95% CI -2.68, -0.52)] and in PIMs [at 6 months: -0.48 (95% CI -0.74, -0.22); at ≥12 months: -0.26 (95% CI -0.40, -0.13)]. No significant effects were observed on falls, hospitalisations or mortality. Studies showed wide methodological heterogeneity and had moderate to high risk of bias (23 moderate, 14 high, 1 low). CONCLUSIONS: Comprehensive medication review interventions improved prescribing appropriateness in older LTCF residents with polypharmacy but did not significantly affect clinical outcomes (i.e. falls, hospitalisations and mortality). Further high-quality studies using standardised approaches are needed. AD - Department of Diagnostics and Public Health, University of Verona, Verona, 37134, Veneto, Italy. IRCCS Ospedale Casa Sollievo della Sofferenza, Unit of Biostatistics, San Giovanni Rotondo, 71013 Apulia, Italy. Department of Medical and Surgical Sciences, University of Bologna, Bologna, 40138, Emilia-Romagna, Italy. Department of Geriatrics, Orthopedics and Rheumatology, Università Cattolica del Sacro Cuore, Rome, 00168, Lazio, Italy. AN - 41967033 AU - Carollo, M. AU - Cristini, I. AU - Crisafulli, S. AU - Fontana, A. AU - Forti, A. AU - Lanaro, A. AU - Maccarrone, F. AU - Zerio, M. AU - Piccoli, L. AU - Poluzzi, E. AU - Onder, G. AU - Trifirò, G. C1 - G.T. has served, over the last 3 years, on advisory boards/seminars funded by Sanofi, MSD, Eli Lilly, Sobi, Celgene, Daiichi Sankyo, Novo Nordisk, Gilead and Amgen on topics not related to content of this paper; he is also a scientific coordinator of the academic spin-off ‘INSPIRE srl,’ which has received funding from several pharmaceutical companies (Kiowa Kirin, Shionogi, Shire, Novo Nordisk and Daiichi Sankyo) for conducting observational studies and additional consultancy services on topics not related to content of this paper. Additionally, he is currently a consultant for Viatris in a legal case concerning an adverse reaction to sertraline. None of these listed activities is related to the topic of the article. The other authors have no relevant affiliations or financial involvement with any organisation or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript. This includes employment, consultancies, honoraria, stock ownership or options, expert testimony, grants or patents received or pending or royalties. C2 - PMC13071406 DA - Apr 4 DO - 10.1093/ageing/afag084 DP - NLM IS - 4 KW - Humans *Deprescriptions Aged *Inappropriate Prescribing/prevention & control Polypharmacy *Long-Term Care Accidental Falls/statistics & numerical data/prevention & control *Homes for the Aged Aged, 80 and over *Nursing Homes Potentially Inappropriate Medication List Hospitalization/statistics & numerical data deprescribing long-term care facilities medication review older people patient-centred care systematic review L1 - internal-pdf://0842474152/Evaluating the impact of medication review and.pdf LA - eng N1 - ARIIA SR Collection 2026 PY - 2026 RN - OPEN * SN - 0002-0729 (Print) 0002-0729 ST - Evaluating the impact of medication review and deprescribing on prescribing appropriateness and clinical outcomes in older people residing in long-term care facilities: a systematic review and meta-analysis T2 - Age Ageing TI - Evaluating the impact of medication review and deprescribing on prescribing appropriateness and clinical outcomes in older people residing in long-term care facilities: a systematic review and meta-analysis VL - 55 ID - 84 ER - TY - JOUR AB - Introduction: Missed nursing care refers to necessary nursing care activities that, due to various factors, are either not provided, partially provided, or delayed from the planned schedule. Missed nursing care (MNC) is a significant issue in nursing homes, undermining care quality and increasing the risk of adverse events and preventable hospitalizations. This systematic review aims to identify the most frequently reported MNC by nursing staff in nursing homes and the associated causes. Methods: The review was conducted following the guidelines of the “JBI Manual for Evidence Synthesis” and using the PRISMA ScR checklist. A search yielded 1468 articles: 85 from PubMed, 1115 from Scopus, 164 from Embase, and 104 from CINAHL. Screening removed 1386 duplicates, identifying 82 potentially relevant articles. After title and abstract review, 72 were excluded for irrelevance, resulting in 9 studies included in this review. Study selection defined inclusion criteria, focusing on quantitative studies involving registered nurses working in nursing homes. Results: The most frequently omitted nursing care activities in nursing homes include patient mobilization, assistance with feeding, and personal hygiene care. Key causes identified were staff shortages, high patient care complexity, and limited resource availability. Discussion: The findings confirm that MNC in nursing homes is primarily influenced by organizational and structural factors, requiring a systemic approach to improve care quality. Targeted interventions, such as better resource planning, improved staff management, and measures to enhance nurse well-being, could significantly reduce the incidence of missed care. Future research, particularly longitudinal studies, may provide further insights into more effective prevention of MNC, while the development of specific assessment tools for nursing homes could enhance MNC measurement and support targeted interventions. AU - Cosmai, Simone AU - Trezzi, Valentina AU - Mansi, Laura AU - Chiari, Cristina AU - Colleoni, Maria AU - Valsecchi, Alessandra AU - Gibellato, Alberto AU - Lopane, Diego AU - Mancin, Stefano AU - Mazzoleni, Beatrice IS - 2 KW - missed nursing care nursing home N1 - ARIIA SR Collection 2026 PY - 2026 RN - SUB SN - 1549-8417 ST - Missed Nursing Care in Nursing Homes and Causes: A Systematic Review T2 - Journal of Patient Safety TI - Missed Nursing Care in Nursing Homes and Causes: A Systematic Review UR - https://journals.lww.com/journalpatientsafety/fulltext/2026/03000/missed_nursing_care_in_nursing_homes_and_causes__a.9.aspx VL - 22 ID - 116 ER - TY - JOUR AB - OBJECTIVE: The objective was to identify, critically appraise, and synthesize evidence on the effectiveness of dance interventions on quality of life (QoL) for adults aged 60+ living in long-term care (LTC). METHODS: A systematic review, initiated and co-led by patient partners, was conducted following a search across eight electronic databases. Eligible studies included randomized controlled trials, quasi-experimental, and observational designs reporting QoL or health-related QoL outcomes. Reviewers independently completed title/abstract and full-text screening. Data extraction included study characteristics, intervention details, outcome measures, use of theory, proposed mechanisms of action, and intervention effectiveness. FINDINGS: Seven studies involving 429 participants were included. Six studies reported improvements in QoL or health-related QoL. Five studies used a dance intervention targeted to a specific country or cultural group. Two studies identified potential mechanisms of action. DISCUSSION: Dance interventions may improve QoL in older adults living in LTC. Research with more theory-driven, mixed methods, and/or co-created designs is needed. AD - Occupational Science and Occupational Therapy, University of Toronto Faculty of Medicine, Canada. Rehabilitation Sciences Institute, University of Toronto Faculty of Medicine, Canada. School of Occupational Therapy, Faculty of Health Sciences, Western University, Canada. Sport Injury Prevention Research Centre, University of Calgary Faculty of Kinesiology, Canada. Alberta Children's Hospital Research Institute, Canada. University of Calgary McCaig Institute for Bone and Joint Health, Canada. Patient Partner, Canada. School of Nursing, Dalhousie University, Canada. AN - 41906678 AU - Dabbagh, A. AU - Shepherd, H. A. AU - Critchley, M. L. AU - Radley, L. AU - Chan, P. L. AU - PausJenssen, E. AU - Secord, K. AU - Moody, E. AU - McAlpline, Z. AU - Colquhoun, H. DA - Mar 30 DO - 10.1017/s0714980826100609 DP - NLM ET - 20260330 KW - aging dance danse long-term care older adults personnes âgées quality of life qualité de vie soins de longue durée vieillissement L1 - internal-pdf://0534335438/The Effectiveness of Dance Interventions on th.pdf LA - eng N1 - ARIIA SR Collection 2026 PY - 2026 RN - OPEN * SN - 0714-9808 SP - 1-13 ST - The Effectiveness of Dance Interventions on the Quality of Life of Older Adults Residing in Long-Term Care Facilities: A Systematic Review T2 - Can J Aging TI - The Effectiveness of Dance Interventions on the Quality of Life of Older Adults Residing in Long-Term Care Facilities: A Systematic Review ID - 95 ER - TY - JOUR AB - OBJECTIVES: To evaluate the association between different classes of antihypertensive medications (AHMs) and dementia risk in older adults through systematic review and meta-analysis. DESIGN: Systematic review and exploratory network meta-analysis (NMA) following PRISMA-MOOSE guidelines. For traditional meta-analysis, random-effects models (DerSimonian-Laird method) were used for dichotomous outcomes, and fixed-effects models for continuous outcomes. Exploratory NMA employed a frequentist fixed-effects model (Stata 18 network package), as the sparse network precluded Bayesian estimation. SETTING AND PARTICIPANTS: Four multicenter randomized controlled trials (Syst-Eur, PROGRESS, SCOPE, HYVET-COG) comprising 16,685 hypertensive older adults without dementia at baseline, with follow-up durations of 2.0-3.9 years (median). METHODS: Literature searches were conducted in PubMed, Cochrane Library, Web of Science, and Embase from inception to December 31, 2025. Risk of bias was assessed using Cochrane RoB 2, and evidence certainty was evaluated using GRADE. Random-effects models pooled dichotomous outcomes (odds ratios [OR]) and fixed-effects models analyzed continuous outcomes (standardized mean differences [SMDs]). RESULTS: Antihypertensive treatment significantly improved cognitive function scores (SMD, 0.06; 95% CI, 0.03-0.09; P < .001, GRADE moderate certainty) and showed a nonsignificant trend toward reduced dementia incidence (OR, 0.89; 95% CI, 0.76-1.05; P = .172, GRADE low certainty). Exploratory NMA suggested calcium channel blockers ranked highest for dementia prevention (surface under the cumulative ranking curve [SUCRA] = 94.7%), while diuretic ± angiotensin-converting enzyme inhibitor combinations ranked highest for cognitive improvement (SUCRA = 95.3%); however, rankings were highly uncertain due to network sparsity (one study per node). CONCLUSIONS AND IMPLICATIONS: Antihypertensive therapy significantly improves cognitive function with moderate certainty evidence, supporting its use for cognitive protection in older adults with hypertension. The trend toward dementia risk reduction, although uncertain, suggests potential long-term benefits warranting further investigation. CLINICAL IMPLICATIONS: These findings support optimizing antihypertensive regimens for dementia prevention in high-risk populations, with drug class selection informed by specific treatment goals (dementia prevention vs cognitive maintenance). POLICY AND RESEARCH IMPLICATIONS: Current evidence is limited by few studies and short follow-up; large-scale randomized controlled trials with dementia as a primary endpoint, head-to-head drug class comparisons, and inclusion of long-term care residents-who bear the highest disease burden yet are underrepresented in trials-are urgently needed to inform precision prescribing guidelines. AD - The Third Clinical Medical College of Beijing University of Chinese Medicine, Beijing, China. College of Traditional Chinese Medicine, Hebei University, Baoding, Hebei, China. The First Clinical Medical College Dongzhimen College, Beijing, China. The First Clinical Medical College Dongzhimen College, Beijing, China. Electronic address: liuziw@163.com. AN - 41962914 AU - Ding, L. AU - Zhang, M. AU - Wu, H. AU - Wang, X. AU - Zhu, X. AU - Chen, Z. AU - Zhang, Y. AU - Liu, Z. C1 - Disclosure The authors declare no conflicts of interest. DA - Apr 7 DO - 10.1016/j.jamda.2026.106185 DP - NLM ET - 20260407 KW - Antihypertensive medications calcium channel blockers dementia evidence quality assessment meta-analysis LA - eng N1 - ARIIA SR Collection 2026 PY - 2026 RN - SUB SN - 1525-8610 SP - 106185 ST - Impact of Different Antihypertensive Drug Classes on Incident Dementia in Older Adults: A Systematic Review and Meta-Analysis T2 - J Am Med Dir Assoc TI - Impact of Different Antihypertensive Drug Classes on Incident Dementia in Older Adults: A Systematic Review and Meta-Analysis ID - 88 ER - TY - JOUR AB - BACKGROUND: As global population aging accelerates, maintaining physical function in older adults has emerged as a core public health challenge. Dance, a multimodal physical activity integrating cognitive challenges and social interaction, has been proven effective in improving health in older age. However, existing evidence is largely confined to validating efficacy, often plagued by selective outcome reporting, and lacks evidence-based consensus regarding optimal intervention protocols. OBJECTIVE: This study aimed to (1) systematically evaluate the effects of dance interventions on physical function in healthy older adults, (2) provide in-depth insight into the moderating effects of participant characteristics and intervention prescription parameters (eg, session duration, intervention period, frequency) and potential dose-response relationships, and (3) offer evidence-based grounds and practical recommendations for public health policymakers and community health instructors in developing health promotion programs for older adults. METHODS: PubMed, Web of Science, and EBSCO databases were searched up to November 10, 2025. In accordance with PICO principles, randomized controlled trials and quasi-experimental studies were included if they involved healthy adults older than 60 years (P), implemented dance interventions (I), compared them against any control group (C), and reported outcomes within the International Classification of Functioning, Disability and Health (ICF) framework (O). Literature screening and data extraction were conducted independently by 2 reviewers. Methodological quality was assessed using the Cochrane RoB 2.0 tool and PEDro scale, and evidence certainty was evaluated via the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system. A 3-level random-effects model was employed to handle the dependency of effect sizes, with Hedges' $g$ selected as the effect index, followed by robustness checks. In addition, moderator analyses and meta-regression were conducted to explore potential influencing factors, combined with funnel plots and a modified Egger's test to assess publication bias. RESULTS: Twenty-four studies (1112 participants; 237 effect sizes) were ultimately included. These studies exhibited publication bias and low certainty of evidence. The 3-level meta-analysis indicated that dance interventions yielded significant medium-to-large improvements in physical function (Hedges' g = 0.635, P < .001), demonstrating effectiveness in both "body function" and "activities and participation" domains. Moderator analysis revealed that community-dwelling older adults derived significantly greater benefits compared with nursing home residents, and an 8-week intervention was sufficient to produce significant, cost-effective improvements. Meta-regression identified significant nonlinear relationships: (1) age followed an "inverted U-shaped" trend, with intervention effects peaking in the 70-75 age group; and (2) session duration peaked at approximately 20 minutes, with effect sizes declining beyond this threshold. CONCLUSIONS: Dance serves as an effective nonpharmacological strategy for promoting healthy aging. Based on current evidence, public health policymakers should prioritize resource allocation toward the 70- to 75-year-old community-dwelling population. Regarding dance prescription design, we advocate for an 8-week baseline cycle to generate significant benefits and highlight the potential value of short-duration models (∼20 minutes) in enhancing adherence and improving function. However, given that this single-session duration falls below traditional exercise physiology recommendations, future research must further elucidate the optimal "dose-response" mechanism of dance; until its biological plausibility is established, generalizing this specific duration as a standard should be approached with caution. AD - School of Art, Beijing Sport University, Beijing, China. Sports Coaching College, Beijing Sport University, Beijing, China. Electronic address: 2024210091@bsu.edu.cn. Sports Coaching College, Beijing Sport University, Beijing, China. AN - 41833327 AU - Du, J. AU - Wu, J. AU - Yan, Z. AU - Yu, L. C1 - Disclosure The authors declare no conflicts of interest. DA - Mar 30 DO - 10.1016/j.jamda.2026.106164 DP - NLM ET - 20260330 IS - 5 KW - Dance intervention meta-analysis older adults physical function LA - eng N1 - ARIIA SR Collection 2026 PY - 2026 RN - SUB SN - 1525-8610 SP - 106164 ST - Effects of Dance Interventions on Physical Function in Healthy Older Adults: A Systematic Review and 3-Level Meta-Analysis T2 - J Am Med Dir Assoc TI - Effects of Dance Interventions on Physical Function in Healthy Older Adults: A Systematic Review and 3-Level Meta-Analysis VL - 27 ID - 105 ER - TY - JOUR AB - ObjectivesMany instruments are validated for assessing agitation and other noncognitive symptoms in dementia (NCSDs) but their feasibility and psychometric properties in people with advanced dementia in nursing home settings is unclear. This scoping review aims to identify tools to measure (1) agitation and (2) other NCSDs and explore their usefulness in this population. AU - Faherty, Mary M. AU - O'Mahony, Lauren A. AU - Kenny, Lorna D. AU - Cornally, Nicola AU - Brady, Noeleen M. AU - Dalton O'Connor, Caroline AU - Fox, Siobhán AU - Hartigan, Irene AU - van der Steen, Jenny T. AU - Timmons, Suzanne DO - 10.1016/j.jamda.2026.106133 IS - 4 L1 - internal-pdf://3324345759/Tools to Measure Noncognitive Symptoms in Nurs.pdf N1 - ARIIA SR Collection 2026 PY - 2026 RN - OPEN * SN - 1525-8610 ST - Tools to Measure Noncognitive Symptoms in Nursing Home Residents With Advanced Dementia: A Scoping Review T2 - Journal of the American Medical Directors Association TI - Tools to Measure Noncognitive Symptoms in Nursing Home Residents With Advanced Dementia: A Scoping Review UR - https://doi.org/10.1016/j.jamda.2026.106133 VL - 27 Y2 - 2026/04/16 ID - 117 ER - TY - JOUR AB - BACKGROUND: People with dementia and their carers often face barriers during diagnosis and accessing post-diagnostic care, causing avoidable inequalities in health outcomes. Without any previous synthesis to date to help improve people with dementia's health outcomes, the aim of this systematic review was to identify and synthesise existing solutions to increase equity in dementia diagnosis and care. METHODS: A search was conducted across five databases in March 2025. All abstracts and full texts were independently screened by two researchers, with a third researcher sorting through any conflicts. Data were extracted by two public advisor researchers and reviewed by a senior research team member, who synthesised the data into solutions on individual, community, and system and infrastructure levels. FINDINGS: Forty-three studies (42 from High Income Countries) comprising solutions from 13 countries, were included in this systematic review. The majority of studies focused on access to care, with most solutions centering on system-level change. Only one study was conducted in two middle-income countries. Evidence is diverse and minimal for most types of solutions, with a lack of cost-effectiveness data. There are clear indications for key solutions including dementia link workers, communities of practice and wider networks, as well as one-stop memory clinics providing same day diagnostic assessments in rural countries or regions. CONCLUSIONS: Whilst this review highlights a diversity in solutions, more research needs to be conducted that uses clear measurements of health and social care usage and health economics. Importantly, research needs to be undertaken across different countries, particularly lower- and middle-income countries. AD - Department of Primary Care and Mental Health, University of Liverpool, UK; NIHR Applied Research Collaboration North West Coast, Liverpool, UK. Electronic address: clarissa.giebel@liverpool.ac.uk. School of Psychology, Bournemouth University, UK. School of Medicine and Population Health, University of Sheffield, UK. Department of Primary Care and Mental Health, University of Liverpool, UK. Department of Psychology and Language Sciences, UCL, UK. Department of Psychiatry, Wroclaw Medical University, Wroclaw, Poland. Population Health Sciences Institute, Newcastle University, UK. AN - 41813500 AU - Giebel, C. AU - Talbot, C. V. AU - Waters-Harvey, B. AU - Hitchen, J. AU - Rushton, F. AU - Volkmer, A. AU - Szczesniak, D. AU - Robinson, L. C1 - Declaration of Competing Interest No conflicts to declare DA - Mar 10 DO - 10.1016/j.inpsyc.2026.100198 DP - NLM ET - 20260310 KW - Care Dementia Diagnosis Inequalities LA - eng N1 - ARIIA SR Collection 2026 PY - 2026 RN - OPEN SN - 1041-6102 SP - 100198 ST - Solutions to inequalities in dementia diagnosis and care: A systematic review T2 - Int Psychogeriatr TI - Solutions to inequalities in dementia diagnosis and care: A systematic review ID - 107 ER - TY - JOUR AB - Background: Reablement programs are recommended for people living with dementia to maintain and improve independence and activities of daily living function, however worldwide, access to quality, evidence-informed programs remains limited. This scoping review aimed to explore barriers, facilitators and strategies when implementing reablement programs for community-dwelling people living with dementia. Methods: A comprehensive scoping review following PRISMA-ScR guidelines (from inception to February 2026) across five databases and grey literature was undertaken to identify publications that reported on implementation of reablement programs for community-dwelling people living with dementia. Two reviewers independently screened abstracts and full texts and independently completed quality appraisal. Thematic analysis using the Consolidated Framework for Implementation Research (CFIR) explored implementation barriers, facilitators, strategies, and stakeholder-specific factors. Results: Fifty papers were included in the review. A range of reablement approaches were reported, with six programs constituting 62% of the papers. Barriers and facilitators for implementing community-based dementia reablement programs were identified and fit within the CFIR domains. For example, barriers included lack of health professional confidence delivering reablement, workforce capacity within service providers, policy pressures, and challenges around maintaining intervention fidelity. Facilitators included health professional confidence and motivation from perceived reablement benefits, teams working together with good communication, interorganisational collaboration, and promoting awareness of the evidence-base for dementia reablement. Conclusion: This review highlighted that although barriers exist to implementing dementia reablement, there are a range of facilitators and strategies that can be leveraged to promote implementation. With reablement recommended as an important intervention to support people living with dementia, it is imperative that service providers take action towards implementation. Future research should explore the implementation of reablement programs across diverse settings, to bridge the gap between evidence and practice and contribute to accessible reablement programs for all people living with dementia. AD - Neuroscience Research Australia, Sydney, NSW, Australia. RINGGOLD: 6803 University of Sydney, Sydney, NSW, Australia. Centre for Positive Ageing, HammondCare, Sydney, NSW, Australia. RINGGOLD: 94268 School of Population Health, University of New South Wales, Sydney, NSW, Australia. School of Psychology, University of New South Wales, Sydney, NSW, Australia. Ageing Futures Institute, University of New South Wales, Sydney, NSW, Australia. Caring Futures Institute, Flinders University, Adelaide, SA, Australia. RINGGOLD: 1065 AN - 41934376 AU - Houlden, S. A. AU - Culph, J. AU - Day, S. AU - Clemson, L. AU - Poulos, C. J. AU - Jeon, Y. H. AU - Anstey, K. J. AU - Kurrle, S. AU - Scanlan, J. N. AU - Spargo, C. AU - Laver, K. AU - O'Connor, C. M. C. DA - Apr 4 DO - 10.1177/14713012261436963 DP - NLM ET - 20260404 KW - allied health dementia implementation reablement rehabilitation LA - eng N1 - ARIIA SR Collection 2026 PY - 2026 RN - SUB SN - 1471-3012 SP - 14713012261436963 ST - Implementing Reablement Programs for People Living With Dementia: A Scoping Review of Barriers, Facilitators and Strategies T2 - Dementia (London) TI - Implementing Reablement Programs for People Living With Dementia: A Scoping Review of Barriers, Facilitators and Strategies ID - 92 ER - TY - JOUR AB - The purpose of this review is to determine the effectiveness of assistive technologies in reducing the caregiving burden for older adults with cognitive impairments and disabilities. International databases, Cochrane, PubMed, Embase, and Cumulative Index to Nursing and Allied Health Literature, as well as KoreaMed and other Korean databases, were searched for studies published up to March 30, 2025.The included studies were synthesized using a systematic review without meta-analysis approach. Twelve studies were selected, comprising 941 participants, with eight randomized and four non-randomized controlled trials. Methodologically, the reviewers assessed randomized controlled trials using Cochrane's Risk-of-Bias tool 2.0 and non-randomized controlled trials using the Risk of Bias Assessment Tool for Non-randomized Studies. Assistive technology included social-assist robots; smart tablets or mobile devices; home care technologies that provide monitoring or assistance with activities of daily living; and interactive technologies that enable home monitoring, visits, and telecare. Assistive technology significantly reduced caregiver distress, role strain, concerns about older adults, caregiver burnout, anxiety, negative feelings, and loss of control, and improved caregiver well-being.Caregivers should consider using assistive technology to care for older adults as it can reduce their care burden. Further intervention studies are necessary to analyze how interventions using assistive technology reduce caregiver burden. AD - Graduate School, College of Nursing, Hanyang University, Seoul, Republic of Korea. College of Nursing, Hanyang University, Seoul, Republic of Korea. AN - 41805433 AU - Kim, H. J. AU - Shin, Y. S. DA - Mar 10 DO - 10.1080/10400435.2026.2634725 DP - NLM ET - 20260310 KW - Assistive technology caregiver burden older adults systematic review LA - eng N1 - ARIIA SR Collection 2026 PY - 2026 RN - SUB SN - 1040-0435 SP - 1-12 ST - Effect of assistive technology on the burden of caregivers to older adults: A systematic review T2 - Assist Technol TI - Effect of assistive technology on the burden of caregivers to older adults: A systematic review ID - 108 ER - TY - JOUR AB - PURPOSE: To evaluate the effects of comprehensive geriatric assessment (CGA)-guided fall prevention interventions among older adults at high risk of falling, and identify key elements of these interventions across hospital, community, and residential care home settings. METHOD: A literature search was conducted in six English and Chinese databases up to September 2025, focusing on randomized controlled trials (RCTs). Twenty-seven studies met inclusion criteria. RESULTS: Meta-analysis demonstrated that CGA-guided interventions significantly reduced the incidence of fallers, recurrent falls, and hospitalization rates, particularly within community settings, whereas no significant differences were observed in injury or fracture rates. These interventions incorporated comprehensive assessments and targeted strategies addressing physical health, mental health, nutrition, medication management, physical activity or exercise, behavioral approaches, and environmental modifications. Moreover, management of visual and hearing impairments, promotion of social engagement, facilitation of access to community resources, and encouragement of safe physical activity-with an emphasis on the essential role of family support-were highlighted in community-based contexts. CONCLUSION: CGA-guided interventions significantly reduce falls and hospitalizations among high-risk older adults, especially in community settings. Using multidimensional approaches is essential for effective fall prevention. Findings offer valuable guidance for nurses and health care professionals in customizing fall prevention strategies across diverse care settings. AD - Department of Nursing, Chang Gung University of Science and Technology, and Center for Smart Healthcare Education, Chiayi County, Taiwan, R.O.C. Emergency Department, Chi-Mei Medical Center, Taiwan, R.O.C. Department of Nursing, National Tainan Junior College of Nursing, Taiwan, R.O.C. Department of Nursing, College of Medicine, National Cheng Kung University, Tainan City, Taiwan, R.O.C. School of Nursing, Kaohsiung Medical University, Kaohsiung City, Taiwan, R.O.C. AN - 41800937 AU - Kuo, C. C. AU - Wu, B. H. AU - Chen, M. F. AU - Yueh, F. R. AU - Hu, F. W. DA - Mar 12 DO - 10.3928/19404921-20260303-01 DP - NLM ET - 20260312 LA - eng N1 - ARIIA SR Collection 2026 PY - 2026 RN - SUB SN - 1938-2464 SP - 1-9 ST - Effects of Comprehensive Geriatric Assessment-Guided Interventions on Fall Prevention in High-Risk Older Adults: A Systematic Review and Meta-Analysis T2 - Res Gerontol Nurs TI - Effects of Comprehensive Geriatric Assessment-Guided Interventions on Fall Prevention in High-Risk Older Adults: A Systematic Review and Meta-Analysis ID - 109 ER - TY - JOUR AB - BACKGROUND: This study aims to systematically review the association between social relationships and cognitive impairment in the elderly, and to identify risk and protective factors through quantitative meta-analysis, providing evidence to inform cognitive health intervention strategies. METHODS: PubMed, Embase, Web of Science, CNKI, and other databases were systematically searched for studies published before November 1, 2024. Eligible studies included cross-sectional and cohort studies involving adults aged ≥60 years. Separate meta-analyses were conducted for ratio-based effect sizes (OR/HR/RR) and regression coefficients (β) to synthesize the associations between social relationships and cognitive impairment. RESULTS: From 1013 retrieved records, 11 studies were included. Meta-analysis showed that reduced social networks and social isolation were significantly associated with an increased risk of cognitive impairment (e.g., loneliness and mild cognitive impairment: OR = 2.89, 95% CI = 1.19-7.02). In contrast, larger social networks and frequent social participation were associated with a substantially lower risk of cognitive impairment, with participation in ≥1 social activity linked to an approximately 64% risk reduction. β-based meta-analysis further indicated positive associations between social support and cognitive performance, while specific activities such as volunteering conferred additional protective effects. Moderate heterogeneity was observed across social relationship dimensions. CONCLUSION: Social relationships play an important role in maintaining cognitive health in older adults. This meta-analysis provides quantitative evidence supporting both the risk and protective effects of social relationships on cognitive impairment, underscoring the importance of promoting social engagement to support cognitive health in aging populations. AD - Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD. Department of Radiology, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua Medicine, Tsinghua University, Beijing, China. School of Healthcare Management, Tsinghua Medicine, Tsinghua University, Beijing, China. Department of Social Services, Beijing Tsinghua Changgung Hospital, Tsinghua University, Beijing, China. Medical Data Science Center, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua Medicine, Tsinghua University, Beijing, China. AN - 41790696 AU - Li, J. AU - Shi, L. AU - Jiang, N. AU - Wang, L. AU - Wang, Y. AU - Zheng, Z. C1 - The authors have no funding and conflicts of interest to disclose. C2 - PMC12975201 DA - Mar 6 DO - 10.1097/md.0000000000047753 DP - NLM IS - 10 KW - Humans *Cognitive Dysfunction/psychology/epidemiology/etiology Aged Protective Factors Risk Factors *Social Support *Interpersonal Relations Social Isolation/psychology Male Social Participation/psychology Middle Aged Female Cross-Sectional Studies Loneliness/psychology cognitive impairment meta-analysis social networks social relationships LA - eng N1 - ARIIA SR Collection 2026 PY - 2026 RN - OPEN SN - 0025-7974 (Print) 0025-7974 SP - e47753 ST - Associations between social relationships and cognitive impairment in older adults: A systematic review of risk and protective factors T2 - Medicine (Baltimore) TI - Associations between social relationships and cognitive impairment in older adults: A systematic review of risk and protective factors VL - 105 ID - 112 ER - TY - JOUR AB - There is a high rate of morbidity and considerable functional dependence in older adults, requiring care from informal caregivers. Person-centered care is a personalized approach that meets the person's needs, taking their context into account. Objectives: Our aim was to assess the available evidence on Person-Centered Health Intervention Programs (PCHCIPs) in a home setting among older adults with multimorbidity and their informal caregivers, namely regarding their main characteristics and respective health outcomes. Methods: A systematic literature review was conducted in accordance with the PRISMA guidelines. Bibliographic searches were performed in five databases (CINAHL, MEDLINE, MedicLatina, Scopus, and Psychology and Behavioral Sciences Collection) in November 2024, including studies published between January 2014 and November 2024. Inclusion criteria: Randomized Controlled Trials of person-centered health intervention programs delivered to older adults and their caregivers in home care settings, and scientific articles published betweeen 2014 and 2024. The review protocol was registered in PROSPERO (registration number: CRD42022303687. Results: Twelve articles were included (n = 12). The PCHCIPs provides psychoeducational training and empowerment with physical, psychological, and social interventions that result in health outcomes for the dependent older adults (decreased health-related events and increased social involvement), for the caregiver (improved QoL, reduced burden), and for both participants (increased life satisfaction and reduced costs in health). Conclusions: PCHCIPs covering different areas of intervention (physical, psychosocial and economic) demonstrate positive health outcomes for older adults and their caregivers. It is important to explore more programs that encompass both participants. AD - Nursing Department, Universidade de Évora, 7000-811 Évora, Portugal. Unidade Local de Saúde do Litoral Alentejano, 7540-230 Santiago do Cacém, Portugal. Instituto de Investigação e Formação Avançada (IFA), Universidade de Évora, 7002-554 Évora, Portugal. Comprenhensive Health Research Centre (CHRC), Universidade de Évora, 7004-516 Évora, Portugal. Unidade Local de Saúde de Almada-Seixal, 2805-267 Almada, Portugal. Escola Superior de Saúde, Instituto Politécnico de Viana do Castelo, 4900-314 Viana do Castelo, Portugal. AN - 41897267 AU - Nascimento, V. AU - Lopes, M. G. AU - Leitão, M. M. AU - Fonseca, C. AU - Alves, E. AU - Bico, I. AU - Pinho, L. G. C1 - The authors declare no conflicts of interest. C2 - PMC13026840 DA - Mar 22 DO - 10.3390/healthcare14060815 DP - NLM ET - 20260322 IS - 6 KW - aged caregivers home care services patient-centered care L1 - internal-pdf://3903227661/Person-Centered Health Intervention Programs P.pdf LA - eng N1 - ARIIA SR Collection 2026 PY - 2026 RN - OPEN * SN - 2227-9032 (Print) 2227-9032 ST - Person-Centered Health Intervention Programs Provided at Home to Older Adults with Multimorbidities and Their Caregivers: A Systematic Review T2 - Healthcare (Basel) TI - Person-Centered Health Intervention Programs Provided at Home to Older Adults with Multimorbidities and Their Caregivers: A Systematic Review VL - 14 ID - 97 ER - TY - JOUR AB - BACKGROUND: Exercise has a positive impact on the health of older adults. However, due to physical conditions, psychological factors, and external environment constraints, older adults still face significant challenges in maintaining exercise. Exercise adherence is relatively low. Extended reality (XR) technology offers new ways for older adults to exercise and improve their adherence. Existing research mainly focuses on short-term effects, paying insufficient attention to maintaining long-term engagement and establishing effective incentive mechanisms. By introducing service design methods, user experience, stakeholder collaboration, and adherence support can be better integrated at different stages of exercise intervention, thereby enhancing the willingness and enthusiasm of older adults to continue to participate in exercise. OBJECTIVE: This review aims to evaluate how XR‑based exercise interventions targeting populations with a mean age of older than 50 years integrate service design strategies to enhance exercise adherence and to identify critical gaps in their long‑term application. METHODS: A systematic review was conducted across PubMed, Scopus, Web of Science, CINAHL, PsycINFO, and ACM Digital Library (January 2020-July 2025). Eligible studies (1) used XR to support exercise or rehabilitation, (2) included participants with a mean age of older than 50 years, (3) reported at least one service design activity, and (4) provided adherence‑related outcomes. Dual independent screening and structured data extraction were performed. RESULTS: A total of 9 studies (242 participants) met the inclusion criteria. Most applied participatory, co‑design, or user-centered design with iterative prototyping, but few advanced to full implementation or applied a complete service design cycle. The user experience was generally positive, but evaluations were primarily based on self-reports with limited objective tracking. Although exercise adherence was generally high in most studies (80%-100%), this assessment was primarily based on attendance-related indicators. There was a lack of consistency in how adherence was defined across studies, and no unified measure of exercise adherence was established. Exercise frequency, duration, and attendance were commonly reported, whereas exercise intensity and accuracy were often overlooked. Existing evaluations also lacked long-term tracking of exercise adherence. Regarding intervention delivery settings, most studies were conducted in laboratories, hospitals, and care facilities. Few studies investigated implementation in community settings, which made XR interventions difficult to adapt to the real-world conditions faced by older adults in their daily lives and hindered their promotion and application to a broader community population. CONCLUSIONS: Current XR exercise interventions for older adults show promising short‑term adherence but rarely embed service design continuity or comprehensive adherence monitoring. The combination of structured service design processes with standardized and multidimensional adherence indicators can provide strong support for participants to continue engaging in XR exercise projects. When implemented in community settings, these interventions can enhance scalability and better support an age-friendly XR exercise system. AD - Department of Design, Winchester School of Art, University of Southampton, Winchester, United Kingdom. AN - 41920595 AU - Niu, J. AU - Yin, Y. AU - Wang, S. DA - Apr 1 DO - 10.2196/86595 DP - NLM ET - 20260401 KW - Humans Aged *Patient Compliance/psychology/statistics & numerical data *Exercise/psychology *Exercise Therapy/methods Middle Aged Male Female Aged, 80 and over exercise adherence extended reality older adults service design systematic review LA - eng N1 - ARIIA SR Collection 2026 PY - 2026 RN - OPEN SN - 2561-7605 SP - e86595 ST - Service Design Strategies to Enhance Exercise Adherence in Extended Reality Interventions for Older Adults: Systematic Review T2 - JMIR Aging TI - Service Design Strategies to Enhance Exercise Adherence in Extended Reality Interventions for Older Adults: Systematic Review VL - 9 ID - 93 ER - TY - JOUR AB - The number of older people is expected to double in the next 30 years, increasing the demand for allied health professionals to provide critical complex care. Despite the increase in allied health graduates, it is unclear whether allied health students intend to work with older adults. This review aims to explore the intentions of allied health students to work with older adults upon graduation. A systematic search in Scopus, Web of Science, PubMed, CINAHL Complete (EBSCOhost), and Health and Medicine (ProQuest) was undertaken in August 2024. Twenty-one studies with mixed methodologies reported varied results. Three themes influencing the intention to work with older adults emerged: 1) placement or fieldwork experiences, 2) previous informal contact with older adults, 3) coursework and teacher, with no common trends across disciplines. No single tool was found to be more common or useful in measuring this intention. Conclusions: This study is the first to explore allied health student intentions to work with older adults? post-graduation. Allied health students had varied intentions for working with older adults. Educators must embed experiential learning opportunities in allied health curricula to encourage students to pursue geriatric care. Further research is needed to measure these intentions. AU - O’Shea, Marie-Claire AU - Bartrim, Karly DA - 2026/03/31 DO - 10.1080/03601277.2026.2649352 L1 - internal-pdf://2698798255/Intentions of allied health students to work w.pdf N1 - ARIIA SR Collection 2026 PY - 2026 RN - OPEN * SN - 0360-1277 SP - 1-24 ST - Intentions of allied health students to work with older adults: A systematic review T2 - Educational Gerontology TI - Intentions of allied health students to work with older adults: A systematic review UR - https://doi.org/10.1080/03601277.2026.2649352 ID - 114 ER - TY - JOUR AB - Sleep disturbances are common among institutionalized older adults, yet the optimal nonpharmacological intervention remains unclear. We performed a systematic review and network meta-analysis of randomized controlled trials to compare nonpharmacological interventions for sleep quality. Five databases were searched from inception to March 30, 2025. Treatment effects were synthesized using random-effects models, and certainty of evidence was evaluated using the Confidence in Network Meta-Analysis framework. Eighteen RCTs (1208 participants; 12 interventions) were included in the systematic review, with 15 RCTs contributing to the network meta-analysis. Compared with whole-body vibration training, acupressure (MD = -3.47, 95% confidence interval = -5.24 to -1.70), reminiscence therapy (-3.22, -5.42 to -1.02), aromatherapy (-2.78, -4.95 to -0.61), vitality acupunch (-2.63, -4.77 to -0.49), wheelchair-based elastic-band exercise (-2.22, -4.08 to -0.35), and yoga (MD -2.19, 95% CI -4.32 to -0.05) significantly improved sleep quality. Relative to reading, acupressure, reminiscence therapy, and yoga were superior; acupressure also outperformed sham acupressure and regular daily activity. Meta-regression analyses indicated no effect modification by trial country, proportion of female participants, or comorbidity prevalence. Overall, acupressure, reminiscence therapy, aromatherapy, vitality acupunch, wheelchair-based elastic-band exercise, and yoga appear to be a feasible and non-invasive options to improve sleep quality in long-term care settings. AD - School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan; School of Nursing, Faculty of Medical and Health Science, Universitas Kristen Krida Wacana, Jakarta, Indonesia. School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan; Department of Nursing, Faculty of Health Science, University of Muhammadiyah Malang, Malang, Indonesia. Ross and Carol Nese College of Nursing, Pennsylvania State University, University Park, PA, United States. School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan; School of Nursing and Midwifery, Western Sydney University, Penrith, Australia. Department of Psychiatry, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan; Research Center of Sleep Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan; Research Center of Sleep Medicine, Taipei Medical University Hospital, Taipei, Taiwan. Department of Nursing, Sekolah Tinggi Ilmu Kesehatan PGI Cikini, Jakarta, Indonesia. School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan; Research Center of Sleep Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan; Research Center of Sleep Medicine, Taipei Medical University Hospital, Taipei, Taiwan; Department of Nursing, Taipei Medical University Hospital, Taipei, Taiwan. Electronic address: hychiu0315@tmu.edu.tw. AN - 41880825 AU - Pangaribuan, S. M. AU - Herlianita, R. AU - Jao, Y. L. AU - Chang, K. M. AU - Chen, Y. C. AU - Lee, H. C. AU - Siringoringo, L. AU - Chiu, H. Y. C1 - Conflicts of interest The authors declare no potential conflicts of interest related to the authorship or publication of the present article. DA - Mar 21 DO - 10.1016/j.smrv.2026.102282 DP - NLM ET - 20260321 KW - Institutionalized older adults Network meta-analysis Nonpharmacological intervention LA - eng N1 - ARIIA SR Collection 2026 PY - 2026 RN - SUB SN - 1087-0792 SP - 102282 ST - Comparative effects of nonpharmacological interventions on sleep quality of institutionalized older adults without dementia: A systematic review and network meta-analysis T2 - Sleep Med Rev TI - Comparative effects of nonpharmacological interventions on sleep quality of institutionalized older adults without dementia: A systematic review and network meta-analysis VL - 87 ID - 101 ER - TY - JOUR AB - OBJECTIVES: To synthesise evidence on food waste in Aged Residential Care (ARC) facilities, identify organisational, cultural and structural drivers, and develop a conceptual model to inform practice and research. METHODS: Following PRISMA guidelines, five databases (1990-2025) were searched. Nineteen peer-reviewed studies met inclusion criteria. Narrative synthesis and inductive coding were used to identify barriers, facilitators and organisational responses, which were integrated into a conceptual model of the ARC food waste ecosystem. RESULTS: Food waste responses were largely fragmented and rarely embedded in strategy or policy. Barriers and facilitators commonly overlapped, including communication, training and infrastructure. Resident involvement was limited, and few studies evaluated intervention effectiveness or used theoretical framing. CONCLUSIONS: Food waste in ARC is an ecosystem issue shaped by interdependent organisational, staff, resident and policy factors. The model highlights leverage points for integrated, sustainable change linking waste reduction, staff capacity and resident wellbeing. AD - Department of Management, Otago Business School, University of Otago, New Zealand. Department of Food Science, University of Otago, New Zealand. AN - 41862281 AU - Piere, E. AU - O'Kane, P. AU - Mirosa, M. C1 - The authors declare no conflicts of interest. C2 - PMC13004666 DA - Mar DO - 10.1111/ajag.70151 DP - NLM IS - 1 KW - Humans *Homes for the Aged/organization & administration *Waste Management/methods Aged *Food *Nursing Homes/organization & administration Ecosystem Food Loss and Waste food waste homes for the aged organisational culture L1 - internal-pdf://1721848754/Rethinking Food Waste in Aged Care_ A Systemat.pdf LA - eng N1 - ARIIA SR Collection 2026 PY - 2026 RN - OPEN * SN - 1440-6381 (Print) 1440-6381 SP - e70151 ST - Rethinking Food Waste in Aged Care: A Systematic Review Framing Food Waste as an Ecosystem Issue T2 - Australas J Ageing TI - Rethinking Food Waste in Aged Care: A Systematic Review Framing Food Waste as an Ecosystem Issue VL - 45 ID - 104 ER - TY - JOUR AB - BACKGROUND: Oral health is frequently neglected among institutionalized older adults, despite its association with systemic morbidity and reduced quality of life. Residents of nursing homes and long-term care facilities often depend on nursing staff for daily oral hygiene. Although staff-focused oral-care programs are widely implemented, the extent to which nursing staff awareness directly influences resident oral-health outcomes remains insufficiently clarified. AIM: To examine the relationship between nursing staff awareness-defined as knowledge, attitudes, perceptions, confidence, or training related to oral health-and oral-health outcomes among institutionalized older adults. METHODS: This systematic review was conducted in accordance with PRISMA 2020 guidelines. Electronic databases (PubMed, CINAHL, Web of Science, and Google Scholar) were searched for studies published between January 2000 and October 2025. Eligible studies included institutionalized older adults and evaluated nursing staff awareness alongside resident-level oral-health outcomes. Methodological quality was appraised using validated design-specific tools. Due to heterogeneity in study designs and outcome measures, findings were synthesized using structured narrative analysis. RESULTS: Eleven studies met the inclusion criteria. Most employed quasi-experimental or pre-post designs, while only a minority used controlled methodologies. Staff-focused oral-care interventions were consistently associated with improvements in plaque accumulation, gingival status, mucosal condition, and denture hygiene. However, nursing staff awareness was inconsistently measured and frequently inferred rather than directly assessed, limiting causal interpretation. CONCLUSION: Structured staff-focused oral-care programs are associated with improved resident oral-health outcomes. Nonetheless, direct empirical evidence linking nursing staff awareness to clinical outcomes remains limited. Robust research designs incorporating validated awareness measures are required to clarify this relationship. AD - Department of Nursing, Faculty of Health Sciences, Ramat Gan Academic College, Ramat-Gan, Israel. RINGGOLD: 251118 AN - 41884805 AU - Sharkiya, S. H. AU - Ohana, I. AU - Sabbah, M. AU - Lipovetski, O. AU - Awawdi, K. C1 - The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. C2 - PMC13009615 DA - Jan-Dec DO - 10.1177/23779608261434362 DP - NLM ET - 20260316 KW - geriatric residents long-term care nursing homes nursing staff awareness oral health systematic review L1 - internal-pdf://0802692912/The Relationship Between the Awareness of Nurs.pdf LA - eng N1 - ARIIA SR Collection 2026 PY - 2026 RN - OPEN * SN - 2377-9608 SP - 23779608261434362 ST - The Relationship Between the Awareness of Nursing Staff in Geriatric Institutions and the Dental Health of Residents: A Systematic Review T2 - SAGE Open Nurs TI - The Relationship Between the Awareness of Nursing Staff in Geriatric Institutions and the Dental Health of Residents: A Systematic Review VL - 12 ID - 100 ER - TY - JOUR AB - BACKGROUND: Dementia is a leading cause of death among residents in care home settings internationally. Proactive identification of those approaching end-of-life can support future care planning, respecting preferences. We aimed to synthesise existing literature on prognostic tools designed to predict 6-month mortality in individuals with dementia residing in care homes including their content and prognostic performance. METHODS: A systematic review was undertaken, searching Embase, CINAHL, PsycINFO and MEDLINE in December 2024. Studies evaluating prognostic tools for predicting 6-month mortality in individuals with dementia living in care homes were included. Risk of bias was assessed using the PROBAST tool. Data were extracted and narratively synthesised. RESULTS: Thirteen studies involving 503 501 participants were included from a total of 5438 records screened. Eleven prognostic tools were identified. Only three studies were assessed at low risk of bias. Predictive factors per tool ranged from 4 to 12. Age, change in cognitive function, functional decline/dependency and concerns around nutritional intake/weight were the commonest domains of predictors across included tools. Reporting around the discriminative performance of tools was limited and only two tools (Mortality Risk Index Score and Advanced Dementia Prognostic Tool had acceptable discrimination (area under receiver operating curve >0.70), which was not replicated in validation studies. CONCLUSIONS: While identified predictors have clinical congruence, there is significant variability in how these are assessed and operationalised and in the application of prognostic tools. Specific prediction of mortality remains challenging and would benefit from further research to adapt and validate dynamic prognostic tools for use in practice. AD - Academic Geriatric Medicine, School of Cardiovascular and Metabolic Health, University of Glasgow, Glasgow, Scotland, UK. Department of Medicine for the Elderly, Glasgow Royal Infirmary, Glasgow, Scotland, UK. School of Medicine, Dentistry & Nursing, University of Glasgow, Glasgow, UK. Medicine for Older Adults, University Hospital Hairmyres, East Kilbride, UK. AN - 41965251 AU - West, E. AU - Mulligan, L. AU - Paudyal, P. AU - Quinn, T. J. AU - Burton, J. K. C1 - None. C2 - PMC13070562 DA - Apr 4 DO - 10.1093/ageing/afag087 DP - NLM IS - 4 KW - Humans *Dementia/mortality/diagnosis/psychology Prognosis *Nursing Homes *Homes for the Aged Aged Geriatric Assessment/methods Risk Assessment Predictive Value of Tests Time Factors Aged, 80 and over Male care home dementia long-term care older people palliative and end of life care systematic review L1 - internal-pdf://2358625244/Determining six-month prognosis among people w.pdf LA - eng N1 - ARIIA SR Collection 2026 PY - 2026 RN - OPEN * SN - 0002-0729 (Print) 0002-0729 ST - Determining six-month prognosis among people with dementia living in care homes: a systematic review of prognostic tools T2 - Age Ageing TI - Determining six-month prognosis among people with dementia living in care homes: a systematic review of prognostic tools VL - 55 ID - 86 ER - TY - JOUR AB - OBJECTIVES: To evaluate the effect of deprescribing interventions that explicitly targeted psychotropic medications on fall outcomes in older adults across community, inpatient, long-term care, and postdischarge settings. DESIGN: Systematic review and meta-analysis. SETTING AND PARTICIPANTS: Older adults (≥65 years). METHODS: We searched MEDLINE, Embase, Cochrane CENTRAL, Web of Science, and CINAHL from inception to June 2025. We included randomized controlled trials (RCTs) and high-quality nonrandomized studies of interventions (NRSIs) that compared structured deprescribing or medication-optimization interventions with an explicit psychotropic component against usual care in adults aged ≥65 years. Data were pooled using random-effects models (Restricted Maximum Likelihood estimator), and heterogeneity was quantified using the I(2) statistic. Subgroup analyses were performed based on intervention fidelity and clinical setting. RESULTS: A total of 18 studies (11 RCTs and 7 NRSIs) were included. In the primary analysis of long-term community RCTs (n = 1425), psychotropic-targeting deprescribing interventions did not significantly reduce the odds of falls [odds ratio (OR), 0.91; 95% CI, 0.59-1.39]. However, subgroup analysis indicated a significant reduction in falls for high-fidelity interventions (OR, 0.61; 95% CI, 0.41-0.91), whereas low-fidelity interventions showed no effect. In the inpatient setting, a meta-analysis of 5 NRSIs (n = 5972) demonstrated a significant reduction in falls (OR, 0.43; 95% CI, 0.19-0.96; P = .03). No significant reduction in falls was observed in the long-term care or postdischarge transitional care settings. CONCLUSIONS AND IMPLICATIONS: Based on low to very low certainty evidence, psychotropic-targeting deprescribing interventions may reduce falls in inpatient settings and in high-fidelity community programs, whereas effects were not clearly demonstrated in other settings. These findings support its potential role as a targeted strategy and underscore the need for high-fidelity protocols and adequately powered trials tailored to specific care settings. AD - Department of Orthopedics, Chengdu Integrated TCM & Western Medicine Hospital, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China. School of Acupuncture and Massage Therapy, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China. School of Clinical Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China. Department of Orthopedics, Chengdu Integrated TCM & Western Medicine Hospital, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China. Electronic address: 52032849@qq.com. AN - 41791728 AU - Yin, F. AU - Tong, D. AU - Huo, Z. AU - Wu, H. AU - Wang, X. AU - Luo, G. AU - Wei, T. AU - Deng, Z. AU - Zhang, Y. C1 - Disclosure The authors declare no conflicts. DA - Mar 16 DO - 10.1016/j.jamda.2026.106146 DP - NLM ET - 20260316 IS - 5 KW - Deprescribing accidental falls implementation fidelity older adults psychotropic drugs LA - eng N1 - ARIIA SR Collection 2026 PY - 2026 RN - SUB SN - 1525-8610 SP - 106146 ST - Deprescribing Psychotropic Medications and Falls in Older Adults: A Setting-Stratified Systematic Review and Meta-Analysis T2 - J Am Med Dir Assoc TI - Deprescribing Psychotropic Medications and Falls in Older Adults: A Setting-Stratified Systematic Review and Meta-Analysis VL - 27 ID - 111 ER - TY - EJOUR AB - Background: Dementia poses a significant health concern among Australia’s First Nations peoples, who experience higher prevalence and earlier onset compared to non-First Nations populations. Despite growing research attention, the overall scope and characteristics of existing literature on dementia in these communities remain unclear. Objective: This scoping review aimed to map and synthesise existing evidence on the burden of dementia among First Nations peoples, focusing on associated risk factors and culturally responsive approaches to prevention, intervention, and care. Methods: Following the PRISMA Extension for Scoping Reviews guidelines, a comprehensive search was conducted across Scopus, EMBASE, PubMed, PsycINFO, CINAHL, the Indigenous Studies Portal, and Google Scholar for English-language studies published between 2004 and 2025. Search terms combined dementia and cognitive impairment with First Nations, Indigenous peoples, and related concepts, alongside terms for risk factors, intervention, prevention, care strategies, and health disparities. Two reviewers independently screened studies and extracted data using a standardised template. Of the 620 records identified, 324 were screened, 130 were assessed in full, and 75 met the inclusion criteria. Data were narratively synthesised to identify key themes and evidence gaps. Results: The review revealed a disproportionate burden of dementia among First Nations peoples, characterised by earlier onset and higher prevalence than in non-First Nations populations. Major modifiable risk factors included social determinants of health, lifestyle behaviours, and inequitable access to healthcare. Studies emphasised the importance of culturally safe, community-led, and multidisciplinary approaches; however, many interventions remain poorly adapted to the diverse cultural contexts of First Nations communities. The review also identified gaps in diagnostic tools, culturally appropriate care pathways, and the integration of traditional knowledge and digital innovations in dementia management. Conclusions: Addressing dementia inequities among First Nations Australians demands transformative, community-driven action that extends beyond descriptive research. Future work should prioritise co-designed, culturally grounded interventions that embed First Nations knowledge systems, strengthen healthcare capacity, and foster long-term community empowerment. Embedding cultural safety within policy and clinical frameworks, and shifting toward preventive, strengths-based approaches, will advance equity in dementia care and provide valuable insights for First Nations health systems globally. AU - Akefe, Isaac O. AU - Maehashi, Saki AU - Ameh, Matthew AU - Chinaka, Chiemeka AU - Akanbi, Afolabi AU - Abunyewah, Matthew AU - Schweitzer, Daniel DO - 10.3390/jdad3010003 IS - 1 KW - dementia First Nations people risk factors culturally responsive care strategies healthcare services health disparities N1 - ARIIA SR Collection 2026 PY - 2026 RN - OPEN SN - 3042-4518 SP - 3 ST - Towards Culturally Responsive Dementia Management for First Nations Australians: A Scoping Review Identifying Gaps and Opportunities T2 - Journal of Dementia and Alzheimer's Disease TI - Towards Culturally Responsive Dementia Management for First Nations Australians: A Scoping Review Identifying Gaps and Opportunities VL - 3 ID - 82 ER - TY - JOUR AB - Background/Objectives: The aim of this study was to synthesise qualitative evidence from family members' experiences of long-term home care for older adults provided by live-in migrant caregivers. Methods: We conducted a systematic literature review with meta-synthesis using four online databases. The search included articles published between January 2016 and December 2025 on the CINAHL, PubMed, SCOPUS and WOS databases. Thematic synthesis of qualitative data was conducted. Results: Eleven papers from six different countries fulfilled the criteria and were included in the thematic synthesis. Four main themes were identified: 1. Not an easy decision. 2. A stranger at the heart of family life. 3. Two worlds that meet and need each other. 4. Improving the integration of migrant caregivers into family life. Hiring migrant caregivers to provide long-term home care for older adults can ease the burden on family caregivers, but it is an additional source of stress and worry. Conclusions: The family members of older adults call for greater financial and institutional support, as well as the involvement of social and health services in the training and education of families and migrant caregivers. Negotiation skills and the ability to reach consensus between older adults (OAs), family members and resident migrant caregivers are key to improving cohabitation and care for OAs. The primary goal is the well-being of the OAs, which involves overcoming cultural prejudices, learning together in response to the new situation, improving caregivers' training, and ensuring continuity of care. AD - Nursing, Physiotherapy and Medicine Department, University of Almeria, 04120 Almería, Spain. Distrito Sanitario Poniente, 04750 Almería, Spain. Facultad de Ciencias de la Salud, Universidad Autónoma de Chile, Santiago 7500000, Chile. Hospital Vithas, 04120 Almería, Spain. AN - 41753996 AU - Aliaga-Castellanos, S. AU - Martínez-Granero, S. AU - Fernández-Férez, A. AU - Granero-Molina, J. AU - Antequera-Raynal, L. H. AU - Granero-Heredia, G. AU - Jiménez-Lasserrotte, M. D. M. C1 - The authors declare no conflicts of interest. C2 - PMC12940384 DA - Feb 13 DO - 10.3390/healthcare14040483 DP - NLM ET - 20260213 IS - 4 KW - family caregivers long-term home care migrant caregivers older adult qualitative research LA - eng N1 - ARIIA SR Collection 2026 PY - 2026 RN - OPEN SN - 2227-9032 (Print) 2227-9032 ST - Family Members' Experiences of Long-Term Home Care for Older Adults Provided by Live-In Migrant Caregivers: A Meta-Synthesis of Qualitative Studies T2 - Healthcare (Basel) TI - Family Members' Experiences of Long-Term Home Care for Older Adults Provided by Live-In Migrant Caregivers: A Meta-Synthesis of Qualitative Studies VL - 14 ID - 58 ER - TY - JOUR AB - OBJECTIVES: Most medication errors occur in primary and long-term care, and a wide range of medication safety interventions have been implemented, but these are often expensive, with little evidence around cost-effectiveness. We report a systematic review of economic evaluations of these interventions within primary and long-term healthcare settings., METHODS: A comprehensive search was conducted in databases (Medline, Embase, Econlit and PsycINFO) for full economic evaluations of primary care interventions targeting all errors in the medication use process (January 2004 to September 2025). Methodological and reporting qualities were assessed using standard tools., RESULTS: From 8523 records, 44 studies evaluating interventions in general/family practice (22), community pharmacy (11) and nursing/care/residential homes (11) met the inclusion criteria, 24 of which were either pharmacy led (19) or multidisciplinary medication reviews (5). All but one study looked at prescribing or monitoring interventions only. A total of 12 studies included all patients, with 24 focusing on older adults (> 65 years) and 3 focusing on condition-specific groups. Most studies only included costs from a healthcare perspective (39). Outcomes ranged from prescribing errors (9), hospital utilisation (13) and health-related quality of life (15) to falls (6) and adverse drug events (6). In total, 21 studies carried out an incremental cost-effectiveness analysis (16 including the incremental cost per quality-adjusted life year gained), and 14 reported the intervention cost-effectiveness. Remaining studies were cost-consequence (18) and cost-benefit analyses (5). Study reporting quality varied considerably, with lack of transparency in the design of the decision-analytic model, varied reporting of costs, little consideration of indirect costs or the impact of loss of trust on future use of healthcare, limitations in handling of uncertainty or discounting and very little patient involvement around targeting patients or designing interventions. Of the ten studies using decision models, all scored poorly for model validation. The quality of studies has not improved over time., CONCLUSIONS: While some interventions demonstrated cost-effectiveness, study quality was variable, with generally poorly validated models. Study heterogeneity precluded meaningful direct comparison between studies. Significant research gaps remain as studies focused mainly on prescribing and monitoring errors, there was little or no investigation of technology-based interventions and there was inadequate targeting of patients most vulnerable to harm. Copyright © 2025. The Author(s). AU - Amritlal, Sneha T. AU - Chandler, Rosalyn AU - Mahboub-Ahari, Alireza AU - Paterson, Luke AU - Avery, Anthony J. AU - Ashcroft, Darren M. AU - Chuter, Antony AU - Elliott, Rachel A. DB - Ovid MEDLINE(R) DO - https://dx.doi.org/10.1007/s40273-025-01567-z IS - 3 KW - Humans Cost-Benefit Analysis *Long-Term Care/ec [Economics] *Medication Errors/ec [Economics] *Medication Errors/pc [Prevention & Control] *Primary Health Care/ec [Economics] Aged N1 - ARIIA SR Collection 2026 PY - 2026 RN - OPEN SE - Amritlal, Sneha T. Manchester Centre for Health Economics, University of Manchester, Jean McFarlane Building-4.311, Manchester, UK. Amritlal, Sneha T. NIHR Greater Manchester Patient Safety Research Collaboration (GM PSRC), University of Manchester, Manchester, UK. Chandler, Rosalyn. Manchester Centre for Health Economics, University of Manchester, Jean McFarlane Building-4.311, Manchester, UK. Chandler, Rosalyn. NIHR Greater Manchester Patient Safety Research Collaboration (GM PSRC), University of Manchester, Manchester, UK. Mahboub-Ahari, Alireza. Manchester Centre for Health Economics, University of Manchester, Jean McFarlane Building-4.311, Manchester, UK. Mahboub-Ahari, Alireza. NIHR Greater Manchester Patient Safety Research Collaboration (GM PSRC), University of Manchester, Manchester, UK. Paterson, Luke. Manchester Centre for Health Economics, University of Manchester, Jean McFarlane Building-4.311, Manchester, UK. Paterson, Luke. Health Economics Research Centre, Nuffield Department of Population Health, University of Oxford, Oxford, UK. Avery, Anthony J. NIHR Greater Manchester Patient Safety Research Collaboration (GM PSRC), University of Manchester, Manchester, UK. Avery, Anthony J. Centre for Academic Primary Care, University of Nottingham, Nottingham, UK. Ashcroft, Darren M. NIHR Greater Manchester Patient Safety Research Collaboration (GM PSRC), University of Manchester, Manchester, UK. Ashcroft, Darren M. Centre for Pharmacoepidemiology and Drug Safety, School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK. Chuter, Antony. NIHR Greater Manchester Patient Safety Research Collaboration (GM PSRC), University of Manchester, Manchester, UK. Elliott, Rachel A. Manchester Centre for Health Economics, University of Manchester, Jean McFarlane Building-4.311, Manchester, UK. Rachel.A.Elliott@manchester.ac.uk. Elliott, Rachel A. NIHR Greater Manchester Patient Safety Research Collaboration (GM PSRC), University of Manchester, Manchester, UK. Rachel.A.Elliott@manchester.ac.uk. SN - 1179-2027 1170-7690 SP - 299-316 ST - Economic Evaluations of Medication Safety Interventions in Primary and Long-Term Care: A Systematic Review T2 - PharmacoEconomics TI - Economic Evaluations of Medication Safety Interventions in Primary and Long-Term Care: A Systematic Review UR - https://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med28&NEWS=N&AN=41318738 https://flinders.primo.exlibrisgroup.com/openurl/61FUL_INST/61FUL_INST:FUL?sid=OVID:medline&id=pmid:41318738&id=doi:10.1007%2Fs40273-025-01567-z&issn=1170-7690&isbn=&volume=44&issue=3&spage=299&pages=299-316&date=2026&title=Pharmacoeconomics&atitle=Economic+Evaluations+of+Medication+Safety+Interventions+in+Primary+and+Long-Term+Care%3A+A+Systematic+Review.&aulast=Amritlal&pid=%3Cauthor%3EAmritlal+ST%3BChandler+R%3BMahboub-Ahari+A%3BPaterson+L%3BAvery+AJ%3BAshcroft+DM%3BChuter+A%3BElliott+RA%3C%2Fauthor%3E%3CAN%3E41318738%3C%2FAN%3E%3CDT%3EJournal+Article%3C%2FDT%3E VL - 44 Y2 - 20251129// ID - 73 ER - TY - JOUR AB - BACKGROUND: Population ageing has an impact on the need for long-term care (LTC) because functional limitations increase with age. Most older adults require support from family or formal LTC providers; thus, there is an urgent need for strategies to strengthen LTC workforce recruitment and retention., OBJECTIVE: To conduct an umbrella review to assess the strategies used to improve recruitment, retention, working conditions, and skills development of the formal LTC workforce., METHODS: Following the PRIOR guidelines and after protocol registration on PROSPERO, we conducted an umbrella review and searched four databases: MEDLINE, Embase, CINAHL, and Web of Science for intervention studies between 1946 and June 2024. Eligible studies were systematic reviews of interventions targeting formal LTC workers caring for adults aged 60 years and older. Two reviewers screened, extracted data, and appraised methodological quality., RESULTS: Of 10,475 screened articles, 19 reviews met the inclusion criteria. Continuing professional development and peer-led training consistently improved staff knowledge and competencies, and sometimes job satisfaction and turnover. The evidence for well-being programs and policies was limited and heterogeneous; overall, most reviews were of low quality., CONCLUSIONS: Future research should improve the context and workforce roles, adopt standardized outcomes, and rigorously evaluate organizational and policy interventions. Copyright © 2025. Published by Elsevier B.V. AU - Badache, Andreea Corina AU - Dobrosavljevic, Maja AU - Barber, Sarah Louise DB - Ovid MEDLINE(R) DO - https://dx.doi.org/10.1016/j.healthpol.2025.105496 KW - Humans *Long-Term Care *Personnel Selection/mt [Methods] Personnel Turnover Job Satisfaction Middle Aged *Health Workforce Working Conditions N1 - ARIIA SR Collection 2026 PY - 2026 RN - OPEN SE - Badache, Andreea Corina. Centre for Health Development, World Health Organization, Kobe, Japan; Orebro University, School of Health Sciences, Orebro, Sweden; Babes-Bolyai University, School of Public Health, Cluj-Napoca, Romania. Electronic address: badachea@who.int. Dobrosavljevic, Maja. Orebro University, School of Medical Sciences, Orebro, Sweden. Barber, Sarah Louise. Centre for Health Development, World Health Organization, Kobe, Japan. SN - 1872-6054 0168-8510 SP - 105496 ST - Strategies to improve recruitment, retention, working conditions, and skills among the long-term care workforce: An umbrella review of existing evidence T2 - Health policy (Amsterdam, Netherlands) TI - Strategies to improve recruitment, retention, working conditions, and skills among the long-term care workforce: An umbrella review of existing evidence UR - https://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med28&NEWS=N&AN=41270339 https://flinders.primo.exlibrisgroup.com/openurl/61FUL_INST/61FUL_INST:FUL?sid=OVID:medline&id=pmid:41270339&id=doi:10.1016%2Fj.healthpol.2025.105496&issn=0168-8510&isbn=&volume=163&issue=&spage=105496&pages=105496&date=2026&title=Health+Policy&atitle=Strategies+to+improve+recruitment%2C+retention%2C+working+conditions%2C+and+skills+among+the+long-term+care+workforce%3A+An+umbrella+review+of+existing+evidence.&aulast=Badache&pid=%3Cauthor%3EBadache+AC%3BDobrosavljevic+M%3BBarber+SL%3C%2Fauthor%3E%3CAN%3E41270339%3C%2FAN%3E%3CDT%3EJournal+Article%3C%2FDT%3E VL - 163 Y2 - 20251109// ID - 79 ER - TY - JOUR AB - In the context of population ageing, increasing long-term care needs and constraints on welfare spending, informal caregivers assume a pivotal role as providers of long-term care. This systematic review synthesises reported data on the diverse support policies implemented across the European Union (EU) to assist them. Findings from 35 studies and reports published between 2011 and 2025 suggest that, despite similar demographic challenges, policies diverge significantly, with some EU countries to have established mechanisms beyond financial assistance to support carers, while others, particularly those located in Eastern and Southern EU, to offer less comprehensive support. While the frameworks of defamilialisation (Nordic), supported familialism (Continental), and familialism by default (Southern and Eastern Europe) provide a useful analytical lens to our findings, the review also identifies significant heterogeneities within welfare regimes and even within countries, often driven by decentralisation and regional disparities. Across all models, financial support via cash-for-care schemes and in-kind respite care are the most common instruments, though their generosity and comprehensiveness vary substantially. In contrast, policies such as training, counselling, and flexible work guarantees are less developed, with their availability and access, however, varying significantly across the EU. Furthermore, the review identifies critical gaps in the geographical coverage of existing literature, with certain Southern and Eastern EU countries being particularly understudied. The synthesised evidence provides key implications for policymaking, thoroughly mapping the implementation of diverse social care policies as reported in the international literature. AD - Department of Political and Social Sciences, University of Bologna, Strada Maggiore, 45, 40125, Bologna, Italy. eva.bei@unibo.it. Department of Education, Languages, Interculture, Literatures and Psychology (FORLILPSI), University of Florence, Via Di San Salvi 12, 50135, Florence, Italy. eva.bei@unibo.it. Department of Political and Social Sciences, University of Bologna, Strada Maggiore, 45, 40125, Bologna, Italy. AN - 41642382 AU - Bei, E. AU - Albertini, M. AU - Toth, F. C1 - Declarations. Conflict of interest: The authors declare no competing interests. Ethics approval and consent to participate: This project did not collect empirical data, so ethical approval was not required. DA - Feb 5 DO - 10.1007/s10433-026-00907-y DP - NLM ET - 20260205 KW - Ageing Caregivers Europe Long-term care Policies LA - eng N1 - ARIIA SR Collection 2026 PY - 2026 RN - OPEN SN - 1613-9372 (Print) 1613-9372 ST - Policies for supporting caregivers of older adults with long-term care needs in EU countries: a systematic review T2 - Eur J Ageing TI - Policies for supporting caregivers of older adults with long-term care needs in EU countries: a systematic review ID - 29 ER - TY - JOUR AB - BACKGROUND: Health polices in residential care settings for older adults are essential to align housing and care provision with the needs of ageing populations, ensuring safety, participation, and quality of life. Despite their importance, evidence regarding policy implementation in long-term care (LTC) facilities remains fragmented and inconsistent. OBJECTIVE: This protocol describes an original method for synthesizing health policy documents using the Joanna Briggs Institute (JBI) framework for textual evidence. It aims to identify, analyze, and integrate policy evidence related to LTC facilities for older adults. METHODS: Following JBI methodological guidance for systematic reviews of text and opinion, this protocol employs the PICo framework to define inclusion criteria and a three-step search strategy. Searches will be conducted in MEDLINE, CINAHL Complete®, and the Virtual Health Library (BVS). Eligible documents include laws, regulations, policy frameworks, and technical guidelines addressing long-term care within publicly regulated systems. Data extraction and quality appraisal will be independently performed by two reviewers using JBI instruments. EXPECTED RESULTS: The review will synthesize existing polices, highlighting their characteristics, implementation strategies, and outcomes. By applying a transparent and replicable JBI-based method, this protocol supports the production of high-quality evidence to inform equitable and effective governance in LTC facilities. AD - Departamento de Enfermagem, Universidade de Évora, Évora 7000-811, Portugal. PhD Student, Faculty of Health Sciences and Nursing, Center for Interdisciplinary Research in Health (CIIS), Universidade Católica Portuguesa, Lisbon, Portugal. Faculty of Health Sciences and Nursing, Center for Interdisciplinary Research in Health (CIIS), Universidade Católica Portuguesa, Lisbon, Portugal. Nursing School of University of Lisbon (ESEUL), Centre for Research, Innovation and Development in Nursing (CIDNUR), University of Lisbon, Lisbon, Portugal. Center for Interdisciplinary Research in Health (CIIS), Universidade Católica Portuguesa, Lisbon, Portugal. AN - 41624222 AU - Bia, F. AU - Dos Anjos, M. K. AU - Charepe, Z. AU - Marques-Vieira, C. C1 - The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. C2 - PMC12859782 DA - Jun DO - 10.1016/j.mex.2026.103798 DP - NLM ET - 20260113 KW - Aged Health facilities: long-term care Healthcare policy Long-term care facilities Skilled Nursing Facilities LA - eng N1 - ARIIA SR Collection 2026 PY - 2026 RN - OPEN SN - 2215-0161 (Print) 2215-0161 SP - 103798 ST - Health policies in long-term care facilities for older adults: A systematic review of textual evidence T2 - MethodsX TI - Health policies in long-term care facilities for older adults: A systematic review of textual evidence VL - 16 ID - 36 ER - TY - JOUR AB - BACKGROUND AND OBJECTIVES: Alzheimer's disease and related dementias (ADRD) significantly affects older adults and their caregivers, necessitating innovative caregiving solutions. This systematic review and meta-analysis evaluate the efficacy of the application of AI-based socially assistive robots (AI-SARs) in ADRD care. RESEARCH DESIGN AND METHODS: A comprehensive literature search of randomized controlled trials was conducted across 11 databases (e.g., PubMed, Web of Science) following PRISMA guidelines. Eligible trial studies must be interventions that adopted AI-SARs in supporting older adults with ADRD or family caregivers. Outcomes analyzed included care recipient cognitive function, depression, anxiety, and agitation. RESULTS: Fourteen studies were included in the systematic review and ten in the meta-analysis. AI-SAR interventions showed a statistically significant reduction in depression (SMD = -0.30; 95% CI: -0.56 to -0.03; p = .027) and agitation (SMD = -0.26; 95% CI: -0.49 to -0.03; p = .027). No significant effects were found on cognitive function (SMD = -0.07; 95% CI: -0.30 to 0.16; p = .555), or anxiety (SMD = 1.12; 95% CI: -1.73 to 3.98; p = .440). DISCUSSION AND IMPLICATIONS: AI-SARs may reduce depressive symptoms and agitation among older adults with ADRD. However, evidence for other outcomes remains inconclusive. Future research should focus on large-scale trials with standardized outcomes and explore the role of AI-SARs in supporting caregivers. © The Author(s) 2026. Published by Oxford University Press on behalf of the Gerontological Society of America. All rights reserved. AD - School of Social Work, University of Central Florida, Orlando, FL, 32816-3358USA. School of Social Work, Michigan State University, East Lansing, MI, 48824USA. University Library, University of Illinois at Urbana Champaign, Urbana, IL, 61801USA. AN - 41769820 AU - Chen, X. S. AU - Jiang, L. AU - Sun, F. AU - Feng, Y. DA - Mar 2 DO - 10.1093/geront/gnag019 DP - NLM ET - 20260302 KW - Alzheimer’s disease and related dementias human-technology interaction informal caregiving long-term care psychosocial interventions LA - eng N1 - ARIIA SR Collection 2026 PY - 2026 RN - SUB SN - 0016-9013 ST - AI-Based Social Assistive Robots in Dementia Care: A Systematic Review and Meta-Analysis T2 - Gerontologist TI - AI-Based Social Assistive Robots in Dementia Care: A Systematic Review and Meta-Analysis ID - 57 ER - TY - JOUR AB - BACKGROUND: Aged care has recently undergone major transformations due to demographic aging and the concomitant need to manage health care costs. New emerging technologies (ETs) have started to play central roles in the daily management of older adults. For these transformations to effectively promote successful and active aging, it is essential to understand the opinions of older adults on the impact that technology can have on their vulnerabilities and aging process. OBJECTIVE: This work aims to study the ethically related impact of ETs on cognitively healthy older adults' vulnerabilities. METHODS: Using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, we conducted a systematic review of empirical (qualitative) evidence exploring the relationship between ETs and older adults' vulnerabilities as perceived by older adults (older than 65 years) without cognitive impairments. Five major databases (PubMed, Web of Science, Embase, CINAHL, and Philosopher's Index) were queried on March 1, 2022. After eliminating duplicates, titles, abstracts, and full texts were screened for relevance. Data analysis and synthesis followed the preparatory steps of the coding process detailed in the Qualitative Analysis Guide of Leuven methodology, which involved carefully reading the publications included, identifying significant themes, and constructing conceptual schemes for each paper. The quality of the publications was evaluated by using the Critical Appraisal Skills Program. RESULTS: A total of 11,631 results were obtained. Eventually, 70 articles were included, and of these, 46 articles had a high level of methodological quality. The remaining 24 articles had moderate quality. ETs appeared to have an ambivalent effect, mitigating some already existing vulnerabilities, and at the same time, worsening already existing vulnerabilities or creating new vulnerabilities. For example, unconventional monitoring techniques (eg, wearables) often mitigated relational vulnerability, helping to maintain independence and remain at home and in one's community. Conversely, these same devices may negatively affect moral vulnerability, threatening older adults' privacy linked to data confidentiality. CONCLUSIONS: This systematic review, which focused on the perceptions of older adults without cognitive impairments, enriches the vast literature about the everyday management and care of seniors by exploring the ethical implications of ETs. This research is complementary to another systematic review of qualitative evidence, which analyzed the views of older people with cognitive disorders on the same topic. Although a certain ambivalence in the use of ETs was identified by both population groups, it is interesting how cognitively healthy older adults give more importance to some dimensions of vulnerability, such as the moral and relational ones, which, in the case of cognitively impaired older adults, are not as significant. Two important aspects identified were the respect of privacy and data security, and the perceived risk of control and surveillance linked to the use of monitoring technologies. AD - Department of Oncology and Hemato-Oncology, University of Milan, Via Santa Sofia 9/1, Milan, 20122, Italy, 39 02 5031 3223. Centre for Biomedical Ethics and Law, Department of Public Health and Primary Care, KU Leuven, Leuven, Belgium. AN - 41712785 AU - Fasoli, A. AU - De Luca, M. AU - Beretta, G. AU - Gastmans, C. AU - Sanchini, V. C1 - Conflicts of Interest: None declared. C2 - PMC12919910 DA - Feb 19 DO - 10.2196/69676 DP - NLM ET - 20260219 KW - Prisma aged care emerging technologies ethical issues impairments older adults vulnerability LA - eng N1 - ARIIA SR Collection 2026 PY - 2026 RN - OPEN SN - 1929-073X (Print) 1929-073x SP - e69676 ST - Emerging Technologies and Vulnerabilities in Older Adults Without Cognitive Impairments: Systematic Review of Qualitative Evidence T2 - Interact J Med Res TI - Emerging Technologies and Vulnerabilities in Older Adults Without Cognitive Impairments: Systematic Review of Qualitative Evidence VL - 15 ID - 66 ER - TY - JOUR AB - OBJECTIVES: This systematic review examined the use of immersive virtual reality (IVR) to support multidimensional mental health among older adults. METHODS: Seven databases were searched for peer-reviewed studies published between January 2020 and March 2025, with forward and backward citation tracking completed in April 2025 (PROSPERO ID: CRD42025644394). Eligible studies involved adults aged 60 years and older, used fully immersive IVR via head-mounted displays, and assessed mental health outcomes. Ten studies met inclusion criteria, spanning randomized, quasi-experimental, pre - post, and mixed-methods designs across North America, Europe, and Asia. RESULTS: Eight of the 10 studies reported improvements in mental health. Virtual nature and guided meditation were most strongly associated with reductions in depression and anxiety, while reminiscence-based IVR improved positive affect and life satisfaction. Controlled studies showed stronger correlation than uncontrolled designs. Barriers such as discomfort, cybersickness, and low digital literacy were commonly addressed through facilitator support and age-friendly design, with feasibility demonstrated across community and long-term care settings. CONCLUSIONS: Immersive virtual reality is a promising non-pharmacological approach to supporting mental health and reducing social isolation in older adults. CLINICAL IMPLICATIONS: When appropriately adapted, brief, facilitator-supported IVR sessions may improve mental health outcomes among older adults in community and institutional settings. AD - Department of Sociology, University of Nebraska-Lincoln, Lincoln, USA. University of Benin, Benin City, Nigeria. Huntsman Cancer Institute, University of Utah, Salt Lake City, USA. College of Public Affairs, University of Baltimore, Baltimore, USA. Resident Unit, Purdue University, Lafayette, USA. AN - 41778450 AU - Folorunsho, S. AU - Lawal, O. AU - Olamide, C. AU - Osawe, E. AU - Adedoyin, O. DA - Mar 4 DO - 10.1080/07317115.2026.2639141 DP - NLM ET - 20260304 KW - Anxiety depression immersive virtual reality loneliness mental health older adults LA - eng N1 - ARIIA SR Collection 2026 PY - 2026 RN - OPEN SN - 0731-7115 SP - 1-12 ST - Immersive Virtual Reality to Promote Mental Health in Older Adults: A Systematic Review T2 - Clin Gerontol TI - Immersive Virtual Reality to Promote Mental Health in Older Adults: A Systematic Review ID - 56 ER - TY - JOUR AB - OBJECTIVE: To explore current literature regarding appropriate prescribing for older First Nations Peoples from Australia, the United States of America (USA), Canada and New Zealand residing in the community or residential care facilities (RACF). METHODS: Electronic databases and grey literature sources were searched for literature that focussed on holistic appropriate prescribing and/or potential suboptimal prescribing. Inclusion criteria were First Nations Peoples aged 45 years or older who were community dwelling or residing in RACFs from Australia, the United States, Canada and New Zealand. RESULTS: Sixteen articles were included for analysis. Heterogeneity exists across the findings of potentially suboptimal prescribing concepts. Despite this heterogeneity, this review revealed that potential prescribing omissions appear to have the greatest impact on morbidity and mortality. Factors that increased the risk of potentially suboptimal prescribing included regionality, number of medical conditions, certain disease states and residing in a RACF. CONCLUSION: Health equity and 'closing the gap' for First Nations Peoples is a global issue. This scoping review has shown that potentially suboptimal prescribing and the associated morbidity and mortality are a concern for First Nations Peoples internationally. AD - College of Medicine and Dentistry, James Cook University College of Medicine and Dentistry, Cairns, Queensland, Australia. Cairns and Hinterland Hospital and Health Service (CHHHS), Queensland Health, Cairns, Queensland, Australia. AN - 41524474 AU - Franks, N. AU - McDermott, K. AU - Carlisle, K. AU - Russell, S. AU - Wallace, V. AU - Strivens, E. DA - Mar DO - 10.1111/ajag.70126 DP - NLM IS - 1 KW - Humans Aged New Zealand Australia *Practice Patterns, Physicians'/standards United States Canada Middle Aged Age Factors Risk Factors *Inappropriate Prescribing Male *Indigenous Peoples Female Aged, 80 and over *Health Services, Indigenous/standards First Nation Peoples inappropriate prescribing polypharmacy LA - eng N1 - ARIIA SR Collection 2026 PY - 2026 RN - SUB SN - 1440-6381 SP - e70126 ST - Potentially Suboptimal Prescribing for Older First Nations Peoples: A Scoping Review T2 - Australas J Ageing TI - Potentially Suboptimal Prescribing for Older First Nations Peoples: A Scoping Review VL - 45 ID - 51 ER - TY - JOUR AB - Horticultural therapy is a plant-based therapeutic intervention that has shown promise in alleviating depressive symptoms and supporting clinical rehabilitation. This scoping review synthesizes current evidence on the use of horticultural therapy for individuals diagnosed with depression. A systematic search across eight Chinese and international databases identified 1044 studies, of which 18 met the inclusion criteria. These studies were conducted in diverse settings, including hospitals, nursing homes, schools, and community centers. Interventions ranged from active participation (e.g. planting and floral arrangement) to passive engagement (e.g. nature walks). Outcomes included psychological indicators such as depression and anxiety levels and physiological markers such as salivary cortisol and cardiovascular response. Most studies reported positive effects on mood and quality of life. However, variations in intervention design, duration, frequency, and facilitator qualifications limited comparability. This review highlights horticultural therapy as a promising complementary approach for depression rehabilitation while emphasizing the need for standardized protocols and culturally adapted applications in future research. AD - Nursing Department, Tongji University School of Medicine, China. RINGGOLD: 481875 Nursing Department, Shanghai Jing'an District Shibei Hospital, China. Nursing Department, Shanghai Tenth People's Hospital, China. AN - 41639955 AU - Gong, Y. AU - Yan, Y. AU - Shen, H. AU - Zhu, X. C2 - PMC12876653 DA - Feb DO - 10.1177/03000605261418771 DP - NLM ET - 20260204 IS - 2 KW - Humans *Depression/rehabilitation/therapy/psychology *Horticultural Therapy/methods Quality of Life Treatment Outcome Horticultural therapy clinical rehabilitation complementary therapy depression scoping review LA - eng N1 - ARIIA SR Collection 2026 PY - 2026 RN - OPEN SN - 0300-0605 (Print) 0300-0605 SP - 3000605261418771 ST - The role of horticultural therapy in the clinical rehabilitation of patients with depression: A scoping review T2 - J Int Med Res TI - The role of horticultural therapy in the clinical rehabilitation of patients with depression: A scoping review VL - 54 ID - 30 ER - TY - JOUR AB - BACKGROUND: Mental health challenges are common among older adults with mild cognitive impairment. Despite growing use of digital health interventions to improve cognitive function, their effects on mental health remain unexplored. OBJECTIVE: To assess the overall and subgroup-specific effectiveness of digital health interventions on mental health in older adults with mild cognitive impairment. METHODS: A systematic review and meta-analysis of randomized controlled trials was conducted following PRISMA guidelines, searching seven databases from inception to March 2024. Evidence quality was assessed using the GRADE framework and risk of bias with the Cochrane Collaboration's tool. Interrater agreement for screening and data extraction was assessed using the Kappa coefficient. Subgroup analyses assessed differences based on intervention characteristics such as type, setting, and duration, while meta-regression and sensitivity analysis identified other sources of heterogeneity and tested robustness. RESULTS: Eleven studies involving 610 participants met the criteria. Digital health interventions significantly reduced depressive symptoms (Standardized Mean Difference [SMD] -0.55, 95% CI -0.92 to -0.19) and anxiety symptoms (SMD -0.47, -0.76 to -0.18), but showed no significant effects on positive (SMD 0.74, -0.46 to 1.94) or negative affect (SMD -0.23, -0.60 to 0.14). Subgroup analyses indicated that hospital or nursing home settings with non-portable modality were optimal. Interventions over 6 weeks, with sessions exceeding 30 min up to 2 per week, were more effective for depressive symptoms. Among intervention types, only robot interventions reduced depressive symptoms. Fully digital interventions showed greater effectiveness than hybrid formats and yielded more favorable outcomes compared to controls. Overall, digital health interventions showed a significant benefit over usual care, while effects compared to waitlist controls were larger but not statistically significant. CONCLUSIONS: This review indicates that digital health interventions hold promise for enhancing mental health in older adults with mild cognitive impairment. Future research should integrate digital therapeutic technologies to optimize interventions. AD - School of Medicine, Huzhou Key Laboratory of Precise Prevention and Control of Major Chronic Diseases, Huzhou University, Huzhou, Zhejiang, China. RINGGOLD: 117774 Rory Meyers College of Nursing, New York University, New York, NY, USA. RINGGOLD: 5894 Health Management Center, Deyang People's Hospital, Deyang, Sichuan, China. Health Science Center, Shenzhen University, Shenzhen, Guangdong, China. RINGGOLD: 47890 AN - 41648792 AU - Gu, A. AU - Huang, A. AU - Wu, B. AU - Liu, X. AU - Huang, C. AU - Qiu, X. AU - Wang, L. C1 - The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. C2 - PMC12868600 DA - Jan-Dec DO - 10.1177/20552076261420265 DP - NLM ET - 20260203 KW - Digital health intervention digital platforms mental health mild cognitive impairment smart aging LA - eng N1 - ARIIA SR Collection 2026 PY - 2026 RN - OPEN SN - 2055-2076 (Print) 2055-2076 SP - 20552076261420265 ST - Effectiveness of digital health interventions in improving mental health in older adults with mild cognitive impairment: A systematic review and meta-analysis T2 - Digit Health TI - Effectiveness of digital health interventions in improving mental health in older adults with mild cognitive impairment: A systematic review and meta-analysis VL - 12 ID - 28 ER - TY - JOUR AB - Background In residential aged care settings, the relationships between family members and care staff are recognised as a factor in high quality care. Objective To determine the effectiveness of interventions designed to promote constructive staff-family relationships in the care of older people in aged care facilities. Design Systematic review and planned meta-analysis. Methods A systematic review was conducted using a comprehensive search, updating a previous review. Searches were conducted in seven electronic databases to 17 December 2024. Risk of bias was assessed by two independent reviewers using the Cochrane Risk of Bias Tool (ROB-2) and Risk of Bias in Non-Randomized Studies of Interventions (ROBINS-I). Statistical analysis was not possible due to incomplete data reporting in most studies. GRADE Certainty of Evidence was conducted using the GRADEPro GDT software. Results There were nine studies identified. Studies reported outcome measures that reflected characteristics of a constructive staff-family relationship, the experience of staff, the experience of family and outcomes relevant to older people receiving care. There was moderate certainty of evidence that an intervention designed to promote a constructive staff-family relationship might lead to small absolute benefits for older people, particularly reduction in hospital transfers. The evidence for quantifiable benefits for staff and family members was highly uncertain. Conclusions Through a comprehensive review and evidence evaluation, we have identified that interventions to promote staff-family relationships require long term organisation and staff commitment, may require high intensity and durations to achieve a sustained impact, and the outcomes may be better evaluated using person-level analysis and qualitative data. Registration number Prospero: CRD42023453919. AU - Haesler, Emily AU - McAuliffe, Linda AU - Fetherstonhaugh, Deirdre AU - Solly, Kane DA - 2026/01/08/ DO - https://doi.org/10.1016/j.ijnurstu.2026.105338 KW - Family centered care Interpersonal relations Therapeutic alliance Nursing homes Aged N1 - ARIIA SR Collection 2026 PY - 2026 RN - OPEN SN - 0020-7489 SP - 105338 ST - Strategies to promote effective staff-family relationships in the care of older people in residential aged care settings: A systematic review T2 - International Journal of Nursing Studies TI - Strategies to promote effective staff-family relationships in the care of older people in residential aged care settings: A systematic review UR - https://www.sciencedirect.com/science/article/pii/S0020748926000106 ID - 17 ER - TY - JOUR AB - Dementia and pain are common in nursing home (NH) residents. Several studies have investigated the relation between pain and neuropsychiatric symptoms (NPS) in NH residents with dementia, but there is a lack of systematic reviews regarding this relation. The aim was to systematically review observational studies studying the relation between pain and NPS in NH residents with dementia. A systematic search was conducted in the PubMed, MEDLINE, CINAHL, APA PsycInfo, AgeLine, Cochrane, and Idunn databases for studies published from January 2013 to June 2025. Studies with a quantitative design where self-report, staff assessment, and/or chart review were used to assess pain and NPS were included. Of 530 articles considered, 18 studies (15 cross-sectional studies and 3 longitudinal studies), 19 articles, were included (N = 84 to 97,789 participants). Fourteen articles had good or strong quality, while five had fair or poor quality. A variety of assessment tools for assessing pain and NPS were used, both self-reporting and staff-reporting. The presence and the severity of pain were associated with more frequent and more severe NPS, while changes in pain were associated with changes in NPS. An association between the presence of pain and agitation/aggression was frequently reported, as well as between pain and depressive symptoms. The findings in studies reporting the association between other NPS and pain were inconclusive. In conclusion, strong associations between pain and agitation/aggression and depression were reported in NH residents wtih dementia. Assessing and treating pain is important. There is still a lack of longitudinal studies. AD - Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway; Norwegian National Centre for Ageing and Health, Vestfold Hospital Trust, Tønsberg, Norway. Electronic address: anne-sofie.helvik@ntnu.no. Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway; Department of Surgical Nursing, Faculty of Nursing, Akdeniz University, Antalya, Türkiye. Norwegian National Centre for Ageing and Health, Vestfold Hospital Trust, Tønsberg, Norway; Research center for Age-related Functional Decline and Disease, Innlandet Hospital Trust, Ottestad, Norway. Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway; Norwegian National Centre for Ageing and Health, Vestfold Hospital Trust, Tønsberg, Norway. AN - 41747305 AU - Helvik, A. S. AU - Temür, B. N. AU - Bergh, S. AU - Tevik, K. C1 - Declaration of competing interest The authors have no competing interests, and they have not received any funding for doing this systematic review. No AI-tools have been used to improve the article DA - Feb 25 DO - 10.1016/j.gerinurse.2026.103977 DP - NLM ET - 20260225 KW - Alzheimer disease Bpsd Behavioral assessment Care homes Daily pain End of life Long-term care facilities Nps Neuropsychiatric symptoms Nursing home Pain Persistent pain Presence of pain Residential aged care settings LA - eng N1 - ARIIA SR Collection 2026 PY - 2026 RN - OPEN SN - 0197-4572 SP - 103977 ST - A systematic review of the relation between pain and neuropsychiatric symptoms in nursing home residents with dementia T2 - Geriatr Nurs TI - A systematic review of the relation between pain and neuropsychiatric symptoms in nursing home residents with dementia VL - 69 ID - 59 ER - TY - JOUR AB - PURPOSE: Delirium is a common geriatric syndrome that presents as an acute change in mental status and is associated with adverse outcomes. The primary aim of this systematic review and meta-analysis was to determine its prevalence in the nursing home population. METHODS: MEDLINE, CINAHL, PsycInfo, and Web of Science were searched up to July 11, 2025. Eligible studies reported cross-sectional prevalence data on delirium in the nursing home population, identified using formal diagnostic criteria (DSM-III or ICD-10 onwards) or validated detection tools. Two reviewers independently screened records, extracted data, and assessed quality. A random-effects meta-analysis was conducted to pool the overall prevalence. The reporting adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. RESULTS: A total of nine studies were included, and prevalence data on delirium from eight distinct study populations were analyzed. The prevalence of delirium ranged from 1.0% to 57.9%. The pooled prevalence, encompassing 4291 nursing home residents aged ≥ 65 years, was 18.8% (95% CI: 7.4%-40.2%; I2 = 96.9%; Wald-Chi2-Test = 227.66, p < 0.001). Dementia was present in up to 86.2% of residents. Four studies reported factors associated with the prevalence of delirium, with cognitive impairment most frequently identified as a factor in all four studies. CONCLUSION: Delirium was identified as a common health issue in most of the included studies, although prevalence rates were heterogeneous. Future research should prioritize the development of effective detection and prevention strategies, the validation of tools tailored to the nursing home setting, and the conduct of robust, internationally comparable prevalence assessments. AD - German Center for Neurodegenerative Diseases (DZNE), Stockumer Str. 12, 58453, Witten, Germany. Alexandre.Houdelet-Oertel@dzne.de. Faculty of Health, School of Nursing Science, Witten/Herdecke University, Alfred-Herrhausen-Str. 45, 58455, Witten, Germany. Alexandre.Houdelet-Oertel@dzne.de. Faculty of Medicine, Institute of General Practice and Family Medicine (AM RUB), Ruhr University Bochum, Universitätsstr. 150, 44801, Bochum, Germany. Department of Medical Informatics, Biometry and Epidemiology (AMIB), Ruhr University Bochum, Universitätsstr. 150, 44801, Bochum, Germany. School VI - Medicine and Health Sciences, Carl von Ossietzky Universität Oldenburg, Ammerländer Heerstr. 114-118, 26129, Oldenburg, Germany. German Center for Neurodegenerative Diseases (DZNE), Stockumer Str. 12, 58453, Witten, Germany. Faculty of Health, School of Nursing Science, Witten/Herdecke University, Alfred-Herrhausen-Str. 45, 58455, Witten, Germany. Faculty of Medicine, Department of Health Services Research, Institute for Diversity Medicine, Ruhr University Bochum, Universitätsstr. 150, 44801, Bochum, Germany. AN - 41714526 AU - Houdelet-Oertel, A. AU - Lauer, R. AU - Molitor, V. AU - Walter, R. AU - Dörner, J. AU - Palm, R. AU - Otte, I. AU - Vollmar, H. C. AU - Holle, B. C1 - Declarations. Conflict of interest: The authors have no competing interests to declare that are relevant to the content of this article. Ethical approval: Ethical approval and written consent were not required. Informed consent: For this type of study, no informed consent is required. DA - Feb 19 DO - 10.1007/s41999-026-01422-0 DP - NLM ET - 20260219 KW - Associated factors Delirium Meta-analysis Nursing home Prevalence Systematic review LA - eng N1 - ARIIA SR Collection 2026 PY - 2026 RN - OPEN SN - 1878-7649 (Print) 1878-7649 ST - Prevalence of delirium among older nursing home residents: a systematic review and meta-analysis T2 - Eur Geriatr Med TI - Prevalence of delirium among older nursing home residents: a systematic review and meta-analysis ID - 65 ER - TY - JOUR AB - BACKGROUND: Demographic, social, and familial changes have led to an increase in the lack of family and support systems, which is particularly relevant for older adults who may be at risk for low medication adherence. This study examines the relationship between social isolation and/or loneliness and medication adherence in older adults, also identifying the measurement tools used to explore this relationship. METHODS: We conducted a systematic review according to PRISMA guidelines, searching databases including PubMed, CINAHL, PsycINFO, and EBSCO. The quality of evidence was assessed following the GRADE approach, integrated with the JBI Critical Appraisal Tools, NOS for cohort studies and AXIS tools. RESULTS: In the final synthesis, we included five articles. According to the findings of the study, social isolation and loneliness may negatively affect medication adherence in older adults. Loneliness and social support may have a mediating role in the relationship between social isolation and medication adherence. CONCLUSIONS: Loneliness and social isolation could influence medication adherence in older patients, especially in managing chronic conditions, but more robust research is needed to confirm the associations between social isolation, loneliness, and medication adherence. However, addressing loneliness and social isolation may be critical to improving medication management among older adults. AD - Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, 00133, Italy. Departmental Faculty of Medicine, Saint Camillus International University of Health and Medical Sciences (UniCamillus), Rome, 00131, Italy. Nursing, Technical, Rehabilitation Department, DaTeR Local Health Unit of Bologna, Bologna, 40124, Italy. Department of Medical, Movement and Wellbeing Sciences, Parthenope University of Naples, Naples, 80133, Italy. Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, 00185, Italy. Nursing Research Unit IFO, IRCCS Regina Elena National Cancer Institute, Rome, 00144, Italy. Department of Medical Sciences, University of Ferrara, Ferrara, 44121, Italy. Unit of First Aid, Emergency Department, San Filippo Neri Hospital, ASL Roma 1, Rome, Italy. Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, 00133, Italy. leandro.amato@uniroma1.it. Department of Wellbeing, Health and Environmental Sustainability, Sapienza University of Rome, Rome, 00185, Italy. AN - 41606556 AU - Improta, A. AU - Taborri, S. AU - Giannetta, N. AU - Dionisi, S. AU - Di Simone, E. AU - Renzi, E. AU - Massimi, A. AU - De Leo, A. AU - Panattoni, N. AU - Orsi, G. B. AU - Fabbian, F. AU - Liquori, G. AU - Amato, L. AU - Di Muzio, M. C1 - Declarations. Ethics approval and consent to participate: Not applicable. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests. C2 - PMC12896091 DA - Jan 28 DO - 10.1186/s12889-025-26085-7 DP - NLM ET - 20260128 IS - 1 KW - Humans *Social Isolation/psychology *Loneliness/psychology Aged *Medication Adherence/psychology Social Support Aged, 80 and over Male Loneliness Medication adherence Older adults Social isolation Systematic review LA - eng N1 - ARIIA SR Collection 2026 PY - 2026 RN - OPEN SN - 1471-2458 SP - 577 ST - Social isolation and loneliness effects on medication adherence in older adults: perspectives from a systematic review T2 - BMC Public Health TI - Social isolation and loneliness effects on medication adherence in older adults: perspectives from a systematic review VL - 26 ID - 37 ER - TY - JOUR AB - BACKGROUND: Digital technologies are increasingly being introduced into the health care system and in settings such as hospitals and geriatric long-term care (LTC) facilities, offering potential benefits such as improved care quality, reduced workload, or enhanced documentation processes. However, the success of these technologies also depends on the acceptance by the primary users, that is, the nursing staff. OBJECTIVE: This review synthesizes empirical studies that have explored the acceptance of digital technologies by nursing staff in geriatric LTC settings, building upon the foundational work by Yu et al (2009). The goal is to identify influencing factors, assess the extent of existing evidence, and highlight research gaps in this care setting. METHODS: A systematic literature review was conducted following PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) 2020 guidelines. The SPIDER (sample, phenomenon of interest, design, evaluation, research type) framework was used for eligibility criteria. Databases searched included PubMed, ACM Digital Library, Web of Science, and the Health Administration Database ProQuest. Studies were included if they empirically examined the acceptance of digital technologies by nursing staff in geriatric LTC settings. Two reviewers independently screened the studies, extracted data, and assessed methodological quality using the CASP (Critical Appraisal Skills Programme) checklist. RESULTS: A total of 3 studies met the criteria, highlighting a gap in research on this topic. The studies applied cross-sectional quantitative designs and highlighted critical determinants of technology acceptance, including perceived usefulness, ease of use, digital competence, and organizational support. The studies involved a total of 1019 participants from Germany, Australia, and the Netherlands. Barriers included lack of user involvement, lack of training, poor system design, and demographic differences in digital affinity. CONCLUSIONS: This review shows that the acceptance of digital technologies by nursing staff in geriatric LTC settings is shaped by a constellation of individual factors, such as digital competence and perceived relevance of technology, as well as organizational factors such as access to training and involvement of staff in the implementation process. Despite these insights, the limited number of empirical studies highlights a research gap in this care setting. To ensure sustainable digital transformation in geriatric LTC, future research should prioritize rigorous and participatory approaches, using longitudinal, intervention-based, or multilevel study designs. AD - DIWAG, Health Management, University of Applied Sciences Neu-Ulm, Wileystr. 1, Neu-Ulm, 89231, Germany, +49 730780880, +49 730780860. DigiHealth, Health Management, University of Applied Sciences Neu-Ulm, Neu-Ulm, Germany. Faculty of Social Work, University of Applied Sciences Landshut, Landshut, Germany. Business Intelligence, Administration, St. Elisabeth Pflegezentrum Senden, Senden, Germany. AN - 41538778 AU - Iseni, J. AU - Swoboda, W. AU - Houben, D. AU - Hilla, R. C1 - Conflicts of Interest: None declared. C2 - PMC12807401 DA - Jan 15 DO - 10.2196/82223 DP - NLM ET - 20260115 KW - Aged Humans *Attitude of Health Personnel *Digital Technology *Long-Term Care *Nursing Staff/psychology Ltc digitalization elderly care geriatric nurse health information technology long-term care nursing organizational innovation systematic review technology acceptance LA - eng N1 - ARIIA SR Collection 2026 PY - 2026 RN - OPEN SN - 2562-7600 SP - e82223 ST - Acceptance of Digital Technology Among Nursing Staff in Geriatric Long-Term Care: Systematic Review T2 - JMIR Nurs TI - Acceptance of Digital Technology Among Nursing Staff in Geriatric Long-Term Care: Systematic Review VL - 9 ID - 46 ER - TY - JOUR AB - Background: Medication-related inappropriateness (MRI) poses a significant risk to elderly patients, particularly in aged care settings, where complex medication regimens and health care challenges increase the likelihood of errors. Addressing MRI is critical to enhancing patient safety and improving health outcomes for older adults. This study aims to evaluate the effectiveness of interventions designed to reduce MRI and improve prescribing practices in elderly populations through a systematic review and meta-analysis. Methods: A systematic review and meta-analysis were conducted following the Cochrane Handbook for Systematic Reviews of Interventions. Databases including MEDLINE, EMBASE, CINAHL, PubMed, and EBSCOhost were searched from April 2020 to November 2023. Randomized controlled trials (RCTs) and nonrandomized controlled studies evaluating interventions for reducing MRI in elderly patients receiving care in various healthcare settings were included. Eight studies involving a total of 33,170 participants across 7 countries qualified for analysis. The pooled odds ratio (OR) with a 95% CI was calculated to measure intervention effectiveness. Statistical heterogeneity was assessed using the Higgins I² statistic, and a random-effects model was applied to account for variability. Results: Interventions ranged from educational programs and peer reviews to computerised decision-support systems. The meta-analysis demonstrated a significant reduction in MRI, with a pooled OR of 0.43 (95% CI: 0.31-0.60), indicating a 57% reduction in inappropriate prescribing. Educational interventions were particularly effective, fostering improved prescriber behavior and medication safety. However, high heterogeneity (I²=92%) underscored variations in patient demographics, care settings, and intervention designs. Conclusions: Educational interventions and decision-support systems are found to significantly reduce the inappropriate prescribing of medication in older patients. More research is required to address variability, determine long-term outcomes, and facilitate broader implementation to improve medication safety. AU - Kim, Jeong-ah AU - Terry, Daniel AU - Nguyen, Hoang IS - 1 KW - patient safety medication-related inappropriateness medication error potentially inappropriate medication potentially inappropriate prescription potentially inappropriate medication administration elderly patients N1 - ARIIA SR Collection 2026 PY - 2026 RN - SUB SN - 1549-8417 ST - Reducing Medication-related Inappropriateness in Older Adults: A Systematic Review and Meta-analysis T2 - Journal of Patient Safety TI - Reducing Medication-related Inappropriateness in Older Adults: A Systematic Review and Meta-analysis UR - https://journals.lww.com/journalpatientsafety/fulltext/2026/01000/reducing_medication_related_inappropriateness_in.1.aspx VL - 22 ID - 19 ER - TY - JOUR AB - BACKGROUND: Immersive virtual reality (VR) is increasingly used to support cognition, mobility, and emotional well‑being in older adults with mild cognitive impairment (MCI), dementia, or frailty. Evidence is expanding but fragmented across small randomized and feasibility trials. We synthesized recent studies to clarify benefits, risks, and implementation considerations. METHODS: Following PRISMA 2020, we searched PubMed and CINAHL from 1 January 2019 to 15 October 2025. Eligible studies enrolled adults aged ≥ 65 years with MCI, dementia, or frailty/cognitive frailty; delivered immersive or semi‑immersive VR via head‑mounted display or large‑screen projection (interactive tasks or 360° content); and reported cognitive, mobility, or emotional/behavioral outcomes in randomized, quasi‑experimental, or pre-post designs. Two reviewers independently screened and extracted data. Risk of bias was appraised with RoB 2 (randomized trials) or JBI tools (non‑randomized). Heterogeneity precluded meta‑analysis; we conducted a structured narrative synthesis. RESULTS: Seventy records were identified (PubMed 28; CINAHL 42); after removing 9 duplicates, 61 records were screened, 24 full texts were assessed, and 13 studies were included (10 randomized; 3 feasibility/mixed‑methods). The most consistent improvements occurred in executive function and processing speed among participants with MCI or cognitive frailty; several trials also reported modest gains in global cognition. Multiple trials showed better Timed Up & Go and Berg Balance outcomes and enhanced anticipatory postural adjustments versus comparators. In residential care, immersive reminiscence and group VR reduced anxiety and apathy and were well tolerated. Adverse events were uncommon and mild; adherence was high with supervised delivery. Most randomized trials had some concerns for bias; one was at overall low risk. CONCLUSIONS: Immersive and semi-immersive VR interventions appear feasible for supervised delivery in older adults with MCI or cognitive frailty and may be associated with improvements in cognitive and mobility outcomes. Evidence for emotional and behavioral outcomes in institutional settings is promising but preliminary. Programs with adequate exposure (2-3 sessions/week for 8-12 weeks; ≥ 15 total hours), adaptive challenge, and supervision were most frequently associated with positive outcomes. Larger multicenter randomized trials with standardized outcomes and embedded implementation and economic evaluations are needed. AD - Research Organization, Shimonoseki City University, 2‑1‑1, Daigaku‑cho, Shimonoseki, Yamaguchi, 751‑8510, Japan. kkubota@m.u-tokyo.ac.jp. Department of Healthcare Information Management, The University of Tokyo Hospital, Tokyo, Japan. kkubota@m.u-tokyo.ac.jp. Entertainment & Care Lab. Co, Ltd., Tokyo, Japan. kkubota@m.u-tokyo.ac.jp. Entertainment & Care Lab. Co, Ltd., Tokyo, Japan. Graduate School, International University of Health and Welfare, Tokyo, Japan. AN - 41530684 AU - Kubota, K. AU - Katayama, T. AU - Takamaru, K. AU - Ishii, Y. AU - Adachi, L. AU - Tanabe, R. AU - Tsubota, K. C1 - Declarations. Ethics approval and consent to participate: Not applicable. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests. C2 - PMC12888722 DA - Jan 13 DO - 10.1186/s12877-025-06957-8 DP - NLM ET - 20260113 IS - 1 KW - Humans *Cognitive Dysfunction/therapy/psychology Aged *Virtual Reality *Dementia/therapy/psychology *Frailty/therapy/psychology Anxiety Cognitive frailty Dementia Dual‑task Executive function Mild cognitive impairment Mobility Older adults Systematic review Virtual reality LA - eng N1 - ARIIA SR Collection 2026 PY - 2026 RN - OPEN SN - 1471-2318 SP - 189 ST - Immersive virtual reality for older adults with mild cognitive impairment, dementia, or cognitive frailty: a systematic review and narrative synthesis (2019-2025) T2 - BMC Geriatr TI - Immersive virtual reality for older adults with mild cognitive impairment, dementia, or cognitive frailty: a systematic review and narrative synthesis (2019-2025) VL - 26 ID - 71 ER - TY - JOUR AB - Oral health is an important yet often overlooked determinant of healthy ageing, with growing evidence linking it to physical frailty in older adults. Findings from systematic reviews and meta-analyses on the associations between oral health indicators and physical frailty among older adults are evaluated and summarised. Systematic reviews, with or without meta-analyses, assessing oral health indicators (exposures) and physical frailty (outcomes) in adults with mean age >=60 years were included. The methodologies of included reviews were appraised using the Assessing the Methodological Quality of Systematic Reviews (AMSTAR-2) tool. The certainty of evidence associated with meta-analysis outcomes was assessed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system. PubMed (MEDLINE), Scopus, Web of Science and Cochrane Library, within the past 10 years, up to July 2025 were used. From the 654 records identified, 12 systematic reviews with 4 meta-analyses were included. All 12 reviews presented data from community-dwelling older adults, and 5 also included the institutionalised, hospitalised and home care populations. Findings suggested that physical frailty was significantly associated with (1) number of teeth, particularly <=20 teeth and (2) impaired oral functions, including masticatory function assessed using various measures, tongue pressure, oral diadochokinesis and oral frailty. Evidence regarding the association between periodontal disease and physical frailty was insufficient and inconclusive. There is currently limited evidence on oral dryness, oral dysbiosis, oral pain and use/nonuse of denture. This umbrella review identified significant associations between poor oral health indicators and physical frailty, highlighting the importance of oral health in healthy ageing. Considerable heterogeneity in frailty definitions, oral health measures and study designs limits the ability to draw definitive conclusions or infer causality. Findings across systematic reviews are summarised, providing a comprehensive overview of associations between oral health and physical frailty. Research gaps and conflicting results were also identified to guide future studies. Copyright © 2025 The Authors. Published by Elsevier Inc. All rights reserved. AU - Lokman, Najihah AU - Nayan, Noor Aziella Mohd AU - Choong, Elaine Kar Man DB - Ovid MEDLINE(R) DO - https://dx.doi.org/10.1016/j.identj.2025.109319 IS - 1 KW - Aged Aged, 80 and over Humans *Frail Elderly *Frailty Meta-Analysis as Topic *Oral Health Systematic Reviews as Topic N1 - ARIIA SR Collection 2026 PY - 2026 RN - OPEN SE - Lokman, Najihah. Department of Community Oral Health & Clinical Prevention, Faculty of Dentistry, Universiti Malaya, Kuala Lumpur, Malaysia. Electronic address: najihah@um.edu.my. Nayan, Noor Aziella Mohd. Centre for Occupational Therapy Studies, Faculty of Health Sciences, Universiti Teknologi MARA, Puncak Alam, Malaysia. Choong, Elaine Kar Man. Department of Community Oral Health & Clinical Prevention, Faculty of Dentistry, Universiti Malaya, Kuala Lumpur, Malaysia; Faculty of Dentistry, The University of Hong Kong, Hong Kong. SN - 1875-595X 0020-6539 SP - 109319 ST - Oral Health Determinants of Frailty in Older Adults: An Umbrella Review of Systematic Reviews and Meta-Analyses T2 - International dental journal TI - Oral Health Determinants of Frailty in Older Adults: An Umbrella Review of Systematic Reviews and Meta-Analyses UR - https://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med28&NEWS=N&AN=41380483 https://flinders.primo.exlibrisgroup.com/openurl/61FUL_INST/61FUL_INST:FUL?sid=OVID:medline&id=pmid:41380483&id=doi:10.1016%2Fj.identj.2025.109319&issn=0020-6539&isbn=&volume=76&issue=1&spage=109319&pages=109319&date=2026&title=International+Dental+Journal&atitle=Oral+Health+Determinants+of+Frailty+in+Older+Adults%3A+An+Umbrella+Review+of+Systematic+Reviews+and+Meta-Analyses.&aulast=Lokman&pid=%3Cauthor%3ELokman+N%3BNayan+NAM%3BChoong+EKM%3C%2Fauthor%3E%3CAN%3E41380483%3C%2FAN%3E%3CDT%3EJournal+Article%3C%2FDT%3E VL - 76 Y2 - 20251210// ID - 78 ER - TY - JOUR AB - AIM: To explore the relationship between sleep and cognitive frailty in older adults., DESIGN: A systematic review and meta-analysis., DATA SOURCES: The Web of Science, Cochrane Library, CINAHL, Embase, PsycINFO and PubMed databases were searched from inception to October 28, 2024., METHODS: Two investigators independently conducted literature screening, data extraction and quality assessment. The Joanna Briggs Institute Critical Appraisal Tool and Newcastle-Ottawa Scale were used to evaluate methodological quality. This review followed PRISMA guidelines., RESULTS: This review included 13 articles involving 14,223 individuals, and 10 studies included in the meta-analysis. Across 13 studies, the overall prevalence of cognitive frailty was 25%. Sleep problems were categorised into four categories; the results reported that poor sleep quality, long sleep time and insomnia were correlated with the presence of cognitive frailty. However, the relationship between short sleep time and cognitive frailty was not significant., CONCLUSIONS: This review quantitatively suggested that sleep parameters such as long sleep time, insomnia and poor sleep quality were correlated with the presence of cognitive frailty. Future research should adopt longitudinal designs and use validated instruments to measure both quantitative and qualitative aspects of sleep, thereby facilitating a thorough examination of the strength of the relationship between sleep and cognitive frailty, as well as the direction of causality., IMPACT: The review highlights the need to integrate comprehensive sleep assessments and targeted interventions into nursing care plans for older adults to enhance their sleep health. The findings will provide support for the development of effective interventions to prevent and manage cognitive frailty in the older population., PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution. Copyright © 2025 John Wiley & Sons Ltd. AU - Ma, Xuehan AU - Yao, Gengxin AU - Wan, Xinyu AU - Xu, Yiran AU - Yang, Yali AU - Zheng, Lishuang AU - Li, Xin AU - Qiu, Yiming AU - Chen, Li AU - Wang, Xinxin AU - Li, Guichen DB - Ovid MEDLINE(R) DO - https://dx.doi.org/10.1111/jan.17081 IS - 3 KW - Humans Aged Aged, 80 and over Female *Sleep/ph [Physiology] Male *Cognitive Dysfunction *Frail Elderly/px [Psychology] *Sleep Wake Disorders *Sleep Initiation and Maintenance Disorders Sleep Quality Middle Aged *Frailty N1 - ARIIA SR Collection 2026 PY - 2026 RN - SUB SE - Ma, Xuehan. School of Nursing, Jilin University, Changchun, China. Yao, Gengxin. School of Nursing, Jilin University, Changchun, China. Wan, Xinyu. School of Nursing, Jilin University, Changchun, China. Xu, Yiran. School of Nursing, Jilin University, Changchun, China. Yang, Yali. School of Nursing, Jilin University, Changchun, China. Zheng, Lishuang. School of Nursing, Jilin University, Changchun, China. Li, Xin. School of Nursing, Jilin University, Changchun, China. Qiu, Yiming. School of Nursing, Jilin University, Changchun, China. Chen, Li. School of Nursing, Jilin University, Changchun, China. Chen, Li. Department of Pharmacology, College of Basic Medical Sciences, Jilin University, Changchun, China. Wang, Xinxin. The First Hospital of Jilin University, Changchun, China. Li, Guichen. School of Nursing, Jilin University, Changchun, China. SN - 1365-2648 0309-2402 SP - 1991-2003 ST - Relationship Between Sleep and Cognitive Frailty in Older Adults: A Systematic Review and Meta-Analysis T2 - Journal of advanced nursing TI - Relationship Between Sleep and Cognitive Frailty in Older Adults: A Systematic Review and Meta-Analysis UR - https://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med28&NEWS=N&AN=40432567 https://flinders.primo.exlibrisgroup.com/openurl/61FUL_INST/61FUL_INST:FUL?sid=OVID:medline&id=pmid:40432567&id=doi:10.1111%2Fjan.17081&issn=0309-2402&isbn=&volume=82&issue=3&spage=1991&pages=1991-2003&date=2026&title=Journal+of+Advanced+Nursing&atitle=Relationship+Between+Sleep+and+Cognitive+Frailty+in+Older+Adults%3A+A+Systematic+Review+and+Meta-Analysis.&aulast=Ma&pid=%3Cauthor%3EMa+X%3BYao+G%3BWan+X%3BXu+Y%3BYang+Y%3BZheng+L%3BLi+X%3BQiu+Y%3BChen+L%3BWang+X%3BLi+G%3C%2Fauthor%3E%3CAN%3E40432567%3C%2FAN%3E%3CDT%3EJournal+Article%3C%2FDT%3E VL - 82 Y2 - 20250528// ID - 74 ER - TY - JOUR AB - BACKGROUND: The global need to improve access to primary care in residential aged care homes (RACHs) has driven interest in virtual care models. Despite rapid telehealth adoption, little is known about the sociotechnical factors influencing use in aged care settings, particularly from the perspectives of primary care providers, aged care staff, and residents. This review applied the Systems Engineering Initiative for Patient Safety (SEIPS) framework to synthesise evidence on barriers, enablers, processes, and outcomes of virtual care delivery in RACHs and primary care., METHODS: We conducted a systematic review in accordance with PRISMA guidelines and registered with PROSPERO (CRD42024562423). Databases searched included MEDLINE, Embase, CINAHL, and Scopus (January 2016-March 2025). Eligible studies reported qualitative, quantitative, or mixed-methods findings on virtual care involving RACHs and primary care. Data were extracted using a SEIPS-informed template and synthesised deductively across sociotechnical domains., FINDINGS: Thirteen studies met the inclusion criteria. Common barriers included limited digital literacy, sensory and cognitive impairments, poor audio-visual quality, lack of staff training, and workflow disruption. System-level challenges included poor technology interoperability, inadequate digital infrastructure, and insufficient organisational and policy support. Enablers included strong clinician-resident relationships, access to remote monitoring tools, and peer support. Reported outcomes were mixed: improved access, communication, and reduced emergency transfers were noted, alongside concerns about increased workload, reduced relational care, and diagnostic limitations. Studies reporting resident perspectives are lacking., INTERPRETATION: Virtual care has the potential to improve aged care access and outcomes, but effective implementation requires more than technology alone. Hybrid models integrating virtual with in-person care require supportive policies, funding models, and organisational workflows. Addressing interoperability gaps, infrastructure needs, and increasing co-design with residents are essential to create virtual care models that are sustainable, person-centred, and scalable in primary care and aged care contexts. Copyright © 2025 The Authors. Published by Elsevier B.V. All rights reserved. AU - Makeham, Meredith A. B. AU - Jayawardena, Tamasha AU - Elkheir, Samiha AU - Carrigan, Ann AU - Soumya AU - Russell, Heather AU - Prgomet, Mirela AU - Tyagi, Vaibhav AU - Huben, Amy Von AU - Baysari, Melissa AU - Bamgboje-Ayodele, Adeola DB - Ovid MEDLINE(R) DO - https://dx.doi.org/10.1016/j.ijmedinf.2025.106218 KW - *Primary Health Care Humans *Telemedicine *Homes for the Aged Aged *Patient Safety N1 - ARIIA SR Collection 2026 PY - 2026 RN - OPEN SE - Makeham, Meredith A B. Community and Primary Health Care, Faculty of Medicine and Health, The University of Sydney, Australia. Electronic address: meredith.makeham@sydney.edu.au. Jayawardena, Tamasha. Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, The University of Sydney, Australia. Elkheir, Samiha. Community and Primary Health Care, Faculty of Medicine and Health, The University of Sydney, Australia. Carrigan, Ann. Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, The University of Sydney, Australia. Soumya. Community and Primary Health Care, Faculty of Medicine and Health, The University of Sydney, Australia; Apunipima Cape York Health Council, Queensland, Australia. Russell, Heather. School of Rural Health Dubbo/Orange, Faculty of Medicine and Health, The University of Sydney, Australia. Prgomet, Mirela. Australian Institute of Health Innovation, Faculty of Medicine, Health and Human Sciences, Macquarie University, Australia. Tyagi, Vaibhav. Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, The University of Sydney, Australia. Huben, Amy Von. Leeder Centre for Health Policy, Economics & Data, Faculty of Medicine and Health, The University of Sydney, Australia. Baysari, Melissa. Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, The University of Sydney, Australia. Bamgboje-Ayodele, Adeola. Discipline of Design, School of Architecture, Design and Planning, The University of Sydney, Australia. SN - 1872-8243 1386-5056 SP - 106218 ST - Virtual care in residential aged care and primary care settings: a systematic literature review using the SEIPS framework T2 - International journal of medical informatics TI - Virtual care in residential aged care and primary care settings: a systematic literature review using the SEIPS framework UR - https://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med28&NEWS=N&AN=41411901 https://flinders.primo.exlibrisgroup.com/openurl/61FUL_INST/61FUL_INST:FUL?sid=OVID:medline&id=pmid:41411901&id=doi:10.1016%2Fj.ijmedinf.2025.106218&issn=1386-5056&isbn=&volume=207&issue=&spage=106218&pages=106218&date=2026&title=International+Journal+of+Medical+Informatics&atitle=Virtual+care+in+residential+aged+care+and+primary+care+settings%3A+a+systematic+literature+review+using+the+SEIPS+framework.&aulast=Makeham&pid=%3Cauthor%3EMakeham+MAB%3BJayawardena+T%3BElkheir+S%3BCarrigan+A%3BSoumya%3BRussell+H%3BPrgomet+M%3BTyagi+V%3BHuben+AV%3BBaysari+M%3BBamgboje-Ayodele+A%3C%2Fauthor%3E%3CAN%3E41411901%3C%2FAN%3E%3CDT%3EJournal+Article%3C%2FDT%3E VL - 207 Y2 - 20251210// ID - 81 ER - TY - JOUR AB - BACKGROUND: Older people residing in aged care homes often have complex health needs that can lead to hospitalisations, some of which are potentially avoidable. To address this, nurse-led or nurse-involved interventions have been implemented to reduce unnecessary hospital presentations., OBJECTIVE: To review and synthesise evidence on the impact of nurse-led or nurse-involved hospital avoidance outreach interventions on health service use for aged care home residents., DESIGN: A mixed-methods systematic review guided by the Joanna Briggs Institute framework., DATA SOURCES: Databases searched included Ovid Medline, Scopus, and the Cumulative Index of Nursing and Allied Health Literature (CINAHL)., METHODS: An initial search was conducted in October 2022 to identify peer-reviewed studies published in English between January 2011 to October 2022, with an update in August 2025. Titles, abstracts, and full text selections were screened by two or more independent reviewers and assessed for methodological quality. A convergent segregated approach was used for data synthesis and integration., FINDINGS: Twenty-four studies met the inclusion criteria: 16 quantitative, seven qualitative and one mixed-method study. The majority were conducted in Australia (n = 21), with others in Finland, Denmark and France. Nurse-led or nurse-involved hospital avoidance interventions were associated with reductions in emergency department presentations, re-presentations and hospital admissions via the emergency department. Four studies reported cost savings, although findings were heterogeneous. Health professionals reported positive experiences, but the perspectives of aged care home residents and their families were underrepresented. Key enablers of intervention success included staff support, leadership, rapid response outreach interventions, technological infrastructure, and outreach team expertise. Operational barriers include inconsistent guidelines and policies, limited service hours, and challenges with technology implementation., CONCLUSION: This review highlights growing evidence base supporting nurse-led and nurse-involved outreach interventions to avoid hospitalisation for unwell aged care home residents. The enablers and barriers identified in this systematic review offer valuable insights for clinicians and researchers planning or refining hospital avoidance initiatives., REGISTRATION: The protocol for this systematic review was registered at the PROSPERO register on 31 December 2022 [CRD42022385659]. Copyright © 2025 The Authors. Published by Elsevier Ltd.. All rights reserved. AU - Mari, Elsie AU - King, Jennie AU - Jeon, Yun-Hee AU - Jeong, Sarah Yeun-Sim DB - Ovid MEDLINE(R) DO - https://dx.doi.org/10.1016/j.ijnurstu.2025.105286 KW - Humans Aged *Homes for the Aged *Nursing Homes *Hospitalization N1 - ARIIA SR Collection 2026 PY - 2026 RN - OPEN SE - Mari, Elsie. Susan Wakil School of Nursing and Midwifery, The University of Sydney, New South Wales, 2006, Australia; Central Coast Local Health District, PO Box 361, New South Wales, 2250, Gosford, Australia. Electronic address: emar0757@uni.sydney.edu.au. King, Jennie. Susan Wakil School of Nursing and Midwifery, The University of Sydney, New South Wales, 2006, Australia; Central Coast Local Health District, PO Box 361, New South Wales, 2250, Gosford, Australia. Electronic address: Jennie.King@health.nsw.gov.au. Jeon, Yun-Hee. Susan Wakil School of Nursing and Midwifery, The University of Sydney, New South Wales, 2006, Australia. Electronic address: yun-hee.jeon@sydney.edu.au. Jeong, Sarah Yeun-Sim. Susan Wakil School of Nursing and Midwifery, The University of Sydney, New South Wales, 2006, Australia; Central Coast Local Health District, PO Box 361, New South Wales, 2250, Gosford, Australia. Electronic address: yeun.jeong@sydney.edu.au. SN - 1873-491X 0020-7489 SP - 105286 ST - Nurse-involved hospital avoidance outreach interventions for aged care home residents: A mixed-method systematic review T2 - International journal of nursing studies TI - Nurse-involved hospital avoidance outreach interventions for aged care home residents: A mixed-method systematic review UR - https://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med28&NEWS=N&AN=41308519 https://flinders.primo.exlibrisgroup.com/openurl/61FUL_INST/61FUL_INST:FUL?sid=OVID:medline&id=pmid:41308519&id=doi:10.1016%2Fj.ijnurstu.2025.105286&issn=0020-7489&isbn=&volume=174&issue=&spage=105286&pages=105286&date=2026&title=International+Journal+of+Nursing+Studies&atitle=Nurse-involved+hospital+avoidance+outreach+interventions+for+aged+care+home+residents%3A+A+mixed-method+systematic+review.&aulast=Mari&pid=%3Cauthor%3EMari+E%3BKing+J%3BJeon+YH%3BJeong+SY%3C%2Fauthor%3E%3CAN%3E41308519%3C%2FAN%3E%3CDT%3EJournal+Article%3C%2FDT%3E VL - 174 Y2 - 20251114// ID - 80 ER - TY - JOUR AB - When considering the entire lifecycle of products, including manufacturing, distribution, use, and end-of-life disposal, health-system solid waste contributes substantially to health-system greenhouse gas emissions, making the issue an important target for sustainability and decarbonisation action. In this systematic review, we examined sustainability principles and interventions that have been implemented in Australia and other high-income countries to reduce the greenhouse gas emission footprint of solid waste in the health-care and aged-care sectors, considering the waste hierarchy for the efficient use of resources. We identified 107 primary research articles and systematic reviews. A range of waste-management interventions were described, including a transition to electronic health records; removal of rarely used single-use items from preprepared sterile surgical packs; reuse of personal protective equipment, surgical textiles, procedural instruments, and non-invasive medical devices; introduction of recycling streams and recycling surgical blue wrap; and training staff on appropriate waste segregation. 54 of the 57 studies that reported economic costs found cost savings associated with interventions aimed at reducing waste and emissions. Although the scale, type, and reported effect of interventions vary considerably, the evidence gathered in this Review prioritises interventions further up the waste hierarchy, namely reduce, reuse, reprocess, and refurbish interventions. AD - National Health, Sustainability and Climate Unit, Australian Centre for Disease Control, Canberra, ACT, Australia; Institute for Global Health, University College London, London, UK; HEAL Global Research Centre, Health Research Institute, University of Canberra, Canberra, ACT, Australia. Electronic address: alice.mcgushin@cdc.gov.au. HEAL Global Research Centre, Health Research Institute, University of Canberra, Canberra, ACT, Australia. HEAL Global Research Centre, Health Research Institute, University of Canberra, Canberra, ACT, Australia; Asthma Australia, Canberra, ACT, Australia. National Health, Sustainability and Climate Unit, Australian Centre for Disease Control, Canberra, ACT, Australia; HEAL Global Research Centre, Health Research Institute, University of Canberra, Canberra, ACT, Australia. Department of Critical Care, Medicine, Dentistry and Health Sciences Division, University of Melbourne, Melbourne, VIC, Australia; Departments of Anaesthesia and Intensive Care, Western Health, Melbourne, VIC, Australia. National Health, Sustainability and Climate Unit, Australian Centre for Disease Control, Canberra, ACT, Australia. National Health, Sustainability and Climate Unit, Australian Centre for Disease Control, Canberra, ACT, Australia; Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia. National Health, Sustainability and Climate Unit, Australian Centre for Disease Control, Canberra, ACT, Australia; School of Public Health, The University of Sydney, Sydney, NSW, Australia. AN - 41698385 AU - McGushin, A. AU - Okokon, E. AU - Haddock, R. E. AU - O'Brien, A. T. AU - Turner, M. R. AU - McGain, F. AU - McGinley, C. AU - Wyns, A. AU - Vardoulakis, S. AU - Skellern, M. C1 - Declaration of interests FM has received royalties for co-patenting the McMonty hood and is a co-founder of ReResp, an N95 mask company. FM has received National Health and Medical Research Council (NHMRC) grants and other grants for lifecycle assessments of reusable and single-use medical devices. FM has no other competing interests to declare. All the other authors declare no competing interests. DA - Feb 13 DO - 10.1016/j.lanplh.2025.101418 DP - NLM ET - 20260213 LA - eng N1 - ARIIA SR Collection 2026 PY - 2026 RN - OPEN SN - 2542-5196 SP - 101418 ST - Interventions to reduce greenhouse gas emissions from health-system solid waste: a systematic review T2 - Lancet Planet Health TI - Interventions to reduce greenhouse gas emissions from health-system solid waste: a systematic review ID - 67 ER - TY - JOUR AB - INTRODUCTION: Older adults are more likely than younger people to have multiple chronic health conditions and increased health and/or social needs. As older people generally prefer living at home in the community as they age and residential care can be expensive, there is a need for effective alternatives to residential care in the community. The objective of this review was to synthesize evidence about programs aimed at enabling older people with ongoing health and social care needs to remain in the community. METHODS: This review followed the JBI methodology for systematic reviews of effectiveness. Included studies reported on complex, multifactorial interventions that were based in the community and included more than one type of service. Six databases and gray literature were searched for published and unpublished research. Titles and abstracts, and full-text selections were screened by two or more reviewers and assessed for methodological quality using JBI critical appraisal tools. Results related to quality of life and healthcare outcomes were extracted. RESULTS: Fifty-five full text articles, reporting on 51 unique complex interventions, were included in the review. Studies were predominantly randomized controlled trials (n=24) and quasi-experimental studies (n=23), with five cohort and three case series studies included. The overall quality of the included studies was moderate. Key characteristics of the interventions included case management, care planning, a comprehensive assessment, and in-home visits. Comparative meta-analyses were completed for five of the outcomes (hospital admission, emergency department visits, long-term care use, primary care use and quality of life). The results showed effects in the direction of interventions for the number of hospital admissions and LTC use, however, none of the meta-analyses were statistically significant. CONCLUSIONS: There is little agreement about the effectiveness of complex interventions on quality of life and health system outcomes. Jurisdictional differences may make the integration of literature reporting on such interventions particularly difficult. There is an ongoing need to understand what helps older people with complex needs live well in the community and what level of health system engagement is optimal. SYSTEMATIC REVIEW REGISTRATION: PROSPERO reference number CRD42022324061. AD - School of Nursing, Dalhousie University, Halifax, NS, Canada. elaine.moody@dal.ca. JBI Aligning Health and Evidence for Transformative Change, Dalhousie University, Halifax, NS, Canada. elaine.moody@dal.ca. School of Nursing, Dalhousie University, Halifax, NS, Canada. Strategy for Patient-Oriented Research (SPOR) Evidence Alliance Citizen Lead, Saskatoon, SK, Canada. School of Physiotherapy, Dalhousie University, Halifax, NS, Canada. School of Communication Sciences and Disorders, Dalhousie University, Halifax, NS, Canada. JBI Aligning Health and Evidence for Transformative Change, Dalhousie University, Halifax, NS, Canada. School of Health Administration, Dalhousie University, Halifax, NS, Canada. Faculty of Health, Dalhousie University, Halifax, NS, Canada. University Library, University of Saskatchewan, Saskatoon, SK, Canada. AN - 41639636 AU - Moody, E. AU - McDougall, H. AU - Paus Jenssen, E. AU - McArthur, C. AU - Affoo, R. AU - Weeks, L. E. AU - Macdonald, M. AU - Mojbafan, A. AU - Langman, E. C1 - Declarations. Ethics approval and consent to participate: Not applicable. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests. DA - Feb 4 DO - 10.1186/s12877-026-07011-x DP - NLM ET - 20260204 KW - (3–10): multifactorial intervention Community Frailty Multimorbidity Older adults LA - eng N1 - ARIIA SR Collection 2026 PY - 2026 RN - OPEN SN - 1471-2318 ST - The effectiveness of alternatives to residential care for older people with on-going health and social care needs: a systematic review T2 - BMC Geriatr TI - The effectiveness of alternatives to residential care for older people with on-going health and social care needs: a systematic review ID - 32 ER - TY - JOUR AB - OBJECTIVE: The objective of this qualitative systematic review is to critically appraise and synthesise the literature regarding the experiences of new graduate registered nurses (NGRN) in their transition to working in residential aged care homes (RACHs). INTRODUCTION: New graduate registered nurses who transition into RACHs post qualification may be exposed to an unfamiliar environment. In Australia, pre-registration programs focus on the preparation of graduates to work in acute settings, such as hospitals. Aged care homes have a unique practice and regulatory environment that would be unfamiliar unless the NGRN have worked in these homes before or during their registration program. INCLUSION CRITERIA: Studies that involved NGRN of any age, gender or cultural background, working in RACHs and in their first-year post-registration practice were included. New graduate registered nurses in other healthcare areas such as hospitals, community care, private practice and others were excluded. METHODS: The review followed the methodology of the Joanna Briggs Institute guidance for qualitative systematic reviews. Six databases were searched in November 2023: CINAHL, PubMed, Medline, Embase, PsycINFO, and Scopus. Only qualitative peer-reviewed articles written in the English language were included. Studies meeting the selection criteria were uploaded into Covidence, screened and appraised by two independent reviewers. FINDINGS: A total of 185 articles were selected and screened by title and abstract. Of these, 12 were selected for full-text review and three were selected for inclusion. Common across the three studies was that there was no formal program to support the new graduate registered nurse, nor a senior clinician to offer advice or support, which led to NGRN seeking advice from less qualified staff. AD - School of Nursing and Midwifery, University of Technology Sydney, Sydney, NSW, Australia. Improving Palliative, Aged and Chronic Care through Clinical Research and Translation (IMPACCT Centre), Faculty of Health, University of Technology Sydney, Ultimo, NSW, Australia. Academic Language & Learning, Teaching Learning and Curriculum Unit, University of Technology Sydney, Ultimo, Australia. School of Nursing and Midwifery, University of Technology Sydney, Sydney, Australia. AN - 41503809 AU - Mwanza, N. AU - Mack, H. A. AU - Havery, C. AU - Parker, D. DA - Jan 8 DO - 10.1080/10376178.2025.2606025 DP - NLM ET - 20260108 KW - Systematic review education long-term care nursing LA - eng N1 - ARIIA SR Collection 2026 PY - 2026 RN - SUB SN - 1037-6178 SP - 1-14 ST - What are the experiences of new graduate registered nurses transitioning into working in residential aged care homes? A qualitative systematic review T2 - Contemp Nurse TI - What are the experiences of new graduate registered nurses transitioning into working in residential aged care homes? A qualitative systematic review ID - 55 ER - TY - JOUR AB - AIM: To describe the latest information on types of psychosocial interventions and their effectiveness on loneliness reduction among older adults in community and residential care settings, and the experience with these interventions. DESIGN: Umbrella review. METHODS: The Joanna Briggs Institute methodology for umbrella reviews. DATA SOURCES: Cochrane Database of Systematic Reviews; Cumulative Index of Nursing and Allied Health Literature; Medline; Embase; Emcare; PsycINFO; ProQuest Dissertation & Thesis Global; Ovid Nursing Database; MedRxvi. RESULTS: Twenty-two reviews were included. Seven major types of psychosocial intervention were identified: (1) social facilitation interventions, (2) psychological therapies, (3) health and social care provision, (4) animal-assisted interventions, (5) befriending interventions, (6) leisure and skill development, and (7) other interventions. Social facilitation interventions that provide synchronised interaction, psychological therapies, health and social care provision, and animal (-assisted) interventions demonstrated positive effects while leisure/skill development and befriending interventions warrant more rigorous evidence. Group settings, synchronised interaction and purpose-driven are identified as facilitators, whereas technological issues and safety issues are barriers to participation. CONCLUSION: Seven types of psychosocial interventions are currently available for loneliness among community-dwelling older adults, and a positive effect in reducing loneliness was demonstrated in some types. Facilitators and barriers to their participation were synthesised. Two future research directions are suggested: (1) reviews on meaning-centred interventions to provide a comprehensive understanding and (2) implementation studies employing community-based paraprofessionals to promote programme scalability and accessibility. IMPLICATIONS FOR THE PROFESSION: Health and social care practitioners (e.g., nurses), researchers and policymakers are recommended to employ social facilitation interventions with synchronised interaction, psychological therapies, health and social care provision and animal-assisted interventions to address loneliness among community-dwelling older adults. IMPACT: This review provided empirical information on available effective interventions to address loneliness among community-dwelling older adults. It also provided information for nurses to implement psychosocial interventions in the community. REPORTING METHOD: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines PATIENT OR PUBLIC CONTRIBUTION: This study did not include patient or public involvement in its design, conduct or reporting. TRIAL REGISTRATION: PROSPERO CRD 42023482852, registered 25/11/2023. AD - Kirkhof of College of Nursing, Grand Valley State University, Grand Rapids, Michigan, USA. School of Nursing and Midwifery, University of Health and Allied Sciences, Ho, Ghana. Faculty of Sciences, Higher Colleges of Technology, Dubai, UAE. Joe. C. Wen School of Nursing, University of California at Los Angeles, Los Angeles, California, USA. Department of Applied Social Sciences, The Polytechnic University of Hong Kong, Hong Kong SAR, China. Research Centre of Gerontology and Family Studies, The Polytechnic University of Hong Kong, Hong Kong SAR, China. Nursing Department, Division of Health Sciences, Barbados Community College, St. Michael, Barbados. College of Nursing, Upstate Medical University, Syracuse, New York, USA. Department of Nursing, Zefat Academic College, Zefat, Israel. Saint Camillus International University of Health Sciences (UniCamillus), Rome, Italy. Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy. Centre of Excellence for Nursing Scholarship, Order of Nurses of Rome, Rome, Italy. David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, California, USA. Geriatric Research, Education, and Clinical Center (GRECC), Department of Veterans Affairs, Greater Los Angeles Healthcare System, Los Angeles, California, USA. School of Nursing and Midwifery, La Trobe University, Melbourne, Australia. AN - 41517834 AU - Oosterhouse, K. AU - Atakro, C. A. AU - Chan, J. H. M. AU - Matsuo, Y. AU - Zhang, Y. AU - Parris, F. AU - Mandebvu, F. AU - Khalaila, R. AU - Giannetta, N. AU - Stievano, A. AU - Song, Y. AU - Ho, K. H. M. DA - Jan 9 DO - 10.1111/jan.70464 DP - NLM ET - 20260109 KW - community loneliness older adults psychosocial interventions residential review LA - eng N1 - ARIIA SR Collection 2026 PY - 2026 RN - SUB SN - 0309-2402 ST - Systematic Reviews of Psychosocial Interventions for Loneliness Among Older Adults in Community and Residential Care Settings: An Umbrella Review T2 - J Adv Nurs TI - Systematic Reviews of Psychosocial Interventions for Loneliness Among Older Adults in Community and Residential Care Settings: An Umbrella Review ID - 52 ER - TY - JOUR AB - BACKGROUND: Physical exercise is a key strategy for mitigating frailty and attenuating the decline in physical, cognitive, and psychological functions associated with frailty. This meta-analysis evaluated the effects of physical exercise programs on frailty and frailty-related outcomes in institutional settings. METHODS: A systematic search was conducted across CINAHL, Cochrane Library, PubMed, EMBASE, OVID Medline, and two trial registration websites (ClinicalTrials.gov and WHO ICTRP). Randomized controlled trials investigating the influence of physical exercise on frail older adults residing in nursing homes were included in the analysis. RESULTS: A total of 20 out of 183 articles met the inclusion criteria for the final review. The final sample comprised 1701 participants. This meta-analysis demonstrated significant improvements in measures of frailty (p < 0.001), physical function (p < 0.001), and cognitive function (p = 0.04). This study's results reported improvements exceeding the minimal clinical important difference (MCID) for several key outcomes, including the Fried frailty phenotype, physical functions (the Sit-to-Stands Test, the Time Up and Go Test, the Short Physical Performance Battery, and the Gait speed), and cognitive function as measured by the Mini-Mental State Examination. In contrast, improvements in handgrip strength, functional reach, and the Montreal Cognitive Assessment did not reach the MCID threshold. Subgroup analyses revealed that interventions involving ≥ 3 sessions/week for ≥ 15 weeks, totaling > 2000 min were associated with notable enhancements in overall functions. CONCLUSIONS: In summary, our results indicate that a sustained and intensive physical exercise intervention may improve measures of frailty, physical and cognitive function in frail older nursing home residents. AD - International PhD Program in Gerontology and Long-Term Care, College of Nursing, Taipei Medical University, Taipei, Taiwan. STIKes Mitra Keluarga, Bekasi, Indonesia. Sekolah Tinggi Ilmu Kesehatan Hesti Wira Sriwijaya, Palembang, Indonesia. School of Gerontology and Long-Term Care, College of Nursing, Taipei Medical University, Taipei, Taiwan. Research Center in Nursing Clinical Practice, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan. AN - 41631861 AU - Pradana, A. A. AU - Hidayat, A. T. AU - Yanti, L. AU - Lee, S. C. DA - Feb 3 DO - 10.1111/jgs.70330 DP - NLM ET - 20260203 KW - aged frailty nursing homes physical exercise LA - eng N1 - ARIIA SR Collection 2026 PY - 2026 RN - SUB SN - 0002-8614 ST - Effect of Physical Exercise on Frailty in Older Nursing Home Residents: A Systematic Review and Meta-Analysis T2 - J Am Geriatr Soc TI - Effect of Physical Exercise on Frailty in Older Nursing Home Residents: A Systematic Review and Meta-Analysis ID - 34 ER - TY - JOUR AB - BACKGROUND: Patient groups and policymakers are calling for the implementation of relationship-centred, co-ordinated care for vulnerable older people. Relationship-centred care highlights the significance of strong, quality relationships among residents, their families and the broader healthcare team. The present work performed a qualitative evidence synthesis to explore issues relating to the provision of relationship-centred dental care for older people living in care homes, as perceived by care home staff, dental professionals, family and residents. This builds on the existing evidence base and outlines areas for improvement of dental care provision within residential care homes. METHODS: A 'best fit' framework synthesis of primary research was used to understand how and why current dental care might or might not be relationship-centred. A palliative healthcare-focused conceptual framework for relationship-centred care was used as the basis for the synthesis. The review focuses on qualitative primary research studies exploring dental care for care-home residents. RESULTS: Of 235 unique citations, fifteen qualitative primary research papers were included. The synthesis identified supporting evidence for all five of the broad a priori themes from the relationship-centred care coding framework: Relationship-centred care, Integration within the wider health and social care systems, Digital inclusion, Workforce support and Parity of esteem. Relationships between themes were articulated. CONCLUSIONS: This 'best-fit' framework synthesis found that care home staff identified numerous barriers to providing relationship-centred dental care for older residents. Dentists, families and residents were underrepresented, highlighting the need for further research into their perspectives. By acknowledging the complexity of dental care and addressing issues such as integration, workforce support, digital services and parity of esteem, the synthesis suggests that applying organisational change research may help improve oral health outcomes in care homes. AD - School of Dental Sciences, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK. Population Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK. School of Medicine and Population Health, University of Sheffield, Newcastle upon Tyne, UK. AN - 41630511 AU - Pritchett, R. AU - Exley, C. AU - Carroll, C. AU - Wassall, R. R. DA - Feb 2 DO - 10.1111/ger.70053 DP - NLM ET - 20260202 KW - care homes dental care for aged oral health qualitative research systematic review LA - eng N1 - ARIIA SR Collection 2026 PY - 2026 RN - OPEN SN - 0734-0664 ST - A Qualitative Evidence Synthesis to Explore Relationship-Centred Dental Care for Older People Living in Care Homes T2 - Gerodontology TI - A Qualitative Evidence Synthesis to Explore Relationship-Centred Dental Care for Older People Living in Care Homes ID - 35 ER - TY - JOUR AB - BACKGROUND: Increasing global migration creates new challenges for multicultural societies in providing equitable care. Culturally and linguistically diverse (CALD) people who move into care homes find themselves in an environment where health professionals do not speak their language and the access to cultural activities is limited. This may increase loneliness and social isolation. When designing care home environments for CALD residents with dementia, culture is a key consideration. The aim of this integrative review is to highlight what elements of the care home environment are reported to meet culture-specific needs of CALD residents with dementia, and how. METHODS: A search strategy which included terms for care homes, forms of dementia and CALD people was developed, and a systematic search was carried out in six databases. Eligible articles were original peer-reviewed studies published between 2013 and 2024 and contained examples of how care home environments have been used to meet culture-specific needs of CALD residents. All screenings and extractions were carried out by two independent researchers. RESULTS: The search resulted in 4311 records. After the screening process, 27 articles met the eligibility criteria. The review findings are categorized according to components of the WHO's International classification of functioning, disability and health (ICF). Results linked to the ICF component Activities and participation stress the importance of communication in the resident's preferred language, social and supportive relationships and culturally relevant activities, while the component Environmental factors highlights the significance of ethnic food and support from culturally competent care professionals and family members. CONCLUSIONS: This integrative review underlines the complexity of using environments to meet culture-specific needs of CALD residents with dementia. The findings highlight the importance of bilingual staff, culturally relevant activities and inclusive environments in enhancing communication, building interpersonal relationships and reducing frustration among CALD residents. Collaborations between culturally competent staff, family members and members of cultural communities also facilitate meeting social and cultural needs of these residents. This review offers suggestions on how environments in care homes can be adapted for CALD residents and encourages further research to find practical solutions for equitable care. REGISTRATION: A study protocol is registered on Prospero (CRD42023492906). AD - School of Health Sciences, Örebro University, Örebro, Sweden. nina.ramezani@oru.se. School of Health Sciences, Örebro University, Örebro, Sweden. The National Agency for Special Needs Education and Schools, Örebro, Sweden. Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden. AN - 41546055 AU - Ramezani, N. AU - Granberg, S. AU - Kihlgren, A. AU - Baudin, K. AU - Lindner, H. C1 - Declarations. Ethical approval: Not applicable. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests. C2 - PMC12817771 DA - Jan 16 DO - 10.1186/s12939-025-02748-0 DP - NLM ET - 20260116 IS - 1 KW - Humans *Dementia/ethnology *Cultural Diversity *Nursing Homes Cultural Competency Language Culturally Competent Care Alzheimer disease Cultural diversity Dementia Environment Ethnic and racial minorities Ethnicity Integrative review LA - eng N1 - ARIIA SR Collection 2026 PY - 2026 RN - OPEN SN - 1475-9276 SP - 15 ST - The use of care home environments to meet culture-specific needs of culturally and linguistically diverse residents with dementia: an integrative review using the ICF framework T2 - Int J Equity Health TI - The use of care home environments to meet culture-specific needs of culturally and linguistically diverse residents with dementia: an integrative review using the ICF framework VL - 25 ID - 45 ER - TY - JOUR AB - PURPOSE: The association between antidementia drugs (ADDs) use and the risk of nursing home placement (NHP) remains inconclusive. This study aimed to investigate the effects of ADDs, including cholinesterase inhibitors (CEIs) and memantine, on NHP among individuals with dementia. METHODS: A systematic search of PubMed, Embase, Cochrane Library and ClinicalTrials.gov was conducted up to 16 March 2024 and updated on 25 August 2025. Randomized controlled trials (RCTs) or observational studies investigating the use of ADDs and NHP were included. Hazard ratios (HRs) with 95% confidence intervals (CI) were pooled using the DerSimonian-Laird random-effects model. RESULTS: Of 1,373 records, three RCTs and nine observational studies were included, encompassing different comparators. Meta-analyses were conducted separately by study design. In RCT, the single trial comparing any ADDs versus non-use (N = 1; donepezil vs placebo) showed no significant difference in NHP. In head-to-head RCT comparisons, one trial suggested a non-significant trend toward higher NHP risk with memantine versus donepezil. Among observational studies, a meta-analysis of five observational studies suggested a lower NHP risk with any ADDs in Alzheimer's disease (pooled HR = 0.43, 95% CI: 0.32-0.58, I(2) = 40.39%, p < 0.001) and mixed dementia (pooled HR = 0.84, 95% CI: 0.72-0.97, I(2) = 0.00%, p = 0.019). Pooled observational head-to-head comparisons likewise showed no significant differences between donepezil and rivastigmine (n = 3), donepezil and galantamine (n = 2), or CEIs + memantine versus CEIs monotherapy (n = 2). These observational estimates may be affected by residual confounding and other biases and should be interpreted with caution. By GRADE, certainty was low for the RCTs evidence and very low for the pooled observational studies of ADDs or CEIs versus non-use, and for head-to-head and combination therapy comparisons. CONCLUSIONS: RCTs, rated as low-certainty evidence, suggest that ADDs may have no effect on NHP, whereas observational studies, rated as very low-certainty evidence, suggest that ADDs may be associated with a reduced risk of NHP among individuals with dementia. Given the overall uncertainty, high-quality, adequately powered prospective trials with longer follow-up are required to clarify these associations and to assess whether a causal relationship exists. AD - Division of Clinical Pharmacy, Department of Pharmaceutical Care, School of Pharmaceutical Sciences, University of Phayao, Phayao, Thailand. Faculty of Pharmaceutical Sciences, Naresuan University, Phitsanulok, Thailand. Division of Social and Administrative Pharmacy, Department of Pharmaceutical Care, School of Pharmaceutical Sciences, University of Phayao, Phayao, Thailand. Unit of Excellence on Clinical Outcomes Research and Integration (UNICORN), School of Pharmaceutical Sciences, University of Phayao, Phayao, Thailand. Center of Excellence in Bioactive Resources for Innovative Clinical Applications, Chulalongkorn University, Bangkok, Thailand. Faculty of Pharmacy, Silpakorn University, Nakhon Pathom, Thailand. Division of Ambulatory Medicine, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand. Division of Social and Administrative Pharmacy, Department of Pharmaceutical Care, School of Pharmaceutical Sciences, University of Phayao, Phayao, Thailand. pajaree.mo@up.ac.th. AN - 41528688 AU - Rattanatanyapat, P. AU - Suan-Ek, P. AU - Saokaew, S. AU - Phisalprapa, P. AU - Mongkhon, P. C1 - Declarations. Conflict of interest: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. Ethical approval: This study was evaluated by The Ethics Committee of the University of Phayao (UP-HEC 1.1/012/65) provided expedited approval for the study. Informed consent: Not applicable. DA - Jan 13 DO - 10.1007/s41999-025-01398-3 DP - NLM ET - 20260113 KW - Alzheimer’s disease Antidementia agents Cholinesterase inhibitors Dementia Memantine Nursing homes LA - eng N1 - ARIIA SR Collection 2026 PY - 2026 RN - OPEN SN - 1878-7649 (Print) 1878-7649 ST - Antidementia drugs and nursing home placement: a systematic review and meta-analysis T2 - Eur Geriatr Med TI - Antidementia drugs and nursing home placement: a systematic review and meta-analysis ID - 49 ER - TY - JOUR AB - BACKGROUND: Population ageing and the increasing complexity of care pathways make transitions from hospital to residential healthcare facilities a critical phase for continuity of care. Inadequate management may result in clinical errors, repeated hospitalisations, and increased healthcare costs. The lack of standardised models and limited understanding of transitional care pathways highlight the need for further investigation of existing approaches. OBJECTIVES: This scoping review aims to identify and map geriatric transitional care models described in the literature, focusing on their main characteristics, the professionals involved, and their potential applicability within the Italian National Health Service. METHODS: A scoping review was conducted according to the guidelines of the Joanna Briggs Institute and Prisma-ScR. The bibliographic search, carried out on Medline, ScienceDirect and Web of Science, identified 2107 articles. After removing duplicates and screening against predefined inclusion and exclusion criteria, seven studies were included. RESULTS: Across the seven studies, twelve transitional care projects were identified. Most models adopted a multidisciplinary, nurse-centred approach with active involvement of patients and family caregivers. Advanced Practice Nurses or equivalent expert nurses played a central role in care coordination, medication reconciliation, and post-discharge follow-up, contributing to reduced hospital readmissions and improved patient satisfaction. CONCLUSIONS: Existing models suggest that multidisciplinary transitional care, supported by expert nurses, can enhance continuity and quality of care for older adults transferred to residential facilities. The conceptual framework derived from this mapping should be interpreted as a hypothesis‑generating synthesis to guide local adaptation and piloting in Italy, particularly by strengthening the role and competencies of Family and Community Nurses. AD - Azienda Ospedaliero-Universitaria Consorziale Policlinico di Bari, Italia. Electronic address: erossi712@gmail.com. Azienda Ospedaliera San Camillo Forlanini, Italia. Electronic address: dilorenzo.flavia1@gmail.com. Ausl Romagna-Ambito di Ravenna, Italia. Electronic address: renatocongedo1@gmail.com. Università degli studi di Bari, Italia. Electronic address: donatella.daccolti@uniba.it. AN - 41650837 AU - Rossi, E. AU - Lorenzo, F. D. AU - Congedo, R. AU - D'Accolti, D. C1 - Declaration of competing interest The authors declare that they have no known financial conflicts of interest or personal relationships that could have influenced the work reported in this article. DA - Jan 30 DO - 10.1016/j.archger.2026.106160 DP - NLM ET - 20260130 KW - Care Nurse Nursing process Quality of nursing care Transitional care Transitional care model LA - eng N1 - ARIIA SR Collection 2026 PY - 2026 RN - SUB SN - 0167-4943 SP - 106160 ST - Geriatric transition care between acute hospital and residential healthcare settings: scoping review of current models and proposed conceptual framework T2 - Arch Gerontol Geriatr TI - Geriatric transition care between acute hospital and residential healthcare settings: scoping review of current models and proposed conceptual framework VL - 143 ID - 27 ER - TY - JOUR AB - Background: Recently, a vast amount of both theoretical and empirical literature has appeared, exploring the ethical implications of emerging technologies (ET) in the context of daily management and care of (frail) older adults. However, to the best of our knowledge, no comprehensive research has been carried out over the impact of ET on older adults’ vulnerability, focusing on older adults with cognitive impairments, who are the main beneficiaries of ET. Research aim: This work aims to investigate the ethically-related impact of ET, in particular exploring the impact of ET on cognitively-impaired older adults’ vulnerabilities. Methods: Using the PRISMA procedure, we conducted a systematic review of empirical (qualitative) evidence exploring the relationship between ET and older adults’ vulnerabilities as perceived by older adults with cognitive impairments. Five major databases (Pubmed, Embase, Web of Science, CINAHL and Philosopher’s Index) were queried, covering biomedical, philosophical, bioethical, and anthropological literature. 11.631 results were obtained. After duplicates were eliminated, titles, abstracts, and full texts of identified papers were screened for relevance. Eventually, 51 articles were included. Data analysis and synthesis followed the preparatory steps of the coding process detailed in the QUAGOL methodology. Results: ET seem to act in a twofold manner, taming some already existing vulnerabilities, and, at the same time, worsening already existing – or creating new – vulnerabilities. As an example, some Unconventional Monitoring Techniques (e.g., wearables) tame “physical vulnerability”, by providing a sense of safety and constant monitoring, but threat “psychological vulnerability”, causing frustration related to inherent technology’s limitations and to a lack of familiarity with the technology itself. Conclusions: This systematic study significantly contributes to enriching the ethical debate on the use of technology for the care and assistance of older adults. It shows that, if properly implemented and used, ET can be helpful in taming some dimensions of older adults’ vulnerability, thus contributing to active ageing and/or the containment of physical and psychological deterioration. However, technologies alone cannot mitigate vulnerability in all its dimensions. Indeed, some of these dimensions involve more complex and multi-layered phenomena, thus requiring authentic human intervention and, in some cases, socio-political measures. AD - Department of Oncology and Hemato-Oncology, University of Milan, Milan, Italy. virginia.sanchini@unimi.it. Department of Public Health and Primary Care, Centre for Biomedical Ethics and Law, KU Leuven, Leuven, Belgium. virginia.sanchini@unimi.it. Department of Oncology and Hemato-Oncology, University of Milan, Milan, Italy. Department of Public Health and Primary Care, Centre for Biomedical Ethics and Law, KU Leuven, Leuven, Belgium. AN - 41535754 AU - Sanchini, V. AU - Fasoli, A. AU - Beretta, G. AU - Gastmans, C. C1 - Declarations. Ethics approval and consent to participate: Not applicable. Consent for publication: All the authors gave their consent for publication. Competing interests: The authors declare no competing interests. DA - Jan 15 DO - 10.1186/s12877-025-06792-x DP - NLM ET - 20260115 KW - Aged care Emerging technologies Ethical issues Older adults Vulnerability LA - eng N1 - ARIIA SR Collection 2026 PY - 2026 RN - OPEN SN - 1471-2318 ST - Emerging technologies and vulnerabilities in older adults with cognitive impairments: a systematic review of qualitative evidence T2 - BMC Geriatr TI - Emerging technologies and vulnerabilities in older adults with cognitive impairments: a systematic review of qualitative evidence ID - 47 ER - TY - JOUR AB - BACKGROUND: Polypharmacy and inappropriate medication are common amongst people with life-limiting conditions. Whilst deprescribing may help reduce these medication-related issues, supporting evidence in this population group is limited. AIM: To synthesise evidence on the outcomes of deprescribing in people with life-limiting conditions. DESIGN: Systematic review. DATA SOURCE: MEDLINE, Embase, Scopus, PsycINFO and CINAHL were searched. Original studies published between Jan 2000 and Dec 2024 in English were included. RESULT: A total of 17,457 hits were screened, of which 46 original studies met the inclusion criteria. Most eligible studies were pre-post interventional (n = 14) or cohort studies (n = 14), conducted primarily in nursing homes or long-term care facilities (n = 20) and hospitals (n = 16). The majority originated from North America (n = 20) and Australia (n = 7). A wide range of outcome variables were examined, with a primary focus on clinical outcomes. All studies assessing the impact on the number of medications used reported either a reduction in overall medication burden or inappropriate medications (n = 15), or no significant change (n = 3). Regarding mortality, most studies (10 studies) reported no impact, while 3 studies each reported increased and decreased mortality. For other outcomes, the majority of studies reported that deprescribing had no effect. CONCLUSION: This systematic review suggests that deprescribing offers some benefits, including reduced medication burden and costs in people with life-limiting conditions. While there is no strong evidence for harm, a small proportion of patients reported increased risks, so careful monitoring is essential. Further research should explore how deprescribing outcomes vary by disease condition and medication type. AD - NIHR Newcastle Patient Safety Research Collaboration, Newcastle University, Newcastle upon Tyne, UK. Northumbria Healthcare NHS Foundation Trust, Newcastle upon Tyne, UK. Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK. St Oswald's Hospice, Newcastle upon Tyne, UK. School of Pharmacy, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK. AN - 41724578 AU - Shrestha, R. AU - Shaw, E. AU - Mullen, L. AU - Sinclair, D. AU - Dewhurst, F. AU - Todd, A. DA - Feb 22 DO - 10.1177/02692163261416281 DP - NLM ET - 20260222 KW - deprescription inappropriate medication medication optimisation older adults palliative care LA - eng N1 - ARIIA SR Collection 2026 PY - 2026 RN - OPEN SN - 0269-2163 SP - 2692163261416281 ST - Outcomes of deprescribing for people with life-limiting conditions: A systematic review T2 - Palliat Med TI - Outcomes of deprescribing for people with life-limiting conditions: A systematic review ID - 64 ER - TY - JOUR AB - BACKGROUND: Systematic use of Clinical Decision Support (CDS), which provides timely information to assist healthcare practitioners in decision-making, is recommended in the implementation of fall prevention among older adults. This systematic review aimed to evaluate the effects of CDS for fall prevention on healthcare practitioners' adherence to recommended practice, medication outcomes, and patient outcomes. METHODS: We searched Medline, EMBASE, CINAHL, Cochrane Library, Web of Science, AMED, PEDro, and Google Scholar from the earliest available dates through January 2025. We included randomised and non-randomised studies that directly compared interventions consisting of CDS presented on-screen or on paper to healthcare practitioners aiming to prevent falls in persons aged 65 years or older. We analysed healthcare practitioner performance, medication review and prescribing, fall risk, fall rate, and fall injury rate as primary outcomes. Two reviewers independently screened studies and assessed for risk of bias. We synthesised results using meta-analyses and vote-counting based on direction of effect, when possible, otherwise narratively, and we rated the certainty of the evidence using the GRADE approach. RESULTS: Of 25 included studies, 20 were randomised and five were non-randomised. Most CDS tools supported healthcare practitioners in performing multifactorial fall risk assessments and follow-up interventions based on identified risks (60%) and most were delivered electronically (60%). CDS may improve healthcare practitioners' adherence to recommended practice (all eight comparisons favouring CDS; 95% confidence interval [CI] 68% to 100%; low certainty) and likely improve medication review and prescribing (all nine comparisons favouring CDS; 95% CI 70% to 100%; moderate certainty), although the effect sizes are uncertain. CDS may reduce fall risk, but the effect may be small (odds ratio 0.93; 95% CI 0.81 to 1.01; low certainty). CDS likely reduces fall rates in hospitals or residential care (rate ratio [RaR] 0.74; 95% CI 0.63 to 0.88; moderate certainty) and in patients aged 80 years or older (RaR 0.72; 95% CI 0.61 to 0.86; moderate certainty). CDS may reduce fall rates in community-dwelling older adults (RaR 0.97; 95% CI 0.93 to 1.00; moderate certainty) and in patients aged between 65 and 80 years (RaR 0.92; 95% CI 0.84 to 1.01; low certainty), though the effects in both of these subgroups may be small. CDS may reduce fall injury rates in older adults aged between 65 and 80 years (RaR 0.80; 95% CI 0.59 to 1.09; low certainty). The evidence on fall injury rates in patients aged 80 years or older was very uncertain. CONCLUSION: CDS likely enhances healthcare practitioners' performance in fall prevention among older adults; however, the effect sizes remain unknown. Although CDS may improve patient outcomes in fall prevention, both the effect sizes and the certainty of evidence vary. Results from this study may inform the planning and implementation of CDS in fall prevention. Future studies should strive for clearer reporting of CDS design factors to allow for an evaluation of which factors may influence the success of CDS interventions in fall prevention. TRIAL REGISTRATION: Registration: PROSPERO, CRD42021250500. AD - Department of Rehabilitation Science and Health Technology, Faculty of Health Sciences, OsloMet - Oslo Metropolitan University, Oslo, Norway. Department of Health and Functioning, Western Norway University of Applied Sciences, Faculty of health and social sciences, Bergen, Norway. Norwegian Social Research (NOVA), OsloMet - Oslo Metropolitan University, Oslo, Norway. MAGIC Evidence Ecosystem Foundation; Research Department, Lovisenberg Diaconal Hospital, Oslo, Norway. Division of Health Services, Norwegian Institute of Public Health, Oslo, Norway. AN - 41525339 AU - Solli, R. AU - Olsen, N. R. AU - Kvæl, L. A. H. AU - Van de Velde, S. AU - Pripp, A. H. AU - Flottorp, S. A. AU - Brovold, T. C1 - The authors have declared that no competing interests exist. C2 - PMC12795367 DO - 10.1371/journal.pone.0340025 DP - NLM ET - 20260112 IS - 1 KW - Humans *Accidental Falls/prevention & control Aged *Decision Support Systems, Clinical Aged, 80 and over LA - eng N1 - ARIIA SR Collection 2026 PY - 2026 RN - OPEN SN - 1932-6203 SP - e0340025 ST - Effectiveness of clinical decision support in fall prevention among older adults: A systematic review and meta-analysis T2 - PLoS One TI - Effectiveness of clinical decision support in fall prevention among older adults: A systematic review and meta-analysis VL - 21 ID - 50 ER - TY - JOUR AB - In recent decades, Islamic countries have undergone significant demographic shifts, with a noticeable increase in the proportion of older people. Religion, particularly Islam, plays a crucial role in helping older people overcome challenges such as loneliness, declining health, and the loss of loved ones. However, insufficient systematic reviews have been conducted on the literature on aged care from an Islamic perspective, illustrating that extensive studies in this field are required. Thus, the aim of the current paper was to bridge this gap by examining how Islamic beliefs and practices contribute to the physical and mental health of older people. Utilizing the Scopus, ScienceDirect, and PubMed databases, in addition to the gray literature, a systematic review of the literature was undertaken in August 2024. The inclusion criteria involved experimental, non-experimental, observational, and qualitative studies involving individuals aged 60 and above, with a focus on Islamic involvement. A narrative synthesis was conducted, and the quality of the studies was evaluated using the Joanna Briggs Institute checklists. The inclusion of 29 articles was supported by the methodological quality assessments. Four themes were identified: Islamic principles in care for older people; Islamic values and mental health; Islamic-based interventions and health outcomes; and spiritual needs and older people care. The integration of Islamic values into the care of older people offers a holistic approach that improves their physical and mental health. Future healthcare policies and guidelines should emphasize spiritual care as an essential element in care for older people to provide a more comprehensive and effective care approach. AU - Syed Elias, Sharifah Munirah AU - Mohamad Shariff, Nurasikin AU - Wan Mamat, Wan Hasliza AU - Mahat, Nur Ain DA - 2026/01/10 DO - 10.1007/s12126-025-09644-6 IS - 1 L1 - internal-pdf://4201163962/Exploring the Contributions of Islamic Beliefs.pdf N1 - ARIIA SR Collection 2026 PY - 2026 RN - OPEN SN - 1936-606X SP - 3 ST - Exploring the Contributions of Islamic Beliefs and Practices to the Physical and Mental Health of Older People: A Systematic Literature Review T2 - Ageing International TI - Exploring the Contributions of Islamic Beliefs and Practices to the Physical and Mental Health of Older People: A Systematic Literature Review UR - https://doi.org/10.1007/s12126-025-09644-6 https://link.springer.com/content/pdf/10.1007/s12126-025-09644-6.pdf VL - 51 ID - 21 ER - TY - JOUR AB - INTRODUCTION: The rapid digitalisation of workplaces presents both challenges and opportunities for older workers. This scoping review examines how digital technologies impact social support for older workers, focusing on emotional, informational, and instrumental support within professional environments. While social support is critical for well-being and productivity in ageing workforces, the effects of digitalisation on social support dynamics remain insufficiently understood. METHODS: Following Joanna Briggs Institute and PRISMA-ScR guidelines, a comprehensive search strategy was conducted across databases like ERIH, Web of Science, Scopus, and PubMed from anytime to 2023 to identify peer-reviewed studies involving digital technologies used by older workers, generally considered as workers aged 50 years or older. Covidence software facilitated the screening of over 5000 scientific papers, study selection, and data extraction, and the Mixed Methods Appraisal Tool (MMAT) assessed quality. Findings were synthesized through descriptive statistics and narrative analysis. RESULTS: Forty-three studies met inclusion criteria. Digital technologies were found to enhance various forms of social support: remote work tools, messaging apps, and telemedicine platforms facilitated emotional connection and informational exchange. However, digitalisation also introduced barriers, some older workers reported isolation, reduced informal contact, and technostress, underscoring disparities in digital literacy and adaptation. DISCUSSION: Digitalisation exerts a dual impact on social support for older workers: it can strengthen professional connectedness yet also heighten vulnerability to stress and exclusion. Targeted digital literacy initiatives and sustained managerial engagement are crucial to ensure that technology enhances, rather than undermines, well-being and productivity among ageing employees. AD - Psychology and Educational Sciences Department, Gheorghe Zane Institute for Economic and Social Research, Romanian Academy, Iasi Branch, Iasi, Romania. cmbostan@gmail.com. Department of Sociology, Social Work and Human Resources, Faculty of Philosophy and Social-Political Sciences, Alexandru Ioan Cuza University of Iasi, Iasi, Romania. cmbostan@gmail.com. Psychology Research Institute, Faculty of Social Studies, Masaryk University, Brno, Czechia. Gerontology Department, Faculty of Health Sciences, and in Ageing Research Center, Akdeniz University, Antalya, Türkiye. Department of Health and Caring Sciences, Faculty of Health and Social Sciences, Western Norway University of Applied Sciences, Forde, Norway. Eskişehir Technical University, Faculty of Sport Sciences, Eskişehir, Türkiye. Department of Economics, Faculty of Economics and Administrative Sciences, Yildiz Technical University, Istanbul, Türkiye. Department of Economics, Faculty of Business Administration, Gebze Technical University, Gebze, Türkiye. Work, Employment, Management and Organisation Department, Business School, University of Leicester, Leicester, United Kingdom. Division of Occupational and Environmental Medicine, Lund University, Lund, Sweden. Department of Public Health, Kristianstad University, Kristianstad, Sweden. Department of Public Health, Babes-Bolyai University, Cluj-Napoca, Romania. Department of Community Medicine, Health Information and Decision, Faculty of Medicine, University of Porto, Porto, Portugal. Universitat Internacional de Catalunya, Barcelona, Spain, and Centre d'Estudis Demogràfics, Bellaterra, Spain. jjaspijker@uic.es. AN - 41530715 AU - Tofan, C. M. AU - Ševčíková, A. AU - Yaylagul, N. K. AU - Kulla, G. AU - Yıldızer, G. AU - Mercan, M. A. AU - Barlın, H. AU - Gu, Y. AU - Nilsson, K. AU - Grad, D. A. AU - Gomes, J. R. AU - Spijker, J. C1 - Declarations. Ethics approval and consent to participate: Not applicable. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests. C2 - PMC12888202 DA - Jan 14 DO - 10.1186/s12889-025-26155-w DP - NLM ET - 20260114 IS - 1 KW - Humans *Social Support *Digital Technology Middle Aged Aged *Workplace/psychology Digital technologies Digitalisation Health Older workers Social support LA - eng N1 - ARIIA SR Collection 2026 PY - 2026 RN - OPEN SN - 1471-2458 SP - 542 ST - Redefining social support: a scoping review of the effects of digital technologies on the social support of older workers T2 - BMC Public Health TI - Redefining social support: a scoping review of the effects of digital technologies on the social support of older workers VL - 26 ID - 48 ER - TY - JOUR AB - AIMS: To critically appraise and synthesise the evidence about the effects and experiences of care models and interventions to improve person-centred care for older people in long-term care facilities. DESIGN: A mixed methods systematic review, following the Joanna Briggs Institute guidance and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. DATA SOURCES: MEDLINE, PubMed, CINAHL, PsycINFO, Embase, Web of Science, Cochrane Library, and Thaijo were searched to identify relevant primary research published in English and Thai from January 2000 to February 2024. REVIEW METHODS: All relevant primary research with quantitative, qualitative, and mixed methods design was included. A convergent synthesis approach was used to synthesise and integrate findings. RESULTS: 4070 records were identified, of which 30 studies were retained: 12 quantitative, nine qualitative, and nine mixed methods studies. The evidence revealed five themes: (1) personalised preference, social engagement, and well-being; (2) autonomy and dignity; (3) a home-like environment; (4) family involvement and satisfaction; and (5) organisational and staff support. CONCLUSION: This review indicated that person-centred care models and interventions could improve residents' quality of life, autonomy, and promote individual care provision, create an environment based on individual needs, and involve families in care, although challenges such as staff shortages and lack of managerial support may hinder successful implementation. Future work is required to evaluate and identify effective strategies to strengthen organisational support, including leadership development, staff retention, and resource allocation, and evaluate how organisational culture influences the adoption and success of person-centred care practices. IMPACT: The review provides valuable insights and a comprehensive understanding of the care models and interventions specifically designed to improve person-centred care and enhance the quality of life for older people in long-term care facilities. PATIENT OR PUBLIC CONTRIBUTION: Not applicable. TRIAL REGISTRATION: The protocol was registered with the PROSPERO (CRD42024509504). AD - Department of Nursing and Midwifery, School of Health Sciences, College of Medicine and Health, University of Birmingham, Birmingham, UK. Department of Nursing Administration, Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand. AN - 41692992 AU - Udkunta, K. AU - Efstathiou, N. AU - Guo, P. DA - Feb 15 DO - 10.1111/jan.70527 DP - NLM ET - 20260215 KW - long‐term care long‐term care facilities model of care nurse nursing older people person‐centred care systematic review LA - eng N1 - ARIIA SR Collection 2026 PY - 2026 RN - OPEN SN - 0309-2402 ST - Models of Care and Interventions to Improve Person-Centred Care for Older People in Long-Term Care Facilities: A Mixed Methods Systematic Review T2 - J Adv Nurs TI - Models of Care and Interventions to Improve Person-Centred Care for Older People in Long-Term Care Facilities: A Mixed Methods Systematic Review ID - 68 ER - TY - JOUR AB - Objectives Previous studies have investigated quality improvement in the care for older people; however, there remains a need to identify the factors that influence interprofessional quality improvement. This study aims to study the facilitators and barriers for interprofessional quality improvement in the care for older people in nursing homes. Design Systematic literature review (PROSPERO registration number: CRD42024528522). Setting and Participants Interprofessional teams in the care for older people in nursing homes. Methods A systematic search of PubMed, CINAHL, PsycINFO, and Web of Science was performed. Peer-reviewed, original qualitative studies were included that reported on facilitators and/or barriers for quality improvement by teams of at least 2 different disciplines of care professionals in the long-term care for older people in nursing homes. Thematic synthesis was used to identify facilitators and barriers. Results Facilitators and barriers from 35 publications (40 quality improvement projects) were grouped into the following 8 themes: vision, culture, attitude, communication, collaboration, education, resources, and implementation. Within each theme, factors were divided into 5 different levels of influence: resident system, individual, team, organization, and external. The variety of themes and levels of influence shows the complexity of interprofessional quality improvement. Conclusions and Implications The literature shows that interprofessional quality improvement in nursing homes is a complex endeavor. Although the interprofessional team is responsible for quality improvement, the individuals within the team and the organization around the team have an active role in facilitating this process. In addition, quality improvement projects should more actively involve residents and their families. AU - Vosters, Rosanne M. AU - Goërtz, Yvonne M. J. AU - Janssen, Daisy J. A. AU - Hamers, Jan P. H. AU - Sion, Katya Y. J. DA - 2026/02/01/ DO - https://doi.org/10.1016/j.jamda.2025.106037 IS - 2 KW - Quality improvement interprofessional collaboration nursing homes care for older people N1 - ARIIA SR Collection 2026 PY - 2026 RN - OPEN SN - 1525-8610 SP - 106037 ST - Factors Influencing Interprofessional Quality Improvement in Nursing Homes: A Systematic Review T2 - Journal of the American Medical Directors Association TI - Factors Influencing Interprofessional Quality Improvement in Nursing Homes: A Systematic Review UR - https://www.sciencedirect.com/science/article/pii/S1525861025005547 https://www.sciencedirect.com/science/article/pii/S1525861025005547?via%3Dihub VL - 27 ID - 20 ER - TY - JOUR AB - Background: Diabetes affects approximately 10.5% of the global adult population and is more prevalent in care homes due to residents’ advanced age and multimorbidity. Effective diabetes management in these settings is essential to prevent complications and maintain quality of life, yet evidence addressing the specific needs of this population remains limited. High-quality care relies on access to appropriate clinical education. This scoping review will synthesise evidence on educational interventions to support diabetes care provision in care home settings. Methods: This scoping review was undertaken in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines. A comprehensive literature search was conducted across three electronic databases: CINAHL Plus, Medline, and PsycINFO. Methodological quality of the included primary studies was assessed using the Mixed Methods Appraisal Tool (MMAT). Results: In total, 10 studies were included in the review, encompassing evidence from a range of international contexts. Analysis revealed three prominent themes; Firstly, educating nurses about diabetes can improve practice and behaviour. Secondly, educational interventions can increase staff knowledge and confidence, which is linked to enhancing the quality of care. Finally, a range of facilitators and barriers influencing the delivery of diabetes training in care homes were identified. Discussion: The review suggests that educational interventions in care homes can enhance diabetes care. However, while the current evidence is encouraging, there are a lack of empirically tested educational interventions for diabetes education in this setting. Further, current educational programmes appear to lack key detail including footcare, eye care and COVID-19. To ensure the provision of high-quality diabetic care, it is therefore important to enhance the training and education of staff members AD - School of Nursing and Midwifery, Queen's University Belfast, Belfast, Northern Ireland. School of Nursing and Midwifery, Queen's University Belfast, Belfast, Northern Ireland. S.Craig@qub.ac.uk. Queen's University Belfast, Centre for Public Health, Belfast, Northern Ireland. College of Nursing, Qatar University, Doha, Qatar. Emory University, Nell Hodgson Woodruff School of Nursing, Atlanta, GA, USA. College of Nursing, New York University, New York, United States of America. Faculty of Health Sciences, University of Malta, Msida, Malta. Faculty of Nursing, Cairo University, Cairo, Egypt. The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong , SAR, China. Faculty of Health Sciences and Social Studies, University of Szeged, Szeged, Hungary. Faculty of Nursing, University of New Brunswick, Moncton, Canada. School of Nursing and Midwifery, Queen's University Belfast, Belfast, Northern Ireland. Gary.Mitchell@qub.ac.uk. AN - 41639856 AU - Walker, K. A. AU - Craig, S. AU - Anderson, T. AU - Stark, P. AU - Brown Wilson, C. AU - Carter, G. AU - McEvoy, C. AU - Creighton, L. AU - Henderson, E. AU - Porter, S. AU - Alhalaiqa, F. AU - Ferranti, E. AU - Murali, K. P. AU - Zheng, Y. AU - Sammut, R. AU - Shaban, M. M. AU - Tam, H. L. AU - Buzás, N. AU - Leidl, D. AU - Mitchell, G. C1 - Declarations. Ethics approval and consent to participate: Not applicable. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests. DA - Feb 5 DO - 10.1186/s12909-026-08738-2 DP - NLM ET - 20260205 KW - Aged care facilities Care homes Diabetes Education Educational interventions Nursing care Older people Scoping review LA - eng N1 - ARIIA SR Collection 2026 PY - 2026 RN - OPEN SN - 1472-6920 ST - Diabetes educational interventions in care homes: a scoping review T2 - BMC Med Educ TI - Diabetes educational interventions in care homes: a scoping review ID - 31 ER - TY - JOUR AB - OBJECTIVES: Worldwide, nursing homes are increasingly becoming a place for the last phase of life, with residents often being hospitalised near death. This might have changed by implementing end-of-life care structures more widely over years. Therefore, we aimed to systematically investigate trends in end-of-life hospitalisations among nursing home residents. DESIGN: Systematic review. DATA SOURCES: MEDLINE (via PubMed), CINAHL and EMBASE were searched from inception to 24 April 2025, supplemented by citation searching. ELIGIBILITY CRITERIA: Observational studies with ≥100 deceased residents reporting proportions of in-hospital deaths or hospitalisations in the last month of life for at least two observations being at least 3 years apart were included. DATA EXTRACTION AND SYNTHESIS: Studies were summarised descriptively. Percentage point changes between the initial and last observations of end-of-life hospitalisations were calculated. Study quality was assessed using the Joanna Briggs Institute's tool. RESULTS: We screened 4122 records for eligibility and included 12 studies published in 13 articles covering data from Belgium, Germany, Japan and the USA. Reported number of included residents ranged from 1647 to 2 954 276 and most studies assessed only one period in the month before death, mostly in-hospital deaths. 10 studies assessed trends in in-hospital deaths; those with higher initial proportions (from 30.3% to 79.2%, n=8) indicated a decrease (-2.0 to -23.5 percentage points). Trends on hospitalisations in the last month of life (n=5) were heterogeneous. Only three studies stratified findings by age, sex or presence of dementia. End-of-life hospitalisations for all age groups and both sexes have decreased over time, but this trend is inconclusive for residents with and without dementia. CONCLUSIONS: Trends in end-of-life hospitalisations vary between countries. As more policies have been implemented worldwide in recent years aiming to improve end-of-life care in nursing homes, longitudinal studies investigating trends from other countries are needed. PROSPERO REGISTRATION NUMBER: CRD420251038131. AD - Department of Health Services Research, Carl von Ossietzky Universität Oldenburg, Oldenburg, Germany. Institute for Clinical Epidemiology and Biometry, Julius-Maximilians-Universität Würzburg, Würzburg, Germany. Department of Health, Long-term Care and Pensions, University of Bremen, Bremen, Germany. High-Profile Area of Health Sciences, University of Bremen, Bremen, Germany. AN - 41736811 AU - Wandscher, K. AU - Hoffmann, F. AU - Czwikla, J. C1 - The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: FH was also author of two studies and KW was also author of one study included in this review. Apart from this, there are no conflicts of interest. C2 - PMC12927325 DO - 10.1136/bmjph-2025-003998 DP - NLM ET - 20260218 IS - 1 KW - Prevalence Systematic Review trends LA - eng N1 - ARIIA SR Collection 2026 PY - 2026 RN - OPEN SN - 2753-4294 SP - e003998 ST - Trends in end-of-life hospitalisations of nursing home residents: a systematic review T2 - BMJ Public Health TI - Trends in end-of-life hospitalisations of nursing home residents: a systematic review VL - 4 ID - 60 ER - TY - JOUR AB - BACKGROUND: With global aging, dementia prevalence is rising, imposing significant burdens. Reminiscence therapy (RT) shows promise for improving cognition in older adults with cognitive impairment or dementia, but evidence remains inconsistent, potentially moderated by factors like age, intervention frequency, and setting. AIMS: This systematic review and network meta-analysis aimed to evaluate RT's efficacy on cognitive function in older patients with cognitive impairment or dementia and identify moderating factors through subgroup analyses. METHODS: A comprehensive search was conducted across 11 English and Chinese databases from inception until May 1, 2025, to identify eligible randomized controlled trials (RCTs) evaluating RT versus standard care in older adults with cognitive impairment or dementia, utilizing the cognitive outcome. Two independent reviewers screened the studies, extracted data, and assessed risk of bias and evidence quality. Using RevMan 5.4 for meta-analysis and subgroup analysis. RESULTS: Twenty-four RCTs involving 1,963 patients were included. RT significantly improved cognitive function, with benefits sustained at follow-up. RT also improved memory, reduced depression, and enhanced quality of life, but not executive function. Subgroup analyses revealed significantly greater cognitive improvement in patients aged 60-70 years, with intervention frequencies of 12-16 sessions, and in nursing home settings. CONCLUSION: RT is an effective intervention for improving cognition, memory, depression, and quality of life in older adults with cognitive impairment or dementia. Patient age, intervention frequency, and setting are potential moderators of its cognitive efficacy, providing actionable insights for optimizing clinical RT protocols. AD - School of Nursing, Shanghai University of Traditional Chinese Medicine, No. 1200, Cailun Road, Pudong New Area, Shanghai, 201203, China. School of Exercise and Health, Shanghai University of Sport, Shanghai, 200438, China. Nursing Department, Shanghai Second Rehabilitation Hospital, Shanghai, 200940, China. Scientific research department, Shanghai Second Rehabilitation Hospital, No. 25, Lane 860, Changjiang Road, Baoshan District, Shanghai, 200940, China. 2105093658@qq.com. School of Nursing, Shanghai University of Traditional Chinese Medicine, No. 1200, Cailun Road, Pudong New Area, Shanghai, 201203, China. yuwuchina@aliyun.com. AN - 41514114 AU - Wang, S. AU - Li, K. AU - Peng, X. AU - Xue, Y. AU - Liang, L. AU - Shen, Q. AU - Chen, Y. AU - Wu, C. C1 - Declarations. Competing interests: The authors declare no competing interests. Human and animal rights: This study is a systematic review and meta-analysis. As it involves secondary analysis of previously published data, human and animal rights are not applicable. Informed consent: Informed consent was obtained in the original studies. C2 - PMC12819563 DA - Jan 9 DO - 10.1007/s40520-025-03300-4 DP - NLM ET - 20260109 IS - 1 KW - Aged Aged, 80 and over Humans Middle Aged *Cognition *Cognitive Dysfunction/therapy/psychology *Dementia/therapy/psychology Quality of Life Randomized Controlled Trials as Topic Treatment Outcome Cognitive impairment Dementia Meta-analysis Non-pharmacological intervention Reminiscence therapy LA - eng N1 - ARIIA SR Collection 2026 PY - 2026 RN - OPEN SN - 1594-0667 (Print) 1594-0667 SP - 45 ST - The efficacy of reminiscence therapy on the cognition of older patients with cognitive impairment or dementia: a meta-analysis based on regulatory factors T2 - Aging Clin Exp Res TI - The efficacy of reminiscence therapy on the cognition of older patients with cognitive impairment or dementia: a meta-analysis based on regulatory factors VL - 38 ID - 72 ER - TY - JOUR AB - Background The current level of social acceptance of socially assistive robots (SARs) remains limited. Research on user preferences plays an essential role in improving the acceptance of SARs among older adults. This study aimed to integrate evidence on older adults’ preferences for SARs to provide personalized guidance and establish a foundation for their future use in home care environments. Methods We searched 7 databases to find any studies designed to focus on the preferences of older adults for SARs. The quality of the included studies was assessed using the Mixed Methods Appraisal Tool (MMAT). Results A total of 21 studies were included. Although studies on older adults’ preferences for SARs varied considerably in design and scope, several consistent patterns emerged: (1) older adults preferred SARs that assist with household tasks; (2) they favored voice-based interaction; (3) they preferred human-like appearances; (4) their preferences regarding privacy, data storage, control, autonomy, and emotional or social interaction; and (5) most viewed SARs as assistants or companions. Conclusion This review highlights the diversity of older adults’ preferences for SARs, including service functions, communication, appearance, and ethical considerations. Future research should address these preferences to promote acceptance and support the integration of socially assistive robots into home care settings. AU - Wu, Jing AU - Cao, Jixia AU - Li, Pingshuang AU - Yang, Can AU - He, Ying DA - 2026/01/10/ DO - https://doi.org/10.1016/j.archger.2026.106139 KW - older adults preferences socially assistive robots systematic review N1 - ARIIA SR Collection 2026 PY - 2026 RN - SUB SN - 0167-4943 SP - 106139 ST - What matters most to older adults? A systematic review of preferences for socially assistive robots T2 - Archives of Gerontology and Geriatrics TI - What matters most to older adults? A systematic review of preferences for socially assistive robots UR - https://www.sciencedirect.com/science/article/pii/S0167494326000117 https://www.sciencedirect.com/science/article/pii/S0167494326000117?via%3Dihub ID - 18 ER - TY - JOUR AB - BACKGROUND: As the older adults population grows, the incidence of hip fractures continues to rise, presenting a major challenge to healthcare systems. Traditional postoperative rehabilitation often struggles with continuity and accessibility, particularly for patients in remote areas. Telerehabilitation, which leverages digital technologies for remote care, is emerging as a potential solution to overcome these limitations and provide more efficient, accessible rehabilitation for older adult patients recovering from hip fractures. OBJECTIVE: To conduct a scoping review of studies on the application of telerehabilitation in home care for older adults postoperative hip fractures, aiming to evaluate its effectiveness, methods, and potential for standardization in clinical practice. METHODS: Based on scoping review guidelines, a systematic search was conducted on CNKI, Wanfang Database, CQVIP, CBM, PubMed, Web of Science, Cochrane Library, CINAHL, and Embase, up to August 31, 2025..The included literature was summarized and analyzed. RESULTS: A total of 18 studies were included. Among these, mobile applications, WeChat platforms, and video interaction systems were the primary methods for home-based care of elderly patients after hip fracture surgery, all utilizing telerehabilitation delivered through video, text, and image-based interventions. A meta-analysis of key outcome measures revealed significant improvements in the telerehabilitation group compared to the control group across several domains: hip function (HHS, P < 0.001), walking ability (6MWT, P < 0.0001), and quality of life (SF-36, P < 0.001). Furthermore, advantages were noted in pain relief (NPRS, P < 0.05) and a reduction in depressive symptoms (HADS-D, P = 0.003). Notably, multiple studies consistently reported significantly higher exercise adherence in the telerehabilitation group compared to the control group (P < 0.05). CONCLUSION: Telerehabilitation effectively enhances functional recovery and adherence in older adults after hip fracture surgery. Its success depends on matching interventions to patients' digital literacy. Future implementation requires standardized protocols and outcome measures to be integrated into professional follow-up care, thereby overcoming existing barriers and maximizing scalability. TRIAL REGISTRATION: OSF Registration DOI: https://doi.org/10.17605/OSF.IO/QYUJM. AD - School of Nursing, Yunnan University of Chinese Medicine, Kunming, Yunnan, China. Department of Orthopaedics, 920th Hospital of Joint Logistics Support Force, Kunming, Yunnan, China. AN - 41678454 AU - Yang, C. AU - Fu, Y. AU - Du, D. AU - Li, X. AU - Zhou, Q. AU - Yang, Y. AU - Luo, T. C1 - The authors have declared that no competing interests exist. C2 - PMC12900298 DO - 10.1371/journal.pone.0342110 DP - NLM ET - 20260212 IS - 2 KW - Humans *Hip Fractures/rehabilitation/surgery *Telerehabilitation Aged *Home Care Services Quality of Life Aged, 80 and over Male Female LA - eng N1 - ARIIA SR Collection 2026 PY - 2026 RN - OPEN SN - 1932-6203 SP - e0342110 ST - Application of telerehabilitation in home care for older adult patients with postoperative hip fractures: A scoping review T2 - PLoS One TI - Application of telerehabilitation in home care for older adult patients with postoperative hip fractures: A scoping review VL - 21 ID - 23 ER - TY - JOUR AB - OBJECTIVES: Fecal incontinence (FI) is a prevalent yet often overlooked condition in older adults, significantly impacting both quality of life and health care systems. This study aimed to explore the pooled prevalence of FI among older adults. DESIGN: Systematic review and meta-analysis. SETTING AND PARTICIPANTS: Ninety-five studies involving 595,019 older adults across community, hospital, and long-term care settings. METHODS: A comprehensive literature search was conducted across 6 English and 4 Chinese databases. Two reviewers independently searched records and extracted data. A random-effects meta-analysis estimated pooled prevalence, 95% confidence intervals (CIs), 95% prediction intervals (PIs), and heterogeneity. Sources of heterogeneity were investigated via multivariable meta-regression and prespecified subgroup analyses (exploring region, population setting, case definition, frequency threshold, and mode of ascertainment). All statistical analyses used Stata 18.0. RESULTS: The pooled prevalence of FI was 14.1% (95% CI, 11.7%-16.7%), but this masked extreme heterogeneity (I(2) = 99.86%, τ(2) = 0.125, P < .001; 95% PI, 7.6%-24.7%). Multivariable meta-regression identified long-term care settings [adjusted odds ratio (OR), 3.55] and Australia and Oceania (adjusted OR, 2.48) as significant predictors. The model explained only 23.22% of heterogeneity, leaving extreme residual variance (Residual I(2) = 99.72%), strongly suggesting methodological inconsistencies (eg, definitions, ascertainment methods) are the predominant drivers of heterogeneity. CONCLUSIONS AND IMPLICATIONS: FI affects approximately 1 in 7 older adults globally, with the greatest burden in long-term care settings. Extreme residual heterogeneity limits generalizability and is strongly suggestive of methodological inconsistencies as the predominant drivers. Improving detection and comparability necessitates harmonized case definitions (International Continence Society and International Urogynecological Association) and validated instruments (Fecal Incontinence Severity Index) in research. In clinical practice, particularly long-term care, a brief 2-step screening (eg, Bristol Stool Form, International Consultation on Incontinence Questionnaire-Bowel) at admission and regular reviews is advisable, with an electronic health record flag to trigger conservative bowel management and specialist referral as needed. AD - School of Nursing, Jilin University, Changchun, Jilin Province, People's Republic of China. School of Nursing, Jilin University, Changchun, Jilin Province, People's Republic of China. Electronic address: sunjiao@jlu.edu.cn. AN - 41554520 AU - Zhong, Q. AU - Wu, Y. AU - Fang, S. AU - Zhi, S. AU - Li, J. AU - Li, M. AU - Zhang, H. AU - Lang, J. AU - Li, D. AU - Sun, J. C1 - Disclosure The authors declare no conflicts of interest. DA - Jan 30 DO - 10.1016/j.jamda.2025.106085 DP - NLM ET - 20260130 IS - 3 KW - Fecal incontinence meta-analysis older adults prevalence systematic review LA - eng N1 - ARIIA SR Collection 2026 PY - 2026 RN - SUB SN - 1525-8610 SP - 106085 ST - Prevalence of Fecal Incontinence in Older Adults: A Systematic Review and Meta-Analysis T2 - J Am Med Dir Assoc TI - Prevalence of Fecal Incontinence in Older Adults: A Systematic Review and Meta-Analysis VL - 27 ID - 43 ER - TY - JOUR AB - AIM: Identify and describe research that explores interest-holder perceptions and definitions of foodservice quality in residential aged care., METHODS: This review follows the Joanna Briggs Institute methodological framework for conducting scoping reviews and was reported using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews checklist. PubMed, Embase, CINAHL, and Scopus were used to search for peer-reviewed literature. Grey literature was searched through Google and six Australian government sources. No restrictions were applied to methodology, year, or geographical location published. Findings were synthesised into distinct interest-holder and foodservice component groups using meta-synthesis., RESULTS: A total of 31 eligible texts, including peer-reviewed (n = 17) and grey literature (n = 14) were included in this review. Texts identifying perceptions (n = 23) were predominantly those of residents (n = 11) while definitions of quality (n = 13) were all described by researchers and experts. Despite some agreement that foodservice quality is associated with how acceptable food or meals are to residents, there is a lack of consensus on what defines quality, with none of the literature addressing quality across the whole foodservice system., CONCLUSION: Published research and reports that examine the perspectives of interest-holders in residential aged care provided no consensus on definitions or clear sets of indicators defining foodservice quality. Further research is required to understand the perceptions of foodservice quality in order to guide the development and implementation of specific measures to support assessment and evaluation. Copyright © 2025 The Author(s). Nutrition & Dietetics published by John Wiley & Sons Australia, Ltd on behalf of Dietitians Australia. AU - Zilujko, Jessica AU - Abbey, Karen AU - Capra, Sandra DB - Ovid MEDLINE(R) DO - https://dx.doi.org/10.1111/1747-0080.70005 IS - 1 KW - Humans *Food Services/st [Standards] *Homes for the Aged/st [Standards] Australia Aged Perception N1 - ARIIA SR Collection 2026 PY - 2026 RN - OPEN SE - Zilujko, Jessica. School of Human Movement and Nutrition Sciences (HMNS), Faculty of Health and Behavioural Sciences, The University of Queensland, Brisbane, Australia. Abbey, Karen. School of Human Movement and Nutrition Sciences (HMNS), Faculty of Health and Behavioural Sciences, The University of Queensland, Brisbane, Australia. Capra, Sandra. School of Human Movement and Nutrition Sciences (HMNS), Faculty of Health and Behavioural Sciences, The University of Queensland, Brisbane, Australia. SN - 1747-0080 1446-6368 SP - 43-55 ST - Exploring and understanding perceptions and definitions of foodservice quality in residential aged care: A scoping review T2 - Nutrition & dietetics : the journal of the Dietitians Association of Australia TI - Exploring and understanding perceptions and definitions of foodservice quality in residential aged care: A scoping review UR - https://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med28&NEWS=N&AN=40190257 https://flinders.primo.exlibrisgroup.com/openurl/61FUL_INST/61FUL_INST:FUL?sid=OVID:medline&id=pmid:40190257&id=doi:10.1111%2F1747-0080.70005&issn=1446-6368&isbn=&volume=83&issue=1&spage=43&pages=43-55&date=2026&title=Nutrition+%26+Dietetics&atitle=Exploring+and+understanding+perceptions+and+definitions+of+foodservice+quality+in+residential+aged+care%3A+A+scoping+review.&aulast=Zilujko&pid=%3Cauthor%3EZilujko+J%3BAbbey+K%3BCapra+S%3C%2Fauthor%3E%3CAN%3E40190257%3C%2FAN%3E%3CDT%3EJournal+Article%3C%2FDT%3E VL - 83 Y2 - 20250407// ID - 76 ER -