bluuebunny/crossref_metadata_2025_split huggingface dataset:
ENVEJECIMIENTO Y ESTRATOS: SOCIOECONOMIC INEQUALITY IN AGING IN COLOMBIA
Authors: Osuna Margarita , Ailshire Jennifer A 
Published: November 2019

Abstract
Colombia has the highest level of income inequality among Latin American countries, which likely translates into disparities in the aging experience. This study uses data on adults ages 60 and older from the 2017 National Survey of Quality of Life to examine socioeconomic stratification in physical health and psychological well-being. Colombians are assigned to estratos that reflect their residential location as well as social and economic position. Compared to those in the lowest estrato, older adults in the middle and high estratos are less likely to report having sensory impairment or difficulty with daily activities. They are also 1-2 times more likely to report feeling happy and calm. Those in the highest estratos are less likely to report feeling worried. Results suggest there is tremendous variation in the aging experience across socioeconomic strata and that older adults in the lowest strata are particularly disadvantaged with respect to health and well-being.
ENGAGEMENT AND EFFECTIVENESS OF USING MOBILE APP FOR DIABETES SELF-MANAGEMENT AMONG OLDER ADULTS
Authors: Chen Mei-Lan , Wu Shinyi , Lee Pey-Jiuan , Jin Haomiao 
Published: November 2019

Abstract
Mobile health applications (app) have shown to be beneficial for chronic disease management. However, few studies assessed older adults’ engagement in tracking self-management activities with app functions and effectiveness on improving their diabetes outcomes. This study investigated tracking patterns of each app function (blood sugar, blood pressure, diet, exercise, medication adherence etc.) in a graphic-based aging-friendly diabetes self-management app (IMTOP app) and associated the patterns with changes in HbA1c, self-care behavior, diabetes empowerment, and health promotion. The sample included 334 community-dwelling older adults with type 2 diabetes in Taiwan (mean age 64.57 ± 6.64 years) participated in the IMTOP training course that designed to motivate and train older adults with diabetes to use mobile tablets and apps. We performed trajectory analyses using SAS TRAJ procedure to identify distinct classes of individuals following similar longitudinal patterns on absence or presence of weekly app use for each individual app function. The relationships between the app engagement class memberships and 4- and 8-month diabetes health outcomes were assessed using an econometric regression analysis approach. The results showed the degree of app engagement on any single function was significantly and positively correlated with diabetes self-care scale scores (all p &lt; .05). Only the engagement on the blood sugar function had statistically significant association with HbA1c improvements (p &lt; .05). The app use was not associated with diabetes empowerment or health promotion. The study findings suggest any app function engagement significantly improved older adults’ overall self-management but blood sugar tracking is critical to improve HbA1c.
TRANSLATING RESEARCH TO PRACTICE: USING CHANGE MODEL TO IMPROVE SUSTAINABILITY OF HEALTH ALERTS FOR CHRONIC ILLNESS
Authors: Lane Kari R , Rantz Marilyn J , Skubic Marjorie 
Published: November 2019

Abstract
Chronic illness is the primary reason for hospitalization and rehospitalization in the US today. Nearly 1/3 of older adults have 3 or more chronic illnesses. Chronic illnesses require significant self-management or management by nursing staff. This paper highlights the use of a change model to assist in sustaining nursing interventions in assisted living environments. We utilized embedded sensors measuring heart rate, respiratory rate, time in bed, restlessness in bed, and gait parameters to manage chronic illness. The embedded sensors use an algorithm to signify when a measure has changed for a resident, based on the past 2 weeks of data. Early health messages are emailed or texted to nursing staff. Nursing staff can use these messages as tools to further assess the resident’s condition. It was important to revisit the education, hold the staff accountable, phone in suggestions/reinforcement of what the alerts meant, and provide positive messages. This interdisciplinary study has been deployed in 6 assisted living settings (n=386) (facility-wide) in the midwest. We used a wait-list control group (n=482) of facilities awaiting sensor installation. Outcome variables included length of stay, hospitalizations, falls, and medication changes. Results included a decrease in all outcome variables length of stay 1.98 years longer (F=3.67; p=0.003); hospitalizations (F=2.15; p=0.048); falls (F=1.899; p=0.012); and medication changes (F=3.9; p=0.0008) when compared to the control group. We feel these results may benefit other clinicians in the future when implementing new protocols and practices.
SOCIAL AND CULTURAL FACTORS FOR HOSPICE CARE OUTCOMES: PERSPECTIVES OF PATIENTS, CAREGIVERS, AND PROVIDERS
Authors: Russell David , Baik Dawon , Jordan Lizeyka , Dooley Frances , Creber Ruth M Masterson 
Published: November 2019

Abstract
Use of hospice services in the U.S. has grown to cover an expanding number of patients with varying conditions and demographic characteristics. Notably, hospice agencies increasingly serve patients with diverse socio-cultural and linguistic backgrounds. Limited research has explored how these factors act to influence the course and outcomes of hospice care, or their role in shaping race/ethnic and socioeconomic disparities in burdensome outcomes like acute hospitalization. This presentation uses the theoretical lens of Cultural Health Capital to explore how socio-cultural factors affect patient-provider interactions within the home hospice setting. Qualitative interviews were conducted with both providers (N=32) and patients/caregivers (N=7) at a large not-for-profit hospice agency in New York City. Themes identified from these interviews included prior knowledge and familiarity with hospice, family dynamics and social support, and linguistic and cultural barriers to care. Findings indicate the need for greater attention to socio-cultural influences on interactional dynamics within home hospice.
THE STRENGTH OF WEAKER TIES: HAVE WE BEEN IGNORING A RESOURCE FOR AGING ADULTS?
Authors: Fiori Katherine L , Huxhold Oliver , Webster Noah J , Antonucci Toni C 
Published: November 2019

Abstract
The purpose of this study was to examine links between changes in social ties (close ties and weaker ties) and changes in positive and depressed affect across three waves in a large, representative sample of U.S. adults aged 40 and over (N = 802). Using trivariate dual-change score models, we found that a greater number of weaker ties was associated with higher numbers of close ties over time, and that the number of weaker ties was more strongly predictive of positive age-related changes in both aspects of well-being (i.e., less depressed affect and more positive affect) than the number of close ties. Our findings imply that focusing investment on the outer circles may have the unintended benefit of compensating for losses in the inner circle, and that contrary to popular theoretical orientations, weaker ties may offer older adults an avenue for both promoting positive affect and decreasing negative affect.
COHORT DIFFERENCES IN THE IMPORTANCE OF SEXUALITY AND EVALUATION OF ONE’S SEX LIFE IN LATE MIDLIFE
Authors: Kolodziejczak Karolina , Drewelies Johanna , Deeg Dorly J , Huisman Martijn , Gerstorf Denis 
Published: November 2019

Abstract
Age-related declines in multiple aspects of sex life are well documented, but we know little about historical change in key sexuality facets. We examine cohort differences in the perceived importance of sexuality and the evaluation of one’s sex life among middle-aged adults. We compare data from 55 to 64-year-olds in the Longitudinal Aging Study Amsterdam (LASA) obtained in 1992–1993 (n = 718) vs. 2012–2013 (n = 860). Results revealed that later-born adults perceive sexuality as more important than their earlier-born peers. Effect sizes were small at the sample level (d &lt; .15), but substantial for particular subpopulations (women without partner: d = .56). In zero-order models, later-born adults evaluated their sex life as slightly less pleasant, but differences did not hold when covarying relevant individual and cohort difference factors. We conclude that historical changes in late-midlife sexuality are multifaceted and discuss theoretical and practical implications of our findings.
POST-TRANSPLANT FUNCTIONAL STATUS TRAJECTORY AMONG ADULT KIDNEY TRANSPLANT RECIPIENTS
Authors: Chu Nadia M , Shi Zhan , Haugen Christine , Segev Dorry , McAdams-DeMarco Mara 
Published: November 2019

Abstract
Frailty and disabilities are highly prevalent among kidney transplant (KT) recipients, but are not routinely measured in KT recipients. The Karnofsky Performance Scale (KPS) is a clinically perceived measure used to evaluate patient’s ability to manage daily activities, but little is known about its post-KT trajectories and its relationship to frailty and disability in KT recipients. We leveraged a cohort of 159,992 adult KT recipients from SRTR (1/2005-6/2018) and a cohort of 1,106 adult KT recipients from a prospective cohort study on aging and KT with recorded KPS (range 10%-100% integers). In each separate cohort, we used mixed effects models to assess differences in trajectories of KPS post-KT. In 159,992 KT recipients in SRTR, the mean unadjusted KPS score was 88.34% (95%CI: 88.28%, 88.40%) and declined at a rate of -0.59%/year (95%CI: -0.61%, -0.57%) post-KT, such that by 2-years post-KT the average was 87.00% (95%CI: 86.94%, 87.05%). Age at KT was associated with steeper decline in KPS (p0.05). KPS is a measure of functional status distinct from frailty, ADL, IADL, and SPPB at KT admission that declines with older age post-KT. Older KT recipients should be monitored closely for declines in physical function, and potentially undergo prehabilitation to improve functional status post-KT.
TRANSITIONING HOME AFTER STROKE: IMPROVING PHYSICAL HEALTH AND PATIENT ACTIVATION
Authors: Hughes Anne K , Woodward Amanda , Freddolino Paul , Fritz Michele , Coursaris Constantinos , Swierenga Sarah J , Reeves Mat 
Published: November 2019

Abstract
While the majority of stroke patients will return home after being hospitalized, this transition is physically and emotionally challenging. We developed a social work based case management program to address these challenges. The Michigan Stroke Transitions Trial (MISTT), a pragmatic 3-arm clinical trial tested the effects of the case management program on its own and combined with technology against usual care in patients recovering from stroke. Patients from three Michigan hospitals were randomized to one of three groups upon discharge to home. The two treatment groups received services from a social work case manager via home visit and telephone. One treatment group also was given training and access to a curated stroke website developed for MISTT. The intervention lasted up to 90 days and data was collected via telephone at 7 and 90 days. Quality of life and patient activation were the primary outcomes, measured by the PROMIS Global 10, and the Patient Activation Measure (PAM), respectively. We compared treatment efficacy by comparing the change in outcomes between the three groups (N=265) using a difference-in-differences (D-in-D) analysis. The mean change in PROMIS scores for the social work + technology group was significantly higher than both the social work only group (difference= +2.4; 95%CI=0.46, 4.34; p=0.02) and usual care (difference= +3.4; 95%CI=1.41, 5.33; p&lt;0.001). The mean change in PAM scores for the social work + technology group was significantly higher than the social work only group (+6.7; 95%CI=1.26, 12.08; p=0.02) and marginally higher than usual care (+5.0; 95%CI=-0.47, 10.52; p=0.07).
MAKING ENGAGEMENT MEANINGFUL THROUGH ORGANIZED ROUTINE INTERACTION (MEMORI) CORPS TRIAL: AN INTRODUCTION
Authors: Samus Quincy M , Gitlin Laura N , Carlson Michelle , Rebok George , Johnston Deirdre , Leoutsakos Jeannie-Marie , Black Betty 
Published: November 2019

Abstract
This presentation will review the design, methods, and early lessons learned from the Making Engagement Meaningful through Organized Routine Interaction (MEMORI) Corps trial recently funded by NIA. This trial is evaluating the feasibility and efficacy of the MEMORI Corps program, a novel 12-week activity-based companion care model designed to mobilize and equip senior volunteers to deliver individualized, evidence-based activity programming to persons with dementia PWD living at home and offer family CGs needed respite. The intervention synthesizes and adapts prior evidence-based work from the Tailored Activities Program® (an activity-based intervention persons with dementia), Experience Corps® (an intergenerational civic engagement program that engages senior volunteers to work in elementary schools), and MIND at Home® (a home-based dementia care coordination program) to simultaneously address unmet respite care needs of family CGs, provide PWD structured meaningful activities and social engagement, and provide meaningful engagement and peer support opportunities for senior volunteers.
INTERNAL MIGRATION AND HEALTH CHANGES: A LONGITUDINAL STUDY OF CHINESE ADULTS IN MID AND LATER LIFE
Authors: Gao Li , Wu Zheng , Li Shu z 
Published: November 2019

Abstract
Objectives: This study examines the effects of internal migration on health status and health changes among middle-aged and older migrants in China. Methods: Using longitudinal data from the 2011-2015 China Health and Retirement Longitudinal Study (CHARLS), this study compares non-migrants with those of recent migrants and earlier migrants in regard to their self-rated health and mental health. OLS and a series of fixed effects models were conducted to examine the effects of migration on health status and health changes. Results: Compared with non-migrants, earlier migrants report better self-rated health but no difference in depression. Our findings demonstrate that recent migrants show better self-rated health changes than non-migrants. In addition, for recent migrants, there are significant changes in self-rated health among rural-to-urban migrants and rural-to-rural migrants, while urban-to-rural migrants and urban-to-urban migrants are not significantly different from non-migrations. Discussion: There are associations between internal migration and self-rated health in China. The effects of migration on health appear to differ by the type of migration. Those who migrated from rural area are mostly likely to be affected by migration. However, migrants from urban area are less affected.
HEALTH TRAJECTORIES OVER TIME IN THE ATHLOS PROJECT: FINDINGS FROM MULTIPLE COHORTS
Authors: Prina Matthew 
Published: November 2019

Abstract
The ATHLOS (Ageing Trajectories of Health: Longitudinal Opportunities and Synergies) project is a consortium of 15 partners across Europe who are working together to understand patterns of healthy ageing trajectories, and to seek the factors that determine those patterns, in a harmonised dataset of 17 international cohort studies of ageing. During this symposium we will be presenting some of the work that has recently been carried out within this project. The symposium will consist of four talks: the first talk will introduce the project, and describe the preliminary work that took place within the first few years of the project, and the challenges faced by the consortium. The second talk will focus on the harmonisation process and on the development of the health metric, an indicator used to measure healthy ageing in this project. The third talk will focus on inequalities in healthy ageing, specifically investigating the impact of education and wealth across cohorts. Finally, in the last talk we will describe the role of lifestyle behaviours (specifically physical activity, smoking and alcohol consumption) and their impact on healthy ageing trajectories.
THE ROLE OF GERONTOLOGICAL PSYCHOLOGY IN ACHIEVING THE UN’S SUSTAINABLE DEVELOPMENT GOALS
Authors: Antonucci Toni C 
Published: November 2019

Abstract
The United Nations has identified 17 Sustainable Development Goals (SDGs) designed to improve the health and well-being of the world’s most vulnerable populations. This presentation will review the potential role psychology, in particular, illustrative theories and research, in achieving the SDGs of reducing poverty and achieving gender equality and empowerment. We consider life span (individual) developmental and life course (environmental structure) theories as useful for explaining how poverty and inequality influence the individual and community at one point in time and over time. Further, we use research evidence to illustrate how naturally occurring resources can be garnered to better explain, understand, identify and create successful intervention programs. We emphasize the importance psychology to achieving SDGs and emphasize that the application psychology to changing the behavior and expectations of individuals and societies to achieve sustainable development that contributes to a world that celebrates optimal and sustainable development for all.
AN INTRODUCTION TO THE ATHLOS PROJECT: AGEING TRAJECTORIES OF HEALTH: LONGITUDINAL OPPORTUNITIES AND SYNERGIES
Authors: Prina Matthew , Panagiotakos Demosthenes , Prince Martin , Bobak Martin , Sanderson Warren , Scherbov Serguei , Ayuso-Mateos Jose L , Haro Jose Maria 
Published: November 2019

Abstract
ATHLOS is a 5-year project, funded by the European Union’s Horizon 2020 Research and Innovation Program. Its aim is to achieve a better understanding of healthy ageing, utilising longitudinal data from existing cohort studies. The measure of healthy ageing used within ATHLOS is based on the definition used by the World Health Organization as the ongoing process of developing and maintaining functional ability to enable well-being in older age. The first step of the project was to harmonise 17 community based cohort studies of ageing, covering 38 countries over the world and over 411,000 individuals. In this talk we will discuss the work of the different work packages of the project, including a description of the existing evidence on risk factors of healthy ageing.
CREATION OF A COMMON METRIC OF HEALTH STATUS IN THE HARMONIZED DATASET OF THE ATHLOS PROJECT
Authors: Sanchez-Niubo Albert , Caballero Francisco Felix , Daskalopoulou Christina , Fuente Javier de la , Torre Alejandro de la , Vazquez Iago Giné , Wu Yu-Tzu , Prina Matthew 
Published: November 2019

Abstract
Although life longevity has increased across the world, evidence suggests some heterogeneity of the ageing process across individuals. To investigate different ageing patterns, the ATHLOS project harmonised data from 411,000 individuals across 17 existing cohort studies. The harmonised dataset provides comparable information on functioning measures, cognition, mental health, sociodemographic and lifestyle behaviours. To measure the process of healthy ageing across time and cohorts, we employed a Bayesian Multilevel Item Response Theory(IRT) and created a common metric of health status by using items of functioning. The IRT measurement model includes parameters describing the difficulty and discriminatory power of each item. We adopted the Bayesian Multilevel framework as it allows item parameters to vary among studies and the simultaneous estimation of all parameters under a Markov Chain Monte Carlo(MCMC) method. Finally, we assessed the predictive validity of the metric against mortality by performing a Receiver Operating Characteristic(ROC) curve analysis.
FRAILTY STATUS, COGNITIVE IMPAIRMENT, AND THE EFFECTS OF INTENSIVE BLOOD PRESSURE CONTROL
Authors: Callahan Kathryn E , Cleveland Maryjo , Supiano Mark , Williamson Jeff , Pajewski Nicholas M 
Published: November 2019

Abstract
Background: Frailty associates with cognitive decline and incident dementia in older adults. The Systolic Blood Pressure Intervention Trial (SPRINT) has highlighted blood pressure (BP) control as a potentially modifiable risk factor for cognitive impairment. Using data from SPRINT, we explore whether frailty status, based on a frailty index (FI), prospectively associates with mild cognitive impairment (MCI) and dementia, and whether the effect of intensive BP control on these outcomes varies by frailty status. Methods: SPRINT randomized participants to either to an systolic BP goal of &lt;120 mmHg (intensive treatment) or a goal of &lt;140 mmHg (standard treatment). We used Cox regression to model the association of the FI with MCI and dementia, and to conduct subgroup analyses by frailty status for the effect of intensive treatment. Results: We include 9307 participants, with the majority categorized as pre-frail (0.100.21, 38.0%). Adjusting for age, sex, race/ethnicity, education, and treatment group, a 0.1 increase in the FI was associated with increased risk for MCI (Hazard Ratio (HR) = 1.42, 95% CI: 1.29, 1.58) and dementia (HR = 1.80, 95% CI: 1.56, 2.08). There was weak evidence of an interaction between frailty status and intensive treatment for the composite outcome of MCI and dementia (p=0.03), with a beneficial effect of intensive treatment in pre-frail participants (HR=0.71 95% CI: 0.58, 0.89), and a largely null effect in frail participants (HR=0.98, 95% CI: 0.82, 1.18). Conclusions: Frailty status may modify the effect of intensive BP control on MCI and dementia.
AN EMPIRICAL TYPOLOGY OF CULTURE CHANGE IMPLEMENTATION IN NURSING HOMES
Authors: Duan Yinfei , Mueller Christine 
Published: November 2019

Abstract
The implementation of culture change (CC) practices has been increasing in U.S. nursing homes (NHs) with varying success. No study has examined the typology of CC implementation across NHs using empirical data. This study aimed to identify an empirical typology of CC implementation and to examine NH organizational characteristics associated with types of CC implementation. An online CC survey using a validated instrument was sent to administrators of 363 NHs in Minnesota and 78 administrators completed the survey. No significant difference in NH characteristics was found between participants and non-participants. Using a hierarchical cluster analysis based on scores of five CC domains, this study identified three distinctive clusters. Overall, NHs most frequently engaged in resident-centered care and environment transformation and least frequently implemented family/community engagement practices. While NHs in cluster 1 (20.8%) performed best in all CC domains, they were distinguished from others by more frequency of family/community engagement, staff empowerment and staff leadership practices. NHs in cluster 3 (41.7%) were distinguished by overall lower engagement of CC practices in all domains. While NHs in cluster 2 (37.5%) and cluster 1 were comparable in environment transformation and resident-centered care, NHs in cluster 2 and cluster 3 were similar in their low family/community engagement. NHs in cluster 3 had significantly lower registered nurse retention, and lower mental health and social service staffing compared to NHs in cluster 2. This typology provides insight into the variations in implementing CC practices across NHs and pragmatic implications for promoting deep and extensive CC.