bluuebunny/crossref_metadata_2025_split huggingface dataset:
Effective recruitment strategies for home-living vulnerable older adults with depression into a psychotherapy RCT
Authors: Kessler Eva-Marie , Hoppmann Fee , O’Sullivan Julie L , Gellert Paul , Tegeler Christina 
Published: December 2021

Abstract
Objectives: Vulnerable older adults, such as physically impaired or care-dependent individuals, are vastly underrepresented in psychotherapy research. Improving their inclusion in randomized controlled trials is necessary to determine the effectiveness of psychotherapy in this population. This study is the first to systematically evaluate strategies to recruit home-living vulnerable older adults with clinically significant depression into a large randomized controlled psychotherapy trial. Potential participants were approached directly (self-referral) or via cooperation with gatekeepers (gatekeeper-referral). Methods: The initiator of the first contact with the study team and successful recruitment strategies were recorded. Referral strategies were compared with respect to number of inquiries and inclusion rates; study personnel’s time investment; and participant characteristics (sociodemographics, functional and cognitive status, depression and anxiety scores). Results: Most of the N=197 participants were included via gatekeeper-referral (80.5%, 95%CI=[74.9%,86.1%], but time investment for gatekeeper-referrals was five times higher than for self-referral by media reports. Clinical psychologists and medical practitioners referred the largest proportion of participants (32.3% each) and referral by medical practitioners led to highest inclusion rates (55.6%; χ²(3)=8.964, p&lt;.05). Most participants were referred from a hospital setting (50.3%), whereas referral numbers by medical practices were low (15.9%). Participants who initiated the first contact themselves had higher inclusion rates and were less functionally and cognitively impaired. Conclusions: Including home-living vulnerable older adults into psychotherapy trials requires simultaneous implementation of diverse recruitment strategies. Medical practitioners and psychologists, especially in hospitals, are the most effective recruitment strategy, but self-referral via media is most cost-efficient in terms of time investment.
Unique Opportunities and Challenges From Two Online Psychosocial Randomized Clinical Trials
Authors: Musil Carol , Webster Britney , Pruchno Rachel 
Published: December 2021

Abstract
Research aimed at testing readily delivered online psychosocial interventions for addressing the needs of custodial grandfamilies (CGF) has been scarce. This symposium reports on two NIH-funded randomized clinical trials (RCT) involving fully online interventions: Study 1 (S1)-dyadic social Intelligence training for custodial grandmothers and their adolescent grandchildren, and Study 2 (S2)-4 week resourcefulness training with daily journaling intervention for grandmothers only. We presented here on the unique advantages and challenges of online RCTs as they apply to CGFs and similar hard-to-reach populations. First, in a cross-study collaboration, Jeanblanc et al. report data from both studies on how COVID-19 influenced coping habits, grandchild’s remote learning, household conflict, uncertainty, and finances. Second, Castro et al. investigate how baseline positive and negative affect were reported in daily diaries completed by both grandmothers and grandchildren across 14 days at pretest in S1. Third, Musil et al. describe the challenges and benefits of using an entirely online design for the distribution and collection of longitudinal data, as exemplified by 4 weeks of qualitative daily journals from S2. Lastly, Webster et al. report on the benefits and challenges of recruitment and retention strategies encountered across S1 and S2. As discussant, Rachel Pruchno considers how the specific methodological advantages and disadvantages of online RCTs covered in the above papers apply to family caregiving research in general.
Group-Based Smoking Cessation Program for Older Adults with Serious Mental Illness
Authors: Leutwyler Heather , Hubbard Erin 
Published: December 2021

Abstract
Smoking is one of the most important modifiable risk factors for excess morbidity and mortality in older adults with serious mental illness (SMI). Many older smokers with SMI are reportedly motivated to quit, however evidence-based treatment targeting this vulnerable group is limited. To address an urgent need to identify interventions that assist smoking cessation efforts, we are conducting a pilot two-arm randomized controlled trial (RCT) targeting adults with SMI. Our VIdeogame-based Physical activity (“VIP”) smoking cessation intervention includes: a) group videogame-based physical activity intervention (50 minutes, 3X/week for 12 weeks), b) pharmacotherapy (bupropion or nicotine replacement therapy), and c) smoking cessation counseling. Upon completion of the 12 week program, participants in the VIP and control groups completed a semi-structured interview in order to determine how the program impacted their smoking cessation. To date, six participants completed an interview. Participants described how the program helped with smoking cessation because it allowed them to “face their addiction” and learn more about why they smoke and how to quit. The program provided the structure, resources, and encouragement needed to start the process of quitting. Finally, they enjoyed having the game time as a distraction from smoking. Older adults with SMI need support, resources, and group-based exercise as they begin quitting and practice the skills needed to quit.
Increasing mixed-berry flavonoid intake may reduce depressive symptoms in older adults: Framingham Heart Study
Authors: Millar Courtney , Dufour Alyssa , Hannan Marian , Sahni Shivani 
Published: December 2021

Abstract
Depression affects more than 250 million people worldwide. Although epidemiological studies have linked higher dietary flavonoids with depression prevention in older women, it is unknown if increasing dietary flavonoids could effectively reduce depression. Mixed berries (blueberry, blackberry, and raspberry) are a rich source of flavonoids, particularly anthocyanin, flavanol, and flavan-3-ol subclasses. Our aim was to determine the association of mixed-berry flavonoid intake with change in depressive symptoms over ~8 years in older adults from the Framingham Heart Study. This community-based prospective longitudinal study included 1,278 adults with assessments on diet (food frequency questionnaire) and depressive symptoms (Center for Epidemiologic Studies Depression, CES-D) at baseline (1998-2001) and follow-up (2005-2008). Absolute change in mixed-berry flavonoid intake (defined as sum of anthocyanin, flavanol, and flavon-3-ols, mg/day) and change in CES-D scores were calculated. Linear regression estimated beta and standard error (SE) for change in CES-D scores per 250 mg/day increase in mixed-berry flavonoids (obtained from ~3/4 cup of mixed berries), adjusting for baseline age, sex, energy-intake, current smoking, body mass index, physical activity, cardiovascular disease, and non-melanoma cancer. Mean age was 59±9 years (range: 33-81), 57% female and mean change in mixed-berry flavonoid intake was 15.0±72.8 mg/day over ~8 years. In adjusted models, each 250 mg/day increase in mixed-berry flavonoid intake was associated with a 1-point reduction in depressive symptoms (beta: -1.06, SE: 0.61, p=0.08) over ~8 years, although this was not statistically significant. These data highlight the need for randomized clinical trials of flavonoid-rich berries to target depressive symptoms in older adults.
Dog Park Membership and Life Satisfaction Among Older Adults
Authors: King Betz , Duberstein Adam , Maureen McGlinn 
Published: December 2021

Abstract
Dog park members initially join and attend dog parks for the wellbeing of their dogs, but often experience their own biopsychosocial benefits. This mixed methodology (Quantitative n=44, Qualitative n=11) ) pilot study utilized qualitative heuristic interviewing (Moustakas, C., 1990) and the Satisfaction with Life Survey (Pavot, W., & Diener, E. 2013). Data gathered from interviews and surveys administered to participants of a members-only dog-park indicate a high satisfaction with life. Members 60 years and older reported feelings of life satisfaction almost 7 points over the total respondent average, placing them in the “highly satisfied” range. All members experience the dog-park as a supportive social environment that benefits their physical health, mental health and the well-being of their canine companions. Five qualitative themes were identified: Canine Well-being, Community, Mental Health Benefits, Physical Health Benefits and Fights, Falls & Frustrations. These findings demonstrate the need for more research into the impact and importance of pet ownership, community dog parks and outdoor green spaces on older adults and life satisfaction.
Fostering Intergenerational Connections in the time of Covid-19: A Friendly Caller Program
Authors: Claver Maria , Clark Tatia , Wilkinson Alexandra , Park Chan 
Published: December 2021

Abstract
Social isolation affects one in five older adults, significantly increases the risk of premature death from all causes and is associated with higher rates of depression, anxiety and suicide. Covid-19 has exacerbated social isolation, including among older adults that reside in senior apartments. In response, a Friendly Caller Program was developed to foster intergenerational social connections among university students and residents in a large housing community that serves older adults aged 62 and older who have limited income and have mobility impairments. This study aimed to evaluate the Friendly Caller Program from the perspective of the older adult. An online survey includes questions about the participants’ demographic characteristics, physical and mental health self-assessment, social support, and ways in which the Friendly Caller Program has affected these areas of their life. An open-ended question assesses older adult participant expectations of the Friendly Caller Program. Results describe the population currently being served by this program and indicate that the program has a positive influence on participants’ feelings of safety, support and ability to function. Suggestions for future research include assessing university student perceptions about the benefits of participation as callers in the program and creating a toolkit that can guide other universities to create similar programs in partnership with housing communities that serve older adults.
The Impact Of Oral Health On Psychological Distress Among Older Adults In California
Authors: Melgoza Esmeralda , Archuleta Jennifer , Tran Emma , Abarca Gabino , Fiastro Anna 
Published: December 2021

Abstract
In California, the population of adults ages 65 and older is projected to increase from 11% in 2010 to 19% in 2030. The aging of the population requires modifications in public health to ensure that people are not only living longer, but also healthier lives. Oral health is an important, but often overlooked factor that affects the overall health of older adults. Poor oral health increases the risk of physical comorbidities, decreases chewing performance, limits food choices, and exacerbates weight loss. Furthermore, poor oral health disrupts social health via decreases in verbal communication and facial expressions, such as smiling. This study examines the effects of oral health, assessed by tooth condition, on psychological distress among adults ages 65 and older in California. The study uses the 2019 California Health Interview Survey (CHIS), an annual survey of a representative sample of the state’s residential, noninstitutionalized population. Logistic regression models are used to determine the association between tooth condition on psychological distress controlling for gender, race, and elderly poverty index. Worsening tooth condition increases the odds of having psychological distress with lower odds among individuals 85+, and higher odds among women, and non-Hispanic whites compared to Hispanics. Public health programs and interventions are required in California to prevent and mitigate the impacts of poor oral health on psychological distress among the increasing and diverse older adult population.
Caring for the Stonewall Generation: Assessment of Staff Training for Transgender Persons Living in Long Term Care
Authors: English Sara 
Published: December 2021

Abstract
Transgender persons who came of age in the late 1960s are considered LGBTQ+ elders - The Stonewall Generation. These persons experience unique bio-psychosocial challenges, often complicated by a history of a lack of access to good medical care and social supports. Discrimination and bias can influence the provision of care and the protection of privacy for transgender or gender non-conforming persons. Staff training is essential to provide ethical care for aging trans persons who require residential care. This presentation examines current staff training modules of 100 Long Term Care (LTC) facilities, assessing training needs to provide affirming, culturally competent, and ethical care for sexual and gender minorities.
Keywords: cultural competence; Long Term Care; staff training; transgender
Keep on Keepin’ On: Investigating ACES and Positivity among Bereaved Black Middle Aged and Older Adults
Authors: McDuffie Danielle 
Published: December 2021

Abstract
Many of the most damaging life events are more prevalent among Black older adults. Black people have been found to have higher amounts of adverse childhood experiences (ACEs), which are linked to detrimental life impacts. Additionally, bereavement occurs at a higher rate among Black people and older adults. Despite these challenges, Black older adults have been repeatedly cited overcoming these challenges. Accordingly, the present study sought to investigate whether Black middle to older aged adults who encountered two of life’s most difficult challenges (i.e. bereavement and ACEs) would still maintain positivity. 103 middle to older Black adults (M=44.72, SD=5.48, 67% male) from a larger online grief study were probed about factors including time since loss, positive outlook, and ACES. A linear regression and mediation analysis were used to analyze the data. ACES were found to significantly predict positive outlook among bereaved middle to older Black adults (F=11.46, p=.001), such that as the number of ACES increased, so did positivity in spite of bereavement. Notably, this association was not mediated by time since loss. Results from this study provide evidence that even when faced with some of life’s most difficult events, Black middle to older adults were still able to reframe their situation with a positive focus. The ability for Black middle to older aged adults to reframe their tragedies into positivity could provide a basis for the use of Positive Psychological techniques specifically within this population. Additionally, this study provides further evidence that Black people exhibit exceeding resilience.
Minority Stress in the Context of the Disablement Process Model
Authors: Lentz Jeffrey 
Published: December 2021

Abstract
The changing demographics and growing diversity in the United States pose significant challenges for researchers, particularly scholarship involving sexual minority adults’ health and aging processes. Not much is known about how all minority stressors could lead to a disability. Sexual minority adults are at a greater risk of developing a disability later in life than their heterosexual counterparts (Fredriksen-Goldsen, Kim, & Barkan, 2012). Drawing from critical components of the disablement process model (Verbrugge & Jette, 1994), this dissertation sought to understand the relationship between minority stress and disability status among sexual minority adults 50 years and older. Minority stress in the context of the disablement process model is a social condition. While exploring the relationship between minority stress and disability status, intra-individual factors and extra-individual factors were assessed to see if they mediated the relationship between minority stress and disability status among sexual minorities 50 years and older. Discrimination is significantly associated with having a disability. None of the intra-individual factors and extra-individual factors mediated the relationship between minority stress and disability; however, several intra- and extra-individual were associated with greater or lesser odds of experiencing a disability. This dissertation concluded that discrimination is associated with disability status among sexual minority adults 50 years and older. On the other hand, the disablement process model does not support minority stress as a social condition leading to a disability. On the other hand, this dissertation's results support the ideology that experiencing discrimination is associated with a disability.
Racial/Ethnic Differences in the Longitudinal Effects of Fear of Falling on Falls
Authors: Chen Tuo Yu , Kim Giyeon 
Published: December 2021

Abstract
Research suggests that the effects of fear of falling on falls may differ by race/ethnicity. We investigated whether race/ethnicity (White, Black, and Hispanic) moderated the longitudinal effects of fear of falling on the incidence of falling and having a repeated fall among community-dwelling older adults. We used data from 2011-2018 of the National Health and Aging Trends Study (NHATS). These included a total of 19,516 person-intervals from 5,113 respondents. Self-reported any fall in the past year was the outcome variable with baseline fear of falling as the predictor and race/ethnicity as the moderator. Known risk factors for falls were included as covariates. Results showed that among respondents without the experience of falling at baseline, baseline fear of falling significantly increased the odds of a new-onset of fall at 1-year follow-up among Blacks, compared to Whites. Among respondents who already fell at baseline, baseline fear of falling significantly increased the odds of having a repeated fall later on among Hispanics, compared to Whites. Clear evidence of racial/ethnic differences was found in the relationship between fear of falling and falls among community-dwelling older adults in the U.S. Special attention should be paid to Black older adults with a fear of falling but have not fallen down recently and Hispanics with fear of falling and have fallen in the past year. Readily available educational programs should be actively advertised to older adults to reduce the fear of falling and culturally tailored educational programs should be developed for older adults from racial/ethnic minority backgrounds.
Relationship Between Meaningful Activity Engagement and Well-Being Moderated by Race
Authors: O'Connor Dugan , Smith Jennifer 
Published: December 2021

Abstract
Engaging in meaningful activities has benefits for health and well-being in older adults; however, racial differences in meaning from activities have been observed. The current study examined how the relationship between engagement in a variety of meaningful activities and well-being differs for Black and White older adults. Participants (130 White and 101 Black older adults), ages 53 to 90 (M=69), completed an online survey that measured the extent to which engaging in various activities provided meaning or fulfillment as well as measures of purpose in life, positive affect, negative affect, and loneliness. Overall, the most meaningful activities included “spending time with family,” “reading,” and “being outdoors/experiencing nature.” The least meaningful activities included “job/career,” “caring for pets/animals,” and “supporting a social or political cause.” Black older adults reported greater meaning from “religious faith,” “spiritual practices/meditation,” “spending time with family,” and “listening to music,” and less meaning from “caring for pets/animals,” compared to White older adults. A series of multiple regression analyses (with age, gender, education, and income as covariates) revealed that greater meaning across activities was associated with lower loneliness, regardless of race. Significant Meaning x Race interactions revealed meaning was positively associated with sense of purpose and positive affect for Black but not White older adults. These findings suggest that finding meaning in leisure activities is a psychological resource that may contribute to Black older adults’ well-being. The racial differences in sources of meaning further support the importance of considering the target population when designing activity programs for older adults.
The Utility of Social Media Recruitment to Achieve a More Diverse Participant Sample
Authors: Washington Faith-Christina , Su Tai-Te , Griffin Aileen , Sosnoff Jacob , Meija Shannon 
Published: December 2021

Abstract
The COVID-19 pandemic created an immediate, lasting impact on recruitment methods in academic research, most notably in the field of gerontology. To protect older adult participants' health during the COVID-19 crisis, the Daily Balance Project, a 30-day micro-longitudinal study of older adults' awareness of balance in daily life, shifted to complete remote administration. Our new remote protocol included developing new methodologies to recruit participants with varying degrees of fall risk and educational attainment. In this study, we present our approach to remote online recruitment and compare educational attainment, objective and subjective fall risk, and alignment of objective/subjective fall risk across three samples recruited via a) Fall Clinic registry (16 participants); b) University e-newsletter to faculty and staff (5 participants); c) social media recruitment (7 participants). Eligibility included being 65+ and wireless internet at home. For samples a and b, screening assessments were conducted via phone while baseline assessments were conducted in-person. For sample c, screener and baseline assessment were virtual. Analysis of recruitment methods aims to determine whether recruitment via social media platforms may provide a sample of participants with more variation in fall risk or alignment of subjective versus objective balance. Results demonstrate no significant differences in educational attainment (p=0.7949) or balance confidence (p=0.213), despite significant differences in the alignment of objective and subjective fall risk (p=0.031). Participants from samples a and b proved more able to accurately assess fall risk, while sample c had the most misalignment between subjective and objective fall risk assessments.