bluuebunny/crossref_metadata_2025_split huggingface dataset:
Taking a Campus-Wide View of Age-Friendly Practices in Higher Education
Authors: Bowen Lauren , Silverstein Nina , Whitbourne Susan , Montepare Joann 
Published: December 2021

Abstract
The first AFU principle is to “encourage the participation of older adults in all the core activities of the university, including educational and research programs.” As this suggests, a crucial goal of age inclusivity in higher education is to resist the siloing of older adults and age-inclusive efforts in age-specific programs and cohorts. In response, the Age-Friendly Inventory and Campus Climate Survey (ICCS) assessment was designed to assess age-inclusivity across seven areas of institutional activity: outreach & engagement, personnel, physical environment, research, services & resources, student affairs, and teaching & learning. By restructuring and expanding the “pillars” of institutional activity outlined by AFU principles, the ICCS presents two key advantages for benchmarking AFU practices: (1) it traces age-inclusivity across many facets of institutional operations; and (2) it prompts participants and report readers to recognize their role in current and potential age-inclusive efforts, regardless of their role or department on campus.
Longitudinal Measurement Properties of the Montreal Cognitive Assessment
Authors: Andersson Björn , Luo Hao , Wong Gloria H Y , Lum Terry Y S 
Published: December 2021

Abstract
Background: The Montreal Cognitive Assessment (MoCA) has started to be widely used in longitudinal investigations to measure changes in cognition. However, the longitudinal measurement properties of MoCA have not been investigated. We aimed to examine the measurement invariance of individual MoCA items across four time points. Methods: We used longitudinal data collected between 2014 and 2017 from a cohort study on health and well-being of older adults in Hong Kong. The Cantonese version of the MoCA was used. We applied multiple group confirmatory factor analysis of ordinal variables to examine measurement invariance by educational level and across time points. Invariant items were identified by sequential model comparisons. Results: We included 1029 participants that answered MoCA items across all time points. We found that items Cube, Clock Hand and Clock Number had significantly different item parameters between participants with and without formal education at all time points. The selected model (RMSEA=0.031; SRMR=0.064) indicated that eight items (Trail, Cube, Clock Shape, Clock Number, Clock Hand, Abstraction, Short-term Memory, and Orientation) did not exhibit measurement invariance over time. However, the differences in item parameter estimate over time were marginal. Accounting for the lack of measurement invariance did not substantially affect classification properties based on cutoff values at the 2nd ( major neurocognitive disorder) and 7th (mild cognitive impairment) percentile. Conclusion: Our findings support using MoCA to assess changes in cognition over time in the study population. Future research should examine the longitudinal measurement properties of the test in other populations with different characteristics.
Chicago Older Adults’ Likelihood of Being Home Before and During the COVID-19 Pandemic
Authors: Compernolle Ellen , Finch Laura , Hawkley Louise , Cagney Kathleen 
Published: December 2021

Abstract
Staying at home has particularly been emphasized for older adults during the COVID-19 pandemic, given their elevated risk of infection and complications. However, little is known about the extent to which this population is indeed spending more time at home during the pandemic, compared to before it began. The present investigation addresses this question, also examining differences by gender and race/ethnicity. We analyzed ecological momentary assessments among 98 older adults (age 65-88 in 2020) who participated in two waves of the Chicago Health and Activity Space in Real Time study. Pre-pandemic data were collected from July-October 2019, and pandemic data were collected from June-September 2020. Participants responded to smartphone “pings” (five per day for 7 days in each wave; n=1,910 and n=2,437 before and during the pandemic, respectively) by reporting their momentary location (e.g., home). Findings suggest that respondents were indeed at home more often in mid-2020 than 1 year prior. Multilevel logistic regression models revealed that net of demographics, marital and employment status, and physical health, respondents were more likely to be momentarily at home during versus before the pandemic (B=0.70, SE=0.08, p&lt;.001). This effect was larger among women than men (B=0.50, SE=0.16, p=.002), but did not differ by race/ethnicity. Additional analyses examine whether and how the observed increased reports of being at home may be associated with increased reports of momentary loneliness across the two waves. Findings characterize where Chicago older adults are spending their time amid the pandemic and how this may relate to their well-being.
Do Individuals Skimp on Health Care After Spouse’s Dementia Diagnosis?
Authors: Chen Yi 
Published: December 2021

Abstract
Dementia is a costly disease that places great burden on individuals and families. The substantial time and financial resources taken away by living with persons with dementia (PWDs) may make their spouses forgo essential health care, thus deteriorating long-term health and increasing downstream healthcare costs. However, such negative externality is understudied. This paper studied the impacts of spouse's incident dementia diagnosis on an individual's use of needed care, defined as annual flu shot and regular doctor visits for those with preexisting conditions. Using HRS linked to Medicare claims, I employed a fixed effects approach to compare the use of flu shot and doctor visit during 1 year before and after the index, for individuals whose spouse had dementia (N=691) and otherwise similar controls (N=5,073). After adjusting for time-varying health, caregiving roles, and other socio-demographic factors, spouse’s dementia onset was associated with greater likelihood of getting flu shot and seeing doctors. Among those transitioning into caregiving, spouses of PWDs had a marginally higher risk of skimping on doctor visits, compared to controls (p=0.053). In this broadly representative sample, there lacks evidence for rationed health care ensuing spouse’s dementia incidence, at least within a 1-year time frame. However, for new spousal caregivers, the impact of dementia is more profound and complex than deprivation of time. This group may face a trade-off between caring for spouses with dementia and caring for themselves, for whom policy support merits further study and consideration.
COVID-19 and Brain Health: Global Council on Brain Health Recommendations
Authors: Lock Sarah , Chura Lindsay 
Published: December 2021

Abstract
With growing evidence that the coronavirus directly harms the brain and indirectly harms mental well-being due to social isolation and new, increased stressors, the GCBH recognized the urgent need to inform adults age 50+ about ways to their protect brain health as the pandemic continues. In our latest report, the GCBH describes the known neurological symptoms occurring in the short and long term for adults, providing 10 recommendations to protect brain health and urging research in 11 different areas. Calling for an all-of-society approach to protect the brain health of everyone, the GCBH described the negative effects of COVID-19 on people living with Alzheimer’s disease and other dementias and to the impact of health care inequalities. For example, people with dementia were twice as likely to catch the virus as those without dementia; African Americans with dementia had nearly three times the risk of COVID-19 as Caucasians with dementia. The GCBH also points out that caregivers for those living with dementia have experienced particular stress and provided resources and guidance. The Council spotlights the disproportionate toll of COVID-19 on the vulnerable, including racial and ethnic minorities and those living in low- to middle-income countries. After attending this session, participants will be able to identify the neurological impacts of COVID-19, understand the various ways to mitigate risks to brain health, and learn which areas of research will be critical in the future. These recommendations were developed and put forth by the Global Council on Brain Health Governance Committee and Issue Experts.
What Happens Next? Conducting Research With Cancer Survivors Who Discontinue Their Post-Treatment Care
Authors: Seaman Aaron , Pagedar Nitin 
Published: December 2021

Abstract
Due to improvements in screening, diagnosis, and treatment, more cancer patients are surviving and living longer. For them, survivorship care provides critical support: surveillance and screening for recurrence and new cancers; physical and psychological symptom management; social and financial management support; management of other chronic conditions; and preventive health and health promotion support. Yet, our pilot data indicates that a substantial number of survivors discontinue their survivorship care with the treating oncology team, a team that often provides critical multidisciplinary support and expertise. While it is important to understand the experiences, outcomes, and needs of these survivors, they can be challenging to engage in research. In this presentation, we will discuss survivors who discontinue, why they might do so, and methods for engaging them in research, drawing upon our work with head and neck cancer survivors.
The Moderation of Middle-Generation Support on the Relation of Stress and Depression in Coresident Grandparents
Authors: Nadorff Danielle , Barnett Melissa , Yancura Loriena 
Published: December 2021

Abstract
Consistent with Cohen & Wills’ Buffering Hypothesis, social support has been found to moderate the relation between stress and depressive symptoms but has yet to be examined among coresident grandparents (CGPs), a population at risk of increased stress and depression. The current study sought to extend the model to this highly prevalent, vulnerable population. Participants were 180 grandparents across the USA living with their grandchildren. Measures included depression, stress, and satisfaction with support provided by the middle generation (MG) parent of the grandchild. After controlling for age, gender, income, and household type (skipped or multi-gen), MG support moderated the relation between perceived stress and depressive symptoms, accounting for 49% of variance. For CGPs least satisfied with support provided by the MG, the more stress, the higher their depressive symptoms. These findings indicate that improving relationships with grandchildren’s parents is an important avenue for interventions focused on grandparent caregivers’ mental health.
Environmental Assessment Tools for Shared Residential Settings for Individuals Living With Dementia
Authors: Calkins Margaret , Kaup Migette , Abushousheh Addie 
Published: December 2021

Abstract
The overarching goal of conducting research in and on settings for individuals living with dementia is to be able to identify associations between features, or set(s) of features, and outcomes of interest. A major challenge to this goal is the disconnect between the rapidly changing arena of LTC design over the past 20 years toward more residential-styled settings and existing assessment tools, many of which were developed over 20 years ago, and which are based on and reflect more traditional models of care, service delivery and design. This session examines the strengths and limitations of both existing and emerging assessment tools from the US, Canada, UK and Australia. More recently developed tools are more directly focused on the values of person-centered care than older tools.
Comparing Young and Old Adults’ Night Hazard Detection With Driving Simulation and on Road
Authors: Dickerson Anne , Leonardo Juliette 
Published: December 2021

Abstract
While there is validity of using driving simulation as a proxy for on-road performance, few studies have examined hazard detection at night. Night driving is a self-restricting practice with little evidence demonstrating the need with healthy older adults. This study’s objective was to analyze night driving using eye-tracking technology examining differences between on-road/simulated drives and older/younger adults. A 2 (old, young) x 2 (simulator, on-road) repeated-measures design measured three roadway “hazards” of pedestrains looking at their cell phone while posed to cross the roadway. Pupil glances were recorded using outcome measures of total fixation duration, number of fixations, and time-to-first fixation for the pedestrains on-road and on a specifically designed scenario matching the on-road route. Thirty-three healthy, community-living drivers age 65+ years (N=16) and drivers age 20-40 years (N=17) completed both drives. Using non-parametric statistics, results demonstrated that night hazard detection was similar across driving conditions except for time-to-first fixation, which was faster on-road for both age groups (p&lt;.001). At some hazard locations, there were significant differences between the two age groups, with older adults taking longer to initially see hazards. Results suggest, older adults detected hazards similarly to younger adults, especially during on-road performance, suggesting avoidance of night driving may not be necessary. Results also support using driving simulation as a proxy for on-road with night driving needing to be incorporated. Additionally, eye-tracking has the potential for research in hazard detection with emphasis on the time-to-first fixation outcomes when considering driving analysis.
The Caregiver Initiative: A Model for Caregiver Health and Wellness in Age-Friendly Health Systems
Authors: Carbonell Ellen , Golden Robyn , Pelton Leslie 
Published: December 2021

Abstract
Health care systems have historically relied on family caregivers to provide long-term care for older adults, often including medically complex care for which they have no medical training. Yet there are few interventions in place to assist them within health care systems. The Rush Caregiver Initiative (Rush-CGI) provides system-level and caregiver interventions. Rush-CGI’s system-level interventions focus on culture change, including modifying workflows, training, and electronic health record data. Rush-CGI caregiver interventions begin with assessment of needs and provision of resources for caregivers, offering interprofessional family-based interventions. Interventions include a Teach-Back Clinic, Family Care Planning sessions, and Goals of Medical Care meetings, all held on an outpatient basis either in person or virtually. Outcomes include decreased caregiver depression and anxiety, and increased caregiving self-efficacy. This presentation will discuss creating system level change and providing customized caregiver interventions, including how the Rush-CGI can be modified to fit a variety of patient populations.
Associations of Mental Health and Chronic Physical Illness During Childhood With Major Depression in Later Life
Authors: Bergmans Rachel , Smith Jacqui 
Published: December 2021

Abstract
While poor health in childhood has implications for mental health years later, less is known regarding its long-term impact. We determined whether childhood chronic physical illness burden was associated with major depression (MD) in later life (i.e., &gt;50 years), and tested mediation by childhood mental health status using path analysis. Data came from the 2016 U.S. Health and Retirement Study (n=18,047). One standard deviation increase in childhood chronic physical illness burden was associated with 1.21 (95% CI = 1.12, 1.30) times higher odds of MD in later life. Childhood mental health status explained 57.8% (95% CI: 35.2, 80.4) of this association. Results indicated that the relationship of chronic physical illness burden in childhood with MD in later life was mediated by childhood mental health status. Whether greater screening for psychiatric-related symptoms in childhood or review of health histories in later life can reduce the burden of MD requires further study.
Rising Star Early-Career Faculty Award Lecture and Cyber-Pedagogy Panel Discussion
Authors: Dassel Kara 
Published: December 2021

Abstract
The Rising Star Early-Career Faculty Award lecture will feature an address by 2021 recipient Candace S. Brown, PhD, MA, MEd, of the University of North Carolina, Charlotte. The Rising Star Early-Career Faculty Award acknowledges new faculty whose teaching and leadership stand out as influential and innovative. This event will also feature a panel discussion led by the AGHE Awards Review Panel titled, "Cyber-Pedagogy to the Rescue: Creating Effective Online Programming for Students and Trainees During the Pandemic.”
Cyber-Pedagogy to the Rescue: Creating Effective Online Programming for Students and Trainees During the Pandemic
Authors: Dassel Kara 
Published: December 2021

Abstract
COVID-19 upended in-person educational programming in areas such as classroom instruction within academic institutions, engagement of adult learners, and training of direct care workers. In-person educational offerings were forced, as a result of health restrictions, to pivot into either asynchronous or synchronous web-based instruction. This panel discussion will discuss lessons-learned in cyber-pedagogy in three areas: 1) Faculty Consultation: Faculty who teach online regularly and have completed training in quality online educational practices are experts who were called upon to assist others with transitioning courses to an online format. This presentation outlines the ways in which certified online instructors, at one academic center, tutored and assisted faculty in the health sciences with online instruction. 2) Adult Learning: The rapid transition to online learning has implications for adult learners pertaining to accessibility, diverse learning and technology abilities, and course and peer engagement. This presentation will explore strategies that faculty can utilize to offer adult learners differentiated learning and engagement opportunities. This discussion will also highlight the nexus among these pedagogical strategies and the Age-Friendly University Global Network, providing guidance for how universities can connect online learning methods to the Age-Friendly University principles. 3) Workforce Training: The direct care workforce employed in community-based services and support programs and long-term care settings tend to receive little or no training in geriatric care. This presentation will discuss how educational trainings offered through a Geriatric Workforce Enhancement Program transitioned onto web-based platforms in order to accommodate these ongoing educational needs throughout the pandemic.
Evaluating Risk of Neglect Among Older Adults Using NSHAP Round 3 (2015-2016)
Authors: Howe Melissa , Pierce Grey , Zhong Selena , Piedra Lissette , Choi Won 
Published: December 2021

Abstract
As functional health declines, dependency on others increases along with the risk of neglect and its harmful consequences. In this paper, we use data collected during 2015-16 (Round 3) of the National Social Life, Health, and Aging Project (NSHAP) to identify older adults at risk of neglect and to test the hypothesis that high neglect risk predicts poorer health. Specifically, we use NSHAP’s functional health survey module and follow-up care receiving “loop” to categorize respondents as having either “high” or “low” neglect risk. NSHAP’s functional health module assesses respondents’ difficulties with Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs). Because ADLs and IADLs are integral to the maintenance of physical health, hygiene, and well-being, the unrequited desire for help with such activities could signal neglect. Accordingly, we assign “high neglect risk” to respondents who report either that they: (a) want but are not getting help with an ADL or IADL; or (b) are getting help with an ADL or IADL, but from a helper who is not very reliable. Motivated by current research that documents higher rates of morbidity and mortality among neglected older adults, we examine associations between neglect risk and other key NSHAP measures, including indicators of physical health, mental health, cognition, social support, social strain, and field interviewer assessed respondent hygiene. Results suggest that this method of risk assessment can be useful in identifying vulnerable populations of older adults. Follow-up interviews are needed to further confirm its utility as a risk assessment tool.
Predictors of Depression in Healthcare Patients at Risk of Self-Neglect
Authors: Rose Miriam , Ejaz Farida , Reynolds Courtney 
Published: December 2021

Abstract
More than half of reports to Adult Protective Services agencies nationwide involve allegations of self-neglect. An intensive case management intervention for preventing self-neglect was evaluated in a longitudinal study conducted collaboratively by a large healthcare system, Adult Protective Services, and a gerontological research institute. Patients (444) who were older (60+ years) and/or disabled (18+ years) were randomly selected for participation from 19 primary-care clinics if they had risk factors for self-neglect, including depression, substance abuse, dementia, and/or impairment in activities of daily living. Average age was 68 years (SD=12.5), 68% were Hispanic, 68% had monthly income of less than $1,361, and 67% were female. Clinics were randomized into intervention and control groups. Intervention clinic patients received intensive case management services; control clinic patients received usual care, including social work services. Subjects were interviewed at baseline and four months later. The Stress Process Model guided a multiple regression analysis. Domains of background characteristics, primary and secondary stressors, and support (patients in intervention or control group) were entered in blocks to predict depression levels at post-test. While no significant differences were found in post-test depression levels between intervention and controls, the final model was statistically significant (adjusted R2=.452). Significant predictors of depression were: younger age (disabled adults), poorer self-rated physical and emotional health, greater loneliness, and less social support. Future analyses will examine effects of moderating variables on post-test depression levels. Practice implications of preliminary analyses include addressing disabled adults’ mental health needs, especially if they are isolated and lack social support.
Evaluation of an Advanced Topics Workshop in Geropsychology: The Value of Depth in Training
Authors: Gregg Jeffrey , Rodriguez Rachel , Mehta Priyanka , Gould Christine 
Published: December 2021

Abstract
The Geriatric Scholars Program- Psychology Track (GSP-P) was implemented to address the dire shortage of mental health providers with geriatrics expertise within the VA, a large integrated healthcare system. One hundred and five psychologists participated in the GSP-P introductory geropsychology competencies course. Though they exhibited significant improvements in confidence, knowledge, and skills across geropsychology domains, increased depth (in addition to breadth) of training is needed. In 2019, GSP-P implemented an advanced workshop for graduates of the introductory course. Twenty-one psychologists participated in the workshop, which included 3.5 days of expert-led seminars followed by completion of an individualized learning plan over six months. Results from our evaluation indicated significant improvements in four of five geropsychology domains on the Pikes Peak Geropsychology Knowledge and Skill Assessment Tool. Our findings demonstrate continued enhancement of geropsychology competencies through advanced coursework is feasible and improves depth of training, particularly when combined with individualized learning plans.