bluuebunny/crossref_metadata_2025_split huggingface dataset:
CO-DESIGNING A HIGH-ACCURACY HOME MONITORING SYSTEM FOR MANAGING FRAILTY IN OLDER ADULTS
Authors: Rincón Adriana Ríos , Chan Andrew , Figeys Mathieu , Koubasi Farnaz , Ahmed Yusuf , Gregson Geoffrey , Miguel-Cruz Antonio 
Published: December 2023

Abstract

Background
Frailty, a condition often affecting older adults, increases vulnerability and diminishes physical abilities across bodily systems. Current non-routine frailty screening in primary care or clinical settings fails to detect “hidden health vulnerabilities” in a timely manner. Smart home technologies offer an affordable and effective solution for continuous frailty tracking and prevention. However, existing home monitoring technologies typically require users to acquire new skills or are invasive, such as camera-based systems. Objective: Our goal is to create a high-accuracy home monitoring system coupled with Internet of Things devices to identify potential frailty indicators.

Methods
This qualitative description study involves 4 to 8 participants, including older adults with and without Mild Cognitive Impairments/frailty, caregivers, and clinicians, in a group interview. Using card sorting and task mapping, the interview seeks to identify and define the features and challenges of a smart home system to monitor frailty in older adults.

Results
The study is registered in clinical trials, with data collection commencing soon. At the conference, we will present the research protocol and the findings from the analysis of the interviews.

Conclusion
Through the early engagement of older adults and caregivers, we strive to design a valuable and meaningful system that (1) uses zero-effort technologies so frail older adults do not need to develop new skills in order to use the system; (2) is a non-camera-based tracking technology preserving autonomy and privacy; (3) generates the frailty data meaningful for older adults, caregivers and the health system.
COHORT PROFILE FOR THE TONGJI CARDIOVASCULAR HEALTH STUDY: A PROSPECTIVE MULTI-OMICS COHORT STUDY
Authors: Xu Ting , Lu Yueqi , Chen Bangwei , Deng Chenxin , Zhang Yucong , Ruan Lei , Li Tao , Zhang Cuntai 
Published: December 2023

Abstract
The Tongji Cardiovascular Health Study aimed to further explore the onset and progression mechanisms of cardiovascular disease (CVD) through the combination of traditional cohort study and multi-omics analysis including genomics, metabolomics and metagenomics. This study included participants aged 20-70 years old from Geriatric Health Management Center of Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology. After enrollment, each participant underwent a comprehensive series of traditional and novel cardiovascular risk factors assessments at baseline, including questionnaires, physical examinations, laboratory tests, cardiovascular health assessments, and biological samples collection for subsequent multi-omics analysis. A biennial follow-up will be performed for ten years to collect the information above and the outcome data. Totally, 2,601 participants were recruited in this study (73.4% men), with a mean age of 51.5±11.5 years. They were mostly highly educated (college and bachelor’s degree or above: 92.8%) and mostly had healthy lifestyle behaviors. A total of 50.5% and 14.9% of men and 23.1% and 3.4% of women were overweight and obese, respectively. The proportion of several comorbidities such as hypertension, diabetes mellitus, and hyperlipidemia increased with age, and the rapid increase in women around the age of 40-50. With the progress of the cohort follow-up work, it is expected to provide unique multidimensional and longitudinal data on cardiovascular health in China.
COMMUNITY ENGAGEMENT IN THE DEVELOPMENT OF SEE ME: THE STUDENT-ELDER* ENGAGED MENTORING EXPERIENCE
Authors: Oosterhouse Kimberly , Skemp Lisa , Williams Ginger , Lesperance Larry , Heid-Grubman Jeanne , Hill Caesar , Banks-Wright Hortense 
Published: December 2023

Abstract
Loneliness, isolation, and suicide have been exacerbated by COVID-19 and ongoing uncertainties for both older adult and college-age populations. The 2023 Surgeon General’s Advisory on loneliness and isolation advocates for the healing effects of social connection, but ageist attitudes and stereotypes hinder social connections across generations. Intergenerational programs aim to address ageism and social connectivity, however, transferability of programs to culturally diverse groups remain challenging. Additionally, nursing curricula tend to focus on frail older adults, emphasizing vulnerability rather than wellness and disconnection rather than connection, contributing to disinterest in gerontological nursing. Prior community engaged ethnographic research identified five diverse older adult subcommunities that prioritized the need to address isolation and loneliness. Collaborating with these community organizations and nursing students, we developed the nursing Student-Elder*-Engaged Mentoring Experience (SEE ME) with the purpose of creating a sustainable and transferable program to address these needs. We will describe the research-based partnership process and resulting program development that focused on mutual wellness through reciprocal social connectivity among older adults in the community and nursing students in a required gerontological nursing course. In partnership, we developed and refined culturally appropriate processes, forms, assignments, activities, schedules, overall course organization, and program evaluation materials. Animated video modules and “Let’s Talk” questions were developed to facilitate student - older adult discussion. Dissemination and access to the program materials will be discussed. *The term “elder” was selected by the older adult community partners as their preferred nomenclature.
DAYS AT DUNROVIN: ANALYSIS OF FIELD NOTES FROM AN ONLINE NATURE-BASED INTERVENTION FOR OLDER ADULTS
Authors: Westmore Megan , Tulloh Anna , Mauldin Rebecca , Anderson Keith , Hagedorn Aaron 
Published: December 2023

Abstract
Implementing novel interventions for older adults is often challenging, and understanding processes is as important as evaluating outcomes. Days at Dunrovin (D@D) is an online program providing virtual access to a Montana ranch. While originally designed as an individual activity, researchers converted D@D into a group activity for older adults. In this presentation, researchers present an analysis of field notes from 65 group sessions (n = 65) in an assisted living community. Results are organized using the first four elements of the RE-AIM framework (Reach, Effectiveness, Adoption, Implementation, and Maintenance). Reach (i.e., participation) depended on encouraging participation and transporting residents to activity areas – often time-consuming, and diminished by limited resources. Effectiveness (preliminary) was evidenced by participant engagement with the activity, and by staff and family observations of participants’ affect and behavior. Laugher, conversations, and reminiscence were consistently observed. Adoption, the level of facility acceptance, was mixed as some staff welcomed the new activity while others found it difficult to support while attending to regular work. Implementation depended on many factors, including the environment (e.g., room arrangement), time of day, fluctuations in participant well-being, and technological capacities such as broadband width. Most notable was a lightning strike on the D@D cameras that resulted in the temporary use of archival content rather than viewing livestreams. Results suggest the feasibility and potential effectiveness of using nature-based livestream broadcasts as a group activity in assisted living and reveal the invaluable role field notes play in understanding implementation and evaluating interventions in applied research.
DECISION-MAKING CAPACITY ASSESSMENTS FOR VULNERABLE ADULTS: LESSONS FOR SOCIAL WORK COMPETENCY
Authors: Navarro Adria , Leishman Eppie 
Published: December 2023

Abstract
Social work approaches to the assessment of decision-making capacity (DMC) assessment have largely been informed by literature from 25 years ago. Evidence-based practices include the ACED short version and the IDA-CA 3.0. When considering this specific practice by social workers there is the UK policy supporting competent practice through legislation, the Mental Capacity Act (2017) of England and Wales. Nine practitioners practicing through guidance presented by this policy were interviewed to learn what may support practices in the United States. Findings point to the importance of foundational values and efforts to optimize the vulnerable adult’s performance. Practical methods used in the assessment are gleaned, along with the training that has informed their work. Training advice included didactic, case review, and role-playing of increasingly complex cases. Experience working with diverse populations of vulnerable adults was also highlighted. This research strives to inform steps that enhance capacity within health and social care settings to adequately assess DMC. Understanding decision-making ability aids in preventing both paternalism and the insufficiency of support and/or protection.
DESIGNING COLLABORATIVE AUGMENTED REALITY ACTIVITIES WITH OLDER ADULTS IN LONG TERM CARE
Authors: Maxwell Cathy , Tauseef Mahruhk , Ullal Akshith , Watkins Alexandra , Tate Judith , Juckett Lisa , Mion Lorraine , Sarkar Nilanjan 
Published: December 2023

Abstract
Loneliness is common among older adults in long term care (LTC) settings. Interactive communication technologies hold great promise in reducing loneliness but require design and evaluation studies. As part of a larger study on use of head mounted display augmented reality (HMD-AR) to connect older LTC adults with family members, we conducted a participatory design study to a) identify and design HMD-AR multi-user activities and b) address barriers found with LTC residents when interacting with HMD-AR.
Results: Laboratory testing was conducted with 23 older adults with normal cognition (ages 65 to 93, 6 men) and field testing with iterative feedback cycles with 8 older adults with impaired mobility and cognition (ages 54 to 87, 2 men, 4 with stroke) that resulted in prototype development and testing of three activities: playing checkers, decorating a fireplace, and eating a meal. Challenges successfully addressed through technological innovations included: 1) enhancing perceptions and ease of interacting with photorealistic avatars, 2) providing various techniques to allow older adults to view and move AR objects despite cognitive and functional impairments (e.g., visual-perceptual impairments; limited dexterity), 3) using visual aids and voice commands, 4) developing visual adaptations for central vision and color detection impairments, and 5) creating tutorials and help guides for learnability and remembrance. Sessions lasted for 30 minutes and no adverse effects were noted with prolonged or repeated HMD-AR use. All enjoyed the HMD-AR activities.
Conclusion: HMD-AR can be successfully adapted for use by older adults with multiple cognitive and physical impairments.
DEVELOPMENT AND APPLICATION OF R1RHO DISPERSION IMAGING OF AGING MUSCLE IN AN ANIMAL MODEL
Authors: Adelnia Fatemeh , Wang Feng , Gore John 
Published: December 2023

Abstract
Compelling evidence from animal studies demonstrates that microvascular impairment contributes to the etiologies of several age-related chronic diseases, including sarcopenia. For example, capillary hemodynamic profiles are altered in old F344 rat spinotrapezius muscle compared with those of younger counterparts. However, a validated non-invasive measure of microvasculature geometry and structure has not yet been developed. Recently, it has been shown that R1ρ dispersion imaging at weak locking field frequencies (FSL) provides a unique way of characterizing microvessel size and density. Moreover, previous R1ρ images were acquired at strong FSL (≥500Hz) and used to measure the age-related differences linked to macromolecular deposition, such as collagen in the extracellular matrix. Here, we aimed to develop a non-invasive 3D volume R1ρ dispersion imaging method at weak FSLs (&lt; 300Hz), to quantify microvasculature changes in skeletal muscle. We successfully implemented the protocol and applied it to the lower leg of five F334 female rats at age 15 mo. The whole lower leg of each rat was also imaged using conventional multislice T1-FLASH, Diffusion-weighted, and T2-MGE pulse sequences. We found that R1p value measured in calf muscles decreased from 46.92Hz to 41.63Hz by increasing FSL from 5Hz to 240Hz, which we suggest derives from the effects of rephasing some of the signal losses that arise from diffusion in intrinsic magnetic field gradients generated from microvessels. Future direction of this ongoing study will be to compare these results with data collected from young female rats at age 6 months and further validation using ex-vivo histology.
DEVELOPMENT OF AN EVIDENCE-BASED FRAMEWORK FOR INNOVATION READINESS OF LONG-TERM CARE ORGANIZATIONS
Authors: van den Hoed Monique , Backhaus Ramona , Beaulen Audrey , Hamers Jan , Daniels Ramon 
Published: December 2023

Abstract
Increasing innovation readiness of long-term care organizations is vital to ensure future provision and affordability of care delivery. Against this background, there is a need to obtain more insight into the factors that may lead to innovation readiness of long-term care organizations. Therefore, we conducted a scoping review and an interview study. The scoping review was based on the framework from Arksey and O’Malley and included 44 studies. The interview study was conducted with 16 stakeholders having a professional role in long-term care for older adults in the Netherlands: academics, (top)management, innovation managers and consultants. Based on the results of both studies, we propose a framework of factors contributing to innovation readiness. The framework consists of five main factors enabling innovation readiness of long-term care organizations for older adults: 1) strategic course for innovation 2) innovation journey 3) leadership for innovation 4) learning for innovation and 5) innovative organizational culture. The collective findings support the notion that for innovation readiness the interplay of main factors is vital and benefits from an approach at the individual, team, organizational and inter-organizational levels. Furthermore, our findings indicate that some factors might be more conditional and other factors might play a more supportive role. Research into innovation readiness of health care organizations is a rather new field. Further research directed toward a framework for innovation readiness might deliver a structured approach for managers of long-term care organizations to embed and assess innovation readiness.
DO PHYSICAL DISABILITY, FOOD INSECURITY, AND NEIGHBORHOOD COHESION MATTER IN DEPRESSION?
Authors: Jeong Jihyeong , Sacco Paul 
Published: December 2023

Abstract
Although previous studies have explained the association between food insecurity and depression, there has been a dearth of studies that have examined this relationship with older adults with physical disabilities and explored other variables that could have potentially impacted this relationship. Given the social capital theory, recognizing community-level factors provides broader contexts about the physical and social environments of communities where older adults with physical disabilities live. Thus, this study aimed to explain how physical disability and food insecurity are related to depression and examine the buffering effect of neighborhood cohesion on the relationship between food insecurity and depression. We analyzed 5,668 older adults aged 60 years or over from the Health and Retirement Study 2020 Core Final Release. This study conducted logistic regressions to examine the buffering effects of neighborhood cohesion on the association between food insecurity and depression, including covariates. The results showed that physical disability and food insecurity were statistically significantly associated with depression. Interestingly, the hypothesis of the buffering effects of neighborhood cohesion was not supported. This result can be explained by characteristics of mental health that different factors beyond food insecurity and neighborhood cohesion may influence. In other words, neighborhood cohesion alone may not be able to explain its buffering effects on the relationship between food insecurity and depression. While the results of this study may seem contrary to social capital theory, future studies need to consider various moderating variables to understand how community and stressors such as food insecurity interact with mental health.
DOES POSTOPERATIVE GABAPENTIN ANALGESIA ADD TO DELIRIUM IN OLDER COLORECTAL SURGERY PATIENTS?
Authors: Rajan Ashna , Monteiro Joao Filipe G , Mujahid Nadia , Vrees Matthew , Schechter Steven , McNicoll Lynn , Gravenstein Stefan , Singh Mriganka 
Published: December 2023

Abstract
Our health system adopted a frailty adjusted low-(100 mg) or high-dose(300 mg) gabapentin regimen for opioid sparing postoperative analgesia for older colorectal surgery (CRS) patients to hasten return of bowel function and discharge. But, was it also associated with delirium? 1,306 elective CRS patients ≥ 65 years admitted from 4/2015-6/2023 were retrospectively studied, after excluding those receiving critical care, or hospitalized &gt;3 months. Delirium was defined by ICD coding or postoperative antipsychotic use. Delirium rates were compared using multivariate logistic regression between no- (NG), low- (LG) and high- (HG) dose gabapentin, controlling for age, gender, race, Charlson Comorbidity Index (CCI), depression, preoperative gabapentin use and length of hospital stay. Bivariate, chi-square and t-tests were also used for comparison, as appropriate. NG recipients were found to be older (75.8±7.5) than LG (74.3±6.6, p-value=0.0041) or HG (73.4±6.8, p-value=0.0040), but similar by CCI (mean CCI:6.5±3.9) and depression (17.5%). While overall delirium rates were similar between all three groups, preoperative exposure to gabapentin (as a home medication) was associated with a 3-fold increase in delirium in the HG vs LG (OR 2.76 95% CI [1.25-6.08]) as well as HG vs NG (3.02 [1.38-6.59]) groups. Without gabapentin exposure preoperatively, the NG group was 3 times more likely to develop delirium compared to HG (3.09 [1.36-6.98]). Gabapentin may contribute to postoperative delirium but the unexpected greater delirium incidence among the NG compared to LG may reflect unmeasured confounders of greater underlying delirium risk, or a LG delirium sparing effect.
EVALUATION OF AN OFF-THE-SHELF, WEARABLE ACTIGRAPH SYSTEM FOR USE BY OLDER COUPLES
Authors: Jacelon Cynthia , Adeleye Khadijat , LaBlanc Raeann , Mamo Sara , Spencer Rebecca 
Published: December 2023

Abstract
There are many off-the-shelf wearable devices that provide the user with information regarding their physical activity and sleep patterns. Little is known about how easy it is for older individuals to use these devices. We tested a wrist-worn actigraph on couples both of whom were at least 70 years old. The aim was to evaluate the usability of the device, and to share data within the couples. Mixed methods were used to collect data. Over the three-week trial, 14 couples, nine of which had one member with mild cognitive impairment, used the system. Each person wore a Garmin Vivofit 4 continuously and used the Garmin application installed on an iPad mini to compare and review results over time. At the end of weeks one and three, participants completed the positively scored System Usability Scale (SUS), and each week met with the researcher to discuss the data and system usability. All couples were able to work together to use the system after being trained. Scores on the SUS indicated the system was moderately easy to use. Qualitative findings were that most participants (88%) liked being able to wear the device continuously, without breaks for charging. They compared information about their activity and sleep patterns within the dyad. There were several age-specific usability challenges, but use of off-the-shelf actigraphs by older individuals holds promise if age-related physical and cognitive changes are considered during selection of the device.
EXAMINING THE ASSOCIATION AMONG ADLS, DEMOGRAPHICS, WITH FOOD SECURITY ADULTS AT SENIOR CENTERS IN FULTON COUNTY, GA
Authors: Akintola Kehinde , Foley Sophia , Willis Angelique , Ramisetty-Mikler Suhasini , Cook Miranda , Mayfield Kellie 
Published: December 2023

Abstract
Food security amongst community-dwelling older adults attending senior centers is not often examined. It is an integral determinant of health because of the impact on multiple health conditions, which are further impacted by functional impairments and co-morbidities that can come with increasing age. Additionally, meal and nutrition education providers do not typically collect this information, which can be used to better provide services to their clients. This study examined the relationship between food security and demographic variables of older adults attending senior centers in Georgia served by nutrition provider Open Hand Atlanta (OHA). One hundred sixty-five senior center attendees were recruited from nine senior centers throughout Fulton County. The age of the participants ranged between 52 to 97, with most identifying as female (86.7%) and African American (79%). Food security (outcome of interest) was measured by the USDA 6-item module. Bivariate associations were tested between food security and ADLs and iADLs (instrumental ADLs) measured by a 15-item list, health conditions, shopping habits, transportation, caregiving, and demographics. Results showed that food security differed based on race/ethnicity X2 (n=165) = 8.94 (df=2), p = .011 and type of insurance X2 (n=100) = 5.95, (df=1) p = 0.015). In addition, those who are under public/Govt. insurance experience a higher proportion of food insecurity compared to those under private insurance (p=.015). Results have implications for nutrition providers when offering additional services to senior centers and the older adults they serve.
EXPERIENCES OF SOCIAL ISOLATION BY MANDARIN AND PUNJABI-SPEAKING OLDER IMMIGRANTS LIVING IN CALGARY
Authors: Ekoh Prince , Zhu Change , Walsh Christine , Guruge Sepali 
Published: December 2023

Abstract
Loneliness and social isolation have continued to be risk factors for the health and overall quality of life of older adults globally. The impact of loneliness on healthy ageing may even be more profound for older immigrants in Western countries like Canada, where there is a different language and culture from that of their home countries. As part of the Inclusive Communities for Older Immigrants (ICOI), which seeks to create knowledge about social isolation and improve social connectedness among older immigrants across Canada, we examined the experiences of social isolation amongst older Mandarin and Punjabi-speaking immigrants aged 60 years and over living in Calgary. Quantitative data was collected from 64 (33 Mandarin-speaking and 31 Punjabi-speaking) older adults in Calgary, Alberta. The data were cleaned and analysed using descriptive analysis with the aid of Statistical Packages for Social Sciences (SPSS), and findings showed that older immigrants conceptualised social isolation as limited participation in various community activities. Our results also showed that older immigrants perceived physical and mental health status, social conditions and environmental conditions as significant factors predisposing older immigrants to social isolation. The study, therefore, recommends designing interventions that will increase older immigrants’ participation in community activities considering their age, language, disabilities, health, and social conditions.