bluuebunny/crossref_metadata_2025_split huggingface dataset:
ADAPTING MINDFULNESS-BASED COUNSELING FOR THE TELEPHONE: A PILOT STUDY FOR CAREGIVERS AND VETERANS WITH DEMENTIA
Authors: Hilgeman Michelle M , Block Phoebe R , Bishop Teddy K , Alexander Kimberly , Snow A Lynn 
Published: November 2019

Abstract
Optimizing Dementia Care in Veterans with Dementia is a randomized, controlled, pilot study examining outcomes for Veterans and their caregivers at 6- and 12-months for two telephone-based interventions: a) Benjamin Rose Institute’s (BRI) Care Consultation (CC), and b) CC + Counseling (CC+C). Counseling modules are integrated into the existing BRI CC framework using guided mindfulness-based skill-building exercises on various content domains (e.g., grief, identity, intimacy, stress management). Sixty-four caregivers and 47 Veterans (M = 74.3 years, MOCA Score M = 15.5) have been randomized in this ongoing pilot study. Caregivers are 91% female, 32% Black/African American, and 72% spouses. Preliminary implementation and 6-month outcome data is discussed (e.g., reaction to behavioral distress, mindfulness, depression, quality of life) using within-group paired samples t-tests for the 32 dyads randomized to CC+C. Lessons learned include strategies for adapting mindfulness-based approaches over the telephone to enhance access for Veterans and caregivers across geographic regions.
OLDER ADULT DISASTER RECOVERY FOLLOWING HURRICANE KATRINA
Authors: Merdjanoff Alexis , Abramson David , Piltch-Loeb Rachael , Park Yoon Soo 
Published: November 2019

Abstract
This study explores the effects of environmental disruption on older adult well-being, recovery and resilience following Hurricane Katrina. It is based upon the Gulf Coast Child and Family Health Study, a longitudinal cohort of 1,079 residents from Louisiana and Mississippi highly affected by the storm. Using five waves of data collected over the last 12 years, analyses examine the drivers of long-term recovery by age group, including factors such as household income, physical health, mental health, stable housing and social support. Path analyses compare the influence of these drivers on recovery among younger adults (18-54), the young-old (55-64), mid-old (65-74) and old-old (75+). Results demonstrate that each age group relies on specific factors to improve their recovery, and that only a small number of factors are critical for older adult recovery. Results can help identify points of intervention for disaster recovery planning that can facilitate long-term recovery for older adults.
WISDOM OF THE ELDERS, VOICES FROM OUR AMERICA
Authors: Nwankwo Ifeoma 
Published: November 2019

Abstract
The fundamental goal of WOE was to determine whether and how autobiography production can enhance and provide valuable data about African American seniors’ mental health, past and present. The second goal of WOE was to determine whether and how project partners could use the findings from WOE, particularly those about resilience and strategies for coping with challenging situations, as the basis for new interventions, studies, publications, curricula, and educational programs for learners across contexts, generations, levels, and disciplines. Outcomes are illustrated by rich examples of the genesis, history, products and pedagogy of the project.
ILLNESS AND THE LANGUAGE OF POETRY
Authors: Birdsong Destiny 
Published: November 2019

Abstract
Two interactive workshops were conducted: one for training healthcare professionals in nursing, PT, and pharmacy, and another for the continuing education for caregivers of HIV-positive patients. Active Listening and Visual Learning Strategies for Healthcare Professionals discussed the importance of using active listening skills to better hear, understand, and treat patients. Activities included viewing one WOE respondent’s artwork and hearing a clip of the respondent’s interview, followed by a facilitated discussion of how the respondent’s story about her childhood shed light on her art. Additionally two published poems about bodies and illness were shared, with discussion of how each poem’s circuitous narrative nature offered clues about the speaker’s illness and outlook on life. Cultural Humility’s activities focused on utilizing poetry to discuss how caregivers can use active listening strategies to better understand how patients cope with life-changing illnesses, and how they incorporate the challenges of those illnesses into rich, fulfilling lives.
DISCORDANCE IN GOALS OF CARE BETWEEN PATIENTS WITH ADVANCED CANCER AND THEIR CAREGIVERS: DOES AGE PLAY A ROLE?
Authors: Lipson Amy R , Douglas Sara 
Published: November 2019

Abstract
Cancer is considered a family disease as the caregivers (CG’s) role extends beyond providing care as they can also help facilitate treatment decisions. While much has been reported in the literature about patient (PT) goals of care (GoC), little is known about discordance between PT and CG GoC and the impact of PT age. The variables of interest were PT and CG identified GoC using a 100-point visual analog scale (VAS) with anchors of quality of life (0) and survival (100). Discordance was defined as a &gt; 40 point difference on the VAS. The GoC data reported here were those obtained at enrollment and prior to subject’s death. A sample of 235 PTs and CGs of PTs diagnosed with advanced cancers were included in the study. Mean age for the PTs was 64.7 (SD=10.5, range =21-88) with 54% being &gt; 65. At enrollment, 28.7% of the PT-CG pairs of those PTs 65 years (X2 (1)=1.06, p=.304). At death, 61.8% (X2 (1)=31.04 &lt;.001, Φ=.49) with discord at enrollment had discord at death. For patients who were older, 66.7% who had discord at enrollment also had discord at death and for patients
INTEREST GROUP SESSION—GERIATRIC EDUCATION: AGHE PROGRAM OF MERIT: PRACTICAL AND TECHNICAL APPLICATION INFORMATION AND ASSISTANCE
Authors: Gugliucci Marilyn R , Mathews Shannon D , Elfenbein Pamela 
Published: November 2019

Abstract
At a time in education when it is important for programs at colleges and universities to be productive in teaching, student recruitment, and income generation, the AGHE Program of Merit review process can aid in advancing gerontology/geriatrics programs. The Program of Merit has expanded its review now Colleges of Osteopathic Medicine and any Health Professions program may apply for Program of Merit status – your institution need not be an AGHE member to apply. The POM designation provides gerontology programs and those health disciplines that include geriatrics/gerontology content in the curriculum with an AGHE “stamp of approval” which can be used to verify program quality to administrators, to lobby for additional resources, to maintain a quality program, to market the program, and to recruit prospective students into the program. This session will begin with the “Why,” “What” and “How” of applying for Program of Merit and then provide time for small group consultation regarding the Program of Merit application. Preparation of the self-study document will be detailed by the experienced faculty members followed by the review process and timelines associated with application process. Free consultation available!
FAMILY CAREGIVERS’ COMMUNICATION NEEDS AT THE END OF LIFE OF OLDER PATIENTS AT GERIATRIC FACILITIES
Authors: Cohen Rinat , Maydan Gal , Brill Shai , Cohen-Mansfield Jiska 
Published: November 2019

Abstract
Current literature on end-of-life communication (EOLC) between family caregivers (FCs) and health professionals (HPs) lacks reference to FCs’ communication needs and primarily addresses its formal aspects of communication such as offering advance directives. We explored FC’s communication needs and developed a questionnaire to evaluate the quality of EOLC. Interviews were conducted with 152 Israeli FCs of patients from nursing care, skilled nursing care, assisted ventilation, and dementia units within four facilities (nursing homes and geriatric medical centers). Most participants were women (61%), married (78%), and were children of the patients (77%), with a mean age of 57.5 (S.D.=12.01, range: 29-88). Qualitative analysis yielded several themes: FCs’ concerns about the availability and accessibility of all types of HPs, information needs (e.g., the need for regular updates initiated by HPs), FCs’ need for emotional support, and difficulties stemming from differences in language and culture. The need for improved communication in these spheres extended to all stages of hospitalization. Based on these needs, we developed a questionnaire to evaluate the quality of EOLC. Reliability was measured in a different sample, and ranged from Cronbach alpha of .916 (41 items; 41 FCs) to .937 (41 items with discrimination index greater than .3; 78 FCs). Factor analysis yielded factors similar to the themes that emerged from the qualitative analysis. The findings highlight aspects of EOLC between FCs and HPs which should be addressed and improved. Thus, this study is a crucial first step toward improving the quality of care at the end-of-life.
STRENGTHENING LATE-LIFE DEPRESSION COLLABORATIVE CARE THROUGH COMMUNITY ENGAGEMENT: CARE PARTNERS INITIATIVE
Authors: Hinton Ladson , Hoeft Theresa J , Henderson Stuart , Gosdin Melissa M , Rath Laura , Unutzer Jurgen 
Published: November 2019

Abstract
Despite the availability of effective treatments for late life depression, many older adults with depression either do not access or fully engage in treatment. The goal of this study was to examine the feasibility and two-year outcomes from an Archstone Foundation funded Care Partners Initiative to strengthen depression care for adults 65 years of age and older. Seven sites throughout California implemented evidence-based collaborative care through partnerships between primary care organizations, community-based organizations (CBOs), and families of older adults with depression. Evaluation used a mixed-methods approach incorporating both qualitative and quantitative data. Of the seven sites, six formed partnerships between primary care clinics and CBOs and one site only focused on engaging family members in treatment. In the first two years, 274 patients were enrolled and rates of depression improvement were comparable to prior depression care effectiveness trials. Overall, 49% of patients at CBO sites interacted 3+ times with CBO staff/clinicians, while at the family site, 79% of patients had 3+ contacts including a family member. Using data from key informant interviews, focus groups, and site progress documents, seven core components were identified that facilitated successful implementation and delivery of partnered collaborative care, including three foundational components: strong stakeholder buy-in, effective patient engagement, and the promotion of depression treatment as a core value across organizations. Multiple complexities of partnering between primary care clinics and CBOs or families were identified. Challenges and lessons learned from this initiative will also be discussed.
DESIGNING STATE-BASED LTSS PROGRAMS IN CONTEXT OF UNIVERSAL FAMILY CARE AND EMANCIPATORY GERONTOLOGY
Authors: Veghte Benjamin , Estes Carroll , Torres Stacy 
Published: November 2019

Abstract
This symposium will present findings from a National Academy of Social Insurance study panel on Designing State-Based Social Insurance Programs for Long-Term Services and Supports, Paid Leave, and Affordable Child Care. The risk of needing to provide or receive care is universal. Policymakers in several states are now weighing the enactment of new social insurance programs to address the risk of needing long-term services and supports. The study panel has mapped out the key design choices such states would need to consider with regard to program structure, financing, integration with Medicaid, and implementation, and the implications of these choices for elders, people with disabilities, families, providers, and states. The symposium will also present the study panel’s findings with regard to how long-term care benefits could be provided in the context of an integrated care program addressing three often interrelated caregiving risks: long-term services and supports, paid family and medical leave, and early child care and education: Universal Family Care. Finally, implications for emancipatory gerontology, including the impact of the current gaps in our care infrastructure on family caregivers and the care workforce, will be considered.
EFFECTS OF MUSCLE ALTERATIONS AND REHABILITATION ON MOBILITY IN CHRONIC CONDITIONS OF AGING
Authors: Serra Monica C 
Published: November 2019

Abstract
Age-related changes in muscle morphology and composition are associated with the development of mobility impairments, an increased risk for institutionalization, and mortality. While primary aging may account for some of these changes, the presence of aging related co-morbid conditions such as frailty, stroke, diabetes, and Parkinson’s disease is associated with muscle fiber atrophy, increased intramuscular fat, changes in muscle fiber distribution, and vascular dysfunction that occurs in both large and small vessels. These changes ultimately result in impaired substrate delivery to the muscle, reduced capacity for muscle regeneration, and anabolic resistance leading to declines in balance, strength, and endurance. It is important to understand the biological underpinnings of the changes in muscle following each of these conditions to develop effective preventive measures and maximize restorative rehabilitation protocols. This session will discuss the changes in muscle from the fiber level (i.e., changes in innervation and muscle fiber type proportion) to the systemic level (i.e., changes in specific postural and locomotor muscles), and their relationship to mobility, balance, and function. We will describe techniques (i.e., imaging, EMG, and muscle biopsies) used to assess muscle changes and their applicability in rehabilitation research. Further, we will discuss clinical recommendations for exercise to preserve and enhance skeletal muscle in the aging adult.
A UNIQUE MODEL TO ADDRESS ELDER ABUSE: THE OHIO ATTORNEY GENERAL’S ELDER ABUSE COMMISSION
Authors: Anetzberger Georgia , Roberts Amy Restorick 
Published: November 2019

Abstract
This presentation will highlight Ohio’s innovative model to address the prevalence, risk factors, and consequences of elder abuse and neglect. We will begin with an overview of the mission and duties of the recently codified Ohio Attorney General’s Elder Abuse Commission. These include: (1) to raise awareness, improve education, and boost the level of research regarding elder abuse in Ohio, (2) to provide a forum for improving the elder justice system, and (3) to identify policy, funding, and programming recommendations to address elder abuse. Next, we will share findings from the Research Committee’s first statewide survey on elder abuse research priorities. Completed by frontline practitioners, program administrators, advocates, researchers, and policy makers, the online survey received 459 responses from individuals across the state. Findings reflect gaps in the elder abuse literature, as respondents prioritized funding for research in how elder abuse can be prevented, and what programs/policies can best serve victims and their families after elder abuse has begun. We will conclude with recommendations regarding how the Elder Abuse Commission model may be adapted or modified to elevate awareness of elder abuse and elder abuse research in other parts of the country.
SAFEGUARDING OLDER PEOPLE FROM FINANCIAL ABUSE: EXPERIENCES OF IRISH BANKS
Authors: Phelan Amanda A , O’Donnell Deirdre , McCarthy Sandra 
Published: November 2019

Abstract
Financial abuse is a significant issue for older populations and was identified as that most common form of maltreatment in a 2010 Irish prevalence study (Naughton et al. 2010). This study examined how abuse was experienced and responded to by staff in five Irish banks. A mixed method approach was used: online survey (n=898) amd semi structured interviews (n=25) Findings from the survey data demonstrate that more than half of the respondents (66.5%) had previously suspected a customer to be experiencing some form of financial abuse. There was a high index of suspicion to the five scenarios presented to the staff. Findings from the interviews demonstrate the complexity and wide variations of case experiences of bank managers and the National Safeguarding Committee. These include being financially abused in the context of undue influence, scams, fraud and some cases described the naivety or potential naivety of some customers who may have capacity challenges, engage with strangers through social engineering scams, share PINs or open bank accounts without fully understanding the consequences. All staff had some experience of a suspicion of financial abuse in older people and employed various strategies to respond to their suspicions. We focused our recommendations in two areas: Bank level responses-inter-sectorial collaboration, education and training, a vulnerable adult champion, having a choice of banking methods of engagement, direct client communication and enhancements within the Central bank of Ireland. Macro level responses were increasing public awareness, raising the profile of financial abuse as a crime and enhancing safeguarding legislation
THE EXPERIENCE OF HAPPINESS IN LATE-LIFE REPARTNERING: SURPRISE AND DISAPPOINTMENT
Authors: Koren Chaya 
Published: November 2019

Abstract
Late life repartnering among those aged 65 and older is a phenomenon developing along with the increase in life expectancy. Although research indicates that older people are happier than adults at other life phases, the common lay person perception among the young as well as the old is that old age is associated with less happiness. Late life repartnering in Israel, culturally located between tradition and modernity, is not officially recognized as an option in old age. Exploring the experience of happiness within a social context that perceives late-life repartnering as the exception, using a naturalistic paradigm, has the potential for understanding lay persons perceptions of happiness. The aim of this qualitative research is to explore the experience of happiness in late-life repartnering relationships from a dyadic perspective of each and both partners. 20 couples (40 participants) functionally independent, aged 66-92 who entered their late-life repartnership at old age (men aged 65+; women aged 60+) after widowhood or divorce from a lifelong marriage raising a family, were interviewed separately. Interviews were recorded and transcribed verbatim. Data was analyzed using a dyadic interview analysis method. Findings indicate that happiness in late-life repartnering relationships include experiences of surprise and disappointment in three sub-themes: a. “A gift from heaven”: Surprised of being happy; b. Disappointment not being happy; c. No surprise – No disappointment. Findings are discussed based on disappointment theory, and empirical literature on expectations and happiness. Implications are addressed.
COMPUTERIZED COGNITIVE TRAINING, WITH OR WITHOUT EXERCISE, TO PROMOTE COGNITIVE FUNCTION: A RANDOMIZED TRIAL
Authors: ten Brinke Lisanne F , Best John R , Chan Joey L , Ghag Cheyenne , Erickson Kirk I , Handy Todd C , Liu-Ambrose Teresa 
Published: November 2019

Abstract
Given the world’s aging population, it is important to identify strategies that promote healthy cognitive aging. Computerized cognitive training (CCT) may be a promising method to combat cognitive decline in older adults. Moreover, physical exercise immediately prior to CCT might provide additional cognitive benefits. We conducted a randomized controlled trial to examine the effect of a CCT intervention, alone or preceded by physical exercise, on memory and executive functions in older adults. 124 community-dwelling older adults aged 65-85 years were randomly assigned to either 8-weeks of: 1) 3x/week group-based CCT plus 3x/week CCT sessions at home; 2) 3x/week group-based CCT combined with a 15-minute brisk walk (Ex-CCT) plus 3x/week Ex-CCT sessions at home; or 3)3x/week group-based sham exercise and education sessions (CON). At baseline and 8-weeks standard neuropsychological tests of verbal memory and learning and executive functions were administered, including the Rey Auditory Verbal Learning Test (RAVLT), Stroop test, Flanker test, Trail Making Tests (TMT B-A), and Dimensional Change Card Sort (DCCS) Test. At trial completion, there were no differences in RAVLT performance. Compared with CON, FBT and Ex-FBT participants significantly improved performance on the Stroop test (p = .001 and p = .023, respectively). Additionally, those randomized to Ex-CCT improved performance on the Flanker test (p = .002), TMT B-A (p = .047), and the DCCS Test (p = .023) compared with BAT. These findings suggest that an 8-week CCT program could benefit executive functions, and that implementing exercise immediately prior to CCT could provide broader benefits.
APPLYING THE DIME APPROACH TO A FINANCIAL LITERACY PROGRAM
Authors: Brown Lisa M 
Published: November 2019

Abstract
Financial literacy is defined as “the ability to use knowledge and skills to manage financial resources effectively for a lifetime of financial well-being.” The Money Smart Peer-to-Peer Program (MSP) was developed by the FDIC for use with diverse populations. MSP was culturally adapted for use in Jamaica using the Johns Hopkins DIME process. Peer counselling programs consistently demonstrate that they are acceptable and effective with adults who have limited education and low-income by overcoming barriers that are typically encountered when people attempt to access unfamiliar services or guidance from a professional. Research conducted with the MSP program reveals that program participants were more likely to open and save using deposit accounts, use and adhere to a budget, and have increased confidence in their financial abilities 6 to 12 months after completing the course. Implementation of MSP increases the likelihood that people can retire with dignity and financial security.
FRAILTY AND THE EFFECTIVENESS AND SAFETY OF NEW GLUCOSE-LOWERING DRUGS IN OLDER ADULTS WITH TYPE 2 DIABETES
Authors: Kim Dae H , Patorno Elisabetta , Munshi Medha 
Published: November 2019

Abstract
Recently, several classes of non-insulin glucose-lowering drugs, such as dipeptidyl peptidase-4 inhibitors (DPP4i), glucagon-like peptide-1 receptor agonists (GLP1-RA), and sodium glucose co-transporter-2 inhibitors (SGLT2i), have been approved to treat type 2 diabetes. Clinical trials have shown that GLP1RA and SGLT2i confer cardiovascular benefit, while DPP4i do not have such benefit; these drugs do not seem to increase the risk of hypoglycemia. However, due to underrepresentation of older adults with frailty and lack of frailty assessment in clinical trials, little is known about how the effectiveness and safety of these drugs change across different levels of frailty. In this symposium, we present the real-world evidence from Medicare data April 2013-December 2016 on the utilization trends of newly approved diabetes drugs (Dr. Dave) and comparative effectiveness and safety of SGLT2i vs sulfonylurea (Dr. Pawar), SGLT2i vs DPP4i (Dr. Kim), and SGLT2i vs GLP1-RA (Dr. Patorno). The outcomes were 1) composite cardiovascular endpoint of mortality, myocardial infarction, stroke, or heart failure; and 2) severe hypoglycemia, defined as emergency department visits or hospitalizations due to hypoglycemia. We applied a validated claims-based frailty index (CFI) to estimate the treatment effectiveness and safety in non-frail (CFI&lt;0.10), pre-frail (CFI 0.10-0.19), or frail individuals (CFI≥0.20). Following individual presentations, Dr. Munshi and presenters will lead an interactive discussion about clinical implications and methodological challenges in conducting geriatric pharmacoepidemiologic studies using Medicare data. This symposium will demonstrate the utility of CFI in claims-based pharmacoepidemiologic studies and provide health care providers with new evidence to tailor diabetes pharmacotherapy based on frailty.