bluuebunny/crossref_metadata_2025_split huggingface dataset:
INVESTIGATING RELATIONSHIPS BETWEEN MUSIC REWARD AND EMPATHY ACROSS THE ADULT LIFESPAN
Authors: Adjei Naomi , Belfi Amy , Beadle Janelle 
Published: December 2023

Abstract
Music can evoke positive mood and even enhance empathy towards others. Understanding the mechanisms supporting music-based enhancements in emotion are essential for developing interventions for older adults with chronic conditions, such as Alzheimer’s disease. Previous studies have primarily focused on younger adults and have shown that trait empathy can modulate responses to music through engaging empathy-related brain networks. However, little is known about the specific relationship between music reward and trait empathy, especially across the adult lifespan. In the present study, we hypothesized that there would be a positive relationship between music reward and empathy. The sample included healthy adults 19-86 years (N=74; Mage=54.36; 62.2% female; Medu=16.2). Participants completed the Barcelona Music Reward Questionnaire (BMRQ), a 20-item questionnaire assessing music reward/appreciation and the Empathy Quotient Inventory (EQ), a 40-item questionnaire measuring multidimensional empathy (i.e., cognitive empathy, emotional reactivity, and social skills). We conducted a linear regression investigating the degree to which empathy predicted significant variance in music reward (age and gender were covariates of no interest). The overall model was significant (p=.007) and there was a significant, positive relationship between the EQ total score and the BMRQ total score (p=.004). Exploratory analyses demonstrated that the BMRQ total had positive correlations with cognitive (p=.006) and emotional empathy (p=.004). In summary, music reward was positively associated with empathy in this adult lifespan sample, adding to the literature focused on younger adulthood. Future research is needed to examine relationships between empathy and other aspects of music experience across the adult lifespan.
NEIGHBORHOOD SEGREGATION, SOCIOECONOMIC STATUS, AND COGNITIVE FUNCTIONING AMONG OLDER CHINESE IMMIGRANTS
Authors: Tang Fengyan , Jiang Yanping , Li Ke , Rosso Andrea 
Published: December 2023

Abstract
The fast-growing population of older Chinese immigrants and their segregated residence highlight the importance of understanding the role of neighborhood context in cognitive health. The segregation-cognition association is equivocal based on a limited number of studies among Hispanic and Asian Americans. To close the knowledge gap, this study examined the associations of neighborhood segregation and socioeconomic status (NSES) with cognitive functioning among older Chinese immigrants. Four waves of cognitive performance tests were conducted in the Population Study of Chinese Elderly in Chicago (2011-2019) and linked to the 2010-2014 American Community Survey estimates of neighborhood contexts. NSES was a summary z-score of six census variables of education, income/wealth, and occupation. Neighborhood segregation was measured by the Index of Concentrations at the Extremes (ICE) that simultaneously assesses Chinese and English language use within a given census tract. There were 170 census tracts in the present sample of 2,044 participants. Latent growth curve models with adjusted cluster robust standard errors were estimated. On average, cognitive functioning declined over time (b= -0.07, p&lt;.001). After adjusting for individual-level predictors, living in high-NSES neighborhoods was associated with slower cognitive decline (b=0.003, p=0.04). ICE was not associated with cognitive functioning, but boosted the protective effect of high NSES on cognitive decline (b=0.006, p=0.05). Neighborhood socioeconomic advantage was related to slower cognitive decline among older Chinese immigrants, especially among those living in neighborhoods with more English speakers or less segregation. This finding suggests complex associations between neighborhood context and cognitive health among Chinese immigrants.
THE IMPORTANCE OF ROMANTIC PARTNERS FOR HEALTH—SHARED TIME, DAILY ACTIVITIES, AND COUPLE DYNAMICS
Authors: Luchetti Martina 
Published: December 2023

Abstract
Research has shown that social relationships, particularly with a spouse or romantic partner, affect health, for better or worse. More work is needed to better understand relational dynamics within couples and their cascade effects on health throughout the life course. This symposium brings together four empirical studies that examine the importance of romantic relationships for multiple aspects of health, from biological markers (i.e., inflammation) to mental health and social connection, using diverse methodologies, from macro (long-term) and micro (short-term) longitudinal assessments to dyadic analysis. First, Dr. Stokes and colleagues examine marital status in the Health and Retirement Study and find that transitions, such as becoming widowed (as compared to remaining married), heighten inflammation and potentially harm health. Second, Dr. Karakose and colleagues examine perceptions of time spent together within married couples and find that time together is protective against stress for both partners, and against depressive symptoms for wives. Third, Dr. Luchetti and colleagues examine momentary, phone-based assessments of loneliness within romantic couples and find loneliness in males to affect subsequent loneliness in their female partners. Finally, Dr. Nikitin and colleagues examine possible sources of loneliness within couples and find an association between low-quality daily activities with partners and momentary/daily loneliness. These studies focus on adults across the lifespan, including middle adulthood, which is a critical yet under studied period of life and regarded as a window of opportunity for interventions to improve health. Results highlight the importance of couple dynamics for the health and well-being of aging adults.
QUALITY OF DAILY ACTIVITIES AND LONELINESS IN A ROMANTIC RELATIONSHIP
Authors: Nikitin Jana , Selovin Fabio , Rupprecht Fiona 
Published: December 2023

Abstract
Romantic relationships can be a source of both the most positive and the most negative experiences. Thus, partners can feel fully integrated or lonely in a romantic relationship, depending on the quality of the relationship. Cross-sectional and longitudinal studies have shown that loneliness (defined as a subjectively perceived deficiency in a person’s social relationship) is more pronounced in low-quality relationships. Little is known about daily sources of loneliness within a couple. To explore this question, we investigated whether low-quality activities in a partnership can lead to feelings of loneliness in daily situations. To examine this question, we analyzed data from 72 individuals (M age = 43 years, range = 18 - 82 years; 64% female) who provided 576 measurement occasions on seven consecutive days in which they were involved in activities with their romantic partners. Participants indicated how they experienced the activity in each situation (positively or negatively) and how lonely they felt. Results showed that participants who reported lower-quality activities with their partner reported higher levels of daily loneliness (47% explained variance); and on occasions when participants reported lower-quality activities than usual, they also reported higher levels of loneliness (25% explained variance). Moreover, individuals who reported higher levels of loneliness during the 7-day assessment benefited less from high-quality activities with their partner in terms of reduced loneliness. Thus, loneliness not only results from, but also contributes to, how people experience daily activities with their partners. Gender and age had no effect on these associations, suggesting generalizability of the results.
OLDER ADULTS WITH MULTIPLE CHRONIC CONDITIONS FROM VULNERABLE POPULATIONS: THE SUCCESS OF PATIENT PRIORITIES CARE
Authors: Samper-Ternent Rafael , Jennings Lee 
Published: December 2023

Abstract
As older adults in the USA grow more diverse, equitable translation of knowledge and best practices to vulnerable groups is essential. Older adults with multiple chronic conditions (MCC) benefit from care focused on the health priorities of individuals. Health priorities include: 1) core values that provide meaning to life; 2) specific, actionable, and realistic health goals that reflect these values; and 3) care preferences that include what individuals are able and willing to do (or not) to achieve their goals. For vulnerable older adults, adverse life experiences provide context to their values. A diverse panel will review the Patient Priorities Care (PPC) approach and describe how PPC has been successfully adapted at different institutions. The first presentation will describe PPC and the importance of identifying values, goals, and health preferences for older adults with MCC. The presenter will show that PPC improves outcomes among older adults, their families, and healthcare providers. The second presentation will describe the implementation of PPC in the VA system. The presenter will describe the impact of PPC and efforts to disseminate it. The third and fourth presentations will describe the cultural adaptation of PPC for older African Americans and older Hispanics respectively. The presenters will describe the adaptation process and discuss the barriers they faced, and the lessons learned from each population group. The panel will conclude by providing suggestions on how to disseminate and increase the adoption of PPC to identify what matters most for diverse older adults.
PATIENT PRIORITIES CARE FOR VETERANS
Authors: Mecca Marcia 
Published: December 2023

Abstract
People receiving care in the Veterans Affairs (VA) health system are older, have greater socioeconomic disadvantage, and more chronic conditions than those receiving healthcare outside of VA. PPC is well-suited for older adults with multiple chronic conditions and aligns with the VA’s Whole Health movement. A small VA PPC pilot study demonstrated that those receiving PPC compared to usual care had fewer medications added and more home and community services aligned with priorities. VA primary care is a cornerstone and hub for veteran care utilizing a team-based approach. A two-site randomized controlled trial exploring the implementation of PPC in VA primary care is currently recruiting veterans. The early phase of the project involved semi-structured formative assessment interviews with key stakeholders to obtain feedback and perspectives on PPC implementation in VA primary care. Interviews were audio recorded, transcribed verbatim, and analyzed using thematic analysis. Concerns elicited were time constraints, follow up and documentation of changes in priorities over time, managing patient expectation, communication between primary care and specialty care, as well as how PPC would impact quality metrics. In response to these findings, the patient priorities note template was shortened and streamlined, and the study communications workflow was adapted to align with clinician preferences. Succinct templated language for care alignment was crafted and shared with study providers. Education for clinicians highlighted ways in which priorities could be used to optimize communication. Study procedures were added to identify quality metric exclusions. The study will explore how PPC impacts veteran care and experience.
SOCIAL HEALTH IN PEOPLE WITH DEMENTIA AND THEIR CARERS. PRELIMINARY FINDINGS FROM THE IDEAL PROGRAM
Authors: Victor Christina , Rippon Isla 
Published: December 2023

Abstract
WHO defines health as a state of complete physical, mental, and social wellbeing. There is an extensive literature examining physical and mental health in later life and, typically, measures of healthy ageing focus upon physical and/or mental health. In the IDEAL dementia research programme we investigated social health outcomes because of their importance in understanding the experience of ‘living well’ for people with dementia. Using data from the IDEAL cohort study, we examined the prevalence and predictors of social isolation in 1,052 people with mild-to-moderate dementia and 928 caregivers who were followed up at 12 and 24 months. Social isolation was assessed using the six-item Lubben Social Network Scale where a score of less than 12 suggests participants are at risk of social isolation. Linear mixed models showed that both people with dementia and caregivers experienced increased social isolation across the two-year period. At baseline 29% of people with dementia were categorised as being socially isolated compared with 14% of caregivers. For both people with dementia and caregivers, loneliness and depression were associated with greater social isolation whilst increased cultural engagement mitigated the impact of social isolation. For people with dementia cognition, the number of green and blue spaces nearby and higher trust in the local community were also important factors. Interventions aimed at increasing cultural engagement and interaction with blue and green spaces may go some way to reducing social isolation.
CERVICAL “INFLAMM-AGING” AND GENITOURINARY SYNDROME OF MENOPAUSE: A GEROSCIENCE CASE-CONTROL STUDY
Authors: Stennett Christina , Gravitt Patti , Brotman Rebecca , Shardell Michelle 
Published: December 2023

Abstract
The genitourinary syndrome of menopause (GSM) is a reproductive aging condition that describes signs and symptoms of the female reproductive tract associated with declining estrogen that women experience during menopause. Up to 84% of menopausal women experience signs and symptoms of GSM, including vaginal dryness and vulvovaginal pain. “Inflamm-aging” is a chronic aging-related elevation of proinflammatory markers that has been linked with multiple aging-related health conditions, but little geroscience research has examined cervical inflammation and GSM. To fill this gap, we carried out a case-control study (N=133) of cisgender women aged 35-60 years, where women with clinical signs of GSM (cases) were matched with up to 3 controls based on age and vaginal microbiota composition, which are known to track with reproductive stage. Participants’ cervical secretion samples were assayed to quantify immune marker concentrations. Samples with at least three out of seven predetermined proinflammatory cytokines and chemokines (IL-1ß, IL-8, IL-23, MIP-1α, MIP-1ß, IP-10, RANTES) in the highest quartile were classified as having a proinflammatory state. Of 133 participants, 35 (17/47 cases, 18/86 controls) had a proinflammatory state. A proinflammatory state was associated with higher odds of GSM in conditional logistic regression additionally adjusted for education and body mass index (aOR=2.39; 95% CI: 1.05-5.46). Findings demonstrate that participants with GSM signs had higher odds of a proinflammatory (“inflamm-aging”) state, independent of multiple characteristics, including vaginal microbiota. Additional geroscience research is needed to identify pathways connecting immune markers with GSM to discover interventions that may slow the pace of genitourinary aging.
THE ROLE OF REPRODUCTIVE AGING FOR ALZHEIMER’S DISEASE AND RELATED DEMENTIAS IN THE CARDIOVASCULAR HEALTH STUDY
Authors: Reeves Alexis , Lopez Oscar , Shardell Michelle , Odden Michelle 
Published: December 2023

Abstract
Most US individuals with ADRD are women. As early as midlife, Black individuals have nearly double the ADRD risk than Whites. Menopause occurs in midlife, accompanied by declines in potentially neuro-protective and cardio-protective hormones. Earlier menopause possibly means earlier exposure to decreased sex hormones, which increases ADRD risk. Surgical menopause via reproductive surgeries causes a sudden loss of hormones and could be a modifiable ADRD risk factor. We used data from 1,977 women prospectively followed for an average of 7.5 years, to determine if menopausal type (natural/surgical) and pre-mature menopause (&lt;40 years) are associated with adjudicated-ADRD. Participants self-reported age of natural menopause and/or surgery (hysterectomy and/or bilateral-oophorectomy), hormone-therapy, education, and race (Black/White). Adjudication for ADRD was conducted by neurologist/psychiatrist committee review using neuropsychological tests, neurological examinations, medical records, physician questionnaires, and proxy/informant interviews. Mean age was 78, 15% were Black, 25% had less than a high-school education, 18% had ADRD, 13% had pre-mature menopause, and 42% surgical menopause. Black women had higher prevalence of pre-mature (22% versus 12%) and surgical (54% versus 29%) menopause versus White women. Pre-mature menopause was associated with a non-significant higher hormone use-adjusted hazard of ADRD (HR=1.09 [0.95-1.25]), findings were attenuated after adjustment for education (HR=1.08 [0.94-1.24]) and race (HR=1.01 [0.88-1.17]). Surgical menopause was associated with higher hormone use-adjusted hazard of ADRD (HR=1.12 [1.02-1.24]), findings were similar after adjustment for education (HR=1.12 [1.01-1.23]) and attenuated after adjustment for race (HR=1.03 [0.93-1.14]). Further work examining menopause, ADRD, and contributions to Black-White disparities are warranted.
HEALTH AND WELL-BEING OUTCOMES OF THE OASIS INTERGENERATIONAL TUTORING PROGRAM
Authors: Sun Peter , Morrow-Howell Nancy 
Published: December 2023

Abstract
The Oasis Intergenerational Tutoring Program is a national program that connects older adult tutors with elementary children in Grades K-3. We are conducting an ongoing project to assess multiple health and well-being outcomes associated with this tutoring program, especially among four sub-groups: first-time tutors, male tutors, tutors who are caregivers, and tutors who report being lonely. In year one of our project, we have collected data from 329 older adults who tutored children in the 2021-2022 school year. We found that a larger proportion of tutors who felt lonely reported improvements to their health, compared to tutors who did not feel lonely. We also found that first-time tutors experienced larger increases in at least two areas of health (physical, emotional, and cognitive), compared to repeat tutors. When we asked tutors about their experience tutoring during the pandemic, major themes included a sense of purpose in life, increased social engagement, and the negotiation of risks and benefits (e.g., remote vs. in-person tutoring). An upcoming two-year follow-up study will enable us to compare our findings with the Health and Retirement Study, a nationally representative sample of older adults. Findings from this project will inform programs across the nation and policies that seek to harness the power of intergenerational bonds.
IMPLEMENTATION FRAMEWORKS IN ACTION: A QUALITATIVE STUDY OF INTERGENERATIONAL TECHNOLOGY IN HIGHER EDUCATION
Authors: Juris Jill , Scrivano Rachel , Leedahl Skye , Jarrott Shannon 
Published: December 2023

Abstract
Cyber-Seniors is an intergenerational technology program that bridges the digital divide by training younger people to assist older adults with using technology. While higher education is an ideal setting for utilizing this program for service learning or student internship opportunities, there are often challenges to implementing this program in a higher education setting. In this study, implementation factors must be studied to improve sustainability and increase the potential to scale-up the use of Cyber-Seniors programming within higher education. This study is guided by the dynamic sustainability framework (Chambers et al., 2013) with the goal to investigate prominent contextual factors of implementation that permit and prohibit program sustainability. The study will also identify needed adaptations to Cyber-Seniors’ implementation, which will be documented using Stirman and colleagues’ (2019) Framework for Reporting Adaptations and Modifications-Enhanced (FRAME). In this presentation, we will illustrate the process of infusing implementation science frameworks into a multistage qualitative study designed to allow for in-depth understanding of experiences implementing Cyber-Seniors programming in higher education and designing an adapted checklist for program implementation. We will describe how the implementation science frameworks have been used to design the research instruments, protocols, and the analysis plan. The presentation will conclude with next steps for the research project. A key takeaway from this presentation will be for attendees to gain an understanding of how to infuse implementation science frameworks when designing, implementing, and evaluating research programs and interventions.
CONNECTING AGING RURAL VETERANS WITH TELE-GERIATRIC MENTAL HEALTH: REFERRING PROVIDERS’ SURVEYED PERSPECTIVE
Authors: Carlson Chalise , Humber Marika , Trivedi Ranak , Peeples Amanda , Lloyd Althea , Gould Christine 
Published: December 2023

Abstract
Providing comprehensive, individualized care to older Veterans with complex needs is particularly challenging in rural areas. Geriatric mental health specialists are scarce but needed for care including psychiatric medication and behavior management, consultation on complex comorbidities, cognition, and caregiver support and education. Tele-geriatric mental health services were initially developed in one VA regional telehealth hub and then expanded to three more regional telehealth hubs. Referring providers (N = 37) to tele-geriatric mental health services during a 1-year period were surveyed via REDCap. Providers came from varied settings in the 4 VA regions with 76% serving rural Veterans. Referring providers included prescribers (N = 26; pharmacists, physicians, physician assistants, nurse practitioners and advanced practice nurses) and non-prescribers (N = 11; psychologists, social workers). Most worked in Patient Aligned Care Teams, mental health clinics, or Community Living Centers and reported geriatric training and comfort with geriatric patients. When asked about their perception of the impact of the services, most providers believed that patients (91.9%) and care teams (94.6%) benefitted from the telehealth services and would recommend the services (94.6%). Most followed through on recommendations (83.7%) and believed the service increased access to geriatric mental health (89.2%). Open-ended feedback included gratefulness for providing care to aging rural Veterans lacking resources. These services are appreciated by providers and may facilitate access to specialized mental health care particularly in rural areas. Having access to specialists to assist with the care of patients with complex needs may ease the care coordination needed by referring providers.