bluuebunny/crossref_metadata_2025_split huggingface dataset:
ALIGN-CARE: IMPLEMENTATION AND FEASIBILITY OF NEW GERIATRIC SURGERY CO-MANAGEMENT MODEL FOR PHYSICAL AND SOCIAL FRAILTY
Authors: Ko Fred , Chow Stephanie , Baim-Lance Abigail , Park Amy , Schiller Gabrielle , Kim Minji , Sreevalsan Kavya , Hung William 
Published: December 2022

Abstract
Pre-operative geriatric evaluation in frail older patients that addresses both medical and psychosocial needs is often not completed prior to surgery, leaving frail older adults ill prepared for surgery. The ALIGN-CARE interprofessional co-management model uniquely serves to standardize care and coordination amongst the surgeon, geriatrician and social worker in ambulatory settings to allow a greater window of time to intervene for surgical optimization. Program elements include assessment of preoperative medications, functional status, cognition, nutrition, What Matters Most, advance care planning (ACP), and social determinants of health. Recommendations and action items from the geriatric-social work team are presented to surgeon and primary care physicians for follow-up and optimization. Program and process elements recorded in a REDCap database facilitate longitudinal evaluation of ALIGN-CARE model implementation feasibility. Initial data of 9 frail surgical oncology patients indicate increases in meaningful ACP discussions, patient-oriented decisions regarding surgery candidacy, and surgeon referrals for inpatient geriatric consultation post-operatively as a result of ALIGN-CARE. Current analyses to assess feasibility and quality of the program include thematic coding of program documents, semi-structured interviews of key stakeholders (surgeons, geriatricians, social workers, patients), and quantitative analysis of program outcomes, including uptake of program elements and process measures. Planned areas of analytic focus include workflow, cross-specialty coordination, and patient and primary care engagement and activation. We anticipate identifying specific barriers and facilitators of ALIGN-CARE implementation in our evaluation to aid the dissemination and upscaling of interprofessional co-management programs aimed to improve outcomes and quality of life for frail, older surgical patients.
DEPRESSIVE SYMPTOMS MEDIATE THE ASSOCIATION OF FRAILTY PHENOTYPE SYMPTOMS AND COGNITION FOR FEMALES BUT NOT MALES
Authors: Resciniti Nicholas , Merchant Anwar , Lohman Matthew 
Published: December 2022

Abstract
We aimed to evaluate whether depressive symptoms mediated the relationship between frailty phenotype and cognitive function by sex. Frailty phenotype symptoms, cognitive function scores, and depressive symptoms were measured in 3,705 community-dwelling US adults from the Health and Retirement Study (HRS) from 20012-2016. Fried’s frailty phenotype criteria (weakness, slowness, physical inactivity, low weight, and exhaustion) were used as a continuous score for frailty symptoms (0-5). Global cognition was measured by the Telephone Interview for Cognitive Status (range: 0-35). The Centers for Epidemiologic Studies-Depression Scale (CES-D) was used as a continuous measure to assess depressive symptoms (0-8). We used mediation analysis to estimate the direct and indirect effects of frailty symptoms on cognitive scores to evaluate the role of depressive symptoms as a potential mediator. Males had a larger total effect (β= -0.43; 95% CI: -0.66, -0.02; p&lt; 0.001) for lower cognitive score for each increase in frailty symptom compared to females (β= -0.28; 95% CI: -0.47, -0.08; p=0.02), suggesting all five frailty symptoms was associated with 2.15 lower cognitive scores for males and 1.50 for females. A significant indirect effect from frailty phenotype to cognition was found through depressive symptoms for females (β= -0.03; 95% CI: -0.06, -0.00; p=0.02) but not males (β= -0.04; 95% CI: -0.08, 0.00; p=0.07). These results highlight the importance of identifying individuals with frailty and depressive symptoms to monitor and provide interventions to preserve cognitive function
FRAILTY AND OSTEOARTHRITIS IN OLDER CHILEANS
Authors: Albala Cecilia , Marquez Carlos , Angel Barbara , Saguez Rodrigo , Lera Lydia 
Published: December 2022

Abstract
The adverse consequences on health of frailty, make it early diagnostic very important. The coexistence of frailty with osteoarthritis, a frequent condition especially in older women, has been less studied Objective. to study the association between frailty and self-reported osteoarthritis.
Methods: Cross-sectional study in994 people65 years and older (72.1%women, mean age72y±6.7) from the Alexandros cohort, designed to study disability associated with obesity in community-dwelling people60y and older living in Santiago/Chile. The frailty phenotype was defined as having ≥3 from the5 following criteria: weak handgrip dynamometry, unintentional weight loss, fatigue/exhaustion, five chair-stands/slow walking speed and low physical activity. Self-reported osteoarthritis was registered.We found a prevalence of osteoarthritis was much higher in women than in men (49.4% vs22.9%, p&lt;0.01) Osteoarthritis was present in46.5% of frail people and30% of the robust ones (p=0.01). Frailty was present in53.3% of women with OA in and11.8% of men with OA. The crude OR for the association of frailty with Osteoarthritis was significant only for women (OR=1.43;95% CI:1.06-1.93). After sex and age adjusted logistic regression for frailty in Ostroarthritis, the OR for frailty was OR=1,39;95%IC (1,04-1,85), p=0,025, but in women with osteoarthritis the adjusted OR for frailty increase to OR=11.98 (5.637-13.23)Considering the severe consequences of frailty over health, the high burden of Osteoarthritis, its high frequency in women, and the strength of the association between both conditions, the screening for frailty is highly recommended In older women with Osteoarthritis.
CHANGES IN LIFE-SPACE WITH LOSS OF RELATIVES AND FRIENDS AMONG OLDER ADULTS: RESULTS FROM THE UAB STUDY OF AGING
Authors: Driggers Amelia , Kennedy Richard , Buys David 
Published: December 2022

Abstract
Increasing age brings greater risk of the death of friends and family (hereafter referred to as loss). Loss may impact individuals’ life-space mobility (LSM); however, no research has explored relationships between loss and LSM trajectories. Using the UAB Study of Aging, we examined differences in LSM trajectories of 1000 community-dwelling older Alabamians (65+years) with and without loss during the study period. We assessed LSM using the UAB Life-Space Assessment (LSA), a validated instrument measuring individuals’ ability to move through zones ranging from their bedroom to out of town. We assessed loss every 6 months using a standard bereavement questionnaire capturing spousal, other relative, or friend loss. We used piecewise linear mixed effects models to compare LSA trajectories. Those who do not experience loss had a baseline mean LSA score of 49.5 and show a decline of 0.08 points per year (p &lt; 0.001). Those that do experience loss had a baseline LSA score of 60 and decline by 1.0 point per year before the loss (p &lt; 0.001), accelerating to 1.8 points per year after the loss (p &lt; 0.001). Those with loss do not experience acute decline post loss but do have an acceleration of the pre-existing decline. More research is needed on this topic to better understand the impact of loss on LSM trajectories; but this finding suggests that more public health and clinical interventions may be needed for those who experience loss. Specifically, bereaved individuals may benefit from social, mental, or healthcare services for loss-related challenges.
HELP-SEEKING FOR SUICIDE RISK AMONG MIDDLE- TO OLD-AGE ADULTS
Authors: Wang Xiaochuan , Beltran Susanny , Gryglewicz Kim 
Published: December 2022

Abstract
Suicide is a major public health concern. Suicide rates have increased steadily in the U.S. and are highest among middle-aged (ages 45-64) and older (age 75+) adults. Help-seeking represents an important coping behavior that can mitigate suicide risk. However, research on this topic is sparse, especially among older adults. To address this gap, a systematic review of the existing literature describing help-seeking for suicide risk among middle- to old-age adults was conducted. Using PRISMA guidelines, we searched electronic databases (e.g., ProQuest, EBSCOhost, PsycINFO, PubMed, Medline) and key journals with suicide and/or gerontology focuses for peer-reviewed publications in English between 2010-2020. The search yielded 4,732 unduplicated publications. After screening articles for relevance based on titles and abstracts, 52 articles were reviewed in full text. A total of 24 articles met inclusion criteria and were included in this review. The articles reviewed included a range of topics, including prevalence of service utilization, service use prior to suicide-related behaviors, and correlates of help-seeking. Overall, prevalence of service utilization was generally low and varied by suicidal history (e.g., greater prevalence among those with a history of suicide attempt, as compared to those with suicide ideation but no attempts). The systematic review also identified key service use facilitators (e.g., higher suicide literacy, previous or current suicidality) and barriers (e.g., stigma). Results of this systematic review highlight the need for future research and tailored services to improve suicide prevention and intervention strategies for middle-aged and older adults.
PROTECTING RETAIL CUSTOMERS FROM GIFT CARD PAYMENT SCAMS
Authors: Bailey Dionne , DeLiema Marti 
Published: December 2022

Abstract
Older adults are frequently targeted by scams and fraud, a persistent and growing problem in the U.S. According to the Federal Trade Commission, gift cards were the most common method of payment requested by fraud criminals in 2021. The purpose of this AARP-sponsored study is to investigate gift card payment scams by analyzing the retail sector for current interventions and opportunities to protect customers from fraud. Through secret shopping at 23 retail locations in a large U.S. city, we documented the existing status of merchant controls designed to prevent suspicious gift card purchases, as well as how these measures work in practice. At each location, the "secret shopper" attempted to purchase between $400-$1000 in gift cards from a sales clerk, while another researcher stood in line nearby to observe the interaction. ​​Nearly 80% of retail stores had signs warning customers about gift card frauds. Fewer than 50% imposed limits on the purchase amount; more than 40% required manager approval, and five of the transactions resulted in manager involvement. Current retail measures would only limit purchases in around 22% of gift card frauds and would completely halt about 9% of transactions. Results indicate that despite warnings, retailers are not doing enough to protect customers from fraud. New policies are needed to advocate for reduced gift card purchase limits, increase public awareness, educate retail employees on the red flags, and enforce anti-money laundering rules to limit fraud.
EVALUATING THE STAFFING METHODOLOGY MODEL IN THE VETERANS HEALTH ADMINISTRATION’S COMMUNITY LIVING CENTERS
Authors: Brown Lana , Lensing Shelly , Sullivan Sheila Cox , Odom Teresa , Moore Jade , Billings Pamela , Minor Lisa 
Published: December 2022

Abstract
The project purpose was to describe nursing hours per patient day (NHPPD) within the Veterans Health Administration (VHA) and to evaluate Staffing Methodology in the VHA Community Living Centers (CLCs) by comparing Staffing Methodology targeted NHPPD with actual NHPPD. Data were compiled retrospectively for each CLC unit over a one-year timeframe for calendar year 2019. VHA had 134 CLCs including 390 nursing units. Nursing units without 6 months of actual NHPPD data were excluded from the data set. For descriptive analyses, actual NHPPD were averaged across months for each unit. The percent of target was calculated as this average divided by the NHPPD target times 100. The percentage of months each unit met the targeted NHPPD was calculated. After data exclusions, the final data set included 322 nursing units from 133 CLCs. The mean for actual hours as a percent of target was 121.6% (95% CI, 118.5 to 124.7%) indicating that the units’ average hours across 2019 were 21.6% significantly higher than target. Also, half of units met their targets 91.7% of months as reflected by the median. The actual NHPPD significantly differed across months (p&lt; 0.001) with the 2019 months of January and October having the highest NHPPD. Similar results were seen for NHPPD as a percent of target. Veteran safety is a VHA priority and appropriate nurse staffing is key to providing care that improves Veteran outcomes and reduces adverse events. Further exploration is needed on how nurse staffing in the CLCs impacts Veteran outcomes, safety, and satisfaction.
IMPACT OF COGNITIVE RESERVE IN OBJECTIVE AND SUBJECTIVE SUCCESSFUL AGING
Authors: Mendoza Ruvalcaba Neyda Ma , Arias-Merino Elva Dolores , Flores-Villavicencio Maria Elena , Rodríguez Díaz Melina 
Published: December 2022

Abstract
Cognitive reserve (CR) refers to the capacity of the brain to withstand changes due to age or disease-related pathology, showing how flexibly and efficiently the individual makes use of available brain resources. This study aims to explore the contributions of the CR to understanding successful aging (SA).(Project-Conacyt-256589)Population based, random sample included n=656 community-dwelling older adults 60-years and older (mean age=72.8, SD=7.6 years, 58% women). CR was measured by their main indicators: education, life-long learning, being bilingual, participation, use of information and communications technology. Objective SA was operationalized as no important disease, no disability, physical functioning, cognitive functioning, and being actively engaged. Subjective was an appreciation if they considered themselves as successful agers. Sociodemographic and health data were also asked. Pearson′s correlation test and MANOVAs were performed.In total 11.2% met the criteria for SA, although 76% considered themselves as successful agers. CR was significantly related to subjective and objective criteria of SA(p&lt;.000), except to no-important diseases. CR explains in general 20% of the variance in objective SA, specifically explains 28% of variance in the criteria of high cognitive function, 18% of the variance in disability, 11.3% of life engagement, 8% of physical functioning, and 2% of disease-free criteria. Also, CR explains 10% of the variance in subjective SA. This study has shown that CR the is related to SA, this set possible targets for cognitive interventions to promote resiliency of the brain not only for preventing cognitive pathologies, but also for encouraging successful and healthy aging in older adults.
SWISS CENTENARIANS: PRELIMINARY FINDINGS FROM THE SWISS100 PHONE STUDY
Authors: Jopp Daniela , Cavalli Stefano , von Gunten Armin , Herrmann Francois , Martin Mike , Uittenhove Kim 
Published: December 2022

Abstract
Increase in very old individuals is observed in all developed countries around the world. The number of centenarians has also been rising, requiring the investigation of the characteristics of these exceptionally long-lived individuals as well as their experience of life at age 100. In the present study, we present findings from the first nation-wide Swiss centenarian study SWISS100. Given the ongoing COVID-19 pandemic, we conducted a telephone study with centenarians and a family member as proxy informant, using a mixed-methods approach to investigate specific characteristics, their life circumstances and their experience during the pandemic. Recruitment was conducted with the help of the national address registry. A total of 64 centenarians and 62 family members participated, leading to data for 119 centenarians. Centenarians were on average 102 years old, with a range of 100 to 108 years. In line with higher survival rates in females, 76% were women and 24% were men. Most centenarians had received basic education and had completed an apprenticeship. Concerning their residence, 43% lived in private homes and 57% lived in institutions. Of those living in private, half lived alone, one fourth lived with their spouse and one fourth lived with a child. The majority was widowed. Over 80% had children. Although over 70% of the centenarians reported health restrictions, 60% reported good to excellent subjective health. Over 90% of the sample were aware of COVID-19. Despite substantial COVID-19-related restrictions, life-satisfaction was high. Overall, Swiss centenarians show health-related vulnerability but also psychological resilience.
PREDICTORS OF MHEALTH MINDFULNESS USE IN OLDER ADULT CAREGIVER POPULATION
Authors: Llaneza Danielle , Kozlov Elissa 
Published: December 2022

Abstract
Caregivers of older adults with MCI have multiple competing demands that limit their ability to seek mental health care, despite being at high risk for stress, anxiety, burnout, and depression. MHealth mindfulness interventions have preliminary efficacy to reduce distress for caregivers, but it is unknown which caregivers are most likely to use and benefit from mHealth mental health interventions. Understanding older adult caregiver mHealth use is an important step in providing personalized mental health care. This study investigated caregiver characteristics that predicted mHealth mindfulness mobile application use in a sample of n=58 caregivers of older adults with MCI. Using linear regression models, it was determined that years spent caregiving, having someone to help with caregiving tasks and education level were all significant predictors of the total amount of minutes spent using the mindfulness application. Our results contribute to the growing body of literature on mHealth strategies to address caregiver distress. Future work should address the expansion of mHealth innovations for older adults and their care persons.
IMPLEMENTATION OF LIFE STORY TECHNOLOGY IN RESIDENTIAL CARE SETTINGS: BENEFITS AND BARRIERS
Authors: Wilk Christa , Cordell Ashlee , Orsulic-Jeras Silvia , Powers Sara , Ejaz Farida , Sanders Beth 
Published: December 2022

Abstract
Life story work is a promising intervention in residential care settings to engage persons with dementia (PWD) in meaningful conversation and promote person-centered care. Utilizing technology to streamline the life story collection process brought gerontologists and tech developers together to create LifeBio Memory™: an app which utilizes machine-learning and artificial-intelligence to collect life story data more efficiently than collection by hand. This presentation highlights focus group findings related to the benefits and barriers of this adaptation. Two waves (Time 1 and Time 2) of 60–90-minute (mean=80 SD=14.31) focus groups were conducted via Zoom nine months apart to evaluate the acceptability and feasibility of LifeBio Memory™. In Time 1 (n=35), community-dwelling PWD, residential care staff, and current/former LifeBio program users were asked to provide feedback on 1) their experience with the original version of LifeBio and 2) a prototype of the app. A thematic analysis yielded a list of recommended changes utilized to develop the app. In Time 2 (n=28), participants were asked to provide feedback on 1) training, 2) experience using the app, 3) implementation feasibility, 4) impact on person-centered care. A second thematic analysis was conducted. Across time 1 and 2, participants reported high levels of acceptability and feasibility for the LifeBio Memory™ concept and provided valuable feedback to the tech developers related to future implementation barriers of such technology. This presentation will discuss focus group findings related to 1) benefits of the adaptation, 2) barriers to using the tablet app, 3) implementation of the adaptation.
PATTERNS OF SOCIAL COMMUNICATION IN MINORITY ADULTS: ASSISTIVE AND INTERACTIVE TECHNOLOGY USE DURING COVID-19
Authors: Chataut Akankshya , Hubner Sarah , Boron Julie Blaskewicz 
Published: December 2022

Abstract
Literature suggests aging adults are more likely to be socially isolated, particularly given the COVID-19 pandemic. This has been associated with diminished well-being and increased morbidity and mortality. Assistive and interactive technologies (AITs) may help reduce isolation by bolstering communication. However, rapid advancement of AITs can create new barriers, especially for marginalized/underserved communities. The purpose of this study was to explore isolation and AITs in a majority-non-white sample. Data collected were part of a larger survey. Participants (N=80: Non-White=92.5%, Black=36.5%, Hispanic=36.5%) completed a Qualtrics survey via Amazon Mechanical Turk. Respondents included younger (YA: N=34, ages:19-34, M=27.7±4.6), middle-aged (MA: N=27, ages:35-49, M=41.9±4.1), and older (OA: N=20, ages:50-70, M=57.6±6.5) adults. Surveys consisted of likert-style and free-response questions. Content analysis with inductive coding was performed independently by two reviewers. Qualitative results suggested most adults used AITs regularly. Phone-based functions (texting/calling, smartphone-use) were favored for communication between 2020-2021. These functions were the largest group reported for all ages, although YA reported them more frequently (65%) compared to MA (48%) and OA (59%). Data also suggested that people had more in-person interaction at the time of survey completion (majority September 2021), compared to one-year previous (46.4%). Increased distanced socialization negatively correlated with overall socialization (r(78)=-.231, p=.05). Results suggest that although AITs are widely used, they may not adequately reduce isolation, particularly for those relying on them for primary contact. This may be especially true for underrepresented adults. Future research should investigate if this trend is universal and if existing AITs are sub-optimal in specific populations.
A WHOLE NEW WORLD: EXPLORING VIRTUAL REALITY USE AND PERCEPTIONS WITH COMMUNITY-DWELLING OLDER ADULTS
Authors: Milnamow Mary , Quinones-Visot Emily , Agyemang Lillian , Bakk Louanne 
Published: December 2022

Abstract
Virtual reality (VR) is an emerging technology that can facilitate and support active engagement and social interactions through shared immersive experiences. While limited evidence suggests VR can improve the health and well-being of older adults in residential and clinical care settings, research has not examined the potential benefits of a shared VR experience with community-dwelling older individuals despite their increased risk for social isolation. This exploratory, longitudinal study used a mixed-methods approach to assess the impact of VR programming among persons 65+ years of age with limited mobility attending a Program of All-Inclusive Care for the Elderly (PACE) and participating in a group-level VR intervention (n=9). Quantitative measures pertaining to health, well-being, social isolation, and comfort with technology were collected at baseline, six weeks, and twelve weeks. Qualitative, semi-structured focus groups were also conducted to assess participants’ perceptions of the VR intervention. Paired sample t-test results indicated improvements over time in participants’ pain level, well-being, and comfort in relation to using VR technology (p &lt;.05). Qualitative data illustrated that participants were extremely receptive to using VR and found the experience pleasurable, realistic, and exciting. The most common themes suggested VR programming was regarded as a highly immersive, stimulating experience that can bolster camaraderie and positive feelings. Moreover, participants felt empowered by the experience. These findings demonstrate that utilizing VR programming with community-dwelling older adults can provide interactive and engaging experiences. The potential benefits of this intervention provide a basis for developing programming that can improve well-being and connectedness.