bluuebunny/crossref_metadata_2025_split huggingface dataset:
Caring for Dying Parents in the Shadow of Childhood Maltreatment: Gendered Agency, Constraint, and Health
Authors: Tarter Robin , Hassouneh Dena , Rosenkranz Susan 
Published: December 2020

Abstract
Adult daughters represent the largest and fastest growing population of providers of unpaid care labor (UCL) to older adults with life limiting illness. Providing UCL to parents at the end of life is associated with significant and lasting risks of morbidity and mortality, especially for women with negative relationships with care recipients, and those who provide UCL based on constraining gendered expectations rather than agentic choice. While nearly one quarter of US women experience some form of maltreatment from parents during childhood, few studies have examined, or even acknowledged, the effect of trauma on the experience and health impact of family UCL. We used feminist poststructuralist informed dialogic narrative analysis to explore discursive constructions of agency and constraint in co-constructed life histories from 21 women who provided end of life UCL to older adult parents who maltreated them in childhood. For these women, parental childhood maltreatment influenced identity construction, social position, intersubjectivity, and vulnerability to victimization. For some, providing end-of-life UCL to the parents who maltreated them facilitated the mobilization of relational agency and identity validation. For others, providing UCL potentiated lifelong constraint, reinforcing their positions as non-agents and leading to significant psychical and emotional harm. End of life UCL for older adult parents represents a crucible out of which either healing or re-traumatization can arise. Our findings will be leveraged to inform clinical practice and policy to support the growing population women trauma survivors providing UCL to older adult parents, reducing negative outcomes for those at the greatest risk.
The Caregiver Identity in Context: The Consequences of Identity Threat From Siblings
Authors: Rurka Marissa , Suitor J Jill , Gilligan Megan 
Published: December 2020

Abstract
Although siblings represent central members of the networks of caregivers’ and their parents, there has been limited attention to how siblings affect one another’s well-being during caregiving. In this paper, we draw from theories of identity and stress to examine the impact that siblings have on caregivers’ psychological well-being. Specifically, we employ a mixed-methods approach to explore whether caregivers’ perceptions that their siblings are critical of the care they provide their mother are associated with higher depressive symptoms, as well as the mechanisms underlying this association. Using quantitative data collected from 406 caregivers nested within 230 families as part of the Within-Family Differences Study, we conduct mediation analyses to examine whether perceived sibling criticisms affect caregivers’ depressive symptoms (a) directly, and/or (b) indirectly through sibling tension. We then analyze qualitative data collected from the same caregivers to gain insight into the processes underlying statistical associations. Quantitative analyses revealed that there was no direct relationship between perceived sibling criticisms and depressive symptoms; there was, however, an indirect relationship such that perceived sibling criticisms were associated with greater sibling tension, which in turn was associated with higher depressive symptoms. These quantitative findings were corroborated by qualitative analyses, which demonstrated that, in an effort to maintain their identity as a “good caregiver” despite sibling criticisms, caregivers often employed strategies that may have fueled tension in their sibling relationships. These findings highlight the importance of considering how the sibling networks in which caregivers are embedded shape their psychological well-being.
Measurement Indicators of Age-Friendly Communities: Findings From the AARP Age-Friendly Community Survey
Authors: Kim Kyeongmo , Buckley Tommy , Burnette Denise , Cho Sunghwan 
Published: December 2020

Abstract
Cities and counties worldwide have adopted the concept of “age-friendly communities” to promote the well-being of older adults. An age-friendly community is a place that provides a safe and affordable built environment and a social environment that encourages older adults’ participation. A major limitation in this field is the lack of valid and reliable measures of age-friendly communities. This study used data from the AARP 2016 Age-Friendly Community Surveys (N=3,652 adults ages 65 and older). This study included 57 indicators of age-friendliness (e.g., housing, transportation, public space, civic engagement, volunteering, community, and health services); socio-demographic characteristics; and health-related characteristics. We randomly split the sample into two subsamples for confirmatory factor analysis (CFA) (n=1,682) and structural equation modeling (SEM) (n=1,682). The CFA resulted in a three-factor structure to measure age-friendly communities: built environment, transportation, and social environment. Model fit indices were acceptable (χ²(44)=14204.09; p&lt;.001; RMSEA=.067; CFI=.912; TLI=.909; SRMR=.05). Internal reliability of the three-factor structure was excellent ranging from .93 to .96. The SEM model showed that older adults living in a community with a greater built environment (β=.119; p=.001) and the social environment (β=.199; p&lt;.001) had higher levels of physical health, after adjusting for all other variables. The findings highlight that the measures of age-friendly communities are reliable and valid. Practitioners and policymakers should work on improving both the built and the social environment to promote the well-being of older adults. The findings also suggested that researchers can use the measures as an evaluation tool for an age-friendly community initiative.
Circulating Cell-Free DNA Is Associated With Cognitive Outcomes
Authors: Feger Danielle , Nidadavolu Lolita , Oh Esther , Abadir Peter , Gross Alden 
Published: December 2020

Abstract
Cell death is a mechanism by which aging tissues are able to maintain homeostasis. DNA of nuclear and mitochondrial origin is released into circulation following apoptosis or necroptosis and can be quantified in the blood as circulating cell-free DNA (ccf-DNA). We hypothesized that higher levels of ccf-DNA would be associated with worse cognitive function. Ultra-sensitive digital PCR was used to measure ccf-DNA in participants from the Rush Alzheimer’s Disease Center Religious Orders Study/Memory and Aging Project. Global cognitive function was derived from a composite of 19 tests on a neuropsychiatric battery. A total of 885 ccf-DNA samples were analyzed from N=624 participants. Generalized estimating equations were used to estimate the cross-sectional association between ccf-DNA and global cognition scores, while latent growth models were used to estimate the longitudinal association between ccf-DNA and global cognition scores. Multinomial logistic regression was used to estimate the odds of having mild cognitive impairment (MCI) or dementia at last study visit relative to normal cognition, based on levels of ccf-DNA. Higher ccf-DNA levels were associated with lower global cognition score (-0.10, [-0.18, -0.02]) cross-sectionally. Each 1-standard deviation increase in ccf-DNA was associated with more rapidly declining global cognitive function over time (-0.11, [-0.19, -0.03]). A dose-response relationship was observed between increasing levels of ccf-DNA and odds of MCI (odds ratio [OR] = 1.08, [0.83, 1.41]) and dementia (OR = 1.29, [1.06, 1.57]). Our results suggest that ccf-DNA may serve as a biomarker of global cognitive decline and dementia risk.
Differences in Longitudinal Fasting Blood Glucose and Mortality Risk Across the Lifespan Between Mice and Humans
Authors: Palliyaguru Dushani , Shiroma Eric , Nam John , Ferrucci Luigi , de Cabo Rafael ,   SLAM Investigators
Published: December 2020

Abstract
Aging profoundly affects metabolism where trajectories of metabolic indices serve as strong predictors of health, disease and mortality. Mice and non-human primates are widely used to model all aspects of human biology, including metabolism. However, there is limited knowledge on how different species metabolically age during their life course. Here, we compare longitudinal predictors of health and mortality of three major metabolic indices among mice, non-human primates and humans. Longitudinal fasting blood glucose, body weight and body composition over the lifespan were compared across species in mice (Study of Longitudinal Aging in Mice), Rhesus monkeys (NIA and Wisconsin colonies) and humans (Baltimore Longitudinal Study on Aging). Survival analysis was conducted to calculate the risk of death for subjects with highest and lowest quartiles of fasting blood glucose. We will present data highlighting species-specific mechanisms of glucose homeostasis over the lifespan and its association with mortality.
More Than Just a Room: Results From an Intergenerational Home Sharing Program in Toronto
Authors: Martinez Laura , Mirza Raza , Austen Andrea , McDonald Lynn , Klinger Christopher , Hsieh Jessica , Salomons Tonya 
Published: December 2020

Abstract
Older adults prefer to live in their own homes for as long as possible — to 'age in place' — but for myriad reasons may be unable to do so. To address this, a number of housing alternatives have been explored, including homesharing, or homeshare, an exchange-based shared housing approach with the potential to empower older adults to age in place by enabling them to obtain additional income, companionship, and assistance with completing household tasks in exchange for renting out a room in their home. An intergenerational homesharing pilot program was launched in Toronto, matching older adults (55+) with postsecondary students. With limited research in the area, a mixed methods research study was embedded within the pilot project with the goals of: 1) conducting a scoping review to map and synthesize the literature related to outcomes of homeshare participation for this population, 2) conducting in-depth interviews with homeshare participants (N=22) to learn about their experiences, and 3) conduct a full evaluation and exit survey to better understand the implications of the project. Results were organized around the following themes: (1) benefits and challenges of participating in homeshare for older adults; (2) intergenerational engagement as social exchange; and (3) the key role of agency facilitation as a determinant of the experience of homesharing for older adults. Results spoke to the unique benefits and challenges of participating in homeshare for this population. Findings were used to derive implications for policy and practice, as well as highlight areas for future research.
The Association Between Myocardial Strain and Frailty in the Cardiovascular Health Study
Authors: Tan Annabel , Shah Sanjiv J , Sanders Jason , Psaty Bruce , Newman Anne , Wu Chenkai , Gardin Julius , Odden Michelle 
Published: December 2020

Abstract
Myocardial strain, measured by speckle tracking echocardiography (STE), is a novel measure of subclinical cardiovascular disease and may reflect myocardial aging. We aimed to explore the association between myocardial strain and frailty, a clinical syndrome of impaired resilience and lack of physiologic reserve. Frailty was defined in 4,042 participants of the Cardiovascular Health Study (CHS) as having 3 or more of the following clinical criteria: weakness, slowness, shrinking, exhaustion, and inactivity. We examined the cross-sectional and longitudinal associations of left ventricular (LV) longitudinal strain, LV early diastolic strain rate and left atrial reservoir strain with frailty in participants with no history of cardiovascular disease or heart failure at the time of echocardiography. In cross-sectional analyses, LV longitudinal strain, LV early diastolic strain, left atrial reservoir strain and LV ejection fraction (measured by conventional echocardiography) levels were lower (worse) among frail participants than among those who were not frail and pre-frail (p&lt;0.01). This association of LV longitudinal strain and frailty was robust to adjustment by LV ejection fraction (adjusted OR: 1.34, 95% CI: 1.20, 2.09). Conversely, LV ejection fraction was not associated with frailty after adjustment for LV longitudinal strain. In longitudinal analyses, LV longitudinal strain and LV early diastolic strain were associated with incident frailty (adjusted OR: 1.49, 95% CI: 1.07, 2.08) and 1.65, 95% CI: 1.15, 2.25, respectively). In community-dwelling older adults without prevalent cardiovascular disease, worse LV longitudinal strain, reflective of subclinical myocardial dysfunction, was associated with frailty independent of LV ejection fraction and other risk factors.
Exercise Strategies for Optimizing Aerobic Capacity and Skeletal Muscle Performance in Older Adults
Authors: Tavoian Dallin , Russ David , Clark Brian 
Published: December 2020

Abstract
Most older adults do not exercise regularly. Among those who do, the majority only perform one type of exercise, and— as such— are either not getting the benefits of endurance exercise or resistance exercise. The aim of this pilot study was to determine which standalone exercise strategy has the greatest effect on both cardiorespiratory and lower-extremity muscular function in insufficiently active older adults 60 to 75 years of age (N = 14). Participants were randomly assigned to either resistance training (RT, n=5), moderate intensity continuous training on a stationary bicycle (MICT, n=4), or high-intensity interval training on a stationary bicycle (HIIT, n=5) for supervised exercise sessions three times per week for 12 weeks. Maximal oxygen consumption increased a comparable amount in all groups (11.9±11.2% for HIIT vs. 8.0±14.8% for MICT vs 9.8±5.7% for RT). Leg extensor power did not change in the HIIT group (-0.34±5.2%), but increased by 5.2±9.7% in the MICT group and 14.5±26.1% in the RT group. Leg extensor strength decreased by 1.7±22.1% in the HIIT group and 0.6±6.4% in the MICT group, but increased by 27.3±21.2% in the RT group. These findings demonstrate that RT results in improved lower-extremity strength and power, as well as improvements in maximal aerobic capacity comparable to MICT and HIIT in older adults. Thus, RT should be promoted as an essential exercise strategy for older adults, particularly for individuals who are inactive or that are only performing one type of exercise regularly.
A Geroscience Perspective on COVID-19 – Joint Program from the American Aging Association (AGE) and The Gerontological Society of America
Authors: Anderson Rozalyn 
Published: December 2020

Abstract
Faculty will focus on the biology of aging as a contributor to the vulnerability in COVID-19. Faculty will present the latest concepts and insights that will advance our ability to confront this global outbreak. Our goal for this session is to connect with the concept of Geroscience and how ideas from aging biology research can be incorporated to improve outcomes and informed practice. Although the emphasis is on biology, the goal is to provide insight in a manner that is readily accessible to researchers across the aging spectrum that they might translate these ideas in the face of a very real-world challenge.
Age-Friendly Online Training Programs for Long-Term Services and Supports Staff to Improve Care for Older Adults
Authors: Edelman Linda , Dassel Kara 
Published: December 2020

Abstract
The purpose of our Geriatric Workforce Enhancement Program is to provide geriatric and primary care education and training to long-term care (LTC) providers and staff, health professions students and community members. Our LTC partners and the communities we serve are often very rural and travel to urban areas for training can be difficult. Therefore, we have developed four online training that are offered free to our partners and rural communities statewide. These programs are designed to integrate the aims of the Age-Friendly 4M’s model (i.e., What Matters, Mobility, Medication, Mentation). The LTC nurse residency program provides gerontological nursing and inter-professional leadership training (all 4M’s), in a synchronous online environment. The asynchronous Alzheimer’s Disease and Related Dementias training modules educate LTC staff and family caregivers about types, diagnosis and care of older adults with dementia (Mentation and Medication). The asynchronous Opioid Use in LTC modules were developed with partners to deliver live at LTC staff trainings about opioid stewardship (Medication). The LTC Learning Communities are monthly tele-health sessions for inter-professional LTC teams to discuss current issues and propose solutions (all 4M’s). We have successfully leveraged different synchronous and asynchronous online modalities to increase educational opportunities for formal and informal caregivers, including those in rural areas whose educational opportunities are geographically limited. To date our programs have reached over 500 individuals across our state, increasing knowledge about geriatric concepts, communication and team leadership. Moving forward, we will continue to develop and refine educational programs that promote the Age-Friendly geriatric-focused health care.
Age-Friendly University Assessments: Approach by the UMass Dartmouth Campus
Authors: Revell Andrew , Ayotte Brian , Viveiros Jennifer 
Published: December 2020

Abstract
Representatives from The Ora M. DeJesus Gerontology Center at the University of Massachusetts Dartmouth began participating on the Age-Friendly University (AFU) panel at The Gerontological Society of America conference in November 2018. The recommendations and knowledge provided a foundation to begin informally surveying faculty and gerontology affiliates on age-friendly practices. In the fall of 2019, formal discussions began with our partners at other campuses, and in Spring 2020, the AFU Climate Survey was disseminated by email announcements to all students and employees on our campus, soon followed by the Inventory reporting tool to campus office administrators. Results of these assessments will be presented on the utility of these approaches and suggestions for refinement and broader dissemination.
Reducing Social Isolation and Improving Nutrition Through Intergenerational Experiential Learning
Authors: Naar Jill 
Published: December 2020

Abstract
This presentation will focus on two projects that aim to inform and educate communities through community based intergenerational programs. An additional link is collaborating with community partner staff on the potential to improve health outcomes with the integration of generations in programming. Through inter-professional collaborations, these projects focus on two areas: reducing social isolation and loneliness among rural older adults through an intergenerational technology program with university students and modifying the implementation of an evidence-based preschool nutrition program for an intergenerational setting. This presentation will focus on the benefits of using community based intergenerational programs and experiential learning opportunities. Aims of this presentation are to highlight how issues related to social isolation and loneliness can be mitigated by incorporating experiential opportunities for university students while simultaneously supporting university students’ preparation for engaging in an intergenerational workforce.
Facing the Journey Together: Using Digital Media to Support Dementia Care Among Asian Americans
Authors: Yeh Angelica , Mayen-Cho Marie 
Published: December 2020

Abstract
Asians and Pacific Islanders (APIs) in the United States have limited access to dementia care information that is linguistically and culturally appropriate. Alzheimer’s Los Angeles created “Faces of Caregiving”, a video project available with English/Japanese subtitles, documenting in-depth interviews with 7 Japanese/Japanese-American familial care partners of individuals living with dementia. It touched on the personal yet universal aspects of each journey embedded in a particular family context. The 5 video profiles were subsequently shown at 3 community sites to attendees comprised of mostly older-adult APIs. Among 85 attendee responses, approximately 90% stated they were more likely to seek out information on and support for Alzheimer’s disease, felt more open to talking about the disease, and were more likely to advocate and raise awareness for the disease. This program could be replicated for other API communities, allowing individuals to learn more effectively from a peer-to-peer experience in a culturally familiar setting. Part of a symposium sponsored by the Aging Among Asians Interest Group.
GWEP Partnerships With Community-Based Organizations to Advance Age-Friendly Health Systems
Authors: Waters Leland , Tumosa Nina 
Published: December 2020

Abstract
From the onset of the Health Resources and Services Administration’s Geriatrics Workforce Enhancement Program (GWEP), project initiatives have been developed to collaborate with Area Agencies on Aging and other community-based organizations (CBOs) serving the older adult community to improve health outcomes. The current GWEP funding cycle includes an initiative to further the principles of Age-Friendly Health Systems. Having built relationships within the aging services community, GWEPs are well positioned to deliver educational interventions framed around the 4M pillars of age-friendly healthcare. Three GWEPs are working with CBOs to implement and test interventions that address the interactive 4Ms. One GWEP has created an Age Friendly Community Education series in conjunction with their CBO partners in a low-income urban setting. Another GWEP has secured age friendly designation for its teams and worked with a coalition of CBOs to obtain both age and dementia-friendly designations for its home city of Springfield, MA. A third GWEP is implementing age-friendly practice workflows in programs that connect primary care and community-based organizations to address specific needs of an underserved older population. By integrating CBOs within the age-friendly health system framework, we can better create sustainable partnerships with health systems to improve health outcomes for our elders.
Age-Friendly Teaching and Learning: New Roles for Older Adults Across the Curriculum
Authors: Farah Kimberly , Montepare Joann 
Published: December 2020

Abstract
The pioneering Age-Friendly University (AFU) framework, with its set of ten guiding principles, advocates for enabling older adults to participate fully in educational activities that promote positive and healthy aging. In addition, the AFU principles call attention to bringing younger and older learners together around educational goals, and engaging learners in collaborative classroom experiences that facilitate the reciprocal sharing of expertise between learners of all ages. Implied, but not articulated, in these principles is the idea that older adults’ expertise, skills, and talents can also be tapped to support classroom learning goals and extend teaching strategies. This presentation will show how older adults can serve as valuable educational allies in classrooms across the curriculum with examples of crime scenario developers in a forensics class, conversation partners in an international oral communication class, and professional interviewers in an internship skills class. Evidence will argue that these roles enhance student learning.