bluuebunny/crossref_metadata_2025_split huggingface dataset:
RACIAL/ETHNIC DIFFERENCES IN COPING RESOURCES AND PURPOSE IN LIFE AMONG OLDER AMERICANS
Authors: Guo Man , Wang Yi , Stangl Morgan 
Published: January 2025

Abstract
Purpose in life (PiL), the sense of direction and meaning in life, has been found to be linked to favorable health outcomes in later life, even lower mortality. Less is known about the perception of PiL among racial/ethnic minorities, who often face numerous adversities, but also have strong coping resources derived from religiosity, social support networks, and neighborhood contexts. Using data from the 2016 and 2018 psychosocial assessment of the HRS (N=11,579), this study assessed racial/ethnic differences in PiL among middle-aged and older adults and the role of coping resources (religiosity, social support, neighborhood cohesion) in shaping PiL. ANOVA results showed that compared to White older adults, Black older adults had significantly higher PiL, and Hispanic older adults had significantly lower PiL. Regression results further showed that all the coping resources were positively associated with higher PiL within each racial/ethnic group, with the exception of religiosity for Hispanic older adults. Despite racial/ethnic minority groups’ significantly higher ratings on religiosity and neighborhood cohesion, the positive associations between the three coping resources and PiL were stronger among White older adults than racial/ethnic minority groups. Aside from possible measurement bias or cultural response differences, the findings suggest that racial/ethnic minority older adults may face unique challenges that impact their effective utilization of coping resources, potentially weakening their PiL. Our findings highlight the importance of better understanding factors that promote PiL among racial/ethnic older minorities, especially Hispanics. They also provide insights into culturally tailored approaches to enhance well-being within these communities.
BUILDING INDIGENOUS HEALTH: INSIGHTS FROM INDIGENOUS ADULTS ON KNOWLEDGE INTEGRATION AND ADAPTIVE STRATEGIES
Authors: Liao Zih-Yong , Kuo Fang-Lin 
Published: January 2025

Abstract
Over half of the older population faces inadequate dietary intake, posing higher risks of geriatric syndromes like frailty and sarcopenia. This community-based participatory research (CBPR) co-created a nutrition and cooking workshop in a Taiwanese Indigenous community. Employing the photovoice method alongside focus groups and individual interviews with 16 participants, we sought to understand the older Indigenous adults’ dietary patterns. Nutbeam’s health literacy model (2000) and Giddens’ structuration theory (1984) guided data analysis and conceptualization of food literacy construction in the Indigenous land. Four main themes emerged. First, ‘knowledge integration’ represents the conversation between traditional and scientific food/nutrition knowledge, strengthening functional food literacy to address health concerns. Second, ‘Indigenous adaptive strategies’ demonstrate their ability to apply food knowledge meaningfully in daily life, representing interactive food literacy. Third, ‘awareness of advanced nutrition literacy’ demonstrates the older adults’ ability to evaluate personal diets and critically reflect on the need for better health, representing critical food literacy. These food literacy constructs are iterative and interactive. Lastly, work is central to Indigenous life, shaping their identity and a sense of achievement, motivating older adults’ adaptive strategies and pursuing advanced nutrition literacy. However, the middle-aged population is less likely to attend health promotion activities due to work. Indigenous adaptive strategies reflect human agency’s potential to reproduce individual food ecosystems and healthcare practice systems within the community, overcoming structural barriers. CBPR can foster a sense of ownership among participants, enabling them to engage healthy behaviors as their personal priorities and take active initiatives toward better health.
OLDER ADULTS HAVE DIFFERENTIAL RESPONSE PATTERNS TO TWO COMMON SUICIDE ASSESSMENT MEASURES
Authors: Colombowala Fatema , Bower Emily 
Published: January 2025

Abstract
An alarming number of older adults die by suicide each year. Older adults exhibit lower rates of suicidal ideation (SI) yet higher rates of suicide deaths compared to younger adults, so improving risk detection is imperative. Our aim was to compare response patterns to two common, validated measures for assessing SI in older adults at higher risk for suicide. We hypothesized there would be a positive relationship between responses to the two assessments for SI and death ideation (DI). We also expected variation in response patterns among some participants, and examined these exploratorally. Preliminary analyses included 41 participants (M=70 years, 78% female) with subjective cognitive decline who completed the Geriatric Suicide Ideation Scale (GSIS) and the Columbia Suicide Severity Rating Scale (CSSRS) as part of a larger study. The GSIS is a self-report measure developed with and for use with older adults that includes SI and DI subscales. The CSSRS is a clinician-administered assessment of SI severity. 62% endorsed lifetime SI and 12% endorsed past-month SI. CSSRS lifetime and past-month SI scores were strongly correlated with the GSIS SI subscale scores (r’s(39)=.5-.6, p’s &lt;.001). However, CSSRS past-month DI scores were not correlated with GSIS DI subscale scores (r(39)=.09, p &gt;.05). Furthermore, we observed endorsement of GSIS DI items among participants who denied DI on the CSSRS. Differential response patterns highlight the need for meaningful measures and/or adaptations of existing measure to accurately capture suicide risk.
IN-HOME ASSESSMENT OF SUICIDALITY IN RURAL-DWELLING OLDER ADULTS
Authors: Nix Caitlyn , Schaff Branden , Dozier Mary 
Published: January 2025

Abstract
Older adults in isolation have an increased risk for suicidality, and this can be exacerbated in a rural context. Additionally, assessment of suicidality during in-home care for older adults is different from typical clinical settings. This presentation will focus on first-hand clinical experiences from an ongoing clinical trial for older adults with hoarding disorder (n = 44, mean age = 69) in rural Mississippi. All participants completed a semi-structured interview of suicidality risk at baseline and at follow-up points across the intervention. We will discuss various factors that are unique to a rural-in home assessment setting, including the importance of re-emphasizing information critical to informed consent (e.g., thresholds for breaking confidentiality), sensitivity to the vulnerability of participants being asked such questions within their home, and confidentiality concerns (e.g., cohabitants in the home, procedures for contacting supervisor for consultation). As the individuals in the current study were volunteering due to distress from clutter or items in the home and not active suicidal ideation, conclusions from these clinical experiences will be compared with findings from risk-assessment studies in older adults.
FAMILY CAREGIVERS’ SELF-DIRECTED ENGAGEMENT WITH EVIDENCE-INFORMED CONTENT OF THE GAMEPLAN4CARE ONLINE PLATFORM
Authors: Stevens Alan , Cho Jinmyoung , Reese Jordan , Han Gang , Ory Marcia 
Published: January 2025

Abstract
GamePlan4Care (GP4C) translated one of the leading evidence-based dementia caregiving interventions, Resources for Enhancing Alzheimer’s Caregiver Health II (REACH II), into an online, interactive platform. Using decision algorithms with integrated online support from Dementia Care Specialists, GP4C includes the full breadth of REACH II education and skill-building materials tailored to the needs of the caregiver. The GP4C online system was provided to 120 family caregivers of persons living with dementia randomized to the GP4C arm of a two-arm clinical trial. The therapeutic content of GP4C included 7 domains: Safety, Stress, Health, Emotions, Care Services, Support, and Behaviors. Ninety-three family caregivers (77.5%) accessed the system. On average, caregivers accessed the platform for approximately 6 hours over 6 months and logged into the system an average of 14 times. Of the seven content domains represented in the system, Safety and Stress were the two most visited domains. Social Support and Health were the two least visited domains by caregivers. After 6-month use of the GP4C online platform system, caregivers reported a significant reduction in caregiver burden (effect size=.50; p&lt;0.001) and a significant increase in the Positive Aspects of Caregiving measure (effect size=.36; p=0.002). Caregivers addressed several usability issues with the system and reflected that the content was more appropriate for those new to the role of dementia care. Modifications to the content and functionality of the GP4C system are ongoing and will be evaluated in future studies.
TRENDS IN NATIONWIDE RESEARCH OUTCOMES ON ELDER ABUSE AND POLICY DEVELOPMENT TO PREVENT ELDER ABUSE IN JAPAN
Authors: Tsukada Noriko , Katsumata Asako , Ikeda Naoki 
Published: January 2025

Abstract
After a brief introduction on history of activities of Japan Academy for the Prevention of Elder Abuse for the past 20 years, this study presents trends in number of elder abuse cases that were reported and substantiated as “elder abuse”, and trends in reporters and types of abuse in both institutional and domestic settings by using the nationwide data collected by the Ministry of Health, Labour, and Welfare each year since the Act on the Prevention of Elder Abuse was enacted in 2006. The number of elder abuse cases in 2022 increased 5.3% compared to that in 2021 in domestic settings, while about 17% of increase for institutional settings. And the data in 2022 showed only 7.4% of the municipalities had implemented “leadership trainings” to promote actions and measures to prevent elder abuse in institutions and agencies that provide nursing care services; accordingly, it is not surprising, without leaders, the number of elder abuse cases reported and substantiated as elder abuse increased. Moreover, although there was no amendment of the Act on the Prevention of Elder Abuse, we discuss the most recent policy amendment on “Responses to Elder Abuse and Support for Caregivers in Municipalities and Prefectures”, so-called National Manual, which was enacted in April 2023 for the first time in 5 years. This policy change required a collaboration between prefectures and municipalities to develop infrastructure to prevent elder abuse. Finally, we make recommendations for solving issues identified during the past 20 years.
VOICES FROM THE MARGINS: EXPLORING INEQUITIES IN WORK AND VOLUNTEERING AMONG OLDER ADULTS
Authors: Matz Christina , Ryu Byeongju , Miller Julie 
Published: January 2025

Abstract
All people should have the right to choice and opportunity when it comes to engagement in paid and unpaid forms of work across the life course and particularly in later life. It is often through such roles/aspects of our identity that we derive a sense of meaning and purpose, which is critical to quality of life. We also know, however, that race, gender, birthplace, social and economic class, and additional layers of being “othered” impact the choices and opportunities available, as well as the extent to which positive (or negative) outcomes are derived. Research on paid and unpaid work in later life has not always captured the variety and complexity of lived experiences in later life. Further, statistics often obscure the most important information: how the most marginalized older workers are faring.
This symposium will explore some of these inequities in an effort to inform solutions. The first paper is a scoping review that assesses the extent to which volunteerism among economically marginalized older adults has been examined in studies. The second paper explores how older self-employed workers’ finances and health were impacted by COVID-19. The third paper considers gender disparities in wages among older workers in association with occupational sex segregation. The final paper examines the ethnoracial differences in formal and informal volunteering among individuals age 50 and older. A discussant will reflect on these studies and the need for continued research that considers intersectionality in opportunities and experiences for paid and unpaid work in later life. Aging Workforce Interest Group Sponsored Symposium
LOOSE COUPLING? A CAREGIVER, A GUARDIAN, AND AN ABUSER JUMP FROM A PLANE WITH ONE PARACHUTE: WHO SURVIVES?
Authors: Wilber Kathleen 
Published: January 2025

Abstract
My career in aging has given me the privilege of working directly with older people, training students in gerontology, partnering with remarkable leaders, and conducting studies on key questions needing evidence-informed answers. Over the half century that I have been doing applied research, healthy aging and longevity have emerged as fundamental achievements and key cultural and political priorities. In this lecture, I discuss intervention evidence and the need for research intersectionality in interventions that support family caregivers; preventing and addressing elder mistreatment; long term services and supports; and the role of supportive age-friendly communities in healthy aging. The lecture emphasizes underlying values including balancing doing too much and doing too little for older adults who need care, including those living with dementia; promoting person and family centered approaches; and the important role of diversity, equity, and inclusion in advancing innovative interventions that promote high quality long lives for all.
ADVANCING PERSON-CENTERED CARE PLANNING FOR PERSONS WITH MULTIPLE CHRONIC CONDITIONS
Authors: Quiñones Ana , Dorr David , Bierman Arlene 
Published: January 2025

Abstract
Providing high quality, comprehensive, longitudinal, person-centered care for persons living with, or at risk for, multiple chronic conditions (MCC) is a critical challenge facing our healthcare system. Persons with MCC often navigate complicated and fragmented healthcare systems that can be inefficient, duplicative, costly, and poorly coordinated which increases risk for avoidable adverse events, and unduly burdens persons with MCC, families, and caregivers with the added responsibility of sharing information and coordinating care across providers. Person-centered care planning (PCCP) is a process of active collaboration and shared decision-making among providers, persons seeking care, families, and caregivers to develop a, person-centered management plan, incorporating patient values, goals, and preferences. This symposium will share preliminary findings of a collaborative, multi-disciplinary AHRQ-funded initiative which aims to examine the current state of the field and convene frontline providers, health care leaders, and policy makers to identify solutions including the necessary resources, conditions, processes, and implementation strategies to address barriers to delivering appropriate, equitable, and high-quality PCCP as a routine component of care delivery. The first presentation will summarize the state of the field regarding PCCP models for persons with MCC identified through environmental scans. The second will discuss barriers, facilitators, and strategies identified during the Partner Roundtable discussions to improve PCCP design and implementation within health care systems. The final presentation will share successes and failures that health professionals and front-line providers have experienced implementing PCCP, as well as best practices and strategies identified during the Learning Collaborative to deliver high-quality PCCP for persons with MCCs.
PERSON-CENTERED CARE PLANNING FOR PERSONS WITH MCC: LESSONS FROM AN ENVIRONMENTAL SCAN
Authors: Totten Annette , Atchison Chandler , Davis-O’Reilly Cynthia , Peak Katherine D , Wyte-Lake Tamar , Cohen Deborah , Quiñones Ana 
Published: January 2025

Abstract
To guide overall project objectives of describing the current state of the field of person-centered care planning (PCCP) for persons with MCC, the environmental scan functions as a multi-source overview of the field and integrates input from key informant interviews (KII) of experts from diverse perspectives. The objective is to clarify our understanding of which PCCP models have been implemented in the US and which show promise for improving outcomes for patients, their caregivers, and care teams. This task involves conducting one baseline, two ad hoc scans, and 15key informant interviews. We incorporate input from a technical expert panel to inform our literature search and augment synthesis with KIIs. KIIs provide greater context on the adoption and use of PCCP models in clinical settings, and features that may be important from a patient, clinic, or policy standpoint. KII analysis follows a five-step process: Describing, Organizing, Connecting, Corroborating/legitimating, Representing the account. The methods for the environmental scan are based on systematic review methods, but are modified to fit our rapid review timeline. Modifications include: limiting citation database searches and prioritizing MEDLINE first; prioritizing triage of abstracts and using one reviewer; focusing data abstraction on project partner priorities; foregoing risk of bias, strength of evidence, and quantitative synthesis in favor of targeted summaries. Analysis focuses on understanding successful components of and barriers to PCCP model implementation, and to identify what is required for successful implementation and sustainability.
ESPO AND BIOLOGICAL SCIENCES SECTION SYMPOSIUM: METABOLIC REGULATION OF AGING
Authors: Ghosh Bhaswati 
Published: January 2025

Abstract
We are excited to announce that the 2024 GSA Annual Scientific Meeting will hold the Emerging Scholar and Professional Organization (ESPO) section of BioSci on November 16, 2024, 12:00 pm – 1:30pm (Room 4C-3). This session continues to be the highlight of the program, recognizing the great work done by the graduate students in the field of biology of aging. The BioSci ESPO section will comprise four talks covering diversifying topics including proteostasis, mitochondrial bioenergetics, lipidomics and transcriptional changes during aging. We will hear from Ziying Xu from Barshop Institute Department of Medicine talking about “Sex-Specific Alterations in Circulating Lipidome During Mouse Aging”; Sidharth Madhavan at Buck institute for research on aging about “Beta-Hydroxybutyrate Is a Metabolic Regulator of Proteostasis in the Aging Brain”; Stephanie Heimier from UC San Diego will give us insights on “Serum Factors Drive Differences in Mitochondrial Bioenergetics Associated with Human Aging”; and Ruben De Man from Yale University school of medicine will present on “Single-Cell Analysis of Somatic Mutations in Human Lung Reveals Association with Transcriptional Changes in Aging”. The BioSci ESPO session at the GSA Annual Scientific Meeting is designed to showcase the academic excellence of great researchers in the field of aging. We are excited to see you all in Seattle!
STRESS, NEGATIVE AFFECT, AND NEUROTICISM ACROSS THE LIFESPAN
Authors: Ferguson Giselle , Corley Samantha , Scott Stacey 
Published: January 2025

Abstract
Emotional regulation and appraisal skills in response to stressors are thought to accumulate across the lifespan. Work with age-heterogeneous samples found that despite similar initial levels of stressor related Negative Affect (NA), Older Adults (OA) exhibited lower levels of NA over time perhaps due to enhanced emotional recovery. Prior work focused on OA has shown longitudinal increases in within-person NA but a lack of age related stressor-NA change cross-sectionally. We aimed to examine if the relationship between reported momentary stressor occurrence and NA is moderated by baseline neuroticism among an age-heterogenous adult sample and if there are cross-sectional age differences in this relationship. During April-October 2023, participants (N=207) 18-82 years old were recruited from a national online research panel. Participants completed surveys of trait neuroticism then completed seven days of Ecological Momentary Assessments of stressors and NA three times each day. Within persons, negative affect was significantly higher at observations following stressors than non-stressor observations (B=23.01, SE=3.12, p&lt;0.001). Between persons, individuals who reported more frequent stressors across the study also had higher average NA (B=21.90, SE=5.99, p=0.0003). Individual differences in neither neuroticism nor age were significantly related to average NA. Unexpectedly, neither neuroticism nor age moderated the momentary association between stressors and NA. Contrary to our predictions, individual differences in stressor-related increases in NA are not explained by either cross-sectional age differences nor neuroticism. Given the similarity in responses across adult age, future research should examine the role other individual and contextual differences, including stressor type, play in this relationship.
CREATION AND EVALUATION OF A VIDEO SERIES SHARING A PALLIATIVE APPROACH TO CARE IN CANADIAN LONG-TERM CARE HOMES
Authors: Wickson-Griffiths Abigail , Hunter Paulette , Tupper Susan , Cammer Allison , Kaasalainen Sharon , Sussman Tamara 
Published: January 2025

Abstract
Video-assisted patient education is a favored format for accessing healthcare information. Based on a consultative process, the purpose of this project was to create and evaluate a video education resource to support communication between staff and family caregivers in Canadian long-term care (LTC) homes when introducing a palliative approach to care. The development of the resource proceeded in four stages: consulting with lived experience advisors; refining the concept; piloting the concept; and finalizing the resource. The concept included a voice-over-infographic introduction plus a four-part video series highlighting fundamental aspects of a palliative approach in LTC and featuring personal narratives by a resident, family caregiver, employee, and manager. During pilot research, family caregivers and LTC staff (n=16) participated in focus group discussions and surveys to assess the acceptability of the resource and its impact on knowledge acquisition. They also considered potential uses of the resource. After reviewing the introduction and a full video, as well as the concepts for the three remaining videos, the average acceptability of the video series across fourteen 5-point Likert-type items was 4.49 (SD=0.40) for family caregivers and 4.66 (SD=0.35) for LTC staff. The average positive change in palliative care knowledge on a 100-point scale was 6.94 (SD=10.56) for family caregivers and 12.5 (SD=10.76) for LTC staff. Overall, this work contributes a resource with high content and format acceptability, and good potential for a positive impact on knowledge about a palliative approach. It offers useful considerations for introducing the resource to staff and family caregivers.