bluuebunny/crossref_metadata_2025_split huggingface dataset:
PROVIDING ALLEGED VICTIMS AND PERPETRATORS WITH CASE MANAGEMENT TO PREVENT FUTURE CARETAKER NEGLECT
Authors: Tuft Samantha , Ejaz Farida , Reynolds Courtney , Bibbo Jessica 
Published: January 2025

Abstract
Caretaker neglect is the second most common type of adult abuse nationwide, including Utah, where 74% of cases resulted in an ‘inconclusive’ disposition in FY 23. Practitioners from Utah Adult Protective Services (APS) are collaborating with researchers in an ongoing study to offer four months of telephone-based case management to alleged victims and perpetrators when APS closes their case as ‘inconclusive’. The goal is to prevent future reports of caretaker neglect. The study uses a four-month, pre-post design. Care coordinators interview study participants, develop and modify individualized care plans, and make referrals to services throughout the study. Preliminary data from 18 alleged victims shows their average age is 64 (range 18-59), 50% are female, and 28% live in rural areas. They experienced a significant reduction in depressive symptoms using the Patient Health Questionnaire – 2 during the study (p =.038). Data from 9 alleged perpetrators shows that their average age is 60 years (range 43-70), 78% are female, and 11% live in rural areas; their depression scores did not decline significantly, but trended downwards over time. Discussion will focus on the value of providing case management services to improve psychosocial outcomes, such as depression. Implications for practice and policy include the value of multidisciplinary collaborations to develop interventions to potentially prevent future reports of caretaker neglect, and, perhaps, other forms of abuse, neglect or exploitation.
INTERGENERATIONAL COMMUNITY DEVELOPMENT: LESSONS LEARNED FROM THE SENIOR TO SENIOR DINNER DANCE PROGRAM
Authors: Lee Youjung , McGinley Jacqueline 
Published: January 2025

Abstract
Intergenerational engagement is a universal human development process that helps older adults’ successful aging (Krzeczkowska et al., 2021) and children’s optimal development (McAlister et al., 2019). As part of an age-friendly initiative in a small city in New York State, an intergenerational engagement program (Senior to Senior Dinner Dance) involved a multi-year partnership between community agencies, including a local Office for Aging, university, high school, senior center, and church. As part of this partnership, a community dance was held in 2022 and 2023, where high school students and older adults participated in a variety of intergenerational activities. Findings from a process evaluation of this interorganizational initiative (e.g., focus groups with six community partners; surveys with 56 older adults), using a thematic analysis (Braun & Clarke, 2006), revealed: (a) social cohesion included mutual trust amongst community stakeholders; (b) social capital was achieved by leveraging existing resources with collective goals; and (c) intergenerational engagement was promoted through the equal status, common goals, and interorganizational cooperation of participants, in addition to sanctions and support from organizers. Findings from this study highlight important lessons for those, particularly those in communities with limited resources, who wish to develop and sustain intergenerational programs. Lessons learned include the importance of mutual trust among community partners, the utilization of existing resources, and the necessity of buy-in from upper administration in each agency. Lastly, intergenerational activities (e.g., dining, dancing) can promote initial positive contact between distinct age cohorts, which may help to advance larger age-friendly initiatives.
OPTIMIZING CARE OF OLDER ADULTS BY USING 4MS AT A COMMUNITY HEALTH CENTER
Authors: Arias Karla Tejada , Hernandez Elizabeth , De Jesus Jane Borrero , Rink Andrea , Marottoli Richard , Ouellet Jennifer , Fry Noelle , Wu Barry 
Published: January 2025

Abstract
Given the increasing needs of the aging population and limited availability of geriatricians, it is crucial for community healthcare centers to develop effective approaches for geriatric care. Fair Haven Community Health Care, implemented the 4Ms Framework of Age-Friendly Care, from the Institute for Healthcare Improvement for patients 65 and older starting July 2023 at two different clinical sites. We employed screening tools and interdisciplinary team including patient-access, medical assistants, nurses, clinicians and resident physicians, to evaluate cognitive health, mobility, and medication regimens, prioritizing patient-centered care. The Electronic Medical Record was enhanced to include fall risk and cognitive assessments. Feasibility was assessed through surveys. This intervention has been applied to 196 patients, 54% of whom identified as Hispanic, 29% white and 13% African American. A staff survey (N=23) revealed a 100% satisfaction rate, with no adverse effects on workflow. Overall visit times remained consistent, with rooming times for patients under the 4Ms framework increasing by only 11%, indicating no substantial impact on workflow efficiency. Additionally, patient satisfaction increased considerably, with patients reporting a greater sense of involvement in their healthcare decision-making process and felt their care was aligned with their priorities, demonstrating a successful transition to patient-centered care. Thus, we have demonstrated that the 4Ms framework can be integrated into standard care for older adults in a busy community health center. This successful integration highlights our ability to deliver evidence-based care and boost patient involvement, signaling a positive transition towards personalized, patient-centered healthcare delivery for this vulnerable demographic.
PARTICIPANT EVALUATION OF 4MS EDUCATION DELIVERED BY AGE-FRIENDLY CARE, PA USING PROJECT ECHO: 2020–2023
Authors: Berish Diane , Knecht-Fredo Jennifer , Husser Erica , Fick Donna , Boltz Marie , Sabol Jacqueline , Garrow George , Houge Angela 
Published: January 2025

Abstract
Older adults, the largest segment of the US rural population, face significant disparities in health and healthcare compared to their non-rural peers. They have limited access to healthcare and social services for prevention, management, and treatment of chronic conditions. Age-Friendly Care, PA, a collaboration of Primary Health Network, the largest Federally Qualified Health Center in Pennsylvania, and Penn State Nese College of Nursing, aims to bring reliable, high-quality, age-friendly care to all older adults living in rural PA. Sponsored by HRSA through its Geriatric Workforce Enhancement Program, Age-Friendly Care, PA utilizes the Project ECHO (Extension for Community Health Outcomes), all-teach-all-learn, platform to engage isolated rural providers in incorporating the Institute for Healthcare Improvement’s 4Ms framework (What Matters, Mentation, Medication, Mobility) into their practice. Annual participant evaluation data from the last four years (2020 n=10, 2021 n=14, 2022 n=22, and 2023 n=6) shows respondents largely agreed or strongly agreed that attending the education session helped: Improve their ability to provide appropriate care (77%-100%), develop clinical knowledge (83%-100%), and 100% recommended attendance to colleagues. Participants were asked to rate their knowledge related to the 4Ms after each session. After the 2020 session, mobility screening, depression screening, and dementia training (66.6%) had the highest ratings. For 2021, depression screening (66.6%) was highest. In 2022, dementia screening and treatment (55%) were highest and for 2023, the top-rated knowledge area was treating mobility limitations (33.3%). Project ECHO has been shown to be an effective tool to reach rural healthcare providers and promote age-friendly education.
PRESERVING CELL HOMEOSTASIS AS AN AGING MODULTATION STRATEGY
Authors: Lox Dennis 
Published: January 2025

Abstract
The cell desires to maintain homeostasis. The most efficient and productive method to achieve cell homeostasis, is utilization of the Longevity Pathway AMPK-SIRT1. This allows processes to repair, induce positive patterns that lead to systemic efficiency. The Longevity Pathway may be activated by exercise, drugs, MOTS-c (a mitochondrial derived peptide), Irisin (a adipomyokine Sestrin), and circadian clock genes. Some activators display synergistic effects with others and exercise. Upon activation of AMPK-SIRT1, molecular and cellular functions occur, allowing nuclear transfer of P53 and FOXO’s, this prevents cytoplasmi binding of P53-FOXO4, avoiding the deleterious effects of overactive mTOR, cell senescence and the SASP, upregulation of NF-kB, production of inflammatory cytokines, DAMP, and HMGB. This sets up the continuous feedback loop of continuing the cycle, and interactions with the of Hallmarks of Aging, compounding the process of driving further aging and disease development. Homeostasis occurs when P53 and the FOXO’s are translocated to the nucleus, allowing DNA repair, mitochondrial biogenesis, NRF1,2, and PPAR transformation, production of more NAD+ occurs, which is needed in the pathway to function, and lastly increased exercise capacity. As the GI Biome is now a Hallmark of Aging, Starting with a proper diet and exercise to initiate the Longevity Pathway to allow cell homeostasis, increasing cell efficiency, and decreasing deleterious pathways. Further targets for personalized treatment may better address human diversity.
TELLING A STORY THROUGH SPATIAL ANALYSES OF AGE-FRIENDLY PHYSICAL, SOCIAL, AND SERVICE ENVIRONMENTS IN PORTLAND, OR
Authors: DeLaTorre Alan , Toda Eiji 
Published: January 2025

Abstract
Age-friendly communities continue to expand in number and evolve with respect to research, planning, policy, and practice. Both researchers and practitioners should understand how to collect, organize, interpret, and visualize geospatial data that elucidate geographic patterns of age-friendly features and barriers to age friendliness to guide a data-driven, evidence-based approach to community planning and policy making. This presentation will highlight the university-local government partnership that resulted in data collection, analyses, and release of an ESRI-based age-friendly story map of Portland, Oregon. Portland State University – an age-friendly university – and the City of Portland – a member of the U.S. and global age-friendly networks – collaborated to produce a series of raster maps visualizing the level of age-friendliness physical, social, and service environments. Data collection was supported by various city, county, and state agencies, as well as age-friendly partners operating in the age-friendly community, university, and health care spaces. This effort calls attention to challenges and opportunities related to research, planning, and future implementation. The analyses revealed differing spatial distributions of age-friendly physical, social, and service features across Portland, Oregon that offer insights into identifying higher-need neighborhoods and types of desired interventions. Challenges include indicator selection, data availability and collection, measurement and weighting of each indicator, and translation to policy decisions.
LEVERAGING HIGHER EDUCATION IN OUR AGE-FRIENDLY WORLD
Authors: Black Kathy , Oh Patricia , Montepare Joann , Kaye Lenard 
Published: January 2025

Abstract
There is increasing interest in better understanding the connection between higher education and age-friendly community efforts. The global age-friendly community (AFC) movement calls for multi-sectoral engagement in a multi-year model encompassing four core phases (engage, plan, act, measure) to improve livability in domains of community life pertaining to the built, social, and service environment. However, there is limited empirical knowledge regarding the involvement of higher education and how it supports AFC efforts. We used qualitative inquiry to assess the engagement of U.S. institutions as reported by 80 AFCs that completed a five-year cycle of participation. We conducted directed content analysis using paired AFC action plans and progress reports (n=56) and classified engagement using a priori indicators by higher educational core activities (teaching, research, and service), core phases (e.g., measure) and clustered domain areas (e.g., built environment). Results reveal engagement across all core activities of higher education with most efforts in research, in all areas of the AFC model with most reported in the action phase, and across all clustered domains of practice with the greatest amount identified in the social environment. We identify opportunities for greater engagement and leadership by higher education in our age-friendly world.
BENEFITS OF SERVICE LEARNING FOR STUDENT PARTICIPANTS AND OLDER ADULT RECIPIENTS
Authors: Cline Krista , Bain Catherine 
Published: January 2025

Abstract
It is clear that service learning benefits college students, while also benefiting the community. While research on intergenerational service learning has focused on the benefits for the students, very few studies have focused on the older adults who are the recipients of the service learning. For the current study, we were interested in the benefits of service learning for both the college students and the older adults who participated in a service learning course. Data for the current study is qualitative and were collected from both the students in a sociology of aging and the life course service learning class (n=22), and the older adults who participated as recipients of the service learning (n=22). Data from the students was collected via student journals and open-ended questionnaire responses written by the students. Data from the older adults were collected via interviews by the students as well as open-ended questionnaire responses written by the older adults. The following themes emerged as benefits to students; (1) a better understanding and less fear of aging; (2) a desire to learn more about older adults; (3) a desire to engage more with older adults. The themes for the benefits to the older adults included; (1) improved social connections and companionship, and; (2) becoming family. We found that engaging in intergenerational service learning courses is beneficial to all those who are involved.
NURSE-LED INTERVENTIONS FOR ADULTS WITH POSTSTROKE COGNITIVE IMPAIRMENT: A SCOPING REVIEW
Authors: Alharrasi Azza , Boltz Marie 
Published: January 2025

Abstract

Background
Stroke is one of the leading causes of death and disability worldwide. Post-stroke cognitive impairment (PSCI) is a common complication of stroke, associated with increased cost of care, hospitalizations, and care dependency. Nurses play a central role in rehabilitation of adult’s post-stroke; however, is unknown about nursing-led interventions in promoting global cognition. The purpose of this review to explore Nurse-led interventions (NLI) and explore their impact up on global cognition and discrete cognitive domains.

Methods
The search strategy identified studies within PubMed, CINHAL, and Web of Science. The search was conducted on October 3rd, 2023, and November 7th, 2023, and 12 articles were identified. Inclusion criteria were the studies that delivered nursing interventions among adults with post-stroke cognitive impairment with the outcome of improving cognitions or discrete cognitive domains. Data extraction of illegible studies that met the inclusion criteria guided by the interventions, duration and follow-up, global cognition, discrete cognitive domains.

Results
The results demonstrated the significant improvement in the global cognition, discrete cognitive domains, activity of daily livings (ADLs), motor function, and quality of life. Results underscore the need for early cognitive screening and rehabilitation. The results found that there is a gap in knowledge regarding the long-term benefits or effectiveness of NLI upon PSCI.

Conclusion
The review suggests that more rigorous multi-center research studies need to be conducted on the NLI for adults with PSCI that should be with adequate sample size.
ADAPTED CONVERSATION ANALYSIS TO EVALUATE DYADIC DEMENTIA-RELATED ADVANCED CARE PLANNING DISCUSSIONS
Authors: Bybee Sara , Utz Rebecca , Clayton Jordana , Aruscavage Nancy , Supiano Katherine , Iacob Eli , Dassel Kara 
Published: January 2025

Abstract
Persons living with dementia (PLWD) and their care partners should engage in advance care planning (ACP) prior to serious cognitive decline. This pilot study assessed the effectiveness of the Life-Planning in Early Alzheimer’s and Other Dementias (LEAD) Guide in promoting ACP concordance among PLWD and their care partners. Discussions of dyads’ (N=7) responses to the LEAD Guide were audio/video-recorded and analyzed by two coders for the following elements of Conversation Analysis (CA) (related to ACP concordance and relationship quality, respectively): turn-taking (listening leading to understanding, respect/mutual regard); Repair (giving and taking to gain shared understanding, apology); Action formation (assumed topic of discussion and norms, agreement on discussion subject and scope); Action ascription (trusting, understanding of previous turn); Action sequencing (acceptance of discussion norms towards goal, unconditional love). Coders demonstrated moderate agreement across all recordings (M=73.1%, SD=4.4), with unanimous agreement on: the presence of listening leading to understanding, assumed topic of discussion and norms, agreement on the subject and scope of discussion, and understanding of previous turn in all recordings, and the absence of apology and blind trust in 3 (42.8%) recordings. CA may be unable to capture ACP concordance as some elements may be inherent to the LEAD Guide discussion itself while others are unobservable in ACP conversations. To objectively examine how interactions foster ACP concordance, CA methodology should account for 1) multiple ACP discussions, 2) factors related to either the LEAD Guide or dementia diagnosis that impact turn-taking, and 3) the dynamics between the PLWD and their care partner.
EARLY CLINICAL UTILITY DATA OF A MULTI-ANALYTE BLOOD BIOMARKER TEST FOR EVALUATING COGNITIVE IMPAIRMENT
Authors: Monane Mark , Merrill David , Johnson Kim , Gitelman Darren , Maraganore Demetrius , Jacobs Leslie , Jiang Yan , Braunstein Joel 
Published: January 2025

Abstract
There is an important unmet need for timely, noninvasive, low-burden diagnostic tools to aid in Alzheimer’s disease evaluation. The AAA-BBM2 (PrecivityAD2™) blood test combines plasma amyloid beta (AB)42/40 Ratio and phosphorylated-tau217/non-phosphorylated-tau217 Ratio (%p-tau217) into a clinically-validated algorithm. The test result, the Amyloid Probability Score 2 (APS2), determines the likelihood of brain amyloid, the pathological hallmark of Alzheimer’s disease, on amyloid PET scan: the test result has previously demonstrated 88% sensitivity and 89% specificity. The objective of the QUIP II Study (NCT06025877) is to evaluate the clinical utility of this blood biomarker test with APS2 result among cognitively symptomatic patients presenting to memory specialists. To date, 52 symptomatic patients (median age 75, 65% female, 77% white) from 7 memory centers received the AAA-BBM2 test. Concordance with intended use of the test was 100% (52/52). Positive APS2 results were noted in 26 patients (50%). From pre- to post-test, clinician-reported probability of AD decreased from 48% to 16% among negative APS2 patients (p&lt; 0.0001), and increased from 71% to 93% among positive APS2 patients (p&lt; 0.0001). The composite endpoint of change in AD diagnostic certainty, drug therapy, or brain amyloid evaluation pre- and post-AAA-BBM2 testing was 79% (p &lt; 0.0001 versus a pre-specified threshold of 20% clinically meaningful change). We believe that the AAA-BBM2 test showed clinical utility in its association with changes in clinicians’ diagnostic certainty and clinical management among patients presenting with cognitive impairment. This blood biomarker test may allow memory specialists to guide patients to anti-AD therapies and facilitate other diagnostic considerations.
EXAMINING THE RELATIONSHIP BETWEEN PERSONALITY FACTORS AND NEUROCOGNITIVE FUNCTIONING IN DEMENTIA CAREGIVERS
Authors: Jump Alayna , Elliott Lauren , Schneider Sydnie , McLean Elisabeth , Chrzanowski Lauren , Abu-Samaha Amir , Neugebauer Volker , Singer Jonathan 
Published: January 2025

Abstract
More than 5.8 million Americans currently live with a neurodegenerative disorder such as Alzheimer’s Disease or Alzheimer’s Disease Related Dementia (AD/ADRD). Family caregivers of persons with AD/ADRD may be at increased risk for accelerated age-related cognitive decline compared to their peers. However, the risk and protective factors associated with neurocognitive functioning within this population are poorly understood. One factor yet to be explored is the relationship between personality traits and neurocognitive functioning. Certain personality traits, such as high neuroticism and lower openness have been linked to worse neurocognitive functioning in older adult populations, but these findings have not been expanded to family caregivers of persons with AD/ADRD. This study enrolled 52 family caregivers of persons with AD/ADRD who completed the NEO Five-Factor Inventory-3 (NEO-FFI-3), a measure of personality traits, and the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS), a measure of overall neurocognitive functioning. A Pearson correlation revealed a positive trend (r(50) =.27, p =.054), such that individuals scoring lower on openness had worse neurocognitive functioning. However, the other four personality traits (i.e., neuroticism, agreeableness, extraversion, conscientiousness) were not significantly related to neurocognitive functioning (p’s &gt;.27). Future studies should aim to investigate the relationship between personality factors and neurocognitive functioning within other samples as personality traits, which remain relatively stable over time, may provide medical providers the ability to easily identify individuals who might be more susceptible to neurocognitive decline, thus streamlining preventative measures.
INNOVATIVE COLLABORATION: DEVELOPING DEMENTIA TRAINING WITH STUDENTS, SCHOLARS, AND PRACTITIONERS
Authors: Shean John , Jackson Eva , Redd Tara , Shakir Madiha , Roberts Shelby 
Published: January 2025

Abstract
The growing prevalence of Alzheimer’s and other dementias and the urgent need for public health awareness necessitates innovative, interactive, and accessible dementia training for students entering the workforce. The curriculum, A Public Health Approach to Dementia, is a new tool to meet this need. Through partnership between the Alzheimer’s Association, CDC, and Emory Centers, four new modules were launched in 2023 and 2024. These free, asynchronous, online learning modules support the training needs of the current and future public health workforce. Throughout the development, the team relied on students, researchers, professors and practitioners to ensure the modules provide accessible, comprehensive knowledge on the public health approach to dementia. The curriculum includes courses on the public health impact of dementia, health equity and dementia, and public health and dementia caregiving. Data from the first two modules released in 2023, show that they are impactful. Health Equity in Dementia — Using a Public Health Lens to Advance Health Equity in Alzheimer’s and Other Dementia was released in August and has over 520 people enrolled. Public Health and Dementia Caregiving was released in December and has over 200 people enrolled. Both modules had over 900 registrants for each launch webinar. Across both modules, most learners reported an increase in knowledge after taking the course (89% and 92%) and reported that it will be useful in their work or studies (87% and 90%). This curriculum demonstrates the strengths of partnering across backgrounds and expertise to support innovative learning opportunities for students entering the workforce.