bluuebunny/crossref_metadata_2025_split huggingface dataset:
MARITAL CLOSENESS, SPOUSAL SIMILARITY, AND COGNITION: THE GENDERED IMPACT OF DISCORDANT PERCEPTIONS
Authors: Qin Yue , Moorman Sara , Engelman Michal 
Published: December 2023

Abstract
Many older adults are in long-term marriages, and an emerging literature examines the impact of marital attributes on later-life cognitive function. While both spouses’ perceptions of the marital relationship may influence health outcomes in the couple, most research only captures one partner’s report. Using unique data on 2,791 heterosexual married couples from the Wisconsin Longitudinal Study, we analyze the dyad’s evaluations of their similarity and closeness in 2004 and the impact of concordance or discordance in these marital attributes on cognitive health in 2020, when participants were approximately 80 years old and cognitive variation is more manifest. Results from OLS regressions reveal notable gender differences. Compared with dyads in which both spouses reported being “very similar,” women in marriages with discordant views on the partners’ similarity had significantly lower cognition in 2020 (wife gave the poorer rating: b=-0.74, p&lt;.05; husband gave the poorer rating: b=-0.84, p&lt;.05). Men’s cognitive function was not influenced by assessments of similarity in the couple. Furthermore, compared with dyads in which both spouses reported being “very close,” men in marriages with discordant views on the partners’ closeness had significantly lower cognition in 2020 (woman gave the poorer rating: b= -0.88, p &lt; .05). Women’s cognitive function was unrelated to dyadic reports of closeness. Our results suggest that within-couple discordance in assessment of marital closeness and spousal similarity – more than marital attributes themselves – influences later-life cognitive function for women and men in varied ways.
ROOTS TO GROW AND WINGS TO FLY: EDUCATING MEDICINE AND PHARMACY TRAINEES ON VIONE MEDICATION DEPRESCRIBING METHODOLOGY
Authors: Battar Saraswathy , Silverman Michael 
Published: December 2023

Abstract
An aging world population translates to more chronic illnesses, more medications with potential and relevant cumulative burdens such as non-compliance, adverse outcomes, prescription cascades, confusion, compromised patient safety and quality of life standards. VIONE stands for the 5 filters that categorize medications as Vital, Important, Optional, Not indicated, Every medication has an indication. This is an electronic health record methodology currently implemented in 122 VA facilities across the nation. Physicians and pharmacists review medications, prioritize medications that merit deprescribing interventions, deprescribe through shared decision making and monitor outcomes. In the VA system, within 7 years, we successfully deprescribed over 1.4 million inappropriate medications impacting over 600,000 veterans, used by over 14000 medical providers, with an annualized cost savings of ~ 132 million US dollars. We incorporate VIONE deprescribing education while training our pharmacy residents, medical students, residents and fellows rotating at our VA Medical Center through case based, bed side, didactic and team based multi media learning strategies . The engagement, feedback, demonstrated formal and informal responses remain very promising. Capturing the attention of trainees in their formative years deepens their roots as they spread their wings into practicing safe medication prescribing practices that are current, cutting edge, evidence based and empowering as we train the trainers. We envision medication deprescribing to be part of future academic core curriculum. Our Interdisciplinary team will present compelling data, experiences and outcomes stemming from education of trainees regarding safe medication optimization and deprescribing practices utilizing VIONE methodology that won national and international acclaim.
CHALLENGES OF VERY LATE LIFE: PHYSICAL AND MENTAL HEALTH, CAREGIVING, AND AGING PERCEPTIONS
Authors: Jopp Daniela , Boerner Kathrin 
Published: December 2023

Abstract
The very old are the fastest growing population in developed countries, yet research on this age group remains limited. There are, however, specific challenges of very old age that differ from those in earlier late life phases. Very old individuals and their families may thus have unique needs and may require adapted services. In this symposium, we address selected challenges associated with reaching very old age, including physical and mental health issues, as well as implications of both receiving and providing care. Ribeiro and colleagues report on centenarians’ health and morbidity profiles using the Portuguese census, by comparing individuals aged 100 years old in 2011 and 2021. Jopp and colleagues present findings from the first national Swiss centenarian study on centenarians’ health, cognition, and well-being. Gomes da Rocha and colleagues investigate depressive symptoms in Swiss centenarians during the COVID-19 pandemic, showing notably elevated scores. Kim and colleagues focus on aging perceptions and their correlates among dyads of very old parents and their old children from South Korea, highlighting the impact of the care experience for both dyad members. Gallagher and colleagues examine how old children of very old parents with dementia manage behavioral and psychological symptoms through specific strategies, offering insights on how to better support family care givers of very old dementia patients. In sum, this symposium offers novel insights on specific challenges encountered in very old age, by the individual and their families, and proposes potential pathways towards better understanding and handling of such challenges.
VULNERABILITY AND RESILIENCE IN SWISS CENTENARIANS: FINDINGS FROM THE SWISS100 PHONE STUDY
Authors: Jopp Daniela , Cavalli Stefano , Herrmann Francois , von Gunten Armin , Martin Mike , Uittenhove Kim , Falciola Justine 
Published: December 2023

Abstract
Altfhough every second child born after the year 2000 is expected to become a centenarian, little is known about what characterizes life at age 100. This is also the case for Switzerland, one of the countries with the highest life expectancy world-wide. In this presentation, we will report findings from SWISS100, the first nation-wide centenarian study in Switzerland. During the COVID-19 pandemic, we conducted a telephone study with centenarians and a family member as proxy informant, to investigate specific characteristics and challenges of centenarians. Centenarians were identified through the national address registry. A total of 171 centenarian cases were included in the SWISS100 Phone Study, including reports from 96 centenarians and 102 proxy respondents (mostly children). Centenarians were on average 102 years old, with a range of 100 to 110 years; 75% were women and 25% were men. One third of the centenarians had received basic education only, one third had completed an apprenticeship and about one third had higher education. Most of them lived in institutions (63%). Of those living in private, about half lived alone, one fourth lived with a child, and 12% still lived with a spouse. The majority was widowed. About 85% had children. Over half of the centenarians reported good to excellent subjective health; at the same time, over 70% of the centenarians indicated to often experience health restrictions. Those still able to communicate had high well-being and notable psychological strengths. In sum, findings demonstrate vulnerability but also psychological resilience in Swiss centenarians.
DEPRESSIVE SYMPTOMS IN CENTENARIANS DURING THE COVID-19 PANDEMIC: FINDINGS FROM THE SWISS100 STUDY
Authors: da Rocha Carla Gomes , von Gunten Armin , Falciola Justine , Uittenhove Kim , Cavalli Stefano , Herrmann Francois , Martin Mike , Jopp Daniela 
Published: December 2023

Abstract
Depressive symptoms (DS) are prevalent among older adults (WHO, 2021). However, data on DS appear to be scarce in centenarians. In addition, DS may have been aggravated by the COVID-19 pandemic, especially in centenarians who may have been more susceptible to the negative consequences of pandemic restrictions. Thus, as part of the SWISS100 study (Jopp et al., 2023), we measured DS in centenarians living in Switzerland during the COVID-19 pandemic. Randomly selected centenarians from across the country and their proxies were invited to participate in a telephone interview between December 2020 and June 2022. The study sample was composed of 171 centenarians, with a mean age of 101.8 (SD=1.7) years; 128 (74.9%) participants were female and 63 (36.8%) lived at home. DS were assessed via five selected items of the Geriatric Depression Scale (Sheikh and Yesavage, 1986). The mean DS score was 1.6 (SD=1.6). Considering a cut-off ≥2 (Brañez-Condorena et al., 2021), 75 (43.9%) centenarians were screened positive for possible depression. Further analysis indicated that women had a higher level of DS, and that nursing home residents were more depressed than community-dwelling centenarians. Thus, our study suggests that almost half of the centenarians may have presented with relevant DS during the pandemic in Switzerland, which is notably higher than in other studies. DS in centenarians should be screened systematically, not less so in the context of a health crisis. Depressive symptomatology in the very old is highly relevant for successful professional care and needs further investigation to develop best practice.
SELF-PERCEPTIONS OF AGING AMONG VERY OLD PARENTS AND THEIR OLD CHILDREN IN KOREA
Authors: Kim Kyungmin , Kim Joohyun , Min Joohong , Kim Yijung , Boerner Kathrin , Jopp Daniela , Han Gyounghae 
Published: December 2023

Abstract
Research has documented the health consequences of how individuals view their own age-related changes and aging (i.e., self-perceptions of aging) in later life. However, less is known about how individuals’ self-perceptions of aging are shaped by their intergenerational experiences. This study aims to examine very old parents’ and their old children’s self-perceptions of aging within the dyads—where parents and children age together. Utilizing data from 105 dyads of parents (aged 81+) and their children (aged 65+) in South Korea, we examined how parents’ and children’s health status and care experiences are associated with their self-perceptions on aging. On average, parents reported less positive self-perceptions of aging than their children; parents’ self-perceptions of aging were positively correlated with their child’s self-perceptions of aging. A path model found that care experiences within the parent-child dyads were significantly associated with self-perceptions of aging for both parents and children—such that more caregiving burden was associated with less positive self-perceptions of aging for children and higher levels of satisfaction with received care from the child were associated with more positive self-perceptions of aging for parents. However, health status was significant only for parents; that is, parents with fewer functional limitations in activities of daily living tended to show more positive self-perceptions of aging. The findings highlight the interdependence of self-perceptions of aging within the parent-child dyads in very late life, suggesting that care experiences within the prolonged relationship constellation should be considered to enhance older adults’ views on age-related gains and loss.
POLICY CONSIDERATIONS FOR GERONTOLOGY AND GERIATRICS CONTENT IN HEALTH PROFESSIONAL EDUCATION
Authors: Kusmaul Nancy 
Published: December 2023

Abstract
Health professions educators in fields such as nursing, medicine, and social work struggle to prepare practitioners for the needs of growing numbers of older adults. In 2008, the National Academies of Science Engineering and Medicine identified that fewer than 5% of physicians choose to specialize in geriatrics, and even fewer in geriatric psychiatry, leading to significant shortages in mental health care for older adults. While other health professions such as clinical social workers or psychiatric nurse practitioners could potentially fill this gap, the story is the same in social work (4%) and nursing (1%). These numbers have improved marginally over the last fifteen years, but growing numbers of older adults have exacerbated shortages. In these professions, and in others, the model has been to have geriatrics/gerontology as a specialty, rather than integrated into the curriculum. Yet the interest in this specialization is not there and practitioners will have more exposure to this population than they might think. Members of the Social Research Practice & Policy section of GSA consider how we can shape policy to enhance geriatrics and gerontology education, and where AGHE can support health professions education (nursing, medicine, social work, etc.) and interdisciplinary health professional education in gerontology.
PUBLISHING ON A GLOBAL SCALE IN GERONTOLOGY: A VIEW FROM THE EDITORS’ DESKS
Authors: Miller Edward , Simpson Elizabeth , Castle Nicholas 
Published: December 2023

Abstract
Global aging has proceeded at an unprecedented and accelerating rate. The aging of the population creates both opportunities and challenges for older adults, their families, and society. Importantly, there is substantial variation in the effects of and response to global aging both within and across nations depending, in part, on prevailing cultural expectations and values, political and economic imperatives, and social and demographic characteristics. Thus, while some regions and countries have responded with innovative policies and programs to better enable the growing cohort of older adults to remain active and engaged in the community, other regions and countries have struggled with their response or barely begun to plan for the rising population of older adults. This symposium assembles editors at five leading gerontological journals to demonstrate the role that peer-reviewed scholarship can play in disseminating knowledge that informs gerontological research, policy, and practice internationally. The editors include: Edward Alan Miller, PhD, Journal of Aging & Social Policy; Kyungmin Kim, PhD, Research on Aging; Julie Robison, PhD and Debra Dobbs, PhD, Journal of Applied Gerontology; Julie Patrick, PhD, International Journal of Aging and Human Development; and Sandra Torres, PhD, Ageing & Society. Each presenter will review the scope, content, and focus of their journals and the role and opportunities for international scholarship. Nicholas Castle, PhD, International Editor at The Gerontologist, will serve as discussant.
MOVING FORWARD TOWARD DEPLOYING HEALTH INFORMATION TECHNOLOGY IN ALL US NURSING FACILITIES
Authors: Alexander Gregory , Caraballo Christina , Moen Maria , Morton Cynthia , O’Malley Terry 
Published: December 2023

Abstract
The Moving Forward Coalition established a health information technology (HIT) committee to develop action plans to advance the adoption of HIT in all nursing facilities. Currently, more than 70% of nursing facilities in the US have some HIT, although the levels of utilization vary greatly. Few facilities, however, have successfully implemented the capabilities required to survive in a Value Based Payment (VBP) model which Medicare will mandate by 2030. Fewer still have HIT that collects the resident’s goals, preferences, and priorities (GPPs) efficiently and in detail despite current CMS requirements for person-centered care. To the best of our knowledge, no nursing facilities possess an HIT-enabled capability to determine whether the care provided aligns with the individual’s GPPs. In this presentation, members of the HIT Committee of the Moving Forward Coalition will discuss the rationale for adopting the following three HIT priorities to realize the target goals of the Coalition and will review progress made to date: 1) develop a benchmarking tool that enables nursing facilities to understand and plan for the HIT capabilities needed to meet upcoming regulatory requirements and for successful participation in a VBP model, 2) create a taxonomy of GPPs and an HIT-based process to collect them, and 3) develop and test an HIT-enabled process to measure the concordance of care provided with an individual’s GPPs. Although the Moving Forward Coalition and the NASEM report focus on nursing facilities, the HIT tools being developed here will benefit all sites of care.
UNDERSTANDING PERSON-CENTERED CARE FOR OLDER PEOPLE IN SIX DEVELOPING COUNTRIES
Authors: Wang Jing , Bowers Barbara 
Published: December 2023

Abstract
Person-centered care (PCC) is a widely acknowledged and encouraged approach to quality care for older adults residing in residential care facilities. However, current understandings of PCC are mainly based on research and practice in western, first world nations. The lack of research on PCC in developing countries leads to uncertainty over whether and how current understandings of PCC apply to cultures and contexts in non-western, developing countries. To enhance care and outcomes for diverse populations, it is crucial to comprehend and culturally adapt PCC understandings and approaches. Therefore, we conducted interviews with researchers and practitioners from six countries in various stages of development to identify elements that form the core of high-quality care for older people and how they relate to Western notions of PCC. We gained valuable insights into how cultural differences, population health priorities, political conflict, and limited resources impact their understanding and implementation of PCC. In addition to variations in the language of PCC, some first world assumptions about PCC do not resonate well in developing countries. One example is the emphasis on individualism, a basic element of PCC. The role of the older person in decision making and focus on family and community priorities reflects both cultural and economic differences between first world, western nations and non-western, developing countries. The findings can serve as a valuable starting point for the development of a globally applicable measurement for the quality of care.
RECENT ADVANCES IN ASSESSING AGE DIFFERENCES IN AFFECT DYNAMICS
Authors: Wirth Maria , Mikkelsen Mai , Charles Susan 
Published: December 2023

Abstract
Affective experiences are inherently dynamic and short-term changes in affect offer important insights into well-being. Changes in the processes underlying affect dynamics, namely, affect reactivity and regulation, are often invoked as explanations for age-related stability or enhancement of well-being. However, previous evidence for age differences in affect dynamics is inconsistent. In this symposium, we leverage theory-based approaches and cutting-edge statistical tools to gain a deeper understanding of how individuals manage daily affect. Wirth and colleagues investigated age differences in affect reactivity and regulation, using a formalized theoretical approach to affect dynamics. Their results indicated complex, multi-directional age differences in reactivity and regulation. Neupert and Graham focused on the idea that perception of time remaining in life plays a key role in age differences in affect dynamics. Feeling closer to death was related to lower positive and higher negative affect. These relations were particularly pronounced in older adults. Wolfe and colleagues investigated age-differential associations between cognitive capacities and affect regulation preferences. Their results indicated that cognitive capacities affected regulation preferences mostly in middle-aged rather than older adults. Mikkelsen and colleagues related affect regulation patterns to well-being in an age-diverse sample. Their findings indicated that older adults exhibit less variation in regulation strategy use and that regulation effectiveness was less important for well-being in older adults. The discussion will center on the value of considering age-related similarities and differences in affect dynamics, age-relevant factors for successful emotion regulation, and the contexts that might influence affect dynamic processes.
DAILY SUBJECTIVE NEARNESS TO DEATH AND AFFECTIVE DYNAMICS
Authors: Neupert Shevaun , Graham Lyndsey 
Published: December 2023

Abstract
A core tenet of Socioemotional Selectivity Theory is that perception of time remaining in life plays a key role in the selection and pursuit of emotion regulation goals. The current study examined this idea within a daily diary framework, where subjective perceptions of nearness to death were reported on consecutive days. Age differences in the within-person coupling between daily subjective reports of nearness to death and daily affective dynamics were tested. A 14-day daily diary study of 440 adults (M age = 65, range 50-85) in the U.S. was conducted where participants reported on their subjective nearness to death, positive affect, and negative affect each day. Multilevel models were conducted separately for positive and negative affect. Being older and feeling farther away from death on average were each associated with higher levels of positive affect. Daily negative affect was predicted by both within-person and between-person constructs. On days when people reported feeling subjectively closer to death than their own average, they also experienced an increase in negative affect. A significant interaction revealed that this effect was particularly strong among older adults (aged 65+). These results suggest that daily manifestations of perceptions of limited time remaining in life are salient for daily affective dynamics, and that this salience is particularly pronounced among older adults relative to those in midlife.
ASSOCIATIONS BETWEEN COGNITIVE RESOURCES AND EMOTION REGULATION TACTICS IN AN ADULT LIFESPAN SAMPLE
Authors: Wolfe Hannah , DiGirolamo Marissa , Isaacowitz Derek 
Published: December 2023

Abstract
The current study investigated how trait-level cognitive capacity relates to emotion regulation tactic preferences in everyday life in adulthood and old age. 51 younger adults (ages 18-39), 53 middle-aged adults (ages 40-59), and 55 older adults (ages 60+) completed measures of working memory and verbal fluency, as well as 21 days of experience sampling. On each survey, participants indicated if they had regulated since the last survey and if so, what emotion regulation strategies they used and how they implemented that strategy through specific emotion regulation tactics. Each strategy laid out by the process model (situation selection, situation modification, attentional deployment, reappraisal, response modulation) could be implemented in three specific ways (called “tactics”): positivity-upregulating, negativity-downregulating, or negativity-upregulating. For example, a person may indicate they used situation selection and then would be asked whether they chose to (a) seek out a positive situation, (b) leave a negative situation, and/or (c) enter a negative situation. Acceptance was also included as a fourth tactic type but was not categorized under any strategy. Proportions of tactics used in each instance was calculated. Acceptance use was significantly negatively correlated with working memory performance; however, this association appeared to be driven primarily by middle-aged adults. Negativity-downregulation was positively correlated with numerous cognitive capacity measures in middle-aged adults. In sum, individual differences in cognitive resources appear to play the strongest role in tactic preferences in midlife rather than old age.