bluuebunny/crossref_metadata_2025_split huggingface dataset:
EXAMINING THE SOCIAL AND TECHNOLOGICAL BENEFITS OF AN INTERGENERATIONAL PROGRAM FOR OLDER ADULTS
Authors: Leedahl Skye N , Serrano Itza 
Published: November 2019

Abstract
Intergenerational programs are increasingly being implemented across the country. Much of the research on these programs has shown beneficial outcomes for students related to reductions in aging stereotypes, but less in-depth research has been done examining older adult outcomes (see Andreoletti & Howard, 2016 for a review). Currently, faculty and students from the University of Rhode Island (URI) are implementing the Engaging Generations: Cyber-Seniors Program, which connects older adults with student mentors to provide technological support to older adults, help students build communication and teaching skills, and overall build positive intergenerational relations. The aim of this study was to evaluate the outcomes of intergenerational programming participation for older adults (N=41) related to social isolation, loneliness, social engagement, and digital competency, measured using pre and post surveys given to participants. SPSS software was used to conduct descriptive analysis, t Tests, and one-way ANOVAs. Thematic analysis was used to analyze open-ended participant responses. Results showed significant improvements on items of the digital competency scale, particularly in relation to social media and for those who started with lower levels of digital competence, but not for other measures. Qualitative analysis showed that the older adults valued the technological knowledge gained, and the pleasant interactions and pedagogy. This study advances the engagement theory principle of problem-based learning. Much can be learned from both the significant and non-significant results to help inform intergenerational programming and technology support programs for older adults.
UNDERSTANDING INTERGENERATIONALITY: THEORIES, REFLECTIONS, AND EXPERIENCES
Authors: Hatzifilalithis Stephanie , Grenier Amanda M 
Published: November 2019

Abstract
Research into different aspects of intergenerationalities continues to develop at a considerable pace for individuals, communities, and society more generally. A number of programs and practices for older people are organized around the presumed benefits of intergenerational interaction between younger and older people, with intergenerational programming operating as a taken-for-granted practice. However, the merits of this approach, the models that inform practice, and the learning that takes place between older and younger people, remain under-theorized. This poster reviews and discusses dominant theoretical frameworks including reflections and experiences from intergenerational learning programs in Canada (e.g. Co-Housing). It documents how the field of intergenerationality is conceptualized and executed in the realms of theory and practice; how models retain age and stage-based assumptions, including the polarizing discourses of ‘decline’ and ‘activity’; and discusses the implications for methodology, application, and outcome measures. By understanding the underlying assumptions utilized in the field of intergenerational learning, this poster makes an important contribution to the theoretical foundations, methods, and approaches, that are required to build more appropriate intergenerational landscapes.
MORE THAN JUST A ROOM: RESULTS FROM AN INTERGENERATIONAL HOME SHARING PROGRAM IN TORONTO
Authors: Mirza Raza M , Martinez Laura , Austen Andrea , McDonald Lynn , Klinger Christopher , Hsieh Jessica , Salomons Tonya 
Published: November 2019

Abstract
Older adults prefer to live in their own homes for as long as possible — to ‘age in place’ — but for myriad reasons may be unable to do so. To address this, a number of housing alternatives have been explored, including homesharing, or homeshare, an exchange-based shared housing approach with the potential to empower older adults to age in place by enabling them to obtain additional income, companionship, and assistance with completing household tasks in exchange for renting out a room in their home. An intergenerational homesharing pilot program was launched in Toronto, matching older adults (55+) with postsecondary students. With limited research in the area, a mixed methods research study was embedded within the pilot project with the goals of: 1) conducting a scoping review to map and synthesize the literature related to outcomes of homeshare participation for this population, 2) conducting in-depth interviews with homeshare participants (N=22) to learn about their experiences, and 3) conduct a full evaluation and exit survey to better understand the implications of the project. Results were organized around the following themes: (1) benefits and challenges of participating in homeshare for older adults; (2) intergenerational engagement as social exchange; and (3) the key role of agency facilitation as a determinant of the experience of homesharing for older adults. Results spoke to the unique benefits and challenges of participating in homeshare for this population. Findings were used to derive implications for policy and practice, as well as highlight areas for future research.
BARRIERS AND FACILITATORS TO IMPLEMENTING THE BALANCING INCENTIVE PROGRAM (BIP)
Authors: Beauregard Lisa , Miller Edward A 
Published: November 2019

Abstract
The Balancing Incentive Program (BIP) was an optional Medicaid program within the Affordable Care Act. States spending less than 50% of Medicaid long-term services and supports on home and community-based services (HCBS) were eligible for the program and could participate from 2011 to 2015. Participating states received an enhanced federal match in exchange for rebalancing LTSS spending and adopting structural changes to their long-term services and supports system. The purpose of this study is to understand the barriers and facilitators to implementing the BIP in two states. Data was collected through semi-structured interviews with individuals involved in HCBS policy nationally and in Maryland and Texas, including government bureaucrats, consumer advocates, and provider representatives. Findings indicate that factors that facilitated Maryland and Texas’ implementation of the BIP were regular communication with the Centers for Medicare and Medicaid Services and their consultants, Mission Analytics Group, merging the BIP with existing HCBS programs, and the substantial amount of funding associated with the program. On the other hand, the short duration of the BIP presented a challenge for states because they needed to enact multiple changes within a limited period of time. In addition, state procurement and contracting processes impeded the speed with which BIP requirements could be met. Key stakeholders, including consumer advocacy and provider organizations, often felt as though their state implemented the BIP with minimal input from interested groups. The findings indicate that the structure of the Balancing Incentive Program as well as internal state factors influenced the program’s implementation.
RURAL-URBAN DISPARITIES IN UNMET LONG-TERM CARE NEED AND COMMUNITY CARE SERVICES EXPECTATION AMONG ELDERLY IN CHINA
Authors: Zeng Yanbing , wang lixia , Fang Ya 
Published: November 2019

Abstract
Objective This study aimed to examine the urban-rural differences of unmet needs and their expected LTC services among community-dwelling old people. Methods The data comes from the Chinese Longitudinal Health Longevity Survey (CLHLS) in 2014. A total of 1587 community residents aged 65+ with disability of activities of daily life (ADL) were included in this study. Binary logistic regression was used to estimate correlates of unmet need in LTC. And chi-square test was used to examine the differences of expected community-based LTC services between urban and rural area. Results Over half (55.07%) of the participants reported their need were unmet. For both rural and urban residents, poorer economic status and reluctant caregivers (ORs&gt;1, P＜0.01) seriously affected the unmet need. Besides, of urban older adults, people who were male and lonely(ORs&gt;1, P＜0.05) reported more unmet need. While of rural old ones, people who were with severe ADL disability and poorer self-rated health(ORs&gt;1, P＜0.01) reported more unmet need. And people with available medication and home visit services(ORs&lt;1, P＜0.01) reported more met need. However, the supplies for community LTC care services were far below the demands. Conclusion The risk of having unmet need associated with ADL disabilities in LTC is largely determined by their economic status and caregivers’ willingness to provide care for both rural and urban old people. There is a need for an overall improvement in the planning, provision and financing of long-term care services for elderly individuals in China.
AWRAMBA COMMUNITY-BASED CARE FOR ELDERS LACKING FAMILY SUPPORT IN ETHIOPIA
Authors: Adamek Margaret E , Ali Setegn 
Published: November 2019

Abstract
In rural Ethiopia, land fragmentation, poverty, rural-urban migration, and the expansion of market forces are negatively impacting family support for older persons. This study explored an innovative community-based support system that uses its own wealth redistribution mechanism to support congregate residential care for older persons. The Awramba Community in northwest Ethiopia has different social norms and values that make it unique from surrounding communities. To explore this new approach to meeting the needs of rural elders, primary data were obtained from in-depth interviews with 8 elders who reside in the older adult center, 3 focus group discussions, and personal observations. In addition, key informant interviews were conducted with a full-time caregiver, two community leaders, and members of the Older Persons’ Support Committee. Interviews explored the types of services provided to older persons, the interactions of older residents within the community, and the benefits of congregate living. Community members (N=403) must agree to 4 guiding principles relating to gender equality, respecting the rights of children, discouraging dishonesty, lying and stealing, and helping the less fortunate, ill and older persons. The Older Person’s Support Committee is responsible for coordinating the provision of care for the older persons who live in the congregate center. Residing in a common residential home benefited the elders in multiple ways, including opportunities for socialization with peers and access to a full-time caregiver. As traditional family support wanes and the population of elders increases in developing nations, such alternative support strategies are critically needed.
ASSOCIATIONS BETWEEN DSM-5 PERSONALITY PATHOLOGY AND HORNEY’S INTERPERSONAL TRENDS AMONG OLDER ADULTS
Authors: Segal Daniel L , Stone Lisa E , Coolidge Frederick L , Krus Gabrielle 
Published: November 2019

Abstract
Introduction: The Personality Inventory for DSM-5 (PID-5) is a measure of the alternative model of personality disorders with limited evidence of validity among older adults. This study examined validity of the model through associations with the Horney-Coolidge Tridimensional Inventory (HCTI). Method: Older adults (N=125) completed the PID-5 and the HCTI. Results: Zero-order correlations were computed between the PID-5’s five domains (Negative Affect, Detachment, Antagonism, Disinhibition, and Psychoticism) and the HCTI’s three domains (Compliance, Aggression, and Detachment). Compliance was moderately negatively correlated with Detachment (r = -.27), as expected. Aggression was significantly positively related to all five PID-5 domains and was most strongly correlated with Antagonism (r = .56), Psychoticism (r = .48), and Disinhibition (r = .32). As predicted, Horney’s Detachment was most strongly related to the PID-5’s Detachment (r = .48). Regression analyses were also conducted with PID-5 domains predicting each HCTI type. The Compliance model was significant, with PID-5 domains predicting 13% of variability in Compliance. Negative Affect (positive) and Detachment (negative) were significant predictors. The Aggression model was also significant, with the PID-5 domains accounting for 40% of variability. Antagonism was the only significant positive predictor. Lastly, the Detachment model was significant, with the PID-5 domains predicting 29% of variance in Detachment scores. Negative Affect (negative) and Detachment (positive) were significant predictors. Discussion: Results indicate that the two measures of personality pathology generally converge regarding theoretically similar constructs and diverge around dissimilar domains, providing evidence of validity of the PID-5 for its ability to capture personality traits.
WHAT DOES MY PERSONALITY SAYS ABOUT MY FRIENDSHIPS IN LATER LIFE?
Authors: Lim Emily , Gallagher Elizabeth A , Bui Cindy N , Beaulieu Celeste , Simpson Elizabeth , Driscoll Laura , Burr Jeffrey 
Published: November 2019

Abstract
Personality traits, such as those identified in the Big Five Personality Model (i.e., openness to experience, conscientiousness, extraversion, agreeableness, and neuroticism), may be associated with different aspects of friendship among older adults. Additionally, men and women form and maintain their friendships differently, which may result in gender differences in their friendships. This study examined the relationship between specific personality traits and friendship characteristics, including friendship quantity, frequency of social interactions with friends, positive and negative friendship quality. The study also explored whether gender moderates the relationship between personality traits and friendships in later life. This study used data from 7,250 community-dwelling older adults, aged 65 years and above (M=75.4 years old, SD=6.91), who participated in 2012 and 2014 Leave-Behind Questionnaire of the Health and Retirement Study. Results from the linear regression analysis indicated significant main effects for the different personality traits and friendship quantity, quality and social interaction frequency, but no main effect for gender was found. However, the moderating effect of gender was significant for the relationship between specific personality traits (i.e. openness to experience, agreeableness and extraversion) and social interaction with friends, as well as for positive and negative friendship quality. For example, older women who scored high on openness to experience reported significantly lower social contact frequency with friends (B=-.16, p&lt;.05) and higher negative friendship quality (B=.08, p&lt;.05) than men who scored high on openness to experience. Study results provide insights for understanding better how personality traits and gender play a role in friendships in later life.
ASSOCIATION BETWEEN SOCIAL SUPPORT AND ANXIETY IN OLDER ADULTS NEW TO LONG-TERM SERVICES AND SUPPORTS
Authors: Hwang Yeji , Hodgson Nancy , Sefcik Justine , Boateng Augustine , Rajpara Anjali , Foley Kierra , Hirschman Karen 
Published: November 2019

Abstract
Anxiety symptoms are common among older adults and are often associated with adverse outcomes. Thus, it is important to examine modifiable factors and manage anxiety symptoms in this population. While many biological and psychological factors related to anxiety symptoms in older adults have been found, little is known about social factors which are essential in one’s mental health. The purpose of this study was to examine the prevalence of anxiety symptoms among older adults new to long-term services and supports (LTSS) and to investigate the relationship between social support and presence of anxiety. This was a secondary data analysis from a study funded to examine health related quality of life in older adults new to LTSS. Anxiety was assessed using a single item, “Recently, how often have you felt anxious?” and the answers were dichotomized into “anxiety” (ratings: ‘very often’, ‘often’, ‘sometimes’, and ‘seldom’) and “no anxiety” (rating: ‘never’). Social support was measured by Medical Outcomes Study Social Support Scale. Prevalence of anxiety symptoms in this sample was 82.7% (n=225). In multivariate logistic regression, adjusting for age, gender, LTSS type, cognitive status, physical and emotional health, and depressive symptoms, older adults with more tangible social supports had lower odds of having anxiety symptoms (Odds ratio=0.515; 95% CI: 0.289-0.919, p=0.025). Improving access to tangible social supports for older adults at the start of LTSS may impact anxiety in older adults. Implications for future research and intervention development to provide tangible social support to older adults in LTSS will be discussed.
FREE TRANSPORTATION SERVICE RECIPIENTS MAY HAVE BETTER QUALITY OF LIFE BUT STILL LACK IN IMPROVING HEALTH
Authors: Tomita Machiko R 
Published: November 2019

Abstract
This study aimed to determine if service recipients (SRs) of free transportation services experience better quality of life, health, and function compared to pre-service recipients (PSRs). We conducted a cross-sectional study using personal interviews with 43 PSRs and 30 SRs belonged to a volunteer organization. Outcome measures were Older People’s Quality of Life (QoL), Center for Epidemiology Study-Depression, and Instrumental Activities of Daily Living (IADL). Total sample (N=73) had a mean age of 78.5 years and mostly female (86.3%). The majority of PSRs wanted to go to Drs’ offices (74.4%) and Grocery stores (60.5%), followed by Drug stores (44.2%), when the service becomes available. The figures were substantially smaller among SR (40.0%, 30%, and 13.3%, respectively). In PSRs, 67.4% expected to improve health once they start receiving the service, and 70. 0% of SRs said it did with the service. Using independent t-tests, SRs were significantly better in depression (p&lt;.001), IADL (p=0.29) and most QoL items (life overall, social relationship, home and neighborhood, psychological and emotional well-being and leisure and activities; p=.047-p=.001), except for perceived health and finance. SRs (100%) were very satisfied with the service and drivers, but 80% of SRs said they wished to use more driving services than the allowable four times per month maximum. This limitation was due to the insufficient number of volunteers compared to a large number of people in need. Availability of more volunteer drivers will likely improve SRs health. Effective approaches to increase the number of driving volunteers are necessary.
VOLUNTEER ACTIVITY CHANGES AFTER MIDDLE YEARS OLD AND THE INFLUENCES OF VOLUNTEERING ON WELL-BEING
Authors: Lee Hyunkee 
Published: November 2019

Abstract
The objectives of this paper are to examine volunteer activity changes over the life courses and the long-term influences of volunteer activity on the well-being. The paper analyzes the KLoSA data from wave 1 to wave 5, and selects 10,254 persons over 45 years old as study samples in the base year. For the statistical analysis, the two-way connected line plot and transition probability analysis techniques are employed and the GEE method is used for the multivariate regression estimation of the coefficients. The results show that the volunteer activities increase highest in one’s late 40s and decrease abruptly from the age, and slow down 50s to one’s late 70s, showing a repeating rise and fall pattern. Entering one’s 80s, the volunteer activities come to be stable relatively than the previous years. And, the probability of continuing the volunteer status after 2 years is about 31.2 percent and the probability of stopping volunteer activity comes to be around 68.9 percent. As a last, the regression analysis results show that there is a positive relationship between volunteerism and well-being variables. Expecially the interaction term is statistically significant, showing a negative sign of the coefficient. This implies that the volunteerism contributes to increasing the well-being but decreasing by engaging excessively. The results support the previous study outcomes that excessive volunteer activities are not good for the health.
TYPES OF SOCIAL NETWORKS AND THEIR ASSOCIATION WITH MOBILITY AND DISABILITY IN LATE LIFE
Authors: Ali Talha , Elliott Michael , Antonucci Toni C , Needham Belinda , Zelner Jonathan , Leon Carlos Mendes de 
Published: November 2019

Abstract
Social networks are critical in maintaining late-life functional health, but, previous studies have focused on isolated dimensions of social networks. We examined whether network types, representing multiple interrelated network characteristics, are associated with mobility and disability among older adults in America. Data are from the National Social Life, Health, and Aging Project, a nationally representative study of 3,005 adults aged 57-85 years at baseline (2005-2006). In a previous analysis, five social network types were derived at baseline, based on nine observed network characteristics. Functional outcomes were examined during two follow-up waves in 2010-2011 and 2015-2016. Mobility-related function was assessed as the time (in seconds) to complete a 6-meter walk. Disability was defined as experiencing any difficulty in performing one of six activities of daily living (ADLs). We estimated the effect of network types on risk of ADL disability onset using logistic regression, and on mobility using generalized linear mixed models. Social network type was associated with mobility over time, such that older adults in the “restricted” network had significantly slower walking times than those in the “diverse” network. There was no association between network types and risk of disability onset in the primary analysis. However, sensitivity analyses showed a protective effect of the “partner-centered” network on a 5-year, but not a 10-year, risk of disability onset. Network types can elucidate older adults’ varied interpersonal and caregiving networks, and identify adults at risk of being socially isolated. However, the utility of network types in predicting late-life functional health may be limited.
INTERGENERATIONAL RELATIONSHIPS AMONG OLDER ADULTS AND ADULT CHILDREN: AMBIVALENT FEELINGS
Authors: Humboldt Sofia von , Leal Isabel 
Published: November 2019

Abstract
Objectives: The relationship of older adults with their adult children involves great emotional complexity and the quality of these relationships is associated with older adults’ well-being. This qualitative study aims to examine how older adults conceptualize intergenerational relationships with adult children. Methods: The present study on qualitative data collected from in-depth interviews was conducted with English and Portuguese older adults living in the community, designed to address their perspectives on intergenerational relations with adult children. 316 older adults participated in our study. The mean age of this group was 71.2 years. 65.3% were women, and a majority (54.7%) had a partner. Results: Content analysis generated four themes: affection and integration; satisfaction in the relationship; privacy and boundaries; financial support. Conclusions: Intergenerational relationships are experienced by older adults with ambivalence and and stress the contradictory expectations of older adults with grandchildren.