bluuebunny/crossref_metadata_2025_split huggingface dataset:
DELIVERING AND EVALUATING A VIRTUAL DYADIC BEHAVIORAL SLEEP INTERVENTION
Authors: Brewster Glenna , Pelkmans Jordan , Hepburn Kenneth 
Published: December 2023

Abstract
Disturbed sleep is prevalent among persons living with cognitive impairment and dementia and their care partners. While there are few interventions for care partners to manage their sleep problems there is a paucity of interventions where both the person living with cognitive impairment and their care partner work together to improve their sleep outcomes. The aim of this presentation is to discuss how we recruited participants and delivered and evaluated caregiver and person living with cognitive impairment outcomes of a 4-week videoconferencing delivered cognitive behavioral therapy for insomnia intervention. Recruitment is time intensive but feasible. In general, both members of the dyad reported a reduction in their insomnia scores. Care partners supported the person living with cognitive impairment with completing the diaries. Qualitatively, care partners didn’t report much difficulty with completing the diaries. Dyads reported enjoying the relaxation and the pleasant activities. Among those who had pets, it was difficult to follow the instructions regarding not having them in bed. They also had difficulty with the cognitive therapy logs. Most persons living with cognitive impairment did not use the cognitive therapy logs. This pilot study of a 4-session videoconferencing-delivered cognitive behavioral therapy for insomnia intervention resulted in positive outcomes for persons living with cognitive impairment and/or dementia and their care partners and qualitative feedback provided ways to tailor the intervention for a larger study.
ACCEPTABILITY AND PRELIMINARY EFFICACY OF THE TAKING CARE OF US INTERVENTION FOR COUPLES LIVING WITH HEART FAILURE
Authors: Lyons Karen , Whitlatch Carol , Vest Amanda , Upshaw Jenica , Johnson Stacy Hutton , Walters Anna , Lee Christopher 
Published: December 2023

Abstract
There are over 1 million hospital admissions and 3 million emergency room visits for heart failure (HF) annually in the USA. Despite significant impact of HF on both members of the care dyad, there are few interventions focused on optimizing the mental and relational health of the dyad. The Taking Care of Us© (TCU) intervention is a communication-based program for the couple living with HF. Sessions focus on facilitating greater shared appraisal, communication, collaborative illness management, confidence, and support between partners. Thirty seven couples were randomized to TCU (18 couples) or an educational control (19 couples). Both programs were delivered virtually over two months. Adults with HF (AwHF) were, on average, 69.9 (SD=9.6) years old and predominantly male (70%). Eighty one percent of couples participated in at least one session (attrition was relatively even across conditions and primarily due to poor health and partner drop-out). Twenty-four couples (65%) completed follow-up surveys. The majority of TCU participants were satisfied with the program (AwHF 82%; care partners 100%) and felt they understood their partner’s needs better (AwHF 91%; care partners 91%). TCU care partners felt the relationship had improved (91%) and felt more confident managing HF (91%). Depressive symptoms decreased in TCU AwHF (ES=.60) compared to the active control group. TCU couples also reported increases in collaboration (ES=.50-.70) and communication (ES=.35-.50). Discussion will focus on the individual versus dyadic benefits of the TCU program, recruitment and retention challenges, and qualitative feedback from participants regarding strengths of the program and areas for improvement.
DAILY STRESSOR CONTROL AND AFFECTIVE REACTIONS: THE UNIQUE ROLE OF INTERPERSONAL STRESS
Authors: Witzel Dakota , Cerino Eric , Taylor Zachary , Almeida David 
Published: December 2023

Abstract
Perceived control over daily stressors varies across life and stressor domains, but little is known about the function of perceived control as a protective resource for the impact of daily stressors on affective well-being. Using the third wave of the National Study of Daily Experiences (NSDEIII; N=1,263, Mage=62.62, 57.20% women), we examined how stressor control across domains (interpersonal stress, work and home overloads, network stressors) was associated with both negative and positive emotions on the same-day (i.e., reactivity) and next-day (i.e., residue). Over eight consecutive days, participants reported their daily negative and positive emotions, as well as exposure to and control over stressful experiences. After adjusting for age and gender, two-level multilevel models revealed a protective patterning of stressor control for dampened affective reactions to daily stressors driven by stressor control domains specific to interpersonal interactions (ps&lt;.05). Days when people perceived more control over their arguments or avoided arguments were related to less negative and positive affective reactivity (smaller increases/decreases in negative/positive affect, respectively) compared to days with less perceived control. Perceived control over daily work stressors and home stressors were associated with dampened negative and positive affective reactivity, respectively. No associations between perceived stressor control and affective residue were significant. Results underscore the import of perceived stressor control for interpersonal stressors and the utility of perceived control as a protective factor for the effects of arguments and avoided arguments. Individuals may aim to leverage additional resources to feel more in control of their own daily arguments and avoided arguments.
TIFFS, TOSSES, AND TURNS: EFFECTS OF AFFECTIVE REACTIVITY TO INTERPERSONAL STRESSORS DURING THE DAY ON NIGHTLY SLEEP
Authors: Wen Jin , Klaiber Patrick , Sin Nancy 
Published: December 2023

Abstract

Background
Sleep has been recognized as an antecedent as well as a consequence of daytime stress. However, less research has compared the role of different stressor types on same-night sleep in the context of daily life. Interpersonal stressors may be particularly important, given that social stressors to elicit greater stress responses than other forms of stressors. This study tested the hypothesis that following days when a person exhibits greater negative affect (NA) reactivity to stressors (versus on days with less NA reactivity), sleep quality will be lower. This link between affective reactivity to stressors and subsequent sleep was expected to be more pronounced for interpersonal stressors versus non-interpersonal stressors.

Methods
In this pre-registered study, 252 adults in British Columbia, Canada (ages 25 to 87y; 68% women; 64% White) completed mobile surveys 5x/day for 14 days to assess daily stressors and NA. Self-reported sleep quality was assessed in morning surveys. Multilevel-models tested daily stressors (interpersonal, non-interpersonal, or no stressors), daily NA (averaged across the day), and their interaction as predictors of subsequent sleep quality, controlling for prior-night sleep quality and sociodemographics.

Results
Daily NA and stressor occurrence independently predicted poorer subsequent sleep quality. Stressor type moderated the relationship between NA and sleep quality, such that this association was stronger for interpersonal compared to non-interpersonal stressors.

Discussion
The findings suggest that encountering interpersonal stressors may be particularly impactful to one’s subsequent sleep. Future studies should consider investigating potential mechanisms that may underlie this association, such as pre-sleep cognitive, emotional, and physiological arousal.
DAYS SPENT AT HOME BEFORE AND AFTER HIP FRACTURE AMONG MEDICARE BENEFICIARIES LIVING WITH DEMENTIA: A COHORT STUDY
Authors: Falvey Jason , Chen Chixiang , Johnson Abree , Ryan Kathleen , Shardell Michelle , Ren Haoyu , Reider Lisa , Magaziner Jay 
Published: December 2023

Abstract
Hip fracture is a disabling event experienced disproportionately by older adults with Alzheimer’s disease or related dementias (ADRD). Understanding how to better prognosticate outcomes for this population could drive more tailored clinical decision making. Our objective was to identify distinct trajectories of health before a hip fracture and determine their influences on post-fracture recovery trajectories and 1-year mortality rates among older adults with Alzheimer’s disease or related dementias (ADRD). We conducted a cohort study of 16,576 community-dwelling Medicare beneficiaries living with ADRD who experienced hip fracture between 2010 and 2017. We used latent mixture modeling to evaluate trajectories of days at home assessed monthly up to 180 days prior to hospitalization, and their associations with post-fracture days at home and 1-year mortality. Before a hip fracture, 3 distinct trajectories were identified: Robust (n=14,980, 90.3%), Impaired but Improving (n=809, 5.3%), and Impaired and Declining (n=787, 4.7%). Membership in the Impaired and Declining pre-fracture trajectory was strongly associated with membership in less favorable post-fracture recovery trajectories and 65% higher 1-year mortality rate (hazard ratio 1.65, 95% confidence interval 1.45-1.87) as compared to those in the Robust trajectory group. Similar albeit weaker associations were observed between membership in the Impaired but Improving pre-fracture trajectory and post-fracture outcomes. Overall, our results indicate that pre-fracture days at home trajectories are highly associated with post-hospitalization outcomes among older adults with ADRD and could be used to guide care management decisions.
BEYOND STEP COUNTING: SENSOR-BASED EVALUATION OF HIP FRACTURE PATIENTS’ MOBILITY IN THE REAL WORLD
Authors: Jansen Carl-Philipp , Klenk Jochen , Blain Hubert , Vereijken Beatrix , Helbostad Jorunn , Becker Clemens 
Published: December 2023

Abstract
After a hip fracture, rehabilitation starts with the primary aim to get older persons back on their feet and mobile again. Multidisciplinary hospital treatment is suggested as the first essential step for optimization of care immediately after the fracture, followed by subacute exercise interventions to further improve mobility. However, reported outcomes of rehabilitation vary widely geographically and within regions and most often consist of repeated physical capacity measures without knowledge of the actual mobility behaviour of patients after hospital care. Evidence emerges that small changes in physical capacity (e.g., gait speed) coincide with larger changes in physical activity (e.g., number of steps) during the first six months post-fracture. In a pooled longitudinal analysis of n=785 hip fracture patients (mean age: 83.4 years, SD=6.1) from Germany and Norway, we found daily walking duration trajectories to increase until week 28 post surgery, and that 50% of the peak mobility was achieved within the first four weeks. Still, in order to better understand the underlying mechanisms of mobility performance and to improve rehabilitation measures, in-depth data on patients’ real-world mobility beyond walking volume is needed. Therefore, in the Mobilise-D project, a novel sensor algorithm is used to quantify patients’ real-world mobility with higher granularity and more extensive information. Baseline data on physical capacity measures, sensor-based mobility outcomes, and patient-reported outcomes of mobility and function of n= 454 (mean age: 78.1 years, SD=9.2) hip fracture patients is presented.
GETTING BETTER OR GETTING WORSE: MARKERS OF LONGEVITY ACROSS COHORTS AND COUNTRIES
Authors: Martin Peter , Gondo Yasuyuki , Ribeiro Oscar 
Published: December 2023

Abstract
The expansion of life expectancy and the lengthening of the human life span are extraordinary achievements observed over the last century. Among those accomplishments is the increasing number of centenarians in many countries. However, it is not clear whether new cohorts of centenarians are in better health when compared to earlier born cohorts of centenarians. The purpose of this symposium is to compare centenarian cohorts across different countries. Two centenarian cohorts each from Hong Kong, Japan, and the United States are included in the analyses. Results provide different perspectives across countries. The Hong Kong Centenarian Studies compared current centenarians to those who participated at an earlier time and noted that proxies in the second study rated centenarians in worse health when compared to centenarian self-ratings. The Kyotango study assessed living conditions, care need level, ADL, IADL, and cognitive function by gender and noted cognitive improvement for men. Finally, later cohorts of the U.S. Health and Retirement Study were in worse health when compared to the earlier born cohort. The results provide an indication for policy makers and practitioners who will prepare for a larger number of centenarians in need of additional support. Although some improvement for later born cohorts is noticeable, it is obvious that more care provision will also be needed as centenarians around the world will survive with more health conditions. Additional research should evaluate centenarians in other parts of the world.
INTRODUCING CENTENARIAN STUDIES IN AN AGING WORLD
Authors: Martin Peter 
Published: December 2023

Abstract
Centenarian studies have come of age. With the first comprehensive centenarian studies conducted more than 35 years ago, there are now centenarian databases in the United States, in Europe, and in Asian countries. The major focus of these studies has been on genetic and family longevity factors, on support systems, personality, and on health behaviors. Another emphasis has been on various health components, such as physical health, mental health, frailty, and psychological well-being. In recent years, a second generation of centenarian studies has been initiated, comparing earlier born cohorts with later born cohorts. Among the first studies conducting a cohort comparison, the Danish centenarian studies, the Georgia centenarian studies, and the Tokyo centenarian studies showed inconsistent results. Whereas some studies indicated that later born cohorts enjoyed higher levels of functioning (e.g., Denmark, U.S. Georgia), other studies showed poorer performance (e.g., Japan). The current symposium sheds additional light on cohort comparisons with recently collected data from the second Hong Kong Centenarian Study, the Kyotango centenarian cohort, and the Health and Retirement Study. This presentation summarizes major findings from centenarian studies conducted around the world and highlights activities of the International Consortium of Centenarian Studies (ICC).
RANDOMIZED CONTROLLED TRIAL OF LAY-DELIVERED INTERVENTION FOR DEPRESSED OLDER ADULTS
Authors: Gum Amber , Conner Kyaien , Crawford Nicole , Raue Patrick , Sirey Jo Anne 
Published: December 2023

Abstract
The first speaker will describe the background, aims, methods, and progress of an ongoing NIMH collaborative R01, three-site RCT. Across three sites (University of Washington, Cornell Weill Medicine, and University of South Florida), 288 depressed older adults will be enrolled, randomized to receive 9 sessions of BA from clinicians (e.g., social worker or mental health counselor) or 9 sessions of DMFB from a trained older adult volunteer coach, and assessed on primary outcomes (Behavioral Activation for Depression Scale [BADS], Hamilton Rating Scale for Depression [Ham-D]) and other outcomes at baseline, 3-, 6-, 9-, 24-, and 36-weeks. Clinician BA training and certification involves two 2-hour training workshops including didactics, demonstration, and role play; followed by delivering the intervention with one “certification” client reviewed and approved by external raters. Coach DMFB training and certification follow a similar process, except that training is longer (4 2-hour workshops) with more didactics, demonstrations, and role plays. After training, clinicians and coaches participate in regular weekly supervision, and all client sessions are audio-recorded, with at least one session per client randomly selected for independent review. This trial involves close collaboration with representative of a county lead aging service agency, numerous senior centers and organizations, and an Area Agency on Aging (AAA) for recruitment, outreach events, engagement of clinicians and volunteer coaches, and study dissemination. Across sites, 24 clinicians and 23 volunteers have been trained and certified, and 124 participants have been enrolled (as of February 15, 2023).
RANDOMIZED CONTROLLED TRIAL OF LAY-DELIVERED INTERVENTION FOR OLDER ADULTS DISCHARGED FROM THE HOSPITAL
Authors: Conner Kyaien , Kip Stephanie , Gum Amber 
Published: December 2023

Abstract
The second speaker will describe the background, aims, methods, and progress of a PCORI-funded RCT to reduce rehospitalization for Black/African American and Hispanic/Latino older adults after medical hospitalization. Across three regional hospitals, 402 older adults living with chronic illness (e.g., cardiovascular disease, diabetes, hypertension etc.,) will be enrolled while inpatient at one of our three partnering hospitals and randomized to receive one of three interventions in this comparative effectiveness trial: (1) the evidence-based Care Transitions Intervention (CTI), (2) CTI plus a peer educator intervention (CTI+Peer), or (3) usual care. Participants are assessed at 4 timepoints (baseline, 30 days, 90 days and 6 months) to examine differences in the primary outcomes of 30-day all cause hospital readmissions and emergency department visits. Secondary outcomes including quality of life, self-efficacy managing chronic disease, functioning, perceived social support and mortality. CTI Coaches and Peer educators participate in rigorous trainings which includes both didactic and interactive components to ensure interventionists are able to deliver the intervention with fidelity to the models. After training, CTI Coaches and Peer Educators participate in regular supervision meetings. They receive weekly virtual supervision check-ins from USF study staff and participate in a monthly group-based supervision in person. This trial involves close collaboration with leaders and coordinators at each hospital and an Area Agency on Aging (AAA) for recruitment, engagement of study interventionists and study dissemination. Across sites, 18 CTI Coaches and 11 Peer Educators have been trained and certified, and 145 participants have been enrolled (as of 3/8/2023).
OLDER ADULT VOLUNTEER AND PEER EDUCATOR EXPERIENCES COLLABORATING ON INTERVENTION RESEARCH
Authors: Rubio Enid , Allen Odell 
Published: December 2023

Abstract
The final two speakers will present on their experiences, benefits, and challenges of collaborating on both trials described previously as an older adult volunteer coach or peer educator. One speaker is a DMFB Coach trained and certified in the DMFB intervention for depressed older adults, who delivered the intervention to five English-speaking older adults and is in the process of delivering the intervention to five Spanish-speaking older adults. One speaker is a Peer Educator for the hospital trial, trained and certified in a peer educator intervention for older adults after hospitalization, to support their transition and self-management at home. Each speaker will discuss their experiences delivering their respective interventions, including an overview of the training, certification, and supervision processes, as well as benefits and challenges. Benefits include the satisfaction of helping others, connecting with other coaches and peer educators, and learning technical skills and the intervention. Challenges have included technical issues related to virtual delivery, which are being overcome through technical assistance from the study teams; balancing the expectations of the program with other personal responsibilities, which are managed through discussion with supervisors and the study team being as flexible as possible, such as with scheduling; and occasional challenges with clients, which are addressed through regular and ad hoc supervision. The speakers will end with recommendations for other study teams that plan to work with older adults delivering behavioral interventions.
AGING-IN-PLACE TECHNOLOGY: PROGRAMMING TO ADDRESS SOCIAL CONNECTEDNESS AND MENTAL HEALTH
Authors: Morgen Keith , Jacob Peter 
Published: December 2023

Abstract
According to the National Academies of Sciences, Engineering, and Medicine, the drastic increase of older adult social isolation from the pandemic has contributed to premature death, dementia, anxiety, and suicide. Jewish Family Service of Central New Jersey (JFSCNJ) clients corroborated this phenomenon with 65% meeting the diagnostic criteria for moderate to severe older adult depression or anxiety in 2020. In 2022, JFSCNJ established the Fig Tree Virtual Senior Center, a dynamic program that focused on older adults as they readjust to a post-pandemic world. By addressing social isolation through a Person-Centered Trauma Informed and biopsychosocial approaches, various wellness programs were provided in-home via the use of virtual video programming. Sixteen older adults (age range 68-95 years-old) were assessed on anxiety and depressive symptoms and social connectedness both prior to and six months following the start of the video programming intervention. Paired samples t-testing found a significant reduction in self-reported anxiety (p=.01) and depressive (p=.05) symptoms after video programming engagement at six-months follow-up. Path analysis using bootstrapping with bias corrected confidence intervals found amount of video programming with a positive and significant indirect effect on both increased social connectedness and improved well-being. Implications for homebound older adult social engagement and well-being programming will be discussed.
IRVING S. WRIGHT AWARD, VINCENT CRISTOFALO AWARD, AND TERRIE FOX WETLE AWARD PRESENTATIONS AND LECTURES
Authors: Austad Steven 
Published: December 2023

Abstract
The Irving S. Wright Award of Distinction Lecture will feature an address by the 2023 recipient Rafael De Cabo, BS, FGSA of National Institute on Aging, National Institutes of Health. The Vincent Cristofalo Rising Star Award in Aging Research lecture will feature an address by the 2023 recipient Ming Xu, PhD of UConn Health. The Terrie Fox Wetle Award lecture will feature an address by the 2023 recipient Claire Ankunda, MD, MPH. MSc of Icahn School of Medicine at Mount Sinai. These awards are given by the American Federation for Aging Research, Inc.
HOW MEDICARE ADVANTAGE IS SHAPING THE CARE OF OLDER ADULTS WITH SERIOUS ILLNESS
Authors: Ankuda Claire 
Published: December 2023

Abstract
The Medicare Advantage (MA) program currently insures half of Medicare beneficiaries, and yet there are major gaps in our understanding of how it is impacting older adults, particularly those with serious illness and at the end of life. This population is particularly vulnerable to lapses in care quality in MA given their complex health care needs and challenges navigating MA cost-control mechanisms such as prior authorizations and narrow networks. I will present a framework to consider how MA is influencing care delivery and outcomes for older adults, a review of what we know about the impact of the dramatic growth of MA plans, and emerging data on the experience of older adults with serious illness in MA. This session will highlight best-practices regarding use of claims and population data to evaluate the MA program.