bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Use of Concept-Mapping to Structure the Cultural Adaptation of Educational Curricula for Latino Older Adults
Authors: Piedra Lissette , Howe Melissa , Montoya Yadira , Hofer Molly 
Published: December 2021

Abstract
Culture, embedded in language and reflected in colloquial expressions, influences behaviors and cognitive constructs that affect health. To reach Latino older adults, health promotion efforts should include congruent cultural aspects—such as relevant metaphors, values, and proverbs—that will resonate with their cognitive constructs. However, this content should also be situated within a broader social context. For community-dwelling Latino older adults, this means considering their care systems and the multiple stakeholders within. In this paper presentation, we describe an innovative, interdisciplinary collaboration to culturally and linguistically adapt existing Illinois Extension curricula to meet the needs of Latino older adults and their families living in Cook County, which includes Chicago and its neighboring suburbs. We will demonstrate how concept-mapping (CM) studies can be used to structure the cultural adaptation of educational curriculum to a Latino audience. Specifically, we describe these CM studies, which asked how multiple stakeholders and Latino older adults living in the Chicagoland area defined positive aging provided empirically-grounded direction for our 11-member steering committee, composed of investigators, service leaders, and Latino older adults. We also will describe how the current project deepens relationships in the community that facilitate dissemination efforts to Latino older adults.
Whose Decision Is It? Perspectives on Agency Involvement in Determining Paid Caregivers' Roles in Dementia Care
Authors: Reckrey Jennifer , Watman Deborah , Tsui Emma 
Published: December 2021

Abstract
Individuals living at home with dementia often rely on a team of caregivers and health care providers. Yet little is known about how the role of paid caregivers within this team is determined. We identified patients with moderate to severe dementia (n=9) and conducted individual interviews with their care teams (family caregiver, paid caregiver, physician) (n=27) to explore perspectives on paid caregiver roles. Participants disagreed on who determined the paid caregiver’s role. Agencies were perceived to set limitations on the scope of care (particularly by physicians) but agency care plans were often seen as inadequate and failing to capture important nuances of care. Most family caregivers believed they should guide what paid caregivers did in the home, while most paid caregivers reported relying on their own experience and knowledge. Understanding and addressing these differing perceptions is critical to improving the quality of paid care in the home.
Rethinking Employer Communication and Support for Home Care Aides: A Case Study of Pandemic Group Support Calls
Authors: Tsui Emma 
Published: December 2021

Abstract
This case study explores an employer-initiated biweekly group support call for home care aides implemented by a large New York City-based home care agency during the COVID-19 pandemic. Specifically, we investigate how agency staff used information gathered through these calls to intervene into existing agency communication and support systems for aides. Our single-site case study analyzes detailed notes from almost 100 support calls that took place between April 2020 and March 2021, as well as interviews with agency staff from communications, human resources, nursing, and other departments that support aides. We compare and contrast new communication and support mechanisms advanced in conjunction with these calls with agency systems pre-pandemic. Our findings suggest that while calls were initially targeted toward providing emotional and operational support, staff also advocated for more systemic supports. We discuss the sustainability of these new efforts, as well as ongoing barriers and gaps.
The Silent Majority: Aging With HIV
Authors: Nash Paul , Perkins Molly 
Published: December 2021

Abstract
Those over the age of 50 represent the majority of people living with HIV (PWH), most of the HIV research, prevention and service retention work is targeted at ‘at-risk’ communities under age 50. Given this diverse and growing population, intersections of age with HIV need to be prioritized. This focus would actively increase quality of care and life experience for older PWH and the growing numbers transitioning into old age. Using local, national, and international data, this symposium will highlight the unmet social needs of older PWH. Presentations will provide evidence of unmet need, decreased self-esteem, enhanced health burden, and the damaging nature of stigma. Given the impact of COVID-19 globally, the data will further demonstrate the need to support immunocompromised older PWH. Older PWH are a marginalized community and the effects of COVID-19 have been disproportionately severe. With the adverse health outcomes experienced because of COVID-19 and intersectional stigma, it is important to understand the support structures that are and are not in place for older PWH. Advance care directives make up an integral part of future planning, especially for those living with chronic health concerns, yet little research has previously evidenced the steps taken by OPWH. Finally, using data from sub-Saharan Africa, emotional and instrumental social support sufficiency will be described to highlight the unmet needs of these older PWH. Our discussion will focus on the need for policies and programs to support this growing segment of the HIV population with increasingly diverse and unmet needs.
Living With HIV Through the COVID-19 Pandemic: Impacts on Older Adults in New York City
Authors: Nguyen Annie , Karpiak Stephan 
Published: December 2021

Abstract
New York City was among the first to institute physical distancing and shutdowns to curb community spread of COVID-19. The pandemic has amplified issues related to isolation. We investigated the challenges created by the pandemic older adults living with HIV in NYC. 137 participants were recruited Sept-Nov 2020 from the oldest ASO in NYC, to complete surveys. Demographics: mean age=60.4; 58.3% men; 43.1% black/AA, 24.1% white; 48.9% gay, 30.7% straight; mean years living with HIV= 23.0, 92.6% reported undetectable viral loads. About one-third experienced hunger/food insecurity during the pandemic and 48.2% said they were not getting enough financial support from usual sources. Some (43.3%) reported skipping doses of HIV medications and 69.8% felt more isolated compared to before the pandemic. Those who lived alone (77.4% of total) were significantly more likely to report feeling depressed, follow media coverage on COVID-19, skip HIV medications, and experience changes in sleep patterns.
Creating a Public Data Resource: The HRS-O*NET Linkage
Authors: Carpenter Rebekah , Carr Dawn , Helppie-McFall Brooke , Beckel Julia 
Published: December 2021

Abstract
Few longitudinal studies provide detailed information about the characteristics of the jobs older workers engage in, limiting the ability to evaluate the potential consequences of extended working lives. In this session, we introduce a new project linking the 2019 O*NET taxonomy and corresponding data to the Health and Retirement Study for public use. We describe the procedures taken to develop an O*NET linkage to be released to HRS users in the form of a publicly available data file, allowing aging researchers to evaluate detailed aspects of occupations in the 50+ population. We explain the types of variables that will be made available in the O*NET-HRS occupation project, and provide examples for how the measures can be used in longitudinal HRS studies.
Community-Engaged Research With Indigenous Communities to Improve Elder Health and Well-Being
Authors: Lewis Jordan 
Published: December 2021

Abstract
Much of the past research conducted with tribal communities was coined "helicopter research," because researchers would enter the community, gather data, and leave the community, never to inform communities how the data was used or published, creating mistrust. Community Based Participatory Research (CBPR) is a research approach conducted as an equal partnership between community members, organizational representatives, and researchers that serve as guidelines for researchers working collaboratively with communities. This symposium will offer a panel of presentations highlighting research studies with tribal communities that honor and respect tribal sovereignty in addressing health and wellbeing among their older adults. The panel presentations will consist of presentations on dementia caregiving, generativity and successful aging, social support and diabetes management, elder-centered research methods.
Alaska Native Elder-Centered Research Methodology
Authors: Rosich Rosellen , Crouch Maria , Lewis Jordan 
Published: December 2021

Abstract
Alaska Native (AN) Elders have historically been underrepresented in research. Innovative AN research posits that practice-based evidence is fundamental to culturally grounded, multifaceted methods. AN Elders is a cultural convention distinguishing Elders who continue to serve as an integral part of their family and community and recognized by their community as role models. Several studies will be discussed which employed Elders at every level of the research, ensuring cultural relevancy, outcomes, and dissemination activities. The findings lay the foundation for an Elder-centered research methodology that can be adapted and applied in other studies to encourage engagement of older adults. This methodology has potential to impact research for underrepresented groups and to rethink and reshape Western-centric practices. Findings from this research provides best practices for capacity building and sustainability, strategies for empowerment and prevention, and a framework for supporting the AN community in all phases of research.
Creative Arts-Based Approaches to Improve the Well-Being of Older Adults
Authors: Petrovsky Darina , Sefcik Justine 
Published: December 2021

Abstract
As older adults age they may face cognitive impairment, disruption in their sleep, and a decrease in mood and overall well-being. Given the negative consequences of the COVID-19 pandemic, they may experience a disruption in their access to health care services. Creative arts-based approaches have shown promise in improving the well-being of older adults and may be helpful in augmenting health care services. In this symposium, we will present research results of creative arts-based interventions aimed at improving the well-being of older adults, including those with dementia. We will also discuss ways to successfully engage with organizations that serve older adults using arts-based interventions. The first presentation will focus on the results from a feasibility randomized controlled trial examining the effects of a tailored music listening intervention on sleep outcomes in older adults living with dementia and their caregivers. The second presentation will report findings from the Mason Music & Memory Initiative aiming to improve mood and behavioral outcomes in persons living with dementia in nursing homes. The third presentation will focus on the preliminary results of a pilot study that integrated the delivery of music therapy telehealth with remote social work support and service linkage for rural older adults from low-income areas. The fourth presentation will report findings from the capacity-building program for teaching artists, health/aging organizations, and arts organizations committed to strengthening Creative Aging efforts through research. Implications for future research and creative arts-based intervention development for older adults will be discussed.
Challenges and Strategies to Maintain Fidelity to the MIRROR-TCM Intervention During the COVID-19 Pandemic
Authors: Naylor Mary , Hirschman Karen , Morgan Brianna , McHugh Molly , Shaid Elizabeth , McCauley Kathleen , Whitehouse Christina , Pauly Mark 
Published: December 2021

Abstract
Randomized clinical trials (RCTs) have demonstrated that the multicomponent Transitional Care Model (TCM), an advanced practice registered nurse-led, team-based, care management strategy improves outcomes for older adults transitioning from hospital to home. However, healthcare systems’ adoption of the model has been limited. A multi-system, replication RCT (MIRROR-TCM) enrolling older adults hospitalized with heart failure, chronic obstructive pulmonary disease or pneumonia began in February 2020 just as the outbreak of COVID-19 in the U.S. dramatically changed the healthcare and research landscape. The goal of this qualitative descriptive study is to explore the impact of COVID-19 on fidelity to the TCM intervention during this clinical trial. Using directed content analysis, recorded monthly meetings with health system leaders and staff were coded to identify challenges and strategies to maintaining fidelity to the intervention in the context of the pandemic. Analyses showed that COVID-19 impacted all 10 TCM components. The components with the most challenges were delivering services from hospital-to-home due to quarantining, restrictive facility policies, lack of personal protective equipment and limited telehealth availability; coordinating care due reduced availability of services, and screening at risk individuals because of fewer eligible patients. Strategies for addressing challenges included: exploring alternatives (e.g., increasing reliance on telehealth, expanding study eligibility), building and engaging networks (e.g., direct outreach to skilled nursing facility staff) and anticipating needs (e.g., preparing for shorter hospital stays). Findings highlight the importance of monitoring the contextual challenges to implementing an evidence-based intervention and actively engaging partners in identifying strategies to achieve fidelity.
Impact of Hurricane Sandy on Hospital Admissions 2 Years Later
Authors: Sands Laura , Du Pang , Do Quyen , Xu Yunnan , Pruchno Rachel 
Published: December 2021

Abstract
Disaster exposure is often followed by acute illness and injuries requiring hospital admission in the weeks after the disaster. It is not known whether disaster exposure is associated with hospitalization in the years after the disaster. We examined the extent to which disaster exposure is associated with hospitalization two years after Hurricane Sandy. The analyses fill a gap in our understanding of long-term physical health consequences of disaster exposure by identifying older adults at greatest risk for hospitalization two years after disaster exposure. Older adults (n=909) who participated in a longitudinal panel study provided data before and after Hurricane Sandy. These data were linked with Medicare inpatient files to assess the impact of Hurricane Sandy on hospital admissions after the post-hurricane interview. Those who reported experiencing a lot of fear and distress in the midst of Hurricane Sandy were at an increased risk of being hospitalized in the second or third years after the hurricane [Hazard Ratio=1.81 (1.15 – 2.85)]. Findings held after controlling for pre-hurricane demographics, social risks, chronic conditions, and decline in physical functioning after the hurricane. These findings are the first to show that disaster exposure increases risk for hospital admissions two years after a disaster, and that older adults’ appraisal of their emotional distress during the disaster has prognostic significance that is not explained by known risks for hospital admissions. The findings suggest that interventions during the storm and after the storm, may reduce long-term health consequences of disaster exposure among older adults.
Age-Friendly as Tranquilo Ambiente: How Socio-Cultural Perspectives Shape Older Latinos’ Lived Environment
Authors: Plasencia Melanie 
Published: December 2021

Abstract
Researchers have increasingly considered the importance of age-friendly communities to improve the health and well-being of older adults. Studies have primarily focused on the built environment, such as community infrastructure, older adult behavior, and environmental expectations. Less attention, however, has been given to the role of cultural characteristics in shaping perceptions of age-friendly environments for Latinos. Using an ethnographic methodological approach, including participant observation in a Latino community near New York City and 72 semi-structured interviews, this study provides empirical insights into how older Latinos characterize age-friendly communities. Latino older adults described their community as age-friendly using Tranquilo Ambiente (TA), which translates to a calm or peaceful environment. According to older adults, a TA possesses the following: 1) a sense of personal safety, including protection of their body, 2) ethnic, social connectedness, including networks with other Latinos and important social and cultural events; and 3) a comparative understanding of their communities treatment of seniors versus other geographical and spatial locations. While much has been written on the role of the built and social environment in developing and implementing age-friendly communities, more research on the cultural significance and understanding of place among marginalized older adults is necessary. TA and its characteristics demonstrate that cultivating an age-friendly setting requires adapting structures and services to promote Latino older adults' social and cultural support and engagement.
Aging out of Place: Factors Related to Quality of Life Among Older Refugees in the United States
Authors: Owino Jonix , Fuller Heather 
Published: December 2021

Abstract
Refugees flee their home countries, migrating to countries such as the US for safety. The psychological distress they experience may compromise their adaptation and well-being. However, little is known about quality of life among aging refugees who migrate to the US as adults, and in particular whether quality of life varies among refugees by sociodemographic factors such as age, sex, country of origin, and length of residence. Moreover, limited research exists examining the role of social connectedness for aging refugees’s quality of life. The current study explores sociodemographic and social connection factors associated with quality of life among aging refugees (N = 108; aged 50+). Refugees from Bhutan, Burundi, and Somalia were recruited from a Midwestern small city to complete an in-depth survey assessing social factors and well-being. Hierarchical regression analyses showed that females, older individuals, and African refugees reported lower quality of life, while length of residence was not associated with quality of life. When controlling for sociodemographic factors, greater social integration and lower loneliness were significantly associated with higher quality of life. There was also a significant interaction between loneliness and sex in predicting quality of life, indicating that greater loneliness was associated with reduced quality of life for women but not men. Study findings will be discussed in light of cultural variations within refugee groups and with the goal of highlighting ways to best support aging refugees’ well-being and develop social programs that can effectively cater to issues of aging among refugees.
Marital Histories and Late-Life Economic Security: Do Social Security Benefits Rules Perpetuate Disparities?
Authors: Carr Deborah 
Published: December 2021

Abstract
Disparities in late-life economic security persist along the lines of gender, marital status, race, and educational attainment. We propose that these disparities are partly due to the fact that Social Security benefits are structured such that never-married, divorced, and cohabiting persons, those who were widowed prematurely, or were in a dual-earner couple face benefit penalties. Drawing on data from the Wisconsin Longitudinal Study (WLS), a study that has followed men and women from age 18 (in 1957) through age 72 (in 2011), we examine disparities in Social Security earnings and poverty risk on the basis of gender and marital histories. Our results reveal a large disadvantage for divorced and never-married persons (relative to their married counterparts), with women and those divorced two or more times experiencing the largest toll. We discuss the implications of our results for revamping Social Security to better meet the needs of 21st century families.
Impact of COVID-19 on Meaning Making of Dementia Caregivers in Hong Kong: From the Generational Perspectives
Authors: Vivian W Q Lou , Leung Reynold 
Published: December 2021

Abstract
This study examined the impact of COVID-19 on meaning making among adult children dementia caregivers and the association with caregiver mental well-being. Adult caregivers (n=601) from two generations, 1946-1964 (Baby Boomers) and 1965-1980 (Generation X), were recruited in Hong Kong between October 2019 and June 2020. Participants were assessed on depressive symptoms (PHQ-9) and meaning making (Finding Meaning Through Caregiving Scale-FMTC). Generation X scored higher on sense of loss (p = 0.04) and lower on provisional meaning of FMTC (p=0.017). Moreover, an interaction effect (p=0.003) between generation and COVID-19 were found. During the pandemic, Generation X caregivers were more likely to suffer from higher losses, higher depressive symptoms (&gt;23.2% moderate to severe) and lower provisional meaning (p=0.03) compared to their boomer counterparts. The level of meaning making is more important to Generation X caregivers, especially in COVID-19 situation. Government should consider generation-responsive services and education support in guiding service implementation.
Senolytics Reduce Coronavirus-Related Mortality in Old Mice
Authors: Camell Christina 
Published: December 2021

Abstract
The elderly and chronically ill are among groups at the highest risk for morbidity and mortality to several infections, including SARs-CoV-2. Cellular senescence contributes to inflammation, multiple chronic diseases, and age-related dysfunction, but effects on responses to viral infection are unclear. Old mice acutely infected with pathogens that included a SARS-CoV-2-related mouse β-coronavirus experienced increased senescence and inflammation with nearly 100% mortality. Targeting SCs using senolytic drugs before or after pathogen exposure significantly reduced mortality, cellular senescence, and inflammatory markers and increased anti-viral antibodies. Thus, reducing the SC burden in diseased or aged individuals should enhance resilience and reduce mortality following viral infection, including SARS-CoV-2.
Can Ecological Momentary Assessments Be Used as Daily Markers of Personality Traits?
Authors: Pasquini Giancarlo , Neubauer Andreas , Eaton Nicholas , Clouston Sean , Graham Eileen , Mroczek Daniel , Scott Stacey 
Published: December 2021

Abstract
This study hypothesized that select ecological momentary assessment (EMA) survey items are sensitive to day-to-day fluctuations in personality traits Extraversion (E) and Neuroticism (N). As part of the Einstein Aging Study, 312 older adults (Mage=76.96 years, SD=4.85 years, range=70-90 years) completed up to 5 EMA surveys per day for 16 days and a Big Five trait personality measure. Parallel two-factor multilevel confirmatory factor analyses were conducted for E (Daily-E; Trait-E) and N (Daily-N; Trait-N). The E model showed good fit (CFI=.95; TLI=.94; RMSEA=.02) and a significant correlation of .20 between Daily-E and Trait-E factors. The N model showed poor fit (CFI=.68; TLI=.61; RMSEA=.06). Results suggest EMA items can be used as daily markers of Extraversion, yet results are unclear for Neuroticism due to poor model fit. Daily markers of Extraversion can be used to detect fluctuations in personality traits across days that may predict long-term personality change.