bluuebunny/crossref_metadata_2025_split huggingface dataset:
PRESIDENTIAL SYMPOSIUM: EDUCATION NETWORKS: STRENGTHENING GERONTOLOGY AND GERIATRICS THROUGH CONNECTIVITY
Authors: Howe Judith L , Hyer Kathryn 
Published: November 2019

Abstract
The AGHE Presidential Symposium, related to the theme of the annual scientific meeting, underscores the importance of networks, collaborations and partnerships in advancing education in gerontology and geriatrics. AGHE has been at the forefront of many innovative programs since it was founded in 1974, contributing to the growth of the field and the recognition of education as one pillar of the field of gerontology and geriatrics, along with research, policy and practice. This symposium highlights three ongoing initiatives that promote connections and collaborations. The first paper discusses the Age-Friendly University (AFU) network which is made of institutions around the globe who have committed themselves to becoming more age-friendly in their programs and policies. AGHE endorses the AFU principles and invites its members and affiliates to call upon their institutions become part of this pioneering initiative. The AFU initiative is one of several international activities that AGHE, global leaders in education on aging, has engaged in. The second paper describes international networking activities such as collaborations with international organizations including the World Health Organization and connecting international and US students. In the third paper, initiatives to connect disciplines and professions through competency-based education and curricula are discussed. For instance, the Gerontology Competencies for Undergraduate and Graduate Education and the Program of Merit promote competency-based gerontology education across disciplines and professions.
PERILS, PITFALLS, AND POTENTIALS OF NETWORKING IN INTERPROFESSIONAL EDUCATION: TAKING ON THE CHALLENGES
Authors: Clark Phillip 
Published: November 2019

Abstract
Gerontology and geriatrics are conceptualized as quintessential interdisciplinary fields. To understand aging and provide quality care to older adults, you need an interdisciplinary perspective and an interprofessional team. However, academic and clinical settings—with their vertical structures—require bridging strategies to connect the disciplinary dots. Implicit in this approach is the need for creating networks to support interdisciplinary education in both classroom and experiential settings. Taking on these challenges requires emphasizing the importance of key competencies for both gerontology and interprofessional practice with older adults, including foundational, interactional, and contextual dimensions. These competencies recognize the unique perspectives, contributions, and roles of different disciplines, and create the connections critical for promoting and sustaining interprofessional education. Strategies for developing and maintaining interprofessional networks include: (1) identifying forces driving and restraining change, (2) matching strategies for promoting networks to readiness for system change, and (3) enlisting external forces to make and maintain changes.
AGE-FRIENDLY UNIVERSITIES: POSSIBILITIES AND POWER IN CAMPUS CONNECTIONS
Authors: Montepare Joann M 
Published: November 2019

Abstract
Populations are aging locally, nationally, and globally – and challenging institutions of higher education to consider how they can respond to these changing demographics through new approaches to teaching, research, and community engagement. The Age-Friendly University (AFU) initiative was recently launched by an international team convened by Dublin City University, and endorsed by the Academy for Gerontology in Higher Education (AGHE). The AFU concept and 10 guiding principles provide a guiding campus-wide framework that colleges and universities can use for distinguishing and evaluating age-friendly programs and policies, as well as identifying institutional gaps and opportunities for growth. To date, over 45 institutions have joined the AFU global network. This presentation will describe how collaborations across aging-focused programs and campus units devoted to diversity, community engagement, professional studies, and related educational efforts offer prime opportunities to build and sustain an AFU vision.
THE EVOLUTION OF AGHE AS A GLOBAL LEADER IN EDUCATION ON AGING: HOW, WHY, AND WHAT’S NEXT
Authors: Perkinson Margaret A 
Published: November 2019

Abstract
The scope of AGHEʻs responsibility to gerontology and geriatrics extends worldwide, as reflected in its tag line, “Global Leaders in Education on Aging.” Optimal responses to worldwide demographic transitions can only come from persons well-versed in the dimensions of aging and trained and globally situated to translate that knowledge into effective and culturally-appropriate solutions. This presentation reviews the evolution of AGHE’s role in initiating and fostering global networks of educators in gerontology and geriatrics, including collaborative efforts with major international organizations (e.g., WHO, UN, IAGG) to increase the visibility and appreciation of aging-related issues among world leaders; sponsoring national and international meetings to promote exchange of ideas and refinement of teaching methodologies; initiating and adapting new models of gerontological training enhanced by advances in information and communication technology; and supporting world-wide cohorts of emerging scholars to assume leadership roles within the organization. Recommendations for next steps are considered.
BARRIERS AND OPPORTUNITIES TO HEALTHY AGING IN ANCHORAGE, ALASKA, USING CONCEPT MAPPING
Authors: Howell Britteny M , McLinden Daniel 
Published: November 2019

Abstract
Alaska currently has the fastest growing proportion of older adults than any state in the country, and seniors are choosing to age-in-place in Anchorage in record numbers. Research shows that including older adults with community-based professionals (aging advocates, researchers, service providers) in focus group activities can provide a rich and holistic model of aging that demonstrates a robust foundation for supporting aging and addressing health disparities. This paper presents the results of a project conducted with older adults (50+ years), advocates, and other stakeholders in Anchorage using Concept Mapping (CM) methodology, a technique not often used in the gerontology literature. CM is a mixed-method, participatory approach that uses brainstorming and unstructured card-sorting combined with multivariate statistics (multi-dimensional scaling, hierarchical cluster analysis) to create a data-driven visual representation of thoughts or ideas of a community. CM is well suited to integrating perspectives from multiple points of view. Participants were prompted to address the research question: how do we think about aging in Anchorage & what are the barriers and facilitators to aging well? Results indicate services for seniors should include culturally responsive health programming, low-cost opportunities for social engagement, inclusion of older adults with intellectual/developmental disabilities, transportation considerations, navigators to locate services in Anchorage, and more. CM allowed the researchers to identify how residents view healthy aging in this urban subarctic location and brainstorm practical solutions with stakeholders and local policy-makers. This presentation will also share lessons-learned regarding the use of this participatory approach with older adults.
EXISTING STRATEGIES FOR ELECTRONIC DATA COLLECTION BY ELDER ABUSE MULTI-DISCIPLINARY TEAMS
Authors: Rosen Tony , Burnes David , Kirchin Darin , Elman Alyssa , Breckman Risa , Lachs Mark 
Published: November 2019

Abstract
Elder abuse cases often require integrated responses from social services, medicine, civil legal, and criminal justice. Multi-disciplinary teams (MDTs), which meet periodically to discuss and coordinate interventions for complex cases, have developed in many communities. Little is known about how these MDTs collect case-level data. Our objective was to describe existing strategies of case-level electronic data collection conducted by MDTs across the United States as a preliminary step in developing a comprehensive database strategy. To identify MDTs currently collecting data electronically, we used a snowball sampling approach discussing with national leaders. We also sent an e-mail to the National Center for Elder Abuse listserv inviting participation. We identified and reviewed 11 databases from MDTs. Strategies for and comprehensiveness of data collection varied widely. Databases used ranged from a simple spreadsheet to a customized Microsoft Access database to large databases designed and managed by a third-party vendor. Total data fields collected ranged from 12-338. Types of data included intake/baseline case/client information, case tracking/follow-up, and case closure/outcomes. Information tracked by many MDTs, such as type of mistreatment, was not captured in a single standard fashion. Documentation about data entry processes varied from absent to detailed. We concluded that MDTs currently use widely varied strategies to track data electronically and are not capturing data in a standardized fashion. Many MDTs collect only minimal data. Based on this, we have developed recommendations for a minimum data set and optimal data structure. If widely adopted, this would potentially improve ability to conduct large-scale comparative research.
PROTECTIVE EFFECTS OF NEIGHBORHOOD SOCIAL COHESION ON ELDER ABUSE IN INDIAN OLDER ADULTS
Authors: Chang E-Shien , Levy Becca 
Published: November 2019

Abstract
It is estimated that elder abuse impacts 16% of older persons globally. There is a need to understand factors that protect older persons. In this study, we examined whether neighborhood social cohesion, or the mutual support, trust, and interaction among neighbors, could be such a factor. As it has been found to be protective of child abuse and domestic violence, we hypothesized that higher neighborhood social cohesion would extend to reduce the risks of elder abuse. Our cohort consisted of participants aged 60 and over in the Longitudinal Aging Study in India (LASI) pilot survey. Elder abuse was measured by asking participants if they experienced ill-treatment by family members. Neighborhood social cohesion was measured by a five-item instrument that captured perceived support and trust among neighbors. The final sample consisted of 541 participants with a mean age of 69 who largely (72.9%) resided in rural area. The hypothesis was supported. Compared to older persons with low neighborhood social cohesion, older persons with high neighborhood social cohesion were significantly less likely to experience elder abuse (OR= 0.57, 95% CI=0.35-0.92), after controlling for socio-demographics, health, and neighborhood contextual covariates. This study, for the first time, suggests that neighborhood social environment may exert a protective effect on risks of elder abuse. Neighborhood resources may both prevent family members from being abusive and may help older persons stop abuse. Incorporating structural factors such as neighborhood cohesion may be critical in devising elder abuse preventions that increase the safety and well-being of older persons.
FUTURE CARE PLANNING INTERVENTION WITH RURAL OLDER ADULTS
Authors: Lee Jeong Eun , Kim Dahee L , Peitz Louise , Kahana Eva , Kahana Boaz 
Published: November 2019

Abstract
To address their needs for proactive self-care and end of life planning, we implemented a community based educational program that promotes future care planning (FCP) for community residing older adults. Extension specialists from Iowa State University implemented two brief FCP program sessions with older adults. Topics included both short-term and long-term future care planning activities and strategies. Baseline and post program surveys were completed by 216 community dwelling older adults (M=78.21). The program was successful in getting older Iowans in the rural area start end of life care preparation as well as helping them to make changes in their health care decisions. The majority of participants (89.6 %) reported high satisfaction with the programs. We also found a high rate of change (62%) in opinion regarding future care. The implication of future care planning for is discussed with recommendations for future research.
INCOMPLETE ADVANCE CARE PLANNING? CORRELATES OF PLANNING WITHOUT PERSONAL CONVERSATIONS
Authors: Boerner Kathrin , Carr Deborah , Ornstein Katherine M , Moorman Sara 
Published: November 2019

Abstract
In the course of advance care planning (ACP), people may elect any of the following: a living will, a durable power of attorney for health care, and discussions with family members and health care providers. A small proportion of planners complete legal documents without discussing them with others (formal planning only, FPO). If people who have done FPO become incapacitated, their family and health care professionals may lack guidance on how to direct their care. To better understand this group, we drew on four large surveys of community-dwelling adults. Social isolation, measured by living alone and lack of a confidante, increased the odds of FPO across all studies. We also found some evidence that economic disadvantage and depressive symptoms were linked with FPO. We discuss implications for policy and practice, underscoring that ACP is yet another important domain affected by the crisis of social isolation in old age.
MEDIATORS OF GENETIC AND ENVIRONMENTAL MECHANISMS ON SELF-RATED HEALTH
Authors: Zavala Catalina M , Prescott Carol A , Lapham Susan 
Published: November 2019

Abstract
Self-rated health (SRH), an individual’s assessment of their own health status, is associated with older adults’ chronic and acute health conditions, as well as mortality. Assessments of SRH indicate individual’s global health is likely multifaceted. Level of education, particularly amount of post-secondary schooling, is associated with better SRH. Other indices of socioeconomic status (SES) such as income and wealth, have varying associations with SRH partly dependent on relative deprivation (e.g. Gini Index). The current study utilized data from 2,500 members of the Project Talent Twin and Sibling (PTTS) Study interviewed as adolescents in 1960 and followed up 54 years later. In 2014, participants were, on average, 70 years of age. Women comprised about 54% of the sample. We examined rearing family wealth, years of education, and functional independence as mediators of variance in SRH. Mean-level results indicated small positive associations between SES and SRH. Activities of Daily Living (ADL) accounted for about a quarter of variance in SRH, with higher functional independence predicting better SRH. Biometric analyses indicated that family wealth had small mediation effects on SRH via familial-environment (S) influences. Education mediated individual-specific (E) environmental influences. Functional independence (measured by ADL) mediated SRH via both additive genetic (A) and E influences. After adjusting for overall effects of sex, age, and specified mediators, a large portion of remaining variation in SRH was due to individual-specific (E) environmental influences. Current results suggest complex underlying genetic and environmental mechanisms contributing to an older adult’s assessment of their own health.
RACIAL-ETHNIC DISPARITIES IN ATTITUDES TOWARD PASSIVE AND ACTIVE EUTHANASIA
Authors: Moorman Sara M 
Published: November 2019

Abstract
This paper examined racial/ethnic differences in opinions about passive euthanasia (withdrawing or withholding treatment), suicide, and physician-assisted suicide. Data came from 1,832 participants in the 2013 Pew Religion and Public Life Project. Respondents from all racial/ethnic backgrounds were most likely to favor multiple forms of euthanasia. However, persons of color had a wider variety of opinions about euthanasia than did non-Hispanic whites. In multivariate multinomial logistic regressions, non-Hispanic whites had a 63% chance of approving broadly of euthanasia, while non-Hispanic blacks had a 40% chance, and Hispanics, a 49% chance. Opposition to euthanasia was most common among people with multiple disadvantages (e.g., educational attainment, immigrant status). Neither trust in health care providers nor recent experience with the death of a loved one explained these group differences. Results highlight large differences of opinion between the people who set policy and practice guidelines and those who lack this power and access.
MACHINE LEARNING APPROACHES TO ENHANCE CLAIMS DATA ANALYSES
Authors: Pietrobon Ricardo , Marcozzi David 
Published: November 2019

Abstract
This presentation will cover recent advances in machine learning applied to large claims databases involving medical disparities. First, we will describe methods involving the enrichment of existing claims data with social determinants of health from census data, where variables are imputed from one dataset to another, ultimately resulting in clinical models with enhanced predictive performance. Second, we will discuss the inclusion of variables representing imaging signs from MRI and CT exams, presenting large scalability and interobserver reliability, representing a method that can be used to enrich large state and national registries through the use of image recognition. Finally, we will discuss novel protocols for Natural Language Processing involving a combination of rule-based creation of corpora for radiology and discharge reports, with highly accurate deep learning methods for concept extraction and classification.
2009-2017 RACIAL AND ETHNIC DISPARITIES IN MEDICARE PATIENT EXPERIENCE AND INFLUENZA IMMUNIZATION
Authors: Elliott Marc N , Martino Steven , Hambarsoomian Katrin , Wilson-Frederick Shondelle , Dembosky Jacob , Gaillot Sarah , Weech-Maldonado Robert , Haviland Amelia 
Published: November 2019

Abstract
We sought to understand the extent to which racial and ethnic disparities in the immunization rates and case-mix adjusted patient experiences of access (getting needed care and getting care quickly) of Black, Hispanic, and non-Hispanic White Medicare beneficiaries have changed over time. Accordingly, we analyzed 2009-2017 CAHPS data from 2,725,614 Medicare beneficiaries. In 2009, flu immunization rates for Black and Hispanic beneficiaries were lower than non-Hispanic White beneficiaries by 17 and 14 percentage points, respectively. Over 9 years, these gaps were reduced to 12 and 8 points, respectively (p&lt;.01 for all comparisons). In 2009, Black beneficiaries had 2-point and 5-point disparities on getting needed care and getting care quickly (on a 0-100 scale) respectively, relative to non-Hispanic Whites. For getting needed care, there was no significant change over time in the gap between Blacks and non-Hispanic Whites. For getting care quickly, the gap between Blacks and non-Hispanic Whites narrowed to 3 points in 2017. In 2009, Hispanic beneficiaries had 2-point and 5-point disparities on getting needed care and getting care quickly, respectively, compared to non-Hispanic Whites. The gap on getting needed care widened by 1 point to a 2017 disparity of 3 points. For getting care quickly, there was no significant change over time in the gap between Hispanics and non-Hispanic Whites. These findings suggest that flu immunization rates for Black and Hispanic Medicare beneficiaries have improved significantly relative to non-Hispanic Whites; however, substantial disparities remain. For the patient experience measures, the findings are more mixed.
HEALTHCARE EXPERIENCES OF NHOPI AND OTHER U.S. ASIAN MEDICARE BENEFICIARIES
Authors: Beckett Megan K , Elliott Marc N , Hambarsoomian Katrin , Dembosky Jacob , Wilson-Frederick Shondelle , Gaillot Sarah , Martino Steven 
Published: November 2019

Abstract
Native Hawaiians and Other Pacific Islanders (NHOPI) and Asians are the fastest-growing US racial and ethnic group. Differences in healthcare experiences may contribute to the better health outcomes of Asian-Only adults than NHOPIs, but little is known about NHOPI healthcare experiences. Using data from 1067 NHOPI and 9361 Asian-Only Medicare beneficiaries responding to the 2017 Medicare Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey, we investigated NHOPI and Asian-Only differences in flu vaccination and six case-mix adjusted composite measures of healthcare experiences (scaled 0-100), with and without adjustment for Medicare coverage type and state of residence. Compared with Asian-Only beneficiaries, NHOPI beneficiaries reported better experiences getting needed care (adjusted-difference of +7 points), customer service (+5 points), doctor communication (+5 points), getting care quickly (+4 points), care coordination (+4 points), and getting needed prescription drugs (+3 points). In contrast, NHOPI beneficiaries reported worse flu immunization (-7 points; p&lt;0.05 for all reported differences). Adjustment for Medicare Advantage (MA) coverage and state of residence accounted for &lt;25% of differences. NHOPI vs. Asian-Only care experience differences were similar for MA and Fee-for-Service beneficiaries. NHOPI were immunized for influenza less often than Asian-Only beneficiaries in MA (-15 points), but not Fee-for-Service; this did not differ by gender. NHOPI men reported better experiences than Asian-Only men for customer service (+11 points) and getting care quickly (+6 points). Patient experience does not explain worse health outcomes found elsewhere for NHOPI than Asian-Only. Further study may suggest means of improving Asian-Only healthcare experiences and NHOPI immunization.
MOBILITY AND PHYSICAL ACTIVITY IN OLDER ADULTS: OBSERVATIONAL AND INTERVENTION RESEARCH
Authors: Bamonti Patricia M , Bean Jonathan 
Published: November 2019

Abstract
Mobility disability is associated with considerable morbidity and mortality in late life. Physical activity [PA] is a modifiable behavior that can reduce mobility disability, as well as improve physical and mental health outcomes in older adults. However, only a minority of older adults meet the minimum PA requirements based on national guidelines. Research examining factors impacting PA and mobility in late life, as well as novel interventions to increase PA and improve mobility is essential to enhancing health and wellbeing. This symposium will provide an overview of observational and intervention research focused on understanding factors associated with PA and mobility, as well as intervention research designed to increase PA and improve mobility in older adults. First, Dr. Lien Quach will present research examining the impact of social engagement in reducing the risk of mobility decline among older adults with mild cognitive impairment. Second, Dr. Patricia Bamonti will examine psychological factors related to uptake and adherence of pulmonary rehabilitation in older Veterans. Third, Dr. Stephanie Robinson will explore engagement, feasibility, acceptability, and change in PA following a web-based intervention in middle-aged and older adult patients with COPD. Fourth, Dr. Elisa Ogawa will present research examining the feasibility and acceptability of an exergaming intervention compared to an exercise control condition among older adults at risk for falls. The symposium will conclude with discussion led by Jonathan Bean, MD, MPH, who will highlight implications of findings across studies and identify areas for future research.