bluuebunny/crossref_metadata_2025 huggingface dataset:
LANGUAGE-BASED DISCRIMINATION RELATES TO MEMORY COMPLAINTS AMONG LATINX/HISPANIC OLDER ADULTS
Authors: Soto Elizabeth , Chapman Silvia , Turney Indira , Zahodne Laura , Cosentino Stephanie , Brickman Adam , Vonk Jet , Manly Jennifer
Published: December 2022

Memory Complaints (MCs) are a risk factor for dementia, but research in this area has largely been limited to non-Latinx White adults. Previous studies have shown that Latinx/Hispanic individuals are at higher risk for Alzheimer’s Disease and Related Disorders (ADRD). The mechanisms underlying this disparity in ADRD are multidimensional and can include negative social stressors such as discrimination. Language discrimination can be a source of stress in this population and might be an important contributor to MCs. We examined if MCs varies as a function of language-based discrimination in a total of 495 Latinx/Hispanic older adults without dementia from the community-based Washington Heights Inwood Columbia Aging Project. Language-based discrimination was measured with a dichotomous item that inquired if individuals had been discriminated against because they do not speak English well (yes or no). A linear regression was conducted to examine the cross-sectional association between language-based discrimination and MCs adjusted for age, education, sex/gender, socioeconomic status (income), and depressive symptoms. The experience of language discrimination was independently associated with MCs (B= 0.83, 95% CI=0.13, 1.54, SE= 0.36, p= .021). Results demonstrate a relationship between negative stressors and the expression of MCs. Future studies should comprehensively examine other discriminatory stressors which may also impact the expression of MCs and the risk for progression to ADRD. Identifying language-based and other discriminatory stressors that negatively affect Latinx/Hispanic communities will allow us to develop models that aim to assess and prevent discrimination, as a protective mechanism for the development of MCs and ADRDs.
RACIAL AND ETHNIC VARIATIONS IN DEMENTIA DIAGNOSIS, SURVIVAL, AND END-OF-LIFE CARE QUALITY
Authors: Jarrín Olga , Rahemi Zahra , Gusmano Michael
Published: December 2022

In the United States most adults have a preference to die at home and is an indicator of good end-of-life care. In the context of dementia, family members and caregivers are decision makers and part of good and equitable care involves understanding cultural variation in attitudes and social norms related to dementia, death and dying, and the meaning of a good death. This symposium explores racial and ethnic variation in lifetime dementia diagnosis and end-of-life care quality indicators. The first presentation examines racial, ethnic, and geographic variation in the rarely discussed lifetime prevalence of dementia and survival time from dementia diagnosis to death using national Medicare data. The second presentation describes the relationship between end-of-life care planning and satisfaction with end-of-life care using data from the Health and Retirement Study. The third presentation describes variation in place of death, a key indicator of end-of-life care quality, by dementia diagnosis and race/ethnicity using national Medicare data. The fourth presentation examines variation in hospice use, another indicator of end-of-life-care quality, and place of death by dementia diagnosis, race, and ethnicity using national Medicare data. The symposium concludes with a presentation examining the relationship between place of death and satisfaction with care received using data from the Health and Retirement Study. The Institute for Healthcare Improvement’s Triple Aim (improving the experience of care, improving the health of populations, and reducing per capita costs of health care) serves as a lens for discussing policy and practice implications of the major findings from each presentation.
LATINO FAMILY CAREGIVERS’ EXPERIENCES COVERING OUT-OF-POCKET COSTS WHEN CARING FOR SOMEONE LIVING WITH DEMENTIA
Authors: Mage Susanna , Benton Donna , Gonzalez Alexander , Zaragoza Gabriela , Wilber Kathleen , Tucker-Seeley Reginald , Meyer Kylie
Published: December 2022

Family caregivers to persons living with dementia spend an average of $11,293 annually out-of-pocket on caregiving costs. Costs include home modifications, medications, and other daily expenses. Financial strain from caregiving affects caregiver mental and physical health and is unequally distributed across race/ethnicity groups. While other caregivers spend approximately one-quarter of their income on caregiving, the cost for Latinos family caregivers comprises nearly half of annual income. To gain insight into this disparity, eleven 1-hour in-depth qualitative interviews were conducted with Latino caregivers of persons living with dementia living in California and Texas. Interview transcripts were thematically coded, guided by the Tucker-Seeley Material–Psychosocial–Behavioral Model of financial strain. We identified four themes: 1) caregivers were concerned with meeting the daily needs of care recipients and would incur additional costs, such as credit card interest, to address immediate needs; 2) high levels of psychological distress were expressed regarding caregivers paying for the care of loved ones and themselves in the future; 3) caregivers wanted to use community resources that help older adults and their families but described stressful barriers accessing support. Further, Latino culture affected spending. For example, caregivers incurred shared living costs given reluctance to place loved ones in a nursing facility, exemplifying the concept of familismo. By understanding the factors contributing to high caregiving costs for Latino caregivers and the challenges met when addressing these costs, we can build approaches at both the individual- and policy-levels and develop culturally relevant interventions to help Latino families to lower care costs.
HOW AGE-FRIENDLY UNIVERSITIES CAN COMBAT AGEISM
Authors: Graf Allyson , Han Heather , Phillips Will , Wiley Jessica
Published: December 2022

At a time of growing enrollment among adult learners, student bodies are increasingly age diverse. Identifying and reducing age-related bias on campus may be multipurpose in supporting those who experience ageism while promoting professional skills to combat ageism in students' future careers. The extant literature has primarily focused on ageism in the workplace and ageism experienced by faculty and staff in higher education while less has focused on ageism experienced by adult students and the possible disruption this creates to feeling included as part of the campus community. We present data from a mixed methods study of adult learners assessing the extent to which they experience and are impacted by age-related bias on campus. Data are used to justify faculty and student training to improve intergenerational contact in the classroom and beyond under the broader umbrella of DEI initiatives.
IMPROVING DEMENTIA CARE IN CO-CREATION BETWEEN SCIENCE, PRACTICE, AND EDUCATION
Authors: de Bruin Simone , de Bruin Simone
Published: December 2022

Long-term care is transitioning from a medical-somatic model of care to a psychosocial model of care. This transition requires new ways of working, and thus different competences of health and social care professionals. Innovative learning environments of multiple stakeholders in long-term care are increasingly being created in the Netherlands to foster co-creation between science, practice (including persons with dementia) and education of current and future health and social care professionals. In this symposium, we will share experiences from the Netherlands. The first presentation describes the challenges current and future health and social care professionals are facing with regard to innovation in dementia care. We will further explain how these experiences were used to set up a learning community ‘living well with dementia’. The second presentation is dedicated to a participatory action research to develop new collaboration practices to address the often under-addressed theme of meaning in life among community dwelling older adults. The third presentation will focus on a co-creation project dedicated to a care innovation for migrants with dementia, being a guideline for managing challenging behaviour at home. In the plenary discussion after the three presentations, participants are invited to share experiences from their own countries and discuss the lessons learned.
WORKING TOWARD A LEARNING COMMUNITY ENABLING LIVING WELL WITH DEMENTIA
Authors: de Bruin Simone , Bakker Franka
Published: December 2022

Health and social care professionals play an important role in enabling to live well with dementia. Supporting living well from a psychosocial approach to care requires new ways of working and different competences compared to a medical-somatic approach to care. Interviews and group meetings with future (i.e. students) and current health and social care professionals organized in 2021, however, revealed that training to develop such competences and adopt these new ways of working receive little attention in the curricula of existing training programs. They further experience that their organisations insufficiently facilitate them (e.g. in terms of time, creating a positive learning climate) to actually use these competences and innovate their ways of working. Therefore, there is a need for creating innovative learning environments in the form of learning communities. These collaborations of stakeholders from science, practice, and education aim to accelerate innovation in dementia care based on lifelong learning and development.
ASSOCIATIONS BETWEEN SLEEP AND REST: ACTIVITY CHARACTERISTICS AND METABOLOMIC PROFILES IN OLDER MEN
Authors: Xiao Qian , Sampson Joshua , Shadyab Aladdin , LaCroix Andrea , Yaffe Kristine , Stone Katie
Published: December 2022

The association of sleep and rest-activity rhythms (RAR) with metabolic health is not fully understood. Previous studies have identified multiple metabolite markers in amino acid and lipid pathways associated with various characteristics of sleep. However, most of the studies used self-reported sleep, and limited studies have examined 24-hour RAR profiles, a more complete picture of activity. We studied 950 older men and measured metabolomics from fasting blood samples. We identified numerous metabolomic markers that were cross-sectionally associated with actigraphy-based measures of sleep (total sleep time, sleep efficiency, sleep timing) and RAR (amplitude, acrophase, mesor and overall rhythmicity). The majority of the associated metabolites were amino acids and lipids from a wide range of pathways, including metabolism pathways of branched chain amino acid metabolism, fatty acids, and gamma-glutamyl amino acids. Our preliminary findings suggest that sleep and RAR are widely involved in human metabolism.
NEW SPINS ON CLASSIC IDEAS ABOUT CONTEXT IN ADULT EMOTIONAL DEVELOPMENT
Authors: Springstein Tabea , English Tammy
Published: December 2022

Individuals often experience improvements in emotional well-being into old age. Understanding mechanisms contributing to these emotional outcomes in daily contexts can inform ways to support healthy aging. Development is embedded within various contexts that shape individuals’ experiences. Novel perspectives are emerging on how to conceptualize context and the way it can contribute to emotional development during the aging process. This symposium illustrates four innovative ways to consider contextual contributions to emotional well-being across adulthood. The first talk will use experience sampling to illustrate age differences in how daily situations contribute to emotion regulation related processes, showing that older adults can more easily distinguish between emotions when in familiar situations. The second talk will take a fresh perspective on psychosocial contexts by distinguishing between types of social interactions in couples, highlighting the important role of affection for well-being in adulthood. The third talk will introduce the idea that the body itself provides context for emotional processes, showcasing that the way this context affects emotional experience changes as individuals age. The fourth talk will center on how renewing our classical developmental models of context in modern ways can help to overcome shortcomings of previous research and provide insight into how engagement with environmental features contributes to well-being across the lifespan. In sum, this symposium features innovative perspectives on how context can be leveraged to gain a deeper understanding of psychosocial development into old adulthood and illustrates specific ways individuals can navigate their social world to preserve or improve mental health across adulthood.
INFLUENCE OF EARTH, WIND, AND FIRE ON WELL-BEING: THE CLASSIC CONCENTRIC CIRCLES MODEL OF CONTEXT IS ALSO FROM THE 1970S
Authors: Ng Michelle , Garron Angelina , Gerstorf Denis , Ram Nilam
Published: December 2022

Classic bioecological models of human development (Bronfenbrenner, 1979) highlight the influence that five layers of context have on individuals’ function and growth. Modern versions specifically highlight five specific aspects of context (socio-economic, social, physical, care/service, and technology) that influence both how older adults negotiate their daily lives and how they age. Using a collection of empirical findings obtained from our analyses of longitudinal panel data from the German SOEP, experience sampling data from iSAHIB, and screenome data from the Stanford HSP, we illustrate how differences in individuals’ engagement with green spaces (earth), ambient air pollution (wind), and smartphones (fire) may contribute to differences in daily emotional well-being and developmental changes in life satisfaction. We then use these examples to elucidate shortcomings of the hierarchical models used to frame investigations of context and development for the past 40 years – and suggest the classic models be renewed rather than continually recycled.
ENERGY METABOLISM RELATED CANDIDATE GENE ASSOCIATION STUDY OF PERCEIVED PHYSICAL FATIGABILITY
Authors: Gay Emma , Santanasto Adam , Cvejkus Ryan , Wojczynski Mary , Feitosa Mary , Glynn Nancy W
Published: December 2022

Mitochondrial energy production decreases while fatigability increases with age. Genes associated with energy metabolism may contribute to fatigability. Using Long Life Family Study (LLFS), we initially assessed variants (SNPs) in 272 candidate autosomal genes involved in energy metabolism (previously associated with mitochondrial dysfunction disease) with perceived physical fatigability. Two generations of LLFS enrollees (N=2342, mean age=73.7, range 60-108 years) completed the Pittsburgh Fatigability Scale (PFS, 0-50, higher=greater fatigability) at Visit 2 (2014-2017). Physical fatigability prevalence was 42.1% (PFS≥15). Generalized linear mixed models assessed the association of each SNP with continuous PFS (GENESIS R package) adjusted for age, sex, field center, and family relatedness. We found no associations with perceived physical fatigability, all p>2.5E-7 (Bonferroni multiple comparison corrected p-value). Next steps will examine variants in the mitochondrial genome and BTBD3, another promising candidate gene recently discovered. Genetic biomarker(s) may identify individuals susceptible to greater fatigability to target for early intervention.
PREVIOUS FALLS AND FEAR OF FALLING ON FUNCTIONAL LIMITATIONS: A LONGITUDINAL STUDY
Authors: Liu Kehan , Peng Wenting , Miyawaki Christina , Li Chunxiao , Zheng Yu , Tang Siyuan , Liu Minhui
Published: December 2022

Previous falls and fear of falling (FoF) are risk factors that affect older adults’ daily activities. However, it remains unclear about their combined effects on functional limitations. Using Round 1 (R1) and Round 2 (R2) data from the National Health and Aging Trends Study, we examined whether falls and FoF in R1 independently and jointly predict functional limitations in R2 and the moderating role of demographic factors in this relationship among community-dwelling older adults aged 65 years and older. Previous falls and FoF were ascertained by asking participants whether they had fallen down in the last year and worried about falling in the last month. Functional limitations included any difficulties with mobility, self-care, or household activities. Poisson regression models were used to analyze data. Of 5,956 participants, 16.4% had falls only, 14.3% had FoF only, 14.5% had both, and 54.8% had neither. In the full adjusted model, those who experienced concurrent falls and FoF had a higher risk of functional limitations than those without falls and FoF (Mobility: Incidence risk ratio, IRR=1.44, 95% CI: 1.33-1.57; Self-care: IRR=1.29, 95% CI: 1.20-1.38; Household tasks: IRR=1.32, 95% CI: 1.21-1.44), as well as those with falls only (Mobility: IRR=1.32, 95% CI: 1.21-1.44; Self-care: IRR=1.26, 95% CI: 1.17-1.35; Household tasks: IRR=1.18, 95% CI: 1.08-1.29) and FoF only (Mobility: IRR=1.38, 95% CI: 1.27-1.51; Self-care: IRR=1.26, 95% CI: 1.17-1.35; Household tasks: IRR=1.31, 95% CI: 1.20-1.43). The findings suggest that strategies to improve falls and FoF together could potentially help prevent functional limitations.
ENGAGING AND INVOLVING PEOPLE LIVING WITH DEMENTIA IN RESEARCH: WHAT TO (NOT) EXPECT
Authors: Roes Martina
Published: December 2022

Collaborating across disciplines, professions, and countries as well as engaging a variety of stakeholders has been a goal for researchers for a long time. Interestingly, when people living with dementia and their significant others are actively involved and become a co-researcher or a member of a patient advisory board, the perspective of what collaboration and/or engagement and involvement means, becomes blurry. The intersection between the individual reality of people living with dementia and researchers can be understood as (a) a door that opens up and leads to new (multiple) perspectives and understandings or (b) a disaster because misconceptions of dementia hinder mutual trust building. This presentation will provide examples on how to build trust and how sustain a relationship over the course of time (and progression of the disease). Since living with dementia is highly stigmatized this presentation will also reflect on the impact of misconceptions of dementia on engagement.
DOES PERSONALITY ALWAYS MATTER? EXAMINING THE MODERATING EFFECT OF AGE ON THE PERSONALITY-HEALTH LINK
Authors: Luo Jing , Zhang Bo , Graham Eileen , Mroczek Daniel
Published: December 2022

The current research examined how the associations between the level and changes in the Big Five personality traits and different types of health outcomes (self-rated, physical, cognitive, and physiological health outcomes) differ across ages over the lifespan (Sample 1, age range: 15-100) and during the aging process (Sample 2, age range: 50-109) in particular. Using data from the two large longitudinal studies, we observed three important patterns based on the results. First, levels and changes in personality traits demonstrated substantial effects on health across different life phases, with the effects observed even in very old ages. Second, overall, the prospective relations between personality traits/changes in personality traits and health outcomes increased in strength in mid adulthood and/or early stages of late adulthood; however, the strength of their connections diminished in very old ages. Finally, there were some trait-specific and health outcome-specific patterns in the age-differential associations between personality and health.
THE VALUE OF BALANCE CONFIDENCE IN OLDER ADULT FALL RISK ASSESSMENT
Authors: Hughes Tiffany , Ickert Edmund , Kellar Garrett , Kerns Lucy , Berg-Carramusa Cara
Published: December 2022

Fall risk assessment traditionally focuses on objective physical performance. Balance confidence, a subjective measure of physical function, may provide important information to better predict fall risk and guide assessment and intervention strategies. This study examines the associations of balance confidence congruency with physical performance measures and fall occurrence. One-hundred-fifty-five community-dwelling adults aged 60 and over completed a comprehensive fall risk assessment including physical performance tests (timed up and go, 4-stage balance, 30-second chair stand, and 4-M gait speed), activities-specific balance confidence (ABC) scale, and self-reported falls in the past year. Four groups were created based on congruency between balance confidence (low vs. high) and each physical performance measure or overall fall risk category (at fall risk vs. not at fall risk, based on the STEADI tool kit). Poison regression analyses, adjusted for age and gender, tested the association between group membership and number of falls in the past year. Participants with high balance confidence and at fall risk based on 4-stage balance performance (Estimate=0.88, p < 0.001), or high balance confidence and at fall risk following the STEADI screening algorithm (Estimate=0.69, p = 0.003) were at increased risk of more falls compared to participants in the group with high balance confidence and not at fall risk. These results suggest that older adults who overestimate their balance relative to their physical performance may be at increased fall risk, and that participant subjective reporting of physical performance should be paired with objective physical performance measures to better identify older adults at fall risk.
IS ONLINE ACCESS AND ACTIVITY ASSOCIATED WITH BETTER MOOD IN OLDER ADULTS LIVING ALONE DURING THE COVID-19 PANDEMIC?
Authors: Koren Yael , Leveille Suzanne
Published: December 2022

Older adults living alone during the COVID-19 pandemic face risks for social isolation and mental health problems. The goal of this study was to investigate the relationship between access to internet-capable devices or utilizing email/ texting, social networking [SN], or health-related internet use [HIU] and psychological outcomes (depressive and anxiety symptoms) among older adults living in the community during the early months of the pandemic, March, 2020-May, 2020. A cross-sectional analysis of the National Health and Aging Trends Study (NHATS, Round 10) was conducted, using multivariable logistic regression. Adults aged ≥85y were more likely to live alone than those aged 65-84y (34.3% and 24.9% respectively, p< 0.001). Additionally, 39.6% of women lived alone compared with 21.2% of men (p< 0.001). Fewer people living alone had access to an internet-enabled device than those living with others (10.4% and 5.4%, respectively). Among older adults living alone, utilizing SN and HIU was associated with lower likelihood of depression or anxiety (Depression: adj.OR 0.36, CI 0.17-0.77; Anxiety: adj.OR 0.31 CI 0.13-0.76). Alternatively, among those living with others, using email/ texting was associated with lower likelihood of depression and anxiety (Depression: adj.OR 0.23, CI 0.13-0.46, Anxiety: 0.33 CI, 0.17-0.67). In summary, internet activity was associated with reduced risk for depression and anxiety among older adults who lived alone or with others early in the pandemic. Further research is needed to better understand the potentially mitigating role of internet activities among older adults at risk for isolation and associated mood disturbances.
PATIENT PORTAL USE WITHIN OLDER ADULTS' FAMILY CAREGIVING NETWORKS
Authors: Burgdorf Julia , Fabius Chanee , Wolff Jennifer
Published: December 2022

The patient portal (hereafter, “portal”) is an online platform allowing patients to view health information, perform health management tasks, and directly message clinicians. Millions of older adults co-manage their health care with family caregivers, yet little is known about the extent to which caregivers use the portal alongside or on behalf of patients. We examined linked data from the 2017 National Health and Aging Trends Study (NHATS), National Study of Caregiving (NSOC), and American Community Survey for 1,675 (weighted n=8,511,568) older adults with disability. We measure older adult and caregivers’ respective use of the older adult’s portal from NHATS and NSOC. We use weighted, multivariable, ordered logistic regression to model transition from older adult using the portal alone, to co-using the portal with caregivers, to a caregiver using the portal on the older adult’s behalf. We find that 9% of older adults use the portal on their own, 2% co-use the portal with a caregiver, and 15% have a caregiver who uses the portal on their behalf (74% have no portal use). In adjusted models, older adults had higher odds of a caregiver using the portal on their behalf (compared to the older adult using the portal alone or in tandem with a caregiver) if they were older (aOR: 1.12; p< 0.001), female (aOR: 2.08; p< 0.01), had probable dementia (aOR: 7.04; p< 0.001), were homebound (aOR: 3.78; p< 0.01), attended doctors’ visits with a caregiver (aOR: 3.10; p< 0.01), or lived in a census tract with low broadband accessibility (aOR: 5.76; p< 0.01).
ANOCRITICISM AND THE PERFORMANCE OF MASCULINITY IN OLDER MEN
Authors: de Medeiros Kate
Published: December 2022

While anocriticism is a feminist framework often applied in the context of literary gerontology, this paper uses an anocriticism approach to consider how hegemonic masculinities and old age reveal a separation between cultural stereotypes of age and chronological age. Narratives from 5 men aged 65 and over, who participated in a qualitative study on everyday attributions of depression, were analyzed using an anocriticism framework. Results revealed that participants both claimed and contested their chronological age as an identity marker. Of particular note were claims related to the stereotype of loss of vigor in later life, with each man making a clear point to affirm his virility and sexual prowess independent of other interview questions. Overall, findings point to an important way to read interview data through an anocritical lens, paying particular attention to ways that power are questions and performed in relation to age.
FRAILTY AND SOCIOECONOMIC STATUS IN BRAZIL, CHINA, AND INDIA
Authors: Seligman Benjamin , Agarwal Arunika , Bloom David
Published: December 2022

Frailty, the vulnerability to poor health outcomes following physiologic stress, acts as a measure of physiological age that can be used to compare the health of older populations. Using a frailty index validated in multiple countries, we looked at the relationship between four measures of socio-economic status (SES) and frailty in Brazil, China, and India. For SES measures, we considered within-country income and wealth deciles, education level, and rural residence. Analysis used beta regression, first within each country, then with combined data with country fixed effects and country-by-SES interactions. We found evidence of strong, statistically significant negative associations between education level and frailty in all three countries. Associations between frailty and income or wealth decile or rural residence were small and inconsistently statistically significant. This demonstrates the key role of education for healthy aging and the value of harmonized frailty measures for comparative studies of older populations.
AS YOU SOW, SO SHALL YOU REAP: ADULTS' MEMORIES' EFFECT OF PARENTAL ACCEPTANCE REJECTION IN CHILDHOOD ON AGING PARENTS
Authors: Ali Sumbleen , Rohner Ronald
Published: December 2022

Little is known how adults’ memories of parental acceptance-rejection in childhood influence their behavior toward their aging parents. Grounded in interpersonal acceptance-rejection theory (IPARTheory), this study attempts to better understand how early parent-child relationships affect adult offspring who provide care to their parents in later life. Data were collected from 41 adult offspring. Findings revealed that adults who felt rejected by their parents in childhood reported fewer positive caregiving behaviors toward their now aging parents, were less satisfied with social activities with their parents, spent less time with them or visited them less frequently, and revealed less overall concern for their aging parents. Results were consistent with IPARTheory’s expectations that if parents reject their children, then parents place their own dependent old age at the risk of counter rejection: As you sow, so shall you reap. Such findings may help researchers, clinicians, and practitioners better understand the well-being of aging adults.
BEHAVIORAL AND PSYCHOLOGICAL SYMPTOMS OF DEMENTIA (BPSD) IN HOSPITALIZED OLDER ADULTS WITH AD/ADRD
Authors: Marziliano Allison , Makhnevich Alex , Burns Edith , Diefenbach Michael , Sinvani Liron
Published: December 2022

The epidemiology of Behavioral and Psychological Symptoms of Dementia (BPSD) in hospitalized older adults with Alzheimer’s Disease (AD) and AD-related dementias (ADRD) has not been well-characterized. The purpose of this abstract is to examine the prevalence, patient-level factors and hospital outcomes associated with BPSD in hospitalized older adults with AD/ADRD. Data was extracted from the electronic health record (EHR) of older adults (aged 65+ years) with AD/ADRD, admitted to one of 7 hospitals in the greater New York metropolitan area during 2019. Three independent coders reviewed the EHR and recorded the presence or absence of the 11 domains of the Neuropsychiatric Inventory (NPI), a validated measure of BPSD. Of N = 1,865 hospitalized older adults with AD/ADRD, 1,564 had BPSD (prevalence = 83.9%). The most commonly reported BPSD were agitation (72.3%) and anxiety (17.7%). Older age (M = 84.6, SD = 7.6 versus M = 82.4, SD = 7.8, p = .000) and antipsychotic medication use prior to hospital admission (91% of the older adults who used home antipsychotics had BPSD, p = 000) was associated with BPSD. With regard to hospital outcomes, BPSD was associated with: increased mortality (of those who died, 90.6% had BPSD, p = .006), and increased likelihood of readmission to the hospital within 30 days of discharge (of those readmitted, 89.3% had BPSD, p = .007). Given its high prevalence and associated poor outcomes, recognizing and managing BPSD in hospitalized patients with AD/ADRD is critical to improving quality of care for this vulnerable population.
COMMUNITY ENGAGEMENT: INDIGENOUS AND NONINDIGENOUS RESEARCHERS
Authors: Lewis Jordan , Kim Steffi
Published: December 2022

In response to populations that have been chronically underserved and underrepresented within the social sciences, scholars have outlined the need for community-based engagement strategies and research methodologies that are able to represent the voices of those communities to promote culturally informed, appropriate, and driven health initiatives. This symposium introduces and discusses Indigenous research methodologies that are empowering and emphasize the knowledge and wisdom of Indigenous Elders, shares urban Elder engagement strategies, explores engagement strategies for Indigenous and non-Indigenous researchers, and describes the impacts of exclusion of Indigenous voices from research. The first presentation by Maria Crouch and her colleagues will introduce an Elder-centered research methodology as exemplified by two research studies. The second presentation by Steffi Kim focuses on outreach and research engagement strategies to reach Alaska Native Elders in the urban environment. The third presenter, Jordan Lewis, shares and discusses community-based research as an insider and outsider in your own community, outlining research practices, positionality, and accuracy in research. Finally, Lyn Holley will discuss themes emerging from her review of the literature that explored the impacts of the application of “top-down” Eurocentric approaches to inquiry on American Native people and the implications of these findings.
ELDER-CENTERED RESEARCH METHODOLOGY: RESEARCH THAT DECOLONIZES AND INDIGENIZES
Authors: Crouch Maria , Kim Steffi , Asquith-Heinz Zayla , Decker Elyse , Andrew Nyche , Rosich Rosellen , Lewis Jordan
Published: December 2022

Alaska Native (AN) Elders have historically been underrepresented in research. Innovative AN research posits that practice-based evidence is fundamental to culturally grounded, multifaceted methods. Semi-structured interviews were conducted with 34 AN Elders and 12 AN and non-Native caregivers in two studies exploring cultural understandings of memory and successful aging. The design and implementation of these studies employed Elders at every level of the research, ensuring cultural relevancy, outcomes, and dissemination activities. Findings reflect the benefits of engaging AN Elders in research and reveal methods for best practices: 1) creating Advisory councils; 2) identifying stakeholders 3) weaving together Elder and Western knowledge systems; and 4) the reciprocal nature of Elder engagement and wellbeing. This complimentary research builds on Elder-centric principles and lays the foundation for an Elder-centered research methodology that can be adapted and applied in other studies to encourage engagement of older adults in meaningful, restorative, and enculturated ways.
SUPPORTING NURSING HOME MANAGERS TO ACT ON PERFORMANCE FEEDBACK DATA: A PROVINCEWIDE IMPLEMENTATION
Authors: Estabrooks Carole , Saeidzadeh Seyedehtanaz , Bryan Stirling , Norton Peter , Ginsburg Liane , Hoben Matthias , McLeod Don
Published: December 2022

INFORM (Improving Nursing home care through Feedback on perfoRMance data) is a tested research intervention targeting care managers that demonstrated positive two year follow up results and has subsequently been shaped into an operationally acceptable “implementation package”. This package or innovation is being scaled up in one Canadian province’s total Long-Term-Care (LTC) home population with in depth process evaluation during the first cohort of LTC homes. This evaluation will, among other things, assess sector needs for adaptation (vs fidelity). At its core INFORM is designed to address managers’ learning needs with respect to using data to make positive change in a continuous learning loop. We will discuss the transformation of a research intervention to a sector innovation and report on interim process evaluation results.
THE ROLE OF COPING IN THE ASSOCIATION BETWEEN DISCRIMINATION AND HEALTH OVER TIME IN SEXUAL MINORITY OLDER ADULTS
Authors: Nelson Christi
Published: December 2022

While research on lesbian, gay, and bisexual (i.e., sexual minority) middle-aged and older adults has increased over the past decade, there is still a critical need for more research on the health and resilience in this marginalized group, especially longitudinal research. This study examined the differences in the associations between perceived daily discrimination and the physical and mental health of sexual minority and heterosexual adults over time and assessed the moderating effects of problem-focused and emotion-focused coping on these associations. The sample for this study consisted of sexual minority (n=162) and propensity matched heterosexual (n=324) middle-aged and older adults (mean age at baseline=43 years, SD=12.5) with data from three waves of the Midlife in the United States (MIDUS) study, spanning approximately 20 years. Results found that, for sexual minority participants, reporting higher perceived discrimination was associated with a greater number of chronic conditions at baseline, but was also associated with a significant decrease in the number of chronic conditions over time. For the heterosexual participants, both high and low perceived daily discrimination was associated with an increase in the number of chronic conditions over time. The results of this study also found significant moderating effects of coping on the number of chronic conditions and self-rated mental health over time. Problem-focused coping may protect against the negative effects of discrimination on health. These results are suggestive of a “steeling” effect or a resistance to stress achieved through exposures to adversity for the sexual minority middle-aged and older adults in this study.
OVERCOMING RECRUITMENT APPROACHES TO IDENTIFY PARTICIPANTS WITH DEMENTIA
Authors: Galik Elizabeth
Published: December 2022

Clinically the work up for dementia often includes a history and physical, neuropsychiatric screening measures and neuroimaging. These assessments are neither practical nor realistic when identifying participants for research studies. To confirm a diagnosis of dementia for study participants in the FFC-AC-EIT study we developed a measurement model. The model included four measures: the AD8, the Functional Activities Questionnaire, the Clinical Dementia Rating Scale, and the Saint Louis University Mental Status Examination. In the first 346 patients consented, 176 were enrolled and 158 were ineligible. The mean age of the participants was 80.70 (SD=9.60) and the majority were female (64%) and white (66%). There was evidence of reliability based on internal consistency and construct validity based on model fit using Rasch analysis and Structural Equation Modeling. All four measures are recommended as a pragmatic way in which to comprehensively determine evidence of dementia for research studies.
A CITATION REVIEW OF DISSEMINATION AND IMPLEMENTATION MODELS UTILIZED IN AGING RESEARCH WITHIN THE UNITED STATES
Authors: Sullivan Jennifer , Montano Anna Rae , Davila Heather , Shin Marlena , Hawley Chelsea , Hughes Jaime , O'Malley Kelly , Pimentel Camilla
Published: December 2022

The application of implementation science in aging research has been growing. To our knowledge, there has been no study detailing the Dissemination and Implementation (D&I) Models utilized in aging research. The goal of this citation review is to further understand D&I models frequency and nature of their use in aging research. We identified 111 Dissemination and Implementation (D&I) Models compiled on the dissemination-implementation.org website. We then conducted a citation analysis on them, searching Web of Science and PubMed databases. We extracted key data from identified articles up to January 28, 2022. Search terms were broad and included aging, older, elderly and geriatric. To be included, articles had to be in peer-reviewed journals, in English, and occur in the United States. We identified 297 articles meeting our eligibility criteria. The nature of the way D&I models used to advance evidence-based practice in aging research and practice varied as did the number of citations over time. Of the D&I models included in this review, only one (4E Framework) was developed within the aging research field. The top five models included: CFIR, RE-AIM 1.0, Behavior Change Wheel, Greenhalgh Diffusion of innovation in Service Organization and CBPR. Citations were distributed across many frameworks and yet only totaled less than 1% of all D&I Model citations suggesting there are many ways the field can grow in the future.
HOME-DELIVERED MEAL DELIVERIES AND FEELINGS OF SAFETY FOR OLDER AMERICANS ACT PARTICIPANTS
Authors: Pendergrast Claire , Menne Heather
Published: December 2022

Home-delivered meals supported by the Older Americans Act (OAA) serve a dual purpose of improving nutritional intake and providing regular social contact for older adults. This regular contact can increase feelings of safety experienced by meal recipients. The benefits of home-delivered meal services may vary between meal recipients based on sociodemographic characteristics. Variation in home-delivered meal clients’ reports of feeling safer at home because of regular meal delivery visits was examined to support ongoing efforts to increase social engagement and equity through the delivery of OAA services. Using data from the 2019 National Survey of Older Americans Act Participants (NSOAAP) home-delivered meal module, descriptive statistics and logistic regression were conducted to identify the characteristics associated with feeling safer at home because of meal delivery visits. The majority (85%) of meal recipients report feeling safer because of meal delivery visits, and rates were especially high for rural recipients (92%), those with a high school education or less (89%),racial/ethnic minorities (94%), and those with three or more ADL limitations (90%). Logistic regression found that rural residence (OR=3.3), lower educational attainment (OR=2.0), racial/ethnic minority status (OR=4.7), living alone (OR=1.6), and having 3+ ADLs (OR=1.9) were significantly associated with higher odds of feeling safer at home because of meal delivery visits; however, age, gender, and suburban residence were not significant. Findings suggest that benefits of home-delivered meal programs are supporting the needs of traditionally disadvantaged groups and broadly increasing meal recipients’ sense of safety in their homes.
LINKING DISADVANTAGED HEALTHCARE PATIENTS TO HOME- AND COMMUNITY-BASED SERVICES: CAN NEEDS BE MET?
Authors: Ejaz Farida , Rose Miriam , Reynolds Courtney
Published: December 2022

As part of a larger study examining the social determinants of health, the current analysis focuses on 254 older and disabled, Medicare Advantage patients from 19 primary care clinics in Texas. The patients faced challenges such as depression, limitations in activities of daily living (ADL) and dementia. They received a home-based, social work intervention to examine their needs, an individualized care plan was created, they were offered home and community-based services, and followed over a four-month period. The median age of the sample was 69 years, 71% were Hispanic/Latino, 80% had a high school education or less, and 76% had a monthly income of less than $1,361. A total of 823 needs were identified in these patients, and 1,126 service recommendations were made. Some needs required more than one service recommendation or vice versa. The most frequently identified needs involved food assistance (136 patients received 220 nutritional service recommendations), home modifications/housing (118 patients offered 159 services), and ADLs (115 patients, 147 services). During the four-month period, social workers reported that services related to food assistance met patient needs 61% of the time; 52% for home modifications/housing; and 75% for ADLs. Reasons for unmet needs included service applications still in process/waiting lists; services being unavailable (e.g., lack of mental health providers); and refusals by patients, and family/friends. Practice and policy implications include the possibility that four months is not enough time to fully address needs, and some patients may need more intensive assistance and motivation to apply for and access services
DUAL-TASK TRAINING FOR IMPROVING COGNITIVE-MOTOR INTERFERENCE
Authors: Bhatt Tanvi , Kannan Lakshmi
Published: December 2022

Dr. Bhatt will discuss the differences in types of cognitive motor interference patterns experienced for different tasks (gaitand volitional versus reactive balance) in cognitively intact versus people with mild cognitive impairment. She will discuss the effectiveness of dual-task training and exergaming on gait, volitional and reactive balance control in older adults with mild cognitive impairment. After 4 weeks of such training, the results showed beneficial effects on improving volitional based performance when performed with a cognitive task (i.e., spatial memory and executive function) and had significant improvement in NIH toolbox (cognitive- increased working memory, episodic memory and executive function, and motor-increased gait speed). However, its positive effects on dual task reactive balance control were limited. Additionally, the speaker will go on to discuss the associations of balance control deficits in mild cognitive impairment with neural correlates (structural and functional brain integrity) to understand the attributing factors to increased fall risk in people with mild cognitive impairment.
“PEOPLE DON'T LIVE IN A VACUUM”: CO-DEVELOPING A BRAIN HEALTH PILOT PROGRAM IN THE COMMUNITY THROUGH CITIZEN SCIENCE
Authors: Wang Claire , Gan Daniel Rong Yao , O'Dea Eireann ,   Brain Health in the Community (BHIC) Steering Committee
Published: December 2022

The Psychosocial Model of Everyday Cognitive Resilience identifies social identity as an important determinant of older adults’ wellbeing as they experience cognitive decline in community settings. We engaged community-dwelling older adults to assess the model and co-develop programs that address existing gaps through twelve focus groups. N=55 older adults were recruited from various community organizations. Two 1-hour sessions discussed (1) variables that were important to older adults, namely neighbourhood friendship and social experiences, and (2) how these mediated the effects of self-expression, time outdoors, and communal provisions on mental wellbeing. Many participants highlighted the importance of strong friendship for deeper needs such as grief support, whereas others pointed out the relevance of meaningful activities or volunteering opportunities for a sense of purpose. Overall, a speed-friending program with an emphasis on listening was desirable for connecting and contributing socioemotionally to develop “happy medium” friendships, while piloting evidence-based interventions for brain health.
THE ASSOCIATION BETWEEN COGNITION AND METABOLIC BIOMARKERS AMONG PARTICIPANTS FROM THE CHARLS LONGITUDINAL COHORT
Authors: Chen Diefei
Published: December 2022

Inflammatory or kidney-related metabolic biomarkers have been correlated with cognition and risk for developing dementia among older adults. Using the China Health And Retirement Longitudinal Study, we investigated the cross-sectional correlations between metabolic biomarkers and cognitive outcomes that were ascertained in the same wave, as well as measures lagged by data collection waves. After excluding participants with diagnoses of dementia, we analyzed the association of each biomarker (e.g., White Blood Cell count, Creatinine, Blood Urea Nitrogen, Uric Acid, Cystatin C, C-Reactive protein) with scores from cognitive tests. We then identified biomarkers that showed consistent associations across waves. Having elevated CRP (1-3 mg/L) was positively associated with cognitive test scores; whereas abnormal levels of Creatinine (Low: <0.74 for male and <0.59 for female; High:>1.35 for male and >1.04 for female) were associated with poorer outcomes. These results provide biomarker evidence of the importance of kidney function and inflammation in dementia research.
THE BLUES AND OLDER MINORITY MUSICIANS: MORE THAN JUST MUSIC XXIX
Authors: Migliaccio John , Marcus Michael
Published: December 2022

The “ ’Bo Diddley’ Track”; GSA, 2022 Indianapolis, INLIndianapolis has been described as “The Crossroads of America,” with a long history of fostering the music and entrepreneurial spirit of Black Americans. Starting in 1915 with Mrs. C.J. Walker, America’s first female millionaire and her cosmetic enterprise, and the Starr Piano Company and its Gennett Records Studio – identified as “The Cradle of Recorded Jazz” in the 1920s and 30s – both were instrumental in national distribution of the works of the earliest blues, jazz, country, and gospel artists including Louis Armstrong, King Oliver, Alberta Hunter, and Charlie Patton among others.Indianapolis continues to host a thriving Blues music community, and will host the 29th consecutive year of GSA’s “Bo Diddley Track” with local older minority musicians, one of GSA’s most popular and fun events. This year will feature a lecture, interview, and mini-performance with leading local blues musicians exploring their life, influences, music and resilience, followed by a typically raucous live blues performance that evening at a local blues hot-spot, with prizes for the first 50 GSA attendees. This has been going on for 29 years for a reason, folks---don’t miss it!