bluuebunny/crossref_metadata_2025_split huggingface dataset:
USING SERIAL TRICHOTOMIZATION WITH NEUROPSYCH MEASURES TO INFORM DECISIONS ON FITNESS TO DRIVE AMONG OLDER ADULTS
Authors: Yamin Stephanie , Ranger Valerie , Stinchcombe Arne , Knoefel Frank , Bédard Michel 
Published: November 2019

Abstract
Older adults report that driving provides a sense of independence and wellbeing. For some older adults, driving cessation becomes necessary due to their health status having an impact on their ability to drive safely. Decisions related to driving cessation are difficult and often left to the clinical judgement of primary care physicians. There is an interest in developing a method that could help assist physicians in making that determination. To date, there is no neuropsychological test that produces an acceptable level of sensitivity and specificity allowing for the determination of an individual’s fitness to drive. Serial trichotomization involves classifying drivers as either pass, fail or indeterminate based on cut-points that leads to 100% sensitivity and specificity. The purpose of this study was to examine the serial trichotomization method using four common neuropsychological tests (i.e., 3MS, Trails A & B, clock drawing). Sensitivity and specificity for each test were established using a medical expert’s clinical judgement. Charts of 105 patients at a tertiary memory disorders clinic were reviewed and data related to neuropsychological test scores and clinical judgement around fitness to drive were abstracted. After applying the trichotomization, 38.1% of the sample were classified as unfit to drive, 36.1% were classified as indeterminate, and 25.8% were classified as fit to drive. This study adds to the growing body of literature supporting the use of serial trichotomization to streamline decision-making about fitness to drive.
THE NATIONAL COLLABORATORY TO ADDRESS ELDER MISTREATMENT: A COLLECTIVE IMPACT APPROACH
Authors: Stoeckle Rebecca Jackson , Lees-Haggerty Kristin , Dash Kim , Lachs Mark , Mosqueda Laura , Bonner Alice , Dyer Carmel 
Published: November 2019

Abstract
The National Collaboratory to Address Elder Mistreatment is a team of experts who have come together to develop, test, and disseminate a care model for addressing elder mistreatment in emergency departments. In this presentation we will demonstrate how a collective impact approach, including a centralized infrastructure, dedicated staff, and structured process allowed the Collaboratory to develop and test the Elder Mistreatment Emergency Department Care Model. The model consists of four core elements: 1) The Elder Mistreatment Emergency Department Assessment Profile, 2) staff training modules, 3) brief screening and response tools adapted from a validated measure, and 4) a roadmap for leveraging community resources to support referral and follow up. We will explore the applicability of this approach for harnessing and integrating multidisciplinary expertise to develop, test, and disseminate innovative solutions to complex health care challenges.
BE GENERATIVE TO ACCEPT DEATH: ROLE OF MEANING IN LIFE MODERATED BY AGE AND PERCEIVED IMPACT
Authors: Fung Nicole Long Ki , Chu Steven Tsun-wai , Fung Helene Hoi-lam 
Published: November 2019

Abstract
Meaning-management theory (MMT) suggests living a meaningful life leads to higher death acceptance. This paper investigates how generativity, i.e. the intention to bring benefits to the next generation, can affect death acceptance through achieving meaning in life (MIL). 343 participants in Hong Kong (aged 18-90) filled in a questionnaire as part of “Age(ing) as Future” project. Generativity positively correlates with death acceptance. MIL fully mediates the effect of generativity on death acceptance (r(343)=.132, p=.014). The effect of generativity on MIL might differ by age and perceived influences of generative acts. As speculated, the mediation is moderated by Age and Transformational Future Time Perspective (TFTP; generative impact that expands future time perspective). In older adults with lower TFTP, generativity no longer predicts MIL and the mediation was nonsignificant. The results provide empirical support to MMT and emphasise the importance of perceived impact and the needs in different developmental stage.
VARIATION IN BIOLOGICAL RISK AMONG OLDER COLOMBIANS BY AGE, GENDER, AND EDUCATIONAL ATTAINMENT
Authors: Ailshire Jennifer A , Osuna Margarita 
Published: November 2019

Abstract
Recent rapid aging in Colombia raises questions about the health status of older adults, but there has been very little research in this population. This study examines variation in biological risk by age, gender, and educational attainment using data from the 2015 SABE-Colombia, a nationally representative survey of Colombians ages 60 and older. Levels of cholesterol (total, HDL, and LDL), triglycerides, glucose, and hemoglobin were measured from whole blood and clinical cut-points were used to determine high-risk on each indicator. The five metabolic indicators were summed to create a total risk score; 58% of older adults had a score of 1 or more. Those ages 80 and older and women had lower risk, as did those with at least primary education. These patterns were also observed for high-risk on hemoglobin (13% prevalence), an indicator of anemia. Most older Colombians have some biological risk, but this varies by key subgroups.
USING CHRONIC DISEASE SELF-MANAGEMENT TO ENHANCE PATIENT-PROVIDER PARTNERSHIPS
Authors: Case Brea , Zell Angela M , Ilardo Joan 
Published: November 2019

Abstract
The Partners in Aging Strategies and Training (PAST) project employed a bilateral approach to educate both healthcare professionals and consumers. Our theory is that improved health outcomes are attained by teaching healthcare providers and consumers how to engage better with each other, especially when consumers use the skills learned in community-based programs, such as self-management and healthy lifestyle choices. PAST activities provided an integrated educational program for healthcare providers and older adult patients, their families and caregivers to learn skills that enhance their ability to form productive patient-provider partnerships. We used three types of training: 1) multi-disciplinary health professions and primary care provider continuing-education face-to-face workshops and webinars; 2) older adult patient and caregiver workshops, resource materials; and 3) reverse marketing comprised of sending information to physicians whose patients attended a workshop that included the topics covered in the workshops and the patients’ three- to six-month action goals. We found that physicians who attended the grand rounds presentations were very receptive to the ‘nuts and bolts’ approach to things like doing a quick mobility assessment, effectively communicating with patients, health literacy, and referring patients to community-based non-medical services and supports. We conducted seven types of evidence-based workshops. Over 90% of participants gave permission to send a letter to their physician to tell them they attended the workshop. We used pre-post confidence scales based on each workshop’s learning objectives to measure changes in workshop participants’ self-management confidence. There was positive change in confidence for all seven workshops.
CARE MANAGEMENT CHALLENGES AND PROGNOSTIC TOOLS FOR HEART FAILURE PATIENTS IN HOSPICE
Authors: Creber Ruth Masterson , Jordan Lizeyka , Baik Dawon , Russell David 
Published: November 2019

Abstract
Heart failure (HF) patients enroll in hospice at lower rates despite their worse prognosis. This multi-method study explores the characteristics and challenges associated with caring for HF patients. Data from qualitative interviews with hospice providers (n=32) and quantitative records (N=1,114) were used to identify care management issues and prognostic tools. Hospice providers described HF patients unique and often unpredictable symptomatology, their limited understanding and discordant hospice expectations, and difficulties managing symptoms at home. Providers also highlighted HF patients use of assistive medical devices and complex medication regimens. Palliative Performance Scale (PPSv2) scores at hospice enrollment were found to be strongly associated with hospice survival (AUC: 7 days=0.80; 14 days=0.77) and live discharge risk (PPSv2 50-70% AOR=5.68 [CI=3.66-8.79]). Findings underscore the need for specially-tailored trainings and protocols for providers to prevent unplanned discharges and support HF patients at end-of-life.
THE IMPACT OF MEANINGFUL VOLUNTEER ENGAGEMENT IN AGING ADULTS: THE BALTIMORE EXPERIENCE CORPS TRIAL
Authors: Carlson Michelle C , Rebok George 
Published: November 2019

Abstract
Experience Corps was designed to embed cognitive, social, and physical activity into volunteer service by training older adults to serve in neighborhood elementary schools as mentors of children in Kindergarten-3 for 15 hours a week over two academic years. We incorporated cognitive activities through the intentional design of a variety of roles in reading, math, library support, and positive communication. Socially, volunteers engage with other volunteers, teachers, and children, and functional walking 3-4 days/week to and from as well as within the schools. The Baltimore Experience Corps Trial (BECT) is the largest randomized controlled trial (N = 702) examining the impact of volunteer engagement on cognitive functions in cognitively intact older adults, over sampling African Americans (91%) who have twice the risk of Alzheimer’s disease as whites. Findings will be summarized and demonstrate the dose-dependent cognitive, psychosocial, lifestyle activity, and brain benefits of volunteering for up to two years.
HOME CARE AIDE-LED RESISTANCE EXERCISE FOR MEDICAID HOME AND COMMUNITY-BASED SERVICES CLIENTS
Authors: Danilovich Margaret , Diaz Laura , Ciolino Jody , Healey William , Huber Gail , Corcos Daniel 
Published: November 2019

Abstract
Home Care Aides (HCAs) assistance is the most common care provision to help clients with activities of daily living, but exercise is not currently provided, despite well-established health benefits. We developed a resistance exercise intervention using a stakeholder panel of physical therapists, HCAs, and clients. Stakeholders suggested a mobile application that played exercise videos. We then enrolled 128 HCA-client dyads (93% african american & 79% female) and randomized home care aides to lead the intervention with their clients in addition to usual care for 6 months or continue usual care. Our aims were to 1) evaluate the feasibility of the intervention and 2) determine the effects of the intervention on client physical performance, frailty classification, self-reported health, and strength. 96% of HCAs reported the training session successfully prepared them to lead exercise and we had no adverse events. There was high attrition rates among dyads (28.13%) at 6 months which was worse among HCAs (55%). We found no statistically significant differences between study arms. However, the range of completed sessions was 1-34 out of 52 possible sessions. Program evaluation indicated high satisfaction among clients and HCAs (8.9 & 8.6/10). HCA attrition limited client participation, technology did not facilitate exercise completion, and client motivation was a barrier to adherence. Results show it is feasible to train HCAs to lead exercise, however, given high turnover in the HCA profession, alternative implementation models should be studied. While the app use was an innovative way to engage older adults in exercise, technology challenged HCAs.
LONG-TERM COSTS OF GRANDPARENT CAREGIVING: RESULTS FROM THREE WAVES OF THE MIDLIFE IN THE UNITED STATES STUDY (MIDUS)
Authors: Rickenbach Elizabeth , Rickenbach Elizabeth H , Huang Chih-Chien , Allen Jessica Y , Cichy Kelly E 
Published: November 2019

Abstract
Cross-sectional studies reveal the health burden of grandparent caregiving. Still, longitudinal, research is needed to understand how grandparent caregiving compromises grandparents’ long-term health. Using three waves of data from the Midlife in the United States Study (MIDUS), we examined sociodemographic factors, health and well-being outcomes between caregiving (CG) and non-caregiving (NCG) grandparents. By wave 3, 12.8% (n = 234) were CG. CG were younger, more likely female, and had lower income and education. MANCOVA adjusted for age, gender, education, and number of children revealed CG reported poorer physical and emotional well-being (e.g. higher depression, anxiety, lower life satisfaction, greater morbidity); CG were consistently less healthy than NCG across all three waves. Lower income and less healthy older adults are more likely to become grandparents, and they remain less healthy over time. Policies and resources to assist grandparents, particularly low-income and vulnerable older adults who are caring for grandchildren, are needed.
A NATIONAL PROFILE OF FRAIL OLDER ADULTS WITH INSUFFICIENT CARE AND MISMATCHED SUPPORT
Authors: Savla Jyoti , Roberto Karen A , Sands Laura 
Published: November 2019

Abstract
Older adults differ widely both in the care they require and who they rely upon for care. We use data from the National Health and Aging Trends Study (2011; N=3,265; MAge [SD] = 77 [7.74] years, 62% women) to classify community-living older adults based on their care needs and the various informal and formal providers of care. We also examine the type of care they receive, predictors of this care, and its implications on their health. Older adults with a co-residing caregiver were more likely to report that their needs were not being met (OR = 1.67; 95% CI=1.15–2.42), compared to those who received informal care and paid support. Moreover, older adults who needed help with self-care activities, but received help with household activities were more likely to report unmet needs (OR = 1.55; 95% CI=1.13–2.12). Results are discussed in light of sociodemographic factors differences and mismatched support.
GOOD HEALTH AND WELL-BEING: ESSENTIAL TO ACHIEVING SDGS
Authors: Stohrer Hans 
Published: November 2019

Abstract
The importance of good health for older persons is a human right, good public policy, and practical. We argue that it is fundamental to achieving the UNs SDGs. Older people can be important assets in the achievement of SDGs but need to be in good health so as to be valuable, productive and contributing members of society. This includes functional health, cognitive health and capacity, mental health, sustainable long term care for non-communicable diseases, and quality palliative care provided in the home at the end of life. This means not only access to health care services and access to safe and effective medicines and vaccines, but also access to rehabilitation and physical therapy, mental health care, long term care, and hospice and palliative care. In conclusion, to achieve the United Nations SDG on Health, it is important to consider explicitly the health of older persons, including the public policy needs.
NEW FINDINGS ON WORK AND FAMILY USING IPUMS DATA
Authors: Moen Phyllis , Raymo James 
Published: November 2019

Abstract
The IPUMS Data in Aging Research symposium will showcase aging research that is possible using freely available population-level data accessible via IPUMS. This session will feature papers that use IPUMS data in novel ways to examine aging-related topics including living arrangements, widowhood and divorce, paths toward retirement, intergenerational effects of interventions on later life outcomes, and time use of caregivers. In addition to the common threads of work and family, these papers all represent innovative contributions to aging research based on census and nationally-representative survey data. The potential value of these types of data for studying aging may not be immediately apparent to all researchers. By combining papers on an array of topics from a variety of data sources, this symposium highlights exemplar papers that demonstrate the types of novel research possible using public use census and survey data.
THE INTERGENERATIONAL EFFECTS OF THE NEW DEAL WORK RELIEF PROGRAMS ON LATE-LIFE OUTCOMES: AN 80-PLUS-YEAR FOLLOW-UP STUDY
Authors: Modrek Sepideh 
Published: November 2019

Abstract
Evidence from multiple disciplines suggests that early-life conditions and environments affect outcomes across the life course. However, less is known about the effects of policy interventions targeted to adults and communities that may have intergenerational consequences on exposed children. In this study, we undertake novel data linkages to examine the effects of the New Deal work–relief programs on long-term health, disability and mortality outcomes of children born between 1920-1940. We first link the American Manufacturing Cohort (AMC) workforce backward to their childhood census records to capture parental and community exposure to New Deal work-relief programs. We then test the hypothesis that employment in New Deal work-relief programs is associated with lower levels of chronic disease, lower rates of disability and delayed mortality for both the children in benefitting households and children in non-benefit households living in areas that received greater amounts of New Deal funding.
‘TIL DEATH DO US PART? DECLINING WIDOWHOOD AND RISING GRAY DIVORCE, 1980-2017
Authors: Brown Susan L , Lin I-Fen 
Published: November 2019

Abstract
Roughly one-third of dissolutions among married persons aged 50 and older occur through divorce rather than widowhood, reflecting the rising gray divorce rate and lengthening life expectancies. We use data from the 1980 Vital Statistics and the 2017 American Community Survey (ACS) to estimate the divorce and widowhood rates among married individuals (aged 50+) in 1980 and 2017 to track how much the widowhood rate has declined and the divorce rate has risen. In 1980, women’s widowhood rates exceeded their divorce rates at all ages. For men, the rate of divorce outpaced the rate of widowhood through ages 50-54. By 2017, divorce rates were higher for women through ages 55-59 and for men through ages 60-64, coinciding with the growth in gray divorce. We also examine subgroup variation in the 2017 patterns and the sociodemographic correlates of having experienced divorce versus widowhood during the past year using the ACS data.
NOVEL DATA AND APPROACHES TO THE STUDY OF HEALTH AND AGING IN NSHAP
Authors: Waite Linda J 
Published: November 2019

Abstract
The National Social Life, Health, and Aging Project (NSHAP) is a longitudinal, population-based study that seeks to improve an understanding of the well-being of older, community-dwelling Americans. It accomplishes this by affording researchers a wide range of high quality measures that enable examining interactions among physical health and illness, medication use, cognitive function, emotional health, sensory function, health behaviors, social connectedness, sexuality, and relationship quality. The panelists in this symposium use NSHAP data to shed light on previously un- or underexplored aspects of health during aging. Kaufman et al. use interviewer ratings of respondents’ skin shade along with respondents’ individual experiences of discrimination, neighborhood racial composition, and other factors to characterize heterogeneity in the racial experience and how heterogeneity relates to health inequities. Riley integrates information on respondents’ residential region at birth and in older age to show that older adults who left the South are less healthy than those who stay in the South, and that social embeddedness helps to explain the health benefits for those who stay. Huang et al. take advantage of rich structural and functional social connectedness data to show that self-reported hearing impairment is associated with depth but not breadth of social connections. Huisingh-Scheetz et al. capitalizes on performance measures of gait speed and chair stands obtained at each wave to examine whether repeated measures improve the ability to predict loss of independence in activities of daily living. Discussant will discuss the importance, strengths, and weaknesses of these papers, and consider implications for future research.
PARTNERING IN GERIATRICS WORKFORCE ENHANCEMENT PROGRAMS: MODELS TO ENHANCE COLLABORATION AND ENGAGEMENT
Authors: Waters Leland , Tumosa Nina 
Published: November 2019

Abstract
To achieve their healthcare system transformational goals to improve care for older adults, Geriatrics Workforce Enhancement Programs (GWEPs) facilitate the building of strong relationships among academia, community-based organizations, and primary care networks. Each GWEP develops strategies to formalize collaborations and build sustainable networks to meet program goals while addressing partner needs. Unique models from four GWEPs addressing stakeholder engagement are described, and factors facilitating collaboration are explored. One GWEP achieves mutual goals by collaborating with statewide coalitions that have a history of successful partnerships. Another GWEP achieves programmatic goals through an “all-in” interprofessional model called the Plenary. A third GWEP has capitalized on a shared complex outcome that requires multi-level stakeholder engagement to support aging in place. The final GWEP has coopted the resource exchange model as a conceptual foundation in order to enhance collaboration. Themes emerging from these four models include: (1) the enhancement of interpersonal relationships through communication, trust, and engagement; (2) the importance of commitment to the overall partnership itself; (3) the critical component of resource sharing and synergy across projects; and (4) strategies for sustainability in the face of changes and challenges across healthcare systems. Given the complex nature of person-centered interventions in geriatrics, it truly takes a village to develop and provide services for a heterogeneous, targeted population. This symposium emphasizes key elements of the structures and processes of these transformational GWEP villages.
THE ROLE OF GERONTOLOGISTS IN ACHIEVING THE UN’S SUSTAINABLE DEVELOPMENT GOALS
Authors: Cox Carole , Cox Carole B 
Published: November 2019

Abstract
The Sustainable Development Goals (SDG’s) developed by the United Nations in 2015 are global benchmarks for all countries to meet by 2030 to ensure well-being and prosperity while protecting and promoting human rights and freedoms. The underlying pledge is that no one will be left behind Globally, older adults are one of the most vulnerable populations, suffering from poverty and poor health and little social protection. Social workers can play key roles in assuring that the concerns and interests and rights of older adults are recognized in the SDGs and in the policies developed to meet them. This paper focuses on 6 of the SDG’s that are most pertinent to the status and inclusion of older people and the implications they have for specific social work involvement.