bluuebunny/crossref_metadata_2025_split huggingface dataset:
THE IMPACT OF TRAUMA AND POSTTRAUMATIC STRESS SYMPTOMS ON CAREGIVER WELL-BEING
Authors: Hugenschmidt Christina , Collier Natasha , Brenes Gretchen 
Published: January 2025

Abstract
There is a high level of variability in caregiver experiences and outcomes, and up to 50% of variance in caregiver well-being remains unexplained. We propose that exposure to traumatic events and experience of post-traumatic stress symptoms (PTSS) may be a previously unrecognized dimension of caregiver burden. We surveyed 25 caregivers of persons with dementia (PWD) to assess 1) lifetime exposure to traumatic events, 2) post-traumatic stress symptoms (PTSS) related to the caregiving experience, and 3) associations between trauma exposures and PTSS and caregiver burden, depression, and grief. Caregivers averaged 66.4 years old (range: 36-81) and had been caring for their loved one an average of 5.5 years (range: 1-23 years). Caregivers had different relationships with the care recipients (daughter: n=9, spouse/partner: n=9, son: n=4, sister: n=2, friend: n=1) and n=11 (44%) lived with the care recipient. Forty percent of the sample had experienced at least one adverse childhood experience (ACE) and 96% reported at least one trauma as an adult. Four participants (16%) stated that caregiving for their PWD or a caregiving-related event was the most stressful event of their life, and 35% had elevated PTSS related to caregiving. ACEs and PTSS in response to caregiving were highly predictive of important outcomes for caregiver well-being, including depression (ps ≤ 0.03), prolonged grief (ps ≤ 0.03), and caregiver strain (ps ≤ 0.02). These findings suggest that trauma experienced before and during caregiving and PTSS are significantly associated with caregiver well-being.
ENTORHINAL CORTEX THICKNESS IS ASSOCIATED WITH FINANCIAL EXPLOITATION VULNERABILITY IN OLDER ADULTS
Authors: Fenton Laura , Salminen Lauren , Lim Aaron , Weissberger Gali , Nguyen Annie , Axelrod Jenna , Noriega-Makarskyy Daisy , Han Duke 
Published: January 2025

Abstract
Research suggests that increased financial exploitation vulnerability (FEV) due to declining decision making may be an early behavioral manifestation of brain changes occurring in preclinical Alzheimer’s disease (AD). One of the earliest documented brain changes during this preclinical phase is neurodegeneration of the entorhinal cortex. The objective of the current study was to examine the association between a measure of FEV and thickness of the entorhinal cortex in 97 older adults without cognitive impairment (mean age (SD) = 68.72 (7.45); mean education (SD) = 16.52 (2.14); 76% female; 76% White). We also investigated FEV associations with frontal regions typically associated with decision making (e.g., dorsolateral and ventromedial prefrontal cortices). Exploratory analyses investigated the interactive effect of age and cortical thickness on FEV. Results showed that greater FEV was associated with significantly lower entorhinal cortex thickness (B = -0.05, SE = 0.02, p = 0.04), but not with thickness in frontal regions. There was a significant interaction between age and entorhinal cortex thickness on FEV, whereby lower entorhinal cortex thickness was associated with greater FEV in older participants (B = -0.01, SE = 0.003, p = 0.04). When the group was split according to age using a median split (70+; &lt; 70 years old), lower entorhinal cortex thickness was associated with greater FEV only in the older group (B = -0.10, SE = 0.04, p = 0.01). Collectively these findings support the notion that FEV may serve as an early behavioral manifestation of preclinical AD before noticeable cognitive impairment.
SOCIAL NETWORK SIZE, SOCIAL FULFILLMENT, AND FINANCIAL EXPLOITATION VULNERABILITY IN OLDER ADULTS
Authors: Noriega-Makarskyy Daisy , Upal Shaneen , Erdman Elizabeth , Fenton Laura , Lim Aaron , Weissberger Gali , Mosqueda Laura , Han Duke 
Published: January 2025

Abstract
This study tested whether aspects of social functioning, including breadth of current social roles (e.g., being a family member, co-worker, neighbor, etc.), and fulfillment in various social supports (i.e., relationship depth), are associated with perceived financial exploitation vulnerability (FEV) among older adults. Adults aged 50 or older (N=115; 69% of sample &gt;65 years) completed a laboratory visit consisting of questionnaires assessing relationship breadth, depth, and perceived FEV. The relationship depth measure included a total score as well as subscales for: 1) Appraisal, or availability of interpersonal advice or guidance; 2) Belonging, or availability of interpersonal empathy and acceptance; and 3) Tangible, or material/financial support resources. Hierarchical linear regressions separately tested associations between relationship depth or breadth and FEV. After covarying for demographics, depression/anxiety symptoms, and general cognition, FEV was not significantly associated with relationship breadth, or the Appraisal and Tangible subscales (p’s=.13-.93). FEV was negatively associated with Relationship Depth Total Score (B(SE) = -.08(.03), p&lt;.01) and Belonging subscale (B(SE) = -.28(.06), p&lt;.001). In summary, among a sample of older adults, perceived financial exploitation vulnerability was not associated with the number of different regular social roles a person had, or the availability of social resources for material/financial assistance, or interpersonal advice/guidance. Rather, financial exploitation vulnerability was greatest among individuals with a weaker sense of social belonging, marked by instances such as not having someone to go with on a spontaneous day trip. Such results corroborate the benefits of close interpersonal relationships that may reduce vulnerability to financial exploitation in older age.
THE IMPLEMENTATION OF A STATEWIDE INTERDISCIPLINARY OLDER ADULT FINANCIAL JUSTICE COALITION
Authors: Kohlbrenner Briana , Catlow Jodi , Chess Eric , De Fries Carson 
Published: January 2025

Abstract
Financial fraud and exploitation have devastating impacts that are felt acutely among older adults. To address this issue in Colorado, a coalition was formed in March of 2023 to bring together the state’s strong but historically disconnected contingent of experts across disciplines. This coalition includes 60 individuals representing 30 agencies including law enforcement, financial institutions, adult protective services, government, and non-profit agencies. The goals of the coalition are to 1) convene and grow this network to include all key stakeholders and leaders in financial fraud and exploitation across the state, 2) provide support, training, actionable tools, and resources for front-line workers and 3) streamline resources and create a collaborative state-wide hub for resources around financial abuse. Through this initiative we have identified barriers to collaborative efforts in this area including sharing data across agencies, building trust between industries, and an overall lack of shared language. Lessons learned from the implementation of this coalition include how to communicate across disciplines, elevating the expertise of those in the field without replicating work or operating in silos, and utilizing an academic institution to facilitate these collaborative efforts. To provide an overview of the innovative and interdisciplinary coalition, we will showcase the process of developing, maintaining, and expanding this coalition with the purpose of providing a framework for other states to replicate.
ASSOCIATIONS OF PHYSICAL ACTIVITY ENGAGEMENT WITH CEREBRAL AB AND TAU PET FROM MIDLIFE
Authors: Gonzales Mitzi , Kojis Daniel , Spartano Nicole , Thibault Emma , DeCarli Charles , Johnson Keith , Beiser Alexa , Seshadri Sudha 
Published: January 2025

Abstract
Higher midlife physical activity engagement has been associated with lower dementia risk in late life. However, the underlying mechanisms contributing to the protective effect remain unclear. The goal of the current study was to evaluate the associations of physical activity with cerebral amyloid beta (Aβ) and tau in a predominately middle-aged community-based cohort, as well as to explore whether the associations differ by age or sex. Participants from the Framingham Heart Study underwent 11C-Pittsburgh Compound B amyloid and 18F-Flortaucipir tau positron emission tomography (PET) imaging. Total physical activity levels were evaluated by self-report using the Physical Activity Index (PAI). Cross-sectional associations between total PAI with regional Aβ and tau PET retention were evaluated using linear regression models adjusted for demographic and cardiovascular risk factors. Interactions with sex and age group were examined and stratified analyses were performed when significant. The sample included 354 participants (mean age 53±8 years, 51% female). Higher total PAI scores were associated with lower entorhinal cortex (β(SE)=-0.021(0.008), p=0.013), inferior temporal lobe (β(SE)=-0.017(0.008), p=0.040), and rhinal cortex (β(SE)=-0.018(0.008), p=0.030) tau PET binding. There were significant interactions with sex with only males displaying inverse associations between total PAI with entorhinal cortex, inferior temporal lobe. and rhinal cortex tau. The results suggest that higher midlife physical activity may confer resistance against tau pathology in regions susceptible to early neuropathological changes. However, the effects may vary based on sex, highlighting the importance of better understanding and tailoring lifestyle interventions to address sex disparities.
IDENTIFYING GENDER-BASED DIFFERENCES IN CHARACTERISTICS OF OLDER ADULT CANNABIS USERS
Authors: Coromac-Medrano Juliamaria , Anquillare Elizabeth , Neiderman Adrianna , Thayer Rachel 
Published: January 2025

Abstract
As cannabis use continues to rise among older adults, understanding different patterns of cannabis use is essential for interpreting health outcomes and treatment expectations for this population. This study explored gender differences in age of onset, frequency of use, primary methods of cannabis ingestion, and scores on substance use disorder and cognitive questionnaires between male and female older adult cannabis users (OACU). This sample included 52 OACU ages 60+ (Mage=67.98, SD=5.77; 50%=female; 90%=White). Chi-square analyses and independent samples t-tests were performed to identify gender differences in patterns of cannabis use. The percentage of men who endorsed primarily inhalation methods (76%) was significantly greater than women (46%), and the percentage of women who endorsed primarily consuming edibles (54%) was significantly greater than men (24%), χ2(1, N=49)=4.69, p&lt;.05. Men were more likely to use cannabis on more days of the previous week (M=5.42, SD=2.42) compared to women (M=3.88, SD=2.83), t(50)=2.11, p&lt;.05. Men also generated significantly greater scores on the Cannabis Use Disorder Identification Test-Revised (CUDIT-R) compared to women (Mscore=12.85, SD=6.75 and Mscore=8.96, SD=5.85, respectively), t(50)=2.22, p&lt;.05. Women (Mscore=195.48, SD=46.88) reported significantly greater cognitive self-efficacy compared to men (Mscore=168.35, SD=44.54), t(49)=-2.18, p&lt;.05. There was no difference regarding the age of first ever cannabis use between men (Mage=22) and women (Mage=26). These findings elucidate several differences in use patterns between male and female OACU. Future research can explore additional gender differences to better inform clinical teams about the individual characteristics of an older adult cannabis user.
BARRIERS TO SOCIAL ENGAGEMENT OF OLDER IMMIGRANTS IN THE UNITED STATES: A SYSTEMATIC REVIEW OF LITERATURE
Authors: Adeniji Dolapo , Miller Vivian , Tonui Betty , Barnhart Emma 
Published: January 2025

Abstract
Social engagement is crucial in older adulthood. Social engagement strengthens a sense of belonging, fosters meaningful participation in activities, enhances physical and mental health, alleviates stress and anxiety, and promotes a healthy lifestyle. However, older immigrants often face challenges in engaging socially due to acculturation stress and unfamiliar cultural norms. Using a systematic review of existing literature, this study seeks to identify existing literature that discusses older immigrants’ involvement and participation in community programming, synthesize findings on the accessibility of such programs, and present recommendations for modifications in programs and policies to serve this population best. Guided by the PICO framework and PRISMA guidelines, a systematic review of 11 university databases yielded (N=20) relevant peer-reviewed journal articles after completing a three-stage review process. These articles document social engagement practices identified among various ethnic backgrounds, including older Korean Americans, Chinese Americans, Mexican Americans, and Vietnamese, as well as immigrants and refugees originating from Africa and Asia. Findings suggest that ageism, social disintegration, and language barriers hinder the effectiveness of existing community programs, thus leading to social isolation and loneliness. While our study encompassed various ethnic groups, it is imperative to recognize the potential unique social engagement practices within each of these groups. This acknowledgment is essential in planning community programs to accommodate languages and cultural preferences that can help alleviate social isolation among aging immigrants. Future studies may benefit from a more targeted examination of social engagement practices within distinct ethnic groups to inform targeted interventions.
NATIVITY STATUS AND SUCCESSFUL AGING IN LATINX OLDER ADULTS: FINDINGS FROM A CROSS-SECTIONAL SURVEY
Authors: Basic Ajla , Khan Mushira 
Published: January 2025

Abstract
Previous research has underscored the dynamic relationship between health and aging, highlighting the significant influence of social, cultural, and environmental factors on aging outcomes in racial and/or ethnic minority older adults. Building on the extant literature, this cross-sectional study explores the relationship between nativity status and successful aging in community-dwelling Latinx adults 50+, examining whether being born in the U.S. or having immigrated (first-generation immigrant) influences the process of aging well. A total of 141 Latinx older adults (mean age = 62.83; 65.9% female) residing in Chicagoland completed paper surveys. Measures included the successful aging scale, short acculturation scale, well-being indicators including affiliation (social connectedness), autonomy (personal control), and achievement (personal growth), and sociodemographic variables. Findings from multiple regressions revealed that nativity status (U.S. born) moderated the relationship between successful aging and age (F(3, 130)=3.56, p &lt; 0.05), gender(F(3, 133)=5.08, p&lt; 0.05), autonomy (F(3, 134)=2.56, p &lt; 0.05), and self-reported health (F(3,136)=8.83, p &lt; 0.05). These findings suggest that experiences of aging in Latinx older adults can differ depending on whether a person was born in the US or immigrated, indicating the importance of considering factors such as cultural attitudes toward aging, migration and settlement processes, and differential access to resources. Furthermore, cultural norms and expectations surrounding gender roles may be experienced differently by U.S. born Latinx older adults and first-generation immigrants, impacting caregiving, health maintenance, and social support networks. Future research should explore in-depth the mechanisms through which nativity status influences perceptions of aging well in Latinx older adults.
A COMPARATIVE STUDY OF INTEGRATED LONG-TERM CARE SERVICES IN TAIPEI CITY AND NINGBO CITY
Authors: Liu Huan , Mi Hong 
Published: January 2025

Abstract
This study aims to compare the integrated long-term care service models in Taipei and Ningbo, exploring their similarities, differences, and experiences for mutual learning. Through literature review and field research, it was found that Taiwan’s long-term care system has advantages such as comprehensive coverage, diversified services, professional teams, smart technology applications, community participation, policy support, and a supportive social and cultural environment. On the other hand, Ningbo’s integrated long-term care services also have unique features in terms of service content and format, emphasizing family care, promoting the integration of medical care and older people care, and developing community rehabilitation services. The comparative study reveals that Taiwan’s long-term care system is more mature and comprehensive, with higher service quality and coverage, while Ningbo has certain advantages in the integration of medical care and older people care, as well as in community rehabilitation services. Based on this, the study proposes recommendations for the complementary development of long-term care service models in Taipei and Ningbo, including strengthening policy coordination, promoting inter-departmental cooperation, and enhancing service quality and efficiency, aiming to provide reference for the improvement and development of long-term care services in both regions.
COMPARING HEALTH CARE WORKFORCE IN NURSING HOMES BETWEEN TAIWAN AND THE UNITED STATES: A PILOT STUDY
Authors: Shieu Bianca , Lee Ya-Wen , Harris John 
Published: January 2025

Abstract
Nursing homes (NHs) play a pivotal role in providing long-term care for elderly and chronically ill individuals. However, limited research has focused on understanding resident composition, staffing levels, and quality of care across different cultures. Therefore, this study aims to comprehensively compare the NH workforce between Taiwan and the United States, identifying improvement opportunities, enhancing staffing practices, and ultimately improving the lives of NH residents. This comparative analysis specifically examines two hospital-affiliated NHs in the US and three Christian-affiliated hospital-affiliated General-NHs in Taiwan. The first author conducted observations and interviews at two Hospital-affiliated NHs located in the Northeastern region of the United States, while the second author conducted observations and interviews at three Christian-based hospital-affiliated General NHs situated in Central Taiwan. Both authors spent several hours each day walking through the NHs, documenting their observations through field notes after each observation setting, conducting interviews with NH staff, and engaging with administrators to gather additional demographic information. We used Atlas.ti software for data analysis of our interviews. This study identified five distinct aspects warranting discussion due to their differences: ownership structure, NH resident demographics, medication administration protocols, staff training practices, and staffing shortages. In conclusion, the analysis of the healthcare workforce in NHs between Taiwan and the United States reveals critical insights into the challenges and opportunities faced by both nations. Additionally, this study contributes to a deeper understanding of NHs’ workforce dynamics, with implications for policy, practice, and resident well-being.
EXPLORING THE ASSOCIATION BETWEEN GOOGLE RATINGS AND NURSING HOME QUALITY
Authors: Dayama Neeraj , Gupta Shivani , Pradhan Rohit 
Published: January 2025

Abstract
Online review platforms such as Google ratings have become a resource for consumers seeking nursing home (NH) care for their loved ones. As these ratings reflect subjective experiences, it is important to explore how they may correlate with the more rigorous and systematic measures of NH quality. The primary purpose of this study was to explore the association of Google ratings with NH deficiencies. This study is structured as a cross-sectional analysis (2018) utilizing the following datasets: Brown University’s LTC Focus, Ohio nursing home Google rating data, and Area Health Resource File. The dependent variable was deficiencies which reflect a facility’s failure to meet specified resident care standards, known as federal participation requirements (FPRs). Examples of deficiencies include a facility’s failure to adhere to infection control protocols or improper medication management. The independent variable was consumer reported Google ratings for Ohio NHs. We used negative binomial linear regression, adjusting for NH organizational (size, occupancy, ownership, chain affiliation, payer mix) and market factors at the county level (per capita income, urban/rural location) to assess the relationship. Mean Google rating was 3.55 out of 5 and mean total deficiency count was 11.98. We found that Google ratings were negatively associated with deficiencies (Incidence Rate Ratio=0.93, p&lt; 0.05) (as the number of deficiencies increased, Google ratings declined). From a policy perspective, our findings highlight the need for regulatory frameworks to incorporate consumer feedback mechanisms in evaluating and improving nursing home care quality.
GRIEF AND BEREAVEMENT SUPPORT FOR STAFF IN LONG-TERM CARE HOMES: IDENTIFYING BARRIERS AND FACILITATORS
Authors: Randa-Beaulieu Cari , Chaudhury Habib , Puurveen Gloria , Pauly Theresa 
Published: January 2025

Abstract
Admissions of older adults to long-term care are occurring at more advanced ages with more complex care needs, resulting in shorter lengths of stay before death and an increased demand for a palliative approach to care. However, long-term care staff often lack access to sustainable educational, organizational, and interpersonal support in end-of-life care, and must learn on the job while facing death in the workplace. To address this gap, we conducted a scoping review of literature on grief and bereavement support for long-term care staff. Following PRISMA-Scoping Review guidelines and the six-step framework by Levac and colleagues, social sciences databases were searched and data were analyzed through narrative synthesis and the creation of infographics. Fifty-eight studies met inclusion criteria. Strategies, interventions, and rituals were organized into five domains:1) Cultural Attitudes Toward Death and Unmet Need for Support; 2) Organizational Policy and Practice; 3) Formal Peer-support; 4) Informal Peer-support; and 5) Individual Beliefs and Self-Care Practices influenced by temporal aspects. Identifying barriers and facilitators of grief support for long-term care staff, and hospice and palliative care specialists’ practices, can offer more holistic and effective approaches to long-term care staff wellness to combat burnout and staff turnover. Grief rituals present scalable, holistic approaches fostering long-term care staff wellness that could be explored in future research to collaboratively build long-term care staff capacity for person-centered end-of-life care.