bluuebunny/crossref_metadata_2025_split huggingface dataset:
Robotic-assisted virtual care
Authors: Hung Lillian 
Published: December 2021

Abstract
Heightened isolation during the pandemic has exacerbated the stress, anxiety, and adverse consequences through the loss of family connections older people experience in LTC. Heavy workload and staffing shortage limit staff’s capacity to assist residents in accessing regular virtual visits. Using a Collaborative Action Research (CAR) approach, this project aims to assess the implementation of a telepresence robot, Double 3 to help residents connect with their families. CAR allows careful planning of implementation with stakeholders (patient and family partners, staff, and decision-makers), tailoring adaption to the complex LTC environment. We will program path planning to allow efficient movement between target destinations (residents' rooms) and the charging dock. For example, the robot will go to a resident’s room every morning or evening to help the resident to make a virtual call with family. The project involves three phases (a) Observe and Reflect, (b) Act and Adapt, (c) Evaluate. We work with two Canadian LTC homes in British Columbia to investigate feasibility and acceptability. CAR emphasizes research with, rather than research on people. Meaningful engagement with patient and family partners, frontline staff, and decision-makers at each site throughout the whole project will ensure the project will meet the local needs. Anticipated resident outcomes include improved quality of life, mood, perceived loneliness, perceived social support, and acceptance. Anticipated staff outcomes include perceived ease of use, and acceptability.
Empirically Evaluated Suicide Prevention Program Approaches for Older Adults: A Systematic Review
Authors: Miller Vivian , Fields Noelle , Xu Ling , Mercado-Sierra Marta , Wallace Marissa 
Published: December 2021

Abstract
Suicide is a serious public health concern, particularly for individuals in later life. Studies suggest that greater attention to suicide prevention programs for older adults is needed as well as continued research related to interventions with older adults at risk of attempting suicide. A systematic review of the literature on suicide prevention treatment and effectiveness is fundamental to assessing existing services and developing new programs and practice standards. This systematic review of the literature extends an earlier and well-cited systematic review (1966-2009) by examining articles published between 2009 and 2021 with a focus on what types of empirically evaluated suicide prevention programs effectively prevent and reduce suicidality in older adults. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were used to gather the appropriate extant research and improve reporting accuracy. A three-stage review guided the selection of the articles. At stage one, titles were screened, which excluded 284 articles based on the inclusion criteria. Second, after a full review of each abstract, a final 14 articles remained for full-text review. Lastly, three independent researchers reviewed each of the full-text articles, and six articles were excluded. The final sample includes eight articles (N=8). The articles were categorized into three types of programs: 1) primary and home health care, 2) community-based outreach, and 3) counseling. Following a description of the articles, the authors assessed each study using the GRADE rating system. Findings underscore the critical need for evidence-based suicide prevention programs for older adults. Implications for future research are offered.
Examining Measurement Invariance of Depression among Male and Female in Chinese Older Adults
Authors: Melipillán Roberto , Hu Mengyao 
Published: December 2021

Abstract
Depression of older adults is an important public health concern. With the increasing popularity of cross-cultural research and comparison studies, researchers are facing a difficult problem: responses to the depression scales obtained from different population groups may not always be comparable. This study examines the measurement invariance of the 10-item version of the Center for Epidemiological Studies Depression (CES-D) Scale across male and female in Chinese older adults. Data are drawn from the baseline wave of the China Health and Retirement Survey (CHARLS), a national survey conducted biennially with a sample of the Chinese population who are 45 years of age or older. The final sample size includes 15,977 respondents; 53.2% of whom are female. The mean age for the sample is 58.3 (SD = 10.2). Measurement invariance (MI) tests based on Multiple Group Categorical Confirmatory Factor Analyses (MGCCFA) was performed. Results show that full scalar model was not supported, and question items invariant across groups were identified. These results indicate that any mean comparisons of CES-D across Chinese male and female older adults not accounting for the noninvariance in the items could be biased, highlighting the importance of performing MI tests before conducting mean comparisons across groups.
How do Alcohol Use and Depression Predict Grip Strength among Middle-Aged and Older Adults?
Authors: Ge Song , Dune Linda , Frantz Desiree' , Laviolette Laurel , Njuguna Mary , tang xianping , Li Changwei 
Published: December 2021

Abstract
Background: Physical performance is an important indicator that reflects current and predicts future health. In this study, we examined the association of alcohol use and depression with grip strength a national sample of middle aged and older Chinese adults. Methods: We used the baseline data from the China Health and Retirement Longitudinal Study (CHARLS) and constructed a multivariate linear regression using SAS 9.4 to examine the independent association of alcohol use (never, former, moderate, and at-risk drinkers) and depression with grip strength controlling for socio-economic factors and domestic partner status. Results: The study population consisted of 12,488 Chinese adults（mean age 59）. The prevalence of ever drinking during lifetime and current at-risk drinking (&gt;14 standard drinks [one standard drink contains 14 grams of pure alcohol] per week) in this population was 25.7% and 15.2% respectively. 28.4% of the study population had depression. Compared with never drinkers, moderate and at-risk alcohol use were independently associated with better grip strength (P&lt;0.0001). Depression was independently negatively associated with grip strength (P&lt;0.0001). Conclusions: We found that current alcohol use might be protective of grip strength while depression might be detrimental to grip strength among middle-aged adults. However, the underlying mechanism is unclear. Given the negative impact of alcohol and depression on adults’ overall health, clinicians should assess alcohol use and depression in middle-aged and older patients using validated tools and provide resources. Clinicians should counsel patients that if depression is not managed, patients may suffer from depression associated health consequences such as declined grip strength.
The Effect of Computerized Cognitive Training for Adults Over 40 with Dementia-Related Anxiety
Authors: Roberts Jennifer , Maxfield Molly 
Published: December 2021

Abstract
Dementia-related anxiety (DRA) may occur when cognitive lapses are appraised as threatening. Individuals with DRA may seek activities to improve cognitive function, including popular computerized cognitive training programs like Lumosity©. We evaluated if DRA changed after eight weeks of Lumosity© use and whether changes were maintained over time. Participants aged 40 and older with pre-existing DRA participated via Amazon’s Mechanical Turk (T1 N = 395; age M = 52.49, SD = 8.71) and were randomly assigned to the experimental (Lumosity© software), active control (Lumosity© crossword puzzles), or no treatment group. Participants completed measures of DRA at T1 and at four follow-up points (T2 = 8 weeks; T3 = 12 weeks; T4 = 16 weeks; T5 = 20 weeks). Repeated measures ANOVAs were used to evaluate the change in DRA. A significant T1-T2 reduction in DRA occurred for the Lumosity© group only (p = .01, partial-eta2 = .03). Longitudinal changes were observed for the Lumosity© group only: DRA scores at T1 were significantly greater than at T2, T4, and T5 (ps &lt; .05). A step-up test procedure was conducted to determine minimum treatment dose effects. A greater reduction in DRA occurred between the Lumosity© and crossword puzzle groups between 25.00 and 29.99 hours of software use (p = .05, partial-eta2 = .19). Lumosity© software outperformed crossword puzzles in DRA reduction from T1 to T2, which was maintained for 12 weeks post-software use. Independent of Lumosity’s intended purpose of supporting cognitive functioning, participants subjectively believe it helps and experience associated benefits.
Dental Issues And Depressive Symptoms In Institutionalized Older Adults
Authors: Bulgarelli Alexandre , Lopes Luiza Guilhermina , Frichembruder Karla , Santos Camila 
Published: December 2021

Abstract
Objective: To map and discuss scientific knowledge involving the research object "Oral health conditions and depression in institutionalized elderly people". Method: Systematic scoping review. The mapping of the selected data was carried out using Summative Content Analysis from Manifest Themes' perspective in the texts. After the exclusions, 27 articles were selected. Results: With the analysis of the articles, it was possible to divide them into two themes named: ‘Oral health condition: Long-term institution, depressive disorders and pluralities’ and ‘Depression in institutionalized older adults: medicalization, oral health conditions and subjectivities’. Heterogeneity was found in the sub-themes of the articles accessed and in the characteristics of the published studies as well. All continents have publications on the topic. Many studies with deductive methods have been carried out when dealing with its methodology, and less research has been carried out with inductive methods. Conclusion: The present study identified that there is an association between some oral health conditions (dry mouth and tooth loss) and prevalence of depressive disorders in institutionalized polder people. The knowledge produced about oral health and mental health in long-term care facilities for the elderly is relatively recent, reflecting the contemporary nature of the theme. Besides, the construction of this knowledge is associated with the diversity of epidemiological and qualitative studies seeking to answer questions that involve technical and subjective plurality involving mental health and oral health of institutionalized older adults.
Connecting Older Adults With Mental Health Apps: A Survey of Provider App and Education Material Use
Authors: Mehta Priyanka , Carlson Chalise , Anderson Jason , Alfaro Ana , Sakai Erin , Gould Christine 
Published: December 2021

Abstract
Many older veterans have access to mobile devices and are interested in using apps for mental health self-management, but few have ever downloaded health apps. To address the need for awareness of and access to VA mental health apps, we developed patient educational materials aimed towards older (or novice) users of mobile devices. The present study explored health care providers’ and staff’s perceptions about use of mental health mobile applications (apps) with older veterans and examined potential utility of these patient educational materials. Requestors of mobile device education materials (N = 90) were surveyed when ordering materials and again 4 months later. Baseline and follow-up surveys assessed frequency of app recommendation, and comfort recommending apps. Baseline surveys examined perceived advantages of apps; follow-up surveys examined perceived utility of the educational materials. Descriptive statistics and qualitative analysis were conducted. Most requesters (68.5%) initially were not comfortable using apps, yet perceived many advantages to using apps and hoped materials could facilitate app use. At follow-up, requestors felt more comfortable recommending apps alongside our materials. Qualitative analysis revealed perceived advantages to using the education materials. The benefits of developing and disseminating educational materials for providers to share with older veterans helped support older veterans’ app use, and potentially increased providers’ comfort with and frequency of recommending apps to their older patients. Access to educational materials can mitigate discomfort among providers in recommending apps to older users and may bring about valuable discussions about apps which support mental health.
eMental Health Literacy and Psychological Distress as Predictors of Barriers to Mental Health Services
Authors: Root Eve , Caskie Grace 
Published: December 2021

Abstract
Since the COVID-19 pandemic, psychologists have begun to rely heavily on technology to provide mental health information and services (APA, 2020). As the older adult population increases, the number of older adults in need of mental health services also increases; however, little is known about the way older adults might utilize technology to inform mental health-related decisions. This study expands on the construct of eHealth Literacy by examining eMental Health Literacy, which is defined as the degree to which individuals seek, find, understand, and appraise basic mental health information and services online that are needed to inform mental health-related decisions. A sample of 244 older adults (M=68.34, range=65-82 years) were recruited online through Amazon Mechanical Turk. A structural equation model was estimated specifying eMental Health Literacy and psychological distress as predictors of extrinsic and intrinsic barriers to mental health services. After adding three correlated errors, the model achieved good fit (χ2(110)=329.20, p&lt;.001, SRMR=.08, CFI=.93, TLI=.91, GFI=.86, RMSEA=.09). All indicators were significantly related to their latent construct (p&lt;.001). The results indicated that, controlling for psychological distress, higher eMental health literacy was significantly related to fewer reported intrinsic (b=-.386, p&lt;.001) and extrinsic barriers (b=-.315, p&lt;.001) to mental health services. Higher distress was also significantly related to more intrinsic (b=.537, p&lt;.001) and extrinsic barriers (b=.645, p&lt;.001) to mental health services. These findings suggest that, as we move towards a more digital world, eMental health literacy could play a significant role in the way older adults navigate through the mental healthcare system.
Piloting an Augmented Reality Life Review Experience to Promote Mental Health Outcomes in Aging Asian American Women
Authors: Hwang Sarah , Armendariz Jazlyn , Argueta Jeremy , Fruiht Veronica , Chan Thomas 
Published: December 2021

Abstract
Asian-American older women report the highest prevalence of suicidal ideations and rates of completed suicide compared to other racial groups. Ironically, Asian-American communities report disproportionately low rates of formal mental health utilization—this may be attributed to the lack of culturally-relevant services and negatively ingrained perceptions of mental health aid. One potential solution that has not been widely investigated is the use of technology to help older Asian-American women engage in mental health interventions. This study leverages innovations in augmented reality (AR) technology (i.e., overlaying of digital holograms onto the real world) to create a life review intervention aimed at promoting mental health well-being. The application, Tell-Being, is a personalized holographic life review experience that facilitates older adults to foster a sense of coherence and wholeness within their lives. Pilot data collection was amassed from four aging Asian-American female participants averaging 51.3 (SD=8.61) years of age. Initial pre/post analyses showcased mean differences that trend towards a higher presence of emotion regulation from pre-test (M=4.88, SD=1.08) to post-test (M=5.21, SD=1.17). Although data collection was prematurely halted due to COVID-19, results trended in promising directions. The technological innovations and findings from this study may lead to promising novel avenues to address barriers for older Asian-American women in seeking mental health assessment and treatment in a “new normal” world.
Cultural Safety within the Indigenous Health Context: Findings from a Review of Reviews
Authors: Bacsu Juanita-Dawne , Chakanyuka Christina , DesRoches Andrea , Walker Jennifer , Dame Jessy , O'Connell Megan , Symenuk Paisly , Bearskin Lisa Bourque 
Published: December 2021

Abstract
First Nations, Inuit, and Métis older adults often face systemic barriers to accessing culturally safe and equitable healthcare, including racism, structural injustice, and a historical legacy of colonialism. However, there is a paucity of knowledge on cultural safety interventions and implementation strategies in care for older adults. This presentation aims to: 1) explore persistent barriers to achieving health equity and advancing cultural safety in healthcare; and 2) identify cultural safety interventions to improve healthcare for Indigenous older adults. Guided by Arksey and O’Malley’s scoping review framework, we conducted a review of reviews published between January 2010 to December 2020 on Indigenous cultural safety in healthcare. We searched five databases (CINAHL, PubMed, Scopus, Web of Science, and Google Scholar) and hand-searched reference lists of relevant articles. We conducted a thematic analysis to identify patterns and themes in the literature. Key barriers to achieving health equity and advancing cultural safety in healthcare included care providers lacking knowledge of Indigenous culture, power imbalances, racism, and discrimination. A range of cultural safety interventions were identified, from education and training initiatives for healthcare providers (emergency physicians and occupational therapists) to collaborative partnerships with First Nations, Inuit, and Métis communities. As First Nations, Inuit, and Métis populations age, there is a growing need for safe healthcare services for Indigenous older adults, and these findings suggest focusing on healthcare providers knowledge and attitudes is key. Research is necessary to develop, implement, and evaluate cultural safety interventions aimed at healthcare providers to improve healthcare for Indigenous older adults.
I Know I'm Healthy Because: Qualitative Definitions of Health in Older Rural African-Americans
Authors: Adams-Price Carolyn , Riaz Muhammed 
Published: December 2021

Abstract
In recent years, there has been attention to health disparities between racial groups in the US, and between urban and residents. Older rural African Americans are at high risk, but have historical reasons tor distrust the health care system. This study examined qualitative definitions of health in older rural African Americans. Our sample included 47 African Americans aged 52-79 (20 male, 27 female, median age = 66 ) from non metropolitan counties in northeast Mississippi, at least 10 miles from the nearest town of more than 1000. Participants rated their health on a 5-point scale; only 1 person rated their health as a 5 for excellent. On average, they rated their health as fair. Most reported significant health problems, (mean=2) including 17 (36%) who reported having been diagnosed with diabetes. Participants were asked by interviewers “how they knew they were healthy.” Their responses were transcribed. Using phenomenological methods, participants’ responses were sorted into naturally-occurring categories, which were retested against the data. The categories that emerged were Performing Basic Tasks is Enough/I’m OK (12), Good Health Due to Healthy Behaviors (8), Healthy Due to Social Support or God (11), Healthy Despite One Problem (6), and I’m Not OK (7). Given that our sample is somewhat younger than most gerontological samples, participants seemed to have relatively low expectations about their health, which might not be surprising considering the health problems in the sample. Interventions to improve the health of this group should concentrate on increasing health self-efficacy and expectations.
Race/Ethnicity, Vascular Aging, and Mortality Risk: Evidence from the Health and Retirement Study
Authors: Heffernan Kevin , Wilmoth Janet , London Andrew 
Published: December 2021

Abstract
Vascular aging, which is associated with cardiovascular disease risk and mortality, is characterized by increasing arterial stiffness. The gold standard method for the assessment of arterial stiffness is carotid-femoral Pulse Wave Velocity (cfPWV). An emerging body of research suggests that cfPWV can be reasonably estimated from two commonly measured clinical variables—age and blood pressure. Thus, estimated Pulse Wave Velocity (ePWV) holds promise as a novel and easily obtained measure of arterial stiffness that can be used to study vascular aging, particularly with nationally representative datasets that collect biomarker data on sufficiently large sample sizes to examine race/ethnic differences. This analysis uses data from the 2006-2016 Health and Retirement Study to examine race/ethnic variation in the relationship between ePWV and mortality risk. We estimate logistic regression models predicting mortality over an eight-year period for four racial/ethnic groups: White, Black, Other, and Hispanic. Controls are included for sociodemographic characteristics, health status and behaviors, and blood biomarkers such as C-reactive protein, cystatin-C, hemoglobin A1c, total cholesterol and high-density lipoprotein (HDL) cholesterol. The results indicate ePWV increases the risk of mortality in the total sample and among each race/ethnic group, net the effect of age, systolic blood pressure, and diastolic blood pressure. Mechanisms that mediate this relationship are explored. The findings provide insight into vascular aging processes that influence mortality risk among race/ethnic groups.
The Effects Of Latent Classes Of Stress On Health Outcomes In Korean Middle-aged Adults: A Focus On Gender Differences
Authors: Cho Kyuyoung 
Published: December 2021

Abstract
This study indicated the effect of the latent classes of stress on the physical and psychological health outcomes in Korea. Using the 2010 Korea Health Panel Study, 1,689 middle-aged adults (women: n=793, men: n=896) were analyzed to identify the latent classes of stress by gender using Latent Profile Analysis (LPA). After the determination of the number of latent classes, health outcomes (anxiety/depression and health status) were also regressed on the latent classes including covariates (age, marital status, and education level). The perceived stresses (financial diversity, disease of self or family, children's education, and family conflicts) are classified as the 2-class model for women and the 3-class model for men. The classes of women are named 'high stress and 'low stress; however, the classes of men are named 'family-related stress', 'disease stress', and 'low stress.' The different combinations of stress are associated with anxiety/depression and health status respectively. This study will discuss the difference of latent stress classes by gender and extend the understanding of stress groups and health outcomes.