bluuebunny/crossref_metadata_2025_split huggingface dataset:
COPING AND LIFE SATISFACTION OF OLDER PEOPLE DURING THE COVID-19 PANDEMIC
Authors: Xu Dongjuan , Lalani Nasreen , Arling Gregory 
Published: December 2022

Abstract
Covid-19 put older individuals at high risk for increased morbidity and mortality, isolation, reduced coping and life satisfaction. Optimism, sense of mastery and closeness with family and friends can enhance coping and life satisfaction among older adults. No such studies were found during the pandemic. Our study examined the associations between optimism, sense of mastery, closeness with spouse, family, and friends, physical and psychological functioning and its effects on coping and life satisfaction. A national representative sample of 1,890 community dwelling older adults was obtained from the 2020 Health and Retirement Study COVID-19 data during March 2020-June 2021. A structural equation modeling approach used to test the associations and their direct and indirect effects on life satisfaction. Coping was seen as a mediator affecting these relationships and their effects on life satisfaction. Optimism (β = .318, p &lt; .001), mastery (β = .195, p &lt; .001) closeness with spouse/partner (β = .199, p &lt; .001), closeness with children ((β = .075, p &lt; .010), friends (β = .086, p &lt; .001), had significant positive direct and indirect effects on life satisfaction. Frailty (β = -.137, p &lt; .001), comorbidities (β = -.057, p &lt; .050), and IADL limitations (β = -.118, p &lt; .001) had negative direct effects on life satisfaction. Optimism, sense of mastery and closeness with family/friends promotes coping and life satisfaction whereas frailty and comorbidities negatively influence coping and life satisfaction of the older adults. Community interventions should target coping strategies that enhances optimism, mastery, and interpersonal closeness among older adults during pandemic.
A PILOT ASSESSMENT OF A TABLET-BASED INTERVENTION FOR HOMEBOUND OR SOCIALLY ISOLATED OLDER ADULTS WITH DEPRESSION
Authors: Galo Caroline , Benda Natalie , Rollandi Isabel Olivia , Czaja Sara , Ceruso Marco , Sirey Jo Anne 
Published: December 2022

Abstract
Older adults who are homebound or socially isolated have high rates of loneliness and depression with fewer opportunities for treatment. Our team extended an existing psychotherapy intervention (Engage & Connect) to improve access to mental health care for older adults who are homebound. We iteratively created a tablet-based application (Engage PRISM) leveraging a user-centered design approach to provide older adults, particularly those with limited technology experience, an easy-to-use application to support social reward. Engage PRISM connects clients with the psychotherapy intervention and additional features to increase social reward exposure virtually. All eligible participants received a K92 ZTE tablet, equipped with the Engage PRISM application, internet service, Zoom, and access to Selfhelp’s Virtual Senior Center. Participants were then enrolled in the 9-week Engage & Connect intervention delivered by a licensed mental health counselor via Zoom on the tablet each week. We evaluated feasibility of the intervention and preliminary effect on depressive symptoms through a weekly PHQ-9. Feasibility was assessed through participants’ ability to use the tablet to access mental health treatment. We provided tablets to eight participants ages 67 to 84; participants demonstrated 100% feasibility of use of the tablet intervention. We dropped two participants from the study due to a greater level of care needed. All participants were provided with referrals prior to ending the study. Preliminary evidence indicates that four of the six remaining participants had experienced a reduction in depressive symptoms (i.e., had lower PHQ-9 scores) three weeks into the study reporting over a 30% reduction on average.
IS THERE A CAUSAL RELATIONSHIP BETWEEN ONLINE HEALTH INFORMATION SEEKING AND ANXIETY AMONG OLDER ADULTS?
Authors: Cotten Shelia , Anarsky Reza Ghaiumy , Schuster Amy 
Published: December 2022

Abstract
The growth of the Internet has provided users unlimited access to an abundance of information, including health information. The Internet is typically the first source searched by U.S. adults (18 years and older) when seeking health information. Factors such as age and anxiety are associated with online health information seeking (OHIS). Older adults (65 years and older) are increasing their Internet use and OHIS, although OHIS decreases with age. Importantly, OHIS can lead to improved health outcomes for older adults. The relationship between OHIS and anxiety is less clear, with some studies finding individuals with higher anxiety are more likely to search for online health information while others find the reverse pattern. Anxiety affects up to 20% of older adults and is often unrecognized and untreated. Given the lack of research examining the relationship between OHIS and anxiety among older adults and the proportion of older adults who experience anxiety, we analyzed six waves (2015- 2020) of data from the National Health and Aging Trends Study to assess the causal relationship between anxiety and OHIS using a Random Intercept Cross-lagged Panel Model framework, a statistical approach to assess causal relationships. These results suggest that anxiety is leading to OHIS in the next wave, rather than the reverse; however, OHIS was not related to anxiety in the next wave. This suggests that OHIS is not capable of mitigating older adults’ anxiety. Practitioners working with older adults should be aware that older adults may need additional support to manage their anxiety.
HOW TO PROMOTE INTERGENERATIONAL INTEGRATION THROUGH ONLINE COMMUNICATION: A MODERATED MEDIATION MODEL
Authors: Lee Yeseul , Kang Miseon , Joo Susanna , Kim Hyoun K 
Published: December 2022

Abstract
The present study examined the extent to which online communication skills led to the degree of intergenerational integration mediated through loneliness, focusing on whether such a mediating path would be moderated by age groups. Intergenerational integration is a concept that emphasizes acceptance and flexibility to recognize diversity based on each other’s values across multiple generations or groups of varying ages. The older group included 315 Koreans aged 65 or above, and the younger group included 322 Koreans aged 19 to 29. Both groups completed an online survey conducted from December 2021 through January 2022. The results showed loneliness significantly mediated the association between online communication skills and the degree of intergenerational integration among both older and young adults; the higher the level of online communication skills, the lower the level of loneliness, leading to high levels of intergenerational integration. However, the mediation path was moderated by age; the association between online communication skills and loneliness was stronger for young adults compared to older adults. Additionally, the direct path was moderated by age: the association between online communication skills and intergenerational integration was stronger for older adults compared to young adults. The findings indicate that programs aimed at improving online communication skills (e.g., SNS or video calls) can reduce loneliness and thus promote intergenerational integration in both younger and older adults. This study highlights the importance of promoting online communication ability to increase intergenerational integration of both older and young adults.
BARRIERS AND FACILITATING FACTORS TO HEALTH MANAGEMENT TECH ADOPTION IN A RURAL MEALS ON WHEELS SAMPLE
Authors: Wihry David , Jain Jennifer , Crittenden Jennifer , Kaye Lenard , Caso Tabatha 
Published: December 2022

Abstract
Meals on Wheels clients served through the aging network represent a significant population of high need older adults who could benefit from health management technology. This poster presents the results of a study targeting Meals on Wheels clients in four rural U.S. counties on opportunities and barriers to adoption of technology-based health management interventions. Paper surveys were provided to 690 Meals on Wheels clients and 154 were returned (22.3% response rate). The mean age of respondents was 71.7 years and the sample was composed of 39% men and 61% women. When asked to select the most valuable features of home health management technology, 42% indicated vital signs monitoring, followed by remote access to classes and events at Area Agencies on Aging (21%), and video visits with medical providers (20%). When asked about current technology usage, 48% indicated never having engaged in a telehealth visit over a computer, smartphone or tablet. Top ranking barriers to health management technology utilization were affordability and privacy concerns. A majority (61%) of the sample disagreed or strongly disagreed that they have the money to afford a computer, smart phone, or tablet and 69% agreed or strongly agreed that they are concerned about privacy or scams when using the internet. Approximately four in ten (38%) are interested in using technology to manage their health. Additionally, 45% reported using a smartphone. The poster will also explore demographic differences in older consumer perceived barriers and opportunities and programmatic implications for expanding health management technology adoption.
USING DIGITAL TECHNOLOGIES TO IMPROVE READMISSION AND ADHERENCE AMONG OLDER ADULTS WITH HEART FAILURE
Authors: O’Connor Melissa , Wickramasinghe Nilmini , Gehlot Vijay , Sloane Elliot , Chalasani Suresh , Wallace Ramona , Wisk Patricia G , Gravenstein Stefan 
Published: December 2022

Abstract
Heart failure (HF) affects approximately 26 million people globally resulting in morbidity, mortality, and rehospitalization. With 30-day rehospitalization rates ranging from 19% to 25%, HF is burdensome for patients and challenging for clinicians to manage. HF costs in the U.S. exceeded $30 billion in 2012, projected to exceed $70 billion by 2030, and produce estimated social care costs of 12 billion in 2020. Therefore, reducing HF readmissions should be a global priority. A technology-based platform may assist in the goal of reducing readmissions. This platform may accomplish this goal by providing several digital tools that can assist the clinician in the care process, while simultaneously enabling patients with self-care through more effective communication in all care settings. Digital twins (DT) and the nursing Avatar (NA) are two such tools. The DT is a virtual, real-time digital representation of a physical object/process. It originated from NASA to improve physical model simulation of spacecraft in 2010 (Wickramasinghe et al., 2021). It is possible to achieve similar benefits in healthcare by developing suitable DT of patients in specific clinical contexts (Wickramasinghe et al., 2021; Lui et al., 2019). So to, the NA was studied by Bickmore, et al (2209) and found ultimately to be the preferred discharge communication method. As such, we proffer the development of digital twins and NA for HF patients to support better provider decision and patient communication. This will result in HF care being more precise, consistent, reproducible, and personalized resulting in improved diagnosis, treatment, and care outcomes.
SIMPLE SOLUTIONS TO A COMPLEX PROBLEM: LISTENING TO DIRECT CARE WORKERS’ PERCEPTIONS ABOUT RETENTION
Authors: Karmacharya Isha , Janssen Leah 
Published: December 2022

Abstract
Direct care workers (DCWs) play a crucial role in delivering long-term services in nursing homes, assisted living, and in-home care. The work is physically and emotionally demanding and generally low-paid, which makes retaining and managing the workforce extremely challenging and has resulted in an unending workforce crisis. This study provides data on retention-promoting factors from the perspective of DCWs working in high-performing facilities and home care agencies that were identified through national and state retention data and reviews from case management agencies. Qualitative interviews were conducted in the spring of 2022 with a purposive sample of DCWs (n=16). Interviews were transcribed, checked for accuracy, and coded via thematic analysis. Three overarching themes emerged: work culture, appreciation, and monetary benefits. Retention was supported by a work culture that emphasizes person-centered care, family atmosphere, relationship building, staff empowerment, coaching supervision, participative leadership, effective communication, and flexible working conditions. DCWs experienced appreciation from employers, supervisors, and clients, which they perceived to promote retention. This theme includes valuing, respecting, recognizing, and acknowledging the efforts of DCWs. Monetary benefits promoting retention were seen as regular wage raises, employee assistance funds, gift cards, bonuses, paid time off, health insurance benefits, and travel reimbursement. This study demonstrates that while worker retention is a crisis, there are modifiable aspects of the job that can promote workers’ retention. DCWs’ retention can be impacted by work culture and appreciation practices. Study findings have implications for facility policy and practice pertaining to DCW’s retention.
ENSURING A KNOWLEDGEABLE GERIATRIC WORKFORCE: INTERDISCIPLINARY EDUCATION IN LONG-TERM SERVICES AND SUPPORTS
Authors: Tucker-Roghi Gina , Towsley Gail , Edelman Linda 
Published: December 2022

Abstract
In this symposium, we describe five interdisciplinary educational programs to enhance the geriatric workforce in long-term services and supports (LTSS): Skilled nursing facilities (SNFs), assisted living, and home health and hospice. The interdisciplinary teams that came together to offer the programs leveraged technology to maximize access to experts in both the curriculum development process and the delivery of the educational programs for a wide range of target learners. The first program, an interdisciplinary telementoring series on dementia care for therapists in SNFs, was developed by a team of experts from occupational, physical and speech therapy. The program included asynchronous online didactic content and case-based learning relevant to therapists. The second program engaged faculty from seven graduate programs: Pharmacy, Physical Therapy, Occupational Therapy, Dentistry, Social Work, Nursing and Physician Assistant to co-create an interprofessional LTSS graduate certificate in Gerontology. The certificate encompasses asynchronous online courses to enable flexibility across programs and cover content specific to LTSS. In the third program, LTSS nurses completed an online educational course to better prepare them to care for complex older adults, improve leadership skills, become more resilient, and complete QAPI projects. The fourth program focused on utilizing interdisciplinary perspectives to educate LTSS direct care staff on the unique needs of LGBTQ older adults. The fifth program offered a virtual telehealth clinical experience to prepare physical therapy students for practice in a SNF setting. The curriculum included eight virtual modules and four telehealth patient encounters that exposed students to interdisciplinary teams in the SNF context.
INTERDISCIPLINARY TELEMENTORING FOR THERAPISTS IN SNFS TO IMPROVE DEMENTIA CARE KNOWLEDGE AND SKILLS
Authors: Tucker-Roghi Gina 
Published: December 2022

Abstract
Occupational, physical, and speech therapists possess knowledge and skills that have the potential to reduce the burden of care and improve the quality of life of skilled nursing facility (SNF) residents living with dementia. Despite this opportunity to impact the well-being of residents with dementia, many therapy practitioners lack specialized training on the management of dementia. Therapy practitioners (n=31) from 22 SNFs participated in eight weekly interdisciplinary educational sessions using the Project ECHO (Extension for Community Health Outcomes) tele-mentoring model. An interdisciplinary team of therapy experts collaborated on the development of the curriculum, which included didactic content on dementia-care best practices as well as case-based learning. This presentation describes the process of developing an interprofessional tele-mentoring therapy education program, challenges encountered during implementation, and strategies to retain learners. Evaluation data from participants will be shared and implications for future tele-mentoring interprofessional educational offerings for therapists will be discussed.
ALIGNMENT OF COMMUNICATION AND SUPPORT NEEDS BETWEEN LGBTQ+ FAMILY CAREGIVERS OF HOSPICE PATIENTS AND PROVIDERS
Authors: Cloyes Kristin , Reblin Maija , Hebdon Megan Thomas , Jones Miranda , Ellington Lee 
Published: December 2022

Abstract
Effective and equitable end-of-life care requires alignment between the support and communication needs of hospice family caregivers and the knowledge and competence of hospice care team members. We investigate alignment between LGBTQ+ caregivers and hospice providers in a secondary analysis of data collected in three studies: 1) Surveys identifying predictors of hospice providers’ (N=122) attitudes toward LGBTQ+ caregivers and patients; 2) focus groups assessing hospice interdisciplinary care team members’ (N=48) knowledge, training, and opinions regarding LGBTQ+ family caregiver and patient communication and care needs; and 3) in-depth interviews with LGBTQ+ hospice family caregivers (N=20). Synthesis of key findings show how alignment is impacted by lack of systematic, inclusive orientation and gender data, provider religiosity, expectations of disclosure, cisheteronormative assumptions about the universality of EOL experiences, and caregivers’ experiences of minority stress. We discuss implications for developing interventions to improve provider communication, empowering caregivers, and addressing hospice-specific sources of minority stress.
A COMMUNITY HEALTH WORKER–LED HOME VISIT INTERVENTION TO SUPPORT DIVERSE DEMENTIA FAMILY CAREGIVERS
Authors: Lee Jung-Ah , Ju Eunae , Sabino-Laughlin Eilleen , Gibbs Lisa , Nyamathi Adey 
Published: December 2022

Abstract
Diverse family caregivers of persons with dementia (PWD) are often faced with challenges in obtaining necessary resources due to limited English-proficiency, accessing available resources, and stigma. Diverse community health workers (CHWs) provided dementia family caregivers culturally and linguistically appropriate education, compassionate listening during a 3-month home-visit intervention. 25 participants were recruited from communities in California: Race/Ethnicity 32% Korean, 32% Vietnamese, 16% Latino, 20% White; 76% Female; 44% Spouse; Age=62.6 (28-83 years); 44% work; English proficiency=2.9 of 5. Recruitment is ongoing. The key themes from the exit interview with participants included (a) accepting the role of a caregiver, (b) better understanding and patience with the PWD, and (c) ongoing support from CHW. The overall satisfaction on the intervention was 4.7/5. The CHW-led home-visit intervention was well-received by ethnically diverse dementia family caregivers. Participants reported the usefulness of education, community resources, and compassionate support delivered in their homes over 3 months.
ALIVIADO HOME HEALTH AND HOSPICE AIDE DEMENTIA CARE EXPERT PROGRAM IMPROVES AIDE DEMENTIA KNOWLEDGE
Authors: Lin Shih-Yin , Durga Aditi , Ford Ariel , Ramos S Raquel , Crespo-Fierro Michele , Sadarangani Tina , Brody Abraham 
Published: December 2022

Abstract
Most persons living with dementia receive home health or hospice aide services during their hospice stay. To equip aides with essential knowledge and skills to effectively communicate with and care for persons living with dementia, we developed a 17-video dementia care expert program for aides, available in both English and Spanish. The objective of this presentation is two-fold: first, describe the development and refinement of the Aliviado aide dementia care expert program, including topic selection, usability testing, and cultural tailoring; and second, discuss aide knowledge improvement, along with special considerations for training aides during COVID-19. The Aliviado dementia care expert program for aides has been completed by 414 aides across 15 hospices as of February 2022; of which, 384 aides (93%) completed a dementia knowledge assessment both before and after the training and demonstrated significant knowledge gains with moderate-to-large effect sizes (p&lt;0.0001; Cohen’s d=0.63).
GENDER DIFFERENCES IN CAREGIVING PRACTICES AND MARITAL RELATIONSHIPS OF SANDWICH GENERATION COUPLES IN MUMBAI
Authors: Hemalatha Sruthi Anilkumar , Sekher T V , Sarif Nawaj 
Published: December 2022

Abstract
Over the next few decades, the most important demographic trend for the Asia Pacific region will be population aging. The increasing aging population in India and the fact that the economic dependence of the older adults is high and the cost of education and child care is on the rise pose serious challenges to generations of individuals and couples who are expected to take care of both their children and their parents. This study's primary objective is to comprehensively understand the effects of giving care to their children and their parents on various aspects of the life of sandwich generation couples. The study uses primary data of 300 multigenerational households and 100 two-generation/one-generation households in Mumbai. Specifically, the study attempts to understand the effect of giving care to two generations on the marital relationship of the caregiving couples. Additionally, the study also explores gender differences in caregiving practices. Results from bivariate and multivariate analyses show that providing simultaneous care to two generations significantly impacts the marital relationship of the sandwiched couples as opposed to couples staying in one/two-generation households. Results also show considerable gender differences in caregiving roles and time spent on caregiving. Women spend more time assisting in household activities, while men are more likely to provide monetary support. Thus, extensive research on the sandwich generation in India is necessary to ensure the socio-economic well-being of the couples, the welfare of their children and parents, and the physical and psychosocial health of these couples.
FEASIBILITY OF A LONGITUDINAL AUDIOVISUAL OBSERVATION PROTOCOL TO CHARACTERIZE LUCIDITY IN ADVANCED AD/ADRD
Authors: Gilmore-Bykovskyi Andrea , Block Laura , Benson Clark , Fehland Jess , Botsch Meghan , Mueller Kimberly , Coulson Alison 
Published: December 2022

Abstract
Episodes of lucidity (EL) among individuals with advanced dementia, which are predominantly reported near end of life, are clinically and potentially epidemiologically significant events. Audiovisual observation offers a valuable approach to studying EL, providing opportunities to characterize verbal/non-verbal features of EL as well as their surrounding contexts. Approaches to capturing and characterizing audiovisual data and potential verbal/non-verbal indicators of EL near end of life are lacking. We determined the acceptability and feasibility of a multi-faceted observational study protocol among people with advanced dementia near end of life incorporating longitudinal audiovisual observation, informant field interviews/logs, and case review of high likelihood EL events. Five eligible individuals were enrolled, yielding a 100% enrollment/retention rate, 54 observations/140 hours of observation across participants. Task load and usability ratings indicate study procedures with iterative refinements were feasible; surveys and qualitative appraisal from participants and staff endorse high rates of acceptability and feasibility.