bluuebunny/crossref_metadata_2025_split huggingface dataset:
WHAT DOES LONG-DISTANCE CAREGIVING LOOK LIKE?
Authors: Horowitz Amy , Jimenez Danielle , Cimarolli Verena , Falzarano Francesca , Minahan Jillian 
Published: November 2019

Abstract
Long-distance caregivers (LDCs) are defined by geography, with little known about what they actually do when visiting and from afar. Both quantitative and qualitative data were collected from 304 LDCs. Half of LDCs lived more than 500 miles away from the care receiver (CR); 38% visited at least 1x a month, another 53% visited several times a year. Visit length varied extensively, ranging from one to 90 days at a time, with a median of 3 days. A wide range of care management tasks were common both when visiting and from afar; and targeted both formal providers and other informal caregivers. Emotional support and help with ADLs and IADLs were common during in-person visits. Other examples of emerging themes include: building relationships with formal care providers; personalizing care through, for example, special foods and/or activities; and the role of resources in determining visit length and help provided.
LONG-DISTANCE CAREGIVERS’ SATISFACTION AND CHALLENGES WITH FORMAL CARE PROVIDERS
Authors: Falzarano Francesca , Minahan Jillian , Cimarolli Verena , Horowitz Amy , Jimenez Danielle 
Published: November 2019

Abstract
The purpose of this study (N=304) was to identify differences in LDCs’ experiences with their care recipient’s (CR) formal care providers (FCPs) among four LDC groups based on CR dementia status and residential setting (community/nursing home [NH]). Results show that LDCs of CRs without dementia living in a NH are less likely to be satisfied with information/communication provided by FCPs compared to LDCs of CRs with dementia in the community. FCP-related challenges were significantly greater among LDCs of CRs in a NH, with or without dementia, compared to LDCs of CRs without dementia living in the community. A significantly greater proportion of LDCs of CRs living in a NH, with or without dementia, reported dealing with inadequate care as a challenge compared to LDCs of CRs with dementia living in the community. This highlights LDCs’ unique experiences related to FCPs based on differences in CR dementia status and residential setting.
RELIABILITY AND VALIDITY OF THE KNOWLEDGE OF PERSON-CENTERED BEHAVIORAL APPROACHES FOR BPSD
Authors: Haitsma Kimberly Van , Madrigal Caroline , Kolanowski Ann M , Resnick Barb , Galik Beth , Ellis Jeanette , Eshraghi Karen 
Published: November 2019

Abstract
How behavioral and psychological symptoms of dementia (BPSD) are understood and managed is important to person-centered care. No knowledge tests associated with dementia specifically address staff knowledge of person-centered behavioral approaches to BPSD. The Knowledge of Person-Centered Behavioral Approaches for BPSD Test was developed by our team to fill that gap. We tested the reliability and validity of this measure using a Rasch analysis and additional psychometric testing. 1,071 nurses from 35 nursing homes participated in the study. Reliability was evident based on an item separation of 11.00 and item reliability of 0.99. Construct validity was evident in that all of the items fit the model with INFIT and OUTFIT statistics (0.6-1.4). Associations between test scores and observed positive and negative care interactions (r=.38, p=.03; r=-.26, p=.12), person-centered care approaches (r=-.25, p=.15), and resistance to care (r=-.31, p=.07) will be examined and implications for person-centered care discussed.
INVESTIGATING DYNAMICS OF AGE-ASSOCIATED TRANSCRIPTIONAL NETWORKS WITH INTERVENTIONS TARGETING AGING
Authors: Kulkarni Ameya S , Mar Jessica C , Barzilai Nir 
Published: November 2019

Abstract
Biological aging is characterized by a progressive decline in physiological function from molecular to organismal levels, manifesting through adaptive transcriptional networks. We present an overview of the complex regulation of transcriptional networks in species- and tissue-specific aging. We aimed to: 1) capture the age-associated changes in gene-gene connectivity, and 2) evaluate the effect of two interventions targeting biological aging (metformin, acarbose) on the regulation of gene networks. Aim 1) Using RNA-Seq we modeled co-expression networks and identified differentially co-expressed gene-pairs between young, middle-aged and older-aged groups. Aim 2) Using short-term clinical studies in older humans (metformin: MILES-trial; acarbose: SAIL-trial), and complementary mouse studies, we revealed the genes and novel pathways underlying the drugs’ effects on biological aging in muscle and adipose. Importantly, these interventions shifted transcripts to a more youthful expression. Overall, we provide evidence of age-associated gene-network topology changes and identify upstream transcriptional factors affected by age-targeting drugs.
INTEREST GROUP SESSION—AGING VETERANS: EFFECTS OF MILITARY SERVICE ACROSS THE LIFE COURSE: OPTIMIZING VETERAN AND CAREGIVER WELL-BEING THROUGH TECHNOLOGY
Authors: Gould Christine E , Loup Julia , Wray Laura O 
Published: November 2019

Abstract
Older Veterans account for more than half of Veterans receiving care through the VA. Many suffer from dementia, traumatic brain injuries, and mental health disorders, resulting in complex care needs, which may include need for caregiver support. Innovative approaches using technology have the potential to improve access to treatments that improve the well-being of older Veterans and their caregivers. This symposium will present data from three Veterans Health Administrative investigators who are examining the impacts of innovative technology-delivered interventions. First, Dr. Michelle Hilgeman will describe preliminary 6-month outcome findings from a telephone-delivered Care Consultation + Counseling (CC+C) intervention for Veterans with dementia and their caregivers. Second, Dr. Kaci Fairchild will detail the background, methodology, and preliminary results of The COACH Project (Combined Online Assistance for Caregiver Health). The COACH Project is a mobile-delivered intervention consisting of exercise and caregiver skills training designed to reduce caregiver burden in those caring for someone with cognitive impairment. Third, Dr. Christine Gould will describe the development and feasibility of the Geri-Mobile Health clinic, which helps older Veterans use VA mental health apps to meet their well-being and mental health goals. Dr. Gould will describe the clinic’s personalized coaching method to support Veterans unfamiliar with apps and will share findings regarding the program’s acceptance, feasibility, and preliminary outcomes. Dr. Laura Wray, the executive director of the VA Center for Integrated Healthcare, will serve as the discussant. She will comment on implementing these interventions in primary care settings and the potential barriers to their adoption.
TECHNOLOGY-BASED INTERVENTIONS TO IMPROVE CAREGIVER WELL-BEING
Authors: Fairchild Kaci , Kamil-Rosenberg Shirit , Taylor Heather , Louras Peter , Scanlon Blake , Myers Jonathon , Yesavage Jerome 
Published: November 2019

Abstract
Informal or unpaid care is the most common form of long-term care. Despite clear benefits for the care recipient, caregiving can have unintended physical and emotional consequences for caregivers. Traditional caregiver interventions are limited in scope, as they often focus on the emotional consequences of caregiving; however, the physiological effects of caregiving are equally deleterious to caregiver health. Exercise improves physical health, yet the demands of caregiving can limit participation in physical activity. Traditional gym-based interventions may not be feasible for many caregivers. Advances in technology present an opportunity to address these limitations, specifically in the areas of accessibility and acceptability. The Combined Online Assistance for Caregiver Health (COACH) program combines evidence-based skills training with physical exercise in a tablet-based intervention. Preliminary evidence for the physical and psychological benefits are promising; however, differential attrition rates are informative as to the acceptability of technology-based interventions among some caregivers.
CHARACTERIZING THE EFFECTS OF HOSTILE ARCHITECTURE ON THE HEALTH GOALS OF HOUSELESS ELDERS
Authors: Johnson Ian M 
Published: November 2019

Abstract
Over 12,000 residents of Seattle experienced houselessness in 2018—among them, 70% reported having health conditions, 17.5% were over 50, and over half do not access emergency housing services. Local governments increasingly use strategies aimed at deterring unhoused populations from using public space. This research aimed to characterize the effects of urban planning interventions on the health goals among older disabled adults experiencing houselessness. Agency-based focus groups were conducted with adults over 50 who self-identified as disabled and met the federal criteria for homelessness. Through participatory mapping methods, constituents identified places where opportunities and barriers toward achieving health goals were experienced. Findings indicate lived experiences of confinement, exclusion, and loss of autonomy as well as creative negotiation and reclamation of space. This research equips advocates and providers with spatial data to increase public awareness, enrich local advocacy efforts, and offer new methodologies for enhancing social work perspectives on place and aging.
THE EFFECT OF AN ARTIST-IN-RESIDENCE PROGRAM ON SELF-REPORTED LONELINESS IN OLDER ADULTS
Authors: Richmond-Cullen catherine 
Published: November 2019

Abstract
The study, funded by the Pennsylvania Council on the Arts and the Pennsylvania Department of Aging, measured the effect that an artist in residence program (conducted by state-vetted professional teaching artists) had on self-reported loneliness in older adult. All participants were aged sixty years or older and participated in programming in state-funded adult community centers located in fourteen sites throughout the Commonwealth of Pennsylvania. Artists offered 10 sessions in creating and critiquing art to older citizens in the artists’ respective art forms including performing arts, visual arts and multidisciplinary/interdisciplinary arts. Through pre and post-tests, changes in loneliness were measured using the Revised UCLA Loneliness Scale. The data revealed that there was a significant correlation between a self-reported decrease in feelings of loneliness and participation in a program conducted by professional artists. . It was proposed that findings from the study could influence the quality of programs provided by state-funded adult community centers in Pennsylvania and increase funding levels to adult community centers throughout the Commonwealth of Pennsylvania.
INTEREST GROUP SESSION—REMINISCENCE, LIFE STORY AND NARRATIVE: RESEARCH AND PRACTICE: WISDOM OF THE ELDERS: ART, MEDICINE, NARRATIVES, AND POETRY
Authors: Nwankwo Ifeoma , Ardelt Monika 
Published: November 2019

Abstract
The Wisdom of the Elders (WOE) is a series of autobiography production workshops conducted since 2012 through a collaboration among community, university, and municipal partners. Beginning in Murfreesboro, TN it has since been replicated in New Orleans, LA. The Wisdom of the Elders project has many elements, including life history interviews, creative writing workshops, and creative expressions that allowed elders to share their wisdom with younger generations. Our focus was to understand how personal characteristics and historical/environmental events interact to influence healthy aging. Later work extended to interviewing older hospitalized patients in order to gain insight into intergenerational themes. The interdisciplinary team has also used poetry and reflection to train healthcare professionals and caregivers to 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. WOE has been supported by the Mellon Foundation, the Meharry-Vanderbilt Community Engaged Research Core, and the Department of English, the College of Arts and Science Dean’s Office, and the Chancellor’s Higher Education Fellowship at Vanderbilt University. WOE has led to the formation of an interdisciplinary research and publication collaborative featuring distinguished clinicians, artists, and scholars from Creative Writing, Education, Geriatrics, Interprofessional Learning, Psychology, and Public Humanities.
A QUALITATIVE ANALYSIS OF NARRATIVES CONTRIBUTED BY OLDER AFRICAN AMERICANS
Authors: Schlundt David , Bonnet Kemberlee R 
Published: November 2019

Abstract
We analyzed 19 interviews of African Americans who came of age during desegregation. We approached the development of the coding system and analysis of coded transcripts using an iterative inductive/deductive approach guided theoretically by the social ecological framework and life course development theory. Major coding categories included time orientation, topics of discussion, emotions, habits and behaviors, family, community, race relations, and history. Analysis of the sorted and coded quotes led to the development of a conceptual framework for understanding how participants portrayed their life trajectories. Individuals’ lives occurred in the context of societal institutions, the larger society, and culture. Life trajectories involve a series of changes in life circumstances and social relationships during which individuals engage with life goals such as making a living, staying healthy, coping with stressors, and maintaining satisfactory interpersonal relationships. Important themes associated with healthy aging included resilience, faith, forgiveness, and family.
AGHE PROGRAM OF MERIT: GERONTOLOGY DEGREE PROGRAMS, MINORS, AND CERTIFICATES
Authors: Mathews Shannon D , Elfenbein Pamela 
Published: November 2019

Abstract
The Executive Committee of the Academy for Gerontology in Higher Education (AGHE), formerly known as the Association for Gerontology in Higher Education, approved a proposal to establish and implement a voluntary program of evaluation known as the Program of Merit (POM). The POM designation provides gerontology programs 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. In 2014, AGHE Gerontology Competencies for Undergraduate and Graduate Education© were established and have been integrated into this process. This session will outline the Program of Merit process and present the opportunities for gerontology program leaders to advance gerontology education.
ASSOCIATIONS OF ADVERSE CHILDHOOD EXPERIENCES WITH DSM-5 DEPRESSIVE DISORDERS AND SUICIDE ATTEMPT IN OLDER ADULTS
Authors: Rhee Taeho Greg , Barry Lisa C , Kuchel George A , Steffens David C , Wilkinson Samuel 
Published: November 2019

Abstract
Adverse childhood experiences (ACEs) may have long-term effects on mental health. Using a life-course perspective, this study examines prevalence of ACEs and the associations of ACEs with depressive disorders and suicide attempt in US older adults. The study sample were those aged 65 and older who participated in the 2012-2013 National Epidemiological Survey on Alcohol and Related Conditions Wave III (n=5,806 unweighted). ACEs, the key independent variable, were assessed using validated measures and outcome variables included lifetime and past-year major depressive disorder (MDD) and dysthymia using DSM-5 criteria, and lifetime suicide attempt. We estimated national prevalence of ACEs in older adults and used multivariable-adjusted logistic regression analyses to assess the association between ACEs and the outcomes after adjusting for socio-demographics and clinical co-morbidities. Overall, 34.7% of older adults, representative of 14.3 million older adults nationwide, reported some form of ACEs. The most common type was parental psychopathology (20.8%), followed by neglect (14.8%), and physical/psychological abuse (8.4%) (non-mutually exclusive). Having experienced any ACEs was associated with higher odds of having a past-year MDD diagnosis (adjusted odds ratio [aOR]=1.77; 95% confidence intervals [CI]=1.36, 2.29). Similar results were found for other depressive disorders. ACEs were also associated with higher odds of having a lifetime suicide attempt (aOR=4.34; 95% CI=2.64, 7.14). In conclusion, ACEs may expose older adults to an increased risk for mood disorders and suicide attempts, even over long periods of time as seen in this sample. Reducing ACEs is an important public health goal that may yield long-term benefits.
CHRONIC CONDITIONS, FUNCTIONAL LIMITATIONS, AND DEPRESSION IN OLDER ADULTS: ANALYSIS OF A LONGITUDINAL STUDY
Authors: Parajuli Jyotsana , Berish Diane , Jao Ying-Ling 
Published: November 2019

Abstract
Background: Chronic conditions, functional limitations, and depression are highly prevalent in older adults. Evidence suggests the links between chronic conditions, functional limitations, and depressive symptoms separately. However, few studies have considered these three conditions together longitudinally. This study examined the longitudinal relationship between chronic conditions and depressive symptoms and evaluated the mediation effect of functional limitations on the relationship between chronic conditions and depressive symptoms in older adults. Methods: This study analyzed longitudinal data from the Health and Retirement Study collected in 2012 and 2014. Mediation analysis was used to examine the direct and indirect effects of chronic conditions and functional limitations measured at the year 2012 on depressive symptoms measured at the year 2014 controlling for demographics. Results: Results revealed that chronic conditions predicted depressive symptoms. Specifically, one additional chronic condition in 2012 corresponded to an increase of 0.35 in depressive symptoms in 2014 (p&lt;.001). After adding functional limitations as a mediator, the direct effect was reduced to 0.26 and the indirect effect was .088 (p&lt;.001). In other words, functional limitations explained approximately 25% of the direct effect of chronic diseases on depression. Discussion: Findings reveal the longitudinal impact of chronic conditions and functional limitations on depressive symptoms in older adults. Findings help identify the high-risk population of depressive symptoms and intervene early.
DESIGNING A STATE-BASED SOCIAL INSURANCE PROGRAM FOR LONG-TERM SERVICES AND SUPPORTS
Authors: Cohen Marc A , Veghte Benjamin , Tell Eileen J , Bradley Alexandra L 
Published: November 2019

Abstract
The fundamental LTSS financing problem today is the absence of an effective insurance mechanism. To achieve universal coverage, social insurance is required. This report identifies key design questions for states to consider in crafting an LTSS social insurance program, outlines a range of vetted approaches states could adopt, and describes the building blocks and tradeoffs associated with these options. This analysis was developed during a year of deliberations by a Study Panel of 15 experts in LTSS with a variety of perspectives. States must answer two critical first-order questions. First, who is the program seeking to help – only the elderly, or all people with disabilities? Only those who start paying into the program now, or current retirees as well? Second, how will the program be financed – through a payroll tax, an income tax, or some other dedicated revenue source? Additional considerations follow from these two overarching questions.
CAREGIVING ACROSS GENERATIONS AND CULTURES
Authors: Villa Valentine 
Published: November 2019

Abstract
Utilizing data from the California Health Interview Survey (CHIS) 2009, we examine caregiving activities among foreign born and US born Latinos, and US born Non-Hispanic whites ages 18 to 80 who are caring for an adult age 60 or older. Utilizing OLS regression, we first examine the relationship between race, ethnicity, nativity, and age and the amount of caregiving, types of caregiving, and use of long-term care (LTC) services among the population. Next we examine the health, mental health, and economic status of the three caregiver populations. The results find that middle aged and younger foreign born Latinos provide the greatest amount of care and also present with the greatest amount of economic challenges. US born middle- aged Latino caregivers also provide relatively high levels of care and also are more likely than other caregivers to experience health challenges including diabetes, obesity, depression and social isolation.
STROKE
Authors: Serra Monica C 
Published: November 2019

Abstract
Following stroke, the leading cause of disability in the United States, muscle alterations commonly occur. These alterations include gross atrophy and shift in fiber type, particularly in the paretic limb, which have lasting implications on gait ability. We will discuss the current evidence supporting a mechanism for these changes (i.e. physical inactivity, inflammation, oxidative stress, and decreased lower motor neuron activation) and how these factors differ between the paretic and non-paretic limbs. Further, we will discuss how various therapeutic exercise modalities can be used to modify or reverse skeletal muscle abnormalities and alter physical functioning post-stroke.
PARKINSON’S DISEASE
Authors: Hackney Madeleine 
Published: November 2019

Abstract
The risk of Parkinson’s Disease (PD) increases with age as over 90% of individuals are diagnosed after the age of 50. Older individuals with PD face a compounding burden of reduced muscle power, decreased muscular endurance, and weakness related to disease specific processes such as an altered pattern of motor unit activation, rigidity and bradykinesia. Individuals with PD demonstrate a tendency towards type I fiber hypertrophy, and a greater heterogeneity for type II fibers. Despite the disease specific burden of PD, exercise results in improved mobility, balance, and movement initiation. Interventions like resistance training have resulted in strength gains, and other interventions, such as tango dancing may be particularly useful for balance improvements, as the movement involves multi-directional perturbations and whole-body coordination. Here, we will discuss the use of novel exercise interventions, such as resistance training and tango, to improve the muscle and mobility function of older adults with PD.
DIABETES MELLITUS
Authors: Prior Steven J 
Published: November 2019

Abstract
Nearly three-fourths of adults over 65 year of age are affected by impaired glucose tolerance or type 2 diabetes. Both aging and inactivity contribute to the numerous skeletal muscle changes that occur with insulin resistance and type 2 diabetes. These changes include reduced capillarization that can impaired glucose uptake and substrate delivery, resulting in metabolic abnormalities and metabolic inflexibility. These changes may ultimately contribute to reduced delivery of oxygen, nutrients, and hormones to the muscles leading to impairments in metabolism, muscle mass, and function. We will discuss current research on the role of vascular impairments and reduced skeletal muscle capillarization in the development of impaired muscle metabolism, fitness and function. Finally, we will discuss how exercise training may reverse these declines.