bluuebunny/crossref_metadata_2025_split huggingface dataset:
Driving School Improvement Planning with Community and Youth Collaborative Institute School Experience Surveys (CAYCI-SES)
Authors: Anderson-Butcher Dawn , Amorose Anthony , Bates Samantha M , Iachini Aidyn L , Ball Annahita , Henderson Tasha 
Published: November 2019

AbstractThe aim of this article is to describe the Community and Youth Collaborative Institute School Experience Surveys (CAYCI-SES). The CAYCI-SES measures are free and available to use with permission. The tools include valid and reliable surveys, assessments, and scales to help school stakeholders to identify and assess school climate and other conditions for learning. The CAYCI-SES gather data about the school environment across stakeholder groups and the broader school–family–community context known to influence student learning and youth development. For example, the measures include four survey versions: elementary school student, middle/high school student, parent/caregiver, and teacher/school staff. The CAYCI-SES also are valuable evaluation tools used to inform school planning and improvement efforts. This article describes each of the CAYCI-SES surveys and provides an overview of the process used for psychometric testing and instructions for implementation. Authors also discuss examples of schools and districts that have used the measures and implications for how school social workers may use the survey findings to address or identify needs, improve outcomes, and guide school improvement efforts.
Abrasion of Pro Seal® and Opal® Seal™ by professional tooth cleaning protocols: results from an in vitro study and a randomized controlled trial
Authors: Deurer Nadine , Erber Ralf , Orhan Gül , Zingler Sebastian , Lux Christopher J , Şen Sinan 
Published: November 2019

Summary

Background
The integrity of orthodontic surface sealants after professional tooth cleaning (PTC) has previously only been evaluated in vitro. Recently, we have shown that optical coherence tomography (OCT) can successfully be used for the longitudinal assessments of sealant thickness in vitro and in vivo.

Objectives
Thus, the aim of the present study was to assess the sealant thickness after PTC in vitro and in vivo by OCT.

Trial design
Single-centre four-arm parallel-group randomized controlled trial.

Methods
Ninety-six extracted human teeth were randomly assigned to the surface sealants Pro Seal® (PS) and Opal® Seal™ (OS) and to PTC protocols: (1) polishing with brush and prophy paste (Cleanic®) or (2) erythritol air-polishing. Sealant thickness was assessed by OCT immediately after application (baseline), after thermocycling and after polishing for totals of 5, 10, 15, 30, 60, 90, and 120 seconds. Additionally, a clinical trial was conducted. Therefore, using a split-mouth design, quadrants of 20 patients and PTC protocols were randomized by an external randomization centre using computer generated tables to assign the surface sealants and PTC protocols. Sealant thicknesses were analysed at baseline, before and after PTC. Due to the optical properties of sealants, a complete blinding was not feasible.

Results
In vitro both sealants revealed significant layer thickness losses after both PTC protocols. PS lost 0.77 µm/s [95% CI (confidence interval): 0.67, 0.87] from air-polishing and 0.43 µm/s (95% CI: 0.37, 0.49) from polishing with brush while OS lost 0.44 µm/s (95% CI: 0.32, 0.55) from air-polishing and 0.79 µm/s (95% CI: 0.68, 0.89) from polishing with brush of layer thickness. Sealant thickness loss of was significantly higher after erythritol air-polishing for PS and after polishing with brush for OS. The results of a concurrent randomized controlled trial (RCT) were comparable to those achieved in the in vitro part of this study.

Limitations
Long-term surface sealant abrasion should be validated by additional RCTs.

Conclusions
For PTC on surface sealant treated teeth, low abrasive protocols should be used. Air-polishing should be avoided on PS protected teeth and polishing with brush on OS treated teeth.

Trial registration
ClinicalTrials.gov NCT03753256.
MANAGING DEATH IN THE FIELD: HOW EMERGENCY MEDICAL SERVICES TEAMS PROVIDE END-OF-LIFE CARE
Authors: Waldrop Deborah P , McGinley Jacqueline M , Clemency Brian M 
Published: November 2019

Abstract
Emergency medical services (EMS) providers respond more frequently to calls for older adults with serious illness than for people in other age groups. Recent legislation that makes it possible to document healthcare decisions has facilitated an era of choice in end-of-life care. EMS teams make time-sensitive decisions about care, resuscitation and hospital transport that influence how and where a seriously ill older adult will die and how his/her family will experience the death. Yet, EMS providers’ perspectives on urgent decision-making and how they work with families are unknown. The purpose of this study was to explore the decision-making process that occurs how EMS teams respond when someone is dying from a serious illness (vs. an injury). In-depth in-person interviews were conducted with 50 EMS providers (24 emergency medical technicians [EMTs] and 26 Paramedics) from four ambulance services. Participants’ ages ranged from 21-57 (M=37.9) and 70% were male. Qualitative data was coded using Atlas.ti software. Three themes illuminated participants’ experiences with end-of-life calls: (1) How legally binding documents (e.g. Do Not Resuscitate [DNR] orders, Medical Orders for Life Sustaining Treatment [MOLST]) inform care; (2) Decision-making about foregoing or halting resuscitation (e.g. no hospitalization, death at home); and (3) Family care, support and education. The results suggest that EMS providers have critically important roles in upholding the wishes of seriously ill older adults and helping caregiving families through the end-of-life transition. Implications: Discussions about the meaning of legally binding documents (e.g. DNR, MOLST) and EMS calls are important in advance care planning.
PRELIMINARY YEAR-ONE RESULTS OF A 5-YEAR PROJECT TO DEVELOP AND IMPLEMENT PATIENT- AND FAMILY-CENTERED CARE MODEL
Authors: Chen Ya-Mei , Young Yuchi , Munkhtogoo Dulmaa , Yang Ming-Ting , Tsai Hsin-Yun , Kuo Nien-Chen , Yu Tsung-Hsien , Chung Kuo-Piao 
Published: November 2019

Abstract
Objective. The overarching goal of this 5-year study is to develop and evaluate an innovative patient- and family-centered care (PFCC) model to address the challenges of quality care and high cost care in Changhua County, Taiwan. The year-1 study examines the baseline differences on selected outcomes between Changhua County and the comparison group (nationally). Methods. Five-year longitudinal study. Participants: stroke patients (n=2,931) from Changhua County Hospitals. Year-1 baseline discharge registry data (2018) for stroke patients obtained from Changhua Health Bureau. Summary statistics and bivariate analysis performed. Providers: care provider [n=28] were interviewed through five focus groups for the support needed to begin implementing PFCC. Results. The year-1 results show the stroke incidence rate was 3.8%. Sixty-three percent of stroke patients were 65+ with an average age of 69, and 60% were male. Compared to the Taiwan national average, the stroke patients in Changhua County had a longer length of stay in acute and postacute care settings (41.1days vs. 29.3 days; p &lt; 0.001), and higher hospitalization cost (US7,815 vs. US$5,905; p&lt;0.001). The focus group data found lack of effective tools and platforms to facilitate the provider-to-provider communication necessary for PFCC. Conclusion. These findings suggest that stroke patients in Changhua County had a longer average length of stay and higher healthcare costs compared to stroke patients nationally. To address these discrepancies, our year-2 program will focus on PFCC intervention program development and pilot testing, which include a Taiwan-specific PFCC tool and platform, followed by three years of intervention implementation and evaluation.
FROM WRINKLES TO WISE: DISRUPTING AGING PERCEPTIONS AMONG COLLEGE STUDENTS
Authors: Bridges Katherine , Fedus Donna , Michalowski Erica 
Published: November 2019

Abstract
What words come to mind when students are asked about aging? Wrinkles, grumpy, gray. What words come to mind when students are asked about aging after Disrupt Aging Classroom? Wise, wisdom, opportunity. Disrupt Aging Classroom is a successful curriculum created by AARP Connecticut and Borrow My Glasses to help dispel the myths of aging among college students in multiple disciplines. In comparison to a control group, pre-and post-test results show college students’ perceptions of aging change to a more positive frame after being exposed to this intervention administered in the classroom. There is also evidence to suggest that this program has a positive effect on behavior with students reporting they talked differently about aging and acted differently toward older adults since participating in this program. Presenters will describe the curriculum as well as the evaluation design and results collected in 2018-2019 from this successful intervention program.
ADVANCED ILLNESS AMONG ELDERLY NURSING HOME RESIDENTS WITH ALZHEIMER’S DISEASE AND RELATED DEMENTIA
Authors: Gracner Tadeja , Sorbero Mark , Stone Patricia W , Agarwal Mansi , Dick Andrew W 
Published: November 2019

Abstract
Alzheimer’s disease and related dementia (AD/ADRD) are leading causes of mortality in the United States. Identifying advanced illness (AI) in NH residents is key for developing therapeutic and palliative care plans for end of life. We refined and extended existing measures of AI in NH residents with AD/ADRD and described patterns of survival for each measure. Using the Minimum Data Set (MDS; 2011 to 2013) linked to vital status (through 2016), we defined categories of AD/ADRD residents at AI onset: (1) those with ADRD, (2) and those with both, AD and ADRD. We estimated survival functions and multivariable duration models to describe patterns of survival from AI onset until death, stratified by AD/ADRD classifications, sex and functional status at AI onset, conditional on socio-demographics and co-morbidities. We limited our sample to adults ages &gt;64 for whom we observed the incident AI assessment in the MDS. Median survival was 229 days for all classifications of AI, but higher for those with only ADRD (300 days). Survival declined substantially for residents with eating difficulties; to 122 days for residents with AD and ADRD. A stark survival decline (40 days) occurred among residents with shortness of breath. Across all AI classifications, survival was negatively associated with male sex, age, diabetes, substantial weight-loss and events such as heart failure. Depression, hypertension, and UTI were associated with small or insignificant increases in mortality risk. AI can be defined using MDS data, allowing for examination of policies designed to improve end of life care.
UNDERSTANDING THE IMPACT OF OBESITY THROUGH THE LIFECOURSE ON LATER-LIFE FUNCTIONING AND DEPENDENCY
Authors: Jagger Carol 
Published: November 2019

Abstract
Populations worldwide are seeing rising levels of obesity and its health consequences, particularly diabetes. Levels of childhood obesity are particularly high with concerns of how this will affect individuals’ health and functioning in mid and later life. Such research questions are difficult to answer as ideally they require longitudinal studies of cohorts from birth or childhood through to later life, with consistent measures of obesity and functioning throughout. The first two presentations in this session use the unique UK birth cohorts, the 1946 National Survey of Health and Development (1946-NSHD) and the 1958 National Child Development Study (1958-NCDS) with a focus on poor physical functioning (PF, i.e. the ability to perform physical tasks of daily living) in later life. Poor PF was defined as the lowest (gender and cohort-specific) 10% on the Short-form 36 subscale at 60-64y (1946-NSHD) and 50y (1958-NCDS). The presentations explore (i) how the timing of onset and duration of obesity, from childhood through to mid-life, affects later life PF, and (ii) whether the relationship between obesity and PF is mediated by physical inactivity. In the final presentation we utilise a new dynamic micro-simulation model, the Population Ageing and Care Simulation (PACSim) which simulates the ageing of a base population of individuals aged 35 years and over from three longitudinal studies (Understanding Society, the English Longitudinal Survey of Ageing, and the Cognitive Function and Ageing Study II) to examine the extent to which reducing obesity in mid life could potentially reduce later dependency and care needs.
CAN THE BRIEF INTERVIEW OF MENTAL STATUS (BIMS) IDENTIFY RISK FOR IMPAIRED IADLS DUE TO FUNCTIONAL COGNITIVE DEFICITS
Authors: Marks Timothy , Edwards Dorothy F , Al- heizan Muhammad O , Giles Gordon M 
Published: November 2019

Abstract
The Brief Interview of Mental Status (BIMS) was introduced to the Minimum Data Set (MDS) 3.0 as a cognitive screening tool. It includes temporal orientation and word recall (Saliba et al., 2012). This study examined the ability of the BIMS to identify impairment on performance-based functional cognitive screening tests that assess instrumental activities of daily living (IADLs). We recruited a cross-sectional sample of 200 participants who met the following inclusion criteria: age 55 and older, living independently in the community, and able to read and communicate in English.. Participants ranged in age from 55 to 92 years (Mean 70.96:SD = 8.56),were predominantly White (68%) and female (65%). Participants were administered the BIMS and a battery of performance-based tests of functional cognition -the Performance Assessment of Self Care Skills and the Weekly Calendar Planning Activity (WCPA). There was a mismatch in screening results: Among Individuals identified as cognitively intact on the BIMS 22-45% were found to be impaired on the PASS and/or the WCPA. Sensitivity of the BIMS to identify impaired IADL function did not exceed .06, although specificities were high (&lt; .95). These findings suggest that individuals categorized as cognitively normal by the BIMS may be impaired on more complex IADL tasks. Individuals classified as unimpaired on the BIMS, may benefit from more complex functional cognitive screening to further assess IADLs function to better estimate ability to live independently in the community. Performance based assessments can improve discharge planning by identifying elders at risk after hospitalization.
PROTOTYPE OF A VIRTUAL REALITY APPROACH TO INTEGRATE MENTAL HEALTH ACROSS GERONTOLOGICAL ENVIRONMENTS
Authors: Ortiz Daniel Velez 
Published: November 2019

Abstract
Background: Puerto Ricans have the highest likelihood of psychiatric disorders among Latinos. This study developed and evaluated a prototype depression literacy curriculum; culturally grounded with perspectives and narratives of Puerto Rican older adults. The way a person determines need for services and decides to seek help has been found to be influenced by their perceptions of services and providers. McGuire (1989) presents the Communication Persuasion Model (CPM) that takes into account how persuasive communication changes attitudes and behaviors of consumers. Using the CPM as a theoretical foundation, this study presented a culturally grounded story through a Virtual Reality (VR) platform. Methods: A script was developed based on narratives of Puerto Rican older adults about depression. Filmed in 360° format and enhanced with supporting imagery, participants were presented two versions of the video, one with a VR headset and the other with a smartphone. Two focus group interviews were conducted with community-dwelling Puerto Rican older adults (n=14) in Orlando, FL. Results: Participants preferred the VR headset and found it was beneficial to educate about depression because it felt more immersive and encouraged an environment conducive to identifying their own experiences about depression. They noted that presenting the material with a case narrative was more culturally sensitive for the population. All participants needed minor assistance with operating technology. Conclusions and Implications: A narrative approach to depression literacy may be effective in personalizing messages. Assisted VR technology with supporting imagery may be efficacious and standardize positive messages to underrepresented and low resource populations.
A SYSTEMATIC REVIEW OF DIGITAL INTERVENTIONS ADDRESSING MENTAL DISORDERS AMONG THE ELDERLY POPULATION
Authors: Hossain Md Mahbub , Tasnim Samia , Sultana Abida , Hasan Nishat Tasnim , Mazumder Hoimonty , Khan Nusrat , Faizah Farah 
Published: November 2019

Abstract
Background: Many studies have reported the widespread application of digital technologies in improving mental health. However, little is known about how these technological advancements can help the geriatric population who suffer from a wide range of mental disorders. There is no extensive review of evidence which can guide effective policy-making and implementation of such interventions. Objectives: To identify digital interventions addressing mental disorders among elderly people and evaluate the outcomes of these interventions. Methodology: According to the PRISMA guidelines, we searched six major health databases and screened the literature using these criteria: 1) journal articles reporting an intervention delivered using any of the digital platforms, 2) the interventions aimed to improve at least one mental disorder among geriatric population, 3) articles published in English language, 4) studies conducted in in any settings and time frame reporting any of the mental health-related outcomes. Results: Among 4870 articles found in the preliminary literature search, only 19 studies met our criteria. Most of the studies (n=14) described digital interventions addressing depressive illness among the elderly population. However, many interventions targeted multiple mental conditions including dementia, stress, anxiety, mood disorders, phobia, and functional disabilities. These interventions used internet-based therapies, mindfulness, digital assistants, and applications improving mental health behavior and practices. Most of the interventions (n=12) were evaluated using randomized study designs. Reported outcomes included improved symptoms, better quality of living, emotional and functional advancements, and decreased cost of treatment. This evidence necessitates further research and application of such technologies to improve geriatric mental health.
WHAT IS THE EFFECT OF REDUCING OBESITY ON LATER-LIFE DEPENDENCY? FINDINGS FROM THE PACSIM MODEL
Authors: Kingston Andrew , Jagger Carol 
Published: November 2019

Abstract
Understanding the extent to which reducing obesity will help maintain independence in later life is of key importance in the goal to achieve healthy ageing. To investigate this we use a unique dynamic microsimulation model, the Population Ageing and Care Simulation (PACSim) model, formed from three Longitudinal studies: Understanding Society, the English Longitudinal Study of Ageing, the Cognitive Function and Ageing Study II; with the base population of 303,589 individuals aged 35 years and over (a 1% random sample of the England population in 2014). PACSim simulates the characteristics (sociodemographic factors, health behaviours including overweight and obesity, chronic diseases and geriatric conditions) of individuals between 2014 and 2040, with transition probabilities for characteristics estimated by modelling state changes from baseline to two-year follow-up in the combined studies. We estimate the effect of different strategies for obesity reduction on years spent independent from age 55 between 2015 and 2030.
WE READ HIS PAL CARD AT THE FUNERAL: EVALUATING THE IMPLEMENTATION OF A PERSON-CENTERED COMMUNICATION TOOL
Authors: Abbott Katherine M , Degenholtz Howard 
Published: November 2019

Abstract
This symposium describes the development and implementation of an interdisciplinary and novel person-centered care (PCC) communication tool in nursing homes (NH). PCC is a philosophy that recognizes “knowing the person” and honoring individual preferences. The communication tool is based on an assessment of NH resident likes and dislikes via the Preferences for Everyday Living Inventory (PELI). The PELI is an evidenced-based, validated instrument that can be used to enhance the delivery of PCC. In 2016, the Ohio Department of Medicaid (ODM) mandated NHs use the PELI as one of the factors that determine the quality portion of their daily Medicaid reimbursement rate. The Preferences for Activity and Leisure (PAL) Card was developed to communicate important resident preferences across care team members. In 2018, the PAL Card Project was approved by the Ohio Department of Aging as a Quality Improvement Project. The first presentation will describe the implementation of PAL Cards with n=43 NH providers. The second presentation will present data regarding the acceptability, feasibility, and appropriateness of the communication tool as rated by providers. The final presentation explores provider qualitative responses regarding the characteristics of the PAL Card communication tool related to effective implementation. The Discussant, Dr. Howard Degenholtz will discuss the implications of initiatives to address the quality of resident care.
SOCIAL CAPITAL AND THE PET EFFECT
Authors: Phillips Judith Robertson R , Jimenez Edith , Nicholson Heather 
Published: November 2019

Abstract
Social capital such as positive relationships and social support play an important role in older adults’ well-being. Typically, researchers have investigated family and friends as providers of interpersonal resources to older adults but there has been an increasing trend to explore companion pets as providers of social capital and to investigate the impact of pet companionship on older adults’ psychological well-being. Inconsistencies have appeared in the literature though as to whether there is a “pet effect,” the positive benefit of companion pets on older adults’ psychological health. The purpose of this study was to investigate whether having a companion pet would provide greater social connection and better psychological well-being among 83 community-residing older adults (meanage = 62.87 years; males = 38; females = 45) who owned a companion pet, a dog (n= 53) , cat, (n= 21) or both (n= 9), versus 42 community-residing older adults (meanage = 65.69 years; males = 25; females = 17) who didn’t own companion pets. Analyses revealed that no “pet effect” was found for any measure of psychological well-being: self-reported loneliness, happiness, life satisfaction, or mental health. This was especially true for cat owners in that the more one viewed a cat as a family member, the lower one’s life satisfaction and happiness. In addition, as the number of cats in the household increased, the perceived social support from a significant other, family, and friends lowered. Discussion will focus on the implications of these results for pets as providers of social capital.