bluuebunny/crossref_metadata_2025_split huggingface dataset:
MEASUREMENT EQUIVALENCE OF THE POSITIVE AND NEGATIVE AFFECT SCHEDULE BETWEEN YOUNG-MIDDLE-AGED AND OLDER ADULTS
Authors: Lee Jeongwoo , Shon En-Jung 
Published: November 2019

Abstract
A Short form of the Positive and Negative Affect Schedule (PANAS-SF) has been widely used to measure of affect in diverse cultural groups. Limited studies have been evaluated the measurement equivalence test of PANAS-SF in diverse age groups. This study examined whether parameters in the measurement model (two-factor model: positive and negative affect) is equivalent across the two age generations (young-middle aged: &lt;65 years [n=1,122]; older adults : ≥65 years [n=1,817]). The sample was obtained from the 2012 Health and Retirement Study and Multiple Group Analysis was performed. The five items of determined, enthusiastic, inspired, alert, and excited reflected positive affect; and the five items of afraid, upset, scared, nervous, and distressed reflected negative affect. The configural model reported acceptable fit (X2= 904.98 [df = 64, p &lt; .001], X 2/df =14.14, CFI =.93, GFI=.94, RMSEA=.06 [90% CI=.06 - .07]). When all factor loadings were constrained, it indicated measurement non-invariance status between young-middle aged and older adults (ΔX 2 = 56.03, Δdf = 8, p&lt; .001, CFI=.93, ΔCFI=.004). Given findings of non-invariance on the full constrained model, the invariance test of each factor loading was performed additionally. Majority of negative items (Afraid, upset, scared, and nervous) and several positive items (determined and excited) were nonequivalent between the two groups. Variances in the measure between two age groups raise a number of issues for future research on affect assessment, suggesting cautious using of PANAS-SF in older adults.
RESILIENCE AND POST-TRAUMATIC GROWTH: EXPLORING THE PERCEPTIONS OF GAINS AFTER ADVERSITY IN OLDER ADULTS
Authors: Bouchard Lauren M , Manning Lydia K 
Published: November 2019

Abstract
Resilience has been consistently shown across the literature as a protective factor in terms of aging successfully. Resilience is defined as a process of adjustment and adaptation, where painful life experiences can result in accumulative positive outcomes such as greater life meaning, hopefulness, and spiritual transcendence (Ramsey, 2012). These outcomes are also mentioned in the separate but related construct of “post-traumatic growth,” defined as positive outcomes (i.e. self-perception, improved interpersonal relationships, and a changed philosophy on life) which emerge after traumatic experiences (PTG; Tedschi & Calhoun, 1996). This study explored older adults perceptions on adaptation in regards to adverse life situations. Our findings indicate some participants were more likely to espouse resiliency and post-traumatic growth related explanations while others participants articulated difficulty in seeing the benefit related to the challenges they had faced. Similarly, participants faced a range of challenges from everyday stress to major life traumas, which also shaped perceptions of their own growth. Participants also indicated a range of orientations toward growth after adversity including denial, reluctance, acceptance, and optimism. Our results also suggest key differences in these constructs while they also remain similar and complementary in terms of our participants lives and stories. Our study also provides limitations and future directions in operationalizing PTG and resilience in the gerontological literature.
IS COMBINED TRAINING MORE EFFECTIVE THAN SINGLE-DOMAIN TRAINING: A RANDOMIZED CONTROLLED TRIAL WITH OLDER ADULTS
Authors: Ballesteros Soledad , Rieker Jennifer , Reales josé M , Mayas julia , Jiménez María Pilar , Prieto Antonio , Toril Pilar 
Published: November 2019

Abstract
Previous research suggests that both cognitive training and physical exercise help to maintain brain health and cognitive functions that decline with age. The main objectives of this four-arms RCT are (1) to investigate the synergetic effects of a group-based multidomain training program that combines cognitive video-game training with physical exercise, in comparison to those produced by cognitive training combined with physical control activity, physical training combined with cognitive control activity, or a combination of both control activities; (2) to investigate in a memory-based task switching task whether event Related Potential (ERP) latencies of the P2 component are shorter, and N2 and P3b components are enhanced after training; and (3) to find out whether possible enhancements persist after a 3-month period without training. One hundred and twenty participants will be randomly assigned to one of the four combinations of cognitive training and physical exercise. The cognitive component will be either video-game training (cognitive intervention, CI) or video games not specifically designed to train cognition (cognitive control, CC). The physical exercise component will either emphasize endurance, strength, and music-movement coordination (exercise intervention, EI) or stretching, toning and relaxation (exercise control, EC). This RCT will investigate the short and long-term effects of combined multi-domain training compared to cognitive training and physical training alone, on executive control and memory functions of healthy older adults, in comparison with the performance of an active control group. This trial is an ongoing project started in 2018. Trial registration: Clinicaltrials.gov ID: NCT03823183; https://register.clinicaltrials.gov/
COMPASSION-BASED ENVIRONMENTAL VOLUNTEERISM AMONG OLDER ADULTS: A CASE STUDY OF TZU CHI RECYLING PROGRAM
Authors: Hsiao Hsinyi , Hsu Chiu-Tien , Chen Lei , Wu Jinli , Chang Pao-Sheng , Lin Chin-Lon , Lin Miing-Nan , Lin Tin-Kwang 
Published: November 2019

Abstract
To promote environmental sustainability and mitigate climate change that causes numerous families to suffer from natural disasters, a group of older residents’ volunteer to recycle usable materials by setting up recycling stations in their communities and transform recycled bottles into eco-friendly blankets for disaster survivors globally. This study examined long-term effects of the peer-led Tzu Chi Recycling Program (TCRP) on older adults’ compassion, psychological and physiological well-being. Using a quasi-experimental design, 1-year longitudinal data were collected from older adults at recycling stations (intervention group n = 36) and community centers (control group n = 36) in rural areas in Southern Taiwan. Findings from two-way repeated analysis of variance show that TCRP significantly improved older adults’ self-compassion, compassion for others, depression, hostility, happiness, and hypertension. Older adults built resilience through environmental volunteering in the TCRP as an environmental sustainability model for health promotion and social good
EPIGENETIC CLOCKS OF COMPUTED TOMOGRAPHY MEASURES OF FATTY ORGANS
Authors: Lu Ake T , Horvath Steve 
Published: November 2019

Abstract
DNA methylation (DNAm) based biomarkers collectively known as “epigenetic clock” yielding accurate measure of age in any tissue across the entire life course have associated with a large host of age-related conditions. To study their implications in metabolic syndromes, we analyzed computed tomography (CT) derived measures of adiposity with 1) three widely-used clocks: Horvath, Hannum, and Levine (PhenoAge), and a newly developed clock DNAmGrimAge, and 2) seven DNAm based plasma proteins, the components comprising the DNAmGrimAge. Age-adjusted DNAmGrimAge and several age-adjusted DNAm plasma proteins including plasminogen activation inhibitor 1 (PAI-1) stand our followed by adrenomedullin and leptin. Fatty liver (r ≤ 0.41, P ≤ 2.9E-37) and excess visceral adipose tissue fat (r ≤0.42, P ≤ 1.5E-41) are the most significant CT-based measures of DNAmPAI-1 and DNAmGrimAge. Furthermore, age-adjusted DNAmGrimAge and age-adjusted DNAmPAI-1 continued showing the most significant relationship with lifestyle factors including healthy diet and educational attainment in expected directions.
DETECTION OF ELDER ABUSE BY FAMILY PHYSICIANS IN MONGOLIA: AN EXPLORATORY STUDY
Authors: Bagaajav Ariunsanaa 
Published: November 2019

Abstract
Elder abuse (EA) is a significant global social problem that jeopardizes the health and wellbeing of older adults around the world. Health providers can play a pivotal role in detection of EA and accessing resources and interventions. In Mongolia, where elder abuse is not widely recognized, family physicians (FPs) are particularly critical, providing frequent contact and home visits free of charge to community-dwelling older adults. However, little is known about FP knowledge and engagement with potential victims of EA. We interviewed 12 FPs from Ulaanbaatar participated via Skype about their knowledge of and responses to EA, using Grounded Theory data collection and analysis. All respondents reported encountering at least one case of EA in practice, and described the creative strategies they used to engage older patients, detect abuse, and prevent further harm. We present significant implications for guidelines for identification and prevention of EA in primary health care.
MEASURING NETWORK WELL-BEING AND HEALTH AMONG PEOPLE LIVING WITH DEMENTIA: A MIXED-METHODS STUDY
Authors: McConnell Eleanor S , Wei Sijia , Kang Bada , Woog Samantha , Wright-Freeman Kayla , Corazzini Kirsten N 
Published: November 2019

Abstract
The feasibility and utility of measuring social networks of people living with mild to moderate stage dementia to improve care quality was examined by comparing information obtained using Antonucci’s social network mapping approach and through information elicited through a series of open-ended questions regarding life story and well-being. Data were obtained from 24 interviews with 12 people belonging to one or more networks of people living with dementia receiving care in adult day programs. Concurrently we obtained measures of health and well-being using validated symptom checklists and the ICE-CAP suite of well-being measures. Parallel interviews were conducted with social network members who were in a care partner role, either paid or unpaid. Respondents were able to map social networks, and preferred open-ended questions to more standardized measures of quality of life and well-being. Findings from both sources were generally convergent, with open-ended questions providing richer information to guide care.
LONG-TERM EFFECTS OF MINDFULNESS ON URGE URINARY INCONTINENCE IN OLDER ADULT WOMEN: ANALYZING RCT RESULTS AT 6 MONTHS
Authors: Felsted Katarina Friberg 
Published: November 2019

Abstract
Urge urinary incontinence is a condition estimated to cost $82 billion by 2020. Innovative treatments are needed, particularly in the older adult population. A prior combined feasibility study and randomized controlled trial examined six feasibility determinants and five preliminary efficacy outcomes of treating urge urinary incontinence in older adult women (N=25; average age=74 years) utilizing an 8-week mindfulness-based stress reduction (MBSR) intervention compared with the health enhancement program (HEP), which is an active comparison modality specifically validated to be used alongside MBSR in scientific research. Feasibility and preliminary efficacy results were reported at GSA in 2018. This 2019 presentation relays the preliminary efficacy results at 6-month follow up. Outcomes include symptom severity, symptom bother, perceived stress, perceived self-efficacy, and rate and trajectory of change. Future research is needed in the form of a multi-site trial to provide a larger sample with greater diversity.
CAPTURING IMPACT ON STUDENTS PARTICIPATING IN AGING IN PLACE: A PROGRAM TO ENHANCE GERIATRIC EDUCATION
Authors: Smilowitz Stephen T , O’Toole Elizabeth , Morris Diana L , Fennimore Todd , Booth-Lord Cynthia , Smilovich-Fine Elizabeth , Rosenberg David M , Thomas Patricia A 
Published: November 2019

Abstract
Curricula to enhance healthcare students’ geriatric training has been lacking. Therefore, we developed AIP, an interprofessional (IP) community-based curriculum, in which IP student teams visit community-dwelling older adults. Using established instruments did not capture personal and professional changes experienced by students. Thus, an additional method using qualitative analyses of students’ six post-visit reflections over 15 weeks was employed to evaluate students ‘experiential learning. A grounded theory approach was used to describe students’ growth in geriatric proficiencies related to participation in the January-April 2017 AIP program . By program completion, 21 students had submitted 111 reflective essays. An interdisciplinary panel reviewed a sample of reflections and developed an initial coding system, which was then systematically applied to the whole via QSR-NVivo. Seventy-three distinct codes across 111 student essays generated 2515 occurrences. Prevalent themes, revealed by frequency analysis, and themes with remarkable trendlines yielded fifteen central themes. Students became attuned to their client’s life-world (n=185) as demonstrated by four central themes: 1) isolation, loneliness, and depression (n=44); 2) risks of fall (n=19); 3) loss of function/control (n=98); and, 4) importance of socializing in care (n=24). This attunement informed interactional intentionality (n=284), which shaped interactions with their client (n=207). From these authentic encounters, students described learning about 1) myself; 2) current and future practice; 3) team dynamics; and 4) my client as an older person. Systematic analysis of student reflections revealed student growth attributable to AIP. This evaluation approach should be further assessed in geriatric curricula.
HIV MADE ME STRONGER: CONCEPTIONS OF SUCCESSFUL AGING AMONG OLDER WOMEN LIVING WITH HIV
Authors: Rubtsova Anna A , Taylor Tonya , Wingood Gina , Ofotokun Igho , Gustafson Deborah , Holstad Marcia 
Published: November 2019

Abstract
Little is known about successful aging (SA) among older (50+) women living with HIV (OWLH). Therefore, the purpose of this qualitative study was to examine subjective understandings of SA among OWLH. Participants were OWLH enrolled in the Women’s Interagency HIV Study (WIHS) and those not enrolled in WIHS: 8 in Atlanta, GA (3 WIHS and 5 non-WIHS) and 9 in Brooklyn, NY (6 WIHS and 3 non-WIHS). Semi-structured interviews ranged from 30 to 120 minutes. Several themes emerged in participants’ definitions of SA, e.g. self-care, taking HIV medications, and being resilient (“HIV made me stronger”). Both WIHS and non-WIHS participants emphasized life course perspective in their definitions of SA -- women viewed their aging successful as a more stable phase of life in contrast to hardships they experienced while being younger (e.g., drug use, incarceration). Data collection efforts are ongoing and will allow further characterization of SA among this population.
SPREAD OF QUALITY IMPROVEMENT PROJECTS IMPLEMENTED IN A GERIATRICS WORKFORCE DEVELOPMENT PROGRAM
Authors: OHanlon Claire E , O’Hanlon Claire E , Saliba Debra , Douglas Joseph , Mitchell Michael N , Callaway-Lane Carol , Kramer Josea 
Published: November 2019

Abstract
This project characterizes spread of quality improvement (QI) projects initiated in the U.S. Department of Veterans Affairs (VA) Geriatric Scholars Program (GSP) workforce development program. This mixed methods study analyzes a recent cross-sectional survey of GSP participants and program-level data on participant characteristics and QI project topics. We surveyed 578 scholars who had completed all program requirements to that point, and still worked for VA; 207 (35%) responded. The majority of respondents who had been in the program for at least six months (70%) reported sustainment of their QI project beyond initial implementation and nearly a third (30.4%) reported any spread beyond their own care team. QI project topics spanned many domains and percent of projects reporting spread varied across domains from 0% to 67%. A workforce development capstone activity in which participants demonstrate substantive and methodological competency can foster bottom-up QI activities in a large, diverse health care system.
AGE INDUCES AN EMERGENCE FROM MELANOMA DORMANCY
Authors: Fane Mitchell 
Published: November 2019

Abstract
Melanoma cell dormancy is regulated by intrinsic cues that maintain a slow-cycling state in cells and by extrinsic interactions with stromal and immune components of the microenvironment. A key factor is that a significant lapse of time occurs between initial diagnosis, and metastatic recurrence of dormant cells. During this time, the organism ages and age is a poor prognostic indicator for cancer. We have found that melanoma cells form lung metastases more efficiently in aged mice and remain dormant in young mice. Analysis of the immune-microenvironment of the lung reveals that healthy young and aged mice have little difference in infiltration of immune subpopulations; however aged tumor bearing mice have significantly increased immunosuppressive MDSCs and Tregs and decreased CD4+ and CD8+ t-cells in the lung compared with young mice. Our data indicates that aging induces an immunosuppressive lung microenvironment which allows immune-evasion and an emergence from melanoma dormancy.
DEVELOPING A COMMUNITY-BASED COMPREHENSIVE FALLS PREVENTION PROGRAM IN COLLABORATION WITH PRIMARY CARE
Authors: Pidgeon Dawna 
Published: November 2019

Abstract
Reducing falls in older adults requires a comprehensive screening program, a systems approach to refer those at risk and an evidence based community falls prevention programs. The Dartmouth Centers for Healthy & Aging has been the recipient of 2 Association of Community Living (ACL) Falls Prevention grants. This has enabled the development of a robust program for falls screening both in primary care and through community based balance screening events called “Balance Days”. At risk individuals receive coaching, based on the principles of motivational interviewing, focusing on enrolling in either “Matter of Balance” or “Tai Chi Quan: Moving for Better Balance”. Through the ACL grant we have built significant capacity across New England for these programs. This talk will focus on the “secret sauce” of implementing a robust community based falls prevention program in partnership with primary care.
R3 PROGRAM MANAGEMENT AND WELLNESS TEAM VIEWS ON BARRIERS AND FACILITATORS TO IMPLEMENTING THE R3 PROGRAM
Authors: Shellito Natalie , Nadash Pamela , Miller Edward , Simpson Elizabeth , Cohen Marc 
Published: November 2019

Abstract
Implementing programs such as R3, which adds health-focused supportive services into senior housing sites, can be complicated. This study aimed to understand program management and wellness team views on barriers and facilitators to implementation. Semi-structured interviews were conducted with managers, social workers, and wellness nurses who implemented the R3 program. Facilitating factors included monthly phone calls between wellness team members and program participants, which strengthened relationships and provided valuable information; top-level management support, which was critical in building community partnerships; and daily ambulance reports from local emergency responders, which provided actionable information about participants. Barriers included the need for more wellness team time at individual intervention sites, challenges connecting R3 staff with participants’ hospitals and insurance companies, and refining the technological approach used to facilitate work flow and information exchange. Although obstacles were encountered during implementation, the findings provide support for the beneficial effects of enhanced services within senior housing.
THE ROLE OF HOUSING MANAGEMENT AND STAFF IN ADMINISTERING THE R3 PROGRAM
Authors: Simpson Elizabeth , Miller Edward , Nadash Pamela , Jansen Taylor , Lin Yan , Cohen Marc 
Published: November 2019

Abstract
Existing staff and management are central players in integrating enhanced services into affordable senior housing. This study describes the experience of housing providers in the implementation and operations of the R3 program. Semi-structured interviews were conducted with executives and direct service staff across the four intervention sites. Results indicate that staff served an important role in facilitating resident recruitment by operating as trusted sources of information about the R3 program. Top-level support for R3, acculturating R3 staff to the housing site, developing communication and data systems, and integrating new and existing staff were seen as crucial to the success of the program. Benefits noted by housing staff included freedom to redirect one’s energies/focus, production of actionable data/insights, reductions in resident turnover, and the addition of a nurse to the onsite services team. Housing management/staff experience with R3 can serve as a guide to moving to an enhanced services model.
RACE AND GENDER DIFFERENCES IN PHYSICAL FUNCTIONING AMONG COMMUNITY-DWELLING OLDER ADULTS
Authors: Fabius Chanee D , Parker Lauren J , Thorpe Jr. Roland J 
Published: November 2019

Abstract
Prior work has demonstrated that there are race and gender disparities in the prevalence of need for assistance with tasks such as self-care, mobility, and household activities. Research has historically shown that older black Americans and women experience greater prevalence of physical functioning declines. It is unclear whether these differences persist among those receiving assistance. Using data from the 2015 National Health and Aging Trends Study (NHATS), a nationally representative study of Medicare beneficiaries aged 65 and older, and after adjusting for covariates, black men received less assistance with self-care and mobility activities, and white and black women received more help with mobility and household activities, compared to white men. Findings are critical to advancing our understanding of the needs of vulnerable older adults receiving assistance. More research is needed to understand the implications of these differences on long-term services and supports provided by both informal and formal caregivers.
THE ROLE OF GEOGRAPHIC-LEVEL RACE AND SOCIOECONOMIC FACTORS ON ACCESS TO HIGH QUALITY MEDICARE HOME HEALTH
Authors: Fashaw Shekinah A , Thomas Kali 
Published: November 2019

Abstract
Prior research suggests that neighborhoods with predominantly minority and low-income individuals have decreased access to high quality hospitals, primary care physicians, and nursing homes. The purpose of this study is to determine if low quality Home Health Agencies (HHAs) are concentrated within more disadvantaged neighborhoods, while high quality HHAs cluster in more affluent neighborhoods. We characterize neighborhoods by racial and ethnic composition, and the proportion of residents below the federal poverty line; and HHAs according to their star ratings. We conduct a national, observational descriptive study using data from the 2017 HH Compare and American Community Survey. Predominantly black neighborhoods are served by the highest proportion of unrated and low-rated HHAs, while predominantly white neighborhoods have the highest proportion of high quality HHAs. This study signals and potential explanation for why minorities and duals receive care from lower quality HHAs. Such knowledge may help inform reimbursement and incentive practices.