bluuebunny/crossref_metadata_2025_split huggingface dataset:
EFFECTS OF AN AGE SUIT SIMULATION ON NURSING STUDENTS’ PERSPECTIVES ON PROVIDING CARE TO OLDER PERSONS
Authors: Hallgren Jenny , Stjernetun Björn Bouwmeester , Gillsjö (Gillsjo) Catharina 
Published: December 2023

Abstract

Background
Nursing students are important future health care providers to the growing number of older persons in society. However, two barriers are their common ageist attitudes and lack of interest in geriatrics. This is a concern in light of the global demand for more nurses. Method: This study investigated the effects of ageing simulation with an age suit as a part of experiential learning in a nursing programme among 471 nursing students. The simulation allowed the students to experience specific and common health problems from the patient’s point of view in a controlled environment and a relevant context of care provision for future nurses: a home with welfare technology and other aids. The learning process involves a continuous cycle of doing and reflecting resulting in knowledge that also becomes “ingrained” in the body of the learner. Data on the Perspectives on Caring for Older Patients – Short Form (PCOP-SF) scale were collected using a quasi-experimental pretest–posttest design with a control group.

Results
The results showed that the intervention had a positive effect on various aspects of nursing students’ perspectives on caring for older persons. Work experience was associated with more positive attitudes. The control group was more negative towards geriatrics as a career choice than the intervention group.

Conclusion
Age suit simulation can be an innovative intervention in nurse education as it raises awareness and understanding of aging and the health challenges of older persons, which are important in combatting ageism among future nurses.
ORAL HEALTH: THE MOST UNMET HEALTH CARE NEED FOR MEDICALLY VULNERABLE ELDERLY WITH OR WITHOUT DEMENTIA
Authors: Tabrizi maryam , Lee Wei-Chen 
Published: December 2023

Abstract
Individuals aged 65 and older are living longer with multiple chronic conditions, leading to a larger population of medically vulnerable elderly with or without dementia. Consequently, only an interdisciplinary health system can meet the comprehensive health needs for older adults. Historically, Oral Health (OH) is the most unmet need in healthcare, particularly in older adults. This is due to several barriers including Interprofessional Education (IPE) and Interprofessional Collaboration (IPC). Therefore, there is a growing gap between OH and overall health. We conducted two studies in the past 4 years. The first study included pre-doctorate healthcare students (Medical, Nursing, Dental and Pharmacy) evaluating their IPE during their educational training and the influence of their education later as practitioners. The result of this study revealed an unsatisfactory IPE that would lead to minimum or no interdisciplinary collaboration. The second study (2019 to 2022) included dental residents in a one year post graduate program “Advanced Education in General Dentistry” (AEGD). In each year we collected a survey at the beginning of the residency program asking the level of comfort treating medically vulnerable elderly as a provider in a health team. We then exposed them to a comprehensive geriatric oral health both didactics and clinical skills. The same survey was again conducted at the end of the residency. The study revealed adequate training increased the level of residents’ ability to provide care within a health team. Interdisciplinary health services require interdisciplinary educational training to close the gap between oral health and overall health.
SPOUSAL MULTIMORBIDITY AND DEPRESSIVE SYMPTOMS AMONG OLDER INDIAN COUPLES: DOES ONE’S OWN HEALTH AND GENDER MATTER?
Authors: Ko Soohyeon , Kim Rockli 
Published: December 2023

Abstract
With the aging population, increases in non-communicable diseases that require chronic management pose economic and social burdens to individuals with multimorbid conditions and their spousal caregivers. However, little is known about the crossover effect of spousal multimorbidity on mental health outcomes in the context of low-and middle-income countries, and whether it depends on one’s own health status and gender. We used data on 6,158 older couples (12,316 individuals aged 60 years or above) from the Longitudinal Aging Study in India (LASI) 2017-18 to examine the association between spousal multimorbidity and depressive symptoms. Overall, 23.4% of the sample were multimorbid and 27.0% reported having depressive symptoms in the past week. Multivariate logistic regression models showed that spousal multimorbidity was associated with depressive symptoms, even after accounting for one’s own multimorbidity status (adjusted odds ratio(aOR)=1.23; 95% confidence interval (CI)=1.06-1.44). However, this association was gender-specific. Among men, when jointly considered, spousal multimorbidity was no longer statistically significant whereas their own multimorbidity was associated with 60% higher odds of having depressive symptoms (aOR=1.60; 95% CI=1.28-2.00). Furthermore, the association between spousal multimorbidity and depressive symptoms was contingent upon the presence of their own multimorbidity for men. Among women, spousal multimorbidity was significantly associated with depressive symptoms, regardless of their own multimorbidity status. Our findings indicate that interventions to promote healthy aging should expand the formal caregiving system and consider family-based approaches to minimize the crossover health consequences of morbidity in conjugal relationships, especially for women.
DEPRESSION AMONG OLDER ADULTS WITH ACUTE CORONARY SYNDROME ASKING FOR EMERGENCY HELP
Authors: Hayajneh Audai 
Published: December 2023

Abstract
Acute coronary syndrome (ACS) has been associated with urgent cardiac symptoms, which require an emergent medical care by the healthcare providers (HCPs), including nurses. These cardiac emergency events may cause disturbance to daily life for older adults with ACS. The purpose of this study was to identify the occurrence of depression and examine its correlates among those patients with ACS asking for emergency help. This is secondary data analysis of data collected from a convenient sample of 300 older adults with ACS asking for emergency help. Correlation and multivariate analyses were utilized in this study. Depression was found to be significantly, positively associated with each of hospital length of stay (LOS), intensive care unit (ICU) LOS, and frailty. The level of depression among older adults with ACS asking for emergency help was 65.7%. The level of depression among older adults asking for emergency help had significant predictors, as follows: Age (t=3.06), troponin (t=2.98), hemoglobin alpha 1C (HbA1c) (t=3.18), and frailty (t=5.77). These factors utilized in the linear regression model explained 56.6% (Adjusted R²=0.566, p=0.017) of the variation in the level of depression. The rate of depression is high among older adults asking for emergency help. Thus, the HCPs, including nurses, should pay a high attention to those at-risk patients for the occurrence of depression, as well as be well-prepared to manage correspondingly. Depression among older adults with ACS asking for emergency help requires emergency intervention protocol to combat depression among those patients by HCPs, including nurses.
DEPRESSION AND LONELINESS IN BLACK WOMEN WITH HYPERTENSION: A SYSTEMATIC LITERATURE REVIEW
Authors: Hutto Lashawn , Odlum Michelle , Dowling Maritza , Theeke Laurie 
Published: December 2023

Abstract
Hypertension occurs more frequently in Black women than men. Over 50% of Black women have hypertension, compared to 39% of non-Hispanic white women and 38% of Hispanic women. Black women with hypertension are more likely to report depressive symptoms which are associated with hypertension, a known risk for cardiovascular diseases including myocardial infarction, heart failure, and stroke. This paper presents a synthesis of findings from quantitative studies that measured depression and loneliness in black women with hypertension. The literature search used EbscoHost with the following databases: Medline Complete, Academic Search Complete, Medline, Pub-Med, Scopus, APA PsycArticles, APA PsycINFO, and CINAHL. Twelve articles were included. Loneliness and social isolation are predictive of depression in black women ages 40 and older. The issue is further confounded by cultural norms that include not seeking therapy, discussing symptoms, and displaying vulnerability, leading to loneliness and disconnection. Loneliness is increased in middle age black women who’ve experienced traumatic events. In an intervention trial, the associations between blood pressure control and living arrangements were examined. Middle- aged black women living alone were reported to have a higher prevalence of uncontrolled blood pressure, cardiovascular events, and mortality compared to those living with others. There are limited studies of loneliness and depression in black women with hypertension. Additional studies are needed that include variables reflective of cultural norms. A culturally sensitive clinical environment that facilitates discussion about feelings of depression and loneliness could be foundational to the development of new more precise interventions for black women with hypertension.
DOES HEARING LOSS MODERATE THE RELATIONSHIP BETWEEN COGNITION AND DEPRESSION?
Authors: Lister Jennifer , Bush Aryn Harrison , O’Brien Jennifer , Conover Laura , Sadeq Nasreen 
Published: December 2023

Abstract
Hearing loss, depression, and cognitive impairment are common, co-occurring conditions experienced by older adults, but the nature of the relationship among these conditions remains unclear. Both depression and hearing loss have been identified as risk factors for dementia, but for different stages of life (e.g., Singh-Manoux et al., 2017; Livingston et al., 2020). Hearing loss is described as the strongest modifiable risk factor in mid-life, and depression is second only to smoking as the strongest modifiable risk factor in late-life (Livingston et al., 2020). The association between hearing loss and depression is well documented in the literature (e.g., Lawrence et al., 2015). It is possible that hearing loss, as an earlier risk factor, moderates the relationship between depression and cognition. Therefore, as part of an ongoing longitudinal study of early indicators of cognitive decline, we examined the moderating effect of two measures of hearing (pure-tone hearing threshold average, Dichotic Sentence Identification test) on the relationship between depression (Geriatric Depression Scale) and cognition (Montreal Cognitive Assessment, Digit Symbol Substitution test) for a group of 65 older adults (mean age 74). Although none of the hearing or cognitive measures were significant predictors of depression scores on their own, there was a significant negative interaction between the Montreal Cognitive Assessment and pure-tone hearing threshold average, p = 0.048. These results may be interpreted to suggest that individuals with higher (poorer) hearing thresholds show a decrease in depression as their cognitive scores improve, whereas individuals with lower (better) hearing thresholds show the opposite pattern.
MYOGENIC CONTRIBUTORS TO PHYSICAL FUNCTION IN OLDER ADULTS WITH SYMPTOMATIC KNEE OSTEOARTHRITIS
Authors: Johnson Alisa , Nichols Jennifer , Vincent Heather , Fillingim Roger , Cruz-Almeida Yenisel 
Published: December 2023

Abstract
Knee osteoarthritis (OA) is a leading cause of mobility disability among middle-aged and older adults, and contributes to significant global disease burden. The impact of knee OA on physical function varies widely across individuals, and the factors contributing to this heterogeneity are poorly understood. Recent compelling research suggests that myogenic factors, including muscle quality (MQ), may underly symptoms in knee OA. While MQ is gaining attention in aging research, the role of MQ on functional outcomes in persons with knee OA remains unknown. This pilot study examined morphological and neuromuscular biomarkers of MQ among adults aged 50 years and older (N=44) who met clinical criteria for symptomatic knee OA. Physical performance was assessed using the Short Physical Performance Battery (SPPB). MQ was quantified using B-mode ultrasound (echo intensity) and isokinetic strength measures (force/body mass). Associations between MQ and physical performance were determined, with consideration for clinical pain, age, sex, and body mass index. Pearson correlation analysis indicated SPPB scores were associated with clinical pain, strength, and MQ (r values ranged -.42 – 0.60, p’s&lt; 0.05). Multivariable backward stepwise linear regression analysis demonstrated that MQ biomarkers contributed 39% to variance for SPPB score independent of clinical pain and strength, after adjustment for age, sex, and BMI (b’s = -0.32 – 0.45; p’s &lt; 0.05). MQ is an important consideration for physical function in older adults with chronic knee OA pain, regardless of pain severity, and represents a potentially potent treatment target for disability prevention.
PSYCHOSOCIAL CHARACTERISTICS BY PAIN PRESENCE AND LIMITATIONS AMONG OLDER ADULTS
Authors: Holmes Ashleigh , Wang Weijun , Chang Yu-Ping 
Published: December 2023

Abstract
Older adults experience high rates of pain, which is linked to physical disability, poorer mental health, reduced social engagement, cognitive impairment, and increased health care costs. Due to the heterogeneous nature of pain, further research is needed to identify psychosocial characteristics in older adults grouped by pain experience. Using the nationally representative National Health and Aging Trends Study Round 11 (2021) dataset, we performed ten multiple regression models (controlling for age, gender, and race/ethnicity) examining various psychosocial variables in 3,381 older adults divided into three pain groups: no pain within the last month, pain without activity limitations, and activity-limiting pain. The results showed that older adults with activity-limiting pain compared to those without pain had significantly higher depression (b=0.724, p&lt;.001), anxiety (b=0.675, p&lt;.001), fear of falling (b=1.078, p&lt;.001), difficulty initiating and maintaining sleep (b=0.906, p&lt;.001), and use of sleep medications (b=0.448, p&lt;.001), as well as reduced positive affect (b=-1.812, p&lt;.001), self-realization (b=-0.204, p&lt;.001), self-efficacy (b=-0.041, p=.012), resilience (b=-0.101, p&lt;.001), and social participation (b=-0.205, p&lt;.001). In older adults with non-activity-limiting pain compared to those without pain, all relationships remained significant except for self-realization (p=.366), self-efficacy (p=.122) and resilience (p=.123). Furthermore, older adults with non-activity-limiting pain reported higher levels of self-realization (b=0.173, p&lt;.001) and self-efficacy (b=0.068, p&lt;.001) than those with activity-limiting pain. The findings suggest that pain is strongly associated with all psychosocial outcomes, especially in older adults with activity-limiting pain. Future research should examine the impact of self-realization and self-efficacy on pain experiences in older adults with activity-limiting pain.
SELF-REPORTED MENTAL AND PHYSICAL HEALTH IN OLDER PATIENTS WITH RHEUMATOID ARTHRITIS
Authors: Anim-Koranteng Comfort , Eun Yong , Opoku-Agyemang Christfelly 
Published: December 2023

Abstract
Rheumatoid arthritis (RA) is the most common autoimmune arthritis with a prevalence of 1% among the American population. RA significantly impacts mortality and is associated with worse quality of life among older adults. Management of RA in older patients is challenging due to comorbidities and frailty. This study compared RA patients’ self-reported mental and physical health between older (65 and over) and younger (18-64) individuals. In the study, we included participants from the All of Us dataset version 6, which includes survey data collected between May 6, 2018, and January 1, 2022, who had one or more diagnosis codes (ICD9/ICD10) of RA and at least one medication exposure for RA. Total of 2904 patients with RA - 1577 older and 1327 younger - were included in the analysis. PROMIS-PH (Patient-Reported Outcomes Measurement System - Physical Health) and MH (Mental Health) score were calculated from the survey result, from 2 to 10: higher score representing better outcome. Average PROMIS-PH score was 6.5 in older patients and 5.9 in younger patients (P&lt; 0.05). Average PROMIS-MH score was 7.2 in older patient and 6.4 in younger patients (P&lt; 0.05). The findings of this study suggest that older patients with RA may have better self-reported mental and physical health than younger individuals. This could be attributed to better disease management, increased resilience, and adaptability. Further research is warranted to understand the underlying causes of the study’s findings.
THE FACTORS RELATED TO KENDO PRACTICE THAT AFFECT IKIGAI-KAN OF MIDDLE-AGED AND OLDER KENDO PRACTITIONERS
Authors: Matsumoto Daisuke , Uchida Hayato 
Published: December 2023

Abstract
The purpose of this study was to clarify the factors related to kendo practice that affect Ikigai-Kan and actual conditions of generativity, mental health of middle-aged and elderly Kendo practitioners. We selected 97 middle-aged and older Kendo practitioners who are practicing at Dojos in Osaka and Hyogo prefectures as research participants. Items that are basic attributes were grouped into two groups, and the values of each survey item were compared between groups. In addition, correlation analysis was performed to grasp the mutual relationship between the basic attributes and each survey item value. Furthermore, in order to clarify the factors related to the practice of kendo that affect Ikigai-Kan, multiple regression analysis was performed. Each item value indicating the practice status of kendo was used as independent variable. As a result, it was confirmed that the frequency of practice with young people (β=0.384, p&lt; 0.01) affected Ikigai-Kan. These results show that the collaboration between the school and the community, the creation of an environment where the skills and experience of middle-aged and elderly people such as club activity instructors and local sports organizers can be enhanced, and opportunities to interact with or practice with young people would lead to Ikigai.
USER PERCEPTION OF TECHNOLOGICAL INTERVENTIONS FOR PARKINSON’S DISEASE: A SYSTEMATIC REVIEW
Authors: Lau Terence , Leung Angela Y M 
Published: December 2023

Abstract
With the growing number of Parkinson’s disease technological intervention studies available, it is uncertain what and how people with Parkinson’s disease (PWP) respond to these interventions. This systematic review aims to study the user perception and perceived psychosocial gain of technological interventions among the Parkinson’s disease population, and it included 27 eligible studies from 6 databases. Through thematic synthesis, qualitative evidence suggests technological interventions could benefit the psychosocial well-being of people with Parkinson’s disease (PWP) under appropriate implementation. Coping with technological interventions was identified as the overarching theme. The theme is closely related to participants’ technological literacy and could lead to perceived psychosocial gain. The discrepancy between the implemented technology and PWP’s technological literacy level dictated how well PWP coped with the interventions. Ineffective coping attempts could induce undesirable emotions within PWP and tamper with their psychosocial health. In contrast, successful coping attempts reduced initial adverse effects, resulting in psychosocial growth such as increased autonomy and interpersonal relationships. To facilitate PWP’s coping process and design a Parkinson’s disease-friendly technological intervention. Scholars should include an adjustable, progressive module design and provide sufficient training and technical support to participants during implementation.
VASOMOTOR SYMPTOMS AND DIET QUALITY
Authors: Thangwaritorn Pilar , Perales-Puchalt Jaime , Meister Melanie , Schwasinger-Schmidt Tiffany , Billinger Sandra , Bright Briana , Watts Amber 
Published: December 2023

Abstract
During the menopausal transition, women report a variety of physical changes including hot flashes and nights sweats, known as vasomotor symptoms, which are associated with later life health outcomes including vascular disease and Alzheimer’s risk. Previous studies suggest that maintaining a healthy diet may alleviate vasomotor symptoms, however, few studies have investigated this association. We examined the potential association between diet quality and vasomotor symptoms in women ages 40-60 years. Recruitment is ongoing and currently consists of N = 44 women (Mage = 50.59, SD = 5.96) from the Kansas City and Wichita areas. We assessed vasomotor symptoms using two questions from the Greene Climacteric Scale and measured diet quality with the Rapid Eating Assessment for Participants-shortened version. We evaluated the association between diet quality and vasomotor symptoms using linear regression. Overall, women in our sample reported moderate diet quality and were moderately bothered by hot flashes and night sweats. The association of diet and vasomotor symptoms was not statistically significant accounting for covariates, possibly related to sample size (β = 6.024, p = .307). However, lower education levels are associated with a greater degree of vasomotor symptoms (β = -0.876, p = .011). Future research could investigate specific types of foods (e.g., vegetables, proteins, etc.) that influence vasomotor symptoms and the associated health outcomes in women who are post-menopausal, including vascular disease and cognitive decline. Lifestyle factors such as diet may be an intervention strategy to reduce disease that emerges during the menopausal transition.
DIFFERENCES IN PHYSICAL PERFORMANCE MEASURES BETWEEN BLACK AND WHITE OLDER ADULTS
Authors: Windham William , Windham B Gwen , Sylvester Hunter , Palta Priya , Skow Laura , Sharrett A Richey , Kucharska-Newton Anna , Griswold Michael 
Published: December 2023

Abstract
Older Black adults are reported to have poorer physical function relative to White older adults. Cardiovascular risk factors and disease are associated with physical function and are more prevalent in Black adults. We examined objective physical function cross-sectionally using the Short Physical Performance Battery (SPPB, scored 0-12; 0.5 is considered clinically meaningful) in the Atherosclerosis Risk in Communities Study among Black and White participants during Visit 5 (2011-2013). Marginal standardization following generalized linear modelling (log-link, negative-binomial) was used to investigate whether cardiovascular features (hypertension, diabetes, BMI, smoking, heart disease, heart failure, stroke) helped explain race differences by comparing unadjusted (total effect) versus adjusted (direct effect) results. Among 5,836 participants (&gt;65 years, mean age=75.9, 42% men, 22% Black), Black participants scored 1.3 points lower than White participants; unadjusted: 8.2 versus 9.5; relative difference of 0.86 (0.84, 0.88). After accounting for cardiovascular features, Black participants scored 1.4 points lower than White participants; adjusted: 8.2 versus 9.6; relative difference of 0.85 (0.84, 0.87). Cardiovascular risk factors and disease alone did not appear to account for substantial cross-sectional physical performance race differences in this population. Future research should examine additional factors potentially contributing to observed functional differences typically attributed to race such as cumulative vascular risk factors, geographic, social, cultural, and other systemic influences.