bluuebunny/crossref_metadata_2025_split huggingface dataset:
Does Cognitive Status Moderate the Relationship between Environmental Factors and Self-Reported Health?
Authors: Cheung Ethan Siu Leung , Mui Ada 
Published: December 2021

Abstract
Using data from NHATS Round 9, the present study examines the relationships between environmental factors and self-reported health among older adults with dementia, mild cognitive impairment (MCI), and normal cognition. Based on neighborhood stress process theory, we investigate the following questions: 1) Are there associations between dwelling safety hazards and neighborhood environments and self-reported health? 2) Is cognitive status a moderator between the relationship? 3) How do these associations differ between older adults with varying cognitive status (i.e., dementia, MCI, and normal cognition)? A hierarchical linear regression analyses are conducted. Results indicate that better quality of sidewalk surface and neighborhood social cohesion are associated with better self-reported health, after taking into account sociodemographic, health, and social factors. Interaction terms are then used to examine the moderating effects of cognitive status on the associations; four interactions terms are found to be statistically significant. Lastly, separate linear regression analyses are implemented for the dementia, MCI, and normal cognition groups. Findings show that the predicting power of environmental factors vary by cognitive status of older adults. For individuals with dementia, tripping hazards, cluttered home, and community disconnectedness are associated with poor self-reported health. However, no significant relationship was found for older adults with MCI. For older adults with normal cognition, better quality of sidewalk surface and neighborhood social cohesion predict better self-rated health scores. Findings of this study illuminate the important role of a hazard-free home, community walkability, and socially cohesive neighborhood environments in predicting better health status of older adults.
DNR Linked to Reduced Depressive Symptoms in Nursing Home Residents During COVID-19 Illness
Authors: Mak Wingyun , Burack Orah , Reinhardt Joann , Weerahandi Himali , Canter Benjamin , Boockvar Kenneth 
Published: December 2021

Abstract
Prior work shows that older adults who establish future care plans have a lower risk of depression. Residents in long-term care may benefit from establishing a do-not-resuscitate (DNR) order when cardiopulmonary resuscitation is unlikely to provide medical benefit. The current study examines whether having a DNR order in place prior to COVID-19 diagnosis was associated with fewer depressive symptoms during the illness course. Residents at a NYC skilled nursing facility with a positive COVID-19 PCR test between 3/1/2020 – 6/1/2020 were included (N=338). The Minimum Data Set (3.0) was used to examine residents’ Patient Health Questionnaire-9 (PHQ-9) scores 1-30 days after diagnosis, functional status, cognition, age, and sex. A retrospective chart review was conducted to determine whether participants had an established DNR, DNI, and/or DNH order before developing COVID-19. Forty-eight percent, 46%, and 12% of participants had a DNR, DNI, or DNH order prior to COVID-19 illness, respectively. Average PHQ-9 score was 1.65 (SD=2.37). A hierarchical regression showed that after controlling for age (β=-.13, p=.06), sex (β=-.08, p=.28), cognition (β=.14, p=.04), and functional status (β=.23, p=.001; R2=.10, p=.001), having a DNR (β=-.22, p=.006) order in place prior to COVID illness was associated with lower endorsement of depressive symptoms during illness (ΔR2=.04, p=.01). Results suggest that establishing a DNR in long-term care residents when appropriate may potentially buffer depressive symptoms during illness in nursing home residents regardless of their age, sex, cognitive abilities, and functional status. Future examination of the underlying mechanism is warranted.
Protective and Risk Factors of Depression Among Older Adults During the COVID-19 Pandemic
Authors: Lee Yeonjung , Terada Tyran 
Published: December 2021

Abstract
The coronavirus disease 2019 (COVID-19) pandemic adversely impacted the mental health of older adults. This study aims to explore the associations between protective/risk factors of depression during the pandemic and to examine the differences in these associations by marital status. Data from the Health and Retirement Study 2020 COVID-19 module, released in February, 2021, were used. The level of resilience during the pandemic was selected as a protective factor. The level of COVID-19 pandemic concern was selected as a risk factor. Among older adults aged 51 years and older, the weighted regression model found that higher levels of COVID-19 concern were associated with higher levels of depressive symptoms (p&lt;0.05), whereas higher levels of resilience were associated with lower levels of depressive symptoms (p&lt;0.05). Marital status moderated the association between COVID-19 concern and depressive symptoms. Never-married people were at higher risk of depressive symptoms than married people when COVID-19 concerns increased. It is important to enhance support for never-married people during the pandemic to protect their psychological well-being.
The Impact of COVID-19 Concerns on the Mental Health of Older Adults: A Rapid Review
Authors: Perez Sophia , Nuccio Alexandria , Stripling Ashley 
Published: December 2021

Abstract
The Coronavirus (COVID-19) Pandemic continues to drastically impact older adults. Despite COVID-19 being linked to increased social isolation and loneliness, more research is needed on the psychological effects associated with older adults’ concerns of the pandemic. The current review explores associations between the COVID-19 Pandemic and older adults’ mental health to increase awareness and understanding. For this rapid review, empirical peer-reviewed source documents were identified through a computerized search using APA PsycInfo and Google Scholar bibliographical databases covering the years 2019 to 2021. The following keywords and combinations were used: “older adults,” “COVID-19,” and “mental health effects.” Relevant exclusion criteria were applied, and all related English-language journal articles were read. 47 articles met inclusion criteria. Eight associated COVID-19 stress with loneliness, anxiety, depression, sleep disturbances, and poor psychological well-being, with three additional articles reporting elevations in women. Three articles revealed mixed findings regarding the impact of age on psychological variables. 13 articles evaluated changes among those with psychological/psychiatric diagnoses, and six explored physical activity and depression. Of the remaining articles, two concentrated on nutrition; seven examined routines, behaviors, and societal or risk perceptions; two evaluated coping mechanisms; and three examined emotional distress changes. Understanding COVID-19’s psychological impact on older adults will take time. This rapid review revealed mixed findings regarding COVID-19 related concerns on older adults’ psychological well-being, with multiple demographic variables uniquely impacting these outcomes. It is imperative that future research explore older adults’ risks and develop interventions related to the psychological impact of COVID-19.
No Visitors Allowed! The Impact of Covid-19 Restrictions on the Psychosocial Well-being of Nursing Home Residents
Authors: Shaw Shanae , Csikai Ellen 
Published: December 2021

Abstract
The COVID-19 coronavirus pandemic changed life for everyone, but especially for nursing home residents. In March 2020, the Centers for Medicare and Medicaid Services enacted nursing home restrictions in response to the pandemic regarding visitation from outside family/friends and changes to facility activity programs. Despite the public health concern prompting these restrictions to prevent virus spread, these sudden changes affected nursing home residents’ relationships with their spouses/partners. As part of a larger study to identify the nursing home policies and practices that preserve relationships among nursing home residents with spouses/partners, participants shared facilities’ restrictions, social connection practices, and effect of coronavirus restrictions on residents’ relationships with spouses/partners. The study utilized both an online survey (81 respondents) and ten telephone interviews with nursing home social workers in four Southern states. Twenty-eight percent of participants reported that no visitors were allowed; while 25% allowed couples to visit with one another as usual was reported by 25%. The most noted practices to maintain social connections were phone calls, video calls, and ‘window’ visits between residents and families/friends; however, “it’s just not the same. It’s affected them greatly”. The interviews revealed further details about the detrimental effect of the COVID-19 restrictions on nursing home residents’ overall mental health and attachment relationships with spouses/partners. These results highlight the importance of maintaining social connections between residents and spouses/partners. Nursing home social workers can develop policies and practices that enhance relationships and connections under all circumstances and work with other health care team members to ensure implementation.
Alzheimer’s Prevention Lifestyle Risk Coaching in Low-income Older Adults
Authors: Zanjani Faika , Rhodes Annie 
Published: December 2021

Abstract
Prevention, with widespread lifestyle risk reduction at the community-level, is currently considered an effective method to decrease Alzheimer’s disease (AD). As part of the Virginia Commonwealth University iCubed Health and Wellness in Aging Core, diverse older adults (60+) living in Richmond, VA, with incomes below $12,000/year and managing either diabetes/cardiovascular symptoms, were offered weekly lifestyle telephone-health coaching for 12-weeks, providing education, motivations, self-efficacy, and referral services for AD lifestyle risk. The study sample (n=40, mean age 68 years (range: 60-77 years) was 88% African American/Black (n=35), 100% Non-Hispanic, and 45% males (n=18)). Thirty-nine (95%) of subjects successfully participated in coaching sessions; on average 91.9% (11) sessions/subject were completed. On a scale of 0-100 (higher scores more positivity), rated their experience 93.3. On a scale of 0-10 (higher scores more improvement), rated their health improved 8.36. Pre/post-test analyses indicated lifestyle improvement trends over 4-months for total lifestyle risk (F=4.69;p=.037;effect=.12), social activity (F=4.63;p=.063;effect =.09), and improvement in certain psychological domains: AD knowledge (F=4.49;p=.041;effect=.11); cognitive functioning (short-term memory (F=4.99;p=.038;effect= .21); delayed memory (F=2.26;p=.154;effect=.11); Trails A (F=5.60;p=.0294;effect=.24); and Trails B (F=2.22;p=.154;effect=.11). Participants provided positive anecdotal feedback and the need for continued health coaching. In conclusion, this preliminary work creates the impetus for future large-scale lifestyle AD prevention investigations to improve the lives of AD-risk, low-income, diverse older adults. These findings demonstrate that telephone-based health coaching is feasible, based on participant engagement, and effective, based on positive trends in reducing AD risk factors.
Behavioral correlates of subjective cognitive decline in the Canadian Longitudinal Study on Aging (CLSA)
Authors: Hopper Shawna , Hammond Nicole , Stinchcombe Arne 
Published: December 2021

Abstract
Subjective cognitive decline (SCD) is a self-reported decline in cognition among otherwise cognitively healthy older adults. It is believed that SCD may be a precursor to Alzheimer’s Disease (AD). Analyzing data from the Canadian Longitudinal Study on Aging (CLSA), a large national sample of participants aged 45-85 at baseline, we sought to identify prospective relationships between health-related behaviors and SCD. Exposures were measured at baseline and SCD was measured three years later, with the question: “Do you feel like your memory is becoming worse?”. A multivariable logistic regression model was used to estimate odds of SCD (analytic sample: n=35,680). Alcohol consumption was associated with increased odds of SCD, with regular drinkers (OR=1.13, 95% CI: 1.04, 1.22) and frequent drinkers (OR=1.17, 95% CI: 1.08, 1.27) more likely to report SCD than never drinkers. Compared to participants who never smoked, former smokers had increased odds of SCD (OR=1.13, 95% CI: 1.08, 1.18), whereas current smokers had reduced odds of SCD (OR=0.90, 95% CI: 0.83, 0.98). Participants who consumed five or more servings of fruits/ vegetables had reduced odds of SCD (OR=0.95, 95% CI: 0.91, 0.99), when compared to those who consumed &lt;5 servings. Lastly, we did not observe any associations between walking and SCD. This study identifies relationships between various health-related behaviors and SCD in a large population-based sample of older Canadians. Identification of modifiable risk factors may help with early prevention and intervention of SCD.
Older Adults' Perceptions of College Campus Accessibility
Authors: Ermer Ashley , Verna Nadine 
Published: December 2021

Abstract
The emerging Age-Friendly University Global Network encourages universities to engage older adults in university activities (Gerontological Society of America, 2019). As such, attention should be devoted to the accessibility of campus facilities to older adults as a potential mechanism to increase age diversity. Intergenerational interactions, which may take place on college campuses, promote better perceptions of other generations (Bertram et al., 2017), making campus accessibility for all age groups a priority. The present study sought to uncover older adults’ perceptions of campus accessibility via an online survey. Participants were recruited through local newsletters, word of mouth, and included 81 community members (Age mean=71.58 years; 79% female; 89% White; 43% traveled to campus every few months). Descriptive analyses were conducted for closed-ended responses and two members of the research team used a constant comparative method (Corbin & Strauss, 2015) to code open-ended responses. Participants felt that campus was somewhat accessible (M = 2.72;1(very inaccessible) to 5(very accessible)), moderately easy to walk around (M=3.79;1(extremely difficult) to 7(extremely easy)), and felt somewhat welcome on campus (M=3.27; 1(strongly disagree) to 7(strongly agree). The following general themes emerged in the open-ended responses: 1)inaccessibility on campus was due to parking, drop-off locations, and topography (e.g., due to stairs, distance, hills) constraints; 2)feeling welcome on campus was due to people being helpful; and 3)difficulty in attending events was due to parking and lack of knowledge about events. Implications for campus initiatives that aim to attract older adults, especially for campuses that have topography constraints, will be discussed.
A Retrospective Study of Retired Academics: Long-term Career Benefits of Past Mentoring Behaviors
Authors: Blanco Giovanna Garrido , Boeder Jordan , Fruiht Veronica , Erikson Kevin , Hwang Sarah , Chan Thomas 
Published: December 2021

Abstract
While there is extensive literature on the benefits of mentoring for mentees, less is known about the impact of those relationships on mentors, particularly, after mentors complete their careers (i.e., retirement). For academics, the time and energy spent mentoring students can either be beneficial or costly to productivity. This study explores the associations between past mentoring and present evaluations of retired academics’ careers, seeking to investigate the long-term career benefits of mentoring. Understanding the evaluation of older adults’ careers at retirement in relation to their prior engagement in mentoring is critical, as mentoring is an integral component of careers in academia. Survey data were collected from a national sample of 277 retired academics averaging 73.6 (SD=6.2) years old and 7.7 (SD=5.8) years post-retirement. Results from structural equation models demonstrated that retired academics who reported having more protegees (β=.19, p=.024) and engaged in more mentoring behaviors (β=.18, p=.027) exhibited increased objective career benefits. Providing more mentoring functions was also associated with higher subjective career achievement (β=.33, p&lt;.001). Interestingly, the number of mentees and mentoring behaviors were not correlated to career satisfaction. Findings from the current study demonstrate the association between past mentoring experiences with career success. Examining the link between mentoring behaviors and overall assessments of career in retirement offers important insight into the long-term benefits of mentoring in higher education training prompting further research into the realization of these benefits in later life.
Agree to Disagree: Generational Differences in Ideological Values and the Impact on Depressive Symptoms
Authors: Scott Rachel , Lopez Acacia , Nadorff Danielle 
Published: December 2021

Abstract
Family Systems Theory states that values are transmitted between generations within families and, while many of these values are similar between immediate generations, there may be more differentiation in values between generation gaps. Ideological differences between generations may potentially cause subsequent tension and fluctuations in well-being. The current study sought to examine the moderating effect of generation on the relation between ideological values (political and religious) and depressive symptoms. Participants included 419 grandparents (age: M = 76, SD = 5.18) and 638 adult grandchildren (age: M = 29, SD = 5.57) from the 8th wave of the Longitudinal Study of Generations (LSOG) data set, collected in 2005. While violations in assumptions for the testing of religious ideology prevented additional analyses with that variable, significant mean differences were found between grandparents and grandchildren in political ideology scores, with grandparents expressing more conservative views. Generation also moderated the relation between political ideation levels and depressive symptoms. These relations trended in opposite directions for each generation (with non-significant conditional effects), such that when grandparents endorsed more conservative values, depressive symptoms decreased. Conversely, when grandchildren endorsed more conservative values, depressive symptoms increased. These findings indicate that while the older generation found a conservative viewpoint to be a protective factor for mental health, this was not true of younger generations, and indicates a need for age-specific cultural factors to be included in clinical intervention plans. Further implications for these findings will be discussed.
The Effects of Social Support on the Psychological Well-Being of Older Parents: A Longitudinal Study
Authors: Blanco Erik 
Published: December 2021

Abstract
This study examines whether parental support (the provision of social support by older parents to adult children) and filial support (older parents’ receipt of social support from adult children) influence two orthogonal dimensions of older adults’ psychological wellbeing: positive feelings and negative feelings. This study also highlights the importance of accounting for parental need as a mediator of social support. A longitudinal design is used to examine the effects of social support on the psychological wellbeing of older adults at Wave 6 (1998) and Wave 8 (2004) of the Longitudinal Study of Generations. Parental support significantly increases parents’ positive feelings, which suggests that, when it comes to positive feelings, it is better to give support than to receive it. Filial support findings indicate that older adults with greater level of disability demonstrate a decrease in negative feelings when they received filial support. However, this effect does not hold for older adults with lesser levels of disability, suggesting that, when it comes to older adults’ negative feelings, it is better to receive support (rather than to give it) when parents are in need. Although parental and filial support have the potential to buffer stressful life transitions in old age, most parents wish to remain independent, even in later life, making them reluctant to accept filial support. The parent-adult child relationship is crucial for psychological wellbeing, especially because of increased life expectancy.
Development and Initial Evaluation of the Caring Through COVID-19 Psychotherapy Group for Family Care Partners
Authors: Plys Evan , Williams Kadija N , Tyrrell Caitlin J , Weiskittle Rachel 
Published: December 2021

Abstract
This project details the development and initial evaluation of a manualized psychotherapy support group for family care partners of persons living with dementia, specially designed to address pandemic-related stressors. The authorship team, consisting of clinical geropsychologists, developed a treatment manual based on existing protocols, such as: cognitive behavioral therapy for pandemic-related stress, grief management and ambiguous loss, and caregiver family therapy. The resulting 8-week Caring Through COVID-19 psychotherapy group was piloted in an outpatient mental health clinic via tele-mental health with six family care partners of persons living with dementia. All participants were women and spouses or partners of the care recipient; mean age was 70.5 (SD = 9.07). Preliminary data showed a non-significant and small reduction in depression (d = .22) and non-significant moderate reductions in caregiver burden (d = .52) and pandemic-related stress (d = .64). Moderate non-significant improvements were observed in general caregiver self-efficacy (d = .62) and self-efficacy for emotional regulation (d = .67). The majority of participants reported that the content of the group was novel (83%) and relevant (83%); the most utilized topics outside of the group were accepting emotions (100%) and challenging negative cognitions (83%). Overall, most participants were very or extremely satisfied with the group (67%). Additional data is currently being collected with another cycle of the group (n = 4). Preliminary findings suggest that the Caring Through COVID-19 group may be beneficial for supporting family care partners during the pandemic. Considerations for implementation and future plans for dissemination will be discussed.