bluuebunny/crossref_metadata_2025_split huggingface dataset:
RELIGIOUS DIFFERENCE, MARITAL SATISFACTION, AND PSYCHOLOGICAL WELL-BEING OF CHINESE MIDDLE-AGED AND OLDER ADULTS
Authors: Li Jia , Wang Qi 
Published: November 2019

Abstract
Objectives: Religion plays an important role in people’s individual and interpersonal life. Spousal religious difference is a potential risk factor of marital satisfaction, which will further influence people’s psychological well-being. This study aims to explore the associations between spousal religious differences, marital satisfaction, and psychological well-being of Chinese middle-aged and older adults. We also investigated the gender differences in the captioned associations. Method: We adopted a sample of 1285 adults aged 45 and above from the China Health and Retirement Longitudinal Study (CHARLS). We conducted descriptive statistics, multiple regression models and a path analysis based on a general structural equation model (GSEM). Results: Spousal religious difference was only associated with wives’ marital satisfaction. Marital satisfaction was associated with depression and life satisfaction for both genders, and wives’ marital satisfaction had a stronger association with life satisfaction than husbands’. Wives’ marital satisfaction mediated the relationship between spousal religious difference and their psychological well-being, including depression and life satisfaction. Discussion: This study calls for more further research on the individual and interpersonal outcomes of religiosity in middle-aged and older adults. Gender differences should be paid attention to in academic research, service provision and clinical settings.
LINKS BETWEEN SOCIAL ENGAGEMENT AND SUCCESSFUL AGING AMONG AFFORDABLE SENIOR HOUSING RESIDENTS
Authors: Webster Noah J , Webster Noah , Antonucci Toni 
Published: November 2019

Abstract
We report on a study designed to integrate the convoy model of social relations with the successful aging model. The combined approach draws on the natural resources of interpersonal relations to promote successful aging thus minimizing risk of disease and disability, enhancing\maintaining mental and physical functioning, and facilitating continued engagement in life. We describe the MacHouse Affordable Housing Study, a field experiment conducted in an affordable senior housing community. The experiment involved a resident driven intensive intervention program designed to increase social activities and engagement. Based on an extensive needs assessment and interviews with the resident council as well as individual residents a program of activities was developed. This included group meals, an exercise program that included a walking group and an exercise class, communal gardens, computer classes and resident outings. Results indicate that more frequent participation in these activities was associated with increased life satisfaction over time.
WHICH ASPECTS OF HEALTH PREDICT LATE-LIFE SOCIAL INTEGRATION OVER TIME?
Authors: Toyama Masahiro , Toyama Masahiro , Fuller Heather R 
Published: November 2019

Abstract
Associations between late-life social integration and health have been found to be reciprocal. The present study focuses on the direction of health predicting social integration as it is not yet fully understood how different aspects of health may affect social integration. Using two-wave data from a community-based sample (N = 413, mean age 80 at baseline), the present study investigates whether depressive symptoms, chronic health conditions, functional limitations, and self-rated health independently predicted multiple dimensions of social integration over two years. The results of multiple regression and path analyses indicated that self-rated health was the most consistent predictor for social integration over time as the other health measures predicted no or fewer dimensions of social integration. Subjective perception of health appeared to have greater implications for social integration over time than more objective health symptoms/conditions. These findings highlight the important role of subjective health for maintaining late-life social integration.
NEUROPROTECTIVE EFFECT OF APOE2: EVIDENCE AND IMPLICATION FOR COGNITIVE AGING
Authors: Sebastiani Paola , Raghavachari Nalini 
Published: November 2019

Abstract
Apolipoprotein E is a glycoprotein mediator and regulator of lipid transport and uptake. The APOE4 allele has been associated with higher risk of Alzheimer’s disease and of mortality, but the protective effect of the less prevalent APOE2 allele is less well established. This symposium will bring together experts in epidemiology, molecular biology, neurology and systems biology to clarify the role of APOE2 in longevity and cognitive health, to describe molecular targets of APOE alleles, and to suggest mechanisms of protection conferred by APOE2 using IPSc derived systems. Dr Seshadri will show the strong association between APOE2 and human longevity using data of 38,537 individuals of European ancestry. Mr Sweigart will examine longitudinal trajectories of cognitive function in participants of the Long Life Family Study and the New England Centenarian Study and show that carriers of the homozygote genotype of APOE2 have a significant slower rate of decline of their cognitive function compared to carriers of other genotypes. Dr Monti will present an association analysis of APOE genotype data with 4137 human proteins in serum of 222 New England Centenarian Study participants. The analysis discovered a signature of 16 proteins that associated with different APOE genotypes, and replicated in 3 independent studies. Dr. Ellerby will summarize her recent analyses that used transcription analysis of isogenic iPSCs with APOE2 and APOE4 homozygote genotypes differentiated into inhibitory GABAergic neurons to show that E2 inhibitory GABAergic neurons regulate genes involved in nuclear division, DNA integrity and DNA damage checkpoint.
CHRONIC PAIN CONTRIBUTES TO INJURIOUS FALLS IN COMMUNITY-DWELLING OLDER ADULTS
Authors: Cai Yurun , Leveille Suzanne , Shi Ling , You Tongjian , Chen Ping 
Published: November 2019

Abstract
Fall injuries are a leading cause of death among older adults, and chronic pain has been identified as a fall risk factor. However, the potential impact of chronic pain on injurious falls is unknown. This prospective study examined the relation between chronic pain and injurious falls in a 4-year follow-up of community-dwelling older adults. The MOBILIZE Boston study recruited 765 older adults aged ≥70y living in the Boston area. Pain characteristics, including pain severity, pain interference, and pain location, were measured at baseline using the Brief Pain Inventory subscales and a joint pain questionnaire. Musculoskeletal pain distribution was categorized as “no pain”, “single site pain”, or “multisite pain”. Injurious falls were ascertained in telephone interviews following reports of falls on the monthly fall calendar postcards. The overall rate of injurious falls was 35/100 person-years. Negative binomial models, adjusting for sociodemographics, BMI, chronic conditions, mobility difficulty, analgesic and psychiatric medications, and depression, showed that pain interference and pain distribution, but not pain severity, independently predicted injurious falls. Participants in the highest third of pain interference scores had a 53% greater risk of injurious falls compared to those in the lowest pain interference group (adj.IRR=1.53, 95% CI: 1.15, 2.05). Older adults with multisite pain had a 50% higher risk of injurious falls than those without pain (adj.IRR=1.50, 95% CI: 1.16, 1.93). Risk of injurious falls related to pain was stronger among women than men. Research is needed to determine effective strategies to prevent fall injuries among older adults with chronic pain.
DEVELOPING A RAI-MDS 2.0 BEHAVIOR-BASED PAIN ASSESSMENT SCALE FOR LONG-TERM CARE RESIDENTS WITH ADVANCED DEMENTIA
Authors: Knopp-Sihota Jennifer A 
Published: November 2019

Abstract
In Canadian and many international long-term care (LTC) facilities, pain assessment frequently relies on data from the Resident Assessment Instrument – Minimum Data Set 2.0 (RAI-MDS). The RAI-MDS produces a two-item scale, measuring both pain frequency and pain intensity. This scale correlates well with self-reported pain in cognitively intact LTC residents, but despite repeated testing, is less valid for use in residents with more advanced cognitive impairment who are unable to self-report their pain. In this study we aimed to develop and validate a behaviour-based pain assessment scale for long-term care residents using data available in the RAI-MDS. To construct our initial scale, we reviewed the literature and compiled a list of observable indicators of pain (e.g., grimacing) and linked these with 28 similar items available in the RAI-MDS. Using Delphi techniques, we further refined this to 20 items. We then evaluated the psychometric properties of our scale using two independent, representative samples, of urban LTC residents in Western Canada. Exploratory factor analyses were conducted in sample one (n=16,282) and confirmatory factor analyses (CFA) were then conducted in sample two (n=15,785) in order to test, and confirm, our model. A two-factor solution was identified grouping RAI-MDS items into subscales 1) change in status (e.g., new onset restlessness) and 2) behaviours (e.g., crying). Commonly recognized model fit indices were acceptable suggesting the adequacy of the two-factor solution. Results provide preliminary support for the use of behavioural-based pain assessment scale using RAI-MDS data. Further evaluation and validation of our scale is warranted.
PALLIATIVE AND END-OF-LIFE CARE TO THE LGBT COMMUNITY
Authors: Stein Gary L , Berkman Cathy 
Published: November 2019

Abstract
The lesbian, gay, bisexual, and transgender (LGBT) community experiences discrimination and stigma in accessing health care and social services – including palliative, hospice, and long-term care – across cultures and countries. Health care providers may fail to recognize, acknowledge or address disparities in care. Providers and institutions may be uncomfortable with gender and sexuality issues, and often fail to inquire about sexual orientation and gender identity. It is estimated that there are approximately 2.7 million LGBT adults in the U.S. age 50 and older and approximately 1.1 million age 65 and older. In the UK, an estimated 5-7% of the population identify as LGBT; there are between 600,000 and 840,000 LGBT adults aged 65+. With the projected increased number of older adults and improved treatments that extend the life of seriously ill individuals, even greater numbers of LGBT older adults, and their families, will require palliative and end-of-life in the coming years. Researchers in the US and UK have found that LGBT older adults living in the community and in long-term care facilities experience inadequate, disrespectful, and abusive care due to their sexual orientation and gender identity status. They fear being open about their identities, not receiving equal or safe treatment, and having their family of choice and designated surrogates disrespected or ignored by health care staff. This symposium will describe the experiences of LGBT individuals and their family members, and compare commonalities and differences faced by LGBT communities in the US and UK in accessing palliative and end-of-life care.
DOMAIN-SPECIFIC AGE STEREOTYPES AND ADULTS’ PERCEIVED FUTURE TIME EXPERIENCES
Authors: Ko Han-Jung , Cheng Yen-Pi 
Published: November 2019

Abstract
Experiencing ageism has been shown to affect older adults’ outlook for the future (Barber & Tan, 2018). However, ageism is a multi-faceted construct in addition to positive and negative age stereotypes. In this study, we examined to what extent domain-specific age stereotypes are related to different aspects of a person’s perceived future time experiences. A total of 646 participants (aged 18 to 83) were recruited from a U.S. mid-Western public university for an online anonymous survey. Age stereotypes were assessed in eight life domains of family, friends, religion, leisure, lifestyle, finance, work, and health (Kornadt & Rothermund, 2011). Future time experiences were assessed in four aspects, including perceived openness and concreteness of future, acceptance of life’s finitude, preoccupation with the past, and experiences of obsolescence (Brandtstädter & Wentura, 1994). Age stereotypes in the family domain were associated with one’s perceived openness and concreteness of future and preoccupation with the past. The religion and financial domains were both associated with perceived openness and concreteness of future and acceptance of life’s finitude. Moreover, the older the participants were, the more they accepted life’s finitude. Surprisingly, none of the domains significantly predicted one’s perceived future experiences of obsolescence. Unlike the common finding that people hold negative age stereotypes due to physical and mental declines, age stereotypes in the health domain did not predict any aspects of the future time experiences. Our findings highlight the importance of distinguishing ageism across domains in order to improve one’s perceived future time experiences.
QUALITY OF LIFE AND PERCEIVED NEEDS AMONG OLDER ADULTS RECEIVING LONG-TERM SERVICES AND SUPPORTS
Authors: Rivera Eleanor , Hirschman Karen , Naylor Mary 
Published: November 2019

Abstract
Long term services and supports (LTSS) are vital for older adults with physical and cognitive disabilities. LTSS can be provided in settings such as nursing homes, assisted living, or via community-based services. The aim of this study is to describe the perceived needs for older adults new to LTSS, examine whether those needs are met in the first three months of LTSS, and determine the relationship with quality of life (QoL). This secondary analysis included data from 470 older adults new to LTSS (average age: 81, 71% female, 51% white, 35% black, 20% Hispanic.) The main outcome of QoL was measured using a single item (“How would you rate your overall quality of life at the present time?”). Perceived needs included supportive equipment devices, transportation, physical therapy, and social activities. Analyses at baseline and three months included t-tests, ANOVAs and simple regression modeling. LTSS recipient reported needs at baseline were: 29% supportive equipment, 31% transportation, 20% physical therapy, and 25% social activities. Those who reported needs at baseline had a lower QoL than those who reported no needs (for all). At three months reported needs decreased by an average of 6% (range: 3%-10%). QoL ratings were associated with changes in physical therapy and social activities needs at three months. The implications of these results related to LTSS recipients’ QoL in the first three months of services, with emphasis on physical therapy and social activities needs, is an opportunity to be more person-centered in delivery of care.
GERONTOLOGICAL PEDAGOGY: PASSION, PARADOX, AND PROMISE
Authors: Hahn Sarah J , Karasik Rona J 
Published: November 2019

Abstract
Gerontology programs in the United States are on the decline despite the need for trained professionals who can serve a growing aging population (Pelham, Schafer, Abbott, & Estes, 2012). For many students, a gerontology course may be their only formal exposure to the concepts of aging. The development of gerontological pedagogy is important, but there is limited knowledge about what is being taught around the nation and to what extent course content reflects the current scope of the discipline. This symposium explores the role of individual instructors, the larger environment, and the efforts of organizational level criteria (i.e., AGHE standards to advance the field) to promote higher-quality gerontological education. The first presenter reports dissertation findings that examined college students’ self-perceptions of aging and how stereotypes impact them even after taking an introduction to gerontology course. The second presenter discusses the need for service-learning and community engagement in gerontology, while reporting on theoretical and practical suggestions, as well as potential pitfalls to avoid. The third presenter reports on student evaluations in a Master of Science program before and after the implementation of the Association for Gerontology’s proposed competencies. And our final presenter provides insights on applied perspectives and pedagogical approaches in and out of the classroom, including pitfalls and possibilities. Our discussant brings our ideas together to report on the discipline of gerontology and our potential to advance to the next level of pedagogical strategies.
THE INFLUENCE OF REVISING AN ONLINE GERONTOLOGY PROGRAM ON THE STUDENT EXPERIENCE
Authors: Dassel Kara B , Felsted Katarina , Eaton Jacqueline 
Published: November 2019

Abstract
The University of Utah’s Gerontology Interdisciplinary Program (UUGIP), a fully online program recently aligned all courses to meet the 2014 Academy of Gerontology in Higher Education (AGHE) “Gerontology Competencies for Undergraduate and Graduate Education” and to meet best practices in online teaching. These efforts led to the GIP Masters of Science program being recognized in 2017 by AGHE as a Program of Merit as well as a publication in the AGHE Journal of Gerontology & Geriatrics Education (Dassel, Eaton, & Felsted, 2018). In an effort to further this work, we analyzed student evaluations in core Master of Science program courses prior to and following these program revisions, assessed by qualitative and quantitative evaluation data from two semesters immediately prior and two semesters immediately following revisions. This presentation will discuss results, implications, and future applications of this analysis.
PARTNERED EVALUATION OF LONGITUDINAL IMPACT OF STAR-VA: IMPLICATIONS FOR PROGRAM SUSTAINABILITY
Authors: Karel Michele J , Minor Lisa A , Jedele jenefer M , Intrator Orna , Curyto Kim J 
Published: November 2019

Abstract
Between 2013 and 2018, 86 Community Living Center (CLC) teams received STAR-VA training and consultation and implemented the intervention. Program evaluation has consistently demonstrated that STAR-VA Veteran training cases experience significantly decreased frequency and severity of target behaviors, symptoms of depression, anxiety, and agitation. VA Central Office leaders responsible for ongoing STAR-VA implementation and evaluation sought to understand the program’s systemic impact on important outcomes, if outcomes are maintained, and factors influencing variation in sustained adherence to STAR-VA. This presentation will describe the rationale for and methods used to develop a valid quality improvement metric to assess behavioral symptoms of dementia, to compare Veteran- and site-level outcomes at trained and untrained CLCs, and to identify factors associated with sustained STAR-VA implementation. This partnered evaluation, combining quantitative and qualitative methodologies, is critical for informing operational strategies for promoting STAR-VA and supporting its sustained implementation in VA CLCs.
RATIONALE FOR ASPREE DISABILITY-FREE SURVIVAL PRIMARY OUTCOME AND OVERVIEW OF PRIMARY OUTCOME RESULTS
Authors: McNeil John 
Published: November 2019

Abstract
Disability-free survival (DFS), defined as survival free of disability and dementia was the primary outcome measure of the ASPREE clinical trial. As previously reported, there was no benefit of low dose aspirin on the primary end point of dementia, physical disability or death, but bleeding risks were increased. In total, 1,835 participants reached the primary endpoint, confirmed amongst approximately 3,000 who had triggered for one of the end-points. Dementia was the most labor intensive component of DFS. Several previous primary prevention aspirin studies had identified a reduction of vascular events counterbalanced by an increase in serious bleeding, leaving the question of net outcome to an intuitive decision. DFS was chosen because it balances the positive and negative effects of a preventive drug such as aspirin. It also encapsulates the primary purpose of a preventive drug in older people i.e., to prolong a healthy lifespan rather than prevent a defined disease.
COMMUNITY ENGAGEMENT AND SERVICE LEARNING: PROMISING PEDAGOGICAL PRACTICES FOR TEACHING GERONTOLOGY
Authors: Kruger Tina M 
Published: November 2019

Abstract
In terms of studying human development, gerontology is unique in that most college students have not experienced this aspect of the life course yet. While personal experience cannot be generalized, our students can at least relate to the idea of being a child, an adolescent, and a young adult. What they cannot do it relate to the experience of being old, and they may have limited contact with the older adult population, with the exception of grandparents, who tend to be viewed differently from older non-relatives. One way to facilitate students connecting with the older adult population is through community engagement or service-learning (CE/SL) projects. Such projects are ripe for facilitating learning, but there are also potential pitfalls to consider. Here we discuss the need for CE/SL in gerontology, theoretical and practical suggestions, and potential pitfalls to avoid.
THE GSA PRESIDENTIAL SYMPOSIUM — STRENGTH IN AGE: HARNESSING THE POWER OF NETWORKS
Authors: Cohen Harvey J 
Published: November 2019

Abstract
GSA is a network of disciplinary components each of which is a network composed of members. This large system possesses powerful emergent properties that are realized at many interdisciplinary interfaces. The GSA Presidential Symposium mirrors this by bringing together rapporteurs from our disciplinary presidential symposia who will summarize the major findings of these symposia. The Behavioral and Social Sciences presidential symposium explores the use of social networking by aging adults, the media and technologies utilized, and the impact of these trends on health and well-being. The Biological Sciences presidential symposium examines multiple layers of biological networks as predictors of systemic aging. The Social Research Policy and Practice presidential symposium dissects the reciprocal relationship between broad environmental contexts and social networks throughout life and ways in which this relationship can be used to optimize the aging experience. The Health Sciences presidential symposium reports on the improvement of perioperative care of older adults achieved through harnessing the partnership and collaboration of all disciplines involved in this care. The Academy of Gerontology in Higher Education presidential symposium discusses ongoing initiatives that build networks to shape age-friendly programs and policies at universities, international collaborations, and competency-based gerontology education. The Humanities and Arts presidential symposium investigates the synergy between museums and aging, both of which are represented as networks. A discussion between the presidential symposia rapporteurs with audience participation will ensue to identify common, overarching themes and to spark approaches to important, interdisciplinary problems in gerontology. • Kelly Niles-Yokum, Academy for Gerontology in Higher Education, Education Networks: Strengthening of Gerontology and Geriatrics through Connectivity • Kristine J. Ajrouch, Behavioral and Social Sciences Section, The Ties That Bind: The Influence of Social Media and Technology in the Lives of Older Adults • George L. Sutphin, Biological Sciences Section, Expanding the Geroscience Network • Luigi Ferrucci, Health Sciences Section, Optimizing Surgical Care for All Older Adults • Kate de Medeiros, Humanities and Arts Committee, Museums and Aging: Novel Network Opportunities to Support Optimal Aging • Emily Greenfield, Social Research Policy and Practice Section, Harnessing Social Networks to Optimize Environmental Contexts for Diverse Aging Experiences