bluuebunny/crossref_metadata_2025_split huggingface dataset:
EXPERIENCE OF LOW-INCOME COGNITIVELY IMPAIRED COMMUNITY-DWELLING OLDER ADULTS WITH MINDFUL MOVEMENT
Authors: Ojo Eunice , Thiamwong Ladda 
Published: January 2025

Abstract
Falls are a common but avoidable problem among older adults. Older adults have a higher risk for falls and face many challenges to engaging in exercise-based fall prevention interventions. Practicing mindful movement contributes to gait improvement and fall prevention. However, there is limited information about the experience of older adults with mindful movement. This study aimed to explore the knowledge and experience of low-income cognitively impaired community-dwelling older adults with mindful movement. Participants aged 60 years and older with cognitive impairment were selected from a technology-based fall risk assessment study using BTracks Balance System, Fitbit, and Bioelectrical Impedance Analysis in low-income settings in Central Florida. Fourteen participants were individually interviewed, and a semi-structured interview guide was used to obtain participants’ experience with mindful movement. Individual interviews were audio-recorded, transcribed, coded, and analyzed using thematic analysis. Many codes emerged, and three major themes and sub-themes were developed including 1) knowledge of mindful movement 2) perceived benefits of mindful movement, and 3) linking mindful movement into physical activity. Most participants did not understand mindful movement but acknowledged regularly practicing careful movement to prevent falls. Participants identified fall prevention and stable mental health as benefits of mindful movement. They also described practicing mindful movement during performing physical activity including walking and dancing. There is a need to educate cognitively impaired older adults about mindful movement and encourage its practice as a vital part of daily physical activity. Future studies should focus on how to integrate mindful movement into fall prevention interventions.
GENDER DIFFERENCES IN THE ASSOCIATIONS OF RECREATIONAL WALKING WITH INDOOR AND OUTDOOR FALLS AMONG OLDER ADULTS
Authors: Chen Lingming , Procter-Gray Elizabeth , Le Qun , Churchill Linda , Aguirre Annabella , Cheng Jie , Li Wenjun 
Published: January 2025

Abstract
Indoor and outdoor falls are different among older adults. Women and men may have different patterns of recreational walking and types of falls. This study examined the gender differences in the associations of recreational walking with risk for indoor and outdoor falls. This prospective cohort study enrolled 359 community-dwelling older adults aged 65-95 years old in central Massachusetts (2018-2020). Recreational walking at baseline was measured by the frequency of walking for exercise for at least 10 min in participants’ neighborhoods. Falls were reported on monthly fall calendars, and when a fall was reported, the circumstances were collected via telephone interview. Negative binomial models were used to estimate the gender differences in the associations of recreational walking with rates of indoor and outdoor falls, separately. Models were adjusting for sociodemographic variables, physical health, functional status, lifestyle behaviors, mental health, and the fear of falling. The results showed that less than half of participants did recreational walking at least once per week. Women had lower rates of indoor falls and outdoor falls than men (women vs. men: 34 vs. 51, 37 vs. 57 per 100 person-years). Women engaging in recreational walking at least once per week had 86% lower indoor fall rates (IRR (95% CI): 0.14 (0.05, 0.44)) than those who did not. No significant associations were found between recreational walking and outdoor falls. In conclusion, for older women, but not men, higher frequency of recreational walking was associated with lower rates of indoor falls.
IDENTIFYING RISK PERCEPTION ON FALL OF COMMUNITY-DWELLING OLDER ADULTS USING PHOTOS
Authors: Lee Ji Yeon , Kim Gwang Suk , Park Min Kyung , Kim Layoung , Lee Jae Jun 
Published: January 2025

Abstract
Most falls in older adults occur within the home, especially in a bathroom. To prevent indoor falls, increasing fall risk perception is necessary; however, scarce research explored the risk perception of indoor falls in community-dwelling older adults. This study was an exploratory mixed-methods research using photos. We recruited 10 experts with extensive experience in home environmental assessment/modification and nine older adults with fall experience in home bathrooms within the last two years. All participants evaluated six-bathroom photos through one-to-one interviews with a structured questionnaire, which was based on the health belief model: individual perception, modifying factors, and likelihood of action. The mean age of the expert was 45.8 and 50% was female. The average years in home environment modification/assessment was 10.9 years. Regarding older adults, the mean age was 75.1 and 66.7% were female. The number of diagnosed diseases was 1.86 and many reported bad vision (66.7%) and hearing loss (44.5%). The expert group had a higher risk perception and found extensive risk factors including doorsill, door direction, slippery floor, improper toilet height, narrow space around the toilet, no washbasin, handrails in bathtub and entry, bathtub height, and not organized environment. Older adults showed lower-risk perception in all pictures and risk factors included doorsill, slippery floor, no washbasin, no handrail, and not organized environment. Our findings showed older adults with a fall history have a lower-risk perception regarding environmental hazards. Therefore, education is needed to increase risk perception, and assessment/intervention of the home environment is necessary to prevent further falls.
MUSCLE QUALITY AND REACTIVE BALANCE CONTROL IN OLDER ADULTS
Authors: Whitten Justin , O’Leary Bryant , Tarabochia Dawn , Graham David 
Published: January 2025

Abstract
Falls are a predominant cause of morbidity and mortality in older adults. Muscle quality is associated with mobility and fall risk in older adults. Echo intensity (EI), obtained via ultrasonography, offers a method to quantify muscular fat infiltration and has become increasingly popular as an objective measure of morphological muscle quality. This study aimed to determine the relationship between lower limb EI and reactive balance control (RBC) in community-dwelling older adults. We analyzed EI and muscle thickness in the biceps femoris (BF), vastus lateralis (VL), and medial gastrocnemius (MG) across 18 participants (12 older adults, age: 65 ± 4.1; 6 younger controls, age: 25 ± 3.4) before administering specific assessments of RBC including the Choice Stepping Reaction Test and the Lean and Release Test. BF and MG EI were associated with LRT performance (t=3.112, p&lt;0.001; t=-3.597, p&lt;0.01), and BF EI was associated with CSRT performance (t=-4.281, p&lt;0.001). However, these associations were characterized by small effect sizes (d=-0.17, d=-0.19 and, d=0.12 respectively) and were not significant after controlling for age. Although muscle quality is important for functional mobility it was not associated with RBC in the present study. This is supported by previous research that balance recovery appears to depend on the ability to generate efficiently coordinated neuromotor responses rather than on general qualities such as muscle force or muscle quality and thickness alone and underscores the importance of specific training to improve balance recovery. Further research, with larger sample sizes, is needed to understand the influence of EI on RBC.
PERCEIVED BALANCE PREDICTS FALLS IN COMMUNITY-DWELLING OLDER ADULTS
Authors: Dolan Hanne , Pohl Janet , Pituch Keenan , Coon David 
Published: January 2025

Abstract
Accidental falls are an increasing problem among older adults in the United States (US). Older adults’ self-report of falls is the primary method of fall risk identification. However, up to 72% of Medicare beneficiaries do not report falls and fall-related injuries to their healthcare providers. Limited research suggest that older adults prefer the term “balance problems” instead of “fall risk.” The aim of this study was to examine if perceived balance problem is a predictor of self-reported falls after controlling for known predictors of falls among older adults. The Health Belief Model and the concept of perceived susceptibility served as the theoretical framework. A longitudinal secondary analysis was conducted using data from a subsample of independently living participants (N = 5446) from the National Health and Aging Trends Study. Baseline data was from year 2015, and the outcome was self-reported falls in 2016, with 23.4% of the sample reporting a fall. Complex samples multiple logistic regression analyses revealed that perceived balance (OR = 1.69, p &lt;.001) predicted falls in 2016, whereas, the balance performance measure, Short Physical Performance Battery, did not (OR = 0.98, p =.06). Also, non-Hispanic White participants were more likely to report falling compared to non-Hispanic Black and Hispanic participants, as were females compared to males. A stay in the hospital in 2015, co-morbidities, fear of falling, and reporting a fall in 2015 were also predictive of falls. Assessing older adults’ perceptions regarding their own balance is important to identify fall risk.
FAMILY INTERACTION, PSYCHOLOGICAL NEEDS, AND SELF-CARE IN KOREAN MIDAGE TO OLDER CANCER SURVIVORS
Authors: Lee Haerim , Shin Sun-ui , Park Eunyoung , Jung Mi Sook , Yeom Hyun-E 
Published: January 2025

Abstract
With medical advancements extending the lives of cancer survivors, active self-care becomes increasingly significant. Family interaction and psychological status are keys related to the engagement in self-care of individuals with long-term health issues. This study investigated how family interaction affects psychological needs—namely autonomy, competence, and relatedness—and self-care activities among Korean middle-aged to older cancer survivors. We also examined the variations with age in the roles of family dynamics on psychological needs and self-care behaviors. It is a cross-sectional study utilizing secondary data from two studies, encompassing 277 community-dwelling survivors. We performed descriptive statistics, Pearson’s correlation, and PROCESS macro analysis using SPSS to discern the influence of family interactions. Our results revealed that family interaction plays a crucial role in both satisfying and frustrating psychological needs, which, in turn, directly and indirectly influences self-care activities. Notably, the impact of family dynamics on self-care and the frustration experienced in meeting psychological needs, particularly autonomy and relatedness, was more pronounced in middle-aged survivors than in those over 60. The comprehensive findings highlight the need for healthcare interventions tailored to the age-specific needs of cancer survivors, emphasizing the importance of family engagement in supporting psychological well-being and self-care. The study advocates for strategies to foster active family involvement to enhance overall quality of life and encourage self-care among middle-aged to older survivors.
GENDER DIFFERENCES IN ASSOCIATIONS BETWEEN LIVING ARRANGEMENTS AND HEALTH OF OLDER ADULTS IN VIETNAM
Authors: Takagi Emiko , Saito Yasuhiko , Vu Nguen Cong 
Published: January 2025

Abstract
This study examined gender differences in the variation of physical and psychological well-being measures across four types of living arrangements among older adults in Vietnam. We analyzed the initial wave data of a nationally representative sample of self-reporting adults 60 years and older with at least one living child (n=5,306) from the Longitudinal Study of Health and Aging in Vietnam (LSHAV). The four types of living arrangements in the analysis included: living alone, living with a spouse, living with a spouse, adult children, and/or grandchildren, and living with adult children and/or grandchildren but without a spouse. The well-being measures included physical health indicators regarding the difficulties with Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL), disability status, and self-rated health. Psychological well-being was assessed based on the CESD depression scores and the UCLA 3-item loneliness scores. The descriptive statistics showed that overall, the poorer health conditions tended to be more prevalent in the household where older adults lived with their adult children and/or grandchildren and without a spouse, compared to counterpart types of living arrangements. The regression analyses on well-being measures showed that men who either live alone or live with children or grandchildren but without a spouse were especially more likely to report emotional loneliness. We discuss gender differences in physical and psychological well-being in conjunction with late-life intergenerational living arrangements and life transitions such as widowhood.
MEASURING INTERGENERATIONAL AMBIVALENCE TOWARD OLDER ADULTS IN THE FAMILY CONTEXT: A SCOPING REVIEW
Authors: Chan Athena Chung Yin , Lee Sophia , Li Shuwen , Duckett Jacquelyn , Sneed Rodlescia 
Published: January 2025

Abstract
Informal family caregivers may frequently feel ambivalent toward taking care of older family members. Ambivalence is the simultaneously held conflicting emotions, cognitions and/or behavioral tendencies due to countervailing expectations about how individual should act within the cultural norms. Most existing measurements directly or indirectly measuring caregiving or intergenerational ambivalence were developed from the West. Less is known how ambivalence is understood across distinctive sociocultural context globally. This scoping review examines the dimensions of existing instruments in measuring caregiver ambivalence toward older adults. Peer-reviewed articles were identified in five electronic databases. A keyword search was performed associated with ambivalence, caregiver or family, and measure development. Ten instruments were included. These instruments used different terms to represent caregiver ambivalence, not limited to intergenerational ambivalence and filial maturity. Existing measure items primarily capture the simultaneously held conflicting emotions toward older family members but limited to the domains of behaviors or cognitions. Moreover, existing measures are not inclusive of family caregiving to capture ethnic minorities who provide support to older family members motivated by filial responsibility beliefs. The scoping review uncovers the gaps between conceptual understanding and measurement of caregiver ambivalence toward older adults in the family. Findings will inform the direction of future research and the development of a culturally relevant measure that captures the intergenerational ambivalence experienced by ethnic minority who provide family support to older adults. The review will likely inform practice policy, and research in caregiving in a culturally sensitive manner.
CAREGIVING INTENSITY AND LABOR FORCE PARTICIPATION AMONG CAREGIVERS: THE ROLES OF INCOME AND PAID HELP
Authors: Qu Shan , Burr Jeffrey 
Published: January 2025

Abstract
Framed within Role Theory, this study examined the association between caregiving intensity and labor force participation among caregivers and whether income and paid help moderated this relationship. We used data from the National Health and Aging Trends Study and the National Study of Caregiving. Caregiving intensity was measured by days and hours of caregiving in the last month. Care was considered high-intensity if a respondent provided an average of 21 hours or more of care per month. Low-intensity caregivers provided 20 hours of care or less per month. Labor force participation was divided into three categories: ‘1=unemployed/retired,’ ‘2=worked less than 35 hours,’ and ‘3=worked 35 hours or more.’ Compared to those with low-intensity caregiving, high-intensity caregivers had a lower likelihood of working part-time than those who were not working. Compared to not having a paid helper, having a paid helper was associated with an increased likelihood of working part-time and full-time compared to those who were not working. As household income increased, the likelihood of being a part-time worker and the likelihood of being a full-time worker increased. The moderation model results showed the likelihood of working part-time compared to being unemployed or retired was lower when caregiving intensity was higher. No other moderation effect was found for paid work. In addition, the likelihood of working part-time or full-time increased as annual income increased. We believe the findings contribute to policies that increase access to paid help and may ultimately assist caregivers to remain active in the job market.
PHYSICAL AND MENTAL HEALTH OF GRANDPARENTS CARING FOR GRANDCHILDREN IN CHINA: A SYSTEMATIC REVIEW
Authors: Wang Shuangshuang 
Published: January 2025

Abstract
Guided by role strain and role enhancement perspectives, this study systematically reviewed the effects of providing grandchild care on the physical and mental health of Chinese grandparents, aiming to identify research gaps and offer insights for future studies and the enhancement of Chinese grandparents’ well-being. Utilizing a thematic search method, we conducted searches in PubMed, Web of Science, CNKI, Wan Fang Data, and CQVIP databases for relevant literature spanning from January 1st, 2012, to March 1st, 2024. Ninety-one articles were ultimately included, and their content was analyzed to systematically review the impacts on physical and mental health. Factors such as grandparents’ gender, age, and residential areas affected their participation in intergenerational care. Mental health outcomes primarily focused on depressive symptoms, cognition, loneliness, and life satisfaction, while physical health was assessed through self-assessed health, daily-life abilities, and instrumental self-care abilities. However, the literature lacked consensus on the effects of providing grandchild care on Chinese grandparents’ physical and mental health. Negative outcomes mainly due to role conflicts, high care demands, feelings of isolation, while positive outcomes were achieved through social more social activities, companionship, and family network support. In conclusion, Chinese grandparents’ well-being appears to be influenced by a multitude of factors, with current exploration in its nascent stages. Opportunities for improvement lie in data collection methods, research design, and areas of investigation. Further research is warranted to better understand the complexities of this relationship and to develop interventions aimed at promoting the health and well-being of Chinese grandparents.
SLEEP BARRIERS AND FACILITATORS IN AFRICAN AMERICAN FAMILY CAREGIVERS
Authors: Aldossary Heba , Brewster Glenna , Griggs Stephanie , Irani Elliane 
Published: January 2025

Abstract
Cultural and historical experiences of African American family caregivers influence their overall health outcomes and can compound their risk for poor sleep health. Since there is inadequate representation of African American individuals in caregiving research, the existing literature is limited as it pertains to informing sleep intervention targets to address the unique needs of African American caregivers. This study aims to explore the barriers and facilitators to sleep health in African American family caregivers. To be eligible for this study, caregivers were required to provide care to an adult family member or friend with a chronic or disabling condition for a minimum of 6 months and self-identify as Black or African American. Twenty-four participants were recruited via community-based methods and participated in semi-structured in-person, telephone, or videoconference interviews. Transcribed interviews were analyzed using conventional content analysis. Participants were on average 58.0 (SD=10.1) years old, mostly female (83.3%) and caring for a parent (79.2%). Main sleep barriers included being alert to care recipient’s needs, general and caregiving-specific stress, existing health conditions such as anxiety or sleep apnea, and environmental factors such as room temperature and noise within and outside the home. Sleep facilitators included caregiving support, daytime activities for the care recipient and the caregiver, natural or pharmacological sleep aids, and relaxing activities at bedtime such as meditation, journaling, reading, and art-based activities. Half of our participants perceived the television before and/or during sleep as a facilitator. Our findings can inform the cultural adaptation of behavioral interventions to optimize sleep health.
THE HOSPITAL ENVIRONMENT’S INFLUENCE ON THE INCLUSION OF CARE PARTNERS OF HOSPITALIZED PLWD
Authors: Still Catherine , Hoel Sydney , Strayer Andrea , Werner Nicole , Fields Beth 
Published: January 2025

Abstract
Federal initiatives like the National Strategy to Support Family Caregivers advocate for the inclusion of care partners into their family member or friends care teams. Yet, care partners of hospitalized people living with dementia (PLWD) often report feeling left out of the hospital care. This feeling of exclusion may be related to the hospital’s physical environment. Prior research has explored dementia care partners’ perceptions of the hospital space, but there is little research examining how the hospital environment can facilitate or hinder care partner inclusion. Therefore, this study sought to explore how the physical environment of the hospital influences care partner inclusion practices. Our team used a descriptive qualitative approach and collected data from two sources: direct observations (27 hours) in a large academic hospital and interviews with care partners (15) and clinicians/administrators (23) representing hospital experiences across the country. Observational data were analyzed using a framework analysis, and interview data were analyzed using a team-based inductive content analysis. Observational data revealed an underutilization of environmental resources, including communication tools and family-dedicated spaces. Interview data revealed three aspects of the physical environment that influence care partner inclusion: space for both the PLWD and their care partner, room personalization, and parking. Health systems should ensure adequate space for care partners in the hospital, allow care partners to personalize patient rooms, and designate dementia-friendly parking spaces. Modification of the physical environment may promote the inclusion of care partners into hospital care, which could potentially improve the health outcomes for hospitalized PLWD.