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Ju Young Yoon 13 Articles
Gender Differences in Older Adults’ Muscle Strength and Depressive Symptoms: A Relationship Mediated Through Perceived Stress
Gyeong A Kang, Jihye Shin, Ju Young Yoon
Res Community Public Health Nurs. 2023;34(3):196-204.   Published online September 27, 2023
DOI: https://doi.org/10.12799/rcphn.2023.00164
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AbstractAbstract PDF
Purpose
Preventing the effects of physical vulnerability is a practical approach to improving older adults’ depressive symptoms. This study aims to examine the relationship between gender differences related to muscle strength and depressive symptoms mediated by perceived stress.
Methods
In this cross-sectional study, data from 2,705 older adults (65 years old or older) from the Korea National Health and Nutrition Examination Survey VII 2016 and 2018 were analyzed. The moderated mediation model was developed; the outcome, independent, mediation, and moderated mediation variables in the literature-based research model were depressive symptoms, muscle strength, perceived stress, and gender, respectively.
Results
Perceived stress had a mediating effect on the relationship between muscle strength and depressive symptoms. The indirect effect of muscle strength on depressive symptoms mediated by perceived stress was β = -.02 (95% CI:-0.03~-0.01). The moderated mediation model demonstrated that the interaction term of handgrip strength and gender negatively affected perceived stress, which indicated that gender moderated the mediating model of perceived stress on the association of muscle strength and depressive symptoms (β = -.01, p <.05). The conditional indirect effect model was insignificant in the male group (β = -.00, 95% CI:-0.01~0.01) but significant in the female group (β = -.01, 95% CI: -0.02~0.00). Conclusions: Perceived stress mediated the relationship between muscle strength and depressive symptoms. However, the effect differed by gender. A stress-mediated depressive symptoms intervention program for older adults should be developed to consider women’s needs.
The Effect of Dual Sensory Impairment on Cognitive Function Decline in the Elderly: The Moderating Effect of Social Support
Soo Jee Yang, Ju Young Yoon
Res Community Public Health Nurs. 2023;34(3):217-227.   Published online September 27, 2023
DOI: https://doi.org/10.12799/rcphn.2023.00255
  • 1,193 View
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AbstractAbstract PDF
Purpose
This study verified that the dual sensory impairment (DSI) in the elderly is associated with cognitive impairment (CI) and confirmed how change in cognitive function varies depending on the social support (SS).
Methods
For a study sample of Korean older people, data from the Korean Longitudinal Study of Ageing (KLoSA) from the 7th (2018) to the 8th (2020), were included in this cross-sectional descriptive study. Among people who responded in both 2018 and 2020, a total of 2,069 people of those who are 65 years of age or older, and have living children and normal cognitive function, were analyzed. X2 -test, t-test and logistic regression analyses were utilized.
Results
First, the number of elderly with visual impairment (VI), hearing impairment, and DSI increased on 8th data compared with 7th data. In addition, 22.9% of the 2,069 people showed a decrease in cognitive function. Second, compared to the elderly with normal sensory function, the cognitive function of the elderly with only VI was found to be more degraded, and the cognitive function of the elderly with DSI was found to be much more degraded. In addition, among SS, only participation in social gatherings was found to show significant change in cognitive function of the elderly with DSI. Third, the interaction effect of participating in social gatherings was not significant in the CI of the elderly with DSI.
Conclusion
VI and DSI effected cognitive function, but participation in social gatherings such as SS has not significant interaction effect on CI of the elderly with DSI.
A Study on Outcomes of the Utilization of Visiting Nursing Service at the Integrated Visiting Nursing Center in Bucheon-si
Hyun-Kyung Park, Ae Jung Yoo, Ju Young Yoon, Jae Woo Choi
Res Community Public Health Nurs. 2023;34(2):127-134.   Published online June 30, 2023
DOI: https://doi.org/10.12799/rcphn.2023.00045
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  • 48 Download
AbstractAbstract PDF
Purpose
The government has implemented a pilot project for community care for older adults and the integrated visiting nursing center in Bucheon-si operated by public fund of government to provide visiting nursing service for older adults. This study aimed to analyze the outcomes of the utilization of visiting nursing service at the integrated visiting nursing center in Bucheon-si.
Methods
This study linked the personal data from the pilot project for community care with the National Health Insurance data. The final subjects comprised 30 participants and 110 of the matched control group. The length of home stay, hospitalization, and the admission for long-term care facilities or convalescent hospitals were measured. Statistical analysis was performed through difference-in-differences analysis using generalized estimating equation and Cox proportional hazards model.
Results
The results indicated an increase of 28.2 days for length of home stay and a reduction of 69% in hospitalization from medical institutions and 81% in admission of long-term care facilities or convalescent hospitals among participants compared to the control group.
Conclusion
The visiting nursing service of the integrated visiting nursing center was effective in extending length of home stay and lowering the hospitalization of medical institutions and admission of long-term care facilities or convalescent hospitals.
A Preliminary Study for the Curriculum Development of Community Care Coordinators: Educational Needs Analysis
Han Nah Park, Ju Young Yoon, Soong Nang Jang, Hye Jin Nam
J Korean Acad Community Health Nurs. 2022;33(2):153-163.   Published online June 30, 2022
DOI: https://doi.org/10.12799/jkachn.2022.33.2.153
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  • 1 Citations
AbstractAbstract PDF
Purpose
A care coordinator is an emerging nursing professional role in South Korea. The purpose of this study was to identify educational needs and priorities for care coordinators among nurses. Methods An online survey was conducted on 661 current or retired nurses from January 30 to February 28, 2021. A total of 17 essential competencies for care coordinators, recognized based on literature review, were used to analyze the educational needs. The data were analyzed using descriptive statistics, a paired t-test, and one-way analysis of variance with SPSS 25.0. The educational needs analysis was conducted by using a paired t-test, the Borich Needs Assessment Model, and the Locus for Focus Model. Results Five contents were identified as the first priorities for educational needs: ‘Health program planning and evaluation’, ‘Care planning’, ‘Coordinating community-based services’, ‘Case management’, and ‘Transitional care’. The second priorities for educational needs included 'Population health management' and'Welfare resource linkages via communicating with social workers’. Conclusion The priority items derived from this study offer underpinning insights for the development of care coordination training program.

Citations

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  • Needs assessment of community health practitioners for community care competency of older adults
    Na Bee Yoon, Hyeon Kyeong Lee, Haesun Lee, Sang Woo Park
    Research in Community and Public Health Nursing.2023; 34: 32.     CrossRef
Economic Evaluation of Hospital-based Home Care Services for the Breast Cancer Surgery Patients
Jeong Yeon Ko, Ju Young Yoon
J Korean Acad Community Health Nurs. 2021;32(3):356-367.   Published online September 30, 2021
DOI: https://doi.org/10.12799/jkachn.2021.32.3.356
  • 591 View
  • 18 Download
AbstractAbstract PDF
Purpose
This study conducted an economic evaluation of hospital-based home care services for the patients who had undergone breast cancer surgery.
Methods
A total of 12,483 patients over 18 years of age who had received breast cancer surgery in 26 tertiary hospitals in 2018 were analyzed with the claim data from the Health Insurance Review & Assessment Service using cost-minimization analysis and societal perspectives.
Results
There were 156 patients who utilized hospital-based home care services within 30 days after breast cancer surgery, and they received 2.17 (SD=1.17) hospital-based home care service on average. The average total cost was 5,250,028 KRW (SD=1,905,428) for the group receiving continuous hospital-based home care and 6,113,402 KRW (SD=2,033,739) for the group not receiving continuous hospital-based home care (p<.001). The results of the economic evaluation of continuous hospital-based home care services in patients who had undergone breast cancer surgery indicated a total benefit of 953,691,000 KRW, a total cost of 819,004,000 KRW, and a benefit-cost ratio of 1.16 in 2018.
Conclusion
Continuous hospital-based home care was considered economically feasible as the total costs for the group receiving continuous hospital-based home care were lower than those of the group not receiving continuous hospital-based home care. Therefore, policy modification and financial incentives are recommended to increase the utilization of hospital-based home care services for patients who had undergone breast cancer surgery.
Concept Analysis of Parents’ Treatment Adherence for an Epileptic Child or Adolescent
Juna Lee, Ju Young Yoon
J Korean Acad Community Health Nurs. 2021;32(2):205-219.   Published online June 30, 2021
DOI: https://doi.org/10.12799/jkachn.2021.32.2.205
  • 635 View
  • 29 Download
  • 2 Citations
AbstractAbstract PDF
Purpose
This concept analysis was conducted to clarify ‘parents’ treatment adherence for an epileptic child or adolescent’.
Methods
The analysis used a hybrid model comprising three phases: theoretical phase, fieldwork phase, and integration phase. In the theoretical phase, fifty studies were reviewed. Interviews with four parents of epileptic children or adolescents were conducted during the fieldwork phase. In the integration phase, the results derived from prior phases were synthesized and clarified. All phases were performed cyclically.
Results
The concept, ‘parents’ treatment adherence for an epileptic child or adolescent’ was defined as parents’ voluntary and goal-directed behavior towards the epilepsy treatment for their children: a collaborative decision-making process with health-care providers, establishing a support system, adaptability to the treatment plans, and appraisals of the child’s health condition.
Conclusion
This achievement is thought to contribute to improving the accuracy and validity of the concept measurement. It has implications for additional research on how the concept ‘treatment adherence’ differs in diverse health problems and other population groups than parents of children and adolescents with epilepsy.

Citations

Citations to this article as recorded by  
  • Development of a parent questionnaire to assess treatment adherence for a child or adolescent with epilepsy
    Juna Lee, Ju Young Yoon
    Epilepsy & Behavior.2023; 140: 109112.     CrossRef
  • Transfer anxiety in parents of children transferred from pediatric intensive care units to general wards in South Korea: a hybrid concept analysis
    Jisu Park, Eun Kyoung Choi
    Child Health Nursing Research.2022; 28(2): 154.     CrossRef
Trajectories of Self-rated Health among One-person Households: A Latent Class Growth Analysis
Eun Joo Kim, Hyang Kim, Ju Young Yoon
J Korean Acad Community Health Nurs. 2019;30(4):449-459.   Published online December 31, 2019
DOI: https://doi.org/10.12799/jkachn.2019.30.4.449
  • 654 View
  • 7 Download
  • 4 Citations
AbstractAbstract PDF
PURPOSE
The aim of this study is to explore different types of self-rated health trajectories among one-person households in Korea.
METHODS
We used five time-point data derived from Korea Health Panel (2011~2015). A latent growth curve modeling was used to assess the overall feature of self-rated health trajectory in one-person households, and a latent class growth modeling was used to determine the number and shape of trajectories. We then applied multinomial logistic regression on each class to explore the predicting variables.
RESULTS
We found that the overall slope of self-rated health in one-person households decreases. In addition, latent class analysis demonstrated three classes: 1) High-Decreasing class (i.e., high intercept, significantly decreasing slope), 2) Moderate-Decreasing class (i.e., average intercept, significantly decreasing slope), and 3) Low-Stable class (i.e., low intercept, flat and nonsignificant slope). The multinomial logistic regression analysis showed that the predictors of each class were different. Especially, one-person households with poor health condition early were at greater risk of being Low-Stable class compared with High-Decreasing class group.
CONCLUSION
The findings of this study demonstrate that more attentions to one-person households are needed to promote their health status. Policymakers may develop different health and welfare programs depending on different characteristics of one-person household trajectory groups in Korea.

Citations

Citations to this article as recorded by  
  • Trajectories of self-rated health among community-dwelling individuals with depressive symptoms: A latent class growth analysis
    Jinyoung Jang, Hyun-Sung Jung, Kyunghee Chae, Kyoung-Uk Lee
    Journal of Affective Disorders.2023; 332: 83.     CrossRef
  • Prediction model of quality of life using the decision tree model in older adult single-person households: a secondary data analysis
    Dajung Ryu, Sohyune Sok
    Frontiers in Public Health.2023;[Epub]     CrossRef
  • Trajectories of subjective health status among married postmenopausal women based on the ecological system theory: a longitudinal analysis using a latent growth model
    Eun Jin Kim, Ju-Hee Nho
    Korean Journal of Women Health Nursing.2022; 28(2): 123.     CrossRef
  • The Multilevel Factors on Physical Activity : A Comparative Study between Young and Elderly Single-Person Households
    Ji-young Kim, Hee-Jung Jun
    Journal of Korea Planning Association.2021; 56(2): 49.     CrossRef
A Systematic Review of Studies Using Video-recording to Capture Interactions between Staff and Persons with Dementia in Long-term Care Facilities
Da Eun Kim, Hae Sagong, Eun Joo Kim, Ah Ram Jang, Ju Young Yoon
J Korean Acad Community Health Nurs. 2019;30(4):400-413.   Published online December 31, 2019
DOI: https://doi.org/10.12799/jkachn.2019.30.4.400
  • 942 View
  • 11 Download
  • 5 Citations
AbstractAbstract PDF
PURPOSE
The use of video-recording offers important advantages in observing and assessing the relationship between specific behaviors in health care settings. The purpose of this systematic review is to investigate and synthesize the methodological characteristics of studies using video-technology for measuring interactions with the older persons with dementia and staff in long-term care facilities.
METHODS
We searched Medline, Embase and CINHAL databases for published articles in English using a video-recording method for both staff and the residents with dementia. Quantitative research design studies (e.g., descriptive or experimental studies) were included.
RESULTS
Among 5,605 searched papers, a total of 20 studies were selected for this review. Situations of video-recording were providing personal care (n=12), mealtime (n=6), and conversation (n=3). Concepts measured by video-recording were classified into two groups: 1) Staff [care practice by staff (n=13) and communication by staff (n=11)] and 2) residents [communication by resident (n=4), activities of daily life function of resident (n=8), and behavioral and psychological symptoms of dementia (n=10)].
CONCLUSION
This review demonstrates that video technologies are actively used to evaluate the relationship between quality of care and health outcomes of the elderly with dementia in many international nursing studies. This study provides the foundation for a future research using video-recording technologies to examine the interactions and relationships between staff and the residents in Korean long-term care settings.

Citations

Citations to this article as recorded by  
  • Person‐centred and task‐centred care: Impact on mealtime behaviours in nursing home residents with dementia
    Wen Liu, Yelena Perkhounkova, Maria Hein
    International Journal of Older People Nursing.2023;[Epub]     CrossRef
  • “It’s You”: Caregiver and Clinician Perspectives on Lucidity in People Living With Dementia
    Andrea Gilmore-Bykovskyi, Laura Block, Clark Benson, Jess Fehland, Meghan Botsch, Kimberly D Mueller, Nicole Werner, Mindy J Shah, Suzanne Meeks
    The Gerontologist.2023; 63(1): 13.     CrossRef
  • Video Recording Patients for Direct Care Purposes: Systematic Review and Narrative Synthesis of International Empirical Studies and UK Professional Guidance
    Rachael Lear, Sophia Ellis, Tiffany Ollivierre-Harris, Susannah Long, Erik K Mayer
    Journal of Medical Internet Research.2023; 25: e46478.     CrossRef
  • Assessing behavioral and psychological symptoms of dementia: a comprehensive review of current options and future perspectives
    Federico Emanuele Pozzi, Luisa Calì, Carlo Ferrarese, Ildebrando Appollonio, Lucio Tremolizzo
    Frontiers in Dementia.2023;[Epub]     CrossRef
  • Dyadic interactions and physical and social environment in dementia mealtime care: a systematic review of instruments
    Wen Liu, Sohyun Kim
    Annals of the New York Academy of Sciences.2021; 1505(1): 23.     CrossRef
A Delphi Study for Developing a Person-centered Dementia Care Online Education Program in Long-term Care Facilities
Da Eun Kim, Hae Sagong, Ju Young Yoon
J Korean Acad Community Health Nurs. 2019;30(3):295-306.   Published online September 30, 2019
DOI: https://doi.org/10.12799/jkachn.2019.30.3.295
  • 927 View
  • 10 Download
  • 4 Citations
AbstractAbstract PDF
PURPOSE
There has been a growing recognition that person-centered care enhances the quality of life of nursing home residents with dementia. This study was conducted to develop a person-centered dementia care online education program for direct care staff in long-term care facilities.
METHODS
Delphi method with expert group was used to validate contents. We developed 61 draft items based on literature review. Twenty experts participated in consecutive three round surveys including 5-point Likert scale questions and open-ended questions. Based on experts' opinions, the content validity ratio for content validity and the coefficient of variation for stability were calculated.
RESULTS
Three-round Delphi surveys and additional feedback from the expert panel established a consensus of core contents: 1) dementia (7 categories), 2) person-centered care (6 categories), 3) communication (8 categories), and 4) behavioral and psychological symptoms of dementia (6 categories). Specific sub-categories in each category were differentiated according to the job qualifications (65 sub-categories for registered nurses, 64 sub-categories for nursing aids, and 41 sub-categories for personal care workers).
CONCLUSION
This delphi study identified person-centered dementia education curricula, in which the person-centered approach should be a key policy priority in Korean long-term care system. Now it is urgently needed to develop education programs utilizing online platforms that enable efficient and continuous learning for long-term care staff, which can contribute to behavior changes in the person-centered dementia care approach and improvement of care quality in long-term care facilities.

Citations

Citations to this article as recorded by  
  • Moral sensitivity and person‐centred care among mental health nurses in South Korea: A cross‐sectional study
    Sun Joo Jang, Eun Hye Kim, Haeyoung Lee
    Journal of Nursing Management.2022; 30(7): 2227.     CrossRef
  • Personhood Communication with Persons with Dementia: Concept Analysis
    Jiyeon Kim, Jun-Ah Song
    Journal of Korean Gerontological Nursing.2021; 23(4): 406.     CrossRef
  • Validity and Reliability of the Korean Version of Person-Centered Practice Inventory-Staff for Nurses
    Sohyun Kim, Sunghee H Tak
    Journal of Korean Academy of Nursing.2021; 51(3): 363.     CrossRef
  • Development and Evaluation of a Person-centered Dementia Care Education Program for Nursing Home Staff
    Eun-Hi Kong
    Journal of Korean Gerontological Nursing.2020; 22(3): 247.     CrossRef
Interventions Using Technologies for Older Adults in Long-term Care Facilities: A Systematic Review
Da Eun Kim, Hyang Kim, Jung Hee Hyun, Hyo Jin Lee, Hye Hyun Sung, So Young Bae, Sung Hee Tak, Yeon Hwan Park, Ju Young Yoon
J Korean Acad Community Health Nurs. 2018;29(2):170-183.   Published online June 30, 2018
DOI: https://doi.org/10.12799/jkachn.2018.29.2.170
  • 674 View
  • 9 Download
  • 4 Citations
AbstractAbstract PDF
PURPOSE
Although innovative interventions using technologies have been introduced in long-term care settings, available evidence is still anecdotal. The purpose of this study is to investigate and synthesize the outcomes of interventions using technologies delivered to nursing home residents.
METHODS
Published clinical trials were identified through PubMed, CINHAL, Cochrane and PsycINFO databases and manually hand-searching. Eligible studies were articles published between 1997–2016 in English or Korean with a randomized controlled trial or quasi-experimental design in which interventions using technologies were delivered to nursing home residents.
RESULTS
A total of 20 studies were selected for this review. Types of interventions using technologies were classified into the electronic documentation technology (n=1), the clinical decision support system (n=1), the safety technology (n=1), the health and wellness technology (n=10), and the social connectedness technology (n=7). Overall resident outcomes indicated that interventions using technologies improved behavioral symptoms and psycho-social outcomes, but mixed results were shown in the aspects of physical function, cognitive function, social relationship and quality of service.
CONCLUSION
This review demonstrates that incorporating technologies into nursing home care have positive effects on residents' psycho-social outcomes and behavioral symptoms. To disseminate the effectiveness of interventions using technologies, further research is needed to determine what mechanisms underlying such relationships exist.

Citations

Citations to this article as recorded by  
  • Assistive Technology for Elderly People: State of the Art Review and Future Research Agenda
    Dhanya Pramod
    Science & Technology Libraries.2023; 42(1): 85.     CrossRef
  • Addressing Mental Health in Aged Care Residents
    Sunil Bhar, Deborah Koder, Hemalatha Jayaram, Mark Silver, Tanya Davison
    Advances in Psychiatry and Behavioral Health.2022; 2(1): 183.     CrossRef
  • A Systemic Review of the Auditory Training Program for Hearing Impairment
    Joo Hong Kim, Sang Hee Lee, Eun Young Cho
    Audiology and Speech Research.2021; 17(2): 134.     CrossRef
  • Developing Geriatric Nursing Competency Using Information and Communication Technology: Focusing on a Case of Depression Assessment
    Heejung Kim, Soyun Hong, Sooyoung Kwon, Namhee Kim
    Journal of Korean Gerontological Nursing.2018; 20(Suppl 1): 119.     CrossRef
Testing Reliability and Validity of the Person-centered Climate Questionnaire-staff version in Korean for Long-term Care Facilities
Hae Sagong, Da Eun Kim, So Young Bae, Ga Eon Lee, David Edvardsson, Ju Young Yoon
J Korean Acad Community Health Nurs. 2018;29(1):11-20.   Published online March 31, 2018
DOI: https://doi.org/10.12799/jkachn.2018.29.1.11
  • 1,113 View
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  • 5 Citations
AbstractAbstract PDF
PURPOSE
To test the reliability and validity of the Korean version of the Person-centered Climate Questionnaire - staff version (KPCQ-S) in long-term care institutions.
METHODS
A total of 297 staff in long-term care institutions including nine nursing homes (NHs) and 4 long-term care hospitals (LTCHs) were included. The KPCQ-S was developed following the WHO guidelines of the process of translation and adaptation of instruments. An internal consistency using Cronbach's α was tested for reliability. Exploratory factor analysis (EFA) was used to examine the construct validity. Convergent and discriminant validity were examined using Pearson correlation.
RESULTS
EFA demonstrated the construct validity of the 14-item KPCQ-S with three-factor solutions, specifically three factors (safety, everydayness, and community) in NHs and four factors (safety, everydayness, community, and comprehensibility) in LTCHs. Convergent validity was found in the correlation with the work satisfaction (r=.55). The KPCQ-S showed satisfactory internal consistency reliability (Cronbach's α=.91).
CONCLUSION
The KPCQ-S is found to be a reliable and valid tool for measuring staff perceptions of the person centeredness of long-term care environments.

Citations

Citations to this article as recorded by  
  • Factors influencing shared decision-making in long-term care facilities
    Da Eun Kim, Min Jung Kim
    BMC Geriatrics.2023;[Epub]     CrossRef
  • Person-Centered Care Environment Associated With Care Staff Outcomes in Long-Term Care Facilities
    JiSun CHOI, Da Eun KIM, Ju Young YOON
    Journal of Nursing Research.2021; 29(1): e133.     CrossRef
  • Development and Evaluation of a Person-centered Dementia Care Education Program for Nursing Home Staff
    Eun-Hi Kong
    Journal of Korean Gerontological Nursing.2020; 22(3): 247.     CrossRef
  • A Rasch analysis of the Person-Centred Climate Questionnaire – staff version
    Mark Wilberforce, Anders Sköldunger, David Edvardsson
    BMC Health Services Research.2019;[Epub]     CrossRef
  • Psychometric Evaluation of the Korean Version of the Personhood in Dementia Questionnaire Using Rasch Analysis
    Da Eun Kim, Young Ko, Paulette V. Hunter, Ju Young Yoon
    International Journal of Environmental Research and Public Health.2019; 16(23): 4834.     CrossRef
The Reciprocal Causal Relationship between Social Activities and Health with Reference to the Cognitive Function Level among Community-dwelling Older Adults: A Cross-Lagged Panel Analysis
Da Eun Kim, Ju Young Yoon
J Korean Acad Community Health Nurs. 2017;28(1):13-22.   Published online March 31, 2017
DOI: https://doi.org/10.12799/jkachn.2017.28.1.13
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  • 2 Citations
AbstractAbstract PDF
PURPOSE
The aim of this study is to examine the reciprocal causal relationship between social activities and health with reference to the cognitive function level among community-dwelling older adults.
METHODS
We conducted a longitudinal data analysis using the 4(th) (Time 1) and 5(th) (Time 2) waves from the Korean Longitudinal Study of Ageing adopting cross-lagged panel analysis (CLPA).
RESULTS
A total of 3,473 community-dwelling older adults were included in the analysis: 2,053 in the normal cognitive function group, 912 in the mild cognitive impairment group, and 508 in the moderate to severe cognitive impairment group. The CLPA revealed that higher levels of social activities at Time 1 significantly influenced better subjective health perception at Time 2 in all three groups. In addition, better subjective health perception at Time 1 significantly influenced higher levels of social activities at time 2 only in the normal cognitive function group.
CONCLUSION
This study demonstrates that participating in social activities has positive effects on health regardless of the cognitive function level in community-dwelling older adults. This finding suggests that there is a need to develop strategies that can be used to encourage older adults with cognitive decline to maintain participation in social activities.

Citations

Citations to this article as recorded by  
  • Trajectory classes of social activity and their effects on longitudinal changes in cognitive function among older adults
    Da Eun Kim, Ju Young Yoon
    Archives of Gerontology and Geriatrics.2022; 98: 104532.     CrossRef
  • Continuous-time modeling in prevention research: An illustration
    Martin Hecht, Manuel C. Voelkle
    International Journal of Behavioral Development.2021; 45(1): 19.     CrossRef
Bidirectional Relationship Between Depression and Frailty in Older Adults aged 70-84 years using Random Intercepts Cross-Lagged Panel Analysis
Ji Hye Shin, Gyeong A Kang, Sun Young Kim, Won Chang Won, Ju Young Yoon
Received October 30, 2023  Accepted January 12, 2024  Published online February 23, 2024  
DOI: https://doi.org/10.12799/rcphn.2023.00381
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AbstractAbstract
Purpose
Depression and frailty are common health problems that occur separately or simultaneously in later life. The two syndromes are correlated, but they need to be distinguished to promote successful aging. Previous studies have examined the reciprocal relationship between depression and frailty, but there are limitations in the methods or statistical analysis. This study aims to confirm the potential prospective bidirectional and causal relationship between depression and frailty.
Methods
We used data from 887 older adults aged 70 to 84 from the Korean Frailty and Aging Cohort Study (KFACS) in 2016, 2018, and 2020 (3 waves). We separated the within-individual process from the stable between-individual differences using the random intercepts cross-lagged panel model.
Results
Significant bidirectional causal effects were observed in 2 paths. Older adults with higher depression than their within-person average at T1 had a higher risk of frailty at T2 (β=.22, p=.008). Subsequently, older adults with higher-than-average frailty scores at T2 showed higher depression at T3 (β=.14, p=.010). Autoregressive effects were only significant from T2 to T3 for both constructs (Depression: β=.16, p=.044; Frailty: β=.13, p=.028). At the between-person level, the correlation was significant between the random intercepts between depression and frailty (β=.47, p<.001).
Conclusions
We find that depressed older adults have an increased risk of frailty, which contributes to the onset of depression and the maintenance of frailty. Therefore, interventions for each condition may prevent the entry and worsening of the other condition, as well as prevent comorbidity.

RCPHN : Research in Community and Public Health Nursing