bluuebunny/crossref_metadata_2025_split huggingface dataset:
BENEFITS OF VOLUNTEERISM FOR RETIREES: TYPES OF VOLUNTEERING MATTER
Authors: Lin Gloria , Chung Edwin , Yeung Dannii 
Published: December 2023

Abstract
A recent study has disclosed that the effects of volunteering vary as a function of types of volunteering activities (Lam et al., 2021). Volunteering is one of the major social participations among retirees. Therefore, we aim to investigate which types of volunteering activities are beneficial to the well-being of retirees. A total of 719 older Hong Kong Chinese adults (Mage = 66.31, SD = 4.18, range = 60 – 80) who were retired within ten years were invited to take part in this study. Their participation in instrumental and cognitively demanding volunteering activities, life satisfaction, depressive symptoms, and cognitive functioning were assessed. In the current sample, 58.97% of the retired persons did not volunteer; and the remaining engaged in instrumental volunteering (10.15%), cognitively demanding volunteering (26.43%), or both types (4.51%). In addition, the results of ANCOVAs revealed that the retirees engaging in cognitively demanding volunteering had better cognitive functioning than those who did not volunteer at all (adj. Mdiff = .78, p = .03), while the retirees engaging in instrumental volunteering exhibited more depressive symptoms compared with those who engaged in cognitively demanding volunteering (adj. Mdiff = 2.04, p = .02) and those who did not volunteer at all (adj. Mdiff = 1.91, p = .02). These results remained significant even after controlling for sex, education, socioeconomic status, and perceived health. Our findings suggest that cognitively demanding volunteering activities should be promoted to maintain the psychological and cognitive well-being of retired persons.
THE FAITH CARE FAMILY PROJECT: A PILOT STUDY PROTOCOL
Authors: Williams Ishan , Fields Noelle , Xu Ling , Epps Fayron 
Published: December 2023

Abstract
The use of lay providers/trained volunteers, to address ADRD caregiver needs may provide a scalable and culturally congruent approach for bridging gaps in ADRD care, particularly for African American families. Research examining the church as a platform for raising awareness about ADRD suggests that churches are well-suited to providing support and services to families affected by ADRD. This research protocol describes the development and testing of the Faith Care Family Project (FCF), a lay provider intervention for African American family caregivers in a church setting to address caregiver burden, coping skills, and social support. Guided by the revised sociocultural stress and coping model, an explanatory sequential mixed methods design will be utilized to test the efficacy of the FCF intervention with a sample of 18 church volunteer-family caregiver dyads. Specifically, the study addresses four aims: 1) How do church members and pastors perceive the key components of the FCF and what are their recommendations for implementation? 2) Do the church volunteers gain knowledge of ADRD after the 6-hour, FCF training? 3) Do family caregivers report more knowledge of dementia, less caregiver stress and improved well-being, more social support, and better coping skills after they participate in the FCF? and 4) What are the experiences of participants with the FCF? Data are collected at baseline, mid-intervention, post- intervention, 3 months-post intervention and through qualitative interviews. These evaluation activities will allow us to determine the applicability of the FCF as an effective, lay provider intervention for African American ADRD family caregivers.
CAREGIVERS’ PERCEPTION DISCREPANCY IN THE CAREGIVING CONTEXT: THE IMPACT ON PSYCHOLOGICAL WELL-BEING
Authors: Kim Yulri , Lee Jeong Eun , Svec Joseph , Nemmers Natasha 
Published: December 2023

Abstract
Guided by the social exchange perspective, caregiving involves a reciprocal exchange in which caregiver perceptions influence a bevy of positive and negative outcomes. Positive perceptions correspond with enhanced psychological well-being (Ejem et al., 2018; Call et al., 1999). However, those who perform high levels of care but feel undervalued may experience poorer psychological well-being compared to those who perform lower levels of care but feel appreciated (Nah et al., 2022). The matrix of outcomes, contingent on the balance of performance and appreciation, highlights how perception discrepancies in the caregiving context can explain variations in psychological well-being among caregivers. In this study, we examine the psychological well-being of caregivers in four distinct groups based on their caregiving activities (high/low) and their perceived appreciation (high/low) of their efforts from care recipients. We analyze 2,096 informal caregivers who were included from Round 5 of the National Study of Caregiving (NSOC). Utilizing an analysis of covariance, the results indicate that high activity caregivers with low perceived appreciation had poorer psychological well-being than other groups. Additionally, caregivers with low caregiving activities and high perceived appreciation have higher psychological well-being than caregivers with high care activity and high perceived appreciation. These findings highlight the significance of perceived appreciation from care recipients for improving psychological well-being of caregivers.
RISE: A COMMUNITY-BASED ELDER ABUSE AND SELF-NEGLECT RESPONSE INTERVENTION ADDRESSING A CRITICAL SYSTEMS GAP
Authors: Burnes David , Pillemer Karl 
Published: December 2023

Abstract
Knowledge of effective interventions for elder abuse and self-neglect (EASN) is limited. Adult Protective Services (APS) represents the primary agency responsible for receiving reports and investigating suspected cases of EASN in the US. However, APS lacks a distinct, conceptually informed intervention phase to support EASN cases. Based on theory, research, and consultations with stakeholders, RISE was designed to address this intervention gap within overall EASN response systems. Informed by ecological-systems, relational, and client-centered perspectives, RISE is a community-based EASN intervention that integrates core modalities (motivational interviewing, restorative justice, teaming, supported decision making) demonstrating evidence and/or promising results in EASN and other domains. The intervention operates at Relational, Individual, Social, and Environmental levels of ecological influence. Specifically, RISE works with both older adult victims and others, including alleged harmers, their relationships, and strengthens the social supports surrounding them. RISE began as a pilot in two Maine counties, was expanded to the entire state, has been used in over 450 cases, was written into Maine’s 2023 budget, is now being implemented and tested in New Hampshire and Toronto, Canada, and is being expanded to the criminal justice system. This symposium will describe RISE’s development and conceptual underpinnings (presentation 1), findings on implementing “teaming” (social support), an intervention modality (presentation 2), a qualitative evaluation of RISE from the perspective of APS caseworkers (presentation 3), evidence of RISE reducing EASN recidivism (presentation 4), and case studies of implementing RISE (and its restorative justice modality) in the criminal justice diversion context (presentation 5). This is an Abuse, Neglect and Exploitation of Older Persons Interest Group Sponsored Symposium.
MINDFULNESS-BASED STRESS REDUCTION (MBSR): TREATMENT FOR COGNITIVE IMPAIRMENT POST CHEMOTHERAPY (CT)
Authors: Lengacher Cecile , Reich Richie 
Published: December 2023

Abstract
The purpose of this R01 trial was to evaluate the efficacy of MBSR(BC) compared to the Breast Cancer Education Support program(BCES) or Usual Care(UC) regimens for improvement in cognitive functioning among breast cancer survivors(BCS) who received (CT), or CT and radiation.
Methods: BCS (212) were randomized to MBSR(BC) (n=91) or BCES(90) or UC (n = 31) with MBSR(BC) and BCES participants attending a 6-week program. Measures of neuropsychological and perceived cognitive performance, psychological and physical symptoms were collected at baseline, 6, 12, and 26 weeks. Linear mixed models assessed the MBSR(BC) effects over time. Characteristics at baseline were tested as moderators of MBSR(BC) program effects.
Results: 212 BCS had a mean age of 57, 73% were White, non-Hispanic, 78% received CT and radiation; and 22% CT alone. All BCS improved across the study on all measures. For most measures, cognitive and symptom improvement effects followed the hypothesized pattern favoring MBSR(BC), followed by BCES and UC groups. Effect sizes were generally small, particularly for measures of cognition. The largest week 26 effect sizes were observed in the physical symptom fatigue, where the MBSR(BC) group improved with a 0.45 Cohen’s d effect over BCES and 0.65 over UC. Type of CT, radiation treatment, time since treatment, and informal and formal practice techniques of MBSR(BC) moderated the effects of MBSR(BC).
Conclusions: Although effects were modest, BCS receiving the MBSR(BC) and BCES groups improved in objective and subjective cognitive functioning and symptoms compared to UC. Longer follow-up studies are needed to determine sustained effects.
MITOCHONDRIAL ENERGETICS AND PERCEIVED PHYSICAL FATIGABILITY SEVERITY IN OLDER ADULTS
Authors: Gay Emma , Qiao Yujia (Susanna) , Santanasto Adam , Goodpaster Bret , Kramer Philip , Hepple Russell , Cummings Steven , Glynn Nancy 
Published: December 2023

Abstract
It has been hypothesized that lower skeletal muscle energetics may contribute to onset of age-related perceived fatigability. Consistent with this idea, previous research found that maximal ATP production (ATPmax) was associated with higher perceived exertion (i.e., fatigability) measured in older adults with the Borg Scale at the end of a slow walking task. We extend this work to SOMMA examining skeletal muscle energetics (ATPmax and maximal complex I&II supported oxidative phosphorylation [maxOXPHOS]) with perceived physical fatigability using the Pittsburgh Fatigability Scale (PFS, range 0-50, higher=greater). PFS captures fatigue perception anchored to activities of varying intensity and duration. We assessed ATPmax in vivo by 31P magnetic resonance spectroscopy following an acute knee extensor exercise bout. maxOXPHOS was quantified ex vivo in permeabilized fiber bundles by high-resolution spectroscopy. Participants (N=721 with PFS and ≥1 energetics measure) were aged 76.4±5.0 years, 56.7% women, 86.7% White. Lower ATPmax (r=-0.21) and maxOXPHOS (r=-0.29) correlated with higher PFS scores (both p&lt;0.001). Linear regressions adjusted for age, sex, technician, and total daily accelerometry-derived physical activity revealed that each one SD lower ATPmax (0.15 mM/sec) was associated with 1.15 (95% CI: 0.50, 1.79) higher PFS scores; each one SD lower maxOXPHOS (18.5 pmol/(sec*mg)) was associated with 1.79 (95% CI: 1.14, 2.45) higher PFS scores. Impaired skeletal muscle energetics may be implicated in the etiologic pathway of age-related fatigability. Next steps will examine the longitudinal association between changes in skeletal muscle energetics and age-related fatigability.
Everyday Challenges for Individuals Aging With Vision Impairment: Technology Implications
Authors: Remillard Elena T , Koon Lyndsie M , Mitzner Tracy L , Rogers Wendy A 
Published: December 2023

Abstract

Background and Objectives
There are growing numbers of older adults with long-term vision impairment who are likely to experience everyday activity challenges from their impairment in conjunction with age-related changes. Technology has potential to support activity engagement. To develop effective technologies and interventions, we need to understand the context of activity challenges and identify unmet support needs.

Research Design and Methods
The Aging Concerns, Challenges, and Everyday Solution Strategies (ACCESS) study is a mixed-method approach to explore everyday challenges of people aging with long-term disabilities. Participants included 60 adults aging with long-term vision impairment (63% female; M age = 67, SD = 4.6) who completed in-depth, structured interviews exploring the nature of everyday challenges and their unmet support needs for activity engagement. We conducted a content analysis using a deductive and inductive approach to build a detailed coding scheme of challenge codes and subcodes.

Results
The analyses provided detailed insights about the nature of challenges people aging with vision impairment experience when performing specific instrumental activities of daily living (IADLs) in the context of home maintenance, transportation, shopping/finance, and managing health. Vision-related challenges and participation restrictions were identified for several activities that require reading, navigation, and identification (e.g., shopping, medication management, public transportation). Emergent challenge themes for performing IADLs included personal limitations (e.g., physical, cognitive, financial) and environmental barriers (e.g., accessibility, technology, transportation).

Discussion and Implications
Contextual examples of IADL challenges among individuals aging with vision impairment highlight opportunities for technology design and innovation to support participation in everyday activities.
Time-dependent and spatio-temporal statistical analysis of seismicity: application on the complete data set of the 2010 Beni–Ilmane earthquake sequence
Authors: Rahmani Sofiane Taki-Eddine , Abacha Issam , Boulahia Oualid , Yelles-Chaouche Abdelkarim , Crespo-Martín Cristina , Roubeche Khaled 
Published: December 2023

SUMMARY
The Beni–Ilmane (BI) seismic sequence, situated in the north-central region of Algeria, began on 2010 May 14 with a main shock of ML 5.4 followed by two other shocks on May 16 and 23 of ML 5.3 for both. Using the complete data set from May 14 to August 31 and the Epidemic Type Aftershock Sequences (ETAS) model to separate background from aftershocks contribution gave a first insight around the uncertainty that surrounds the causes and mechanisms of the seismicity. According to our findings, two phases have been determined, the first one, beginning from May 14, shows low b- and p-values with most of the seismicity being self-triggered. In contrast, the second phase, beginning from May 23, demonstrates an increase of both the b- and p-values with a high number of background events. In the second phase, the background contribution involves 53 per cent of all seismic activity after May 23’s peak which is high compared to typical main shock–aftershocks sequences. A possible explanation is that the main shocks began or assisted aseismic processes in addition to causing aftershocks. A sealed source at depth may have been broken by the third main shock, opening the way for the following incursion of highly pressurized fluids (hydrocarbures) confirmed by a high Vp/Vs ratios.
A systems science leverage point analysis of climate change advocacy
Authors: Green Celia , Joyce Andrew , Hutton Rebecca Willow-Anne , Dembek Krzysztof , Carey Gemma 
Published: December 2023

Abstract
Failure of governments across the world to address climate change has fuelled social movements focused on climate-related policy and action. Research analysing these movements has focused mainly on the types of strategies employed including blockades and occupations, marches and petitions, divestment, boycotts and litigation as well as how groups are framing climate change as a problem. What has been largely missed are the ways these groups are framing the change they want to see, that is their demands to governments. Not all demands and actions have the same potential to create the changes needed to mitigate climate change. Used in public health and health promotion, the systems science Intervention Level Framework (ILF) is a tool that can help analyse to what extent different demands have the leverage to create change in a system. We use the ILF to analyse 131 demands from 35 different climate-related advocacy groups in Australia. Results show demands are more focused on lower system leverage points, such as stopping particular projects, rather than on more impactful leverage points, such as the governance structures that determine climate-related policy and decision-making mechanisms. Further, the results highlight the lack of attention on public health related topics of transport and food systems. This paper shows how a systems science framework used in health promotion, the ILF, could enable climate advocacy groups to more effectively target demands to achieve more impactful outcomes from governments, corporations and the public.
Fidelity, adaptation and integration of whole-school health promotion within Dutch schools: a cross-sectional survey study
Authors: Vennegoor Gerjanne , van Assema Patricia , Molleman Gerard R M , van Empelen Pepijn , Dieleman Joyce , Jansen Maria W J 
Published: December 2023

Abstract
Implementing comprehensive health promotion programs in the school setting can be challenging, as schools can be considered complex adaptive systems. As a first step towards understanding what works in improving implementation for which schools and under which conditions, this study aimed to examine the degree of implementation of health promoting school (HPS) programs, in terms of five dimensions of fidelity (adherence, dose, participant responsiveness, quality of delivery and program differentiation), and the dimensions of adaptation and integration. The HPS Implementation Questionnaire was distributed among ± 2400 primary, secondary, secondary vocational and special needs schools in the Netherlands. Employees of 535 schools (22.3%) filled out the questionnaire. Data were analysed by descriptive statistics and ANOVA tests. The average degree of implementation was 2.55 (SD = 0.58, range = 0.68–3.90; scaled 0–4). The lowest scores were achieved for participant responsiveness and adherence, and the highest for integration and adaptation. Schools that identified as HPS reported significantly higher overall degree of implementation, adherence, dose, participant responsiveness, program differentiation and adaptation than schools that didn’t. Primary schools achieved a significantly higher degree of implementation, dose, participant responsiveness, quality of delivery and integration than other school types. In conclusion, many schools work on student health and well-being to some extent, but the vast majority have much room for improvement. Higher implementation scores for schools that identified as HPS underline the value of HPS programs. A broader perspective on health and more insight into conditions for effectiveness and implementation in secondary and secondary vocational schools are needed.
Strategies to support midlife women to reduce their alcohol consumption: an Australian study using human-centred design
Authors: Miller Mia , Kuntsche Sandra , Kuntsche Emmanuel , Cook Megan , Wright Cassandra J C 
Published: December 2023

Abstract
Alcohol consumption is causally associated with long-term health-related consequences, such as cancer and cardiovascular disease, and short-term harms, such as accidents and injuries. Alcohol consumption has increased among midlife women (aged 40–65) over the last two decades in high-income countries. This study aimed to centre women’s voices by using co-design methodologies to investigate what women identify as strategies that could assist them and other women their age to reduce their alcohol consumption. Human-centred design workshops were undertaken with 39 women, and conventional qualitative content analysis was used to analyse information from written workshop materials to develop categories in the data and count their occurrence. Six categories, or strategies, emerged, listed here from most to least represented: ‘Participate in alternative activities to drinking alcohol’, ‘Track alcohol consumption and set goals’, ‘Seek support from family and friends’, ‘Drink alcohol-free beverages’, ‘Reduce supply of alcohol in the home’ and ‘Seek professional support’. Our findings identify strategies that are realistic and feasible to midlife women; our sample, however, likely reflects a more affluent subsection of this group, and as such, any focus on individual-level strategies must be complemented by policies that increase equitable access to healthcare and act on the social and commercial determinants of health. An intersectional approach to alcohol and other drug research is required to examine how the interplay of gender and other markers of social identities shape alcohol consumption.
Multimorbidity and 11-year mortality in adults: a prospective analysis using the Chilean National Health Survey
Authors: Nazar Gabriela , Díaz-Toro Felipe , Petermann-Rocha Fanny , Lanuza Fabián , Troncoso Claudia , Leiva-Ordóñez Ana María , Concha-Cisternas Yeny , Celis-Morales Carlos 
Published: December 2023

Abstract
Research on morbidity and mortality often emphasizes individual diseases over the cumulative effects of multimorbidity, especially in low- and middle-income countries. This study aimed to analyze the association between multimorbidity and all-cause mortality in a representative sample of the Chilean population. This longitudinal study used data from 3701 subjects aged ≥15 years who participated in the Chilean National Health Survey conducted between 2009 and 2010. We included 16 self-reported highly prevalent morbidities. All-cause mortality data from an 11-year follow-up were collected from the Chilean Civil Registry. The Cox proportional hazard model, adjusted for confounders, determined the association between multimorbidity categories and all-cause mortality. Of the total sample, 24.3% reported no morbidity, while 50.4% two or more. After adjustment, participants with four or more morbidities had a 1.66 times higher mortality risk [95% confidence interval (CI): 1.03–2.67] than those without morbidities. The mortality risk increased by 10% for each additional morbidity [HR: 1.09 (CI: 1.04–1.16)]. Multimorbidity was common in the Chilean population and increased the mortality risk, which greatly challenges the health system to provide an integral and coordinated approach to healthcare.
Barriers to school-based health programs implementation in basic schools in Ghana: education stakeholders’ perspective
Authors: Adomako Gyasi P , Zhou L , Chen Z , Numawoseh E. E , Opoku-Agyemang A. S 
Published: December 2023

Abstract
School health has been identified as a neglected aspect of primary health care in Ghana, leading to compromised health, well-being and life satisfaction among students. To address this concern, this study identified the barriers hindering the implementation of school-based health programs in Ghana. It employed a qualitative approach, including 116 respondents who participated in interviews. The collected data were analyzed using thematic analysis with the aid of NVivo software. In line with the research objective, findings show that the implementation of school-based health programs faces several teething challenges that serve as barriers to the success and sustainability of the programs. These barriers included resource constraints; a lack of adequate parental and community participation and a lack of adequate collaboration between stakeholders’ management and leadership issues, governance issues and political issues. The findings from the study have a relevant and innovative contribution to achieving good health and well-being and quality education as part of the 2030 Agenda for Sustainable Development Goals and shaping primary healthcare management in the context of a developing country. It recommends that policymakers and health practitioners pay special attention to school-based health programs as a key strategy for primary health care management in developing countries.