bluuebunny/crossref_metadata_2025_split huggingface dataset:
CREATION OF EVIDENCE-BASED GERIATRIC SURGERY STANDARDS
Authors: Russell Marcia McGory 
Published: November 2019

Abstract
The aim of this abstract is to describe how to establish high-quality, valid standards to improve surgical care of the older adult. The older adult population has high demand for high-quality surgical care. Building upon prior guidelines, quality indicators, and pilot projects, the Coalition for Quality in Geriatric Surgery (CQGS) included 58 diverse stakeholder organizations committed to improving surgery for older adults. Using a modified RAND-UCLA Appropriateness Methodology, 44 of 58 CQGS Stakeholders twice rated validity (primary outcome) and feasibility for 308 standards, ranging from goals and decision-making, pre-operative assessment and optimization, perioperative and postoperative care, to transitions of care beyond the acute care hospital. Stakeholders rated the vast majority of standards of care as highly valid (99%) and feasible (94%) for improving the quality of surgical care provided to older adults.
FUTURE DIRECTIONS: DISSEMINATION OF STANDARDIZED GERIATRIC SURGERY CARE NATIONALLY
Authors: Katlic Mark 
Published: November 2019

Abstract
The American College of Surgeon’s Coalition for Quality in Geriatric Surgery will formally launch a national initiative aimed to improve the quality of surgical care for all older adults in July 2019. The first-year goal will be to recruit and successfully verify 100+ medical centers. This presentation will provide an overview of dissemination efforts for the standards set for providing high quality surgical care for older adults as well as processes to measure the quality of care provided to older adults at these medical centers. It our vision that this national initiative will lead the effort to the improvement of surgical care of all older adults.
ASSOCIATION BETWEEN BRAIN VOLUMES AND PATTERNS OF COMMUNITY-DWELLING PHYSICAL ACTIVITY
Authors: Wanigatunga Amal A , An Yang , Davatzikos Christos , Urbanek Jacek K , Spira Adam P , Simonsick Eleanor M , Resnick Susan M , Schrack Jennifer A 
Published: November 2019

Abstract
With aging, brain structural integrity may influence patterns of physical activity (PA) performed in community-dwelling settings. In 281 cognitively-intact adults aged ≥65 years, linear regression models were fitted to examine whether MRI brain volumes (cc), assessed using an automated multi-atlas approach, were cross-sectionally associated with accelerometer-derived: 1) daily PA minutes and 2) activity fragmentation defined as the ratio of # of contiguous PA minutes over total PA minutes x 100. Higher white matter in the parietal and temporal lobes were associated with more daily active minutes (2.8 (SE=1.0) and 3.1 (0.9) min/day, respectively; p&lt;0.005 for both) after adjusting for demographics, behavioral factors, medical conditions, and intracranial volume. Higher white matter in the temporal region was associated with lower fragmentation (-0.15 (0.05) %, p=0.004). Our results suggest sensorimotor-related brain morphometry is connected with both the amount and manner in which PA is performed throughout the day in well-functioning older adults.
THE UNIQUE CONNECTION BETWEEN PERSONALITY TRAITS AND LONELINESS AMONG CENTENARIANS
Authors: Cho Jinmyoung , Bishop Alex J 
Published: November 2019

Abstract
Evidence suggests that personality traits contribute to risk and resilience in long-term survivorship. However, research examining the link between personality and loneliness among persons living 100 and more years has remained limited. The purpose of this study was to examine the association between Big 5 personality traits and loneliness among 154 centenarians residing in Oklahoma. Basic descriptive and multivariate regression analyses were conducted. Analyses of covariance (ANCOVA) indicated that mean level of loneliness was higher among centenarians possessing higher levels of extraversion, agreeableness, conscientiousness, and lower level of neuroticism compared to their counterparts. After controlling for demographic characteristics, physical health and cognitive functioning, neuroticism (β=-.22, p&lt;.05) and agreeableness (β=.40, p&lt;.001) were significantly associated with loneliness. It appears that experiencing emotional instability and being agreeable contributes to greater feelings of loneliness among centenarians. This has implications relative to further investigating how personality may uniquely contribute to loneliness after age 100.
ENGAGING OLDER ADULT LEARNERS AS HEALTH RESEARCHERS: PROGRAM OVERVIEW
Authors: Sörensen Silvia , Seshadri Sandhya R , Duckles Joyce 
Published: November 2019

Abstract
Studies of aging rarely include the older adults themselves in the process of conceptualizing questions, implementing the research, and evaluating the results. To provide opportunities for community members to become engaged in research, researchers and community stakeholders developed “Engaging Older Adult Learners as Health Researchers (ENGOAL).” This program educates older adults from underserved and underresourced communities about geriatric health and research methods, enabling them to become Research Partners. Two cohorts of African-American seniors (N=21) aged 53-79 have participated or are currently participating in six months of weekly classes followed by 4-6 months of research apprenticeships. Content and structure of classes (covering qualitative and quantitative research approaches and language, salient health themes, and developing a research proposal) will be described. Challenges and successes in providing research apprenticeships (interviewing for a study on vision, reviewing recruitment materials, evaluating a mentorship program, and testing a diabetes management program) will be discussed.
STRENGTH IN AGE: HARNESSING THE POWER OF THE NATIONAL INSTITUTE ON AGING FOR EARLY-CAREER SCIENTISTS
Authors: Bernard Marie A 
Published: November 2019

Abstract
The National Institute on Aging (NIA) at the National Institutes of Health, Department of Health and Human Services, supports biomedical and behavioral research with a life-span focus. There is attention to understanding basic processes of aging, improving prevention and treatment of diseases and conditions common in later years, improving the health of older persons, as well as a focus on Alzheimer’s disease and related dementias. The NIA also supports the training and career development of scientists focusing on aging research and the development of research resources. The symposium, meant for junior faculty and emerging scholars, will provide an update on the latest research findings from the NIA followed by a brief update on funding mechanisms. An opportunity is provided to meet and consult with NIA extramural staff.
INTEREST GROUP SESSION—KOREAN AND KOREAN AMERICAN AND AGING: UNDERSTANDING THE HEALTH AND WELL-BEING OF OLDER KOREAN AMERICANS FROM CULTURAL PERSPECTIVES
Authors: Kim Miyong T , Chiriboga David , Yee Barbara 
Published: November 2019

Abstract
Despite tremendous progress in improving health in the U.S. in recent years, many ethnic minority populations still experience significant health disparity gaps that stem from a lack of valid research and culturally sensitive service infrastructures for those populations. Our previous research indicates that overwhelming numbers of older Korean Americans, a first-generation immigrant group, suffer not only from health issues but also from a lack of self-confidence and a feeling of social isolation because of language and cultural barriers. In addition, many older Korean Americans lack personal resources and health literacy to overcome those barriers when they attempt to access the complicated U.S. health care system. The purpose of this symposium is to promote the understanding of the health and well-being of older Korean Americans and identify their vulnerabilities and resilience. A series of five community-based studies of older Korean Americans conducted in multiple locations (e.g., FL, HI, TX, NY, CA, MD, VA, DC, MN, and IL) that covers diverse topics on health and well-being (e.g., health literacy, chronic disease management intervention, physical/mental/oral/cognitive health, end-of-life issues, diabetes, cancer, and dementia), using various methodologies (e.g., quantitative surveys, qualitative interviews, focus groups, and randomized controlled trials) will be presented. The issues of diversities and disparities will be discussed from the cultural perspectives, as well as implications for future research and practice.
I MAY BE ALONE BUT I DON'T FEEL LONELY: INSIGHTS FROM THE ORAL NARRATIVES OF CHILDLESS CENTENARIANS
Authors: Heinz Melinda , Bishop Alex J , Finchum Tanya 
Published: November 2019

Abstract
Oral history narratives of nine childless centenarians (7 women, 2 men) from the Oklahoma 100 Year Life Project were reviewed to investigate loneliness. Oral history narratives were assessed qualitatively, using content analysis to determine themes. We predicted that childless centenarians would feel lonely due to “elder orphanhood.” Findings revealed little indication of loneliness. Centenarians admitted they voluntarily chose to remain childless due to raising siblings earlier in life or delaying marriage. However, most remained socially well-adjusted and connected to extended family, particularly nieces. When confronted by social network losses due to death or relocation, most adapted by actively seeking and forming new relationships. In some cases, childless centenarians remained gainfully employed and working. Childlessness does not appear to make centenarians lonely. Rather, purposeful pursuit of intrapersonal and interpersonal sources of lifelong emotional contentment may render childless centenarians immune from conditions of loneliness.
VITAL INVOLVEMENT: A SOURCE OF REALISTIC OPTIMISM FOR OLDER ADULTHOOD
Authors: Kivnick Helen Q 
Published: November 2019

Abstract
Vital Involvement (VI) was initially proposed (Erikson et al., 1986) as one of three principles around which lifelong healthy psychosocial development takes place. As more recently elaborated, VI has come to describe a person’s meaningful, reciprocal engagement with the world outside the integrating “self.” It is through VI that the person engages in healthy psychosocial development throughout life, including balancing Older Adulthood’s focal tension between Integrity and Despair. This life stage is widely associated with the physical, cognitive, and social losses, and societal constraints that give rise to later-life despair. However, VI functions as a lifelong psychosocial model for the meaningful environmental engagement that supports later life’s wisdom and integrity. Notably few films present an integrated view of older adulthood’s losses along with opportunities. But those few can be a source of optimism to elders for whom VI may not be intuitive, but who can learn its practice.
ELDER COHOUSING: THE EMBODIMENT OF AGING IN COMMUNITY
Authors: Glass Anne P 
Published: November 2019

Abstract
A new alternative living arrangement has emerged in the U.S., in which older adults proactively choose how, where, and with whom they want to live, in a close-knit community where neighbors look out for each other. Adopting the cohousing model originally established in northern Europe, these elder intentional communities are distinctive, as they are run by the residents themselves, and there is a focus on neighbors helping each other. Drawing from over a decade of research incorporating data from six communities, the challenges and benefits of establishing such a community will be addressed and the requirements necessary for mutual support to thrive will be identified. Finally, the model of aging better together intentionally, developed from the senior cohousing experience, will be shared, as well as the implications for how the model can be used for planning and policy in other settings.
PROGRAM PLANNING STRATEGIES AMONG OLDER ADULTS PARTICIPATING IN THREE PROGRAMS PROMOTING AGING-IN-COMMUNITY
Authors: Hou Su-I 
Published: November 2019

Abstract
This study examines program planning strategies among older adults participating in programs promoting aging-in-community (AIC) programs. Older adults from three programs were recruited (n=290): a university-based lifelong learning program (LLP; n=110), a county neighborhood lunch program (NLP; n=84), and a village program (n=96). Mean age was 72.4 (SD=8.68) years and 78% female. Findings showed NLP participants were more likely to obtain health information from TV (p=.030), friends and neighbors (p=.016), family members (p&lt;.001), or mailed advertisement (p&lt;.001); while less likely to obtain health information online (p&lt;.001). Village members preferred afternoon while NLP participants preferred morning programs (p=.025). Most desired frequency was weekly (45%) and delivered in small group modes (68%). NLP participants were more likely to report self as risk takers (29% vs. 17%) or old tradition (23% vs. 3-8%) towards new technology adoption (p&lt;.001). Results have implications on tailored program planning for older adults in different AIC programs.
PERCEPTIONS OF BRAIN HEALTH AND INTEREST IN PARTICIPATING IN BRAIN HEALTH RESEARCH AMONG ADULTS AGE 50 TO 64
Authors: Solway Erica , Maust Donovan , Kirch Matthias , Singer Dianne , Kullgren Jeffrey , Malani Preeti 
Published: November 2019

Abstract
Evidence suggests it may be possible to reduce the risk of developing dementia during midlife. The University of Michigan National Poll on Healthy Aging (NPHA), a nationally representative online survey, sought to determine to what extent adults age 50 to 64 anticipate and worry about developing dementia, are taking steps to prevent dementia, and are likely to participate in dementia-related research. Nearly 50% of poll respondents (n=1,025) perceived themselves as being somewhat or very likely to develop dementia. Worry about developing dementia was higher among respondents who had a family member with dementia (66.3% vs. 31.8%; Pearson’s Chi squared, p&lt;0.001) and those who had been a caregiver of a person with dementia (65.2% v. 38.9%; Pearson’s Chi squared p&lt;0.001). Only 5% of respondents had discussed preventing dementia with their doctor. In contrast, many respondents endorsed pursuing a variety of strategies to help maintain their memory. For example, 55% did crossword puzzles or other brain games; more than 30% reported taking fish oil or omega-3 supplements. Finally, 44% of respondents said they were likely to participate in studies to test a new medicine to prevent dementia and to test a new treatment for dementia. According to this NPHA, while many adults age 50 to 64 in the U.S. are worried about developing dementia, fewer are willing to participate in research to prevent or treat dementia. The low percentage who discussed dementia prevention with their doctor is concerning, particularly because many report using non-evidence-based prevention strategies such as dietary supplements.
PERMANENT TRANSITION OF HOMECARE RECIPIENTS WITH DEMENTIA TO NURSING HOMES IN NYS: RISK FACTORS
Authors: Young Yuchi , Papenkov Maksim , Hsu Wan-Hsaing , Shahid Faryal , Kuo Yen-Hong 
Published: November 2019

Abstract
Objective. To determine predictors associated with the permanent transition to nursing homes among home care recipients with dementia. Methods. Retrospective cohort study (01/2007-12/2012). Study participants (n=48,338) include older adults age 65+ with dementia who received home health services in NYS for at least 2 months prior to permanent transition to nursing homes. Permanent transition is defined as discharge from a home care agency to a nursing home where participants must reside for 3+ months continuously. Two data sets were used—the Minimum Data Set (MDS) and Outcome and Assessment Information Set (OASIS). Multivariate logistic regression was used to quantify the association between predictors and permanent transition to nursing homes. Results: 29% of home care recipients with dementia made permanent transitions to nursing homes. The mean age was 83 years old ranging from 65-111. Among the permanent transition group, 47% were age 85+, 68% female, 75% white, 13% black, 9% Hispanic, 29% with both urinary & bowel incontinence, and 15% with depression. Risk factors associated with permanent transition included increasing age (OR=1.1; 95% CI 1.03-1.18); being white (OR =1.25; 95%CI 0.83-0.94) compared to black, urinary and bowel incontinence vs. continence (OR=1.46; 95% CI 1.37-1.56); depression vs. no depression (OR=1.2; 95% CI 1.11-1.25); hip fracture vs. no hip fracture (OR=2.63; 95% CI 2.27-3.05), and 3+ hospitalizations vs. no hospitalization (OR=3.02; 95% CI 2.77-3.29). Conclusion: Two potential modifiable risk factors related to permanent transition to nursing homes are depression and incontinence. Early diagnosis and treatment may delay or avert nursing home entry.
THE BUDDY PROGRAM: IMPACT ON PERSONS LIVING WITH DEMENTIA AND FAMILY CAREGIVERS
Authors: Morhardt Darby , Mittelman Mary , Burgunder Ann , Micoli Thea 
Published: November 2019

Abstract
Psychosocial interventions have the potential to offer substantial benefit to people with dementia and their family caregivers. The Buddy Program is an experiential learning program that pairs students with persons with dementia for activities and relationship-building. Previous studies have demonstrated the program’s positive impact on student knowledge and attitudes. New York University’s (NYU) Alzheimer’s Family Support Program began replicating the Buddy Program in 2017 and has enrolled 80 students. Northwestern University’s (NU) Buddy Program, in its 22nd year, has enrolled 260. This presentation describes the impact of the program on the mentors (NU) and the caregivers (NYU). Post program focus groups with mentors and student journals describing interactions with the caregiver were thematically analyzed. Mentors describe feelings of pride in the mentorship role, enjoyment being with student, and the opportunity to develop a new friendship. Caregivers enjoyed the respite provided by the buddies, knowing that their relatives with dementia were enjoying themselves and seeing their relatives with dementia in the role of valued companion. Qualitative data from caregivers and mentors participating in the buddy programs at NU and NYU underscore the possibility that people with dementia can still make contributions to society. The buddy program has a positive impact on quality of life for persons living with dementia and their family members, while providing a valuable educational experience for students. Further research on the buddy program’s benefits is warranted.
LONELINESS, ISOLATION, AND LIVING ALONE AMONG PEOPLE WITH DEMENTIA AND THEIR CARERS: INSIGHTS FROM THE IDEAL STUDY
Authors: Victor Christina , Fauth Elizabeth B 
Published: November 2019

Abstract
The IDEAL research programme is national nine-year (2014-2022) ESRC/NIHR/Alzheimer’s Society UK funded longitudinal cohort study of 1547 people with mild to moderate dementia and 1283 family members or friends who provide support and aims to identify what promotes (or inhibits) people living well with dementia and their carers and how these change longitudinally. Loneliness and/or isolation are key indicators of quality of life and living well is posited as a factor which compromises wellbeing. Loneliness was measured using both the six-item de Jong Gierveld (DJG) scale (range 0-6) and isolation by the six-item Lubben social network scale (range 0 to 30). The three presentations in this symposium use data from the baseline assessment. Clare focuses upon the 18.5% of our participants who live alone and compares them with those living with others and suggests that there are few systematic differences in terms of cognition, psychological factors and well-being between these groups. Using a score of 5+ on the DJG scale, Victor reports that for people with dementia 5 % were severely lonely, which approximates to the national norm, compared with 17% for caregivers. For social isolation people with dementia had smaller social networks (mean =15.1) and higher levels of isolation as measured by a score of 12 or less on the Lubben scale (35%) compared with caregivers (mean network size=17.1 and 18% isolated). Victor and Clare use dyad data for 1089 pairs for loneliness and 1204 for isolation demonstrating congruence of 43% for loneliness and 68% for isolation
DEALING WITH A DISTRESSED SPOUSE: MARITAL DYNAMICS IN SAME-SEX AND DIFFERENT-SEX COUPLES
Authors: Umberson Debra 
Published: November 2019

Abstract
We use a mixed-methods strategy to generate insights into gendered marital dynamics when one partner is experiencing high levels of psychological distress/depression. Our data are unique in their dyadic design and in the inclusion of same-sex and well as different-sex marital dyads. The data are from closed- and open-ended survey responses (from 808 gay, lesbian, and heterosexual spouses in 404 unions) as well as in-depth interview data (with a subsample of 45 gay, lesbian, and heterosexual couples in 90 unions). Respondents were asked about their most significant period of emotional distress during the marriage, how their spouse reacted to their distress (e.g., providing emotional or instrumental support, withdrawing), and how much they worried about burdening their spouse. Respondents were also asked how they reacted to their spouse’s periods of emotional distress. Preliminary results point to gendered experiences of distress within marriage that sometimes differ for same-sex compared to different-sex couples.
MULTIPLE METHODS OF ASSESSING DAILY MEDIA USE IN LATE LIFE
Authors: Fingerman Karen , Ng Crystal L , Huo Meng L , Zhang Shiyang L 
Published: November 2019

Abstract
Television viewing is a risk factor for obesity and poor physical health. By contrast, close ties to family and friends in late life are often beneficial. This study examined associations between social engagement and television viewing. Participants (N = 313) from the Daily Experiences and Well-being Study completed an initial interview about their social partners and participated in a 5 to 6 day intensive data collection including Ecological Momentary Assessments about their social contact and activities every 3 hours. Participants also wore Electronically Activated Recorders (EAR) which captured snippets of sound in the environment. Multilevel models using self report and EAR data revealed that participants were more likely to watch TV when they were with close family members (e.g., spouse, grown children) than with friends or acquaintances. Findings from these multiple methods suggest that close family may encourage risks (e.g., sedentary behaviors) as well as benefits in late life.
HEALTH INFORMATION’S IMPACT ON OSTEOPOROSIS SELF-MANAGEMENT BEHAVIORS IN OLDER WHITE AND ASIAN WOMEN
Authors: Du Yan , Wang Jing , Xu Qingwen 
Published: November 2019

Abstract
Little is known about how health information obtained from different types of social networks affect health behaviors. This study aimed to explore the effect of health information on osteoporosis management behaviors among White and Asian women from a social capital (SC) perspective using a variety of SC measures (e.g. bonding: family, friends, coworkers; bridging: churches, clubs; linking: health providers). Semi-structured interviews were conducted with 10 White and 10 Asian women aged 50 and over in 2016. Through content analysis, we found that SC possession was different between older White and Asian women, and SC utilization to obtain health information corresponded with their possession of SC. Comparing to other diseases, health information relevant to osteoporosis was less frequently communicated. Health information from different types of SC interactively shaped participants’ behaviors. The findings suggest that culturally appropriate health interventions might improve older White and Asian women’s self-management behaviors of osteoporosis.