[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-425363-105":3,"detail-sidebar-cat-0-en-105":81,"doc-detail-425363-en":131},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","age-friendly-but-not-for-me-resolving-cognitive-dissonance-to-improve-continuity-of-care","AGE FRIENDLY, BUT NOT FOR ME? - Resolving Cognitive Dissonance to Improve Continuity of Care","","Older adults often struggle to transition from Age-Friendly Health Systems (AFHS) care delivered at retail clinics to sustained follow-up with primary care providers (PCPs). Three focus groups (N=20, ages 64–81) explored experiences receiving AFHS care via the 4Ms framework at CVS MinuteClinics and the barriers and facilitators shaping PCP follow-up decisions. Constructivist grounded theory coding identified cognitive dissonance and information uncertainty, including perceived relevance of AFHS as beneficial yet personally inapplicable. Findings were supported by the CVS MinuteClinic AFHS Patient Advisory Council, emphasizing identity-related discomfort with aging and uncertainty about integrating AFHS guidance into PCP care.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/age-friendly-but-not-for-me-resolving-cognitive-dissonance-to-improve-continuity-of-care/425363/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/age-friendly-but-not-for-me-resolving-cognitive-dissonance-to-improve-continuity-of-care/425363.png","ImageObject",300,407,{"name":42,"@type":43},"Oliver","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-11-02","2026-09-28",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",12,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What problem does the study address in geriatric healthcare transitions?","Question",{"text":63,"@type":64},"It addresses how older adults transition from AFHS care at retail clinics to ongoing follow-up with their primary care providers (PCPs).","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How was the study conducted to understand older adults’ experiences?",{"text":68,"@type":64},"The study used three focus groups (N=20, ages 64–81) and applied a constructivist grounded theory approach with open and axial coding based on MinuteClinic visits.",{"name":70,"@type":61,"acceptedAnswer":71},"What themes emerged, and why do they affect follow-up?",{"text":72,"@type":64},"Cognitive dissonance and information uncertainty emerged. Participants often viewed AFHS as beneficial generally but personally irrelevant, creating identity-related discomfort with aging and making follow-up guidance harder to integrate with PCP care.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},425363,1790795139,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,110,115,120,123,127],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":102,"doc_module":4,"doc_module_name":25,"category_name":103,"show_sort_weight":104,"slug":105},6,"Technology",50,"technology",{"id":107,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":108,"slug":109},7,40,"healthcare",{"id":111,"doc_module":4,"doc_module_name":25,"category_name":112,"show_sort_weight":113,"slug":114},8,"Research & Report",30,"research-report",{"id":116,"doc_module":4,"doc_module_name":25,"category_name":117,"show_sort_weight":118,"slug":119},9,"Religion & Spirituality",20,"religion-spirituality",{"id":118,"doc_module":4,"doc_module_name":25,"category_name":121,"show_sort_weight":118,"slug":122},"World Cup","world-cup",{"id":124,"doc_module":4,"doc_module_name":25,"category_name":125,"show_sort_weight":124,"slug":126},10,"Lifestyle","lifestyle",{"id":128,"doc_module":4,"doc_module_name":25,"category_name":129,"show_sort_weight":97,"slug":130},19,"General","general",{"code":4,"msg":82,"data":132},{"doc_id":79,"user_id":133,"nickname":42,"user_avatar":134,"doc_module":4,"category_id":107,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":22,"language":140,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":12,"update_tm":144,"read_time":30,"preview_page_count":4},8796095461610,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Innovation in Aging, 2025, Vol. 9, No. S2 933  \nAbstract citation ID: igaf122.3152  \nAGE FRIENDLY, BUT NOT FOR ME? RESOLVING  \nCOGNITIVE DISSONANCE TO IMPROVE  \nCONTINUITY OF CARE  \nJoshua Gerlick1, Betty Napoleon1, Grace Armstrong1, Nicholas Schiltz1, Anne Pohnert2, and Mary Dolansky1, 1. Case Western Reserve University, Cleveland, Ohio, United States, 2. CVS Health, Woonsocket, Rhode Island, United States  \nA persistent challenge in geriatric healthcare is ensuring that older adults effectively transition from Age-Friendly Health Systems (AFHS) care provided at retail clinics to ongoing follow-up with their primary care providers (PCPs) . We conducted three focus groups (N = 20, ages 64–81) to understand older adults’ experiences receiving care through the AFHS 4Ms framework at MinuteClinics in select CVSHealth locations, as well as the barriers and facilitators influencing their decisions to follow up with a PCP. Using a constructivist grounded theory approach, we applied team-based initial (open) coding techniques to capture participants’ lived experiences during visits to a MinuteClinic. Axial coding then identified deeper relational themes, most notably cognitive dissonance and information uncertainty. Participants frequently expressed contradictory views on the relevance of AFHS, describing it as beneficial in general yet personally irrelevant. One participant captured this tension by stating,“This doesn’t apply to me, but it’s valuable for others with more serious conditions.” We supported these findings with members of the CVS MinuteClinic AFHS Patient Advisory Council (PAC), which highlighted identity-related discomfort with aging. One PAC member remarked,“We don’t think of ourselves as old,” and this creates a barrier to embracing AFHS recommendations. Focus group and PAC participants reported uncertainty about how to best follow-up and integrate AFHS recommendations with their PCP, suggesting a need for clearer and more personalized messaging. Our findings suggest that providers must explicitly link AFHS 4Ms recommendations with patients’ individual health contexts to reduce cognitive dissonance, enhance clarity, and improve the likelihood of follow-up.","cbCaimmrs0Z1ljGT","https://ap.wps.com/l/cbCaimmrs0Z1ljGT","pdf",47222,"English","# Abstract\n## Study design and setting\n## Key barriers and themes\n## Implications for providers","[{\"question\":\"What problem does the study address in geriatric healthcare transitions?\",\"answer\":\"It addresses how older adults transition from AFHS care at retail clinics to ongoing follow-up with their primary care providers (PCPs).\"},{\"question\":\"How was the study conducted to understand older adults’ experiences?\",\"answer\":\"The study used three focus groups (N=20, ages 64–81) and applied a constructivist grounded theory approach with open and axial coding based on MinuteClinic visits.\"},{\"question\":\"What themes emerged, and why do they affect follow-up?\",\"answer\":\"Cognitive dissonance and information uncertainty emerged. Participants often viewed AFHS as beneficial generally but personally irrelevant, creating identity-related discomfort with aging and making follow-up guidance harder to integrate with PCP care.\"}]","AGE FRIENDLY, BUT NOT FOR ME? - Resolving Cognitive Dissonance to Improve Continuity of Care | PDF",1790637053]