bluuebunny/crossref_metadata_2025_split huggingface dataset:
Fear of Falling, Fall Risk, Depression, and Anxiety in Community-Dwelling Older Adults
Authors: Rossler Aleatha , Thiamwong Ladda , Xie Rui , Stout Jeffrey , Park Joon-Hyuk , Choudhury Renoa , Garcia Oscar 
Published: December 2021

Abstract
Fear of falling is common in the older adult population with an estimated 43% being affected. We aimed to examine the associations among fear of falling, fall risk, depression, and anxiety in community-dwelling older adults. For this study 124 participants ranging from 60 to 96 years of age were recruited from the community settings in Central Florida. Fear of falling, fall risk, depression and anxiety were assessed using the Falls Efficacy Scale International (FES-I), the CDCSTEADI fall risk assessment, the Patient Health Questionnaire (PHQ) for depression, and the Geriatric Anxiety Inventory Short form (GAI-SF) for anxiety respectively. Data was collected via the Qualtrics survey. Comparisons were made for those below age 75 and those aged 75 and older, with 51.6% being under 75. Four ethnicity categories were also used: African American (8.1%), Asian (2.4%), Hispanic (14.5%), and non-Hispanic white (75%). All participants scored above 4 on the STEADI scale indicating fall risk. 42 scored positive for fear of falling on the FES-I scale and of that 42, 35.7% had a history of one or more falls in the last year (p &lt; .01). 46.8% of the participants screened positive for depression and 100% of participants were positive for anxiety. Using one-way ANOVA analysis, we found significant relationships between (1) depression (p&lt;.01); (2) STEADI (p&lt;.01) and FES-I.
Hospice Caregiver Burden and Work Productivity: An Exploratory Analysis
Authors: Hebdon Megan Thomas , Xu Jiayun , Tay Djin , Reblin Maija , Cloyes Kristin , Ellington Lee 
Published: December 2021

Abstract
Hospice caregivers experience burden that impacts their physical, emotional, and social well-being. Little is known about how caregiver burden impacts occupational well-being through employment and work productivity. Thus, our purpose was to explore the relationships between caregiver burden and dimensions of work productivity/impairment (absenteeism, presenteeism, activity impairment, and overall impairment) among working hospice cancer caregivers. This is a secondary data analysis of baseline data from a larger study of caregiver communication and bereavement. Study data including demographics, preparedness for caregiving, caregiver burden, and work productivity/impairment were analyzed using descriptive statistics, correlation analysis, and stepwise multiple linear regression. Dimensions of work productivity/impairment were dependent variables, and age and preparedness for caregiving were covariates. Working caregivers (N=54) had an average age of 52 (SD: 12.65), and were primarily White (83%), female (70%), married (69%), employed full-time (70%) and had a household income of $50,000 or more (65%). Greater caregiver burden was significantly associated with lower preparedness for caregiving (r=-.41, p&lt;.01), and greater activity impairment (r=.50, p&lt;.01), presenteeism (r=.44, p&lt;.01), and overall impairment (r=.36, p&lt;.05), but not absenteeism. Caregiver burden predicted activity impairment (b=1.72 [.72, 2.71], p&lt;.01), presenteeism (b=1.44 [.33, 2.55], p&lt;.01), and overall impairment (b=1.42 [.09, 2.74], p&lt;.05), even after controlling for age and preparation for caregiving. More burdened caregivers may be having more challenges with work productivity. Additional research is needed to examine these relationships in a larger, more diverse sample. Future research should also investigate how supportive work environments and leave policies reduce caregiver burden and promote work productivity.
Physical Activity Programming for Older Adults in Assisted Living: Contextual Factors to Consider
Authors: Webster Katelyn , Larson Janet 
Published: December 2021

Abstract
Sedentary behavior may adversely affect physical and cognitive health of older adults in assisted living (AL). Replacing sedentary behavior with light physical activity (PA) could help them maintain functional abilities and independence. We interviewed AL residents to obtain their guidance regarding the implementation of an intervention to reduce sedentary behavior. Here we report the results of a thematic analysis exploring contextual factors that may influence intervention implementation. We interviewed 20 residents (mean age 83.1; 60% women) and identified 7 themes. The first was attitudes and beliefs about PA. Most residents believed PA was important, but some lacked motivation or confidence to perform PA. Another theme was attitudes and beliefs about aging, as some residents felt discouraged about aging and uncertainty about how much PA they could safely perform. Abilities of AL residents was seen as an important consideration. It was noted that residents have a wide range of abilities and this could present challenges in planning a PA program appropriate for all residents. Social influences for PA should be considered, as residents may find encouragement from family or other residents. Space for being active is another factor because it is typically limited within AL. We found that some residents wanted more challenging exercise classes than currently provided by their facility. Finally, residents described limited opportunities for PA due to the nature of the AL environment. This thematic analysis brings attention to important factors that could influence the implementation of PA interventions with the AL population.
Redefining the Use of Digital Communities: AD Knowledge in an Online Educated Cohort of Midlife and Older Blacks
Authors: Brown-Hughes Travonia , Gamaldo Alyssa , Pettigrew Corinne , Caban-Holt Allison , Mohamed Nihal , Thorp, Jr Roland 
Published: December 2021

Abstract
The normalization of memory loss continues to contribute to diagnostic delays among older adult African Americans with dementia. We utilized an innovative recruitment method to establish a solely online study to examine perceptions and knowledge levels of Alzheimer’s Disease in a highly educated geographically diverse cohort of 223 African Americans aged 50-84. Participants were recruited through largely electronic communications. Sample participants were primarily female (n=196), with 51.1% having completed a master’s degree, and 58.2% of participants with household incomes of $90,000 or higher. Study findings revealed that although highly educated, 42% of sample participants believed significant memory loss was a normal part of aging and 59.6% felt that God’s Will was a possible cause of AD. A sizable majority of participants, 86.5%, felt most family physicians were not trained to diagnose AD. Findings underscore the need for physician and community education within diverse populations, regardless of education and SES status.
Self- and Informant-Reported Loneliness and Cognitive Function: Evidence From Three HCAP Studies
Authors: Lee Ji Hyun , Luchetti Martina , Sesker Amanda , Aschwanden Damaris , Sutin Angelina , Terracciano Antonio 
Published: December 2021

Abstract
Loneliness is defined as a distressing feeling that arises from the discrepancy between one’s desired and perceived social relationships. Theorists have posited that loneliness involves affective, cognitive, and behavioral components that can be noticed by close family or friends. Little is known about whether social withdrawal, a behavioral marker of loneliness observed by knowledgeable others, shares similar associations with cognition as self-reported loneliness. The present study examined whether self-reported and informant-rated loneliness are related to cognitive function in older adulthood. Data come from Harmonized Cognitive Assessment Protocol subsample included in three national aging studies from the US (HRS; N = 2,821, Mage = 75.8), England (ELSA; N = 896, Mage = 73.6), and India (LACI-DAD; N = 2,994, Mage = 69.3). Respondents reported on 1-item loneliness and informants rated the respondent’s withdrawal behavior. Regression models were used to analyze the association between both measures of loneliness and cognition, controlling for respondent (age, gender, education, race/ethnicity) and informant (age, gender, education, spouse, known years, frequency of contact) covariates. Meta-analysis showed that both respondent-reported and informant-rated loneliness were independently associated with lower cognitive functioning (memory, speed–attention–executive, visuospatial ability, and fluency) and global cognition (MMSE). The associations between observed withdrawal and cognition did not vary by informant-level characteristics nor the respondent’s cognitive impairment status. The present study indicates that withdrawal behavior observed by informants is associated with cognitive function, supporting psychosocial observations provided by knowledgeable others can be utilized in detecting cognitive function.
The Impact of Retirement Resources on U.S. Older Female Workers’ Retirement Timing: Theory of Planned Behavior Model
Authors: Kim Hansol , Ekerdt David , Baker Tamara , Watts Amber , LaPierre Tracey , Zhang Yan Bing 
Published: December 2021

Abstract
For older workers, having a retirement plan is important for a successful transition. Social awareness of the problems encountered by older women during retirement remains low. Women have limited retirement resources due to their unequal work experience, and older women with access to fewer retirement resources often postpone their retirement. This research examined how the timing of older women’s retirement was influenced by their retirement resources as well as their marital status. The study used 2014 HRS and RAND data, and collected sample of women aged 50-62 years old who worked either full or part time (n=3,593). Respondents were female (56%), white (63%), married (70%), and working full time (82%). Guided by the theory of planned behavior (TPB), multiple regression analysis examined gender differences in predicting older adults' retirement timing. TPB included three sub factors: attitudes toward retirement, subjective norm, and perceived behavioral control. Logistic regression analyzed the effects of respondents’ expectations of retirement (i.e., with vs without expected timing). The findings indicated that the TPB model works similarly for men and women but there is a difference according to marital status. Unmarried women are less likely to have accumulated financial resources and more likely to anticipate a later retirement (1.4 years) than married women and are also less likely to set an expected timing for retirement (p&lt;05). Such a robust research agenda would provide key information for government agencies and policymakers and contribute to the development of retirement planning models or retirement education programs for older women.
The Mortality of Older Adult Inpatients with Kidney Cancer during the Pandemic: A Retrospective Cohort Study
Authors: Brune Kendall , Yin Cheng , O'Neill Liam , Zhan Rongfang 
Published: December 2021

Abstract
Background: Elderly patients are a vulnerable group during the Covid-19 pandemic, especially those with cancer. Our study aims to identify how Covid-19 impacts elderly inpatients with kidney cancer and determine risk factors associated with increased mortality. Methods: Our retrospective cohort study utilized the PUDF dataset and included inpatients over 60-year-old, diagnosed with kidney cancer, and hospitalized within 30-day. Person’s Chi-Square was used to measure the differences between survivors and non-survivors, and the Mann-Whitney test was for non-normality distribution for continuous variables. Then, a binary logistic regression was employed to identify the association between independent variables and mortality. Results: Five hundred and twenty-two patients were included in the study, of which 7 (1.4%) died during hospitalization. According to the univariate analysis and Mann-Whitney test, expired patients were more likely to experience older age (p = 0.005), longer length of stay (p = 0.009), ICU (p = 0.012), HMO Medicare Risk (p = 0.005), Covid-19 (p &lt; 0.001), paralysis (p &lt; 0.001), and higher illness severity (p &lt; 0.001). The binary logistic regression revealed that older age (OR = 1.120, 95% CI: 1.004-1.249, p = 0.042) and the SOI (OR = 4.635, 95% CI: 1.339-16.052, p = 0.016) had significantly high odds of mortality. Conclusion: The retrospective cohort study reveals that although Covid-19 was not a predictive factor associated with increased mortality, there was a statistically significant difference between the survivor and non-survivor groups. Further studies need to assess its association with kidney cancer or other various types of cancer.
Enhancing Collaborations between our Age-Friendly Community and University Initiatives
Authors: Rogers Wendy , Pastor Brian 
Published: December 2021

Abstract
Community involvement and synergistic partnerships are key to fostering a holistic approach to programming and outreach that assess and meet the needs of the older adults in our communities. The University of Illinois Urbana-Champaign has created an Age-Friendly network to facilitate these partnerships featuring our designation of Age-Friendly City and Age-Friendly University as well as partnerships with our state and local governments, community aging services providers, and continuing care retirement communities. Through these partnerships, we have identified the landscape of the community, assessed the unique needs older adults, and identified novel solutions. We will discuss our plans for activities that will empower older adults in our community and at our university by promotion connection, collaboration, and inclusion.
Creating an Age-Friendly Model System Through a Community and University Partnership
Authors: Revell Andrew , Viveiros Jennifer 
Published: December 2021

Abstract
The University of Massachusetts 5-campus system was the first university system to receive the Age-Friendly University designation in the AFU Global Network (Business West, 2019). Simultaneously, the town of Dartmouth and city of New Bedford became Age-Friendly Communities. This allowed for dynamic collaboration between our university and communities. This presentation highlights several examples. The Ora M. DeJesus Gerontology Center faculty and student researchers developed the original age-friendly survey items for New Bedford’s initial community assessment; and the College of Nursing and Health Sciences faculty and student researchers compiled data for Dartmouth’s survey. Community service during the pandemic has flourished. The Community Companions program, which matches students with community members in social need, went virtual. Nursing students and faculty have been on the frontline in the vaccination efforts in the town of Dartmouth. These partnerships will be presented as examples of potential opportunities for other age-friendly communities. Community-university partnerships are encouraged.
Health Care Utilization in Diverse Older Adults in the Deep South and the Rest of the United States
Authors: Pisu Maria , Martin Roy , Shan Liang , Pilonieta Giovanna , Kennedy Richard , Oates Gabriela , Geldmacher David 
Published: December 2021

Abstract
We examined racial/ethnic (R/E) differences in health care utilization among older adults with Alzheimer’s disease and related dementia (ADRD) from US Deep South [DS] and non-DS, and individual or context-level factors that affect this utilization. Data were 2013-2015 claims for Medicare beneficiaries with ADRD; county-level data were used to define context-level covariates; adjusted analyses were conducted separately for DS and non-DS. Across R/E groups, 33%-43% in DS, 43%-50% in non-DS used ADRD specialists; 47%-55% in DS, 41%-48% in non-DS used ADRD drugs; 42.9%-53.4% in DS, 42%-51.8% in non-DS had hospitalizations in a one-year follow-up. R/E differences were not significant, with few exceptions. Comorbidities, poverty, and medical resources availability were associated with specialist use and hospitalizations; comorbidities and specialist use were associated with drug use. In non-DS only, other individual, context-level covariates were associated with health care outcomes. Research should further examine determinants of health care utilization in these populations.
Using Intersectionality Theory as a Lens in a Perspectives on Aging Class
Authors: Munly Kelly 
Published: December 2021

Abstract
The presenter will discuss strategies for using intersectionality as a theoretical lens in her Perspectives on Aging class in order to support students to understand the relevance of aging studies—including health and social disparities in aging—for their contemporary lived lives, as well as for prior generations. With this relevance established, the class also examines the significance and justification for the development of policy, such as Social Security legislation, as well as the need for aging-related career areas. The presenter will discuss the application of key course resources, including research that looks at aging in historic contexts, as well as content highlighting the importance of Age Friendliness and the diversity of career areas to support Age Friendliness and more optimal aging experiences overall. Examining historic roots of aging-related experiences in social contexts creates an informative platform for understanding experiences of aging in society today.
Diverse Caregivers in the United States: Implications for Caregiving Across the Lifespan
Authors: Whiting C Grace , Choula Rita , Cruz Yanira , Pongan Lauren , Lewis Feylyn 
Published: December 2021

Abstract
Caregivers with diverse backgrounds make up an important part of the landscape of caregiving in the US. Their unique experiences have been traditionally under-researched in the field of social sciences and underrecognized by society. To further understand the impact of race, ethnicity, class, gender and sexuality onto caregiving, the National Alliance for Caregiving (NAC) and the AARP Public Policy Institute commissioned an in-depth analysis of the dataset collected from the Caregiving in the US 2020 study, which segments populations based on ethnic and sexual identity, geographic location, and income level. Utilizing survey interviews with 1,392 caregivers in the US, this study found differences amongst the African-American, Latinx, and Asian American-Pacific Islander populations in relation to age, time spent caregiving, ADL/IADLs, caregiving strain and intensity, receipt of formal and informal support, and financial impact. In consideration of the distinct challenges presented by diverse caregiving throughout the lifespan, this presentation will also feature results from a 2020-2021 Diverse Elders Coalition and NAC commissioned study on the unmet caregiving needs in diverse communities. 11 virtual listening sessions were held with 400 caregivers of color, including American Indian/Alaska Native caregivers, and LGBTQ caregivers across the nation. Presentation attendees can expect to learn new insights into the experiences of diverse caregivers, while also gaining a fresh understanding of informal and formal support preferences with a multicultural lens. Finally, this presentation will provide recommendations to further prioritize the needs of historically marginalized caregivers in policy and practice.
Going Virtual When The Doors Close: Addressing Geriatric Workforce Training Needs During A Pandemic
Authors: Edelman Linda , Towsley Gail , Farrell Timothy 
Published: December 2021

Abstract
The focus of our Geriatric Workforce Enhancement Program (GWEP) is to enhance long-term services and support (LTSS) and primary care healthcare workforce capacity through interprofessional education (IPE) and to increase patient, family, and caregiver engagement. When it became evident that LTSS settings, schools, and communities were going to be adversely impacted by the COVID-19 pandemic for the unforeseeable future, our GWEP quickly pivoted to address new challenges and initiate technology to continue our programs. In this symposium, we describe four programs implemented or revised during the COVID-19 pandemic. We utilized CARES (Coronavirus Aid, Relief and Economic Security) funding to develop a 3-part Project ECHO on utilizing telehealth in LTSS settings. We pivoted quarterly Fireside Chats – community-based educational programs held at partnering LTSS settings for older adults and caregivers – to bi-weekly and now monthly webinars addressing topics relevant to COVID-19 and combatting social isolation. Because students could no longer attend an in-person IPE course introducing them to long-term care, we revised the course to be online with a partnering nursing home participating in an interactive mock care conference. Finally, a 2-semester undergraduate Honors College project-based course introducing students to successful aging utilized virtual activities to expose students to the challenges of hospice care during a pandemic. With these adaptations, as well as activities that advocated for, and supported, LTSS settings and older adults, our GWEP program was able to continue to provide education and support to the setting and individuals most impacted by COVID-19.
Pivoting Community-Based Educational Programming for Formal and Informal Caregivers During COVID-19
Authors: Dassel Kara , Telonidis Jacqueline , Witt Catherine , Edelman Linda 
Published: December 2021

Abstract
The Utah Geriatric Education Consortium provides community-based education about Age-Friendly Health Care and Dementia-Friendly Communities targeted towards informal and professional caregivers. As such, we have collaborated with our community partners to host a series of “Fireside Chats”. Since March of 2020, we have hosted 17 Fireside Chats. Our attendance has exceeded our expectations, with over 500 attendees (average of 32 attendees per session). The professional attendees come from a variety of interdisciplinary backgrounds including nursing, medicine, public health, allied health, aging services, and health and long-term care administration. Our non-professional attendees include family caregivers, students, and older adults in the community. This session will address: a) the logistical steps we took (and lessons learned) as we “pivoted” our Fireside Chats into a virtual video-conference format, b) how we redesigned the curriculum to address topics related to COVID-19, and c) will review our evaluation feedback.