bluuebunny/crossref_metadata_2025_split huggingface dataset:
CURRENT STATE OF SCIENCE ON DRUG THERAPIES FOR OSTEOPOROTIC FRACTURE PREVENTION
Authors: Khosla Sundeep 
Published: November 2019

Abstract
During the workshop, experts discussed the state of the science. The U.S. Food and Drug Administration (FDA) has approved several medications to prevent osteoporotic fractures. These include bisphosphonates (BPs), denosumab, teriparatide, estrogens, and selective estrogen-receptor modulators. BPs are a first line of pharmacologic treatment for most women and men who have osteoporosis. Despite the efficacy of short-term use of BPs and other osteoporosis medications, treatment rates are low and appear to be decreasing. This talk would describe the problem/epidemiology of fracture prevention in the United States; the importance of drug therapy and their effectiveness; the limited evidence regarding long-term use of drug therapies; the questions surrounding the application of drug holidays; and the complex physician and patient factors that impact the use of and adherence to osteoporotic drugs.
PREPARATION FOR FUTURE IN OLD AGE: WHY AND WHY NOT?
Authors: Fung Helene H 
Published: November 2019

Abstract
With population aging, many people can expect to spend 30 or more years in old age. The five papers included in this symposium aim at shedding light on whether and how to make plans for old age, using data from the “Aging as Future” Project. First, Park and Hess used data spanning across adulthood from Germany, Hong Kong and the USA to examine how changes experienced in domains of functioning and the importance attached to these domains influenced preparations for old age. Next, de Paula Couto and Rothermund, examining Germans aged 40-90 years, pointed out that prescriptive age stereotypes might be the main drive for why people make preparations for age-related changes. The remaining three papers use qualitative data to qualify the above quantitative findings. Adamson and Ekerdt interviewed older Midwest US residents. They observed that SES greatly impacted how older adults perceived and made plans for their future. The final two papers examined how rural vs. urban contexts might affect preparations for future. Liou interviewed older adults in rural Tainan and found that their ideal old age was one about no future preparation, at least not about making plans for themselves (called “tranquil life”). Ho and colleagues, in contrast, found that for older Chinese residing in urban Hong Kong, not preparing for the future (called “time freeze”) was negatively related to physical and psychological well-being. The symposium will end with an overall discussion on future research directions on whether and how to make plans for old age.
SOCIAL ENGAGEMENT AND DEPRESSIVE SYMPTOMS IN OLDER AFRICAN AMERICANS: A 6-YEAR CROSS-LAGGED PANEL ANALYSIS
Authors: Muruthi James , Savla J Tina 
Published: November 2019

Abstract
Although previous studies have extensively investigated the cross-sectional relationship between social engagement and depressive symptoms in late life, longitudinal studies have produced mixed results. Furthermore, studies on the associations between these two concepts among aging African Americans are few. Using a sample of 1688 older African Americans adults from waves 1 and 7 of the National Health and Aging Trends Study (60% women; Average age = 77 years), the present study investigates the longitudinal associations between social engagement (an index from scores on visiting friends and family, attending religious services, attending religious services, participating in group activities, and going out for enjoyment) and depressive symptoms across seven years. Structural equation modeling was used to test cross-lagged relationships between the variables. Findings suggest that social engagement at baseline significantly predicted subsequent depressive symptoms and social engagement. Depressive symptoms at baseline, however, were not significantly associated with subsequent social engagement. These findings suggest that low social engagement in older African Americans is directly associated with increased depressive symptoms over time, but not vice versa. The implications of these findings are discussed in relation to the barriers of social engagement for older African Americans and its effects on their mental health.
WHEN CLOSE TIES LIVE FAR AWAY: PATTERNS AND PREDICTORS OF GEOGRAPHIC NETWORK RANGE AMONG OLDER EUROPEANS
Authors: Sun Haosen , Schafer Markus H 
Published: November 2019

Abstract
Using the Survey of Health, Ageing and Retirement in Europe (SHARE, Wave 6 in 2015), this paper examines the structure of older adults’ core discussion networks in terms of their geographical outreach. We also examine how far respondents live from their friends, and how such a connection is conditioned by the presence of a proximate child in the network. Findings suggest that older adults in Northern Europe are more likely to have a confidant at mid- and long-range (5-25km and &gt;25km, respectively) than seniors in Central Europe, while their counterparts from Eastern and Southern Europe are less likely to identify a discussant out of their 5km radius. This pattern persists when focusing only on non-kin members of one’s network. However, having a nearby child confidant does not affect the probability of being connected to friends at variant distances in North Europe, while it does predict a lower likelihood of having close-by (0-5km) and long-distance (&gt;25km) friends in Eastern and Southern regions. Other significant predictors of one’s geographical network reach, such as education, financial standing, cognitive ability, computer skills, and car ownership are also discussed and compared across European regions.
VOICE-ACTIVATED DIGITAL ASSISTANTS: PERCEPTIONS FROM NOVICE USERS WITH LONG-TERM MOBILITY DISABILITY
Authors: Koon Lyndsie M , Blocker Kenneth , Rogers Wendy 
Published: November 2019

Abstract
Voice-activated digital assistants (e.g., Amazon Echo, Google Home) are an emerging technology that have great potential to provide support for adults aging with a long-term mobility disability. Digital assistant technologies allow the user to perform a variety of everyday tasks and activities through voice interactions. Such tasks may include environmental control (e.g., turning on/off lights, voice-activated temperature control); supporting self-health management (e.g., providing medication reminders, encouraging physical activity engagement); and fostering opportunities for social engagement (e.g., messaging/calling others, playing games remotely). This presentation will focus on the perceived facilitators and barriers to digital assistant use in the home among adults aging with mobility disabilities. The findings provide design guidelines and insight for intervention implementation for the use of these technologies for the target population.
CYCLE OF VICTIMIZATION: CHILD MALTREATMENT, INTIMATE PARTNER VIOLENCE, AND ELDER ABUSE IN A U.S. CHINESE POPULATION
Authors: Wang Bei , Dong XinQi 
Published: November 2019

Abstract
Victims of violence might have higher risks of revictimization, but this has been insufficiently examined among older populations. The present study used cross-sectional data among 3,157 U.S. Chinese older adults in Chicago, Illinois. Multiple logistic regression analyses were used to examine the relationships among subtypes (psychological, physical/sexual, financial exploitation, caregiver neglect) of child maltreatment (CM), intimate partner violence (IPV), and EM. Violence experiences were positively associated. CM psychological was positively associated with IPV psychological (OR 7.60, 95% CI 4.29-13.45) and EM psychological (OR 3.79, 95% CI 2.20-6.51). CM physical/sexual was positively associated with IPV physical/sexual (OR 1.86, 95% CI 1.02-3.38) and IPV physical/sexual was positively associated with EM physical/sexual (OR 8.54, 95% CI 3.53,20.64). EM financial exploitation was positively associated with all types of CM and IPV, whereas EM caregiver neglect has no significant association with any CM or IPV. Clinical and policy implications of the findings will be discussed.
TYPOLOGY OF FAMILY RELATIONSHIP AND ELDER MISTREATMENT IN A U.S. CHINESE POPULATION
Authors: Li Mengting , Guo Man , Stensland Meredith , Silverstein Merril , Dong XinQi 
Published: November 2019

Abstract
Early research on family relationship and Elder Mistreatment (EM) often focused on one or two indicators of relations. A typology approach that capture the complexity and variation of relations is a useful tool to understand the association between multifaceted family relationship and EM. EM was measured by a modified Vulnerability to Abuse Screening Scale. Latent Class Analysis was used to construct family typologies, evaluating structural, associational, functional, affectual, and normative aspects of family relationship. Logistic regression was used. Unobligated ambivalent (OR, 1.90; 95%CI, 1.54-2.34) and detached (OR, 1.78; 95%CI, 1.32-2.42) typologies were associated with greater risk of EM, while tight-knit (OR, 0.34; 95%CI, 0.27-0.44) typology was associated with lower risk of EM. Unobligated ambivalent typology, featured by high intergenerational closeness and conflict, was prevalent among US Chinese immigrants, and associated with greater likelihood of EM. Culturally customized social services were suggested to reduce intergenerational ambivalence and prevent EM for immigrants.
SOURCES SOCIAL SUPPORT AND SUBTYPES OF ELDER MISTREATMENT AMONG CHINESE OLDER ADULTS: FINDINGS FROM THE PINE STUDY
Authors: Zheng Shenglin , Bergren Stephanie , Dong XinQi 
Published: November 2019

Abstract
To examine the relationships between positive social support (PSS) and negative social support (NSS) from different sources and subtypes of EM, we used the data from a representative sample of 3,157 Chinese older adults aged 60 years or older in Chicago. Subtypes of EM include psychological mistreatment, physical mistreatment, financial exploitation, and caregiver neglect. Higher PSS from spouse and family members were less associated with lower likelihood to experience any of four self-reported EA subtypes. Higher PSS from friends was associated with lower likelihood of caregiver neglect. Increased levels of NSS from spouse and family members were associated with higher likelihood of psychological mistreatment, financial exploitation, and caregiver neglect. A significant association was also found between NSS from friends and psychological mistreatment. This study demonstrates the positive and negative aspects of social contexts in relationship to EM. Future longitudinal studies are needed to examine causal relationships.
ELDER MISTREATMENT SUBTYPES AND ANXIETY: DO DEFINITIONS MATTER?
Authors: Zheng Jieyang , Bergren Stephanie , Dong XinQi 
Published: November 2019

Abstract
Elder mistreatment (EM) and the magnitude of its relationship to anxiety may vary depending on definitional criteria. We leveraged data from the PINE Study, a study of 3,157 Chinese older adults in Chicago. EM was measured by 56 items on psychological, physical and sexual mistreatment, caregiver neglect and financial exploitation subtypes. Least restrictive, moderately restrictive, and most restrictive definitions of EM were constructed. Symptoms of anxiety were measured by the Hospital Anxiety and Depression Scale. Least restrictive (OR, 1.94; 95%CI, 1.57-2.40), moderately restrictive (OR, 1.56; 95%CI, 1.22-1.99), and most restrictive (OR, 1.39; 95%CI, 1.07-1.79) definitions of EM were all significantly associated with the likelihood of experiencing any anxiety symptoms. The magnitude of associations between EM and anxiety symptoms vary based on strictness of the EM definition. Future research should explore the potential causal relationships between EM and anxiety through longitudinal data.
MEASUREMENT OF SOCIAL NETWORKS OF ELDERS USING TECHNOLOGIES IN THE CONTEXT OF HEALTH AND SOCIAL CARE: A SCOPING REVIEW
Authors: Wei Sijia , McConnell Eleanor S , Wright-Freeman Kayla , Woodward Amanda , Kang Bada , Corazzini Kirsten N 
Published: November 2019

Abstract
Social networks impact the health and wellbeing of older adults. The importance of social networks drives the need to reliably measure social networks. Advancements and innovations in the internet, electronic and digital devices, social media and health care technology enriches our ability to collect social network and health data to overcome limitations in social network measurement. This scoping review will review approaches utilizing technology to assist the measurement and analysis of social networks among older adults in the context of health and social care. Joanna Briggs Institute methodology was followed; PubMed (MEDLINE), Sociological Abstracts, SocINDEX, CINAHL, and Web of Science were searched for related articles. Conference abstracts and proceedings were included. We discuss the gaps and advances in measurement of social networks of older adults using technology and implications for future research in social networks of older adults as a lever for improving health and well-being.
SELF-EFFICACY AND TEAM LEADER EQUITY MATTER: A STUDY OF ACTIVE AGING AT WORK
Authors: Choi Mi Sun , Dabelko-Schoeny Holly , Lee Mo Yee , Bunger Alicia 
Published: November 2019

Abstract
Many older Americans have decided to remain in the labor market beyond the traditional retirement age, suggesting the need for companies to consider human resource initiatives to retain and support the aging workforce. Applying active aging concepts, which emphasize older adults’ active roles through participation in social and economic activities for healthy later life, to the workplace could be helpful for developing programs that enhance the health, well-being, and work outcomes of older workers. Despite the expected benefits of active aging at work for older workers’ overall well-being, little research has been conducted on what personal and team factors impact on outcomes of active aging at work; what mechanism exists in the links between factors and outcomes in the contemporary workplace. The current study tested the validity of an active aging framework using the Age and Generations Study data. We analyzed responses of 508 American workers aged 50 and older using structural equation modeling. Results showed that perceived self-efficacy was a strong predictor of engagement, mental health, and performance, whereas perceived leader equity predicted only engagement. Also, work engagement was powerful mechanism for promoting older adults’ mental health; engagement mediated the relationship between perceived self-efficacy and the relationship between leader equity and mental health. The findings highlight how important it is for employers to invest in human capital, suggesting human resource programs should focus on strategies that target older adults’ engagement through tailored self-efficacy programs and diversity leadership training programs. Such attempts would contribute to the well-being of older workers.
USE OF SENSOR TECHNOLOGY TO MAP THE SOCIAL NETWORKS OF PEOPLE LIVING WITH DEMENTIA: A FEASIBILITY STUDY
Authors: Wright-Freeman Kayla , Wei Sijia , McConnell Eleanor , Caves Kevin , Davis Leighanne , Hawkes Adrienne , Moninger Sarah , Corazzini Kirsten N 
Published: November 2019

Abstract
For older adults living with dementia, social network quality influences health outcomes. However, current social network measurement methods are time consuming and mentally draining for people living with dementia. This study aimed to accurately measure social networks using sensor technology. Bluetooth and radio-frequency identification (RFID) sensors were used to collect social network data in a simulation of a falling nursing home resident living with dementia. Participants wore sensors on their clothing, and video recordings were compared to sensor data. Bluetooth data reflected general direction of movement and instances of idling but were neither precise or accurate. RFID data was accurate after applying data filters. Both systems detected multiple sensors simultaneously. The Bluetooth system is not feasible for clinical use, but the RFID system shows potential for clinical application and accurate measurement of social network factors as interaction frequency and duration.
RELATIONSHIP-CENTERED CARE: ADULT DAY CARE FOR PERSONS LIVING WITH DEMENTIA AND THE SENSES FRAMEWORK
Authors: Woog Samantha , McConnell Eleanor , Gold Deborah , Corazzini Kirsten 
Published: November 2019

Abstract
Relationship-centered dementia care (RCDC) has been related to improved quality of residential long-term care for persons living with dementia (PLWD). The senses framework supports accomplishing RCDC, whereby PLWD meet fundamental needs or senses through caregiving relationships. This study explored the application of the senses framework to a non-residential, long-term care setting, and included relationships across formal and informal caregivers. The study design is a qualitative, descriptive study of PLWD (N=3), with matched formal (N=3) and informal (N=3) caregivers in one adult day care setting in North Carolina. Semi-structured individual interviews explored each of the six senses of security, belonging, continuity, purpose, achievement, and significance. Interviews were analyzed using both inductive and deductive thematic analysis. Themes elucidate convergence and divergence of how senses are met or not met across triads of caregiving relationships. Findings inform our understanding of how to integrate the larger social network of PLWD for relationship-centered care.
REDUCING AVOIDABLE FACILITY TRANSFERS: THE RAFT MODEL
Authors: Stadler Daniel 
Published: November 2019

Abstract
Reducing Avoidable Facility Transfers (RAFT) is a Dartmouth-developed program that identifies and honors “what matters most” to patients residing in skilled nursing facilities in a value-based, sustainable way. RAFT aims to reduce avoidable facility transfers of older adults from long-term care and post-acute care facilities to emergency departments (ED). Key components of RAFT presently include (1) systematically eliciting goals of care for all skilled nursing facility residents, (2) translating these goals into orders using the Physician Orders for Life-Sustaining Treatment form, (3) documenting patient wishes about hospitalization, and (4) ensuring that these wishes inform decision-making during acute crises. Data from a pilot program, begun in 2016 with three rural skilled nursing facilities in collaboration with the Dartmouth-Hitchcock Medical Center geriatric practice, showed a 35% reduction in monthly ED transfers, a 30.5% reduction in monthly hospitalizations, and a 50.7% reduction in monthly ED and hospitalization-related charges.
THE CARE RECIPIENT’S PERSPECTIVE ON QUALITY OF CARE: DIFFERENT APPROACHES IN NURSING HOMES
Authors: Verbeek Hilde , Van Haitsma Kimberly 
Published: November 2019

Abstract
In long-term care, there has been an ongoing shift focused on person-centered care, positioning the care recipient at the core of good quality of care. This has resulted in more emphasis on care recipients’ preferences and experiences with the care they receive. In the Netherlands, Germany and the United States the need to focus on and assess quality from the care recipient’s perspective has emerged. This symposium presents four different approaches to quality of care from the care recipient’s perspective. The first speaker will focus on a narrative approach to assess experienced quality of care in nursing homes. The second speaker will present an observational method to assess the level of autonomy provided to people with dementia in nursing homes. The third speaker will present findings about the use of specialist health care in nursing homes as an indicator for quality of care. The last presentation will address the importance of preferences in quality of care. Defining, assessing and improving experienced quality of care from the care recipient’s perspective is an ongoing challenge, as each care recipient’s preferences and needs differ. It is important to assess in order to monitor that care is being tailored to the care recipient and to identify possible interventions that can enhance experienced quality of care.
NOT READY FOR PRIME TIME: A FAILED STUDY TESTING A TECHNOLOGICAL INTERVENTION IN NURSING HOME CARE
Authors: Williams Kristine N , Shaw Clarissa 
Published: November 2019

Abstract
This pilot-study tested an adaptation of a successful family caregiver telehealth support intervention in nursing home settings. The goal was to support staff in managing challenging behaviors of residents with dementia. Nursing homes were provided with an iPad mini equipped with a special application to video record staff-resident challenging care situations. Videos were uploaded to a secure site for review by dementia care experts who provided feedback to improve care. Despite efforts to engage staff, only four videos were submitted. Factors including privacy, workload, and fear of documenting abuse contributed to implementation failure. The same intervention was successfully implemented in the home setting; differences in engagement and utilization will be discussed. Understanding the unique environments of nursing home dementia care is needed to successfully implement technology-based interventions to improve care. Evaluation of factors predicting the failure of this intervention may inform future research.
FACILITATING CARE: A NARRATIVE APPROACH TO ASSESS EXPERIENCED QUALITY OF CARE
Authors: Sion Katya , Verbeek Hilde , Odekerken-Schröder Gaby , Zwakhalen Sandra , Schols Jos , Hamers Jan 
Published: November 2019

Abstract
This study aimed to develop a method to assess experienced quality of care (QoC) in nursing homes from the resident’s perspective. A narrative approach “Facilitating Care” (FC) was developed based on the INDEXQUAL framework of experienced QoC and a needs assessment. FC assesses experienced QoC by training care professionals to perform individual conversations with residents, their family and their professional caregivers (triads) in another organization than where they are employed. FC consists of three phases: 1) training, 2) data collection and registration, and 3) analysis and reporting of the results. In 2018, 16 care professionals were trained and performed 148 conversations (47 residents, 44 family members, 57 professional caregivers) in 8 different nursing homes. Evaluation showed that FC teaches helpful conversation techniques and provides valuable insights into residents’ experienced QoC. Whilst the process was considered time consuming, all participants emphasized the added value of taking time for FC conversations.