bluuebunny/crossref_metadata_2025_split huggingface dataset:
CHATTIER WITH FRIENDS: OLDER ADULTS’ DAILY SOCIAL CONTACT AND CONVERSATION
Authors: Ng Yee To , Huo Meng , Fingerman Karen 
Published: November 2019

Abstract
Studies suggest conversation improves cognitive skills among older adults. While contact with family members is common in late life, contact with friends and acquaintances is relatively less frequent. Yet, we know little about how often older adults engage in conversation when they have contact with different social partners. This study used data from the Daily Experiences and Well-being Study to investigate how older adults talk with different social partners on a daily basis. Participants (N = 303) completed an initial interview about their social partners and reported on their contact with each social partner in ecological momentary assessments every 3 hours across 5 to 6 days. Participants also wore Electronically Activated Recorders (EAR), which captured snippets of their daily conversation. Findings revealed that contact with family members (e.g., spouse, children, siblings) occurred most often, with less frequent contact with other social partners (e.g., acquaintances, neighbors), and then friends. Multilevel models also revealed that participants talked more (i.e., saying more words in each 30-second snippet and had a greater proportion of snippets when they talked) when they had contact with their friends than when they had contact with family members or other social partners. Results from these multiple methods suggest that daily contact with friends could potentially encourage conversation that may facilitate cognitive functioning among older adults.
SOCIAL NETWORK SIZE AND FREQUENCY OF ELECTRONIC COMMUNICATION: THE RELATIONSHIP TO INTERPERSONAL STRESS
Authors: Lin Xin Yao , Lachman Margie E 
Published: November 2019

Abstract
Social relationships are beneficial for psychological wellbeing, but they are also associated with interpersonal stress. With the growing usage of multiple forms of electronic communications (EC) including phone calls, text messages, video chat, and internet among adults of all ages, it was of interest to explore the relationship between social network size (SNS), in-person communication (PC), and EC, and whether the relationship between SNS and frequency of communication is associated with interpersonal stress. A daily diary study was conducted over seven days for 142 participants ages 22 to 94. SNS was assessed with the social convoy model. Frequency of PC and EC, along with interpersonal stress, were assessed daily. As expected, multiple regression analysis results showed that older adults had smaller SNS and less frequent technology communication (text messages, video chat, internet) compared to younger adults. With regard to effects on interpersonal stress, there were no main effects for frequency of PC, EC, or SNS. However, the frequency of EC moderated the relationship between SNS and interpersonal stress, controlling for amount of PC. Among those with a smaller SNS, having more frequent EC was associated with less interpersonal stress compared to those with less frequent EC. For those with a larger SNS, having more frequent EC was associated with more interpersonal stress compared to those with less EC, but PC was not related to interpersonal stress. The discussion will consider implications of the findings for developing interventions to minimize stress from interpersonal communications, especially those that involve EC.
KIN NETWORK DYNAMICS OVER THE LIFE COURSE AND HISTORICAL TIME IN 19TH-CENTURY ORKNEY, SCOTLAND
Authors: Jennings Julia 
Published: November 2019

Abstract
Kin are important sources of social, instrumental, and financial assistance for older adults. Support from kin is associated with improved wellbeing and longer lives among this age group, yet few longitudinal studies examine information on the composition and structure of kin networks beyond dyadic relationships, such as those between spouses or parents and their children. This study examines the dynamics of non-dyadic measures of kin networks among adults over age 60 using multiple longitudinal linked data sources from North Orkney, Scotland, 1851-1911. Reconstructed individual life courses (N=4,946) and genealogies, in combination in spatial information concerning the proximity non-coresident kin, are used to examine change in kin availability and propinquity over the life course and across historical time. Orkney provides an interesting case study; as information is available on individual-level change in kin availability with a long period of follow up during a time of population change. The study period covers the early stages of population aging and depopulation of the islands, which began in the 1870s in this community. A descriptive analysis of kin network change is presented. Kin availability is associated with longer lives in this sample. The presence of co-resident kin is associated with economic status, after controlling for other factors. Older adults who receive poor relief are significantly more likely to live alone and less likely to live with kin, and the association is stronger for men than for women.
STRENGTHS OF GRANDPARENTING: ASSOCIATIONS WITH DAILY WELL-BEING
Authors: Vo Tina , Sidrak Helena , Munoz Elizabeth , Reynolds Chandra A 
Published: November 2019

Abstract
Potential long-term health benefits may be afforded to grandparents in close contact with their grandchildren, although whether such benefits are visible on a day-to-day basis and among others in similar caretaking roles is unclear. We investigated how the quality and quantity of social contacts, as well as caretaker or grandparenting roles, may mediate symptom perceptions in day-to-day context in a consecutive six-day period. Older adults were recruited using an online survey service aged 59-88 years (Mage= 64.8, 55.8% grandparents, 67.8% female). Participants completed a baseline survey (N=152) followed by up to six daily surveys (N=85 of 152). Measures included daily positive and negative affect, and overall frequency of physical health symptoms. Daily social contacts were rated by participants in terms of importance/closeness of the contact. Last, participants indicated the degree of regular contact and non-custodial caretaking roles of children and their grandparent status. Findings indicated that grandparents tended to report daily contacts with closer social convoy members (B=1.40 (.437); p = .002). Moreover, a trend of reduced symptom reporting across days for grandparents was observed (B=-0.145 (.073), p=.048) adjusting for sex and age. Last, grandparents who regularly took care of their grandchildren and reported increased daily positive affect, reported fewer symptoms throughout the week (B=-0.326 (.139), p=0.02). Although modest, results indicate potentially important health benefits of grandparenting in terms of daily physical functioning that may play out over the longer term to impact health and well-being.
WHEN NETWORKS FAIL: ISOLATION AND INDEPENDENCE AMONG OLDER ADULTS IN PUBLIC HOUSING
Authors: Wagen Brooke , Williams Whitney , Bennett Jan , Jacobs Elizabeth A 
Published: November 2019

Abstract
In the coming decades, the population of adults over 65 in the US will increase dramatically. Many older adults live at or below the poverty level, and the growing lack of affordable housing combined with fixed incomes promises to increase the number of older adults facing combined housing and health challenges. Despite their vulnerability, little is known about the lived experiences of older adults aging in place in public housing. We conducted semi-structured qualitative interviews with 27 older adults at two public housing sites in Austin, Texas to gain an understanding of their thoughts on health, aging, home, community, and problem solving. We conducted interviews in Spanish (n=10) and English (n=17) with 16 female and 11 male interviewees with a mean age of 71.7 years (range 65-85 years). We systematically coded transcribed interviews and used grounded theory to analyze the data. Participants described feeling isolated due to language barriers, cultural perceptions about neighbors, and previous problematic experiences with neighbors leading to intentional isolation for safety. Some, however, spoke of how they acted as community connectors or responded to connectors in the community in ways that reduced their isolation. Participants framed individual problem-solving and personal choices as central to health and wellness. Our findings suggest a way forward for housing authorities, communities, and health systems working together to provide services to these adults. Incorporating their points of view and even co-creating interventions to enhance their health and well-being will make these interventions more successful and welcome.
INTEREST GROUP SESSION—HOSPICE, PALLIATIVE AND END-OF-LIFE CARE: ADDRESSING ADVANCED ILLNESS CHALLENGES THROUGH SYNERGY, PLANNING, COLLABORATION, AND ADVOCACY
Authors: Hopp Faith P , Nedjat-Haiem Frances R 
Published: November 2019

Abstract
Advanced illness occurs when health conditions become serious, general health and functioning declines, and treatments begin to lose their impact. Advanced care planning (ACP) is critical, but challenges such as communication barriers, system fragmentation, and a lack of formal and informal supports can negatively influence ACP and quality of life. How can diverse groups of persons with advanced illness, their family members and friends have greater synergy when planning for care in the face of serious illness? What are the best practices for planning and provision of a spectrum of needed services and support during the dying process and afterwards? We extend a conversation important for formal and informal network members to transform the culture of ACP, death, dying, and bereavement for diverse vulnerable populations. For this symposium, we will present information on ACP and care for LGBT populations and older Latinos, those living in long-term care settings, and persons receiving Adult Protective Services (APS). We will discuss strategies for synergy, collaboration, and advocacy among persons with advanced illness and their formal and informal care networks as a means of reducing health disparities and promoting self-determination in the midst of advanced illness challenges.
INTEREST GROUP SESSION—BEHAVIORAL INTERVENTIONS FOR OLDER ADULTS: ADDRESSING CLINICAL SYMPTOMS OF DEMENTIA: PRELIMINARY RESULTS FROM DEMENTIA BEHAVIOR TRIAL
Authors: Marx Katherine A , Gitlin Laura N , Gaugler Joseph E 
Published: November 2019

Abstract
Currently, just under six million people living in America are diagnosed with Alzheimer’s disease or related dementia. Most people with dementia live in a community setting and are cared for by a family member. Persons living with dementia almost universally experience behavioral and psychological symptoms (BPSD), such as agitation, aggression, and rejection of care as well as functional dependence. These symptoms are related to negative outcomes for both the person living with dementia and the family caregiver. Prior research shows that nonpharmacologic interventions such as meaningful activities, education, and multicomponent interventions have promise in managing behaviors. This symposium focuses on preliminary outcomes from the Dementia Behavior Study (DBS), a Randomized Control study that examined the effect of the Tailored Activity Program (TAP) in a community setting on BPSD and functional dependence in persons living with dementia, and caregiver wellbeing (e.g. depression, burden, perceived change). Gitlin et al will present outcomes of the primary aim (BPSD) and secondary aims (functional dependence and caregiver wellbeing) of the DBS. Pizzi et al explore the cost analysis of the TAP intervention versus the active control group. Scerpella et al describe the alerts and adverse events that were associated with the DBS. Marx et al present the relationship between race and caregiver readiness to participate in TAP. Regier et al explore the BPSD Rejection of Care and the association to caregiver burden. Tailoring interventions, such as activities may improve quality of life for both the person with dementia and the family caregiver.
PREDICTORS OF FALLS IN OLDER ADULTS ACROSS PARTNER SETTINGS
Authors: Lach Helen W , Malmstrom Theodore 
Published: November 2019

Abstract
Falls cause significant morbidity and mortality in older adults. We explored predictors of falls in older adults completing Rapid Geriatric Assessments in Missouri (N=7796). Assessments were completed by health professionals and students at community sites (n= 1817), physician practices/clinics (n= 4441), nursing homes (n=525), and hospitals (n=1013). Multinomial regression analyses were used to identify predictors of falls from: age, gender, frailty score, self-reported walking ability, and cognition. Participants had a mean age of 78.4±8.4, were 65.2% female, 41.7% fallers, 28.1% frail, and 40.5% pre-frail. All variables except gender were associated with falls. For the total sample, frailty (OR 2.11 for 1-3 falls, OR 3.74 for 4+ falls; p&lt;.001) and self-reported walking difficulty (OR 1.85 for 1-3 falls, OR 2.36 for 4+ falls; p&lt;.001) had the highest odds ratios and were consistent predictors of falls in site-specific analyses. Self-rated walking, age, and cognition were risk factors in some settings.
BUILDING AN AGE-FRIENDLY HEALTH CARE SYSTEM
Authors: Lundy Janice 
Published: November 2019

Abstract
Gateway GWEP has partnered with a rural Missouri critical access hospital to establish an age-friendly health system in their community. Program innovations include development and training of: 1) electronic health records integration of the Rapid Geriatric Assessment (RGA) for all patients 65+ years old; 2) RGA-based protocol for Medicare Annual Wellness Visits (MAWV); 3) Multidisciplinary health care assessment team 4) Evidence-based or Evidence Informed treatment interventions, including Cognitive Stimulation Therapy (CST), exercise and strengthening program for persons participating in CST, Care of Persons with Dementia in their Environments (COPE) and caregiver support. Since 2015, 1,200 RGAs, 338 MAWVs have been completed; 165 persons with dementia participated in CST; and 74 have participated in exercise and strengthening. Data supports positive outcomes in functional independence, cognitive status, and care-giver dementia management skills and well-being. Successes and lessons learned regarding strategies to develop an age-friendly health systems will be discussed.
LATE-LIFE CAREGIVING IN MEXICAN AMERICAN FAMILIES
Authors: Angel Jaqueline L 
Published: November 2019

Abstract
This study explores how sociological triangulation can be used to examine Mexican-American families in late-life caregiving. We examine the importance of household structure in providing dementia care. The movement away from traditional residential arrangements that result from neoliberal market reforms and international migration means that intergenerational relationship norms and exchanges will inevitably change and affect Mexican-American families caring for their elders. For many aging Mexican-Americans, a severe lack of resources and health limitations introduce major uncertainties about their futures. We employ the H-EPESE and Sacramento Area Longitudinal Study of Aging to document the nature, extent, and quality of dementia caregiving in the Southwestern United States. Qualitative results uncover how the changing meaning of social relationships impacts family life for older parents with dementia. Multivariate analyses reveal that the late-life migration (after 50yrs) undermines resources and opportunities for community-based care. Implications of the findings for informal and formal support are discussed.
SUPPORTING AN OLDER WORKFORCE BY CREATING AGE-FRIENDLY WORKPLACES: INTRODUCING A NEW MULTIDIMENSIONAL MODEL
Authors: Hattab Raphael Eppler , Meshoulam Ilan , Doron Israel 
Published: November 2019

Abstract
Creating age-friendly workplace environments is considered a central organizational approach for addressing the challenges of supporting an aging and older workforce. However, there are no concrete definitions or theoretical frameworks that explain the full meaning, assumptions and basic processes of this concept. This paper critically reviews the conceptualizations of the age-friendly workplace in the fields of organizational psychology and gerontology, and proposes (a) a new working definition of the concept, and (b) a multidimensional model that consists of a typology of age-friendly dimensions, representing the implications of human resource policies and practices that demonstrate the ways in which organizational climate and organizational culture support aging workers. This framework enables a better understanding of the organizational-occupational realities within an aging and older labor market, and thus serves as an effective foundation upon which future organizational measurements can be constructed. This presentation is based on the article: Eppler-Hattab, R., Meshoulam, I., & Doron, I. (2019). Conceptualizing Age-Friendliness in Workplaces: Proposing a New Multidimensional Model. The Gerontologist. 10.1093/geront/gny184.
SOCIAL INTERACTIONS AND WELL-BEING: THE ROLE OF COMMUNICATION METHOD
Authors: Lin Xin Yao , Lin Xin Yao , Lachman Margie E 
Published: November 2019

Abstract
Given the increased usage of technology for social interactions, it is important to consider whether the method of communication makes a difference in one’s daily well-being. We conducted a diary study, over seven days with 142 participants, to examine the role that communication method (in-person, phone, technology) plays in daily stress exposure, stress reactivity, and positive and negative affect among adults ages 22 to 94. Multilevel modeling results revealed that on days with higher use of technology (text, video, internet) communication than their weekly average, individuals had more negative outcomes (greater stress exposure and negative affect). On days with more in-person communication than their weekly average, individuals had more positive affect. On days with more phone communication than their weekly average, individuals had less negative affect. The discussion highlights the benefits of in-person and phone communications for well-being, while also considering the potential negative outcomes associated with frequent technology communication.
POLICY SERIES: REEFER MADNESS, SADNESS, OR GLADNESS? THE CANNABIS AND OLDER PERSONS STUDY
Authors: Kaskie Brian P , Bobitt Julie 
Published: November 2019

Abstract
In 2016, we began our examination of the intersection between cannabis and older persons by convening focus groups with 163 older adults from senior centers and dispensaries in nine states with varying levels of cannabis legalization. Since then, we have secured competitive research grants and contracts to examine cannabis use among older persons in California, Colorado, Illinois and Iowa. Our work is guided by the primary hypothesis that cannabis use among older persons is shaped by an individual’s calculations concerning risk (e.g., developing a cannabis use disorder, lawbreaking) and reward (e.g., relaxation, symptom relief), and individuals living in a state with a legal cannabis program may perceive less risk and also may be receiving more information about the benefits of cannabis. We also hypothesize that older adults’ access to and use of cannabis is shaped by where they live, particularly defined by local cannabis program implementation efforts and relevant contextual conditions. In this symposium, we will examine our latest work concerning (a) life-span attitudes toward cannabis, (b) clinical perspectives on counseling and certifying older persons for medical cannabis, (c) provider perspectives on state cannabis policy and program implementation, (d) cannabis use among a sample of dementia caregivers and (e) outcomes experienced by older persons who use cannabis for medical or recreational purposes. Our discussion focuses on implication for policy development and program implementation.
ADJUVANTED VACCINES TO ADDRESS IMMUNOSENESCENCE AND PROMOTE HEALTH THROUGHOUT LIFE
Authors: Friedland Leonard 
Published: November 2019

Abstract
Immunosenescence creates a challenge in developing vaccines tailored for older adults. Recent advances in immunology, molecular biology and systems vaccinology have enabled greater understanding of the innate and adaptive immune mechanisms behind vaccine responses in adults. Novel approaches to vaccine design for this population include adjuvant technology. New knowledge and accumulating experience enables evidence-based selection of the right antigen and adjuvant combination leading to the discovery and development of better and/or newer innovative vaccines specifically tailored to protect against pathogens responsible for infectious diseases resulting in significant morbidity and mortality in older adults. For example, the recent licensure of several vaccines formulated with a new generation of adjuvants to help protect older adults against influenza, hepatitis B and herpes zoster (shingles). This evidence-based approach to the development of adjuvanted vaccines addressing immunosenescence is a primary prevention strategy to develop and maintain the functional ability that enables wellbeing in older age.
THE ALZHEIMER’S ASSOCIATION NATIONAL HELPLINE: EFFECTS ON FAMILY CAREGIVERS
Authors: Hodgson Nancy , Petrovsky Darina V , Kallmyer Beth , Pike Joanne , Fazio Sam 
Published: November 2019

Abstract
Family caregivers of persons with dementia experience high rates of social isolation and limited access to emotional support. The Alzheimer’s Association National Helpline is an accessible and free resource available 24 hours/day, 365 days/year in which master’s-level clinicians offer confidential emotional support and information on resources in the form of “action steps.” We evaluated the preliminary effectiveness of the Helpline for family caregivers of persons with dementia. Between January and October 2018, 185 non-crisis, caregiver calls to the Helpline were assessed at the time of call, one week, and 1 month post-call for effects on caregivers’ self-reported emotional distress, ability to manage anxiety, implement plan of action and access of services. The mean age of callers was 56 years; 22% were non white; 79% were women. Callers reported significantly (p &lt;.05) improved caregiver emotional distress (27% net improvement) and ability to manage anxiety (29% net improvement). At one week, 70% of callers had put action steps in place, and by 1 month 80% of callers had put action steps into place. Over 80% of callers reported action steps were “helpful” and 65% reported that they had accessed additional dementia support services. This study suggests that support provided via the Alzheimer’s Association National Helpline is effective at reducing caregiver emotional distress and improving the ability of callers to “take action”. The results provide support for a larger study investigating caller characteristics and core content of the calls that provided sustained benefit to standardize the key elements of Helpline calls.