bluuebunny/crossref_metadata_2025_split huggingface dataset:
Older LGBTQ Women Matter: An Examination of Distinctive Histories, End-of-Life Needs, and Support
Authors: Valenti Korijna 
Published: December 2020

Abstract
LGBTQ (lesbian, gay, bisexual, transgender, and queer) aging research has reached a point at which in depth examination of the heterogenous experiences of identity, social life, and health is needed in order to better understand the distinct life courses and service needs of diverse subgroups. Older LGBTQ women have diverse life experiences and areas of need in terms of professional, social, and health-related supports and systems. As emerging literature addresses the depth of these distinctions, issues of identity development, social isolation, social networks, and end of life (EOL) planning and expectations require further study as well as the use of varied methods of data collection and analysis to enhance empirical understanding. This symposium includes findings from three studies. In a qualitative study, Valenti and colleagues examined experiences of LGB women over60 who had recently lost a spouse or partner and explored issues related to preparation and expectations at the EOL. In a discourse analysis of personal aging narratives published in the Bi Women’s Quarterly newsletter (including poetry, personal reflections, and short stories), Jen and colleagues examined how bisexuality is experienced and constructed through language use in context. Rowan and colleagues provide insights from interprofessional research with a specific focus on lesbian women in later life. All three presentations in this symposium illustrate how language, individual preferences and needs, and social support issues meet to inform the needs of LGBTQ older women as well as providing implications for future aging research, theory development, and interventions in practice.
Courage to Cobble Something New: Creative Representations of Bisexuality and Aging
Authors: Jen Sarah , Jones Rebecca 
Published: December 2020

Abstract
There are few cultural representations or scripts available for LGBTQ aging. Among bisexual and otherwise non-monosexual (bi+) women, stereotypes of hypersexuality exclude older adults while the contrasting experience of invisibility obscures the existence of bi+ aging. In this discourse analysis, we examined three issues of the Bi Women Quarterly (BWQ) newsletter published between 2014-2019 which were devoted to the intersection of aging and bisexuality. Data include 42 narratives, personal reflections, interviews, poems, letters, advice columns, and photos which were analyzed to identify linguistic tools, visual imagery, and broader discourses used to construct and convey the meaning and experience of bisexual aging. Themes include: 1) lacking a “blueprint” for bisexual lives, 2) significant “turning points,” 3) intergenerational (dis)connections across history, and 4) life-long patterns of discovery and disclosure. More visible and diverse narratives for bisexual aging might better enable bi+ individuals to envision and effectively plan for their own aging futures.
New Frontiers in Caregiving Research: Biopsychosocial Perspectives and Interventions
Authors: Savla Jyoti , Roberto Karen , Sapra Mamta 
Published: December 2020

Abstract
Although families embrace the opportunity to care for a loved one, caregiving is stressful and takes a toll on the caregiver’s health and well-being. Earlier studies of stress and coping among family caregivers focused on psychological outcomes and emotional well-being. In the last decade, stress researchers have broadened their focus to include biomarkers and health outcomes. Data from two studies of caregivers of persons with memory loss will be used to discuss two new frontiers of caregiving research. First, a daily-diary study will be used to identify the mechanism by which stress disrupts the physiological processes and proliferates into serious psychopathology and pre-clinical and clinical health conditions. Second, a mindfulness-based psychoeducational intervention study will be utilized to identify malleable factors that can be harnessed to lower stress and improve the well-being of family caregivers. Next steps for caregiving research in the context of demographic and technological trends will be discussed.
Why Age Matters in Higher Education
Authors: Montepare Joann 
Published: December 2020

Abstract
At the core of behavioral and social scientists’ work in the aging field is informing and supporting the well-being of individuals and their communities. With the shift in age demographics and the aging of our populations, broadening educational efforts are more important than ever. However, advancing knowledge about aging and creating age inclusive educational opportunities has been a challenge in higher education, reflecting its historical, age-segregated structure, among other things. The pioneering Age-Friendly University (AFU) initiative, recently endorsed by GSA’s Academy for Gerontology in Higher Education (AGHE), offers a valuable set of guiding principles that institutions in higher education can use to assess the extent to which their programs and practices are age inclusive, as well as identify gaps and opportunities. This presentation will discuss how the time has come for scientists to help shape more age-friendly institutions, and what they can look like in the years to come.
Social Games: The Intersection of Established Reward Structures and Exercise for Older Rural Adults
Authors: Holley Lyn 
Published: December 2020

Abstract
A high percentage of older adults engages with games; however research about impacts of gaming on older adults is focused almost exclusively on games intended to strengthen cognitive health or slow age-related cognitive decline, very little relates gaming to exercise. Rural –dwelling older adults are underrepresented in this as in other health-related research. Nonetheless, recent developments that explore effectiveness of embedding positive health behaviors (including exercise) in established games such as Bingo hold great promise for addressing the endemic social isolation and chronically debilitating conditions often associated with rural aging. Using recent research with a challenging population group (rural Appalachian older adults) as an anchor for discussion, this paper describes the state of the art of such interventions and, through a multinational lens, finds that these suggest a new direction for gaming design that could enhance effectiveness of the use of gaming to improve health and happiness of rural adults. Part of a symposium sponsored by the Rural Aging Interest Group.
The National Institute of Mental Health: Research Agenda and Priorities in Geriatrics and Aging
Authors: Necka Elizabeth 
Published: December 2020

Abstract
The Geriatrics and Aging Processes Research Branch of the National Institute of Mental Health (NIMH) supports research on the etiology, pathophysiology, and trajectory of late life mental disorders. The branch encourages research using neuroscience, cognitive and affective science, and social and behavioral science to translate basic and preclinical research to clinical research. The branch prioritizes research that investigates neuropsychiatric disorders of aging, how they interact with neurodevelopment/neurodegeneration, and how to assess, treat, and prevent them. Of particular interest is research on social isolation and suicide. Suicide prevention research is an urgent priority: NIMH’s portfolio includes projects aimed at identifying those at risk for suicide, understanding causes of suicide risk, developing suicide prevention interventions, and testing the effectiveness of these interventions and services in real-world settings. In this talk, a NIMH program official will discuss the NIMH research agenda in the domain of late-life mental illness, social isolation, and suicide.
Development of a Remote Assessment and Dynamic Response Intervention for Dementia-Related Care Needs
Authors: Miller Lyndsey , Reynolds Christina , Whitlatch Carol , Steele Joel , Kaye Jeffrey 
Published: December 2020

Abstract
Unmet dementia-related care needs are highly prevalent, and are detrimental to the care dyad’s health and well-being, safety, and ability to age in place. The goal of this study was to develop an ecologically-valid needs assessment and integrate it with aspects of the SHARE intervention to inform values-based care planning. Using digital behavioral data collected via an actigraphy watch and multimodal sensors installed in the homes of 76 older adult couples with and without dementia, we created a prototype of the objective measures informing READyR: time spent together or separate as a dyad, exits from the home, sleep habits, physical activity, daily weight, driving habits, and medication taking behavior. These digital behavioral data were then mapped onto care values (e.g. safety, avoiding burden & autonomy) to create a values-based needs assessment protocol that is tailored to the individual care dyad. Discussion will focus on future testing and applications of READyR.
Translating a Group-Based Dyadic Intervention for Early-Stage People and Their Care Partners for Spanish Speakers
Authors: Coon David , Cortes Marielysse , Gomez Abigail , Carbajal Berta , Gonzalez Maria , Cordova Lourdes , Weatherall Zenya 
Published: December 2020

Abstract
This presentation focuses on the development of and recruitment for a Spanish language version of EPIC, a group-based dyadic intervention for people with early-stage dementia (EPs) and their care partners (CPs). EPIC involves activities for the entire group together, separate EP or CP groups, and one individualized session for each dyad. EPIC builds on components of SHARE combined with strategies from other psychoeducational interventions (e.g., skills-training, care values clarification, care planning). Findings from 6 focus groups with Latino participants were used to help with cultural responsiveness such as fluent Spanish/bilingual staff, testimonials from Latino families affected by dementia, and minimization of “threatening” language for memory loss. Participants also provided suggestions for recruitment for Spanish speakers such as engaging promotores, using social media across generations, recruiting through Spanish language health classes, and recognizing the impact of the political environment. The presentation will review both recruitment successes and challenges using these approaches.
A Tale of Two Emotions: The Diverging Salience and Health Consequences of Calmness and Excitement in Old Age
Authors: Hamm Jeremy , Wrosch Carsten , Barlow Meaghan , Kunzmann Ute 
Published: December 2020

Abstract
Using two studies, we examined the late life prevalence and health consequences of discrete positive emotions posited to motivate rest and recovery (calmness) or pursuit of novelty and stimulation (excitement). Study 1 assessed the salience of these discrete emotions in older adults (n=73, Mage=73) relative to younger adults (n=73, Mage=23) over a one-week period. Multilevel models showed that older (vs. younger) adults reported higher calmness and lower excitement. Study 2 examined the longitudinal health consequences of calmness and excitement in old age (n=336, Mage=75), as moderated by perceived control. Multilevel growth models showed that calmness, but not excitement, buffered against 10-year declines in psychological well-being (perceived stress, depressive symptoms) and physical health (physical symptoms, chronic conditions) for older adults with low perceived control. Results suggest that positive emotions with disparate motivational functions become more (calmness) or less (excitement) salient and have diverging implications for health in old age.
Concerned Family Members’ Help-Seeking in Elder Family Financial Exploitation
Authors: Kilaberia Tina , Stum Marlene 
Published: December 2020

Abstract
This paper examines non-perpetrator family members’ experience of trying to help when faced with elder family financial exploitation. Utilizing data from a qualitative study of 28 Concerned Family Members (CFMs) who were primarily adult children of older victims, findings provide evidence of the critical role CFMs play in helping the victims. Six help-seeking tasks are identified, including gathering evidence, learning new systems, and taking on money management roles. CFMs often put the victim’s health and well-being before their own, becoming secondary victims in the process. CFMs experienced a wide range of costs to their individual health and well-being, including physical, emotional, psychological, social and financial dimensions (e.g. stress, depression, inability to sleep, isolation, harassment, threats to personal safety, physical abuse, attorney and court costs, time off work). Findings have implications for supporting CFMs and addressing practical and health-related needs as secondary victims.
Adaptations for TAP in a Long-Term Care Setting
Authors: Marx Katherine , Parker Lauren , Gitlin Laura 
Published: December 2020

Abstract
One of the most difficult aspects of caring for people living with dementia is managing neuropsychologic symptoms and functional decline. Although there are hundreds of efficacious non-pharmacologic interventions tested in homes, few are adapted for and tested in long-term care. The purpose of this pilot study was to identify the adaptations needed for the Tailored Activity Program (TAP) to make it feasible and acceptable in a long-term care facility. TAP provides tailored activities matched to interests and abilities to address dementia-related clinical symptoms. Two sites, under the umbrella of one company, participated. A total of five persons living with dementia, their family caregivers, two direct care staff and an interventionist participated, and occupational therapist who contracts with the site on a regular basis. Adaptations included shorter sessions and changes to forms to fit with workflows and documentation. Additional considerations challenging implementation of TAP included staff turn-over and training. Part of a symposium sponsored by the Behavioral Interventions for Older Adults Interest Group.
Positive Affect and Negative Emotional Responses to Daily Stressors
Authors: Leger Kate , Charles Susan , Almeida David 
Published: December 2020

Abstract
Positive affect is beneficial for regulating negative emotional responses to stressful events. Yet, few studies have examined if positive affect may attenuate negative affect the following day. We examined how both trait positive affect and state positive affect are associated with next day stressor-related negative emotions. Participants (N = 1,588) from the National Study of Daily Experiences II (NSDE II) and the Midlife in the United States survey (MIDUS II) answered questions about stressors and emotion across eight days. People high on trait positive affect reported less negative affect the day following a stressor. On days when people experienced a stressor and higher than average state positive affect, they experienced less negative emotion the following day. This held true regardless of whether people were high or low on trait positive affect. Positive affect can help explain both who and when people will have attenuated emotional responses to stressful events.
Trends in Health Expectancies by Late-Life Disadvantage: The Cognitive Function and Ageing Studies
Authors: Bennett Holly , Kingston Andrew , Spiers Gemma , Robinson Louise , Bambra Clare , Brayne Carol , Matthews Fiona , Jagger Carol 
Published: December 2020

Abstract
To understand how and why disability-free life expectancy (DFLE) trends differ by socioeconomic position (SEP) we use longitudinal data from the Cognitive Function and Ageing Studies (CFAS I: 1991; CFAS II: 2011), with two year follow up. Disability was defined as difficulty in activities of daily living, and SEP as area-level deprivation. Between 1991 and 2011, men aged 65 gained more in life expectancy (LE) than DFLE, with the greatest gain in DFLE for the most advantaged and in disability years for the most disadvantaged. The most advantaged men experienced a 60% reduction in the risk of death when disability-free, 30% reduction in incident disability, and 80% increase in recovery. The most disadvantaged experienced a 30% reduction of death but from disability. Women overall, and in the most advantaged groups, gained similar years of LE and DFLE to men but due to a 30% reduction in incident disability only.
Multimorbidity, Disadvantage, and Trends in Disability-Free Life Expectancy: The CFAS Studies
Authors: Kingston Andrew , Bennett Holly , Robinson Louise , Corner Lynne , Brayne Carol , Matthews Fiona , Jagger Carol 
Published: December 2020

Abstract
The combined contribution of multi-morbidity and socio-economic position (SEP) to trends in disability free life expectancy (DFLE) is unknown. We use longitudinal data from the Cognitive Function and Ageing Studies (CFAS I: 1991; CFAS II: 2011), with two year follow up. Disability was defined as difficulty in activities of daily living, and SEP as area-level deprivation. Multi-morbidity was constructed from nine self-reported health conditions and categorised as 0-1, 2-3, 4+ diseases. In 1991 and 2011, shorter total and disability-free years were associated with greater multi-morbidity. Between 1991 and 2011, gains in life expectancy and DFLE were observed at all levels of multi-morbidity, the greatest gain in DFLE being 4 years for men with 0-1 diseases. As multi-morbidity is more prevalent in more disadvantaged groups, further analyses will investigate whether SEP differences remain at all levels of multi-morbidity.
The Challenge of Confronting Ageism: Impressions of Targets and Bystanders Who Intervene
Authors: Horhota Michelle , Chasteen Alison , Schindwolf Monika 
Published: December 2020

Abstract
Does confronting ageism come with a cost? Benevolent ageism is viewed as more appropriate than hostile ageism which may lead to negative consequences for individuals who confront it. We examined whether impression costs are mitigated or exacerbated by the style of confrontation (moderate or strong) and the person who confronts (the target or a bystander). Young and older participants read a vignette and rated the target, perpetrator and bystander on warmth, competence, and the acceptability of each character’s actions. Participants rated targets who confronted more negatively than bystanders who confronted, and preferred moderate over strong confrontation. In addition, participants thought the perpetrator would be less likely to exhibit prejudicial behaviors again if the older target confronted the action rather than the bystander. This demonstrates the challenge that older adults face; confronting results in a negative impression of them but may be more effective in preventing ageist actions in the future.
In Sickness and in Health: Dyadic Perspectives on Health and Well-Being Among Older Couples
Authors: Polenick Courtney 
Published: December 2020

Abstract
This session will incorporate a variety of dyadic methods to explore the multifaceted ways that older spouses shape their own and their partners’ health and well-being. First, Dr. Karen Lyons will consider the roles of communication, collaborative decision-making, and social support in shaping the mental health of couples managing chronic pain. Her comparative dyadic analysis highlights the value of collaborative illness management in optimizing couples’ mental health. Dr. Courtney Polenick will then describe how chronic condition discordance (i.e., the extent to which two or more conditions have non-overlapping self-management requirements) within individuals and between spouses is linked to perceived control among couples over an8-year period. This study reveals that more complex patterns of chronic conditions within couples have particularly detrimental implications for women’s perceptions of control over their own health and other life domains. Next, Dr. Kira Birditt will examine the long-term effects of spouses’ similar drinking patterns (i.e., concordance). Although drinking concordance may enhance marital satisfaction, she will explain how it can have enduring negative consequences for cardiovascular health among middle-aged men. Dr. Joan Monin will then explain the short-term benefits of laughter for blood pressure among couples during lab-based spousal support interactions. Finally, Dr. Amy Rauer will discuss how spouses react to one another’s health-related support attempts using in-depth qualitative interviews conducted with both members of the couple. Taken together, these studies underscore the importance of evaluating dynamic short-term and long-term health-related influences among couples in middle and later life. Dyadic Research on Health and Illness Across the Adult Lifespan Interest Group Sponsored Symposium.
Individual-Level and Couple-Level Chronic Condition Discordance: Longitudinal Links to Perceived Control
Authors: Polenick Courtney , Birditt Kira , Turkelson Angela , Shattuck Sadie , Kales Helen 
Published: December 2020

Abstract
Chronic condition discordance (i.e., the extent that two or more conditions have non-overlapping self-management requirements) has adverse mental health implications but little is known about mechanisms accounting for these links. We considered how chronic condition discordance at the individual level and the couple level (i.e., between spouses) was associated with perceived control among 2,676 couples from three waves (2006, 2010, and 2014) of the Health and Retirement Study. Dyadic growth curve models revealed that when wives had greater individual-level discordance, they reported lower initial health-related control and personal mastery and steeper reductions in personal mastery. When husbands had greater individual-level discordance, they reported lower initial health-related control and faster declines in health-related control and personal mastery, and wives had faster declines in personal mastery. When there was greater couple-level discordance, wives reported lower initial health-related control. Targeting increases in perceived control among older couples managing complex conditions may be beneficial. Part of a symposium sponsored by Dyadic Research on Health and Illness Across the Adult Lifespan Interest Group.
Age-Related Engagement and Outcomes in a Cancer Survivor Self-Management eHealth Program
Authors: Leach Corinne , Hudson Shawna , Diefenbach Michael , Chantaprasopsuk Sicha , Alfano Catherine 
Published: December 2020

Abstract
While eHealth programs equip survivors with tools at where and when they need, their benefit to and engagement patterns among older adults are less known. Data come from the Springboard Beyond Cancer RCT, a cancer survivor self-management program (N=176; 88 control, 88 intervention arm) and the corresponding qualitative evaluation/user testing (N=40). Younger survivors, but not older, preferred socially interactive and personalized long-in features which enable greater tailoring of the program. However, the older survivors who did enroll in the RCT were equally as likely as their younger counterparts to engage with one or more aspects of program. Health self-efficacy improvement from baseline to 3 months was significant among younger participants in the intervention (p&lt;.05) but not the control arm (p=.54) (d=.20) and marginally significant among older survivors (age 60+) in intervention (p=.06) but not the control arm (p=.58) (d=.28). Results suggest that the program may benefit survivors regardless of age. Part of a symposium sponsored by the Cancer and Aging Interest Group.