bluuebunny/crossref_metadata_2025 huggingface dataset:
RISK FACTORS AND PROTECTIVE FACTORS OF VICTIMS OF ELDER ABUSE IN THE PHILIPPINES
Authors: Apuan Victoria , Oyales Carmelina
Published: January 2025

In a country where the prevailing culture puts a premium on respect and care for the elderly, elder abuse is an interesting phenomenon. The study focuses on elder abuse and the different forms of abuse occurring in Filipino communities. Following recommendations of previous studies, the authors undertook a qualitative study composed of individual interviews of ten victims of elderly abuse and focus group discussions with thirty two local government officials. Ageism and lack of awareness of the human rights of elders were identified as deterrents to the prevention of abuse of elders within families and blocked their access to socio-psychological and economic help. Aside from ageism and the social isolation of the victims of elder abuse, risk factors also included material poverty, problematic family dynamics such as children’s lack of attachment to parents, lack of support of extended family members, and the lack of awareness that the elderly have human rights. Protective factors needing to be established and strengthened were community-based monitoring and reporting system of elder abuse, a current survey of household with senior citizens, more stringent enforcement of existing laws protecting the elderly human rights education in schools, more frequent visits of social workers to communities, especially those in the hard to reach areas. Keywords: elder abuse, aging population, ageism, poverty, senior citizens human rights.
CO-DESIGN OF A MOBILE APP FOR CARE PARTNERS WHO MANAGE MEDICATIONS FOR PEOPLE LIVING WITH DEMENTIA
Authors: Werner Nicole , Ganci Aaron , Patel Himalaya , Thuemling Teresa , Holden Richard
Published: January 2025

For unpaid care partners of community-dwelling people living with Alzheimer’s disease and related dementias (ADRD), medication management is effortful and time-consuming work that often continues over several years. Although this work may be eased by mobile application software (apps), current consumer apps underserve care partners’ needs. Through co-design workshops, our objective was to identify the user requirements for a mobile app supporting at-home medication management for people with ADRD. We conducted five 1-hour virtual co-design workshops with current and recent ADRD care partners. Care partners described their difficulties with medication management, then proposed ideal end-states by hand-drawing storyboards. We co-reflected on care partners’ descriptions and proposals, chose the app’s necessary functions, and digitally sketched corresponding user-facing features. After reviewing the sketches, care partners self-reported attitudes toward the proposed features. We ranked features by desirability, then created a digital user interface prototype. Care partners reviewed the prototype and self-reported adoption intent on a scale from 1 to 5. Seven care partners participated, ages 56-75 (Mdn=63), with 3-14 years’ care-partner experience (Mdn=5.5). Elicited requirements included tracking medication administration, recording behavioral changes, instructing other care partners, and briefing healthcare professionals. The user interface prototype included a medication checklist, observation journal, and contacts management. Care partners self-reported moderately high adoption intent (M=4.2, SD=0.9). By supporting both short- and long-term information needs, the proposed mobile app promotes shared awareness among ADRD care partners and healthcare professionals. This work is foundational to developing the app and assessing usability and utility in situ.
ACCEPTABILITY AND PRELIMINARY EFFICACY OF BE EPIC-VR TRAINING ON FRONTLINE HEALTH CARE WORKERS
Authors: Savundranayagam Marie , Norris Grace , Schumann Annette , Sarma Anya , Campos Jennifer , Orange Joseph
Published: January 2025

Be EPIC-VR is a person-centered communication (PCC) training program designed for healthcare providers working in dementia care. It is the first virtual reality (VR) program to use conversational artificial intelligence to train users to communicate with avatars depicting persons living with dementia (PLWD). The current study examined the acceptability and preliminary efficacy of Be EPIC-VR training. Participants included eight personal support workers from four home care and long-term care settings. Focus groups were conducted both immediately after VR sessions and after completing the Be EPIC-VR training program. Data analyses used framework analysis. The theme, relevant training supporting learning, reflected the acceptability of Be EPIC-VR. Be EPIC-VR’s innovative design facilitated significant learning gains, highlighting the benefits of experiential design, accessibility of training components, relevance regardless of career level, and group feedback on learning outcomes. The theme supporting preliminary efficacy was applying newly learned knowledge and skills with PLWD. Four subthemes emerged that mapped onto Be EPIC-VR’s foci. First, participants used the cues from the environment when interacting with PLWD. Second, participants, including those with English as a second language, reported applying PCC strategies which helped in understanding PLWD’s needs and addressing care refusal. Third, they noted an increase in self-efficacy in dementia care, which strengthened relationships with PLWD. Finally, they reported incorporating the preferences of PLWD during care interactions. Be EPIC-VR training emerges as a promising tool for enhancing skills of personal support workers, suggesting that immersive, VR-based training programs can foster empathetic, knowledgeable, and person-centered care approaches.
RECRUITMENT AND RETENTION STRATEGIES FOR BLACK AMERICAN DEMENTIA CAREGIVER PEER SUPPORT
Authors: Moss Karen , Wright Kathy , Happ Mary Beth , Brody Abraham , Wills Celia , Brill Seuli Bose , Bullock Karen
Published: January 2025

Black American caregivers of older adults living with dementia are at high risk for caregiving-related physical, emotional, spiritual, and psychosocial challenges. Culturally responsive interventions are needed to improve caregiving outcomes. Peer mentorship, a relationship-centered person-to-person approach may support caregiving mastery via culturally-tailored, flexible, non-judgmental peer support, including storytelling about caregiving experiences. The purpose of this presentation is to describe the recruitment and retention processes used for a pilot feasibility/acceptability study to test a co-created virtual intervention, called Peer Support for Caregivers of Black Americans Living with Dementia (Pair 2 Care). Community engagement strategies were used in Pair 2 Care such as: 1) use of co-design process to develop and improve the intervention, including community advisory board engagement, 2) individual and community-based organization relationship building over time, 3) principal investigator and research team in-person and virtual attendance at community health and caregiving events, 4) principal investigator contributions to community-based education programs, 5) reconnecting with previous research participants, 6) cultural preparation of research team members, and, 7) frequent contact with enrolled participants. A total of N=26 former caregivers (mentors) and current caregivers (mentees) were enrolled, mentors trained, and 1:1 dyads paired within 10 weeks for six months of peer support. Currently, retention is at 100% and early feedback from dyads is favorable. Recruitment and retention strategies outlined for this pilot study assisted the research team with successful study execution of an innovative culturally-tailored caregiver support intervention intended to build caregiving mastery and contribute to health equity by improving caregiver health outcomes.
YOUNG CAREGIVERS: ENGAGING FAMILIES AND BUILDING TRUST IN RESEARCH FOR CAREGIVERS OF ALL AGES
Authors: Kalvesmaki Andrea , Kavanaugh Melinda
Published: January 2025

The common definition of who is a “caregiver”, especially for older adults, is typically an adult family member, most likely a wife of an aging spouse or a daughter of an aging parent. However, estimates of 2022 Census data indicate that over 5 million young people under the age of 18 (young caregivers) may be caring for an aging adult, or an adult with a disability. The RAISE care act, while acknowledging children may be supporting care for other family members, does not outline strategies to work with these children or their families, or build the research infrastructure to identify unmet needs of families with young caregivers. Research on young caregivers in the US is a relatively new, emerging field. Here we present what is currently known about young caregivers in the US, including findings on the impacts of caregiving on youth outcomes, and important gaps in our knowledge base. Our work has identified key barriers to engaging these family members in research and family services, including state laws that prevent parents from disclosing the important roles these young people play in supporting aging family members. As researchers in the field, we also describe strategies we are using to connect with young caregivers to identify unmet needs, and build capacity to support these families, young caregivers, and their care recipients.
ENGAGING YOUTH AND HEALTH CARE PROFESSIONALS: DEVELOPING THE YCARE PROGRAM FOR YOUNG CARERS
Authors: Kavanaugh Melinda
Published: January 2025

Children and youth ages 8-19 who provide care, “young carers,” are tasked with the same caregiving as adults, including bathing, feeding, toileting, and managing complex assistive devices. Yet, young carers receive little to no caregiving guidance or training in community or health care settings, leaving them isolated not only from peers but from health care professionals. Indeed, over 70% of young caregivers for people living with complex neurological disorders (Huntington’s disease and ALS) reported no education or training in care provision, leaving them to “wing it”, or rely on “common sense,” while stating they have few peers or professionals with whom they can share experiences and build support. Health care professionals who provide guidance and training to adult caregivers, also have little understanding of young carers, and how best to engage and support them. The lack of connections between young carers and health care professionals limits the opportunity to build support and trust between young carers and the health care system. This presentation details the iterative, multidisciplinary development of the YCare program, a peer-engaged, training, skill, and support program for young carers. We will also discuss how multidisciplinary health care professionals, including OT, PT, Social work, respiratory and speech therapies were recruited and trained to deliver the YCare program - connected young carers and much needed care skills and support.
WEALTH DISPARITIES IN LATER LIFE: INSIGHTS AND IMPLICATIONS
Authors: Miller Julie
Published: January 2025

In the United States, wealth inequality is a stubborn and growing social and economic issue. Disparities in wealth are both products of, and contributors to, a range of pressing issues that directly impact financial wellbeing of individuals, households, and economies at large. By the time individuals reach older age, an individual’s financial wellbeing has generally compounded, making disparities in wealth experienced across sub-groups of older adults that much clearer. Considered in contexts of wealth transfer and financial capacity-building across generations, we also recognize that the implications of wealth disparities often reach across generations.

This symposium brings together leading scholars to share insights about wealth disparities in older age based on a range of identities and experiences. The first presentation focuses on wealth disparities among older LGBTQ+ adults, centering generational and social forces in the life events and experiences of their interactions with financial wellbeing. The second presentation focuses on the intersection of wills, wealth, and race, introducing context about estate planning and disparities in wealth transfer. The third and fourth presentations connect corollary issues with wealth disparities in later life. One presentation evaluates whether the sense of meaning and purpose in life mitigates these existing wealth disparities in later life, and the other presentation investigates how health and marital status shocks related to wealth disparities among older adults. Together, the four presentations introduce new perspectives about wealth inequality and wealth disparities in older age, and suggest implications for research, policy, and practice. Economics of Aging Interest Group Sponsored Symposium
BALANCING THE SCALES: ADDRESSING WEALTH DISPARITIES AMONG SEXUAL AND GENDER MINORITY (SGM) OLDER ADULTS
Authors: Hoy-Ellis Charles , Fredriksen-Goldsen Karen
Published: January 2025

While the National Institutes of Health, and National Academies of Science, Engineering, and Medicine have recognized LGBTQ+ populations as experiencing significant health disparities, they remain understudied and underserved. Decades of research highlights socioeconomic positionality as a significant driver of health disparities. Our team was the first document extensive health disparities among LGBTQ+ older adults. More recently, we are documenting significant economic disparities, including higher rates of poverty – mediated and moderated by lower rates of marriage and living alone, currently, and historically. It has been less than 10 years since LGBTQ+ people have been afforded the economic privileges and benefits that are inherent to state-sanctioned marriage (more than 1,100 according to the General Accounting Office), which are cumulative over time. Utilizing data from Aging with Pride: National, Health, Aging and Sexuality/Gender Study, the first and largest national longitudinal study of LGBTQ+ older adults (N = 2,450), we identify disparities in wealth and financial resources that function as risk and protective factors predicting economic outcomes among this historically marginalized population. Our findings indicate that despite significantly higher educational achievement compared to their heterosexual age-peers, LGBTQ+ older adults are disadvantaged economically, due in large part to historical sociocultural factors. More research is needed to understand underlying mechanisms of risk and protective factors that influence the unique economic and wealth disparities among LGBTQ+ and other diverse communities to inform the development of targeted interventions to address the unique economic challenges impacting their health and well-being across the life course.
HOW DO HEALTH AND MARITAL STATUS SHOCKS AFFECT DISPARITIES AT OLDER AGES?
Authors: Johnson Richard
Published: January 2025

This paper measures the incidence of health and marital shocks after age 65, assesses their impact on household wealth, and compares outcomes by race/ethnicity and other characteristics. The study focuses on the need for long-term services and support (LTSS), help with everyday activities that can be provided at home by unpaid family caregivers or paid helpers, or in residential care settings or nursing homes. Using data from the Health and Retirement Study spanning 1995 to 2020, the analysis measures how substantial LTSS needs, chronic health conditions, LTSS use, widowhood, and divorce affect the level of and changes in household wealth and the probability that older adults exhaust most of their resources. We find that health and marital shocks are common at older ages. After age 65, 70 percent of adults develop substantial LTSS needs, 28 percent enter a nursing home, 51 percent develop a major medical condition, and 29 percent become widowed. The lifetime risk of developing substantial LTSS needs or a major medical condition does not vary much by race/ethnicity. However, Black and Hispanic adults generally experience these shocks at younger ages than non-Hispanic white adults. Black adults are more likely to become widowed than others. Older adults who develop substantial LTSS needs, and especially those who enter a nursing home, experience much sharper declines in household wealth than other older adults. The financial impact of the onset of LTSS needs does not appear to vary much by race/ethnicity. Other shocks have smaller financial impacts.
EMPLOYMENT OUTCOMES AMONG OLDER ADULTS WITH A HISTORY OF INCARCERATION
Authors: Sneed Rodlescia
Published: January 2025

Older adults returning to community settings after incarceration face a number of challenges, including food insecurity, difficulty finding housing, and adverse health outcomes. A number of qualitative studies have suggested poor employment outcomes among formerly incarcerated older adults; however, there have been few quantitative inquiries related to employment outcomes for these older adults. The purpose of this study was to understand associations between history of incarceration and employment outcomes among older adults. We used pooled data from the 2012 and 2014 waves of the Health and Retirement Study to examine associations between history of incarceration and employment outcomes among community-dwelling older adults aged >50 (n=4,985). History of incarceration and employment outcomes were assessed via self-report. While there were no associations between history of incarceration and employment status in the sample, employed older adults with a history of incarceration had more physically demanding jobs and reported more work stress and more work-related discrimination than their counterparts. They also reported less work satisfaction and less supervisor support than never-incarcerated older adults. Gender moderated the association between history of incarceration and several employment outcomes, with associations observed among women but not men. Taken together, our findings suggest that history of incarceration is associated with significant differences in employment outcomes, primarily among women. Future studies should explore factors contributing to poor employment outcomes in order to design interventions that improve outcomes in this population.
THE IMPLICATIONS OF HEALTH FOR RETIREMENT DECISIONS FOR NURSES IN THE CZECH REPUBLIC, IRELAND, SWEDEN, AND THE UK
Authors: Leime Aine Ni , O’Neill Margaret , Pospisilova Marie , Jandric Jakov , Krekula Clary
Published: January 2025

This study examines the implications of health considerations for retirement decisions among older nurses in Ireland, Czechia, Sweden, and the UK, in the context of demographic ageing and extended working life policies. Employing a life course perspective, the concept of cumulative advantage/disadvantage, and a gendered political economy of aging framework, this internationally comparative study focuses on the impact of the physical and emotional demands of nursing and diverse national policies on nurses’ retirement decisions. Through analyzing data from qualitative interviews with 148 pre/retirement-age nurses in four European countries conducted as part of an international EU study, findings reveal significant health challenges, including musculoskeletal injuries and work-related stress, as central in the decision-making process. The study highlights gendered nuances in these decisions, with societal caring norms and financial constraints due to low pensions pressing many female nurses to extend their working lives or face precarious retirements. Despite the onerous physical demands of nursing and a general reluctance to work past 60, options like part-time work and job sharing emerge as critical for those considering extended work. This research highlights the misalignment of current policies with the lived experiences of older nurses, proposing reforms that recognize the gendered and health-related implications of the profession. Recommendations include re-evaluating extended working life policies with a gender-sensitive lens, introducing flexible employment options, ensuring choice in retirement timing, and providing provisions for early retirement due to health issues.
LINKING JOB CHARACTERISTICS TO AMBULATORY DISABILITY BY RACE/ETHNICITY AND NATIVITY AMONG THE AGING WORKFORCE
Authors: Park Sung
Published: January 2025

Americans today are working longer, and more than half of adults aged 50+ work in physically demanding jobs. There are also well-known occupational risk factors for work injuries: physically demanding activities (PD) and nonstandard work schedules (NSW). This project uses a nationally representative, longitudinal sample, the Survey of Income and Program Participation, linked to a nationally representative dataset of objective, rather than subjective, measures of the work environment for all civilian occupations in the U.S. to examine the potential health burden of PD and NSW as sources of short- and longer-term ambulatory disability (AD) for older workers. Specifically, the study investigates whether the risks associated with working in jobs with NSW and high PD interact to produce risks in short- and longer-term AD that are larger than each risk acting independently. Moreover, this study includes an examination of differential exposure and differential vulnerability by race/ethnicity and nativity to these work characteristics on the risks of AD. Results suggest significant heterogeneity in occupational exposure to PD and NSW, with racial/ethnic minorities, especially female immigrants, at a particular disadvantage. Moreover, the associations between these work exposures with both short- and longer-term AD also vary dramatically by race/ethnicity, nativity, and gender. The findings advance our understanding of how work demands and organizational factors impact the physical health of the diversifying older workforce, and contribute to health disparities in later life.
PROTEIN BIOMARKERS, CELLULAR SENESCENCE AND SECRETOMES, EXOSOMES AND BIOFLUIDS
Authors: Schilling Birgit , Koenigshoff Melanie
Published: January 2025

In this component of the session, the opportunities and challenges of biomarker discovery and validation will be discussed and involve the audience. Cellular senescence-related biomarkers have been shown to be good biomarker candidates for aging. Key questions that will be raised will include organ-specific biomarkers, and the use and culturing of explant human tissues to generate specific biomarkers of senescence and aging. We will discuss the senescence-associated secretory phenotype (SASP), the role of the extracellular matrix during aging and their use as aging biomarkers. We will discuss challenges of biofluid complexities and methods to address these challenges. We will also discuss the value of multi-omics biomarkers, such as proteins, transcripts and lipids.
CANCER AND AGING RESEARCH FROM DIAGNOSIS TO SURVIVORSHIP
Authors: Halpin Sean
Published: January 2025

The patient’s cancer journey is a complex and multifaceted involving many emotional, environmental, and structural challenges—all of which are further complicated by advanced age. In our symposium, we bring together researchers who apply quantitative and qualitative methods to studying multiple cancer types from diagnosis to survivorship. First, Halpin will discuss the use of discursive psychology to examine how patient medical education is delivered to patients with multiple myeloma in preparation for autologous stem cell transplant. Second, Carrion will present on the treatment experience of immigrant Latinas and cancer. Next, Chidebe will apply interpretive phenomenological analysis to examine the impact of belonging to a peer support group for older Nigerian women living with metastatic breast cancer. Last, Krok-Schoen will present using cross-sectional data to examine age differences in severity and correlates of symptoms and quality of life among older breast and colorectal cancer survivors. Examining how a variety of methodological approaches are applied to explore the patient’s cancer journey will help facilitate a broader understanding of gerontological cancer research. Cancer and Aging Interest Group Sponsored Symposium
USING DISCURSIVE PSYCHOLOGY TO EXAMINE PATIENT MEDICAL EDUCATION
Authors: Halpin Sean
Published: January 2025

Patient-centered care is facilitated by succinct medical information delivered by nurse patient-educators. However, navigating the array of treatment options poses challenges, especially for patients with complex and co-morbid conditions, such as older adults with multiple myeloma. In the current study, I applied discursive psychology to analyze speech patterns in 12 education visits (1011 minutes of audio) conducted by three nurses. Patients had a median age of 65 (IQR- 54-75), were mostly white (75%), and split between male and female. I identified two overarching speech strategies used including (1) verbatim repeated (unwritten) sentences which nurses piloted and evolved from patient to patient and (2) application of language such as “I” to show authority versus “we” to demonstrate alignment with members of the medical team. Ultimately, nurses used these speech patterns to help recall information, revise their internal scripts, and assure patients.
COMPARATIVE EFFECTIVENESS OF REMOTELY DELIVERED VERSUS IN-PERSON ENHANCE FITNESS AMONG OLDER ADULTS
Authors: Patel Kushang , Qiu Qian , Thompson Meghan , Denison Paige
Published: January 2025

Access to evidence-based exercise programs, such as Enhance Fitness (EF), is limited for older adults who are homebound or live in rural areas. During the COVID-19 pandemic, EF was adapted for remote delivery (Tele-EF) and implemented nationally; however, its effectiveness is not well established. Therefore, we compared the effectiveness of Tele-EF with standard in-person EF among older adults who had no prior experience with EF. Between 2020-2024, a total of 3,924 older adults had enrollment, attendance, and functional outcome data available in EF’s national database (median time between assessments was 112 days [IQR: 103-126]). Baseline median age was 73 years (IQR: 68-79) and 3,040 (77.4%) were women. The monthly attendance rate in Tele-EF (n=132; mean=66.3% [95% CI: 63.5-69.1%]) and in-person EF (n=3,792; 64.8% [95% CI: 64.2-65.4%]) did not differ significantly (mean difference= 1.5% [95% CI: -2.4%, 5.3%]). The 30-second sit-to-stand test improved significantly from baseline for both Tele-EF (mean difference=3.0 chair stands [95% CI: 2.2-3.8]) and in-person EF (mean difference=1.9 chair stands [95% CI: 1.7-2.1]). Compared with in-person EF, participants in Tele-EF had greater improvement in chair rising performance (p=0.016). For the 8-foot Timed Up & Go (TUG) test, performance improved from baseline for both Tele-EF (mean difference=-0.6 seconds [95% CI: -1.0, -0.3]) and in-person EF (mean difference=-1.3 seconds [95% CI: -1.4, -1.1]). However, improvement in TUG performance did not differ between Tele-EF versus in-person EF (p=0.18). Overall, Tele-EF had similar rates of attendance and effectiveness for improving mobility function in older adults as in-person EF.
ENHANCEFITNESS FOR ADULTS WITH MEMORY LOSS AND CARE PARTNERS: A PILOT
Authors: Belza Basia , Wang Zih-Ling , McKiddy Sarah , Ash Kelly , Denison Paige , Pirone Judi , Thompson Meghan , Webel Allison
Published: January 2025

The purpose of this pilot was to evaluate the feasibility of an in-person evidence-based, physical activity intervention, Enhance®Fitness (EF), for community-dwelling adults with memory loss and care partners. In partnership with a senior center in the Pacific Northwest we recruited dyads to participate in a one-hour EF class, three times per week for eight weeks. Each dyad consisted of one participant with memory loss and their care partner. We assessed depression, cognition, and strength and agility at baseline and post-intervention. We enrolled 8 dyads/16 participants. Most (n=6) care partners were spouses. At baseline, 5 participants had normal cognition and 5 mild, 2 moderate, and 4 had severe cognitive impairment. Eight participants were below average in strength and 12 participants below average on agility. Six of 8 dyads dropped out prior to conclusion of the program due to injury before the start of the study or illness and fatigue during the study. Two dyads who completed the eight-week program attended, on average, 19 of 21 classes. After the intervention of those dyads who completed the program there was improved cognition and strength but worse depression scores. In an exit interview participants reported liking EF for its group setting, focus on physical activity, social interactions, and relationship building. They appreciated that the instructor maintained an engaging and personalized experience and requested more visual and verbal cues. Care partners wanted an assistant to help their loved ones with exercises. Additional adaptations and support are needed for this population to participate safely in EF.
THE USE OF MICRO-CREDENTIALS IN OTHER DISCIPLINES: EXAMPLES FROM THE FIELD
Authors: Keefe Bronwyn
Published: January 2025

This presentation will describe training partnerships between Boston University’s Center for Aging & Disability Education & Research (CADER) and state and community-based agencies that provide health and social services to older adults. The workforce is looking for micro-credentials to build their competencies just as state and local agencies seek partnerships with academic institutions to build career ladders and finetune skills for their employees. Skills-based hiring and employers’ willingness to move beyond requiring college degrees has grown significantly, driven by the tight job market and employer concerns about diversity and equity. Many practitioners in the field of aging have not received any formal education in working with older adults, while those who seek services are more diverse than ever, and they have a complexity of medical and social concerns. We need a trained and competent workforce to provide high-quality care for older adults. It is imperative to build reciprocal academic and community-based partnerships to further prepare and retool the aging workforce, especially during a great exodus of social service practitioners. Training through CADER’s online certificates has led to statistically significant increases in core competencies in aging and increased knowledge and confidence. Almost half (47%) have taken CADER training for career advancement and personal interest, while the remaining (53%) participated because of work-mandated training initiatives, and a quarter (25%) stated that they had received a pay raise, title change, or promotion since taking the training.
CLIMATE RESILIENCE FOR AN AGING NATION
Authors: Kain Nichole , Arigoni Danielle
Published: January 2025

Our population is aging—by 2034, the US will have more people over 65 than under 18, and older residents make up a disproportionate number of casualties from natural disasters. In Climate Resilience for an Aging Nation, community resilience and housing expert Danielle Arigoni argues that we cannot achieve true resilience until communities adopt interventions that work to meet the needs of their oldest residents. Older adults are over-represented among fatalities in climate-fueled disasters, ranging from Hurricane Katrina in 2005 to the Maui wildfires of 2023 – and countless events in between -- people over 65 are significantly more likely to die as their younger counterparts. These rates of death have not improved in nearly 20 years, making it imperative that a renewed focus on climate resilience must be centered in the needs of older adults. This talk will provide an overview of how and why climate change differently impacts older people, and the range of solutions and strategies that can be deployed to reduce risk. Strategies include interventions in housing, transportation, emergency management, health care, utilities, and social infrastructure which can deliver a more climate-resilient community when designed with the needs of older adults in mind. With a role for people in all sectors and at all levels, achieving climate resilience for an aging nation truly is a job for all of us.
HEAT EXPOSURE AND ADAPTIVE IMMUNITY AMONG OLDER US ADULTS
Authors: Choi Eunyoung , Seshadri Gokul , Ailshire Jennifer , Thyagarajan Bharat
Published: January 2025

Climate change is leading to more extreme heat events, potentially impacting host-parasite dynamics, immunity, and infectious diseases. While animal studies suggest that heat can induce long-lasting immune disorders, its effects on human immune function remain underexplored. This study examines how heat exposure is associated with adaptive immunity, focusing on T-and B-cell subsets in a national sample of older adults from the 2016 Health and Retirement Study Venous Blood Study (N=7,301). Using high-resolution meteorological data from gridMet, daily heat index values were calculated at the census tract level and linked to each respondent’s residential location. We examined both acute (day of blood collection) and chronic (1-year average) heat exposure using multilevel models, adjusting for individual factors (e.g., age, CMV seropositivity). For acute exposure, higher heat index values (standardized) were associated with decreased proportions of CD4+ naïve T-cells (B:-0.01;p<.001), CD8+ memory T-cells (B:-0.002;p<.05), and IgD- memory B cells (B:-0.003;p<.01), but increases in Naïve B cells (B:0.01;p<.001). For chronic exposure, higher heat index values were associated with decreased proportions of CD4+ naïve T-cells (B:-0.01,p<.01) and CD8+ memory T-cells (B:-0.002,p<.05). These findings show that heat stressors can affect the immune cells and subsequent cellular and humoral immune responses. Chronic heat stress potentially leads to a reduction in T-cell repertoire that may result in poor adaptive immunity. Acute heat stress may prompt both suppressive and proliferative responses in different cell types. This study underscores the need for further research to assess the broader implications of climate change on the immune health of older populations.
THE EFFECT OF MINDFULNESS-ORIENTED RECOVERY ENHANCEMENT INTERVENTION ON POSTSTROKE COGNITIVE IMPAIRMENT
Authors: Chen Lijing , Chu Jing , Li Juan
Published: January 2025

Background

About one-third of stroke patients are affected by cognitive impairment, and there is evidence that Mindfulness-based interventions (MBIs) can improve cognitive function.

Objectives

This study aimed to examine the effects of cognitive intervention based on Mindfulness-Oriented Recovery Enhancement (MORE) on cognitive function in patients with Post-Stroke Cognitive Impairment (PSCI).

Methods

A non-randomized controlled trial was conducted. A total of 44 patients with PSCI were enrolled, with 24 in the intervention group and 20 in the control group. The control group received routine rehabilitation therapy (RT), and the intervention group received 45-60 minutes of cognitive intervention based on MORE twice a week for four weeks plus RT.

Results

In the intervention group, 21 participants reached the standard of active participation. In intervention group, the mean change of global cognitive function (Montreal Cognitive Assessment, MoCA) after intervention compared with before intervention was 2.33 (95%CI: 1.73 – 2.93, p<0.001), while in the control group, the mean change of MoCA was 1.25 (95%CI: 0.77 – 1.72, p<0.001). Using a per- protocol analysis, the score of MoCA in the intervention group improved significantly compared to that in control group. The intervention group also showed significant improvement in attention, depressive symptoms, mindfulness, self-efficacy, resilience, and quality of life compared to the control group (p < 0.05, respectively).

Conclusions

The cognitive intervention based on MORE is feasible and effective in improving the cognitive function of patients with PSCI, as well as relieving depressive symptoms and quality of life.
EXAMINING PUBLIC AWARENESS OF AGEIST TERMS ON TWITTER: CONTENT ANALYSIS
Authors: Mulhorn Kristine
Published: January 2025

Following the efforts of the World Health Organization, the Centers for Disease Control and Prevention, and the Gerontological Society of America to raise awareness about ageist language and propose appropriate terms to denote the older adult population, there was a recognized hostile discourse on social media towards those most vulnerable to the COVID-19 pandemic. This study aimed to understand the prevalence and situated use of ageist terms on Twitter. We collected 60.32 million tweets between March and July 2020 containing terms related to COVID-19. We then conducted a mixed methods study comprising a content analysis and a descriptive quantitative analysis. There were a total of 58,930 tweets contained the ageist terms “old people” or “elderly.” The more appropriate term “older adult” was found in 11,328 tweets. Twitter users used ageist terms (eg, “old people” and “elderly”) to criticize ageist messages (17/60, 28%), showing a lack of understanding of appropriate terms to describe older adults. Highly hostile ageist content against older adults came from tweets that contained the derogatory terms “old people” (22/30, 73%) or “elderly” (13/30, 43%). The public discourse observed on Twitter shows a continued lack of understanding of appropriate terms to use when referring to older adults. Effort is needed to eliminate the perpetuation of ageist messages that challenge healthy aging. Our study highlights the need to inform the public about appropriate language use and ageism.
THE IMPORTANCE OF UNDERSTANDING KINSHIP STRUCTURES FOR LEFT BEHIND OLDER ADULTS IN HIGH OUTMIGRATION CONTEXTS
Authors: Matos-Moreno Amilcar
Published: January 2025

From early in my scientific career (doctoral student), the National Institute on Aging and the Gerontological Society of America have been a cornerstone of developing my scientific understanding, from training grants that allowed me to finish my Ph.D. to grant writing workshops that helped me land a K01 award. Participating in the RAND Summer Institute and the Butler Williams Scholar program gave me the tools to understand the many funding mechanisms within the NIA and clarify the many doubts that come with transitioning into a faculty position. Further, my research has evolved in ways that I could never imagine. My studies surround rapid aging and migration in Puerto Rico and other countries. I study the intertwined pathways between migration, left behind older adults, and kinlessness in the 21st century. Specifically, how the migration of working-age adults is increasing the number of kinless older adults in sending countries and the effect of reducing social networks on the health and well-being of left behind older adults. Furthermore, our current work projects the kinship structure of older adults in Puerto Rico and Mexico, considering different migratory scenarios.
ESPO AND SOCIAL RESEARCH, POLICY, AND PRACTICE SECTION SYMPOSIUM: GOING THE EXTRA MILE: HOW PIONEERING GERONTOLOGISTS TRANSLATE RESEARCH TO POLICY AND PRACTICE
Authors: Jansen Taylor , Bybee Sara , Greenfield Jennifer
Published: January 2025

Gerontologists must have fortitude to take the extra step in translating research to end-users like community stakeholders, policymakers, and older adults; Otherwise, research can be futile. In this symposium, participants will hear from speakers who have engaged in translational research from the local to federal levels. Dr. Kina White, from the Mississippi State Department of Health will speak to her successful dissemination efforts informing state policymakers and health professionals of recent research conducted on older Mississippians. Dr. White personally mailed a copy of the research to each mayor in Mississippi, an excellent example of fortitude. Another state-level example will come from Dr. Howard Degenholtz, a Professor at the University of Pittsburg, who recently worked with the Pennsylvania Department of Aging to facilitate a statewide needs assessment survey using the Age Friendly Communities Framework, which helped develop a 10-year plan for the Pennsylvania Department of Aging. Finally, Dr. Sheryl Zimmerman, University of North Carolina (UNC) Distinguished Professor and Executive Director of the national Center for Excellence in Assisted Living (CEAL@UNC) will discuss CEAL’s role to advance excellence through stronger connections between research, practice, and policy, and related advocacy at the federal level. Overall, the aim of this symposium is to answer the “so what” question that many students and researchers are presented with and motivate gerontologists to broaden their dissemination and advocacy efforts to have the most positive impact on our society, whether in research, policy, or practice.
ADVANCING HEALTHY AGING THROUGH PUBLIC HEALTH POLICY AND PRACTICE IN MISSISSIPPI
Authors: White Kina , Edwards-Childs Paulita
Published: January 2025

Within a state less known for its investment in public health, the Mississippi State Department of Health (MSDH) is advancing healthy aging through emerging public health policy and practice. While the overall state’s population is declining, between 2010 and 2021, the 65+ population of adults experienced a 29.3% increase. In partnership with Trust for America’s Health (TFAH) and The John A. Hartford Foundation (JAHF), MSDH adopted the 6C’s Framework for Creating an Age-Friendly Public Health Systems (AFPHS) Framework and established a systematic approach to supporting older health and well-being. These efforts resulted in the achievement of exemplar status as a recognized Age-Friendly Public Health System. To achieve AFPHS Recognition, MSDH established a multi-sectoral Advisory Committee and developed a state-wide action plan based on the AFPHS 6C’s Framework using the collective impact process; developed a Healthy Aging Data Report (HADR) and county data profiles with over 120 indicators; partnered with AARP MS and the Mississippi Public Health Association on several endeavors, including the development of a champion program for older adult volunteers to encourage their communities to be age-friendly and promote intergenerational activities. At the intersection of policy and practice, HADRs were hand-delivered to mayors across all 82 counties, translating findings of chronic disease and disability indicators to advance policies that establish age-friendly communities and health systems to improve older adult health outcomes.
EMPOWERING OLDER ADULTS: A PARTICIPANT’S PERSPECTIVE ON VIVO’S ONLINE STRENGTH TRAINING PROGRAM
Authors: Pettis Jennifer
Published: January 2025

This abstract presents the narrative of a participant, detailing her positive experiences with Vivo, an online live and interactive strength training program. This presentation will illuminate the transformative impact of Vivo’s holistic approach to fitness among older adults. The participant, enthusiastically recounts her journey with Vivo, highlighting remarkable gains in muscle strength and energy levels. Engaging in Vivo’s tailored workouts, she experienced tangible improvements in her physical abilities, allowing her to navigate daily tasks with newfound ease and confidence. Notably, she emphasizes the program’s adaptability to her age group, catering to varying fitness levels while promoting safe and effective exercise practices. Beyond physical benefits, the participant underscores the significance of socialization within the Vivo community. Participating in live sessions facilitated meaningful connections with peers, fostering a supportive network that transcended geographical boundaries. These interactions not only enhanced her motivation but also nurtured a sense of belonging and camaraderie, vital components of holistic well-being among older adults. In conclusion, the participant’s narrative exemplifies the transformative power of Vivo’s online strength training program for older adults, showcasing its capacity to enhance muscle strength, energy levels, and social connectedness. This perspective underscores the program’s potential to promote active aging and improve overall quality of life among older adult populations.
THROUGH THE EYES OF CARE MANAGERS: UNDERSTANDING THE VALUE OF MEMBERSHIP TO THE AGING LIFE CARE ASSOCIATION
Authors: Shealy Carlisle , Teaster Pamela , Gray Jullie , Sands Laura
Published: January 2025

Care managers, also known as Aging Life Care Professionals (ALCPs), have specialized knowledge pertaining to aging and disability. Through care coordination, they serve a critical role for families, caregivers, and older adults themselves. The Aging Life Care Association (ALCA) is a nonprofit member association aimed at promoting the work of ALCPs by offering continuing education, professional development, and ethical standards. To fill a gap in understanding the organization, we explored the usefulness and benefits of ALCA membership. We conducted 35 individual virtual interviews with members, exploring satisfaction with membership, organizational support to members, types of assistance members received, and engagement activities. Chapter presidents were recruited first, and afterwards, we used snowball sampling to recruit diverse members. Interviews were transcribed and thematically coded. Care managers joined ALCA for numerous reasons including networking, connections, and camaraderie. Relationships with other members contributed to why members remained in the organization. Care managers sought an association that gave their work professional credibility and standards. Members valued referrals, resources for growing a business, online educational resources online, and conferences. Participants suggested opportunities for greater inclusion of new members, especially those from diverse racial and ethnic and racial backgrounds as well as how to best apply ALCA’s Code of Ethics and Standards of Practice. Others wanted education tailored for different career stages. Although opportunities exist to address challenges, membership in ALCA can improve access to information and services needed to coordinate improved care for older adults while also enhancing quality of care.
EMERGENCY DEPARTMENT AND HOSPITAL USE AMONG COGNITIVELY VULNERABLE MEDICARE ADVANTAGE ENROLLEES
Authors: Fortinsky Richard , Lu Xiaomin , Grady James , Robison Julie , Steffens David , Kuchel George
Published: January 2025

Medicare Advantage (MA) health insurance plans now cover more individuals than original Medicare. Very little is known about patterns of emergency department (ED) visits and hospitalizations among MA enrollees, especially those living with cognitive vulnerability due to dementia, depression, and/or recent delirium. Therefore, we explored factors associated with ED visits and hospitalizations among older adults enrolled in an MA plan and living at home with cognitive vulnerability. Our study cohort includes 406 adults age >65 who completed a 12-month clinical trial; baseline data collected by interview were linked with ED and hospital use data from medical claims for 12 months following study baseline. Predictors, all from study baseline, included age group, sex, race, ethnicity, educational level, financial strain level, number of medical comorbidities, and cognitive vulnerability type: dementia only; depression only; dementia and depression; or delirium with dementia and/or depression. Cohort characteristics: 58.4% female; mean (SD) age=76.1 (7.0); 92.1% White individuals; 4.7% Black individuals; 39.4% had >1 ED visit and 26.4% had >1 hospitalization. Multivariate logistic regression results revealed that the likelihood of experiencing an ED visit was positively associated with number of medical comorbidities at baseline (AOR=1.18, p=0.001), and participants with depression only were less likely than those with recent delirium at baseline to experience an ED visit (AOR=0.33, p=0.02). These same predictors were associated with hospitalization likelihood (AOR=1.14, p=0.01; and AOR=0.27, p=0.01, respectively). We conclude that medical comorbidity burden as well as delirium history are important risk factors for subsequent ED visits and hospitalizations in this MA cohort.