bluuebunny/crossref_metadata_2025_split huggingface dataset:
INTEGRATING SOCIAL NEEDS CARE INTO THE DELIVERY OF HEALTH CARE TO IMPROVE THE NATION’S HEALTH FOR OLDER ADULTS
Authors: Cadet Tamara J , Golden Robyn , Warren-Clem Keegan 
Published: November 2019

Abstract
An ad hoc committee of the National Academies of Sciences, Engineering, and Medicine examined the potential for integrating services addressing social needs and the social determinants of health into the delivery of health care to achieve better health outcomes and to address major challenges facing the U.S. health care system. These challenges, include persisting disparities in health outcomes among vulnerable subpopulations, often defined by a number of factors including age. Presenters will discuss and provide recommendations in the following areas: 1. evidence of impact of social needs care on patient and caregiver/family health and wellbeing, patient activation, health care utilization, cost savings, and patient and provider satisfaction; 2. opportunities and barriers to expanding historical roles and leadership of social workers in providing health-related social needs care and evidence-based care models that incorporate social workers and/or other social needs care providers in interprofessional care teams across the care continuum (e.g., acute, ambulatory, community-based, long-term care, hospice care, public health, care planning) and in delivery system reform efforts (e.g., enhancing prevention and functional status, care management, and transitional care; improving end-of-life care; integration of behavioral, mental, and physical health services); and 3. realized and potential contributions of social needs care to make health care delivery systems more community based, person- and family/caregiver-centered, and responsive to social and structural determinants of health, particularly for vulnerable populations and communities, such as older adults and low-income families. Examples for each of the three areas will also be presented.
TERMINOLOGY USED BY EMPLOYERS AND JOB SEEKERS FOR AGING-RELATED POSITIONS
Authors: Clark-Shirley Leanne J , Newsham Tina Kruger , Guest M A 
Published: November 2019

Abstract
Our aging society calls for a workforce capable of meeting older adults’ diverse needs. Yet the extent that employers seek out a workforce with aging-related training or education is unclear, as is how people with such backgrounds search for positions. We describe an exploratory content analysis of job postings to understand how employers are searching for applicants with aging-related backgrounds, and compare job posting keywords to terms used by a sample of aging-trained job seekers/employees. Results showed 35% of aging-related job postings used keywords expressing preference for applicants with aging-related backgrounds; the most commonly-occurring terms were “gerontology,” “Assisted living” + “adult day” + “director” + “nursing home administrator,” and “elderly.” Job seekers also cited “gerontology” as a term used to search for positions, along with “aging,” “older adults” and “seniors”. Findings suggest that employers should use more positively-connoted terms to attract applicants with aging-related backgrounds, rather than terms like “elderly.”
CORRELATES OF FAMILY CAREGIVING FOR OLDER ADULTS AND EMOTIONAL STRAIN AMONG AFRICAN AMERICANS
Authors: Wang Fei , Nguyen Ann W 
Published: November 2019

Abstract
Objectives: Despite the growing older African American population and its increasing needs for informal care, few caregiving studies have focused specifically on African Americans. This study aims to 1) identify demographic correlates of caregiving for older family members among African Americans and 2) identify caregiving and demographic correlates of emotional strain among African American caregivers. Method: Logistic regression and linear regression were based on the African American sub-sample of the 2015 Caregiving in the U.S. Survey (N=260). Demographic characteristics included age, gender, education, income, marital status, co-residence of care recipient in the caregiver’s home, relationship of care recipients to caregivers, and household size. Caregiving characteristics included hours of caregiving and whether respondents provide care for an older adult. Results: With respect to demographic correlates of family caregiving, older respondents were more likely to provide care for an older family member, and respondents were more likely to provide care to a parent/parent-in-law than to other relatives. Regarding emotional strain, age and household size were negatively associated with emotional strain, and hours of caregiving was positively associated with emotional strain. Discussion: This study identified demographic profiles of family caregiving and emotional strain. It also suggested the presence of unique risk and protective factors among older African American caregivers. Future research should test the underlying mechanisms between these factors and mental health outcomes for a better understanding of how caregiving strain can be attenuated.
BIRTHWEIGHT, LIFETIME OBESITY, AND PHYSICAL FUNCTIONING IN MID-ADULTHOOD: A NATIONWIDE BIRTH COHORT STUDY
Authors: Rogers Nina 
Published: November 2019

Abstract
Evidence is scant on long-term implications of body mass index (BMI) gains over the life-course for poor physical functioning (PF). Using the 1958 British birth cohort (N=8,674) we examine whether i) birthweight and BMI across the life-course; ii) BMI gains at specific life-stages; and iii) age of obesity onset, were associated with PF at 50y. At each adult age, obesity was associated with poor PF (e.g. for males at 23y adjusted-ORs for poor PF was 2.28(1.34,3.91)). BMI gains were associated with poor PF (e.g. for females, adjusted-OR per SD BMI gain 16-23y was 1.28(1.13,1.46)). Longer obesity duration was associated with poor PF (e.g. for males, adjusted-OR was 2.32(1.26,4.29) for childhood obesity onset, and 1.50(1.16,1.96) for mid-adulthood onset); associations were abolished with further adjustment for 50y BMI. Obesity, BMI gains, and earlier obesity onset were associated with poor PF in mid-adulthood reinforcing the importance of preventing obesity early in the lifecourse.
VALIDATION AND CLINICAL USEFULNESS OF A SLEEP HEALTH SCALE IN LATE LIFE
Authors: Ravyts Scott , Dzierzewski Joseph , Perez Elliottnell , Donovan Emily 
Published: November 2019

Abstract
Sleep health is a multidimensional construct of sleep and wakefulness which can be conceptualized as the opposite of sleep dysfunction. Assessing sleep health is particularly relevant among older adults who disproportionally experience sleep-related adverse outcomes. Yet, empirically-validated sleep health scales are lacking. The objectives of the present study were to assess the psychometric properties of a newly designed measure of sleep health (RU-SATED) among older adults and examine the association between sleep health and well-being in late-life. Data included 773 older adults (M=67.68, 52% female) who completed an online survey of their sleep and health. Respondents completed the six-item RU-SATED scale, the Insomnia Severity Index (ISI), and the Satisfaction with Life Scale (SWLS). Sleep health scores ranged from 1 to 12, (M=8.13, SD=2.68), with higher scores indicating better sleep health. Exploratory factor analysis revealed a one-factor model. Confirmatory factor analysis showed that a one-factor model was associated with model fit indices in the adequate range. Additionally, a hierarchical linear regression indicated that sleep health was positively associated with life satisfaction (β=.25, p&lt;.001) and accounted for significant variance in life satisfaction above and beyond insomnia severity (∆R2=.04, p&lt;.001). In conclusion, RU-SATED appears to be a valid measure of sleep health among older adults with potentially useful clinical applications. Future research would benefit from examining the association between sleep health and other relevant health outcomes, as well as assessing the prospective ability of sleep health to predict relevant outcomes above and beyond traditional measures of sleep quality or insomnia.
HARNESSING THE POWER OF NETWORKS: PARTNERSHIPS TO PROMOTE HEALTH AND WELL-BEING FOR FAMILY CAREGIVERS
Authors: Young Heather 
Published: November 2019

Abstract
This paper will address social and professional networks that support family caregivers who are providing care to older adults. Family caregiving is commonly a long-term commitment that can include functional, health care, social, financial and emotional support. This role can have a major impact on the health, well-being and economic security of the family caregiver, particularly for those who are socially isolated. This paper will highlight the nature of caregiving demands on individuals and families, particularly those providing intense and complex care, with a focus on cultural diversity. Health care professionals encounter family caregivers during routine care and at times of crisis and have an opportunity to enhance support and preparation. This paper will discuss effective community-level and health system partnerships and strategies that promote health and well-being for family caregivers, examine the potential for scaling these approaches, and suggest priorities for education, practice and future research.
PEAK 2.0: OPERATIONALIZING PERSON-CENTERED CARE AIDS NURSING HOMES IMPLEMENT AND SUSTAIN PRACTICES
Authors: Cornelison Laci , Doll Gayle , Syme Maggie , Kaup Migette 
Published: November 2019

Abstract
Pay-for-performance programs to incentivize quality are on the rise nationally (Werner, Konetzka, & Polsky, 2013 & Arling, Job, & Cooke, 2009). Kansas initiated a Medicaid P4P program to incentivize person-centered care (PCC) beginning in 2012 called PEAK 2.0. This program created an operationalized definition of PCC through stakeholder collaboration and research outcomes (Harris, Poulsen, & Vlangas, 2006). Homes enrolled in the program undergo both self-evaluation and objective external evaluation based on the operationalized definition. These key features inherent in the PEAK 2.0 program make up has aided homes to implement PCC as well as, the ability to research homes that have implemented PCC in a new a different way than ever before.
AGE FRIENDLINESS OF COMMUNITIES CONTRIBUTES TO QUALITY OF LIFE
Authors: Seguin Charles , Mullen Nadia , Stinchcombe Arne , Marshall Shawn , Naglie Gary , Rapoport Mark , Weaver Bruce , Bédard Michel 
Published: November 2019

Abstract
The World Health Organization (WHO) emphasized the importance of age-friendly communities in supporting quality of life for older adults. We aimed to determine the contribution of the age-friendliness of communities to quality of life in a sample of healthy older adults. We used data collected through a longitudinal study on drivers and ex-drivers. We used the World Health Organization Quality of Life instrument (WHOQOL-BREF; WHOQOL Group, 1998) to measure physical health, psychological health, social relationships, and environment. We used the Age-Friendly Survey (AFS; Menec & Nowicki, 2014) to measure 9 domains of participants’ perceptions of community age-friendliness. We estimated 4 multivariable linear regression models. The dependent variables were the 4 domains of the WHOQOL-BREF. Each model had AFS as the focal independent variable and participants’ age, gender, health status, and depression symptoms as control variables. Data from 171 participants were available; mean age was 83.2 years (SD=4.1), 61% were women. Most participants reported a good health status and few depression symptoms. The models explained between 18 and 27% of the variance in WHOQOL scores; community age-friendliness was a statistically significant variable in all models, accounting for 2-3% of the variance. The identification of factors that contribute to quality of life will serve as the foundation upon which policies and interventions to promote successful and healthy aging can be developed. Future work will require consideration of the specific aspects of communities that may affect quality of life the most and that have the most potential for modification.
FUNCTIONAL LIMITATION IN LATER LIFE: THE IMPACT OF SIPS, SOCIALIZATION, AND SADNESS
Authors: Scott Rosanna , Wiener Chelsea , Paulson Daniel 
Published: November 2019

Abstract
Recent studies posit discrepant impacts of alcohol use on health outcomes. Potential reasons for contrasting results include: (1) selection bias involved in classifying individuals as “abstainers” or “drinkers,” (2) unexamined demographic variables associated with alcohol use, and (3) unaddressed mechanisms of action. Given new studies identifying socialization as a mediator between alcohol use and health outcomes, this study examines social interaction and depressive symptoms, respectively, as serial mediators in the relationship between moderate alcohol use and functional limitation, while employing methods to reduce selection bias. HRS data from 2012 and 2014 were utilized (n=1,902); heavy drinkers, adults younger than 65, and respondents with inconsistent alcohol use from 2008 to 2014 were excluded. Hypotheses were evaluated using a longitudinal serial mediation model with bias-corrected bootstrapping. Results indicated that, in the context of demographic variables, medical burden, and previous functional limitation, the beneficial relationship between moderate alcohol use and future functional limitation is only present when considering social interaction and depressive symptoms as mediators, both individually and serially (variance accounted for=39.4%). There was no direct effect of moderate alcohol use on functional limitation outside the context of these mediators. Data indicate that previously suggested relationships between moderate drinking and reduced functional limitation are better explained through increased social interaction and subsequent reduced depressive symptoms. Results identify social interaction as an accessible treatment target to prevent/reduce depressive symptoms and functional limitation in later-life, and support increased assessment of IADLs in adults experiencing depressive symptoms to facilitate early treatment/prevention of functional limitation.
USING CAREERS IN AGING WEEK (CIAW) TO PROMOTE INTERGENERATIONAL COMMUNITY ENGAGEMENT
Authors: Andreoletti Carrie 
Published: November 2019

Abstract
This presentation will discuss how we used CIAW 2017 to promote intergenerational community engagement by collaborating with our office of Continuing Education and AARP Connecticut to host “#DisruptAging – A Conversation Across Professions, Perspectives, and Generations.” Together we developed a half day program designed to build bridges among academic institutions, aging professionals, community collaborators, and consumers who are passionate about aging issues. We brought together a multi-generational audience of professors, students, professionals, and representatives of various community organizations to discuss ways to change the conversation around aging. This gave us an opportunity to highlight our gerontology programs and showcase our gerontology students, while students learned about aging-related careers, public policy initiatives, and organizations in Connecticut that support older adults and their families.
PROMOTING EFFECTIVE CAREER DEVELOPMENT IN GERONTOLOGY THROUGH APPLIED INTERGENERATIONAL PROGRAMS
Authors: Manoogian Margaret M 
Published: November 2019

Abstract
With the rise in global older adult populations, university programs need to produce an effective, gerontology-trained workforce (Silverstein & Fitzgerald, 2017). Career decision-making involves interactive learning (Super, 1990), as adults explore career options, engage in career learning, and understand curriculum integration within professional settings (Savickas, 2013). Gerontology faculty can utilize career planning models that integrate intergenerational engagement within the curriculum to aid student career decisions (Reardon, Lenz, Peterson, & Sampson, 2012). This paper provides an overview of a career planning model and highlights the ways intergenerational programs can be intentionally staged in research, service, and extracurricular domains to promote career planning and success in post-graduate employment. Data from our recent gerontology alumni survey including graduates since the program inception will be outlined to support the importance and success of developing strong applied intergenerational career programs in gerontology.
EMPOWERING VULNERABLE GROUPS IN LATER LIFE: FOCUS ON THE ROLE OF ACTIVITIES, SOCIAL NETWORK, AND ROUND-THE-CLOCK CARE
Authors: Smetcoren An-Sofie , Zijlstra G A Rixt 
Published: November 2019

Abstract
Europe has been challenged with an intense rise of aging populations facing for example multiple chronic health problems, functional limitations and social and psychological challenges. With increasing age people may become vulnerable, nevertheless, they can still report high levels of well-being despite their deficits. Older adults’ strengths and resources can balance negative experiences and increase positive well-being outcomes. These resources can be personal (e.g. have sufficient income) or stemming from the social environment of the older person (e.g. an involved social network). Hence, this symposium focusses on these strengths and resources and how they might (positively) affect the well-being of vulnerable groups ageing in place. The main objective of the symposium is to give insights into different aspects and strategies that can protect older adults against negative outcomes. Four different studies from Belgium will be presented: Sarah Dury starts with explaining the potential buffering predictor of leisure and civic activities, by uncovering the mechanisms underlying the relationship between multidimensional frailty and well-being. Lise Switsers examines if the absence of social and emotional loneliness can act as a buffer to maintain a good well-being for older adults at risk of frailty. An-Sofie Smetcoren examines how ‘living in solidarity’ in a co-housing project can contribute to ageing in place. Finally, Sylvia Hoens explores the experiences of the older care users and their informal caregivers with live-in migrant care workers and examines how this care can increase their well-being.
EXPLORING MECHANISMS OF AGING THROUGH LONGITUDINAL TRAJECTORIES: BIOLOGICAL, PHENOTYPIC, AND CLINICAL
Authors: Schrack Jennifer A , Ferrucci Luigi 
Published: November 2019

Abstract
Over the past several decades, researchers have searched for early and accurate predictors of healthy aging, establishing metrics to potentially quantify the aging process based on functional performance, disease diagnosis, or other clinical tests. Using these metrics, efforts have been made to disentangle the concepts of “normal” versus “accelerated” aging to identify individuals transitioning into states of disease and disability, allowing for more targeted and effective treatment(s). Yet, many of the variables included in these indices have been chosen based on their availability using cross-sectional associations with chronological age. Such variables may reflect birth cohort differences and selective attrition and fail to accurately represent the mechanisms most representative of the aging process. Using data longitudinal data from the Baltimore Longitudinal Study of Aging and beyond, this symposium will present a conceptual framework of phenotypic aging and its relationship with biological aging, and trajectories of aging phenotypes using state-of-the-art measures collected over the past 10 years. Specifically, we will discuss new insights into trajectories of molecular (inflammatory and metabolic markers), physiological (energetics, body composition, brain atrophy), and clinical measures (gait speed and executive function), and discuss methodological considerations for combining these phenotypes into a measure that can be linked with biological aging measured using a systems approach to improve and refine future understanding of mechanisms of “normal” versus “accelerated” aging. Further development and application of the methodology presented in this symposium will highlight the importance of using longitudinal data to improve understanding of physical and cognitive trajectories with aging.
FINANCIAL LITERACY, RETIREMENT, AND BECOMING FINANCIALLY CAPABLE IN A DEVELOPING COUNTRY
Authors: Davis Julian G McKoy , Eldemire-Shearer Denise 
Published: November 2019

Abstract
Worldwide, 3.5 billion (67%) of older adults do not understand basic financial concepts. In the Caribbean, families and professionals alike are struggling to assist and financially support a rapidly ageing population. The concept of children as “pension guarantee” is widely practised throughout the Caribbean, but factors such as modernization, urbanization, migration, and a shift in societal norms pertaining to familial responsibilities, have left many older persons financially fending for themselves. Less than half of all Jamaicans have adequate retirement funds. People with limited financial resources can and do save, but often use strategies that are not advantageous. The stark reality of low pension coverage among older Jamaicans and austere working conditions among public and some private sector workers indicate growing economic, financial, and societal challenges. Jamaica’s rapidly growing ageing population has resulted in both a workforce and a retirement financial crisis. This symposium provides an overview of the current policy and economic issues. We describe the design, implementation, and evaluation of an economic program to increase financial literacy and planning of adults nearing retirement age. To increase financial retirement literacy of Jamaicans with limited educational and financial resources, a peer-to-peer program was developed using a culturally adapted version of the FDIC Money Smart Program. A peer-to-peer approach has the potential to strengthen financial literacy and enhance retirement planning behaviours of underserved adults and avoid further burdening an already limited workforce. This project’s findings can inform policy, shape program development, and guide implementation of similar programs in low resource countries.
POLICY AND ECONOMIC INFLUENCES ON RETIREMENT, FINANCIAL LITERACY, AND ECONOMIC SECURITY IN JAMAICA
Authors: Davis Julian G McKoy 
Published: November 2019

Abstract
The changing pension landscape, as well as the accompanying privatization, marketization and individualization of the pension planning process, has resulted in inadequate and risky investment practices. Jamaica, like many other countries in the international community, has been engaged in pension reform. The main issues in the current dispensation of pension reform are in relation to pension adequacy to mitigate against longevity risk, low levels of pension coverage; with the aforementioned leading to the need to increase the number of persons contributing to the pension pool as well as possibly an increase in the value of pension contributions to account for inflation and investment risks. This paper describes the current legal and regulatory framework on pension reform in Jamaica within the context of population ageing and the National Financial Inclusion Strategy that targets persons who were previously underserved by the domestic financial system. Policy and programmatic recommendations are will be provided.