bluuebunny/crossref_metadata_2025_split huggingface dataset:
BUILDING BRIDGES ACROSS GENERATIONS: THE INTERGENERATIONAL CLASSROOM
Authors: Hsieh Jessica , Mirza Raza , Klinger Christopher , Hill Julianna , Janes Heather , Osmond Claudia 
Published: January 2025

Abstract
The issue of aging demands greater attention in education systems, and intergenerational approaches help to combat ageism and improve the lives of older adults, now and in the future. Taking an intergenerational approach to contextualizing the experiences of older adults within post-secondary classrooms settings is a novel approach towards building interest in the field of aging. The University of Toronto (UofT) partnered with Christie Gardens, a retirement community and long-term care home, to launch an innovative experiential learning initiative: The Intergenerational Classroom. Half the learners were UofT undergraduate students (n=24); the other half were older adults residing at Christie Gardens (n=25). Through interactive seminar-style discussions, collaborative projects and mentorship, the course, which was held at Christie Gardens, provided a semester-long exploration on aging. To evaluate the program, pre/post-surveys were administered to all learners, and following the semester, students (n=6) and older adults (n=6) participated in focus group discussions. Outcomes of program success were identified across domains, including meaningful friendships and bonds created, increased awareness of aging issues, reduced ageist attitudes, and greater sense of community and civic engagement. Evaluations revealed that 92% had an excellent learning experience, 95% found the course intellectually stimulating, and that 100% would recommend the course to others. The Intergenerational Classroom explored aging from a viewpoint that considered the perspectives of both older and younger generations. Intergenerational approaches can help to create a brighter and more inclusive future for all generations, ensuring that individuals can grow up and grow older with dignity, rights, and opportunity.
EXPLORING THE LANDSCAPE OF GENERATIVE AI AND LARGE LANGUAGE MODELS IN ALZHEIMER AND DEMENTIAS RESEARCH
Authors: Wei Duo , Elmasri Jeannine , Hernandez Bianca , Goyal Riya , Burdick David 
Published: January 2025

Abstract
With the introduction of ChatGPT in November 2022 and Google Bard (now Gemini) in March 2023, the artificial intelligence (AI) landscape has undergone a significant and rapid evolution. An in-depth scoping review was utilized to investigate the application of generative AI and Large Language Models (LLM) in research on Alzheimer’s Disease and Related Dementias (ADRD) among older adults. The objectives were twofold: first, to investigate specific applications of generative AI and LLM in ADRD research, and second, to delineate the diverse usage of these technologies within this domain. Leveraging PubMed, search terms such as “AI,” “Dementia/Alzheimer,” and “Older Adults” were employed, resulting in the retrieval of 196 articles published in January 2022-December 2023. Of 196 articles found, 145 meeting eligibility criteria were meticulously categorized into two topics: ADRD domain and AI-related tasks. Statistical analysis revealed compelling insights, with significant differences in the application of generative AI (χ2 = 21.91, p &lt;.005) and LLM (χ2 = 21.42, p &lt;.005) in ADRD research. Notably, generative AI predominantly focused on “Research/Drug Discovery” (34.38%) and “Improved Treatment & Care” (37.50%), while LLM emphasized “Challenges/Opportunities” and “Early Detection/Diagnosis.” Within the ADRD domain, articles were categorized into distinct areas such as “Care,” “Cognitive Decline,” “Diagnosis,” “Genetics,” “Imaging,” and “Other.” Caregiving and support emerged as predominant themes, comprising 55% of the reviewed articles, followed by diagnosis (34%). This comprehensive analysis sheds light on the multifaceted applications of AI in ADRD research, offering valuable insights into potential areas for further investigation.
THE EXPERIENCES OF DISCLOSING ALZHEIMER’S DISEASE IN THE US WORKPLACE
Authors: Gibson Allison , Coccia Kathryn , Hasten Lauren 
Published: January 2025

Abstract
With the shift of aging adults delaying retirement, more individuals are being diagnosed with Alzheimer’s disease and related dementia (ADRD) while still in the workforce. Using a modified grounded theory approach, 16 people living with ADRD were interviewed about their experience receiving a diagnosis while still in full-time employment (mean age 66). Thematic analysis was employed to examine the study’s aims with member checking and an audit trail to enhance study credibility and trustworthiness. Many study participants shared their diagnosis with employers, resulting in positive experiences. Study findings indicated that participants were more likely to disclose their diagnosis to their employer when they felt supported by their supervisor, perceived their employer would offer them reasonable accommodations to continue working, or felt they were well positioned to retire. Those who did not disclose their diagnosis did so because they feared reasonable accommodations were either not available or accessible, and they reported significant financial stress. Study implications suggest those newly diagnosed need support regarding ADRD and employment, and human resources personnel need more training on ADRD workers. While not all participants were able to continue in the workforce following diagnosis, many could through flexible work roles and supportive environments. Many study participants were able to continue in their full-time positions until they retired or elected to shift employment to a new role or employer. However, some experiences highlight the continued challenges of accessing disability resources. This presentation will conclude with recommendations for specialized policies, training, and future research.
DESIGN ELEMENTS OF EDUCATIONAL TOYS FOR PATIENTS WITH MILD ALZHEIMER’S DISEASE: A QUALITATIVE STUDY
Authors: Jia HongFei , Ding YaPing , Zhu Ling 
Published: January 2025

Abstract

Background
Alzheimer’s disease (AD) is a fatal chronic neurodegenerative disease, and its incidence and mortality rate are closely related to age. Once diagnosed, patients need to take long-term medication, which seriously affects the quality of life of those who are ill. Research has demonstrated that the educational toy is an effective intervention to improve cognitive function among patients with mild Alzheimer’s disease. Despite the rapid growth in developing educational toys, incorporation of stakeholders’ views has been limited. Objective: This project aimed to identify the design elements that should be considered during development of educational toys for patients, from the perspectives of patients with mild Alzheimer’s disease and their caregivers.

Materials and Methods
A total of 10 patients with mild Alzheimer’s disease and 12 caregivers were selected. Participants were recruited using purposive sampling. Semi-structured interviews were conducted between August and November 2023. The content analysis method was used to summarize the interview data and refine the themes.

Results
Main themes that emerged from the data analysis included the following: (1) materials; (2) structure; (3) function; (4) color; (5) shape.

Conclusion
Collecting patients’ and caregivers’ perspectives through qualitative interviews, the developed puzzle toy can serve as a user-friendly and engaging tool to potentially complement traditional interventions in slowing cognitive deterioration in patients with mild Alzheimer’s disease. These design elements can also be considered by developers and researchers when developing and evaluating educational toys for people with mild Alzheimer’s disease.
EFFECTIVENESS OF AN AGING-RELATED PREPARATION EDUCATION PROGRAM FOR OLDER CHINESE MIGRANTS IN JAPAN
Authors: Yao Li , Masaki Harue 
Published: January 2025

Abstract

Introduction and objectives
To resolve the long-term care issues of older Chinese migrants in Japan, we developed an aging-related education program focused on preparation for long-term care consisting of six modules with lectures and discussions through real-time videoconferences. This study aimed to evaluate the effectiveness of this developed education program among older Chinese in Japan.

Methods
Older Chinese people and their family members living at home independently in the Tokyo and Kansai areas were recruited. The before-after study was conducted to collect the data from the Preparation for Future Care Needs Scale-14 (PFCN-14) and Attitudes to Aging Questionnaire (AAQ). Data was analyzed by descriptive statistics and the Friedman non-parametric repeated measures ANOVA test.

Results
Twenty-two participants with an average age of 73.0 (SD= ±7.18) years completed all questionnaires, of which 14 (63.6%) were female. The median (IQR) PFCN-14 total scores before intervention, after intervention, and one month after intervention were 40.00 (7)%, 46.50 (13)%, and 48.50 (8)% (χ²=18.644, P&lt; 0.001). There were significant differences between before and after intervention (P=0.016) and between before and one month after intervention (P&lt; 0.001). The median (IQR) AAQ total scores were 82.00 (23)%, 80.50 (22)%, and 79.00 (21)%, respectively, with no significant differences (χ²=2.533, P=0.279).

Conclusion
This education program improved participants’ status of preparing for long-term care by promoting awareness, decision-making, and concrete planning actions. It can be used to improve health literacy and the autonomy of later life for older Chinese migrants in Japan.
THE IMPACTS OF VIRTUAL REALITY (VR) INTERVENTION ON DEMENTIA CARE EDUCATION: A SYSTEMATIC REVIEW
Authors: Li Xiaoli , Collins Sandra , Liu Xiaoyu , Mutthina Ramesh , Chiu Chung-Yi 
Published: January 2025

Abstract
VR technology has been explored for its potential to deepen the understanding of individuals living with dementia, allowing students and caregivers to immerse themselves in the lives of those affected by this condition. To date, research evidence regarding the implementation and effectiveness of VR interventions in this domain have not been evaluated and synthesized. We aimed to address this gap in the evidence. The study protocol was registered with PROSPERO, and literature published from 2000 onwards was searched from six databases: Academic Search Complete, APA PsycINFO, CINAHL, MEDLINE, Web of Science, and PubMed. Additionally, hand searches of keywords and citation tracking were conducted in Google Scholar. Both qualitative and quantitative literature were considered, and study reporting quality was assessed using the JBI Critical Appraisal Checklists. Among the 318 articles initially identified, 22 were selected for the review. The review encompassed 17 experimental studies and five qualitative studies, involving formal / informal caregivers and university students. Sample sizes ranged from 20 to 278 participants, originating from seven countries and regions, utilizing 11 distinct VR prevention programs. Overall, the incorporation of VR in dementia care education emerges as a novel and underexplored research avenue. VR interventions demonstrated enhancements in caregivers’ and students’ empathy, knowledge, attitude, and understanding of people with dementia, although not all experimental studies found statistically significant changes. VR-based education emerged as a valuable complement to traditional teaching and training methodologies, offering a more engaging and realistic learning experience. However, further research in larger and more diverse samples is needed.
LONG-TERM CARE TRAJECTORIES AFTER STROKE IN SWEDEN AND THE UNITED STATES
Authors: Modig Karin , Arling Greg 
Published: January 2025

Abstract
Stroke is a major cause of mortality and disability in old age worldwide, often requiring ongoing formal long-term care (LTC). Only a handful of studies examining longitudinal patterns of institutional and community based LTC beyond the immediate post-stroke period. In order to better understand the impact of LTC use by stroke survivors, we compared findings from studies of LTC trajectories among people discharged from the hospital after a stroke in Sweden and the United States. The Swedish study modeled LTC trajectories over a three-year period for a nationally representative cohort of 31,560 stroke survivors age 70 and older during 2015 to 2017, while the US study modeled LTC trajectories over 12 months among a sample of 3,811 Veterans discharged from Veterans Administration (VA) hospitals after stroke during 2007. Approximately half of the sample in each study was alive and without a history of LTC use at one year. Use of LTC in both studies was associated with LTC use prior to stroke, advanced age, number of comorbid conditions including dementia, and frailty/dependency. In the Swedish study, transitions into formal LTC tended to be unidirectional - few people entering formal LTC ever returned to no care, and few people entering care homes ever transitioned back to home care. In the VA study, frequent transitions occurred between nursing homes and home-based LTC, as well as out of the LTC system entirely. We discuss how differences in LTC policies, particularly the role of the nursing home, affect LTC trajectories in the two countries.
DEVELOPING OF AN SDM NURSING PRACTICE MODEL FOR OLDER PATIENTS WITH DEMENTIA IN ACUTE CARE HOSPITALS
Authors: Saito Taeko , Masaki Harue 
Published: January 2025

Abstract
This study aims to implement a Shared Decision-Making (SDM)nursing practice model for older patients with dementia in acute care hospitals among acute care nurses and evaluate its feasibility. As a preliminary step, a hybrid concept analysis was conducted, and a SDM nursing practice model was developed and refined based on the results of semi-structured interviews with nursing practitioners and researchers. In this study, five acute care nurses were recruited as research participants to confirm the feasibility of this model. Data analysis involved conducting content analysis from verbatim transcripts of individual interviews with the five participants after practice to assess feasibility. Additionally, both before and after the practice, surveys based on SDM-Q9 and Group’s SDM, validated tools for assessing the SDM process, were administered to the five research participant nurses and five health care professionals involved in support (MD, MSW), generating data from the perspectives of users and stakeholders. The results indicated the feasibility of implementing the SDM process within the constraints of the acute care setting. Moreover, the study demonstrated that the SDM nursing practice model effectively adheres to the SDM process during acute phases, thereby clarifying the role of clinical nurses in facilitating the Sharad decision-making for older patients with dementia.
MOBILITY-RELATED PHYSICAL FUNCTION AND AGING IN PLACE FOR OLDER ADULTS WITH CHRONIC CONDITIONS
Authors: Jensen-Battaglia Marielle , Wang Ying , Block Robert , Loh Kah Poh , Mohile Supriya , Agree Emily , Seplaki Christopher 
Published: January 2025

Abstract
Chronic conditions may influence difficulty mobilizing inside the home (mobility), which presents a barrier to the goal of aging in place for many older adults. Understanding this relationship is critical as the prevalence of chronic conditions increases. In prior work (currently under review) we used data from community-dwelling adults aged ≥65 participating in ≥2 consecutive rounds (2011-2019) of the NHATS to show self-reported mobility difficulty was positively associated with moves to homes with fewer environmental barriers or more household members, but not to other destinations (e.g., homes with more barriers, nursing home/residential care). In the current analysis we use this dataset of 25,490 person-years of follow up from 5,894 unique participants who moved 1,456 times to investigate modification of this association by chronic conditions [non-skin cancer (5,472/25,490 person-years), myocardial infarction/stroke (6,621/25,490 person-years), dementia (8,011/25,490 person-years)]. All chronic conditions were positively associated with relocation to nursing home/residential care in bivariate multinomial logistic regression models (cancer: OR 1.43; 95% CI 1.02, 2.02; myocardial infarction/stroke OR 1.43; 95% CI 1.04, 1.96; dementia OR 2.87; 95% CI 2.08, 3.96). After adjusting for confounders, only dementia remained associated with moves to nursing home/residential care (OR 1.40; 95% CI 1.06, 1.85) for those without any mobility difficulty. However, the association of mobility with relocation did not vary significantly by chronic condition (p for interaction &gt;0.05 for all conditions and relocation destinations). These results highlight mobility difficulty and barriers in the home environment as potentially modifiable factors to promote aging in place, regardless of chronic conditions.
OPENING PANDORA’S BOX: VIRTUAL UNCOVERING OF GERIATRIC SYNDROMES
Authors: Factora Ronan 
Published: January 2025

Abstract
Virtual Capacity Evaluations (VCE) were implemented during the COVID-19 pandemic at the Cleveland Clinic Center for Geriatric Medicine to facilitate Adult Protective Services’ investigations of elder abuse and neglect where a client’s decision making capacity was in question. During the natural process of the evaluation, the unaddressed medical issues were uncovered, specifically identification of cognitive impairment or dementia, gait impairment and falls risk, unexplained weight loss, and non-adherence to medications that increased risk of exacerbation of chronic illness. As many of these persons were also not connected to medical care, these problems were not recognized or managed. In the initial pilot of this program involving 52 individuals, 40 were eventually diagnosed with dementia, 24 had vision impairment, 14 had hearing impairment, 28 were at risk for falls, 24 had unintentional weight loss, and 29 were not taking their medications consistently. Each of these factors potentially limits the person’s ability to function independently, threatens their physical/mental health, and increases their risk of hospitalization and institutionalization. Using the Clinical Frailty Scale (CFS) as an aggregate marker of overall health status, 28 were mildly frail (CFS 5), 14 were moderately frail (CFS 6), and 1 was severely frail (CFS 7). Despite the limited focus and purpose of the VCE, communicating the presence and status of these uncovered medical issues to that person’s medical provider could facilitate evaluation of management of these problems to mitigate their potential impact on that person’s health, functional status, and independence.
DIETARY BEHAVIORS OF AFRICAN IMMIGRANTS LIVING WITH DIABETES AND/OR HYPERTENSION: A QUALITATIVE STUDY
Authors: Osokpo Onome , Lewis Lisa , Bracy Danny , Adeniji Dolapo , Bankole Ayomide , Riegel Barbara 
Published: January 2025

Abstract
Healthy dietary behaviors (e.g., low-salt diet) are a critical element of self-care and the cornerstone in managing diabetes and/or hypertension. Social determinants (e.g., cultural preferences and social support) influence dietary behaviors. However, little is known about the influence of social determinants on dietary behaviors of African immigrants living with diabetes and/or hypertension accounting for their level of acculturation. We conducted a descriptive qualitative study of a purposive sample of 24 self-identified sub-Saharan African immigrant adults in the Northeastern U.S. with symptomatic hypertension and/or diabetes who spoke and understood English. Based on scores from the Short Acculturation Scale, African immigrants were classified as more or less acculturated. The sample was mainly Nigerian (75%) and males (67%), with a mean age of 59 years [40-72]. The sample was highly educated, acculturated, employed, and reported having enough income to meet their needs. Compared to more-acculturated immigrants, less-acculturated immigrants regularly ate more African or “traditional food,” vegetables and rice, and avoided salt and fatty/fast/processed American foods. Less-acculturated immigrants cooked their meals and learned their diets from previous education or their workplace. Compared to the less acculturated, more acculturated participants ate fruits regularly and avoided meat or red meat. Interestingly, the more acculturated participants reported learning about their diet from family and friends and noted that family members cook the meals in their household. Interventions to promote healthy diets among immigrants should take into consideration cultural dietary preferences, influence of family, friends, and non-familial social connections, and level of acculturation.
EFFECTIVENESS OF DUAL-LANGUAGE COGNITIVE INTERVENTION IN COGNITIVE HEALTHY AND DEMENTIA BILINGUAL OLDER ADULTS
Authors: Yow W Quin , Ang Chi Shuen , Li Xiaoqian 
Published: January 2025

Abstract
There is an increasing interest in using touch-screen devices to conduct cognitive training and collect measurements of cognitive performance. Although research with technology-based intervention has shown benefits in improving cognitive performance with older adults, overall results are mixed (Ge et al, 2018). This study aims to investigate whether our elder-friendly, multi-modal touch-screen, computerized dual-language intervention program would help to improve cognitive skills in cognitive healthy and dementia bilingual older adults in a multilingual society. Fifty-eight older adults, 26 with dementia (Mage 82.77 ± 7.45) and 32 healthy older adults (Mage 72.44 ± 8.42), completed 24 sessions of gameplay over 8-12 weeks. Each session took about 30-45 minutes to complete, and consisted of two cognitive tasks: Object Categorization (OC), and Utility of things (UoT). Participants’ performance was assessed by reaction time (RT) and number of prompts used to reduce task difficulty. Using a two-way ANOVA, we compared the performance of the first 4 and last 4 sessions of the two groups for both tasks. By the last 4 sessions, there were significant improvements in performance of the dementia group (i.e., faster RT and fewer prompts for OC, and fewer prompts for UoT; post-hoc ps&lt;.002). Performance in the cognitively-healthy group remained stable (ps&gt;.11), and they consistenly outperformed the dementia group across the intervention (ps&lt;.001). These improvements suggest that our cognitive intervention program could be effective for older adults with dementia. In sum, bilingual elder-friendly touch-screen platforms can be a novel yet effective method to study cognitive interventions in populations of older multilinguals.