bluuebunny/crossref_metadata_2025_split huggingface dataset:
THE IMPACT OF THE TEACHING NURSING HOME ON THE NURSING HOME WORKFORCE
Authors: Degenholtz Howard , Campbell Kenna , Treat Anny 
Published: January 2025

Abstract
The Teaching Nursing Home (TNH) is designed to improve the long-term care workforce and improve quality of care in nursing homes. The initiative has multiple components: enhanced clinical rotations for nursing students with partner schools of nursing, implementation of the Institute for Healthcare Improvement Age-Friendly Health System “4M” quality improvement model, and an online learning network. CMS Payroll Based Journal (PBJ) data were analyzed using a propensity weighted difference in difference model to determine if there was an effect on attrition or staffing levels. Staff satisfaction and burnout surveys were conducted at participating nursing homes in the winter of 2022 using a combination of web-based and in-person paper administration. Follow-up surveys were collected in 2023. Response rates ranged from 14% to 54%. A total of 190 surveys were available at baseline, and 183 at follow-up. All surveys were anonymous; cross-sectional analyses were conducted to identify trends. The findings for burnout were mixed. Emotional exhaustion decreased, but depersonalization increased and personal accomplishment was unchanged. Overall job satisfaction was unchanged but the management and leadership component of fob satisfaction declined. Attrition among registered nurses, licensed practical nurses and certified nurse assistants was lower than among matched facilities in the same market areas. After the first year of implementation, the TNH program is showing mixed benefits in terms of burnout and job satisfaction, but some benefit in terms of reducing turnover. As the Age-Friendly Nursing Home program is disseminated across the US, it is important to track the impact on the workforce.
THE ROLE OF PSYCHOLOGICAL CAPITAL IN MODULATING CAREER ADAPTABILITY AND TURNOVER AMONG NURSING ASSISTANTS
Authors: Sun Changxian , Xing Yurong 
Published: January 2025

Abstract

Background
High turnover intention of nursing assistants was detrimental to the sustainability of long-term care. Career adaptability is an important determinant in reducing turnover intention, but little research has explored the mechanism from the perspective of psychological capital. The aim of this study was to analyze the association between career adaptability and turnover intention and to examine the mediating role of psychological capital between career adaptability and turnover intention among nursing assistants in mainland China.

Methods
A cross-sectional online study was conducted among 276 nursing assistants from eight nursing homes in Nanjing, China. The participants’ career adaptability, psychological capital, and turnover intention were obtained. SPSS 26.0 and Amos 24.0 software were employed for statistical analysis.

Results
Career adaptability was positively related to psychological capital and negatively linked to turnover intention (P &lt; 0.01). Psychological capital played a fully mediating role (β = -0.085, P &lt; 0.05) in the relationship between career adaptability and turnover intention, and the largest indirect effect was generated through the curiosity dimension. Conclusions: The management of long-term care facilities should focus on assessing the level of career adaptability of nursing assistants. The overall improvement of career adaptability and psychological capital is conducive in reducing turnover intention. Targeted interventions are recommended to improve career adaptability and reduce turnover intentions by increasing career curiosity. Online career adaptability programs can be developed for nursing assistant students to improve their psychological capital and facilitate career transitions.
DOES CAREGIVING HASTEN AGING? EXPLORING THE LINK BETWEEN TRIPLE-DUTY CAREGIVERS’ TRANSITIONS AND SUBJECTIVE AGE
Authors: Sun Xin , Hu Zhan 
Published: January 2025

Abstract
Perceptions of aging serve as crucial indicators for evaluating positive aging. This study examines the relationship between various caregiving transition types and subjective aging over time. Utilizing data from the 2018 and 2020 waves of the China Longitudinal Aging Study, we examine six transition types, incorporating both intra- and extra-familial caregiving behaviors, by constructing three subjective aging change patterns: “Consistent over time”, “Accelerated growth”, and “Relative decline”. The findings reveal that sustained caregiving is associated with a relative decline in subjective age, with a more pronounced effect observed in the reduction of ongoing extramural caregiving. Caregiver role transitions, such as exiting caregiving and transitioning between intra- and extra-familial caregiving, lead to an accelerated increase in subjective age, while entering caregiving aligns subjective age with the passage of time. In the context of caregiving role transitions, a positive self-perception of aging enhances the subjective age of female caregivers, whereas a positive general aging attitude reduces the subjective age of male caregivers. The study underscores the significance of caregiving experiences as crucial predictive factors for subjective aging. Establishing comprehensive family support policies throughout the caregiving lifecycle, promoting voluntary caregiving participation, can contribute to enhancing adaptive aging
PREVALENCE OF AMBIVALENT AGEISM AMONG AGING SERVICES PROVIDERS AND ASSOCIATION WITH STRESS
Authors: Kinkade Emily , Fuller Heather 
Published: January 2025

Abstract
Ageism is an ambivalent construct consisting of positive and negative attitudes towards older adults. It is well documented that ageism is harmful to the physical and mental well-being of both the holder and target of ageist beliefs and behaviors. However, most ageism research focuses on hostile ageism within specific contexts (e.g., the workplace and medical settings). Little to no research investigates the prevalence and implications of ambivalent ageism among other populations that provide important resources to older adults. This study investigates how common ambivalent ageism is among aging service providers, and whether ambivalent ageist beliefs are associated with their feelings of stress and burnout. A small sample of Midwestern aging service providers (n=40) was recruited. Ambivalent ageism was measured using the Ambivalent Ageism Scale, while service provider stress and burnout were measured with the Perceived Occupational Stress Scale and the Copenhagen Burnout Inventory, respectively. A paired-samples t-test found that benevolent ageism was significantly higher than hostile ageism among aging service providers. Multiple regression analyses indicated that among aging services providers, benevolent and hostile ageism were associated only with personal burnout, and not with perceived stress, perceived occupational stress, nor work-related burnout. Such findings suggest that benevolent ageism may be more common among service providers because it is less likely to be viewed as problematic, and thus is more normalized and unquestioned. Further, ambivalent ageist beliefs may be associated with personal burnout due to exacerbating stress-related conditions such as compassion fatigue.
THE ROLE OF SOCIAL NETWORKS ON THE RELATION BETWEEN AGE DISCRIMINATION EXPERIENCE AND DEPRESSION: A BUFFER OR A STRESS?
Authors: Park Junmin , Lee Yeonjung 
Published: January 2025

Abstract
A Confucian culture in Korea, which holds the older people in high esteem has been eroded due to the disruption of the traditional family structure since industrialization and modernization, resulting in the diminished respect for older adults. However, given these cultural background, experiences of age discrimination might be devastating especially for older adults. While social capital theory suggests that individuals obtain material, cultural, and human capital through their social networks, it is unclear whether social networks play a role as a buffer or a stress for the association between age discrimination experience and depression. Therefore, the objective of this study is to examine the moderating role of social networks (formal & informal) in the relationship between age discrimination experience and depression. Specifically, formal social networks are the frequency of participation in civic society, and informal social networks are the frequency of contact and interaction with family and non-family members. Andrew Hayes’ PROCESS macro analytical approach was applied using a selected sample who are aged 65 and older from the 2020 National Survey of Older Koreans (n=10,097). The results show that older adults who experienced age discrimination are likely to have more depressive symptoms. While formal social networks had no significant moderating effect, informal social networks had a significant moderating effect. Specifically, the association between age discrimination experience and depression is stronger at a high frequency of informal social network. Findings have implication that social networks might worsen the consequences of age discrimination for depression among Korean older adults.
UNDERMINING OLDER ADULTS’ AUTONOMY IN THE NAME OF HELP: NEGATIVE AGING ATTITUDES AND PHYSICAL HEALTH OUTCOMES
Authors: Chen Zizhuo , Zhang Xin 
Published: January 2025

Abstract
Older adults often face challenges in maintaining autonomy, such as having others make decisions for them and receiving paternalistic help. This research aimed to investigate whether such phenomena, although usually presented in the guise of benevolent help, reflect negative aging attitudes and threaten older adults’ physical health. Study 1 surveyed 89 younger adults on their preference for providing paternalistic (e.g., Developing strict meal plans) versus agentic help (e.g., Offering dietary recommendations with explanations) for different age groups. Results indicated that participants believed older adults (compared with younger adults) were more acceptable to paternalistic help and deemed it more effective than agentic help. Such inclination was positively associated with participants’ demeaning attitudes (i.e., disregarding ones’ advanced psychological needs) towards older adults and fixed essentialist beliefs about aging. Study 2 analyzed a 4-wave, 10-year, nationally representative dataset with 4288 cases to explore the impact of compromised autonomy (having others make decisions for them) on older adults’ physical health. Although cross-lagged model revealed a mutual positive prediction between older adults’ autonomy and their health status, further analysis using instrumental variables confirmed the causal relationship of autonomy on health, rather than the reverse. Moreover, older adults who were less able to make decision for themselves exhibited lower survival probabilities, even after controlling for other variables, including age, health status, ADL, etc. These findings underscored negative attitudes underlying some benevolent helping behaviors that undermined older adults’ autonomy and their detrimental physical outcomes, and shed light on the significance of protecting and promoting older adults’ autonomy.
ACCEPTABILITY AND FEASIBILITY OF WEARABLE SENSORS IN AN AGING INDIVIDUAL LIVING COMMUNITY
Authors: Koszalinski Rebecca , Tappen Ruth , Ghoraani Behnaz , Vieira Edgar , Furht Borko , Newman David , Jan Muhammad Tanveer 
Published: January 2025

Abstract
The use of health technology to detect and measure outcomes in aging individuals offers safe, efficient, and cost-effective detection of changes. There are numerous barriers to acceptability and engagement of technology including participant lack of knowledge, insufficient support, and challenging functionality. It is unclear if barriers of the use of smartwatches stem from participants’ unfamiliarity, inability to use technology, disinterest, or if bias contributes to inadequate engagement and testing with older adults. This team of researchers designed a pilot study to investigate the acceptability of smartwatches among aging individuals residing in adult living community in the Southeastern United States. Out of 27 participants who consented to the study, 7 (25.9%) were requested repeats and all (100%) wore the smartwatches for a period of 1 to 5 days. Engagement was high throughout the data collection period (May – December, 2023), with participants expressing interest in the smartwatches’ data output. Verbatim comments were predominantly positive (“like the look”; “like the technology”; “comfortable”). However, concerns were raised about smartwatch’s size (n = 2), weight (n = 1), and the necessity of maintaining the correct time on the device to facilitate independent time management (n = 5). This study contributes to the literature by highlighting the successful engagement and deliberate inclusion of aging individuals in health technology research, and the acceptability of technology (smartwatches) in this population. It suggests the importance of consulting aging individuals in the planning stages of deploying specific sensor technologies.
AS YOUNG AS YOU FEEL? TRACKING SUBJECTIVE AGE AND PHYSICAL WELL-BEING BEFORE A LUNG CANCER SCAN
Authors: Dunsmore Victoria , Neupert Shevaun 
Published: January 2025

Abstract
Research has not yet considered how cancer-related events trigger poor quality of life. Here, researchers examined whether the discrepancy between felt and chronological age was related to physical well-being, and if these fluctuated as patients with lung cancer approached a triggering event – repeated CT scans. 25 patients treated with curative intent treatment for lung cancer were recruited within 6 months of their upcoming CT scan. Patients were predominantly white (80%; Black: 12%), women (96%), between 43 and 78 years old (M = 62.33, SD = 8.10). Baseline surveys collected age, and repeated monthly surveys gathered physical well-being and felt age every 30 days until one’s scan. Following a monthly response rate of 100% (59 of 59 received), researchers calculated proportional discrepancy felt age scores by subtracting chronological age from felt age and dividing by chronological age. Using this score, researchers investigated the monthly relationship between age discrepancy and physical well-being. Results showed that on months when patients felt closer to, or older than, their chronological age they reported increases in physical well-being (γ10 = 1.75, t = 2.13, p =.04). The present model accounted for 33% of the within-person, and 39% of the between-person variance of physical well-being. In contrast to studies in non-clinical populations, results showed that feeling older was associated with better physical well-being in the months prior to a CT scan. Qualitative interviews could identify themes in coping with repeated scans that may mitigate the effects cancer treatment can have on physical well-being.
HOW DO OLDER ADULTS PRIORITIZE DIFFERENT ASPECTS OF THEIR PHYSICAL HEALTH?
Authors: Cook Rachel Logue , Brown Susan 
Published: January 2025

Abstract
Older adults often manage multiple health concerns and must decide which aspects of health to prioritize. While gerontologists and geriatricians are typically concerned about the development of cancer, cognitive and mobility impairments, and mental health disorders (Kotsani et al., 2021), little is known about which aspects of health are important to older adults. We developed an online survey that asked respondents to rank 10 health areas (arm and shoulder function, balance, bladder and bowel function, hand function, memory and cognition, mental health and mood, sleep, speech and communication, vision, walking) from most (#1) to least (#10) important in their daily life. Participants were also asked to explain why these rankings were selected in open-ended questions. Five hundred and ninety-five older adults (mean age 71.5 ± 5.5y) completed the survey. Health areas most often ranked as #1 were memory and cognition (36%), vision (19%), and mental health and mood (18%). Areas ranked as #10 were most commonly bladder and bowel function (22%), arm and shoulder function (21%), and sleep (21%). Open-ended responses indicated that health areas were given higher priority if respondents felt they impacted their ability to maintain independence, participate in valued activities, or they had experienced an impairment. Results from this study indicate that many older adults consider memory, vision, and mental health as important components of healthy aging. Further, these findings underscore the importance of understanding how and why older adults prioritize their health in order for healthcare providers to better serve the aging population.
THE MEDIATING ROLE OF PERCEIVED MASTERY ON THE RELATIONSHIP BETWEEN SELF-PERCEPTIONS OF AGING AND COGNITION
Authors: Apostolou Hannah , Buxton Michael , Luskey Valerie , Jacobs M Lindsey 
Published: January 2025

Abstract
Internalized ageism can be understood as a negative perception of one’s own aging experience. Negative perceptions of aging may lead to disengagement in daily tasks and exacerbate decreases in cognition. Positive self-perceptions of aging, however, may serve as a protective mechanism for cognition. Additionally, the relationship between self-perceptions of aging and cognition may be impacted by one’s sense of control in areas such as perceived mastery. Researchers used data from the 2020 Health and Retirement Study to examine the relationship between self-perceptions of aging on total cognition and the mediating influence of perceived mastery in a sample of older Americans (n=4369). Specific measures from the Psychosocial and Lifestyle Questionnaire and cognitive battery were selected to conduct the analyses in PROCESS for SPSS Version 4.2. The results showed that there was a significant total effect between self-perceptions of aging and total cognition (B=0.018, p&lt; 0.001), and path a (i.e., self-perceptions of aging on perceived mastery) (B=0.004, p&lt; 0.001) and path b (i.e., perceived mastery on total cognition) (B=0.795, p&gt;0.001) were both significant. The direct effect (B=0.014, p&lt; 0.001) was significant when adding perceived mastery to the relationship between self-perceptions of aging and total cognition. This suggests that more positively rated self-perceptions of aging are associated with higher total cognition scores independently, and this relationship may also operate via perceived mastery. Interventions aimed at increasing positive attitudes towards one’s own aging experience could lead to increased cognitive functioning. Further, skills training aimed at increasing one’s sense of control may further benefit cognitive outcomes.
THE RELATIONSHIP BETWEEN CAREGIVING TRANSITION AND SUBJECTIVE AGE: THE ROLE OF SENSE OF CONTROL
Authors: Choi Hyojin , Litzelman Kristin 
Published: January 2025

Abstract
Subjective age (SA) – how old one feels in relation to their chronological age – varies considerably in challenging situations. The strain and demands of family caregiving might therefore influence patterns of SA. Furthermore, psychological resources that enable family caregivers to deal with stressors, such as sense of control, may buffer these adverse effects. The purpose of this study was to examine the relationship between transitions in caregiving status and SA, and the moderation role of sense of control (perceived constraint and mastery) in this relationship. Using longitudinal data from the Health and Retirement Study (2006–2020), multilevel analyses were conducted to assess both within- and between-person relationships among caregiving transition, sense of control and subjective age. The sample consisted of married/partnered respondents (n=14,944 observations), and we categorized them into five caregiving transition groups: new caregivers, previous caregivers, long-term caregivers, potential caregivers, and non-caregivers based on caregiving status for their spouse/partner with limitations on daily living activities in consecutive waves. The findings show that caregiving transition interacted with perceived constraints and mastery to correlate with SA. Namely, among new caregivers, higher average levels of perceived constraints were associated with older SA (Beta=1.36, p=0.017). Among previous caregivers, higher within-person levels of perceived mastery were associated with younger SA (Beta=-2.66, p=0.001). These findings highlight the importance of developing and implementing interventions tailored to support spouses across the caregiving trajectory in having healthy levels of psychological resources, such as skills training programs and psychoeducation.
SOCIAL DETERMINANTS OF CHINESE OLDER ADULTS’ SOCIAL PARTICIPATION: A MULTIPLE-GROUP ANALYSIS
Authors: Liang Jianling , Zhuang Jia , Zhuang Jie 
Published: January 2025

Abstract
In China, as the nation’s aging population grows, its family structure diversifies, with more older adults living apart from their children. While social participation is widely acknowledged as a crucial channel for older adults to maintain their social and psychological well-being, its social determinants among older adults from different family structures remain obscure. This study addresses this knowledge gap with data from the Telephone Support Service in Jiangmen City, China (N = 9,871). First, one-way ANOVA results reveal that older adults living alone demonstrate a higher level of social participation than those living with spouses or those with their children (F = 23.441, p &lt;.001). Further, multiple-group analysis (MGA) was performed to determine the group difference across these three elderly groups regarding the relationship between their social participation and health status (i.e., vision, hearing, and mobility) and demographic features (i.e., age and gender). Three group differences were identified. First, compared with those living alone, the relationship between vision and social participation is significantly stronger among older adults living with spouses (CMIN = 4.317, p =.038). Second, the relationship between mobility and social participation among older adults living alone is significantly stronger than that demonstrated among those living with children (CMIN = 5.772, p =.016). Third, the relationship between hearing and social participation is significantly stronger among older adults living alone than those living with children (CMIN = 5.741, p =.017). These findings offer fresh insight to understand the social participation of older adults with different features.