bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Length of Membership and Loneliness of Older Adults in Village Programs
Authors: Cao Qiuchang (Katy) , Happel Christine , White Katie , Dabelko-Schoeny Holly 
Published: December 2021

Abstract
Villages are consumer-driven programs supporting older adults to age in their own homes while staying socially connected through service referrals, coordination, and the organization of social activities. Although previous studies demonstrated an increase of perceived social support among Village members over time, few studies tested how Village membership influence older adults’ loneliness. To address this gap, a total of 112 members from four Village programs in a Midwest Metropolitan area completed a cross-sectional pilot survey on their social well-being between January and March 2020. The age of participants ranged from 51 to 92 years old (M=72.30, SD=8.38), over 74% of participants were female and over 88% of participants identified as White/Caucasian. The relationship between the 20-item UCLA loneliness scale and length of Village membership was roughly linear according to the Loess Curve. The scores of the UCLA scale range from 20-80 and higher scores indicate higher loneliness. The Cronbach’s alpha of the UCLA loneliness scale was 0.86 in the sample, indicating good internal consistency. The average loneliness score of the sample was 38.45, resembling the average of community-living older adults. Regression results suggested that a one-year increase in village membership was associated with approximately two points reduction in loneliness, holding all else constant. Being female, a racial/ethnic minority, retired, a driver, and having higher frequencies of socializing with friends and neighbors were associated with lower levels of loneliness among Village members. This pilot study provides initial support for the social impact of Villages and informs future larger sample longitudinal studies.
Health Disparities Scientific Research in the Division of Geriatrics and Clinical Gerontology
Authors: Joseph Lyndon 
Published: December 2021

Abstract
The Division of Geriatrics and Clinical Gerontology (DGCG) supports clinical and translational research on health and disease in the aged, and research on aging over the human lifespan, including its relationships to health outcomes. Key areas include development of new interventions for age-related conditions and pathologies, prevention and treatment of multiple chronic conditions, geriatric palliative care, factors influencing the progression of chronic diseases over the life span, and predictive markers of aging that may inform potential interventions for extension of health span. Population diversity and health disparities are critical aspects of science that cut across DGCG research areas. This presentation will highlight several examples of DGCG-supported studies related to health disparities and discuss potential future research directions. One potential upcoming research area of interest involves leveraging large data sets to examine disparities in risks and benefits of long-term osteoporosis drug therapy and drug holidays according to racial and ethnic groupings
Examining Social Isolation as a Mediator for the Environmental Influence on Cognitive Functioning
Authors: Yu Kexin 
Published: December 2021

Abstract
Environments serve as one of the most pervasive stimuli to the brain, shaping cognitive functionality through neuroplasticity. Both the physical and social environments of living could affect the cognitive functioning of older adults. Nonetheless, the mechanisms on how the environments “get under the skin” are unknown. This study examines the potential mediating effect of social isolation on the relationships between environment and cognitive health. Wave 9 data from the National Healthy Aging Trend Study was employed. The working sample includes 2,313 older adults. Path analysis results showed that in-home disorder was positively related to social isolation. A more cohesive social environment was negatively related to social isolation. Higher social isolation scores were associated with worsen global cognitive functioning. In-home disorder, community disorder, and social environment had significant direct effects on cognitive health after adjusting for the mediating effect. Social Isolation partially mediates the environmental influence on cognitive functioning.
COVID-19 Outbreaks and Control Measures Are Associated With Depression Risk Among Older Adults
Authors: Peng Man-Man , Liu Tianyin , Au Walker Siu Hong , Lum Terry Y S , Wong Gloria H Y 
Published: December 2021

Abstract
Local COVID-19 outbreaks and infection control measures may affect mental health in older persons. This study aims to investigate the effects of COVID-19 outbreaks and control measures on depression risk in community-dwelling older adults in Hong Kong. With rolling cross-sectional design, telephone screenings for depressive risk were conducted among 8163 older people using Patient Health Questionnaire-2 (PHQ-2) from February to September 2020. COVID-19 outbreaks across thirty weeks were measured using real-time effective reproductive number (Rt), infected new cases, and change of infected new cases by week. Infection control measures were assessed using four policy indices, including government response, government stringency, containment and health, and economic support. Linear regressions were used to test the associations of depression risk with COVID-19 outbreaks and control measures. We found that being female and higher Rt were associated with higher depression risk in the overall sample. In older adults without pre-existing mental health issues, higher depression risk were related to older age (t=-1.974, 95%CI[-0.006, 0.000], p&lt;0.05), a higher level of government stringency (t=2.954, 95%CI[0.007, 0.033], p&lt;0.01), and less stringent containment and health-related policy (t=-2.599, 95%CI[-0.041, -0.006], p&lt;0.01). In older adults with pre-existing mental health issues, greater changes in newly infected cases were related to higher depression risk (t=2.813, 95%CI[0.002, 0.010], p&lt;0.01). In conclusion, the effects of COVID-19 infection risk and control measures on depression risk differ among older Chinese by pre-existing mental health issues. Future public health communication could build on resilience to balance awareness of infection risks and mental health risks in older persons.
Validation of a Frailty Ladder Using Rasch Analysis: If the Shoe Fits
Authors: Mayo Nancy , Aubertin-Leheudre Mylène , Mate Kedar , Figueiredo Sabrina , Fiore Julio , Auais Mohammad , Scott Susan , Morais José 
Published: December 2021

Abstract
The current measurement approach to frailty is to classify people on frailty status, rather than measure the degree to which they are frail. Here, we test the extent to which a set of items identified within the frailty concept fits a hierarchical linear model (Rasch model) and form a true measure reflective of the frailty construct and confirm the model using the NuAge dataset. The development sample included 234 individuals (aged 57 to 97) drawn from three sources: at-risk seniors (n=141); post-colorectal surgery (n=47); and post-rehabilitation hip fracture (n=46). We defined our frailty construct based on items commonly used in frailty indices, self-report measures, and performance tests. Of the 68 items, 29 fit the Rasch Model: 19 self-report items on physical function and 10 performance tests including one for cognition. Items typically identified as reflecting the frailty concept fit the Rasch model. The Frailty Ladder would facilitate personalized intervention.
Doing Aging Research Together: Innovative Perspectives on Participatory Approaches
Authors: Wanka Anna , Urbaniak Anna 
Published: December 2021

Abstract
The symposium aims to take a closer look at what it means to involve older participants in ageing research - beyond the role of research subjects. By discussing projects that deploy different participatory approaches we investigate the manifold ways in which older adults can become co-creators of the research process. We do so comparing such approaches in different domains, with different outcomes and in different stages of the research process. Consequently, this symposium (1) looks at the research process through the lens of benefits and challenges resulting from involving older adults as co-creators; (2) showcases projects across different domains and different jurisdictions that applied participatory approach in ageing research to discuss benefits and challenges, and (3) advances scientific insights into participatory approaches involving older adults. After an introductory contribution outlining theories, concepts and developments of participatory approaches in ageing research, we present insights from three empirical studies in different cultural and thematic settings. In our first presentation, Anna Wanka and Anna Urbaniak open the symposium by presenting an overview of participatory approaches that involve older adults. In the first empirical presentation, Julia Nolte and Hamid Turker discuss the process of involving older adults in data analysis and therefor present data from the US. In the third presentation, Lillian Hunn highlights how the recent COVID-19 pandemic impacted patient involvement in research in Canada. Finally, Anna Urbaniak discusses the process of planning participatory research with hard to reach population among older adults in Austria, namely those who are socially excluded.
Evaluating How and Why the Environmental Context Shapes the Course of Development Across the Adult Lifespan
Authors: Staben Omar , Infurna Frank , Crimmins Eileen 
Published: December 2021

Abstract
There is a long-standing literature that has documented the importance of both the immediate and distal context in impacting mental and physical health across the adult lifespan. The goal of this symposium is to bring together a collection of papers that target the extent to which the immediate and distal context as measured through objective and subjective indicators relate to pertinent outcomes of mental and physical health. Staben and colleagues use an intensive longitudinal design in middle-aged adults to show that objective and subjective indicators of the neighborhood are associated with higher levels of and are protective against the impact of monthly adversity on mental health and well-being. Munoz and colleagues evaluate associations between objective and subjective early-life neighborhood contexts and whether they play a role in cognitive function at midlife. They find that poorer age-five self-report conditions were associated with lower working memory. Osuna and colleagues examine how both neighborhood and housing conditions play a role on psychological well-being. They find that housing and neighborhood safety conditions are associated with depressive symptoms over time. Piazza and colleagues examine associations between daily financial thoughts, SES, and indices of emotional and physical health. They find that individuals who reported more daily financial thoughts also reported more negative affect and physical symptoms. The discussion by Crimmins will integrate the four papers by highlighting the importance of how different forms of context can impact development in adulthood and old age, particularly in relation to health and well-being and consider future routes of inquiry.
Predictors of Participation Restriction in Midlife Caregivers: An Exploratory Study
Authors: Klinedinst Tara , Beach Scott , Donovan Heidi , Campbell Grace 
Published: December 2021

Abstract
Mid-life family caregivers (CGs) are at risk for participation restrictions (reduced engagement in valued roles and activities) due to competing demands of work, parenting, and family caregiving responsibilities. When CGs experience participation restrictions, quality of care for care recipients (CR) decreases, yet CG burden and risk for poor health increases. The purpose of this study was to identify the factors contributing to decreased participation in mid-life CGs. Participants were CGs aged 45-64 years (n = 677) from the National Study of Caregiving/National Health and Aging Trends Study. We used multivariate logistic regression to determine attributes of CGs, CRs, and the care situation that independently contribute to participation restrictions. We found that negative aspects of caregiving (OR = 1.51, 95% CI = 1.33, 1.71) and CR depression and anxiety (OR = 0.90, 95% CI = 0.83, 0.99) significantly predicted participation restrictions (p &lt; 0.05). Positive aspects of care (OR = 0.87, 95% CI = 0.74, 1.01), frequency of helping with chores (OR = 1.30, 95% CI = 0.98, 1.70), frequency of providing personal care (OR = 1.24, 95% CI = 0.97, 1.59), and frequency of providing help getting around the home (OR = 1.30, 95% CI = 0.97, 1.75) showed trends for association with participation restrictions (p &lt; 0.10). We identified factors that are related to participation restriction in mid-life CGs. Some of these factors (e.g., positive and negative aspects of caregiving, frequency of assistance provided) are potentially modifiable intervention targets that could bolster participation in this at-risk group.
Optimism and Health: Resource or Delusion
Authors: Chopik William 
Published: December 2021

Abstract
There is a general, widely-held belief that optimism is always a good thing. While there is much previous research suggesting that optimists enjoy several health and wellness benefits, there is also a large body of research suggesting that optimism is not always advantageous. Examining how optimism develops and changes across the lifespan may give us insight into how we use optimism and allow us to determine if and when optimism is helpful or maladaptive. In this talk, I will review evidence debating the efficacy of optimism, as well as examine how optimism develops across the lifespan. I also discuss how life events may or may not impact the developmental trajectory of optimism. Lastly, I address currently unanswered questions and emphasize the contextual nature of optimism’s advantages. Ultimately, being persistently optimistic about the future is a nearly universal human trait. But the exact contexts in which this positive thinking is helpful--if ever--is an intriguing question that speaks to how we think about ourselves, how we think about others, and how we think about our many possible futures.
Marital Strain and Support and Subjective Well-Being in Later Life: Ascribing a Role to Early-Life Conditions
Authors: Upenieks Laura , Liu Yingling 
Published: December 2021

Abstract
Decades of research have the beneficial effects of marital support and the detrimental consequences of marital strain on health and well-being. However, we know relatively less about how circumstances in childhood—a key developmental period of the life course—influence the relational structure in which later life is embedded and any implications this may hold for well-being. We integrate the life course perspective with the stress process model to offer a framework for how childhood conditions (childhood happiness, family structure, and financial strain) moderate the relationship between marital support/strain and subjective well-being in older adulthood in potentially different ways for men and women. The consequences of marital strain may be more severe and the benefits of marital support may not be as strongly felt for those adults who experienced greater adversity during childhood. Drawing on longitudinal data from Waves 2 (2010-2011) and 3 (2015-2016) of the NSHAP project (N = 1,376), results from lagged dependent variable models suggest that marital support buffers the effect of not living with both parents in childhood on subjective well-being for men. Meanwhile, women raised in families that experienced financial hardship reported lower subjective well-being in the context of marital strain in later life. No significant interaction effects were obtained for childhood happiness. Taken together, our findings suggest that adverse experiences in childhood can be scarring, particularly in the context of strained intimate relationships. However, a supportive marriage can, in some cases, offset the effects of childhood hardship on subjective well-being in later life.
Disparities of Mental Health Service Needs and Utilization Among Older Adults
Authors: Hu Yuanyuan , Xu Qingwen 
Published: December 2021

Abstract
Prior studies have examined mental health disparities, however, without adequate attention to the older adult population. Framed by the Andersen Behavioral Model of Health Service Use, this study was to examine the prevalence of depression and anxiety and the mental health service use among older adults of different race/ethnicity; and to investigate factors associated with mental health services use(counseling and psychotropic medication). Data from the National Health Interview Survey 2019 were analyzed by bivariate tests and logistic regression analyses. Hispanic older adults have the highest rates of depressive and anxious symptoms, followed by Whites, Blacks, and Asians. Non-Hispanic Asians and Blacks reported significantly lower rates of taking medication. The severity of depression and anxiety was consistently associated with mental health service use across all groups. Education was positively associated with counseling use in white and black groups. For older whites, better general health, male and foreign-born were significantly predicting less medication use. Older blacks with better general health were significantly less likely to use medication. For Hispanic older adults, female and being single were associated with anxiety medication use. Results suggest that older adults, despite different perceptions and cultural understandings of mental health, use mental health services for severe conditions. This study also highlights the important role that education and health literacy could have played in the use of counseling services. For the medication use, the result—that general health status was important for both black and white older adults, but not Hispanics—could suggest a few directions for further exploration.
Adaptation and Coping Among Rural Older Adults Throughout the COVID-19 Pandemic
Authors: Fuller Heather , Huseth-Zosel Andrea 
Published: December 2021

Abstract
In the past year, older adults have faced challenges due to COVID-19, yet many have also shown great resilience. This qualitative study explores older adults’ experiences and perceptions of adaptation, social connection, and coping across the first six months of the COVID-19 pandemic, with a particular focus on unique resilience factors among rural older adults. A Midwestern sample (35% rural) of 70 older adults aged 70-97 completed three phone interviews (April, June, and October 2020) about their experiences with social distancing due to COVID-19. Thematic analysis of qualitative responses identified themes of resilience including: 1) purposeful and flexible social connections, 2) positive psychological mindset, and 3) hardiness and life experience. Strains related to the loss of community connections were evident, yet older adults demonstrated signs of adaptability and coping as compensation. Implications and future directions will be discussed in the context of change over time and geographic variation.
Educational Experiences Within the Learning Community: ECHO Effects on Participants and Clients
Authors: Shirai Yumi , Bishop Kathleen 
Published: December 2021

Abstract
Although Project ECHO is a well-established, effective model to promote quality care in the general healthcare field, this project is the first attempt to implement the model with community care providers of individuals with IDD who are affected by dementia. In order to capture spokes’ (community providers and NTG-Affiliated Regional Trainers) experiences and explore potential benefits, we conducted a content analysis of qualitative data gathered from a spoke feedback session and follow-up surveys from the same group (n = 20). Our findings indicated that spokes appreciated (1) didactic sessions by gaining new knowledge; (2) in-depth, mutual discussion about their cases; (3) experts taking time and ensuring their good practices; and (4) the ability to apply this gained knowledge to their day-to-day practices to improve quality of life for individuals with IDD and their families. We will discuss specific examples that inform future practices.
Caregiving During COVID-19: A Multi-State Qualitative Study of Family Caregiver Experiences and Decision Making
Authors: Sadler Tonie , Yan Kevin , Brauner Daniel , Pollack Harold , Konetzka R Tamara 
Published: December 2021

Abstract
COVID-19 poses unique challenges to family caregivers. This study explores how family caregivers for older adults with cognitive impairments experience and make decisions about caregiving during a global pandemic. Using purposive sampling, 63 family caregivers across eight states participated in open-ended qualitative interviews (2019-2020), until thematic saturation was reached. Questions broadly examined caregivers’ experiences and decisions, focusing on decisions made around type of care setting. Questions about responses to the Pandemic were added as events unfolded. States were selected to represent variation in Home and Community Based Service (HCBS) expenditures as a percentage of total Medicaid long-term services and supports expenditures. Family caregivers experienced significant concern about COVID-19 itself, and about the indirect consequences of caregiving caused by the pandemic. Caregivers also displayed flexibility and adaptability in ceasing selected services, contingently continuing services, and utilizing telemedicine and other remote healthcare interventions to protect their loved ones. Many family caregivers utilized remote health care tools such telemedicine, no-contact prescription and grocery delivery. Such measures improved service access and reduced caregiver workload. Given the persistent challenges posed by COVID-19, long-term service organizations have an opportunity to enhance their policies to meet the needs of caregivers and those they care for. There is a need to expand telemedicine and other remote healthcare tools, while adapting these technologies to the needs of families. Also, procedures are needed for safe pathways to utilize HCBS and nursing care during a pandemic including communication supports, sufficient PPE, increased staffing, and utilization of evidence-based protocols.