bluuebunny/crossref_metadata_2025_split huggingface dataset:
INTERGENERATIONAL BONDS ACROSS THE EARLY YEARS OF MARRIAGE
Authors: Joiner Raquael , Perez Jacqueline , Bradbury Thomas , Karney Benjamin 
Published: December 2023

Abstract
As adults embark upon marriage, forming their own new nuclear families, they often remain connected to their families of origin. Nevertheless, spouses’ relationships with their parents and in-laws are likely to change across the early years of marriage. Given that empirical studies to date are typically limited to only a couple of measurement occasions, however, the stability and impact of such changes are unclear. Using Repeated Measures Latent Class Analyses, the present study addresses this gap by identifying classes of spouses (N=375 dyads) experiencing different types of relationships with their parents and in-laws across the first 9 years of marriage. Further, correlates and consequences of spouses’ longitudinal sentiment profiles were also examined. Three sentiment profiles (i.e., Mostly Helpful, Mostly Ambivalent, Mostly Indifferent, Mostly Difficult) emerged when looking at spouse’s sentiments toward their own parents and for husbands’ sentiments towards their in-laws, whereas 4 profiles (i.e., Mostly Helpful, Mostly Ambivalent, Mostly Indifferent, Mostly Difficult) were found for wives’ sentiments towards their in-laws. Mostly Ambivalent sentiment profiles showed the least stability, and spouses showed significantly higher odds of being in the Mostly Ambivalent class if they were living in a multigenerational household and if the wife was a 2nd generation immigrant. Spouses whose marriages dissolved showed significantly higher odds of being in the Mostly Indifferent, Mostly Ambivalent, and Mostly Difficult classes, compared to the Mostly Helpful class. These results provide an important starting point for future research aiming to understand how intergenerational bonds may promote or hinder successful marriages.
EVALUATING A CO-DESIGNED EXERGAMING PLATFORM (MOUVMAT) FOR OLDER ADULTS LIVING IN LONG-TERM CARE HOMES
Authors: Chu Charlene , Biss Renée , Bharucha Haniya , Matulis Henrique 
Published: December 2023

Abstract
MouvMat is an exergaming technology with an interactive digital gaming surface that was co-designed with a user-centered design approach for older adults (OA) living in long term care homes. The purpose of the study was to evaluate the acceptability and efficacy of MouvMat to improve mobility, cognitive function and psychosocial wellbeing among OAs. The study was conducted as a multi-site pilot randomised controlled trial where OAs in the intervention group attended 1-hour group sessions 3 times per week for 6 weeks. The control group received standard recreational programing. All participants underwent assessments (TUG, 2MW test, UCLA Loneliness Scale, Cornell Scale of Depression, digit span, TMT-A, TMT-B, alternating sequences, and verbal fluency) at baseline, mid-intervention, and end of intervention. Participant ratings indicated that the MouvMat was acceptable and OAs with a range of comorbid health conditions were able to attend sessions and engage with the intervention. Efficacy findings were varied and should be interpreted in the context of the heterogeneous physical and cognitive abilities of participants living in a long-term care setting. Future studies will focus on larger sample size and improvement in MouvMat’s design and interface.
THE BLUES AND OLDER MINORITY MUSICIANS: MORE THAN JUST MUSIC XXX
Authors: Migliaccio John 
Published: December 2023

Abstract
That’s right! This GSA Annual Scientific Meeting celebrates 30 years of the ever popular “‘Bo Diddley’ Track” providing insights into the older performers who have pioneered and preserved this uniquely American musical genre and distinctive cultural treasure. Tampa was, and remains, a significant location in its history. When Hudson Woodbridge (Whittaker), a.k.a. “Tampa Red”, had learned all he could of the popular “race records” featuring legendary blues performers like Ma Rainey, Bessie Smith, and Ida Cox and moved to Chicago in 1925 in his early 20s, he brought with him a prolific expertise on the slide guitar and helped introduce multiple new forms of this music. He spread the popular bawdy and humorous “hokum” Blues style and created numerous classic tunes that are still covered by the most famous musicians of today. Tampa continues to nurture a thriving music scene, and this year’s GSA conference will take full advantage of the magic, music, and musicians of the Suncoast Blues. This year’s special celebration will start with the opening of the exhibit hall. Then continue with the popular traditional lecture, oral history, refreshments, photo op and mini-performance by the best and most resilient local older blues musicians. That evening, join the artist and band, and a multitude of fellow GSA members, for a lively music bash at a local club featuring dancing, local food and refreshments, swag, and one of the best parties at GSA. It’s a cornucopia of education and enjoyment like none other.
VIRTUAL RESPITE FOR FAMILY CAREGIVERS
Authors: Washington Tiffany , Rapowitz Jennifer 
Published: December 2023

Abstract
The COVID-19 pandemic was detrimental to the wellbeing of individuals everywhere, especially family caregivers. Over 20% of older caregivers reported difficulties finding time for self-care during the pandemic Respite is an avenue to self-care; however, virtual respite programs are nearly non-existent. In this proof of concept study, we examined the acceptability of a virtual respite program with eight family caregivers of individuals living with dementia. Virtual respite visits were delivered by graduate students who engaged the person with dementia in a tailored activity, thereby freeing time for the caregiver to have a respite break. Families received up to six weekly virtual respite visits totaling 122 to 295 minutes. Semi-structured interviews with participating caregivers were transcribed and coded using steps of thematic analysis. Caregivers expressed high acceptability for virtual respite because it was easily adaptable to their existing hardware (e.g., smart devices, laptops), accessible, and required little technological knowledge. They further expressed appreciation for tailored activities for care receivers that allowed respite time for their own self-care activity. Given the limited availability of respite services, there is a need to design and test new types of respite care. This virtual respite program is an opportunity to reach more caregivers.
A CULTURALLY-TAILORED INTERVENTION INFORMED BY CAREGIVER VOICES
Authors: Mage Susanna , Hazany Farnaz , Cohanim Niki , Benton Donna 
Published: December 2023

Abstract
The first wave of Iranian immigration to the United States occurred between 1950-1979. Now, as members of this cohort enter their 60’s, the risk of age-related dementia will increase, necessitating younger, bicultural/bilingual members of the community, often family, to take on caregiving roles. Iranian caregivers are aware of neglecting their own health due to their role and often feel sad and lonely. Despite this, they are reluctant to access community resources intended to support caregivers. This could be attributed to the desire to protect and preserve the expected family image: by not using services, the family can maintain a sense of normalcy. The Ghofetegou Koneem for Caring Families Intervention helps caregivers in Los Angeles -- home of the largest Iranian community outside of Iran -- taking care of a person with dementia. The goal is to build a network of support that is personalized, easily accessible, and addresses perceptions of available social services. To tailor the intervention for an Iranian population, investigators partnered with a local adult day health care center to conduct 1:1 interviews with caregivers and perform needs assessments to identify needs prior to development. Qualitative analysis guided by a thematic approach revealed three themes of greatest need: 1) respite/self-care, 2) advocacy, and 3) disease-specific education and training. The importance of helping caregivers self-identify was also stressed, as this may lead to increased comfort in accessing resources. Integrating the voices of Iranian caregivers will help develop a culturally-relevant intervention tailored to the needs of Iranian families.
EXAMINING SOCIAL AND CULTURAL FACTORS AMONG EAST ASIAN FAMILY CAREGIVERS OF PERSONS WITH DEMENTIA
Authors: Cassidy Jessica , Lee Kathy , Lee Jihui , Seo Chang Hyun , Lomelin Alan Kunz , Shin Hye-Won , Grill Joshua 
Published: December 2023

Abstract
The purpose of this study was to examine how frequently Korean and Chinese American family caregivers of persons living with dementia utilized home- and community-based formal support services and to assess whether utilization of such services was associated with overall well-being. We collected and analyzed quantitative and qualitative data (N = 62) in effort to understand how cultural and social factors influenced their utilization of home- and community-based services and programs. A total of 36 Korean American and 26 Chinese American family caregivers completed online surveys and individual interviews over the phone. The most frequently used programs by family caregivers of both ethnic groups were in-home care services (33.9%), senior centers (32.3%), family caregiver support programs (24.2%), and transportation services (22.6%). Providing care longer than 108 months (p = 0.047), greater knowledge of information and resources available (p = 0.043) and being a Medicaid recipient (p = 0.008) were associated with utilization of in-home services. Those who utilized nutrition programs and case management were more likely to report higher overall well-being (p &lt; 0.05). Four themes emerged from our qualitative analysis: (1) a lack of knowledge of formal services, (2) language barriers, (3) transportation barriers, and (4) a lack of culturally tailored formal supports. This study emphasizes community-level efforts to increase the utilization of formal support services by developing linguistically and culturally tailored programs, and offering transportation services in existing support programs and online-based education and resources that can be available in different languages.
HELP-SEEKING IN A FOREIGN COUNTRY: EXPERIENCES OF OLDER LATINO IMMIGRANTS NAVIGATING ASSISTANCE IN AMERICA
Authors: Campos Barbara Mendez , Waters Mary , Ramirez Saul , Hodges James , Calvo Rocio 
Published: December 2023

Abstract
Access and utilization of assistance programs for older Latino immigrants focus on familismo or heavy reliance on family for help-seeking. The purpose of this paper is to document the different experiences of navigating services, including healthcare, for immigrants without family support. We also investigate the role of immigration status and age at migration on immigrants’ strategies for accessing and using social services. We conducted 141 in-depth interviews with immigrants 60 and over from Cuba, Dominican Republic, El Salvador, Mexico, Puerto Rico, and Venezuela. We used a grounded theory approach to code and analyze the data. Three themes shaped the variation we found in the strategies used by older Latino immigrants without family support: formal assistance rooted in state and local policies; age at migration and the resulting patterns of individual agency and resources, and variation by country of origin that captured legal statuses as well as social networks. Our study provides a deeper understanding of a hard-to-reach population’s access to and utilization of social services. It highlights the heterogeneity of Latino immigrants and elucidates differences from culture-based frameworks to understand Latino immigrants’ underutilization of social services later in life. We argue for a shift to perspectives that address how multiple structural dimensions intersect to impact older immigrants’ use of social services.
OLDER MEDICARE BENEFICIARIES WITH KIDNEY FAILURE FROM PUERTO RICO MIGRATED AFTER HURRICANE MARIA
Authors: Rivera-Hernandez Maricruz 
Published: December 2023

Abstract
The vast majority of the literature regarding migration often focuses on younger and healthy migrants. However, recent studies have shown that older adults with complex chronic conditions are migrating to receive services and supports from family members, especially after natural disasters. After Hurricane Maria landed in Puerto Rico in 2017, health care facilities struggled to provide care. Patients with complex chronic conditions faced significant challenges to receive care. The objective of this study is to characterize migration rates among older Medicare beneficiaries with kidney failure after Hurricane Maria. We conducted a cross-sectional analysis of older Medicare beneficiaries (65 and over) with kidney failure from Puerto Rico from 2010 to 2020. We used data from the Master Beneficiary Summary File and the Chronic Conditions Data Warehouse (CCW) Chronic Conditions Segment. Beneficiaries with kidney failure were identified using the End-Stage Renal Disease Indicator from the CCW. Outmigration was defined as changing the state of residence the following year. There were 9450 which contributed 28445 person-years of information. About 537 (1.9%) older adults with kidney failure migrated to the US mainland during the study period. Migration rates before Maria were 1.5 (95% CI, 1.3 – 1.7), which increased by 3.6 percentage points (95% CI, 2.8 – 4.4). However, migration rates dropped to pre-Maria levels after 2017. Older migrants were more likely to be females, fee-for-service beneficiaries and younger compared to non-migrants. These findings suggest that older adults with kidney failure migrated to the US mainland to access care immediately after Hurricane Maria.
HEALTH AND WELL-BEING ACROSS ECOLOGICAL SYSTEMS AND TIME IN MID LIFE AND LATE ADULTHOOD
Authors: Cichy Kelly , Stawski Robert , Stawski Robert 
Published: December 2023

Abstract
Health and well-being are shaped by peoples’ experiences and ecological contexts (Bronfenbrenner, 2005), reflecting the influence of complex person-context relationships. For example, experiences (e.g., daily stressors, early childhood adversity) occur within microlevel (e.g., marital relationships, neighborhoods) and macrolevel (e.g., societal inequalities) contexts, impacting both daily well-being and healthy aging. Further, a robust literature highlights the significance of naturally occurring everyday experiences for a range of health outcomes, underscoring how daily experiences have immediate and lasting effects on individual physical and cognitive health and psychological well-being. Drawing on Bronfenbrenner’s Ecological Model, the current symposium features novel research examining health and well-being outcomes across diverse ecological systems and time scales across midlife and old age, with the goal of articulating how innovative approaches for studying person-context interactions can be leveraged to understand both proximal and long-term health and well-being. Polenick and colleagues will examine associations between daily negative and positive events and well-being among heterosexual married couples living with early-stage dementia. Cichy et al. will examine gender differences in the prospective effects of daily stress processes on long-term chronic disease risk in midlife and later life. Next, Turner and Mogle will examine how positive and negative affect mediate the associations between daily memory lapses and psychological well-being. Finally, Choi, Munoz, Scott, and Sliwinski will examine whether current positive (i.e., neighborhood cohesion) and negative (i.e., neighborhood violence) neighborhood contexts moderate the effect of childhood stress exposure on cognitive function in adulthood. Robert Stawski will synthesize the presentations and offer insights for future research.
AFFECTIVE RESPONSES TO DAILY MEMORY LAPSES IMPACT PSYCHOLOGICAL WELL-BEING IN MIDUS
Authors: Turner Jennifer , Mogle Jacqueline , Hill Nikki , Almeida David 
Published: December 2023

Abstract
Daily experiences have broad and far-reaching impacts on physical and mental health. Past work has linked micro-level experiences (e.g., daily stress) to macro-level processes (e.g., anxiety and depression; Charles et al., 2013) with a goal of understanding how day-to-day experiences influence development of physiological and psychological pathology. One mechanistic pathway for the link between daily experiences and longer-term outcomes are affective responses. This study extends previous work by examining mediation effects of positive and negative affect to a common daily experience: daily memory lapses on psychological well-being in a national sample of participants (N = 2,018; 56.6% Women, Mage = 56.92, SD = 13.37) from the MIDUS Refresher (2011-2014) and the MIDUS-3 (2013-2019). Each day participants reported on positive and negative affect and memory lapses. At the start of each wave, a comprehensive well-being assessment included different facets of psychological well-being (e.g., autonomy, environmental mastery). Daily memory lapses were significantly associated with increased negative affect and decreased positive affect on that same day. As expected, positive affect was associated with greater psychological well-being, while negative affect was associated with an inverse relationship. Importantly, significant indirect (mediation) effects were obtained for all models. This suggests that daily memory lapses have an impact on psychological well-being through their impacts on daily affect. This work provides increased evidence for the importance of emotional responses to daily stressors (such as memory lapses) being a determinate of distal health-related outcomes.
THE NEEDS OF FAMILY CAREGIVERS OF PERSONS LIVING WITH DEMENTIA CARED FOR IN PRIMARY CARE PRACTICES
Authors: Vetter Michael 
Published: December 2023

Abstract

Background
The proportion of persons living with dementia (PLWD) in the US is projected to increase; the majority will be cared for by family caregivers and primary care providers. Purpose: At baseline for intervention studies to support primary care practices caring for persons with dementia, we assessed caregiver self-efficacy to inform our interventions.

Methods
We conducted a survey of 143 caregivers of persons living with dementia receiving care from 34 primary care practices in a Medicare ACO. The survey was conducted by postal mail and telephone in English and Spanish and used 9-item caregiver self-efficacy scale.4 , analyzing variation by caregiver relationship and location. Results A majority of 143 respondents were female (70%), White Non-Hispanic (80.4%) and lived with person with dementia (65.7%). Caregivers agreed that their doctors understand how memory or behavioral problems complicate health (85.3%) and least likely to agree that they had a health professional who helped them work through dementia care problems (39.2%). Only 45% agreed that they received advice on what problems to expect in the future related to Alzheimer’s or dementia. Caregivers who lived with the care recipient were significantly less likely than those who did not to report getting advice about common behavioral problems (43.6% vs. 68.6%, P = .005) and how to access community services (63.8% vs. 81.3%, P = .03). Discussion System innovations to support caregivers should tailor information to help caregivers of and PLWD to prepare for course of illness including treatment and management of behavioral symptoms of dementia.
THE IMPACT OF THE COVID-19 PANDEMIC ON INFORMAL CAREGIVERS OF PERSONS WITH DEMENTIA IN THE POST-VACCINATION ERA
Authors: Bannon Sarah 
Published: December 2023

Abstract
The COVID-19 pandemic disproportionately impacted individuals living with dementia and their family care-partners. Prior to the pandemic, many family care-partners had insufficient support to manage stressors and experienced resultant negative physical and mental consequences. Systematic reviews of studies from the early pandemic suggest that circumstances dramatically worsened for family care-partners’, though it is unclear whether and how they were impacted by ongoing fluctuations in COVID-19 risk for infection and safety guidelines following the availability of vaccines. Using qualitative design informed by a stress-and-coping theoretical framework, our objective was to characterize the ongoing impact of the pandemic on family care-partners of persons living with dementia. We used purposive sampling to recruit participants from a larger survey study of dementia caregiving during the COVID-19 pandemic. Study participants (n=18) completed a 1-hour virtual interview with that was transcribed, de-identified, and analyzed using thematic analysis. We identified 4 overarching themes characterizing family caregivers’ stressors that included: 1) changes in care, routines, and support; 2) actual or feared COVID-19 infection; 3) changes in the functioning and health of care-partners and care-recipients; 4) experiences with care facilities care transitions. We also identified 4 overarching themes characterizing care-partners’ coping strategies, including: 1) care-partner resourcefulness; 2) participation in meaningful, enjoyable, and restorative activities; 3) personal outlook and attitudes to reduce distress; and 4) connection with specific formal and informal supports. Our findings underscore the continued challenges that family care-partners experience and highlight important skills, supports, and resources to mitigate negative health outcomes and other long-term consequences.
POLICY SERIES: DOCTORAL PROGRAMS IN GERONTOLOGY: PROVIDING LEADERSHIP IN POLICY AND AGING
Authors: Miller Edward , Kaskie Brian 
Published: December 2023

Abstract
Advancements in education, medicine, wealth, technology, and population health have increased individual life expectancies. Healthy aging is not just a function of healthy genes, however; aging is modified by the broader context, which, in turn, creates opportunities and challenges that must be addressed by society. Lack of organized responses to population aging exacerbate social inequities based on workplace discrimination, displacement, and impoverishment, and contribute to public health inequalities pertaining to disease and disability, isolation, and vulnerability among older adults. Public policy offers one of the most effective ways to address inequities and inequalities such as these. This symposium spotlights four doctoral programs that prepare gerontologists who possess subject matter expertise in aging policy, conduct reliable policy surveillance and sourcing, execute empirical evaluations of policy formation and implementation, and offer well-informed contributions to policy makers who are most involved with supporting and protecting older adults. These well-established academic programs at the University of Massachusetts Boston (Edward Alan Miller, PhD), University of South Florida (Lyndsay Peterson, PhD), University of Southern California (Kathleen Wilbur, PhD), and Miami University (Jennifer M. Kinney, PhD) offer classroom education, research, and service-learning opportunities for students to acquire expertise in aging and public policy. Together, these programs provide models for training a generation of leaders in gerontology who can contribute productively to policy development and debates, illuminate structures and processes of policy making and implementation, and deploy analytic skills needed to evaluate policies relative to multiple and often competing interests.