bluuebunny/crossref_metadata_2025_split huggingface dataset:
DISRUPTING THE NEGATIVE AFFECT AND PAIN CONNECTION IN OLDER ADULTS: THE ROLE OF SOCIAL INTERACTIONS AND ENJOYMENT
Authors: Graham-Engeland Jennifer , Witzel Dakota , Harrington Erin , Engeland Christopher , Martire Lynn , Van Bogart Karina 
Published: December 2023

Abstract
Although it is well-established that negative affect is bi-directionally linked with pain, little research has examined their relationship in daily life among older adults. Even less is known about what social factors may help attenuate the affect-pain connection. We examined whether social interactions and reported enjoyment in daily life were associated with an attenuated link between negative affect and two important pain outcomes (pain intensity and perceived interference from pain). This was examined among a socioeconomically and racially diverse sample of 317 older adults aged 70+ (Mage = 77.45 ; 67% women; 40% Black; 13% Hispanic) who were recruited from the Bronx, NY as part of the Einstein Aging Study and who completed ecological momentary assessments five times daily for 14 days. Three-level multilevel models were estimated, controlling for mild cognitive impairment (MCI) status, gender, age, education, body mass index, and average level positive affect for models that did not include enjoyment. In given moments, higher negative affect and lower enjoyment were associated with higher pain intensity and pain interference (ps&lt;.05). Moment-level negative affect and enjoyment significantly interacted to predict both higher pain intensity (p=.005) and pain interference (p&lt;.0001), with patterns suggesting a buffering effect of enjoyment. In addition, a three-way interaction emerged such that during moments when no interactions occurred and negative affect was lower than a person’s average, there was a buffering effect of momentary enjoyment on pain intensity. Findings extend understanding of the affect-pain connection and the potential mitigating impact of social interactions and moments of enjoyment.
EGG CONSUMPTION: TRENDS OVER TIME, PATTERNS ACROSS THE LIFESPAN, AND PREDICTORS OF INTAKE
Authors: Kritz-Silverstein Donna , Bettencourt Ricki 
Published: December 2023

Abstract
Eggs are an excellent nutritional source. However, the historical association of dietary cholesterol with serum cholesterol and thus, cardiovascular disease, along with restrictive dietary guidelines may have served as a barrier to egg consumption. This study examines trends over time, and predictors and patterns of egg consumption in older individuals followed for over 45 years. Participants were 6326 men and women enrolled in the Rancho Bernardo Study in 1972-74 when they were asked about the number of eggs consumed/week. Subsequent egg intake information was collected with food frequency questionnaires from subsamples attending clinic visits in 1988-91 (N=1627) and 1992-96 (N=1385), and with the original question on a 2021 mailed survey (N=710). Mean(□SD) eggs consumed was 3.6□3.0 in 1972-74, 1.8□2.1 in 1988-91, 1.8□2.2 in 1992-96, and 3.4□3.5 in 2021. Comparisons within 5-year categories of baseline age (&lt; 20, 20-24, 25-29, 30-34, 35-39, &gt;40) showed no differences in egg intake between 1972-74 and when older in 2021. Men consumed more eggs than women at all timepoints (p’s&lt; 0.0001). Those with higher education (p&lt; 0.0001) and diabetes (p=0.0009) consumed more eggs; those with high cholesterol or taking cholesterol lowering medication consumed fewer eggs in 1972-74 (p’s&lt; 0.0001), but there were no differences by these factors by 2021. Egg consumption appears responsive to dietary guidelines, decreasing over time then increasing by 2021 to levels similar to the early 1970s. Among those young and middle-aged at baseline, egg intake patterns were similar 45 years later, when older. Cholesterol and cholesterol-lowering medication use are no longer factors in egg intake.
EMPOWER@HOME:CONNECTED - TESTING A PILOT GROUP INTERVENTION FOR DEPRESSION AND LONELINESS IN OLDER ADULTS
Authors: Kayser Jay , Turner Skyla , Xiang Xiaoling 
Published: December 2023

Abstract
Homebound older adults experience high rates of depression, social isolation, and loneliness, which adversely impacts physical and mental well-being. Accessing psychotherapy to address these concerns can be logistically challenging and cost prohibitive. This study examined the feasibility and preliminary effect of a novel group-based internet cognitive-behavioral therapy program called Empower@Home:Connected. The intervention was implemented over nine consecutive weekly sessions in small virtual groups (4-6 participants). These sessions were facilitated by trained mental health professionals and incorporated psychoeducational material, cognitive-behavioral therapy exercises, and socialization. Measurements on primary and secondary outcomes were gathered before and after completion of the intervention. In this preliminary pilot trial (NCT05732740), participants averaged 68 years and of those that attended the first session (n = 25), nearly all completed the program (n = 24). Session attendance was high, with an average session attendance rate of 94.70%. Following program completion, participants had statistically significant reductions in depressive symptoms (Cohen’s d = 1.01). Participants also had reductions in loneliness that trended towards statistical significance (p = 0.07); changes in social isolation were not statistically significant. Of the participants, 21 out of 23 expressed satisfaction with the program and would recommend it to peers. For secondary outcomes, analyses revealed significant improvements in anxiety and health-related quality-of-life. In this pilot feasibility trial, Empower@Home:Connected reduced depressive symptoms among older adults. The high adherence and satisfaction rates suggest acceptability. While the intervention produced improvements on several measures, further exploration is warranted to determine long-term impact and efficacy relative to other existing interventions.
EVALUATING AGING IN PLACE LONG-TERM CARE REFORMS: A SCOPING REVIEW
Authors: Vroomen Janet MacNeil , Vullings Isabelle , Langendam Miranda , Wammes Joost , Kringos Dionne , Wouterse Bram , Hoogendijk Emiel 
Published: December 2023

Abstract
There is a global trend of reforming long-term care to enable aging in place making it one of the most pressing health policy issues in both high- and low-middle income countries. However, there is no agreement on what is a successful aging in place reform. A holistic perspective that includes clinical, social and economic indicators is required to evaluate these reforms. In this scoping review, we aim to determine the extent of literature on evaluating aging in place reforms. We used the guidance of the JBI Scoping Review Methodology Group to conduct the scoping review. Articles on evaluation of aging in place reform and reporting on any outcome, process or structure quality indicator were eligible for inclusion. The search strategy was performed in Ovid Medline, Ovid Embase, and Ebscohost Academic Search Premier. There were no restrictions on publication year, language, and study design. The search identified 8,107 records. A total of 84 articles met the inclusion criteria and were included in the scoping review. Most studies were quantitative, observational studies from high income countries, using national population level data or larger cohorts. Frequently reported indicators were: total expenditures on long-term care, program spending per capita, hospitalization rates, length of stay, and home care utilization. Less reported were older adult and informal caregiver related indicators like: health, well-being, informal caregiver hours, and sleeping hours. Policy makers can use our findings to develop appropriate strategies to evaluate and monitor their own aging in place reforms.
EXAMINATION OF STAFFING STABILITY IN LONG-TERM CARE
Authors: Sun Winnie , Calver Jen , Rahman Farzana 
Published: December 2023

Abstract

Background
Long-term care (LTC) homes in Ontario, Canada face challenges of recruiting and retaining qualified staff prepared to address resident care needs.

Objectives
To gain knowledge of the barriers and facilitators associated with recruiting and retaining nurses (RPNs/RNs) and personal support workers (PSW) in LTC.

Method
Online survey questionnaires were distributed to staff working in a municipal home, and to PSW and nursing students. Staff participants (n=93) ranked how they perceived their work in LTC during COVID-19 to inform staffing stability efforts, and were invited to elaborate further on their responses using open-ended questionnaire. Nursing student participants (n=11) ranked how they perceived working in LTC.

Results
Findings revealed that staff participants (57%) reported intentions to remain in their LTC employment, leaving about 43% of the workforce at risk of leaving. Four themes emerged from this study: (1) Embracing resident centred care as the top priority; (2) Rebuilding a health workplace through enhanced leadership and organizational support; (3) Promoting quality of care through open communication and professional development opportunities; and (4) Transforming work scheduling policies and staffing practices to support workforce retention.

Conclusion
Senior leaders and LTC organizations play a critical role in refocusing staffing stability efforts. To help make LTC a workplace of choice, major changes must be considered to include greater visibility and presence of leadership, ongoing training and education, and revisit scheduling policies and practice with input from part-time and casual staff.
EXAMINING AGING AMONG GUANAJA, HONDURAS ISLANDERS THROUGH THE UTILIZATION OF SOCIAL EXCLUSION FRAMEWORKS
Authors: Ferguson Lee Ann 
Published: December 2023

Abstract
Guanaja is an island municipality of Honduras located approximately 70 miles from its parent island . Of the country’s three main island municipalities, it is the second largest. The central municipality of Guanaja is located less than half of a mile from the coast of Guanaja and is a 100-acre floating island city built over two smaller cays which consists of densely compacted, stilt-built homes and houses approximately 3,000 people. It is estimated that 6.6% of the total population are over the age of 65. The current body of both spatial and social exclusion research considers environmental conditions may act in ways which may restrict or deny access or choices for aging inhabitants. Due to its remote geographic location, the island of Guanaja reflects key risk factor for age-related social and spatial exclusion. Framed by two social exclusion frameworks, this study, which was the cornerstone of this author’s dissertation, presents the reality of island aging among Guanajan residents as relayed by them during this focused ethnographic study. The results of this work will describe the influences on Guanajan aging from factors including geographic environment and location, neighborhood and community, civic engagement and participation, social relationships, material and financial resources, socio-cultural practices, and governmental policies and practices.
EXAMINING THE PREVALENCE OF UNDIAGNOSED SLEEP APNEA AND ITS ASSOCIATION WITH BLOOD BIOMARKERS FOR ALZHEIMER’S
Authors: Roberts Mitchell , Sappington Erica , Jaffee Michael , Lowenkron Jeff , Dagum Paul , Iliff Jeffrey , Levendovszky Swati Rane , VandeWeerd Carla 
Published: December 2023

Abstract
Obstructive sleep apnea (OSA) prevalence increases with age, but is often undiagnosed. Recent findings suggest association between OSA and Alzheimer’s Disease (AD). OSA may impact alterations in amyloid-beta (Aß) protein possibly through interactions with the glymphatic system, thereby unraveling underlying AD mechanisms. In a crossover study conducted 06/22-04/23, older adults (55-65, mean 61.9) without diagnosis of OSA or cognitive impairment(N=33) completed MRIs and blood draws for AD-biomarkers across evening, morning, and midday time points. Polysomnography (PSG) using Philips Sleepware measured Apnea-hypopnea-index (AHI). Morning Trails A&B assessed cognitive function, and abeta40-42-42/40 levels were calculated using Immunoprecipitation-Mass-Spectrometry (IP-MS). Descriptive statistics, ANOVA, and linear regression were utilized. AHI scores averaged 10.5(SD:10.09), with 30% meeting ‘normal’ (0-5) and 52% mild (5-15) criteria. While not significant(p=.113), males(M:12.5,SD:9.7) averaged higher AHI scores than females (M:8.2 SD:10.3). AHI had a linear relationship with Abeta40 values(R2=0.18,F(2,33)=6.71,p=0.012). However, no significant association between AHI, Abeta42(p=0.09), and Abeta42.40(p=0.54) was found. Neither AHI sum scores [Trails A(p=0.09), Trails B(p=0.67)], nor severity rankings [TrailsA(p=0.74),TrailsB(p=0.14)] were significantly associated with Trails A&B performance. Elevated AHI was associated with higher levels of Aß40 but not cognitive test performance. Though implications are limited by sample size, findings suggest connection between OSA and initiation of AD processes, necessitating additional research.
EXAMINING TWO CONSECUTIVE YEARS OF OLDER ADULTS’ EVERYDAY PROSPECTIVE MEMORY LAPSES AND INFLAMMATION BY GENDER
Authors: Harrington Erin , Graham-Engeland Jennifer , Sliwinski Martin , Mogle Jacqueline , Lipton Richard , Katz Mindy , Engeland Christopher 
Published: December 2023

Abstract
Prospective memory (PM, i.e., memory for future intention) is vital to daily life. Although PM deficits can distinguish healthy older adults from those in early stages of dementia, limited work has examined PM and biological markers associated with memory decline. Extending past work, we examined self-reported PM lapses in daily life and systemic (circulating) inflammatory markers by gender across two years. Older dementia-free adults (n=90, Mage=76.84 years; 62%women) enrolled in the ongoing Einstein Aging Study completed two-waves of data collection (approximately one year apart), each including two-week measurement bursts of daily self-reported PM lapses which were summed across respective bursts. Averaged levels of systemic inflammatory cytokines (IL-1β, IL-4, IL-6, IL-8, IL-10, TNF-a) and C-reactive protein were derived from two blood samples per wave (pre/post burst). Among men, cross-sectional and cross-lagged correlations between PM and IL-8 were significant, such that reporting more PM lapses correlated with higher levels of IL-8 (ps&lt;.009). Among women, wave-1 PM correlated with wave-2 TNF-a (p=.018), and wave-2 PM correlated with wave-2 IL-10 (p=.041). No other links emerged. Consistent with past research, these preliminary findings suggest that IL-8 may be an important correlate of poor daily PM in men. The neural substrate of this association could include accelerated aging or increases in Alzheimer’s or vascular pathology. Among women, lagged relationships between PM and inflammation may be indicative of pathology. Continued investigation into PM and inflammation that account for gender may reveal longitudinal links that could aid in early identification of persons at risk for cognitive decline.
EXPANDING CDC’S STILL GOING STRONG CAMPAIGN TO INCLUDE TRIBAL POPULATIONS AND PROMOTE SOCIAL CONNECTEDNESS
Authors: Haddad Yara , Bergen Gwen , Bruner Erin 
Published: December 2023

Abstract
The Centers for Disease Control and Prevention (CDC) launched the Still Going Strong (SGS) campaign in 2021 to promote ways older adults (65+) can age without injury. The goal was to encourage older adult participation in lifelong activities while taking steps to prevent injuries. Based on initial campaign evaluation, CDC plans to expand SGS to include social connectedness content and reflect greater diversity. To inform this expansion, CDC conducted spring 2023 focus groups with Tribal elders (n=8) and differently-abled older adults (n=9) and presented different concepts depicting older adults engaging in activities with others. Tribal elders were affiliated with five tribes: Navajo, Ojibwa, Citizen Potawatomi, Lumbee Indian, and Wailaki. Half were female (n=4), and majority were 63–70 years of age (n=5). This group tested two new radio concepts: (1) Walking and Talking and (2) Sharing Lessons. Themes across Tribal participants included the importance of connecting with loved ones, sharing culture and spirituality through service, and connecting with younger generations. The differently abled focus group was majority female (n=6), white, (n=5), 70–75 years of age (n=5) and reported using a mobility aid (n=6). This group tested two new video concepts: (1) Best Friends and (2) Health in Numbers. Participants identified social connection and being with others as important for their overall health. Using these data, we will create and refine campaign materials targeting both populations, which will be disseminated and further evaluated. By creating culturally relevant and respectful health promotion messages, we can better engage disproportionately affected persons and reduce injuries.
EXPERIENCES AND PERCEPTIONS OF FOREIGN NURSES WORKING IN A SUPER-AGED SOCIETY: A QUALITATIVE DESCRIPTIVE STUDY
Authors: Zeng Derong , Asakura Kyoko , Kinoshita Ayae , Qi Bingbing 
Published: December 2023

Abstract
This study delves into the experiences of foreign male nurses from China working within Japan’s super-aged society, a distinctive environment marked by unique healthcare and elderly care systems. We directed our focus on the Chinese perspective, aiming to gain a detailed understanding of their experiences, challenges, and perceptions within this context. This qualitative research explores experiences, challenges, and perceptions of 16 Chinese male nurses in Japan’s super-aged society. Focused on the Chinese perspective, it provides valuable insights via semi-structured interviews. The interviews were conducted in Chinese via Zoom, with each participant being interviewed once for an average duration of 90 minutes. Key findings include: 1) Job Responsibilities and Challenges: Participants reveal high work intensity and difficulties with disease management and scheduling in the Japanese healthcare system. 2) Aging Society Implications: While Japan’s eldercare and healthcare systems provide stability, they also result in increased demand and workloads. Some system aspects were criticized as unreasonable. 3) Cultural Adaptation: Challenges included language barriers, understanding Japanese etiquette, and lifestyle and work habits adjustment. 4) Interpersonal Relationships: Narratives about interactions within this new cultural environment highlighted communication issues and feelings of isolation. this study offers an in-depth understanding of the unique challenges faced by Chinese male nurses within Japan’s super-aged society. The findings serve to inform future healthcare policies and practices tailored towards foreign healthcare professionals in Japan. By focusing specifically on Chinese male nurses, this study contributes a fresh perspective to the ongoing discourse on cultural diversity within the international healthcare workforce.
EXPERIENCES OF RACISM IN HEALTH AND LIFE-COURSE RESEARCH: A MEASUREMENT BOOKLET AND RECOMMENDATIONS
Authors: Iveniuk James , Peek Monica 
Published: December 2023

Abstract
Numerous, interconnected fields of research study racism, and health inequities emerging from systemic racism. Researchers who are interested in strengthening this work may, however, find themselves at a loss as to where to begin. They may not have a conceptual framework that informs their choice of measures and approaches. They may also lack awareness of appropriate measures, that they can choose from to create impactful work. To meet this need, we create a research-community asset for the measurement of racial identity, intrapersonal/internalized racism, interpersonal racism, institutional racism, and structural racism, with an emphasis on measuring these experiences and their impact on health across the life course. Where applicable, we provide guidance on scoring. The asset is prescriptive in what measures it offers to readers, and in terms of the multi-level theoretical framework that we use to inform our selection. However it is also agnostic about health outcomes or research designs, and we provide measures that are applicable to self-report and administrative data sources, in order to be applicable to as many different researchers as possible, both in academic and community-engaged settings. We also provide some general guidance for translation into different languages, to be inclusive of respondents from diverse linguistic backgrounds.
EXPLORING INTERPROFESSIONAL HEALTH STUDENTS’ ATTITUDES AND PERCEPTIONS OF AGING AND CAREERS IN GERONTOLOGY
Authors: Garrison Brianna 
Published: December 2023

Abstract
ageism continues to impact healthcare professional’s attitudes toward older adults. Older adults are often assumed to be frail, weak, or a burden on society. Addressing ageist attitudes and myths about ageing, which often lead to discrimination, can impact policy decisions. Knowledge of opportunities available to older adults to increase healthy ageing is vital in any healthcare training program. Recognizing the growing needs to prepare health professionals to work with the increasing numbers of diverse older adults, this research survey conducted for the college of health and human sciences (CHHS) to examine the students’ attitudes and perceptions of ageing, interest in ageing careers, knowledge gaps in ageing, and ageing topics of interest. This survey resulted in 141 respondents who helped provide an informed baselines of CHHS student misconceptions about ageing, baseline of learning needs, and topics and practice opportunities of interest. This poster will share the unique results of this survey providing insight into students’ attitudes and perceptions on ageing. Additionally, this poster will provide a brief picture of the college’s response to the survey including curriculum development and systemic changes.
EXPLORING MULTIDIMENSIONAL RELATIONSHIPS OF OLDER ADULTS LIVING WITH CHRONIC PAIN
Authors: Munson Taylor , Curtis Megan , Brailsford Jennifer , Hendry Phyllis , Sheikh Sophia 
Published: December 2023

Abstract
Older adults who experience chronic pain (CP) face many challenges from their illness, which can affect their personal and healthcare relationships. Research indicates the importance of relationships on health and quality of life outcomes in older adults with CP. However, minimal research has explored their perspectives on the relationships they have with their healthcare providers, healthcare system, their CP, and family/friends/community. Objective: To understand how older adults’ CP impacts their relationship with the healthcare system; and how older adults’ CP impacts their personal relationships (i.e. self, family, community).
Methods: Adults &gt;50 years of age with pain were eligible to enroll in virtual focus groups and/or interviews. Audio recordings were transcribed, coded, and analyzed via a mixed inductive-deductive framework approach using ATLAS.ti. Microsoft. Descriptive statistics were performed using Stata 16.
Results: Sixteen participants participated in a focus group (n=3) or an interview (n=13). Participants identified as White (n=12,75%), female (n=12,75%), and were between the ages of 55-64 years old (n=8,50%). Most participants held an associate’s degree or higher (n=15,93%) and reported private medical insurance coverage (n=11,70%). Sessions lasted between 30-90 minutes. Participants described complex relationships that could have positive or negative impacts on their ability to manage their CP and their overall quality of life. Relationships explored included the healthcare system, clinician(s), family, other patients, and CP.
Discussion: The relationships of older adults living with CP are multidimensional and can support or adversely affect pain management, mental health, and quality of life.