bluuebunny/crossref_metadata_2025_split huggingface dataset:
Developmental Evaluation of an Established Advisory Board
Authors: Lessem Rachel 
Published: December 2020

Abstract
CJE SeniorLife developed the PCORI-funded Bureau of Sages, a research advisory board of nursing home community members and older adults, who live at home and receive long term services and supports (LTSS). Bureau members share experiences, build knowledge, and develop skills for working together to provide voice to the direction, design, and implementation of aging research. The PCORI-funded Sages in Every Setting project developed four additional bureaus, expanding and diversifying a pool of researchers, providers, and older adults living with LTSS who have the knowledge, skills, and opportunity to collaborate in research. Evaluation results reveal that the Sage Model is translatable into new settings; partners were able to adapt the provided resources; researchers receive useful input from bureaus to improve their work; and, participation in a research advisory board is a benefit to its members. In addition, we will share challenges to establishing and expanding the Sage Model. Part of a symposium sponsored by the Patient/Person Engagement in Research Interest Group.
Assessing Older Adults’ Frequency of Going Outside and Physical Performance: NHATS 2017
Authors: Sefcik Justine , Granche Janeway , Coates Martha , Hathaway Zachary , DiMaria-Ghalili Rose Ann 
Published: December 2020

Abstract
Little is known about community-dwelling older adults’ outdoor activity and the relationship between physical function and frequency of going outside. Using the 2017 NHATS (N = 4,465), we looked at self-reported outdoor frequency (Likert scale: every day to once a week or less) and the Short Physical Performance Battery (SPPB; participants completed five different physical activities to measure physical performance; total scores ranged from 0, not attempted, to 12, the best). A logistic model comparing community-dwelling older adults going out most days (18.3%), some days (10.3%), or rarely/never (3.4%) to those going out every day found ORs of 0.85, 0.70, and 0.58 respectively (all p&lt;0.0001) for a one-unit increase in SPPB score. Interdisciplinary teams can use findings to assess disabled community-dwelling older adults’ frequency of going outdoors. Implications for interventions to assist with increasing times leaving the home (e.g. mobility devices, caregiver assistance) will be discussed.
Sensory Loss and the Healthcare System: Outcomes and Navigation
Authors: Reed Nicholas , Yeh Charlotte 
Published: December 2020

Abstract
Communication is fundamental to patient-centered care. However, sensory impairment limits communication among older adults. Specifically, hearing impairment strains communication via degraded auditory encoding while vision impairment distresses ability to read and interpret visual cues. The presence of dual sensory impairment, defined as concurrent hearing and vision impairment, may exacerbate these effects. The potential consequence s of age-related sensory loss on health care interactions and outcomes are beginning to surface in epidemiologic studies demonstrating poorer patient-provider communication, higher medical expenditures, increased risk of 30-day readmission, and longer length of stay when compared to individuals without sensory loss. Importantly, these associations may be amenable to intervention via sensory aids; however, uptake to sensory care is low. Notably, less than 20% of persons with hearing impairment have hearing aids and over 55% of Medicare Beneficiaries with reported vision problems have not had an eye examination in the prior year. Affordability and access may contribute to lack of sensory care uptake as Medicare explicitly excludes coverage of vision and hearing services. In this symposium, we will review current and new evidence for whether sensory loss affects health care outcomes, including satisfaction with care, incident delirium during hospitalization, navigation of Medicare, and present data on how persons with sensory loss are more likely to delay their care independent of cost and insurance factors suggesting fundamental changes in health care system interaction. We will place these results within the context of current national quality care and policy initiatives and review methods to address sensory loss.
Satisfaction With Health Care by Dual Sensory Impairment Status
Authors: Assi Lama , Shakarchi Ahmed , Swenor Bonnielin , Reed Nicholas 
Published: December 2020

Abstract
Sensory impairment is a barrier to patient-provider communication and access to care, which may impact satisfaction with care. Satisfaction with the quality of care received in the past year was assessed in the 2017 Medicare Current Beneficiary Survey (weighted sample=53,905,182 Medicare beneficiaries). Self-reported sensory impairment was categorized as no sensory impairment, hearing impairment (HI)-only, vision impairment (VI)-only, and dual sensory impairment (DSI) – concurrent HI and VI. In a model adjusted for sociodemographic characteristics and health determinants, having DSI was associated with higher odds of dissatisfaction with the quality of care received (Odds Ratio [OR]=1.53, 95%Confidence Interval [CI]=1.14-2.06) relative to no sensory impairment; however, having HI-only or VI-only were not (OR=1.33, 95%CI=1.94-1.89, and OR=1.32, 95%CI=0.95-1.93, respectively). These findings have implications for healthcare providers as Medicare shifts to value-based reimbursement. Moreover, previous work that singularly focused on HI or VI alone may have failed to recognize the compounded effect of DSI.
Acculturation and Subsequent Oral Health Problems Among Older Chinese Americans: The Role of Neighborhood Disorder
Authors: Mao Weiyu , Wu Bei , Chi Iris , Yang Wei , Dong XinQi 
Published: December 2020

Abstract
To further understand social, cultural, and personal predictors of oral health outcomes, this study addressed the relationship between acculturation and subsequent oral health problems and tested the moderating role of neighborhood disorder in such a relationship among older Chinese Americans. The working sample included 2,706 foreign-born community-dwelling older Chinese Americans aged 60 years or older who participated in the Population Study of Chinese Elderly in Chicago at the baseline and the first follow-up. Stepwise Poisson regression using lagged dependent variable was conducted. Behavioral acculturation was protective against subsequent oral health problems. Residence in Chinatown was associated with an increase in the risk of subsequent oral health problems. The relationship between behavioral acculturation and subsequent oral health problems varied by levels of neighborhood disorder. To reduce oral health-related disease burdens, it is important to consider the role of acculturation and the neighborhood on subsequent oral health problems in practice and policy. Part of a symposium sponsored by the Oral Health Interest Group.
Calculating the True Costs of Food Service in Long-Term Care: Development of a Costing Methodology
Authors: Wheeler Mikaela , Abbey Karen , Capra Sandra 
Published: December 2020

Abstract
As population’s age and the need for long term care (LTC) increases, so too does the focus on the costs to provide that care. Providing food, oral nutrition supplements and meals, can be a considerable expense to a home. The objective of this research was to develop a valid foodservice costing tool (FCT), to calculate the real cost of providing foods and meals in LTC. Current costing methodologies are not specific to LTC and do not account for all costs of a foodservice, including staff, procurement and nutrition supplements. An initial tool was developed using the systems approach in conjunction with literature and professional knowledge. This was piloted in real world contexts, using volunteer LTC homes. Four iterations of the tool were completed to assess its feasibility in calculating costs and useability. Managers were interviewed after completing the tool to gather an understanding of how the tool was interpreted and to refine completion. Following feedback, the resulting tool consists of nine sections, measuring both costs incurred in meal production and service as well as analysis of staff workloads. Preliminary results show consistency between homes within Australia, indicating that the true cost is much higher than that reported in the literature to date. The development of a comprehensive, usable tool which captures the total cost of foodservice allows homes to accurately report and understand costs from a systems level. This information can be used to demonstrate cost effectiveness of a foodservice and the potential to justify and plan future system changes.
Vaccination in Older Adults: The Who and What
Authors: Friedland Leonard 
Published: December 2020

Abstract
Aging brings increased impact of infectious disease in terms of hospitalization, morbidity, and mortality. This increased susceptibility to infection results from immunosenescence, age-related changes in the immune system, anatomic and functional changes, and environmental exposure to infections. Adults age 65 and over are at increased risk of pertussis, shingles, influenza and pneumococcal disease, and evidence-based recommendations for vaccination are protect older adults against these diseases. Underlying medical conditions including end stage renal disease, chronic lung, heart and liver disease, diabetes and immunocompromised place adults age 65 and over at increased risk of infectious diseases, therefore evidence-based vaccine recommendations in older adults with additional risk factors are in place to protect against varicella, hepatitis A and B, meningococcal meningitidis and Haemophilus influenzae type b. Investigational vaccines are developed to protect against infectious diseases causing significant morbidity and mortality in older adults, for example, respiratory syncytial virus, to further promote healthy aging. Part of a symposium sponsored by the Health Behavior Change Interest Group.
The Value of Vaccination in Older Adults: The Why
Authors: Buck Philip 
Published: December 2020

Abstract
The incidence of vaccine-preventable diseases remains high among older adults in the US, despite longstanding immunization recommendations, and is projected to increase as the population ages. The impact of US population aging on the burden of four vaccine-preventable diseases (influenza, pneumococcal disease, shingles, and pertussis) was modeled over a 30-year time horizon, with cumulative direct and indirect costs increasing from $378 billion over 10 years to $1.28 trillion over 30 years. Compared to current levels of vaccination coverage, increasing coverage was predicted to avert over 33 million cases of disease and greater than $96 billion in disease-associated costs, with a corresponding increase in vaccination costs of approximately $83 billion over the entire 30-year time period. Specific examples of cost-effectiveness analyses that assess the epidemiologic and economic impact of vaccination against shingles and pertussis in older adults will be discussed. Part of a symposium sponsored by the Health Behavior Change Interest Group.
WHO World Reports on Hearing and Vision: Meeting the Growing Needs of Older Adults
Authors: Nieman Carrie , Swenor Bonnielin , Yeh Charlotte 
Published: December 2020

Abstract
The World Health Organization’s (WHO) World Report on Vision was released in October 2019 and the World Report on Hearing debuted at the World Health Assembly in May 2020. The Reports recognize the fundamental nature of sensory health in the health and well-being of individuals and societies and outline the significant and growing burden of hearing loss and vision impairment across the life course. Together the efforts call for more affordable, accessible, and integrated care to foster sensory health for all and represent a major opportunity to advance vision and hearing care as public health priorities nationally and internationally. With the largest burden of sensory impairment among older adults, this symposium will focus on applying the findings and recommendations of the Reports to gerontology. The first presentations will provide an overview of the World Reports on Vision and Hearing from members of the core working groups involved in the Reports and discuss them within the context of the WHO’s Decade of Healthy Aging. The second set of presentations will feature the latest findings related to sensory health from the Global Burden of Disease Study. In moving toward action, task sharing is a critical theme that runs throughout the Reports and we will cover the application of task sharing to hearing care as an example of applying public health principles to advance sensory health. As we advocate for improving the lives of older adults, sensory health remains a significant component with great potential for progress and collaboration.
Updates on Hearing From the Global Burden of Disease Study
Authors: Haile Lydia , Orji Aislyn , Briant Paul , Adelson Jaimie , Davis Adrian , Vos Theo 
Published: December 2020

Abstract
Hearing loss is estimated annually as part of the Global Burden of Disease study. In 2019, input data came from 308 surveys in 77 countries. Hearing loss was measured by taking the pure-tone average of audiometric thresholds ranging from .5– 4 kHz. We ran severity-specific prevalence models, adjusting the severity for hearing aid use down one level, and separately estimating hearing loss due to meningitis, otitis media, congenital abnormalities, and age-related and other factors. In 2019, 1.5 billion (95% UI=1.5–1.6) people experienced hearing loss, primarily due to age and other factors. Of those with hearing loss, 74% (UI=71–77%) had mild hearing loss and 7% (UI=6–9%) used hearing aids. Globally, age-related hearing loss was the third-ranked cause of Years Lived with Disability after low back pain and migraine. Due to ageing, the hearing loss burden has increased over time, indicating a greater need for hearing healthcare services world-wide.
The ACHIEVE Trial: Lessons Learned From Nesting a Randomized Controlled Trial Within an Observational Cohort Study
Authors: Deal Jennifer , Reed Nicholas , Couper David , Hayden Kathleen , Mosley Thomas , Pankow Jim , Lin Frank , Coresh Josef 
Published: December 2020

Abstract
Hearing impairment in older adults is linked to accelerated cognitive decline and a 94% increased risk of incident dementia in population-based observational studies. Whether hearing treatment can delay cognitive decline is unknown but could have substantial clinical and public health impact. The NIH-funded ACHIEVE randomized controlled trial of 977 older adults aged 70-84 years with untreated mild-to-moderate hearing loss, is testing the efficacy of hearing treatment versus health education on cognitive decline over 3 years in community-dwelling older adults (Clinicaltrials.gov Identifier: NCT03243422.) This presentation will describe lessons learned from ACHIEVE’s unique study design. ACHIEVE is nested within a large, well-characterized multicenter observational study, the Atherosclerosis Risk in Communities Study. Such nesting within an observational study maximizes both operational and scientific efficiency. With trial results expected in 2022, this presentation will focus on the benefits gained in design and recruitment/retention, including dedicated study staff, well-established protocols, and established study staff-participant relationships. Part of a symposium sponsored by Sensory Health Interest Group.
Assessing Health Literacy Among East Asian Older Populations
Authors: Yamashita Taka 
Published: December 2020

Abstract
Health literacy assessment tools that are designed and validated specifically for East Asian older adults are limited. This session reviews the existing health literacy assessment tools and discusses possible applications in East Asian older adults. As an alternative to the population-level health literacy assessment, the general literacy measures and assessment approach in the Program for International Assessment of Adult Competencies (PIAAC) data are discussed. As a case demonstration, the PIAAC literacy measures in Japan and Korea are summarized and evaluated for the applicability in aging and health research with East Asian older adults.
Examining Consequences Related to Unmet Care Needs Across the Long-Term Care Continuum
Authors: Morales Meghan Jenkins , Robert Stephanie 
Published: December 2020

Abstract
At some point in our lives, approximately 70% of us will need support to help with daily care. Without adequate assistance we may experience unmet care need consequences (UCNC) – such as skipping meals, going without clean clothes, or taking the wrong medication. This study examines the likelihood of experiencing UCNC related to gaps in assistance with activities of daily living (ADL) and instrumental activities of daily living (IADL) across long-term care arrangements: informal community care, paid community care, residential care, and nursing homes. We examine a sample of older adults receiving assistance in a care arrangement (N=2,499) from the nationally representative 2015 National Health and Aging Trends Study. Cross-sectional and longitudinal regression models, adjusting for differences in demographic and health/functioning characteristics, examine if type of care arrangement in 2015 is associated with UCNC in 2015 and change in UCNC by 2017. Holding all else constant, there were no significant differences in UCNC related to ADLs in 2015 across care arrangements. However, those receiving paid community care were more likely to experience UCNC related to IADLs (going without clean clothes, groceries, or a hot meal and making medication errors) compared to those receiving only informal care (OR=1.64, p&lt;.05) or residential care (OR=2.19, p&lt;.01). By 2017, paid care was also significantly associated with continued UCNC, but older adults in informal care arrangements were most likely to experience a new UCNC. Results suggest improving/expanding assistance with IADLs among community-dwelling older adults, and promoting equitable access to residential care, to reduce UCNC.
The Hype and Hope of Stem Cell Rejuvenation
Authors: Harris Melissa 
Published: December 2020

Abstract
Adult stems play a major role in keeping our bodies in good working order by replenishing tissue as it wears out, and by providing new cells in the event of injury or damage. Unfortunately, the biological process of aging does not discriminate, and all cells, including our stem cells fall prey to getting older. Failing stem cells contribute to characteristics of aging and degenerative disease, and regenerative medicine research has focused on identifying ways in which stem cells can be used or rejuvenated to alleviate the symptoms of old age. Stem cell rejuvenation, however, has also inspired companies to provide services for harvesting and storing young stem cells with little real idea of how these stem cells might be used or their efficacy. In this seminar we will review what is known about the way in which stem cells fail, and the hype and hope surrounding stem cell rejuvenation.
Building Global Perspectives in a Diverse World
Authors: Glicksman Allen , Ring Lauren , Liebman Michael , Rodriguez Misha 
Published: December 2020

Abstract
There is a growing emphasis on diversity and its impact on health care. Our research has focused on migrants who are Mandarin speaking Chinese and Puerto Rican. Through a series of focus groups conducted in their native languages we discovered that barriers to service access differ across the two groups. In addition, many of these services are administered by individual states rather than the federal government. The diversity across migrant groups and state policies creates a challenge in using findings to establish national or international standards for best practices with older migrants. How then can we apply lessons about diversity and the impact of programs on a national and international scale? We propose the use of Social Interaction Modeling as a method for understanding patterns of behavior at both national and international levels, while preserving the unique character of each migrant group and the context within which they live.
Older Adults and Technology Use: A Systematic Literature Review
Authors: Choi Hyung Wook , DiMaria-Ghalili Rose Ann , Kelly Mat , Poole Alexander , Yan Erjia , Huh-Yoo Jina 
Published: December 2020

Abstract
Researchers are increasingly interested in leveraging technology to support the physical and mental well-being of older adults. We systematically reviewed previous scholars’ criteria for sampling older adult populations, focusing on age cohorts (namely adults over 65) and their use of internet and smart technologies. We iteratively developed keyword combinations that represent older adults and technology from the retrieved literature. Between 2011 and 2020, 70 systematic reviews were identified, 26 of which met our inclusion criteria for full review. Most important, not one of the 26 papers used a sample population classification more fine-grained than “65 and older.” A knowledge gap thus exists; researchers lack a nuanced understanding of differences within this extraordinarily broad age-range. Demographics that we propose to analyze empirically include not only finer measures of age (e.g., 65-70 or 71-75, as opposed to “65 and older”), but also those age groups’ attitudes toward and capacity for technology use.
UPDATE ON NIH INCLUSION ACROSS THE LIFESPAN
Authors: Bernard Marie 
Published: December 2020

Abstract
The National Institute on Aging (NIA) at the National Institutes of Health, Department of Health and Human Services, is the federally designated lead agency on aging research, and has supported significant research on aging as a life-long process. In the last five years, NIA experienced a tripling of its budget. Although much of this funding is targeted to Alzheimer’s disease (AD) and AD related dementias (ADRD) research, there was an increase in funds allocated to non-AD research in keeping with the overall growth of NIH. This symposium will provide a forum for exploration of the implications of the budget increases for the general research community. It will involve NIA’s senior staff discussing research priorities and programs supported by the Institute. A question-and-answer session will follow brief introductory remarks on current funding and future priorities and research directions of NIA.
Defining the Construct of Health Behavior Maintenance
Authors: Raj Mina , Bettger Janet , Hughes Susan , Hughes Jaime 
Published: December 2020

Abstract
Prior research on health behavior maintenance has proposed several key constructs that distinguish this concept from initiation. Initiation is thought to depend upon action self-efficacy, goal setting, and outcome expectations. Maintenance, on the other hand, depends upon self-regulation, relapse prevention, recovery self-efficacy, and satisfaction with original outcome expectations. Although much prior research has focused on cognitive components of maintenance, there has been little attention to how higher-order cognitive processing and decision-making may be challenging for some older adults. This presentation will discuss a proposed conceptual model of health behavior maintenance, specifically as this construct applies to older adults. Special consideration will be given to how both normative and non-normative age-related changes (e.g., physical, cognitive, psychosocial) impact maintenance and how such changes might influence older adults’ goals and outcome expectations. Finally, individual-level maintenance will be discussed within a larger context of program sustainability at community and population levels.