bluuebunny/crossref_metadata_2025_split huggingface dataset:
New Evidence on the Biobehavioral Mechanisms of Chronic Pain in Aging African Americans
Authors: Booker Staja 
Published: December 2020

Abstract
African American older adults are living longer with chronic pain, which presents a huge personal and societal burden. A growing group of scholars are now devoted to accurately and precisely characterizing and phenotyping the experience of pain in aging using within-group and advanced methodological designs to elucidate the biopsychosocial-behavioral responses to pain. In this symposium, five dynamic presenters present new evidence on mechanisms of pain in older African-Americans. Dr. Roach’s investigation reveals the effect of genetic alterations of sickle cell disease (SCD) on stress-related pain in younger and older adults; this scientific inquiry is especially important because there is little research on SCD in aging. Next, Dr. Terry, extends these findings by exploring the association between psychosocial factors such as experiences of discrimination, pain catastrophizing, and perceived stress on neural (brain) responses via magnetic resonance imaging. From a clinical perspective, Dr. Booker reports on the first-ever model of intra-racial differences in movement-evoked pain in older African-Americans with knee osteoarthritis and healthy controls. Our final two presenters use a translational approach to identify how older African-Americans cope with chronic pain. Dr. Robinson-Lane’s study highlights the unique experience and predictors of coping, adaptation, and self-management of chronic pain in Black dementia caregivers. Finally, Dr. Cobb’s research from a large cross-sectional study correlates social, behavioral, and health factors with opioid and psychotropic use in economically disadvantaged older African-Americans. This symposium offers novel ways of understanding social determinants of pain and assisting African-Americans and their caregivers to manage complex chronic pain in later life.
Palliative Care With Dementia and Family Caregiver Involvement (A Collaborative Symposium between the Hospice, Palliative, and End-of-Life Care and Nursing Care of Older Adults Interest Groups)
Authors: van der Steen Jenny , Johnson Christopher , Zimmerman Sheryl 
Published: December 2020

Abstract
This collaborative symposium offered by the Hospice, Palliative, and End-of-Life Care and Nursing Care of Older Adults Interest Groups addresses palliative care including advance care planning considerations for family caregivers and persons with dementia. Family caregivers may need information about palliative and end-of-life care that is specific to the person, the situation or the stage of dementia. This symposium shows information needs also differ by country and setting. Conversations about symptoms, and about current and end-of-life treatment preferences need support from healthcare professionals. The symposium shows results of a study on video recordings with end-of-life preferences and how, as a stand-alone, they may not inform palliative care practice, and integration of information sources for advance care planning is needed. We will also show that a question prompt list with examples of questions to encourage family caregivers to ask healthcare professionals can and should have different contents for different countries as the content reflects socio-cultural differences. In more studies, participants clearly neede information on the disease trajectory and available services. Such needs go beyond need for information on pain and other symptoms, as family caregivers often appreciate opportunities for social activities for persons with dementia. A decision aid study shows that persons with dementia and family caregivers can participate in advance care planning conversations when supported by the right tools. We argue that local client participation is important when developing tools. Overall, the symposium highlights the need for tailored tools to support face-to-face conversations with all stakeholders to encourage person-centred caregiving.
Association of the Amount and Pattern of Physical Activity With Arterial Stiffness: The Maastricht Study
Authors: Vandercappellen Evelien , Henry Ronald , Stehouwer Coen , Koster Annemarie 
Published: December 2020

Abstract
We examined the associations of the amount and the pattern of higher intensity physical activity with arterial stiffness. Data from The Maastricht Study (n=1699; mean age: 60±8 years, 49.4% women, 26.9% type 2 diabetes (T2DM)) were used. Arterial stiffness was assessed by carotid-to-femoral pulse wave velocity (cfPWV). The amount (hours/day) and pattern of higher intensity physical activity were assessed with the activPAL3®. Activity groups were: inactive (&lt;75min/week), insufficiently active (75-150min/week), weekend warrior (&gt;150min/week in ≤2 sessions), and regularly active (&gt;150min/week in ≥3 sessions). After full adjustment, higher intensity physical activity was associated with lower cfPWV (amount: -0.35[-0.65;-0.05], insufficiently active: -0.33[-0.55;-0.11]; weekend warrior: -0.38[-0.64;-0.12] and regularly active: -0.46[-0.71;-0.21] (reference: inactive)). These associations were stronger in those with T2DM. Participating in higher intensity physical activity was associated with lower cfPWV, regardless of the weekly pattern, and may be an important strategy to reduce CVD risk, particularly in T2DM.
Reserve and Healthy Aging
Authors: Felix Cynthia , Sprague Briana 
Published: December 2020

Abstract
In line with the GSA 2020 Annual Scientific Meeting theme of “Turning 75: Why Age Matters”, our symposium highlights the fact healthy aging is relevant to maintaining reserve- be it brain/cognitive reserve or physiological reserve. Even among older adults 75 or older, continuing to practice healthy aging habits, helps with reserve. In this symposium, Drs. Felix and Carlson discuss how positive neuroplastic processes such as social engagement and social volunteering may aid in brain/cognitive reserve. Dr. Lin discusses how negative neuroplastic processes such as hearing loss may hamper the same. The “use-it-or-lose-it” hypothesis may be a common pathway in effecting brain reserve, regardless of whether the inputs are social or sensory stimuli. Physiological reserve is also important in aging, and Dr. Sprague talks about energy and frailty, with frailty being an accelerated decline of physiological reserve. While the studies presented are from older adult populations, reserve often takes a lifetime of effort to build and maintain. The symposium speakers present several hypotheses such as brain reserve, cognitive reserve, cognitive load, information degradation, sensory deprivation and frailty. An application of these concepts, would help older adults practice aging habits that promote reserve, into advanced old age, at individual and community levels. Brain Interest Group Sponsored Symposium
Spreading Telehealth for Older Adults in Rural Areas Through Network of Geriatric Interprofessional Teams
Authors: Barczi Steven , Gately Megan , Welch Lauren , Nearing Kathryn , Thielke Stephen , Pimentel Camilla , Previll Laura , Dryden Eileen 
Published: December 2020

Abstract
Older adults living in rural areas have limited access to geriatrics interprofessional team care. In the Veteran healthcare system, geriatric teams such as geriatricians, nursing professionals, social workers, pharmacists and psychologists, located in urban areas link up with rural clinics to provide geriatric consultation remotely through clinical video telehealth and other means in the project GRECC Connect. Since its inception in 2014, the service has now grown to 16 geriatric teams offering consultation to over 100 clinic sites serving older rural Veterans. GRECC Connect delivered over 2,000 consultations in 2019, meeting complex care needs by identifying and linking geriatric services and management to patients with geriatric syndromes. The network of established geriatric teams, local champions and a shared Electronic Health Record facilitated the spread, while ongoing effort to build and maintain relationships between consultants and local rural provider teams and other community based services are important for ongoing success.
The Impact of Alzheimer’s Disease and Related Dementias on Dental Care Utilization and Costs in Older Adults
Authors: Li Sam , Donkor Isaac , Hong Liang , Lu Kevin , Wu Bei 
Published: December 2020

Abstract
There is limited information on the impact of cognition function on dental care utilization and costs. This study used the Medicare current beneficiaries survey in 2016 and included 4,268 participants 65+. Dental care utilization and costs were measured by self-report and included preventive and treatment events. Negative binomial regression and generalized linear regression were used to examine the impact of Alzheimer’s disease (AD) and related dementia (RD) on dental care utilization and costs. We found that AD was not associated with dental care utilization, but RD was associated with a lower number of total treatment dental care visits (IRR: 0.60; 95% CI: 0.37~0.98). RD was not associated with dental care costs, but AD was associated with higher total dental care costs (estimate: 1.08; 95% CI: 0.14~2.01) and higher out-of-pocket costs (estimate: 1.25; 95% CI: 0.17~2.32). AD and RD had different impacts on different types of dental care utilization and costs. Part of a symposium sponsored by the Oral Health Interest Group.
Development of the Online Money Management Credit Card Task
Authors: Sunderaraman Preeti , Dong Ziqian , Sampath Santhoshkumar , Chapman Silvia , Joyce Jillian , Stern Yaakov , Cosentino Stephanie 
Published: December 2020

Abstract
Older adults (OAs), a wealthy but vulnerable segment of our population, are at risk to make compromised financial decisions. Evidence suggests that OAs increasingly use technology to perform everyday financial transactions, such as to manage their credit card statements. However, current tools are lacking in terms of assessing how older adults navigate and handle the online financial milieu. We will discuss the development of a novel, simulated online money management (OMM) credit card statement task. OMM examines OAs performance on several indices including reaction time, nature and frequency of errors, and their ability to comprehend and trouble shoot problems. Psychometric properties related to the reliability and validity will be discussed. Ultimately, by examining the longitudinal performance of OMM in OAs, we can better characterize the natural course of OMM. Such an approach will enable clinicians to accurately and objectively examine OMM and identify those at risk for making financial errors.
Can We End the Age-Old Problem of Pressure Injuries?
Authors: Yap Tracey 
Published: December 2020

Abstract
A pressure injury/ulcer (PrI) is a localized area of injured skin and tissue usually over a bony prominence and one of the highest priority problems identified in U.S. health care’s federal quality initiatives; approximately 26.8 billion is spent for treatment each year. The problem is accentuated for nursing home residents who are often immobile/bedridden. Currently, resident repositioning/movement by nursing staff every 2-hours is the cornerstone of prevention care. Successful interventions must be nurse-led and designed to facilitate the prevention care of nursing staff on the front lines. My research focuses on integrating movement into everyday care for institutionalized older adults and is advancing the science of PrI prevention through testing of cueing interventions for nursing staff to improve the care delivery. My goals for innovating preventive care include enhancing our understanding of nursing subcultures’ influence on care outcomes and leveraging emerging technology to enhance the care team’s collaborative efforts.
Retinal Microvascular Health: Can the Eye Tell Us About the Brain?
Authors: Abraham Alison , Guo Xinxing , Kong Xiangrong , Sharrett A Richey , Lujan Brandon , Huang David , Ramulu Pradeep 
Published: December 2020

Abstract
Cognitive impairment caused by Alzheimer’s and other dementias is linked to vascular damage in the brain. Early microvascular changes in the brain are difficult to detect but in the retina, they can potentially be seen using optical coherence tomographic angiography. In cross-sectional analysis, associations between retinal vessel density (VD) and cognitive performance were assessed by regression analysis of cognitive function z-scores (for global function as well as language, memory and executive function domains) on VD, controlling for age, race and education. Among 177 participants without dementia (50% black; 67% female; mean age 78 years [range: 71-93 years]), the mean (SD) superficial vascular complex VD was 48.0% (7.2). Among the 191 eyes without eye disease, there were no significant associations of VD with global or domain specific cognitive function. Early changes in the eye related to systemic disease processes may not currently be detectable in healthy older adults with imaging data.
Vaccination in Older Adults: The When and Where
Authors: Poston Sara 
Published: December 2020

Abstract
Despite the well-understood benefits of vaccination in older adults, national rates still fall below public health targets, especially among certain racial and ethnic groups. Recent scholarship examining healthcare use patterns in adults revealed that health care providers miss several opportunities to provide vaccination during regular healthcare encounters, including Medicare annual wellness visits. Several barriers to older adult vaccination have been identified, including lack of patient and provider understanding of the importance of vaccination, financial barriers to vaccines covered under Medicare Part D, and patient hesitancy about the safety and effectiveness of vaccines. Strategies to address these barriers will be discussed, including the use of national quality measures to strengthen incentives for adult vaccination. Part of a symposium sponsored by the Health Behavior Change Interest Group.
Task Sharing in Hearing Care: Putting Principles Into Practice to Advance Access to Hearing Care
Authors: Marrone Nicole , Wong Aileen , Ingram Maia , Piper Rosie , Carvajal Scott , Colina Sonia 
Published: December 2020

Abstract
Task sharing, through models such as community health workers (CHWs), is considered an efficacious and cost-effective approach to extending access, addressing disparities, and building capacity. Increasingly, task sharing is recognized as a promising approach within sensory health. This session will share results from an NIH-funded trial of a first-in-kind CHW-delivered intervention along the U.S.-Mexico border. Trained CHWs provided a 5-week group aural rehabilitation program that included education and counseling on age-related hearing loss. A total of 136 Spanish-speaking older adults with hearing loss were randomized. Those in the immediate treatment group reported significantly greater use of communication strategies post-intervention, which was maintained over 1 year. Participants were more likely to report taking action on their hearing at 6 months (OR:1.56, p=0.001) and 1 year (OR:1.82, p=0.001). Building upon lessons learned, including post-intervention focus groups, the presentation will share guiding principles on the application of task sharing to support sensory health.
The Study of Sensory Aging in Existing Cohorts of Older Adults
Authors: Ehrlich Joshua 
Published: December 2020

Abstract
Sensory impairments in later life are associated with numerous adverse health outcomes, including falls, depression, cognitive decline and dementia, and loss of independence. While population-based cohort studies offer a wealth of data for studying health and aging, these studies have not been widely leveraged to investigate the epidemiology of sensory impairment and the effect of sensory impairments on health outcomes and well-being in older adults. This symposium will provide attendees with examples from presenters’ own research using sensory function data from large-scale and population-based cohort studies. Presentations will also describe available sensory data and opportunities to improve measures of sensory function in cohort studies. Finally, presenters will focus on methodological considerations when studying the effect of sensory impairment on health outcomes, trends, and trajectories in older adults using data from cohort studies. The symposium will include presentations on vision, hearing, olfaction, and nesting of a randomized controlled trial within an existing cohort study. Participants will gain a clear understanding of the importance of measuring sensory function; methods for integrating sensory measures into existing cohorts; and the original results of analyses that have used sensory data from existing cohorts to study health and well-being in older adults. Sensory Health Interest Group Sponsored Symposium.
Vision Measures in Aging Cohorts: Gaps and Opportunities
Authors: Varadaraj Varshini , Shakarchi Ahmed , Assi Lama , Swenor Bonnielin 
Published: December 2020

Abstract
There is wide variation in the methods used to assess vision across existing aging cohort studies. While subjective vision measures are valuable in capturing individuals’ perspectives, objective criteria are often needed to fully characterize visual impairment in older adults. In addition, visual function extends beyond acuity; contrast sensitivity, visual fields, and depth perception are known to impact daily functioning, and are needed to comprehensively assess visual function. Broader uptake of subjective and objective vision measures, and harmonization of vision measures across datasets is needed to robustly examine the role of visual impairment on aging and health outcomes. In this presentation, we will draw on work using data from the National Health and Aging Trends Study, Health and Retirement Study, and Health, Aging and Body Composition Study, among others, to illustrate uses of vision data in aging cohort studies, and examine the gaps and opportunities for improvement in vision measures. Part of a symposium sponsored by Sensory Health Interest Group.
Developing Research and Education on Aging Among Asians Through International Networks
Authors: Li Wenjun 
Published: December 2020

Abstract
Asians are the largest and the fastest growing segment of the world population. However, age-related social and health issues are understudied among them. Studies on older Asians are often small-sized and scattered geographically, and use instruments that are inconsistent in context, language and culture. Findings from different studies on Asians are difficult to synthesize to support health promotion, clinical practice and policy evaluations. To advance research into aging among Asians, a fundamental step is to create content-relevant, linguistically and culturally appropriate research instruments, and encourage use of these consistent and comparable instruments across studies. In this interactive session, the author will lead the group to discuss the need, feasibility and strategies for developing an international network to promote resource sharing and research collaborations across country borders and disciplines. By bringing the isolated but passionate Asian aging researchers together, this network will accelerate the growth of research on Aging Among Asians.
Implementing the 4Ms in a Rural Federally Qualified Health Center: Lessons Learned
Authors: Faul Anna , D’Ambrosio Joseph , Yankeelov Pamela , Cotton Sam 
Published: December 2020

Abstract
The University of Louisville GWEP has partnered with Mountain Comprehensive Care, a FQHC with 9 practices in 5 rural counties in KY, to infuse the 4 M’s of age-friendly health care systems into their daily practices, namely what matters most, medication management, mentation and mobility. Many lessons were learned during this infusion period, specifically related to cultural and rural barriers that make some of these principles very difficult to implement. Specifically, what matters most to older adults in these very poor rural areas may not be the safest way to proceed; medication management may be difficult to do due to the extent of opioid addictions in these areas, mentation has many challenges related to isolation and lack of understanding of dementia and mobility issues are complicated due to the many home barriers to fall safety environments. These lessons will be discussed in this part of the symposium presentation.
Opportunities and Challenges With Creative Community Partnerships
Authors: Heinz Melinda 
Published: December 2020

Abstract
Arts programming can address chronic conditions prevalent among older adults. An overview of an implementation of the revised nationwide Opening Minds through Arts (OMA) program anchors the symposium. The paper reports an implementation by an area university and an eldercare facility to recruit and train student volunteers to collaborate with persons living with dementia, and create paintings for a public exhibition. The Arts for a Lifetime Program used bi-weekly student led programming in a long-term care community; the paper includes an overview of materials used throughout the program and reports resident preferences for materials. A report of results of an ethnographic investigation of the impact of creative aging fine arts programs on older adults adds information about how participation might influence the older person’s self-esteem or perceptions of aging. The presentation about creation of music modules investigates the potential of music therapy for the promotion of healing for older adults managing pain. The final paper describes the methodology lessons learned from ARTmail, a community engaged study of the benefits of a structured participatory arts program for older adults with memory symptoms or cognitive impairment. Presentations in this symposium inform identification and development of opportunities to create and engage in meaningful experiences with older adults.
Fostering Multidisciplinary Solutions in Aging: The Research Centers Collaborative Network
Authors: Kritchevsky Stephen , van der Willik Odette , Eldadah Basil 
Published: December 2020

Abstract
The important problems facing older adults will not be solved through the methods of a single discipline. In recognition of this, the NIA funded the Research Centers Collaborative Network (RCCN) to build collaborations between scientists from the 6 NIA-sponsored center programs: Alzheimer’s Disease Research Centers, Centers on the Demography and Economics of Aging, Claude D. Pepper Older Americans Independence Centers, Nathan Shock Centers of Excellence in the Basic Biology of Aging, Resource Centers for Minority Aging Research, and Roybal Centers for Translational Research on Aging. RCCN’s central premise is that researchers from different disciplines are most likely to collaborate when they are addressing similar problems. To foster collaboration the RCCN has convened 5 workshops on: 1. achieving and sustaining behavior change in older adults; 2. sex and gender in aging research; 3. reserve and resilience; 4. life course perspectives on aging; and 5. promoting the inclusion of older adults in clinical research. After each Workshop the RCCN awards pilot funds related to the theme. This symposium will review key learnings from the workshops and present work of four RCCN pilot teams from the first two workshops which focused on changing and sustaining behavior change in older adults, and sex and gender differences in aging. Dr. Hughes will discuss the value of interdisciplinary research to maintain behavior change while Dr. Lee will discuss social incentives to improve mobility postoperatively. Dr. Stites will discuss cognition and gender trends, while Dr. Ware will discuss sex differences in genetic effects.