bluuebunny/crossref_metadata_2025_split huggingface dataset:
POLICY SERIES: LET’S CONNECT: LINKING RESEARCH TO POLICY IN FAMILY CAREGIVING
Authors: Bangerter Lauren , Wittke Michael , Cothran Fawn 
Published: December 2023

Abstract
There is a need in the field of family caregiving to bridge the gap between academic research and policy translation by providing interdisciplinary caregiving researchers the skills and training they need to ensure their research is relevant to today’s policy discussions on family caregiving at the state and national levels. Quality research rests on sound institutional processes and methodological practices. This session will explore opportunities to elevate caregiving research for advocacy and policy audiences and how to inform policymakers about cutting-edge caregiving research across disciplines - particularly by advancing goal 5 within the National Family Caregiver Strategy - which calls for a stronger research and data collection infrastructure. We will offer caregiving researchers the best approaches for integrating policy research and implementation science approaches into their work as well as tactics to help sharpen their skills in messaging caregiving research for policy audiences, writing for a variety of audiences and platforms, and presenting data for policy and advocacy audiences. Presenters will cover topics such as facilitating additional research by public and private institutions by standardizing, expanding, and improving data collection by federal agencies; improving data collection on family caregiver health conditions and risk factors; improving data collection on family caregivers of people with multiple conditions; constructing additional channels on the local level that can gather detailed patient and family caregiver experience data to inform public health programming and policy development; and disaggregating data on diverse family caregiver populations to address the lack of segmentation and intersectionality in family caregiver research.
LEVERAGING A BEHEMOTH: TRANSLATING VA FAMILY CAREGIVER RESEARCH TO POLICY AND PRACTICE
Authors: Trivedi Ranak 
Published: December 2023

Abstract
The VA has been a pioneer in research, practice and policy that supports the needs of caregivers. The VA HSR&D funded Elizabeth Dole Center of Excellence in Veteran and Caregiver Research, of which Dr. Trivedi is a site PI and part of the core leadership, is a testament to this investment in research, as are several scientific projects. The VA also provides support for caregivers by providing an array of services (e.g., hotline; caregiver training programs; stipends) and has deployed 2000+ staff nationally to connect caregivers to VA and non-VA services. The VA has also invested in rigorous evaluations of existing practice and policy with the eye on refining and improving. Dr. Trivedi will provide an overview of her work within the VA that focuses on developing behavioral intervention to target the collective stress coping needs of Veteran-caregiver dyads. With the lens of implementation science, she will share her work identifying barriers and facilitators of accessing home and community-based services, and describe how these insights are being used to inform VA practice and policy.
BUILDING BRIDGES, CATALYZING RESEARCH, EMPOWERING ALL AGES: A CHAT WITH NIA SENIOR LEADERSHIP
Authors: Kelley Amy , Kelley Amy 
Published: December 2023

Abstract
The National Institute on Aging (NIA) at the National Institutes of Health, Department of Health and Human Services, is the federally designated lead agency on aging research and supports research to understand the nature of aging and to extend the healthy, active years of life. Over the last decade, NIA’s budget has increased substantially. In keeping with NIA’s scientific mission, funding includes significant investments in Alzheimer’s disease (AD) and AD-related dementias research, as well as in non-AD research. This symposium will provide a forum for exploration of the implications of the NIA budget for the general research community. NIA’s senior staff will discuss research priorities and programs supported by the Institute. A question-and-answer session will follow these remarks on current funding and future priorities and research directions of NIA.
ASSOCIATION BETWEEN SUBJECTIVE SOCIAL STATUS AND PHYSICAL FRAILTY AMONG OLDER ADULTS IN INDIA
Authors: Muhammad T , Pai Manacy 
Published: December 2023

Abstract
Research on the association between subjective social status (SSS) and physical frailty is critical to crafting interventions that can combat functional decline, prolong physical vitality, and sustain quality of life. We assessed the association between SSS and physical frailty and the mediation of this association by perceived everyday discrimination and ill-treatment among older adults in India. Data come from the Longitudinal Aging Study in India with a sample of 31,464 older adults age 60 years and above. Physical frailty was assessed using an adapted version of the frailty phenotype developed by Fried and colleagues. SSS was assessed using the Macarthur scale. Multivariable logistic regression along with KHB (Karlson–Holm–Breen) method was employed to examine the associations and the mediation effects. The prevalence of physical frailty was 30.65% and those with lowest SSS had higher prevalence of physical frailty (42.06%). After adjusting for a number of confounders, odds of physical frailty were significantly lower among those with a high SSS in comparison to those with low SSS, and the variance explained by the SSS was higher than that explained by household consumption quintiles. The association between SSS and physical frailty was mediated by perceived everyday discrimination (percent mediated: 8.20) and experiences of ill-treatment (percent mediated: 9.32). The findings underscore that when examining the association between socioeconomic status and physical frailty, it is important to consider SSS given that perceptions of one’s social standing likely reflect the less apparent psychosocial components associated with it.
FINANCIAL EXPLOITATION OF OLDER ADULTS: INTERDISCIPLINARY PERSPECTIVES ON NEW DIRECTIONS
Authors: Miller Julie 
Published: December 2023

Abstract
Financial exploitation of older adults is a topic that has drawn increased public recognition in recent years. Despite advances in research, services, products, and policies working to prevent financial exploitation of older adults and support victims, interdisciplinary perspectives are needed to strengthen interventions. This symposium will bring together scholars and practitioners to address the issue of financial exploitation from a variety of disciplines, all united in their mission to detect and prevent financial exploitation of older adults and to support victims. The first two presentations in the symposium will highlight conceptual understandings of financial exploitation of older adults, including a revisionary model of financial exploitation of older adults that includes emerging cognitive, cultural, and other contextual factors (Presentation 1) and a study of financial vulnerability and mental health as they are associated with financial exploitation, particularly when perpetrated by trusted others (Presentation 2). The remaining presentations will describe research from cross-sector, cross-industry, interventions. Presentation 3 will describe study findings about a helpline for concerned persons of exploitation victims that dually offers services directed to primary victims of financial exploitation. Presentation 4 will highlight a study of case characteristics associated with a new adult protection law designed to protect older and vulnerable adults experiencing exploitation. Presentation 5 will describe a study of financial professionals’ experiences with, and attitudes toward, financial exploitation of aging clients. Findings from all five presentations will point to next steps for research and intervention across multiple disciplines, including social work, law and policy, healthcare, and financial services.
MANIPULATING THE ENDORSEMENT OF PRESCRIPTIVE VIEWS OF AGING—SPECIFICITY AND INTERNALIZATION
Authors: Wirth Maria , de Paula Couto M Clara P , Rothermund Klaus 
Published: December 2023

Abstract
Prescriptive views of aging are beliefs about how older adults should be and behave. The two most prominent views entail that older adults should remain active and contribute to society (active aging) and that they should withdraw from important positions (altruistic disengagement). Prescriptive views of aging set societal standards for age (in)appropriate behaviour and many older adults internalize these norms so much that they appear completely natural to them. This study investigated the malleability of endorsing prescriptive norms using social consensus information: 367 participants (50–87 years) were asked to indicate whether the general public agreed or disagreed with altruistic disengagement or active aging in the health or social domain. Subsequently, participants were presented with (fictitious) social consensus feedback which was either in line with participants’ estimation of social consensus or not (random assignment). Our results indicate that presenting social consensus feedback affected the endorsement of prescriptive views of aging. Learning that a majority of others supported (dis)agreement with a prescriptive age norm led to (lower) higher endorsement of this norm. This effect was specific to the norm and domain for which consensus feedback was presented. Thus, activation and disengagement are represented as separate norms in a domain-specific fashion. Endorsing prescriptions for older adults, in general, led participants to also more strongly endorse this norm for themselves. Our findings attest to the complexity and specificity of prescriptive views of aging and offer important insights for designing interventions.
ASSESSING THE PSYCHOMETRIC PROPERTIES OF THE GERIATRIC SUICIDE IDEATION SCALE IN MIDDLE-AGED AND OLDER MEN
Authors: Heisel Marnin , Flett Gordon 
Published: December 2023

Abstract
Middle-aged and older men have high rates of suicide, necessitating risk detection. We developed the Geriatric Suicide Ideation Scale (GSIS; Heisel & Flett, 2006) as an age-specific, multidimensional suicide risk assessment tool. The GSIS has shown strong psychometric properties in clinical, community, and residential samples (see Heisel & Flett, 2016), yet research has lagged investigating its utility with middle-aged and older men. The purpose of the present study was thus to assess the psychometric properties of the GSIS administered to 82 men, 55 years and older (M=63.3, SD=4.6 years), who participated in a meaning-centered psychological intervention group for those concerned about or struggling with the transition to retirement (Heisel et al., 2020). Psychometric analyses included investigation of participant response characteristics, internal consistency, and construct validity. Findings demonstrated acceptable internal consistency for GSIS totals (α =.88) and for its Suicide Ideation, Death Ideation, Loss of Personal and Social Worth, and Perceived Meaning in Life subscales (α =.62-.81). Positive associations between the GSIS and negative psychological factors (depression, anxiety, hopelessness, loneliness, perceived lack of mattering to others, and history of suicidal behavior; r =.30 to .51) and negative associations with positive factors (life satisfaction, psychological well-being, perceived support, and meaning in life; r = -.21 to -.51) supported its construct validity. These and other findings will be discussed in the broader context of upstream population level approaches to suicide risk detection and prevention. (Note: this abstract was accepted for the 2022 GSA meeting, but we had to withdraw due to family loss)
ADVANCES IN GLOBAL AGING RESEARCH FROM CROSS NATIONAL COMPARISONS
Authors: Nichols Emma , Ailshire Jennifer 
Published: December 2023

Abstract
Harmonized surveys on aging populations around the world provide an unprecedented opportunity to advance our understanding of the factors that promote healthy aging. The papers in this symposium use existing and newly available harmonized data from the NIA-funded Gateway to Global Aging to examine how patterns of physical and cognitive aging vary across countries and to identify potential modifiable risk factors for slowing aging-related decline. Jayakody et al. use data on 21 countries to identify risk factors for Motoric Cognitive Risk (MCR), a preclinical predictor of dementia, that are both country-specific and universal. Knapp et al. also investigate potential modifiable risk factors for poor cognitive health in 31 countries and identify the factors that are universally associated with higher risk across countries. These two studies provide novel insights into how we can harness studies across multiple countries to better understand which factors of aging are universal and which are context dependent. The next two studies examine patterns and risks through comparison of neighboring countries. Focusing on Mexico and Brazil, Gomes Goncalves et al., determine the extent to which rurality and education confer risk of cognitive impairment in the two largest countries in Latin America. Finally, Fermín-Martínez et al. develop a new measure to capture age-related functional decline that focuses on anthropometric information available in aging surveys, and they validate their measure in older adults in the United States and Mexico. The papers in this symposium show how cross-national comparisons are being used to advance our understanding of aging.
PUBLISHING WITH THE INTERNATIONAL JOURNAL OF AGING AND HUMAN DEVELOPMENT
Authors: Patrick Julie Hicks 
Published: December 2023

Abstract
For more than 50 years, under the leadership of four editors and two publishers, The International Journal of Aging and Human Development (IJAHD) has featured multidisciplinary scholarship related to aging processes and older adults. With the publication of eight issues a year and over 1000 pages of scientific content, the IJAHD places emphasis upon psychological and social studies of aging and the aged. However, the Journal also publishes research that integrates observations from other disciplines that illuminate the “human” side of gerontology. A more recent focus includes midlife development, as well. About half (47%) of the publications in the IJAHD are from international colleagues. IJAHD is delighted to support new investigators as they navigate dissemination. This presentation will discuss tips for both international and US-based scholars for ensuring timely reviews and positive decisions for manuscript submissions, including such areas as key words, suggesting unbiased reviewers, formatting, writing mechanics, clearly-articulated methods, and a sound theoretical basis.
BUILDING BRIDGES, CATALYZING RESEARCH, EMPOWERING ALL AGES: NIA SESSION FOR EARLY-CAREER RESEARCHERS
Authors: Kelley Amy , Kelley Amy 
Published: December 2023

Abstract
The National Institute on Aging (NIA) at the National Institutes of Health, Department of Health and Human Services, supports biomedical and behavioral research with a lifespan focus. NIA research seeks to understand the basic processes of aging, improve prevention and treatment of diseases in later life, and improve the health of older persons, in addition to an emphasis on Alzheimer’s disease and related dementias. NIA supports a variety of training and career development opportunities for students, junior faculty, early-career investigators, and emerging scholars. In this session, we will provide an overview of NIA-funded research, followed by a presentation on funding mechanisms and strategies to consider when applying for extramural grants, particularly for early-career scientists at multiple career stages. Finally, attendees will be able to join any number of breakout group discussions (led by extramural NIA training staff and program officials) to discuss programs, initiatives, mechanisms, and/or policies specific to various career paths.
COLLABORATIVE RESEARCH WITH A MIXED-METHOD DATASET USING DECEDENT DATA
Authors: Melekis Kelly , Weisse Carol 
Published: December 2023

Abstract
This presentation will present opportunities and challenges in building and sharing a mixed method dataset of terminally ill hospice patients from residential homes for the dying (social model hospice). As nonprofit, community-based settings, residential homes for the dying document care decisions using paper files and handwritten notes, and files range in size based on length of stay (with some files being hundreds of pages in length). Through a multi-site community-university partnership, we have scanned over 500 patient records, extracted quantitative data, and de-identified data for qualitative analysis. We will share the challenges of data management and organization, extraction, and de-identification. We will also discuss ethical issues related to working with decedent data, community-engaged research, and multi-site collaboration. Based on our experiences with qualitative data analysis of resident files, we will share strategies for extracting qualitative data from decedent records, using qualitative data analysis software, and sharing data for collaborative research.
EXPLORING THE POTENTIAL OF CHATGPT FOR ASSESSING DELIRIUM SYMPTOMS IN OLDER ADULTS WITH COGNITIVE IMPAIRMENT
Authors: Choi Yong Kyung , Lin Shih-Yin 
Published: December 2023

Abstract
Delirium is a common and serious geriatric syndrome, especially in older adults with cognitive impairment. Accurate caregiver assessment and reporting of delirium in community-dwelling older adults can help healthcare providers diagnose and treat delirium more effectively. Yet, caregivers often lack confidence in their ability to accurately assess and report delirium. An automated method to detect the presence and symptoms of delirium could potentially boost caregiver confidence and assist with more accurate delirium assessment and reporting. This study explored the use of ChatGPT, a generative AI based on the Large Language Model (LLM), to detect the presence and symptoms of delirium. We trained ChatGPT using a series of prompts specifically designed to enhance its understanding of the domain knowledge and the scoring mechanism of a caregiver-centered, seven-item delirium assessment, the Sour Seven. The trained ChatGPT model was asked to identify and score various delirium symptoms in five previously validated geriatric case vignettes using the Sour Seven scale. Each case was repeated three times to test for reliability. The ChatGPT assessment results were compared against those of human experts. The preliminary analysis showed that items 3, 6 and 7 were scored correctly in all cases, but mixed results were found on items 1, 2, 4, and 5, mostly because the AI applied a single symptom statement to multiple items. Overall, the results indicate that generative AI has the potential to accurately capture and represent complex delirium symptoms in natural language, which could assist caregivers in accurately identifying and reporting delirium symptoms.
FAMILY QUIZZING BEHAVIOR DURING IN-HOME DEMENTIA CARE: A SEQUENTIAL BEHAVIORAL ANALYSIS WITH VIDEO CASE STUDIES
Authors: Coleman Carissa , Wilson Paige , Williams Kristine 
Published: December 2023

Abstract
Quizzing is an understudied communication behavior used by care partners during in-home dementia care interactions. The aim of this study was to characterize and describe the behavior, identify types, characterize care situations, and determine how people living with dementia react to quizzing. Forty video observations of in-home interactions were coded to determine relationships between care partner quizzing and the person with dementia’s reactions and analyzed using sequential behavioral analysis. Ten case studies with high instances of quizzing were examined for interpersonal context. Quizzing was defined as a series of rapid questions by the care partner that most often appeared to test the memory or knowledge of the person with dementia. Instances of quizzing that included long-term and short-term memory checks were most likely to elicit a negative reaction from the person with dementia (resistiveness, distress, and apathy). Long-term memory check always preceded resistiveness and distress (CP=1.0) and apathy preceded long-term memory check short-term memory check (CP = 0.71, 0.21). Quizzing used for distraction or reminiscing appeared to elicit positive responses from the person with dementia. Distraction and mutual reminiscing always followed cooperation (CP=1.0). Case study results indicated the care partners seemed to be testing the abilities of the person with dementia; possibly to alleviate or reverse dementia symptoms. Additional research is warranted to understand the use of quizzing during in-home care. The use of behavioral coding, sequential analysis, and case study examination can provide evidence of communication best practices to develop communication training for dementia care dyads.
NIMHD INVESTMENTS IN RESEARCH ON OLDER ADULTS EXPERIENCING HEALTH DISPARITIES: 2018–2022
Authors: Ogletree Aaron , Doose Michelle , Oladeinde Yewande 
Published: December 2023

Abstract
The National Institute on Minority Health and Health Disparities (NIMHD) is the nation’s leading institute on the health of populations experiencing health disparities. These populations include individuals with low socioeconomic status (SES), those living in rural areas, sexual and gender minorities (SGM), and racial and ethnic minorities. Despite the need to advance research on these populations, particularly in old age when health disparities may be most salient, there has been no analysis of NIMHD funding on older adults to date. This portfolio analysis synthesized and described NIMHD’s investments in research on older adults using data from fiscal years 2018 through 2022. The Research, Condition, and Disease Categorization system was used to identify funded projects in the area of Aging; manual review confirmed project eligibility. In-depth project characteristics were extracted and topic areas evaluated. Findings demonstrate that NIMHD funded a total of 98 unique research projects focused on older adults. Of these, 47% focused on the etiology of health disparities, 38% on interventions, and 15% on methods and measurement. The most specified population was racial and ethnic minorities (91%), followed by individuals with low SES (21%), rural older adults (11%), and SGM older adults (8%). Projects focused on diagnostic or clinical care (16%), care coordination (6%), caregivers (6%), and shared decision-making (4%) were limited. Findings highlight opportunities for future research to advance health care and reduce health disparities for the growing proportion of older adults from populations experiencing health disparities.
ESTABLISHING THE EFFECTIVENESS OF THE ONLINE SAVVY FACILITATOR TRAINING PROGRAM
Authors: Sherman Carey Wexler , Hepburn Kenneth , Hobday John , Reed Lai 
Published: December 2023

Abstract
A total of 76 individuals took part in the revise training program we developed following prototype testing. These individuals were affiliated with 32 organizations in eight states. Each individual was scored on the observation/reflection provided at the end of each training session. Fifty-one percent of trainees received scores between 95-99% across all assessments; only 8.1% received summed scores less than 90%. In only 4 cases, was an individual required to repeat the observation/reflection exercise. Fifty-six trainees responded to a post-training evaluation survey that sought their Likert scale assessment (1=Strongly Disagree; 5=Strongly Agree) of their experience with elements of the online program and their sense of preparedness to lead SC program. The clarity and completeness of the program, overall, received a 4.40 rating, and the ratings for individual segments ranged from 4.40 to 4.5. Trainees gave the quizzes and assessments a 4.40 rating as learning aids. Trainees rated their overall preparedness to lead the SCP at 4.1. Trainees appreciated that the course was self- paced. They indicated particular benefit from the embedded videos, trainer manual, and the interactive materials and quizzes.