bluuebunny/crossref_metadata_2025_split huggingface dataset:
FAMILY CAREGIVERS’ ADVANCE CARE PLANNING FOR COGNITIVELY IMPAIRED OLDER ADULTS: SERVICE PROVIDERS’ PERSPECTIVES
Authors: Noh Hyunjin , Aladeokin Temilade A 
Published: November 2019

Abstract
An increasing number of family caregivers face challenges of advance care planning (ACP) for their cognitively impaired older adults. The purpose of this study was to understand service providers’ views of ACP knowledge and needs among such family caregivers. Purposive sampling was used to recruit 10 service providers who serve older adults and their family caregivers in community settings of West Alabama. Individual, face-to-face interviews were conducted guided by a semi-structured questionnaire, asking about their experiences with and views of family caregivers’ ACP for their older adults. Thematic analysis of the qualitative data revealed several findings: family caregivers’ lack of knowledge about ACP and end-of-life care, discomfort in end-of-life discussions, uncertainty about their older adult’s end-of-life preferences, frustration with the surrogate decision-making role, family conflicts in ACP process, and logistical barriers to access ACP resources. Tailored services should be developed to address these barriers to promote ACP among this population.
TOOLS FROM OUR APPLIED GERONTOLOGY TOOLBOX: FLIPPING MINDSETS AND PROPELLING INNOVATION
Authors: Anunsen Roger A , Anunsen Roger , Abushakrah Jan 
Published: November 2019

Abstract
PCC’s associate degree program has long embraced an applied approach to gerontology education through its career pathway model. This model incorporates a rock-solid theoretical base, experiential learning, and skill-development, all grounded in the foundational, interactional and contextual AGHE Gerontology Competencies. The Competencies infuse all our courses, our five certificates and our degree to effectively prepare graduates for their next step, whether a transfer a specialized career. Our toolbox includes robust, wrap-around supports that include empowering advising and career planning, intentional internships, mentoring, networking opportunities, and our newest tool, The Flipping Mindsets Project. We will demonstrate how these evidence-based approaches provide students the knowledge, skills and confidence propelled by a positive mindset, to go boldly into any field of aging as innovators within existing jobs and programs or as ground-breaking entrepreneurs.
WORKFORCE TRAINING FOR MIDDLE-AGED AND OLDER ADULTS: THE ROLE OF COMMUNITY COLLEGES
Authors: Cummins Phyllis 
Published: November 2019

Abstract
In recent years, occupational changes have become increasingly common for mid-and later-life (MLL) workers. The aging population in the U.S. has resulted in increased opportunities in health-related related occupations and many MLLs seeking to re-career choose these professions. Because of their convenient locations and open access policies, community colleges are an ideal educational setting for MLLs to seek training. This presentation will discuss the results of a research project funded by the U.S. Department of Education that included focus groups and key informant interviews at community colleges in Ohio. More specifically, we will discuss reasons MLL students enroll at a community college, their process for choosing a program of study, services that are important to successful completion, and barriers they face. Finally, we will discuss policies and practices that can improve MLL student outcomes.
UNDERSTANDING AND MEETING THE NEEDS OF RESIDENTS IN LONG-TERM CARE FACILITIES: A MULTIDISCIPLINARY PERSPECTIVE
Authors: Hanratty Barbara , Spilsbury Karen 
Published: November 2019

Abstract
Long-term care facilities play a vital role in the care of older people. Across the world, service providers face common challenges to the delivery of high quality care to residents. Rising levels of morbidity and dependency, recruiting and retaining a skilled workforce, and separation from mainstream services are some of the issues that make this one of the most precarious care sectors. In this symposium, we will consider the evidence underlying some of these challenges, along with current and possible future service responses. The first presentation will look at factors that increase the risk of transition to dependency in the Newcastle 85+ cohort study. This is followed by an analysis of trends over time in health, morbidity and disability in the UK care home population, drawing on data from three later life cohorts. Having considered the characteristics and needs of residents, the next presentations move onto care services. Findings will be presented from a mixed methods study on the relationship between care home staffing and quality of care, followed by a study of the organisation of primary care for long term care facilities. This session will end by looking to the future, with findings from rapid syntheses of international evidence on technology, and evaluation methods, in animated format. Together, these presentations will enhance our understanding of the relationships between the needs of residents in long-term care facilities, demands on service providers and quality of care. We aim to stimulate debate and discussion on future directions for research and practice.
ORGANIZING PRIMARY CARE FOR RESIDENTS IN LONG-TERM CARE FACILITIES: A MULTI-METHOD APPROACH
Authors: Hanratty Barbara , Brittain Katie , Stocker Rachel , Spilsbury Karen 
Published: November 2019

Abstract
This multi-method research explores the challenges family practitioners and long-term care facilities face when they work together. It seeks to understand how different responses to these challenges may influence the delivery of care. Whilst different services have their own values, aims, structures and processes, all are contending with constrained resources and frequent organisational change. Our findings from a large qualitative study and analysis of routine health data are organised around the micro (individual), meso (organisational) and macro (system) factors that influence the organisation and delivery of resident care. In this presentation, we draw out the interplay between these levels, and how each shapes and is shaped by the changing demands and nature of care. This presentation will bring new insights into primary care for long-term care facilities, through the perspectives of those who experience and provide care in that setting.
PROMOTING HEALTHY AGING THROUGH PRAGMATIC CLINICAL TRIALS
Authors: Chodosh Joshua , Cadogan Mary P , Martin Jennifer L 
Published: November 2019

Abstract
Promoting healthy aging does not end when people enter skilled nursing facilities (SNF) where the demands for clinical and psychosocial care are likely to be greatest. Many chronic conditions present opportunities for better SNF care and thus, healthier aging. Such conditions cannot wait for the often-long path to discovery that is typical of most traditional randomized controlled clinical trials. Conversely, pragmatic clinical trials are real-world investigations that offer the possibility of immediate benefit while answering important research questions. Depression and disrupted sleep are two examples of treatable conditions with opportunities for immediate benefit through pragmatic trials and applied best practices. How best to support best-practice integration has received increasing attention but identifying the most effective strategies continues to evolve. We report two different SNF-mentorship models utilizing Minimum Data Set (MDS) data for depression and environmental (noise-level) data for disrupted sleep, which have supported better SNF practices and presumably, healthier aging.
BARRIERS AND FUTURE DIRECTIONS FOR SUFFICIENT ACADEMIC RESEARCH ON HOME MODIFICATION FOR OLDER ADULTS IN CHINA
Authors: Yan Mengzhao 
Published: November 2019

Abstract
Home modification has been perceived as an effective method to make current dwelling units more age-friendly and improve the well-being of older adults. In China, a country with an increasing number of older adults, home modification research is still in its infancy. By typing “适老化改造” (home modification for older adults) as a keyword for the theme of articles in China National Knowledge Infrastructure (CNKI), the most authoritative and comprehensive database for academic publication in China, only 158 related papers are found to be published until the end of 2017, among which the first was published in 2009. With an aim to determine the current state of home modification research in older adults and to determine what could be done to facilitate sufficient research on this topic, the present study conducted a systematical review of the 158 papers about home modification for older adults published in China between 2009 and 2017. Based on the systematical review, the present paper identifies four barriers to conducting this line of research and puts forward six practical suggestions for future research studies in this area so as to contribute to building age-friendly dwellings and promoting age-friendly China.
DETERIORATING HEALTH AMONG OLDER ADULTS AND CORTISOL: LONGITUDINAL EVIDENCE FROM THE MIDUS STUDY
Authors: Allen Julie Ober 
Published: November 2019

Abstract
Various mental and physical health conditions common among older adults have been linked to cortisol dysregulation (i.e., blunting of daily cortisol patterns) in predominantly cross-sectional studies. Researchers have suggested that cortisol dysregulation interferes with regulatory functions throughout the body and brain, disrupting multiple biological systems, and contributing to the development or progression of negative health outcomes over time. Prospective studies are needed to investigate the causal direction of cortisol dysregulation and poor health outcomes. This study examined whether diurnal cortisol patterns predicted subsequent health deterioration using longitudinal data from the National Survey of Midlife in the US (MIDUS). Analysis was restricted to 1,336 participants who provided salivary cortisol (4 samples/day for 4 days) and health data in MIDUS II (2004-2009) and updated health data in MIDUS III (2013-2014) (mean age=56, 45% male, 94% White). We simultaneous modeled multiple measures of diurnal cortisol patterns and their relationships to changes in mental (depressive symptomology) and physical (self-rated physical health, functional limitations, and number of new chronic health conditions) health from MIDUS II to III. All indicators of physical health deterioration were associated with cortisol, though not all measures demonstrated relationships in the expected direction. Mental health change over time was unrelated to cortisol. Older age was also associated with increased functional limitations and more new chronic conditions but improvements in mental health over time. Findings suggest that diurnal cortisol patterns contribute to physical health deterioration over time, independent of age-related decline, but not mental health changes in later life.
MEDICAL CANNABIS USE: EXPLORING THE PERCEPTIONS AND EXPERIENCES OF OLDER ADULTS WITH CHRONIC CONDITIONS
Authors: Manning Lydia K , Bouchard Lauren M 
Published: November 2019

Abstract
The past decade has witnessed an increased interest in the therapeutic properties of cannabis, and a growing body of research illustrates the varied uses of cannabis-based medicines for diverse symptoms, syndromes, disorder and both acute and chronic conditions, many of which are associated with advanced age (Lucas et. al, 2016). While the use of medical cannabis is on the rise in the older adult population (Kaskie et. al, 2017), more research is needed to advance the discourse on medical cannabis. With this study, we investigate older adult’s perceptions and experiences of medical cannabis use to treat and/or manage chronic conditions, specifically as a substitute for prescription drugs. Our findings suggest that older adults are open to medical cannabis as an alternative to pharmaceutical. Additionally, narratives revealed that users are hopeful that medical cannabis will provide relief with regard to the management of symptoms and relief of pain. Participants discussed their awareness and ability to manage issues related to stigma both from their primary care providers as well as family and friends. Furthermore, older adults described the frustrations with a lack of education, awareness, and support with dosing. Findings are presented as an interpretation of the participants’ perceptions of their medical cannabis use. Implications for putting medical cannabis use into everyday practice as well as policy implications are considered.
A QUALITATIVE REVIEW OF OLDER ADULT PERSPECTIVES ON HEALTHY AGING IN THE CIRCUMPOLAR NORTH
Authors: Howell Britteny M , Peterson Jennifer R 
Published: November 2019

Abstract
Cross-cultural research has shown marked variation in health outcomes across the world’s older adult populations. Indeed, older adults in the Circumpolar North experience a variety of health disparities. Because aging is a biological process rooted in sociocultural context, there exists great variation in the ways older adults define and experience healthy, or “successful,” aging in their communities. The aim of this analysis was to synthesize qualitative research among older residents (aged 50+ years) in the Circumpolar North to identify a definition of healthy aging common in the region. The Circumpolar North is defined as the Arctic and subarctic regions of Canada, Finland, Denmark, Greenland & the Faroe Islands, Iceland, Norway, Russia, Sweden, and the United States. A thorough review was conducted across a variety of academic search databases for peer-reviewed, qualitative studies conducted among community-dwelling older adults. The search strategy initially identified 194 articles; 22 articles met the inclusion criteria. Included studies were coded and analyzed using Grounded Theory to examine underlying themes of healthy aging in the Circumpolar North. The findings reveal the importance older adults place on incorporating social, environmental, and personal resilience factors into multidimensional models of healthy aging. This research also highlights the need for increased translational research with populations in the Circumpolar North that are under-represented in the gerontological literature.
MEASURING SOCIOECONOMIC STATUS IN OLDER POPULATIONS: A SCOPING REVIEW AND INTERNATIONAL PERSPECTIVE
Authors: Spiers Gemma F , Hanratty Barbara , Matthews Fiona E , Moffatt E , Kingston A 
Published: November 2019

Abstract
Socioeconomic status (SES) is often measured using indicators that are less relevant to older populations. Building on earlier debates about these issues, an up-to-date, critical review of contemporary evidence and approaches is needed. A key question is how these challenges might vary between countries and different socio-cultural contexts. An international systematic scoping review was undertaken to a) identify which measures of SES have been used in studies of older adults’ health, healthcare utilization and social care utilization, and b) critically appraise the application and validity of these measures in older populations. Systematic searches were conducted in five databases (Medline, Scopus, EMBASE, PsychInfo, Web of Science and Health Management Information Consortium) in May 2018. Studies were eligible if they reported data about the relationship between a measure of SES and self-rated health, healthcare use or social care use for people aged 60+ years, and were published after 2000 in a high-income country (as defined by the Organisation for Economic Cooperation and Development). Sixty-two studies across seventeen countries were included. Measures used included: education (n=41), income (n=37), subjective SES (n=8), occupational or employment (n=10), area deprivation (n=10), combined wealth (n=7), home ownership (n=13), and housing conditions (n=2). A minority (n=7) used a range of proxy variables. The challenges of applying these measures to older populations will be considered. Attention is given to how these challenges may differ by country, whilst considering the added complexities of age, gender and socio-cultural context. Implications for future research on older adults’ health inequalities are discussed.
AIR QUALITY AND WELL-BEING AMONG MIDDLE-AGED AND OLDER ADULTS IN EAST ASIA
Authors: Yamashita Takashi , Kim Giyeon , Liu Darren , Bardo Anthony R 
Published: November 2019

Abstract
There is a well-established link between air quality, an important component of one’s local living environment, and well-being. However, the link between well-being and air quality is largely based on findings from western nations, and evidence from East Asia (where air pollution is a major challenge) is scant. Thus, the present study sheds much needed light on the association between well-being and air quality in four East Asian countries (i.e., China, Japan, South Korea, and Taiwan). Data for this study were drawn from the internationally representative 2010 East Asian Social Survey Health Module. The sample was limited to middle-age and older adults (i.e., 50 years and older) to account for differential exposure across the life course (N = 4,052). Linear regression models with robust standard error estimation and full information maximum likelihood were used to examine associations between four well-being indicators (self-rated health, SF-12 physical health and mental health, and happiness) and self-reported air quality. Results showed that air quality was negatively associated with well-being across East Asian nations --- with self-rated health in Japan (b = -0.09, p &lt; 0.05) and Taiwan (b = -0.14, p &lt; 0.05); physical health in Japan (b = -0.96, p &lt; 0.05); mental health in China (b = -1.05, p &lt; 0.05) and Japan (b = -1.49 , p &lt; 0.05); and happiness in China (b = -0.07, p &lt; 0.05). Possible explanations underlying these distinct national patterns and strategies to enhance well-being through environmental and behavioral interventions are discussed.
THE OLDER POPULATION LIVING WITH AND PROVIDING CARE TO GRANDCHILDREN, BY NATIVITY: 2013-2017
Authors: Ahmed Bashiruddin , Roberts Andrew , Spence Matthew , He Wan , Walker Laquitta 
Published: November 2019

Abstract
The rapid growth of the older population in the United States combined with changing living arrangements, marital status, and employment, increases the importance of multi-generational ties for the well-being of families. The U.S. Census Bureau’s earlier reports on grandparents living with grandchildren mostly focused on the background characteristics of all grandparents without classifying them by nativity. This study expands on the research by presenting data for both native- and foreign-born grandparents aged 60 and older who live with and provide care to their grandchildren under 18. Data for this study come from the 2013-2017 American Community Survey 5-year estimates. Among native-born grandparents living with grandchildren, the majority were females, aged 60-69, White alone, non-Hispanic or Latino, married, high school graduate or higher, had no disability, lived in a household that was owned, uninsured, not in labor force, and not in poverty. The foreign-born grandparents were similar in most characteristics except for race component and educational attainment. Key findings include: • Among total older population, 14.3 percent of the foreign-born lived with grandchildren, compared with 4.1 percent of the native-born. • Among co-resident grandparents, the native-born (36 percent) were more likely to be caregivers, compared with the foreign-born (14 percent). • The proportions of co-resident grandparents widely vary by race and Hispanic origin. • Among grandparent caregivers, over 50 percent had been responsible for grandchildren for 5 years or more, while 14 percent for less than a year. • Both native- and foreign-born grandparents show declining patterns of care-giving by age.
Women Living With Osteoporosis: A Meta-Synthesis
Authors: Shorey Shefaly , Chan Valerie 
Published: November 2019

Abstract

Background and Objectives
The experiences and needs of individuals with osteoporosis, especially among women, are poorly understood. This meta-synthesis aimed to examine the experiences and needs of women living with osteoporosis.

Research Design and Methods
Six databases were searched for qualitative studies from each database’s inception to July 18, 2019. Qualitative data were meta-summarized, then meta-synthesized.

Results
A total of 2,781 studies were obtained, and 2,768 studies were screened after the removal of 13 duplicates. Two thousand seven hundred and sixty studies failed to meet the eligibility criteria, resulting in the inclusion of eight studies in this meta-synthesis. Three themes emerged: (a) physical and psychological consequences of living with osteoporosis, (b) coping strategies to “live better” with osteoporosis, and (c) sources of support and support needs.

Discussion and Implications
Women living with osteoporosis experienced negative physical and psychological consequences that led to changes in their lives, particularly in their relationships. They adopted various coping strategies such as acceptance and engaging in doing things that they loved. They expressed support needs such as educational and self-help groups that may help them to cope better. As the included studies were only from the West, more studies from geographically diverse backgrounds such as the Middle East and Asia are required to explore the experiences and needs of women living with osteoporosis. Theory-based health services that incorporate active coping strategies such as self-seeking behaviors should be designed to create awareness about osteoporosis to assist such women in maintaining their independence and overall well-being to age gracefully.
Supplemental methionine exerted chemical form-dependent effects on antioxidant status, inflammation-related gene expression, and fatty acid profiles of broiler chicks raised at high ambient temperature1
Authors: Liu Guanchen , Magnuson Andrew D , Sun Tao , Tolba Samar A , Starkey Charles , Whelan Rose , Lei Xin Gen 
Published: November 2019

AbstractThis study was to explore metabolic effects of two forms and concentrations of supplemental methionine in grower and finisher diets for broiler chickens raised at high temperature. Male Cornish cockerel chicks (total = 360, day-old) were divided into four groups (10 pens/treatment, 9 chicks/pen) and fed with 100% or 130% required methionine in the diets as DL-methionine (DL-MET) or 2-hydroxy-4-(methylthio)butanoate (HMTBA). The room was maintained at 4 to 13 °C above the suggested thermoneutral temperature. The higher concentration of both DL-MET and HMTBA enhanced (P &lt; 0.05) hepatic GSH concentrations of the growers and plasma ferric reducing ability of the finishers. The DL-MET-fed growers had greater (P &lt; 0.05%) muscle GSH and hepatic unsaturated fatty acid concentrations than those fed HMTBA. Expression of inflammation-related genes in the liver of finishers was affected (P &lt; 0.05) by interaction effects of the methionine form and concentration. In conclusion, effects of the extra methionine supplementation on the high ambient temperature-related metabolic responses of broilers varied with their age and(or) tissue and the methionine form.