bluuebunny/crossref_metadata_2025_split huggingface dataset:
PERSPECTIVE FROM A CARIBBEAN ISLAND, JAMAICA
Authors: Eldemire-Shearer Denise , Donaldson-Davis Kayon M , Davis Julian McKoy , Willie-Tyndale Douladel M 
Published: November 2019

Abstract
Jamaica is prone to hurricanes and associated flooding. The older adult population is vulnerable given the increasing ageing population (12% over age 60), high rate of disability (20% - 30%) low literacy levels, increased feminization, and high numbers of old-old. This paper describes strategies employed in disaster management with a special focus on older persons as a vulnerable group. The significant contribution of social networks to disaster mitigation will also be discussed. Age-friendly strategies include older person representation on local disaster committees; mainstreaming the needs of older persons in community disaster plans; training of disaster workers on ageing and the special needs of older persons; maintaining community lists of frail, single and house-bound older persons. Social networks especially faith-based organisations are integral in disaster preparedness and recovery activities.
SKILLS FOR PSYCHOLOGICAL RECOVERY DURING AND AFTER DISASTERS TO STRENGTHEN SOCIAL SUPPORT
Authors: Brown Lisa M 
Published: November 2019

Abstract
The combination of an aging population and a limited number of disaster responders reveals a need for trained laypeople who can implement interventions that facilitate recovery after traumatic events. Skills for Psychological Recovery (SPR) is an intervention that is designed to be implemented after use of Psychological First Aid with people who were exposed to a traumatic stressor. SPR uses a skills-building approach to promote self-efficacy, support resilience, strengthen social networks, and ameliorate the negative impact of traumatic life events. Strengthening social support is beneficial as research clearly demonstrates that destruction of communities and loss of informal social support networks produces long-term psychological distress for older adults. This presentation will demonstrate a SPR social support exercise with attendees, provide an overview of the other modules, and describe modifications for using SPR with older adults. During times of crisis, social support systems are critical to the psychological well-being of older adults.
VOADS AND OLDER ADULTS IN DISASTERS
Authors: mcsweeney-feld Mary H 
Published: November 2019

Abstract
Voluntary Organizations Active in Disasters (VOADs) are a key mechanism for sharing knowledge and resources throughout a disaster cycle. VOADs work as a coalition of not-for-profit organizations that can respond to disasters on a local level in a coordinated response. Given the changes in FEMA’s Strategic Plan for 2018-2022, the role of VOADs will become more important over time. It is unclear whether the needs of older adults in disasters will be addressed by VOAD coalitions. Organizations such as public health departments and emergency management services are typically involved in the activities of VOAD organizations, but it is unclear whether organizations serving older adults know about VOAD coalitions or have considered becoming members of these organizations. A case study of the state of Maryland’s VOAD coalition will be used as an example of how one state VOAD is able to provide services and supports for older adults in disasters.
NUTRITION ASSESSMENT PROTOCOLS IN COMMUNITY-DWELLING OLDER ADULTS WITH CHRONIC WOUNDS
Authors: DiMaria-Ghalili Rose Ann , Charbonneau Sarah , Bynum Keyanna , Neidrauer Michael , Weingarten Michael S , Lewin Peter A 
Published: November 2019

Abstract
Older adults are at risk for altered nutritional status and functional impairment due to physiological (e.g., age-related changes, acute and chronic co-morbid conditions) and psychosocial factors (e.g., depression, loneliness, cognitive impairment). Those with alterations in nutritional and/or functional status are at risk for poor health outcomes-including delayed healing of chronic wounds. We will discuss our lessons learned when devising nutrition assessment protocols from our ongoing double-blind randomized control clinical trial testing the effectiveness of ultrasound treatment on healing chronic leg wounds. The discussion will focus on the following measures: the Mini-Nutritional Assessment, hand-grip strength assessment, and inflammatory biomarkers.
IMPLEMENTING THE MEDICARE ANNUAL WELLNESS VISIT: A GWEP COLLABORATION
Authors: Flaherty Ellen , Tumosa Nina 
Published: November 2019

Abstract
The Geriatric Interprofessional Team Transformation in Primary Care (GITT-PC) model improves delivery of healthcare to older adults in primary care by training healthcare professionals in team functioning, rapid cycle QI, and evidence based geriatric practice. The program capitalizes on the role of nursing and other healthcare disciplines. To maximize sustainability, it focuses on Medicare-reimbursable visits. This program will focus on the implementation of the Annual Wellness Visit (AWV) through a collaboration between Dartmouth and 3 GWEPs: University of Florida, University of Louisville and the University of Wyoming. The model’s standardized approach to implementation begins with practice assessments and two trainings. The first training focuses on team functioning & rapid cycle QI and the second is a deep dive training focused on the implementation of the AWV. After the training, practices participate in a data-driven, virtual learning collaborative with monthly data collection and learning sessions. Since 2015, the AWV, through the GITT-PC model has been implemented in 14 sites in northern New England, 10 sites in upstate New York, and nationally through five other GWEP awardees across the country.
A TEAM APPROACH TO THE IMPLEMENTATION OF THE ANNUAL WELLNESS VISIT
Authors: Guerra Lucy 
Published: November 2019

Abstract
The success of any practice change initiative is dependent upon a highly effective team. This presentation will focus on the “secret sauce” of our implementation of the AWV in collaboration with the Dartmouth GWEP. Participating in both asynchronous and live virtual training enabled our team to come together to successfully implement the AWV using a team based model. Using the principles of highly effective teaming and a rapid cycle QI approach we have been able to improve patient outcomes in primary care.
A UNIQUE APPROACH TO INTERPROFESSIONAL TRAINING USING THE ANNUAL WELLNESS VISIT HEALTH RISK ASSESSMENT
Authors: Faul Anna 
Published: November 2019

Abstract
The Kentucky (KY) Rural & Underserved Geriatric Interprofessional Education Program (KRUGIEP) participated in a unique innovative approach to the implementation of the Medicare Annual Wellness visit in collaboration with the Dartmouth GWEP. The model focused on the integration of students into the process of conducting the Health Risk Assessment through community based home visits. This talk will focus on this unique program and the participation in a multi-GWEP learning collaborative.
OLDER ADULT WOMEN’S MULTIDIMENSIONAL RESPONSIBILITIES IN SKIPPED GENERATION HOUSEHOLDS IN NIGERIA
Authors: Afolabi Mojirayo 
Published: November 2019

Abstract
This contribution studies the roles of grandparents in caring for grandchildren in skipped generation households, from gender perspective. Historical studies often focus on health and economic status of older adults generally, without distinguishing older adult women whose responsibilities are often undervalued. Such assessments assume that both grandparents engage in caring for grandchildren, being the joy of old age. Highlighting women’s roles will ensure proper design and implementation of policies to enhance improvement in overall well-being of skipped generation households in Nigeria. The economic value of this is high. Using detailed data from three major states in Nigeria, - Imo, Lagos and Kano (representing each of the major ethnic groups) this study provides a detailed picture of the areas of women’s responsibilities in skipped generation households, using both quantitative and qualitative methodologies. The quantitative study employed structured questionnaire to collect primary data while the qualitative technique employed the use of in-depth interviews and focus group discussions. The older adult participants are grouped into three; less than sixty five years, between sixty five and eighty and those above eighty years of age. The study reveals that social norms and expectations impact the lives of older adults, ensuring that responsibilities sharing in skipped generation households are strongly impacted by gender roles. The paper concludes that in order to ameliorate the difficulties and challenges faced in performing these roles, governments and other organizations need to put the realities in the skipped generation households into consideration during planning processes.
SPIRITUALITY IN CHRONIC PAIN SELF-MANAGEMENT: LOWER USE BUT EQUAL IMPORTANCE IN OLDER AFRICAN AMERICANS
Authors: Booker Staja 
Published: November 2019

Abstract
Spirituality is a key social determinant of health for African Americans (AAs) and strongly impacts management of chronic pain. Older AAs (average age 68± 12.37) from urban and rural communities completed questionnaires (N= 110) and audio-recorded, semi-structured individual interviews (N= 18) describing osteoarthritis pain self-management. Prayer was used by 42% of AAs, with substantially fewer attending church (23.6%), watching religious television or reading the Bible/Christian literature (20.9%), listening to gospel music (18.2%), and laying of hands (8.2%). Interestingly, prayer and church attendance were the only pain strategies rated by more participants as very helpful. Regardless of religiosity, most AAs believed that spirituality was “an important aspect, whether we realize it always or not”. Specifically, prayer was considered “number one… ‘cause I know it’s gonna be all right once I do pray…prayer help heal the pain”. Spiritual strategies remain integral for chronic pain self-management despite lower than expected use among AAs.
MITOCHONDRIA AS REVERSIBLE REGULATORS OF AGING ASSOCIATED SKIN WRINKLES AND HAIR LOSS IN MICE
Authors: Singh Keshav K 
Published: November 2019

Abstract
To evaluate the consequences of the decline in mtDNA content associated with aging we have created an inducible mouse model expressing, in the polymerase domain of POLG1, a dominant-negative mutation that induces depletion of mtDNA. We utilized this inducible mouse model to modulate mitochondrial function by depleting and repleting the mtDNA content. We demonstrate that, in mice, ubiquitous expression of dominant-negative mutant POLG1 leads to 1) reduction of mtDNA content in skin, 2) skin wrinkles, and 3) hair loss. By turning off the mutant POLG1 transgene expression in the whole animal, the skin and hair phenotypes revert to normal after repletion of mtDNA. Thus, we have developed whole-animal mtDNA depleter-repleter mice. These mice present evidence that mtDNA homeostasis is involved in skin aging phenotype and loss of hair and provide an unprecedented opportunity to create tissue-specific mitochondrial modulation to determine the role of the mitochondria in a particular tissue.
LATEST ADVANCES IN UNDERSTANDING THE RELATIONSHIPS BETWEEN FRAILTY AND COGNITIVE IMPAIRMENT
Authors: Xue Qianli , Carlson Michelle C 
Published: November 2019

Abstract
As two of the most common geriatric conditions, frailty and cognitive impairment often coexist, and are known to predict poor health outcomes separately and jointly. The link between frailty and cognitive impairment may result from the fact that many of the aging processes underlying frailty may also be responsible for brain aging and cognitive decline. What is unknown is: (1) whether frailty as a measure of physiological resilience is predictive of dementia above and beyond neuropathology and cognitive decline; (2) whether there are individual characteristics that uniquely identify separate vs. joint presence of physical frailty and cognitive impairment. To begin to address these questions, Talk 1 reviews concept of frailty in relationship to reserve and resilience and discusses theoretical underpinnings of three integrated phenotypes of physical and cognitive impairment; Talk 2 uses data from two epidemiological cohorts to study the relationship between frailty and dementia after accounting for neuropathology. Talk 3 uses data from the Gait & Brain Study to compare the strength of associations of cognitive impairment alone vs. cognitive impairment plus physical frailty (or gait performance) with incident dementia. Talk 4 uses data from the National Health and Aging Trends Study to develop a U.S. national profile on the intersection between physical frailty and cognitive impairment in community-dwelling older adults. Together, findings from this study help elucidate the interconnection between physical frailty and cognitive impairment, as well as clinical utility of joint consideration of cognitive decline and physical frailty for predicting risk of dementia.
A U.S. NATIONAL PROFILE OF OLD ADULTS WITH COGNITIVE IMPAIRMENT ALONE, PHYSICAL FRAILTY ALONE, AND BOTH
Authors: Ge Meiling , Xue Qianli 
Published: November 2019

Abstract
Using data from NHATS, we aimed to identify characteristics (demographics, health conditions/events, self-care behaviors, psychological wellbeing) that distinguish joint vs. separate presence of physical frailty (by the Fried’s) and cognitive impairment (CI: bottom quintile of test performance in executive function and memory; or proxy-report of dementia diagnosis or AD8 score &gt;=2). Of the 7,497 older adults, 25.5%, 5.6%, and 8.7% had CI only, frailty only, and both, respectively. After adjusting for demographic characteristics, current smoker, single disease, and knee surgery history uniquely identified “frailty only”. Although none was found to uniquely identify “CI only” or “both”, surgery history and comorbidity were strongly associated with “frailty only” and, to a lesser degree, “both”, but not “CI only”. The findings advocate for treating physical frailty and CI as overlapping yet distinct conditions, and prioritizing comorbidity, surgery history, and smoking status in clinical screening of frailty and CI before formal diagnostic assessments.
HOW AND WHY TO APPLY FOR GERONTOLOGY ACCREDITATION
Authors: Hahn Janet S , Schafer Donna E 
Published: November 2019

Abstract
This presentation covers the steps to achieve accreditation of a gerontology program as well as the costs and benefits of accreditation. The overall timeline for a typical accreditation process is presented as well as the organization of required standards. Advance planning and a close review of Accreditation for Gerontology Education Council standards will allow time for a program to comply and document compliance with standards. Communication and cooperation within an institution are needed for a program to successfully seek accreditation. Key individuals and important conversations will be identified to assist those who are considering accreditation for their gerontology program.
PREPARING YOUR AGEC SELF-STUDY
Authors: Weinreich Donna , Schafer Donna 
Published: November 2019

Abstract
Section VI of the AGEC Handbook provides guidelines for writing the self-study. This Handbook section is central to the accreditation review process because it provides information about how your program demonstrates that accreditation standards have been met/exceeded. It also specifies preparatory work that programs should undertake prior to applying for accreditation. Based on insights gained from the first round of AGEC accreditation reviews at the master’s, baccalaureate and associate levels, Section VI of the Handbook has been revised to clarify expectations about the self-study. Specifically, greater emphasis has been placed on 1) following the Standards outline in Section V of the Handbook, 2) insuring that all relevant information is contained in the self-study and, 3) requiring that the complete document, including appendices, is submitted well in advance of the site visit. This presentation describes the content and revisions in Section VI, as well as the process for submitting the self-study.
PROCESSES OF EXCLUSION AND NEW RURALITY: COMMUNITY CHANGE IN THE LIVES OF RURAL OLDER PEOPLE
Authors: Keogh Sinead , Walsh Kieran 
Published: November 2019

Abstract
Rural settings are sites of rapid change. Now sharing many of the processes that characterise their urban neighbourhood counterparts, older people’s rural communities, even those in remote locations, are being altered by forces driven by gentrification and population churn. While the potential for displacement is apparent, the extent to which older people respond to these processes is not well understood. The degree to which these shifting contexts produce new exclusionary mechanisms for older people to contend with and new opportunities for them to exploit has yet to be sufficiently explored. This paper aims to address the intersection of exclusion and community change in the production of a new rurality for older people. The analysis will 1) present an overview of the relevant international literature, and 2) highlight the current and emerging exclusionary processes that are impacting on the lives of older people using data from individual narratives and time-use diaries.
OPEN SCIENCE AND TRANSPARENT RESEARCH PRACTICES: IMPLICATIONS FOR GERONTOLOGY
Authors: Isaacowitz Derek M , King Jonathan W 
Published: November 2019

Abstract
Scientists from many disciplines have recently suggested changes in research practices, with the goal of ensuring greater scientific integrity. Some suggestions have focused on reducing researcher degrees of freedom to extract significant findings from exploratory analyses, whereas others concern how best to power studies and analyze results. Yet others involve ensuring that other interested researchers can easily access study materials, code, and data, to help with re-analysis and/or replication. These changes are moving targets, with discussions and suggested practices ongoing. However, aging researchers have not yet been major participants in these discussions, and aging journals are just starting to consider open science policies. This symposium, sponsored by the GSA Publications Committee, will highlight transparency and open science practices that seem most relevant to aging researchers, discuss potential challenges to implementing them as well as reasons for doing so, and will consider how aging journals may implement these practices. Open science practices to be considered include: preregistration, open data, open materials and code, sample size justification and analytic tools for considering null effects. Presenters from a range of areas of aging research (lab, secondary data, qualitative) will show examples of open science practices in their work and will discuss concerns about, and challenges of, implementing them. Then, editorial team members will discuss the implications of these changes for aging journals. Finally, discussant Jon King will give NIA’s perspective on the importance of encouraging open science practices in the aging field.
IS IT LONELY AT THE TOP? BIOPSYCHOSOCIAL VARIANTS OF LONELINESS AMONG CENTENARIANS
Authors: Bishop Alex J , Riberio Oscar 
Published: November 2019

Abstract
There is a growing body of evidence supporting the detrimental impact of loneliness on biological, psychological, and social functioning. Loneliness has been cited to contribute to social isolation, mental health disorders, and premature death in old age. In turn, the prevention of loneliness has emerged as a priority area in geriatric and gerontology research, practice, and policy. However, determination of whether persons living 100 or more years feel lonely or socially disconnected has remained limited within centenarian research. Such research has historically fostered translation of insights and secrets for living long and aging well. Centenarians represent persons who have managed to survive, delay, or escape varying biopsychosocial losses that might otherwise deteriorate emotional health, exacerbate feelings of isolation, and limit human longevity potentials. Guided by a biopsychosocial framework, this symposium will consider biological, psychological, and social variants that contribute to risk as well as resilience in loneliness in very old age. Of particular interest is the advancement of evidence-based research exposing the interplay between loneliness and nutritional health, impact of lifelong childlessness on feelings of solitude, role of personality traits and the expression of loneliness, and the intersection between active religious engagement and loneliness. Biopsychosocial attributes that reduce the threat of social isolation and loneliness, as well as improve emotional well-being in human longevity will be further discussed. Implications relevant for geriatric counseling and wellness programming for old-old adults will be highlighted.
CHALLENGES IN PRE-REGISTRATION AND APPLYING OPEN SCIENCE PRINCIPLES WHEN USING SECONDARY OR LONGITUDINAL DATA
Authors: Mroczek Daniel K 
Published: November 2019

Abstract
The application of open science, preregistration, and transparency principle is challenging when using existing data, including ongoing long-term longitudinal data. The goal is to distinguish clearly between exploratory and confirmatory research, but in the context of archival or longitudinal work there are risks associated with prior knowledge that has been obtained from these secondary sources. That said, new principles are being developed, including specialized pre-registration templates, that can guide the application of open science and transparency ideas to longitudinal and other secondary data, thereby increasing credibility of such work. These include: 1) disclosure of prior knowledge about a given dataset, ranging from “never worked with these data” to having multiple publications, in the pre-registration, 2) use of hold-out subsamples that can be used for validation or confirmatory purposes, and 3) making more clear what research questions are exploratory and confirmatory.
PRESIDENTIAL SYMPOSIUM: OPTIMIZING SURGICAL CARE FOR ALL OLDER ADULTS
Authors: Robinson Thomas , Rosenthal Ronnie 
Published: November 2019

Abstract
Our program will provide a detailed overview with an emphasis on the research aspects of the new Coalition for Quality in Geriatric Surgery, a project supported by the American College of Surgeons and the John A. Hartford Foundation. This project is a national endeavor which aims to systematically improve the surgical care of older adults by establishing a verifiable quality improvement program with standards based on best evidence focused on what matters most to the individual patient. We believe there is a critical need for safe, high-quality, patient-centered surgical care for older adults. Aging surgical patients have unique physiological needs, social needs and unique goals of care. We formed the Coalition to help hospitals meet these rising needs by setting and verifying interdisciplinary standards and developing outcome measures that matter to older patients, families and caregivers. In collaboration with our 50+ stakeholder organizations, we have set the standards, developed measures that matter, educated providers and patients, and created awareness about the surgical needs of older adults at all hospitals through the program. The geriatric surgery program, set to launch in the Summer of 2019, will use the four principles of continuous quality improvement: set standards, define the right infrastructure, collect rigorous data, and verify. The program not only improves perioperative care, but also impacts the full cycle of care for older adults. Our group has harnessed the power of networks through partnership and collaboration of all disciplines involved in the peri-operative care of older adults.