bluuebunny/crossref_metadata_2025_split huggingface dataset:
INTEREST GROUP SESSION—RELIGION, SPIRITUALITY AND AGING: KEEPING FAITH ALIVE: ADVANCING THE NEXT GENERATION OF RELIGIOUS AND SPIRITUAL INQUIRY IN GERONTOLOGY
Authors: Bishop Alex J , Ellor James W 
Published: November 2019

Abstract
A compelling body of evidence suggests that church attendance and spiritual practices increase as persons approach the end life. In fact, a growing number of baby boomers in the United States are returning to church and reconnecting with their faith communities. A primary reason for this surge in religious engagement involves a personal desire to turn away from the material pursuits of life and achieve a sense of meaning and fulfillment amid increasing frailty and vulnerability. However, most religious institutions do not have the necessary resources to support an ever increasing older membership. The graying of religion will require gerontologists to develop innovative approaches to advance theoretical thinking, measurement and assessment practices, and program evaluation. Therefore, the purpose of this symposium is to advocate and synergize a new generation of religious and spiritual inquiry in gerontology. Of particular interest is exposing theoretical models, measurement strategies, mixed-methodologies, and evidence-based findings to promote and sustain positive faith connections as persons grow old. Empirical advancements surrounding commitment and practice of one’s religious faith in old age, evolving feelings of religious belief versus doubt, disposition to seek and engage in acts of forgiveness, and faith-community responses to dementia care will be shared. Implications relevant for building interdisciplinary and transdisciplinary connections across behavioral and social science research, social work, clinical counseling, and pastoral ministry will be highlighted.
A TEST OF THE OKLAHOMA INMATE FORGIVENESS AND WELL-BEING MODEL
Authors: Randall George K , Bishop Alex 
Published: November 2019

Abstract
Data was collected from older male offenders (N = 86 non-violent; N = 163 violent) incarcerated in Oklahoma. Testing a forgiveness model, positive evaluation of life PVOL was regressed on religiosity (REL) and forgiveness of self (FSelf), others (FOthers), and situation (FSit) using hierarchical OLS regression. Blocks of predictors included: a) age and education; b) religiosity; and c) FSelf, FOthers, and FSit. For the non-violent model of PVOL significant predictors included REL (β = .26, p ≤ .01) and FSelf (β = .40, p ≤ .01). For the violent offender model of PVOL significant predictors included REL (β = .31, p ≤ .001), FS (β = .21, p ≤ .01) and FSit (β = .33, p ≤ .001). Result indicate effects of REL and FSelf for both non-violent and violent offenders but a unique association of FSit for violent offenders. Implications for gerontological inquiry, practice, and policy are discussed.
PERSON-CENTERED CARE: DEFINITIONS AND PERCEPTIONS OF VARIOUS STAKEHOLDERS
Authors: Kusmaul Nancy , Tucker Gretchen 
Published: November 2019

Abstract
Implementation of culture change in nursing homes shifts the care model from a traditional, more medically focused approach to person-directed care. Person-directed care promotes resident autonomy and decision making and the empowerment of direct care staff. In this paper, we examine how different stakeholders in nursing homes (residents, family members, direct care staff, administrative staff) conceptualize and experience a selection of person-centered care concepts (consistent assignment, meal choice, waking/bedtime practices, and bathing). We describe the commonalities and differences in the ways different groups of stakeholders operationalize these core person centered care practices and describe areas of potential conflict of views. Lastly, we consider how the well-being and quality of life for residents is affected by the use of these practices.
THE RELATIONSHIP BETWEEN ADVANCE DIRECTIVE COMPLETION AND POTENTIALLY AVOIDABLE HOSPITALIZATIONS
Authors: Galambos Colleen M , Rantz Marilyn , Popejoy Lori , Angelita Pritchett , Petroski Greg 
Published: November 2019

Abstract
Advance directive (AD) completion can improve transitions between hospitals and skilled nursing facilities (SNF’s). One CMS Innovations Demonstration Project, The Missouri Quality Initiative (MOQI), focused on improving advance directive documentation and use in sixteen SNF’s. An analysis was conducted of data collected from annual chart inventories occurring over four years. Using a logistic mixed model, results indicated statistical significance (p&lt;0.001) for increased AD documentation. Greatest gains occurred at project mid-point. The relationship between having an advance directive and occurrence of transfer to a hospital was tested on a sample of 1563 residents with length of stays more than 30 days. Residents who did not have an advance directive were more likely to be transferred. A logistic regression was conducted and the results were statistically significant (p&lt;0.02). The MOQI model and initiatives will be explained followed by a discussion of research methodology, data collection, and analyses. Practice implications will be discussed.
MUSEUMS AND AGING: VISTAS, SYNERGIES, AND OPPORTUNITIES
Authors: O'Neill Desmond 
Published: November 2019

Abstract
Against a background of an overall decrease in attendance at museums, older Americans represent a contrast with a marked increase in attendance of those aged over 75. Drawing on theorists of museums and the narratives on ageing in the literature of museums, this introductory presentation gives an overview of the socio-political context of museums, the activities and roles of older people as currently presented through networks such as the Network of European Museums Organizations, and propose a fresh vision of the networks and synergies between older people, museums and gerontology.
DEVELOPING AND IMPLEMENTING ALIVIADO DEMENTIA CARE IN HOSPICES: CHALLENGES ENCOUNTERED AND LESSONS LEARNED
Authors: Brody Abraham A , Lin Shih-Yin , Schneider Catherine E , Bristol Alycia A , Convery Kimberly E , Sotelo Victor 
Published: November 2019

Abstract
Hospice was originally developed to care for individuals with metastatic, solid-tumor cancers. While advanced ADRD is now the primary illness in approximately 19% of the hospice population and presents as a co-morbid condition in many more, little evidence-based work has been performed to retool hospice to care for persons with ADRD and their caregivers. Aliviado Dementia Care-Hospice Edition is a systems level change program consisting of hospice workforce training, an implementation toolbox, and agency-wide workflow changes. Aliviado seeks to improve the quality of life for persons with ADRD and their caregivers receiving hospice, focused specifically on BPSD and pain assessment and management. In developing a coalition of hospice agencies and implementing this pragmatic intervention, we discuss our solutions to overcoming a number of barriers, including varying electronic health records, performing culture change with a disseminated workforce, scaling to 25 hospices, and working with some hospices who lack experience performing research.
GEROFIT: IMPACT ON PTSD SYMPTOMS AMONG PARTICIPATING VETERANS WITH SELF-REPORTED PTSD
Authors: Lee Cathy , Melrose Rebecca , Blanchard Erin , Wilkins Stacy , Castle Steven , Hall Katherine , Morey Miriam 
Published: November 2019

Abstract
Post-traumatic stress disorder (PTSD) increases risk of medical comorbidities in aging. The Gerofit Program is an exercise program for older Veterans that shows efficacy for physical health. We sought to determine its impact on PTSD. Veterans in Gerofit completed a self-report questionnaire at 3 and 6 months assessing effect of Gerofit on: PTSD symptoms generally, disturbing dreams, avoidance, negative feelings, and irritability. Two hundred twenty-nine Veterans completed the questionnaire. Of these, 56 (24.5%) reported PTSD. None reported worsened PTSD following Gerofit participation. At 3 months, &gt;50% of Veterans reported symptom improvement and this was maintained over 6 months for all items (p&gt;0.05 paired t-test). There was an increase between 3 and 6 months in the percentage who reported “improved a lot” for overall symptoms (16.7% to 22.2%), negative feelings (5.6% to 11.1%) and irritability (0% to 11.1%). Gerofit may offer an effective intervention to improve PTSD symptoms in older Veterans.
WHAT’S IN IT? AN IN-DEPTH DESCRIPTION OF THE INDIAN COUNTRY ROAD MAP
Authors: Holt Heidi 
Published: November 2019

Abstract
As tribal health and aging leaders become concerned about the growing problem of dementia, they can build on strengths in their cultures and traditions, which provide unique opportunities to improve the lives of older adults living with dementia, their families, and their communities. To offer a tool for tribal leaders, CDC, together with key partners, created The Healthy Brain Initiative: The Road Map for Indian Country. Designed to support discussion about dementia and caregiving within tribal communities, this Road Map encourages a public health approach as part of a holistic response. During this presentation, an in-depth review of the themes that shaped this Road Map will be provides, gaps in knowledge and practice will be described, and explain the 8 recommended actions in the Road Map. Discussion will wrap up with recommended actions for moving forward, as well as CDC’s plans for supporting implementation of the Road Map.
DATA FOR ACTION: CDC’S BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) COGNITIVE DECLINE AND CAREGIVING DATA
Authors: McGuire Lisa C 
Published: November 2019

Abstract
The Centers for Disease Control and Prevention’s (CDC) Behavioral Risk Factor Surveillance System (BRFSS) is the world’s largest ongoing health survey, administered in all 50 U.S. states, as well as the District of Columbia and the three U.S. territories, with data collected from more than 400,000 respondents. The BRFSS collects data on cognitive decline and caregiving as well as many health behaviors, annually. In 2015-2017, the 6-item cognitive decline module has been administered in 49 states, DC, and Puerto Rico, while the 9-item caregiving has been administered in 44 states, DC, and Puerto Rico. CDC’s Alzheimer’s Disease and Healthy Aging Program has developed many data for action resources for use by states and other partners to help identify populations and communities most at need. This presentation will describe the series of resources to facilitate data utilization among Tribal Communities, including state and race/ethnicity-specific infographics, topic-specific briefs, and the online portal.
BIDIRECTIONAL ASSOCIATIONS BETWEEN SLEEP COMPLAINTS AND DEPRESSION: FINDINGS FROM THE NHATS STUDY
Authors: Liu Minhui , Szanton Sarah L , Vitiello Michael V 
Published: November 2019

Abstract
Depression and insomnia are prevalent in older adults and show bidirectional relationships. Sleep initiating and maintenance difficulties are the two frequently seen complaints of insomnia diagnostic criteria. Whether these two sleep complaints differ in their associations with depression is unknown. Using the National Health and Aging Trends Study (NHATS), we examined whether sleep initiating and maintenance difficulties at baseline (T1) predicted depression onset at 12 months (T2) and 24 months (T3) in 4,048 T1 non-depressed participants and whether depression at T1 predicted these two sleep complaints at T2 and T3 in 3,581 T1 non-insomnia participants. Participants who developed depression at T2 tended to be Hispanic, non-Hispanic black, less educated, live alone, physically inactive, and have more painful locations and chronic conditions. Participants with sleep complaints at T2 tended to be less educated, live alone, physically inactive, and have more painful locations and chronic conditions. Sleep initiating difficulty persistently predicted depression onset at T2 (OR: 1.62, 95% CI: 1.14, 2.31) and T3 (OR: 1.84, 95% CI: 1.21, 2.81) after adjusting demographics, lifestyles and health condition-related covariates. Depression at T1 persistently predicted sleep initiating difficulty at T2 (RRR: 2.19, 95% CI: 1.44, 3.34) and T3 (RRR: 1.70, 95% CI: 1.07, 2.70) after adjustment. Sleep maintenance difficulty at T1 did not predict depression onset at either time point and vice versa. This study suggests a bidirectional association of depression with sleep initiating difficulty but not sleep maintenance difficulty in older adults. Interventions targeting difficulty initiating sleep may moderate depression onset in older adults.
DYADIC FACTORS THAT ASSOCIATE WITH INSOMNIA IN CAREGIVERS OF PERSONS LIVING WITH DEMENTIA
Authors: Brewster Glenna S , Bliwise Donald , Epps Fayron , Yeager Kate , Hepburn Ken 
Published: November 2019

Abstract
Insomnia is prevalent in caregivers of persons living with dementia (PLWD); however, more research is needed to identify which dyadic factors most impact caregiver sleep. This study aimed to identify the factors associated with caregiver insomnia in the baseline component of a randomized clinical trial. A linear regression was conducted with caregiver variables (e.g., depression), and PLWD variables (e.g., disruptive nighttime behaviors) as independent variables in relation to insomnia, as assessed with Insomnia Severity Index (ISI). Caregivers (n=49) were on average 63 years, mostly female (65.3%), White (69.4%), and spouses (65.3%). Mean ISI was 6.8, indicating mild-to-moderately disturbed sleep. Multiple linear regression (F(11,32) = 13.4, p&lt;.001) showed that both caregiver-based measures (depression, p&lt;.023) and PLWD-based measures (disruptive nighttime behaviors, p&lt;.001) were independently associated with ISI. Ideas about needed multicomponent dyadic interventions which target both PLWD nighttime behaviors, caregiver depression, and sleep disturbances will be discussed.
POOR SLEEP QUALITY IS RELATED TO DECREASED WHITE MATTER INTEGRITY IN BRAIN NOCICEPTIVE PATHWAYS IN OLDER ADULTS
Authors: Egbert Anna R , Falck Ryan S , Best John R , Li Linda , Feehan Lynne , Liu-Ambrose Teresa 
Published: November 2019

Abstract
Poor sleep quality, decreased physical activity (PA) and increased sedentary behavior (SB) are common characteristics of older adults. Notably, these factors play an important role in brain health. We examined the relationship between sleep quality, PA, SB and brain white matter integrity (WM) in older adults with osteoarthritis (OA). We retained data on 16 participants (mean age 60, SD=7.7) from a larger Monitor-OA cohort recruited from Metro Vancouver, BC, Canada. Sleep efficiency and duration, amount of time spent on PA and SB daily over a period of one week was acquired with an objective measure – the multi-sensor monitor SenseWear Mini which integrates tri-axial accelerometer data, physiological sensor data and personal demographic information. Brain WM tractography was calculated from fractional anisotropy data obtained with diffusion weighted magnetic resonance imaging. Voxelwise group-level statistics examined the effects of our variables of interest on the integrity of brain WM tracts while controlling for participants age. We found that lower sleep efficiency was related to decreased integrity in WM tracts of frontal, temporal lobes, precuneus and thalamus (Bonferroni corrected p&lt;0.05). Shorter sleep was related to lower WM integrity in frontal regions, posterior cingulate and insula radiations (Bonferroni corrected p&lt;0.05). No significant effects were noted for PA or SB. The identified brain regions are involved in sleep processes but further overlap with the nociceptive brain network. Our findings suggest that neural mechanisms related to sleep disturbance may also involve pain-related processing in older adults.
PREDICTORS OF LONELINESS INCIDENCE IN CHINESE OLDER ADULTS FROM A LIFE COURSE PERSPECTIVE
Authors: Yang Fang , Gu Danan 
Published: November 2019

Abstract
Loneliness in older adults is an increasing public health issue. Research on predictors of loneliness incidence using longitudinal data in China is limited. We aim to examine what factors are predictive of loneliness incidence from a life course perspective and whether predictors differ between women and men based on a nationally representative longitudinal dataset in China. A total of 5,043 older adults aged 65 or above from the Chinese Longitudinal Healthy Longevity Survey who were not lonely in the 2008 wave were included in the analysis. Logistic regression models were applied to examine what factors in the 2008 wave predicted loneliness incidence in the 2011 wave. Analyses were also stratified by gender to examine gender differences. Older ages and self-rated poor health increased the odds of loneliness incidence, whereas receiving one or more years of schooling, rural-urban migration, living with family members, having a white-collar job, having a good family economic status, being currently married, having a higher resilience and social support decreased the odds of loneliness incidence. We also found gender differences: socioeconomic factors were significant only for older men, whereas self-rated health, resilience, and social support were significant only for older women. This study offers insights into disentangling the complexity of factors associated with loneliness incidence in Chinese older adults from a life course perspective and from a gendered perspective.
SEX AND TISSUE SPECIFIC ROLES OF MTORC2 IN HEALTHSPAN, METABOLISM, AND SURVIVAL
Authors: Lamming Dudley W 
Published: November 2019

Abstract
Genetic and pharmacological inhibition of the mechanistic Target Of Rapamycin Complex 1 (mTORC1) promotes health and longevity in organisms ranging from yeast to mice, and may also have rejuvenative effects in dogs and humans. A potential barrier to the translation of rapamycin-based therapies to the clinic are the side effects of rapamycin, which include metabolic disruption. We and others have demonstrated that many of these side effects are mediated not by inhibition of mTORC1, but by “off-target” inhibition of a second mTOR complex, mTORC2. However, the effect of inhibiting mTORC2 on the healthspan and longevity of mammals has been largely unaddressed. Here, we will discuss our research exploring the contribution of mTORC2 signaling in three different tissues to the healthspan, metabolism, and longevity of mice.
ANTI-CELL SENESCENT EFFECTS OF RAPAMYCIN AND THEIR ROLE IN DISEASES, INCLUDING ALZHEIMER’S
Authors: Perez Viviana I 
Published: November 2019

Abstract
Senescent cells contribute to age-related pathology and loss of function, and their selective removal improves physiology and extends longevity. We have shown that deficiency in Nrf2 in young Nrf2KO mice leads to an increase in senescent cells, with increased levels of pro-inflammatory cytokines in various tissues, including the brain. Both the cellular senescence and SASP decrease significantly when these mice are treated with rapamycin. Our current work focuses on determining whether cellular senescence contributes to premature AD-like pathogenesis in mouse models of AD. Indeed, it has been shown that Nrf2 deficiency in mouse models for AD leads to exacerbated pathology, suggesting that increased inflammation, due in part to the increased SASP-producing senescent cells, might be contribute to this phenotype. We are testing whether the burden of senescent cells in the brain on mouse models of AD can be reverted by rapamycin.
DO OLDER ADULTS AND THEIR CHILDREN AGREE ABOUT THE USE OF LOCATION TRACKING, IN-HOME SENSORS, AND WEB-CAMERAS?
Authors: Berridge Clara 
Published: November 2019

Abstract
On the dyad and aggregate level, we compare preferences of older adult women and their adult children for three remote monitoring technologies: location tracking, in-home sensors, and Web-cameras. Their assessments of each technology’s impact on privacy, safety, independence, freedom, relationship with family member, social life, and identity are also compared. Twenty-eight individual, in-depth structured interviews were conducted with 18 women who are Meals on Wheels clients and 10 of their adult children. Adult children preferred each technology more than their mothers did and underestimated both their mothers’ ability to comprehend the functions of the technologies and the importance of engaging them fully in decision making. For both groups, privacy was the most-cited concern, and participants perceived significant overlap between values of privacy, independence, identity, and freedom. Shared decision-making tools are needed to promote remote monitoring use consistent with older adults’ values and to prevent conflict and caregiver overreach.
GWEPS WORKING TO SUPPORT THE AGE-FRIENDLY HEALTHCARE SYSTEM MOVEMENT
Authors: Cortes Tara A , St.John Cinnamon , Lucas Jeff 
Published: November 2019

Abstract
Age friendly health systems aim to help people age and die with dignity. As this social movement progresses it is important to remember the community as a critical stakeholder. To ensure their engagement requires input from the community to understand their needs and education of the community to empower people to know what standard should be expected from an age friendly health system. The NYU GWEP has trained 140 community volunteers who have educated &gt;4,500 older adults in the Bronx on healthy behaviors and chronic disease management. 85% responded that they have changed their behaviors as a result of the teaching. Qualitative data reveals that people feel they can now talk to their primary care provider in a meaningful way about what matters to them, the medications they take, their mental state, and mobility.
“BUT WE ARE NOT POWERLESS AGAINST THIS PROBLEM”: OLDER PEOPLE, LONELINESS AND THE MEDIA
Authors: Sullivan Mary Pat 
Published: November 2019

Abstract
Media campaigns play a critical role in framing public perceptions or ‘public talk’ around social issues. The media’s role in characterizing the loneliness ‘problem’ is, however, an under explored area. This paper presents the language of loneliness and loneliness representations in the media in Canada and England over a 10-year period (2009-2018) and their relationship with key policy initiatives specific to an ageing population. Using qualitative content analysis, the findings illustrate the use of skilled marketing techniques and highly stigmatizing discourse. These media approaches act to: (1) reinforce the threat of an ageing population; (2) endorse responsibilization and governmentality of the body; and (3) promote individual and/or family shame and morally responsible actions by charities and volunteers. We conclude that there is a need for a critical analysis of loneliness from the perspective of social and cultural constructions of ageing, the positioning of older people in society, and neo-liberalist ideology