bluuebunny/crossref_metadata_2025_split huggingface dataset:
EVALUATION OF A PROVIDER-DRIVEN STRATEGY TO ENSURE AGE-FRIENDLY CARE
Authors: AlDossary Heba , Bender Anna , Pohnert Anne , Dolansky Mary 
Published: December 2023

Abstract
Implementation of evidence-based care requires innovation. The Age-Friendly Health Systems Questionnaire (AFHS-Q) is an example of a front-line innovation that increases efficiency of implementation by having the patient complete eight 4Ms questions while waiting for their visit. We evaluated the usability, acceptability, feasibility, and effectiveness of the AFHS-Q by surveying nurse practitioners (NPs) across a retail clinic system and found that the innovative practice-based tool was effective and feasible. The AFHS-Q kit was sent to over 1,100 retail clinic sites and an online survey was sent four weeks later to the 3,300 NPs at these sites to measure their experiences. NPs (N = 100) completed the survey and reported overall positive feedback (scale range 1-5) about the AFHS-Q relating to comfort of use (M = 4.18, SD = .99), usefulness (M = 3.97, SD = 1.10), acceptability (M = 4.12, SD = .83), and effort for use (M = 2.75, SD = 1.17). NP’s confidence in completing the 4Ms (before AFHS-Q: M = 3.92, SD = 1.90; after AFHS-Q: M = 4.18, SD = .97) and documenting the 4Ms (before AFHS-Q: M = 3.84, SD = .99; after AFHS-Q: M = 4.17, SD = .91) was significantly higher following AFHS-Q use (completion: t = 3.58, p &lt; .001; documentation: t = 4.33, p &lt; .001). NPs reported a significant reduction in time for visits after using the AFHS-Q. Participants also provided open ended feedback indicating the AFHS-Q was overall easy to use as well as highlighting areas for other improvement.
SELF-PERCEPTIONS OF AGING AS A PSYCHOLOGICAL RESOURCE FOR ENRICHMENT SEEKING
Authors: Washington Faith-Christina , Mejia Shannon , Wen Wan , Chin Jessie 
Published: December 2023

Abstract
In older adulthood, positive perceptions of one’s own aging can facilitate enrichment seeking–the underlying motivation to seek out new experiences and perform intellectually challenging activities–by diminishing and buffering reactions to perceived threats to one’s sense of self and perceived capabilities. In this study, we examined the extent to which self-perceptions of aging were associated with cognitive performance and affective experience while completing a series of challenging foraging tasks in the form of word puzzle games within the presence and absence of resources in the environment, such as a fireplace or an observing neurologist. The study employed a 2x2 within-person design (fireplace on vs. not; neurologist present vs. not) and took place within the home office of a home simulation environment. In each of the four conditions, 61 participants (age 50-82, 57% female) played the foraging task and then endorsed adjectives representing their feelings while playing that game. Multilevel models, which nested study stages within participants, showed individuals with higher self-perceptions of aging benefited significantly from both environmental manipulations, with the fireplace acting as environmental support and the observing neurologist raising the stakes of the task. However, despite providing additional motivation and being associated with stronger cognitive performance, the neurologist’s presence also provoked a higher negative affect response. The relationship between self-perceptions of aging and receptiveness to environmental resources merits further investigation to assess how certain environmental resources might act as a moderator of both cognition and affect.
BREAST CANCER SCREENING AMONG OLDER NON-HISPANIC CARIBBEAN BLACK WOMEN IN THE UNITED STATES
Authors: Narine Donnette , Yamashita Takashi 
Published: December 2023

Abstract
Breast cancer is one of the most common forms of the second leading cause of death—cancer, which impacts racial and ethnic groups differently. The mortality rate of breast cancer among Black women is 40% higher than that of non-Hispanic White women. Early detection is critical for improving survival rates and reducing health disparities by race and ethnicity over the life course. However, the heterogeneity (i.e., within-group differences) among Black women in the United States is often overlooked, and relatively little is known about specific sub-populations of Black women and breast cancer screening. Of those sub-populations, Afro-Caribbean women in the United States tend to have different demographic and cultural backgrounds (e.g., a higher % of immigrants), for example, from African/African American women. Thus, this study examined factors associated with breast cancer screening among non-Hispanic Caribbean Black women. Using seven waves (2011-2017) of the National Health Interview Surveys data, we analyzed a sample of non-Hispanic Caribbean Black women living in the United States (age 40-75 years; n = 552). The results of the binary logistic regression indicated that the years in the United States were positively associated with breast cancer screening in the past 12 months among non-Hispanic Caribbean Black women (odds-ratio = 1.39, standard-error = 0.15, p &lt; 0.05), after adjusting for the selected covariates. However, age was not associated with breast cancer screening behaviors. Our findings support breast cancer prevention efforts specifically targeting middle-aged and older non-Hispanic Caribbean Black women who have newly immigrated to the United States.
PERSONALITY FACTORS AND ELEVATED DEPRESSIVE SYMPTOMS AMONG MEXICAN ADULTS AGED 50 AND OLDER WITH PAIN
Authors: Navid Sarah , Gutierrez Sirena , Saenz Joseph , Antonietti Michael , Milani Sadaf 
Published: December 2023

Abstract
Older adults with pain are at risk for developing elevated depressive symptoms. Personality factors, including internal locus of control (LOC) and conscientiousness, have been associated with fewer depressive symptoms in older adults. Our objective was to examine LOC and conscientiousness as potential buffers of depressive symptoms among Mexican adults aged 50 and older with pain. We used data from the Mexican Health and Aging Study (2015-2018). We included participants who reported frequent pain at both waves (n=2,211). LOC and conscientiousness were measured continuously, with higher values indicating a more internal LOC or conscientious personality. We incorporated depressive symptoms from both waves to create a 4-level depressive symptoms variable: stable low/ no depression (&lt; 5/&lt; 5), recently remitted (5+/&lt; 5), recent onset (&lt; 5/5+), and stable high (5+/5+). We used multinomial logistic regression models to assess the association between personality and depressive symptoms, adjusting for sociodemographic variables. At baseline, participants (73.2% women) were on average 67.6 years old. A more internal LOC was associated with a lower risk of stable high depressive symptoms compared to those with stable low/no depression symptoms [Relative Risk Ratio: 0.82, 95% confidence interval: 0.72, 0.92). Both personality factors were not associated with recently remitted or recent onset depressive symptoms. In a sample of older adults with pain, those with a more internal LOC had decreased risk of experiencing stable high depressive symptoms. Internal LOC may alter the perception of pain. Interventions on orienting individuals to a higher internal LOC may be helpful in pain management by mitigating comorbid depressive symptoms.
ACTIVE USE OF ONLINE COMMUNITY REDUCES LONELINESS AMONG OLDER ADULTS THROUGH WEAK TIES FORMATION
Authors: Kim Nahyun , Katagiri Keiko 
Published: December 2023

Abstract
Online communities could aid older adults in expanding their social connections and developing weak ties, which may help alleviate their loneliness. However, research investigating the impact of online community participation on the formation of weak ties among older adults remains lacking. This study aimed to investigate 1) the relationship between active use of an online community designed for older adults and the formation of weak ties within the platform, and 2) the potential for these weak ties to alleviate loneliness among members. The online community platform for older adults allowed users to post diary entries and photos, join interest-based communities, and organize virtual and in-person events. An online survey was conducted among members aged 60 to 79 years (N=862). The survey measured active use, weak ties (measured by the number of mutual followers), and loneliness. Path analysis showed that active engagement in the online community was positively associated with the formation of weak ties, which, in turn, were negatively associated with loneliness. Thus, older adults who frequently posted own content and participated in community activities were more likely to form many weak ties in the platform, and these weak ties may help reduce their loneliness. However, this study only examined online community use, meaning that further research is needed to explore the relationship between general social networking services use and weak ties, as well as examine the context of the passive use of these services.
EFFECTIVENESS OF TELEDELIVERED BEHAVIORAL ACTIVATION AND MINDFULNESS INTERVENTIONS IN REDUCING LONELINESS
Authors: Jiang Da , Yeung Dannii , Choi Namkee , Ho Rainbow Tin Hung , Kwok Jojo Yan Yan , Song Youqiang , Warner Lisa M , Chou Kee Lee 
Published: December 2023

Abstract
Loneliness is one of the most prevalent mental health problems in older adults, especially among those who live alone and are digitally excluded. The phenomenon has become more conspicuous during the COVID-19 pandemic because of the constraints on physical contact and travel. In this three-armed randomized controlled trial, we examined the effectiveness of two telephone-delivered loneliness interventions (i.e., behavioral activation [Tele-BA], mindfulness [Tele-MF]) against a telephone-delivered active control group (i.e., befriending [Tele-BF]) in reducing loneliness, based on the behavioral theory of depression and monitor acceptance theory. We trained retirees as lay counselors to deliver the interventions to enhance the scalability and sustainability of the interventions. Older adults who lived alone and under the poverty line in Hong Kong, did not have Internet at home, and felt lonely were randomly assigned to one of the three groups (N = 1045, Mage = 76.59, SDage = 7.83, 78% female). Participants in each group received two 30-minute weekly intervention sessions for four weeks. They completed assessments at the baseline (T1), four weeks (T2) and six months (T3) following the intervention, respectively. Compared with their counterparts in the Tele-BF group, participants in the Tele-BA and Tele-MF groups reported lower levels of loneliness and perceived stress and higher levels of psychological well-being and perceived social support at T2 and T3. These findings provide scientific understandings on the effectiveness of Tele-BA and Tele-MF interventions for reducing loneliness among older adults in Hong Kong, and demonstrate the feasibility of conducting lay counselor-delivered telephone-based interventions for older adults.
FEELING YOU BELONG: THE EFFECTS OF COMMUNITY INVOLVEMENT ON WELL-BEING IN LATER LIFE
Authors: Briggs Emily , Smith Jacqui 
Published: December 2023

Abstract
The area where someone lives is an important, yet neglected, contextual factor for the health of older adults. Previous literature suggests that an individual may develop an attachment to their neighborhood through a feeling of “rootedness,” which may contribute to feelings of belonging (Connerly & Marans, 1985). This sense of belonging is an essential component of harmonious communities with actively engaged residents. Together, feeling that you belong (perceived social cohesion) and active engagement in a community may be related to a higher overall sense of subjective well-being. Perceived social cohesion within a neighborhood also influences an individual’s level of community engagement. Using data from the Health and Retirement Study (HRS), this study investigates the impact of perceived social cohesion and community engagement on subjective well-being. The sample (N=5581, Mean Age (SD)= 68.34 (10.35), Range 50-98 years) included participants from the 2018 wave of data collection, who completed the Psychosocial Leave Behind Questionnaire. Multiple regression revealed that community engagement (β=.19, p=&lt;.001) and social cohesion (β =.26, p=&lt;.001) significantly predicted life satisfaction (R2=.096). These relationships remained significant after adjusting for age, gender, and years of education (Adj R2=.111, p&lt;.001). These results suggest a sense of belonging may be more predictive than actual engagement on subjective well-being, this finding also interacts with age. Future work in this area should investigate the other possible influences that impact perceived feelings of belonging.
IMPACT OF DIGITAL AND SOCIAL ENGAGEMENT ON QUALITY OF LIFE AMONG RURAL OLDER ADULTS
Authors: Kim Jeehoon , Hearn Gesine , Hall Anna 
Published: December 2023

Abstract

Objectives
In the current digitalized society, digital and social engagement are important elements in the well-being of older adults. This study examines how different types of digital and social engagement are associated with different aspects of quality of life among rural healthy older adults.

Methods
Older adults without cognitive impairments, residing in the community in Southeast Idaho (n=154) participated in the ‘Aging in Idaho study’ in 2018. Internet use for communication, instrumental purposes, and health information searches were measured. Informal and formal social participation were measured. Five aspects of quality of life (QOL) were measured using the WHOQOL-BREF. Multiple regression analyses were performed.

Results
Well-educated (M=16 years) rural older adults used the Internet for various purposes, actively engaged in social activities, and reported higher level of QOL for overall and life environment (e.g., M=4.6, Range=1-5). Internet use for communication was positively associated with QOL general health (β=.20, P &lt;.05). Online health information search was negatively associated with QOL general health (β= -.42, P &lt;.05). Informal social participation was positively associated with QOL overall (β=.17, P &lt;.05), psychological health (β=.13, P &lt;.05), and life environment (β=.20, P &lt;.05). Formal social participation was positively associated with QOL social relationships (β=.16, P &lt;.05).

Discussion
Digital and social engagement relate in distinct ways with different aspects of QOL. Older adults perceived QOL to be better when they actively adopted digital technology whereas maintaining social engagement well in the community. Promoting digital engagement which enables to facilitate social engagement in later life will be discussed.
RELIGIOSITY/SPIRITUALITY PROMOTES POSITIVE WELL-BEING FOR MIDDLE-AGED ADULTS IN THE CONTEXT OF MONTHLY ADVERSITY
Authors: Dey Nutifafa , Infurna Frank , Grimm Kevin 
Published: December 2023

Abstract
Religiosity/Spirituality (R/S) are long established in aging research to protect against adversity and promote positive development. However, little about this is known regarding whether and which components of R/S (interpersonal and intrapersonal) in the context of longitudinal research in middle-aged adults. Using data from an intensive longitudinal study of 362 middle-aged adults (ages 50–65) assessed monthly over a period of two years, we applied multilevel models to examine whether R/S at the between- and within-person levels are a protective resource against the detrimental effects of monthly adversity on psychological well-being. Reporting more R/S at monthly assessments (within-person) where adversity was reported was associated with reporting fewer depressive symptoms and negative affect, but was not protective for the outcomes of life satisfaction and positive affect. Considered separately, the two domains of R/S protected against adversity’s impact across each of the outcomes. Reporting more between-person levels of intrapersonal R/S (mapping strongly onto spirituality) did not protect against adversity, but instead exacerbated the detrimental effects of adversity on each outcome. The effects observed here imply that on monthly occasions where individuals report more R/S, this will lead to less of a negative impact of monthly adversity on each outcome. Also, at the between-person level, individuals who, on average, report more involvement in R/S will show less detrimental effects of monthly adversity on each outcome; yet this may not be true for intrapersonal R/S. We further elaborate R/S’s protection and offer some explanations for why between-person changes in intrapersonal R/S exacerbates adversity.
REMOTE COMPASSION- AND EMPATHY-BASED INTERVENTION TARGETING LONELINESS AND STRESS IN OLDER ADULTS
Authors: Patapoff Molly , Jester Dylan , Mausbach Brent , Palmer Barton , Glorioso Danielle 
Published: December 2023

Abstract
Loneliness and chronic stress are prevalent issues for older adults in the United States and have been linked to decrements in mental and physical health. Prior research has suggested that increasing compassion and empathy may reduce loneliness and chronic stress in older individuals. The present study is an efficacy pilot of a remote empathy- and compassion-based intervention targeting loneliness and chronic stress in older adults, consisting of a 6-week control and 6-week intervention period. Repeated measures ANOVAs were used to compare changes in ratings and biomarkers over the 12-week period from baseline to completion of the intervention. Bonferroni-adjusted post-hoc analyses were conducted to compare changes during control and intervention periods. The full sample consisted of 43 older adults (Mean Age=76.9 years, SD=7.5), and 12 completed additional biomarker assessments. Over the 12-week period, there were significant decreases in loneliness (p=.001) and perceived stress (p=.03). Post-hoc analyses found that perceived stress significantly decreased during the intervention period (Mdifference=1.59, p=.04), but not the control period. Loneliness significantly decreased during the control period (Mdifference=2.44, p=.003) and stayed lower during the intervention period. Preliminary results revealed reduced inflammation as well as improvements in sleep quality and variability over the 12-week period. These results support the efficacy of a remote empathy- and compassion-based intervention at reducing loneliness and stress in older adults. Further investigation in a larger sample is needed to verify whether changes in biomarkers are clinically meaningful.
SELF-NEGLECT IN OLDER ADULTS: CONVERSATIONS ABOUT SOCIAL CONNECTION, MEANING AND PURPOSE, AND INTERVENTIONS
Authors: Burnett Jason , Hoyumpa Garielle , Kotwal Ashwin , Ayieko Sylvia , Perissinotto Carla 
Published: December 2023

Abstract
Social isolation and loneliness are pervasive health threatening conditions increasing the morbidity and mortality of older adults worldwide. Older adults experiencing self-neglect (SN) represent some of the most isolated and socially disconnected members of our communities living with high morbidity and mortality risks. We know very little about the interplay of SN, social isolation, loneliness, and related factors that could inform scalable social interventions for this population. We completed mixed methods structured conversations with N=10 older adults with Adult Protective Services validated SN, focusing on social isolation, loneliness, meaning and purpose, and intervention approaches. The average age was 77 years, 50% African American, 66% male, 83% lived alone with an average of 4 medical conditions. On standardized assessments, 66% reported high ability to engage in social activities, but all were socially isolated, with limited mobility. Eighty-three percent reported moderate to high loneliness, 50% with generalized anxiety and 17% with depression. Only 33% lacked meaning and purpose in their lives. The conversations suggest higher rates of depression. Loneliness was linked to living in limited life spaces and few meaningful and quality social interactions reflecting loss and personal impairments. Meaning and purpose was maintained through spirituality. All participants were willing to be engaged meaningfully and socially, in the future, by someone new to their life, in-person or via telephone, to increase social connection. These preliminary findings suggest that low-cost social connection interventions are acceptable options for improving the social lives and possibly the health of isolated and lonely older adults experiencing SN.
THE GENERATIONAL COMPARISONS OF SOCIAL NETWORK SITE USE SUBTYPES AND ITS ASSOCIATIONS WITH SELF-ESTEEM
Authors: Choi Bomi , Park Hayoung , Song Si Young , Kang Miseon 
Published: December 2023

Abstract
This study aimed to identify subtypes of Social Network Service (SNS) use that affect self-esteem by applying a person-centered approach. The study also aimed to compare the SNS use subtypes and their associations with self-esteem between young and middle-aged adults in Korea. The sample included 2,572 young adults (18-44 years old) and 1,790 middle-aged adults (45-64 years old) drawn from the Korea Media Panel, a nationally representative dataset. Self-esteem was measured by the sum of ten questions from Rosenberg’s Self-Esteem Scale. Four indicators of SNS use (e.g., “How often do you check other people’s posts (feed)?”) were used to perform a 3-step Latent Profile Analysis, which accounts for classification errors. The results of the Latent Profile Analysis showed 5 and 4 subtypes of SNS use for young and middle-aged adults, respectively, depending on the frequency of active and passive usage. Overlapping subtypes include ‘passive-low’, ‘active-low’, ‘moderate’, and ‘high-active’ users. Young adults had one distinct subtype with a very high frequency of passive usage (checking others’ posts and liking them) but a very low frequency of active usage (sharing content with others). The results also revealed that those with more frequent use in both active and passive use showed the lowest self-esteem in both young and middle-aged groups. This study supports previous findings suggesting that frequent SNS use has negative impacts on self-esteem, even for middle-aged adults. Based on these results, digital literacy programs for middle-aged adults should cover healthy ways to use SNS.
THE IMPACT OF THE PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) CLOSURE ON SOCIAL ISOLATION AND LONELINESS
Authors: Dabrowski Barbara , Punke Elizabeth , Teply Abby , Richardson Katy , McKibbin Christine , Carrico Catherine 
Published: December 2023

Abstract
Social isolation and loneliness are public health problems seen in late adulthood that are associated with health risks (e.g., premature mortality, depression, and suicidality) and these issues are even more common among older adults with chronic illnesses (Nicholson, 2012). The Program of All-Inclusive Care for the Elderly (PACE) was developed to serve medical and behavioral needs and provide opportunities for social engagement for older adults with chronic illnesses. Budget cuts shut down Wyoming’s PACE program. This study aimed to (1) examine the impact of this closure on social isolation and loneliness, (2) identify how individuals have adapted to the loss of services that address social isolation, and (3) identify needs and preferences for future intervention to address social isolation. A concurrent mixed-methods design was used to examine these aims. Participants (n = 12; M = 74 years old, SD = 9.5) were predominantly White (n = 8, 66%), female (n = 6, 50%), and lived alone (n = 6, 50%). Caregivers of participants (n = 5; M = 63 years old, SD = 11) were predominantly Hispanic, Latino, or of Spanish origin (n = 3, 60%), female (n = 4, 80%), and lived with a partner (n = 4, 80%). Four central themes emerged: social isolation, emotional concerns, transportation loss, and care loss. Data showed decreases in social support and increases in loneliness. Results suggest programs like PACE greatly benefit older adults. Future directions may include developing community-based interventions to address service needs and social isolation concerns in Wyoming.