bluuebunny/crossref_metadata_2025_split huggingface dataset:
ATTITUDES TOWARD OWN AGING AND PERSONALITY IN LATER LIFE: EXAMINATION OF BIDIRECTIONALITY OVER 20 YEARS
Authors: Kornadt Anna E , Siebert Jelena S , Wahl Hans-Werner 
Published: November 2019

Abstract
Big Five personality traits are assumed to be linked with attitudes toward own aging (ATOA). Both constructs have central importance for the aging process, it is thus important to comprehensively address their mutual connection over time. We used data from the ILSE study, a longitudinal study with four measurement occasions, spanning 20 years and including two participant cohorts (n = 501; born 1950-52 and n = 500; born 1930-32). Dual latent change score models showed that personality was longitudinally related to change in ATOA: Lower Neuroticism, higher Conscientiousness, and higher Openness predicted more positive attitudes; the effect for Extraversion varied by time. Furthermore, the role of personality seems to be confined to certain sensitive periods in midlife and early old age. ATOA had only marginal longitudinal impact on personality. Our results shed light on the developmental co-dynamics of personality and subjective perceptions of aging across the second half of life.
COGNITIVE PERFORMANCE AND COGNITIVE COMPLAINTS WITH ATTITUDES TOWARD AGING IN MIDLIFE AND OLD AGE
Authors: Siebert Jelena , Siebert Jelena S , Braun Tina , Wahl Hans-Werner 
Published: November 2019

Abstract
Converging longitudinal research suggests that more negative views on aging go along with higher cognitive impairment. In some contrast, although conceptually suggested, possible reciprocal relationships remain less clear empirically. Using 20-year data from the Interdisciplinary Longitudinal Study of Adult Development (ILSE), we aim to better understand developmental co-dynamics between cognitive factors and attitude toward own aging (ATOA). Drawing on 1002 baseline participants (445 at T4) from two age cohorts (midlife: 40 years at baseline; old age: 60 years), longitudinal trajectories between ATOA, performance-based cognitive measures and subjective cognitive complaints are examined. Findings based on multi-group latent growth curve models (a) reveal substantial associations between ATOA and subjective complaints as well as objective cognition in both age groups; (b) confirm previous findings that ATOA predicts cognitive change over 20 years; and (c) find cognitive complaints but not cognitive performance able to predict change in ATOA in later life.
AGE-RELATED ATTRIBUTIONS OF CHANGE: DETERMINANTS AND CONSEQUENCES
Authors: Rothermund Klaus , Couto Clara de Paula 
Published: November 2019

Abstract
Diehl and colleagues recently introduced the concept of “Awareness of Age-related Change” (AARC; Diehl & Wahl, 2010), emphasizing the need to investigate the subjective experience of one’s own aging. In the Aging-as-Future project (n=1,300 participants, age range 35-85), we separately assessed the experience of changes and attributions of these changes to age. Attributions of changes were driven by a correspondence between the direction of change (gain vs. loss) and negative vs. positive age stereotypes. Importantly, our data also support the assumption that changes interact with age-related attributions in predicting life satisfaction. Specifically, age-related attributions were shown to exacerbate negative effects of losses on well-being.
MOVING TOWARD BEST PRACTICES IN STATE APPROACHES TO SUPPORTING FAMILY CAREGIVERS OF OLDER ADULTS
Authors: Burgdorf Julia , Aufill Jennifer , Wolff Jennifer L 
Published: November 2019

Abstract
In January 2018, Congress passed the Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act to establish a national strategy to acknowledge and assist family caregivers. The success of such an effort will be contingent on knowledge and dissemination of best practices. We conducted a policy project funded by the Milbank Memorial Fund that profiles five geographically and politically diverse states that have pursued novel approaches to supporting family and unpaid caregivers of older adults. We discuss findings from national and state reports, state aging plans, and interviews with 26 key informants. We find that each state (Hawaii, Maine, Minnesota, Tennessee, Washington) sought to strengthen supports for family caregivers as an element of broader community-based long-term services and supports strategies. Supports for family caregivers included financial support for working caregivers, caregiver assessment and care planning, and expanded access to respite care: several states included these services within programs targeted to persons at high risk of institutionalization or Medicaid-entry. Key informants noted the importance of tailoring programs to suit each state’s unique demographic, geographic, and service delivery context, and reported that individual stories, advocacy, and data were critical to placing family caregiving on legislative policy agendas. State leaders highlighted the pivotal role of state aging networks in efforts to supporting caregivers, given these entities’ deep knowledge of local community needs and challenges and established relationships with local service providers. Meaningful change often required a long-term commitment and sustained incrementalism, typically by innovating on a smaller scale before expanding statewide.
NOTHING FOR ME WITHOUT ME: CAREGIVER TRAINING NEEDS
Authors: Elkins Jeananne , Rustin Phillip 
Published: November 2019

Abstract
Over 34 million informal caregivers provide care to an adult aged 50 or older with over 15 million caregivers caring for a person with dementia. People often become caregivers unexpectedly. For most caregivers little training is available, and most skills are learned “on the job”. The objective of this study is to determine the training needs of caregivers. An anonymous survey was conducted at two caregiver conferences. Caregivers were asked to name up to 5 training needs. For this abstract we report the percent of responses by caregivers. Seventy-nine caregivers completed the survey. Seventy-seven percent (77%) of the caregivers cared for a person over age 50. Increased knowledge of health issues (17%) and resources (17%) were the highest responses. Training in physical caregiving skills i.e. bathing (10%), transfers (8%) and diaper changes (4%) were voiced as important. Training for improving personal interactions with the care recipient was important (9%) as well as how to practice patience, kindness and compassion (7%). Two areas where training is available but perhaps not accessible – caregiver support (9%) and care recipient behaviors (8%) were all important to caregivers. Healthy eating (9%) and stopping or limiting driving by the care recipient (2%) were enunciated as areas requiring training. Many of the training needs should be addressed by healthcare professionals in their interactions with caregivers and care recipients. Programs are available online, but caregivers are not accessing this training. To improve outcomes for both caregivers and care recipients targeted training for caregivers is needed.
PHYSICAL ACTIVITY AND SEDENTARY BEHAVIORS: IMPACT ON SELF-RATED HEALTH AND PHYSICAL OUTCOMES IN CANCER SURVIVORS
Authors: Bluethmann Shirley M , Flores Eileen , Matthews Charles , Perna Frank 
Published: November 2019

Abstract
Physical activity (PA) and avoidance of inactivity are recommended in cancer survivorship. But survivors are not meeting these recommendations. We used national data (NHANES) collected 2011-2014 (n=9620) to estimate associations of PA and TV viewing with 3 health outcomes: self-rated health, functional limitations and multimorbidity in older cancer survivors and adults without cancer. Greater PA was associated with reporting excellent health in survivors. Survivors that obtained 22.5+ MET-hours/week were 5.5 times more likely to report excellent health than those that did no exercise (OR=5.5, p&lt;.001). We observed a decrease in likelihood of multimorbidity and functional limitations with increasing PA (both significant at p&lt;.001). We noted survivors that abstained from watching TV were 3x more likely to report excellent health and between 60-80% less likely to report functional limitations and multimorbidity than TV watchers (p&lt;001). Findings with non-cancer adults were similar. Survivors need PA and reduced TV to maximize health outcomes.
SELF-REPORTED WALKING PACE AND ALL-CAUSE MORTALITY AMONG CANCER SURVIVORS IN THE NIH-AARP DIET AND HEALTH STUDY
Authors: Salerno Elizabeth , Maurice Pedro Saint , Willis Erik , DiPietro Loretta , Matthews Charles 
Published: November 2019

Abstract
We examined the association between self-reported walking pace and all-cause mortality among cancer survivors in the NIH-AARP Diet and Health Study. Participants included 30,110 adults (Mage=62.4+/-5.14 years) diagnosed with cancer between study enrollment and follow-up, when they self-reported walking pace. Individuals were followed until death or administrative censoring in 2011. We estimated the hazards ratios (HR) and 95% confidence intervals (CI) for walking pace and all-cause mortality adjusting for age, sex, race, BMI, health status, physical activity and cancer type. Cancer survivors reporting faster walking paces had significantly reduced mortality risk. Relative to those reporting an ‘easy’ walking pace, walking at a ‘normal,’ ‘brisk,’ or ‘very brisk’ pace was associated with significantly lower risk: [HR=0.74 (0.70,0.78)], [HR=0.66 (0.61,0.71)], and [HR=0.73 (0.60,0.89)], respectively. Being ‘unable to walk’ was associated with 30% increased mortality [HR=1.30 (1.15,1.46)]. These findings provide novel support for the association between self-reported walking pace and survival after cancer.
HARNESSING TECHNOLOGY TO SUPPORT PERSONS WITH DEMENTIA AND THEIR CAREGIVERS
Authors: Andersen Stacy L , Boot Walter , Kaye Jeffrey 
Published: November 2019

Abstract
One in eight older adults in the US has Alzheimer’s disease or a related dementia, which are characterized by progressive cognitive and physical declines. The impact of dementia also goes beyond the individual since 92% of persons with dementia receive functional and emotional support from family members and other informal caregivers. The time demands, financial strain, and emotional toll of caregiving are known to cause increased stress and health problems. Therefore, there is a wealth of opportunities to develop new ways to intervene in the progressive loss of function among persons with dementia and ways to support them and their caregivers. Co-sponsored by the Alzheimer’s Disease and Related Dementias and Technology and Aging Interest Groups, this symposium addresses innovations in the implementation of new and existing technologies in the dementia care continuum. We will discuss the development and testing of a new mobile application designed to integrate both physical activity and cognitive training. Then we will discuss results from a virtual support group intervention to provide disease education, care planning, and emotional and social support among persons newly diagnosed with Alzheimer’s disease and living alone. Next we will share results from a study using customized voice-assisted technologies to enable individuals with memory impairment to maintain independence and quality of life and reduce caregiver burden. Finally, we will present findings regarding the validity and accuracy of a wearable sensor-based device that measures skin conductivity and heart rate variability to monitor stress level among caregivers of persons with dementia.
CUSTODIAL KNOWLEDGE AND LEGAL PERCEPTION AMONG GRANDPARENTS RAISING THEIR GRANDCHILDREN
Authors: Bownes Elizabeth , Crowther Martha R , Cox Jennifer 
Published: November 2019

Abstract
The current study examines the ways in which grandparents raising their grandchildren (GRCs) understand custody, perceive the legal system, and access resources related to their grandchild(ren)’s welfare. Due to the detrimental impact of the opioid crisis over the last decade, the number of skipped generation households is growing significantly not only in Alabama, but across the U.S.. Many GRCs lack crucial information regarding custody arrangements in a general sense or as it applies to education, healthcare, mental health, and financial aid. Critical gaps remain present in the GRC literature necessary to aid in future intervention studies and promote more effective support, resources, and policy for this population. The present study sought to examine the unique needs and experiences of GRCs, and to specifically explore legal aspects associated to their grandchild(ren)’s welfare. Using a mixed methods approach, GRCs in Tuscaloosa, Alabama completed a quiz of custodial knowledge, a survey on legal perception, and a semi-structured interview. Quantitative data revealed the most and least commonly understood aspects of custody, as well as opinions on associated legal systems related to a child’s “best interest.” Qualitative data analysis revealed the common themes related to custody to be unexpected assistance, ineffective assistance, leniency for parental deviance, fear of losing custody, and time and cost demands.
EFFECTS OF SOCIAL RELATIONS ON MORTALITY IN THE CONTEXT OF GRANDPARENTING
Authors: Jang Heejung , Tang Fengyan 
Published: November 2019

Abstract
Issues of health and well-being have received considerable attention as a way to help grandparent caregivers. There is growing evidence that grandparenting is beneficial for grandparent caregivers’ health, yet acting as grandparent caregiver also is detrimental to health and social relations when a grandparent provides an extensive level of care to grandchildren. The extent to which grandparent caregiving benefits or harms of the health of a grandparent is still unknown; mortality specifically has not been systematically studied. Moreover, although altruistic behaviors towards others have been shown to have beneficial effects on caregivers’ health in general, there is little information regarding social relations of grandparent caregivers and their impact on mortality. This study aims to investigate the roles of different aspects of social relations among community-dwelling older adults, examining whether aspects of social relations, including social networks, received functional support aid, and perceived support quality, mediate the association between grandparent caregiving and mortality. The data were drawn from the 2008 and 2014 Health and Retirement Study (N=1,196). Results of survival analyses indicate that custodial and co-parenting grandparents were significantly associated with all-cause mortality over a 6-year period; however, the associations were marginally significant after health statuses were added into the model. Specifically, family-focused network groups were significantly associated with mortality. Received functional support and perceived positive support mediated the association between custodial grandparents and mortality. This study suggests that community-based support may be beneficial to older grandparents and perceived positive relationship quality could matter for older adults’ well-being.
INTEREST GROUP SESSION—NUTRITION: IMPLEMENTATION OF NUTRITION, BODY COMPOSITION, AND FUNCTIONAL ASSESSMENT IN VULNERABLE OLDER ADULTS
Authors: DiMaria-Ghalili Rose Ann , Locher Julie 
Published: November 2019

Abstract
This symposium will highlight the implementation of nutrition, body composition and functional assessment in vulnerable older adults. Understanding the barriers and enablers of implementing traditional nutrition screening and assessment tools, nutrition focused physical examination, body composition analysis, functional assessment and biomarkers can aid researchers in the design of pragmatic nutrition studies in vulnerable older adults. DiMaria-Ghalili will provide an introduction to overall nutrition assessment in community-dwelling older adults and present lessons learned in regards to nutrition assessment protocols (Mini-Nutritional Assessment, hand-grip strength, and inflammatory biomarkers) from an ongoing clinical trial. Starr will discuss the issues surrounding nutrition screening and assessment in high-risk older adults undergoing abdominal surgery. A comparison of data on different nutrition screening and assessment tools (NRS-2002; PG-SGA, Nutrition Focused Physical Examination) in older adults undergoing abdominal surgery will be presented. Batsis will discuss the controversies and challenges in body composition assessment focusing on sarcopenic obesity. Data highlighting the different diagnostic criteria of sarcopenic obesity and diagnostic accuracy will be presented. The link between overall nutrition status and physical function on health outcomes is emerging in older adults. Bales will discuss the types of physical function assessment tools used in studies of older adults and discuss her findings on the impact of higher protein intake on functional outcomes. The symposium will conclude with a discussion led by Locher on practical implications of integrating best assessment techniques into clinical practice.
NUTRITION ASSESSMENT IN HIGH-RISK PATIENTS: NRS-2002, PG-SGA, AND NFPE IN OLDER ADULTS PREPARING FOR ELECTIVE SURGERY
Authors: Starr Kathryn N Porter , Young Kenlyn , McDonald Shelley R , Loyack Nancy , Lagoo-Deenadayalan Sandhya ​Sandhya , Heflin Mitchell T , Pieper Carl F , Bales Connie W 
Published: November 2019

Abstract
Post-surgical complications are most common in older adults. While a number of factors contribute, one key determinant is malnutrition. Malnutrition is seen in up to 86% of older adults at hospital admission. Malnutrition and post-surgical complications are linked through two critical observations: 1) malnutrition dramatically reduces the ability of older adults to overcome postsurgical health stressors, and 2) nutritional status is likely to deteriorate further during hospitalization and after discharge. Despite convincing evidence that perioperative nutrition intervention can improve surgical outcomes, nutrition screening and assessment in the preoperative period is not required or standardized. We will review issues surrounding screening and assessment of malnutrition in older adults preparing for elective surgery and present data on screening (NRS-2002) and assessment tools (Nutrition Focused Physical Exam and PG-SGA) used in this high-risk population. Finally, we will discuss best practices for identifying and intervening with malnourished older adults in the preoperative setting.
PHYSICAL FUNCTION AND BODY COMPOSITION AS NUTRITIONAL OUTCOMES: ASSESSMENT APPROACHES
Authors: Bales Connie W , Starr Kathryn N Porter , Miller Marshall 
Published: November 2019

Abstract
Nutritional status is a strong determinant of both body composition and physical function (PF), parameters that are closely interrelated but rarely evaluated in the clinical setting due to cost, access, and lack of agreement on best approaches in older adults. Recent evidence that changes in muscle mass do not closely correspond to changes in muscle function will be reviewed in the context of our studies of higher protein obesity interventions. PF assessments, including indices for older adults (Short Physical Performance Battery and Physical Performance Test), as well as specific tests like gait speed and handgrip strength, will be explained as nutrition outcomes and in relation to body composition from air displacement (BodPod) and dual energy x-ray absorptiometry (DXA). These results, along with new studies of muscle quality, will bring a better understanding of the complexity of responses to nutritional interventions designed to optimize body mass and composition in older adults.
INTEREST GROUP SESSION—MENTAL HEALTH PRACTICE AND AGING: INTEGRATION OF SOCIAL DETERMINANTS OF HEALTH IN DEFINING HEALTH BEHAVIORS AND OUTCOMES AMONG DIVERSE OLDER ADULTS
Authors: Minahan Jacquelyn , Baker Tamara A 
Published: November 2019

Abstract
Social determinants of health (SDoH) are conditions in which individuals live, learn, work, and play. Specifically, they are influenced by the distribution of resources, money, and power, and have significant implications on health behaviors and outcomes across the life span. Existent data show the influence these indictors may have in the onset and progression of chronic illnesses. However, much of these data focus on the effect of race and health, as social determinants, but fail to adequately address the myriad other factors (e.g., health care, social and community context) that influence the social patterning across the life course. This symposium presents findings from several studies highlighting the nuanced role of SDoH across diverse populations of older adults. Scholars will present findings on the influence that identified determinants, such as social networks, lifestyle behaviors, and gender, have in defining health outcomes across the life course. Minahan presents the relationship between chronic illnesses and depression and compares depressive symptomatology according to disease cluster in a nationally-representative sample of older adults. Atakere discusses determinants of well-being among African American males with chronic illnesses and the challenges associated with this marginalized population. Booker examines spirituality as a mechanism for pain management among older African Americans and presents this as a crucial determinant of health. This symposium will expand on the existing body of literature by emphasizing social and cultural determinants, aside from race, that influence health behaviors and outcomes across the life span.
MULTIMORBIDITY IN OLDER ADULTS: CAN DISEASE CLUSTER PREDICT DEPRESSION SEVERITY?
Authors: Minahan Jacquelyn 
Published: November 2019

Abstract
Multimorbidity, defined as the co-occurrence of two or more chronic conditions, is positively correlated with depression severity among older adults. However, few studies have compared depression outcomes by disease cluster. To address this gap, secondary data analyses were performed using data from the National Social Life, Health, and Aging Project (NSHAP), Wave 2. For the purpose of this study, disease clusters are composed of conditions that implicate similar body systems (e.g., musculoskeletal system, cardiovascular system). Participants reported an average of 2.69 (+/- 1.97) chronic conditions. Multimorbidity and depressive symptom severity, as measured by the Center for Epidemiological Studies – Depression, Iowa Form (CES-D) were positively associated (p&lt;0.001). Individual disease clusters, age, self-identifying as female, and lower educational attainment were predictive of depressive symptom severity (p&lt;0.001). Findings support the necessary inclusion of social determinants (health status, gender, education, age) in the conceptualization of health and health outcomes within an aging population.
POLICY SERIES: INTERDISCIPLINARY PUBLIC POLICY DISCUSSION SESSION
Authors: Harootyan Linda K , Lindberg Brian W 
Published: November 2019

Abstract
This session, organized by the GSA Public Policy Committee, will provide both GSA section leadership and attendees an opportunity to have an open dialogue on important public policy issues of significance to the aging population. Section leaders will discuss key policy issues of particular relevance to their section’s mission and purpose. They also will comment on improving physical and mental health to illustrate how their different disciplines and perspectives inform and apply to public policy on that issue. This will be an interactive session with plenty of opportunity for audience feedback and input.