bluuebunny/crossref_metadata_2025_split huggingface dataset:
A GERIATRIC EDUCATION COURSE SPANNING COMMUNITY AND HEALTH CARE ENVIRONMENTS
Authors: Gareri Michele , Hazelett Susan , Kropp Denise , Sanders Margaret , Drost Jennifer , Kidd Lori , Fosnight Susan 
Published: December 2023

Abstract
To address gaps in the geriatrics-trained workforce, we implemented a Geriatric Resource Certificate (GRC) for interprofessional learners from healthcare and community provider settings. This program combines online self-paced didactics, real-time virtual lectures, and a real-world virtual team care planning experience. The education incorporates the 4Ms of the Age Friendly Framework and spans the geriatric experience from healthy aging through end-of-life. It includes Dementia Friends and ECHO sessions. The goal is to training people from a variety of care settings to be resource people regarding geriatric issues, much like the NICHE program in acute care. We had 37 learners who completed evaluations. Practice settings included ACO, Hospice, Emergency Department, nursing homes, hospitals, primary care, Area Agencies on Aging, and other community providers. Overall, the online didactics were rated an average of 4.53 on a 5 point Likert scale and the real-time lectures were rated an average of 4.41. The average score for “the GRC will help me provide care over the continuum” was 4.59. The average for the real team was 4.07, 4.26 for the ECHO, and 4.45 for Dementia Friends. All learners indicated they would refer others to the GRC. These results indicate that the GRC is an effective method to impart basic geriatric training into communities and raise awareness of resources available to assist older adults in maintaining their independence. In this era of high healthcare workforce turnover and staffing shortages, improving geriatric knowledge by training on-site geriatric resource staff is one way to improve care for older adults.
AGE-FRIENDLY PARTNER EVALUATION: REVIEWING FLORIDA ACTION PLANS
Authors: Swanson Helena 
Published: December 2023

Abstract
Understanding community collaboration is crucial to advance age-friendly community change (Greenfield, et al., 2022). This poster’s purpose is to provide evidence about age-friendly partner involvement to bring awareness to the extent that partnerships are collaborative and holistic at the age-friendly action plan stage. We conducted a qualitative, thematic analysis by reviewing Age-Friendly Florida Action Plans (N = 13) to code for partner involvement. The evaluation used the World Health Organization’s Age-Friendly Environments framework, which includes 4 cyclical steps: Engage and Understand, Plan, Act, and Measure. The evaluation questions were (1) How many partners are typically involved in action plans? and (2) Which types of partners are typically involved in action plans? The Florida Age-Friendly Communities evaluated have diverse characteristics in community type (e.g., rural, urban, and suburban), population size, and the percentage of the population that is 65+. After an iterative process was conducted between coders, a partner coding structure emerged. The partner coding structure included codes for government, businesses, non-profits, communities, and other partners. Partner themes for each sector (government, businesses, non-profit, community, and other partners) were identified and will be discussed. Overall, results concluded that there were an average of 16 partners involved in age-friendly action plans. On average, age-friendly partners were most involved in the Act step of the World Health Organization’s Age-Friendly Environments framework. Lastly, government sectors were the most frequent partner identified in age-friendly action plans. Considerations and recommendations for age-friendly partner involvement for creating collaborative and holistic age-friendly partners will be included.
DEVELOPING AN AGE-FRIENDLY ECOSYSTEM: A CASE STUDY FROM MINNESOTA’S MULTISECTOR BLUEPRINT ON AGING
Authors: Baig Farah , Moone Rajean , Graham Carrie 
Published: December 2023

Abstract
As age demographics continue to shift, age-friendly policy initiatives at the global, national, state, and local levels are rapidly evolving. These emerging age-friendly initiatives underscore a changing perception of aging and older adulthood. Many states, communities, academic institutions, health systems, and other organizations are embracing the demographic shift and leveraging age-friendly frameworks that seek to improve later life experiences. However, there is limited scholarly work that explores contextualized age-friendly policy development. Using qualitative case study and historiography methods, this study provides an overview of various age-friendly frameworks and outlines work in the State of Minnesota where intersections of the various frameworks are coalescing in an age-friendly ecosystem. Minnesota, rather than being a ‘best practices’ exemplar, serves as a model of an evolving system, led by the Age-friendly Minnesota Council in partnership with organizations such as the Minnesota Board on Aging and the Minnesota Department of Human Services, that are developing impactful policies to address the needs of a growing heterogeneous older adult population. The nuances and realities found within the Minnesota context underscore the need to develop fluid age-friendly ecosystems that can adapt to the uniqueness and complexity found in each state, region, or community. Going forward, it will be critical for Minnesota to evaluate their programs to determine their long term impact on the entire population — including today’s older adults as well as future older Minnesotans.
DISCRIMINATION AND PSYCHOLOGICAL WELL-BEING IN LATER LIFE: LONGITUDINAL EVIDENCE FROM CHINA
Authors: Zhou Shuai , Bai Xue 
Published: December 2023

Abstract
Although ample evidence shows a negative association between discrimination and well-being outcomes, yet few longitudinal studies have explored the prevalence and consequences of multiple forms of discrimination among older adults. This study investigated the effects of interpersonal and institutional discrimination on psychological well-being among Chinese older adults and whether such effects were conditioned on subjective socioeconomic status. Data were retrieved from the China Family Panel Studies, consisting of 9,356 older respondents aged 45 and older in 2010 with their follow-up observations during 2012–2016. Random-effects panel regression analyses were performed to examine the relationships between multiple forms of discrimination on psychological distress and life satisfaction, separately, as well as the moderating effects of subjective socioeconomic status. Results revealed that one in four older adults experienced at least one form of discrimination during the past 12 months. Most prevalent discriminatory experiences encompassed wealth-based discrimination, delay and stalling at government agencies, and unfair treatment by government officials. Experiences of discrimination were negatively associated with life satisfaction and positively associated with psychological distress. Subjective socioeconomic status ameliorated the negative effect of interpersonal discrimination on life satisfaction. Findings reveal the detrimental effects of discrimination on psychological well-being that both interpersonal and institutional discrimination could reduce satisfaction with life and exaggerate psychological distress. Findings imply that subjective socioeconomic status could protect older adults from harmful effects of interpersonal discrimination, but not institutional discrimination.
AMERICANS AND TAIWANESE: A COMPARISON OF BELIEFS IN AND PREFERENCES FOR ADVANCE DIRECTIVES BY SOCIODEMOGRAPHICS
Authors: Young Yuchi , Chen Duan-Rung , Shayya Ashley , Perre Taylor , Barnes Virgile , O’Grady Thomas 
Published: December 2023

Abstract

Introduction
Advance directives (ADs) are legal documents that allow individuals to express their end-of-life wishes. However, cultural differences related to collectivism and family values may impact AD beliefs and preferences. This study compares AD beliefs and preferences between American and Taiwanese adults.

Methods
A survey was used to collect data from adults in the US (n=166) and Taiwan (n=2000) to assess AD beliefs and preferences. Propensity score matching was used to compare the populations, and bivariate analyses were conducted to identify AD-specific differences between the two groups.

Results
Compared to the US, Taiwanese participants were younger (mean age = 45 vs. 50), higher percentage female (80% vs. 63%), and higher percentage married (50% vs. 48%). Taiwanese adults had a higher belief in preparing an AD (89.3% vs. 80.7%; p=0.02) and were more willing to complete one than American adults (85.6% vs. 63.1%; p&lt; 0.01). 59.4% of Taiwanese adults preferred their family/loved ones make healthcare decisions, compared to 46.0% of Americans (p=0.01). However, only 50.8% of Taiwanese adults believed their loved ones’ decisions aligned with their wishes, while 79.5% of Americans held this belief (p&lt; 0.001).

Conclusion
This study reveals noteworthy differences in AD beliefs and preferences between the two groups, with Taiwanese adults valuing AD preparation more and being more willing to complete them. Taiwanese adults also rely on their loved ones to make AD decisions, even though they believe these wishes may not align with their own. These differences likely stem from cultural norms of filial piety and collectivism in Taiwan.
SOCIODEMOGRAPHIC DIFFERENCES IN ADVANCE CARE PLANNING AMONG OLDER LESBIAN AND GAY ADULTS
Authors: Singleton Meki , Enguidanos Susan 
Published: December 2023

Abstract
Advance care planning (ACP) is a process that supports adults at any stage of health in ensuring that their values, goals, and wishes are met regarding future medical care. Factors associated with completing ACP include older age, being White, higher education, and higher socioeconomic status. However, scant research has investigated if these same characteristics are associated with ACP among lesbian and gay adults. Using data from an online survey (N=139), bivariate analyses were conducted to investigate predictors of ACP outcome measures. Being White (p&lt;.01), older (p&lt;.01), and employed (p&lt;.05) were associated with having a higher level of comfort with medical decision making. Having a higher income (p&lt;.01), being employed (p&lt;.01), and having a health condition (p&lt;.05) were associated with having completed a living will. Having a higher income (p&lt;.01) and being employed (p&lt;.05) were associated with having a durable power of attorney for healthcare. These outcomes demonstrate that while some variables were similar to previous findings, additional sociodemographic characteristics were found to have an influence on ACP among older lesbian and gay adults. Given that completing ACP has shown to improve quality of care at end of life, it is imperative to understand what factors influence ACP for older lesbian and gay adults. Understanding these within group differences will lead to future research and outreach efforts developed to inform and equip healthcare workers and community organizations with the means to better serve older gay and lesbian adults, a group that has been historically discriminated against by the healthcare system.
DOES NEIGHBORHOOD GENTRIFICATION AFFECT FOOD INSECURITY AMONG URBAN OLDER ADULTS? EVIDENCE FROM NEW YORK CITY
Authors: Cheung Ethan Siu Leung 
Published: December 2023

Abstract
Emerging studies have established that food insecurity is a prevalent public health problem among older adults, including those in urban areas. However, the relationship between neighborhood gentrification, an increasing trend in urban development, and food insecurity remains unclear. Using cross-sectional data from the Poverty Tracker Study, this study aimed to answer two research questions: 1) what is the association between living in gentrifying neighborhoods and food insecurity? 2) Do the food environment, public transportation, and social cohesion mediate the association? The sample consisted of 710 New York City residents aged 65 or older. Based on respondents’ census tracts, individual-level data were merged with neighborhood data obtained from the American Community Survey. local statistics were estimated by GeoDa 1.20 to examine the spatial distribution and significant clusters of generifying neighborhoods across New York City. ArcGIS 10.1 was then used to produce maps. To address both research questions, logistic regressions and mediation analyses were conducted. Regressions revealed that living in generifying neighborhoods was significantly associated with a greater risk of food insecurity, even after adjusting for demographic characteristics and socioeconomic status, such as income. Additionally, mediation analyses suggested that the association was significantly mediated by community social cohesion and the number of healthy food outlets. Findings suggest that neighborhood gentrification presents a salient risk factor for late-life food insecurity in urban areas. Community programs that foster social connections among neighbors and local food assistance programs may be particularly needed in gentrifying neighborhoods to mitigate and reduce the risk of late-life food insecurity.
SOCIAL CONNECTEDNESS RESOURCING OF OLDER PEOPLE IN ASSISTED LIVING IN THE UNITED STATES OF AMERICA: A SCOPING REVIEW
Authors: Pudur Rekha , Mpofu Elias , Prybutok Gayle 
Published: December 2023

Abstract
Abstract This PRISMA scoping review identifies the emerging evidence on social connectedness resources preferences and priorities of older adults in assisted living facilities. The searches in this scoping review were conducted in EBSCOhost. Eight studies were included from 134 articles published in English from January 2000 – September 2022. There are 2482 older adults from 233 assisted living facilities in the USA. Results organized by themes framed in the World Health Organization’s International Classification of Functioning, Disability, and Health (WHO-ICF) 1 provided evidence that older adults with or aging with or into chronic health conditions preferred facility based on community-based resources. Those from the larger enrollment assisted living facilities and limited physical mobility preferred facility-based resources more than community resources. Residents’ preferences and priorities for social connectedness in facility and community-based activities appear to serve different needs, suggesting that resident facilities should deliberately provide for social needs resources by the context of participation. Further research is needed to profile what residents preferred/prioritized in socially inclusive activities, either facility provided or community-based.
TRANSPORTATION-RELATED FACTORS AND THE LIKELIHOOD OF COMPANIONSHIPS AMONG SENIOR CENTER MEMBERS
Authors: Mauldin Rebecca , Parekh Rupal , Mattingly Stephen 
Published: December 2023

Abstract
Throughout the United States, a variety of programs focus on social engagement to reduce social isolation and loneliness for older adults. An ideal site for this is the senior center. This research takes place in a senior center serving older Hispanic/Latinx adults in an urban community in the northeast United States. Data were collected 9/21-12/21 from 38 of approximately 42 regular members. Cross-sectional social network analysis data were analyzed using exponential random graph modeling (ERGM) of the likelihood of companionship ties among 42 senior center members. Several transportation related factors were significantly associated with the likelihood of companionship ties. Controlling for demographics and frequency of attendance, having missed going to the senior center due to a lack of transportation was associated with a significantly lower likelihood of a companionship tie (p = .004). Companionships were also less likely for members who were transportation cost-burdened (p = .016). Companionships were less likely for those whose primary mode of transportation was driving compared to those who primarily relied on others for rides (p = .016). Results suggest that transportation experiences are significant factors in the social relationships among senior center members. Finding ways to reduce transportation cost burden and the frequency of missing going to the senior center due to lack of transportation should be considered in interventions to enhance social integration for senior center members. Understanding the role of driving oneself in having companionships for senior center members is an area to explore in future research.
APPLYING A TRAUMA-INFORMED DEI PRACTICE MODEL TO TRANSFORM CARE CULTURE
Authors: Morgan Jennifer , Jason Kendra , Royster Leigh-Anne 
Published: December 2023

Abstract
Collective trauma is a psychological distress experienced by large numbers of people or communities in response to shared trauma. It has been documented that the traumatic impacts of COVID-19 in concert with discrimination based on any marginalized identity (e.g., racialized, gender, and sexual minorities; poor, chronically-ill) leads to poorer health, work, and life outcomes. Marginalized older adults who have experienced discrimination over the life course are at increased risks for these challenges as they are more likely than any other group to experience infection, hospitalization, or death due to COVID-19. For older workers, they are more likely to remain unemployed or face more challenges at work than younger workers. Additionally, long-term care services and supports serving marginalized populations are more likely to have staff that have marginalized identities themselves and deal with similar challenges. We offer a conceptual model designed to transform care culture in ways that explicitly foster diversity, equity, inclusion and ultimately belonging and empowerment of individual community members. This conceptual model is guided by three founding principles: DEI (diversity, equity and inclusion), intersectionality, and trauma-informed care. This approach allows for care practitioners to address the intersecting structural and compounding challenges of COVID-19 and discrimination, instead of treating them as separate non-competing factors. By mapping out the evidence of collective trauma experienced by many minoritized and older workers; and those in aging services and long-term care sectors, we explain the principles of a trauma-informed approach and how retention and empowerment practices can support transformation of care culture.
COMPARING VARIED EFFECTS OF WORK AND PARTICIPATION ON DEVELOPMENT OF OLDER JAPANESE ACROSS GENDERS
Authors: Katagiri Keiko 
Published: December 2023

Abstract
Recently, the physical and cognitive status of older Japanese adults has improved on previous generations. Half of 60-year-old Japanese remain in the labor force. With extended life expectancy, improved health, and ability to remain productive into older age, some gerontologists now regard generativity as a developmental task for older adults before becoming frail, rather than for middle-aged people, as previously thought. These changes assume that older adults continue to develop, and this study examines the effects of work and active participation on development of older adults as a potential human resource for society. A 2019 random sampling survey was conducted with Tokyo and Hyogo Prefecture residents; the response rate was 43.0% (N = 1,063, aged 50-74). ANCOVA tests were conducted to gauge sense of community, interest in politics and generativity (all were positively affected by social and civic participation). Older people exhibited a higher sense of community than younger people. Females showed higher generativity and sense of community than males, while males scored higher than females for interest in politics. We observed interaction effects of work and civic participation. Working males in engaging civic activity exhibited greater positive change compared to non-working males with civic activity. Non-working females with active participation demonstrated greater positive change in generativity and interest in politics than working females with activity. This suggests older males enriched their experience by participating in civic activity while older females developed it through work. Both cases suggested that older adults can develop when they experience an unfamiliar diverse world.
DEVELOPMENT AND VALIDATION OF A U.S. AND GERMAN SHORT VERSION OF THE LATER LIFE WORKPLACE INDEX (LLWI-S)
Authors: Deller Juergen , Finsel Julia , Wöhrmann Anne , Oliveira Eduardo , Axelrad Hila , Vignoli Michela , Gu Xiuzhu , Van der Heijden Beatrice 
Published: December 2023

Abstract
Employment of older individuals becomes more important in demographic change. To identify organizational practices that foster the motivation, health, and performance of older employees in particular, an efficient holistic assessment of relevant organizational factors is needed. The 80-item Later Life Workplace Index (LLWI) provides such a measure for organizational practices for older employees by differentiating nine domains. The LLWI has been applied in emerging research in various research contexts and countries. However, it is quite a lengthy measure. Therefore, this paper describes the development and validation of the LLWI-S, a 29-item short measure covering all nine domains in order to achieve a more efficient instrument. The development of the short version was both, judgemental- and statistics-driven. A focus group consisting of the original LLWI-authors and several international scholars, whose research expertise lies in the field of employment and older employees, has developed the LLWI-S. A German- and an English-language version of the LLWI-S have been validated in Germany and the U.S. Reliability and model fit for the U.S. and the German version as well as multi-group CFA for measurement invariance will be presented. Results show that the measures have good internal reliability and model fit. We provide researchers and practitioners with a validated short measure to efficiently assess all nine relevant organizational domains for older employees. Researchers can utilize the LLWI-S to gain a comprehensive understanding of all relevant areas of organizational influences on later life work, while practitioners are able to assess their organizational readiness for an aging workforce.