bluuebunny/crossref_metadata_2025_split huggingface dataset:
Workplace Adaptive Technologies for Working Adults With Cognitive and Physical Disabilities
Authors: Heyn Patricia 
Published: December 2020

Abstract
Individuals with disabilities usually have difficulty in finding and maintaining employment prospects and thus, they are extremely underrepresented in the workforce. These challenges are even greater when the person has both cognitive and physical disabilities. While there is evidence supporting the benefits of employing individuals with disabilities in the workforce, employers are usually unprepared to hire individuals with disabilities. They are also concerned that the work productivity may be impacted by the employee with a disability. Thus, technology can play an important role in helping a person with cognitive and /or physical impairment work on tasks that require memorization and assembly performance. We will present a mobile technology system that was planned and piloted with working adults with physical and cognitive impairments. Founded on our pilot study, mobile technologies hold the potential to help people with disabilities to perform jobs that require memorization as well as systematic assembly tasks.
Barriers and Facilitators for Older Adults with Serious Mental Illness to Utilizing Medicaid Smartphone Services
Authors: Myers Amanda , Fortuna Karen 
Published: December 2020

Abstract
As increasingly more older adults in the general population utilize smartphones to access health services, the digital divide between older adults with serious mental illness (SMI) and the general older adult population continues to widen. The purpose of this study was to examine older adult peer support specialists’ and older people with SMI’s perspectives of barriers and facilitators to utilizing Medicaid Safelink smartphone services. Data from two focus groups and five semi-structured interviews from older adult peer support specialists (N=10) and older adults with SMI (N=15) were analyzed using the Consolidated Framework for Implementation Science Research. A mixed methods convergent design integrated quantitative with qualitative data. Older adults with SMI (N= 15) had a mean age of 55 years and were mainly women (70%) and White (100%). Certified peer specialists (N= 10) had a mean age of 52 years (age range 45-67) and were mainly female (75%), 66% identified as White, and 33% identified as African American. Four themes that were identified across different aspects of barriers included technology knowledge, technology adoption, design features (i.e., smartphone size, option to increase font sizes, multi-modal capacity, navigational architecture, 508 compliance), and Safelink policies and procedures. Facilitators included free and continuous services, access to technical support, and smartphone capabilities to enable healthcare communications and facilitate the delivery of services. Improving upon the themes identified as barriers to utilizing Safelink may promote a continuum of care for older adults with SMI, closing the gap of services that occurs between in-person therapy and other interventions.
Sibling Death in the Family and Dementia Risk
Authors: Cha Hyungmin , Thomas Patricia , Umberson Debra 
Published: December 2020

Abstract
Growing evidence points to the role of stress in contributing to dementia risk, and experiencing the death of a family member is a particularly stressful life event. Sibling relationships are typically life-long relationships and the death of a sibling is likely to be a stressful event in the life course; however, there is little research illuminating the possible consequences of sibling loss for dementia risk. This study considers whether experiencing the death of a sibling before midlife is associated with subsequent dementia risk and how such losses, which are more common for Black and Hispanic than for White populations, may add to racial/ethnic disparities in dementia risk. We use discrete-time event history models to predict dementia incidence among 9,590 non-Hispanic white, 1,669 non-Hispanic black, and 1,109 Hispanic respondents from the Health and Retirement Study, 2000-2014. Losing a sibling during the observation period is associated with increased risk for later dementia. The death of a sibling is robust to the inclusion of a variety of biosocial factors that contribute to subsequent dementia risk. The death of a sibling is a life course event with consequences that appear to increase dementia risk for Black and Hispanic older adults, and this increased risk is explained by biosocial processes likely activated by bereavement. However, Black and Hispanic Americans are further disadvantaged in that they are more likely than White Americans to experience the death of a sibling, and such losses add to the already substantial racial disadvantage in dementia risk.
Hiram J. Friedsam Mentorship Award Lecture
Authors: Hancock Cynthia 
Published: December 2020

Abstract
The Hiram J. Friedsam Award lecture will feature an address by the 2020 award recipient, Karen Kopera-Frye, PhD, MPA, FGSA, FAGHE. Hiram J. Friedsam was the professor, co-founder, and director of the Center for Studies in Aging and dean of the School of Community Service at the University of Northern Texas. Dr. Friedsam was an outstanding teacher, researcher, colleague, and mentor to students, faculty, and administrators, as well as a past president of AGHE. The purpose of this award is to recognize those who emulate Dr. Friedsam’s excellence in mentorship.
M. Powell Lawton Award Presentation
Authors: Dobbs Debra 
Published: December 2020

Abstract
“The lecture will be given by the2019 recipient, Barbara Resnick, PhD, CRNP, FGSA of the University of Maryland. The session will also include the presentation of the2020 Lawton Award to recipient Sara J. Czaja, PhD, FGSA. The M. Powell Lawton Award is presented annually to an individual who has made outstanding contributions from applied research that has benefited older people and their care. The Lawton Award is generously funded by the Polisher Research Institute of the Madlyn and Leonard Abramson Center for Jewish Life.”
M. Powell Lawton Award Presentation
Authors: Resnick Barbara 
Published: December 2020

Abstract
Dr. Lawton focused his life work, starting in the 1960s, on improving the lives of older adults, particularly those with dementia. He did this at a time when care was custodial at best. He was innovative and initiated new thoughts about how to best care for individuals in institutional settings. He raised our awareness about the importance of the environment and the value of individualized care. We build on that work today. The focus of this 2019 Powell Lawton award presentation is on sharing my lifetime work, starting in 1972, on helping older adults, particularly those who are institutionalized and may have cognitive changes, maintain their functional ability and increase time in physical activity. Along with Dr. Lawton’s experiences, I and the teams I have worked with, have met challenges ranging from the use of Houdini vests to bed alarms and wheelchairs, to the persistent call out by caregivers to older adults-“don’t get up you might fall.” I will share information, resources and data from over a 20 year period developing and testing Function Focused Care, an approach to care that helps caregivers optimize function and increase physical activity among institutionalized older adults. Further, the process for how to disseminate and implement Function Focused Care across multiple settings and how to be a resilient researcher will also be reviewed. Participants will be able to take the findings and resources from this presentation and implement this approach into their own settings of care.
Perceptions of mandatory reporting among family physicians to protect victims of elder abuse in Mongolia
Authors: Bagaajav Ariunsanaa 
Published: December 2020

Abstract
Every year, approximately 10% of older adults worldwide experience elder abuse (EA), a serious violation of human rights. A wide range of consequences of EA have been identified including increased vulnerability to morbidity and mortality. Some countries have regulations to protect victims of EA either under stand-alone EA laws or relevant laws such as mandatory reporting. As of 2016, family physicians (FPs) in Mongolia became mandatory reporters of domestic violence alongside other human service workers under the newly amended Law to Combat Domestic Violence. Evidence shows that health providers who report abuse cases have greater awareness of their mandatory obligations to report. No rigorous study has explored the extent to which FPs in Mongolia know about mandatory reporting and their perceptions about its effectiveness to help victims of EA. An exploratory qualitative study was conducted. Through purposive sampling, 15 FPs participated in semi-structured in-depth interviews. The data collection took place over Skype. All interviews were recorded, transcribed verbatim and analyzed using thematic analysis. Surprisingly, all participants were aware of their mandatory obligations to report cases of domestic violence including EA. However, the study revealed that FPs were doubtful that potential victims of EA would be effectively protected under the new regulation due to the public perception that services and legal resources are designed primarily for women and children. Addressing this misconception is critical for ensuring that resources are appropriately utilized for potential victims of EA as well.
Judging Older Adult Speakers: Only Young Adults Low in Ageism Notice the Nuances
Authors: Turner Jennifer , Hayslip Renee , Stanley Jennifer 
Published: December 2020

Abstract
Ageism negatively impacts hiring and electability success, as well as intergenerational relationships (Levy,2003;2009). The current study sought to examine whether personality cues influenced performance ratings of older adult (OA) speakers whose behavior had been modified by an embodiment intervention (i.e., “power posing”). One-hundred-and-three young adults (YA; Mage=19.6, SD=2.06; 49.5% women) rated the performance of 9 OA speakers performing 5-minute campaign speeches, and reported the cues that influenced their ratings. Two independent raters coded the cues (i.e., introversion and extroversion; coded by two independent raters, κ = .72 [moderate-to-substantial interrater reliability; Chen, 2019; McHugh, 2012]). Participants also completed the Refined-Aging Semantic Differential (Polizzi & Millikin, 2002) as a measure of ageism endorsement. Greater ageism was associated with lower performance ratings (F(1,101)=15.97, p&lt;.001, R2=.14); performance was reduced by .12, 95%CIs[-.018,-.006] for each additional point of ageism endorsement. Next, we investigated whether personality cues would modify this relationship using Hayes PROCESS Model 1 (2018). A significant interaction emerged between ageism and introverted cues (b=.015, p=.05, 95%CIs[.006,.023]), suggesting that greater perceived introversion was negatively associated with performance ratings. Additionally, individuals lower in ageism were more likely to calibrate their performance judgments based on the pose condition of the speaker, with participants lower in ageism exhibiting greater variability across pose conditions (Ms=3.96-4.37), than individuals higher in ageism (Ms=4.21-4.31), suggesting that individuals lower in ageism were attending to nuances in the speech (e.g., pose influence), while higher ageist individuals relied more heavily on age-related judgments.
Improving Aging in Place for Older Adults with Low Incomes: Perspectives of Home Health Aides
Authors: Jahan Momana , Hentschel Claudia , Pandit Sonia , Akhiary Mona , Wisdom-Goulbourne Tiffany , Resnick Barbara , Reid Carolina , Brown Rebecca 
Published: December 2020

Abstract
Older adults with low incomes experience disproportionate rates of cognitive and functional impairment and an elevated risk for nursing home admission. Home health aides (HHAs) can help older adults to age in place by optimizing function and engaging them in routine physical activity. Despite this potential role, little is known about HHAs’ perspectives on how to facilitate aging in place for this population. We conducted 6 focus groups with 21 English-speaking and 10 Spanish-speaking HHAs working in Philadelphia and New Jersey. Transcripts were analyzed using qualitative thematic analysis. HHAs described wearing multiple hats and pushing the boundaries of their role as a HHA to provide a “comfortable and safe” environment through nursing and emotional support. Many HHAs shared that they serve as surrogate family, often spending more time in clients’ homes than family members or other healthcare providers. This unique position provides HHAs with valuable insights into clients’ changing health which allows them to detect early warning signs of clients’ functional and cognitive decline, including falls, depression, and confusion. HHAs noted several factors that worsened clients’ decline including a lack of adaptive equipment, social isolation, and limited HHA input into clients’ care plans. They also pointed to factors that facilitated clients’ aging in place, including utilization of community-based services, family support, and communication between healthcare team members. Our findings suggest that HHAs have important insights into improving aging in place for older adults with low incomes and should be incorporated into care planning and intervention delivery.
Including Caregivers in the Community Aging in Place, Advancing Better Living for Elders Program
Authors: Fields Beth , Yanes Caylee , Ennis Molly , Toto Pamela 
Published: December 2020

Abstract
Older adults frequently turn to informal caregivers for support to age independently in their home as long as possible. Yet, many evidence-based programs designed to support aging in place do not include caregivers, including the well-known Community Aging in Place, Advancing Better Living for Elders (CAPABLE) program. The purpose of this qualitative study was to adapt CAPABLE to include caregivers using a grounded theory approach. Data collection occurred with stakeholders from an Area Agency on Aging (AAA) in Pennsylvania. Two, 60-minute focus groups were conducted with frontline providers (n=7) and administrators (n=7). Eight, 30-minute individual interviews were conducted with AAA consumers including older adults and their caregivers. Constant comparative analysis of the data were completed using NVivo 12 Pro. Stakeholders described three considerations for adapting CAPABLE to include caregivers: older adult preference and caregiver willingness, clear guidelines and expectations, and hands-on training. Older adults and caregivers recognized the need to “allow them to decide when and why family should be involved in the program.” Frontline providers and administrators explained the importance of “determining whether older adults and caregivers should have shared or separate goals for the program.” All stakeholders expressed that including caregivers would “reaffirm the hands-on training like fall prevention.” These perspectives shed light on how and why to include caregivers in CAPABLE. Information gleaned from this study may help researchers think about ways in which to adapt other evidence-based programs to include caregivers, and help healthcare providers target and support caregivers in the delivery of their services.
Association between late-life hypercholesterolemia and progression of dementia severity among older adults
Authors: Sin Mo-kyung , Cheng Yan , Ahmed Ali , Zamrini Edward 
Published: December 2020

Abstract
Progression of dementia severity varies widely by individuals and multiple factors might influence the progression. The aim of this study was to examine the relationship between late-life hypercholesterolemia and progression of dementia severity in older adults. We used prospectively collected longitudinal data from 2,686 adults aged ≥65 years in the National Alzheimer’s Coordinating Center. Progression of dementia severity was measured using both Clinical Dementia Rating (CDR) - Sum of Boxes (SOB) and Global scores. Kaplan Meier curves were plotted to estimate the association between hypercholesterolemia and progression of dementia severity. We also conducted multivariate Cox regression models to estimate the association of hypercholesterolemia with the outcomes adjusting for age, gender, race, ethnicity, marital status, living status, education, smoking, heart failure, atrial fibrillation, blood pressure, and diabetes. Hypercholesterolemia had significant association with CDR-SOB ≥ 1 point increase (unadjusted HR, 1.23; 95% CI, 1.13-1.35; p&lt;0.001; adjusted HR, 1.17; 95% CI, 1.07-1.28; p&lt;0.001). In addition, hypercholesterolemia had significant association with CDR-Global ≥ 0.5 point increase (unadjusted HR, 1.14; 95% CI, 1.04-1.25; p&lt;0.001; adjusted HR, 1.11; 95% CI, 1.01-1.22 p=0.036). If these findings can be replicated in future studies, future studies need to examine if proper management of cholesterol may reduce the risk of Alzheimer’s dementia in late-life older adults.
Development and Pilot of a Newly Developed Tool for Assessing Research Participation for Individuals with Dementia
Authors: Judge Katherine , Minyo Morgan , MacNeil Amanda , Lucas Kaitlyn , Grant Claire 
Published: December 2020

Abstract
Research supports the inclusion of individuals with mild to moderate dementia (IWDs) as study participants in providing reliable and valid self-report information about their illness experience. However, no clear guidelines or tools exist for determining study eligibility with many studies relying on brief cognitive measures (e.g., MMSE). The literature suggests not all individuals with mild/moderate dementia can participate and some individuals with severe symptoms of dementia can participate. This study piloted a new measure designed to assess whether IWDs can participate in self-report data protocols. The measure consists of 10 questions that assess relatively in-tact cognitive processes hypothesized for successful participation. Example questions include: “What is your favorite holiday?” and “Give an example of a sad occasion/event”. Questions are scored as ‘correct’ or ‘incorrect’ and summed for a total score. To examine the descriptive characteristics of the measure, IWDs (n=18) completed the measure along with the MMSE and, for some IWDs (n=12), several self-report measures. Scores on the new measure ranged from 0-10, with a M=7.61; SD=2.75. MMSE scores ranged from 2-22, with a M=13.39; SD=6.47. A significant correlation (r = .86, p&lt; .001) was found with the MMSE, indicating a high degree of relatedness but not complete construct overlap. Results also highlight the variability of the measure, with incorrect responses ranging from 3 to 6 across participants. Additional properties of the measure will be discussed along with highlighting how study findings fit with recommendations from 2020 NIA Research Summit on Dementia Care and next-steps in refinement and testing.
Does Anxiety Affect Performance on Attention Task (digit span forward) on the MOCA Test? A clinical correlation study
Authors: Patel Rima , Nair Anil 
Published: December 2020

Abstract
It is unknown if anxiety affects performance on Digit span forward (DSF) in memory clinic patients. We performed a retrospective chart review of memory clinic patients in the south shore of Boston from 2010 to 2020. We correlated anxiety screen data (GAD7) to Digit Span Forward (DSF) scores obtained from the MoCA. As the data were not normal, we performed univariate analyses with Spearman correlation. A multivariate regression model estimated the relationship of DSF to covariates of GAD7, age, sex, and race. We hypothesized a negative correlation between anxiety levels scored by GAD7 and DSF. H0: Digit span forward DSF ~ GAD7+Age+Sex+Race. A chart review found 965 patients attending the memory clinic between 2010 to 2020 had analyzable data. 433 patients with available DSF and 737 had available GAD7. The patients were 58.7% female and 84.7% caucasian. The mean age was 70.1±14.4, DSF 0.8±0.4 and GAD 5.6±5.7. DSF correlated significantly to race (⍴=-0.25, p=&lt;0.001), but not to gender (⍴=0.05, p=0.149), age (⍴=-0.04, p=0.3), or GAD7 (⍴=-0.018, p=0.71). There was no significant association of DSF to race, age, gender or GAD7 on the multivariate model. In memory clinic subjects there exists no correlation between anxiety levels scored by GAD7 and DSF performance.
Earning the Trust of African American Communities to Increase Representation in Dementia Research
Authors: Portacolone Elena , Palmer Nynikka , Lichtenberg Peter , Waters Catherine , Hill Carl , Keiser Sahru , Johnson Julene K 
Published: December 2020

Abstract
Black/African American populations are underrepresented as participants in dementia research. A major barrier to participation of African American older adults in dementia research is a tendency to distrust research institutions owing to a legacy of racism. Building on the Ford framework, the objective of our study was to examine factors that influence participation in dementia research among African American older adults and caregivers, with an emphasis on understanding factors related to trust. Data were collected from 10 focus groups with African American older adults (n=91), 5 focus groups with caregivers (n=44), and interviews with administrators of community-based organizations (n=11), and meetings with our Community Advisory Board. Inductive/deductive content analysis was used to identify themes. The results identified an overall tension between distrust of researchers and a compelling desire to engage in dementia research. This overarching theme was supported by six themes that provided insights about the multiple layers of distrust, as well as expectations about the appropriate conduct of researchers and academic institutions. Strong commitment to the community was identified as a priority. The findings suggest that a paradigm shift is needed to increase the representation of African Americans in dementia research. In this new paradigm, earning the trust of African American communities becomes a systemic endeavor, with academic, state and national institutions deeply committed to earning the trust of African American communities and guiding researchers in this endeavor. The findings also generated actionable recommendations to help improve representation of African American older adults in dementia research.