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University-based retirement communities (UBRCs) are a relatively recent addition to housing options for older adults. The case example of a new UBRC, Mirabella at Arizona State University (ASU), is presented within the context of Age-Friendly University (AFU) principles and New American University design aspirations. We provide an overview of the planning process, describe initial collaborations between Mirabella and research faculty, and outline areas of overlap and distinction between Mirabella's approach and other UBRCs, AFU principles, and the design aspirations of the New American University model. Empirical investigations are needed to identify key characteristics of UBRCs that facilitate university integration and how those characteristics impact individual, community, and university level outcomes. [ABSTRACT FROM AUTHOR]

Palliative and end-of-life care (PEOLC) in Mexican American (MA) caregiving families remains unexplored. Its onset was uncovered in our mixed methods, multisite, interdisciplinary, qualitative descriptive study of 116 caregivers, most of whom had provided long-term informal home care for chronically ill, disabled older family members. This subanalysis used Life Course Perspective to examine the “point of reckoning” in these families, where an older person is taken in for care, or care escalates until one recognizes oneself as the primary caregiver. Ninety-three of 116 caregivers recognized and spontaneously reported a “reckoning point” that initiated the caregiving trajectory, while eight cited “gradual decline” into caregiving for elders in their homes. This “reckoning point,” which marks the assumption of this role, may afford a fertile opportunity for referral to community resources or initiation of formal PEOLC, thereby improving the quality of life for these older individuals and their families. [ABSTRACT FROM AUTHOR]

Some individuals with mild cognitive impairment (MCI) experience not only cognitive deficits but also a decline in motor function, including postural balance. This pilot study sought to estimate the feasibility, user experience, and effects of a novel sensor-based balance training program. Patients with amnestic MCI (mean age 78.2 yr) were randomized to an intervention group (IG, n = 12) or control group (CG, n = 10). The IG underwent balance training (4 wk, twice a week) that included weight shifting and virtual obstacle crossing. Real-time visual/audio lower-limb motion feedback was provided from wearable sensors. The CG received no training. User experience was measured by a questionnaire. Postintervention effects on balance (center of mass sway during standing with eyes open [EO] and eyes closed), gait (speed, variability), cognition, and fear of falling were measured. Eleven participants (92%) completed the training and expressed fun, safety, and helpfulness of sensor feedback. Sway (EO, p = 0.04) and fear of falling (p = 0.02) were reduced in the IG compared to the CG. Changes in other measures were nonsignificant. Results suggest that the sensor-based training paradigm is well accepted in the target population and beneficial for improving postural control. Future studies should evaluate the added value of the sensor-based training compared to traditional training. [ABSTRACT FROM AUTHOR]

Objectives. Guided by a Sociocultural Health Belief Model (SHBM), this study examined the roles of cultural beliefs of Alzheimer’s disease (AD) and scientific knowledge of AD in influencing the perceived threat of AD in a sample of Chinese American older adults. Method. With the input from focus groups of 17 older Chinese volunteers, survey questionnaires were refined and then delivered through face-to-face interviews to 385 participants aged 55–100 in the Phoenix metropolitan area. Results. Hierarchical regression analyses found that those aged 55–64 were more worried about AD than those aged 85 or older. Both cultural beliefs of AD and AD factual knowledge contributed to higher levels of perceived threat of AD. Education tended to moderate the effect of cultural beliefs of AD and AD knowledge on perceived threat of AD. Discussions. Findings support inclusion of key factors in the SHBM relevant to perceived threat of AD and help enrich the understanding of AD literacy from both scientific and cultural perspectives. AD education programs and interventions should help address crucial cultural beliefs related to AD and the emotional consequences (e.g., concerns or fear of AD) that might be due to the exposure to AD factual knowledge, particularly for those with limited education. [ABSTRACT FROM PUBLISHER]