bluuebunny/crossref_metadata_2025_split huggingface dataset:
Feasibility of a Generic FFC Intervention for Long-Term Care: Evidence From Interventions in Various Care Settings
Authors: Vluggen Stan , Metzelthin Silke , devan Ginkel Janneke de Man-van , de Waal Getty Huisman- , Zwakhalen Sandra 
Published: December 2021

Abstract
Function Focused Care (FFC) interventions support nurses to adapt their level of care to the capabilities of older people and to optimize their self-reliance. Recently, three FFC-interventions were implemented in various Dutch care settings. Lessons learned and implications were synthesized and an advanced FFC-program ‘SELF’ was developed for wide application. SELF comprises interactive and multidisciplinary sessions, is theoretically grounded, primarily focuses on behavior change in nurses, and is tailored to the team’s needs. It also includes policy and environment review, goal-setting, and coaching-on-the-job. SELF was tested in one Dutch psychogeriatric ward. Afterwards, focus groups were conducted with nurses, trainers, manager and coaches. The interactive content, mutual discussions, and practice-based working methods were highly valued. SELF increased awareness and willingness to practice FFC and was considered feasible in practice. Increased involvement and support of allied health professionals and the manager was preferred. A nationwide effectiveness trial is planned after refining SELF.
Community-Engaged Older Adult-Led Policy, Systems, and Environment Interventions in the MS High Obesity Program
Authors: Buys David , Smith Masey , Halfacre Katie , Holmes Megan 
Published: December 2021

Abstract
Older adults in rural areas are at unique risk for poor outcomes due to social isolation and limited access to resources. The Mississippi High Obesity Program (HOP) aims to enhance access to social connections and resources like community gardens, food pantries, and physical activity as part of its broader objective to prevent and reduce obesity. Through policy, systems and environment strategies, development of Memoranda of Understanding (MOUs) between aforementioned entities, and community based participatory research approaches, Mississippi HOP efforts enhance food systems improvement efforts; grow multi-sectoral collaboration; and evaluate the effectiveness of new policies, and specifically MOUs, in reaching these goals. Older adults represent more than 40% (n=27) of all coalition members and stakeholder leaders (n=61); they are essential for the success of these initiatives. This presentation will highlight the work done during the COVID-19 pandemic and the role of and benefits to older adults, especially ones in rural communities.
Shifting Issues of Support Exchange Under 20-Year Implementation of Japanese Long-Term Care Insurance Program
Authors: Wakui Tomoko 
Published: December 2021

Abstract
Japan has faced numerous issues in the last twenty years with its mandatory long-term care (LTC) insurance program. This LTC insurance program obviously affected older adults’ informal support exchanges, reducing support from family and the community, which became more valuable, subjectively. Furthermore, changes in support have impacted older adults’ subjective well-being and children’s perceived care motivation. Additionally, a mandatory uniform system challenges the issue of tolerance of diversity, meaning how non-traditional families’ opinions be involved LTC situations. This symposium discusses unexpected shifting issues in Japan in the implementation of a public LTC program with a focus on older adults’ support exchanges. The first paper examines the long-term impacts of formal and informal support by examining the effects of implementing formal services. The second paper assesses a community’s role in relation to family in the presence of a public LTC program. The third paper examines the subjective impacts of older parents, who provided support to adult children and their reciprocal expectations of receiving LTC. The fourth paper, on the other hand, articulates reciprocal impacts on sons’ care motivation, which has become more important, since the introduction of the LTC program reinforced men’s participation in LTC. Finally, the fifth paper clarifies how a public uniform program accommodates informal support from non-traditional families when the program premises the presence of family in advanced care planning. Our findings have long-term implications for aging societies in relation to formal and informal support exchanges.
Neighborhood Relationship Matters for Whom?: Interaction With Family Structure and Functional Conditions
Authors: Sugawara Ikuko , Kobayashi Erika 
Published: December 2021

Abstract
Living environment is considered to have unignorable effect on our health and well-being, especially when we face shrinkage of mobility as we age. Social interaction with neighbors constitutes our social environment, and it may affect our well-being by interacting with other social resources such as support from family and professional care providers. In this study we examined the effect of social environment in neighborhood on older people’s well-being, and how its effect is moderated by their family structure, functional conditions, and LTC service usage. Data was obtained from the survey conducted in 2012 with nationally representative sample of Japanese adults aged 60 years and older. The results showed that for people with functional limitation but were not certified as needing LTC, neighborhood social network was positively associated with well-being. These results suggest the unique function of neighbors for frail people to keep everyday life in the community.
Perceptions of Social Determinants of Successful Aging Among Older Men Living With HIV
Authors: Rubtsova Anna , Moore David , Jeste Dilip , Holstad Marcia 
Published: December 2021

Abstract
The overall purpose of this qualitative study was to examine barriers and facilitators of successful aging among older men living with HIV (OMLH). Participants were recruited through HIV Neurobehavioral Research Program at the University of California, San Diego. Our sample included 14 OMLH: average age - 62 years old (range: 53 to 72), 79% white, 43% living alone, 79% men who have sex with men, 57% having college education or higher. Semi-structured interviews lasted from 43 to 114 minutes and were fully transcribed. Several themes emerged related to perceived barriers to successful aging stemming from social institutions: i.e., age discrimination and ageism, sexual and HIV-related stigma, social isolation, lack of resources, and food insecurity. Perceived institutional solutions promoting successful aging included mixed-age/inter-generational support groups, computer literacy training, health education, information and resources related to healthy lifestyle on a limited budget, and increased transparency of resources available to older adults.
Barriers and Facilitators to Advance Care Panning Among Veterans Aging With HIV
Authors: Taylor Emily Pinto , Halpin Sean , Marconi Vincent , Justice Amy , II Theodore Johnson , McInnes D Keith , Perkins Molly 
Published: December 2021

Abstract
Advance care planning (ACP) and hospice services are underutilized by patients living with HIV (PWH). Little is known about how older PWH approach ACP; the purpose of this qualitative study was to understand barriers and facilitators to ACP within the context of the patient-clinician relationship. Data are from a larger multimethod study designed to understand social determinants of health (SDH) that shape the lives and healthcare experiences of veterans aging with HIV. The sample includes 25 veterans from the Veterans Aging Cohort Study (VACS) recruited from an urban VA medical center. Semi-structured interviews were performed and analyzed using thematic analysis. Less than half of participants reported engaging in ACP. Key barriers to ACP include: fragile social ties, distrust of the healthcare system, and fear of disclosure and discrimination. We offer several recommendations for clinicians to engage in these conversations successfully and highlight the importance of considering SDH when designing interventions.
Social Determinants of Health Among Those With and Without HIV Infection in NYC, the Epicenter of the U.S. Crisis
Authors: Taylor Tonya 
Published: December 2021

Abstract
The COVID-19 pandemic in NYC, the epicenter of the US crisis, revealed indisputable evidence that social determinants of health (SDoH, e.g., racism, crowded housing, employment risks) and disparities in comorbid health risk factors produce higher burdens of disease and death among racial and ethnic populations. We conducted a needs assessment of SDoH among 1400 patients in several ambulatory care clinics to explore the impact among older adults, across different clinical populations. Among older adults with HIV (OAH), we found lower rates of food and housing insecurity compared to older adults without HIV. Despite higher levels of COVID knowledge and prevention adherence, we also found significantly higher levels of isolation, loneliness, depressive symptoms, and anxiety among OAHs compared to those without HIV. Access to Ryan White entitlements did buffer some impacts but preexisting high burdens of mental health issues were exacerbated, perhaps due to heightened perceptions of increased vulnerability to COVID-19.
Walking It Off: More Stressors and Perceived Stressor Control Predict More Physical Activity in Daily Life
Authors: O'Brien Erica , Almeida David 
Published: December 2021

Abstract
Research shows that, while the experience of stress relates to lower levels of physical activity (PA), people who perceive a greater sense of control engage in higher levels of PA. This study explores whether a sense of control specifically over stressful situations moderates the negative association between stressor exposure and PA in daily life. We used 8-day diary data from up to 1,236 participants (Age: Range = 43-91, M = 62.47, SD = 10.20) in the National Study of Daily Experiences. Somewhat contrary to hypotheses, people reported spending more time on light PA (but not moderate-to-vigorous PA) on days when they also experienced more stressors than usual. Perceived stressor control appears to magnify this effect, with people reporting even more light PA on days when they feel greater control. Initial findings suggest that a physically active lifestyle may help middle-aged and older adults cope with daily stressors.
Exploring Use of Digital Home Assistants for Older Adults: A Demonstration Project
Authors: Kadylak Travis , Malecki Maya , Galoso Leonardo , Gowrishankar Saahithya , Brown Amy , Sreenivas Ramavarapu , Rogers Wendy 
Published: December 2021

Abstract
Emerging digital home assistant technology has potential to support older adults in their homes. Voice-activated assistants can be used for entertainment, environmental control, physical activities, health management, and social engagement. However, many older adults have limited experience with these devices, which are not designed with them in mind. We conducted a demonstration project to explore how seven older adult assisted and independent living residents interacted with digital assistants over four months. We conducted monthly semi-structured telephone interviews and pre/post questionnaires. Participants desired to use their devices to communicate with others, and for a range of health activities, including nutrition tracking, medication management, and health information searching. However, numerous usability barriers emerged. Some participants perceived their device as a social companion. These findings indicate that older adults are willing to use digital assistants for various activities that may enhance independence, although instructional and training materials are needed to support their use.
SmartBathroom Data Visualization Tool to Inform OT Clinical Reasoning
Authors: Sanford Jon , Basu Avinandan , Xu Yangyi 
Published: December 2021

Abstract
Traditionally, Occupational Therapy assessment of an older adult’s toilet transfer performance has been based on qualitative observation and client self-report. The purpose of this study was to evaluate the effectiveness of supplementing traditional clinical reasoning with quantitative transfer performance data about body and foot position, balance, hand placement and grasping forces on grab bars. Specifically, we conducted an online survey of occupational therapy practitioners and educators to assess the usefulness and usability of 2D and 3D graphic visualizations representing foot and hand position and forces exerted on the floor, toilet seat and grab bars. These data were captured by sensors located throughout GA Tech’s SmartBathroom laboratory during a study of transfer performance. Findings are being used to identify the most useful sensor data and the most effective ways to convey that data to improve training of occupational therapy students.
The Relationship Between Social Media Use and Well-Being: The Mediating Role of Social Support
Authors: Lin Xin Yao , Lachman Margie 
Published: December 2021

Abstract
Frequent social media usage can have negative effects on well-being, but the mechanisms involved are unclear. This study explored the mediating role of giving and receiving support. Using the Midlife in the United States Refresher eight-day daily diary study (N=782, age 25-75), multilevel structural equation modeling examined the hypothesized relationships at both the within- (intraindividual) and between-person (interindividual) levels. Results showed that at the within-person level, days with more social media use were associated with a larger proportion of time giving support and worse well-being (less positive affect and more stress, negative affect, and loneliness). At the between-person level, more social media use was associated with worse well-being. Giving support, but not receiving support, mediated the relationship between social media use and well-being at the within, but not the between-person level. Discussion focuses on ways to address the negative consequences of social media use related to social connections and well-being.
How the COVID-19 crisis affected diverse older adults: A mixed methods case series
Authors: Thiamwong Ladda 
Published: December 2021

Abstract
The coronavirus disease (COVID-19) pandemic has magnified inevitable physical, mental and social health consequences, especially in Hispanic older adults who experience health disparities and ageism. Even though physical distancing has been adopted as a key strategy to help reduce further spread of COVID-19, prolonged periods of physical distancing may worsen existing health problems. This study aims to explore how the COVID crisis affected diverse older adults. An explanatory sequential mixed methods design was utilized. Quantitative data were collected by questionnaires via Qualtrics survey and qualitative data were collected by individual phone interviews with four open-end questions. One in 4 older adults lives alone and one in 20 has no friend to call on. More than half of the participants were afraid of COVID and a fourth of them were afraid of losing their life to COVID. Participants identified keeping themselves busy as key to staying healthy during the pandemic.
Active Aging From Theory to Practice: National Experiences of Policy Making in Europe and Canada
Authors: Barbabella Francesco 
Published: December 2021

Abstract
Born in Europe as a concept aiming to counteract new demographic and societal challenges, active aging has progressively become a key pillar of an extended welfare state for aging populations in many high-income countries. Needs, interests, and preferences of new aging cohorts are changing, becoming more diverse and requiring a better understanding and greater attention by policy makers, beyond mere social welfare programmes for those with social, economic or health needs. Active aging policies aim at improving individuals’ quality of life by optimizing opportunities for health, participation, and security (WHO 2002), hence unlocking the potential of older people as active citizens in the community and the society. Since the focus is on a multidimensional concept of quality of life, active aging works at the intersection of labour, social, educational, family, infrastructure, and many other policy areas. However, there may be gaps and discrepancies between the concept in itself and its application at the policy level. The purpose of this symposium is to present and discuss how different post-industrial societies are advancing and implementing active aging policies, in the context of overarching societal challenges and competing needs. In this respect, the symposium focuses on four countries representing different traditional welfare state models: Canada, Italy, Poland, and the United Kingdom. These four case studies bring analyses of active aging policies at national and/or regional level, providing a picture of how such policies have been designed, how they evolved and what they have achieved in recent years.
Using Technology for Prescription and Adherence in an Alzheimer’s Prevention Program
Authors: Watts Amber , VanSciver Angela , Clutton Jon , Finley Katrina , Flores Erica , Szabo-Reed Amanda , Burns Jeffrey , Vacek James 
Published: December 2021

Abstract
Healthy lifestyle change is difficult to adopt and maintain without support. Often physicians recommend exercise to their patients, but have limited means to support this change. A major goal of our study is to provide physicians with a simple method of referring patients to a program that supports adoption and maintenance of exercise that meets recommended guidelines for older adults. The Lifestyle Empowerment for Alzheimer’s Prevention program (LEAP! Rx) is a yearlong intervention to support cognitively normal older adults in adoption and maintenance of moderate to vigorous exercise, a key prevention factor for Alzheimer’s disease. The program uses the electronic medical record and builds relationships with physicians to identify patients eligible to participate. It electronically communicates about patients’ progress back to referring physicians to facilitate ongoing physician-patient interaction. Participants receive exercise coaching to reach their weekly exercise goals and have access to online lifestyle education classes (e.g., nutrition, sleep, stress management). The study is currently enrolling (n= 121 enrolled; mean age 71.4; 12% non-white, 4% Hispanic/Latino, and 83% female). Physician referrals originate from five clinics represented by 48 physicians. The study design will actively compare the physician referral process to self-referrals from the community (n=20). We have adapted the protocol to the conditions of the pandemic including online exercise coaching and support. This presentation will discuss successes and lessons learned from this novel method of recruitment and adherence to exercise.
Aging With Intellectual and Developmental Disabilities: When Dementia Is Diagnosed or Suspected
Authors: Clark Phillip , Munly Kelly 
Published: December 2021

Abstract
Individuals with lifelong intellectual and developmental disabilities (IDD) have unique needs associated with aging that pose challenges for them and their families. In particular, an increased likelihood for early onset Alzheimer’s disease is a major concern that can place individuals at risk for a host of biomedical, psychological, and social challenges. Faced with providers not trained in how to properly screen for, diagnose, and treat conditions, individuals and families are often left with inadequate care, services, and support. To address these concerns, education for professionals is essential in providing accurate information based on clinical best practices. This symposium presents an innovative and interprofessional model developed by a partnership of geriatrics and IDD educational and service organizations based on Project ECHO (Extension for Community Healthcare Outcomes) methodology. A virtual community is created in which participants both teach and learn from each other through a combination of didactic and case presentations. The first paper describes the ECHO model, including the development of the hub and spoke structure, recruitment of providers, and collaborative and multidisciplinary process of curriculum development. The second paper explores educational experiences of participating spoke agencies in the program, including professionals’ and clients’ outcomes. The third paper presents the implications of creating a foundation based on interprofessional education and networking principles to bridge the gap between health and social care disciplines and parallel service systems. The final paper provides recommendations and implications for developing and refining methods to address the need for provider education in this rapidly expanding field.
Bridge Builders and Boundary Spanners: Intersectoral, Interorganizational, and Interprofessional Education
Authors: Clark Phillip 
Published: December 2021

Abstract
The needs of individuals aging with intellectual and developmental disabilities (IDD) and their families do not fall neatly within defined policies, programs, and professions. They comprise complex challenges based on medical, psychological, social, environmental, economic and familial dimensions. These needs pose a challenge for providers in developing solutions at three levels: (1) different policies and programs create barriers based on different funding sources, eligibility requirements, and administrative restrictions; (2) clinical and community-based programs embody the gap between healthcare and human service providers; and (3) different professions are trained in their own methods of assessment and care plan development that impede the design of integrated approaches to defining and solving problems. This paper proposes an intersectoral, interorganizational, and interprofessional framework for addressing these problems based on networking and collaborative practice principles embodying bridge-building, boundary-spanning, and team-working as a basis for provider education. Implications for expanded education in this field are explored.
Relationships Between Salivary Cortisol Slope and Neuropsychiatric Symptoms in Persons Living With Dementia
Authors: Hwang Yeji , Dong Fanghong , Perez G Adriana , Hodgson Nancy 
Published: December 2021

Abstract
While a flatter diurnal cortisol slope has been related to poor health outcomes in healthy populations, little is known about this relationship in persons living with dementia (PLWD). The purpose of this study was to examine the association between diurnalcortisol slope and neuropsychiatric symptoms in PLWD. Secondary data analysis was conducted using baseline data from the Healthy Patterns Study (N=168). Diurnal cortisol slope was calculated using the difference between changes in salivary cortisol from 30 minutes after awakening to bedtime. Spearman rho coefficients were used. Flatter cortisol slope was associated with the presence of symptoms of agitation (r=-0.191, p=0.013) and disinhibition (r=-0.168, p=0.03). Steeper cortisol slope was related to a more severe level of anxiety symptoms (r=0.36, p=0.009) and higher frequency of insomnia (r=0.292, p=0.011). We found that cortisol slope was associated with neuropsychiatric symptoms in PLWD. Future research is needed to examine the mechanisms underlying the relationships.