bluuebunny/crossref_metadata_2025_split huggingface dataset:
SUPPORTING AGING IN PLACE WITH THE INTERNET OF THINGS: MEETING CHALLENGES OF USE THROUGH AUGMENTED REALITY TOOLS
Authors: Levy Laura , Gandy Maribeth 
Published: November 2019

Abstract
Internet of Things (IoT) devices (including smart thermostats, lightbulbs, and door locks) have the potential to greatly enhance independence and promote aging-in-place among older adults with mobility disabilities. However, these devices require extensive information technology expertise to select, configure, use, and adapt to meet one’s needs and this creates considerable barriers to their adoption, acceptance, and utilization. Meanwhile, increasingly available consumer augmented reality (AR) technologies can enable individuals to experience how IoT function and are used within the context of one’s own abilities and home. This may provide potential users an effective means of overcoming barriers to adoption, acceptance, and utilization of IoT to support aging in place. We present preliminary results from a participatory design study of older adults with mobility disabilities on the use of AR on a smart phone device to support IoT understanding.
DECONSTRUCTING THE MODEL-MINORITY MYTH OF U.S. ASIANS: DETERMINANTS AND CONSEQUENCES OF ELDER MISTREATMENT
Authors: Dong XinQi , Simon Melissa 
Published: November 2019

Abstract
Elder mistreatment (EM) is increasingly recognized as a global health concern. Among U.S. minority and immigrant populations, the social contexts and psychological consequences associated with EM remain poorly understood. Further population-based epidemiological studies using standard EM measures are required to advance the field. To address this gap and to challenge prior assumptions regarding Asian populations, this purpose of this symposium is to improve our understanding of EM epidemiology in an older minority population. Data were drawn from the Population-based Study of Chinese Elderly in Chicago (PINE), a longitudinal, representative, population-based study of 3,157 community-dwelling Chinese older adults in the greater Chicago area. Session 1 will examine the transmission between child mistreatment, intimate partner violence, and EM. Session 2 will take a typology approach to capture the multifaceted family relationships, and will further examine which family typologies were associated with greater likelihood of EM, while which typologies were protective against EM. Session 3 will explore the positive and negative aspects of social support from spouse, family, and friends in relationship to EM subtypes, including psychological, physical, financial and sexual mistreatment, and caregiver neglect. Session 4 will examine the relationship between broad, moderate, and strict definitions of EM and likelihood of experiencing anxiety. Last, Session 5 will explore the differential relationships between EM subtypes and depressive symptoms. In summation, this symposium challenges popular conceptions of the “model minority myth” and aims to increase the practical and clinical relevance of EM epidemiology in community, research, healthcare, and policy settings.
ELDER MISTREATMENT AND DEPRESSIVE SYMPTOMS AMONG OLDER CHINESE AMERICANS
Authors: Chao Ying-Yu , Chang Yu-Ping , Dong XinQi 
Published: November 2019

Abstract
This study aimed to examine the association between different types of elder mistreatment and depressive symptoms among U.S. Chinese older adults. Data were from the Population Study of Chinese Elderly in Chicago (PINE). Participants were 3,157 Chinese older adults who were 60 years and over (mean age = 72.8). Logistic regression analyses were performed. The results showed that participants with overall mistreatment (OR, 2.11; 95% CI, 1.83-2.43), psychological mistreatment (OR, 2.12; 95% CI, 1.78-2.51), physical mistreatment (OR, 1.82; 95% CI, 1.10-2.99), and financial exploitation (OR, 1.33; 95% CI, 1.11 – 1.60) were more likely to report more depressive symptoms. There was no significant association between sexual mistreatment and depressive symptoms (p = 0.07). Longitudinal studies are needed to obtain a more comprehensive understanding of the pathways between elder mistreatment and depressive symptoms.
INTERPROFESSIONAL SKILLS AND CULTURAL AWARENESS OF STUDENTS CARING FOR OLDER ADULTS WITH MULTIPLE CHRONIC CONDITIONS
Authors: Daniel Kathryn M , Bond Mary Lou 
Published: November 2019

Abstract
Based on rapidly increasing numbers of older adults and growing populations of culturally diverse citizens, we developed and provided an interprofessional education program for graduate nursing and social work students that focused on the delivery of care to older adults and veterans with multiple chronic conditions. The students participated in multiple activities together over a year long period. Activities included an introductory IPE day with all students together and simulated patient cases that had required roles for the students’ specialties. Knowledge and skills of interprofessional collaborative practice were measured with the Interprofessional Self Assessment Competencies (IPEC) and Assessment of Interprofessional Team Collaboration Scale (AITCS). We also measured attitudes toward cultural differences using the Cultural Awareness Scale (CAS). The entire project was repeated a second year with a second cohort of students. Overall, our students were better able to understand and work collaboratively with other health care professionals after participating in this program. Regarding cultural awareness, both NP and SW students were more aware of and comfortable with cultural differences after participating in the program. After one year of experience, we wanted to know more about our students’ skills and attitudes. Focus groups were added to the design to dive deeper into the students’ perceptions about which activities were most impactful and recommendations for future IPE activities. This paper will describe these data and implications for future planning of more effective interprofessional and cultural programming for students caring for older adults and veterans.
OLDER WOMEN WITH HIV: STRATEGIES FOR HEALTHY AGING
Authors: Brennan-Ing Mark , Seidel Liz , Erenrich Rebecca , Karpiak Stephen E , Freeman Ryann N , Shen Megan Johnson , Burchett Chelsie O , Siegler Eugenia L 
Published: November 2019

Abstract
Women over 50 represent one-quarter of U.S. older adults with HIV, but we know little about how these women face the challenges of aging. As part of a larger study, we conducted two focus groups with racially diverse older women with HIV in New York City (n = 9) and Oakland, CA (n=11). Discussions concerned strategies for healthy aging. Transcripts were analyzed using inductive thematic methods. Women in both groups shared that they had close connections to family members and the importance of family support for motivating them to take care of their health. Some took proactive steps to stay healthy through nutrition and exercise, although the cost of gym memberships was a barrier. Many were lonely and needed socialization opportunities. Some suggested exercise classes could help to both maintain health and bolster social connections. Implications of these findings for developing programs for older women with HIV will be discussed.
AN EVALUATION OF THE VA RURAL INTERDISCIPLINARY TEAM TRAINING PROGRAM: OUTCOMES AND IMPLICATIONS
Authors: Howe Judith L , Kramer Josea , Weintraub Nancy , Gottesman Eve , Richter Regina , Bean Andrew 
Published: November 2019

Abstract
The rural interdisciplinary team training (RITT) program has provided in-person training for almost 2000 VA providers and staff at 125 rural clinics since 2011. The multi-modal workshop, accredited for 6.5 hours for a number of disciplines, focuses on the recognition of common issues facing older Veterans, red flags prompting further assessment, how to administer screening instruments and team-based approaches for improving patient outcomes. Participants develop an improvement action plan improvement project based on common challenges faced by clinic patients. A program evaluation found an increase in geriatrics knowledge and a modest improvement in teamwork after the education program. It also found that participants self-identified an enhanced ability on average to use red flags after the 6.5 hour training in areas such as polypharmacy, falls and caregiver stress. The action plans were often not implemented at follow-up. The evaluation results will be discussed, as well as challenges, limitations, and implications.
DAYS AND NIGHTS OF DYADS: EXAMINING BEHAVIORAL INTERDEPENDENCE IN CO-RESIDING COUPLES USING ACTIGRAPHY
Authors: Miller Lyndsey M , Beattie Zachary , Mattek Nora , Sharma Nicole , Wild Katherine , Kaye Jeffrey 
Published: November 2019

Abstract
Physical activity and sleep are behaviors that contribute to overall health, and are notoriously challenging to improve. For individuals co-residing as a couple, there is growing recognition of the importance of the interdependence between individuals’ behaviors (e.g. the physical activity and sleep habits of one’s partner has an influence on one’s own sleep and physical activity). Yet, studies examining this phenomenon have primarily been conducted among young adults and have either used self-report or episodic measures. The purpose of this study was to examine physical activity and sleep as interdependent behaviors within older adult couples. Using intensive longitudinal data (continuously collected over 35 days) from actigraph watches worn by 54 dyads (mean age in years 72.4 ± 7.1), we examined daily step counts and nightly sleep duration (total of 3780 observations) as a dyadic daily process. Results from multilevel process models for distinguishable dyads (Mplus version 8.2: Muthén & Muthén, 1998-2018) indicated that step count and sleep duration were interdependent processes at the within-dyad level (ps &lt; 0.001). At the between-dyad level, on days with a typical number of steps, on average dyad members’ sleep duration was 7.55 hours [95% CI 4.27 - 10.79 hours], and across dyads, partners’ sleep duration and step counts were also interdependent processes (ps &lt; 0.05). In order to improve the physical activity and sleep of older adults who co-reside with a partner, these results suggest that targeting the dyad, rather than the individual, may be necessary.
MENTAL AND PHYSICAL HEALTH EFFECTS OF EVERYDAY DISCRIMINATION TRAJECTORIES
Authors: Mueller Collin , Tavares Carlos 
Published: November 2019

Abstract
How do perceived discrimination trajectories impact health of Black, Latinx, and White adults ages 50 and older? Few researchers have sought to discern between the health effects of perceived discrimination measured cross-sectionally versus longitudinally. We aim to address this gap by leveraging newly available 3-wave panel data. We analyze 3 waves of data from the Health and Retirement Study (HRS) (n=2830 individuals ranging in age from 50 to 84, observed from 2008-2016). We first estimate group-based trajectories of everyday discrimination using finite mixture models. Second, we use multinomial logistic regression to estimate the likelihood of group membership in one of the identified trajectories of everyday discrimination based on psychosocial and demographic covariates. Third, we estimate the effects of group membership in one of these trajectories on four health outcomes: functional mobility, self-rated health, a count of chronic health conditions, and depressive symptoms. We identify three latent group-based trajectories of perceived discrimination. Black Americans are more likely than Latinx or White Americans to be members of latent trajectories characterized by higher levels of perceived discrimination over time. Membership in higher-discrimination groups over time is associated with worse physical and mental health profiles. Including measures of trajectory membership fully mediates the relationship between cross-sectional perceived discrimination and chronic conditions. Levels of discrimination decline across cohorts, suggesting that younger individuals perceive higher levels of everyday discrimination than their older counterparts.
SEX-DIMORPHISM IN THE GENOMIC REGULATION OF AGING
Authors: Benayoun Bérénice A , Lu Ryan A , Sampathkumar Nirmal K 
Published: November 2019

Abstract
The current cohort of human supercentenarians reveals a surprising predictor for achieving such an exceptional longevity: being female. Indeed, out of 34 living supercentenarians, 33 are women. We obtained samples from 4 and 20 months old female and male mice. Our data indicates that cytokine levels are differentially regulated with age in males vs. females, with pro-inflammatory cytokines specifically upregulated in the serum of old males, but not females. Because of the central role of macrophages in inflammation and their infiltration in tissues with age, we have generated RNA-seq from purified macrophages of aging animals. Female macrophages displayed ~7-20-fold more transcriptional remodeling with aging than males. Pathways specifically downregulated in females with aging included lysosome, inflammation and phagolysosome. Consistently, our data shows that aged female, but not male macrophages, display decreased phagocytic efficiency. Our results support the notion that there are differences in aging trajectories in female vs. male mice.
IT’S NOT OK TO FALL: CHALLENGES AND SUCCESSES OF A NURSING HOME FALL PREVENTION PROJECT
Authors: Sturdevant Diana L , Carlson Barbara , Round Teri 
Published: November 2019

Abstract
This study pilot-tested a 12-week, comprehensive, resident-centered fall prevention program aimed to lower falls in nursing home residents in Oklahoma. Staff from 52 nursing homes received a training on evidence-based fall prevention strategies and fall-risk assessment. Content was present using motivational scenarios that encouraged situational problems solving. Rate of falls, including falls with major injury) were collected for 3 months before (roll-in), during (treatment), and following (sustainability). Nursing homes completing the project (n=29) showed significant decline in falls, including falls with major injury. Staff acceptance and project implementation varied across nursing homes and was related to organizational policies that did not adapt care based on residents needs on any given day. Adaptability, not just knowledge, is important for ensuring the safety of residents. Future work will focus on the role of leadership in promoting more open systems for delivering care.
CHANGING NURSING HOME CULTURE: LONG-TERM CARE LEADERSHIP ACADEMY
Authors: Round Teri , Sturdevant Diana 
Published: November 2019

Abstract
Nursing homes that fostered open communication and teamwork were more likely to change their practices and adopt the “It’s Not OK to Fall” program. This pilot study evaluated the feasibility and acceptance of a team-building approach for developing leadership skills to three groups of coworkers: Administrators/Directors of Nursing, charge nurses, and certified nursing assistants (CNA) employed by nursing homes in Oklahoma. Each coworker group received one day of job specific leadership training, with another one half-day session where all levels engaged in team-building exercises. Participant satisfaction with course content ranged from agree-to-strongly agree. All stated that they could apply the leadership strategies at their facility. Administrators/Directors of Nursing found tools for tracking turnover/retention and strategies for improving staff communication helpful. Charge nurses and certified nursing assistants seldom viewed themselves as leaders, found coworker group communication very fragmented, and felt least knowledgeable about nursing home care best practices.
PARTICIPATION IN THE COMMUNITY AMONG PEOPLE WITH AND WITHOUT DEMENTIA: DESTINATIONS AND PERCEPTIONS OF CHALLENGES
Authors: Chaudhury Habib , Mahal Tanveer , Seetharaman Kishore 
Published: November 2019

Abstract
Older adults with dementia face challenges in their outdoor mobility and there are concerns of their not being able to continue going outside for everyday activities and social participation. The focus of this study was to identify patterns of visits to community destinations and activities, and perceptions of risks. Interviews were conducted with 59 adults (aged 54-84) with (n=29) and without (n=30) dementia using the Participation in ACTivities and Places OUTside the Home (ACT-OUT) questionnaire in Vancouver, Canada. Findings indicate that participants with dementia had abandoned visiting a few places over time (e.g., bank, cemetery, buildings of worship), whereas there were no change in participation in taking transit to destinations such as supermarkets, entertainment and cultural places. However, in some cases, companions or partners of persons with dementia indicated that they were prone to getting anxious when left alone in public places and were at high risk of getting lost.
EVERYDAY MARKERS OF PERSONALITY IN ADULTHOOD
Authors: Scott Stacey B , Neubauer Andreas , Smyth Joshua , Sliwinski Martin 
Published: November 2019

Abstract
Personality should manifest everyday as behaviors, affective states, and thoughts. Trait personality measures require retrospection and appraisal, processes affected by cognitive changes. Ecological momentary assessments (EMA), however, may identify sensitive everyday personality markers. We analyzed data from 178 individuals aged 20-79 who completed 3 EMA measurement bursts. Each burst, participants rated positive affect (PA), negative affect (NA), negative thoughts (URT), total social interactions, and interaction pleasantness up to 5x daily for 7 days. We tested for measurement invariance across bursts in a confirmatory factor analysis using 4 indicators of Neuroticism (N; a trait measure of N from BFI and 3 EMA-based indicators: mean NA, standard deviation NA, mean URT) and 4 indicators of Extraversion (E; trait E from BFI and mean PA, mean interactions, mean pleasantness). Strict measurement invariance held, indicating that the association among these indicators remained stable across the 18 month observation period.
PSYCHOLOGICAL AND SOCIAL FACTORS ASSOCIATED WITH SLEEP HEALTH ACROSS ADULTHOOD
Authors: Lee Soomi , Buxton Orfeu M 
Published: November 2019

Abstract
Sleep is associated with all-cause mortality, cardiovascular disease, cognitive impairment, as well as daily social interactions and productivity. Studies often have focused on sleep duration only, lacking the ability to comprehensively understand the importance of age-related changes in varied facets of sleep health. Moreover, psychological and social factors that may be associated with sleep health in adulthood are still poorly understood. This symposium showcases contemporary endeavors towards understanding how diverse indicators of sleep health relate to psychological and social factors across adulthood. Paper 1 uses perceived job discrimination as a social stressor to test associations between perceived job discrimination and sleep health (difficulty falling/staying asleep, excessive daytime sleepiness, sleep duration) among working women. Paper 2 examines the relationship between personality traits and self-reported and actigraphy-measured sleep health (sleep duration, sleep quality, sleep latency, insomnia symptoms, wake-after-sleep-onset). Paper 3 uses daily diary data to examine the link between pain and sleep health (sleep disturbances, napping) in older adults’ everyday lives and test moderating effect of social support. Paper 4 examines sleep health (sleep latency, feeling unrested) as a mechanism linking physical activity and cognitive function. These papers use different project datasets that include diverse populations of middle-aged and older adults, such as the Sister Study, Midlife in the United States Study, and Daily Experiences and Well-being Study. At the end of these presentations, Dr. Buxton will discuss their theoretical and methodological contributions, and consider challenges and opportunities for future research.
RACIAL DISPARITIES IN NURSING HOME RESIDENTS: QUALITY OF LIFE: DOES THE GAP PERSIST OVER TIME?
Authors: Shippee Tetyana P , Ng Weiwen , Bowblis John , Duan Yinfei , Akosionu Odichinma , Woodhouse Mark 
Published: November 2019

Abstract
The proportion of racial/ethnic minorities in nursing homes (NHs) has increased steadily in recent years. This study longitudinally examines minority NH residents’ quality of life (QoL); a key measure of overall well-being. We used unique data from Minnesota annual QoL interviews (2011-2015), merged with resident and facility characteristics to model QoL. Mixed models with various resident and facility level controls, facility random effects, and both fixed and random effects for year were fit to estimate the effect of being a minority and living in a high-proportion minority facility on QoL. While white residents’ unadjusted QoL scores remained stable over time, scores for minority residents declined. In full models, white residents in low-minority facilities consistently had the highest QoL scores while minority residents in high-minority facilities had the lowest scores. More policy attention is needed to address these persistent and possibly widening racial disparities, with targeted attention needed for high-minority facilities.
THE NATIONAL COLLABORATORY TO ADDRESS ELDER MISTREATMENT: COORDINATING NETWORKS OF CARE
Authors: Lees-Haggerty Kristin , Rosen Tony , Fulmer Terry 
Published: November 2019

Abstract
Elder mistreatment is a devastating and pervasive issue affecting an estimated one in ten older adults in the US. To effectively address elder mistreatment, it is essential for researchers, health care providers and communities to coordinate efforts and leverage each other’s strengths. The National Collaboratory to Address Elder Mistreatment (NCAEM), funded by The John A. Hartford Foundation and Gordon and Betty Moore Foundation, is a group of elder mistreatment experts from across the country taking a collective impact approach to alleviating the burden of elder mistreatment on survivors, families, communities, and systems. NCAEM’s goals are to provide hospital emergency departments with training and tools to address elder mistreatment and to develop networks of experts, health care, and community-based providers in a coordinated response to this complex problem. This symposium will include four presentations describing the NCAEM’s collective impact approach, intersection with related work, and applicability to other initiatives. We will present our strategy for creating a team, moving beyond typical collaborative efforts through the development of a central infrastructure and streamlined processes to support experts from across the country as we work together toward common goals and shared measurement for addressing elder mistreatment. Following an overview of our approach, presentations will include specific examples of how the NCAEM worked with clinical partners to refine an elder mistreatment screening and response tool, case examples from NCAEM clinical test sites describing efforts to bridge hospital and community-based services, and learnings from NCAEM’s strategic alignment with complimentary initiatives (the Geri-ED Accreditation and Collaborative).