bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Meaning of Age or Generational Differences in U.S. Political Values and Priorities
Authors: Gonyea Judith , Hudson Robert 
Published: December 2020

Abstract
Nations globally are facing the fiscal consequences of being aging societies, including the redistribution of wealth resources across sectors that influence generational relations (i.e., healthcare, education, public pensions). Political differences or clashes between youth and older adults is not a new phenomenon. However, questions are being raised about whether current political systems, governing structures, and social trends are eroding generational solidarity which traditionally has a role in promoting equity and protecting vulnerable individuals from rapid social change. Reflecting on the 2020 national election results and political opinion surveys, we explore the meaning of age or generational differences in political attitudes in an increasingly partisan society. We suggest that the use of a generational location or habitus lens, which focuses on the distinct sociohistorical realities (i.e., different reference points, systems of aspiration, sets of anxieties) that shape age groups and their interrelations, may offer insights into current political debates and divides.
Caregiver Needs: Navigating Services, Technology, and Information
Authors: Whiting C Grace 
Published: December 2020

Abstract
Data suggests that caregivers may be taking on this role without adequate and affordable services and supports in place. Few caregivers report access to paid help and find it difficult to navigate a healthcare system that is complex and that changes continuously. Caregivers find it challenging to coordinate their recipients’ care across various providers, and the lack of affordable services make it difficult to be a caregiver today. While many caregivers rely on health care professionals (such as doctors, nurses, or social workers) as a source of information about providing care, few caregivers report having conversations with them about what they need to care for their recipient or to support their well-being. In this section, the presenter will discuss the needs of caregivers (respite, transportation, information, and training), focusing on policy and programmatic solutions geared to improving the well-being of caregivers and those under their care.
Efforts for Construction of More Effective Prevention and More Inclusive Protection Systems in Matsudo City
Authors: Wada Tadashi , Suda Hitoshi , Sato Kana 
Published: December 2020

Abstract
Matsudo City is preparing to implement an ordinance so that 3 protective services for children, older persons, and people with disabilities can work together for efficient prevention. Supporting pregnant women is sometimes effective for prevention of future child abuse. Supporting people with disabilities is often prevention of future neglect caused by them. Supporting perpetrators and victims of domestic violence is effective to prevent future elder abuse by interruption of abusive behaviors. We expect to prevent abuses by affiliation of various protective and supportive services. According to the Elder Abuse Prevention Law, elder abuse is defined as those inflicted by caregivers. Therefore, there is a big problem that abuses by non-caregivers are excluded from the coverage of the law. We are currently investigating abuses by non-caregivers to clarify the proportion of excluded cases among those reported to Elder Protective Services. I would like to talk about preliminary result of our investigation.
Advocacy as an Academic and Nurse Practitioner
Authors: Martin-Plank Lori 
Published: December 2020

Abstract
The first speaker is Dr. Lori Martin-Plank, an established academic at the University of Arizona, College of Nursing. Dr. Martin-Plank will provide her experiences in advocating for older adults in Pennsylvania and nationally through professional organizations, meeting with coalition partners to promote access to care for vulnerable older adults in rural areas by promoting full practice authority for nurse practitioners, and advocating for full home health authority for nurse practitioners. Dr. Martin-Plank will share how she is active in advocacy and policy at the local, state and federal levels, and how to build a presence and relationship with legislators on The Hill and State Capitol. Dr. Martin-Plank is a family, gerontological, and mental health nurse practitioner, practicing in Pennsylvania, New Jersey, and Arizona.
Involvement in State and Federal Aging Policy
Authors: Solway Erica 
Published: December 2020

Abstract
The fourth speaker is Dr. Erica Solway. Dr. Solway will discuss her experience working in policy at the federal level as a Health and Aging Policy Fellow and a policy advisor with the U.S. Senate Committee on Health, Education, Labor, and Pensions Subcommittee on Primary Health and Aging and in her current involvement in policy-relevant research at the state and national level at the University of Michigan Institute for Healthcare Policy & Innovation. Dr. Solway is a senior project manager forthe evaluation of the Healthy Michigan Plan, Michigan’s Medicaid expansion program, and is also an associate director of the University of Michigan National Poll on Healthy Aging.
Developing Age-Friendly Communities: Comparative Research on the Role of Social Infrastructure and Inclusion
Authors: Phillipson Chris , Yeh Jarmin , Phillipson Chris 
Published: December 2020

Abstract
Aging experiences are often framed by the forms in which communities take shape. In turn, the material forms of communities provide the conditions in which aging experiences and processes are produced. These multidirectional pathways of influence between micro-macro contexts comprise an assemblage of networks that usually go unnoticed, except on breakdown. Applying Leigh-Star’s (1999) charge to study these networks as infrastructure, we examine their “invisible work” in the ecological analysis of aging in community. This symposium presents research using community-embedded methods to illuminate how paradoxical forms of transparent and opaque infrastructure facilitate and mediate interactions between people, things, and the environmental shapes that hold these interactions. Yarker’s comparative case analysis of two Manchester neighborhoods highlight the critical importance of social infrastructure in supporting the diversity of relations needed to develop age-friendly communities and new forms of community action amongst older people. Grove’s qualitative and geo-spatial approaches demonstrate how planned and unplanned social interactions, and variety of social infrastructural forms, contribute positively and negatively to ageing well for older people in Dublin. Simon-Rusinowitz’s three-part intervention addresses unmet needs of older Baltimore residents in a low-income community; finding, in part-one, that housing is a platform for providing health and social services needed to age successfully. Yeh compares the conceptual frames undergirding age-friendly community initiatives with expert knowledges and lay perspectives of older San Franciscans, revealing tension between the rational dreams and material realities of aging in the community. These presentations contribute to gerontological discourse, providing new insights for policy and practice considerations.
Race, Class, and the Nursing Home Workforce: Experiences of Staff of Color in High-Minority-Proportion Nursing Homes
Authors: Akosionu Odichinma , Dill Janette , Nkimbeng Manka , Skarphol Tricia , Shippee Tetyana 
Published: December 2020

Abstract
The long-term services and supports workforce is an important part of delivering quality care for nursing home (NH) residents – and increasingly includes staff who are from diverse communities. Our study captured staff (n=61) perspectives on resident quality of care and quality of life through semi-structured interviews, using thematic analysis in six Minnesota high proportion minority NHs. Findings show that although staff of color are valued for the diversity they contribute to the workforce, and the culturally sensitive care they provide, they are also exposed to discriminatory events. In addition, tensions exist between U.S. and non-U.S. born staff of color in NHs. Overall, staff of color who are lower ranked may feel less empowered. Research is needed to explore the impact of negative and discriminatory exposures on staff wellbeing and related outcomes in addition to the direct and indirect impact on the quality of care delivered to NH residents.
Family Caregiver Assessments: What Have We Learned From Assessments Across Populations and Health Conditions?
Authors: Prudencio Gabriela , Gitlin Laura 
Published: December 2020

Abstract
This symposium will bring together research on assessments of family caregivers for older individuals with different health conditions and discuss the components of effective assessments. Comprehensive characterizations of caregivers are essential due to an increase in the demand on caregivers, and how intense care contexts contribute to the caregiver’s decline in health and diminished capacity to provide quality care. According to Caregiving in the U.S. 2020 (n=1,400), only 13% of caregivers were asked by healthcare professionals what they needed to take care of themselves. Peer-reviewed studies have reported that caregivers are often reluctant to self-identify and to ask for the help that they need for themselves and those in their care. Since supports to caregivers have historically relied on this self-identification, the first presentation (Grace Whiting) will focus on the work NAC has done to build pathways between caregivers and supportive services to increase availability, accessibility, and patient-centeredness. The second presentation (Esther Friedman) will identify and discuss the barriers to fully incorporating family caregivers into the health care team, as well as the solutions for removing barriers. The next two presentations, respectively, will focus on characterizing the prevalence, burden, and unmet needs of caregivers of cancer patients (Erin Kent), and the unmet needs of families of adults with intellectual and development disabilities (Tamar Heller). The final presentation will explore caregiver readiness in dementia care using the Tailored Activity Program (TAP) and how TAP interventionists can use readiness scores to determine caregiver’s capacity (Katherine Marx).
Poetry Brings Out the Best in Us: Structured Poetry-Based Group Activity in Long-Term Care
Authors: Kaplan Daniel , Glazner Gary 
Published: December 2020

Abstract
The Alzheimer’s Poetry Project has a proven track record at over 500 facilities in 35 states and six countries, serving over 50,000 people worldwide, and has the ability to bring high-quality creative arts programming to people living with dementia in long-term care. We describe how volunteers and recreation and care staff can be trained to deliver the intervention, offering direct benefits for participants and indirect benefits when modeled in the presence of providers and family members. Basic validation techniques are easily learned and incorporated into diverse dementia care strategies. As activity programs based in creative arts help to support self-expression among participants and serve as a vehicle for generating feelings of self-efficacy, we explain how such activities are well suited to fostering the person-centered goals of dementia care programming. Clinicians and other transdisciplinary care providers are encouraged to use and teach validation-focused arts interventions with persons living with dementia.
Improving Communication for Older Adults During Disaster Events
Authors: Gibson Allison , Kusmaul Nancy , Brown Lisa 
Published: December 2020

Abstract
Management of any disaster event (i.e., hurricanes, flooding, wildfires, viral pandemic) is a complicated task. An important and frequently overlooked aspect of efficient disaster response is effective information exchange among emergency managers, aging and social service providers, and those impacted by the disaster. Breakdowns in communication are regularly cited as failures in actual emergency situations. Older adults have unique challenges to effective communication during a disaster event. Further, messaging platforms may be inaccessible to older adults. Given the lack of data collected on the role of effective communication for older adults in a disaster event, we developed this symposium to highlight lessons learned for facilitating disaster communication among older community members and discuss how policy can further disaster communication efforts. The first presentation highlights the advantages of using targeted marketing communication channels to encourage older adults to prepare and recover from a disaster, as well as the value of collaborative partnerships in this communication. The second presentation introduces results from research collected from older adults on their use of social media to stay informed before and after Hurricane Matthew. The third presentation explores whether assisted living communities in Florida’s affected counties evacuated or sheltered in place in the context of emergency management communications concerning evacuation. The fourth presentation highlights the experiences of older persons in Houston’s communication post-Hurricane Harvey from an aging service provider’s perspective. The final presentation discusses disaster literacy and how this model can be used to enhance outcomes at all phases of a disaster. Disasters and Older Adults Interest Group Sponsored Symposium.
A Tale of Two Disasters
Authors: Mermelstein Tammy 
Published: December 2020

Abstract
Preparing for or experiencing a disaster is never easy, but how leaders communicate with older adults can ease a situation or make it exponentially worse. This case study describes two disasters in the same city: Hurricane Harvey and the 2018 Houston Texas Ice Storm and the variation in messaging provided to and regarding older adults. For example, during Hurricane Harvey, the primary pre-disaster message was self-preparedness. During the storm, messages were also about individual survival. Statements such as “do not [climb into your attic] unless you have an ax or means to break through,” generated additional fear for older adults and loved ones. Yet, when an ice storm paralyzed Houston a few months later, public messaging had a strong “check on your elderly neighbors” component. This talk will explore how messaging for these events impacted older adults through traditional and social media analysis, and describe how social media platforms assisted people with rescue and recovery. Part of a symposium sponsored by Disasters and Older Adults Interest Group.
The Long-Term Effects of Financial Hardship on Health: Pre and Post the Great Recession
Authors: Marshall Gillian 
Published: December 2020

Abstract
Purpose: Now 10 years after the Great Recession of 2018, we examined the impact and long-term health outcomes impacting adults (≥ 50 years). Methods: Data from the Health and Retirement Survey (sample n=5,160), was used to examine how changes in financial hardship pre-post the Great Recession of 2008 impacted the likelihood of developing new chronic conditions in 2016. Results: Preliminary results suggest that reduced medication use during the recession was significantly correlated with a higher likelihood of developing arthritis, lung disease, psychological conditions, depression, and greater deterioration of mental and physical health relative to an absence of reduced medication use in 2006 and 2010 (1). Conclusion: These findings underscore the adverse influences of increased financial hardships that impact medication use during recessionary periods on long term health and wellbeing of older adults. They also provide evidence of deleterious effects on health of difficulty paying bills throughout the study period.
Women’s Social Empowerment and Gender Differences in Adults’ Cognitive Competences
Authors: Weber Daniela 
Published: December 2020

Abstract
Female social empowerment has the potential to enhance women’s cognitive abilities. Our previous work investigating the role of gender equity in education and improved living conditions during early adulthood suggest that European women gain more from societal improvements over time than their male counterparts. This study extends this work by investigating the association between women’s social empowerment during childhood and gender differences in adults’ cognition for more than 30 OECD countries. We analyze established cognitive competence measures in literacy and numeracy with mixed effect models using the national survey data PIAAC collected within three rounds in 2011, 2014, and 2017. Our preliminary findings suggest that gender equity factors associated with women’s empowerment, are more beneficial for women’s cognitive key competences than men’s. High cognitive competences are particularly relevant at advanced age to enable an independent life and long economic activity.
Lest Death Do Them Part: Protection of Older Women From Intimate Partner Injury and Fatality
Authors: Wilson Janet , Benefield Lazelle 
Published: December 2020

Abstract
Protecting and preventing older women from fatal and near fatal violence by current or former intimate partners are public health and international human rights concerns. Older women are most often killed (“femicide”), injured in the home by a spouse, partner, x-partner, or family member. Older women experience physical, psychological, sexual abuse, neglect, and financial exploitation. Wherein there is more research on risk factors, study of protections lags behind. Through three very different studies, risks and protections will be explored with national and international policy implications for each.
Injury of African American Women by Financial Exploitation
Authors: Jackson Kimethria , Smith Patsy , Wilson Janet 
Published: December 2020

Abstract
Financial exploitation (FE) is one of the most common forms of older adult mistreatments. The World Bank defines FE as financial violence and the World Health Organization describes FE as financial or material abuse. Both international organizations recognize that FE causes deprivation/neglect leading to physical and emotional injury to victims. Older African Americans (OAA) are disproportionately affected by FE, impacting their health and welfare. A qualitative phenomenological study explored the lived experiences of FE among OAA. A Community Based Participatory Research approach was used to partner with a predominately African American-faith based community. Participant recruitment (n=12) was through community sponsored seminars that included verbal presentations, group discussions; individual surveys, Older Adult Financial Exploitation Measure (OAFEM). OAFEM data was analyzed to identify risks. Analysis of the interviews included Open and Axial coding, and data categorization. Using NVivo, Stevick-Colaizzi-Keen analysis as modified by Moustakas, five themes emerged.
Identifying the Transportation Needs of a Rural Aging Community: Findings From a Community Assessment
Authors: Miller Vivian , Wilfong Jordan , Burek Melissa , Lanson Logan 
Published: December 2020

Abstract
Community senior centers are tasked with providing aging adults services and programs, congregate meals, and transportation, set forth by the Older Americans Act. The overall function of senior centers is especially critical for rural communities, as rural communities are home to a greater proportion of older adults compared to metropolitan and low-density urban areas. To assess the current needs of the aging population in rural Northwest, OH, a total of 9 focus groups were held (N=45) as part of a larger mixed-methodological study. Through this work, older adults identified limitations of the current senior center transportation. A lack of transportation and accessibility of current transportation were noted as barriers to full senior center use. Findings from this study confirm disparities in rural transportation; a lack of transportation is a major obstacle to program completion. Recommendations address the unique challenges and needs for transportation services for in rural communities are presented.
Service Development and Implementation: Learning From Diverse Case Examples
Authors: Ayalon Liat , Wyman Mary , Martin-Matthews Anne 
Published: December 2020

Abstract
The development of health and social services should be based on a thorough needs assessment with all stakeholders, followed by ongoing monitoring of implementation and subsequent short and long term outcomes. Relying on four different service models, this symposium reviews their evaluation processes and summarizes the main lessons learned, in order to inform future efforts. Wyman and colleagues outline efforts to develop culturally-sensitive dementia care services for American Indian and Alaska Native older adults and caregivers using qualitative interviews and community-based participatory research methods. Findings offer guidance for culturally-tailored implementation of services. Shepherd-Banigan et al. report on a quantitative needs assessment of over 1,500 caregivers of older Veterans enrolled in Veterans Administration healthcare. Providing care to individuals with co-morbid conditions predicted higher levels of distress and burden among caregivers, pointing to likely benefit from additional caregiver-focused support programs. The paper by Gum and co-authors moves to assessment of outcomes by examining mortality and other outcomes among older adults screened by an Area Agency on Aging and either receiving or waiting for services. Finally, the paper by Ayalon and Shinan-Altman use service evaluation to demonstrate the importance of needs assessment and the gap between the vision of service developers and real life constraints. The included papers discuss the value of various methodologies, illustrating the important role that assessment and evaluation play in service development and implementation for older adults and caregivers.
Perspectives on Dementia Service Use and Family Caregiving Among the Oneida Nation of Wisconsin
Authors: Wyman Mary , Lambrou Nickolas , Miller Debra , Wheelock Sunshine , Petri Florence , Summers Marlene , Gleason Carey , Edwards Dorothy 
Published: December 2020

Abstract
Prevalence of dementia among American Indian/Alaska Natives (AI/AN) is higher than in white populations, and AI/AN communities experience dementia care service gaps. This study explored perspectives within AI/AN communities regarding dementia, the family caregiver role, and home and community-based service use. Using tenets of Community-Based Participatory Research, qualitative interviews and a brief survey were conducted with 22 members of the Oneida Nation of Wisconsin (mean age 71 years, 73% female). Of the sample, 63.6% identified as a past or current family caregiver for a loved one with dementia. Awareness of services varied; 82% were aware of memory cafes, 75% knew of the caregiver support group, and 43% were familiar with dementia care specialist services. Thematic analysis revealed shared values of involving the family and community in dementia care, and offer guidance to support greater engagement in services. Implications for culturally-tailored service provision within AI/AN communities are discussed.