{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:36:07Z","timestamp":1792787767537,"version":"4.5.0"},"reference-count":52,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T00:00:00Z","timestamp":1776729600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T00:00:00Z","timestamp":1776729600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Johns Hopkins School of Nursing 2023 Discovery and Innovation Fund"},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["R01AG080613"],"award-info":[{"award-number":["R01AG080613"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Johns Hopkins University Center for Equity in Aging 2023 Pilot Award","id":[{"id":"https:\/\/ror.org\/00za53h95","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Alzheimer\u2019s Disease"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Subjective cognitive decline (SCD), defined as self-perceived cognitive worsening despite normal performance on standardized tests, is increasingly recognized as a potential early indicator of Alzheimer's disease and related dementias. Older adults with SCD face elevated dementia risk and may benefit from timely intervention or support. To guide such efforts, qualitative research is needed to understand how they experience and perceive cognitive changes in daily life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aims to explore the daily life experiences of community-dwelling older adults with SCD, including how they respond to self-perceived cognitive changes, the impact on daily functioning and well-being, and their perceived factors associated with cognitive performance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using a qualitative descriptive approach, we conducted semi-structured interviews with 16 older adults who reported cognitive decline but showed no objective cognitive impairment. Transcripts were analyzed using thematic analysis to identify key themes related to lived cognitive experiences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Four major themes emerged: (1) cognitive changes manifesting in everyday tasks across domains such as memory, attention, and executive function; (2) active use of intentional internal and external strategies to manage these changes; (3) varied emotional responses and appraisals shaped by personal expectations and contextual factors; and (4) perceived risk (e.g., aging, stress, poor sleep) and protective factors (e.g., mental stimulation, social engagement) for cognitive function.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Participants with SCD reported cognitive changes that have influenced their daily activities, emotional well-being, and social interactions. Future research may consider person-centered strategies that support cognitive self-management and improve well-being among older adults with SCD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/13872877261443974","type":"journal-article","created":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T14:04:12Z","timestamp":1776780252000},"page":"1708-1724","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Daily life experiences of cognitive changes in community-dwelling older adults with subjective cognitive decline: A qualitative study"],"prefix":"10.1177","volume":"111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5512-9758","authenticated-orcid":false,"given":"Jing","family":"Huang","sequence":"first","affiliation":[{"name":"Johns Hopkins University"},{"name":"California Pacific Medical Center Research Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7829-8634","authenticated-orcid":false,"given":"Youngmin","family":"Cho","sequence":"additional","affiliation":[{"name":"Johns Hopkins University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-9973-157X","authenticated-orcid":false,"given":"Claire","family":"Wang","sequence":"additional","affiliation":[{"name":"Johns Hopkins University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna S.","family":"Beeber","sequence":"additional","affiliation":[{"name":"Johns Hopkins University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-7618-6941","authenticated-orcid":false,"given":"Brandon","family":"Vu","sequence":"additional","affiliation":[{"name":"Johns Hopkins University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah L.","family":"Szanton","sequence":"additional","affiliation":[{"name":"Johns Hopkins University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5371-8767","authenticated-orcid":false,"given":"George W.","family":"Rebok","sequence":"additional","affiliation":[{"name":"Johns Hopkins Bloomberg School of Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junxin","family":"Li","sequence":"additional","affiliation":[{"name":"Johns Hopkins University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,21]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-021-11068-1"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jalz.2014.01.001"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000005863"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jalz.2018.10.003"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.nicl.2021.102923"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000201072"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41398-021-01711-1"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/gps.5509"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(19)30368-0"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnv030"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610211002766"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1037\/a0031196"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1002\/nur.20362"},{"key":"e_1_3_3_15_2","article-title":"Population measures of subjective cognitive decline: a means of advancing public health policy to address cognitive health","volume":"7","author":"Olivari BS","year":"2021","unstructured":"Olivari BS, Baumgart M, Taylor CA, et al. 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