bluuebunny/crossref_metadata_2025_split huggingface dataset:
Telehealth Psychological Interventions for Rural Caregivers: Improving Care to Persons With Dementia
Authors: Sussman Joleen , Banerjee Nikhil , Winslow James 
Published: December 2020

Abstract
Geropsychologists are well-suited to assess dementia, assist caregivers in understand the disease and associated behavioral changes and ways to cope with their loved one’s disease. However, majority of these services are offered during in-person clinic appointments in urban settings. This study aims to describe the utilization and potential benefits of providing dementia education telehealth services to Veterans and their families residing in rural mountain and plain areas of Colorado. Psychological intervention was provided via telehealth from the primary VA hospital to small community clinics or to Veterans homes via video mobile application. The present study provides demographics of participants who elect this service and discusses how these challenge ageism and other biases relate to technology use. Further, we examined how engagement in this intervention may impact utilization of geriatric and extended care services as well as use of primary care, emergency room visits, and use of anti-psychotic medications.
Integrating Caregiver Education and Support into Multidisciplinary Video Visits
Authors: Rossi Michelle , Jost Lauren , Engel Ina , Dolbee Carol , Ward Keisha 
Published: December 2020

Abstract
The TeleDementia Clinic is an interdisciplinary longitudinal telehealth dementia clinic providing care to rural Veterans in Western Pennsylvania with cognitive decline. The TeleDementia Caregiver Support group uses telehealth to provide caregiver support and education to those caregivers with the highest levels of caregiver burden in this population. The support group has caregivers participating in the session at different rural clinics while a multidisciplinary team of professional (geropsychologist, geriatrician, nurse practitioner and others) are located at an urban VA medical center. All can interact via video telehealth connection. Each session provides a short educational session on caregiving topics that then provides a springboard for caregiver discussion about their own experiences. The multidisciplinary clinician team lend their expertise to the education and support of caregivers. Both quantitative and qualitative analysis of effectiveness of this model will be discussed.
Achieving Health Equity for Older Adults Through State-of-the-Art Innovations
Authors: Fortuna Karen , Batsis John , Jimenez Daniel 
Published: December 2020

Abstract
As health indicators such as life expectancy have improved for many older adults, some older adults experience a disproportionate amount of preventable disease, death, and disability. The causes of health disparities among older adults are multidimensional in that disparities are due to multiple, interacting factors such as socioeconomic status, disability status, geographic location, and race/ethnicity. Achieving health equity in late-life requires innovative strategies to address interconnected environmental, sociocultural, behavioral and biological factors that impede opportunities to achieve optimal health and quality of life. This symposium will present state-of-the-art innovations and strategies employed among socially disadvantaged racial, ethnic, and other population groups, and communities. We will discuss innovations in the workforce enhancements with older adult peer support specialists and community health workers, community engagement techniques in program design, and digital solutions aimed at addressing multiple dimensions of health in older adults.
Cardiovascular Profiles for Phenotyping Cognitive Trajectories in the Irish Longitudinal Study on Ageing
Authors: De Looze Celine , Williamson Wilby , Demnitz Naiara , Kenny Rose Anne 
Published: December 2020

Abstract
Cardiovascular risk factors are increasingly recognized as modifiable risks for cognitive decline and dementia in later life. The Life’s Simple 7, an ideal CV health scoring system, has been recently put forward as a tool for the promotion of brain health. This study aims to evaluate the LS7 as risk prediction tool for cognitive decline trajectories (MMSE, immediate/delayed recall and verbal fluency) in 2,739 adults aged ≥50 years from TILDA. We investigate if indices of muscular strength (grip strength), mobility (Time Up and Go, walking speed) and physiological stress (e.g. orthostatic blood pressure and heart rate recovery) as add-ons to the LS7 improves prediction of cognitive trajectories; and, in a subcohort, we assess CV health score in association with multimodal brain measures. Identifying the factors that influence the onset and trajectory of cognitive decline in a multifactorial perspective is critical toward lowering dementia risks and developing adequate intervention and treatment.
Hierarchy of Loss in Functional Capability: Findings From a 15-Year Follow-Up in a Brazilian Aging Cohort
Authors: de Oliveira Cesar , Cadar Dorina , Biddulph Jane , Mambrini Juliana Vaz de Melo , de Andrad Fabiola Bof , Lima-Costa Maria 
Published: December 2020

Abstract
Functional loss among older adults is known to follow a hierarchical sequence, but little is known about this in low-middle income countries. We examined longitudinally the hierarchy of loss in physical functioning in 1,602 older Brazilian adults (aged 60+) from the Bambui Cohort Study of Aging. Functional loss was ascertained using self-reported difficulties in six basic activities of daily living (BADL). The incidence for each BADL limitation was assessed using survival analysis while controlling for the competing risk of death. Over the 15-year follow-up, the incidence in BADL disability rate was highest for dressing, followed by getting out of bed, bathing/showering, walking across a room, using the toilet or eating. The findings from this 15-year follow-up Brazilian aging cohort support a hierarchical pattern of disability in activities of daily living based on both prevalence and incidence of disabilities over time, and they suggest gender differences in the incidence of disability.
Involuntary Treatment in Dementia Care at Home: Results From the Netherlands and Belgium
Authors: Moermans Vincent , Mengelers Angela , Bleijlevens Michel , Verbeek Hilde , Tan Frans , Capezuti Elizabeth , Milisen Koen , Hamers Jan 
Published: December 2020

Abstract
Most PwD remain living at home. Due to complex care needs this can result in an increased risk for care provided against the wishes of the client and/or to which the client resists, referred to as involuntary treatment. This study explores the use and factors associated with involuntary treatment in PwD receiving home care in the Netherlands and Belgium. A secondary data analysis of two cross-sectional surveys (n=844 persons) showed that more than half of the PwD (51%) living at home received involuntary treatment (Belgium 68% and the Netherlands 45%). Non-consensual care (83%) was the most common, followed by psychotropic medication (41%) and physical restraints (18%). Involuntary treatment was associated with living alone, greater ADL dependency, lower cognitive ability, higher family caregiver burden and receiving home care in Belgium versus the Netherlands. In order to provide person-centered care, it is important to study ways to prevent involuntary treatment in PwD. Part of a symposium sponsored by Systems Research in Long-Term Care Interest Group.
Addressing Older Adult Social Isolation in Various Settings With Unique Conflating Trajectories of Care Models
Authors: Bowland Sharon 
Published: December 2020

Abstract
No matter the age, social isolation is common among older adults due to a number of factors. In looking at social isolation through the framework of the International Classification of Functioning, Disability and Health (ICF) model, the biopsychosocial factors intersect. Care models will be explored that involve the ICF model multi-disciplinary concepts of body functions, activities, participation and environmental factors. Developing more programs to counter isolation is critical for the health of older persons. (1) The experience of vulnerability may be overcome by banding together through assisting others or building a peer support network. (2) A holistic perspective is needed in promoting interventions that support functionality. Regular programming with body awareness and cognitive reflection is enjoyed by institutionalized older adults. (3) The role of social action and social justice in reducing social isolation is part of training social work students about the importance of culture and advocacy. (4) Collected ethnographic data found that the practice of remembrance reduces social isolation regardless of the program. Gardening and storytelling were found to be opportunities to reduce social isolation. (5) With unexpected longevity in individuals with hemophilia due to scientific advances, researchers also found shame, fear, and coping through social isolation to avoid social assumptions of health status. Care models are being explored to support this cohort. To conclude, Dr. Sharon Bowland will summarize our abstracts and discuss how they revolve around the ICF model of care that can be applied to the important social determinant of health area of social isolation.
Experiences of Social Withdrawal: Why Aging Matters Among Individuals With Hemophilia Facing Unexpected Longevity
Authors: Perry Tam , Schwartz Sara , Francis Dana , Kaplan Charles 
Published: December 2020

Abstract
For the first time, individuals with hemophilia are living beyond their 30s and 40s. This cohort, many of whom had been dependent on donated blood and contracted HIV and hepatitis, face unique challenges as they age with hemophilia and other conditions. Little is known about the experiences and health needs of these adults over the age of 40. Scientific advances have changed the life course of individuals who received earlier treatment modalities. Today, a person with hemophilia who has received preventative synthetic treatment can look forward to a long, healthy and active life. Semi-structured telephone interviews (n=32) were conducted with long-term survivors, family members, and professionals who supported these families. Findings include shame, fear and coping through social withdrawal in order to hide their hemophilia to avoid assumptions of HIV status. Analyzing unexpected longevity and why age matters for this historically isolated cohort, we explore appropriate care models.
Home and Community Based Services for People With Dementia
Authors: Degenholtz Howard , Van Cleve Raymond 
Published: December 2020

Abstract
Home and Community Based Services has grown as an alternative to nursing homes over the past 30 years. While there are extensive data on nursing home staffing, there is a dearth of similar information about Medicaid financed home care. We use data from 2014-2016 Pennsylvania Medicaid to examine personal care for elderly with and without dementia across the range of physical disability. One challenge is that even though physical function can be measured in terms of discrete tasks (i.e., limitation in bathing, dressing, toileting), analysis of the amount of care people receive has to take into account the combination of dementia and combinations of ADL limitations. We found that older adults with dementia receive one hour more of personal care per day at the lowest level of disability and 1.5 hours at the highest level. The increased need for caregiving hours should be incorporated into policies that guide HCBS programs.
Person-Centered Dementia Care: Workforce and Organizational Supports in Nursing Homes
Authors: Morgan Jennifer , Burgess Elisabeth , Chen Yun-Zih 
Published: December 2020

Abstract
Person-centered care that supports choice and autonomy of residents is foundational to implementing high quality care for long-term care residents including those living with dementia. Organizational change that supports person-centered approaches requires leadership engagement and a stable, well-qualified dementia-capable workforce. This paper uses survey data from a statewide probability sample of nursing homes and their staff (N=438) to identify barriers and facilitators to person-centered care. Findings show key barriers to delivering person-centered care, including a lack of staff empowerment practices and irregular use of consistent assignment. While most organizations are implementing some person-centered resident care practices, few have moved beyond predominantly institutional practices. Staff stability and retention also remain key barriers to person-centered care. Facilitators include adoption of evidence-based and inclusive quality improvement strategies. The paper will discuss implications for state, community and organizational strategies for improving staff empowerment, integrating dementia care competencies, promoting culture change and increasing leadership engagement.
Allegation Assessment and Outcome Differences Across Racial Groups From Standardized Adult Protective Services Data
Authors: Hass Zachary , Liu Pi-Ju (Marian) , Conrad Karen , Stratton Sara , Conrad Kendon 
Published: December 2020

Abstract
Objective assessment is an important tool for Adult Protective Services (APS) in supporting a diverse population. Out of the 1472 APS’ clients, aged 65 and over, assisted during the study period, 39% identified as a non-white race and 30% did not speak English. Providing services to this vulnerable population is made even more difficult by the need to provide culturally appropriate services. In this work, we present on differences in types of abuse alleged, abuse severity assessment, services provided, and preliminary outcomes across racial and language groups. For example, for this population, clients identifying as black race had the highest allegation rates of neglect (16%) and financial abuse (27%), Asians of physical (15%) and emotional abuse (24%), and other races of self-neglect (56%) and isolation (9%). Standardized data collection permits tracking such patterns and objective assessment tools help to avoid systemic bias in aiding this vulnerable population.
Discrimination and Protective Factors to Cognitive Health: Testing NIA’s Health Disparities Framework
Authors: Gonzales Ernest , Whetung Cliff , Lee Jane , Wang Yi 
Published: December 2020

Abstract
Cognitive impairment is a worldwide epidemic. Informed by NIA’s Health Disparities Framework, this study investigated interpersonal, behavioral, and sociocultural risk and protective factors associated with cognitive health trajectories. Mixed models examined factors associated with cognitive health with data from the Health and Retirement Study among Whites, Blacks, and Hispanics (2008-2014, N=4,511). A majority of respondents who experienced everyday discrimination attributed it to ageism among this racially and ethnically diverse sample. Stratified mixed models of everyday discrimination by attribution (racism or ageism) revealed worse cognitive functioning. Major lifetime discrimination was not statistically associated with cognitive functioning. Economic factors (education, income, assets) and religious activity protected cognitive functioning and were particularly salient for Blacks and Hispanics. Strategies that bolster individual resilience as well as social policies that address discrimination and structural inequities will likely reduce health disparities and improve population health.
Arts, Narrative, and Creativity: Enhancing Connection, Communication, and Health
Authors: Eaton Jacqueline 
Published: December 2020

Abstract
Older adults will comprise17% of the world’s population by2050. Meeting the unique challenges of an aging society requires innovative solutions to enhance the aging experience, reduce the pressures placed on the current infrastructure, and inspire future generations to see that aging matters. Shifts in multi and transdisciplinary approaches to research in aging have contributed to an increasing surge in the development and evaluation of arts-based strategies to find innovative solutions to the challenges associated with aging. This symposium examines the use of creative expression as a tool to enhance older adult health and quality of life through five different approaches targeting1) workforce training,2) mental health self-support,3) perceptions of peer loss and death in long-term care and,4) social activity for persons with dementia. Cox and Maguire enhance undergraduate gerontology courses with guided autobiography, portfolios, and creative collaging processes. Eaton et al. report findings from a study testing the use of arts-based caregiving techniques by certified nursing assistants to improve resident care. Fortuna and Brooks describe the use of narrative and storytelling to share lived experiences of aging with a mental health condition while promoting age-related self-management skills development. Olson presents findings from her work using expressive arts to explore perceptions of death and peer loss by residents in long-term care. Finally, Mittelman and Harris share outcomes from the program, A Place For Us, which provides creative expression opportunities for persons with dementia.
Healing With the Arts: Older Adult Recovery Narratives
Authors: Fortuna Karen , Brooks Jessica 
Published: December 2020

Abstract
Recovery narratives are an effective healing art medium that support individual development by virtue of the shared human experience transmitted through each story. Older adult recovery narratives are unique as they share their experiences of aging with a mental health conditions to support others with similar difficulties. Older adult recovery narratives offer encouragement of self-determination in late life, share lived experience of aging with a mental health condition, and promote age-related self-management skills development. The RecoverYdia smartphone app provides an online community for older adults with a lived experience of a mental health condition. RecoverYdia subscribers can search through hundreds of relevant videos and find the storyteller who tells the viewer’s story, prompts them to reach out for help, and eventually inspires them to help others. This presentation will discuss the state of evidence regarding the evidence for recovery narratives across the globe and offer a RecoverYdia technology demonstration.
Getting Involved With Policy as a Graduate Student
Authors: Gallo Haley 
Published: December 2020

Abstract
The third speaker is University of Southern California PhD candidate Haley Gallo. Haley will discuss strategies for connecting research to policy as a graduate student, as well as aging-policy internship opportunities for graduate students, including the GSA’s Greg O’Neill Policy Internship. Haley’s research focuses on policies that promote the goals of the Age-Friendly Cities and Communities initiative. She is passionate about including older adults—particularly those from groups who are traditionally left out—in the development of research and policy that affects people of all ages.
Partnerships to Connect Aging Research to Policy
Authors: Thomas Kali 
Published: December 2020

Abstract
The fifth speaker is Dr. Kali Thomas. Dr. Thomas will discuss her experience working in partnership with government and non-profit organizational stakeholders to conduct aging research that informs policy and practice. Dr. Thomas is an Associate Professor at the Brown School of Public Health and research health science specialist at the Providence VA Medical Center, where her research focuses on identifying ways to improve the quality of life of older adults needing long-term services and supports (LTSS) through applied health services research.
Do Age-Friendly Community Initiatives Form a Biopolitical Paradigm?
Authors: Yeh Jarmin , Fox Pat , Vlahov David , Pinderhughes Howard 
Published: December 2020

Abstract
Biopolitical paradigms are frameworks that specify how concerns about health and the body are made the simultaneous focus of biomedicine and state policy (Foucault 1984; Rose 2007). As aging and urbanization trends converge, developing “age-friendly community initiatives” (AFCIs) has become a global movement and important policy area. To prompt critical questioning, situational analysis was used as a theory-methods package to compare AFCI conceptual frames with perspectives of thirteen AFCI experts and seventeen older San Franciscans. Preliminary analysis suggests AFCIs form a biopolitical paradigm because they not only seek to rework boundaries between bodies and environments, they operate as modes of individual and population governance for the sake of health; yet, struggle to find ways to preserve the inclusion of older people in the ongoing social system. Understanding how AFCIs place social and physical environments squarely in view within the biomedical arena of the gerontological gaze has theoretical and policy implications.
Financial Security at Older Ages
Authors: Mudrazija Stipica , Butrica Barbara 
Published: December 2020

Abstract
As Americans have become increasingly indebted over time, understanding the factors influencing indebtedness is increasingly important and can help policymakers design policies that discourage debt, thus enhancing private retirement savings so that retirees become less dependent on Social Security benefits. The paper uses data from a major credit bureau of a nationally representative 2 percent random sample from more than 250 million consumer records to examine the financial health and indebtedness of older adults. The data cover the years 2010 through 2018 and follow the same consumers over time. They are supplemented with the zip-code level information from the American Community Survey on neighborhood characteristics, including racial and ethnic composition, education, median income, and poverty. Our preliminary findings suggest that, while the proportion of older adults in serious financial distress is not substantial, their indebtedness is increasing and the growth of unsecured debt (e.g., student debt) has been especially fast. Part of a symposium sponsored by the Economics of Aging Interest Group.
The Financial Presentation of Alzheimer’s Disease and Related Dementias
Authors: Nicholas Lauren 
Published: December 2020

Abstract
Dementia, a currently incurable degenerative cognitive disease, represents a major threat to financial stability. Early signs of dementia can include difficulties managing money and forgetting to pay bills, raising concerns about the implications of pre-clinical disease for financial well-being. We linked Medicare claims data to 20 years of consumer credit data for more than 80,000 older Americans living in single households to study the financial presentation of Alzheimer’s Disease and Related Dementias. Using non-parametric regression models, we find elevated rates of payment delinquency, subprime credit, and withdrawal from use of credit products up to 6 years before dementia is clinically diagnosed. Similar patterns did not appear with a number of placebo acute and chronic health conditions, suggesting that the adverse financial events are unique to dementia and do not occur with other acute or chronic illnesses. Part of a symposium sponsored by the Economics of Aging Interest Group.