bluuebunny/crossref_metadata_2025_split huggingface dataset:
REPORT ON SYSTEMATIC EVIDENCE REVIEW
Authors: Fink Howard 
Published: November 2019

Abstract
During the workshop, results from a systematic evidence review prepared by an Agency for Healthcare Research and Quality Evidence-based Practice Center to inform the workshop were presented, focusing on long term osteoporosis drug treatment. This talk will describe the goals of the systematic review, which addressed four questions: (1) What are the effects of long-term (&gt;3 years) osteoporosis drug treatment versus control on risks of incident fractures and harms; (2) Do effects of long-term osteoporosis drug treatment vary as a function of patient, bone, or osteoporosis drug characteristics; (3) Among individuals receiving osteoporosis drug treatment to prevent fracture, what are the benefits and harms of continuing versus discontinuing treatment (e.g., osteoporosis drug holiday); and (4) Do outcomes of drug discontinuation or drug holidays vary as a function of patient, bone, or osteoporosis drug characteristics?
UTILIZING TECHNOLOGY NETWORKS TO SUPPORT SOCIAL NETWORKS FOR PEOPLE AGING WITH DISABILITY
Authors: Remillard Elena T , Rogers Wendy , Ruiz Sarah 
Published: November 2019

Abstract
A growing number of new smart, internet-enabled technologies from smart phone applications, to teleconferencing, to the Internet of Things (IoT), provide great promise and potential to support successful aging-in-place for people with long-term disabilities. This symposium highlights ongoing research at the TechSAge Rehabilitation Engineering Research Center to identify technology needs and develop/adapt new technologies to promote independence, health, and participation of this population. To understand user needs, Harris et al. will present findings from a large-scale interview study with older adults with long-term vision and mobility disabilities (N=120) that explored specific task-based challenges with community activities (e.g., going to entertainment events, volunteering) as well as solutions and strategies to overcome them. Koon et al. will present findings on perceived facilitators and barriers to using digital assistants (e.g., Amazon Alexa) to facilitate a variety of everyday tasks at home, from shopping to communicating with others, among adults aging with mobility disabilities. Levy et al. will discuss findings from research driving the creation of augmented reality tools that can enable individuals to experience how IoT devices, such as smart thermostats and lightbulbs, could be used within the context of one’s own abilities and home. Mitzner et al., will describe the development of a Tele Tai Chi intervention for older adults with long-term mobility disabilities that employs teleconferencing software to translate an in-person, evidence-based class to an online, social experience. TechSAge Program Officer, Sarah Ruiz (National Institute on Disability, Independent Living, and Rehabilitation Research), will serve as the discussant.
PURSUING AGE-FRIENDLY UNIVERSITY PRINCIPLES AT A MAJOR UNIVERSITY: LESSONS IN GRASSROOTS ORGANIZING
Authors: Luz Clare C 
Published: November 2019

Abstract
Rapid population aging presents opportunities for higher education to address major aging-related public issues facing society that have a direct impact on students, faculty, and both local and global communities. Students in virtually all disciplines will be working within the context of an aging society post-graduation and need to be prepared as they make career choices and enter the workforce. Further, faculty and staff are not only aging themselves but may be caregivers, which has an impact on health, income and productivity. Michigan State University (MSU) is now addressing these needs through a new program guided by Age-Friendly University (AFU) principles called AgeAlive that grew out of five years of grassroots organizing. Large-scale, research-intensive institutions present special challenges to pursuing AFU status but the lessons learned by AgeAlive may help any organization that wishes to become more age friendly. This session will review AgeAlive’s path to a recognized program with a clear vision, a strategic plan, two crosscutting goals including AFU designation, and five focus areas with initiatives in each area. Tools to help achieve these goals include an inventory of aging-related activity on campus and a virtual hub for networking and information exchange. Key steps in the program development process will be described as will recommendations related to choosing a model, cultivating champions, making decisions based on data, and building infrastructure. It will allow others to understand what challenges they may face and potential approaches to minimizing and overcoming these challenges in their own AFU journey.
RURALITY, ALCOHOL, AND OPIOID USE AS PRECURSOR TO ELDER ABUSE
Authors: Zanjani Faika 
Published: November 2019

Abstract
Pain, alcohol, and opioid risk management is an increasingly important issue in the care of the older adult population. Older adults are at higher risk for pain and the negative outcomes associated with opioid and alcohol use due to higher prevalence of multimorbidity, polypharmacy, and the age-associated changes in metabolism and elimination. Evidence-based approaches for pain and substance use management exist and are effective for older adults, but underutilized and have limited availability in rural areas. Therein, undermanagement of pain and substance use becomes a risk factor for elder abuse. Improved dissemination and implementation in practice, as well as training for health professionals and the community is needed to better realize and prevent negative health outcomes from pain, alcohol, and opioid use. Community education and training tools for health professionals will be discussed, with suggestions for community initiatives to address pain, alcohol, and opioid risk management to prevent elder abuse.
GENDER-SPECIFIC APPROACHES TO HEALTHY AGING WITH HIV
Authors: Taylor Tonya N , Finkelstein Ruth 
Published: November 2019

Abstract
Older adults with HIV (OAH) evidence a significant burden of disease, characterized by high frequencies of non-HIV related comorbidities that result in multimorbidity and polypharmacy decades earlier than non-HIV infected older adults. Commonly observed comorbidities among OAH 50 years and older include cardiovascular disease, hypertension, diabetes, osteoporosis, and cancers. Geriatric conditions such as frailty, functional impairment, chronic inflammation, and cognitive dysfunction are also prevalent. Poverty, unemployment, housing, and food insecurity, as well as stigma-driven discrimination, persistent social isolation and high rates of depression, can make health-related challenges associated with aging overwhelming, resulting in a diminished capacity for self-care. Older men and women with HIV; however, are aging differently due to gender-specific differences in comorbidity profiles, polypharmacy burden, social networks, and intersectional stigmas (HIV/AIDS, ageism, racism, sexism, classism, homophobia, and transphobia). This symposium explores the impact of gender on healthy aging among OAH. Dr. Brennan-Ing and colleagues describe specific strategies for achieving healthy aging among female OAH in NYC and Oakland, CA. Dr. Rubtsova and colleagues explore multiple meanings of “successful aging” among older women in Atlanta and Brooklyn, and the role of resilience that empowers them as long-term HIV survivors. Dr. Taylor qualitatively examines the impact of biopsychosocial factors on notions of “Healthy HIV Aging” among older gay, bisexual and heterosexual men with HIV. Dr. Ruth Finkelstein will discuss the public health implications for developing equitable and gender-specific and intersectional HIV prevention and wellness interventions and suggest future areas of inquiry to improve HIV outcomes across the care continuum.
GRECCS AS A NETWORK TO ENHANCE THE VA PRIMARY CARE WORKFORCE
Authors: Kramer Josea , Shaughnessy Marianne 
Published: November 2019

Abstract
The VA Geriatric Scholars Program is a workforce development program to integrate geriatrics into primary care in all VA clinics. The program has increased career satisfaction among clinicians, improved quality of care for aging Veterans, changed provider prescribing behaviors and improved patient outcomes. The core curriculum is an intensive course in geriatrics, an intensive workshop in quality improvement (QI) and a micro QI project to demonstrate application of new knowledge to local needs of patients and clinic processes; this is a longitudinal program and alumni continue to develop skills over time through a series of elective activities that tailor learning to self-identified gaps in career development and training. The program is a collaboration among the Geriatric Research Education and Clinical Centers (GRECC), centers of excellence that have been leveraged to create a network of expertise and creativity to develop the core and elective educational activities. This symposium focuses on recent outcomes of three educational components that improve quality of care for older Veterans. The Palo Alto GRECC developed an intensive course in gerontological psychology to enhance the skills and competencies of psychologists leading to greater job effectiveness. The Bronx GRECC developed an interdisciplinary training program for all clinical and non-clinical staff in rural clinics, leading to improved recognition of functional and safety concerns among older veterans. The Tennessee Valley GRECC developed the core QI component and many of these micro-QI projects have been sustained, spread or recognized by VA as Promising Practices.
THE EFFECT OF GEROPSYCHOLOGY TRAINING ON JOB EFFECTIVENESS AMONG VA PSYCHOLOGISTS
Authors: Scales Ashley , Rodriguez Rachel , Gould Christine , Gregg Jeffrey , Huh Joung , Kramer Josea 
Published: November 2019

Abstract
Providing training to assist employees with excelling in their job role may increase their job effectiveness, which then translates to improvements in an organizations’ performance measures. In 2018, the Geriatric Scholars Psychology Program measured whether a multi-day course influenced the Psychologists’ perceived job effectiveness using modified questions from Godat and Brigham’s Reaction Measure. Ninety-two percent agreed the training assisted them with identifying and overcoming obstacles; helped them set goals to increase problem solving at their designated facilities; boosted their confidence in fulfilling their job duties; and the training should be made available to other employees who provide care to older Veterans on a regular basis. Findings from the 3-month follow-up assessment demonstrated that the positive effect on job effectiveness was sustained. Discussion will explore aspects of the course that may be key in improving perceived effectiveness and consider novel approaches to enhance this outcome.
ORGANIZATIONAL READINESS TO CHANGE AND NURSING HOME SAFETY: RESULTS FROM A NATIONAL SURVEY
Authors: Hartmann Christine W , Quach Emma , Zhao Shibei , Clark Valerie , McDannold Sarah , Ni Pengsheng , Kazis Lewis 
Published: November 2019

Abstract
In nursing homes, safety climate (employee attitudes and beliefs about safety) is a key contributing factor to safety and a potential leverage point for improvement. Yet relatively little is known about how contextual factors such as organizational readiness to change affect safety climate. We sampled employees from 56 Department of Veterans Affairs (VA) Community Living Centers (CLCs—nursing homes) and conducted an anonymous, cross-sectional web-based survey using the previously validated CLC Employee Survey of Attitudes about Resident Safety (CESARS) and the Organizational Readiness to Change Assessment instrument. From hierarchical mixed random effects regression models, we calculated intraclass correlation coefficients (ICC) as the proportion of CLC-level variance over the sum of CLC-level plus residual variance. Each of the CESARS’ 7 safety climate domains was a dependent variable in separate models; employee- and CLC-level factors were independent variables. The survey had a 26% response rate; 1,397 respondents. Mean ORCA scores (1-5 scale, higher better) was 3.3. We began with models containing only employee-level variables. ICC values ranged from 2.34% to 9.85%, suggesting substantial variation in CESARS outcomes. As we dropped insignificant variables and added CLC-level variables to the models, the ICC decreased over 2% in six models, suggesting organizational-level variables accounted for substantial variability. The only independent variable with a significant effect in all 7 models was organizational-level: organizational readiness to change. Unlike many other organizational-level variables, organizational readiness to change is potentially amenable to low-cost interventions such as communication and teamwork interventions, providing viable opportunities to efficiently improve nursing home care.
A LONGEVITY PROMOTING FACTOR THAT SUPPRESSES IMMUNITY AND HEALTHSPAN
Authors: Ghazi Arjumand , Amrit Francis , Naim Nikki , Ratnappan Ramesh , Loose Julia , Wang Guoqiang , Driscoll Monica , Yanowitz Judith 
Published: November 2019

Abstract
A positive correlation exists between stress resistance and longevity, but emerging evidence suggests that lifespan and stress endurance are physiologically distinct. A major challenge in aging biology has been identifying factors that play distinct roles in these closely coupled processes because genes that promote longevity often enhance stress resistance. Here, we demonstrate that TCER-1, the Caenorhabditis elegans homolog of the human transcription elongation and splicing factor, TCERG1, has discrete and opposite effects on lifespan and stress resistance. We previously identified tcer-1 as a gene that promotes longevity in germline-less C. elegans and reproductive fitness in wild-type animals. Surprisingly, tcer-1 mutants exhibited exceptional resistance against multiple biotic and abiotic stressors, including infection by the human opportunistic pathogen Pseudomonas aeruginosa. Conversely, TCER-1 overexpression increased susceptibility to infection. TCER-1 acted cell non-autonomously to both enhance longevity and repress immunity. Interestingly, TCER-1 inhibited immunity only during the fertile stages of life and not in post-reproductive adults. Elevating its levels ameliorated the fertility loss that follows infection, suggesting that TCER-1 may repress immunity to augment fecundity. Mechanistically, TCER-1 acts through the inhibition of the conserved kinase, PMK-1, as well as through repression of PMK-1-independent, novel antibacterial factors critical for innate immunity. Overall, our data establish key roles for TCER-1 in coordinating immunity, longevity and fertility, and reveal the molecular mechanisms that distinguish length of life from functional aspects of aging.
ACCESS TO EVERYDAY ACTIVITIES IN PUBLIC SPACE - VIEWS OF PEOPLE WITH DEMENTIA
Authors: Brorsson Anna , Nygard Louise , Ohman annika 
Published: November 2019

Abstract
People with dementia value staying active and continuing with their everyday lives in public space, however there is a lack of knowledge about how they experience accessibility, problematic situations and how to manage these situations. The aim is to illuminate experiences of accessibility in public space in people with dementia with focus on places, activities and problematic situations. A Grounded theory approach was used in the thesis with multiple data collection methods (interviews, focus group interviews, observations and visual methods). Findings show that having access to everyday activities at different places in the neighbourhood was very important for the participants when they perceived themselves as being a part of the society and being active and independent persons. Engaging in familiar activities in familiar places was important. However, their activity radii in the community became smaller. The findings inspired the development of the questionnaire Participation in Activities and Places Outside Home.
LESSONS FROM THE RESIDENT EXPERIENCE WITH THE R3 PROGRAM
Authors: Miller Edward A , Nadash Pamela , Simpson Elizabeth , Shellito Natalie , Cohen Marc 
Published: November 2019

Abstract
Understanding the resident experience is a critical step to creating a sustainable and replicable model of affordable resident-centered housing with supportive services programs. This study thus draws lessons from focus groups with participants in the R3 program for designing and implementing such initiatives in affordable senior housing. Findings indicate that the R3 program brings value to residents: they benefit from reliable information on health-related issues, as well as emotional support and assistance with accessing appropriate care. By focusing on prevention and ensuring timely access to services, findings suggest how the intervention could promote seniors living independently longer and lower health system costs. Results also suggest ways to improve the effectiveness of housing with services programs, including providing clarity regarding the purpose of the program, its components and staffing, building trust between program staff and residents, addressing concerns about privacy and confidentiality, and implementing a multipronged marketing and promotion strategy.
PERSONALITY AND SELF-REPORTED AND ACTIGRAPHY-MEASURED SLEEP HEALTH IN ADULTHOOD
Authors: Sadeq Nasreen A , Sadeq Nasreen A , Lee Soomi , Gamaldo Alyssa , Almeida David M 
Published: November 2019

Abstract
Personality may be associated with sleep health, however, the majority of existing studies rely on self-reported measures of sleep (often focusing on sleep duration). The purpose of this study is to examine the associations between Big Five personality traits and self-reported and actigraphy measured sleep. This study included 3928 participants and a subsample of 441 participants from the Midlife in the United States study. Linear regressions were used to analyze the relationships between personality traits and sleep. Neuroticism was associated with more frequent actigraphy-measured waking after sleep onset, and several self-reported measures of sleep quality, including shorter sleep duration, longer sleep latency, and a greater number of insomnia symptoms. Agreeableness was associated with shorter actigraphy-measured sleep duration and more self-reported insomnia symptoms. Our findings support an association between Neuroticism and poor sleep, and suggest that Agreeableness may be associated with worse sleep health.
INTERVENTIONS FOR LONELINESS AMONG OLDER ADULTS IN FACILITIES: A SYSTEMATIC REVIEW
Authors: Quan Nicolas , Lohman Matthew 
Published: November 2019

Abstract
Loneliness affects an estimated 1 in 3 older adults ages 65 and over in America. According to a 2017 report by AARP, a lack of meaningful social contact among older adults is associated with $6.7 billion dollars of federal healthcare spending. Research suggests that interventions such as social facilitation and skills development may decrease loneliness; however, the effectiveness of such interventions for older adults living in long-term care facilities is unclear. Articles matching search criteria were collected from PubMed, PsycInfo and Web of Science from 2009 to 2019. Inclusion criteria were: 1) intervention studies, 2) individuals age &gt;= 65, 3) participants living in a long-term care facility such as a nursing home, assisted-living, or hospice facility. Randomized controlled trials, quasi-experimental and single-group studies were included. Title and abstract screening, as well as full text extraction followed PRISMA guidelines. A total of 16 articles that met inclusion criteria were identified. The interventions included video chatting with family members, human-volunteer interaction, human-robot interaction, humor therapy, a reminiscent radio program, laughter therapy and gardening education. Fourteen studies demonstrated a statistically significant decrease in loneliness from baseline to post-intervention. Laughter therapy showed the greatest reduction in loneliness. Diversity of intervention types and loneliness measures meant we could not estimate a pooled measure of effectiveness. Results suggest that there are several effective interventions to reduce loneliness among older adults in facilities; however, lack of standardized measures and high-quality studies limits comparisons between intervention types and generalizability to different populations.
THE BLUES AND OLDER MINORITY MUSICIANS: MORE THAN JUST MUSIC XXVI
Authors: Migliaccio John N 
Published: November 2019

Abstract
This 26th annual symposium again showcases a world-wide musical genre in a regional setting with local performers. Texas Blues has emanated from a pantheon of talented artists beginning in the earliest days of Roots and Blues music to the present day, and Austin has become the epicenter of this talent and music. With legendary classic blues musicians from the early 2oth century to emerging younger musicians who re-energize and re-invent this uniquely American musical genre, to legendary music labels and venues like Antone’s which continue to engage blues music artists of all ages, Austin continues to be the home of Texas Blues. Lifetime Achievement Award -winning 89-year-young, Miss Lavelle White epitomizes the resilience and energy interchange of both the performer and the music, and their mutual contribution to longevity and continued engagement. Still performing after 70 years, she has influenced generations of younger prominent blues performers and continues to appear weekly at local blues mecca Antone’s along with her Grammy Award winning band and is preparing her fourth album release. This session will celebrate her music, her artistry, and her continued success as an older blues performer. A visit to a local blues venue later in the evening will allow for a true appreciation of the blues music scene in Austin.
ELDER MISTREATMENT FOLLOW-UP: CONNECTING EMERGENCY DEPARTMENTS AND COMMUNITIES
Authors: Bonner Alice , Lees-Haggerty Kristin , Lang Debi , Cunningham Bree , Burnett Jason , Greenlee Kathy 
Published: November 2019

Abstract
To effectively address elder mistreatment (EM) in the emergency department (ED) hospitals must have mechanisms that promote and, to the extent possible, ensure patient safety post-discharge. However, the realities of working within busy hospitals--limited staff time, financial resources, and EM-specific expertise--prevent many EDs from being able to dedicate staff for patient follow up or develop EM multi-disciplinary teams. The fourth core element of the NCAEM’s ED Care Model aims to address this need with a roadmap for leveraging existing community resources. The roadmap provides streamlined tools to help hospitals assess their needs, identify existing teams and resources in their community, and connect with Adult Protective Services and other organizations. In this presentation we will present these tools and share case examples from beginning stages of feasibility testing in hospitals across the US. We will discuss specific strategies for implementing the model in hospitals of differing types, sizes, and resource levels.