bluuebunny/crossref_metadata_2025 huggingface dataset:
INDUSTRY–ACADEMIA COLLABORATION PROJECT FOR CREATION OF A LEARNING HEALTH SYSTEM FOR OLDER CARE: A CASE STUDY
Authors: Ishii Keiko , Noguchi-Watanabe Maiko , Fukui Sakiko
Published: January 2025

The study aimed to establish a learning health system wherein artificial intelligence, the Internet of Things, and healthcare professionals collaborate to promote the well-being of older adults, families, and the healthcare professionals involved in older care. This case study seeks to elucidate the roles and challenges encountered by researchers within this industry- academia collaborative project. By employing the Project Management Body of Knowledge’s (PMBOK’s) 12 management principles (stewardship, team, stakeholders, value, system thinking, leadership, tailoring, quality, complexity, risk, adaptability and resiliency, change) as the analytical framework. As a preliminary step toward the main project, a joint research agreement with the relevant company in January 2022 was concluded, a comprehensive cooperation agreement in October of the same year, and commenced the project in April 2023. The project team comprised three researchers (home care nursing), four staff members (open innovation center and Industry-Academia Collaboration Division) from the university, and two employees from the company. The researchers participated in monthly meetings and proposed a research plan and strategies to utilize the research outcomes of the new company. To determine the number of visiting nurse users, we calculated the expected number of users at our university hospital. We also discussed the variables to be utilized in the algorithm development. An analysis based on the 12 principles reveals that although researchers tended to implement values and systems thinking, they had difficulties with other members regarding team and leadership. This research provides insights for project implementation for researchers promoting collaborative industry-academia research.
ASSESSMENT OF SUBJECTIVE SEXUAL EXPERIENCES OF OLDER ADULTS
Authors: Steckenrider Janie
Published: January 2025

There is extensive research focusing on sexual dysfunction, decreased frequency, and sexual effects of aging, however few studies explore older adults’ subjective sexual experiences. Consequently, ageist myths prevail that older adults are neither sexually active nor desirous and the quality of their sexual activity must be extremely poor due to dysfunction and older bodies. The aim of this study was to determine how older adults assess their sexual experiences, what aspects are important, and their sexual outlook through survey research with a sample of individuals age 60+ (N=556). The results found older adults are overwhelmingly positive about their sexual experiences along with a realistic recognition of aging effects. Almost all, 85%, are sexually active, partnered and/or solo sex. Satisfaction is high indicated by 45% extremely/very satisfied with both quality and frequency and by a majority rating recent sexual experiences above average on a 1 to 10 scale and a third ranking it as “great sex” (8+). Their positivity is further evidenced as 80% describe their recent sexual experiences as fun and 67% answered exciting, despite 60% also recognizing it is predictable and more challenging, and 72% admitting it’s not their best sex ever. Sexual desire remains high as the majority look forward to their next sexual experience and 70% anticipate an unlimited number of orgasms in their future. Consistent trends were found across all 4 age groups. This study’s findings are significant for reframing the myths and demonstrating that older adults are sexually interested and having overwhelmingly positive sexual experiences.
EXPECTATIONS FOR CHANGE IN SEXUAL POSSIBLE SELVES: IMPLICATIONS FOR SEXUAL WELL-BEING WITH AGE
Authors: Graf Allyson , Ellis Sydney
Published: January 2025

The concept of sexual possible selves is well-established in the emerging adulthood literature with connections to sexual behavior and wellbeing. Research on sexual possible selves beyond this age period is limited. In an online sample of adults (N = 612; Mage = 47.31, SD = 13.51, 30-85 years), the current study aimed to identify expectations for long-term change in sexual possible selves and understand related factors. Participants reported on expectations for change (no change, change a little, change a lot) and were asked to elaborate. Additional data were collected on demographics, self-rated health, and sexual interest as possible related variables. Although 40.4% of the sample indicated that they expected no change, 78.9% of participants described a long-term expectation for their sexual possible selves. Thirteen themes emerged; the most common were aging (23.4%), relationship with a current partner (22.6%), and partner-related issues including no partner (19.5%). A series of logistic regressions were run to identify factors related to each theme. Demographics including age and partner status largely predicted themes. A multinomial regression was run to explore factors associated with expectations of staying the same (40.4%), changing a little (47.0%), and changing a lot (12.6%). Although demographics again were significant, additional variables contributed and the pattern of variables differentiating no change from change a little and change a lot differed. The results are important for extending sexual possible selves research across adulthood and understanding the diversity of expectations that may influence sexual interactions and wellbeing with age.
FACTORS ASSOCIATED WITH SEXUAL SATISFACTION AMONG OLDER GAY MEN
Authors: Prieto Lucas , Shires Deirdre , Xiong Yuan
Published: January 2025

Internalization of ageist stereotypes or messages that consider the context of aging gay men is known as internalized gay ageism. Sexual satisfaction may be influenced by internalized gay ageism among aging gay men. This study aimed to explore internalized gay ageism and the potential relationship with sexual satisfaction and determine if body image was a mediator. A cross-sectional online survey collected data on sexual satisfaction and other variables related to sexual health and well-being among older gay men between December 2021 and May 2022. Participants were included in the study if they were 50 years or older, identified as gay, identified as male, assigned male at birth, and resided in the Midwestern United States. Analyses included descriptive, bivariate, and mediation. A total of 181 participants were recruited in the study, with a mean age of 65.29 years (SD=9.32). Overall, participants reported experiencing a low level of internalized gay ageism, positive body image, and a high level of sexual satisfaction. A complete mediation effect was found between internalized gay ageism and sexual satisfaction when mediated by body image [total effect b=-4.47, p=.001; direct effect b=.34, p=.80; indirect effect b=-4.82, 95% CI BootLL =-6.93, BootUL= -3.03]. Older gay men who were in open relationships were more sexually satisfied than older gay men who were single/widowed. Future research should continue to explore internalized gay ageism, relationship status, body image, and sexual satisfaction among older gay men.
ASSOCIATION OF SOCIOECONOMIC STATUS, SOCIAL ACTIVITIES, AND LONELINESS WITH DEPRESSION AMONG OLDER ADULTS
Authors: Wang Yaping , Liu Jue
Published: January 2025

To estimate whether social activities and loneliness mediate the association between SES and depression, and the extent of interactive or joint relations of SES, social activities, and loneliness with depression, we did a multi-cohort study utilizing five aging surveys across 24 countries. SES was defined as high- and low-level by latent class analysis based on family income, education, and work status. Depression was assessed by 8-item or 10-item Center for Epidemiological Studies Depression Scale (CES-D) and EURO-D. Cox proportional hazard models were applied to estimate the association of SES with depression. Random effects models were used to pool results. A total of 79638 participants were included in our study. With a median follow-up of 5-year, compared with participants in high-level SES, those in low-level SES had a pooled 29.1% (pooled Hazard Ratio [pHR] =1.291, 95%CI: 1.188-1.393) higher risk of depression after adjusting all covariates, and the pooled proportions mediated by social activities and loneliness were 8.1% (95%CI: 3.2-12.9%) and 5.8% (95%CI: 3.6-7.9%), respectively. No significant additive interactions were observed between SES and social activities or loneliness. Compared with participants in high-level SES, socially-active, and not lonely group, those in low-level SES, socially-inactive, and lonely group had a 133.5% increased risk of depression (pHR=2.335, 95%CI: 2.058-2.612). Social activities and loneliness mediated a small proportion of socioeconomic inequality in depression, which indicated that other pathways addressing socioeconomic inequality were required. Additionally, the joint effects of SES, social activities, and loneliness highlighted the benefits of simultaneous and integrated interventions to reduce depression burden.
EVIDENCE THAT TOMORROW’S OLDER POPULATION WILL BE LESS FIT THAN TODAY: A NATIONAL STUDY, 2003–2022
Authors: Rehkopf David , Furstenberg Frank , Jackson Christian , Rowe John
Published: January 2025

Entering retirement age with a high level of health, well-being, and functioning is critical for remaining healthy and engaged after retirement and into later life. While recent stagnating trends for mortality have been well documented in pre-retirement age groups, there has been less attention to trends in morbidity, and in particular, what they are like across different levels of income. We use data from the Centers for Disease Control and Prevention Behavioral Risk Factor Surveillance System that includes self-reported data on wellbeing and functioning on more than seven million individuals from 2003 to 2022, to examine how physical health, mental health and functional health have changed over time by age group and income level. We find there are dramatic differences (up to 10 more days of morbidity in the last 30 days) by level of income, and that over this period of time there are increases in the number of days with bad health and functioning for the poorest and lower-middle income groups. These declines are most notable in ages that are pre-retirement years, age 50 to 59. None of these trends or levels were explained by race, BMI, or smoking, although we show substantial differences in these trends across U.S. States. If current national trends persist, the current age 50 to 59 year old population will be entering retirement ages with substantially worse health than previous generations, which has major implications for labor force participation, Medicare expenses and Social Security.
RELATIONSHIP SATISFACTION AND COGNITIVE WELL-BEING: FINDINGS FROM A DAILY DIARY STUDY
Authors: Karakose Selin , Luchetti Martina , Ledermann Thomas , Stephan Yannick , Terracciano Antonio , Sutin Angelina R
Published: January 2025

Romantic relationships play a crucial role in many aspects of an individual’s life. Longitudinal research further supports the benefits of a satisfying relationship for multiple aspects of well-being. However, less work has examined these associations in daily life, particularly the association between relationship satisfaction and cognitive well-being. An analysis of relationship satisfaction in daily life is important to understand whether fluctuations in it may be associated with fluctuations in these aspects of well-being. This study examined the daily associations between relationship satisfaction and physical, psychological, and cognitive well-being. Every night for eight days, middle-aged participants in a committed relationship (N=303; 54% female; Mage=51.71, SD=7.32) reported on their relationship satisfaction and multiple aspects of well-being, including subjective cognition, as well as overall health, subjective age, purpose in life, and life satisfaction. Multilevel linear models examined within-person associations accounting for personal (sex, age, race, education), relational (relationship satisfaction), and contextual factors (day in the study, weekend day). On days when participants felt more satisfied in their relationships than their average, they also reported a sharper mind, better memory, and clearer thinking; relationship satisfaction was unrelated to whether participants were bothered and disrupted by forgetting. Relationship satisfaction was further related to feeling healthier, younger, more purposeful, and more satisfied with their life. These findings can inform relationship-based interventions to support better physical, psychological, and cognitive aging.
EXPLORING USE OF IMMERSIVE VIRTUAL REALITY IN OLDER ADULTS WITH COGNITIVE IMPAIRMENT
Authors: Preston A’mie , Padala Kalpana , Mooney Scott , Parkes Christopher , Gauss C Heath , Padala Prasad
Published: January 2025

Background

The innovative use of immersive virtual reality (iVR) has the potential to offer individualized, low-cost, accessible care to the older adult population. Virtual reality has gained tremendous interest for its potential uses with older adults who have cognitive impairment, though significant gaps still remain in the literature for this population. This research study aims to explore the feasibility, acceptability, and perception of technology for using iVR in an older adult, racially underrepresented, Veteran population with cognitive impairment.

Methods

Assessments for participants and their caregivers explored mood, quality of life, cognitive functioning, neuropsychiatric symptoms (NPS) related to cognitive impairment, and perception of the iVR device. Veterans used a head-mounted iVR device during the study visit.

Results

Participant demographics included race: Black (36.7%), White (63.3%). Participants reported enjoyment of iVR device [mean=111.7(± 14.05)]. Perception of iVR significantly changed after use (p=0.0001), with apparent improvement. Participants tolerated the experience well with an average score of 1.1 (± 1.34) depicted on the Simulation Sickness Questionnaire. No significant effect of the presence of NPS on the participants’ ability to immerse themselves in the iVR experience was found.

Conclusion

Older adults can experience minimal symptoms during iVR use and may report high enjoyability. Reported NPS may not have a significant impact on the immersive experience of iVR. Perception of iVR can be positively improved following use of the device. Future research is needed in this area to identify use of iVR as a potential intervention for those with NPS associated with cognitive impairment.
TECHNOLOGY-RELATED COVID-19 EXPERIENCES OF OLDER VETERANS
Authors: Lamba Saanvi , Tyagi Pranjal , Ruiz Diana , Dang Stuti
Published: January 2025

We fielded the HERO CARE survey to 20,000 community-dwelling Veterans from five Veterans Affairs’ (VA) Medical sites. Veterans were asked an open-ended question to “share anything else that you would like us to know about your experience with the COVID-19”. We received responses from 1,992 (95.8%) males and 88 (4.2%) female veterans; 23 responses were technology-related. Technology-related comments were made by 18 male respondents [79.2 + 10.2y on average, 66.6% non-Hispanic White (NHW)], and 5 female respondents [75.8±14.0y on average, 42.9% NHW, 42.9% non-Hispanic Black]. Three coders classified these through inductive coding into emergent themes. The most common themes were trouble with technology access, technology-related usability challenges, using technology for communication during isolation, using technology for healthcare/appointments, and an inability/preference to see providers in person. A positive impact was the technology use for staying connected during isolation, endorsed by the statements, “It has reduced my ability to attend church in person I now attend via Facebook Live.”, and “Have made more frequent use of the Internet and have communicated with family and friends worldwide.” Older Veterans used technology to connect to VA care and with friends and family, despite challenges with technology access and usability, and sometimes a preference for in-person visits. The COVID-19 pandemic accelerated the adoption and innovative uses of technology by older veterans to enhance communication, combat social isolation, and for healthcare visits. Assisting older adults with tools and training to address access and usability challenges may allow more equitable use of technology use for enhancing access and communication.
THE IMPACT OF COMPANION ROBOTIC PETS ON WELL-BEING AMONG COMMUNITY-DWELLING WOMEN AGED 65 AND OLDER
Authors: Kang Suk-Young , Kim Jeungkun , Kuhl Melanie
Published: January 2025

This study investigates the impact of companion robotic pets on depression, anxiety, loneliness, and self-rated physical health in community-dwelling women aged 65 and older. Employing a time series design for baseline stability and treatment effects (Knapp, 2018, p.237), 120 respondents from the local Office for Aging were screened, and 45 with depressive symptoms (GDS-15) were selected. Selected participants received a dog or cat robotic pet during a home visit, with follow-up visits scheduled one month later, constituting three data collection points. Analyzing depression data, baseline mean was 9.16 (SD = 2.70). Pre-test mean increased slightly to 9.40 (SD = 2.75), but significantly decreased to 5.29 (SD = 3.18) post-test. For anxiety, baseline mean was 13.18 (SD = 5.27). Pre-test mean decreased to 12.24 (SD = 4.99), and significantly decreased to 7.33 (SD = 4.35) post-test. Loneliness revealed a baseline mean of 4.31 (SD = 1.58), a pre-test mean of 4.62 (SD = 1.43), and a significant decrease to 3.13 (SD = 2.04) post-test. All reductions were statistically significant. Conversely, self-rated physical health exhibited a baseline mean of 1.44 (SD =.81), a pre-test mean of 1.42 (SD =.84), and a significant increase to 1.73 (SD =.84) post-test. These results affirm that companion robotic pets may enhance mental well-being in older women dealing with depression and anxiety. Furthermore, companion robotic pets may alleviate feelings of loneliness and contribute to improved self-rated physical health, substantiating their overall beneficial impact.
ADAPTING EDUCATION ON ELDERSPEAK COMMUNICATION FOR FORMAL CAREGIVERS IN THE HOSPITAL SETTING
Authors: Shaw Clarissa , Buchheit Katie
Published: January 2025

Elderspeak is communication to older adults that sounds like babytalk and perpetuates rejection of care. The Changing Talk (CHAT) intervention educates nursing home staff on elderspeak communication and effectively reduces both elderspeak by nursing home staff and rejection of care by residents with dementia. The purpose of this study was to adapt CHAT to CHAT-Acute and pilot-test the new educational program in the hospital setting. To create CHAT-Acute, we piloted CHAT with hospital nursing staff. Qualitative feedback was largely positive indicating that elderspeak was a new and important concept, virtual discussions were helpful, and elderspeak identification activities were valuable. Suggested changes included more challenging content, greater focus on the impact of elderspeak on behavior, and condensed modules with less repetition. Within the modules nearly all participants skipped activities with only one participant completing all in-module activities. We adapted CHAT to CHAT-Acute by adding hospital specific content, adjusting the language to reflect acute care, filming new exemplar videos of care encounters, updating the overall format and activities, and shortening the content for increased acceptability. CHAT-Acute was then piloted with N=57 hospital nursing staff. Confidence in dementia care measured by the CODE scale increased significantly from before to after the modules (p=.002). Greater than 90% of participants agreed that they would use the training in their job and were satisfied overall. Comments from nursing staff included: “eye opening discussion on how we speak to patients” and “it was beneficial because if gave examples and scenarios that can be applied to my work.”
CULTURAL DIFFERENCES IN MEDICATION BURDEN OF OLDER HOSPITALIZED PATIENTS IN MEDICAL UNITS
Authors: Smichenko Juliana , Shulyaev Ksenya , Shadmi Efrat , Rayan-Gharra Nosaiba , Gur-Yaish Nurit , Zisberg Anna
Published: January 2025

Cultural differences are significantly related to the management of illness and symptoms, particularly in hospitalized older adults where medications are often employed for health stabilization. This study aimed to examine cultural variations in medication burden, specifically focusing on sedative and anticholinergic medications, among older patients admitted to medical units. A secondary analysis was conducted on data from 672 cognitively intact older adults (age 65 and above) who were functionally independent. The cohort comprised 104 Israeli Arabs, 165 former-USSR immigrants, and 403 veteran Israeli Jews. Upon admission, socio-demographic, functional, and cognitive assessments were performed, alongside daily evaluations of symptom severity. Medical records provided data on comorbidities, illness severity, and medication prescriptions, allowing for the calculation of the Drug Burden Index (DBI) to assess medication burden. Multiple regression analysis was employed to predict medication burden, considering cultural group, sex, age, functional and cognitive status, symptom severity, illness severity, comorbidities, and length of hospital stay. The model demonstrated significance (F(10, 662)=11.647, p<.001, R2=.151), revealing that being Israeli Arab (t=-3.174, p=.002) or former-USSR immigrant (t=-2.157, p=.031) acted as protective factors against medication burden. Symptom severity, illness severity (t=-5.613, p<.001; t=4.102, p<.001), and comorbidities (t=3.775, p<.001) emerged as significant predictors of higher medication burden. These findings underscore the presence of cultural disparities in medication prescribing during hospitalization. Despite similar presentations of symptoms and medical statuses across cultural groups, certain cultural backgrounds are associated with lower medication burdens. Understanding and exploring patient-physician dynamics within cultural contexts are essential for optimizing treatment approaches in diverse patient populations.
EXPLORING THE FREQUENT VISITS AND ASSOCIATED FACTORS OF OLDER ADULTS VISITING EMERGENCY ROOM
Authors: Li Ying-Chun , Chang Po-Yen , Juang Wang-Chuan , Cheng Yu-Qi
Published: January 2025

Older adults may frequently visit the emergency department (ED) due to numerous comorbidities. Studies pointed out that frequent ED visits are one of the main reasons for emergency overcrowding which will affect the service capability of medical institutions. Therefore, this study mainly explored the risk factors of frequent ED visits by older adults. A retrospective study with an ED database from a medical center in southern Taiwan collected older than 65 years of adults who visited the ED at least once in 2019 and 2020. They were classified into frequent users with more than four ED visits per year. The propensity-score-matching was used in a 1:1 ratio to compare frequent ED users to the control group. Research results indicated that male, veterans, triage 3 status, summer, and day shifts visited the ED more frequently (p< 0.01). Multivariate logistic regression results showed that those who entered the ED on their own and were admitted for digestive, genitourinary systems, and factors influencing health status had a higher odds ratio of visiting the ED frequently. Negative binomial regression results presented that frequent ED users will have longer hospital stays than those non-ED frequent users. In conclusion, frequent ED users consume more medical resources thus may lead to ED overcrowding. We suggest that hospitals and physicians should pay more attention to this group. Through efficient policy advocacy and disease prevention to improve the quality of care for older adults.
RISK FACTORS FOR NINE-YEAR MORTALITY OF OLDER PATIENTS WITH COGNITIVE IMPAIRMENT AT ADMISSION
Authors: Yamamoto Hiroshi , Ogawa Kenichi , Hisamatstu Yasushi , Ishitake Tatsuya
Published: January 2025

Background

Dementia can be a major cause of mortality and morbidity in geriatric patients. So, it would be essential to assess their mental state in the early. Aims: We aim to appraise the impact on mortality and hospital outcomes by revised simplified short-term memory recall test (STMT-R) and collecting clinical data simultaneous.

Methods

The subjects were 612 acute inpatients ≥65 from December 2014 to September 2015. Following the collection of clinical data, survival was subsequently measured for 8-9years until December 2023. An STMT-R score of ≤4 were considered to indicate cognitive dysfunction. To explore the association between the risk factors and mortality in cognitive impairment subjects, Kaplan-Meier method and Cox’s proportional hazards regression models were used to examine mortality and survival rates.

Results

The mean age of the subjects was 82.1 (±7.94), and 55.9% were female. Cognitive function was classified into three categories according to severity respectively; Incomplete Testing Group (Incomplete), Cognitive dysfunction (Abnormal) and Non-Cognitive dysfunction Group (Normal). 349 patients (57.0%) died during follow-up. Kaplan-Meier and the log-rank tests showed the negative prognostic effect of cognitive impairment, malnutrition, pneumonia and cancer-bearing state (p< 0.01). After adjustment for potential covariates the Cox regression showed that mortality hazard is increased with “Incomplete” (HR 3.526 CI 95% 2.388-5.206 p< 0.0001) and “Abnormal” (HR 1.676 1.210-2.321 p=0.0019).

Conclusion

Malnutrition, pneumonia and cancer-bearing state can significantly decrease the survival rate in patients with cognitive impairment at admission. Cognitive impairment also has independently an impact on survival rate in acutely ill geriatric patients.
“WE’RE THE TARGET”: THE IMPACT OF CYBERCRIME AMONG OLDER ADULTS IN GHANA
Authors: Gyimah Akwasi Adjei , Frimpong Eric , Adjei Mathias
Published: January 2025

Among Older adults, the impact of experiencing cybercrime affects greatly on their quality of lives. Whilst maximum attention is directed towards issues relating to aging and experiences of cybercrime in the Western world, there is insufficient attention in the academic literature in Africa. This study explores the emotional and personal constraints endured by older adults in Ghana who have been victims of cybercrime. This study will serve to fill an important gap in knowledge and aid in the development of effective strategies to address the issue. Using a purposive criterion sampling and a semi-structured interview, 16 older adults aged 60 years and older who had reported cases of cybercrimes to the Asokwa Police Service Division, Kumasi-Ghana were recruited. An interpretative phenomenological analysis (IPA) was used. Older adults who are cyber-crime victims experience feelings of anger, frustration, violation and sometimes lead to them being depressed. Additionally, financial losses resulting from cybercrime significantly causes distress and financial difficulties to continue to age successfully. Especially, older adults who worked in the informal sector, have no social security returns to benefit from but only depends on their savings. Generally, respondents held divergent views on the effectiveness of civil and criminal justice systems in combating this phenomenon in Ghana. Interventions to curb cybercrimes are fundamentally significant. Especially, when most older people are at increased risk. There is the need for education and effective training on cyber security for older people and their caregivers.
CAREGIVER NEGLECT IN OLDER ADULTS WITH COGNITIVE IMPAIRMENT: THEMES FROM EXAMINATION OF CASES
Authors: Shaw Amy , Elman Alyssa , Rosen Tony
Published: January 2025

Cognitively impaired older adults are at higher risk for caregiver neglect than other older adults. Characteristics of these neglected older adults and the common themes and surrounding circumstances have not been well described. We used case records from a hospital-based elder mistreatment response team to describe themes in caregiver neglect among older adults with cognitive impairment. We quantitatively and qualitatively examined records from 146 older adults with cognitive impairment for whom the response team found moderate or high suspicion for caregiver neglect. The median age was 82 (IQR 75–90) years; 53.4% were white, 19.2% were Black/African American, and 8.2% were Asian/Asian American; 21.9% had Hispanic ethnicity. Most patients (113, 77.4%) were women. Suspicion of at least one other form of elder mistreatment (verbal/emotional, physical, financial, or sexual abuse) was present for 48.67% of patients. The neglecting caregiver was most often the patient’s child (42.5%), partner/spouse (19.9%), or aide (15.1%). We identified seven key themes about neglect: 1) delays in seeking medical care, 2) inadequate supervision, 3) attempts to honor patient preferences, 4) conflict between caregivers, 5) caregiver impairment (various types), 6) interference with medical or social care, and 7) “mystery friend” or relative moving into patient’s home. Our work suggests that neglected older adults with cognitive impairment are commonly also victims of other forms of elder mistreatment. Themes in elder neglect may be identified that offer insight into the phenomenon. Multiple types of intervention may be needed to address the wide range of situations that may lead to neglect.
COLLABORATION FACTORS IN ADDRESSING ELDER IPV: COMMUNITY CENTERS AND DV SUPPORT AGENCIES IN JAPAN
Authors: Katsumata Asako , Fukushima Kiyoko , Tsukada Noriko
Published: January 2025

This study explores the determinants influencing collaboration between Community Comprehensive Support Centers (CCSCs) and Domestic Violence (DV) support agencies in addressing cases of older Intimate Partner Violence (IPV) in Japan. Utilizing data from a national survey conducted in November 2022, responses from 1,472 Community Social Workers (CSWs) out of 3,563 randomly selected CCSCs were analyzed. The study found that 5.8% of respondents frequently consulted with DV support organizations, 25.9% occasionally, 24.3% almost never, and 44.0% never at all. Logistic regression analysis, using gender, years of support experience, existence of a DV manual, number of husband-to-wife violence cases, and participation in training as independent variables, revealed that the presence of a domestic violence manual was the most significant factor influencing collaboration. CCSCs with a domestic violence manual were significantly more likely to consult DV support organizations (odds ratio = 2.158, 95% confidence interval: 1.425-3.266). These findings emphasize the importance of developing manuals on responding to domestic violence within CCSCs to facilitate collaboration with DV support agencies. This collaborative approach presents a viable option to enhance support mechanisms for older victims of intimate partner violence, indicating the potential impact of strategic interventions in addressing this critical societal issue.
ELDER MISTREATMENT RISK FACTORS AMONG HOME HEALTH CARE SERVICE RECIPIENTS
Authors: Schlag Karen , Pappadis Monique , Westra Jordan , Kuo Yong-Fang , Wood Leila , Czyz Rebecca , Raji Mukaila , Mouton Charles
Published: January 2025

Elder mistreatment (EM) research has often focused on EM risk factors among older adults in nursing homes and less on those homebound in Medicare-based home health care (HHC). We aimed to apply and improve a Medicare claims-based EM risk assessment model previously developed for primary care settings using the Outcomes and Assessments Information Set (OASIS) data in addition to Medicare claims. Drawing from the 20% national Medicare data, beneficiaries aged 66 and older receiving HHC in 2016, without an EM diagnosis in 2015 or 2016, and Medicare Part A/B/D eligible with no HMO through 2018 were included (N=159,278). Logistic regression models predicting 2-year EM diagnosis were evaluated. The cohort was split into training (50%), testing (25%), and validation (25%) samples. Risk factors from claims (e.g., demographics, health conditions, frailty scores (0-1), medical screening/procedure codes, and social determinants of health) and the OASIS (e.g., cognition, self-care, mobility, behavioral problems, living situation, and readmission risk score) were included. EM diagnosis prevalence was 0.4%. Our models’ discriminatory power, c-statistic, of the claims-based model and the claims-based model with HHC assessments was 71.2 and 76.2, respectively. Medicare dual eligibility, disability entitlement, certain medical conditions (e.g., hepatitis, learning disabilities, post-traumatic stress disorder, COPD), and housing and income problems were associated with increased risk of EM in both models. OASIS data showed that patients living alone and with greater disruptive behaviors were at increased EM risk. Including assessment data can improve the claims-based algorithm to predict EM among HHC recipients.
EMPOWERING OLDER ADULTS AND REDUCING HARM THROUGH PERSON-CENTERED ENDEAR PROGRAM
Authors: Kim Julie , Rousseau Julie , Sole Jorge , Raye-Brown Sharnette , Dodd Elvira , Sanchez David , Gibbs Lisa
Published: January 2025

In Orange County, California, the Office of Public Guardian (OPG) investigates whether persons referred to OPG have resources and support to manage their financial and personal affairs. In the 2021-2022 fiscal year, OPG investigated 613 referrals. The UC Irvine Center for Excellence on Elder Abuse and Neglect and OPG partnered in a quality improvement project providing a person-centered case management program, ENding and Disrupting Elder Abuse Recidivism (ENDEAR), supported by the Administration for Community Living. A case manager and referred participants collaborated to identify health and safety improvement areas that could obviate a court petition to establish conservatorship where a conservator is appointed to manage the older adult’s financial affairs, personal affairs, or both. Participants (n=20, 70% female, mean age=78) receiving case management had a mean ADL score of 1.8 (0 independence to 6 total dependence), IADL score of 6.5 (0 independence to 8 total dependence), and financial capacity score of 4.9 (0 independence to 7 total dependence). All were at risk of experiencing self-neglect. Most had access to social support (n=15), including family, friends, and neighbors but lived alone (n=16). The case manager coordinated services based on home visits, needs assessments, and participants’ communicated goals. On average, the case manager made 4.6 home visits over a mean of 123.9 days (range 18-386). Paired t-tests showed improvement in clients’ safety (t(19)=4.88, p< 0.001) and lowered risk of self-neglect (t(19)=-4.41, p< 001). Findings suggest case management services support OPG goals by protecting older adults through improved safety and reduction in self-neglect.
UNDERSTANDING THE ROLE OF TASK BURDEN IN CAREGIVER NEGLECT OF PERSONS LIVING WITH DEMENTIA
Authors: Hancock David , Chang E-Shien , Czaja Sara
Published: January 2025

Understanding factors influencing caregivers’ perceptions of how bothersome a caregiving task is, hereafter called task burden, is vital for improving support, reducing strain, and potentially decreasing risk of caregiving neglect in persons living with dementia (PLWD). This study examines the cross-sectional associations between caregiver characteristics and perceived task burden. Data were drawn from a 6-month multicomponent, randomized controlled trial of psychosocial intervention including 244 caregivers (CG) and PLWD. Baseline data included CGs’ self-perceived task burden of 6 activities of daily living and 8 activities of instrumental activities of daily living (i.e, how much does helping PLWD with this task bother or upset you), and psycho-social assessments including depression, caregiving burden, compassion, mutualism, caregiver preparedness, spirituality, and social support. We used correlation and multivariable regression analyses to identify risk factors for task burden. Significant correlations were observed between task burden and all variables of interest. When entered simultaneously into a multivariable regression analysis, only higher depression and greater caregiving burden were independently associated with task burden (p<.05). Taken together, addressing depression and caregiving burden is crucial for reducing perceived task burden. Policy and caregiving research should prioritize interventions targeting psychological and emotional aspects of caregiving, such as mental health counseling, stress management, and caregiver support groups. Additional research should explore downstream consequences of task burden with respect to other adverse caregiving outcomes.
UNVEILING PSYCHOLOGICAL INTIMATE PARTNER VIOLENCE RISK FACTORS AMONG OLDER WOMEN
Authors: Machinga-Asaolu Rujeko , Showalter Kathryn
Published: January 2025

This conference poster presentation delves into the critical yet often overlooked issue of intimate partner violence (IPV) among older women. Despite its historical presence, IPV against older women aged 50 and above remains understudied, with less than 10% of IPV global data addressing this target population. Psychological IPV (IPVPA) emerges as the predominant form of IPV, significantly impacting the physical and mental well-being of older women. Through an integrated literature review, synthesizing recent IPV literature, this study aimed to illuminate the unique risk factors associated with IPVPA among older women worldwide. Utilizing the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework, our research identified seven pertinent articles out of an initial pool of 355 from PubMed, CINAHL, PsycINFO, and Ageline databases. These articles met strict inclusion criteria focusing on women aged 50 and older, employing quantitative, qualitative, or mixed methods to explore IPVA. After synthesizing the included articles, we organized the descriptive risk factors into three distinct categories: vulnerabilities, stressors, and maladaptive outcomes, providing a comprehensive understanding of the multifaceted unique nature of IPVPA risk factors among older women. By meticulously evaluating existing recent research, we aim to shed light on the complexities of IPVPA and identify gaps in the literature, ultimately contributing to a more nuanced understanding of this pervasive issue. Through this presentation, we seek to raise awareness of the urgent need to address IPVPA among older women and advocate for targeted interventions and further research initiatives to better prevent IPVPA among older women.
CARE NEEDS AND LIFE SATISFACTION IN FRAIL OLDER ADULTS: THE MODERATING EFFECT OF AGE-FRIENDLY ENVIRONMENTS
Authors: Jung Inhye , Kang Miseon , Lee Seolah , Lee Hyo Jung
Published: January 2025

Frail older adults often face challenges in performing Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL), leading to diminished quality of life. Age-friendly environments, designed to facilitate aging in place, aim to enhance the well-being of older adults and their family members of all ages by modifying their surroundings and promoting adaptation. This study investigates how age-friendly environments moderate the association between care needs and life satisfaction among frail older adults, elaborating on their role in the process. Using data from the 2020 National Survey of Older Koreans, we identified 1,435 frail respondents. Being frail was defined according to the scores summed with three questionaries asking respondents’ physical abilities, which were based on the Study of Osteoporotic Fracture criteria. Age-friendly environments were categorized into Physical, Service, and Sociocultural domains following WHO principles. Multi-regression analysis, employing the Process Macro Model 4, revealed that age-friendly service and sociocultural environments mitigate the negative impact of care needs on life satisfaction among frail older adults. These findings underscore the potential of age-friendly environments to improve the quality of life and support aging in place for frail older adults. Creating supportive environments for older adults with frailty is essential for promoting the overall well-being of these older adults and their care providers.
CHARACTERISTICS AND INFLUENTIAL FACTORS OF ANXIETY AND BURNOUT AMONG CAREGIVERS AND OLDER ADULTS
Authors: Zhang Wenyu , Ji Meihua
Published: January 2025

With rapid aging of the society worldwide, emerging research has suggested that mental disorders and high turnover among caregivers and older adults are substantial, however evidence in this area is limited. This study aimed to assess the characteristics and influential factors of burnout and anxiety among caregivers and older adults. A total of 184 caregivers, and 200 older adults from nursing homes as well as family settings were enrolled in this cross-sectional study. Participants’ job burnout and anxiety were assessed using the Maslach Burnout Inventory, and the Self-Rating Depression Scale, respectively, along with their sociodemographic information. Multiple linear regression was used to analyze the influential factors of job burnout in caregivers, and anxiety in both caregivers and older adults. As a result, there were 33.7%, 47.3% and 22.3% of participating caregivers reported high emotional exhaustion, depersonalization and low personal accomplishment, respectively. In terms of anxiety, 61.4% of caregivers reported their anxiety as moderate, 95% and 57% of older adults from nursing homes and family settings, respectively, were with moderate anxiety. Among caregivers, age, working hours, occupational stress and professional training significantly affected their level of burnout, while education and working experience prominently affected the level of anxiety. Meanwhile, the satisfaction to caregivers and self-care ability markedly affected the anxiety of older adults. In conclusion, there were high prevalence of job burnout and anxiety existed in both caregivers and older adults, more effective strategies should be taken into account to minimize this issue in the future.
PHYSICIANS’ PERCEPTIONS OF AGE-FRIENDLY CARE IMPLEMENTATION FOR OLDER ADULTS LIVING WITH CANCER
Authors: Sloan Kylie
Published: January 2025

This qualitative pilot study investigates physicians’ perceptions about the implementation of age-friendly care (e.g., 4Ms framework) within an Age-Friendly Health System (AFHS), with a specific focus on care for older adults living with cancer. The pilot uses a critical grounded theory approach to conduct and analyze virtual, semi-structured, one-on-one interviews with 6 physicians, recruited using purposive snowball sampling between October 2023-March 2024. Participants currently provide care to older adults with diagnosed cancer and work in an AFHS. Half the participants are geriatricians and the remaining have no geriatric training. All are between ages 30 and 60, 4 identify as White, 1 as Asian, 1 as biracial (Asian and White), 5 as female, 1 as male, and all worked at their organization for between 6 and 15 years. Three preliminary findings emerged: 1) Participants offer differing definitions for the “age” in “age-friendly” and look beyond a number for who to consider an “older” adult; 2) Participants (without geriatric training) express limited knowledge about AFHS and suggest making the health system’s physical and digital spaces more accessible for older patients with cancer; 3) Participants indicate implementation of some “M’s” (e.g., What Matters, Medication) more than other “M’s” (e.g., Mentation, Mobility) within cancer care. Money, time, and staffing are key barriers to age-friendly care implementation in cancer care according to participants. Findings inform potential gaps in age-friendly care implementation (e.g., depression screening/referral process) to address within cancer care and future research exploring perceptions of older patients with cancer about age-friendly care.
CO-CREATING: THE VALUE OF INTERGENERATIONAL ART-BASED EXPERIENCES
Authors: Montepare Joann , Baldizar Deborah
Published: January 2025

Intergenerational classroom activities are common in the traditional aging curriculum. However, contemporary higher education initiatives (Age-Friendly University/AFU, Age Inclusivity Domains of Higher Education/AIDHE) advocate for the value of reciprocal intergenerational exchange across the curriculum to enhance the teaching and learning experience. Moreover, as ageism persists there is a need to extend intergenerational contact (a tool for disrupting ageism) for the benefit of all students. This poster will present an art-based classroom case study to show how incorporating intergenerational exchange in classes without a specific aging focus is not only possible, but also an effective educational strategy. In this case, younger students and older adults (residing in a local university-based retirement community) co-enrolled in a Ceramics class over the course of several semesters. Following the classes, a group of younger and older learners were invited to complete a survey about their experience. The survey included open-ended response questions (e.g., about benefits, challenges, how to enhance future classes, etc.) and scaled-response questions (e.g., about how the experience impact age attitudes, the value of intergenerational classes, interest in other intergenerational classes). Younger students’ responses were very positive, reinforcing the positive educational and social values of intergenerational interaction and indicating they would welcome more such class opportunities. Older adults’ responses were likewise positive, noting how the experience nurtured mutual respect and the sharing of different perspectives. Both groups offered useful recommendations for future classes, to be described.
OLDER AND YOUNGER AS OTHER: OBSTACLES TO AGE-FRIENDLINESS ON CAMPUS
Authors: Roberts Summer , Lahar Cindy
Published: January 2025

The University of South Carolina Beaufort (USCB) drafted an endorsement of the Age-Friendly University Principles in 2020; however, this effort has yet to advance beyond the working group. USCB, whose main campus is situated intentionally between two retirement communities, and with a large and active Osher Lifelong Learning Institute (OLLI) offering courses across three campuses, clearly reflected the principles on paper. Over the next three years, students in a sociology research seminar studied, at the request of the county, the needs of the region’s growing and diverse older adult population. Yet, these data collection efforts reflected limited exposure to people of older ages, resulted in primarily white and high SES samples, and separated USCB from community efforts to support older adults. Additionally, anecdotal accounts of staff and students commonly note that visitors to campus disparage traditional college-aged students. As a result, focus has shifted to more fully integrating students in shaping age-inclusive campus culture beyond coexisting age-segregated environments. This presentation explores efforts through three courses to develop an action plan. Qualitative analysis of papers from gerontology classes identifies the attitudes of students surrounding their relationship with older adults in the community and on campus, particularly highlighting the consistent use of othering and ageism in talking about those of different chronological ages. Students’ on-going research of fellow students’ and community members’ perceptions of age-friendliness provides the basis for promoting intergenerational solidarity at USCB.