bluuebunny/crossref_metadata_2025_split huggingface dataset:
Building a Framework for Care of Older Patients in an Academic Setting: High Risk Geriatrics Ambulatory Care Program
Authors: Chow Stephanie , Chun Audrey , Munoz Lizette , Fani Shamsi , Morrison Rolfe Sean , MacKenzie Blair , Lavayen Susana , Hung William 
Published: December 2020

Abstract
BACKGROUND: Traditional models of geriatric medicine and health system reimbursement structure often force ambulatory care teams to function as high-volume delivery programs, thereby dis-servicing our most vulnerable and frail older patients. This “high cost and high needs” labeled demographic requires uniquely adapted plans from medical and social work providers. METHODS: To better examine opportunities for improved framework for geriatric ambulatory care, the Acute Life Interventions, Goals & Needs (ALIGN) Program has launched several inter-professional pilot programs, each with intention to explore components of health care service to older patients, and feasibility of implementation in other health care systems. Three current models include the ALIGN Program itself, a telemedicine community paramedicine program, and a geriatric surgery co-management program. RESULTS: Preliminary results are forthcoming, with initial promising findings. For the first 126 patients enrolled, mean emergency room (ED) visits 6 months prior to ALIGN enrollment were 1.7 visits per person, reduced to 0.7 ED visits/person 6 months post-graduation from the program, and 126 fewer ED visits. Mean hospitalization 6 months prior to enrollment was 0.32 per person, whereas 6 months post-graduation was 0.2 hospitalizations/person, totaling 40.32 hospitalizations saved. Mean length of stay in the hospital 6 months prior to ALIGN enrollment for the 22 patients admitted was 7.7 days, reduced to 7.3 days post-graduation, and 32 fewer hospital days in the small subset of patients requiring hospitalization despite program interventions. CONCLUSION: The ALIGN Program’s multi-professional and flexible modularity highlights promising innovative frameworks for ambulatory geriatrics care, warranting further exploration and collaboration.
Parental Longevity Is Associated With Brain Volumes in Selected Areas
Authors: Tian Qu , Melzer David , Pilling Luke , Ferrucci Luigi 
Published: December 2020

Abstract
A few studies report that parental longevity is associated with faster gait speed, less memory decline, a lower risk of Alzheimer’s disease, and lower white matter hyperintensities. Data on structural neuroimaging correlates of parental longevity and its spatial distribution are limited. This study aims to examine relationships of parental longevity with regional brain volumes. We identified 10,513 participants from UK Biobank (mean age=58±6, ranged40-70, 50%women) with data on parental longevity and information on MRI regional brain volumes that have been related to executive function (dorsolateral prefrontal cortex), memory (hippocampus, parahippocampal gyrus, inferior temporal lobe, middle temporal lobe) and motor function (precentral gyrus, putamen, caudate, corpus callosum). Participants were categorized based on whether at least one parent lived to age 85 or older or neither parent survived to age 85. Associations of parental longevity with each brain volume measure were examined using linear regression, adjusted for age, sex, education, ApoE e4 status, total gray matter atrophy, white matter hyperintensities, hypertension, and glucose. Compared to participants whose both parents died before 85, those with at least one parent surviving to 85 had greater brain volumes in hippocampus, parahippocampal gyrus, inferior temporal lobe, middle temporal lobe, and precentral gyrus in fully adjusted models (Bonferroni corrected p&lt;0.01). There were no significant associations with volumes in dorsolateral prefrontal cortex, putamen or caudate. Parental longevity is associated with preserved brain structure localized in memory- and motor-related cortical regions. These findings support previous reports that parental longevity is associated with better memory and gait with aging.
Patterns and Predictors of Residential Care Transitions Over Time Among Medicare Beneficiaries
Authors: Chyr Linda , Fabius Chanee , Drabo Emmanuel 
Published: December 2020

Abstract
Older adults prefer to age in place, but sociodemographic characteristics, health factors, and socioeconomic resources may influence their decision to move into other residential care settings (e.g., assisted living) or nursing homes. The characterization of residential care transitions and factors contributing to these transitions is limited. This study describes patterns and identifies predictors of transitions across community, residential care settings, and nursing homes among N=7076 Medicare beneficiaries in the National Health and Aging Trends Study, from 2011-2018. A discrete-time, multi-state Markov model was used to estimate the annual probabilities and hazards of transitioning across settings, adjusting for sociodemographic, health, and socioeconomic factors, mortality risk, as well as censoring from loss to follow-up. Most beneficiaries did not experience transitions: annual probabilities of remaining in the community, residential care settings, and nursing homes were 93%, 78%, and 73%, respectively. Being older, having dementia, being hospitalized in the last year, living alone, having multimorbidity, and having some or any functional limitations were associated with higher hazards of transition from the community to residential care settings and nursing homes. Being on Medicaid was associated with a reduced hazard of transitioning from the community to residential care settings (hazard ratio [HR]: 0.57; 95% CI: 0.36-0.91), but a higher hazard of transitioning from the community to nursing homes (HR: 1.37; 95%: CI: 0.98-1.91). As long-term services and supports increasingly shift from institutional to home and community-based care, our results can inform the design of federal and state policies targeting transitions across the care continuum.
Development of Dementia Best Care Practices in Long-Term Care Settings Online Modules
Authors: Dassel Kara , Garrett Larry , Andersen Troy , Ballard James , Freimer Martin , Butler Jorie , Edelman Linda 
Published: December 2020

Abstract
One arm of the Utah Geriatrics Education Consortium focuses on providing Alzheimer’s disease and related dementias (ADRD) education to formal and informal caregivers. An interdisciplinary group of faculty developed a 3-hour online training program focused on best care practices, recommended by the National Alzheimer’s Association, for persons with ADRD residing in long-term care settings. Topic include: 1) Overview of Dementia (e.g., What are types of dementia and the associated symptoms?), 2) Understanding Behaviors and Your Approach (e.g., What are the best methods for recognizing and reporting behavior change?), 3) Effective Communication within Long-Term Care (e.g., What are the best strategies to enact effective team meetings?), and 4) Communication and Responding to Behaviors (e.g., What are methods for reducing patient agitation?). Throughout the four modules a case study follows “Mrs. Jones” to demonstrate the skills and techniques raised in each module. Pre- and post-evaluation questions are embedded in the training program.
Theoretical Framing and Dissemination of Ageism First Aid: A Significant Tool for the AFU Movement
Authors: Reynolds Laurinda , Newsham Tina 
Published: December 2020

Abstract
By graduation most high school students have negative feelings about aging, the idea of working with older people is unappealing, and few choose to study aging. When non-traditional students of any age enroll after gaining experience in the workforce, they experience ageism and may not persist to degree completion. The value of Ageism First Aid (AFA) as an internal and external AFU tool is supported by Bronfenbrenner’s Ecological Theory and Rogers’ Diffusion of Innovation theory. AFA utilization during high school can increase traditionally-aged student enrollments. Its use for professional development on campuses can improve the campus climate for all constituents and ensure graduates will know how to avoid contributing to aging stigma. AFA use by providers of aging services and support can reduce the aging stigma older people experience. Attendees will receive handouts with a variety of dissemination models and information on how to gain institutional access to AFA. Part of a symposium sponsored by Age-Friendly University (AFU) Interest Group.
Campus-Wide Buy-In for an Age-Friendly University: One Goal and Many Paths
Authors: Zakrajsek Andrea , Andreoletti Carrie 
Published: December 2020

Abstract
Recognizing a growing aging population around the world as well as the many benefits of engaging learners at any age in higher education institutions (Kressley & Huebschmann, 2002; Morrow-Howell, et al., 2019; Silverstein, Choi, & Bulot, 2001), the Age-Friendly University (AFU) international initiative offers a medium to support diversity and inclusion efforts based upon age. Dublin City University (DCU), along with Arizona State University (ASU) and Strathclyde University, developed 10 Age-Friendly University (AFU) principles which offer a guide for institutional commitment to age-diversity that can be realized through institutional goals, aims, and initiatives (DCU, n.d., Talmage, Mark, Slowely, & Knopf, 2016). Because of the non-prescriptive nature of these principles, universities endorsing them have opportunities to forge varied paths in the unified goal of age-friendliness. Presenters will share lessons learned from development of the AgeAlive collaborative hub to advance age-friendly research and community-based projects at Michigan State University, the value of cross-campus partnerships at the University of Hartford, the critical support provided by the Adult Learner Programs and Services office at Northern Kentucky University, and the intentional alignment of AFU efforts with administrative priorities at Eastern Michigan University, and journey from focusing on programs to embedding age-friendly practices throughout the institution at Arizona’s State University. Through the diverse paths these presenters used to obtain support for the AFU principles at their respective universities, participants who are just beginning their AFU journeys will learn actionable strategies for increasing age-friendliness at their own institutions.
Supporting PhD Students to Become Faculty in Gerontological Social Work: AGESW’s Fellowship Program
Authors: Mauldin Rebecca , Lubben James 
Published: December 2020

Abstract
In the United States, the field of social work faces a critical shortage of students and faculty with expertise in gerontology needed to meet the growing needs of an aging society. To help recruit, train, and retain aging-related social work practitioners, researchers, and educators, the Association for Gerontological Education in Social Work (AGESW) created the Pre-Dissertation Fellowship Program in 2010. AGESW provides leadership in the areas of gerontological social work education, research, and policy and its PDFP was designed to support doctoral students in their education and future careers. In this 10th anniversary year of the PDFP, this symposium presents multiple perspectives of PDFP program evaluation. The first paper uses qualitative data from eight years of PDFP evaluations to identify types of professional skills attained through the program and areas of professional development missing from PDFP fellows’ home doctoral programs. The second paper uses quantitative data from a retrospective survey administered to PDFP alumni to describe their perspectives on the effects of the program. The third paper uses data from a retrospective survey of three cohorts of PDFP alumni to demonstrate the use of social network analysis for program evaluation. The fourth and final paper uses an idiographic approach to explain benefits of the PDFP from the perspectives of early stage scholars who participated in the program. Overall, the symposium provides evidence that suggests the effectiveness of the PDFP in building professional networks, mentoring doctoral students, and teaching academic skills and discusses using the PDFP model in other gerontological fields.
An Evolution of the Standards to Enhance Gerontological and Geriatric Education
Authors: Shovali Tamar , Kopera-Frye Karen , Montepare Joann 
Published: December 2020

Abstract
This presentation will focus on AGHE’s evolving discussions on gerontological and geriatric programming. The earliest discussion resulted in development of the first edition of the standards and guidelines for programs in 1989. In 2014, the AGHE Academic Program Development Committee (APDC) created new core competencies for gerontological education. Currently, members from both the AGHE APDC and Advancement Subcommittees are collaborating on revising the AGHE Standards and Guidelines (6th edition, 2015) to align with competencies. This presentation will discuss the new and improved version (draft available in November 2020). First, presenters will review points regarding how this update will aid in Accreditation for Gerontology Education Council and Program of Merit self-study program reviews. Secondly, the presenters will explain how the revision will increase gerontological education program integrity. Lastly, the presenters will explain how this update will be consistent with the trend across institutions utilizing these competencies in gerontological and geriatric education. Part of a symposium sponsored by the Geriatric Education Interest Group.
Lifelong Learners’ Contributions to the Campus Community
Authors: White Barbara 
Published: December 2020

Abstract
The 2,000 member Osher Lifelong Learning Institute (OLLI) at California State University, Long Beach offers non-credit classes to adults 50 and older. We have an ongoing strategic goal (2014, 2019) to “increase our University and student involvement.” Integration into the campus community includes members volunteering as participants in survey and participatory faculty and student research related to biopsychosocial aspects of aging, faculty/student data collection in selected OLLI classes, vetting students to teach OLLI classes, acting as resources for professors/students in product development related to aging, guest lecturing in University courses, and providing internships for students at OLLI. Collaborations have led to multiple faculty/student publications and presentations. We also endow an annual award for graduate students to support their research/projects related to aging. In return, we request and provide students the opportunity to present their results to our members. Outreach strategies will be discussed.
Acceptance and Uptake of Technology Among Older Adults: Findings From CREATE
Authors: Czaja Sara , Xie Bo 
Published: December 2020

Abstract
Technology is ubiquitous in everyday life and technology use is essential to independent living. Technology applications are deployed in most settings (e.g., healthcare, work) and also changing how we communicate, and access information and services. Despite increases in technology uptake among older people, an age-related digital divide remains. Drawing from research conducted by the Center for Research and Education on Aging and Technology Enhancement (CREATE), this symposium will discuss the acceptance and uptake of technology among older adults and factors influencing technology adoption. S. Czaja will discuss recent technology trends and how they vary according to technology type and subgroups of older adults. Based on CREATE findings, she will also discuss age group and cohort differences in interest in and comfort with technology. W. Boot will present findings from a study that examined adherence to a technology-based cognitive training program and how individual difference factors shaped adherence. N. Charness will present findings regarding whether advanced driver assistance systems (ADAS) can improve older adult driving performance, and older adults’ acceptance and perceptions of value of ADAS systems. M. Harris will discuss health related technology interventions and how integration of technology acceptance and behavior change models can provide insights for the design of health behavior interventions aimed at older adults. J. Sharit will provide findings from a study, which examined the willingness of older adults to adopt a variety of technologies and factors influencing willingness to adopt. Bo Xie will lead a discussion of these issues and outline areas for future research.
Integrating Technology Acceptance and Behavior Change Theories to Guide Technology Interventions
Authors: Harris Maurita , Rogers Wendy 
Published: December 2020

Abstract
Technology interventions are commonly proposed as an effective means to support health self-management in older adults. For such interventions to be successful, we must identify individuals who are willing to adopt and adhere to these technologies. The general Technology Acceptance Model (TAM; Davis 1989) has been widely used to predict intentions to adopt technology in a variety of contexts. Likewise, the Theory of Planned Behavior (Azjen, 1991) has long been used to provide insights about health behaviors. These theories share three common stages: attitudes, behavior intentions, and acceptance. However, neither perspective provides insight into continued utilization of a technology tool (i.e., long-term adoption). Our goal is to integrate these models with the Transtheoretic Model of Behavior Change (Prochaska & Velicer, 1997) to provide insights that can help design technological interventions for older adults who want to change a health behavior and maintain that change over time.
Building National Capacity for Dementia Caregiving Research: The NIA Edward R. Roybal Centers
Authors: Davidson Karina , Hughes Susan , Kaye Jeffrey , Halpern Scott , Hepburn Kenneth , Heffner Kathi 
Published: December 2020

Abstract
The NIA Edward R. Roybal Centers for Translational Research in the Behavioral and Social Sciences of Aging aim to translate and integrate basic behavioral and social research findings into principle-driven interventions aimed at innovatively improving both the lives of older people and the capacity of institutions to adapt to societal aging. Newly funded Centers focus on interventions to promote caregiving mastery, integrate the use of technology in care support to improve assessments and interventions in care provision, develop behavioral interventions to reduce isolation and promote social connectedness in caregivers, promote health in racial/ethnic minorities, and apply insights from data science and behavioral economics to improve palliative care delivery and long-term support facilities for persons with dementia and their caregivers. Center leaders will present an overview of their cutting-edge, early-stage research projects based on the NIH Stage model conceptual framework and discuss implications for improving care of caregivers and patients.
Digital Tools to Enhance Caregiver-Centered Communication
Authors: Oliver Debra Parker 
Published: December 2020

Abstract
While it is recognized that caregiver engagement can improve processes and outcomes of care in gerontology, there are barriers to caregiver centered communication, including limited resources for health systems to devote services specifically to families, geographic distance and lack of time. Digital tools such as social media platforms and video-conferencing introduce opportunities for remote and often asynchronous communication. In this presentation, we discuss findings from two randomized clinical trials that explored digital tools to empower family caregivers. In the first we examined ways to use video-conferencing to enable family caregivers to become virtual team members during hospice interdisciplinary teams, and in the second trial we examine the use of secret Facebook groups to meet informational and emotional needs of family caregivers during episodes of care that are often linked to increased social isolation and loneliness. We discuss challenges and opportunities in designing digital tools to facilitate caregiver engagement and empowerment.
Profiles of Family and Friend Caregivers of Community-Dwelling People With Dementia: A Latent Class Analysis
Authors: Jutkowitz Eric , Mitchell Lauren , Gaugler Joseph 
Published: December 2020

Abstract
People living with Alzheimer’s disease and related dementias (ADRD) receive most of their care from family/friends, but little is known about the organization of this care. We used data from the Health and Retirement Study and latent class analysis to determine variation in the hours of care received by community-dwelling people with ADRD from disease onset up to 6-years post onset. At incidence (n=1,158), the latent class analysis identified two groups of caregiving patterns. In the first group, 10% (n=109) of people with ADRD received 481 hours (SD=177) of care. Most care was provided by a spouse (411 hours) with less from children (28 hours), other family/friends (17 hours), and paid individuals (25 hours). In the second latent class, the remaining 90% (n=1,049) of people with ADRD received 114 hours (SD=202) of care which was distributed between spouses (12 hours), children (51 hours), other relatives/friends (22 hours), and paid individuals (29 hours). By 6-years post incidence, 7% (n=76) of the original ADRD cohort remained in the community, and we identified two latent classes independent of those identified at incidence. Almost 15% (n=11) of people with ADRD received a majority of care from a spouse (376 hours) with care supplemented by children (10 hours) and paid individuals (54 hours). The remaining 85% (n=65) of people with ADRD received 294 (SD=314) hours of care from spouses (13 hours), children (104 hours), other family/friends (83 hours), and paid individuals (67 hours). Policies/interventions supporting caregivers must account for the heterogeneity in the organization caregivers.
Contributors to and Consequences of Poor Sleep in Older Adults: Biopsychosocial Perspectives
Authors: Spira Adam , Stone Katie 
Published: December 2020

Abstract
Sleep is a significant contributor to health and wellbeing across the lifespan, especially in later life. Poor sleep is common among older adults and can be both a risk factor for and consequence of numerous physical and mental health-related outcomes. In this symposium, we will present novel results from four studies that will advance understanding of the biological, psychological, and social factors that may contribute to or result from poor sleep in older adults. Specifically, Study 1 will present findings tying objectively measured sleep to performance on cognitive tasks administered using ecological momentary assessment (EMA) in the day-to-day lives of older adults with or without mild cognitive impairment (MCI). Study 2 will examine associations of personality dimensions and facets with insomnia symptoms in well-functioning older adults. Study 3 will examine psychological pathways linking parent-child relationships to subjective and objective sleep characteristics among older parents. Finally, study 4 will examine use patterns of cannabis for the treatment of sleep problems in older adults, and the ways in which this might differ from patients using cannabis for other reasons (e.g., pain). Together, this symposium will highlight novel links of an array of factors with sleep health in the aging population and their implications for prevention. Sleep, Circadian Rhythms and Aging Interest Group Sponsored Symposium.