bluuebunny/crossref_metadata_2025_split huggingface dataset:
MOMENTARY ASSOCIATIONS BETWEEN PURPOSE IN LIFE AND COGNITIVE FUNCTION IN EVERYDAY LIFE
Authors: Sutin Angelina , Luchetti Martina , Gamaldo Alyssa , Mogle Jacqueline , Lovett Hephzibah , Brown Justin , Sliwinski Martin , Terracciano Antonio 
Published: December 2023

Abstract
Purpose in life has been associated consistently with healthier cognitive aging outcomes, including better cognitive function and lower risk of incident dementia. Most within-person research on purpose and cognition has focused on cognition measured over years, which has been essential to identify the long-term protective benefits of purpose. The present research shrinks the timescale to momentary assessments over days to address whether purpose operates in the moment to support healthier cognitive function in everyday life. Participants from the Couples Healthy Aging Project (N=303) completed smartphone-based momentary assessments of purpose and short cognitive tasks three times a day for eight days. In moments when participants felt more purpose driven than their average, they had faster processing speed (b=-1.240, SE=0.194; p&lt;.001) and less variability in processing speed (b=-0.437, SE=0.135; p&lt;.001). These associations were independent of person, temporal, and contextual factors and practice effects. Momentary purpose was unrelated to visual memory performance. Similar patterns were found for other purpose-related items (momentary engagement, motivation) but not for hedonic emotions (momentary positive affect). These results suggest that feeling more purpose-driven in the moment supports faster processing speed in daily life. This work demonstrates that the positive association between purpose in life and better cognitive function operates in daily life and may be one mechanism through which purpose is associated with better long-term cognitive outcomes.
OLDER ADULTS’ PERSPECTIVES ON ETHICAL ISSUES RELATED TO AGETECH
Authors: Bryanton Olive , Dragomir Gerry , Mann Jim , Moulton Marjorie 
Published: December 2023

Abstract
Most funding programs in the AgeTech sector emphasise the involvement of the end user in research and innovation activities in order to strengthen relevance, appropriateness and real-world impact. However, this engaged approach is still a work in progress and often remains a matter of tokenism with older adults. Involving older adults is seen as key when creating ethically appropriate and inclusive AgeTech for their age group. This paper based on the reflections from members of two AgeTech groups: AGE-WELL’s Older Adults and Caregivers Advisory Committee and the Research Group of Seniors 411 in Vancouver, BC. This paper highlights some ethical problems inherent in AgeTech, particularly how ageist assumptions can be built into technology-based healthcare, including the ongoing challenges of community participation, and presents a more radical agenda of older adults at the forefront of setting research priorities and shaping the development and implementation of AgeTech. Central to this is the building of community capacity; training to facilitate older adults’ engagement in the research process: mobilizing expertise within the community to address local needs; developing mechanisms for connecting older adults and researchers in an integrated knowledge mobilization process. The paper reflects on how this approach can have a significant impact on the lives of older people, and address the digital divide that marginalizes them. Remaining challenges include how to sustain older adults’ participation in innovation initiatives, and providing hard evidence to demonstrate that a more engaged approach has tangible benefits and impact in terms of developing new products and services.
EMOTION REGULATION THROUGH MUSIC AND MINDFULNESS ARE RELATED TO POSITIVE SOLITUDE
Authors: Bodner Ehud , Palgi Yuval , Bachman Noa 
Published: December 2023

Abstract
Mindfulness and emotion regulation through music listening are skills that share some attributes with the skill of positive solitude (PS; defined as an inner choice to dedicate time to a meaningful, enjoyable activity or experience managed by oneself, with or without the presence of others). Nevertheless, little is known about their relationship with PS in the second half of life. Hence, we recruited a convenience sample of community-dwelling adults in the second half of life (N = 123; M = 68.63, SD = 10.99), who completed self-report measures of demographics, emotion regulation through music, mindfulness, and PS. A hierarchical linear regression demonstrated significant positive associations between emotion regulation through music listening and PS, and between mindfulness and PS. Moreover, age moderated the relationship between mindfulness and PS. This relationship was found to be positive and significant only among older adults. These findings support the study’s hypotheses and emphasize the contribution of the current research to developmental research on PS in the second half of life.
CATALYZING CROSS-NATIONAL AGING RESEARCH: OPPORTUNITIES, CHALLENGES, AND STRATEGIES FOR EARLY CAREERISTS
Authors: Kobayashi Lindsay 
Published: December 2023

Abstract
Cross-national comparisons in aging research allow for the triangulation of evidence on health outcomes across diverse populations and contexts. They allow researchers to identify policy-relevant and context-specific modifiers of health risks faced by older adults. Catalyzing cross-national comparison studies is a challenge, as researchers need to carefully consider social, cultural, political, socioeconomic differences across populations and make sure that local partners are appropriately represented and involved. This presentation will describe experiences in building a research career focused on understanding healthy cognitive aging from a global perspective, using data from diverse high-, middle-, and low-income settings. Opportunities, challenges, and strategies for early career researchers interested in catalyzing cross-national aging research will be discussed. These include the importance of advocacy for research on aging in contexts outside of the United States, theoretical and methodological approaches to cross-national research, and building diverse interdisciplinary collaborations.
BUILDING BRIDGES TO CONDUCT RESEARCH WITH FAMILIES LIVING WITH COGNITIVE IMPAIRMENT IN THE US AND THE CARIBBEAN
Authors: Brewster Glenna 
Published: December 2023

Abstract
My program of research aims to tailor and/or develop individual or dyadic behavioral and/or psychoeducational interventions to improve sleep and quality of life for persons living with cognitive impairment and their care partners. In order to conduct this research, it has been important to collaborate with colleagues in other disciplines and work beyond the borders of the United States. During this presentation, I will reflect on my research experience thus far using that to share practical strategies I used to develop and maintain collaborative relationships with researchers and stakeholders, and lessons learned from working within research teams locally, nationally and internationally.
A COMPARATIVE STUDY OF GRIEF SUPPORT AND BURNOUT AMONG NURSING HOME STAFF
Authors: Hawes Frances , Wang Shuangshuang 
Published: December 2023

Abstract
A half-million older adults die in U.S. nursing homes (NHs) each year. However, only a few studies have been conducted on the experiences of the nursing home (NH) staff who provide this care. This study collected data from 555 NH workers in Fall 2022 and examined how their experiences with grief support affected burnout. Grief support was measured by the Grief Support Health Care Scale. Burnout was measured by the Maslach Burnout Inventory, which includes 3 subscales: exhaustion, depersonalization, and personal achievement. Findings indicate that 95% of sampled workers were exposed to at least one death at work; yet 31% percent of the sample never received any formal grief training. Examining the comparative dimensions of burnout, the highest percentage of workers with exhaustion and depersonalization ratings were RNs, nurse practitioners, and physicians, followed by CNAs. The lowest ratings of personal accomplishment were by direct support workers (maids/janitors housekeeping and laundry food service workers). Controlling for NH and individual characteristics, multivariate logistic regression showed that compared to workers who received low grief support, those who received high grief support were more likely to report high personal achievement and low feelings of depersonalization (i.e., impersonal response to residents). This research provides valuable information about the importance of grief support for nursing home workers to reduce feelings of burnout. In addition, findings indicate that there is a difference in grief support and burnout between different categories of nursing staff and there is a need to provide increased grief support to frontline workers.
ANALYSIS OF OHIO’S ASSISTED LIVING DIRECT CARE WORKFORCE
Authors: Kennedy Katherine , Hua Cassandra , Nelson Matt 
Published: December 2023

Abstract
Direct care workers (DCWs) in Ohio’s licensed residential care facilities (RCFs) provide the most assistance with activities of daily living to individuals with disabilities. DCWs include medication aides, personal care aides, and nurse aides. In 2017, 41% of Ohio AL administrators reported high DCW recruitment issues and 36% high DCW retention problems (8+ on 10-point scale). Understanding how RCFs with no or little recruitment/retention challenges compare to other RCFs on strategies used, training hours, wages, benefits, resident composition, and RCF characteristics can identify potential strategies to increase recruitment/retention. This study uses the 2019 Ohio Biennial Survey of Long-Term Care Facilities (n=540 RCFs) to compare RCF strategies to recruit and retain DCWs by measures of recruitment/retention problem-severity and their 3-year retention rates among full-time (FT) and part-time (PT) DCWs. In 2019, 65% of Ohio RCF administrators reported recruitment issues at the median or greater (8+). Similarly, 62% of RCFs experienced retention issues at the median or more (7+). On average, 37% of FT DCWs worked in the RCF for 3 years or more and 21% among PT DCWs (ranges: 0%-100%). 28.24% of RCFs reported high 3-year retention among FT DCWs (60-100%) and 26.51% reported high 3-year retention among their PT DCWs (30%-100%). RCFs with less serious recruitment challenges report providing more hours of training for newly employed DCWs before they provide resident care (34.54 vs. 29.60, t=-2.7, p&lt;.01). Individual retention strategies did not show relationships with high retention. Results indicate pervasive challenges with DCW retention and recruitment that require new approaches.
VARIATION IN USE OF HOSPICE AIDES BY RESIDENTIAL SETTING
Authors: Reckrey Jennifer , Mckendrick Karen , Aldridge Melissa 
Published: December 2023

Abstract
Hospice care frequently includes visits from hospice aides, but need for hospice aide care may be different for those in the community compared to settings like assisted living or nursing homes where personal care is routinely provided. The objective of this longitudinal cohort study is to identify factors associated with hospice aide visits (any versus none) and frequency of hospice aide visits (proportion of routine hospice cays with an aide visit) in different residential settings (community, assisted living, and nursing home). We identified Medicare beneficiaries enrolled in the Medicare Current Beneficiary Survey (MCBS) who died between 2010-2019 (n=1,915). We used self-reported survey responses, Medicare claims data, and Medicare Provider of Service data to compare decedent hospice care experience across residential settings and estimated multivariable models to compare factors associated with hospice aide visits among residential settings. Hospice aide visits were least common in the community setting (64.4% vs 76.6% vs 72.6% with any hospice aide visits in community, assisted living, and nursing home respectively, p=0.002). In models adjusted for sociodemographic, clinical/functional, and hospice factors, neither hospice aide visits nor the proportion of routine hospice days with hospice aide visits varied significantly by residential settings. Future work to understand when and why hospice aides are utilized and how hospice aides collaborate with families and existing care teams in will help ensure that hospice care is appropriately tailored to individual care needs in all residential settings.
FUNCTION-FOCUSED CARE FOR ACUTE CARE USING THE EVIDENCE INTEGRATION TRIANGLE: IMPACT OF PATIENT CARE ACTIVITIES
Authors: Galik Elizabeth , Resnick Barbara , Boltz Marie 
Published: December 2023

Abstract
The benefits of physical activity during hospitalization are particularly relevant for older adults living with dementia, as these individuals are at the greatest risk for functional decline, delirium, behavioral symptoms associated with dementia, increased length of stay, adverse events increased readmissions and institutionalization post discharge. One effective way to engage these patients in physical activity is through implementation of a function focused philosophy of care. Function focused care helps nurses to evaluate patient’s underlying physical capability and motivate them to participate in all care activities. The Function Focused Care for Acute Care Using the Evidence Integration Triangle study is a randomized controlled theoretically based trial that includes four components include: (1) Development of a Stakeholder Team; (2) Education of Staff; (3) Development of a Function Focused Care careplan; and (4) Mentoring and Motivating of Staff and Patients. Those randomized to control were exposed to education about Function Focused Care only. To date a total of 10 hospitals and 365 patients living with dementia have participated in the study. The mean age is 82, and the majority are female (62%) and white (72%). Although not statistically significant, there is evidence of improvement in the number of care interactions in which patients participated in the treatment versus control group. Cognition, quality of care interactions, behavioral and psychological symptoms associated with dementia, comorbidities, physical resilience, tethers and pain were all indirectly associated with performance of function focused care through performance of activities of daily living and/or pain.
LYSOSOMAL SIGNALS IN LONGEVITY REGULATION ACROSS THE SCALE
Authors: Wang Meng 
Published: December 2023

Abstract
Lysosomes are key organelles in the cell that constitute an acidic subcellular environment and contain approximately 60 different types of hydrolytic enzymes. With the aid of these acidic hydrolytic enzymes, lysosomes are highly metabolically active and can digest various macromolecules delivered through endocytosis, phagocytosis, and autophagy. Moreover, lysosomes function as a “signaling hub” that integrates metabolic inputs, organelle interaction, and longevity control. Our studies discovered a pro-longevity lysosomal acidic lipase that activates a lysosome-to-nucleus retrograde lipid signaling pathway in Caenorhabditis elegans, and in turn revealed the critical role of this lysosomal lipid signaling in promoting oxidative stress tolerance and lipid catabolism through tuning mitochondrial activities. Furthermore, we discovered that this lysosomal lipase induces the release of lipid messengers from peripheral metabolic tissues, which act on neurons and lead to the up-regulation of the neuropeptide signaling pathway by activating a nuclear hormone receptor. More recently, lysosome-specific proteomic profiling has revealed that AMPK is specifically recruited to the lysosome upon lysosomal lipolysis and mediates the longevity effect, suggesting a previously unknown interaction between AMPK and lysosomal lipid signaling. Together, these findings highlight the crucial role of lysosomal signals in actively coordinating organelle crosstalk and tissue communication to improve longevity and promote healthy aging.
NURSING HOME CLOSURES DURING THE COVID-19 PANDEMIC
Authors: Hughes Kelly , Segelman Micah , Porter Kristie , Diaz Miranda , Oliveira Iara 
Published: December 2023

Abstract
Nursing homes experienced unprecedented financial challenges during the COVID-19 pandemic, raising concerns about closures. This study identified closures from 2020-2021 using certification surveys and examined characteristics associated with closures using multivariate analysis. We interviewed nursing home industry experts and providers about pandemic-related challenges and policies affecting closure. Closures did not increase in 2020 and 2021 relative to 2011-2019. However, nursing homes with more staff shortages and COVID-19 infections were more likely to close. Additional characteristics associated with closure include smaller size, lower occupancy rate, and fewer Medicare residents. Interviews noted the following financial challenges: costly contract staffing, increased PPE and COVID-19 testing costs, reduced occupancy rates, and increased internal resources needed to implement new infection guidance. Interviews suggested that strategies to mitigate staffing shortages and federal and state monetary assistance may have prevented closures in 2020 and 2021, but continuing attention to closures is needed in 2022 and 2023 as funding ends.
EFFECT OF RISE ON REPEAT ELDER ABUSE AND SELF-NEGLECT INVESTIGATIONS BY ADULT PROTECTIVE SERVICES
Authors: Lewis Stuart , MacNeil Andie , Connolly M T , Salvo Erin , Kimball Patricia , Rogers Geoff , Burnes David 
Published: December 2023

Abstract
Adult Protective Services (APS) is the primary agency responsible for investigating Elder Abuse and Self-Neglect (EASN) allegations in the US. The harms of EASN are well established; however, APS lacks a conceptually derived, evidenced-based intervention phase. RISE is a community-based EASN intervention designed to complement and augment APS that provides enhanced services and a longer intervention phase. The objective of this study was to test whether exposure to the APS/RISE collaboration reduced the case outcome of recurrence (repeat investigations) compared to usual APS only services. This study was based on a retrospective observational design (n = 1947) in two randomly selected counties of Maine where RISE was available to provide enhanced services to persons referred from APS. Analysis used an extended regression endogenous treatment Probit model using APS administrative data to predict case recurrence. Between 2019 and 2021, 154 cases participated in RISE and 1793 received usual APS only services. 49% of cases referred to RISE had a complex history with 2 or more prior substantiated allegations versus 6% for those receiving usual APS only services. After accounting for the non-random treatment assignment, RISE significantly lowered the likelihood of recurrence compared to persons receiving usual care provided by APS (probability of recurrence reduced by 0.55 for the Average Treatment Effect on the Treated and 0.26 for the Average Treatment Effect). A reduction in recurrence carries important implications for APS costs, resources, and workflow. It may also serve as a proxy indicating a reduction in re-victimization and harm for EASN victims.
SUCCESSFUL AGING AMONG OLDER PERSONS IN VIET NAM
Authors: Saito Yasuhiko , Vu Nguyen , Dang Linh 
Published: December 2023

Abstract
The present study aims to explore the prevalence and correlates of successful ageing among Vietnamese older persons. Data used for this study is from the baseline survey of the Longitudinal Study of Ageing and Health in Viet Nam (LSAHV). LSAHV is a nationally representative survey of older persons aged 60 and above in 2018-19 with 6,050 respondents. Face-to-face interviews were conducted using structured questionnaires and tablets. Rowe and Kahn’s definition was used to study successful ageing among older persons in Viet Nam. Study sample size was 4,370 older persons. Logistic regression was employed to examine the association of sociodemographic and lifestyle factors with successful aging among older persons. The prevalence of Vietnamese older persons meeting criteria of successful ageing was 16.2% at the time of baseline survey. The percentage of older persons reporting no major diseases, no disability, high cognitive function, high physical function, and engagement with life was 35.0%, 88.5%, 55.1%, 77.9%, and 79.7%, respectively. Logistic regression analysis showed that older persons who were younger, male, having higher education level, and often doing physical exercise were likely to be successful agers. The prevalence of successful ageing was quite low among Vietnamese older people. More health interventions, successful ageing guidelines, and health care services should be provided for older persons to improve successful ageing status. It is necessary to study successful ageing to improve well-being of older persons becaise Viet Nam is currently experiencing a rapid population ageing.
ESPO AND ACADEMY FOR GERONTOLOGY IN HIGHER EDUCATION SECTION SYMPOSIUM: UTILIZING TECHNOLOGY IN THE ADVANCEMENT OF OLDER ADULT EDUCATION
Authors: Su Yan-Jhu , Fassi Janelle , Fruhauf Christine 
Published: December 2023

Abstract
TThis symposium intends to echo one of the core values of the GSA 2023 Annual Scientific Meeting — empowering all ages. Online lifelong learning has become more common in the 21st century. The speed of technological development far exceeds people’s imagination. The speed at which technology develops is shown to create a widening gap between older and younger populations, known as the digital divide. Introducing technologies into intergenerational learning environments remains an important step to bridging the generational digital divide. In accordance with the AGHE gerontological education competencies, these authors will describe how older adults utilize technology. The first speaker will discuss the effectiveness of a virtual intergenerational program that addressed experiences of ageism for older and younger participants. The second speaker will introduce user-centered design principles and innovative tools that facilitate virtual Information Communications Technology (ICT) support and training for older people with limited abilities in using technology. The third speaker will illustrate concrete practice through international cases from different intergenerational technology integration projects. The fourth speaker will present key elements from the University of Rhode Island (URI) Engaging Generations Cyber-Seniors Program internship and describe student experiences enrolled in the program. The last speaker will discuss the benefits and challenges of technology use among older learners and state the experience of leading older learners using technology in Taiwan. This is a Geriatric Education Interest Group Sponsored Symposium.