bluuebunny/crossref_metadata_2025_split huggingface dataset:
SUCCESSFUL AGING SCALE DEVELOPMENT FOR COMMUNITY-DWELLING OLD-OLD (75+) IN CHINA: A PRELIMINARY ANALYSIS
Authors: Ye Minzhi , Chen Lin , Gu Lin 
Published: November 2019

Abstract
Thousands of articles have discussed the concept of successful aging, yet no existed scale to measure its components among old-old (age 75+) in urban China. This study used a mixed method to develop a valid scale in Shanghai from July 2016 to Nov 2018. We first conducted 97 semi-structured, in-depth interviews on community-dwelling old-old and listed 70 items based on the findings and previous studies (e.g., Lubben, 1988). Ten multidisciplinary professionals and eight old-old had focus groups to evaluate the content validity of the scale. We used the final 22 items to survey 208 community-dwelling old-old in twelve neighborhoods. The mean age is 81, with 40% females. The principal component analysis showed a 13-item scale representing four domains (self-reliant, aging attitude, self-value expression, and social support), with 0.67 total reliability (Cronbach's Alpha). This study provided a set of quality indicators to evaluate old-old’s life in urban China.
BARRIERS TO TRANSIT MOBILITY AND WELL-BEING AMONG LATE-LIFE ASIAN INDIAN IMMIGRANTS
Authors: Parekh Rupal 
Published: November 2019

Abstract
Using qualitative interpretative phenomenological analysis and semi-structured interviews, we explored transit mobility needs and its impact on well-being and quality of life among late-life Asian Indian immigrants. Using inductive and deductive methods, we analyzed qualitative data collected from 18 participants. Four themes emerged specific to the influence of contextual factors on transportation mobility barriers among participants. Findings suggest that cultural and individual attitudes combined with the ‘built environment’ hinder participation at the temple and other cultural and religious activities and increase dependence on adult children. The reciprocal fit between transit mobility needs, access to culturally familiar environments and the built environment is critical to freedom, independence, and healthy aging for diverse older adults. Research at the intersection of global aging and transportation mobility requires equal grounding in a range of justice principles (environmental, social, and economic) in the pursuit of sustainable transportation options for diverse older adult populations.
LENGTH OF STAY IN U.S. AN ANOMALY: PREVENTIVE HEALTHCARE UTILIZATION AMONG FAITH-BASED FIRST-GENERATION CHINESE
Authors: Hou Su-I 
Published: November 2019

Abstract
Limited knowledge exists on preventive healthcare services utilization (PHSU) among Chinese immigrants. This study examined factors related to PHSU among faith-based first-generation Chinese. A self-administered survey was conducted in five Chinese churches in southeastern US.(n=184). Mean age was 43 (SD=14) and 50% were males. Comparing with recent immigrants (&lt;10 years), those who lived in the US for more than 10 years were more likely to be married (94.6% vs. 50.0%), have annual exams (74.5% vs. 39.6%), report doctors recommending cancer screenings (35.3% vs. 12.5%), have talked to doctors about screenings (25.5% vs. 4.2%), and perceive higher cancer knowledge (20.0% vs. 2.1%) (all p&lt;.05). Considering all factors together, regressions showed perceived knowledge was the only significant predictor on having talked to doctors (OR=3.11) and doctor recommending screening (OR=2.15). Married status was the only strong predictor on annual exam (OR=29.13). Our findings highlight the urgent need for promoting PHSU in this population.
ALZHEIMER’S DISEASE IN AI/AN COMMUNITIES: THE NEED FOR A CULTURALLY TAILORED ROAD MAP FOR ACTION
Authors: Benson William F 
Published: November 2019

Abstract
Although little is known about Alzheimer’s disease and other dementias among our American Indian and Alaska Native (AIAN) population, the numbers of AIAN elders is growing rapidly as is the overall AIAN population. As noted in The Gerontologist, the number of AIAN elders 65 and older will triple by 2030. Between 2014–2060, the number of AIAN people aged 65 and older living with dementia is projected to grow over 475%. This poses challenges for tribal officials, health/social service providers and families. Among these are limited awareness/knowledge about Alzheimer’s disease, inadequate services and resources, and limited experience in providing proven responses to the needs of those with Alzheimer’s and their families. To help tribes and others serving the AIAN population to respond to such challenges, it was important to develop a menu of options for tribal communities and leaders to consider appropriate to their needs, circumstances and values.
LISTENING AND LEARNING TO FORM THE HBI ROAD MAP FOR INDIAN COUNTRY
Authors: French Molly , Splaine Michael , Shean John , Holt Heidi 
Published: November 2019

Abstract
American Indian and Alaska Native (AI/AN) communities are establishing new paths as more older adults develop Alzheimer’s and other dementias along with other co-morbidities. To offer a flexible framework of public health strategies that proactively address the growing issue of dementia among AI/ANs, Alzheimer’s Association and Centers for Disease Control and Prevention (CDC) developed the first-ever Healthy Brain Initiative Road Map for Indian Country. Partnering with International Association for Indigenous Aging supported Road Map development through virtual listening sessions and written comments from regional Native health experts, tribal aging service leaders, and tribal government officials. Many additional discussions, engagement of a cultural guide, and an additional partnership with National Indian Health Board further informed Road Map contents, graphic design, and marketing. Presenter will describe rationale for the process, themes from the consultations, and lessons learned by the Association and CDC that can apply to similar initiatives.
SOCIAL ISOLATION AND NETWORKS DO DENSE URBAN CENTERS PROVIDE LARGE SUPPORTIVE SOCIAL NETWORK TO OLDER ADULTS? A CROSS-COUNTRY COMPARATIVE STUDY
Authors: Palmarini Nicola , Cominato Monica , Luppi Francesca , Ruggeri Margherita , Pais Ivana , Schino Rosalba , Soto Mark 
Published: November 2019

Abstract
The urban-rural dichotomy underpins the common approach in studying environmental conditions influencing older adults’ lives characterized by post-Second World War urban migration in both Italy and the United States (US). However, the traditional opposition urban-rural dichotomy is inadequate to study how the environmental characteristics of a geographical area can account for the heterogeneous profile of its populations and its age distribution. This study aims to overcome the traditional mobility theories as an explanatory dichotomy for understanding the distribution of the age structure of a given population. The extent of a supportive network, and the connection between the place of residence to the proximity of other residential centres can be seen as potential resources for understanding the attractiveness of certain areas for older adults. A large harmonized set of demographic and socio-economic data were collected from the Italian National Institute of Statistics (ISTAT) and the American Community Survey (ACS). An analysis at the Italian municipality- and US county-level finds the population over 75 years old are overrepresented in rural areas of both countries as would be expected by available employment opportunities, but considerable heterogeneity among both urban and rural areas exist. In particular, rural more than urban settings are based on an informal support network that is argued to rely on human proximity to produce successful aging in the community. The variation in population of older adults in rural areas, therefore, might have implications on how to achieve age-friendly communities, aside from population’s traditional mobility theories and formal support network.
TARGETING THE MTOR NETWORK TO MAXIMIZE HEALTHSPAN
Authors: Perez Viviana I 
Published: November 2019

Abstract
The mechanistic target of rapamycin (mTOR) is a key nutrient and growth factor-responsive pathway that has emerged as a central regulator of aging. Inhibition of mTOR complex I in particular has been found to increase lifespan and improve functional declines during aging in yeast, worms, flies, and mice. Recently clinical studies have provided the first evidence that similar effects may be achievable in pet dogs and in elderly people. This session will focus on new discoveries related to mTOR signaling and aging.
MODERNIZING EXERCISE WITH TELE-VIDEO TO REACH A RURAL GERIATRIC POPULATION OF VETERANS
Authors: Jennings Stephen C , Manning Kenneth , Massey Oliver , Bettger Janet Prvu , Brown Candace S , Morey Miriam C 
Published: November 2019

Abstract
Rural Veterans often lack access to health care. Veterans Affairs (VA) supports telehealth technologies to provide services remotely that are comparable to onsite in-person care. We piloted VA Video Connect (VVC), to deliver an interactive exercise program for Veterans modeled on the VA Gerofit Program, a successful facility-based exercise program. VVC connects an exercise physiologist directly to the home with smart devices. Invitations to join Gerofit were mailed to 216 rural Veterans. Of 17 respondents, 7 (mean age 68) agreed to VVC tele-exercise 1x week for 12 weeks. Two Veterans were lost to follow-up prior to enrollment. Baseline VVC assessments (N=5) were indicative of high functional impairment in comparison to age-based norms: 2-minute step test (67.2 steps, 5th%tile), 30-second chair stands (12.4 stands, 26th%tile), and 30-second arm curls (15.3 curls, 25th%tile). Feasibility, barriers, and program impact will be discussed. Functional impairment indicates need for telehealth to reach Rural Veterans.
LOW TRANSLATION DOWNSTREAM OF TOR ACTIVATES MYOGENE EXPRESSION AND ENHANCES HEALTH OF BODY MUSCLE IN C. ELEGANS
Authors: Shim Juyoung K , Snow Santina , Howard Amber , Horrocks Jordan , Kelley Joshua , Sayed Hussein , Rogers Aric 
Published: November 2019

Abstract
Previous studies reported that DR or low nutrient signaling reduces translation and extends lifespan, while attenuating growth and reproduction. In this study using C. elegans as a model organism, we found that reduced translation in neurons or germ tissues increases survival and primes the HSR against unfolded protein stress in adult animals. Surprisingly, lowering translation in these tissues significantly upregulates transcription of several key muscle maintenance genes, including those encoding the myogenic response factor HLH-1 and heavy myosin chain factor UNC-54 and MYO-3. It also improves muscle maintenance according to motility assays. However, reduced translation in muscle tissue does not activate the same level of myogenic gene expression. Instead, lowering translation in striated body muscle results in increased reproduction and accelerated development. To further investigate, we examined maintenance of muscle health via deconvolution fluorescent microscopy and immunostaining. Using computational analyses involving Fiji ImageJ and MATLAB program, we discovered that lowering translation delays decrepitude in body muscle structure, resulting in improved mitochondrial morphology and increased thermotolerance. Here we report that, combining physiological, molecular, and microscopic technique, muscle is protected during low translation, low TOR signaling, or DR. We hypothesize that results reflect evolutionary responses that preserve function required for foraging during nutrient scarcity and accelerate development during times low energy usage and high nutrient abundance.
IN-HOME MONITORING AND PRIVACY CONCERNS AMONG OLDER ADULTS
Authors: Choi Moon 
Published: November 2019

Abstract
This study aimed to contribute to understanding older adults’ perspectives on privacy related to in-home monitoring by analyzing factors influencing the willingness to share their information collected by in-home monitoring systems. Study participants were interviewed at local senior centers in South Korea (N=170; mean age=77; 45.9% women). One out of eight (13.5%) participants did not want to share their information with anyone. Participants were more inclined to share their information with family and hospitals than with researchers, government agencies or insurance companies. The logistic regression results showed that participants living with others were more likely to share their information of vital signs, medication, and toileting compared to those living alone (ORs=20.5, 5.3, 4.5, respectively). Younger age and advanced ability to use the Internet were negatively associated with the willingness to share, overall. Information granularity and socioeconomic characteristics are important factors to consider when developing in-home monitoring systems for older adults.
POLICY SERIES: THE HRSA GERIATRICS EDUCATION INITIATIVES: A POLICY AND PROGRAM UPDATE
Authors: Carrico Catherine , Hyer Kathryn , Lindberg Brian W 
Published: November 2019

Abstract
This session will address the evolving work of Geriatric Workforce Enhancement Programs (GWEP) to educate and train the primary care workforce and partner with community based organizations to address gaps in healthcare. The inaugural GWEP awardees were announced at the 2015 White House Conference on Aging. In November 2018 the Health Resources and Services Administration (HRSA), released the second GWEP Notice of Funding Opportunity (NoFO). The new funding opportunity reflects current policy priorities. In addition, for the first time in 9 years a Notice of Funding Opportunity was released for the Geriatric Academic Career Award (GACA) program. The return of the GACA program indicates the success of advocacy efforts to increase programs to support geriatric training and the development of geriatric academic professionals. Individual symposiums will explore the policy priorities reflected in the GWEP NoFO including the use of technology for training and care delivery, the age-friendly healthcare and dementia-friendly community initiatives, and value-based care including improving partnership with community based organizations. Additionally, an individual symposium will present the GACA program and discuss the advocacy process leading to the reintroduction of this program. During the last congress advocates of the GWEP and GACA programs supported authorization and funding of geriatric programs. Geriatrics programs describing the work of the GWEPs and GACAs were reinserted into the legislative process, although this reauthorization was not completed. This advocacy process garnered strong bipartisan and agency support. The session will describe these efforts and will conclude with an update on current authorization and appropriation status.
THE IMPACT OF 3 MONTHS OF SUPERVISED EXERCISE ON CHANGE IN FUNCTION: COMPARISONS BY ARTHRITIS STATUS
Authors: Abbate Lauren M , Hall Katherine , Pearson Megan , Sloane Richard , Allen Kelli D , Kohrt Wendy M , Morey Miriam C 
Published: November 2019

Abstract
Physical activity is an established intervention for the management of arthritis. This study evaluated the effect of 3 months of participation in Gerofit on physical function by arthritis status. Participants, 519 Veterans aged ≥ 65 years self-reported either no arthritis (NA) (49%), upper body arthritis (UB) (8.2%), lower body arthritis (LB) (12.7%), or both upper and lower body arthritis (UB&LB) (30.4%) upon enrollment. Physical function measures [10-meter usual gait speed (m/s) (GS), arm curls (AC), chair stands (CS), and 6-minute walk (yards) (SMW)] were assessed at baseline and follow-up. Mean differences between time points were calculated. At baseline, compared to NA, LB and UB&LB had slower GS (1.10 and 1.06 vs 1.13) and shorter SMW distance (468.8 and 448.8 vs 490.7). All groups tended to increase physical function, with greatest improvement among LB (GS=0.27, AC=2.06, CS=2.52, SMW=42.53). Participation in Gerofit is associated with functional gains, regardless of burden of disease.
FOSTERING DEMENTIA-FRIENDLY COMMUNITIES AND SUPPORTING CAREGIVERS THROUGH THE GWEP PROGRAMS
Authors: Severance Jennifer J , O’Neil Lisa , Fain Mindy 
Published: November 2019

Abstract
As the number of people affected by dementia increases, it is essential that caregivers are provided resources and communities educated on how to engage and support people living with dementia. Supporting caregivers and providing education about dementia-friendly communities are key components of the Geriatric Workforce Enhancement Programs. This symposium will provide examples of GWEP projects which foster dementia-friendly communities and support caregivers. Additionally, recent and current legislation targeting dementia and caregivers will be presented.
HUBS OF INNOVATION: GWEP UTILIZATION OF TECHNOLOGY AND INNOVATION FOR TRAINING AND SERVICE DELIVERY
Authors: Caprio Thomas V , Bennett Katherine A , O’Barr Greg , Carrico Catherine P , McKibbin Christine 
Published: November 2019

Abstract
Technology offers powerful tools for meeting the increasing needs of older adults and caregivers. The Geriatric Workforce Enhancement Program recognizes the important role technology will play in service delivery and training by fostering innovation to meet local training and healthcare needs. This symposium will review the innovative models and strategies GWEPs are utilizing to improve care including Project ECHO, remote monitoring, and telehealth. The policy implications of these models will be presented, including current legislative action to support technology and innovation in the care of older adults.
INTEREST GROUP SESSION—LONELINESS AND SOCIAL ISOLATION: THE LANGUAGE(S) OF LONELINESS
Authors: Victor Christina , Smith Kimberley 
Published: November 2019

Abstract
We offer a novel perspective on the burgeoning literature focused on loneliness later life by examining the language(s) used to describe, define and depict loneliness. We have an extensive body of work describing the prevalence of , ‘vulnerability factors’ and consequences of loneliness in later life. These activities start with pre-defined concepts of what loneliness is and often use scales and questions which may/may not use the term loneliness. How well does the contemporary language of loneliness used in research, policy, practice and the media really capture the depth and complexity of what people are experiencing? Do the terms and words use in our measurement scales and quantitative research resonate with this vocabulary? In qualitative research interviews how do older adults talk (or avoid talking) about loneliness? How does the media talk about loneliness and what images does this convey about later life? We will address these three issues in our seminar. Using data from qualitative interviews undertaken as part of a mixed methods study of temporal variations in loneliness, Thomas uncovers the strategies participants used to talk or avoid talking about loneliness. Victor uses qualitative data from 12,000 adults aged 60+ collected as part of the BBC loneliness experiment to examine the terms used to describe loneliness and to identify both the opposite of loneliness and the positive aspects of loneliness. Sullivan exposes how loneliness is constructed in print and digital media over a 10-year period in the UK and Canada and its role in framing the loneliness problem.
THE ENCORE FELLOWSHIPS PROGRAM: FINDINGS FROM HOST AND FELLOW FOLLOW-UP EVALUATIONS
Authors: Halvorsen Cal J , Emerman Jim 
Published: November 2019

Abstract
The Encore Fellowships Network (EFN) began as a pilot program in 2009 to match mid- and late-career for-profit employees in the San Francisco Bay Area to non-profit organizations seeking their skills and experience. After a successful pilot, the EFN expanded nationally, reaching 26 states and placing close to 2,000 Fellows in 10 years. This presentation will reveal analysis from more than 1,400 linked surveys of fellows and their organizational hosts both pre- and post-fellowship, totaling more than 350 observations. Results indicate a high sense of program satisfaction and enduring impact on the work of the non-profits. Further, the efficiency of the matching process was positively associated with fellows’ recommendation of the program to friends or colleagues and a higher sense of enduring impact among fellows was positively associated with the likelihood of pursuing post-fellowship non-profit work. Implications for the EFN and the broader nonprofit sector will be discussed.
WHY DO WE NEED AN INTERNATIONAL CONVENTION ON THE RIGHTS OF OLDER PEOPLE?
Authors: Marumoto Mika 
Published: November 2019

Abstract
This presentation discusses the increasing need for an international convention on the rights of older people. Such a convention would contextualize global, regional and national demographic shifts and identify gaps in existing international human rights laws, so as to better protect older persons’ rights to health and well-being. Persons aged 60 or above are expected to more than double from 2015 to reach 2 billion in 2050, with their proportion of the world population rising from 12% to 21%. By 2050, 80% of older persons are expected to live in societies that are currently labeled developing countries. Existing international human rights instruments fall short regarding pensions and protection from poverty. The presentation demonstrates ongoing global efforts, specifically through the UN Open-ended Working Group on Ageing, to set global rights-based standards, and the roles played by civil society organizations that use network approaches in advocating for the rights of older people.
PROFESSIONAL CAREGIVERS’ PERCEPTIONS OF PEOPLE WITH DEMENTIA AT ADULT DAY SERVICES IN TAIWAN: THE EFFECTS ON CLIENTS
Authors: Liou Chih-ling 
Published: November 2019

Abstract
This study aims to explore staff perception of their clients with dementia in five ADS centers in Taiwan. Focused ethnography was used to collect data from 45 individual interviews with nurse’s aides, nurses, social workers, housekeepers, volunteers, bus drivers and centers’ directors and 600 hours of field observations. The findings from the content analysis revealed two themes reflecting ADS staff’s attitudes towards clients: (1) labeling the clients as “old” or “sick” to distance themselves from the clients and (2) viewing the clients as their aging relatives and over-helping them. Both attitudes not only affected staff-client relationships but also influenced how clients viewed themselves by inducing self-labeling of incompetent and dependent. More dementia-specific and communication training is needed for staff at ADS centers in Taiwan to change their attitudes and behavior toward clients with dementia. With a more positive attitude of people with dementia, the prerequisites for person-centered care will improve.
QUANTIFYING SENSITIVE DEPENDENCE OF INITIAL CONDITION USING STRUCTURAL EQUATION MODELING
Authors: Moulder Robert , Boker Steve 
Published: November 2019

Abstract
Human systems display sensitive dependence of initial condition. That is, even though two individuals may be similar in most regards, small differences between these individuals may have far reaching consequences later in life. In dynamical systems analysis, this sort of behavior is quantified with maximum Lyapunov exponents. These exponents quantify the degree to which small differences in initial condition between two systems affect trajectories of these systems later in time. Current methods for estimating maximum Lyapunov exponents are sensitive to noise and this sensitivity leads to estimation errors when researchers attempt to estimate these exponents on data obtained from human participants. Additionally, most current methods only allow for maximum Lyapunov exponent estimation using univariate time series. In this presentation, we present a method for using structural equation modeling for estimating latent maximum Lyapunov exponents from noisy multivariate time series and discuss applications of this method for analyzing human generated data.