bluuebunny/crossref_metadata_2025_split huggingface dataset:
HETERONORMATIVE SILENCES AND QUEER LONGINGS IN LGBTQ PEOPLE’S EXPERIENCES OF ELDER CARE AND HOME
Authors: Siverskog Anna 
Published: December 2023

Abstract
The meaning of home for queer people have been widely empirically explored as well as theorized. Not least has the home been important for the older generations of queer people, who lived in times where their sexualities and gender identities have been criminalized, pathologized and where there have been few public meeting places historically. However, having care needs may blur the lines between private and public and complicate notions of integrity in one’s home. This paper is based on qualitative interviews and aims to explore experiences of LGBTQ people in a Swedish context who have eldercare services; either people who have home-care-services or who are living in care homes. A queer theoretical framework and thematic analysis was used. The results illustrate how there is a silence around gender and sexuality in the everyday life within eldercare. This in turn is caused by material conditions where downsizing and effectivization of the eldercare has created pressed working conditions that leaves little room for small talk between staff and recipients of care. Norms on age, gender, and sexuality with notions on older people as asexual (as well as cisgender and straight) may play into this silence as well. The boundaries between the private (home) and the public (eldercare) become blurred. This in turn conditions which intimacy practices that become im/possible. Simultaneously, there is a presence of queer resistance as well as of longings for other (queer) futures.
THE EFFECT OF CHRONIC CONDITIONS ON DEPRESSIVE SYMPTOMS IS MODERATED BY SEXUAL MINORITY STATUS
Authors: Trubits Em , Newsom Jason , Saucedo Jennifer , Botoseneanu Anda , Allore Heather , Nagel Corey , Dorr David , Quiñones Ana 
Published: December 2023

Abstract
It is important to examine disparities in the effects of physical health on depression among sexual minority (SM) older adults. We examined whether the effects of chronic conditions (CCs) and self-rated health (SRH) on depressive symptoms were moderated by sexual orientation among 3,741 adults aged 50+ (SM = 216) who participated in the 2016 wave of the Health and Retirement Study (HRS) and responded to the recently added sexual orientation item. Structural equation modeling was used to model the effects of SRH and CCs on depressive symptoms, while controlling for participant sex, age, years of education, net-worth, and race/ethnicity. Greater numbers of CCs were associated with greater depressive symptoms (b= .24, SE = .04, p &lt;.001), whereas better SRH was associated with fewer depressive symptoms (b = -.60, SE = .05, p &lt;.001). The direct effect of SM on depressive symptoms was significant, b = 1.14, SE = .48, p =.02, indicating greater depressive symptoms among SM adults. The interaction between SM and SRH on depressive symptoms was significant (b = -.39, SE = .17, p = .02). The same effect was seen for CCs (b = -.32, SE = .15, p = .04). Simple slopes revealed that for heterosexual older adults, greater CCs were associated with greater depressive symptoms (b = .27, SE = .04, p &lt;.001), however this association was not significant for SM older adults (b = -.05, SE = .16, p = .75). Future research should examine health disparities among SMs in relation to mental health.
ASSOCIATION BETWEEN EXERCISE AND UNCONTROLLED BLOOD PRESSURE IN HYPERTENSIVE PATIENTS
Authors: Hwang Sinwoo , Cho Eunhee 
Published: December 2023

Abstract
Hypertension is closely associated with cerebrovascular and cardiovascular diseases, the most frequent causes of death in Korean adults. Despite its continuously improving treatment rate, it is necessary to consider patients whose blood pressure remains uncontrolled. Walking exercises are strongly recommended to lower blood pressure. This study aimed to examine the level of walking in hypertensive patients and factors that deterred walking. This cross-sectional study was conducted through secondary data analysis using data collected from the Korea National Health and Nutrition Evaluation Survey from 2016 to 2020. Participants included 1,800 hypertensive patients over the age of 19 years, whose blood pressure was not under control despite medication. Walking was defined as exercise lasting for at least 30 minutes more than five times a week. Multiple logistic regression analysis was conducted to evaluate factors that deterred walking as an exercise in hypertensive patients. Of the total sample, 63.8% patients (n=1,149) were not exercising (walking). Job and obesity were two significant factors associated with walking less. Patients who were employed or obese were more likely to not walk, compared to those unemployed (OR, 1.31; 95% CI, 1.04–1.65) or those with normal weight (OR, 1.43; 95% CI, 1.03–1.98). Patients with uncontrolled blood pressure despite medication need lifestyle modifications as well. High medication adherence should not be the reason to overlook the management of hypertensive patients. In fact, detailed management is required to identify vulnerable groups, particularly those who do not engage in even walking exercises regularly, which is a simple treatment of hypertension.
DIFFERENCES IN HOSPICE AND NONHOSPICE NURSES’ PERSONAL AND PROFESSIONAL CHARACTERISTICS
Authors: Taylor Janie , Zucchero Renee’ 
Published: December 2023

Abstract
The overextension of nurses due to an aging population, increase in chronic conditions, and the COVID-19 pandemic, places them at risk of negative outcomes. However, less is known about how hospice nurses compare to nurses in other subfields in terms of professional quality of life or factors that may potentially protect against adverse consequences of caregiving. Therefore, this study investigated differences between hospice and non-hospice nurses across several factors, including the work environment, self-awareness (SA), psychological flexibility (PF), palliative care self-efficacy (SE), and three components of professional quality of life – compassion satisfaction (CS), burnout, and secondary traumatic stress (STS). Using a cross-sectional, exploratory, and quantitative design, participants were sampled through snowball and convenience techniques. Participants (N= 72) completed an online survey, 31 (43%) identifying as working in hospice and 41 (57%) as working in non-hospice settings. Independent samples t-tests were conducted. Hospice nurses reported significantly healthier work environments, higher levels of SA, SE, and CS, and lower levels of burnout than non-hospice nurses. However, there was no significant difference in PF or STS. These findings offer a novel comparison between hospice and non-hospice nurses that could inform workplace change to better support nurses as they face increased demands and increased risk for negative outcome.
OLDER ADULT PERCEPTIONS OF USING IOT TO SUPPORT MEDICATION ADHERENCE AND COMBAT PHYSICAL INACTIVITY
Authors: Choi Yong Kyung , Lin Shih-Yin , Thompson Hilaire , Demiris George 
Published: December 2023

Abstract
The literature has explored the potential of using the Internet of Things (IoT) to support aging in place, but less is known about its ability to motivate older adults for health behavior change. This study aimed to understand older adults’ perception of using IoT to promote medication adherence and combat physical inactivity. We conducted a qualitative secondary analysis of exit interviews of 22 older adults (78% female; mean age: 77.8) who participated in an IoT feasibility evaluation study. In the feasibility study, older adults were asked to choose any combination of the following IoT devices, a door/window sensor, a multi-sensor (motion, light, humidity, temperature), an IP web camera, and a smart speaker, to be installed in their home for 2 months. Thematic analysis revealed that older adults identified creative uses of smart speakers to 1) update, log, and share medication lists/usage and physical activities; 2) set up medication and exercise reminders; 3) support diabetes self-management – taking the guesswork out of the equation (e.g., continuous blood glucose monitoring combined with a smart speaker to recommend the appropriate insulin dosage); 4) read out loud small-print medication labels (when also linked to a smart camera); 5) verbally direct older adults to reach their medications; 6) provide warnings to get up and move when prolonged inactivity is detected by the motion sensor; and 7) bring up music/video for exercise, or serve as a virtual exercise coach. In summary, older adults are receptive to using IoTs to promote medication adherence and reduce physical inactivity.
PLANNING AHEAD FOR POSTHOSPITALIZATION DISCHARGE NEEDS AMONG OLDER ADULTS
Authors: Relerford Raven , Miller-Winder Amber , Schierer Allie , Olvera Charles , Murawski Alaine , Ramirez-Zohfeld Vanessa , Lindquist Lee A 
Published: December 2023

Abstract
Frequently hospitalized older adults require assistance at discharge – either with transfer to a skilled nursing facility (SNF) or additional support at home. Our research has demonstrated that older adults can effectively plan ahead for their discharge needs (e.g., selecting SNFs) prior to hospitalization but some chose not to. Very little is known about what motivates older adults to plan. We sought to identify what variables impact older adults’ post-hospitalization planning. We surveyed a cohort of non-hospitalized adults age 65+ who received PlanYourLifespan.org (PYL), a tool to help older adults plan for their post-hospitalization needs, and then completed follow-up surveys at one month and every 6 months thereafter. Surveys inquire about their post-discharge plans if they were to be hospitalized, specifically rehabilitation/caregiver preferences. Multivariate logistic regression models adjusted for baseline hospitalization decision-making, sex, race, self-efficacy, living status, cognitive impairment, and PYL use. 293 subjects were enrolled (mean 73.5 yrs,40.4% non-White;12 mo. retention rate 94.5%). Subjects were more likely to have plans if they had increased chronic conditions (OR 1.23;p&gt;0.05,1.02-1.47), increased medications (OR 1.15;p&lt; 0.01,1.07-1.25), power of attorney (OR 1.84;p&lt; 0.05,1.01-3.38), and used PYL (OR 2.61;p&lt; 0.01,1.45-4.72). Subjects were more likely to have plans if they had higher medical complexity (OR 1.13 [p&lt; 0.05, 1.03-1.24]), limited health literacy (OR 3.13 [p&lt; 0.05, 1.25-7.81]), and used the PYL website (OR 1.72 [P&lt; 0.05,1.00-2.93]) when asked about planning for future post-hospitalization requiring help in the home. Higher medical complexity, limited health literacy, and use of the planning website were associated with increased hospitalization discharge planning.
HOPE—A UNIQUE MODEL TO PROVIDE ORAL HEALTH SERVICES FOR NURSING HOME RESIDENTS
Authors: Dhar Sohini , Marwaha Rochisha Singh , Challa Suman 
Published: December 2023

Abstract
Optimal oral health care is an essential component of primary health care for all individuals but especially among the older adults due to chronic health issues and polypharmacy. Moreover, there are several barriers to oral health care for the older adults that include but are not limited to cost of dental care, lack of perceived need for care, dearth of transportation, and fear for dental care. To address these barriers to access, UT Health San Antonio School of Dentistry launched Holistic Oral Health Program for Elders (HOPE) program that aims to address oral health needs of nursing home residents living within a 65-mile radius of San Antonio, TX. The HOPE team is formed of trained dental and public health professionals who work together as a group to ensure that preventive, palliative, and clinical oral health services are provided to all eligible residents of the nursing home. For successful implementation of the HOPE program, the team efficaciously completed several critical steps while planning and developing the program, such as- establishing a relationship and procuring contracts with several nursing homes, collaborating with social workers and nurses, and following an interprofessional approach to provide oral health care to the nursing home residents. Since its inception, the HOPE program has successfully signed contract agreements with several nursing homes and has addressed the oral health needs of more than 300 nursing home residents. The HOPE program aims to continue serving this vulnerable and underserved population to address their oral health needs.
THE IMPACT OF COVID-19: IDENTIFYING WELLNESS STRATEGIES FOR ACADEMIC GERONTOLOGY AND NURSING FACULTY AND STAFF
Authors: Friberg-Felsted Katarina , Armstrong Cheryl , Macali Jennifer , Simonsen Sara , Clifton Jennifer 
Published: December 2023

Abstract
The continually evolving nature of the COVID-19 pandemic has presented challenges for individuals working in all sectors of the population, and academia is no exception. The nursing workforce is aging: the average age of a nurse is 52; 55% of the RN workforce is age 50 or older, and the average age of an employed nursing faculty is 46 years old. To date, little is known about the impact of the pandemic on individuals working in gerontology or nursing academia. The purpose of this study was to determine the impact of the COVID-19 pandemic on faculty and staff in a College of Nursing (CON) with a Gerontology program and identify practical strategies to promote health and wellness. A mixed-method survey was administered to faculty (n=140) and staff (n=139) in a College of Nursing in the Intermountain West. Quantitative and qualitative data were collected through a convenience sample. The researchers asked respondents to rate their experiences working from home, including the effects on work-related factors and social-lifestyle factors. Descriptive statistics were used to analyze the data. A total of 139 respondents completed the survey (faculty, n=86; staff, n=53). Respondents identified areas that were better and worse with regard to both work-related and social-lifestyle factors. Further, practical strategies to promote health and wellness were also identified. Finally, themes regarding support from leadership were recognized. This presentation will discuss these three results. These findings highlight the pandemic impact on aging nursing faculty and staff and introduce valuable strategies for promoting health and wellness.
DESIGN AND DEVELOPMENT OF VIRTUAL REALITY APPLICATION: AGE-FRIENDLY HEALTH SYSTEM SCENARIO
Authors: Mitha Samrah , Dezine Marie , Tewary Sweta , Guida Vincent , Masri Hadi , Pandya Naushira , Oviawe Elizabeth 
Published: December 2023

Abstract
With an increase in the aging population, evidence-based practice education can help strengthen knowledge, skills, and clinical practice for healthcare students caring for older adults. Age Friendly Health Systems (AFHS) is one of the frameworks founded on providing evidence-based and low-risk care centered on what matters most to older adults, their families, and caregivers. While didactic education is still the primary force in teaching medical students, innovative methods are being included in the medical curriculum to practice competency. Virtual Reality (VR) platforms are popular due to their ability to provide an immersive hands-on learning experience resembling an actual medical practice. The immersion abilities engage the students’ sensory organs promoting an innovative way of learning concepts that are difficult to teach in real life. The project’s objective was to develop and publish a case highlighting AFHS that can help educate medical students on the 4Ms (Mobility, Mentation, Medication Management, and What Matters). The case was completed in multiple phases 1) using a design document modified through multiple edits and reviews by our interprofessional team; 2) technical development including environment, objects, and interfaces of the application; and 3) publication. The VR case displays four scenarios where an elderly patient is admitted for a hip fracture. Students learned how to triage and treat patients from admission to discharge while demonstrating their knowledge of AFHS. The case is integrated in the geriatric curriculum for medical students, and the education is ongoing. Future studies will evaluate the learning outcomes of medical students.
NEIGHBORHOOD DISORDER MODERATES THE EFFECT OF SLEEP DIFFICULTIES ON COGNITIVE DECLINE AMONG OLDER AMERICANS
Authors: Esiaka Darlingtina , Luth Elizabeth 
Published: December 2023

Abstract
Research suggests that the neighborhood where people live can be a risk or protective factor for various health outcomes, including cognitive decline. Similar to the impact of neighborhood on health outcomes, sleep quality has been linked to cognitive functions in older adults. However, limited studies have examined how neighborhood disorders moderate the effect of sleep on cognitive decline. Data were obtained from 2,494 respondents (1,065 men and 1,429 women) from wave 11 of National Health and Aging Trends (NHATS) data. Approximately 55% of the respondents were age 80+, and 74% identified as non-Hispanic White Americans. Sleep quality was operationalized as the absence of difficulties in falling and staying asleep. Neighborhood disorder (e.g., vandalism, graffiti) was based on observations by interviewers. Cognitive decline was operationalized as subjective reports of increasing or worse memory loss in the past 12 months. Moderated regression analysis using PROCESS macro (model 1) was performed to determine the associations between sleep, neighborhood, and cognitive decline. Results showed a significant main effect between neighborhood and cognitive decline (higher levels of neighborhood disorder result in an increase in cognitive decline, B= 0.369, p =.014), but no significant main effect between sleep and cognitive decline. There was a significant interaction between sleep and neighborhood on cognitive decline. Participants who reported higher-than-average sleep difficulties experienced a greater effect of neighborhood disorder on cognitive decline. Our findings could add to inform future health interventions and policy recommendations that can address modifiable sources of cognitive decline.
SINGING WITH DEMENTIA: CREATING AND PILOT TESTING A VIDEO TO CHANGE ATTITUDES OF MEDICAL RESIDENTS
Authors: Sharninghausen Jody , Davison Carrie Ann , Marottoli Richard 
Published: December 2023

Abstract
As part of the “Creativity in Aging” project at Yale Geriatrics, we are making a series of short videos highlighting individuals and programs that transcend dementia through music. The target audience includes health trainees and professionals who care for older adults. The first video, made by a PhD candidate and an internal medicine resident physician, features The Recollections: a chorus of community dwelling people with dementia, their caregivers, and college students. Video learning objectives are to 1) change dementia attitudes; 2) demonstrate preserved skills and abilities of persons with dementia; and 3) raise awareness about local initiatives for music in dementia and how to refer patients. We interviewed the chorus founder, a geriatric psychiatrist, who described the creative process, including logistics and vision, and provided advice to caregivers and medical residents. Live clips from chorus rehearsals were shown, including singing and dancing, with voiceovers describing participant stories. Slides reinforced key points. The video was pilot tested on a group of residents from the Internal Medicine and Psychiatry programs. All respondents (N=6) used positive words such as “optimistic” and “inspired” to describe how the video made them feel. Most indicated it was moderately relevant to their care of patients with dementia and several provided suggestions on how to increase relevance. Constructive feedback included parts to compress or expand, overall length, visual aspects, and desire for more ‘how to’ guidance. Future plans include sharing a revised version with the broader residency program with pre-and-post dementia attitudes surveys.
THE RELATIONSHIP BETWEEN MOOD OF CAREGIVERS AND CARE RECIPIENTS WITH DEMENTIA
Authors: Hwang Yeji 
Published: December 2023

Abstract
Anxiety and depression are common behavioral and psychological symptoms of dementia. Although there are many individual level factors related to their anxiety and depression, it is unknown whether caregivers’ mood influence anxiety and depression of their care recipients with dementia. Therefore, this study was conducted to examine the relationship between anxiety and depression of caregivers and that of care recipients with dementia. This study was a secondary data analysis using the National Health and Aging Trends Study (NHATS) Round 7 data and National Study of Caregiving (NSOC) III. This study used 553 dyads of older adults aged 65 years and older who had probable dementia at the time of the interview and their family caregivers. Anxiety and depression of both the caregivers and care recipients of dementia were measured with the Generalized Anxiety Disorder-2 (GAD-2) and Patient Health Questionnaire-2 (PHQ-2) respectively. Descriptive statistical analyses, chi-square tests, and logistic regression analyses were used. There were significant relationships between the caregivers’ anxiety and the care recipients’ anxiety presentation (Chi2=10.06, p&lt; 0.01). Similar relationships were also found for depression (Chi2=5.22, p=0.02). Logistic regression analyses showed that when caregivers had anxiety or depression, it was more likely that their care recipients show anxiety (OR=2.25, p=0.002, 95% CI=1.35-3.74) or depression (OR=1.78, p=0.023, 95% CI=1.08-2.94). Because dementia caregivers’ negative mood can influence their care recipients’ mood, health care professionals should conduct early interventions for caregivers with negative moods.
SENSE OF PURPOSE AMONG OLDER ADULT VOLUNTEERS DURING THE COVID-19 PANDEMIC
Authors: Wilkinson Lindsay , George Mollie , Masters Julie , Boron Julie Blaskewicz 
Published: December 2023

Abstract
The psychological benefits of volunteering among older adults are well established, but little is known about the influence of the pandemic on this relationship. Indeed, the COVID-19 pandemic led to social distancing, closures, and other restrictions that hampered the volunteer efforts of many older adults. Utilizing data from a survey of older adult volunteers participating in Foster Grandparent and Senior Companion Programs in a metropolitan area of Nebraska, this study investigates sense of purpose during the COVID-19 pandemic. The analytic sample was comprised of 65 adults ages 57 to 89 years. Linear regression models adjusting for demographic characteristics were used to examine the association between the perceived impact of the pandemic and disruptions to volunteering, and whether disruptions to volunteering were subsequently linked to a reduced sense of purpose. The results reveal that 1 in 4 respondents somewhat or strongly agreed that their sense of purpose had declined during the pandemic. Compared to older adults who perceived that the pandemic had little effect on them, those who perceived that the pandemic had been either difficult or a hardship more strongly agreed that it had been challenging to visit with their clients (both ps &lt; 0.05). Older adults who agreed that there were new challenges in their volunteer role, in turn, more strongly agreed that their sense of purpose had declined (p &lt; 0.01). These findings highlight the importance of volunteering for sense of purpose during the pandemic and suggest a possible pathway through which the pandemic may influence future health.