bluuebunny/crossref_metadata_2025_split huggingface dataset:
Psychosocial Reactions to Relocation to Nursing Homes in Chinese Older Adults
Authors: Lan Xiuyan , Xiao Huimin , Chen Ying 
Published: December 2020

Abstract
This study aimed to elicit psychosocial reactions to relocation to nursing homes from older adults’ perspectives with a qualitative interview design. Narratives from 23 Chinese nursing home residents from Fuzhou, China in a life review program were recorded, transcribed into sentences, and analyzed with the qualitative content analysis. It revealed five stages of psychosocial reactions to relocation to nursing homes as fear, struggle, compromise, acceptance, and contribution. The first stage resulted from negative labels attached to nursing homes, disconnection to the society, difficulties in establishing new relationships, and being abandoned by their families. The second stage described the behaviors of struggle: complain about family members, think of going back home, pray to have a change, and take action to leave. The third stage described the keys to compromise: choices between maintaining the harmony in family relation and companionship of relatives, choices between professional care and family care, and choices between costs and effects of family care and nursing home care. The fourth stage described how they accept nursing home life: accept the life and yet with worries, affirm benefits of living in nursing homes, and embrace the nursing home life. The last stage resulted from sense of ownership and giving full play to self-worth. This study generated new insights into the knowledge on psychosocial reactions to relocation to nursing homes and provided both family members and nursing home staff with a direction for how to promote a smoother relocation process.
NH Compare’s Health Deficiency 5-Star Rating: Do We Learn Different Things From Survey and Complaint Deficiencies?
Authors: Peterson Lindsay , Bowblis John , Hyer Kathryn 
Published: December 2020

Abstract
The Centers for Medicare and Medicaid Services (CMS) publishes a 5-star rating system for nursing homes (NH). Currently, the 5-star rating for health deficiencies weights deficiencies from annual recertification surveys and complaints equally. Complaint deficiencies may contain different information than survey deficiencies because complaint deficiencies originate with consumers and complaint inspections are less predictable than surveys. The objective of this study is to construct separate 5-star ratings for survey and complaint deficiencies, and to compare them to CMS’ 5-star rating for health deficiencies. Using CASPER and ASPEN Complaints/Incident Tracking System for all NHs in 2017 (N=15,373), we calculated the 5-star rating for health deficiencies as reported by CMS, and then decompose CMS’ rating into separate 5-star ratings for survey and complaint deficiencies. The overall distributions of the CMS’ deficiency rating and survey deficiency rating are similar. The distribution of the complaint deficiency rating is different from CMS’ deficiency rating. Using complaint deficiencies, more NHs have 5-stars (26.5% vs. 10.5%) and fewer facilities have 4-stars (11.2% vs. 23.3%). Comparing the ratings for each facility relative to CMS’ rating, 35.3% of NHs have a different survey deficiency rating while 54.4% have a different complaint deficiency rating. A 5-star rating based on survey and complaint deficiencies results in different ratings for NHs, indicating that complaint deficiency ratings contain different information from survey deficiency ratings. CMS should publish separate ratings based on survey and complaint deficiencies to provide different information.
Living With Dementia: Flipping Stigma on Its Ear
Authors: O'Connor Deborah , Phinney Alison , Mann Jim , Chaudhury Habib , Seetharaman Kishore , Landy Ania , Paulina Malcolm 
Published: December 2020

Abstract
The language of social citizenship has emerged in the academic literature as one way of shifting the discourse to counter persistent problems of stigma and social exclusion for people with dementia. What this means and how it is experienced however from the perspective of those with dementia remains unclear. As part of a larger Participatory Action Research (PAR) study, an Action group of people with dementia began meeting in June 2019. The group now consists of ten members and meets monthly. The first task of the Action group was to assist in developing a more refined and practical understanding of the construct of social citizenship. Facilitated discussions were guided by the following questions: What are experiences of social citizenship by people with dementia? What kinds of practices and relationships promote the capacity of people with dementia to experience themselves as social citizens? Emerging findings indicate that the stigma is readily identified as a dominant aspect of the experience of living with dementia which needs to be ‘flipped on its ears’. Strategies for countering stigma include recognizing how language can both facilitate and block change, acknowledging dementia as a time of both loss and significant growth, remaining visible as a whole person – equal and also different - and maintaining active participation in one’s own life. These themes tie directly to the components identified in the academic literature of citizenship. However, members of the Action group were clear that the language of social citizenship is neither empowering nor strategic.
Capitalizing on Shared Interests: Achieving Age-Friendly University Endorsement Through Partnership and Advocacy
Authors: Terhune Katherina , Graf Allyson , Kim Suk-Hee , Danzo Amy , Conwell Sara 
Published: December 2020

Abstract
Response to the lifelong educational needs and interests of the older adult population calls for new opportunities and innovative practices in teaching, research, and community engagement that universities need to be prepared to offer their students and community. This presentation provides information from an Age-Friendly University (AFU) that currently has no gerontology degree or certificate program, highlighting various campus wide programs and initiatives aligned with the AFU principles. In particular, collaborative strategies involving faculty and the Adult Learner Programs and Services to help promote campus buy-in and AFU endorsement will be emphasized. Practical strategies will be discussed to assist junior and senior level faculty and other university personnel wanting to achieve AFU endorsement at their institution of higher education in order to shape age-friendly programs and practices.
Curricula Innovation to Positively Influence Preference for Working With Older Adults: A Review of the Literature
Authors: Brewer Christine 
Published: December 2020

Abstract
Few nursing students show preference in working with older adults. The purpose of this study was to review the U.S. nursing education evidence-based literature to determine curricula innovation to positively influence preference for working with older adults. CINAHL, Medline, Ovid Emcare, PsychInfo, and PubMed databases were searched for relevant U.S studies published between 2009 and 2020 using the search terms “nursing students”, “geriatrics OR gerontology OR older adults OR elderly OR aging”, “career OR work”, and “choice OR preference OR attitude”. Nine studies were eligible for inclusion. Nursing education may play a role in influencing how students perceive and prefer to work with older adults. Promising interventions include stand-alone gerontology courses, intergenerational service-learning experiences, and clinical experiences with community dwelling older adults. More evidence-based research with larger sample sizes are needed to determine effective nursing education interventions to improve nursing students’ attitude and preference for working with older adults.
Engagement and Mentorship of Undergraduate Students in Aging Research
Authors: Danner Alyssa , Whitehouse Christina , O’Connor Melissa 
Published: December 2020

Abstract
Education and mentorship of undergraduate students extends beyond the classroom and clinical setting into research. This presentation will discuss the experience of the student and research mentor as well as provide findings from an important qualitative research study. Through a university funded grant, a student nurse partnered with faculty to investigate the needs and experience of caregivers of recently hospitalized older adults with diabetes. Caregivers play a vital role in caring for older adults, often they do not receive the education necessary to achieve optimal health outcomes. Qualitative interviews of 20 caregivers were conducted. The main themes that emerged from the data were: the role itself, challenges, preparation, and additional comorbid diagnoses. These findings provide an understanding of experience, tasks, and needs of caregivers for older adults with diabetes. This research experience provided exposure and education that is essential to developing future aging research scientists.
Ageist Communication Experienced by Middle-Aged and Older Adults
Authors: Chasteen Alison , Tagliamonte Sali 
Published: December 2020

Abstract
Despite the prevalence of ageism, relatively little is known about specific aspects of ageism experiences. In the present study, middle-aged and older adults described their experiences of ageism as part of an interview. Their descriptions were coded for the domain in which the ageist act occurred, the perpetrator of the act, and what type of ageist act occurred. A majority of participants indicated that they had been the target of an ageist act, with those acts occurring most commonly in the public sphere. Consistent with this finding, perpetrators of ageist acts were most often strangers. Ageist comments most often involved age-based social or physical assumptions about the target. Together, these findings suggest that there is a lack of norms prohibiting ageist communication in public spheres.
Comparison of Coping Strategies and Resilience Among White, Non-White, and Asian Older Adults in San Francisco
Authors: Gupta Rashmi , Pillai Vijayan 
Published: December 2020

Abstract
There has been a substantial increase in research on coping strategies/resilience in later life in the last decade (Moos, et al., 2006). However studies exploring the differences in coping strategies/resilience in later life among various ethnic groups such as Whites, non-Whites and Asians are few. The purpose of this study is to explore the similarities and differences in coping strategies/resilience among a diverse group of 30 older adults age 65 and above. A purposive sample of older adults was recruited from a local senior center and fitness program in the West coast. A questionnaire was developed with open ended questions. We conducted face to face interviews with seniors. Results indicated that there were similarities in terms of coping/resilience strategies among various ethnic groups in that they relied primarily on friends for support. The sample respondents were living in their own homes and were physically active, despite health issues.
Asking What Matters Is What Matters to Hospitalized Older Adults
Authors: Rompala Vikki , Emery-Tiburcio Erin , Guerrier Carline 
Published: December 2020

Abstract
The 4Ms of an Age-Friendly Health System place What Matters at the center of optimal care for older adults. Nurses at Rush have asked every medical inpatient What Matters early in their hospital stay since May, 2018. Responses were recorded in tablet software and on patient room white boards. What Matters responses recorded electronically were stratified by age and ethnicity. Qualitative data analysis of responses (n=660) was conducted using In-Vivo software by three raters. Themes in responses include: going home; comfort, including pain control and breathing more easily; effective staff/patient communication; compassionate care; and mobility. Patient satisfaction data for the first year showed an average 2.6% increase in satisfaction in nurses listening to the patient, and average 3.6% increase in satisfaction in nurses explaining things in an understandable way. Both increases were statistically significant. Implications of this practice for health systems improving age-friendly care will be discussed.
The Relationship Between Female Labor Supply and Caregiving Over the Life Cycle
Authors: Aughinbaugh Alison 
Published: December 2020

Abstract
I examine the effects of caring for others on female labor supply over the life-cycle using a fixed effect model. The data come from the National Longitudinal Survey of Youth 1979 (NLSY79), which collects information about the care of each child during his first three years and the care provided to household members during a woman’s 50s. The NLSY79 data show that women’s labor supply drops around the time a child is born and then rises, with over 50 percent working by time their children reach age 2. In addition, these data show that during their 50s, about 9 percent of women provide care to someone living in their household and that these female caregivers spend about 40 hours per week providing care. Time spent in caregiving may affect time in the labor force, and hence the ability to invest in a career and accumulate work experience and wage growth.
Disaster Stressors and Psychological Well-Being After a Flood
Authors: Cherry Katie E , De Vito Alyssa , Calamia Matthew , Elliott Emily 
Published: December 2020

Abstract
Hurricanes and floods have mental health consequences for younger and older adults alike. In August of 2016, historic flooding in Baton Rouge, Louisiana resulted in billions of dollars in damages. In this study, we compared 223 mostly middle-aged and older adults on mental health indicators. The majority of the sample (n = 137) were non-coastal residents and the remainder (n = 86) were former coastal residents who had permanently relocated inland after catastrophic losses in the 2005 Hurricanes Katrina and Rita. Multiple regressions confirmed elevations in symptoms of depression and post-traumatic stress for both adults with flood damage in 2016 and also those who doubly flooded in 2016 and 2005. Age had a protective effect for symptoms of depression and worry. Prior lifetime trauma was a risk factor for depression. Implications of these data for understanding age-related vulnerabilities after multiple disasters are discussed with suggestions to strengthen post-disaster resilience.
The Relationship Between Housing, Life-Course Transitions, and Old Age Social Exclusion: A Cross-Country Analysis
Authors: Wanka Anna , Anna Urbaniak , Walsh Kieran , Oswald Frank 
Published: December 2020

Abstract
The international literature presents growing evidence of the impact of life transitions in older age on experiences of social exclusion, and place in general and as well as housing in particular potentially play a mediating role in this interrelation. However, the specific mechanisms through which the older adult place relationship mediates exclusionary outcomes of life-course transitions remains poorly understood in the study of ageing. This contribution investigates how older adults’ relationship to their home is interlinked with life-course transitions and old-age social exclusion. To do so, we present case studies from three different countries (Germany, Ireland and Poland), focusing on the individual experiences of retirement and bereavement, and analyze them by drawing on the concepts of the person-environment exchange processes of agency and belonging. Finally, we draw conclusions about how spatial agency and belonging can protect and empower older people at critical junctures in their lives.
Transitioning Into Retirement and the Meaning of Home: A Qualitative Study Among the Younger Old in Sweden
Authors: Kylén Maya , Löfqvist Charlotte , Haak Maria , Iwarsson Susanne 
Published: December 2020

Abstract
Housing is the main spatial context for aging, important for well-being, a sense of identity and independence in daily life. Yet, as people grow older housing needs change and knowledge about how people reason about their future home when they enter retirement age is lacking. This qualitative study presents findings that explored meaning of home and health dynamics in the present and in a projected future among community-living people aged 67 – 70 years. Findings suggest that the home becomes progressively important after retirement. Not only the immediate home environment but also local neighborhoods influence perceptions about home. Home brings emotional and social benefits but also worries about how to cope with complex home ambivalence when reflecting upon future housing arrangements. The findings highlight the importance of considering perceived aspects of home and could be used to raise awareness among policymakers, housing authorities and professionals involved in housing-related counselling.
Prosocial Behavior and Contributors to Older Adults’ Well-Being in Daily Life
Authors: Nakamura Jeanne , Tse Dwight 
Published: December 2020

Abstract
This symposium reports findings from a national experience-sampling study of 165 older adults (mean age=71, range=60-88 years) who are heavily involved in prosocial activity, contributing to their communities as leaders or high-commitment volunteers in social-purpose organizations. Gerontological research has linked prosocial activity to a set of positive outcomes for the older adults who engage in it (e.g., better health and reduced mortality), including global measures of well-being such as life satisfaction. However, little is known about the contributors to these individuals’ momentary well-being. Four presentations address this gap in knowledge. In the first presentation, Dwight Tse revisits the concept of successful aging as a within-person variable with day-to-day variations. Experience sampling data revealed great variations in successful aging indicators, and successful aging was associated with better well-being as hypothesized. In the second presentation, Ajit Mann extends beyond general control beliefs and explores the diversity in distribution of control beliefs across various daily activities (e.g., active leisure, prosocial activity, socializing, etc.), in addition to investigating the relationship between later life control diversity and subjective well-being. In the third presentation, Kelsey Finley explores Aristotle’s concept of the golden mean (an ideal state between deficiency and excess) for the number of hours spent in prosocial work on momentary well-being outcomes. In the fourth presentation, Jeanne Nakamura examines the relationship between global meaning in life and meaningful engagement in the moment, illuminating variation in this relationship through a comparison of the prosocial leaders and high-commitment volunteers.
Momentary Successful Aging Indicators and Their Short-Term and Long-Term Covariates
Authors: Tse Dwight , Finley Kelsey , Vrooman Katherine 
Published: December 2020

Abstract
Studies on successful aging have conceptualized it as a between-person construct, meaning that people’s aging process is seen as more or less successful than others’ across contexts. This study examines within-person, moment-to-moment successful aging indicators, such as (absence of) physical pain, good physical and cognitive functioning, and active engagement in social and productive activities, and their relations to one-time well-being indicators (affective balance, psychological needs satisfaction, meaning in life, and satisfaction with life) at the time and one year after. Multilevel modeling on experience sampling data revealed that successful aging varied substantially (over 50% total variances) within-person and was positively associated with well-being. This study illustrates the utility of momentary successful aging indicators and advocates for a more nuanced understanding besides a simple classification of older adults undergoing “successful” or “normal” aging processes.
Creating an Age-Friendly Workplace for Older Workers and Employers
Authors: Hollis-Sawyer Lisa 
Published: December 2020

Abstract
Despite the clear aging trends in the U.S. and global population (e.g., World Health Organization, 2015), there has been a lack of “age audit” tools to evaluate the age-friendliness of workplace environments to facilitate older adults’ positive mental/cognitive health, physical health, social/interpersonal health, and general aging adaptation. The present study did a review of the literature and audit tools across several disciplines (psychology, gerontology, kinesiology, anthropometry, audiology, vision science, human resources management, architecture, and social factors engineering) regarding the assessment and design issues underlying “age-friendliness” in the workplace. Further, the present research pilot-tested a new audit tool in two organizations (educational, industrial). The researcher, in coordination with two independent raters, conducted a content analysis of the different peer-reviewed articles and books across several disciplines and available age audit tools/approaches to identify: (1) current practices in age-friendliness assessments (e.g., “user-friendliness” of audit tools for practitioners), (2) potential biases/limitations in age assessments (e.g., “decline/decrement” aging perspective), and (3) “gaps” in evaluations to create a more holistic evaluation approaches. The following conclusions were made: (1) most assessments focused on one factor of functioning (e.g., psychomotor capability), (2) existing tools are limited in options and functionality for daily assessments, (3) most focus on decline and limitations in functioning, and (4) need to design multi-sensory, multi-function assessments reflecting an integrated and coordinated system of sensory, psychomotor, social, and cognitive performance. A holistic model of the outcomes for workplace design “fit” interventions to create more aging-friendly workplaces based upon pilot test results will be presented.
Exploring Employment Trend and Relationship With Individual and Family-Related Factors in 65 or Older Koreans
Authors: Ryou Yeonji , Yeonji Ryou 
Published: December 2020

Abstract
The purpose of this study is to identify the trend of the employment status in 65 years or older adults who reside in South Korea and to explore the relationship between the status of employment and individual and family-related factors. This study utilized 10-year and 6-wave secondary data from the Korean Longitudinal Study of Ageing (KLoSA). The original panel sample is a random sample of 10,254 adults who are 45 or older, but for the aim of this study, the participants younger than 65 years were excluded. The number of samples in each wave is different, ranging from 4,013 to 4,335 due to the death of the participant, the rejection of additional interviews, and the refreshment participant collected in Wave 5. The findings indicate that the absolute employment of the people aged 65 or older and the proportion of working people among those have increased over the past decade. In this study, it is also found that there is a close relationship between employment status and individual factors such as gender, educational background, health condition, region, etc. Moreover, the results suggest that there are various facets of the relationship between employment status and family-related factors including whether living with children, the number of the member whom I help with daily activities, the total amount of financial support from/to children/parents/other family or whether participating social activities, etc. The implications of the need for employing the older population and the consideration family-related factors in the policy-making process in Korea are discussed.