bluuebunny/crossref_metadata_2025_split huggingface dataset:
FORGIVENESS AS A RESOURCE FOR COUNTERING FEELINGS OF LONELINESS AMONG WOMEN AGING IN CORRECTIONAL CUSTODY
Authors: Thompson Anya , Bishop Alex , Randall Kevin 
Published: January 2025

Abstract
Analyzing cross-sectional data from 232 women in custody ages 40-years and older (M = 49.06; SD = 7.22), we examined a conceptual path analytic model based on the developmental adaptation model consisting of distal and proximal influences on Loneliness, controlling for age, race, education, marital status, and crime type. The tested model linked participant recall of adverse childhood experiences (ACES) to loneliness (LONE) through religious doubt (RD) and three assessments of dispositional forgiveness, Self, Others, and Situation. The model fit the data well, X2 = 2.09 (3 df); p =.55; RMSEA = 0.00; CFI = 1.00; and SRMR =.008. Standardized results revealed that RD was related to ACES (.13, one-tailed p =.028). In addition, significant paths were found linking all three disposition assessments of forgiveness to RD: Self, β = -.42, p &lt;.001; Others, β = -.32, p &lt;.001; and Situation, β = -.47, p &lt;.001. However, only Self was significantly associated with LONE: β = -.19, p =.017; however, there was a significant total indirect effect on LONE from ACES through RD and the three measures of forgiveness;.019, one-tailed p =.045. The model explained 22% of the variance in LONE. Results have implications for how clinical counselors, social workers, cases managers, and pastoral care ministers administer rehabilitative programming. Discussion will highlight forgiveness as a rehabilitative resource for addressing childhood trauma and religious doubt, as well as reducing feelings of loneliness reported by middle aged women in correctional custody.
INCLUSION OF SPIRITUAL CARE AT THE INDIVIDUAL LEVEL FOR PERSONS LIVING WITH DEMENTIA
Authors: Park Sooyoung , Kim Eunkung , Park Soobin 
Published: January 2025

Abstract
Spirituality is known to remain for a long time until the advanced stages of dementia and is associated with positive health outcomes. Initiatives such as dementia-friendly church services and spiritual programs in institutional settings aim to recognize and enhance the emotional, social, spiritual, and artistic facets of person living with dementia (PLWD). However, the application of spirituality in the day-to-day lives of PLWD at home remains a research gap and poses practical challenges. Thus, we draw from our personal insights as a family caregiver of an older adult with severe dementia and collaborated with a social worker specialized in this area to integrate spirituality into PLWD’s daily routines. Based on the Spiritual Dimension of Ageing model, we designed a range of practices aimed at fostering sustainable spirituality at home for PLWD. These practices encompassed four themes: relationships with others, creating an environment conducive to engaging in meaningful activities, incorporating favorite art/music, and exploring religious beliefs. This approach allowed for the customization and diversification of spirituality practices, catering to the unique interpretations and needs of each PLWD. As part of the practice, it enabled PLWD to reunite with a family member after 12 years. Utilizing photographs and written narratives from community-dwelling PLWD and caregivers, we highlighted specific qualitative benefits of this approach (e.g., positive emotions, experience moments “beyond dementia”), particularly for individuals in the advanced stages of dementia. Discussing opportunities to nurture the whole person and their soul may offer comfort and hope to those facing a disease with no cure.
RELATIONAL RELIGIOSITY, FORGIVENESS, AND FAMILY FUNCTIONING IN OLDER AFRICAN AMERICAN COUPLES
Authors: Skipper Antonius , Rose Andrew , Cho Seungjong 
Published: January 2025

Abstract
Despite recent advances in studies on positive psychology, relatively little is known about the factors that influence the romantic relationships of older African Americans. Existing literature does note that older African Americans are among the most religious racial/ethnic groups in the United States. In addition, forgiveness is recognized as a common mediator between relational religiosity and other positive outcomes, such as psychological well-being and successful aging. Given the need for more strength-focused studies on minority-based romantic relationships, this study examined forgiveness as a potential mediator between relational religiosity and family functioning among older, romantically involved African American couples. This study utilized the dyadic data of 194 African American couples with partners between the ages of 50 and 86 years. Data were captured with the Revised Sanctification of Marriage scale, six items assessing interpersonal forgiveness, and the McMaster Family Assessment Device. Indirect effects were verified with 95% confidence intervals within 10,000 bias-corrected bootstrap iterations. The relations between men’s relational religiosity and men’s reports of family functioning were partially mediated by men’s self-reported ability to forgive their partner (B =.053 (95% CI [.001,.187])), as well as the sum of all men’s and women’s reported abilities to forgive and perceive forgiveness (B =.132 (95% CI [.012,.260])). These findings highlight the growing, yet underrecognized, need to understand the religiosity of older African American men relative to positive relational outcomes. Further, this data helps to counter the deficit-narratives that often paint African American family functioning as poor and flawed.
DIGITAL LITERACY CHANGES OVER TIME: IMPLICATIONS FOR LIFE SATISFACTION IN OLDER ADULTS
Authors: Kang Miseon , Lee Seolah , Jung Inhye , Lee Hyo Jung 
Published: January 2025

Abstract
Rapid digitalization of society requires people to utilize digital technology in daily lives, and the COVID-19 pandemic accelerated this situation. Although older adults are known to be unfamiliar with using digital technology, their digital literacy can vary according to their life experiences. This study aimed to identify patterns of digital literacy changes in older adults before and after the COVID-19 pandemic and examined how life satisfaction differs based on subtypes of digital literacy changes over time. Data were drawn from the ‘Media Panel’ by the Korea Information Society Development Institute. The final sample was 1,924 individuals over 65 who responded from 2019 to 2021 and maintained their living arrangements (Living alone, Couples only, Couples with children, and Couples with their parents and children). Latent Class Growth Analysis and multiple regression analyses were employed. The patterns of older adults’ digital literacy changes were classified into four subtypes: ‘Low-level increase group (60.9%),’ ‘Medium-level increase group (29.8%),’ ‘High-level maintenance group (5.0%),’ and ‘Rapid increase group (4.2%). The other three groups had higher life satisfaction than the low-level increase group. Findings imply that the majority of older adults saw a rise in their digital literacy skills during the COVID-19 pandemic. The heterogeneity in digital literacy levels among older adults offers valuable insight into the need for interventions that cater to different digital skill levels, potentially impacting their quality of life. Particularly, in order to enhance their overall well-being, it is important to better understand the key features of individuals in each identified group.
PATTERNS AND ASSOCIATED FACTORS OF TECHNOLOGY USE IN US COMMUNITY-DWELLING OLDER ADULTS
Authors: Peng Wenting , Luo Yuqian , Liu Minhui 
Published: January 2025

Abstract
Technology, especially digital health technology, has been increasingly used to deliver healthcare services. The COVID-19 pandemic accelerated the rapid adoption of medical technology. However, how many and how older people currently use technology remain unknown. Using the cross-sectional data from the National Health and Aging Trends Study collected in 2022, we examined the prevalence, characteristics, and associated factors of technology use (including technology device use, everyday/digital health technology use) among 5,512 community Medicare beneficiaries aged 65 years and older with analytical sample weights and design-based logistic regression models. Results showed that over 1.3 million (2.7%) older people did not use any information and communication technology devices (i.e., computers, cell phones, and tablets). The weighted prevalence of everyday technology use and digital health technology use were 83.3% (95% CI, 82.1%-84.5%) and 52.1% (95% CI, 49.5%-54.7%), respectively. Compared to individuals who never used digital health technology, older adults who used digital health technology were more likely to be younger, white, not living alone, self-rated as having good health, non-homebound, and possessed higher education, income, and cognitive function, with fewer ADL/IADL impairments, and were less likely to experience hospitalization and depressive symptoms (All P&lt; 0.05). Age, education, income and a diagnosis of dementia were independently associated with technology device use, everyday technology use, and digital health technology use (All P&lt; 0.05). The prevalence of technology use in US older adults differed significantly by demographic and health-related characteristics. Future technology-based services or interventional studies should consider the devices and modalities of technologies in the older population.
TECHNOLOGY-ASSISTED TOILETING BY OLDER ADULTS: A SCOPING REVIEW OF BIDET USE
Authors: Van Son Catherine , Cerruti Minyoung 
Published: January 2025

Abstract

Objective
With aging, toileting can become difficult, given changes in mobility, agility, and cognition. Interventions are needed to support toileting privacy and independence. A technology-assistive device for toileting, referred to as a bidet (washlet), uses one’s existing toilet and plumbing to provide a cleansing mechanism by spraying water on the perineum after toileting. Using a remote-controlled device, water temperature, and pressure can be individualized, and the seat warmed. This review focused on the following question: What are the benefits and challenges older adults (OA) and their caregivers experience in using a bidet?

Methods
A scoping review was conducted using the five stages of Arksey and O’Malley’s framework and the PRISMA-ScR checklist. Our search focused on literature published after 2000 and included five databases.

Results
Fourteen articles were identified and analyzed. Seven papers focused on OAs, two on caregivers for OAs, and five included OAs as part of their sample. Findings described bidet technology facilitators and barriers for OAs and their caregivers. Older adults described apprehension about using the technology while appreciating increased privacy and independence. Caregivers reported less time toileting and could focus more on other ADL activities. Research gaps were identified, and recommendations were proposed to change the culture of toileting and promote bidet use. Randomized controlled studies with larger samples are needed to determine the feasibility and effectiveness of bidet use by older adults.

Conclusion
Bidet technology can support OAs’ toileting privacy and independence, reduce caregiver burden, and decrease the environmental impact by using fewer paper products.
THE ART OF GRIEVING AMONG OLDER ADULTS ON TIKTOK
Authors: Ng Reuben , Indran Nicole 
Published: January 2025

Abstract
Although TikTok is dominated largely by younger persons, the platform has since gained traction among older adults, a number of whom have used it to cope with bereavement and grief. Presently, little is known about the therapeutic effects of creating TikTok content in the context of bereavement. However, there have been suggestions that the platform has the potential to serve as an accessible form of art therapy. This study explores how older adults mobilize audio-visual functions to communicate their experience of bereavement on TikTok. We compiled the most viewed videos of users aged 60 and above with at least 100,000 followers, generating 1,382 videos with over 3.5 billion views. Videos which did not feature older adults engaging in discourses on bereavement were excluded. This left us with 22 videos. Both inductive and deductive approaches guided the qualitative analysis. Three themes emerged: ‘Emotional Expression’ (Theme 1; 59%), ‘Maintaining a Relationship with the Deceased’ (Theme 2; 23%) and ‘Channelling Grief into Positive Emotions’ (Theme 3; 18%). This study represents a first step towards understanding the use of TikTok among older bereaved individuals. As findings from this study paint a rather optimistic portrait of the experience of uploading bereavement-related content on TikTok, future inquiry could dive into the potential harms of uploading such content on the application. In view of the enduring presence of TikTok, it is crucial to investigate the clinical effectiveness of using the platform as an art form to cope with bereavement.
TRENDS IN DIGITAL DEVICE ACCESS AMONG HISPANIC OLDER ADULTS IN THE US (2011–2021)
Authors: Chen Xiayu , Dong Yanjun , Véaz Karla Sanabria , Gu Danan , Wang Kun 
Published: January 2025

Abstract
Despite the general increase in digital technology use among U.S. older adults within the past decade, Hispanic older adults may still face a notable digital gap due to socioeconomic disparities. Guided by the intersectionality lens, the study aims to examine (1) the trends of digital device access between Hispanic and non-Hispanic White older adults in the U.S. from 2011 to 2021 and (2) the effect of gender, education and income factors on the digital access disparity. We used 11 waves of National Health and Aging Trend data, and identified 38,253 observations from 8,503 community-dwelling older adults aged 70 and above for the analysis. Applying weighted multilevel logistic regressions, we found that compared to non-Hispanic White older adults, those who were Hispanic had significantly lower odds of having digital device access (OR = 0.42, 95% CI = 0.25 - 0.70). However, the gap in digital device access has narrowed over time. Meanwhile, specific factor-stratified models revealed that the digital access between Hispanic and non-Hispanic White older adults was significantly reduced with time among both men and women, those with low education, and those with low income, but not among those with higher education and medium-to-high income. Our findings highlight notable progress in narrowing the digital access gap for Hispanic older adults in 2011 to 2021. Nevertheless, disparities persist, necessitating continued efforts in tailored policies and community programs to address the complex factors contributing to digital inequalities.
VIRTUAL REALITY IN RESPITE: USING IMPLEMENTATION SCIENCE TO ASSESS ADOPTION OF VR WITH PLWD
Authors: Milnamow Mary , Agyemang Lillian , Bakk Louanne , Dauenhauer Jason 
Published: January 2025

Abstract
In the U.S., 6.7 million older adults are living with dementia (PLwD); this number is estimated to double by 2040. Community-based volunteer respite programs are vital for PLwD to receive social connections and engagement. Virtual Reality (VR) programming for PLwD is typically used in nursing homes, residential care, and rehabilitation settings. Few studies have examined using VR with PLwD and caregiver dyads receiving community- and home-based services. This study applied Implementation Science to identify facilitators and barriers in adopting a VR intervention within a respite program and to develop evidence-based strategies to guide successful implementation. The RE-AIM framework evaluated changes in VR skills, confidence, comfort, and buy-in from respite staff and volunteers. Electronic surveys were completed anonymously before VR training and after completing one VR session. The IAM and FIM were also used to assess the intervention’s acceptability, appropriateness, and feasibility. After training and practicing VR, a paired samples t-test revealed that participants significantly improved across all areas, with the most significant improvement in VR skills from pre to post (16.36 (1.31) vs. (28.00 (1.26), t= -4.44, p=.0001, respectively). The strongest facilitator was the practical and financial support provided by leadership. A persistent challenge was the cost of VR technology. Implementation strategies contributing to successful VR programming included identifying and training champions and developing a trauma-informed quick guide. Findings demonstrate effective utilization of Implementation Science to address the strengths and weaknesses of incorporating a novel intervention that prepares staff, volunteers, and families to experience VR adventures.
NEIGHBORHOOD TRANSPORTATION OPTIONS AND TRANSITIONS TO NONDRIVING
Authors: Hansmann Kellia , McAndrews Carolyn , Gangnon Ronald , Robert Stephanie 
Published: January 2025

Abstract
Many older drivers rely on their social networks for transportation support as they transition to non-driving, but still experience barriers to maintaining the mobility they had when driving independently. In the transition to non-driving, older adults also need transportation options in their neighborhoods to maintain mobility. We examined whether neighborhood transportation options were associated with changes in driving behaviors among U.S. older drivers. We analyzed National Health and Aging Trends Study data from community-dwelling drivers (n = 5,102; 2015 cohort). We used weighted logistic regression models to estimate whether walking or taking public transit was associated with the number of driving behaviors they avoided (avoided driving at night, in bad weather, on highways, or alone) at the three-year follow up. We also estimated the association between the National Walkability Index (NWI) and driving reduction at the three-year follow up. In 2015, 52% of older drivers reported walking to get places outside their homes, but few reported taking public transit (6%). In adjusted models, we found no associations between walking or taking public transit to get places in 2015 and driving reduction over a three-year period. However, older drivers living in very walkable neighborhoods in 2015 had greater odds of driving avoidance behaviors compared to those living in very unwalkable neighborhoods (NWI of 18 vs. 2 out of 20: adjusted odds ratio = 1.73; 95% Confidence Interval: 1.14-2.63). Future research should examine what modifiable aspects of neighborhood transportation options might play a role in supporting transitions to non-driving for older drivers.
BARRIERS AND BENEFITS TO TECHNOLOGY ADOPTION BY DEMENTIA CAREGIVERS
Authors: Simone Patti , Scott Julia , Yueter Sheila , Cepukenas Emma , Himes McKenzie , Anderson Kennedy , Mai An , Grewal Kiren 
Published: January 2025

Abstract
Technology can support caregivers of people with dementia but to date, they are not adopted at scale. We surveyed a range of caregivers regarding their use of technology they use to assist in caregiving tasks to better understand the relationship between technological tool use and satisfaction with caregiving. An anonymous online survey was distributed to the local community and dementia care networks in California and Washington (N = 69) and a subset of the respondents were invited to engage in a didactic interview (N = 19). Respondents identified the most important unmet need for caregivers was access to resources (53%), such as healthcare navigation, mental health support, and financial planning, all of which could be improved with technological tools. Furthermore, the majority of caregivers (64%) reported significant emotional struggle and conflict associated with their role. Similarly, interviews with professionals and caregivers illustrated concerns about caregiver well-being. Even though three-quarters of survey respondents reported using some technological tools to assist caregiving (e.g., medication and routine tracking applications, mobility assistive devices, sensors and monitors), the study showed that caregivers felt inadequately supported and they relied minimally on technology to address their pain points (e.g., mental health). Instead they noted barriers of access and usability of products as limiting features of adopting additional technology. Effective use of digital technologies can reduce caregiver stress by simplifying care tasks and delivering more convenient access to support. Strategies in product design and user communication that engage dementia care partners would likely accelerate adoption of technologies.
CAREGIVERS’ PERCEPTIONS OF ADVANCE CARE PLANNING–RELATED DISCUSSIONS FOR PEOPLE LIVING WITH DEMENTIA
Authors: Zhang Yuchen , Sereika Susan , Lingler Jennifer , Seaman Jennifer , Pettigrew Corinne , Albert Marilyn 
Published: January 2025

Abstract
People living with dementia (PwD) experience progressive decline in functional abilities, including the execution of real-time medical decisions. Nevertheless, advance care planning (ACP) has the potential to mitigate healthcare overutilization and prevent ethical dilemmas at the end-of-life. We aimed to characterize caregivers’ understandings of ACP-related discussions between PwD and their healthcare clinicians. This secondary analysis leveraged data (n=431) from the cross-sectional, interviewer-administered survey, “Care Planning for Individuals with Dementia”, at Alzheimer’s Disease Centers nationwide. Statistical analysis utilized descriptive statistics and multinomial logistic regression. Surveyed caregivers had a mean age of 78.3 years, were predominantly white (88.5%), and were highly educated (mean=15.9 years). Most (95.1%) were the care recipient’s designated healthcare proxy and 30.9% of caregivers were aware of discussions between PwD and clinicians about medical treatment preferences. Caregivers (23.2%) who did not co-reside with PwD were 2.71 times more likely to report knowing such discussions occurred (p&lt; 0.001). Caregivers who had higher dementia knowledge scores were more likely to indicate the need for further discussion between the proxy and clinicians regarding treatment preferences (OR=1.27, p=0.02); however, caregivers who endorsed knowing a lot about severe stage dementia were less inclined (OR=0.31, p=0.003). Lastly, caregivers of those in earlier stages were more likely to acknowledge the necessity for additional discussions about treatment preferences between PwD and clinicians (no impairment & MCI: OR=7.38, p=0.002; mild: OR=5.32, p=0.005). Overall, our results highlight the need for healthcare clinicians to conduct ACP-related discussions proactively and explicitly include likely proxies, especially during prodromal and earlier stages of dementia.