bluuebunny/crossref_metadata_2025 huggingface dataset:
THE GIFT OF MUSIC: AN INTERGENERATIONAL CAMPUS-COMMUNITY PARTNERSHIP
Authors: Nesser Whitney , Buchanan Scott
Published: December 2022

Intergenerational programs bring individuals together across a continuum of age to share experiences. This study was designed to engage university music students with residents at a senior living community. University music student groups performed monthly at a local senior living community and completed pre- and post- performance evaluations to assess performance expectations, level of interest in the performance, perception of factors determining performance success, and perception of performance importance for the senior residents. A total of 24 students participated in one of three musical ensembles (Choir=11; Flutes=5; Steel Drums=8) during the months of February, March, and April 2022. Across all three ensembles, 50% of the students had never performed for residents at a senior living community. On a scale of 1–5, with 1 being “Not at all” and 5 being “Very much”, 21 students indicated a “4” or “5” as to the importance of the performance for the residents whereas 15 students indicated a “4” or “5” in response to the importance of the performance for themselves. Most students reported looking forward to the performance, and following the performance indicated it had been a success. Factors identified as determining performance success included comments such as: “How much the audience enjoyed themselves!” and “Performers and audience enjoyed the performance. We would love to come back!”. Our findings suggest that performing live music in an intergenerational campus-community setting is beneficial not only for students but also for senior living facility residents.
HUMAN CENTERED DESIGN TO DEVELOP A LGBTQ+ COMMUNITY ADVISORY BOARD FOR SKILLED NURSING FACILITIES
Authors: May Jennifer , Wheeler Jason , Simmons Ames , Hensley Mark , O’Donnell Jerry , Wheeler Joseph , Ellis Kirby
Published: December 2022

Lesbian, gay, bisexual, transgender, queer (LGBTQ+) adults will require inclusive skilled nursing care as they age, but there is a paucity in LGBTQ+ specific training resources for skilled nursing facility (SNF) healthcare workers. Development of community advisory boards is becoming common in research studies as funders place emphasis on stakeholder engagement, but how advisory boards are created with community member involvement at the onset remains less clear. This presentation describes the creation of a community advisory board of LGBTQ+ community members, community organizations, and SNF administrators that work together to develop LGBTQ+ resources for 25 SNFs. Advisory board members were identified using a design thinking framework and the Field Guide to Human-Centered Design. Potential board members were identified through networking with community-based organizations, existing relationships with SNFs, and by word of mouth. The advisory board consists of 3 LGBTQ+ adults, 4 SNF administrators, 1 AARP community outreach and advocacy associate director, 1 advocacy coordinator for LGBTQ+ older adults, 1 SNF physician liaison, and 1 nurse scientist. To gain buy-in, individual interviews and focus groups with potential advisory board members were conducted. Meetings provided an opportunity to describe project goals and how potential member’s expertise would guide development of resources. LGBTQ+ adult community members received compensation for their participation. The advisory board is meeting monthly and approaching the design phase. Community stakeholder involvement in early stages of development will help ensure that LGBTQ+ resources are relevant and applicable to enhance health and well-being of LGBTQ+ older adults in the future.
THE ROLE OF GLOBAL SCHOLARSHIP IN THE JOURNAL OF AGING & SOCIAL POLICY
Authors: Miller Edward , Simpson Elizabeth , Gusmano Michael , Nadash Pamela
Published: December 2022

Policymakers, practitioners, and researchers need a balanced, thoughtful, and analytical resource to meet the challenge of global aging at a rate that’s historically unprecedented. The Journal of Aging & Social Policy (JASP), which was founded in 1989, serves this role by drawing contributions from an international panel of policy analysts and scholars who assume an interdisciplinary perspective in examining and analyzing critical phenomena that affect aging and the development and implementation of programs for older adults from a global perspective. Study settings extend beyond the United States to include Europe, the Middle East, Australia, Latin America, Asia, and the Asia-Pacific rim. This presentation will document the scope, content, and focus of JASP, including the rise of international submissions, which now account for approximately half of articles published. Opportunities for publishing in JASP will be discussed; so too will strategies for navigating the peer-review process successfully.
PERSPECTIVES OF THE FEMALE SPOUSE IN DEMENTIA CAREGIVING IN FORMAL CAREGIVING RESOURCE USE
Authors: Satake Anna
Published: December 2022

The purpose of this qualitative descriptive study was to explore female spousal caregivers’ decisions regarding the use of formal caregiving resources in caring for a partner with dementia. Participants included 11 female spouses who provided caregiving to their husbands with dementia in the home setting. Findings suggested that a caregiver’s willingness or reluctance to use any resources were influenced by factors that related to them (e.g., assessment of their skills/abilities), their husband (e.g., his belief he didn’t need help) and, to a lesser degree, the resource qualities (e.g., cost). Caregivers seemed to make the decision to use resources only after careful consideration of their husband’s needs, his understanding of what he needed, and how well the resource would fit for him and whether he would accept that help. Interestingly, factors like cost and access were less germane to the caregiver’s decision. This implies that the decision-making process for a wife caregiver in regards to the care for a partner with dementia is complex and involves their readiness and needs as the caregiver, the needs and readiness of the persons with dementia, and the qualities of the resources. These factors are all dynamic, and clinicians and formal caregiving services need to have ongoing conversations and assessments throughout the caregiving journey to assess both the caregiver’s willingness and reluctance to start a specific service.
GENDER AND AGE EFFECTS ON PTG EXPLAINED BY PSYCHOLOGICAL FACTORS IN CARDIAC PATIENTS
Authors: Ai Amy , Sabuncu Crim
Published: December 2022

The present study explored the role of gender on posttraumatic growth (PTG) 30-months after cardiac surgery and mediation of preoperative psychosocial factors. Two previous meta-analyses found that woman tended to have more growth than men, and that PTG was associated with improved overall health, but most studies were cross-sectional and small-scale. Using a prospective design, we followed 262 patients undergoing cardiovascular operations with surveys and objectively measured medical indices from the Society of Thoracic Surgeons’ (STS) national database. Participants completed a follow-up survey on PTG 30-month after surgery. Bivariate correlations related PTG with female gender, age, minority race, marriage, and faith-based factors, but no medical or other psychosocial factors. In hierarchical regressions, gender and age were linked with PTG, alongside other demographics in Step-1. These effects sustained after entry of STS indices, in Step-2, but the gender role diminished after adding medical comorbidities, preoperative depression, optimism, hope, and social support in Step-3. No other factor in these steps had an impact. The age effect vanished when faith factors were entered, but only positive spiritual coping (PSC) was related to PTG. Finally, the role of PSC on PTG was mediated by perceived spiritual support. The final model was significant, accounting for one-third of the variance [F (20, N = 215) = 4.896, p < .001, R2 = .334] in PTG. This suggests that more research should aim to explore the effect of gender and age on PTG in general. For cardiac patients, care providers may encourage positive faith-based coping prior to cardiovascular surgery.
AGE DIFFERENCES IN DEPRESSION AND ANXIETY LEVELS OF OPEN HEART SURGERY PATIENTS
Authors: Sabuncu Crim , Ai Amy
Published: December 2022

Age, as well as gender, are key demographic measures in cardiac patients. Further, depression and anxiety have been long established to be comorbidities of heart disease (HD). In this prospective study, to examine the impact of age and gender in preoperative depression and postoperative anxiety symptoms of HD patients receiving open heart surgery (OHS), we collected two waves of survey data along with medical indices from patients at a top-10 heart center in the USA (n = 481, mean age = 62.18 ± 12.04, female 42%). The collected survey data included socio-demographic information (age, gender, race), religious affiliation and other religious factors, general health and health behaviors, medical comorbidities, cardiovascular health indices, dispositional optimism, hope, social support, depression symptoms, and anxiety symptoms. Statistical analysis was carried out using hierarchical linear regression analyses. Findings support that higher age correlates with increased levels of cardiac symptoms. Further, younger age was associated with higher levels of postoperative depression, while older age was associated with higher levels of postoperative anxiety. Higher levels of dispositional optimism were consistently associated with lower levels of both postoperative depression and postoperative anxiety regardless of age. Female gender had an impact on depression scores but not on anxiety scores. Findings suggest that medical practitioners might benefit from being more attentive to non-medical conditions such as mood states, dispositional optimism, and general positive expectations about the future in post-OHS life. The findings also suggest that there might be age and gender differences in expected postoperative psychosocial symptomology for OHS patients.
DECREASING THE USE OF BENZODIAZEPINES AND SEDATIVE HYPNOTICS IN POST OPERATIVE OLDER ADULTS
Authors: Opute Amaka
Published: December 2022

Purpose

The purpose of this project was to decrease the prescribing of benzodiazepines and sedative hypnotics in post-operative older adults.

Background

Routine prescribing of benzodiazepines and sedative hypnotics as first line choices for sleep medication is a known contributor to prolonged hospital stays, increased fall rates, increased development of delirium, higher health care costs, and long-term cognitive decline. Methodology: Practice changes included monthly provider and nursing staff education inservices, coupled with transparent monitoring of provider prescribing practices. The outcomes measure was to decrease the prescribing of benzodiazepines and sedative hypnotics by 5% within 90 days and increase the prescribing of melatonin by 10%.

Results

When comparing six months of data pre and post implementation on the unit, there was a 33% decrease in the prescribing of benzodiazepines/sedative hypnotics and a 12% increase in the prescribing of Melatonin. There was also a 28% decrease in the hours of patient safety sitter use, a marker for delirium. Implications: This quality improvement project decreased the number of benzodiazepines and sedative-hypnotics prescribed by expanding provider and nursing knowledge, which ultimately led to fewer hours spent utilizing patient safety sitters, thereby lowering healthcare costs, while concurrently improving the quality of care delivered
EMPATHIC RESPONSE AND MARITAL QUALITY FOR SAME- AND DIFFERENT-SEX MIDLIFE COUPLES: MEDIATING ROLE OF DYADIC COPING
Authors: Joo Susanna , Chai Hye Won , Lee Jihye , Kim Hyoun K , Umberson Debra
Published: December 2022

Dyadic coping is a daily interpersonal process that married couples use to manage stress and maintain their marriage. However, little is known about its mediating role in the association between empathic response and marital quality among same-sex and different-sex couples. This study aimed to examine the extent to which dyadic coping mediates the association between empathic response and marital quality, focusing on middle-aged men and women in same-sex and different-sex marriages. We used dyadic data from the Health and Relationships Project (HARP), including 124 gay, 171 lesbian, and 124 straight couples. Results from the actor-partner interdependence mediation model (APIMeM) showed that dyadic coping within couples mediated the association between empathic response and marital quality for all couple types (i.e., gay, lesbian, and straight couples). More empathic response was associated with better dyadic coping, which led to higher marital quality. While such mediated paths did not differ significantly between gay and lesbian couples, direct associations between empathic responses and marital quality were only significant among lesbian couples. Additionally, there were gendered patterns within straight couples; while female spouses’ empathic response was associated with their and their male spouses’ marital quality through the couple’s dyadic coping, such a mediated path was not significant for male spouses’ empathic response. These findings suggest dyadic coping as an effective strategy for enhancing marital quality among same-sex and different-sex married couples, but the mediating role of dyadic coping is gendered in different-sex marriages.
VOCATIONAL ASSESSMENT AND INDIVIDUAL DEVELOPMENT PLANNING IN DIVERSITY-FOCUSED UNDERGRADUATE MENTORSHIP
Authors: Thompson Sheri
Published: December 2022

The UC San Diego MADURA Mentorship Program, funded the National Institute on Aging, strives to improve diversity in Aging/Alzheimer’s Disease and Related Dementias (ADRD) research and clinical practice. Goals include improved academic success of undergraduate URM trainees, and facilitating graduate/medical school applications and entry into Aging/ADRD research or clinical careers. Mentees receive paid research experience, training, Program and lab-based faculty supervision, peer support, seminars, and professional development opportunities. To enhance educational and career planning, MADURA incorporated Individual Development Plan (IDP) use, in 2022. IDP training by a Career Services presenter was followed by interactive IDP completion during small group break-outs, with ongoing revisions occurring throughout the quarter. Further, all trainees were offered formal vocational assessment (Strong Interest Inventory®, College Edition). 21 trainees participated and some engaged in individual 30-minute feedback sessions. All mentors were asked to incorporate IDP and vocational assessment discussions into year-end professional development meetings with mentees. Data to be presented includes: Student evaluation of IDP training; prior vocational assessment access; student and mentor ratings of IDP and vocational assessment feasibility, utility and satisfaction; and cohort vocational profile characteristics. Discussion includes implementation challenges, benefits and limitations of IDP and vocational assessment use, and future research suggestions.
THE IMPACT OF RACE AND GENDER ON OVERALL CARE RATING AT THE END OF LIFE: APPLYING THE THEORY OF INTERSECTIONALITY
Authors: Suntai Zainab
Published: December 2022

Research focused on the quality of care received at the end of life has advanced over the past few decades, but few studies have employed an intersectional lens to assess differences in care quality. The theory of intersectionality suggests that individuals with membership in two or more vulnerable groups may be at risk of experiencing increased hardships and stressors across the lifespan. To test the theory of intersectionality and fill the gap in research, this study aimed to assess the combined impact of race and gender on the quality of care received at the end of life among older adults. Data were derived from the combined Round 3 to Round 10 of the National Health and Aging Trends Study, an annual longitudinal panel survey of adults aged 65 and older in the United States. Chi-square tests were used for bivariate analyses and two multivariate logistic regressions were run. Results showed that White men were the most likely to have had excellent or good care at the end of life, followed by White women, Black men, and then Black women. This points to a significant disadvantage for Black women, who lag behind all other groups in other life domains such as income, education, and access to health insurance. Interventions may include intersectionality-focused cultural humility training, cultural matches between patients and providers, and the adoption of a universal health insurance plan to reduce the gaps in service quality caused by the dominance of employment-based health insurance in the United States.
PUBLISHING IN INTERNATIONAL JOURNALS AND THE EXPECTATION IT PLACES ON OUR WRITING: TIPS FROM AGEING & SOCIETY
Authors: Torres Sandra
Published: December 2022

Understanding the differences between academic writing genres is crucial to nailing down the craft that is writing for peer-review journal publication. Based on the experience of Ageing & Society, this presentation will bring attention to the different readers that peer-reviewed journals cater to and how these differences impact how we craft manuscripts about the research we conduct. Using this as a starting point, as well as allusions to how data collected in specific national settings can be reported so that it can be used to contribute to ongoing international debates in social gerontology, this presentation offers the Editor-in-Chief’s top 10 tips for publishing in international peer-reviewed journals. By bringing specific attention to the routines that Ageing & Society utilize, and the expectations that its editors place on the different sections of a manuscript, this presentation aims to give attendees valuable insights into how to write for peer-reviewed outlets.
COMPUTING, DENTISTRY AND AGING: ORAL HEALTH, BIOLOGICAL AGE AND MORTALITY
Authors: Zhong Xin
Published: December 2022

Oral health is essential to general well-being across the lifespan. Recent study on number of natural teeth, denture use and mortality in non-Singaporean elderly indicated the importance of oral determinants. To the best of our knowledge, no study has envisioned the association between biological age and oral health among community-dwelling older Singaporeans. By leveraging the acquired knowledge from Singapore Longitudinal Ageing Study (SLAS), our aim is to examine the association between biological age, oral health, and mortality. Our hypothesis is that older adults with or without dental problems will have a significant difference in mortality and other health outcomes. Our methodology is to combine a more realistic AI approach and a hypothesis-driven multidisciplinary approach to examine the association between oral health and general health outcomes (mortality, hospitalization, etc). Cross-sectional data analyses were performed on 2844 community-living Chinese older adults of 65–80 years old in the Singapore Longitudinal Aging Study II (SLASII) cohort. The Keplan-Meier survival analysis showed statistically significant differences in survival time between the group with dental problems and the group without dental problems (p < 0.001) in an 8-year longitudinal study. Results also showed a significant difference between biologically younger, biologically older, and the intermediate group groups (p = 0.0012). Those groups were classified by the computed biological age. Our preliminary results will produce a plethora of new links between oral health, biological age, and mortality. The research outcome may serve as a baseline for policymakers to evaluate and promote subsidized oral health programs.
THE MEANING OF EXPERIENCING FEAR OF FALLING AMONG OLDER ADULTS
Authors: Dolan Hanne , Pool Natalie
Published: December 2022

Fear of falling (FOF) is prevalent among older adults. While the concept has been conceptually defined and factors associated with FOF has been extensively explored in nursing and other health sciences, the experience of this fear is often overlooked. The purpose of this study was to illuminate the phenomena of FOF using the rich descriptions elicited from four (Nf4) older adults. The meaning of these experiences was then interpreted in conjunction with the known and emergent FOF body of literature. Each participant was interviewed twice using videoconferencing as part of a larger study exploring the lived experience of being at risk for falling in the hospital. A total of eight interview transcripts were analyzed using van Manen’s interpretive phenomenological methodology. The philosophical underpinning of this study is the philosophy of caring in nursing outlined by Kari Martinsen. Three major interpretive themes emerged: Loss of Self, Part of my Existence, and Remaining Safe Within the Boundaries of Fear. These themes describe how FOF is the fear of being suspended in time and space and losing connection with oneself both physically and mentally during a fall. The fear becomes a part of one’s existence, ranging from worry to all-consuming panic, and the body becomes unpredictable. FOF means living within invisible boundaries of fear, where feelings of helplessness, uselessness, and isolation are common. Relationships with others can both temper and ignite the FOF, and caregivers must understand the meaning of this experience to improve support of older adults in managing this overwhelming experience.
PHYSICAL ACTIVITY AND SEDENTARY TIME ASSOCIATIONS WITH NON-FRACTURE FALL INJURY (NFFI) AND FRACTURE
Authors: Bessette Lily , LaCroix Andrea , Schumacher Benjamin , LaMonte Michael , Schousboe John , Ensrud Kristine , Cauley Jane A , Strotmeyer Elsa
Published: December 2022

Understanding fall injury risk factors and circumstances may lead to better prevention. However, many fall injury studies focus on fractures from hospitalizations or emergency events, rather than non-fracture fall injuries (NFFI), which comprise >50% of fall injuries in older adults. We hypothesized that risk factors were differently associated with NFFI vs. fracture fall injuries in a community-based cohort of ambulatory women with fall injuries in the Objective Physical Activity and Cardiovascular Disease Health in Older Women (OPACH) ancillary of the Women’s Health Initiative Long Life Study. Women with daily fall calendars over 1-year follow-up completed telephone interviews regarding fall injury circumstances (Nf662; mean 79.6 + 6.7 years; 73.3% White). Risk factors and fall circumstances were assessed with first reported fall injury (NFFI vs. fracture) using univariate and multivariate logistic regression. Participants with NFFI vs. fracture were more likely to be non-white, less likely to seek clinical treatment or need help up from fall (all p < 0.05). Adjusting for age, race, and BMI, NFFI vs. fracture were more likely to report >=6 hours sitting (OR=1.72, 95% CI=1.07–2.73) and less likely to report weekly moderate exercise (OR=0.61, 95% CI=0.38–0.96), though total accelerometer-measured sedentary time and physical activity (PA) were not significant. Self-reported PA level at the time of fall (OR=1.31, 95% CI=0.82–2.09) and walking outside for >10 minutes >= 1/week (OR=1.24, 95% CI=0.77–1.98) were not different for NFFI vs. fractures. Older women with NFFI vs. fracture had more sedentary time and less moderate exercise, which may have implications for fall injury severity.
OLDER PRIMARY CARE PATIENTS’ ENGAGEMENT WITH STEADI FALL PREVENTION RECOMMENDATIONS
Authors: Kiyoshi-Teo Hiroko , De Lima Bryanna , Cohen Debbie , Winters-Stone Kerri , Eckstrom Elizabeth
Published: December 2022

The Stopping Elderly Accidents, Deaths, and Injuries (STEADI) initiative is a CDC-disseminated strategy to provide fall prevention recommendations to high risk patients. However, whether older patients engage with fall prevention recommendations is less clear. The aims of this study were to: 1) describe STEADI fall prevention recommendations provided to eligible older patients; and 2) understand patients’ attitudes, confidence and adherence to recommendations. Fall prevention recommendations were identified by chart review (age ≥65 years old; STEADI score ≥4 (high risk); free of severe cognitive impairment). For those who consented to the study, questionnaires measured recollection (Yes/No), feelings (Positive/Negative), overall confidence to reduce fall risks through the recommendations (0–10 scale; 10 = most confident), and adherence to the specific recommendations (Yes/No). Results showed that 30% (n = 458) of eligible older adults received fall prevention recommendations. Among study participants (n = 182; 69% female, age 80.2 ± 7.7 years, STEADI score 7.0 ± 2.6), 73% reported positive reactions to recommendations. Overall confidence to reduce gait/balance-related fall risks through recommendations was 7.52 (n = 137) with adherence to physical therapy at 70% and tai chi at 38%. Overall confidence to reduce blood pressure-related fall risks through recommendations was 7.45 (n = 55) with adherence to adjusting medications at 89% compared to 69% for compression socks. Participants reported varying levels of adherence despite positive reactions and moderate confidence to reduce their fall risks. Additional research is needed to identify barriers and facilitators to improve adherence.
FEASIBILITY OF FALLS PREVENTION PROGRAMS IMPLEMENTATION BASED ON ACADEMIC-COMMUNITY PARTNERSHIPS
Authors: Kelekar Uma , Elrod Cathy , Heyn Patricia , Wong Rita
Published: December 2022

The Northern Virginia (NoVa) region is diverse in age, race, ethnicity, economic status, health status, culture, and language. Based on state data, it is estimated that 28.7% of the 75,000 older adults in NoVa will experience at least one fall annually. Since 2014, the Administration for Community Living (ACL) has sponsored implementation of evidence-based fall prevention programs (EBFPPs). The aims of this study are to 1) describe the EBFPP participants and delivery sites and 2) report initial effectiveness. Marymount University (MU) received two cooperative agreement grants (2016, 2018) from the ACL to implement in NoVa three EBFPPs: 1) Stay Active and Independent for Life (SAIL), 2) A Matter of Balance (MOB), and 3) Otago Exercise Program (OEP). The Northern Virginia Falls Prevention Alliance was formed and a Regional Training Office was built. The data source is the ACL national falls database. From 2016–2022, over 5,000 older adults were reached, over 400 EBFPP leaders were trained, and programs were delivered at 60 sites. Data analysis indicates that falls decreased from 20% to 15%. Those participating in MOB showed the greatest decline in falls (from 34% to 14%). Fall injuries declined from 11% to 7% and ED visits decreased from 3% to 1%. Preliminary analysis indicates beneficial impact: this academic-community partnership has reached people at low risk of falling (SAIL), and had an impactful decline in falls for individuals at moderate to high risk (MOB). Future research will investigate program outcome differences based on other demographics and delivery models.
FACTORS ASSOCIATED WITH FRID USE IN OLDER BLACK AND WHITE MEN AND WOMEN: THE HEALTH ABC STUDY
Authors: Roberts Jimmie , Boudreau Obert M , Xue Lingshu , Cauley Jane A , Strotmeyer Elsa
Published: December 2022

Medications that increase falls, fall-risk increasing drugs (FRIDs), are common in older adults. Two FRID definitions, the CDC Steadi-Rx and Swedish National Board of Health and Welfare, are widely accepted. We hypothesized that FRID use risk factors vary by definition in 1,352 community-dwelling older adults in the Health, Aging, and Body Composition Study (Health ABC; 2007–2008 clinic visit; 83.4±2.8 years; 54.1% women; 34.9% Black). FRID use by either definition was associated with chronic health conditions, medical care including non-FRID use, higher BMI and depression scores, and less walking exercise (all p < 0.05). Steadi-Rx FRID use was also associated with more falls, ADL difficulty, and better cognitive scores. Using stepwise multivariate Poisson regression adjusting for demographics, lifestyle/behavior factors, and comorbidity, a 1-unit increase in BMI and depression score was associated with an approximately 2% mean FRID count increase for both definitions and 7% mean FRID count increase per 1-unit increase in non-FRID count. Both definitions had a 40% and 15% lower mean FRID count, respectively, with hypertension and cardiovascular disease (CVD) history. Better cognitive scores were associated with 1% mean increase in Steadi-Rx FRID count and a mean decrease of 13% and 33% FRID count, respectively, with cancer history and having primary healthcare. In identically adjusted logistic regression, FRID use (yes/no) was associated in a consistent direction with BMI, depression score, non-FRID count, hypertension, CVD, having primary healthcare, and also less likely with low-vs-high income (OR=0.18[0.06–0.50]). Risk factors differ by FRID definition, with Steadi-Rx identifying more predictors than the Swedish definition.
FRAGMENTED FAMILIES OF OLDER FORCED UKRAINIAN MIGRANTS: PRELIMINARY DATA FROM A HELP CENTER IN NORTHERN ISRAEL
Authors: Shulyaev Ksenya , Macarenko Yulia , Band-Winterstein Tova
Published: December 2022

Since the beginning of the Russia-Ukrainian war, more than 50,000 people have come to Israel from Ukraine as “repatriates” (able to acquire citizenship) or “tourists” (with a right to live in Israel during the war, without citizenship), about 30% are older adults, for whom forced migration poses serious challenges. The aim of this presentation is to describe the socio-demographic characteristics of older migrants’ fragmented families, who turn to one of the Volunteer Help Center in Northern Israel. Descriptive statistics on older adults from the database of about 900 families who received support during April-June 2022 were performed. Data revealed: 189 migrants aged 55+ (M(SD)=69.7(8.2); range 55–89); 148 (78.3%) were female; 106 (56%) had Israeli citizenship or were in the process of receiving it; 75 (40 %) were “tourists”. Among “tourists”, about half (Nf30) came to visit their adult children. “Repatriates” and “tourists” did not differ in age (F(159)=1.574, p=ns). As a rule, older adults came with family members (Nf136(72.7%)). However among “tourists” 41.9% came alone and only 17.1% among “repatriates” (X=13.374, p < 0.001). Older adults were mostly accompanied by daughters (Nf80(58.8%)), usually without husbands, in 127 fragmented families (78.2%) were children under 18. Only 15% came with a spouse (half of the men, 5.5% of women), and five came with mothers. This preliminary data draws attention to the unique family fragmented structure of older displaced people, as this should be considered when developing an assistance program.
INFORMAL CAREGIVING BURNOUT AMONG THE SANDWICH GENERATION
Authors: Fenstermacher Erika , Owsiany Montgomery , Edelstein Barry
Published: December 2022

Twenty-nine percent of U.S. adults care for children. Of those adults, 12% are multigenerational caregivers who also provide unpaid care for one or more adults. Many multigenerational caregivers are considered members of the “sandwich generation,” which is a term for multigenerational caregivers who provide care, financial support, and emotional support for both their children and parents. Approximately 71% of this generation is between the ages of 40 and 59, and approximately 10% are 60 or older. The sandwich generation is largely understudied and presents challenges including informal caregiving burnout and depression. Informal caregiving burnout is a syndrome that results from the stress of providing care. Researchers have not yet investigated burnout in the sandwich generation. The present study examined how sandwich generation caregivers differed from caregivers of children and caregivers of parents regarding depression and burnout. Two measures of burnout were used (non-caregiving burnout = degree of physical and psychological fatigue and exhaustion; informal caregiving burnout = degree of physical and psychological fatigue and exhaustion related to caregiving). We found that sandwich generation caregivers and caregivers of parents scored significantly higher than caregivers of children on informal caregiving burnout. Caregiving burnout and non-caregiving burnout were significantly correlated with depression (r = .496, p < .001 and r = .773, p < .001, respectively). Burnout is higher in sandwich generation caregivers and those who care for parents than burnout among those who care only for children. This study is unique in its investigation of informal caregiving burnout among the sandwich generation.
USING THE COLLECTIVE IMPACT FRAMEWORK TO REFRAME AGING IN MISSISSIPPI
Authors: White Kina , Bender Kaye , Buys David
Published: December 2022

Trust for America’s Health (TFAH), the Mississippi State Department of Health (MSDH), and the Mississippi Public Health Association (MPHA) partnered to organize the Mississippi Age-Friendly Public Health System (AFPHS) Work Plan. Built on the foundation of Reframing Aging training offered by the Gerontological Society of America in May 2021, the Work Plan aims to reframe how Mississippi’s public health system addresses aging using the AFPHS 6Cs. Developed by the MS AFPHS Advisory Committee using a collective impact framework, the Work Plan has now been opened for public comment prior to being finalized for adoption across partner agencies. An AFPHS focuses on promoting health; preventing injury; managing chronic conditions; optimizing physical, cognitive, and mental health; and facilitating social engagement for older adults. The Work Plan’s purpose is to guide MSDH and partner agencies in implementing an AFPHS for Mississippi. This is Phase One of a comprehensive age-friendly movement for Mississippi, with the next phase being an age-friendly state. Much of the work that MSDH will accomplish under this plan lays the foundation for the state to then have many age and dementia friendly communities. This presentation will discuss how Mississippi is reframing aging through collective impact and AFPHS 6Cs frameworks; the results of the public vetting of the Work Plan; and the final Work Plan components based on the public vetting. The process and its results can be replicated in other rural states where resources for aging populations are limited and historical perspectives on healthy aging are open to change.
FRAILTY AND DEPRESSIVE SYMPTOMS MEDIATE THE IMPACTS OF FOOD INSECURITY ON SLEEP DEFICIENCY AMONG OLDER FILIPINOS
Authors: Chen Tuo-Yu , Cruz Grace , Saito Yasuhiko
Published: December 2022

Although research has shown that food insecurity may lead to sleep problems due to mental illness, it remains unclear whether physical health also mediates this relationship in addition to poor mental health. We investigated whether frailty and depressive symptoms mediated the association of food insecurity with sleep deficiency (i.e., inadequate and poor sleep) among community-dwelling older adults. We analyzed the baseline data of the Longitudinal Study of Ageing and Health in the Philippines, a study with national representative sample of adults aged 60 years or older (Nf5,187). Sleep deficiency was conceptualized as self-reported sleeping less than 6 hours, complaining about trouble with falling asleep and staying asleep, and/or having non-restorative sleep. Food insecurity was defined as being hungry and not having enough food in the past three months in the household. Frailty was operationalized using modified definitions under Fried’s criteria. Depressive symptoms were assessed using the Center for Epidemiological Studies-Depression Scale. Covariates included socio-demographics (age,sex,education,wealth,insurance,living arrangement,urbanity), health (pain,chronic diseases), and lifestyles (smoking,drinking). Mediation analysis was performed using PROCESS macro. The results from bootstrapping showed that the indirect effects from food insecurity through frailty (b=.024,SE=.009,95%CI=.009-.043) and depressive symptoms (b =.118,SE=.022,95% CI=.078-.166) onto sleep deficiency were significant, but the direct effect from food insecurity to sleep deficiency was not (b=.243,SE=.134,95% CI=-.018-.505). The results suggested that the effects of food insecurity on sleep deficiency were fully mediated through frailty and depressive symptoms among community-dwelling older Filipinos. Preventing frailty and depression may help improve sleep health among individuals being food insecure.
CONCEPTUALIZING SUCCESSFUL AGING IN THE PRESENCE OF DISABILITY
Authors: Khamzina Madina , Rogers Wendy
Published: December 2022

With the rapid demographic changes, it is predicted that every fifth person in the U.S. will be age 65 or older in the next decade. The quality of life and successful aging of older adults, who now live longer, is an important research area from societal and public health perspectives. Rowe and Kahn (1997) defined successful aging as having a low probability of disease and disability, high cognitive and physical functioning, and active engagement with life. A prominent limitation of this model is that it initially neglects essential components of aging and factors that are beyond an individual’s choice and control, such as health declines and disabilities. We used the National Health & Aging Trends Study data to understand successful aging from the perspectives of those who experience disability integrating subjective components of self-rated health and well-being. These data provide insights on subjective perceptions on successful aging among older adults with disabilities.
TRAINING TO SERVE: INTERDISCIPLINARY EDUCATION ON LESBIAN, GAY, BISEXUAL, TRANSGENDER, AND/OR QUEER AGING
Authors: Moone Rajean
Published: December 2022

Contemporary research details the significant health, economic, and social disparities experienced by lesbian, gay, bisexual, transgender, and/or queer (LGBTQ) older adults in comparison to their peers. Fundamental to overcoming these disparities is service provider understanding of the unique needs and challenges faced by LGBTQ older adults. This presentation will focus on the development and implementation of the research-based, interdisciplinary curriculum Training to Serve (TTS). TTS is designed to provide LGBTQ age-sensitivity training to service providers and since its inception over 15,000 providers have been trained. Evaluation data from participants will be presented. The framework for the development of the curriculum, based on interprofessional education, adult learning, and minority stress theories, will be shared. Implications for future training development and translation to electronic modules will be discussed.
VIRTUAL TELEHEALTH CLINICAL EXPERIENCE TO PREPARE STUDENT PHYSICAL THERAPISTS FOR PRACTICE IN A SNF
Authors: Manella Kathleen , Williams Kai , Anderson Jon
Published: December 2022

Student training was suspended in most post-acute settings in the United States due to the COVID-19 pandemic. Through a collaborative partnership between a university and a healthcare organization we offered a virtual telehealth clinical experience to prepare student physical therapists for practice in a skilled nursing facility (SNF) setting. 35 students engaged virtually for 80 hours with two clinical instructors. The curriculum included eight virtual learning modules along with four telehealth patient encounters that exposed students to interdisciplinary teams in the SNF context. Students completed a retrospective pre/post Self-Perception of Learning Survey. Results demonstrated students’ self-perception of learning was significantly increased implying an improved ability to practice in the SNF setting. This approach advanced student learning in patient care management, interprofessional practice, and telehealth practice in the SNF setting. Future work is planned to expand the program to include 20 physical therapy, occupational therapy, and speech and language pathology students.
ESPO AND BEHAVIORAL AND SOCIAL SCIENCES SECTION SYMPOSIUM: TAILORING INTERVENTIONS TO REACH AND MEET THE DIVERSE NEEDS OF DIVERSE CAREGIVERS
Authors: Meyer Kylie , Hackett Sara
Published: December 2022

Family caregiving cuts across populations, making caregivers a highly diverse population in terms of culture, family organization, care situations, and more. A 2021 report from the National Academies of Sciences Engineering and Medicine reinforces the need to develop and test tailored interventions in order to successfully reach and support family caregivers. Yet, there is limited practical guidance to help researchers to develop intervention programs tailored to the diverse needs of family caregivers. This symposium endeavors to address this gap by sharing accounts from researchers who have effectively tailored existing interventions to meet the diverse needs of diverse caregivers, as well as those who collaboratively worked alongside family caregivers in order to build a tailored program from the ground up. To begin, Kristin Cloyes, PhD MN RN will describe a study where she examines alignment between LGTBQ+ hospice family caregivers and other members of the hospice care teams, as it relates to support and communication needs. Next, Jung-Ah Lee, PhD, RN, FGSA, FAAN, will describe the experiences of racially and ethnically diverse caregivers who received a community health worker intervention to access resources tailored to their language needs. Jaime Perales-Puchalt, PhD, MPH, will describe the results of CuidaTEXT intervention study, which used tailored Short Messaging Service-based text message to deliver support to Latin family caregivers. Lastly, Ishan Williams, PhD, FGSA, will present on findings from research on how community engagement as well as culturally informed intervention can improve the representation of family caregivers, especially African American caregivers, in caregiving research studies
DEVELOPING AND TESTING THE FEASIBILITY OF A TEXT MESSAGE DEMENTIA CAREGIVER SUPPORT INTERVENTION FOR LATINOS
Authors: Puchalt Jaime Perales
Published: December 2022

Latinos experience several disparities in dementia including poor caregiver mental health and caregiving support access. Latinos’ ubiquitous cell phone ownership and use of text messaging may offset those disparities. During this session, we will describe the development and feasibility testing findings of CuidaTEXT. CuidaTEXT is a tailored Short Messaging Service-based text message intervention to support Latino dementia family caregivers. This intervention was developed using mixed-methods research. This research resulted in a bilingual six-month intervention with automatic daily messages for all participants that address dementia education, self-care, social support, end-of-life, care of the person with dementia, behavioral symptoms, and problem-solving strategies. Participants who need more in-depth support, can use two functions: 1) every time they send a keyword-driven message (e.g., STRESS), they will receive an automatic message to support them with that topic, 2) for any other message they send (live chat), a coach will respond to their specific needs.
AGE AT CARDIO-METABOLIC DISEASE ONSET IN A COHORT OF MIDLIFE WOMEN: SYSTEMATIC EXCLUSION MISESTIMATES THE MAGNITUDE OF RACIAL DISPARITIES
Authors: Reeves Alexis , Elliott Michael , Lewis Tene , Karvonen-Gutierriez Carrie , Herman William , Harlow Sioban
Published: December 2022

Cohort studies of aging recruit participants at an age before most of the population experiences the study outcome, to document its natural history. The age of study commencement is usually based on “normative” aging among Whites. However, “weathering” can cause accelerated health declines in minoritized populations compared to Whites due to cumulative experience of multiple forms of marginalization. Thus, considering if weathering among minoritized individuals could affect selection into cohort studies is necessary to effectively estimate and understand racial/ethnic disparities in aging and disease. Using the Study of Women’s Health Across the Nation (SWAN), a multi-ethnic longitudinal cohort, and its cross-sectional screening survey, we examine the effects of selection on the racial/ethnic differences in the age of onset of 4 cardio-metabolic outcomes (hypertension, isolated systolic hypertension, insulin resistance and diabetes). Selection at study commencement (left truncation and left censoring) had greater effects on outcomes with earlier age at onset (hypertension) and right censoring had greater effects on outcomes with later onsets (metabolic). Full adjustment led to an average 20-year decrease in predicted median age of onset for all groups across the 4 outcomes and tended to decrease the predicted disparity in age at onset. However, significantly earlier onset of each outcome for Black and Hispanic women compared to Whites remained. Not considering the full extent of selection bias in cohort studies can misinform our understanding of aging and disease, especially for minoritized populations who have higher prevalence of these leading causes of morbidity and mortality earlier in life.
DRINKING WATER QUALITY, DYSLIPIDEMIA, AND COGNITIVE FUNCTION FOR OLDER ADULTS IN CHINA
Authors: Pan Xi , Luo Ye , Zhao Dandan , Zhang Lingling
Published: December 2022

The current study aimed to examine the associations between drinking water quality and cognitive function and to identify the direct and indirect effects of drinking water quality and dyslipidemia on cognitive function among older adults in China. Data for the study were selected from China Health and Retirement Longitudinal Study (CHARLS, 2015) and 4,951 respondents aged 60 and above were included. Dyslipidemia was measured by self-reported dyslipidemia diagnosis and lipid panel. Three composite measures of cognitive function included mental status, episodic memory, and global cognition. Mixed effects models were conducted to assess the associations between drinking water quality or dyslipidemia and cognitive function. The mediation effects of dyslipidemia were examined by path analyses. Results showed that exposure to high quality drinking water was significantly associated with higher scores in mental status, episodic memory, and global cognition (B = 0.31, p< 0.001 for mental status; B= 0.22, p< 0.05 for episodic memory; B = 0.53, p < 0.01 for global cognition). Elevated blood triglycerides was associated with higher scores in mental status and global cognition (B = 0.21, p< 0.05 for mental status; B = 0.32, p< 0.05 for global cognition). Self-reported dyslipidemia diagnosis was a suppressor, which increased the magnitude of the direct effect of drinking water quality on mental status and global cognition. Findings of the study suggest that improving drinking water quality could be a potential public health effort to delay the onset of cognitive impairment and prevent the dementia pandemic in older people.