bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Long and Winding Road: A Caregiver’s Journey
Authors: Gallagher-Thompson Dolores , Harvath Theresa 
Published: December 2021

Abstract
In a discussion about innovative caregiving programs, it is important to hear the voice of the caregiver. In this section, using her personal experience, this healthcare professional will explore her interactions with the medical system as a caregiver for her partner. She will discuss her caregiver journey from the cancer diagnosis in 2014 through her partner’s final days in hospice, which occurred during the pandemic. She will discuss pertinent issues regarding in what ways the healthcare system response was helpful, which responses were problematic, and where it outright failed to address caregiver needs. Issues, such as caregiver perceived invisibility during the hospital stay, how ageism affected policy decisions and what effect those policies had on her as the caregiver, and other important issues will be explored, including the how the pandemic affected her as a caregiver.
Training Challenges for Effectively Implementing a Technology Clinical Trial: A Snapshot From PRISM 2.0
Authors: Rogers Wendy , Mitzner Tracy , Cohen Kara , Moxley Jerad 
Published: December 2021

Abstract
Technology interventions can only be adequately assessed for efficacy if participants are adequately trained to use the technology. Only then can an evaluation be made about whether the technology intervention affects the outcome of interest. In the PRISM study, our goal was to teach inexperienced older adults to use either a tablet computer (control) or the PRISM 2.0 system. In this presentation we will discuss the training processes we used for both groups (e.g., segmenting sessions, providing homework, observations), to enable us to evaluate the relative benefits of PRISM for social connectedness. We will describe the training challenges and the need for assessors to be able to troubleshoot technology issues. We will evaluate individual differences in training success and drop-outs to provide insights for other technology intervention studies. Understanding these individual differences can provide guidance for the deployment of new technologies that may benefit health, social interaction, or cognitive engagement.
Effects of Health-Promoting Lifestyles in Midlife on Cognitive Functioning in Later Life
Authors: Kim Eunsaem , Lee Yunhwan , Shin Jonggak , Kim Gyeonghui , Yoon Jihye 
Published: December 2021

Abstract
Maintaining cognitive function in later life is key to healthy aging because cognitive impairments compromise everyday functional abilities, impeding independent living. Numerous studies have discovered early life experiences and lifestyle behaviors over the lifespan to have substantial influences on cognitive functioning with age. Especially, subtle brain changes related to dementia occur as early as midlife, and lifestyle factors in midlife influence neuropathological development, suggesting that midlife is a critical period for preserving cognitive health in later life. This study investigated the association between lifestyle behaviors in midlife and cognitive performance in later life using 12-year follow-up data from the Korean Longitudinal Study on Aging (KLoSA). Cognitive function was assessed with the Harmonized Cognitive Assessment Protocol (HCAP) for KLoSA. Eight thousand respondents from the KLoSA sample were administered HCAP neuropsychological tests. Hierarchical multiple regression analyses were used to examine whether health-promoting lifestyles at baseline (2006) predicted cognitive function in 2018 after controlling for health-related covariates. We identified a positive influence of health-protective behaviors (non-smoking, moderate drinking, regular exercise, weight management, and health screening) at baseline on language abilities in 2018 (β = .05, p &lt; .05). In addition, health-promoting behaviors covering interpersonal relationships, social engagement, optimistic outlook, and positive attitudes at baseline were predictive of language abilities (β = .08, p &lt; .01), executive function (β = .06, p &lt; .01), and the visuospatial ability (β = .06, p &lt; .05) in 2018. This study highlights the importance of midlife health-promoting lifestyles in maintaining cognitive health in later life.
Older Adults’ Engagement in Cognitively Stimulating Activities Prior to the Pandemic Predicts Loneliness
Authors: Azer Lilian , Salinas Isaac Quintanilla , Kürüm Esra , Ferguson Leah , Davis Elizabeth , Zhang Weiwei , Strickland-Hughes Carla , Wu Rachel 
Published: December 2021

Abstract
Loneliness, which may be more prevalent in older than younger adults, may lead to increased subjective cognitive decline and cognitive impairment may in turn predict perceived loneliness. COVID-19 physical distancing restrictions may exacerbate perceived loneliness, especially that experienced by older adults. The present study investigated whether self-reported cognitive abilities (i.e., executive functions) would predict loneliness during the COVID-19 pandemic. Younger (YA; n = 136, 18-35 years), middle-aged (MA; n = 126, 36-54 years), and older (OA; n = 171, 55-88 years) adults completed questionnaires assessing self-reported executive functions (EF) and perceived loneliness using the BRIEF-A and UCLA Loneliness scale respectively. Forty-nine of the 171 older participants partially completed a cognitive learning intervention, which has previously been found to increase EF. In the current study, age group did not significantly predict perceived loneliness. However, OA who participated in the prior intervention reported less loneliness than those who did not participate in the intervention. Additionally, OA who participated in the intervention and self-reported worse EF during the current study, also reported feeling lonelier than adults who did not participate in the intervention. Although results from our prior research found most OA who participated in the intervention improved their EF, the results from the current study suggest that it left them more susceptible to the negative effects of physical distancing restrictions if they had lower self-reported EF during the pandemic. Decreased engagement, real or perceived, in cognitively stimulating activities due to the pandemic strengthens the relationship between lower self-reported EF and perceived loneliness.
Coping With COVID-19: Challenges and Resilience
Authors: Mitchell Lauren , Mitchell Lauren , Mroczek Daniel 
Published: December 2021

Abstract
COVID-19 has introduced unprecedented challenges for older adults. At the same time, older adults have adapted to meet the challenges of the pandemic. In this symposium, we explore a number of difficulties brought about by COVID-19, while also investigating the ways in which individual, social, and community resources and strengths have bolstered older adults' resilience through the pandemic. Paper 1 investigates family caregivers of older adults with dementia living in long-term residential care facilities, a group that has been especially heavily affected by the pandemic. Using longitudinal data spanning Fall 2017-Spring 2021, the authors estimate caregivers' trajectories of well-being pre-and-post pandemic. With an exceptionally large qualitative data sample, Paper 2 examines the influence of COVID-19 on older adults' neighborhood engagement. Thematic analysis has revealed diverse patterns of response to the pandemic, as well as community and personal characteristics that have facilitated older adults' coping and resilience. Papers 3 and 4 examine how older adults' personality traits may influence their responses and adjustment to the pandemic, each using assessments of personality taken before the pandemic. Specifically, Paper 3 investigates the relationship between Big Five personality traits and older adults' concerns, precautions, and preparatory behaviors. Paper 4 explores how optimism predicts older adults' emotional responses, including worry, loneliness, and benefit-finding. Using a variety of methods and populations, these studies illustrate the challenges that older adults and their families have faced over the past year, as well key factors at the level of individuals, relationships, and communities that have contributed to their resilience.
Optimism Is Prospectively Associated With Resilience During the COVID-19 Pandemic
Authors: Chopik William , Oh Jeewon , Purol Mariah , Kim Eric 
Published: December 2021

Abstract
Emerging research has identified how protective factors—like optimism—are associated with resilience to stress during the COVID-19 pandemic. However, the majority of research is cross-sectional, which creates ambiguity around the causal direction because these very protective factors might have also changed due to the pandemic. In the current study, we used longitudinal data from the Health and Retirement Study (N = 921; Mage = 64.54, SD = 10.71; 59.6% female; 57.5% White) to examine how optimism measured in 2016 predicted adjustment during the pandemic (in 2020). Higher baseline levels of optimism were subsequently associated with less worrying and stress resulting from changes in social contacts (βs &gt; |.10|), less loneliness and not feeling overwhelmed (βs &gt; |.16|), and greater COVID-related resilience and benefit-finding (β = .21). The findings will be discussed in the context of mechanisms that facilitate the protective functions of optimism and other psychological characteristics.
Emerging Concepts in Dyadic Research
Authors: Lyons Karen , Rauer Amy 
Published: December 2021

Abstract
This session includes four papers that explore and expand upon emerging concepts in dyadic research in health, illness, and end-of-life. First, Dr. Karen Lyons and colleagues examine the concept of dyadic mental health in mid-late life couples living with lung cancer. The paper examines the impact of having optimal versus poor dyadic mental health at diagnosis on the physical health of the couple over time, but also explores the ways we examine the concept of dyadic health in research and potential implications of these methods. Second, Dr. Lyndsey Miller and colleagues take a dyadic approach to understanding the roles of social activity and connectedness on depressive symptoms in a sample of community-dwelling older couples. The paper not only highlights important gender differences, but also the salient role of incongruent dyadic physical health. Third, Dr. Ranak Trivedi and colleagues describe the findings of a novel pilot intervention targeted at improving dyadic self-management in care dyads where one member is a Veteran with chronic conditions. The paper draws upon concepts of collaboration and dyadic coping to conceptualize self-management as a dyadic phenomenon. Finally, Dr. Buck and colleagues explore the novel concept of dyadic dissolution in a sample of family caregivers after the death of their care partner. The paper explores the concept as a cognitive and affective process with implications for how the surviving partner adapts over time. Speakers and Discussant, Dr. Amy Rauer, will focus on implications of these concepts for advancing dyadic science of health and illness across the lifespan.
Engaging Isolated and Underserved Older Adults in 4Ms Care: Age-Friendly Care, PA
Authors: Berish Diane , Fulmer Terry 
Published: December 2021

Abstract
Older adults, the largest segment of the US rural population, face significant disparities in health and healthcare compared to their non-rural peers, including more chronic health conditions, financial challenges, and social isolation. They have limited access to healthcare and social services for prevention, management and treatment of chronic conditions. Age-Friendly Care-PA, a partnership between Primary Health Network and Penn State College of Nursing, aims to reduce these disparities in care and services for rural older adults through co-designing their Geriatric Workforce Enhancement Program. Age-Friendly Health Systems, an initiative of the John A Hartford Foundation and the Institute for Healthcare Improvement, in partnership with the American Hospital Association and the Catholic Health Association of the United States, equips providers, older adults, and their care partners with the support necessary to address What Matters, Medication, Mentation, and Mobility. This symposium describes how the 4Ms are integrated into clinician training and competencies, older adult education, operations, care delivery, and quality improvement. Year two outcome data will be shared. Drs. Hupcey and Fick will provide an overview of the project and its reach. Dr. Berish will describe the process of engaging stakeholders in co-developing our 4M metrics and the data generated. Jenny Knecht, CRNP, will describe a pilot study to extend the reach and acceptability of telehealth to hard-to-reach older persons. Finally, Dr. Garrow will detail a new initiative focused on equity in care. Our discussant, Dr. Terry Fulmer will lead a discussion of this work as well as next steps and policy implications.
Age-Friendly Care, PA: A Geriatric Workforce Enhancement Program
Authors: Husser Erica , Fick Donna , Hupcey Judith , Boltz Marie , Kitko Lisa 
Published: December 2021

Abstract
Age-Friendly Care, PA is co-led by Primary Health Network, the largest Federally Qualified Health Center in Pennsylvania, and Penn State College of Nursing that aims to bring reliable, high-quality, age-friendly care to all older adults living in rural PA. Sponsored by HRSA through its Geriatric Workforce Enhancement Program, Age-Friendly Care, PA utilizes the ECHO, all-teach-all-learn, platform to engage isolated rural providers in incorporating the 4Ms (IHI) into their practice. Age-Friendly Care, PA reaches out directly to rural older adults and their care partners to co-design education and support. We have hosted 28+ events and reached 450+ individuals. Results include tracking and improvement in quality indicators assessed including support for individuals living with dementia and their care partners (NA-66.7%), risk for opioid misuse (NA-78%), high-risk medication management (NA-47.8%), fall-risk management (NA-9.4%), and advanced care planning (NA-8.9%). We will discuss the creation, co-development, implementation, lessons learned, and future of Age-Friendly Care, PA.
Unsung Heroes: How Senior Centers Have Adapted to Provide Essential Services in the Face of COVID-19
Authors: Somerville Ceara , Mutchler Jan , Coyle Caitlin 
Published: December 2021

Abstract
This presentation will describe the ways in which senior centers in Massachusetts have adapted during the COVID-19 pandemic. Three surveys (distributed in April, August, and November, 2020) were conducted with 342 senior centers in the state to learn about current operations through the pandemic, challenges faced, and steps taken to solve those challenges. Results suggest that almost all senior centers (91%) continued to provide limited programming or essential services during the pandemic. Senior centers are prioritizing socialization and nutritional needs as critical services, but are changing the way they operate to continue to meet those needs. Despite facing uncertainty about the future, senior centers continue to adapt to changing conditions as they seek to meet their core mission. This presentation will discuss effects of COVID-19 on how senior centers will continue to operate through and post-pandemic times as well as local and state policy implications.
Using Advisory Boards to Develop a Faith-Based Toolbox to Support African American Families Facing Dementia
Authors: Epps Fayron 
Published: December 2021

Abstract
For this project, we are designing and testing the feasibility of employing components of a Faith-based Home Activity Toolbox (Faith-HAT). The goal of this NIH stage 1 intervention development project is to go beyond the four walls of the church to find ways to meet the spiritual needs of persons living with moderate and severe dementia “where they are” to help them remain religiously and spiritually engaged. This mixed-methods project is designed in 2 phases: (a) developing a prototype Faith-HAT and (b) testing the feasibility and exploring preliminary effectiveness. To successfully conduct this project, we have included a community advisory board of church leaders, caregivers, and persons living with dementia as members of the research design team to advise on the design and implementation of the Faith-HAT. Brainstorming workshops with the board are used to ensure the research is meeting the needs of the African American families affected by dementia.
Stuck in Stage 3: The Case of an Effective Depression Intervention for African American Older Adults
Authors: Gitlin Laura 
Published: December 2021

Abstract
Beat the Blues (BTB) is a culturally tailored depression program for older African Americans. Tested in an NIA Stage 3 efficacy trial, findings showed statistically and clinically significant benefits, including decreased depressive symptoms, improved depression knowledge and symptom recognition, and behavioral activation. The multi-component intervention was co-constructed in partnership with a large senior center. Drawn from previously tested depression programs and tailored to preferences/needs of the targeted population, its five components included care management, depression education and symptom recognition, resources/referrals, and stress reduction and behavioral activation techniques. Despite significant findings, strong effect sizes and high acceptability, moving BTB to NIA Stage 4 (effectiveness) or 5 (dissemination) has been challenging. Challenges that will be discussed include lack of senior center funding to support training and delivery and infrastructure to embed BTB in community-based programs, and reluctance of health systems to adopt BTB because of its focus on one racial group.
Bonding in Sisterhood: A Qualitative Study of a Virtual, Health-Related Program for Women of Color Amid COVID-19
Authors: Rhodes Shanae 
Published: December 2021

Abstract
My Sister’s Keeper is an online education and support group created by women of color in response to disproportionate stresses related to COVID-19 experienced by women of color. The current study aims to examine the Stage 2 evidence that an online support group formed by members of the community may help mediate inequity-related stressors and increase receptiveness to health-related recommendations. To begin to develop this evidence, a thematic analysis of 8 in-depth individual interviews was performed. Resulting themes included: 1) feeling empowered; 2) solidarity in sisterhood (e.g., shared ownership of a virtual community); 3) being focused (on women of color) yet being inclusive; 4) currency of knowledge (e.g., responsibility to share knowledge with others); and 5) preferring virtual accessibility to stay connected. Preliminary data suggest that social support offered through an online platform dedicated to women of color can promote health during the pandemic and possibly beyond.
From Care Manager to Researcher: Addressing Health Disparities in Long-Term Services and Supports
Authors: Fabius Chanee 
Published: December 2021

Abstract
Racial and socioeconomic disparities are prevalent in long-term services and supports (LTSS). There is a need for innovative research with practical application informing aging and disability policies to reduce health care disparities for older adults and people with disabilities using LTSS. This presentation will provide an overview of the career trajectory of Dr. Chanee Fabius, whose research agenda is informed by applied care management experience, where she helped older adults remain at home and delay the need for nursing home care. She will also present findings from work that (1) examines networks of care used by older adults (e.g., paid care and/or support from family and unpaid caregivers) and how they vary by race and socioeconomic status and (2) describes the effect of LTSS utilization on quality of life and health service utilization across diverse groups of older adults.
Recruiting Older Adults With Cognitive Impairments for a Smartphone Intervention During COVID-19
Authors: Niemiec Stacey Schepens , Schneider Lon , Blanchard Jeanine , Wagas Rafael , Teodoro Liberty , Dagerman Karen 
Published: December 2021

Abstract
The Coronavirus disease 2019 (COVID-19) pandemic has introduced numerous challenges to the global scientific community and has been particularly disruptive to the conduct of ongoing clinical trials. Gerontological studies that focus on older adults with cognitive impairments have endured additional challenges ranging from increased vulnerability of this group to COVID-19, thereby prohibiting study participation, to difficulties in participant engagement as a product of a worsening Digital Divide. The purpose of this talk is to describe the pandemic-related factors that have influenced recruitment and enrollment of older adults with mild cognitive impairment and mild dementia in an ongoing feasibility study of a physical activity smartphone app. We discuss the changes we made to recruitment procedures and the impact those changes have had on the success of enrolling individuals in the study. We conclude with a discussion of feasible strategies and procedural alterations moving forward that may facilitate achievement of enrollment goals.
Effects of Intergenerational Relationship and Support on mHealth App Adoption Among Older Adults
Authors: Tung Yi-Hsuan , Wu Shinyi , Chi Iris 
Published: December 2021

Abstract
As a growing body of literature examining the effects of mHealth for older adults’ diabetes self-management, how relational factors affect seniors adopting mHealth is still unclear. Guided by the transactional approach of intergenerational relations and the technology acceptance model, this study aims at investigating the perceived ease-of-use, perceived usefulness, and intention-to-use of a mHealth app among older adults with Type-2 diabetes in relation to familial (parent-child) relationship and to e-learning support from child/ren or from external youth volunteering tutors. Using data from the Intergenerational Mobile Technology Opportunities Program (IMTOP), 304 Taiwanese participants (an average age of 64.6 years, 43% female, and 62.5% received at least a high school degree) who had at least a child were included for analysis using structural equation modeling. Results showed that perceived ease-of-use (β = .58, p &lt; .001) and perceived usefulness (β = .27, p &lt; .001) are significant predictors of intention-to-use. Positive associations are found only between external intergenerational, but not familial, e-learning support and perceived ease-of-use (β = .45, p &lt; .001) and perceived usefulness (β = .42, p &lt; .001). Parent-child relationship is positively associated with both familial (β = .73, p &lt; .001) and external intergenerational support for e-learning (β = .36, p &lt; .001), as well as directly (β = .12, p = .030) and indirectly related to intention-to-use. Our findings suggest the importance of intergenerational relationship and appreciation of both familial and external support to facilitate and sustain older adults’ adoption for mHealth programs.