bluuebunny/crossref_metadata_2025_split huggingface dataset:
KNOWLEDGE MOBILIZATION TO CREATE DEMENTIA-INCLUSIVE NEIGHBORHOODS: AN EDUCATIONAL AND AWARENESS-RAISING VIDEO
Authors: Randa-Beaulieu Cari , Chaudhury Habib , Seetharaman Kishore , Hung Lillian , Wong Joey , Ren Lily 
Published: January 2025

Abstract
To promote community engagement and increase awareness of dementia-inclusive neighborhood built environment, we have co-created with people with lived experience (PLWE) multiple knowledge mobilization (KM) resources. These resources include an educational and advocacy video and photo exhibit showcasing the project findings to stakeholders and the general public in British Columbia, Canada and beyond. A seven-minute documentary video was produced to illustrate the lived experiences of three people living with dementia in Metro Vancouver and Prince George. This video is one of several public engagement tools for dialogue and challenging stigma surrounding living with dementia in the community that will be mobilized during this phase of the project. This presentation will share the process of community engagement based on the World Café method in two municipalities in Metro Vancouver, Canada. The World Café method encourages conversations, collaborative learning, and generation of new ideas with the video and photo exhibit. This KM project aims to increase awareness and understanding of the features of a dementia-inclusive neighborhood built environment and advocate for positive actions for a broad range of stakeholders, including advocacy groups, community-based organizations, municipalities, and the general public. In partnership with the City of Burnaby and the City of Richmond in Metro Vancouver, these KM activities maximize the impact of the DemSCAPE study’s findings and model various evidence-based approaches to achieving the vision and objectives for developing dementia-inclusive communities.
CURRICULUM CONTENT FOR TRANSLATIONAL GEROSCIENCE EDUCATION: SOCIAL RESEARCH, POLICY, AND PRACTICE PERSPECTIVES
Authors: Fortinsky Richard 
Published: January 2025

Abstract
Geroscience is an exciting paradigm with the potential to positively disrupt the biological aging process in humans, thereby extending the healthy lifespan. This presentation will offer considerations from social research, policy, and practice perspectives that could be incorporated as topics into educational curricula for scientists planning to engage in geroscience-guided clinical trials. Regarding social research, methodological considerations include strengths and weaknesses of different research designs and how to choose outcome measures aligned with hypothesized mechanisms of action of geroscience-guided interventions. When considering how and where to initiate clinical trials, investigators will confront issues including how equity can be optimized when recruiting participants, how risks and benefits of participating in such clinical trials can be best communicated to potential participants, and how to balance scientific rigor with pragmatic concerns when determining inclusion and exclusion criteria. At a broader level, social research perspectives include how preferences for geroscience-guided therapies vary among individuals according to race, ethnicity, socioeconomic status, and degree of disability. Policy-related curriculum topics could include how geroscience therapies, if found to be effective, might affect health insurance programs such as original Medicare, Medicare Advantage, and Medicaid. For example, care management programs offered by Medicare Advantage programs might have to be modified to account for a beneficiary population with fewer medical comorbidities, and demand for Medicaid-funded nursing home and home and community-based services might be affected if multiple comorbidities could be prevented or alleviated. Practice considerations include how the healthcare workforce will be affected by the advent of geroscience-guided therapies.
BARRIERS TO GEROSCIENCE IN CLINICAL COMMUNITY
Authors: Taffet George 
Published: January 2025

Abstract
I hope geriatricians will lead the application of GeroScience concepts to the care of older patients, and gerotherapeutics will reinvigorate the field of geriatrics. Yet geriatricians have been skeptical in embracing the potential it has to change their lives and that of their patients. A consensus of leaders stated “geriatricians specialize in the care of people with multiple chronic medical conditions that cause challenges with their day-to-day physical and mental functioning.” GeroScience addresses the aging process underpinning most of those medical conditions so the reluctance seems inexplicable. I will review some causes of this “disconnect” and potential strategies to make GeroScience and Gerotherapeutics more accessible and vital to geriatricians. Geroscience papers are infrequently in sources that Geriatricians read and studies don’t choose outcomes relevant to Geriatricians. The outcomes need to be clinically translatable and meaningful. Geriatricians: often disassociate blood results from the patient in front of them thus studies that only show serum studies are undervalued; see heterogeneity all the time and undervalue changes in means; don’t often see the clinical thumbprint in the study creation; frequently think “the horse is out of the barn” for their patients; have little exposure to geroscience during training and don’t know how to fit it into their practices; worry about ineffective “cures to aging” and increasing disparities. The expansion of these points (and others) and the strategies to counter them will be explored.
INTO THE WILD: EMBEDDING A COMPLEX, HOME-BASED DEMENTIA CARE PROGRAM INTO DIVERSE PRACTICE SETTINGS
Authors: Amjad Halima , Samus Quincy , Hodgson Nancy 
Published: January 2025

Abstract
MIND at Home® is a well-researched comprehensive care management program for community-living persons with dementia and cognitive impairment. Developed at Johns Hopkins University, the goal of the program is to provide holistic, family-centered care management by assessing and addressing a broad range of medical, social, and supportive care needs that place people with dementia and their care partners at risk for poor outcomes, institutionalization, and high care costs. Delivered by an interdisciplinary, dementia-proficient team, the program focuses on the home as the nexus of care and consists of specialized assessments, tools, and staff training. Memory Care Coordinators (MCCs) serve as the primary point of contact for program recipients and use a comprehensive needs assessment to develop individualized care plans. MCCs implement and monitor care plans and provide resource referrals, help with navigation and coordination of services and supports, teach problem-solving strategies, and provide dementia education, coaching, and emotional support to care partners. Managed care plans and advanced primary care are well positioned to implement this low-cost, high touch program. This session includes an introduction to the MIND at Home program and features three individual presentations by diverse implementation partners showcasing how the program was adapted and implemented in different health care environments (2 managed care plans-Texas and Pennsylvania; 2 large multispecialty clinics-Iowa and North Carolina). The session will wrap up with a summary of learnings from implementing the program “in the wild”, highlighting partner and stakeholder contributions to the evolution and successful implementation of the program in practice.
FLEXIBILITY MEETS COMPLEXITY: LESSONS FROM PRACTICE-BASED IMPLEMENTATION OF A DEMENTIA CARE MODEL
Authors: Amjad Halima 
Published: January 2025

Abstract
People living with dementia (PLWD) are among the highest-need and highest-cost individuals because of the complexity, duration, and range of medical, behavioral, environmental, and social needs. There is a growing evidence base showing that family-centered active management approaches that include activation and empowerment of care partners are well suited to improve care quality, health-related outcomes, and healthcare costs. Existing ADRD care management models have had limited translation to real world practice to date. This presentation will outline key experiences and lessons learned after a decade of work developing, adapting and embedding a comprehensive family-focused care management model called MIND at Home into practice. The work, supported in part by the NIA IMPACT Collaboratory, partners with Centene Corporation, a large managed care organization, and the American Medical Group Association, a non-profit trade organization representing multi-specialty groups and integrated health systems, to implement MIND at Home in different health care settings. MIND at Home implementation illustrates three overriding principles: (1) the necessity of “meeting people and health systems where they are” (literally and figuratively), (2) the importance of effectively matching intervention to outcome and context, and (3) contributions of key partner and stakeholders for adaptation and successful program evolution. Key considerations in implementation include engagement of staff, persons living with dementia, and care partners; program eligibility and referrals; ongoing staff training and support; organic drift over time; role clarity; and sustainability. Program flexibility and adaptation in light of individual, family, and system complexity is essential for successful implementation and sustainability.
LIFETIME EXPOSURES AND COGNITION AT OLDER AGES: FINDINGS FROM THE WISCONSIN LONGITUDINAL STUDY
Authors: Engelman Michal , Lee Gina 
Published: January 2025

Abstract
This symposium considers the relationship between later-life cognition and a range of social, economic, and environmental exposures throughout the life course. Drawing on over 65 years of rich population-based survey data and recent rigorous cognitive assessments from the Wisconsin Longitudinal Study (WLS), the papers in this symposium showcase empirical linkages between older adults’ cognitive health with a set of exposures including education, family socioeconomic status, occupational conditions, and familial connections. The first paper (Herd et al.) draws on the unique availability of adolescent IQ and high caliber cognitive diagnostic data that distinguishes between underlying etiologies to examine the relationship between early life IQ, educational attainment, and later life dementia. The paper by Topping links the wealth of WLS data on early life socioeconomic background and high school experiences to patterns of change in later life cognition, with attention to both cognitive change and mechanisms of selection. Next, Qin and Engelman draw on the WLS’s sibling data to consider the relationship between later-life cognitive health and educational differentials among siblings, and Lee et al. consider the impact of sibling relationships on later life cognition. Finally, Williams et al. draw on the WLS survey, genetic, and cognitive data to consider the interaction between ApoE-4 status, employment-based environmental exposures in midlife, and later life pollution in shaping dementia risk. Taken together, the papers in this symposium showcase the enormous potential of combining longitudinal survey data with cognitive assessment for learning about the life course determinants of later-life cognitive health.
NAVIGATING DEMENTIA CAREGIVING AFTER HOSPITALIZATION: CARE PARTNER EXPERIENCES
Authors: Kuzmik Ashley , Flanagan Jane 
Published: January 2025

Abstract
Hospitalization and the post-acute transitional period are particularly vulnerable, yet largely underexamined period, in the person living with dementia and their family care partners. The care receivers’ increased care dependency and complex medical and psychosocial needs compound the chronic stress of care partners, and demand new and intensified levels of preparedness. This symposium examines the experiences of care partners and the factors impacting their preparedness and affective responses during transition from hospital to home, using data from the Family-centered Function-Focused Care (Fam-FFC) trial. The first presentation will examine the mediating effects of patient clinical factors on the relationship between care partner preparedness and desire to seek long-term care admission at the time of hospital discharge. Next, the needs for preparedness during transition from hospitalization, as reported by care partners will be discussed. The third paper will describe care partner characteristics that influence care partner preparedness at hospital discharge, and two- and six-months post-discharge. The final presentation will report on the mediational relationship among behavioral and psychological symptoms of dementia (BPSD), associated care partner distress, and care partner adverse outcomes from hospital discharge to six-month follow-up. Concluding the symposium, we will engage in a discussion to address unanswered questions, propose future research directions, and explore the broader implications of the findings for policy and practice.
FAMILY CARE PARTNER’S PREPAREDNESS IN CARING FOR HOSPITALIZED PERSONS WITH DEMENTIA
Authors: Paudel Anju 
Published: January 2025

Abstract
Many care partners are inadequately prepared to meet the care needs of hospitalized persons with dementia, and little is known about care partner characteristics associated with preparedness. This paper explores the care partner characteristics associated with preparedness in caring for hospitalized persons with dementia at discharge, 2 months, and 6 months post discharge. Following bivariate associations, we conducted stepwise regression in a sample of 461 care partners of hospitalized persons with dementia who participated in Fam-FFC. On average, care partners were 61.81 years old (SD = 14.19) and primarily female (n=334, 72.5%). Care partners reported having some preparedness in general and it continued to increase from discharge (23.75, SD=6.78) to 2 months (24.5, SD=6.49) and 6 months (26.35, SD=6.73). Multiple care partner characteristics were associated with preparedness at discharge [age (b= -0.071; p&lt;.001), burden (b= -0.283; p&lt;.001), and depression (b= -0.284; p&lt;.01)], 2 months [burden (b= -0.226; p&lt;.001), strain (b= -0.144; p&lt;.05), depression (b= -0.185; p&lt;.05)] and 6 months [burden (b= -0.164; p&lt;.01), strain (b= -0.183; p&lt;.05), depression (b= -0.279; p&lt;.01)] post discharge. While care partners’ feelings of greater burden and depression were associated with lower preparedness at all time points, care partners’ higher age was associated with lower preparedness at discharge only and care partners’ feelings of higher strain was associated with lower preparedness at 2- and 6-months post discharge. Findings suggest the need to address care partners’ feelings of burden, strain, and depression to optimize their preparedness in meeting unique care needs of hospitalized persons with dementia.
LIFE HISTORIES AND TRAJECTORIES OF PHYSIOLOGICAL FUNCTIONING AMONG OLDER RACIALIZED GROUPS IN THE US
Authors: García Catherine , Parella Morgan , De Adorno ’Lisia , Festus Eniola , Rowell Londi 
Published: January 2025

Abstract
Enhancing later life health outcomes among racialized groups demands a nuanced exploration of early life and adulthood circumstances, recognizing their profound impact on individual life trajectories and health disparities. This study used a subsample of age-eligible non-proxy participants from the 2006-2020 biennial waves of the Health and Retirement Study (HRS) that identified as White Hispanic/Latinx (n=787), non-White Hispanic/Latinx (n=516), non-Hispanic Black (n=2072), and non-Hispanic White (n=7984). We conducted a group-based latent class analysis to characterize distinct types of life course experiences among middle-aged and older adults, including childhood family context and residence, early-life educational experiences, and health before age 50. Then, we examined the associations between identified life course typologies and trajectories of physiological functioning using linear mixed models. All independent variables and covariates were interacted with age to discern their influence on the rate of change in physiological functioning. A 4-class model was fit for childhood family context and residence, early-life educational experiences, and health before age 50 by race and ethnicity that exhibited varying patterns of (dis)advantaged life course experiences. The parameter estimates for physiological functioning show that non-Hispanic Black and non-White Hispanic/Latinxs in the class characterized with more disadvantaged experiences exhibited higher levels of poor physiological functioning at baseline and over time relative to their more advantaged counterparts. This analysis offers a novel perspective on the intricate interplay between life course experiences and health trajectories, shedding light on critical junctures for targeted interventions to improve the health and well-being of racialized groups in midlife and beyond.
THE IMPACT OF THE LIFE TRIAL ON CARDIOVASCULAR HEALTH: RACIAL DISPARITIES IN LIFESTYLE FACTOR IMPROVEMENT
Authors: Nemati Donya , Pemmasani Deepishka , Lavangu Vaishali , Kaushal Navin 
Published: January 2025

Abstract
Introduction. Cardiovascular disease is the leading cause of death among older adults. The American Heart Association promotes the lifestyle 8 (LE8) for cardiovascular disease prevention which includes healthy levels of exercise, sleep, smoking, BMI, blood pressure, nutrition (sodium), triglycerides and glucose levels. Exercise alone can improve most of these factors. The purpose of this study was to test if an exercise program can improve LE8 and identify racial (Black vs. White) differences. Methods. The LIFE Study is a randomized controlled trial that randomized 1,600 older adults (age 65+) to an intervention or control group (health-education program). The intervention included one-hour on-site exercise program twice per week with additional prescription of home-based exercise. LE8 measures included: exercise (accelerometers), sleep (Pittsburg-Sleep-Quality-Index), smoking (self-report). Blood samples measured glucose, triglycerides, and sodium, and on-site assessments measured blood pressure and BMI. Data was collected every six months for two years. STATA 18.0 was used to conduct multilevel modeling for each LE8 outcome. Results. A series of multilevel models revealed significant TimeXGroupXRace interaction effects for greater exercise(β=.12, p=.006), better sleep(β=.20, p=.04), lower BMI(β=.58, p&lt;.001) and triglycerides(β=.38, p&lt;.001) only among White participants in the intervention arm at the fifth timepoint. Sodium(β=.13, p=.04), glucose(β=.09, p=.04), and blood pressure(β=.20, p=.04) were higher in Black participants with no time or group interaction. Smoking was nonsignificant Conclusion. The LIFE trial demonstrated improvement in some LE8 factors, and several racial health disparities. There is a need to understand biopsychosocial determinants that contribute to racial disparities to ensure that all participants benefit equally.
NEIGHBORHOOD PERCEPTIONS AND SUICIDAL RISK BEHAVIORS: A CROSS-SECTIONAL STUDY AMONG OLDER CHINESE IMMIGRANTS
Authors: Zhong Chuwen , Qin Weidi , Jiang Yanping , Tang Fengyan , Kalesnikava Viktoryia 
Published: January 2025

Abstract
Compared to other age groups, older adults have a higher suicide risk. Studies have shown that the neighborhood environment contributes to psychosocial well-being. As the largest Asian subgroup in the U.S., Chinese immigrants make up 24% of the total Asian American population. However, it remains understudied how perceived neighborhood characteristics impact suicidal ideation and suicidal risk behaviors among older adults in this population. The study aims to investigate the association between perceived neighborhood characteristics and suicidal ideation and suicidal risk behaviors (i.e., hopelessness, depressive symptoms, and loneliness) among older Chinese immigrants. Data were drawn from the Population Study of Chinese Elderly (PINE), which was collected between 2011-2013. Neighborhood cohesion and disorder scales were used, Cronbach’s alpha= 0.86 and 0.80 respectively. The suicidal ideation was measured by lifetime suicidal ideation. Hopelessness was assessed by the 7-item Beck hopelessness scale, depressive symptoms were measured by the Patient Health Questionnaire (PHQ-9), and loneliness was measured by the R-UCLA loneliness scale. Linear and logistics regressions were conducted to test the study aims. Out of a total of 3,157 respondents, 58% were female with an average age of 72.8. Higher levels of neighborhood cohesion were associated with less suicidal ideation, loneliness, and depression, but not hopelessness. On the contrary, neighborhood disorder was positively associated with all outcome variables including hopelessness. This study suggests that the neighborhood environment plays a crucial role in older Chinese immigrants’ health and well-being. Culturally relevant and community-level efforts are needed to promote successful aging in place among this group.
NURSING HOME QUALITY RATING ASSOCIATIONS WITH PAIN IN NURSING HOME RESIDENTS WITH DEMENTIA
Authors: Levy Sorah , Resnick Barbara , Holmes Sarah 
Published: January 2025

Abstract
Pain is highly prevalent among nursing home (NH) residents with dementia. Estimates suggest 35-80% of NH residents with dementia experience pain. Pain had been identified as a quality indicator used to measure NH performance. The Center for Medicare and Medicaid Services (CMS) Five-Star Quality Rating System is intended to inform the public of NH quality metrics. There should, therefore, be evidence that facilities with higher star ratings provide better pain management. This cross-sectional secondary data analysis used baseline data from an implementation study testing the impact of an intervention to manage behavioral symptoms in NH residents with dementia. Generalized linear mixed models (GLMM) were used to test the relationship between CMS five-star rating and pain level controlling for resident demographics and clinical characteristics. The sample included 553 residents with dementia living in 55 NHs. On average, NHs in the sample had a five-star rating of 3.5 (SD= 1.3) and pain was observed in 22.6% (n=125) of the sample. Five-star rating was significantly associated with having pain (p=0.041) such that the odds of having pain for residents living in a 5-star facility decreased by 87.8% (OR= 0.122, 95% CI: 0.02- 0.92) relative to a 1-star facility. Findings from this study demonstrate that quality of care indicated by star rating is associated with better pain management. It may be particularly important to focus on pain management in NHs with low star ratings.