bluuebunny/crossref_metadata_2025_split huggingface dataset:
Technologies and the Effects On Social Engagement In Long-Term Care Facilities During COVID-19: A Scoping Review
Authors: Wood Timothy , Freeman Shannon , Koopmans Alanna 
Published: December 2021

Abstract
During the COVID-19 pandemic, the sense of loneliness and social isolation felt by older adults in long-term care facilities has been exacerbated. Although there has been an increase in the number of digital solutions to mitigate social isolation during COVID-19, facilities in northern British Columbia do not have sufficient information regarding the technologies to support social connectedness. To support evidence-based policy decisions, a scoping review was conducted to identify existing virtual technology solutions, apps, and platforms that promote social connectedness among older adults residing in long-term care. A combination of keywords and subject headings were used to identify relevant literature within PubMed, CINAHL EBSCO, PsychINFO EBSCO, Embase OVIDSP, and Web of Science ISI databases. DistillerSR was used to screen and summarize the article selection process. Twenty-three articles were identified for full-text analysis. A variety of technologies are described which can be used to mitigate the impacts of social isolation felt by long-term care residents. However, many of these digital solutions require stable highspeed internet. This remains a challenge for facilities in northern areas as many have limited access to reliable internet. Metrics used to evaluate social engagement in the context of long-term care are also outlined. This research provides the preliminary groundwork necessary to better inform policy decisions about which technologies are available and, of these, which are effective at enhancing social connectedness for older adults in long-term care.
What is known about Cycling Without Age: A Scoping Literature Review
Authors: Kaufman Nicole , Zecevic Aleksandra , Christensen Suna , Victoria Cotnam 
Published: December 2021

Abstract
The Cycling Without Age (CWA) program provides residents of long-term care homes with a bike ride experience, as a volunteer pedals them around the community in a specially designed trishaw. There is limited evidence of the program's effectiveness on older adults, pilots, and communities. The purpose of this literature review is to scope and summarize contemporary CWA discourses to generate future research questions that will provide evidence for future implementation of CWA. Data collection and analysis followed Arksey and O'Malley's 2005 framework. A systematic search was conducted in PubMed, OMNI, and Ebscohost databases. A grey literature search strategy incorporated: grey literature databases, customized Google searches, targeted websites, consultation with expert librarians, and a social media analysis on Twitter, Facebook and LinkedIn. Content analysis was used to identify the key themes. A total of 165 sources (2 peer-reviewed, 103 grey literature, 60 social media) were included in the final analysis. The three main themes were (a) meaning from being on a bike, (2) impacts of CWA, and (3) formation of relationships. Findings suggest that the CWA program brought valuable meaning to the participants' lives, significantly improved their happiness, and was associated with the formation of new and diverse intergenerational relationships. A large amount of anecdotal evidence, social media chatter, and global adoption of CWA indicate its importance and potential to satisfy the need of older adults to engage with society. Future research on the physical and mental health benefits of CWA is required to support further implementation of the program.
Age Differences in Positive Event Appraisals during COVID-19: Evidence from a Daily Diary Study
Authors: Klaiber Patrick , Ong Lydia , DeLongis Anita , Sin Nancy 
Published: December 2021

Abstract
Multiple studies suggest that community-dwelling older adults are psychologically resilient in the face of the COVID-19 pandemic. Notably, during the initial weeks of the COVID-19 outbreak, older age was associated with engaging in more daily positive events (Klaiber et al., 2021, Journal of Gerontology: Psychological Sciences). We followed up on these findings by exploring age differences in positive event appraisals during the COVID-19 pandemic. During the 7-day diary study conducted between March and August 2020, 1036 participants (mean age = 45.95, SD = 16.04, range = 18-91) reported their positive events in nightly surveys. If at least one positive event occurred, participants rated their appraisals of the event on the following dimensions: importance, calmness, happiness, gratitude, personal responsibility, and control. Older adults (60 years+) rated their positive events to be more personally important and felt more calm and happy during these events, compared to younger (18-39 years) and middle-aged adults (40-59 years). Furthermore, older adults felt more grateful during positive events compared to younger but not middle-aged adults. There were no age differences in feelings of control or personal responsibility for positive events. These findings highlight the importance of daily positive events for older adults during a time of major stress. In line with theories on adult development, daily positive event processes in older adults are characterized by valuing positive and meaningful social connections, as well as a greater degree of positive event-specific emotions such as feeling calm, happy, and grateful.
Gender Differences in the Relationship Between Coping Style and Attitudes Towards Palliative Care
Authors: Engel Ilana , Watts Amber , Baker Tamara , Sinclair Christian 
Published: December 2021

Abstract
Palliative care (PC) is becoming more widely available and its benefits, including improved quality of life for patients, have been demonstrated. Studies on patient-level barriers to PC access focus on knowledge and misperceptions. This study aimed to explore, among a community sample, whether more approach-focused coping styles may be associated with more positive attitudes towards PC and whether more avoidant coping styles are associated with more negative attitudes towards PC. Two linear regression analyses (an approach model and an avoidance model) were conducted to determine predictors of attitudes towards PC, controlling for potential confounds. The sample consisted of 87 community-dwelling adults ages 65+ (mean age=72.72 (5.88); 56.32% = women; 86.21% = White). In both models, more knowledge of PC was associated with more positive attitudes towards PC (β = .71, p&lt;.01). Coping by engaging more social support was significantly associated with more positive attitudes towards PC (β = .54, p&lt;.05). Results demonstrated a significant interaction (β = -1.24, p&lt;.01) such that women who endorsed high levels of disengaged coping reported more favorable attitudes towards PC than men who endorsed high levels of disengaged coping. Results indicate the need for a tailored approach to PC education for patients and families. Men who often cope with a stressor via distraction, self-blame, denial, or giving up may be less receptive to acceptance of PC. Future research on educational interventions tailored for individuals with distinct coping styles may be beneficial, particularly for men who frequently rely on disengaged coping styles.
Institutional Effects on Early Palliative Care among Mexican-Heritage Elders
Authors: Miller Susan , Apesoa-Varano Ester Carolina 
Published: December 2021

Abstract
This paper addresses Mexican-heritage older people’s experiences with early palliative care (EPC). EPC is the early provision of medical, social and spiritual reports to relieve suffering. Empirically, Mexican-heritage older people are known to have less access to EPC and, when they access it, to receive care of lower quality. However, little work has explored how Mexican-heritage older people think about and access such care. The paper addresses this gap. Methods are longitudinal: 36 Mexican-heritage people ranging in age from 55 to 90 years completed longitudinal semi-structured qualitative interviews, for a total of 69 interviews. Results explore how respondents’ participation in social institutions may mediate the effects of larger social structural constraints on their health and access to care.
Caregivers’ perception about their participation in a community-based exercise intervention - Body & Brain Project
Authors: Ribeiro Oscar , Marques Pedro , Barros Duarte , Silva Paula , Carvalho Joana , Borges-Machado Flávia 
Published: December 2021

Abstract
Evidence is scarce on caregivers’ perception regarding their participation in exercise interventions targeting individuals with neurocognitive disorder (NCD). This study aims to investigate the views of family caregivers of people with NCD about taking part in a community-based physical exercise intervention with their care-recipients. Twenty caregivers (N Male: 13; 66.5 ± 14.39 years old; age range: 36-88) answered to a semi-structured interview conducted by telephone about their perception on participating or not as class members of a 6-month multicomponent training intervention. Transcribed data from the interview were analyzed through thematic analysis. Main themes regard their perceived key-role in the care recipients’ participation, which included knowing their limitations, making them feel accompanied and motivated, and the possibility of providing comfort and tranquility throughout the intervention. Caregivers also mentioned the possibility of fulfilling own needs for physical activity and being engaged in new experiences. Disturbing the care recipients’ involvement and performance, the opportunity for respite during the sessions’ time, and being enrolled in the program only in specific moments or by telephone were also mentioned. Findings highlight the inclusive perspective of caregivers to take part of exercise programs designed for people with NCD, not only due to their decisive role on care-recipients engagement but also due to the associated (in-/)direct personal benefits. This data may be useful for planning and prescribing future community-based exercise interventions for NCD caregiving dyads. Trial registration: ClinicalTrials.gov - NCT04095962. Supported by FCT: “Body and Brain” (POCI-01-0145-FEDER-031808), CIAFEL (FCT/UIDB/00617/2020), and Ph.D. Grants (SFRH/BD/136635/2018) to FM (2020.05911.BD) to DB.
Creation And Pilot Testing Of The Confidence To Engage In Physical Therapy In Older Adults (CEPT) Measure
Authors: Bamonti Patricia , Harris Rebekah , Moye Jennifer , Bean Jonathan 
Published: December 2021

Abstract
The measurement of self-efficacy is important in physical therapy (PT) settings where patients face barriers and adoption of new behavior is critical for recovery. However, existing measures of exercise self-efficacy do not account for the internal (i.e., fatigue) and external (i.e., scheduling) barriers to self-efficacy observed in older adults. We developed a self-report measure assessing an individual’s confidence to engage in PT despite barriers. Qualitative ratings from patients (N = 75; age M =78.26 ± 11.2; 80% white; 20% African American) enrolled in PT at a Veterans Affairs Medical Center (VAMC) and their physical therapist were used to create a 21-item pool for the Confidence to Engage in Physical Therapy in Older Adults (CEPT). We next evaluated item characteristics and scale reliability and validity of the CEPT in a new sample of patients (N = 19; age M = 81.11± 8.93; 88.8% white, 11.1% African American) enrolled in an outpatient PT program who also received the Geriatric Depression Scale-15 (GDS-15), and the Activities-specific Balance (ABC) Scale. Response choice ranged from 0% (not confident at all) to 100% (highly confident) with higher scores indicating greater self-efficacy. Item analyses indicated adequate response variability across items (M = 55.9 ± 24.80, range 10-85). The scale demonstrated evidence of internal consistency reliability (Cronbach’s alpha) = 0.98. Construct validity was demonstrated by positive association between CEPT and the ABC (r = .74, p &lt; .001) and negative association with GDS-15 (r = -.64, p &lt; .01). The CEPT requires further evaluation with larger sample sizes.
Perceived Exertion in Physical Activity Measurement Across the Lifecourse: Results from SWAN
Authors: Ylitalo Kelly , Karvonen-Gutierrez Carrie , Sternfeld Barbara , Gabriel Kelley Pettee 
Published: December 2021

Abstract
Physical activity (PA) guidelines recommend 150 minutes of moderate-intensity or 75 minutes of vigorous-intensity PA, in addition to muscle strengthening activities, each week. Many questionnaires ascertain PA frequency, duration, and intensity to benchmark achievement of PA recommendations. However, most scoring algorithms utilize absolute intensity estimates when exertion may be influenced by age or other sociodemographic or health characteristics. This study compared PA estimates with and without adjustments for perceived exertion and determined if that difference was associated with individual characteristics. Women (n=2,711) from the longitudinal Study of Women’s Health Across the Nation who completed ≥3 Kaiser Physical Activity Surveys (KPAS) across 8 biennial visits were included (baseline age: 46.4±2.7 years). KPAS responses were converted to metabolic equivalent of a task (METs) using the Compendium of Physical Activities to estimate absolute and perceived intensity-adjusted MET values. Latent class growth modeling identified subgroups of participants following similar patterns of change in the difference between absolute intensity-based and perceived intensity-adjusted estimates across time. Four major trajectory classes emerged with patterns reflecting: (1) lessening high-intensity exercise (2.2%); (2) increasingly high-intensity exercise (3.1%); (3) consistently moderate-intensity exercise (92.0%); and (4) consistently low-intensity exercise (2.8%). Consistently low-intensity exercisers, for whom absolute intensity-based estimates exceeded perceived intensity-adjusted estimates, were more likely to be Japanese or Chinese (p&lt;0.001) and have lower BMI (p=0.05). However, for most participants, absolute intensity-based estimates approximated perceived intensity-adjusted estimates over time, suggesting that traditional PA scoring techniques may provide sufficient estimates for PA in longitudinal cohort studies of mid-life and older adult women.
Assisted Living Administrators' Views of Palliative Care
Authors: Abken Elise , Perkins Molly , Bender Alexis 
Published: December 2021

Abstract
As many older adults with progressive chronic conditions choose to age-in-place in assisted living (AL) communities, external healthcare workers (e.g., those who provide palliative care) increasingly support AL staff in caring for residents with complex health needs. Palliative care is a branch of healthcare dedicated to preserving quality of life by attending to the physical, mental, and spiritual needs of individuals with chronic, life-threatening diseases and is well suited to manage AL residents’ progressive medical conditions. However, AL residents and their care partners often face barriers to accessing palliative care. Using data from a larger 5-year NIA-funded study, we examined AL administrator knowledge and use of palliative care in seven AL communities around the Atlanta metropolitan area that were racially, ethnically, and socioeconomically diverse. Findings from thematic analysis of semi-structured interviews with 16 administrators indicated that 15 of 16 administrators were familiar with palliative care. A minority of administrators clearly distinguished palliative care from hospice services and conceptualized it as a “bridge” to hospice services. Administrators emphasized how palliative care assists communities in caring for health concerns in-house rather than having to send residents to the hospital. Despite their positive view of palliative care, administrators described infrequent use of palliative services in their communities. Findings show that although none of the AL communities integrate palliative care with their service offerings, AL administrators see value in palliative care for their residents. We provide recommendations for improving palliative care access and quality of life for AL residents at end of life.
Older Portuguese And Mexican Adults And Sexual Well-Being? A Cross-Cultural Qualitative Study
Authors: von Humboldt Sofia , Mendoza-Ruvalcaba Neyda Ma , Ribeiro-Gonçalves José Alberto , Low Gail , Leal Isabel 
Published: December 2021

Abstract
Objectives: Sexual well-being (SWB) refers to the subjective emotional and cognitive evaluation of the quality of the individual's sexuality, it plays a relevant role in quality of life and health promotion on old age and has cross-cultural implications. The aim of this study is to analyse comparatively the perspectives of older adults on their SWB in Portugal and Mexico. Methods: Data were collected from 86 Portuguese and 80 Mexican community-dwelling participants aged 65 years and older, using a semi-structured interview protocol. Older adults were inquired about their perceptions on what contributes to their sexual well-being. Socio-demographic data were also enquired. Content analysis was used to identify key themes. Results: Outcomes indicated eight themes: eroticism, supportive relationship, positive self-concept, health and self-care, romance, active life, tenderness and care, and no pain and no pregnancy restrictions, for both samples. Eroticism was the most frequent theme reported by Portuguese participants (31.4%) and health and self-care were the most frequent theme reported by Mexican participants (26.5%). Conclusions: The empirical results of this study indicated that SWB is strongly influenced by socio-cultural and psychosocial values. This cross-cultural comparison between Portugal and Mexico contributes to understand this concept in old age with different perspectives and place a scenario for future culture-adapted interventions and comprehensive policies. Keywords: Mexican, older adults; Portuguese; qualitative study; sexual well-being
Proactive Coping and Mindfulness are Associated with Less Stress in Older Adults
Authors: Graham Lyndsey , Neupert Shevaun 
Published: December 2021

Abstract
We examined the consequences of both chronic and life-event stressors for older adults, as well as antecedent strategies, such as proactive coping and mindfulness, that may mitigate stress. Given the potential negative outcomes associated with stress in older adulthood, exploring strategies to reduce or mitigate the negative impact of stress may be useful in promoting well-being in adulthood. Proactive coping involves an accumulation of resources that leads to reduced or avoided stressors in the future (Aspinwall & Taylor, 1997). Mindfulness calls an individual’s attention to the present moment, or may be characterized as an open, accepting attitude (Brown & Ryan, 2003). Using data from the Mindfulness and Anticipatory Coping Everyday study (English et al., 2019; Neupert & Bellingtier, 2017), 296 older adults in the United States, aged 60-90 years (M = 64.67, SD = 4.36), participated in relevant online survey measures. Results from multiple regression analyses suggested that people high in both chronic stress and life event stress had worse health, and that people high in proactive coping and mindfulness reported less stress. Study results underscore the impact of stress on health outcomes, and provide support for the use of antecedent strategies to address negative impacts of stress.
Mismatch Between Physical Health and Job Demands among Older Workers by Full Retirement Age
Authors: Andrasfay Theresa 
Published: December 2021

Abstract
Gradual increases to the Social Security full retirement age (FRA) from 65 to 67 were justified by improvements in the health of the older population and a general shift toward less physically demanding jobs. These two trends have been studied independently, but it is important to consider the agreement of these two factors—job demands and health—to understand whether those expected to work longer to receive full benefits have compatible health and job characteristics to do so. Using data from the 1992-2018 waves of the Health and Retirement Study, I observe 19,383 working individuals with FRA ranging from 65-67 while they are approaching retirement (ages 51-60). I compare the prevalence of person-work mismatch—defined by the co-occurrence of physical health conditions and self-reported physical job demands—by FRA. I find that individuals with an older FRA are less likely to be employed in physically demanding jobs while having arthritis. However, they are more likely to be employed in physically demanding jobs while having pain or fair/poor self-assessed health and are more likely to be employed in jobs requiring frequent stooping, kneeling, or crouching while simultaneously having difficulty with these activities. The co-occurrence of physically demanding work while having multiple mobility limitations has remained stable across the FRA cohorts. These findings indicate that older workers expected to work longer to receive full benefits have not experienced substantial improvements in the compatibility between their physical health and job demands that would facilitate working longer, and by some measures compatibility has declined.
Retirement, happiness, and health in Japan
Authors: Okamoto Shohei , Kobayashi Erika 
Published: December 2021

Abstract
While health effects of retirement have been well studied so far, previous findings remain inconclusive, and mechanisms underlying the linkage between retirement and health are unclear. This can be driven by regional or cohort heterogeneity as well as methodological differences, such as outcome measures and identification strategies; thus, much evidence needs to be accumulated. Utilising a national household survey conducted every year in 2004-2019 in Japan (the Japan Household Panel Survey), we evaluate the effects of retirement among Japanese adults aged 50-75 on their happiness and health in addition to other outcomes that could attribute to happiness or health changes (e.g. health behaviours, time use for some activities, and the expenses by item). As outcomes are not measured every year, we analyse 4,340-7,902 person-year observations by 756-1,389 individuals with the necessary information from 2009. To deal with the potential endogeneity of retirement, we adopt an instrumental variable approach utilising changes in retirement policy and public pension eligible age. Consequently, instruments seem valid only for men, and we find that retirement increases male retirees’ happiness and decreases psychological stress while effects on other health measures are not observed. Although their satisfaction with their income decline, perhaps because of the loss of their wage income, they tend to increase the proportion of expenses for cultural and recreational activities. Enhancement in personal life quality by more leisure activities and stress reduction from work, rather than improvements in health behaviours and physical health, may be key to understanding health benefits in retirement.