bluuebunny/crossref_metadata_2025_split huggingface dataset:
DON’T JUST GO THROUGH LIFE, GROW THROUGH LIFE: RESILIENCE AND ITS EFFECT ON SUCCESSFUL AGING
Authors: Nuccio Alexandria G , Stripling Ashely M 
Published: November 2019

Abstract
Resilience is commonly recognized as a protective factor that increases an individual’s ability to adapt positively to adversity or change. Given the rates of change, which occur in mid and late life, understanding resilience within this population is of particular importance. Yet to date, the direct mechanisms through which resiliency functions remains underexplored in this population. As such, the current investigation seeks to examine the mechanism through which lifelong resiliency may affect the lives of older adults in order to promote successful aging. Data including assessments of lifelong resiliency (measured by an individual’s opinion that life has been a continuous process of learning/changing/growing), environmental mastery (Ryff, 1989), instrumental activities of daily living (IADLs), mood (e.g. depression and self-rated emotional health), and subjective physical health were derived from the Survey of Midlife in the US Database (MIDUS 3). Participants were primarily White/Caucasian (88.7%) and female (54.9%); with a mean age of 63.64 years (SD=11.35). A series of hierarchical multiple linear regressions revealed that resiliency predicted better physical (F=43.448,p&lt;0.001) and emotional health (emotional health (F=46.515,p&lt;0.001), depression (F=17.665,p&lt;0.011)), as well as increased environmental control (IADLs (F=109.992,p&lt;0.001), and Environmental Mastery (F=64.686,p&lt;0.001)) in models adjusted for known correlates (i.e. age, sex, race, marital status, education). The present findings suggest that high levels of resilience increase not only perceptions of the world (subjective environmental mastery, physical and mental health) but also direct outcomes (IADLs). Implications of the current finding include elucidation of the concept of resiliency, as well as, recommendations for increasing resiliency in late life.
RESILIENT AGING ROUNDTABLE: AN EVALUATION OF A BRIEF COMMUNITY PSYCHOEDUCATION DISCUSSION GROUP
Authors: June Andrea , Marty Meghan 
Published: November 2019

Abstract
Increased aging resilience levels are associated with many positive outcomes for older adults including improved quality of life, increased coping and adaptation, and decreased depressive symptoms (Earvolino-Ramirez, 2007; Fullen & Gorby, 2016; Hicks & Conner, 2014; (Sharpley, Bitsika, Wootten, & Christie, 2014). However, very few resilience promotion programs are described in the literature. The purpose of the present study was to evaluate a brief, community-based psychoeducation group designed to enhance aging resilience. Participants were recruited through a private mental health practice focused on serving older adults in the Pacific Northwest. Nine participants (M age = 71; 78% female, 100% non-Hispanic white; 100% with some college) completed the pre- and post-assessment measures: An adapted 9 item version of the Communicative Ecology Model of Successful Aging (CEMSA; Fowler, Gasiorek, & Giles, 2015) and the Groningen Ageing Resilience Inventory (GARI; van Abbema et al., 2015). The discussion group consisted of six 90-minute meetings every-other-week, facilitated by a licensed clinical psychologist. Each meeting focused on a different topic related to psycho-social aspects of aging and included understanding ageism, embracing change, creating meaning, normal and “successful” aging, and strengthening social ties. Although not statistically significant, initial results showed lower post-assessment mean scores on the CEMSA indicating lower levels of aging uncertainty, negative attributions, and pessimism as well as higher post-assessment mean scores on the GARI indicating higher perceived resilience. Moreover, 77.7 % of the group agreed or strongly agreed that they had learned a lot from the group. Future directions will be discussed.
RACIAL DISPARITIES IN RURAL-URBAN MORTALITY GAP IN THE UNITED STATES: A 24-YEAR LONGITUDINAL STUDY
Authors: Ferdows Nasim , Ferdows Soroosh Baghban , Kumar Amit 
Published: November 2019

Abstract
Although overall life expectancy in the US has improved rapidly over the course of the 20th century and the racial gap in all-cause mortality has declined in recent decades, geographical disparities in mortality have increased in the last three decades. This research aims to study racial and geographical disparities by comparing the race and sex-specific mortality trends of the US rural and urban populations. We created a longitudinal county level analytic file of the US population 65 years and older, over the period of 1968 to 2015 obtained from CDC-WONDER and Area Health Resources Files. First, we used an OLS regression of age-adjusted mortality rate onto year indicators interaction with race and gender to depict the race and sex-specific trend in age-adjusted mortality rates. We also estimated the change in in mortality rate over time, for each race and gender, relative to values in 1968. Finally, we estimated race and sex specific trend in rural-urban mortality gap using state fixed effects regression. Our results indicate that racial gap in mortality rates has only declined in urban areas. Mortality rates of the whites in rural areas declined more rapidly than their Black counterparts, resulting in a gap that has been widening in the last three decades. The racial gap has increased considerably for males residing in rural counties not adjacent to an urban county. Thus, racial disparity in mortality has increased in rural areas, with a considerable widening between white and black male population living in the more remote rural areas.
WHAT ARE THE PATHWAYS TO RETIREMENT: DO HEALTH AND COHORT MATTER?
Authors: Huang Fang-Yi , Li Min 
Published: November 2019

Abstract
Studies about retirement often neglect ethnic identity. Yet, racial and ethnic inequality plays an important role in retirement decisions. For instance, minorities are less likely to continue working in old age beyond the normal retirement age because of some individual factors such as poor or fair health, cognitive impairment, functional limitation (Green, 2005; Ghilarducci & Moore, 2015; Mudrazija, 2010), physical limitations (Radl, 2014; Solem et al., 2016; Pienta & Hayward, 2002), retirement benefit and eligibility of pension (Radl, 2014; Honig, 1996). This research examined the influence of ethnicity on whether working for people aged above 60 in Taiwan. In addition to testing the pathways to retirement, we scrutinized how occupational sector mediates the likelihood of ethnic effect on retirement. After comparing two cohorts from the dataset “Taiwan Longitudinal Study in Aging”, we found that working in public sector, white-collar workers, being a Mainlander, being non-married, higher education, self-reported bad health and functional limitation are all associated with the higher likelihood of retirement. Finding suggested that the incentive structure of the public pension for public sector workers, who are mostly Mainlanders, could contribute to the higher likelihood of retirement. However, the magnitude of mediator is much larger for the older cohort than the younger cohort. The study not only could benefit cumulative advantage approach by analyzing East Asia data but also bring policy implication, that retirement policy makers should reduce public pension incentive for public sector workers to delay the retirement age.
ENVIRONMENTALLY SUSTAINABLE DIET AND RECYCLING THERAPY FOR OLDER ADULTS’ WELL-BEING AND HEALTHCARE EXPENDITURES
Authors: Hsiao Hsinyi , Hagedorn Aaron 
Published: November 2019

Abstract
Due to the rapid climate change in recent years, global communities have seen an increased frequency of large-scale natural and man-made disasters. Acknowledging extravagant lifestyles and wasteful consumption of natural resources as prominent factors leading to intensified stress placed on the biosphere and ecosystems, many older adults with chronic medical conditions or disabilities in Taiwan have promoted environmental sustainability through two ways: 1) participating a recycling program in their local communities by collecting, sorting, and reclaiming reusable resources that are regenerated into eco-friendly blankets for disaster survivors and 2) practicing plant-based diet to promote healthy lifestyle and mitigate climate change. These older participants of environmentally sustainable initiatives believe the interconnectedness among humanity, the environment, and sustainable lifestyles. To understand association between the recycling therapy and older adults’ well-being a quasi-experimental design with 72 people age 60 and older (recycling group vs. non-recycling group) and photovoice were used to examine longitudinal effects of the recycling therapy on physical and mental health. To examine the effects of plant-based diet on dementia and health care cost ten-year data from Taiwan’s National Health Insurance Database were used by two studies to compare risk of dementia and medical expenditure between vegetarian and non-vegetarian groups among older adults in Taiwan. Four presentations in the symposium will discuss positive outcomes of environmental volunteering on older adults’ physical and mental wellness and longitudinal effects of a cohort with environmental-friendly diet on dementia risk and lower actual health care expenditures.
DNA METHYLATION AT THE CROSSROADS OF PHYSIOLOGICAL RESPONSE TO STRESS AND PATHOLOGICAL BIOLOGY
Authors: Salimi Shabnam 
Published: November 2019

Abstract
It is likely that the dimension and the scope of stress perception are different in different body systems conditioning their specific rates of aging. Moreover, in addition to between-individual variabilities in body response to stress, there is inter-organs variability in adaptations resulting in pleiotropy of phenotypes evolved with aging. Epigenetic measures may be considered possible readouts of the extent and proxy of the adaptive response to intrinsic and/or extrinsic stress in body organs. It is thus important to disentangle the epigenetic basis of stress, adaptation, and pathology. In this symposium we discuss a combination of the specific DNA methylation patterns relate to the diseases as an intrinsic stressor and adaptation responses imposed to bodily systems, and also accelerated body organ morbidities. We explain the static and dynamic DNA methylation differentiation over time as the “epigenetic code” of accelerated pathology across various age using longitudinal data.
POLICY SERIES: NEW FAMILY CAREGIVING RESEARCH TO SUPPORT POLICY AND PRACTICE CHANGE
Authors: Accius Jean C , Young Heather 
Published: November 2019

Abstract
Families are the most important source of support to older adults. Today, there is growing recognition of the escalating complexity of family caregiving. Family caregivers are increasingly carrying out health-related tasks with little training or preparation, as well as continuing to provide the majority of long-term services and supports (LTSS) at home. Providing care in the context of rapidly changing health care and LTSS systems can have a significant impact on the family members who provide care and take a significant toll, emotionally, physically, and financially. Studies commonly show that family caregivers report learning complex tasks by trial and error and worry about making a mistake. This symposium highlights new caregiving research from the AARP Public Policy Institute. The first paper will present new research on the increasing complexity of the challenges facing family caregivers, such as managing multiple medications, wound care, and interaction with the health care system. The second paper will present new data on the economic value of the unpaid contributions of family caregivers in the United States. The third paper will examine the growing importance of family caregiving on the public policy agenda, and describe recent policy developments that recognize and explicitly support caregiving families. Recommendations for policy and practice change to address caregiving needs will be examined in all papers. Our discussant will identify key implications from this research for policymakers and practitioners, and potential drivers for developing a better system of family support at the federal and state levels.
ARE POLICY AND PRACTICE CHANGE TO SUPPORT FAMILY CAREGIVERS ON THE RISE?
Authors: Feinberg Lynn F 
Published: November 2019

Abstract
The challenges and pressures of family caregiving for older relatives or friends are a reality of daily life. Better recognition of and support for family caregivers has emerged as a national health, economic and social priority that can no longer be ignored. Unlike previous generations, most (60%) family caregivers work at a paying job today in addition to caring for older relatives with a serious health condition or disability. Building a better system of care for older adults means changes in workplaces as well as health care and LTSS settings. This paper presents an analysis of the key challenges that family caregivers face, and highlights policy developments and practice change at the federal and state levels since 2015. The presentation addresses the importance of person- and family-centered care in everyday practice, and discusses the road ahead to change the culture of care.
THE NIH PATHWAYS TO PREVENTION PROGRAM
Authors: Shropshire Keisha L 
Published: November 2019

Abstract
The National Institutes of Health Office of Disease Prevention (ODP) Pathways to Prevention (P2P) Program identifies research gaps, methodological and scientific weaknesses in selected scientific areas; suggests research needs; and moves the field forward through an unbiased, evidence-based assessment of a complex public health issue. P2P workshops are designed for topics that have incomplete or underdeveloped research and that have a need for a synthesis and critical assessment of the published literature. This talk will explain the purpose of this P2P workshop on use of drug therapies for osteoporotic fracture prevention within the larger context of NIH efforts to promote prevention research.
ECONOMIC INEQUALITY AND FUTURE THOUGHT AMONG OLDER ADULTS
Authors: Adamson Erin M , Ekerdt David J , Adamson Erin M 
Published: November 2019

Abstract
Cumulative advantage theory sees inequality extending into later life. Does inequality also extend to the imagination of one’s future and desires for life yet to come? We draw from semi-structured interviews with 55 individuals residing in Midwest cities to explore differences in talk about finances and expectations for longevity, fulfillment, and “active” pursuits. Addressing personal futures, participants’ desires for longevity varied. Lower SES individuals discussed not having expected to live to their current age (or much beyond it) and not wanting to live a long time. Higher SES individuals, by contrast, expressed confidence that they could afford care no matter how long they lived. Higher SES participants often described future leisure goals whereas lower SES participants tended not to name leisure goals, or they named activities they desired but could not afford. For low SES individuals, active pursuits also were limited by diseases disproportionately affecting poor Americans, such as diabetes.
SOCIAL NETWORKS, HEALTH, AND WELL-BEING AMONG PEOPLE LIVING WITH DEMENTIA
Authors: McConnell Eleanor S , Corazzini Kirsten , Konrad T Robert 
Published: November 2019

Abstract
Although the impact of dementia on the health and well-being of those living with Alzheimer’s Disease and related Disorders (ADRD) and their care partners has been widely studied, less attention has been paid to how the disease impacts individuals within the context of their larger social networks. This symposium presents findings from a series of integrated studies aimed at strengthening measurement of health and well-being among older adults with living with dementia and well-being among members of their social networks. Findings will be presented from five studies: (1) a scoping review of social network measurement in older adults in chronic illness, including dementia, that emphasizes the use of technology in measuring older adults’ social networks; (2) a simulation study to evaluate the feasibility and reliability of sensor technology to measure social interaction among a person living with dementia and others in their immediate surroundings; (3) development of a web-based application that allows older adults to map and activate their social networks; (4) a qualitative analysis of interviews from persons living with dementia, their unpaid caregivers, and paid caregivers from an adult day health program concerning well-being focused outcomes; and (5) a mixed methods analysis of the feasibility of using both traditional and novel measures of health and well-being deployed among networks of people living with dementia. Emerging technologies for measuring social networks health and well-being hold promise for advancing the study of the relationship-based nature of care for people living with dementia.
THE METHODOLOGICAL RELEVANCE OF MASS OBSERVATION DATA
Authors: Eost-Telling Charlotte L , Kingston Paul , Taylor Louise , Bailey Jan 
Published: November 2019

Abstract
The Mass Observation Project, established in 1937, documents the lives of ordinary people living in the UK, and explores a wide range of social issues. The Project distributes a set of written questions (“Directives”) to a panel of 500 members of the British public (“Observers”) three times each year; “Observers” respond in writing. From the initial commissioning of a “Directive” to data becoming available for analysis takes between four to six months. This approach offers researchers an opportunity to capture in-depth qualitative data from individuals with a range of demographic backgrounds who live across the UK. As there are no word limits on “Observers’” responses and they remain anonymous, a “Directive” often yields rich, high-quality data. Additionally, compared with alternative methods of collecting large volumes of qualitative data from a heterogeneous population, commissioning a “Directive” is cost-effective in terms of time and resource.
THE HEALTH IMPACT OF SCAMS
Authors: Bailey Jan , Kingston Paul , Taylor Louise , Eost-Telling Louise 
Published: November 2019

Abstract
This presentation will offer new and alternate insights into ‘scams’ and the health effects of fraud on older people. It reports data captured from a Mass Observation Project “Directive” focusing on scams and their impact on individuals. Eighty “Observers’” aged 50 and over responded to the “Directive”. Responses indicate that falling victim to a scam may have negative impacts on individuals’ mental wellbeing, self-esteem and relationships with others. Data analysis also identified that fear of victimisation can also affect individuals, resulting in worry, anxiety and maladaptive coping strategies. Offering a sociology of health perspective, we will focus is on these health impacts of scams and the legitimisation of the issue as a socio-political problem. We will also highlight additional important areas for consideration, such as the absence of a common understanding of the concept and nomenclature of ‘scam’, and the ‘vagaries of scams’ by presenting a typology of scams.
UTILIZING EFFECTIVE MENTORING STRATEGIES FOR RESEARCH SUCCESS: NYU SUMMER SCHOLARS PROGRAM
Authors: Rowe Meredeth , Yap Tracey , Wu Bei 
Published: November 2019

Abstract
Since 1998 the Hartford Institute for Geriatric Nursing has offered a summer program designed to accelerate the development of research projects and trajectories for young scientists. This interprofessional program brings faculty and scholars together from across the globe representing all healthcare disciplines. In the week long program, scholars benefit from expert presentations and daily mentoring sessions with experts in gerontological research. In this symposium, scholars will discuss strategies they have used to successfully move from ideas for research, to development of proposals, conduct of research projects and planning career trajectories. We will present differing mentoring strategies and available mentoring opportunities for gerontological-focused scientists. Each scholar will present their work with topics including optimal medication management to sustain home placement: use of adaptive dance to improve mood and function in persons with Alzheimer’s disease; facilitating positive attitudes toward older adults in nursing students; the use of mindfulness to reduce symptoms of urinary incontinence; and, a novel intervention to reduce pressure ulcers in the nursing home.
IMPACT OF ADAPTED DANCE ON MOOD AND PHYSICAL FUNCTION AMONG ALZHEIMER’S DISEASE ASSISTED LIVING RESIDENTS
Authors: Bennett Crystal 
Published: November 2019

Abstract
Neuropsychiatric secondary symptoms and altered physical function are prevalent among persons with Alzheimer’s Disease and related dementia disorders (ADRD) which increase healthcare costs and caregiver burden. Adapted dance is a promising intervention that may improve these symptoms and physical function. The purpose of this study is to test whether 12 weeks of adapted dance (60 min 2x/week) improves agitation, physical function, and reduces caregiver burden. An experimental crossover design will be used. ADRD residents with a Montreal Cognitive Assessment score between 6-26, Timed up and go of &lt;20 seconds, Cohen-Mansfield Agitation Inventory Score (CMAI) of &gt;15, and do not use oxygen or assistive device will be eligible to participate. Outcomes will be assessed at baseline and every 4 weeks during each study arm for 24 weeks. Measures include CMAI and the Neuropsychiatric Inventory-Clinician Scale for agitation; Short Physical Performance Battery for physical function; and Zarit Burden Interview for caregiver burden.
A TELEWELLNESS APPROACH TO REDUCE BARRIERS TO GROUP EXERCISE FOR ADULTS AGING WITH MOBILITY DISABILITY
Authors: Mitzner Tracy L , Remillard Elena T 
Published: November 2019

Abstract
Group exercise classes have the potential to provide physical, cognitive, and emotional health benefits, through the physical activity performed as well as the social interaction among class participants. Substantial barriers exist for adults aging with lower-body mobility disabilities to engage in group exercise classes, including lack of transportation to classes, inaccessible buildings where classes are held, and lack of appropriate modifications offered for this population of older adults. Just as telehealth interventions have reduced barriers to healthcare, telewellness interventions can reduce barriers to engaging in wellness activities, such as group exercise classes. We will discuss a research study employing teleconferencing software to translate an evidence-based group tai chi class for adults aging with lower-body mobility disabilities. We will present the adaptation requirements identified to test the efficacy of a telewellness intervention for improving increasing social interaction and positive health behaviors (i.e., physical exercise frequency) for adults aging with disabilities.