bluuebunny/crossref_metadata_2025_split huggingface dataset:
Alternative Pathways: The Use Of Field-Specific Micro-Credentials in Aging Services
Authors: Guest M Aaron , Clark-Shirley Leanne , Hancock Cynthia , Newsham Tina K , Alvarado Katherine , DuMont Kristina Amirchian Renee , Hackett Lauren , Patton Kaylah Jenkins J R , Weaver Caylee 
Published: December 2021

Abstract
The rise of formal academic programs in gerontology at colleges and universities has been well documented over the last fifty years. Organizations such as AGHE and AGEC have been established to provide guidance, foster consistency, and advance formal gerontology education programs. Broadly, the purpose of these programs has been to develop a pipeline of trained gerontologists for the aging services workforce. What has been less documented is the rise of alternative pathways to gerontology and gerontological competence, including micro-credentialing. Micro-credentials are intended to provide quick-to-complete competency-based education around specific topics to demonstrate relevant skills to employers. To date, little is known about the prevalence of micro-credentialing in gerontology. Still, it may be that micro-credentials are sought in place of formal academic preparation due to their reduced cost, ease of completion, recognizability, and opportunity to quickly train employees in specific skills. To address this gap, we conducted a review of existing gerontological micro-credentialing opportunities. We identified a total of 51 micro-credentials with an explicit aging-focus and searched for associated competencies for these micro-credentials. In this poster, we describe findings on the emphases of micro-credentials, including dementia and care coordination, and review the programs' scope and nature of competencies. We argue that micro-credentialing can offer value for employees unable or unwilling to pursue formal academic training but should be differentiated from such training. Moving forward, it is critical to ensure alignment between gerontological micro-credentials and established gerontological competencies and standards and to differentiate micro-credentials from formal academic programs.
Art and Aging: Use of Social Media for Geriatric Education
Authors: Manocha Gunjan , Morton Casey , Derenne Nicole , Bau Heidi , Jurivich Donald 
Published: December 2021

Abstract
Social media as an educational tool for health care learning has untapped potential. Benefits of social media include peer-to-peer engagement, active learning and interprofessional training. Here we explored social media platforms as a vehicle to deliver short, pithy clinical pearls from evidence-based, peer-reviewed manuscripts. Key points from recent medical publications are paired with pre-existing artwork to provide visual reinforcement of the clinical pearl. Dubbed “Art and Aging”, the clinical pearl and artwork combination is posted on different social media platforms such as Instagram, Twitter and Facebook, thus allowing for an expansive audience. Different hashtags and tags are used to increase followers and engagement on each platform. Over a 9 months period learner engagement increased by 150% and includes a diverse learner profile. These curated social media platforms show considerable promise for disseminating Geriatrics best practices. As yet, we do not know subject matter retention or whether it changes clinical practices - both questions which are future research objectives.
GeriPOP: Older Adults Population Health Serious Game
Authors: Manocha Gunjan , Morton Casey , Holloway Jeremy , Brewster Scott , Wood Joseph , Van Eck Richard , Jurivich Donald 
Published: December 2021

Abstract
Health professionals have limited opportunities to learn about population health in their curriculum. With a shortage of geriatricians nationwide, health care systems need different ways to provide evidence-based geriatric care. To address both these shortcomings, a serious game, called GeriPOP has been developed to allow trainees to explore the impact of assessment and management of principles of geriatric care (the 4Ms+) on quality of life, health, longevity, and health care costs by applying them to a virtual older adult population. Trainees assume the role of a system manager who is asked to explore ways to optimize health outcomes and lower costs. They develop their population health plan around a framework of Geriatric 4Ms+ and apply it in a virtual panel of older adult patients that move longitudinally into different age bands (65-74; 75-84; 85+). As the game progresses, a dashboard helps trainees track the impact of their treatment decisions across the population. Several levels of play allow trainees to explore various issues intersecting with aging such as gender, diversity, social determinants, and multiple chronic conditions. Periodic debriefings and explanatory pop ups during the game allow trainees to further explore evidence–based Geriatrics. The game engages health care trainees to strengthen their knowledge of Geriatrics through exploration of systems change. Future study is needed on whether Geri POP changes learner attitudes, future clinical practice or healthcare outcomes.
Impact of Virtual Reality on Healthcare Provider Empathy for Older Adults with Sensory Impairment
Authors: Dutton Suzanne , Cimino Andrea 
Published: December 2021

Abstract
Virtual reality (VR) is an innovative technology that can simulate dual sensory impairment so that healthcare providers can experience this affliction common in older adults. The current study investigated whether VR simulation could increase empathy among healthcare workers. Empathetic care is linked with improved patient satisfaction, compliance, and outcomes. The study used a one-group pre/posttest study design implemented with healthcare providers at a hospital in the Mid-Atlantic region. All participants experienced a 7-minute VR scenario from the viewpoint of “Alfred”, a 74-year-old with macular degeneration and high frequency hearing loss on a commercial VR headset (Oculus Rift). A survey assessed participants’ self-reported knowledge, empathy, and behavior change. Empathy was measured using the validated tool Kiersma-Chen Empathy Scale (KCES). Analyses included descriptive statistics and paired t-tests. Survey results showed that participants increased their knowledge of macular degeneration and hearing loss, and that 9 of 14 empathy items had statistically significant increases (average absolute change = .41 points). Additionally, 97% of participants agreed or strongly agreed that they would utilize the information learned in their work with patients. Evidence suggests VR is an effective intervention to increase empathy and positively change behavior to support persons with sensory impairment.
Strategies for Developing an Inclusive Geriatric Physician Workforce for Older Adults in the U.S.
Authors: Wallace Brandy , Clark-Shirley Leanne , Podapati Pallavi 
Published: December 2021

Abstract
The “geriatric imperative” has been part of the aging discourse for more than 30 years but neither geriatric practice nor older adults are homogenous. As the U.S. population ages, elders will become more racially and ethnically diverse; and, their health outcomes will be shaped by lifetime experiences with systemic discrimination and racism. Already, COVID-19 has made clear that older adults and non-Whites, particularly African Americans and Hispanics, disproportionately bear the burden of disease and illness. Research suggests health disparities will continue unless there is change within the health care system. The Institute of Medicine (2001) reported on the problematic nature of the stark contrast between the diversity of patients and the physicians caring for them, including issues with patient trust and communication, yet no significant movement has been made to diversify the physician workforce. Despite being 13% and 16% of the U.S. population, respectively, African Americans and Hispanics make up just 5% and 6% of the practicing physician workforce. Further, practicing geriatricians represent less than 1% of physicians with very few physicians of color. There is a need for more African American and Hispanic geriatricians. In this systematic review, we examine recruitment and retention efforts targeting students of color, and curricula of geriatric medical programs in the U.S. We offer recommendations toward incentivizing physicians of color to enter geriatrics, strategies to support decolonization of geriatric medical curricula in undergraduate medical education programs, and the development of mentorship and pipeline programs to increase diversity in the geriatric physician workforce.
Training Clinic Providers on Advance Care Planning Improves Provider Self-Efficacy
Authors: Graupner Jeffrey , Tun Sandy , Read Carolyn , Qureshi Amena , Lee Cassie , Thompson Katherine 
Published: December 2021

Abstract
Advance care planning (ACP) is a vital step to ensure patients receive and prioritize the care that best aligns with their end-of-life wishes, including discussion and documentation of an advance directive. Significant gaps in ACP among underserved populations have been well documented. Research suggests a successful strategy for increasing the communication between provider and patient about ACP is to educate clinicians on this important issue. Three, 2.5 hour training sessions were provided to healthcare staff of a large chain of older adult primary care clinics across three states. Lecture materials were created and presented by a palliative care (PC) physician and PC nurse practitioner. Presentations were held both in person and virtually. Participants were asked to complete a pre/post-training survey online which included a validated 17-item ACP Self-Efficacy Scale (Baughman, 2017), perceived barriers checklist, and additional quality improvement measures. A total of 131 providers attended one of three training sessions. 76 providers (58.0%) and 47 providers (35.9%) completed pre- and post-training surveys respectively. Scores on a 17-item validated ACP Self-Efficacy Scale were significantly higher after training (Wilcoxon signed rank test, Z= 4.42, p &lt;.001). Participants ranked “lack of time” as the number one barrier to having ACP conversations both before and after the training, whereas “lack of training” ranked 2nd and fell to 7th after the training. These initial results suggest ACP self-efficacy among providers can be increased through a one-time training session. Previous literature has highlighted the importance of provider self-efficacy as factor in increasing ACP conversations with patients.
Explaining Online Fraud Victimization of Older Adults via Cyber Routines and Lifestyles
Authors: Parti Katalin 
Published: December 2021

Abstract
The paper compares victim group characteristics: the differences between individuals under 55 and 55 and older, victimized by online fraud committed by a stranger. We test Cyber-Routine Activities Theory (cyber-RAT; Choi, 2008). In addition to active online lifestyle and computer familiarity, we include in the analysis independent variables such as living arrangements, occupation, and the willingness to report and ask for help. A representative sample of US citizens 18 or older was collected using a Dynata research panel in October 2020. We utilized one-way ANOVA on ranks for testing whether older and younger victims’ characteristics can be derived from the same independent variables. We find that older victims differ in characteristics from younger victims. Those who live alone or in a marriage with no children, and retired are significantly less victimized by online fraud than those who live with a partner and children and having full-time jobs. Besides, they are less likely to report their victimization, and their online activities and computer familiarity make them more vulnerable to online fraud than younger adults. Our findings suggest that older victims need prevention and intervention solutions designed especially for them. In an aging society, individuals will be increasingly active online and in the job market. Employers must provide internet security training for employees on manipulative online scams. Crime prevention programs must include awareness-raising on the role of reporting and how to ask for help. Relatives, friends, and caretakers need to be trained in preventing and early recognizing online fraud impacting older adults.
Nostalgia for a Purpose? A Comparison of Three Theoretical Frameworks in a Lifespan Sample
Authors: Turner Jennifer , Kerin Jessica , Delposen Kenzie , Stanley Jennifer 
Published: December 2021

Abstract
Nostalgia is a common experience for most people, but the functions or motivations for nostalgia are unclear. Several theoretical arguments for the purpose of nostalgia have been offered: nostalgia may reduce anxiety or fear of mortality (i.e., Terror Management Theory), resolve developmental conflicts (i.e., ego-integrity vs. despair), or provide a touchstone to the past (i.e., self-continuity). The goal of this study was to compare these theoretical frameworks among young (YA), middle-aged (MA), and older adults’(OA) descriptions of nostalgia and explore whether content of nostalgia differs by age. We hypothesized that YA would report greater amounts of nostalgia related to self-continuity, MA would report more integrity-related nostalgia, and OA would report more Terror Management. Nostalgia recordings (N=593) were collected during a two-week daily diary study in 108 participants (ages 18-78 years; 60.2% women). Recordings were transcribed and then coded by two trained coders (Magreement=87.4%; κ=.66, p&lt;.001) using a rubric containing three typologies of nostalgia: Terror Management, Integrity v. Despair, Self-Continuity. Only n=255 transcripts could be coded within these typologies. Supporting our hypotheses, YA reported more self-continuity (51.5%) than Integrity (39.4%) or Terror Management (9.1%), and MA reported more Integrity (42.0%), than self-continuity (39.5%) or Terror Management (18.5%). Our third hypothesis was not supported: OA reported self-continuity most frequently (47.5%), followed by Integrity (31.9%) and Terror Management (20.6%). Nostalgia may provide a vehicle for self-reflection as people compare the past to the present, and future research should examine whether emphasis on different types of nostalgia has implications for psychological outcomes like wellbeing.
Knowledge of Hospice Care among Korean American Immigrants in Deep South
Authors: Choi Eunyoung , Lee Hee , Noh Hyunjin , Lee Lewis 
Published: December 2021

Abstract
Despite the benefits of hospice care in end-of-life care, there is a dearth of research on the knowledge or perceptions of hospice care, particularly among immigrants. A handful number of existing studies with this population have mainly used qualitative research methods. The purpose of the current study was to investigate the knowledge about hospice care and identify its predictors. We used cross-sectional data from 256 Korean American immigrants living in Alabama (Mean age = 44.78, range 23–70, 50.4% female). The outcome variable was measured by whether the respondents had heard of hospice care. Independent variables included sociodemographic (age, gender, education, and income), health (functional limitation and chronic conditions), health care access (health literacy, health insurance, unmet medical needs due to the cost, and social isolation). Logistic regression analyses were performed. About 78% of the respondents reported that they had heard of hospice care. Older age (OR=1.05, 95% CI=1.01-1.09, p &lt;.05), being female (OR=7.13, 95% CI=3.18-15.98, p &lt;.001), and higher levels of education (OR=1.68, 95% CI=1.15-2.45) were significantly related to increased odds of knowledge about hospice care. There were no significant roles of health and health care access factors. Our findings suggest sociodemographic gradients present in immigrants’ knowledge about hospice care, emphasizing the need for a targeted intervention to increase the hospice care knowledge.
Palliative Care Knowledge and Planning in U.S. Adults
Authors: Albright Amy , Allen Rebecca 
Published: December 2021

Abstract
Palliative care knowledge and health literacy are frequently underestimated in American adults; for example, as measured by the Newest Vital Sign (Weiss et al., 2005), 79.2% (n = 247) of participants within a Geriatrics Clinic sample displayed “adequate” functional health literacy, while 11.8% (n = 37) scored within the “possibly limited” range, and 9.0% (n = 28) scored within the “highly limited” range. There was additionally a significant association between health literacy and age (r = .15, p &lt; .01) within this sample. The Palliative Care Knowledge Scale (PaCKS; Kozlov et al., 2018) was administered to participants, and higher scores indicated a greater knowledge of palliative care. This construct is particularly important to measure, as racial/ethnic disparities exist within this domain; for example, African Americans may have lower overall knowledge of palliative care services and advance care planning than non-Hispanic Whites (Noh et al., 2018). In the current study, knowledge of palliative care was measured using the PaCKS (Kozlov et al., 2018), and scores represented the widest possible range of 0 to 13 (M = 7.68, SD = 4.08). There was a significant correlation between age and PaCKS score (r = .12, p &lt; .05), as palliative care knowledge increased with age. Females scored significantly higher (M = 8.29, SD = 3.91) than males (M = 6.81, SD = 4.18), t(309) = 3.18, p &lt; .001. There was no main effect of race on palliative care knowledge, and post-hoc analysis using Tukey HSD did not demonstrate significant differences between groups.
Disaster Preparedness Among Middle-Aged and Older Adults: Who is the Least Prepared?
Authors: Connelly Caitlin , Boerner Kathrin , Bryant Natasha , Stone Robyn 
Published: December 2021

Abstract
Adverse impacts of natural disasters are viewed as particularly concerning for older adults. Disaster preparedness is an important step towards offsetting potential harm. Research comparing different age groups with respect to their disaster preparedness has produced inconclusive evidence. Some studies found older adults more prepared than younger age groups, whereas others found them to be equally or less prepared. To shed light on this issue, we examined disaster preparedness among N = 16,409 adults age 40 and older from the American Housing Survey. Using logistic regression analyses, we compared preparedness levels of four groups – households of middle-aged adults (age 40-64), older adults (age 65-84), oldest old adults (age 85+), and mixed households comprised of both middle-aged and older adults. Findings showed that households of older adults and the oldest old had significantly higher preparedness levels compared to middle-aged and mixed households, accounting for demographics, living alone, and disability. However, the oldest old group appeared less prepared compared to the older adult group. Thus, while our findings suggest that older adults aged 65-84 may be better prepared for disasters than middle-aged adults, the oldest old group, who are likely at a higher risk of adverse impacts from natural disasters, may be less prepared than their relatively younger counterparts. Therefore, older adults should not be treated as a homogenous group when considering disaster preparedness. Rather, policies and interventions to improve disaster preparedness may benefit from focusing on specific high vulnerability groups.
National Estimates of Climate-Related Disasters among Older Adults with Dementia
Authors: Ferreira Katelyn , Ornstein Katherine , Bell Sue Anne , Husain Mohammed , Yee Cynthia , Kelley Amy 
Published: December 2021

Abstract
Climate-related disasters can have devastating consequences, particularly for the growing population of older adults with dementia. Increasingly, older adults with dementia are aging in place at home, where they often receive assistance for mobility or self-care activities from family and/or paid caregivers. Understanding this population’s experience with climate-related disasters is integral to mitigation, preparedness, and emergency response outside of institutional (e.g., nursing home) settings. We aimed to estimate the population of community-dwelling older adults—including those with dementia—who live in counties that experienced climate-related disasters. We used 2000-2016 data from the Health and Retirement Study (HRS), linked 2000-2018 with Federal Emergency Management Agency (FEMA) disaster data. We flagged each occurrence of climate-related disaster (e.g., hurricane, flood) and then identified HRS participants living in counties with a disaster declaration. Using survey weights, we obtained population-level estimates by disaster frequency and sample characteristics. In each two-year HRS period, we found that 14.26-20.50 million community-dwelling adults over age 65 in the contiguous US (32.2%-53.7%) resided in a county with at least one disaster. This includes 0.62 -1.12 million persons with dementia, 67.2%-76.8% of whom are reliant on caregivers. On average (per two-year period), more than one-third (36.3%) of community-dwelling older adults living with dementia lived in a county with a least one disaster. Policy makers and emergency planners should strongly consider the needs of older adults at the intersection of dementia and risk of climate-related disasters, with an eye towards ensuring access to mobility and self-care assistance.
New Solutions for “Old” Problems: Implications and Opportunities of Intergenerational HomeSharing
Authors: Mirza Raza , Tanner Jacalyn , Hull James , Hocking Taylor , Liu Anna , Hsieh Jessica , Klinger Christopher 
Published: December 2021

Abstract
Across North America, many older adults have expressed their preference to live in their own homes and communities for as long as possible — and to 'age in place'. To address challenges faced by older adults living in the community, home-sharing - an exchange-based intergenerational housing approach, has empowered older adults to ‘thrive in place’ by providing additional income, companionship, and support with household tasks. In 2018, Toronto HomeShare was launched as an intergenerational home-sharing pilot program (n=22), matching older adults (55+) with postsecondary students intending to simultaneously address social isolation and the affordable housing crisis. In 2019, the pilot was adopted as a funded program in the City of Toronto with over 200 participants. Program results highlight unique benefits and challenges for older adults participating in home-sharing: (1) the capacity for intergenerational engagement to fulfill social needs, and (2) the importance of agency facilitation as a determinant of the experience for older adults. Survey findings indicate 88% of participants reported that participation in HomeShare positively impacted their general well-being, 88% reported improved financial security, 94% reported a delay in the need to move out of their community, and 72% felt that participation in HomeShare prevented the need for institutional care. These findings were used to transition Toronto HomeShare into a fully funded program as well as in the development of a national program. Beginning in January 2021 Toronto HomeShare transitioned to Canada HomeShare and will be scaling the program to Vancouver, Winnipeg, Halifax, Calgary, Montreal and other Canadian cities.