bluuebunny/crossref_metadata_2025_split huggingface dataset:
Reflections and Prospects of the Gerontological Training and Education
Authors: Lee Kathy , Hamler Tyrone , Wallace Cara 
Published: December 2020

Abstract
The demand for professional training, mentorship, and research in the field of aging is expected to increase remarkably. Recent statistics indicate less than 8% of social work students nationwide specialize in gerontology; however, a significant amount of social work graduates, regardless of their specialization at school, serve older adults in various social and health care settings. As a panel, former fellows present experiences as participants of the AGESW Pre-Dissertation Fellows Program. The program helps students comprehend basic principles of doctoral education and develop strong professional networks with other gerontology-focused colleagues and mentors across the country. Doctoral students are also trained to be competent working with older adults through research, teaching, and professional development. Many fellows move into faculty positions and their accomplishments are varied and impressive. It is difficult to separate these from the education, connections, mentorship, and support received from the AGESW network and through participation in this program.
Policy Series: The Role of a Stakeholder Member Group in Shaping Geriatric Policy: The National Association for Geriatric Education
Authors: Waters Leland , Lindberg Brian 
Published: December 2020

Abstract
The National Association for Geriatric Education (NAGE) is a non-profit membership organization representing Geriatric Workforce Enhancement Programs (GWEPs), Geriatric Academic Career Awardees (GACAs) and other programs that provide education and training to health professionals in the areas of geriatrics and gerontology. Our work includes faculty training and fellowships, continuing education, and hands on experiences in the clinical setting. One of our priorities is to educate policy makers and the public about the need for health care professionals to receive geriatrics education so they will better serve the expanding older population. One of our goals is to provide a mechanism for policy development and dissemination to external audiences regarding the mission, goals and impact of geriatric education programs. Our policy objectives include providing guidance to the United States Public Health Service and other organizations in the development of programs to enhance the education of health care practitioners and others. Another objective is to educate Congress about necessary priorities in geriatric education. We serve as a voice for the goals and interests of the nation’s GWEPs, GACAs, and other groups providing education in geriatrics and gerontology. This symposium will first describe how geriatric educators inform policy. Then a historical perspective of how NAGE has influenced aging policy is provided. Recent efforts to increase funding for geriatric education will be shared, followed by future directions in policymaking.
Acceptance of Transportation Technologies by Aging Adults
Authors: Charness Neil , Souders Dustin , Best Ryan , Roque Nelson , Yoon JongSung , Stothart Cary 
Published: December 2020

Abstract
Older adults are at greater risk of death and serious injury in transportation crashes which have been increasing in older adult cohorts relative to younger cohorts. Can technology provide a safer road environment? Even if technology can mitigate crash risk, is it acceptable to older road users? We outline the results from several studies that tested 1) whether advanced driver assistance systems (ADAS) can improve older adult driving performance, 2) older adults’ acceptance of ADAS and Autonomous Vehicle (AV) systems, and 3) perceptions of value for ADAS systems, particularly for blind-spot detection systems. We found that collision avoidance warning systems improved older adult simulator driving performance, but not lane departure warning systems. In a young to middle-aged sample the factor “concern with AV” showed age effects with older drivers less favorable. Older drivers, however, valued an active blind spot detection system more than younger drivers.
Aging Experiences Around the World: Local Findings and Global Insights From Population Surveys of Aging
Authors: Ailshire Jennifer , Lee Jinkook 
Published: December 2020

Abstract
International comparisons of the aging experience offer a unique opportunity to understand how much the aging process varies according to differences in social environments. Despite the potential knowledge gained from global comparisons of health and aging, conducting cross-national comparisons can be challenging. The HRS-family of surveys, which have been harmonized within the Gateway to Global Aging, provides remarkable opportunities for cross-national comparative analysis. The papers in this session use harmonized data to compare the aging experience across different social dimensions in multiple countries from around the world, including examinations of: 1) the role of social engagement among married couples in cognitive function in Mexico and the United States; 2) the importance of work histories and macro-economic policies on later life health in England and Europe; 3) gender differences in the receipt of informal care in the U.S., Korea, and China; 4) the association between sensory impairment and disability-free life expectancy in England and the U.S.; and 5) end-of-life care arrangements and health care utilization in the context of different health systems across multiple countries.
Trust and Language as Predictors of Service Use
Authors: Ring Lauren , Glicksman Allen , Liebman Michael , Rodriguez Misha 
Published: December 2020

Abstract
Research on older migrants often starts with a set of assumptions- including the importance of language as a barrier to care. A comparative approach allows us to examine these assumptions as they impact access to services for older migrants. Our study compared two groups of older migrants – Mandarin speaking Chinese and Spanish speakers from Puerto Rico. Through a series of focus groups we learned that although language can be a barrier to service access, the more important element in reducing disparities for older migrants is the level of trust between older adult and provider. For the older Chinese participants, the presence of a native speaker whom they trust is contrasted with a lack of trusted native Spanish speakers available to Puerto Rican elders, who must often rely on translators from various providers. We will use this example to help explain the differences in service use by these two communities. Part of a symposium sponsored by the International Aging and Migration Interest Group.
The Importance of Cultural Traits in Children’s Willingness to Provide Informal Care to a Parent
Authors: Diederich Freya , König Hans-Helmut , Brettschneider Christian 
Published: December 2020

Abstract
The likelihood that a child will provide informal care to a parent varies across countries and between social groups within countries. We highlight the importance of cultural traits in children’s value of informal care and their willingness to provide informal care to a parent. We initially construct a cultural measure of the strength of family ties at the country level using data from the World Values Survey. Then, we use a sample of second-generation immigrants from the German Family Panel (N=1,041) and regress their value of informal care on the strength of family ties that prevails in their parents’ country of origin. Immigrants who have origins in countries with strong family ties are significantly more likely to report a high value of informal care. Finally, we show that children who report a high value of informal care are significantly more likely to provide informal care to a parent in need. Part of a symposium sponsored by the International Aging and Migration Interest Group.
The Holistic Impact of Using Arts-Based Intervention for Elderly With Dementia
Authors: Ho Rainbow Tin Hun 
Published: December 2020

Abstract
The use of creative arts on supporting elderly with dementia has been becoming popular due to its safe and engaging process. This non-pharmacological approach can complement with other treatment methods to support elderly with dementia on various aspects, including physical, cognitive and social functioning. In our randomized controlled trial on dance movement therapy (DMT) for 204 community dwelling elders with mild dementia, we found DMT could significantly reduce the level of depression, loneliness and negative mood (β=0.33-0.42, p&lt;.01), and also the diurnal cortisol slope (β =0.30, p&lt;.01); while in another trial on 73 elderly with moderate dementia, we found music and movement could help reduce the behavioral and psychological symptoms such as agitation (β = -0.41, p&lt;.01), aberrant motor behavior (β=-1.02, p&lt;.01), and dysphonia (β=-0.61, p&lt;.05). The present presentation aims to share with the audience our practical experiences, the research procedures as well as the findings of the projects.
The Art of Body Movement: Health Impact on Older Adults With Disability and Dementia
Authors: Chen Kuei-Min 
Published: December 2020

Abstract
Body-movement is an art form of self-expression and health promotion. This presentation will provide an overview of studies that employ the use of “movement activities” or “exercise” as non-pharmacological modalities to improve activities of daily living and functional fitness (e.g., cardiopulmonary function, body flexibility, range of joint motion, and muscle strength and endurance) of older adults with disability. These studies have also been shown to decrease depression state and behavior symptoms of older adults with dementia in long-term care facilities. Moreover, the Wheelchair-bound Senior Elastic Band (WSEB) exercise program will be described that are of relevance to the older adults with disability and dementia.
The Links Between Ageism and the Age-Based Double Standard
Authors: Li Changrui , Barber Sarah , Brewer Gene 
Published: December 2020

Abstract
There is an age-based double standard in how we evaluate memory failures by younger and older adults. Whereas younger adults’ forgetfulness is attributed to lack of effort or attention, older adults’ forgetfulness is attributed to lack of ability. Our goal was to replicate this phenomenon, and evaluate its links to benevolent and hostile ageism. To do so, we used a vignette paradigm in which younger and older participants read about a target person (who was a younger or older woman) who left a store without paying for a ring (which varied in price). Results showed that participants were more likely to attribute this to poor memory abilities when the target was an older adult. They were also more lenient in their ascribed punishments for the older adult targets. In addition, reading about an older adult target’s mistake was associated with subsequently higher endorsement of benevolent, but not hostile, ageist attitudes.
Dementia Caregiving: The Association Between Family Caregiving Strain and Receipt of Paid Care
Authors: Reckrey Jennifer , Bollens-Lund Evan , Tsui Emma , Boerner Kathrin , Ornstein Katherine 
Published: December 2020

Abstract
family caregivers. Using data from three waves (2011, 2015, 2017) of the National Health and Aging Trends Study (NHATS) linked to the National Study of Caregiving (NSOC), we identified family caregivers of those with advanced dementia and compared caregiving strain among those with zero, &lt;20, and 20+ hours/week paid care. Family caregivers of those who received 20+ hours (26% of the sample) reported less caregiver strain (mean score 3.27 vs 4.15, p=0.04) and less frequently reported having more to do than they could handle (46.1% vs 67.9%, p=0.01) or not having enough time for themselves (46.8% vs 72.2%, p&lt;0.01). The association persisted in a multivariable model. These results support the conceptualization of dynamic and potentially multidirectional relationships between paid and family caregivers and suggest that paid caregivers impact both those receiving care and their families.
Prevalence of Diagnosed Alzheimer’s Disease and Related Dementias in Medicare Advantage
Authors: Jutkowitz Eric , Bynum Julie , Mitchell Susan , Cocoros Noelle , Shapira Oren , Platt Richard , McCarthy Ellen 
Published: December 2020

Abstract
A third of Medicare beneficiaries are enrolled in Medicare Advantage (MA); however, little is known about MA beneficiaries diagnosed with Alzheimer’s disease and related dementias (AD/ADRD). MA plans have incentives that may influence the type of beneficiaries who enroll/disenroll from plans and the documentation of diagnoses. We calculated the prevalence of diagnosed AD/ADRD in 2014 and 2016 in three MA plans representing ~30% of the MA market. We identified beneficiaries ≥65 years of age enrolled in the MA plans in 2014 and 2016. Among eligible beneficiaries, we identified individuals with AD/ADRD using ICD-9 (2014) and ICD-10 (2016) codes included in the Medicare Chronic Conditions Warehouse algorithms for AD/ADRD. We determined the age and sex of beneficiaries diagnosed with AD/ADRD, and whether they disenrolled from the MA plan for any reason (e.g., death, enrollment in a different MA plan, enrollment in traditional Medicare or discontinuation of a plan) within 364 days from the date they were first identified has having AD/ADRD (i.e., index date). In 2014 and 2016 the prevalence of AD/ADRD diagnoses was 5.7% and 6.5%, respectively. In 2016, AD/ADRD beneficiaries were on average 82.4 (SD=7.3) years of age, 61.8% female, and had multiple comorbidities. By 364 days post-index, 32% of beneficiaries with diagnosed AD/ADRD had disenrolled from their plan. The characteristics of 2014 beneficiaries with diagnosed AD/ADRD were similar to their 2016 counterparts. In conclusion, MA beneficiaries with AD/ADRD are predominately female, have multimorbidity, and the age-stratified prevalence of AD/ADRD diagnoses is lower than rates reported in traditional Medicare.
Sleep Disturbance and Dementia Risk: Findings From 8 Years of Prospective Data
Authors: Wong Roger 
Published: December 2020

Abstract
Recent evidence indicates sleep disturbances increase dementia risk. Despite extensive support for this finding, numerous studies are based on cross-sectional data and no research has examined this relationship using a national sample. The purpose of this study was to analyze how sleep disturbances are associated with dementia risk. This study used eight annual waves (2011-2018) of prospective data from the National Health and Aging Trends Study, a large nationally representative U.S. sample of older adults. At each wave, sleep disturbances were measured as: 1) trouble falling asleep in 30 minutes, 2) trouble falling asleep after waking up early, and 3) taking medication to help sleep. The dependent variable was number of years to a new dementia diagnosis. Multivariate analyses were conducted using the Cox proportional hazards model with survey sampling weights applied for a national sample of 6,800 community-dwelling older adults dementia-free at baseline. After controlling for sociodemographics (age, sex, race, education, etc.) and health (mental health, physical health, chronic disease, etc.), trouble falling asleep in 30 minutes was not associated with dementia risk, (Hazard Ratio [HR]=1.01, p=.98), however, trouble falling asleep after waking up significantly decreased risk (HR=0.40, p&lt;.01), and taking sleep medications significantly increased risk (HR=1.72, p&lt;.01). Our findings suggest mixed evidence on how sleep disturbances are associated with dementia risk, but needing sleep medications may be predictive of elevated dementia risk. Future research should explore pathways or behaviors that may decrease dementia risk among individuals who wake up at night, but have trouble falling back to sleep.
Marital Quality and Mental Health Among Caregiving Dyads
Authors: Proulx Christine , Skoblow Hanamori , Han Sae Hwang 
Published: December 2020

Abstract
We examined whether the associations between marital quality and mental health were equally strong among dyads in which one spouse was providing care to a spouse (n = 155), parent (n = 61), or another adult (n = 176). Using Wave 2 of the NSHAP and actor-partner interdependence (APIM) models, we found significant differences (p=.004) among groups. Marital quality was negatively associated with one’s own depressive symptoms (b=-1.29) for husbands in the spousal caregiver group, whereas marital quality was negatively associated with one’s own depressive symptoms for wives in both the parental (b=-1.27) and other adult (b=-1.96) caregiver groups. The only partner effect was the negative association between wives’ marital quality and husbands’ depressive symptoms (b=-2.59) among dyads in which one spouse was a parental caregiver. These results point to the importance of understanding the context of caregiving when examining the protective effect of spouses’ marital quality on mental health.
A Challenge From Longevity: Study on the Care Provider of the Chinese Oldest-Old at the End of Life
Authors: Zhang Wenjuan 
Published: December 2020

Abstract
The study aimed to investigate the changing pattern of care for the oldest-old at the end of life in China. Data were used from the Chinese Longitudinal Longevity survey from 1998 to2018. The results indicate significant changes in the care providers of older adults at the end of life from 1998 to 2018: grandchildren played an increasing important role in providing care to the oldest-old in China. The study highlights an important role of grandchildren who replace children as main caregivers. Longevity changes the traditional pattern of end-of-life care, and increase the diversity in the pattern of care for the Oldest-old, due to different life course of families compared with general aging families, and the limited role of formal social support system in providing end-of-life care for the oldest-old. We discuss implications in the context of increasing population of the oldest-old, and its challenges to formal social support system.
Improving Hand-Grip Strength and Blood Pressure in Adults: Results From an AgingPLUS Pilot Study
Authors: Nehrkorn-Bailey Abigail , Forsyth Garrett , Braun Barry , Burke Kimberly , Diehl Manfred 
Published: December 2020

Abstract
Based on adult inactivity, a new intervention named AgingPLUS was created, targeting motivational barriers to physical activity. Data come from a pilot study (N = 116), with 56 participants randomized to the AgingPLUS group (Mage = 63.52 years, SD = 7.89 years), and 60 randomized to the active control group (Mage = 63.06 years, SD = 8.30 years). Multi-group linear growth curve analyses examined improvements in hand-grip strength and blood pressure from pretest (Week 0) to immediate (Week 4) and delayed posttest (Week 8). Findings showed that only participants in the AgingPLUS group had significant improvements in hand-grip strength for the right (B = 1.34, p &lt; .001) and left hand (B = 1.73, p &lt; .001), as well as significant reductions in systolic (B = -3.28, p &lt; .05) and diastolic blood pressure (B = -1.92, p &lt; .01). These findings provide support for the efficacy of AgingPLUS.
Examining the Interplay of Generalized and Personal Views on Aging on Physical and Mental Health Across 2.5 Years
Authors: Brothers Allyson , Kornadt Anna , Nehrkorn-Bailey Abigail , Wahl Hans-Werner , Diehl Manfred 
Published: December 2020

Abstract
It remains unknown how distinct types of views on aging (VoA) are related to one another, and to aging outcomes. We used a latent-variable structural equation model to test the hypothesis that generalized views on aging (assessed as Age Stereotypes (AS)) would influence personal views on aging (assessed as Self-Perceptions of Aging (SPA)), which in-turn would influence later physical and mental health. Data came from a longitudinal survey on VoA (N= 537, MageT1 = 64.13, age rangeT1 = 40-98). As expected, SPA mediated the effect of AS on physical (loss-SPA: β = .23, p&lt; .001; gain-SPA: β = .06, p&lt; .001; R2 = .62) and mental health (loss-SPA: β = .13, p&lt; .001; gain-SPA: β = .03, p&lt; .01, ; R2 = .31). Congruent with theoretical assumptions, our findings provide empirical support for a directional pathway by which generalized views on aging affect health outcomes via personal views of aging.
A Multiple Stakeholder Perspective for Evaluating Community-Based Dementia Care
Authors: Suen Johan 
Published: December 2020

Abstract
For holistic interventions and research on dementia, it is fundamental to understand care experiences from the perspectives of carers, care recipients, and care professionals. While research on care dyads and triads have highlighted the effects of communication and interactional aspects on care relationships, there is a lack of knowledge on how individual-contextual and relational factors shape the provision and receipt of care in terms of decision-making processes, resource allocation, and expectations of care outcomes. Thus, this paper sheds light on (i) how carers negotiate care provision with other important life domains such as employment, household/family roles and conflicts, as well as their own health problems, life goals, values, and aspirations for ageing; (ii) how older adults with dementia perceive support and those who provide it; (iii) the structural constraints faced by care professionals in delivering a team-based mode of dementia care; and, taken together, (iv) how community-based dementia care is impeded by barriers at the individual, relational, and institutional levels. Findings were derived from semi-structured interviews and observational data from fieldwork conducted with 20 persons with dementia (median age = 82), 20 of their carers (median age = 60), and 4 professional care providers. All respondents were clients and staff of a multidisciplinary and community-based dementia care system in Singapore. Our analysis indicates the impact of dementia care is strongly mediated by the interplay between institutional/familial contexts of care provision and the various ‘orientations’ to cognitive impairment and seeking support, which we characterised as ‘denial/acceptance’, ‘obligated’, ‘overprotective’, and ‘precariously vulnerable’.
The Role of Subjective Age Views for 9-Year Change in Self-Reported Problems With Vision and Hearing
Authors: Wettstein Markus , Wahl Hans-Werner , Spuling Svenja 
Published: December 2020

Abstract
We examined the role of subjective age views (subjective age; attitudes toward own aging [ATOA]; aging-related cognitions, comprising continuous growth, social loss, and physical decline) for changes in self-reported problems with vision and hearing over up to 9 years. A subsample of the German Ageing Survey (2,499 adults aged 60-85 years at baseline) was investigated. Controlling for gender, age, education, self-rated health, and region of residence (West vs. East Germany), a younger subjective age at baseline predicted less steep increase in vision problems among individuals who were chronologically older at baseline. More favorable ATOA scores were associated with less increase in hearing problems. Higher scores on continuous growth went along with less increase in hearing problems, whereas higher social loss scores were associated with a steeper increase in vision problems. Several associations increased with advancing age. Our findings suggest that subjective age views indeed predict late-life changes in sensory problems.