bluuebunny/crossref_metadata_2025_split huggingface dataset:
THE CLARK TIBBITTS AWARD AND HIRAM J. FRIEDSAM AWARD LECTURES AND PRESENTATIONS
Authors: Bradley Dana 
Published: December 2023

Abstract
The Clark Tibbitts Award Lecture will feature an address by the 2023 award recipient Edward Schneider, MD of the University of Southern California. AGHE’s Clark Tibbitts Award was established in 1980 and named for an architect of the field of gerontological education. The award is given each year to an individual or organization that has made an outstanding contribution to the advancement of gerontology and geriatrics education. The Hiram J. Friedsam Award Lecture will feature an address by the 2023 award recipient Harvey Sterms, PhD, FGSA of the University of Akron. Hiram J. Friedsam was the professor, co-founder, and director of the Center for Studies in Aging and dean of the School of Community Service at the University of Northern Texas. Dr. Friedsam was an outstanding teacher, researcher, colleague, and mentor to students, faculty, and administrators, as well as a past president of AGHE. The purpose of this award is to recognize those who emulate Dr. Friedsam’s excellence in mentorship.
USING NATIONAL CORE INDICATORS—AGING AND DISABILITIES—FOR QUALITY, POLICY, AND SYSTEM TRANSFORMATION
Authors: Giordano Stephanie 
Published: December 2023

Abstract
National Core Indicators Aging and Disabilities (NCI-AD™), uses survey data to support State Medicaid, aging, and disability agencies to conduct surveys with individuals receiving publicly-funded long-term services and supports and measure and track their own outcomes and performance using reliable data collection methods and tools. Established in 2015, NCI-AD is now in use by 22 states nationwide. The NCI-AD portfolio includes the flagship survey – the Adult Consumer Survey (ACS) and the State of the Workforce—Aging and Disabilities (SotW-AD) survey. The ACS collects data directly from older adults and people with physical disabilities to assess the outcomes of services provided to individuals. Indicators address key areas of concern including service planning, rights, community inclusion, choice, health and care coordination, safety and relationships. In 2022, NCI-AD piloted the SotW-AD survey with five participating states. A first of its kind for the aging and disabilities field, this new effort collects and aggregates statewide information about wages, benefits, and turnover of the direct service workforce—as reported by the agencies that employ them. The SotW-AD will launch to all AD states in summer 2023. This session will provide an overview of the NCI-AD program, the type of data collected from each survey, and how state-level and research partners have utilized the data sets.
CHALLENGING IDEAS OF CONSTANT CONNECTION AND DIGITAL INCLUSION
Authors: Cotten Shelia , Schuster Amy 
Published: December 2023

Abstract
1We live in a world where we are constantly connected to devices. This constant digital connection is where many individuals communicate and exchange social support with social ties. For most, this results in being online and connected to devices multiple times each day. Older adults have been slower to adopt and use emerging technologies. This presentation challenges the concept of digital inclusion by focusing on older adults and their technology use. We provide an overview of technology usage by different age groups using existing national level data. Next, we utilize life course and aging theoretical perspectives to help articulate that while a constant connection to devices may be normative for younger age groups, this may not, and perhaps should not, be the case for older adults. We conclude with a discussion of the social construction of digital inclusion and emphasize the significant variation that exists in this construct.
TARGETING AND APPROACHING LEGISLATURES TO SUPPORT FAMILY CAREGIVING: LESSONS LEARNED
Authors: Fields Beth 
Published: December 2023

Abstract
The Caregiver Advise, Record, and Enable (CARE) Act has passed in 45 states and requires hospitals to ask patients if they have a family caregiver, notify that family caregiver about the patients upcoming discharge, and educate family caregivers how to provide the care the patient will need after discharge. Early research demonstrates that this Act has favorably influenced hospital and patient outcomes such as quality indicators and family caregiver confidence. Despite this research and widespread support, this Act has yet to be passed in Wisconsin. This presentation will report on lessons learned from a systematic method for targeting and approaching Wisconsin state legislatures within the Assembly Committee on Health, Aging, and Long-term Care. Interviews, fieldnotes, in-person visits, and telephone and email correspondences with legislatures were conducted to learn their perspectives on advancing family caregiving policy. Lessons learned from this systematic method for targeting and approaching legislatures included the timing of interactions matter, the use of concise language maximizes understanding, the mode of delivery impacts response rate, and the transformation of family caregiving research to infographics increases uptake. Findings from this work can be used to elevate family caregiving support by bridging the evidence to policy gap.
THE AGING NETWORK AND CLIMATE RESILIENCE
Authors: Dabelko-Schoeny Holly , Rao Smitha , Sheldon Marisa , Katie White 
Published: December 2023

Abstract
Originally established to support planning and services related to community-based supports, Area Agencies on Aging (AAA) are well-positioned to lead cutting edge innovations driven by local community needs and changing socio-environmental contexts. This presentation illustrates a partnership between the Central Ohio Area Agency on Aging (COAAA) and the Age-Friendly Innovation Center at The Ohio State University focused on advancing research-informed practice in response to the realities of aging in a warmer world. This project included three main phases. First, safety and emergency preparedness data were collected from individuals aged 50 and older living in central Ohio through a random sample survey (N=1417), revealing 25% of non-white residents (compared to 21% white) did not have or know they have 3-day emergency supplies, food, and medicine, and 84% of residents in urban areas did not have access to an alternative source of power in event of outages. Second, a community conversation identifying priorities and needs related to the rising number of extreme weather events was held with COAAA leadership, community organizations, and residents. Third, targeting locations of high density of older adults at highest risk, the last phase of this work focused on the development of a tool to reduce harm for older adults living in affordable housing in partnership with COAAA embedded Service Coordinators. This project illustrates how AAAs can partner with applied researchers to innovate and strengthen services within communities and build evidence to address emerging community needs across the aging network.
BRIDGE JOBS AS PATHS TO WORKING LONGER: DO GENDER AND RETIREMENT IDENTITIES MATTER?
Authors: Oh Yun taek , Moen Phyllis 
Published: December 2023

Abstract
Leaving a full-time career job happens not only by completely exiting the labor force but also by having bridge jobs. When choosing to have bridge jobs, some workers perceive themselves as partially or completely retired while others are not. This study first categorizes bridge jobs into three types: switching occupations, leaving employers, and reducing work hours to part-time. Then, this study uses the Health and Retirement Study to investigate how the self-perceived retirement status in bridge jobs affects the timing of complete withdrawal from the labor force by using two-way fixed-effects event study regression. The results show that a significant proportion of older workers consider themselves partially or completely retired when leaving employers or reducing work hours but do not when switching occupations. The results also show the effects of bridge jobs on the complete withdrawal are different by the self-perceived retirement status and gender. Switching occupations reduces the probability of retirement for male workers who do not consider it as retirement while it increases the probability of retirement for female workers who consider it as retirement. Leaving the employer reduces the probability of retirement for male workers who consider these bride jobs as retirement while it does not for female workers. These findings imply the importance of self-perception of retirement in labor force participation and how it differs by the types of bridge jobs.
CONSTRUCT VALIDITY OF FRABONI SCALE OF AGEISM IN A CHINESE-MAJORITY SAMPLE FROM SINGAPORE
Authors: Cao Yuanyuan , Lim Jie Xin , Ho Ringo , Theng Yin-Leng 
Published: December 2023

Abstract
The 29-item Fraboni Scale of Ageism (FSA; Fraboni et al., 1990) was constructed to measure three dimensions of ageism (Antilocution, Discrimination, and Avoidance) using samples from Canada. The factor structure of the FSA has been challenged in recent studies using US samples (Rupp et al., 2000) and Chinese samples (Fan et al., 2020), resulting in alternative factor structures. The current study aimed to test the different factor structures proposed in these past studies with a sample from Singapore, a Chinese-majority multicultural country. Data from 311 individuals, aged between 21- and 55-year-old were collected. They completed the 29-item FSA using a six-point agreement scale. Confirmatory factor analysis was used to test the goodness-of-fit of the aforementioned factor structures. The results indicated that none of three models provided a good fit to the data. A follow-up exploratory factor analysis with parallel analysis suggested a 3-factor structure. Thirteen out of the 29 items were found to have at least one salient cross-loading after Geomin rotation. These findings suggest that the samples likely interpreted and responded to the items differently resulting in different item-factor configurations, implying the impact of regional culture on the construct validity of FSA. Researchers aiming to quantify ageism in their population using FSA are advised to examine the FSA factor structure prior to using it.
FINANCIAL EXPLOITATION IN OLDER AGE: A REVISIONARY MODEL
Authors: Han Duke 
Published: December 2023

Abstract
Financial exploitation can have a devastating impact on the independence and wellbeing of older adults, yet the reasons why some older adults experience financial exploitation remain elusive. Recent work informed by the fields of neuropsychology, neuroscience, behavioral economics, and epidemiology has increasingly demonstrated links between financial vulnerability in older age and serious health outcomes such as cognitive decline and incident Alzheimer’s Disease. Because of this, research on financial exploitation in older age has progressively been made a public health priority, and this has led to a substantial expansion in knowledge on the topic. Despite this beneficial growth in understanding, gaps in knowledge, misconceptions, and ageist viewpoints continue to persist. To address these, this presentation will (1) discuss the potential role of age-associated cognitive changes in financial exploitation, (2) review neuroimaging findings from our group and others relevant to understanding possible brain changes involved, and (3) highlight cross-cultural, interpersonal, and other considerations that need prioritization in future research endeavors. In conclusion, we will present a revisionary model of financial exploitation in older age which considers not only the potential vulnerabilities of the older adult, but also the persons committing the financial exploitation and the contextual factors that may contribute to poorer outcomes. This revisionary model can more effectively inform interventions for the prevention and mitigation of financial exploitation in older age.
PLANNED CESSATION OF POTENTIALLY INAPPROPRIATE MEDICATIONS: TRAINEE EXPERIENCES FROM LONG-TERM CARE PROGRAMS
Authors: Dickerson Kimberly , Quellhorst Jennifer 
Published: December 2023

Abstract
Polypharmacy is a global concern. There is no universal consensus on definition. VIONE is an innovative, end user friendly, portable, simple methodology that is easy to teach, adapt, customize across the continuum of care, in any clinical setting, for any medication. Trainees demonstrate immense eagerness, ability and potential to benefit from exposure to medication optimization through both safe prescribing and safe deprescribing practices. Given the good fortune of long term care settings, trainees follow the patients and directly engage in implementing methodical safe deintensification of potentially inappropriate medications through shared decision making. Trainees address prescription cascades and health literacy issues. Trainees also track outcomes to deprescribing, are made aware of the data and intervene as needed. Overall - this has been a very professionally rewarding and personally enriching experience. We have case reports with specific timelines, medications, doses, duration, rationale, responses and data analytics that illustrate the merits of engaging trainees early on in their careers to safe medication optimization and deprescribing practices. Data tracked includes number of patients impacted, number of medications deprescribed, dose decreased, safer alternatives prescribed, number of users, cost savings, location, medications deprescribed etc. that are updated daily with VIONE score cards and dashboards utilizing medical informatics and corporate data warehouse data - thus proving the rich granularity, transparency and data integrity.
OUT-OF-HOME MOBILITY, DAILY WORKING MEMORY, AND NEIGHBORHOOD WALKABILITY IN HEALTHY OLDER ADULTS
Authors: Luo Minxia , Kim Eun-Kyeong , Weibel Robert , Martin Mike , Roecke Christina 
Published: December 2023

Abstract
Out-of-home mobility could enhance cognitive performance, but environmental contexts — such as neighborhood walkability — may influence the associations. This study examined daily out-of-home mobility in relation to daily cognitive performance in healthy older adults and the moderator effects of neighborhood walkability therein. Participants wore a custom-built mobile GPS sensor („uTrail“) and completed smartphone-based working memory assessments for 15 days, and responded to the baseline Neighborhood Environment Walkability Scale. Analyses included 947 days’ data from 109 Swiss older adults aged 65 to 89 years. Out-of-home mobility (i.e., out-of-home time, maximum distance from home) were extracted from the GPS data. Multilevel models showed that daily out-of-home time and daily maximum distance from home were not associated with daily working memory performance across the study sample, but the associations were moderated by neighborhood walkability. Out-of-home time and maximum distance from home were positively (vs. negatively) associated with working memory performance in participants who lived in neighborhood with higher (vs. lower) street connectivity and more (vs. less) access to places for walking and cycling. Additionally, maximum distance from home were positively (vs. negatively) associated with working memory performance in participants in neighborhood with lower (vs. higher) mixture of land use. To conclude, spending more time out of home and travelling longer distance away from home could be beneficial for daily cognitive performance of older adults who lived in well-connected and higher-walkable and -bikeable neighborhood. Travelling longer distance could also benefit those who lived in a neighborhood with a lower mixture of land use.
THE LINK BETWEEN VIOLENCE EXPOSURE AND BIOLOGICAL AGING IN MID-LIFE MUSLIMS IN ISRAEL
Authors: Iktilat Khalil , Agmon Maayan 
Published: December 2023

Abstract
Trauma and accumulated chronic stress throughout life are associated with negative health outcomes; more specifically, exposure to violence has been linked to an accelerated aging state. In Israel’s Arab sector, rates of violence have been steadily rising for the past several years. Homicide rates, relative to population size, are seven times higher among Arabs. We aimed to determine the effects of exposure to violence on estimation of biological age as a measure of rate of aging within the ethnic minority of Muslims in Israel. We have conducted a cross-sectional study that included 375 participants age 50.5±6.9 years, of which 61% women. Biological age was estimated using the Klemera-Doubal method and physiological biomarkers; exposure to violence was measured using the Screen for Adolescent Violence Exposure questionnaire followed by a principal component analysis. The average total score of violence exposure was 1.83±0.36 (range 1-5, 1 corresponds with lower exposure). We found a positive and significant relationship among biological age, the “direct evidence of violence” component, and the “evidence of severe violence in the immediate environment” component (r = 0.119, p&lt;0.05; r = 0.111, p&lt;0.05, respectively). These results demonstrate that exposure to violence negatively affects health and accelerates aging within Israel’s Muslim minority. Comprehensive, culturally- and gender-adapted programs are required to reduce violence and address its contribution to the negative aging trajectory in this population.
HEALTH PROFILE OF PORTUGUESE CENTENARIANS FROM 2011 TO 2021: AN UPDATE BASED ON NATIONAL CENSUS
Authors: Ribeiro Oscar , Araujo Lia , Paul Constanca , Teixeira Laetitia 
Published: December 2023

Abstract
According to the Portuguese National Census, the number of centenarians increased from 1526 (82.1% women) in 2011 to 2801 (82.0% women) in 2021. Along with a description of main sociodemographic characteristics, this paper provides an updated health profile of this population based on their perceived difficulties in six functional domains of basic actions (seeing, hearing, walking, cognition, self-care, and communication) as assessed by a set of questions developed by the Washington Group on Disability Statistics that is consistent with the International Classification of Functioning, Disability, and Health (ICF). Sex differences are also presented, as well as comparisons between data from Census 2011 and Census 2021. Most centenarians show major constraints in their mobility and personal care (76.3% cannot/have great difficulties in walking/climbing stairs, and 72.8% cannot/have great difficulties in bathing/dressing), and a better outcome is reported in communication (64.2% report no/reduced difficulty for understanding/being understood). This profile globally follows the pattern observed in 2011, but with fewer centenarians reporting such level of difficulties. The percentage of centenarians reporting no/reduced difficulties in seeing and hearing increased from 32.6% and 27.7% in 2011, to 54.4% and 44.8% in 2021, respectively. In both censuses, women presented a higher percentage of difficulties in all health-related variables. Globally, this comparative perspective shows improvements in the perceived health profile of the later born cohort of Portuguese centenarians and features the continued need for addressing gender-specific and gender-sensitive interventions that acknowledge older women’s care needs.
POSITIVE EVENT DIVERSITY AND AGE: TESTING CURVILINEAR ASSOCIATIONS
Authors: Klaiber Patrick , Hill Patrick , Almeida David , DeLongis Anita , Sin Nancy 
Published: December 2023

Abstract
Prior research has found that older adults report more frequent positive events compared to younger and middle-aged adults. It remains unknown, however, to what extent age is related to experiencing positive events spread across different positive event types (i.e., positive event diversity, PED). We therefore examined age differences in PED and its affective well-being correlates across three large daily diary datasets: wave 2 (N = 1919) and the Refresher sample (N = 744) of the National Studies of Daily Experiences, and the Coping with the COVID-19 Outbreak Study (N = 1392). We used Shannon’s Entropy to quantify PED. There was a curvilinear association between PED and age, indicating that PED was higher among middle-aged compared to younger and older adults. On a zero-order basis, PED was correlated with higher positive affect and uncorrelated with negative affect. However, the pattern of results changed when considering positive event frequency as a moderator. Among people with high positive event frequency, PED was linked to higher negative and lower positive affect, but not associated with either positive or negative affect at low levels of positive event frequency. These relationships did not differ by age. This study suggests that middle-aged adults experience the widest range of positive event types, perhaps reflecting the diverse set of social roles that middle-aged adults often fulfill (e.g., worker, parent, partner). In addition, there might be negative consequences to experiencing a lot of positive events across very different contexts which may indicate social role strain.
INTERVENTION DEVELOPMENT USING PALLIATIVE CARE CLINICAL PRACTICE GUIDELINES CONCERNING SPIRITUALITY
Authors: Beck Monica , Gallagher Amelia 
Published: December 2023

Abstract
Nurses may be reticent to engage older adult cancer patients in spiritual histories despite evidence of improved health outcomes citing lack of education, skills, and time as barriers. Few interventional studies target these barriers using the Clinical Practice Guidelines for Quality Palliative Care as a framework for providing spiritual care excellence. Lift the Spirit, an enhanced educational communication intervention, integrated the guidelines for assessing and respecting patient and family spiritual beliefs, provider self-reflection, and spiritual screening and assessment using a validated instrument. The mixed-methods pilot study aimed to assess the feasibility and acceptability of Lift the Spirit. A purposive sample of nurses (n = 17) viewed an educational module, role-played conducting spiritual histories using the Faith, Importance, Community, Address (FICA) © instrument, and completed debriefing interviews. Pre/post outcome measures of Spiritual History Knowledge and Spiritual History Self-Efficacy were analyzed using a Wilcoxon paired signed-rank test. Debriefing interview data were content analyzed. The Theoretical Framework of Acceptability was used to content code and identify acceptability-related content. There were significant differences between pre and post knowledge and self-efficacy scores, respectively (Wilcoxon Signed-Ranks: Z = -3.18, p = 0.002; and Z = -3.20, p = 0.001). Qualitative findings supported the feasibility and acceptability of Lift the Spirit; participants found the FICA© instrument and role-playing especially helpful. Preliminary findings suggested Lift the Spirit was feasible, acceptable, and positively impacted knowledge, skills, and self-efficacy. The utility of an intervention like Lift the Spirit to improve older adult cancer patient outcomes was demonstrated.