bluuebunny/crossref_metadata_2025_split huggingface dataset:
KEEPING THINGS, BUT ONLY FOR A WHILE
Authors: Ekerdt David J 
Published: November 2019

Abstract
The life course is accomplished by material culture held as a convoy of possessions, but also sustained by public affordances and amenities that include the artifacts and artworks to be found in museums. In both places—household and museum—objects come and go, but there is mainly keeping. The difference lies in the capacity to keep things indefinitely: it is virtue for museums but a predicament for households of aging adults. Museums model ideals of permanence and responsibility toward things, ideals that, in the long run, households can only faintly attain. For older adults and for gerontologists, preservation is the wrong lesson to take away from the galleries. Rather, what we can learn there is how single, selected things can show, in a thoughtful way, an entire world of ideas and universe of meaning. No need to keep it all—and forever—but we can honor things while we can. ​
THE PORCHLIGHT PROJECT: COLLABORATING TO ENHANCE THE DEMENTIA CAPABILITY OF COMMUNITY-BASED VOLUNTEERS
Authors: Gaugler Joseph E , Bustamante Gabriela , Rosebush Christina , Schoonover Jeri , Jenkins Roxanne , Bauer Nicole , Beardsley Lisa , Rowe Laura 
Published: November 2019

Abstract
Public health efforts to address Alzheimer’ disease and related dementias (ADRD) are limited. Utilization of lay/peer intervention providers in the community to reach older persons and their families may offer a novel method to reach those in need. Such an approach may also serve as a fulcrum around which formal healthcare delivery and community-based LTSS are better integrated. This pragmatic trial, the Porchlight Project, aims to refine a multicomponent training approach for lay volunteers in Minnesota (i.e., Senior Companions) that enhances their capability to deliver dementia care and support to underserved older persons in need. This presentation will highlight the development and collaboration with Lutheran Social Services of Minnesota to refine and deliver a useful and feasible training program to enhance Senior Companions (n = 20) dementia care capability, as well as the potential and challenges of delivering a pragmatic trial of this type across the state of Minnesota.
INVOLVING FAMILY TO IMPROVE COMMUNICATION IN PRIMARY CARE FOR PRIMARY CARE PATIENTS WITH DEMENTIA
Authors: Wolff Jennifer L , Dy Sydney , Aufill Jennifer , Echavarria Diane , Boyd Cynthia , Roth David , Colburn Jessica , Sloan Danetta 
Published: November 2019

Abstract
Family caregivers are at the forefront of managing dementia but are not routinely included in discussions about prognosis and are often poorly prepared to engage in surrogate decision-making. Few interventions target advance care planning in primary care, which is where most persons with dementia are initially diagnosed and medically managed. SHARING CHOICES proactively engages family and support advance care planning in primary care by normalizing advance care planning discussions, clarifying the role of the family during interactions with primary care clinicians, providing ongoing access to a non-clinician trained to lead advance care planning conversations, facilitating registration for the patient portal enable and extending electronic interactions and information access to family caregivers, and providing education and resources about dementia for clinic staff. This presentation will discuss refinement of the SHARING CHOICES protocol and facilitators and challenges of executing a pragmatic trial of this type across two large primary care systems.
INTEREST GROUP SESSION—AGING AMONG ASIANS: RESEARCH METHODS IN AGING AMONG ASIANS
Authors: Li Wenjun , Balaswamy Shantha , Glicksman Allen 
Published: November 2019

Abstract
Asians are the largest and the fastest growing segment of the world population. Asian immigrants are the second largest immigrant population in the U.S. However, age-related social and health issues are understudied among late-life immigrant and the oldest old Asians. Little data exist to support public health promotion, policy studies and clinical practice in this population. To advance research into aging among Asians living in the U.S. and elsewhere in the world, sound methodologies can be adopted from those well-developed in other settings while novel methodologies are to be developed to meet the unique needs of Asian studies. This symposium brings together four abstracts that address a variety of common methodological issues in social and health studies among Asian older adults. The topics range from culturally and linguistically appropriate strategies for recruiting non-English speaking research participants, assessment of social isolation and transportation barriers using an ethnographical approach, development of a new culturally appropriate measure for successful aging among the oldest old Chinese in China, and evaluation of preventive healthcare use among faith-based first-generation Chinese immigrants using self-administered surveys in the U.S. These studies involve qualitative ethnographical analysis, mixed methods for instrument development, quantitative data analysis, use of geographic information systems and demography to plan participant recruitment, and use of staged community engagement to increase efficiency and representativeness of participant recruitment. Lessons learned from these studies are valuable to future studies on aging among Asians. This symposium is a collaborative effort of the GSA Aging Among Asians Interest Group.
APPROACHES TO RECRUITING NON-ENGLISH-SPEAKING LATE-LIFE CHINESE IMMIGRANTS FOR HEALTHY AGING STUDIES
Authors: Li Wenjun , Churchill Linda , Cheng Jie , Siden Rachel , Aguirre Annabella 
Published: November 2019

Abstract
Non-English Speaking late-life Chinese immigrants are hard to reach. We developed a staged, multi-facet, community-engaged approach to recruiting participants for aging research. We first used a direct mail campaign targeting neighborhoods with high concentrations of racial minorities, and sent mails to households with a possible Chinese family name. Invitational letter, interest survey and flyers are printed in traditional and simplified Chinese using large font. Flyers include a colorful graphic portraying diverse racial background. Prior to the mailing, we presented the study at senior centers, faith-based organizations, community centers and bingos that hosted higher rates of minority older adults. We posted study materials in Chinese language schools and Chinese “WeChat” groups. We also encouraged current participants to “tell a friend”. Chinese-English bilingual staff are trained and certified as recruiters. Within two months, over 50 participants from diverse neighborhoods are recruited. Our community-engaged, linguistically and culturally appropriate approach has been highly effective.
INTEREST GROUP SESSION—INDIGENOUS PEOPLES: REVEALING THE HEALTHY BRAIN INITIATIVE’S ROAD MAP FOR INDIAN COUNTRY: OPPORTUNITIES FOR ENGAGEMENT
Authors: Holt Heidi , Winchester Blythe S 
Published: November 2019

Abstract
This landmark document, The Healthy Brain Initiative: Road Map for Indian Country, is the first-ever public health guide focused on dementia in American Indian/Alaska Native (AI/AN) communities. It is intended as a tool for leaders of the 573 federally recognized Indian tribes, as well as state-recognized tribes, to engage their communities in this important issue. Early in the development of the HBI Public Health Road Map for Dementia, CDC recognized strategies that may work for state and local public health agencies likely would need to be tailored by native communities due to culture and unique contexts. This Road Map for Indian Country (Road Map) can be used to support a dialogue within a Native community about how to promote wellness across the lifespan and best support older adults with dementia, their families, and caregivers. The panel will consist of 5 presenters and 1 discussant. Bill Benson, International Association of Indigenous Aging, will discuss the background and need for the project. Molly French, the Alzheimer’s Association, will describe the process used to create the Road Map. Heidi Holt, CDC, will describe the content and goals of the Road Map. Kelsey Donnellan, Association for State and Territorial Health Officials (ASTHO), will present key Indian Country products and Messages that accompany the Road Map. Lisa McGuire will present relevant Behavioral Risk Factor Data, including data specific to the AI/AN population. The discussant will wrap up the panel and provide unique insights as to the use and future for this important document.
CONNECTING HEALTHY BRAINS AND HEALTHY HEARTS IN INDIAN COUNTRY
Authors: Donnellan Kelsey M 
Published: November 2019

Abstract
The release of the Healthy Brain Initiative Road Map for Indian Country inspired the International Association for Indigenous Aging (IA2), Association of State and Territorial Health Officials (ASTHO), and the Centers for Disease Control and Prevention (CDC) to develop health communication materials to promote heart health and brain health among states with American Indian and Alaska Native (AI/AN) communities. IA2 engaged public health, tribal health, and brain health experts to inform the key messages and intended audiences. The final package includes two posters, one flyer, one provider guide, four radio public service announcements, and two short videos. Tribal health officials and state health are encouraged to distribute the resources through senior centers and inter-tribal organizations, healthcare facilities, administrative offices, tribal newspapers/radio stations, and as mailers to tribal members. The session will focus on how the resources raise awareness of and promote action on heart and brain health among AI/AN communities.
SIX MONTHS OF GEROFIT RESULTS IN MOBILITY IMPROVEMENTS IN OLDER VETERANS REGARDLESS OF BMI CLASSIFICATION
Authors: Addison Odessa , Giffuni Jamie , Serra Monica , Katzel Leslie 
Published: November 2019

Abstract
Older Veterans represent a unique population at high risk for mobility limitations. They are also more likely to be overweight or obese when compared to the general population. We sought to compare changes in mobility function across the obesity spectrum in older Gerofit participants at six different sites. Two-hundred and seventy Veterans (mean age: 74 years) completed six-months of Gerofit participation and mobility assessments at baseline, three and six months. Our assessments included gait-speed, six-minute walk distance, 30-second chair stands, and the eight foot up and go. When comparing weight groups, we found no significant interaction of weight and time, however we found clinically significant (P&lt;0.02) improvements of 7-20% across all mobility measures. Six-months of Gerofit participation appears to be one way to improve mobility function in older Veterans across the weight spectrum.
MULTIMODAL PERSONALIZED CHRONOTHERAPY IMPROVES SLEEP IN ADULTS WITH MILD COGNITIVE IMPAIRMENT: A RANDOMIZED TRIAL
Authors: Falck Ryan S , Best John R , Davis Jennifer C , Chan Patrick , Backhouse Daniel , Landry Glenn J , Liu-Ambrose Teresa 
Published: November 2019

Abstract
Poor sleep is common among older adults with Mild Cognitive Impairment (MCI) and may contribute to their increased risk for dementia. Chronotherapy is a set of intervention strategies which can improve sleep quality by strengthening the entrainment of the biological clock to the solar light-dark cycle, and includes strategies such as: 1) bright light therapy (BLT); 2) physical activity (PA); and 3) good sleep hygiene. Thus, in this 24-week randomized controlled trial (RCT; NCT02926157), we aimed to examine the efficacy of a multimodal, personalized chronotherapy intervention to improve sleep quality among older adults with MCI. Ninety-six older adults (65+ years) with MCI were randomized to either: 1) a multimodal personalized chronotherapy group (INT); or 2) a waitlist-plus-education control group (CON). Participants allocated to the INT received four once-weekly, general sleep hygiene education classes, followed by 20 weeks of 1) individually-timed BLT; and 2) bi-weekly, individually-tailored PA counselling in conjunction with receiving a consumer-available PA tracker (Fitbit® FlexTM). We found a significant group x time interaction for objectively measured sleep fragmentation (5.01; p&lt; 0.01) and also for Pittsburgh Sleep Quality Index (PSQI) score (p= 0.03), such that the INT: 1) maintained sleep fragmentation while CON worsened at 12 weeks (p&lt; 0.01); and 2) had improved PSQI score compared to CON at both 12 weeks (p&lt; 0.01) and 24 weeks (p= 0.04). Our results provide novel evidence that a multimodal personalized chronotherapy approach may promote both objective and subjective aspects of sleep quality in older adults with MCI.
THE EFFECTIVENESS OF A PEER-BASED INTERVENTION ON SOCIALLY ISOLATED OLDER CHINESE IMMIGRANTS IN CANADA
Authors: Lai Daniel, W L , Li Jia , Chan Liza , Li Celia , Ou Alison X 
Published: November 2019

Abstract
Objectives: This study aimed to examine the effectiveness of a peer-based intervention in reducing older Chinese immigrants’ loneliness and social isolation to improve their psychosocial well-being. Method: A randomized controlled trial design was adopted. A sample of 60 community-dwelling older Chinese immigrants aged 65 and above were randomly assigned to the intervention group (n=30) and the control group (n=30). Intervention group participants received an eight-week peer support intervention. 25 volunteers aged 48 to 76 were recruited and trained to provide one-to-one peer support services through home visits and telephone. The services included multiple activities such as providing emotional support, assisting in problem-solving, and community resources sharing. Different types of activities were consecutively executed throughout the eight weeks in accordance with the service protocol. Standardized assessments including loneliness, social support, social participation, and other psychosocial outcomes such as life satisfaction, happiness, depression, and resilience at baseline and after intervention were measured. Results: After the intervention, as compared to control group participants, intervention group participants reported a significant decrease in loneliness, fewer barriers in social participation, and a significant increase in resilience. They also reported fewer depressive symptoms, increased life satisfaction, and happiness, but no such improvements were observed in the control group. Discussion: The study findings illustrate the need to further examine the use of peer-based interventions for both program effectiveness and delivery efficiency. In the era of population aging, baby boomers can be trained to take up more volunteer roles to serve older adults in distress via peer-based intervention approaches.
WEALTH AND HEALTH IN PREDICTING ELDERS’ SOCIAL CAPABILITIES IN CHINA: MEDIATING ROLE OF SOCIAL NETWORK
Authors: Zhang Yalu , Gao Qin , Zhai Fuhua , Anand Paul 
Published: November 2019

Abstract
Despite an established positive link between social wealth, health, and social capability among older adults, the effect and mechanisms among these factors are understudied. This paper uses the WHO Study on Global Ageing and Adult Health (SAGE) data and a mediation analysis method, combing social capital theory and a social capabilities approach, to provide new evidence on the effects of financial resource, physical function, and cognitive function on the social capabilities of older adults (aged 55 and above) in China and the possible mediating role of social network in this relationship. The descriptive analysis results show that urban older adults (n=5,274), on average, had lower freedom of expression, lower sense of living safety, and less frequent community participation, while having better self-perceived health, higher physical and cognitive functions, more household income, and higher educational background than their rural peers (n=5,270). The Baron and Kenny’s mediation analysis results show that social networks accounted for a substantial proportion of the effects of wealth and health on social capabilities, but wealth and health still had strong, positive direct effects of its own. Higher mediating effects of social networks were found in the association between functions and social capabilities of freedom of expression (9.46%) and sense of safety (36.33%) among rural older adults. Results of this study urge for further social policies and intervention programs to enhance older adults’ social capabilities, including social cohesion, sense of trust and safety, physical and mental functioning, and subjective well-being.
MECHANISMS OF NEUROPROTECTION BY MTOR INHIBITORS
Authors: Galvan Veronica 
Published: November 2019

Abstract
The mammalian/mechanistic target-of-rapamycin (mTOR) inhibitor rapamycin, that delays aging in mice, halts and even reverses memory deficits, and restores cerebral blood flow (CBF), neuronal activation, and neurovascular coupling in models of Alzheimer’s disease (AD), cognitive dysfunction of atherosclerosis, and normative aging. Genetic reduction of TORC1 in neurons to levels similar to those achieved by rapamycin, promoted synaptic bouton remodeling, enhanced memory, and increased brain glucose metabolism. In AD mice, the restoration of CBF and neurovascular coupling by mTOR attenuation was dependent on the activation of both constitutive nitric oxide synthase (NOS) isoforms, possibly due to stabilization of their mRNAs. The mechanisms by which mTOR attenuation preserves brain healthspan may be common to different models of age-associated neurological disease. We singled out (a) ablation of NOS activity, and (b) synaptic bouton loss as key mechanisms by which TOR drives brain aging and contributes to the pathogenesis of dementias modeled in mice.
TECHNOLOGY-BASED HOME MONITORING TO ASSESS AND IMPROVE THE HEALTH AND WELL-BEING OF OLDER ADULTS
Authors: Boot Walter R 
Published: November 2019

Abstract
Technology, including in-home sensors, monitoring systems, and wearables, holds great promise with respect to being able to help manage chronic conditions, improve older adults’ health, support their safety, prolong independence, and collect data for healthcare and research purposes. This symposium will introduce novel ways in which these systems are being deployed, and also important challenges to their implementation that could decrease their potential benefits. This technology will only be successful if it addresses key issues of adherence and privacy, and considers users’ preferences. The first talk in this session will explore the novel use of GPS-based wearable sensors to capture the concept of life-space mobility, a measure critically related to quality of life and independence. The next talk focuses on a mobile health cardiovascular system and smartphone application, and finds that such systems can successfully transmit meaningful mHealth data while maintaining reasonable protocol adherence. Next, issues of user preference are discussed, including the types of data older adults and their children are willing to share, and the tradeoffs between values of privacy and independence. The session will conclude with a talk on older adults’ attitudes toward privacy related to in-home monitoring, and individual difference predictors of privacy concerns. In sum, this session will provide an overview of the potential and pitfalls related to in-home sensors and monitoring systems for older adults, their formal and informal caregivers, and aging researchers.
USING GPS-BASED WEARABLE SENSORS TO CAPTURE LIFE-SPACE MOBILITY AMONG COMMUNITY-DWELLING OLDER ADULTS
Authors: Chung Jane , Myers Orrin 
Published: November 2019

Abstract
Life-space mobility (LSM) is critical to quality of life among older adults. Due to the limitations of current mobility measures, GPS-based sensors are suggested as a potential tool that can collect high-resolution spatial and temporal data on mobility. We aimed to examine the feasibility of using a GPS watch to measure LSM among older adults. Participants were asked to use the device for 8 hours a day for three days. GPS data were analyzed with QGIS and SAS. GIS measures were used to characterize LSM. Participants walked 3.2km/day and moved 67km on average. Nearly all movements at home were &lt; 0.8 m/s, indicating slower gait speed. GPS data suggest that community-dwelling older adults made active trips outside the home, but they were tightly tethered to their residential environments and spent most of their time at home. GPS-based sensors may be particularly beneficial to continuously monitor any changes in elderly mobility.
FRAMINGHAM HEART STUDY NOVEL EXAMINATION USING TECHNOLOGY IN COMMUNITY-DWELLING ADULTS
Authors: Murabito Joanne , Murabito Joanne M , Trinquart Ludovic , Benjamin Emelia J , Lin Honghuang , Spartano Nicole , Sardana Mayank , McManus David D 
Published: November 2019

Abstract
The electronic Framingham Heart Study (eFHS) is a mobile health cardiovascular monitoring system deployed at the current in-person exam. We developed a smartphone app which includes an electronic consent, health questionnaires, and integrates with a wireless blood pressure (BP) cuff and Apple Watch. We have deployed the app in 1927 FHS participants (mean age 52.8, range 32-80 years, 57% women, 7% multi-ethnic) who owned a compatible smartphone (iPhone or Android). We have observed high rates of initial survey adherence (85% completed baseline surveys). Preliminary results demonstrate about 76% of participants who transmit data from the Apple Watch continued to transmit data 12 weeks following enrollment. Our experience highlights the capacity of FHS participants to transmit meaningful mHealth data. We plan to identify factors associated with long-term use and to compare digital data to data collected in the Research Center to understand the value of this novel means of data collection.
AN UPDATE ON THE RETURN OF THE GERIATRICS ACADEMIC CAREER AWARDS PROGRAM
Authors: Waters Leland , Brennan Maura 
Published: November 2019

Abstract
The Health Resources and Services Administration recently announced a notice of funding opportunity (NOFO) for the Geriatrics Academic Career Award Program (GACA). The purpose of the GACA program is to support the career development of individual junior faculty in geriatrics as academic geriatrics specialists and to provide clinical training in geriatrics, including the training of interprofessional teams of health care professionals. The GACA program is a mentorship model where the awardee is guided through a faculty career development plan, with required project deliverables, over the course of four years. The GACA supported 222 junior faculty members between 1998 and 2006, when it was discontinued. This initial NOFO provides funding for up to 26 awardees in the schools of allopathic medicine, osteopathic medicine, nursing, social work, psychology, dentistry, pharmacy, and allied health. This presentation will provide an up-to-date overview of the program with awardee demographics and project deliverables.