Advanced Directives in Older Adults with Dementia: Ethical Challenges and Advocacy Role of Nurses 2 2 This article has no abstract. Corresponding Author: Elham Navab View Orcid in Profile You can search for this author in PubMed Google Scholar Profile 55 56 2023/06/20 1402/3/30 2023/11/4 1402/8/13 Mehrnoosh Partovirad Mehrnoosh Partovirad Department of Community Health and Geriatric Nursing , School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran Iran Amin Hosseini Amin Hosseini Department of Medical-Surgical, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran Iran aminhosseini835@gmail.com Elham Navab Elham Navab Department of Critical Care, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran Iran elhamnavab2@gmail.com Advanced Directives Aged Dementia Ethical Challenges Advocacy Role Nurses Burlá C, Rego G, Nunes R. Alzheimer, dementia and the living will: A proposal. Medicine, Health Care and Philosophy. 2014; 17(3): 389–95.##Nichols E, Steinmetz JD, Vollset SE, Fukutaki K, Chalek J, Abd-Allah F, et al. Estimation of the global prevalence of dementia in 2019 and forecasted prevalence in 2050: an analysis for the Global Burden of Disease Study 2019. The Lancet Public Health. 2022; 7(2): 105-25.##Evripidou M, Charalambous A, Middleton N, Papastavrou E. Nurses’ knowledge and attitudes about dementia care: Systematic literature review. Perspectives in Psychiatric Care. 2019; 55(1): 48–60.##Merel SE, Gaster B. Advance directives for dementia can elicit preferences to improve patient care. Journal of the American Geriatrics Society. 2020; 68(7): 1606–8.##Lyreskog DM, Karlawish J, Nagel SK. Where do you end, and i begin? how relationships confound advance directives in the care of persons living with dementia. The American Journal of Bioethics. 2020; 20(8): 83–5.##Widdershoven G, Janssens R, Voskes Y. Beyond precedent autonomy and current preferences: a narrative perspective on advance directives in dementia care. The American Journal of Bioethics. 2020; 20(8): 104–6.##Choi WJ. Ethics of care challenge to advance directives for dementia patients. Journal of Medical Ethics. 2022; 2022: 108475##Gadow S. Clinical subjectivity. advocacy with silent patients. Nursing Clinics of North America. 1989; 24(2): 535–41.##Pan J, Wang P, Wang Y. Expanding role of nurses in management of dementia in geriatrics: improving well-being of geriatric patients through quality nursing care. Psychology, Health & Medicine. 2022; 27(3): 707–14.##Shepherd-Banigan M, Ford CB, DePasquale N, Smith VA, Belanger E, Lippmann SJ, et al. Making the informal formal: discussing and completing advance care plans in care dyads with cognitive impairment. Journal of Palliative Care. 2022; 37(3): 289–97.## ##

Antimicrobial Silver Zeolite and Urinary Incontinence in Patients with Alzheimer’s Disease 2 2 This article has no abstract. Corresponding Author: Maryam Sadeh View Orcid in Profile You can search for this author in PubMed Google Scholar Profile 57 58 2023/06/202023/06/17 1402/3/27 2023/11/42023/07/20 1402/4/29 Reza Bidaki Reza Bidaki Research Center of Addiction and Behavioral Sciences, School of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran Iran Behnaz Mojarrab Behnaz Mojarrab Department of Biomedical Engineering and Electronic Science , Islamic Azad University ,Center Tehran Branch Lauctb, Tehran, Iran Iran Maryam Sadeh Maryam Sadeh Department of Laboratory Sciences, School of Paramedicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran Iran sadeh_m20@yahoo.com Silver Zeolite Urinary Incontinence Davis NJ, Wyman JF, Gubitosa S, Pretty L. Urinary incontinence in older adults. American Journal of Nursing. 2020; 120(1): 57-62.##Lobchuk MM, Rosenberg F. A qualitative analysis of individual and family caregiver responses to the impact of urinary incontinence on quality of life. Journal of Wound, Ostomy, and Continence Nursing. 2014; 41(6): 589-96.##Gorina Y, Schappert S, Bercovitz A, Elgaddal N, Kramarow E. Prevalence of incontinence among older americans. Vital ;Health Statistics. 2014; 36(3): 1-33.##Langa KM, Fultz NH, Saint S, Kabeto MU, Herzog AR. Informal caregiving time and costs for urinary incontinence in older individuals in the United States. Journal of the American Geriatrics Society. 2002; 50(4): 733-7.##Kwong PW, Cumming RG, Chan L, Seibel MJ, Naganathan V, Creasey H, et al. Urinary incontinence and quality of life among older community-dwelling Australian men: the CHAMP study. Age and Ageing. 2010; 39(3):349-54.##Khandelwal C, Kistler C. Diagnosis of urinary incontinence. American Family Physician. 2013; 87(8): 543-50.##Rowe TA, Juthani-Mehta M. Urinary tract infection in older adults. Aging Health. 2013; 9(5): 519-28.##Grancarić AM, Tarbuk A, Kovaček IJCI. Nanoparticles of activated natural zeolite on textiles for protection and therapy. Chemical Industry & Chemical Engineering Quarterly. 2009; 15(4): 203-10.##Severance M, Dutta PK. Evolution of Silver Nanoparticles within an Aqueous Dispersion of Nano-Sized Zeolite Y: Mechanism and Applications. The Journal of Physical Chemistry C. 2014; 118(49): 1068–87.##Dutta P, Wang B. Zeolite-supported silver as antimicrobial agents. Coordination Chemistry Reviews. 2019; 383: 1-29.## ##

The Frequency of Psychological Symptoms in the Elderly: A Cross-Sectional Field Study in Istanbul, Turkey 2 2 Introduction: Various reports have documented the psychological issues that affect the elderly. According to estimates, approximately 20% of the geriatric population experiences at least one psychological symptom or disorder. The aim of this study is to establish the frequency of psychological symptoms in the elderly population in İstanbul, Turkey. Methods: This cross-sectional study was conducted with 350 participants aged 65 and over, between 01.02.2019 and 19.07.2019. The psychiatric symptoms of the participants were evaluated with the Symptom Check List-90 Revised (SCL-90-R) test. Results: Psychological symptoms are present in 32.9% of the elderly population. The prevalence of depressive symptoms is 32.9% and the rate of obsessions is 26.6%. Somatization is present in 13.4% of cases, while interpersonal sensitivity is observed in 8.9% of cases. The paranoid symptom rate is 10.6%. While 6.9% of the participants have possible anger disorder symptoms, the rate of participants with anxiety symptoms is 6.6%. The rate of participants with probable phobic symptoms is 5.4%, and the rate of those with psychotic symptoms is 4.0%. Conclusion: Psychiatric problems encountered in old age negatively affect the quality of life. Because the most common psychological symptoms were depression, obsession, and somatization, family physicians should conduct screenings for possible mental problems in elderly individuals registered with them, regardless of the reason. Corresponding Author: Can Oner View Orcid in Profile You can search for this author in PubMed Google Scholar Profile 59 63 2023/06/202023/06/172023/06/21 1402/3/31 2023/11/42023/07/202023/11/22 1402/9/1 Ahmet Ozluk Ahmet Ozluk Department of Family Medicine, Health Sciences University Kartal Dr Lutfi Kırdar City Hospital, Istanbul, Turkiye Turkiye Can Oner Can Oner Department of Family Medicine, Health Sciences University Kartal Dr Lutfi Kırdar City Hospital, Istanbul, Turkiye Turkiye drcanoner@gmail.com Hüseyin Cetin Hüseyin Cetin Department of Family Medicine, Health Sciences University Kartal Dr Lutfi Kırdar City Hospital, Istanbul, Turkiye Turkiye Engin Ersin Simsek Engin Ersin Simsek Department of Family Medicine, Health Sciences University Kartal Dr Lutfi Kırdar City Hospital, Istanbul, Turkiye Turkiye Aged Psychological Symptoms Depression Obsession Somatization Hessel A, Geyer M, Brahler E. Psychische beschwerden im alter - standardisierung der symptomcheckliste SCL-90-R bei über 60-Jährigen. Zeitschrift für Gerontologie Und Geriatrie, 2001; 34(6): 498-508.##Djernes JK. Prevalence and predictors of depression in populations of elderly: a review. Acta Psychiatrica Scandinavica. 2006; 113(5): 372-87.##Kirmizioglu Y, Doğan O, Kuğu N, Akyüz G. Prevalence of anxiety disorders among elderly people. International Journal of Geriatric Psychiatry. 2009; 24(9): 1026-33.##Du W, Zhou J, Liu J, Yang X, Wang H, He M, et al. Social-demographic correlates of the mental health conditions among the Chinese elderly. Sustainability. 2019; 11(24): 1-13.##Derogatis LR. SCL-90-R: administration, scoring, and procedures manual. 3rd ed. Minneapolis: National Computer Systems; 1994.##Dağ, I. Belirti tarama listesi (Scl-90-R)'nin üniversite öğrencileri için güvenirliği ve geçerliği. Türk Psikiyatri Dergisi. 1991; 2(1): 5–12. (Turkish)##Abdoli N, Salari N, Darvishi N, Jafarpour S, Solaymani M, Mohammadi M, et al. The global prevalence of major depressive disorder (MDD) among the elderly: A systematic review and meta-analysis. Neuroscience and Biobehavioral Reviews. 2022; 132: 1067-73.##Luo Y, Li Y, Xie J, Duan Y, Gan G, Zhou Y, ,et al. Symptoms of depression are related to sedentary behavior and sleep duration in elderly individuals: A cross-sectional study of 49,317 older Chinese adults. Journal of Affective Disorders. 2022; 308: 407-12.##Yaman G, Kayikçioğlu E, Hocaoglu C. Examınatıon of mental symptoms, anger, and death anxıety ın elderly cancer patıents. Turkish Journal Geriatriics. 2023; 26(3): 302-13.##Callander EJ, Schofield DJ. Psychological distress increases the risk of falling into poverty amongst older Australians: the overlooked costs-of-illness. BMC Psychology. 2018; 6(1): 1-9.##De Jonge P, Roest AM, Lim CC, Florescu SE, Bromet EJ, Stein DJ, etal. Cross-national epidemiology of panic disorder and panic attacks in the world mental health surveys. Depression and Anxiety. 2016; 33(12): 1155-77.##Büchtemann D, Luppa M, Bramesfeld A, Riedel-Heller S. Incidence of late-life depression: a systematic review. Journal of Affective Disorders. 2012; 142(1-3): 172-9.##Wedgeworth M, LaRocca MA, Chaplin WF, Scogin F. The role of interpersonal sensitivity, social support, and quality of life in rural older adults. Geriatric Nursing. 2017; 38(1): 22-6.##Ruscio AM, Stein DJ, Chiu WT, Kessler RC. The epidemiology of obsessive-compulsive disorder in the national comorbidity survey replication. Molecular Psychiatry. 2010; 15(1): 53-63.##Canuto A, Weber K, Baertschi M, Andreas S, Volkert J, Dehoust MC, et al. Anxiety disorders in old age: psychiatric comorbidities, quality of life, and prevalence according to age, gender, and country. The American Journal of Geriatric Psychiatry. 2018; 26(2): 174-85.##Cath DC, Nizar K, Boomsma D, Mathews CA. Age-specific prevalence of hoarding and obsessive compulsive disorder: a population-based study. The American Journal of Geriatric Psychiatry. 2017; 25(3): 245–55.##Wardenaar KJ, Lim CCW, Al-Hamzawi AO, Alonso J, Andrade LH, Benjet C, et al. The cross-national epidemiology of specific phobia in the world mental health surveys. Psychological Medicine. 2017; 47(10): 1744-60.##Solmi F, Hatch SL, Hotopf M, Treasure J, Micali N. Prevalence and correlates of disordered eating in a general population sample: the South East London Community Health (SELCoH) study. Social Psychiatry and Psychiatric Epidemiology. 2014; 49(8): 1335-46.##Kamara TS, Whyte EM, Mulsant BH, Peasley-Miklus C, Rothschild AJ, Flint AJ, et al. Does major depressive disorder with somatic delusions constitute a distinct subtype of major depressive disorder with psychotic features?. Journal of Affective Disorders. 2009; 112(1-3): 250-5.##Kessler RC, Coccaro EF, Fava M, Jaeger S, Jin R, Walters E. The prevalence and correlates of DSM-IV intermittent explosive disorder in the national comorbidity survey replication. Archives of General Psychiatry. 2006; 63(6): 669-78.##Nimnuan C, Hotopf M, Wessely S. Medically unexplained symptoms: an epidemiological study in seven specialities. Journal of Psychosomatic Research. 2001; 51(1): 361-7.##Wongpakaran T, Wongpakaran N. Personality traits influencing somatization symptoms and social inhibition in the elderly. Clinical Interventions in Aging. 2014; 9: 157-64.## ##

Acceptance of Information and Communication Technology and Its Related Factors among Older Adults: A Cross-Sectional Study in Iran 2 2 Introduction: Given the increasing elderly population and the decreasing role of families in elderly care, the use of up-to-date technologies by older adults will become increasingly important in helping them live healthier and better lives. This study aimed to determine the acceptance of information and communication technology (ICT) by older adults and related factors in Yazd city, Iran. Methods: This cross-sectional study was conducted in 2022 with the participation of 360 older adults aged over 60 years from comprehensive health care centers in Yazd city, Iran. Participants were selected using a multi-stage random sampling method. Data were collected using a demographic information questionnaire and an Information and Communication Technology Acceptance Questionnaire completed by interview. Data were analyzed using descriptive indices, independent two-sample t-tests, one-way analysis of variance, and regression by SPSS. Results: The ICT acceptance rate among older adults was 22.5%. The highest mean score was related to the dimension of perceived usefulness (15.37). The most significant barriers to ICT acceptance were lack of interest (48.6%), lack of sufficient skills (46.4%), and lack of perceived need (45.3%). The regression results showed that age, level of education, smartphone use, and time spent on technology tools were predictors of ICT acceptance by older adults, accounting for 82% of the variance in ICT acceptance. Conclusion: Given the low level of technology acceptance among older adults in Yazd city and the need to learn and use ICT to meet their individual, social, health, and medical needs, as well as to live a more independent life and save time and costs, providing older adults with the opportunity to become familiar with technology is essential. Corresponding Author: Elahe Dehghanbanadaki View Orcid in Profile You can search for this author in PubMed Google Scholar Profile 64 72 2023/06/202023/06/172023/06/212023/12/5 1402/9/14 2023/11/42023/07/202023/11/222023/12/9 1402/9/18 Hassan Rezaeipandari Hassan Rezaeipandari Department of Aging and Health, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran Iran Elahe Dehghanbanadaki Elahe Dehghanbanadaki Department of Aging and Health, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran Iran ehadehghan47@gmail.com Farzan Madadizadeh Farzan Madadizadeh Departments of Biostatistics and Epidemiology, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran Iran Information and Communication Technology Older Adults Acceptance of Technology ICT Technology Tools Ha J, Park HK. Factors affecting the acceptability of technology in health care among older Korean adults with multiple chronic conditions: a cross-sectional study adopting the senior technology acceptance model. Clinical Interventions in Aging. 2020; 15: 1873-81.##Basakha M, Mohaqeqi Kamal SH, Pashazadeh H. Acceptance of information and communication technology by the elderly people living in Tehran. Iranian Journal of Ageing. 2019; 13(5): 550-63. [Persian]##Dara-Abrams B. Toward a model for collaborative gerontechnology: connecting elders and their caregivers. Proceedings of Sixth International Conference on Creating, Connecting and Collaborating through Computing. IEEE; 2008. p. 109-14.##White H, McConnell E, Clipp E, Bynum L, Teague C, Navas L, et al. Surfing the net in later life: A review of the literature and pilot study of computer use and quality of life. Journal of Applied Gerontology. 1999; 18(3): 358-78.##Halmdienst N, Radhuber M, Winter-Ebmer R. Attitudes of elderly Austrians towards new technologies: communication and entertainment versus health and support use. European Journal of Ageing. 2019; 16: 513-23.##Roberts E, Beel D, Philip L, Townsend L. Rural resilience in a digital society: Editorial. Journal of Rural Studies. 2017; 54: 1-5.##Statistical Center of Iran. Iran statistical yearbook. 2015. [Persian]##Riahi F, Izadi-mazidi M, Khajedin N, Norouzi S. Does education of geriatric medicine effect on the medical students’ attitude toward elderlies and their care?. Iranian Journal of Medical Education 2014; 14(7): 651-2. [Persian]##Rogers WA, Fisk AD. Toward a psychological science of advanced technology design for older adults. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences. 2010; 65(6): 645-53.##Fischer SH, David D, Crotty BH, Dierks M, Safran C. Acceptance and use of health information technology by community-dwelling elders. International Journal of Medical Informatics. 2014; 83(9): 624-35.##Vassli LT, Farshchian BA. Acceptance of health-related ICT among elderly people living in the community: A systematic review of qualitative evidence. International Journal of Human–Computer Interaction. 2018; 34(2): 99-116.##Finkelstein J, Knight A, Marinopoulos S, Gibbons MC, Berger Z, Aboumatar H, et al. Enabling patient-centered care through health information technology. Evidence Report/Technology Assessment. 2012; (206): 1-1531.##Rios GR. eHealth literacy and older adults: a review of literature. Topics in Geriatric Rehabilitation. 2013; 29(2): 116-25.##Hargittai E. Second-level digital divide: Mapping differences in people's online skills. arXiv preprint cs/0109068. 2001.##Czaja SJ, Charness N, Fisk AD, Hertzog C, Nair SN, Rogers WA, et al. Factors predicting the use of technology: findings from the Center for Research and Education on Aging and Technology Enhancement (CREATE). Psychology and Aging. 2006; 21(2): 333-52.##Shadadeh F, Samadbeik M, Amiri F, HajiPourtalebi A. The digital gap in patients' use of health information technology and effective factors and strategies; a systematic review. Health Research Journal. 2019; 4(3): 181-8.##Mitzner TL, Boron JB, Fausset CB, Adams AE, Charness N, Czaja SJ, et al. Older adults talk technology: technology usage and attitudes. Computers in Human Behavior. 2010; 26(6): 1710-21.##Ajami S, Heydarinia Z. The use of mobile-health technology for monitoring the health of the elderly. Health Information Management. 2015; 12(4): 391-2. [Persian]##Chipps J, Jarvis MA. Technology-assisted communication in older persons in a residential care facility in South Africa. Information Development. 2016; 33(4): 393-405.##Damayanti NR, Ali NM, Surin ESM. Technology acceptance among older adults with mild cognitive impairment. Journal of Physics: Conference Series. 2019; 1339: 1-8.##Ginsburg OM, Chowdhury M, Wu W, Chowdhury MTI, Pal BC, Hasan R, et al. An mHealth model to increase clinic attendance for breast symptoms in rural Bangladesh: can bridging the digital divide help close the cancer divide?. The Oncologist. 2014; 19(2): 177-85.##Neves BB, Amaro F. Too old for technology? How the elderly of Lisbon use and perceive ICT. The Journal of Community Informatics. 2012; 8(1): 1-12.##Wildenbos GA, Peute L, Jaspers M. Aging barriers influencing mobile health usability for older adults: A literature based framework (MOLD-US). International Journal of Medical Informatics. 2018; 114: 66-75.##Rikard R, Berkowsky RW, Cotten SR. Discontinued information and communication technology usage among older adults in continuing care retirement communities in the United States. Gerontology. 2018; 64(2): 188-200.##Safdari R, Shams Abadi AR, Pahlevany Nejad S. Improve health of the elderly people with M-health and technology. Iranian Journal of Ageing. 2018; 13(3): 288-99. [Persian]##Selwyn N, Gorard S, Furlong J, Madden L. Older adults' use of information and communications technology in everyday life. Ageing and Society. 2003; 23(5): 561-82.##Pan S, Jordan-Marsh M. Internet use intention and adoption among Chinese older adults: From the expanded technology acceptance model perspective. Computers in Human Behavior. 2010; 26(5): 1111-9.##Habibollahpour M, Motalebi SA, Mahdikhani Z, Mohammadi F. Role of socio-demographic factors in predicting the use of communication technologies by older people in Iran. Journal of Inflammatory Diseases. 2021; 24(6): 498-509. [Persian]##Chen K, Chan AHS. Gerontechnology acceptance by elderly Hong Kong Chinese: a senior technology acceptance model (STAM). Ergonomics. 2014; 57(5): 635-52.##Chen K, Chan AH. A review of technology acceptance by older adults. Gerontechnology. 2011; 10(1): 1-12.##Kim YS, Merriam SB. Situated learning and identity development in a Korean older adults’ computer classroom. Adult Education Quarterly. 2010; 60(5): 438-55.##Walker BA, Azzarito N, Brown K, Burchfield D, Eberly K, Meert N, et al. Exploring the fit between older adults and smartphone use to inform design and practical application. Gerontechnology. 2018;17:83s.##Chen K, Chan AH, Chan SC. Gerontechnology acceptance by older Hong Kong people. Proceedings of the 29th International Symposium of Automation and Robotics in Construction, ISARC 2012; 2012 June 26-29; Netherlands, Eindhoven. 2012.##Jarvis MA, Sartorius B, Chipps J. Technology acceptance of older persons living in residential care. Information Development. 2020; 36(3): 339-53.##Liu CJ, Yang SC. Using the technology acceptance model to examine seniors’ attitudes toward Facebook. International Journal of Educational and Pedagogical Sciences. 2014; 8(6): 1012-7.##Bouma H, Fozard JL, Bouwhuis DG, Taipale V. Gerontechnology in perspective. Gerontechnology. 2007; 6(4): 190-216.##Ma Q, Chan AH, Chen K. Personal and other factors affecting acceptance of smartphone technology by older Chinese adults. Applied Ergonomics. 2016; 54: 62-71.##Dogruel L, Joeckel S, Bowman ND. The use and acceptance of new media entertainment technology by elderly users: Development of an expanded technology acceptance model. Behaviour and Information Technology. 2015; 34(11): 1052-63.##Nayak LU, Priest L, White AP. An application of the technology acceptance model to the level of Internet usage by older adults. Universal Access in the Information Society. 2010; 9(4): 367-74.##O’Brien MA, Olson KE, Charness N, Czaja SJ, Fisk AD, Rogers WA, et al. Understanding technology usage in older adults. Proceedings of the 6th International Society for Gerontechnology. Pisa, Italy; 2008.## ##

Associations Between Sensory Loss and Depressive Symptoms in a Longitudinal National Study of Ageing Adults in Thailand 2 2 Introduction: Sensory loss and depressive symptoms (DS) may be an increasing concern in ageing adults. Some previous studies in China found bidirectional associations between sensory loss and DS, but we lack information on this relationship in Southeast Asia. The purpose of this study was to assess the bidirectional association between sensory loss and DS in a longitudinal study in Thailand. Methods: The responses of participants (≥ 45 years) of two consecutive waves (2015 and 2017) of the Health, Aging and Retirement in Thailand (HART) study were analysed. Sensory loss was assessed with self-reported questions and DS with the Center for Epidemiological Studies Depression scale. Results: The analytic baseline sample included 3708 participants (median = 66 years) who responded to the 2015 and 2017 survey. The prevalence of vision, hearing and dual sensory loss were 25.4%, 13.3% and 7.9%, respectively, and the prevalence of DS was 12.3%. In the final model, adjusted for relevant confounders, vision, hearing, and sensory loss at baseline were positively associated with incident DS (AOR: 1.34, 95% CI: 1.01 to 1.74; AOR: 1.71, 95% CI: 1.23 to 2.38; and AOR: 1.80, 95% CI: 1.20 to 2.69, respectively). DS at baseline was not significantly associated with incident vision, hearing or dual sensory loss. Conclusion: Baseline vision, hearing, and dual sensory loss increase the odds of incident DS, but baseline DS did not significantly increase the odds of incident vision, hearing, or dual sensory loss among ageing adults in Thailand. Corresponding Author: Karl Peltzer View Orcid in Profile You can search for this author in PubMed Google Scholar Profile 73 78 2023/06/202023/06/172023/06/212023/12/52023/10/22 1402/7/30 2023/11/42023/07/202023/11/222023/12/92023/11/7 1402/8/16 Supa Pengpid Supa Pengpid Department of Psychology, College of Medical and Health Science, Asia University, Taichung, Taiwan Taiwan Karl Peltzer Karl Peltzer Department of Health Education and Behavioral Sciences, Faculty of Public Health, Mahidol University, Bangkok, Thailand Thailand Longitudinal Study Depressive Symptoms Sensory Loss Thailand World Health Organization. Deafness and hearing loss [Internet]. [cited 10 Aug 2023]; Available from: https://www.who.int/health-topics/hearing-loss#tab=tab_1##Vicerra PMM. Self-determination and physical functioning as mediators of the association between self-reported sensory impairments and happiness among older adults. Experimental Aging Research. 2022; 48(3): 274-286.##World Health Organization. Blindness and vision impairment [Internet]. 2023 [cited 24 Aug 2023]; Available from: https://www.who.int/news-room/fact-sheets/detail/blindness-and-visual-impairment##Isipradit S, Sirimaharaj M, Charukamnoetkanok P, Thonginnetra O, Wongsawad W, Sathornsumetee B, et al. The first rapid assessment of avoidable blindness (RAAB) in Thailand. PLoS One. 2014; 9(12): e114245.##Ferrari AJ, Charlson FJ, Norman RE, Patten SB, Freedman G, Murray CJ, et al. Burden of depressive disorders by country, sex, age, and year: findings from the global burden of disease study 2010. PLoS Medicine. 2013; 10(11): e1001547.##Ferrari AJ, Charlson FJ, Norman R, Flaxman AD, Patten SB, Vos T, et al. The epidemiological modelling of major depressive disorder: application for the Global Burden of Disease Study 2010. PLoS One. 2013; 8(7): e69637.##Charoensakulchai S, Usawachoke S, Kongbangpor W, Thanavirun P, Mitsiriswat A, Pinijnai O, et al. Prevalence and associated factors influencing depression in older adults living in rural Thailand: A cross-sectional study. Geriatrics Gerontology International. 2019; 19(12): 1248-53.##Haseen F, Prasartkul P. Predictors of depression among older people living in rural areas of Thailand. Bangladesh Medical Research Council Bulletin. 2011; 37(2): 51-6.##Liu W, Yang C, Liu L, Kong G, Zhang L. Bidirectional associations of vision loss, hearing loss, and dual sensory loss with depressive symptoms among the middle-aged and older adults in China. Journal of Affective Disorders. 2022; 301: 225-32.##Han JH, Lee HJ, Jung J, Park EC. Effects of self-reported hearing or vision impairment on depressive symptoms: a population-based longitudinal study. Epidemiology and Psychiatric Sciences. 2019; 28(3): 343-55.##Xie T, Liu D, Guo J, Zhang B. The longitudinal effect of sensory loss on depression among Chinese older adults. Journal of Affective Disorders. 2021; 283: 216-22.##Wu C. Bidirectional Association between depression and hearing loss: evidence from the china health and retirement longitudinal study. Journal of Applied Gerontology. 2022; 41(4): 971-81.##Anantanasuwong D, Theerawanviwat D, Siripanich P. Panel survey and study on health and aging, and retirement in Thailand. In: Gu D, Dupre M, editors. Encyclopedia of gerontology and population aging. Springer, Cham; 2019.##Andresen EM, Malmgren JA, Carter WB, Patrick DL. Screening for depression in well older adults: evaluation of a short form of the CES-D (Center for Epidemiologic Studies Depression Scale). American Journal of Preventive Medicine. 1994; 10(2): 77-84.##Nilmanut S, Kuptniratsaikul V, Pekuman P, Tosayanonda O. The study of the center for epidemiologic studies-depression scale (CES-D) in Thai people Siriraj hospital. ASEAN Journal of Rehabilitation Medicine. 1997; 6(3): 25-30.##Mackinnon A, McCallum J, Andrews G, Anderson I. The center for epidemiological studies depression scale in older community samples in Indonesia, North Korea, Myanmar, Sri Lanka, and Thailand. The Journals of Gerontology. 1998; 53(6): 343-52.##Anantanasuwong D, Pengpid S, Peltzer K. Prevalence and associated factors of successful ageing among people 50 years and older in a national community sample in Thailand. International Journal of Environmental Research and Public Health. 2022 27; 19(17): 10705.##World Health Organization. Guidelines on physical activity and sedentary behavior [Internet]. 2020 [cited 27 Aug 2023]; Available from: https://iris.who.int/bitstream/handle/10665/336656/9789240015128-eng.pdf?sequence=1##Pengpid S, Peltzer K, Anantanasuwong D. Bidirectional association between probable depression and multimorbidity among middle-aged and older adults in Thailand. Journal of Multidisciplinary Healthcare. 2023; 16: 11-19.##Mick P, Parfyonov M, Wittich W, Phillips N, Guthrie D, Kathleen Pichora-Fuller M. Associations between sensory loss and social networks, participation, support, and loneliness: analysis of the Canadian longitudinal study on aging. Canadian Family Physician Medecin de Famille Canadien. 2018; 64(1): e33-e41.##Lipsitz LA, Manor B, Habtemariam D, Iloputaife I, Zhou J, Travison TG. The pace and prognosis of peripheral sensory loss in advanced age: association with gait speed and falls. BMC Geriatrics. 2018; 18(1): 1-8.##Cosh S, Carriere I, Nael V, Tzourio C, Delcourt C, Helmer C, et al. The association of vision loss and dimensions of depression over 12 years in older adults: Findings from the Three City study. Journal of Affective Disorders. 2019; 243: 477-84.## ##

Effectiveness of English Language Teaching on Aggression and Anxiety in the Elderly with Alzheimer’s Disease 2 2 Introduction: When aging starts, the human being becomes prone and vulnerable to a variety of diseases and disorders, specifically Alzheimer’s disease (AD), which is the main reason for about 80% of the cases of dementia in older adults. AD is associated with a range of challenging disorders, such as aggression and anxiety, which make the lives of patients more difficult. This study aimed at investigating the impact of English language teaching on aggression and anxiety among older people with AD. Methods: The design of this study was quasi-experimental pre-test post-test with the control group. The participants of the study included 40 Iranian (20 males and 20 females) older adults (≥ 65 years) who were suffering from AD in Kerman province, Iran, and also they were selected through convenience sampling. The exercise group participated in 20 sessions of English language teaching three times a week in 40 minutes. Then, the effect of English language teaching on both aggression and anxiety was analyzed. The required data were collected through the Persian version of the Bass-Perry Aggression Questionnaire and the Persian version of the Spielberger State‐Trait Anxiety Inventory. Data analysis was conducted by running descriptive statistics, Kolmogorov-Smirnov normality test, Leven test, and one-way Analysis of Covariance (ANCOVA). Results: English language teaching significantly affected aggression among older people with AD (F= 9.112 p < 0.05, w2 = 0.178) similarly; it significantly affected anxiety (F = 9.147 p < 0.05, w2 = 0.130). Conclusion: English language teaching significantly improves aggression and anxiety among older people with AD. The findings have implications for the elderly with AD and their families, psychiatrists, and English language teaching policymakers. Corresponding Author: Neda Fatehi Rad View Orcid in Profile You can search for this author in PubMed Google Scholar Profile 79 83 2023/06/202023/06/172023/06/212023/12/52023/10/222023/05/6 1402/2/16 2023/11/42023/07/202023/11/222023/12/92023/11/72023/11/7 1402/8/16 Maryam Mehrara Maryam Mehrara Department of English Language, Kerman Branch, Islamic Azad University, Kerman, Iran Iran Neda Fatehi Rad Neda Fatehi Rad Department of English Language, Kerman Branch, Islamic Azad University, Kerman, Iran Iran nedafatehi@yahoo.com Valeh Jalali Valeh Jalali Department of English Language, Kerman Branch, Islamic Azad University, Kerman, Iran Iran Aged Alzheimer’s Disease Aggression Anxiety English Language Teaching Barros MP, Poppe SC, Bondan EF. Neuroprotective properties of the marine carotenoid astaxanthin and omega-3 fatty acids, and perspectives for the natural combination of both in krill oil. Nutrients. 2014; 6(3): 1293-317.##Keene J, Hope T, Fairburn CG, Jacoby R, Gedling K, Ware CJ. 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A road less rocky: supporting carers of people with dementia [Internet]. 2013 [cited 10 Aug 2023]; Available from: https://eprints.whiterose.ac.uk/76737/1/DementiaCarers.pdf##Alico JC. Writing anxiety and language learning motivation: Examining causes, indicators, and relationship. Communication and Linguistics Studies. 2016; 2(1): 6-12.##Chen JH, Lin KP, Chen YC. Risk factors for dementia. Journal of the Formosan Medical Association. 2009; 108(10): 754-64.##Fahim M, Bagherzadeh R, Hosseini F. The relationship between self-directed learning and critical thinking ability of Iranian EFL learners. International Journal of English Language, Literature, and Humanities. 2014; 2(5): 550-69.##Cameli L, Phillips NA, Kousaie S, Panisset M. Memory and language in bilingual Alzheimer and Parkinson patients: Insights from verb inflection. Brain and Cognition. 2005; 60(3): 452-76.##Davis AS. Children with down syndrome: implications for assessment and intervention in the school. 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Does COVID-19 Change the Food Habits of the Rural Elderly? A Cross-Sectional Study in Khulna District of Bangladesh 2 2 Introduction: COVID-19 has changed all the routine works of human beings around the globe. The food habits of the elderly are changing due to various reasons. The purpose of this study was to find out the factors influencing food habit changes due to the pandemic. Methods: A non-experimental research design, a survey, was executed at Sachibunia, Nijkhamr, Krishnonagar, and Raingamari villages under Batiaghata Upazila in the Khulna District of Bangladesh. Following a simple random sampling technique, data were collected through a field survey using an interview schedule. To show the relations between/among the variables, the chi-square/Fisher exact test was performed. For measuring the degree of relations of those variables, Binary Logistic Regression was used to find out the factors of food habit changes with a 95% confidence interval. For the model, p < 0.05 was considered statistically significant. Results: The study reveals that 39% of the elderly changed their food habits during COVID-19. Except for the sex and employment status of the elderly, all the sociodemographic factors of this study were associated with food habit changes. Among these sociodemographic factors, age (OR = 2.51, 95% CI, 1.22-5.18), religion (OR = 2.07, 95% CI, 1.13-3.78), spouses' occupation (OR = 3.73, 95% CI, 1.90-7.32), and family head (OR = 3.74, 95% CI, 1.43-9.75) of the elderly influenced their food habits changes. Conclusion: The socio-demographic and economic situations were responsible for the elderly’s food habits changes. Corresponding Author: Ripul Kabir View Orcid in Profile You can search for this author in PubMed Google Scholar Profile 84 91 2023/06/202023/06/172023/06/212023/12/52023/10/222023/05/62023/11/26 1402/9/5 2023/11/42023/07/202023/11/222023/12/92023/11/72023/11/72023/12/5 1402/9/14 Abdul Jabbar Abdul Jabbar Discipline of Sociology , Social Sciences School, Khulna University, Khulna-9208, Bangladesh Bangladesh Ripul Kabir Ripul Kabir Discipline of Sociology , Social Sciences School, Khulna University, Khulna-9208, Bangladesh Bangladesh mrkabir@soc.ku.ac.bd Aged Alzheimer’s Disease Aggression Anxiety English Language Teaching Robinson E, Boyland E, Chisholm A, Harrold J, Maloney NG, Marty L, et al. Obesity, eating behavior and physical activity during COVID-19 lockdown: A study of UK adults. Appetite. 2021; 156: 1-8.##Souza TC, Oliveira LA, Daniel MM, Ferreira LG, Della Lucia CM, Liboredo JC, et al. Lifestyle and eating habits before and during COVID-19 quarantine in Brazil. Public Health Nutrition. 2022; 25(1): 65–75.##Béné C. Resilience of local food systems and links to food security – A review of some important concepts in the context of COVID-19 and other shocks. Food Security. 2020; 12(4): 805–22.##Naja F, Hamadeh R. Nutrition amid the COVID-19 pandemic: a multi-level framework for action. European Journal of Clinical Nutrition. 2020; 74(8): 1117–21.##Anderson E, Durstine JL. Physical activity, exercise, and chronic diseases: A brief review. Sports Medicine and Health Science. 2019; 1(1): 3–10.##Tribst AAL, Tramontt CR, Baraldi LG. Factors associated with diet changes during the COVID-19 pandemic period in Brazilian adults: Time, skills, habits, feelings and beliefs. Appetite. 2021; 163: 1-10.##7. Hall KD, Ayuketah A, Brychta R, Cai H, Cassimatis T, Chen KY, et al. Ultra-processed diets cause excess calorie intake and weight gain: an inpatient randomized controlled trial of ad libitum food intake. 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Boletín médico del Hospital Infantil de México. 2014; 71(6): 358–66.##Rathi N, Riddell L, Worsley A. Food consumption patterns of adolescents aged 14–16 years in Kolkata, India. Nutrition Journal. 2017; 16(1): 1-12.##Marty L, De Lauzon-Guillain B, Labesse M, Nicklaus S. Food choice motives and the nutritional quality of diet during the COVID-19 lockdown in France. Appetite. 2021; 157:1-8.##Beckerman JP, Alike Q, Lovin E, Tamez M, Mattei J. The Development and public health implications of food preferences in children. Front Nutrition. 2017; 4: 1-8.##Abbas AM, Kamel MM. Dietary habits in adults during quarantine in the context of COVID-19 pandemic. Obesity Medicine. 2020; 19: 1-3.##de Faria Coelho-Ravagnani C, Corgosinho FC, Sanches FLFZ, Prado CMM, Laviano A, Mota JF. Dietary recommendations during the COVID-19 pandemic. Nutrition Reviews. 2021; 79(4): 382–93.##Scarmozzino F, Visioli F. Covid-19 and the subsequent lockdown modified dietary habits of almost half the population in an Italian sample. Foods. 2020; 9(5): 1-8.##Sidor A, Rzymski P. Dietary choices and habits during COVID-19 lockdown: experience from Poland. Nutrients. 2020; 12(6): 1-13.##Pellegrini M, Ponzo V, Rosato R, Scumaci E, Goitre I, Benso A, et al. Changes in weight and nutritional habits in adults with obesity during the “lockdown” period caused by the COVID-19 virus emergency. Nutrients. 2020; 12(7): 1-11.##Rodríguez-Pérez C, Molina-Montes E, Verardo V, Artacho R, García-Villanova B, Guerra-Hernández EJ, et al. Changes in dietary behaviors during the covid-19 outbreak confinement in the Spanish COVID-19 study. Nutrients. 2020; 12(6): 1-11.##Ramos-Padilla P, Villavicencio-Barriga VD, Cárdenas-Quintana H, Abril-Merizalde L, Solís-Manzano A, Carpio-Arias TV. Eating habits and sleep quality during the COVID-19 pandemic in adult population of Ecuador. International Journal of Environmental Research and Public Health. 2021; 18(7): 1-11.##Banna JC, Buchthal OV, Delormier T, Creed-Kanashiro HM, Penny ME. Influences on eating: a qualitative study of adolescents in a periurban area in Lima, Peru. BMC Public Health. 2015; 16(1): 1-11.##Johnson CS. Nutritional considerations for bereavement and coping with grief. The Journal of Nutrition, Health and Aging. 2002; 6(3): 171–6.##Host A, McMahon AT, Walton K, Charlton K. Factors influencing food choice for independently living older people-a systematic literature review. Journal of Nutrition in Gerontology and Geriatrics. 2016; 35(2): 67–94.##Blake CE, Monterrosa EC, Rampalli KK, Khan ANS, Reyes LI, Drew SD, et al. Basic human values drive food choice decision-making in different food environments of Kenya and Tanzania. Appetite. 2023; 188: 1-12.##Offei-Ansah C. Food habits and preferences as a factor in the choice of meals by students in the University of Cape Coast. Nutrition and Health. 2012; 21(3): 151–72.##Turki S, Bouzekri K, Trabelsi T, Ati JE. Impact of COVID-19 lockdown on food habits, appetite and body weight in Tunisian adults. Journal of Nutritional Science. 2022; 11: 1-12.##Skotnicka M, Karwowska K, Kłobukowski F, Wasilewska E, Małgorzewicz S. Dietary habits before and during the COVID-19 epidemic in selected European countries. Nutrients. 2021; 13(5): 1-18.##Lopez-Leon S, Wegman-Ostrosky T, Perelman Cc, Sepulveda R, Rebolledo Pa, Cuapio A, et al. More than 50 long-term effects of covid-19: a systematic review and meta-analysis. Medrxiv: The Preprint Server for Health Sciences. 2021; 2021: 1-22.##Samanta S, Banerjee J, Rahaman SN, Ali KM, Ahmed R, Giri B, et al. Alteration of dietary habits and lifestyle pattern during COVID-19 pandemic associated lockdown: An online survey study. Clinical Nutrition ESPEN. 2022; 48: 234–46.##Jara MF, Leyton B, Cuevas C, Espinoza PG. 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Identifying Specific Human Resource Management Practices for Aging Workforce in Public Organizations 2 2 Introduction: The main capital of any organization is its human resources (HR). Organizations invest substantial costs in attracting, retaining, and training individuals. Therefore, it is essential to identify and implement appropriate practices to preserve and enhance HR. Aging of employees is an inevitable phenomenon that poses challenges to all organizations, irrespective of specific geographical locations, because the employees will get old and leave the organization. This research aims to identify HR management practices for aging employees in public organizations in Jahrom City, Fars Province, Iran, in the year 2022. Methods: This study utilizes meta-synthesis and Delphi methods to extract and identify management practices for aging HR. In the meta-synthesis section, the library method was used and community under study in the Delphi section included 28 academic (university professors with doctorate degrees in HR or organizational behavior) and organizational (senior managers and HR managers of public organizations in Jahrom) experts. The research tool used in the Delphi section was a questionnaire conducted in 3 rounds. Results: Through the study of the sources using meta-synthesis method, a total of 79 organizational practices were identified, categorized into 11 main dimensions. After three rounds, a consensus was reached on 60 practices, organized into 9 main dimensions, and the Delphi rounds were concluded. In the final round, no new practices were suggested or removed. Due to the minimal differences in the Kendall coefficient among the different rounds, the Delphi rounds were concluded. Conclusion: It is necessary to plan and implement all these practices in parallel and simultaneously. However, as the most crucial management measure is planning, there is a need for planning, coordination, and harmonization at the legislative, administrative, and recruitment levels. Implementing the proposed practices through organizational experts, HR managers, and the active participation of aging employees in implementing practical practices will lead to better execution. Corresponding Author: Hossein Mansoori View Orcid in Profile You can search for this author in PubMed Google Scholar Profile 92 102 2023/06/202023/06/172023/06/212023/12/52023/10/222023/05/62023/11/262023/11/13 1402/8/22 2023/11/42023/07/202023/11/222023/12/92023/11/72023/11/72023/12/52023/11/27 1402/9/6 Mohammad Ali Fadaei Mohammad Ali Fadaei Department of Industrial and Public Management, Faculty of Management and Accountancy, University of Hormozgan, Bandar Abbas, Iran Iran Hossein Mansoori Hossein Mansoori Department of Industrial and Public Management, Faculty of Management and Accountancy, University of Hormozgan, Bandar Abbas, Iran Iran H.mansouri@Hormozgan.ac.ir Tayebeh abbasnejad Tayebeh abbasnejad Department of Industrial and Public Management, Faculty of Management and Accountancy, University of Hormozgan, Bandar Abbas, Iran Iran Human Resources Management Aging Workforce Delphi Meta-Synthesis Lazazzara A, Bombelli MC. 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