bluuebunny/crossref_metadata_2025_split huggingface dataset:
New AI Technologies to Enrich Electronic Health Record Data Sets With Self-Report Scores in Geriatrics
Authors: Pietrobon Ricardo 
Published: December 2021

Abstract
Although electronic health record data present a rich data source for health service researchers, for the most part, they lack self-report information. Although recent CMS projects have provided hospitals with incentives to collect patient-reported outcomes for select procedures, the process often leads to a substantial percentage of missing data, also being expensive as it requires the assistance of research coordinators. In this presentation, we will cover Artificial Intelligence-based based technologies to reduce the burden of data collection, allowing for its expansion across clinics and conditions. The technology involves the use of algorithms to predict self-report scores based on widely available claims data. Following previous work predicting frailty scores from existing variables, we expand its use with scores related to quality of life, i.e. mental health and physical function, and cognition. Accuracy metrics are presented both in cross-validation as well as external samples.
Understanding Technology Adoption, Troubleshooting, and Telehealth Among the Lifestyle Leaders
Authors: Rudnik John 
Published: December 2021

Abstract
The COVID-19 pandemic has prompted widespread adoption of and greater reliance on digital technologies across the generations. In interviews and focus groups, the Lifestyle Leaders reported increased use of teleconferencing services, especially for virtual programming, socializing, and telehealth. Approximately 61% of Lifestyle Leaders had attended between one and five virtual or phone-based healthcare appointments since March 2020. Beliefs about telehealth across interviews varied: appointments were convenient but lacked the “in-person feedback and understanding” of an in-person visit. Half of the Lifestyle Leaders (50%) agreed with the statement, “Telehealth is the future of personalized medicine.” This presentation will also report on the Lifestyle Leaders’ challenges associated with using technology during the pandemic. These included concerns about: having devices able to keep up with the demands of the pandemic; using technology-enabled grocery services; and troubleshooting technology. Many were concerned about their growing dependence on technology because of the pandemic.
Innovative Multidisciplinary Care Models Provided via Telehealth During the COVID Pandemic
Authors: Baharlou Shahla , Lindquist Lee 
Published: December 2021

Abstract
Integrated and collaborative care lead to better care. Addressing the behavioral and mental health care needs of patients results in better health outcomes. Interdisciplinary and multi-disciplinary approaches to health care delivery yield more effective health care planning. A holistic approach to healthcare sees the individual as more than the sum of diseases. Research studies have supported these assertions and yet, in actual practice, they are often more aspirational than actualized. The COVID-19 pandemic has made it even more difficult to implement collaborative care delivered by varied professional disciplines. This symposium describes efforts to provide more holistic and multidisciplinary care in the primary care geriatrics practice of the Dept. of Geriatrics & Palliative Medicine, Icahn School of Medicine. This New York City practice has 4,500 patients with diverse backgrounds and a median age of 85. In the first paper, Baharlou and her colleagues describe the establishment of an IMPACT collaborative care depression model in the middle of the COVID-19 pandemic. It was adapted to be provided by telephone and uses a different psychosocial intervention than is usually implemented. Hinrichsen and Leipzig outline the successful integration of Cognitive Behavioral Therapy for Insomnia into geriatrics primary care to improve insomnia in older adults and deprescribe sleep medications. Munoz and her colleagues describe the ALIGN program which is an interdisciplinary team effort, informed by the social determinants of health framework, to facilitate access to an array of services delivered virtually because of the pandemic.
Age-Related Differences in Clinical and Psychosocial Predictors of Unmet Needs in Bladder Cancer Survivors
Authors: Mohamed Nihal , Leung Tung Ming , Ornstein Katherine , Alpert Naomi , Brown-Hughes Travonia , Taioli Emanuela , Kyprianou Natasha 
Published: December 2021

Abstract
Understanding of unmet needs and their predictors among bladder cancer (BC) survivors is critical to optimize health care planning for patients. This study compares between younger (&lt;65 Years) and older (≥65 Years) BC patients across seven domains of unmet needs (e.g., informational, psychological, supportive care, daily living, communication, logistic, and sexuality needs) and their demographic, clinical, and psychosocial predictors. BC survivors (N=159; 47% women) were recruited from the Bladder Cancer Advocacy Network and completed a questionnaire that included the needs assessment survey (BCNAS-32), hospital anxiety and depression scale (HADS), coping (BRIEF COPE), social provisions scale (SPS), and self-efficacy beliefs (GSE) scale. Although no significant group differences in all reported needs emerged, both groups reported more communication (IQR = 50 (62.5) and less sexuality needs (IQR =13 (52.1). Older patients reported higher depression and anxiety (IQR = 32 (11.5); N = 68) than younger patients (IQR = 28 (11.0); p &lt; .01; N = 88). Multivariable analyses stratified by age showed significant effects of gender among older patients with women experiencing more psychological, care, communication, and sexuality needs than men. Multivariable analyses also showed age-related differences (p &lt; .05) in the predictors of needs controlling for covariates (e.g., gender). Among older patients both higher depression and anxiety and lower self-efficacy beliefs were associated with more psychological, care, and communication needs. Among younger patients, higher depression and anxiety were associated with more psychological, logistic, daily living, and communication needs. Results emphasize the importance of tailoring care planning for patients based on age.
The South East Texas Geriatric Workforce Enhancement Program: Reach, Teach, Innovate
Authors: Asghar-Ali Ali 
Published: December 2021

Abstract
Through collaboration between academic and community partners, the South East Texas Geriatric Workforce Enhancement Program (SETx GWEP) aims to promulgate the 4Ms framework via a range of educational initiatives. The faculty and audience is interprofessional and diverse, representing the residents of South East Texas. Specific initiatives focus on Alzheimer’s disease and related dementias, elder abuse, geriatric mental health, patient priorities, transitions of care, and geriatric dental care. Training modalities include online modules, Project ECHO sessions, webinars, discussion forums, and simulation. During the COVID19 pandemic the SETx GWEP adapted to meet the needs of its stakeholders, including increasing the number of online activities, hosting town hall meetings, and developing training to address the impact of COVID19 on the older adult population. The SETxGWEP trained over 1000 people in 2020. To address healthcare disparities among older adults, SETx GWEP developed training on the practice of cultural humility in older adult care.
The Role of Hospice in Florida Nursing Homes Post-Hurricane Irma
Authors: Dobbs Debra , Skarha Julianne , Gordon Lily , Jester Dylan , Peterson Lindsay , Dosa David 
Published: December 2021

Abstract
There is little known about the effect of hospice post-disaster. This study utilized exposure to Hurricane Irma (2017) to evaluate the differential mortality effect of the disaster on Florida NH residents (N=45,882) compared to a control group of residents in the same NHs in 2015 (N=47,690) by hospice status. We also examine the difference in hospice utilization rates post-storm for short- and long-stay (LS) residents. There was an increase in mortality for those in the cohort not on hospice within 90 days in 2017 compared to 2015 (OR= 1.06, 95% CI: 1.01, 1.11). For the rate of hospice enrollment post-storm among residents previously not on hospice, there was an increase among LS residents within 30 days (OR =1.15, 95% CI: 1.02, 1.23) and 90 days (OR= 1.12, 95% CI: 1.05, 1.20). It is important to further examine the increase in the rate of hospice enrollment in LS NH residents post-storm.
Neighborhood Conditions, Self-Management Abilities, and Psychological Well-Being Among Chinese Older Adults
Authors: Zhang Keqing , Wu Bei , Zhang Wei 
Published: December 2021

Abstract
Abstract Few studies have examined the associations between neighborhood conditions and psychological well-being for Chinese older adults in the U.S. This study examined how neighborhood conditions were associated with psychological well-being through self-management abilities as a pathway among Chinese older adults in Hawaiʻi. Survey data were collected in 2018 and ordinary Least Square regressions and mediation analysis were conducted. For the whole sample, both neighborhood physical conditions and social cohesion were significantly associated with psychological well-being, and the associations were significantly mediated by self-management abilities. The foreign-born subsample shared similar results with the whole sample. For the U.S.-born subsample, psychological well-being was only significantly associated with neighborhood physical conditions, and the association was mediated by self-management abilities. Our findings suggest that both physical and social neighborhood conditions are associated with psychological well-being, particularly for foreign-born older adults, and psychological resources such as self-management abilities could mediate the associations.
The Implications of Aging Couples’ Linked Lives: Dyadic Associations in Health and Well-Being
Authors: Wilson Stephanie , Marini Christina , Rauer Amy 
Published: December 2021

Abstract
Older adults age in the context of their intimate partnerships. Partners’ lives—their emotions, behaviors, and health—are intricately linked as they navigate the challenges associated with aging. This symposium presents research that illuminates ways partners influence one another later in life. The talks are diverse with regard to their timescale (e.g., years vs. hours) and context (e.g., dementia vs. pain). Dr. Martire will examine associations between declines in one spouse’s physical health over 5 years and the other’s mental health. This talk will further consider whether discussing health concerns exclusively with one’s spouse intensifies such associations. Ms. Nah will show how the pain of both partners (care providers and recipients) contributes to escalating marital conflict over 2 years. Dr. Wilson will demonstrate that emotional reactivity to spousal distress in the lab is associated with increased proinflammatory gene expression up to 80 minutes later, a risky pattern for health if repeated over time. Dr. Monin will examine actor and partner associations of affect and depressive symptoms among people with early-stage dementia and their spouses; the absence of partner associations suggests that emotional spillover may operate differently in early-stage dementia dyads. Dr. Novak will identify correlates of four latent profiles derived from couples’ physical, psychological, and relationship well-being: happy, healthy couples; unhappy, unhealthy couples; and two groups with blissful marriages despite individual problems. Dr. Amy Rauer, an internationally recognized scholar of relationships and health, will discuss ways in which this research advances our understanding of couples’ linked lives.
Effects of Late-Life Health Transitions on Spouses’ Psychological Well-Being
Authors: Martire Lynn , Zhaoyang Ruixue , Marini Christina 
Published: December 2021

Abstract
Declining physical health likely affects not only older adults’ own well-being, but also that of their spouse. Using two waves of data from 610 couples in the National Social Life, Health and Aging Project, we examined effects of health declines over five years on change in self and spousal psychological well-being. Actor-Partner Interdependence Model findings showed that declines in spouses’ physical health (i.e., increased pain and decreased physical and cognitive function) predicted increases in older adults’ anxiety. Given the increasing importance of later-life social ties outside of marriage, we further considered the role of non-spousal health confidants. Preliminary findings suggest that effects of health declines on both partners’ well-being depend on the availability of these confidants. When older adults have people in addition to their spouse with whom they can talk about their health, detrimental effects of spouses’ declining health on older adults’ well-being are weakened for some health outcomes
Integrative Analysis of Molecular and Physiological Data to Quantify Biological Aging
Authors: Belsky Daniel 
Published: December 2021

Abstract
Development of reliable and valid measurements to quantify biological aging is a critical frontier geroscience. Originating in accumulations of molecular changes, biological aging undermines resilience within cellular networks and organ systems, driving disease, disability, and mortality. Measurements of biological aging have been proposed at several molecular and physiological levels of analysis. But agreement between measures implemented at different levels of analysis is low. The timing at which aging processes manifest at different levels of biological organization may vary, with the result that signs of aging manifest in one level of analysis are not yet observable in another. And different aging processes may be most apparent in different molecular levels of analysis. In midlife humans, aging-related changes are manifest at multiple molecular and physiological levels, making this population ideal for development of measurements that integrate information across levels of analysis to more precisely quantify the state and pace of biological aging.
Neighborhood Greenspace and Cognition: The Cardiovascular Health Study
Authors: Godina Sara , Rosso Andrea , Lovasi Gina , Besser Lilah , Hirsch Jana , Platt Jonathan , Fitzpatrick Annette , Michael Yvonne 
Published: December 2021

Abstract
Access to greenspace has been positively associated with cognition among older adults, however prior research has been limited in temporal and geographic scope. We evaluated associations between neighborhood greenspace and incidence of dementia and change in cognitive functioning using a longitudinal sample of non-demented adults (n=2,465) from the Cardiovascular Health and Cognition Study. Percent greenness (1-km radial buffers) was derived from the National Land Cover Dataset. Cognitive function was measured using the Mini-Mental State Examination (3MSE) and dementia status was clinically adjudicated. Cox proportional hazard and logistics regression analyses were used to examine associations of baseline greenness with risk of incident dementia and risk of mild cognitive impairment, respectively. Generalized linear mixed models accounting for within-subject correlations were used to examine the association between greenspace in the neighborhood at baseline and 3MSE score (1991-1999). Ongoing results will be presented, along with modifiers and mediators of associations.
Breaking New Ground: Incentivizing Innovative Caregiving Programs
Authors: Whiting C Grace , Harvath Theresa 
Published: December 2021

Abstract
Caring for someone with chronic illness is a demanding job, and as a result 46% of caregivers caring for adults with chronic illnesses report a significant level of burden (AARP and National Alliance of Caregiving, 2015). Recent reviews note a prevalence rate of 31.2% for depression (Collins & Kishita, 2019) and 32.1% for anxiety (Kaddour & Kishita, 2020). In addition, most caregivers also report high levels of negative emotions including frustration, guilt, and a sense of hopelessness regarding the future (Schulz & Eden, 2016). This symposium will focus on innovative programming to address caregiver needs and concerns. The first presenter will set the foundation as she explores her caregiver journey and the issues she experienced as a caregiver. Using her personal experience, this healthcare professional will explore her interactions with the medical system as a caregiver, including the unique issues experienced during the pandemic. The second presenter will examine why are caregiver program needed, what benefits can be expected, and what is considered best practices when addressing the unmet needs of family caregivers in caregiver programs. The third and fourth presenters will discuss two exemplar caregiving programs - Caregiver Clinic at the Memorial Sloan Kettering Cancer Center and the Caregiver Initiative from the Rush University Medical Center. They will describe the program, the process of creation, funding, barriers experienced, and working solutions. Pertinent data regarding the integration of the programs within the medical systems, the programs scope, and the effects of the pandemic on the programs will be shared.
The Impact of Growth Mindset on Older Adults’ Cognitive Functioning in a Multi-Skill Learning Intervention
Authors: Sheffler Pamela , Kürüm Esra , Sheen Angelica , Ferguson Leah , Bravo Diamond , Rebok George , Strickland-Hughes Carla , Wu Rachel 
Published: December 2021

Abstract
Motivational factors, such as perceived control and self-efficacy, have been shown to affect older adults’ cognitive functioning. Growth mindset, the belief in the malleability of intelligence and abilities, represents a related but distinct factor that has been widely studied in children and young adults’ learning but less applied to the older adult population. Two studies investigated growth mindset, motivation, and cognitive functioning in a 3-month multi-skill learning intervention that incorporated weekly discussions on growth mindset and successful aging. Participants reported on their growth mindset, general pursuit of novel skill learning, and intrinsic motivation to learn, and completed a cognitive battery before, during, and after the intervention. Study 1 (n = 15, 67% female, M age = 68.67 years, SD age = 8.68, range 58-86) included both an experimental and control group and indicated that from pretest to post-test, intervention participants increased their growth mindset, while control participants did not. Study 2, which included a larger, all experimental sample (n = 28, 68% female, M age = 69.36 years, SD age = 7.00, range 58-86) revealed strong positive associations between growth mindset, pursuit of novel skill learning and intrinsic motivation. Further, participants showed a significant increase in growth mindset from pretest to post-test. Participants with higher pre-existing growth mindset showed larger cognitive gains at post-test, although growth mindset change did not affect post-test change in cognitive functioning. These findings suggest that growth mindset may facilitate older adults’ continued learning and cognitive gains, and they may complement older adult learning interventions.
Anti-Racism and Health Equity as Missing Values to Productive Aging: Implications for Emerging Professionals
Authors: Gonzales Ernest 
Published: December 2021

Abstract
Productive aging scholarship has grown in scope and rigor over the last four decades, yet anti-racism and health equity have not been formally integrated into the conceptual framework. Furthermore, there is a dearth of research that explicates heterogeneity among a growing diverse older adult population. This presentation will integrate anti-racism and health equity as core values to productive aging scholarship in order to explore risk and protective factors to employment, volunteering, and caregiving among a growing diverse older adult population. Part of this presentation will include major findings from longitudinal population-based studies as well as key findings from a Consensus Statement by the National Academies of Sciences, Engineering, and Medicine (NASEM) on work and retirement trajectories. Dr. Gonzales will also share professional strategies (e.g., grant submissions, publishing, teaching) with ESPO members who want to center anti-racism, health equity, and social justice in their scholarship.
Childhood Abuse and Caregiving for Perpetrating Parents: Impacts on Adult Child Well-Being
Authors: Goldberg Jaime , Kong Jooyoung , Moorman Sara 
Published: December 2021

Abstract
Combining the stress process model of caregiving and life course perspective, this study examined the long-term influences of childhood abuse on perpetrating parent-adult child relationships and adult child well-being in the context of caregiving. Using a sample of family caregivers from the Wisconsin Longitudinal Study (969 caregivers of mothers; 280 caregivers of fathers), we investigated whether contact frequency and emotional closeness with an abusive parent mediate the longitudinal effects of parental childhood abuse on adult child caregivers’ depressive symptoms and the moderating effects of self-acceptance and mastery on this mediational association. Key findings indicate that maternal childhood abuse may negatively affect emotional closeness between an adult child caregiver and perpetrating mother (b = -0.24, p &lt; .001). This could lead the adult child caregiver to experience increased depressive symptoms (b = 0.02, p &lt; .05). Although the mediation paths for the effect of maternal childhood abuse on depressive symptoms via emotional closeness with mothers did not differ by caregivers’ level of psychological resources, we found that psychological resources significantly moderated the association between maternal childhood abuse and depressive symptoms (b = -0.08, p &lt; .05). Further research may explore this phenomenon in light of the heterogeneity of contemporary families. Practitioners working with adults with a history of parental childhood abuse who are caregiving for their perpetrator are encouraged to employ a trauma-informed approach to maximize the caregivers’ health and well-being.
Duration of Family Caregiving and Its Effects on Inflammation in the Caregiving Transitions Study
Authors: Roth David 
Published: December 2021

Abstract
Sustained caregiving for older adult family members with disabilities can be a chronically stressful experience that may adversely affect the health of caregivers. Systemic inflammation is thought to be one mechanism by which caregiving stress might impact health, but previous studies of inflammation in caregivers have generally found inconsistent or very small effects with questionable clinical significance when comparing caregiving and non-caregiving control samples. The Caregiving Transitions Study (CTS) enrolled 283 family caregivers and 283 carefully-matched controls from an ongoing national epidemiologic study. This population-based sample of caregivers included an unusual subsample of 32 long-term caregivers who had been providing care to the same care recipients for over 9 consecutive years. Analyses of covariance indicated that these 32 long-term caregivers had statistically significant (p &lt; 0.05) elevations on three circulating biomarkers of inflammation – C-reactive protein, Interleukin-6, and D-dimer – compared 1) to their 32 individually-matched non-caregiving controls, and 2) to the 248 caregivers who had been providing care for less than 9 years. Covariates in the analytic models included age, sex, race, and body mass index. Similar effects were observed for caregivers of persons with or without dementia. Polynomial regression models across all caregivers revealed significant curvilinear associations of inflammation with caregiving duration. Inflammation was not markedly elevated throughout the first several years of caregiving but then begin to increase more dramatically at around 10 years of caregiving. These findings suggest that long-term caregiving, in particular, may be associated with specific physical health risks through chronically elevated systemic inflammation.