bluuebunny/crossref_metadata_2025_split huggingface dataset:
Take Action or Worry? Older Adults’ Anticipated Responses to Concerning Cognitive Assessment Results
Authors: Jacova Claudia , Wong Sara , Smith Samantha 
Published: December 2020

Abstract
Under a third of older adults (28%) report having ever received an assessment for cognitive problems in US primary care settings. Patient resistance is cited as a major reason cognitive assessments are not performed. Theoretical models emphasize the role of anticipated benefits and harms in shaping health behaviors. Accordingly, here we investigated older adults’ anticipated actions and worries regarding their cognitive assessment results. A total of 393 community-dwelling respondents between ages 50 and 91, 65% female, 89% college/university-educated, with no diagnosed cognitive disorder, completed Attitudes Around Cognitive Testing (AACT) at primary care sites (n=98) and through an online platform (www.mturk.com) (n=298). AACT examines older adults’ preferences and concerns about cognitive assessment. It includes questions about actions participants would take and worries they would have if assessment results indicated cognitive problems. Willingness to take part in testing (yes or unsure/no) was also assessed. We found that seeking a formal diagnosis (84%), talking to family about healthcare (77%), and planning one’s own future (70%) were highly endorsed actions, and becoming depressed (48%), becoming anxious (47%), and losing driving privileges (41%) highly endorsed worries. Logistic regression showed that total worries and worry-action difference scores predicted reduced willingness (OR=0.84, CI=0.75-0.93 and OR=0.82, CI=0.74-0.82, respectively), whereas total actions did not. Our results suggest that older adults view concerning cognitive assessment outcomes as an opportunity for taking action as well as a reason for worrying. Both worries and actions appear to play a role in deciding whether to take part in a cognitive assessment.
The Association Between Cognitive Function and Preventive Care Service Utilization Among U.S. Chinese Older Adults
Authors: Poh Zhing Loong , Kong Dexia , Li Mengting , Dong XinQi 
Published: December 2020

Abstract
Preventive healthcare utilization is an important aspect of medical practice that facilitates the identification of chronic diseases at an early stage and increases options for treatment. Cognitive function plays an important role in individuals’ utilization of preventive care services. However, our understanding of the relationship between cognitive function and preventive care utilization is limited, particularly in older minority aging populations. The study aims to assess the association between cognitive function and preventive healthcare utilization among U.S. Chinese older adults. Data were obtained from the Population Study of Chinese Elderly in Chicago (PINE). Five instruments were used to measure global cognition, including the Mini-Mental State Examination, East Boston Memory Test Immediate Recall and Delayed Recall, Digit Span Backwards, and Symbol Digit Modalities Test. Preventive care services included immunization (i.e. flu, pneumonia, and hepatitis B vaccines) and cancer screenings (i.e. colorectal, breast, cervical, and prostate). Multivariable regression analyses were used. The findings showed that higher level of global cognition was associated with higher utilization of pneumonia vaccination (OR=1.32, 95% CI= 1.14-1.52), hepatitis B vaccination (OR=1.24, 95% CI= 1.05-1.47), colon exam (OR=1.23, 95% CI= 1.07-1.41), mammogram (OR=1.46, 95% CI= 1.22-1.73), breast exam (OR=1.23, 95% CI= 1.04-1.46), and cervical exam (OR=1.38, 95% CI= 1.15-1.65). Future longitudinal studies are needed to elucidate potential mechanisms underlying the relationship between cognitive function and preventive care utilization among U.S. Chinese older adults. Study findings underscore the need to understand preventive care utilization patterns among U.S. Chinese older adults with low cognitive function.
Why Older Adults Recall Autobiographical Memories From Their Youth
Authors: Wolf Tabea , Zimprich Daniel 
Published: December 2020

Abstract
When older adults are asked to remember their lives, they recall disproportionally more events from their youth (e.g., Rubin, Rahhal, & Poon, 1998). This phenomenon, called the reminiscence bump, is one of the most robust findings in autobiographical memory research. Whereas most explanatory accounts have focused on differential encoding and retention of memories experienced during one’s youth (e.g., Rubin et al., 1998), recent research also puts emphasis on the retrieval of memories (e.g., Glück & Bluck, 2009; Rubin & Berntsen, 2003). In the present study, we take a functional perspective on the reminiscence bump and examine why older adults recall memories from their past. Participants (age 57-89; N = 112) reported memories in response to 30 emotionally neutral cue-words and self-rated each memory for serving directive, social-bonding, self-continuity, and mood-enhancing functions (Wolf & Demiray, 2019). The age distribution shows an early reminiscence bump located between the ages of 6 and 20 years. Compared to memories from later life periods, memories from the reminiscence bump more frequently serve self-continuity and less frequently directive and mood-enhancing functions. No differences were found regarding the use of memories for social-bonding. The results strengthen the assumption that experiences from one’s youth serve to maintain a sense of self-continuity throughout the lifespan (e.g., Rathbone et al., 2008). To cope with current problems or emotions, however, older adults are more likely to draw on experiences from their adult life – probably because these experiences are more similar to what they are experiencing now.
A Systematic Review of the Psychometric Properties of the Geriatric Anxiety Inventory
Authors: Landreville Philippe , Champagne Alexandra , Gosselin Patrick 
Published: December 2020

Abstract
The Geriatric Anxiety Inventory (GAI) is a widely used self-report measure of anxiety symptoms in older adults. Although much research has been conducted on the psychometric properties of the GAI, previous reviews have examined only a small proportion of studies and have not evaluated the methodological quality of this work. In view of this, we conducted a systematic review of the psychometric properties of the GAI and it’s short form (GAI-SF). Relevant studies (N = 31) were retrieved through a search of electronic databases (Pubmed, PsycINFO, CINAHL, EMBASE and Google Scholar) and a hand search. The methodological quality of the included studies was assessed by two independent reviewers using the ‘‘COnsensus-based Standards for the selection of health status Measurement INstruments’’ (COSMIN) checklist. Based on the COSMIN checklist, internal consistency and test reliability were mostly rated as poorly assessed (63% and 72.7% of studies, respectively) and quality of studies examining structural validity was mostly fair (60% of studies). Both the GAI and GAI-SF showed adequate internal consistency and test-retest reliability. Convergent validity indices were highest with measures of generalized anxiety and lowest with instruments that include somatic symptoms. Substantial overlap with measures of depression was reported. While there is no consensus on the factorial structure of the GAI, the short version was found to be unidimensional. Our review therefore suggests that the GAI and GAI-SF have satisfactory psychometric properties while indicating that future efforts should aim to achieve a higher degree of methodological quality.
Association Between Mental Health Conditions and Care Fragmentation: A National Study of High-Risk Older Veterans
Authors: Trivedi Ranak , Rossi Fernanda , Javier Sarah , Greene Liberty , Singer Sara , Vanneman Megan , Goldstein Mary , Zulman Donna 
Published: December 2020

Abstract
Fragmented healthcare causes information loss, duplicative tests, and unwieldy self-care regimens. These challenges may be amplified among older, high-risk patients with co-occurring mental health conditions (MHC). We compared healthcare fragmentation for chronic physical conditions among Veterans with and without MHC (depression, PTSD, schizophrenia, bipolar disorder, anxiety, personality disorder, or psychosis based on ICD-9 codes). Sample included Veterans who were □65y, at high risk for 1-year hospitalization, and had □4 non-MHC visits during FY14. Visits were covered by Veterans Affairs (VA), VA-purchased care (both from VA Corporate Data Warehouse), or Medicare Parts A/B (claims data from VA Information Resource Center). Outcomes were two fragmentation measures calculated in FY15: 1) non-mental health provider count, where a higher number indicates more fragmentation, and 2) Usual Provider of Care (UPC), the proportion of care with the most frequently seen provider, where a higher number indicates less fragmentation. We used Poisson regression and GLM with binomial distribution and logit link to test the association between MHC status and fragmentation, controlling for sociodemographic characteristics (e.g., age), medical comorbidity, and driving distance to VA. Of the 125,481 Veterans included, 47.3% had 1+ MHC. Compared to older, high-risk Veterans without MHC, those with MHC saw fewer providers (pseudo R2 = 0.02) and had a higher UPC (more concentrated care; OR = 1.07). Within the VA, older, high-risk Veterans with MHC do not experience greater healthcare fragmentation. Further research is needed to determine if this is due to different needs, underuse, or appropriate use of healthcare across the groups.
Architecture of a Smart Home for Aging in Place
Authors: Norouzi Neda 
Published: December 2020

Abstract
The United States Department of Health and Human Services (2017) estimates that there are 65 million people age 60+ residing across the fifty states. A national survey conducted by the American Association of Retired Persons (AARP) indicates that 76% of people ages 55+ prefer to age-in-place and live independently (2018). The Census Bureau American Community Survey (2015) estimates that 13 million adults have difficulties living independently, 80% of which receive assistance in their private homes. However, only 50% of these homes meet the physical needs of people who choose to age-in-place (AARP, 2018). Recent advancements in technology have led to the development of smart homes. Technology can support aging-in-place and independent living by offering necessary tools for building systems that identify behavioral patterns and offer automated decision-making. However, not all older adults are customed to using technology or comfortable with being monitored with artificial intelligence (Wang et al., 2019). In response to this concern, the current study used grounded theory framework to analyze 62 interviews of people ages 55-93 to indicate if and how older adults prefer to utilize technology in their homes. The results of the study presented that while some older adults felt they might be too old to learn and use technology, nearly 85% of the interviewers agreed that incorporating technology in the built environment could benefit them. They are especially willing to learn and use technology in their homes when the benefits are related to their health, social and emotional connection, entertainment, safety, and daily chores.
Developing a Dementia Care Training Curriculum for Registered Dietitians
Authors: Douglas Joy , Ferguson Christine , Nolan Beth 
Published: December 2020

Abstract
Research supports the need for healthcare providers who are trained in providing care to older adults with dementia. However, few training options exist for Registered Dietitians (RDs) seeking dementia care training that is specific to nutrition. The purpose of this project was to adapt an existing dementia care training curriculum to meet the learning needs of RDs. The development team included two experts in dementia training and two RDs with expertise in gerontological nutrition. The new training module was based on the existing Positive Approach to Care™ (PAC) curriculum, which incorporates Kolb’s Experiential Learning Theory and the Adult Experiential Learning Cycle. The development team first identified learning objectives for content that would be relevant to RDs who work with persons living with dementia, and modified components of the existing PAC curriculum to meet these objectives. After a preliminary pilot, the 2-hour program was presented to 20 RDs using a combination of lecture presentation, experiential learning, and skill-building techniques. Participants were provided written materials to reinforce the concepts presented. Participants answered five dementia-specific questions before and after the training, and overall, the average percentage of correct answers improved following the training. Two weeks following the training, participants completed an open-ended survey to provide feedback on the training. Participants responded favorably to the mixed learning formats in the training. When asked to rank their preferred learning methods, participants indicated lecture-based learning and experiential learning as their top preferred methods. These findings indicate that the adapted curriculum may improve dementia knowledge among RDs.
Exploring Reactions to Disrespect and Sensitivity to Social Rejection in Older Adults
Authors: Chappell Amanda , Smith Kelly , Steele Jenessa , Strough JoNell 
Published: December 2020

Abstract
Disrespect involves having low regard or low esteem for someone. Disrespect is a universal experience and has the potential to negatively impact relationships and fosters anger and aggression (Hawkins, 2015; Shwalb & Shwalb, 2006). In the current study, younger (ages 19-25) and older adults (ages 50-77) imagined a person they knew had disrespected them in six different hypothetical situations. For each situation, participants rated their emotional reactivity. Participants also indicated their sensitivity to social rejection (i.e. being left out/excluded). The primary research questions for this study included: do reactions to disrespect differ based on age? Also, does one’s relationship status with a disrespect perpetrator matter? In the current study, participants had a stronger emotional reaction to disrespect when imagining the disrespect perpetrator was someone close to them rather than someone not close to them, regardless of age. An age by gender by relationship closeness ANOVA revealed three significant main effects: of age (older are less sensitive), gender (males are less sensitive), and relationship closeness (those more distant to perpetrator are less sensitive) on sensitivity to social rejection. Sensitivity to social rejection mediates the relationship between closeness to a disrespect perpetrator and emotional reaction, even after controlling for age as a covariate, p&lt;.001. The findings of this study highlight the component of rejection that is typically involved within disrespect situations and may help to explain just why disrespect feels so hurtful. These findings also highlight that there may be some protection from disrespect based on age or gender.
Connecting Age-Friendly University Principles to Undergraduate Education Builds Campus-Wide Buy-In
Authors: Luz Clare 
Published: December 2020

Abstract
Michigan State University became an Age-Friendly University (AFU) in December 2019. The path to campus-wide buy-in started years earlier by AgeAlive, a program established to serve as MSU’s central aging hub and to promote wellbeing throughout life. University approval and awareness of AgeAlive and what it means to be an AFU remains a key goal and crucial to sustainability. Central to strategic planning is ensuring that AgeAlive and MSU missions and values are aligned, visibility remains high, and outcomes are tangible and substantial. This presentation provides concrete examples of initiatives that meet these criteria and are building university support including a program that matches students to isolated seniors at risk for loneliness and multi-university research to help college students caring for older family members succeed as students and caregivers. Recommendations for developing and executing a strategic plan will be described and of interest to others on their own AFU journey.
Cultural Dimensions, Unique Challenges, and Interventions for Dementia Care in the Asian Context
Authors: Chee Kyong Hee , Ejaz Farida 
Published: December 2020

Abstract
Asians in and outside of Asia are facing a rapidly-growing need for dementia care in familial, institutional, or community settings. This multidisciplinary symposium addresses issues of formal and informal dementia care in the Asian cultural context to suggest novel, culturally-appropriate interventions for education and practice. Presenters in this symposium will specifically speak to cultural dimensions, challenges, and approaches involved with caring for persons living with dementia (PLWD) in Singapore and South Korea, as well as their Japanese/Japanese-American counterparts. Malhotra and colleagues will present their qualitative study from Singapore on 26 familial care partners’ preference for life-extending interventions for persons with severe dementia, such as intravenous antibiotics, tube feeding, and cardiopulmonary resuscitation. Lee and Chee will then examine how the occupational identities of 303 long-term care workers are associated with their practice of human rights for PLWD in South Korea. Next, Yen and Mayen-Cho will explain a video project that they developed at Alzheimer’s Los Angeles to reach out to the Japanese American community – they conducted and filmed in-depth interviews with 7 Japanese/Japanese American family care partners of PLWD. Finally, Park will examine the emergent themes in the narratives of these Japanese/Japanese American interviewees. She will also demonstrate the relevance of the life-course perspective in developing a template for designing similar interventions to serve other ethnic communities. As a discussant, Ejaz will highlight versatility in interventions for dementia care among Asians and Asian Americans. She will also discuss broader implications of the findings within and beyond the Asian context. Aging Among Asians Interest Group Sponsored Symposium.
Singaporean Dementia Caregivers’ Preference for Care Recipients’ Life-Extending Interventions
Authors: Malhotra Chetna , Mohamad Hazirah , Østbye Truls , Pollak Kathryn , Balasundaram Bharathi , Yoon Sungwon , Malhotra Rahul ,   PISCES study Group PISCES study Group
Published: December 2020

Abstract
Family caregivers of older adults with severe dementia are decisive in use of potentially life-extending interventions for their care recipients. We conducted in-depth interviews with 26 caregivers of community-dwelling older adults with severe dementia in Singapore to assess their preferences for intravenous (IV) antibiotics for a life threatening infection, tube feeding, and cardiopulmonary resuscitation (CPR), and reasons thereof. Most caregivers’ (77%) end-of-life care goal was ‘no life extension’. Yet, 80%, 60% and 45% preferred IV antibiotics, tube feeding and CPR, respectively, as they: 1) perceived letting go by withholding interventions as unethical, 2) felt they had no choice, deferring to health care providers (HCPs), 3) wanted to alleviate suffering, and 4) desired trying minimally invasive (and potentially withdrawable) interventions. There was discordance between caregivers’ end-of-life care goal and preferences for life-extending interventions. HCPs can suggest intervention options that concur with caregivers’ end-of-life care goal, and use a shared decision-making approach. Part of a symposium sponsored by the Aging Among Asians Interest Group.
Partnerships Connecting Healthcare and Community-Based Organizations in Virginia
Authors: Slattum Patricia , Parsons Pamela , Rubino Mary , Waters Leland 
Published: December 2020

Abstract
The Virginia Geriatric Education Center (VGEC)’s Geriatrics Workforce Enhancement Program (GWEP) partners with two programs, Senior Strong at Eastern Virginia Medical School in Norfolk, VA and the Richmond Health and Wellness Program at Virginia Commonwealth University in Richmond VA to support their age-friendly initiatives. These programs enhance primary care for an older population experiencing adverse social determinants of health by providing screening around the 4Ms pillars of age-friendly healthcare and connecting participants with healthcare and community-based organizations. These programs offer a rich learning environment for interprofessional students. The VGEC GWEP strengthens these programs by developing faculty and student training in collaboration with the programs and facilitating program participation in the GWEP-CC Age-Friendly Action Community to develop and refine age-friendly practice workflows, referral pathways and documentation.
Older Adults as Teaching Allies: Opportunities for Age-Friendly University Innovation
Authors: Montepare Joann , Farah Kimberly 
Published: December 2020

Abstract
Changing age demographics are reshaping societies and challenging institutions of higher education to consider how they can respond to aging populations through new approaches to teaching, research, and community engagement. As well, institutions are facing a range of challenges as they look to respond to the contemporary needs of traditional-aged students. The pioneering Age-Friendly University (AFU) initiative, endorsed by GSA’s Academy for Gerontology in Higher Education (AGHE), offers a framework within which institutions can begin to address these issues through more age-friendly programs, practices, and partnerships. This symposium will feature AFU advocates discussing innovate ways in which older adults can serve as teaching allies and support the educational mission of higher education. Farah (Lasell University) will discuss how older adults can engage in diverse teaching and learning activities with examples as crime scenario developers in a forensics class, conversation partners in an international oral communication class, and professional interviewers in an internship skills class. Kaye (University of Maine) will discuss how older adults can serve as citizen scientists performing critical functions in participatory research and in community-based test-beds and co-design laboratories. Ermer (Montclair State University) will discuss how older adults can engage students in discourse as guest speakers and panel participants in classes across the curriculum. Manoogian (Western Oregon University) will describe the innovative ways that older adult students (for credit or audit) mentor and engage younger student peers in course activities as well as increase their own understanding of the aging process.
Using Community-Impact Internships to Broaden AFU Commitment on Campus
Authors: June Andrea , Andreoletti Carrie 
Published: December 2020

Abstract
Ongoing efforts to support Age Friendly University (AFU) principles must be campus-wide and include commitment from upper administration, faculty, staff, and students. This presentation will describe the leveraging of a new community-based collective partnership to develop a student internship model at Central Connecticut State University (CCSU) that could be used across campus to create a deeper investment in the AFU initiative. We will discuss the valuable collaboration with the Connecticut Healthy Living Collective, an emerging hub of state, regional and local agencies and organizations dedicated to healthy aging in communities throughout our state. The presenters will describe the process of establishing the Matter of Balance internship in psychological science with the support of our dean, knowing that it would eventually serve the broader AFU mission. We will highlight the value this intentional effort offers at multiple levels and how it might be replicated on other AFU campuses.