Habits and Lifestyles of Successfully Aging Women in a Rural Area

Older adults in rural areas have unique challenges to maintain well-being. The goal of this project was to examine those unique factors related to successful aging in a sample of older women living in a rural area in the Midwest using both quantitative and qualitative methods. Mental and physical health, personality traits, cognitive abilities (i.e., working memory, vocabulary and attention), and activity levels were assessed. A semi-structured interview using a life narrative approach was also used to explore habits, family relationships and lifestyles over the past 20 years. The women were administered the following measures: 1) Big Five Factor Personality Inventory (John, 1990); 2) The Florida Cognitive Activities Scale (Schinka et al., 2005); 3) Geriatric Depression Scale (Brink et al., 1982); 4) A series of cognitive tasks to assess working memory, vocabulary, and attention; and 5) the Identity Style (revised) measure. All of the women indicated that they felt they were aging successfully. Many of the women also reported having very healthy diets, moderate to high levels of exercise, and included many redemption sequences in their life stories (i.e., a negative event leading to an emotionally positive outcome). Current self-rated health was related to Extraversion (r = -.45), Openness (r = -.36), and Neuroticism (r = .35). Interestingly, the women\u27s educational level was related to their current level of cognitive activities (r = .39) as well as depression score (r = -.36). These findings present support for the importance of leading a healthy lifestyle and also indicate that many factors including personality traits as well as education may play a role in how well women age

Feasibility, Acceptability, and Efficacy of Home-Based Transcranial Direct Current Stimulation on Pain in Older Adults with Alzheimer’s Disease and Related Dementias: A Randomized Sham-Controlled Pilot Clinical Trial

Although transcranial direct current stimulation (tDCS) is emerging as a convenient pain relief modality for several chronic pain conditions, its feasibility, acceptability, and preliminary efficacy on pain in patients with Alzheimer’s disease and related dementias (ADRD) have not been investigated. The purpose of this pilot study was to assess the feasibility, acceptability, and preliminary efficacy of 5, 20-min home-based tDCS sessions on chronic pain in older adults with ADRD. We randomly assigned 40 participants to active (n = 20) or sham (n = 20) tDCS. Clinical pain intensity was assessed using a numeric rating scale (NRS) with patients and a proxy measure (MOBID-2) with caregivers. We observed significant reductions of pain intensity for patients in the active tDCS group as reflected by both pain measures (NRS: Cohen’s d = 0.69, p-value = 0.02); MOBID-2: Cohen’s d = 1.12, p-value = 0.001). Moreover, we found home-based tDCS was feasible and acceptable intervention approach for pain in ADRD. These findings suggest the need for large-scale randomized controlled studies with larger samples and extended versions of tDCS to relieve chronic pain on the long-term for individuals with ADRD

Global rural health disparities in Alzheimer\u27s disease and related dementias: State of the science

INTRODUCTION: Individuals living in rural communities are at heightened risk for Alzheimer\u27s disease and related dementias (ADRD), which parallels other persistent place-based health disparities. Identifying multiple potentially modifiable risk factors specific to rural areas that contribute to ADRD is an essential first step in understanding the complex interplay between various barriers and facilitators. METHODS: An interdisciplinary, international group of ADRD researchers convened to address the overarching question of: What can be done to begin minimizing the rural health disparities that contribute uniquely to ADRD? In this state of the science appraisal, we explore what is known about the biological, behavioral, sociocultural, and environmental influences on ADRD disparities in rural settings. RESULTS: A range of individual, interpersonal, and community factors were identified, including strengths of rural residents in facilitating healthy aging lifestyle interventions. DISCUSSION: A location dynamics model and ADRD-focused future directions are offered for guiding rural practitioners, researchers, and policymakers in mitigating rural disparities. HIGHLIGHTS: Rural residents face heightened Alzheimer\u27s disease and related dementia (ADRD) risks and burdens due to health disparities. Defining the unique rural barriers and facilitators to cognitive health yields insight. The strengths and resilience of rural residents can mitigate ADRD-related challenges. A novel location dynamics model guides assessment of rural-specific ADRD issues

Global rural health disparities in Alzheimer's disease and related dementias: State of the science

INTRODUCTION: Individuals living in rural communities are at heightened risk for Alzheimer's disease and related dementias (ADRD), which parallels other persistent place-based health disparities. Identifying multiple potentially modifiable risk factors specific to rural areas that contribute to ADRD is an essential first step in understanding the complex interplay between various barriers and facilitators. METHODS: An interdisciplinary, international group of ADRD researchers convened to address the overarching question of: “What can be done to begin minimizing the rural health disparities that contribute uniquely to ADRD?” In this state of the science appraisal, we explore what is known about the biological, behavioral, sociocultural, and environmental influences on ADRD disparities in rural settings. RESULTS: A range of individual, interpersonal, and community factors were identified, including strengths of rural residents in facilitating healthy aging lifestyle interventions. DISCUSSION: A location dynamics model and ADRD-focused future directions are offered for guiding rural practitioners, researchers, and policymakers in mitigating rural disparities. HIGHLIGHTS: Rural residents face heightened Alzheimer's disease and related dementia (ADRD) risks and burdens due to health disparities. Defining the unique rural barriers and facilitators to cognitive health yields insight. The strengths and resilience of rural residents can mitigate ADRD-related challenges. A novel “location dynamics” model guides assessment of rural-specific ADRD issues