bluuebunny/crossref_metadata_2025_split huggingface dataset:
HOW DOES THE COVID-19 PANDEMIC AFFECT LATE WORKING LIFE? EUROPEAN EMPLOYMENT TRAJECTORIES FROM 2011 TO 2021
Authors: Schmitz Wiebke 
Published: December 2022

Abstract

Background
One of the immediate impacts of the pandemic was the increase in unemployment and the reduction of working hours - especially among women, those with lower job security and in countries with a weaker social welfare system. The aging society is at further risk, which is already challenged by a growing shortage of workers and the rising costs of pensions. To understand the long-term consequences of COVID-19 for the aging workforce, this paper advances existing research by exploring from a life-course perspective how employment after the COVID-19 outbreak is anchored in larger employment histories (2011–2021).

Methods
Sequence-analyses are applied using retrospective life history data combined with both COVID-19 Surveys (2020–2021) from SHARE including respondents aged 50+. Using cluster-analyses, the resulting sequences are classified into six groups. By applying descriptive-analyses, I examine how these groups differ by gender, work quality, and country.

Results
Older workers – especially men – with continuous full-time employment histories are less frequently affected by unemployment and fewer working hours during COVID-19. Whereas those – especially women – with disruptive employment and part-time work histories are more frequently affected by unemployment after the outbreak of COVID-19. Respondents in countries characterized by social democratic welfare compared to liberal welfare regimes are less likely affected by unemployment during the pandemic. Discussion: The pandemic particularly puts older workers with disruptive employment histories at additional risk of labor market exit. Therefore policymakers need to address inequalities in earlier life to prevent long-term consequences of social inequality caused by the pandemic.
THE ROLE OF MEDITERRANEAN DIET IN THE PRIMARY AND SECONDARY PREVENTION OF ATRIAL FIBRILLATION: A SCOPING REVIEW
Authors: Su Yan , Wu Kuan-Ching , Zaslavsky Oleg , Prasun Marilyn 
Published: December 2022

Abstract
Atrial fibrillation (AF) is the most common cardiac arrhythmia, especially in patients older than 65. The prevalence of AF increased 3-fold over the last 50 years. All treatments, such as cardioversion, ablation, and anticoagulation, are associated with risks and relapses. Besides, these strategies may not apply to all patients with AF. Adherence to the Mediterranean dietary pattern is assumed as an ideal nutritional model for AF. Yet, there is a gap on 1) how adherence to the Mediterranean diet prevents AF and 2) how the Mediterranean diet affects complications in patients with AF. A scoping review was performed in June 2022 to identify studies focusing on the Mediterranean diet and AF. A total of 334 articles were retrieved and 12 met inclusion criteria. Six studies were interventions (n=6) and six were observational studies (n=6). In the six intervention studies, five were nested within the PREDIMED (Prevención con Dieta Mediterránea) study. In AF occurrence (n=6), the results were inconsistent. The Mediterranean diet plus extra virgin olive oil was significantly and favorably related to AF, however, Mediterranean diet plus nuts was not, when compared with the low-fat diet; Mediterranean diet modified how long chain acylcarnitine affected development of AF but not how tryptophan or arginine metabolites affected AF. In patients diagnosed with AF (n=6), Mediterranean diet favorably related to adverse cardiovascular events, oxidative stress, and Mediterranean diet adherence, and did not affect anticoagulation for those taking anticoagulants. Further research is needed to examine how the Mediterranean diet affects the development of AF.
DECREASING PAIN, ANXIETY, AND CONFUSION IN TERMINALLY ILL VETERANS
Authors: Kresevic Denise , Pallaki Muralidhar , Wasil Bridgette , Swanson Marilyn , Burant Christopher 
Published: December 2022

Abstract
Terminally ill patients often receive medications for pain and anxiety that result in sedation that may inhibit communication with their loved ones. Balancing comfort while maintaining meaningful communications is a common dilemma for patients, staff, and families. Many patients report confusion and a decreased ability to communicate with families and health care providers, resulting in fear, anger, and frustration. Additionally, family members (25 to 33%) also feel frustrated and angry not being able to communicate with their loved ones needs and wishes. Delirium, a distressing syndrome characterized by disturbed consciousness, reduced ability to focus attention, altered cognition is experienced by 62–88% of terminally ill patients. Unfortunately, it is often underdiagnosed and undertreated. While not all delirium can be prevented it is estimated that 50% of terminal delirium may be ameliorated. This project was designed to proactively identify terminally ill veteran preferences for nonpharmacological interventions to reduce pain, anxiety, and prevent delirium. In the sample of Veterans from an inpatient VAMC Hospice (n=31) the mean age was 79.46 (sd=10.69); 60.7% were Black and 39.3% were white; 60.9% had cancer and 27.6% had heart failure. The most common patient delirium related behaviors were verbal agitation, physical agitations, physical aggression, anxiety, and confusion. Veterans identified the following comfort priorities: decreased noise (82.6%) and lighting (82.6%), warm blankets (78.3%), music (65.2%), emotional support (73.9%), increased family involvement (43.5%) and (20.8%) going outdoors. Preventative individualized nonpharmacological interventions decreased disruptive delirium related behaviors over 95% of the time and should be incorporated into routine hospice care.
SERVED BY SYSTEMS: AGING WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES AND INEQUITIES IN HEALTHCARE
Authors: Waldron Danielle , Hartford Emily , Sauer Jacquelin , Stokes Jeffrey 
Published: December 2022

Abstract
Adults and older adults with intellectual and developmental disabilities (I/DD) often experience medical complexity, accelerated aging, and shortened life expectancy. This project explores health service utilization (HSU) of adults with I/DD receiving state services in the U.S. over the adult lifespan before and after the implementation of the Affordable Care Act (ACA). Three waves of cross-sectional data (2008–2019) from the National Core Indicators-In Person Survey were analyzed using multilevel mixed effects logistic regression (n=46,284). Older adults with I/DD were more likely to receive a physical exam, flu vaccine, eye exam, hearing test, and a dental exam compared to younger individuals, although these differences were small. Compared to non-Hispanic whites, non-Hispanic blacks were less likely to receive physical exams, flu vaccines, and dental exams; non-Hispanic other were less likely to receive eye exams and dental exams; and Hispanic persons were less likely to receive eye exams, flu vaccines, and dental exams. Individuals with I/DD living in states that expanded Medicaid were at 68% greater odds of receiving a physical exam than those who did not. Our research indicates that overall adults with I/DD are not yet reaching HSU of pre-ACA times, perhaps due to the oversaturation of existing providers. National and state policies, along with individual case management each play a role in ensuring healthy aging of individuals with I/DD. A call to action to better understand and integrate these three entities may help improve the potential for healthy aging of this group.
INADEQUATE PHYSICAL ACTIVITY ON HEALTHCARE EXPENDITURES AMONG MIDDLE AGE AND OLDER WORKING ADULTS IN THAILAND
Authors: Akksilp Katika , Isaranuwatchai Wanrudee , Teerawattananon Yot , Chen Cynthia 
Published: December 2022

Abstract
Physical inactivity is a significant risk factor for developing non-communicable diseases. This study estimates the additional health costs due to physical inactivity in Thai middle age and older working adults. We included participants aged 40 years and above from the Physical Activity at Work study, who had valid physical activity data from ActiGraph. Health costs were collected using the Health and Welfare Survey and the Work Productivity and Activity Impairment Questionnaire in Thailand. Direct and indirect costs (absenteeism and presenteeism) of the most recent illness in the previous month were collected. Active participants were defined as having at least 150 minutes of moderate-intensity equivalent activity per week. Two-part models were used to compare health costs between active and non-active participants. Data from 105 participants aged 40 to 63 were included in the analysis, where 42% of participants were active. Inadequate physical activity was significantly associated with increased direct health costs of 160.5THB (95%CI: 31.3 to 289.7THB) (~7.8 times higher in inactive). Further adjustment for sex, age, education, obesity, and cardiovascular condition yielded similar findings. After incorporating these indirect costs, the societal cost of having inadequate physical activity was 791.22THB (95%CI: 115.6 to 1466.8THB) (~1.3 times higher in inactive), even after adjusting for the covariates. Obesity and the female were also associated with higher societal costs (551.9THB and 342.9THB, respectively), although these results were not significant. Increasing physical activity in middle age and older working adults to meet the current guidelines may reduce Thailand’s health costs.
A MODEL FOR STUDENT PARTICIPATION IN COMMUNITY-ENGAGED RESEARCH FOR OLDER ADULTS: THE ENROLL PROGRAM
Authors: Peterson Matthew , Newsham Tina , Sellon Alicia , Norris Madison , Sidey Leanza , Barnes Christian , Holland William , Rich Jodi 
Published: December 2022

Abstract
The current academic climate has left naturally occurring faculty-led student research experiences and mentoring a challenge. This is coupled with an already existing dearth of future scientists interested in aging-related research. The overarching goal of the Enhancing Research for OnLine Learners (EnROLL) Program is to facilitate research collaboration among undergraduate minoritized students, graduate distance learners, health sciences faculty, and academic partners. The program includes a variety of strategic initiatives, one of which includes building five inter-institutional research cores: epidemiology, preclinical, allied health, applied learning, and community engagement. Here, we present a community-based participatory project led by students and researchers in the EnROLL community engagement core in partnership with local government. Researchers at UNCW were contacted by New Hanover County Parks & Gardens staff to assist in wellness planning for area older adults. Two surveys were developed: Nf103 community members and Nf8 staff members completed separate surveys. Community respondents were 60.8 +/- 13.7 years old, 72% female, and 80% Caucasian. Approximately 58% of community respondents were at least somewhat likely to participate in wellness programming at County locations. Based on preferred days, times, and types of classes of the respondents, a comprehensive weekly schedule of wellness classes was developed and provided to County staff for implementation under the guidance of a UNCW masters student. This community engagement project, and the EnROLL program, can serve as a model for student-engaged, aging-related research in the health sciences, particularly as gerontologists work to diversify the demographics of researchers who focus on aging.
WORKING TOWARD AN AGE-FRIENDLY UINDY: EXAMINING THE PROCESS AS IT UNFOLDS
Authors: Borrero Lisa , Ewen Heidi 
Published: December 2022

Abstract
Universities must adapt by expanding their understanding of inclusivity in higher education, acknowledging new aging-related career opportunities for students and their role as destinations for lifelong learning and community engagement for older adults. Accordingly, nearly 100 institutions have committed to age-inclusivity on their campuses by achieving Age-Friendly University (AFU) designation. For those interested in pursuing this designation at their institutions, an important part of the process is learning from one another about strategies used at other campuses that could be tailored to their own needs. With this in mind, this poster presentation will outline the initial strategies and resulting outcomes of the path to AFU designation at the University of Indianapolis (UIndy) via a preliminary “discovery” phase. Using GSA’s Tools for Advancing Age Inclusivity in Higher Education as a guide, AGHE members at the University of Indianapolis are in the beginning stages of their own process, characterized by discussions with various campus stakeholders during the recent spring semester. This “listening tour” has revealed strong support of the AFU principles and an eagerness to be part of an age-inclusive vision. These conversations have identified existing infrastructure and other strengths that support age-inclusivity, as well as current challenges to be managed and new opportunities to pursue. The authors will also describe the next phase of the process, including interviews with older UIndy alumni and retired faculty and staff about engagement with retired community members, as well as subsequent steps, such as working with colleagues to design viable age-friendly initiatives.
GAUGING INTEREST AND NEEDS IN PROFESSIONAL DEVELOPMENT AND CONTINUING EDUCATION IN AGING IN MANITOBA, CANADA
Authors: Porter Michelle , Kops William , Dunn Nicole 
Published: December 2022

Abstract
The Centre on Aging at the University of Manitoba in Canada conducted a needs assessment on continuing education (CE) and professional development (PD) in aging with people who work and connect with older adults. During winter and spring 2022, an online survey of 35 questions asked respondents about their own or their staff and volunteer topics of interest, as well as logistics of CE/PD workshop training. A total of 146 participants responded. Respondents were from different regions of Manitoba, with the highest proportion (42%) located in the Winnipeg region. About 86% were female and 12% male, ranging in age from 18 to 75: with most falling in the 35 to 64 age range. Respondents were asked to indicate their level of interest for topics on a five-point scale from Not Interested to Very Interested. The topics Aging Through the Lifespan and Wellness received the highest number of responses, while Indigenous Aging received the least. Across the 1,712 individual ratings of suggested topics, the highest proportion were rated as interested (35%) and very interested (31%); while 19% rated level of interest as moderate, 11% minimal, and 4% not interested. When asked about potential workshop formats, the majority (63%) preferred a mix of both in-person and online delivery formats with preference for 1–2-hour workshops and a certificate as proof of completion. About two-thirds indicated a requirement to complete CE/PD credits to maintain related credentials. These findings provide considerations for higher education institutions on CE/PD for those working and connecting with older adults.
ADVANCING DIVERSITY IN ADRD/AGING RESEARCH AND CLINICAL CARE: EDUCATIONAL AND CAREER TRAJECTORIES OF MSTEM MENTEES
Authors: Thompson Sheri 
Published: December 2022

Abstract
As an NIA-funded mentorship program, MADURA addresses the lack of diversity among Aging and Alzheimer’s Disease & Related Dementia (ADRD) researchers and clinicians. Aims include improving retention and academic success of URM MSTEM undergraduates, and increasing rates of graduate/medical school applications and entry into Aging/ADRD clinical careers. MADURA offers paid research lab experience, weekly whole-cohort research skills training, guest seminars and presentations, and weekly faculty-facilitated small group supervision, advising and support. It served 23–29 undergraduates/quarter, in its initial five quarters. The Program accepts students at varying undergraduate educational levels, particularly because students from target populations often enter as Junior-level transfers from community colleges. Thus, although the Program just completed its second year, 17 MADURA trainees have already graduated. While ongoing data collection on Program, Mentor and Student Mentee performance is beneficial, outcomes data are of utmost importance to ensuring achievement of aims. This poster will present descriptive data on MADURA graduates’ immediate employment and educational activities. Notable findings include a significant proportion of trainees who take a gap year before applying to graduate or medical school (for financial and personal reasons), and others taking internships, post-baccalaureate training or research jobs, to strengthen future medical and graduate school applications. Understanding the multiple pathways of recent graduates will enable mentorship programs to help current trainees critique and optimize preparations for their selected educational and career trajectories. These findings also suggest additional mentorship program outcomes of interest (beyond a sole focus on graduate program acceptance), and the need for longer-term alumni follow-up.
THE IHSS+ ADRD TRAINING PROJECT: BOLSTERING THE DEMENTIA CARE WORKFORCE IN CALIFORNIA
Authors: Yeh Jarmin , Pond Brittney , Beld Matthew , Eldridge Corinne , Ross Leslie 
Published: December 2022

Abstract
California’s In-Home Supportive Services (IHSS) program provides vital home care to low-income consumers, some of whom live with Alzheimer’s disease or related dementias (ADRD). Yet, most IHSS caregivers receive little or no training in dementia care. With the prevalence of ADRD among Californians age 55+ projected to increase 127% by 2040, reaching over 1.5 million people, the IHSS consumer population living with ADRD will likely increase at a similar rate, exacerbating the need for dementia-trained home care workers. This poster describes preliminary outcomes of the IHSS+ ADRD Training Project, a 10-week, competency-based training program, aiming to reach 600 IHSS caregivers in Alameda County, California, by 2024. All planned in-person activities switched to virtual strategies due to the COVID-19 pandemic. To date, 348 IHSS caregivers have been trained through 16 classes, with 9 classes offered in English, 3 classes in Spanish, and 4 classes in Cantonese. A quasi-experimental, longitudinal design was used to evaluate the project’s impact through pre, post, and 3-month follow-up surveys. Caregiver outcome measures included the: 1) Dementia Knowledge Assessment Tool 2, 2) Fortinsky self-efficacy scale, 3) Caregiver Self-Assessment Questionnaire, and 4) Patient Health Questionnaire-2. Preliminary outcomes trend toward significant increases in caregivers’ knowledge about ADRD and self-efficacy to maximize care they provide to consumers. While caregivers also reported slight increases in stress and depression, they expressed high levels of satisfaction with the training. Future analysis will include comparing IHSS caregiver outcomes to healthcare utilization patterns of IHSS consumers before and after their caregiver’s participation in the training.
TIPS FOR TIMELY (AND POSITIVE) REVIEWS: THE INTERNATIONAL JOURNAL OF AGING & HUMAN DEVELOPMENT
Authors: Patrick Julie Hicks , Nehrkorn-Bailey Abigail , Nadorff Danielle 
Published: December 2022

Abstract
For more than 40 years, under the leadership of four editors and two publishers, The International Journal of Aging and Human Development (IJAHD) has featured multidisciplinary scholarship related to aging processes and older adults. With the publication of eight issues a year, with over 800 pages of scientific content, the IJAHD places emphasis upon psychological and social studies of aging and the aged. However, the Journal also publishes research that integrates observations from other disciplines that illuminate the "human" side of gerontology. A more recent focus includes midlife development, as well. About half (47%) of the publications in the IJAHD are from international colleagues. This presentation will discuss tips for both international and US-based scholars for ensuring timely reviews and positive decisions for manuscript submissions, including such areas as key words, suggesting unbiased reviewers, formatting, writing mechanics, clearly-articulated methods, and a sound theoretical basis.
REVISITING THE TEACHING NURSING HOME: QUALITATIVE ANALYSIS OF NURSING STUDENTS’ CLINICAL EXPERIENCE
Authors: Morgan Brianna , Foley Kierra , Hodgson Nancy , Kolanowski Ann , Strauch Kim , Zionts Nancy , Dickson Chelsea , Degenholtz Howard 
Published: December 2022

Abstract
Revisiting the Teaching Nursing Home is a two-year pilot project to address the long-term care workforce shortage by introducing nursing students to geriatric nursing while also improving quality of care within nursing homes. The initiative has multiple components: enhanced clinical rotations for nursing students with partner schools of nursing, implementation of the Institute for Healthcare Improvement Age-Friendly Health System “4M” quality improvement model, and an online learning network. Undergraduate and graduate nursing students at three Schools of Nursing participated in clinical experiences at regional nursing homes. Students completed an “activity feedback” form after each clinical rotation at the nursing home or related activity, such as a session about the 4Ms or quality improvement/assessment. The activity feedback form asked students to share their most important takeaway and suggestions for improvement. Data from 340 feedback forms was coded qualitatively using conventional and directed content analysis using the American Association of Colleges of Nursing (AACN) Essentials for Professional Nursing Education. Multiple coders and audit trials were used to establish rigor. Students’ takeaways encompassed 7 of 8 key concepts in the AACN Essentials; Knowledge for Nursing Practice, Person-Centered Care, and Interprofessional Partnerships were most frequently mentioned. Students provided numerous suggestions for improving their clinical experiences including facilitated learning from instructors and supported engagement with nursing home staff. In conclusion, the program addressed many of the core competencies designated by AACN. One recommendation that flows from these findings is to enhance the role of clinical preceptors in the nursing home setting to facilitate mentored training.