bluuebunny/crossref_metadata_2025_split huggingface dataset:
A CITATION REVIEW OF DISSEMINATION AND IMPLEMENTATION MODELS UTILIZED IN AGING RESEARCH WITHIN THE UNITED STATES
Authors: Sullivan Jennifer , Montano Anna Rae , Davila Heather , Shin Marlena , Hawley Chelsea , Hughes Jaime , O'Malley Kelly , Pimentel Camilla 
Published: December 2022

Abstract
The application of implementation science in aging research has been growing. To our knowledge, there has been no study detailing the Dissemination and Implementation (D&I) Models utilized in aging research. The goal of this citation review is to further understand D&I models frequency and nature of their use in aging research. We identified 111 Dissemination and Implementation (D&I) Models compiled on the dissemination-implementation.org website. We then conducted a citation analysis on them, searching Web of Science and PubMed databases. We extracted key data from identified articles up to January 28, 2022. Search terms were broad and included aging, older, elderly and geriatric. To be included, articles had to be in peer-reviewed journals, in English, and occur in the United States. We identified 297 articles meeting our eligibility criteria. The nature of the way D&I models used to advance evidence-based practice in aging research and practice varied as did the number of citations over time. Of the D&I models included in this review, only one (4E Framework) was developed within the aging research field. The top five models included: CFIR, RE-AIM 1.0, Behavior Change Wheel, Greenhalgh Diffusion of innovation in Service Organization and CBPR. Citations were distributed across many frameworks and yet only totaled less than 1% of all D&I Model citations suggesting there are many ways the field can grow in the future.
HOME-DELIVERED MEAL DELIVERIES AND FEELINGS OF SAFETY FOR OLDER AMERICANS ACT PARTICIPANTS
Authors: Pendergrast Claire , Menne Heather 
Published: December 2022

Abstract
Home-delivered meals supported by the Older Americans Act (OAA) serve a dual purpose of improving nutritional intake and providing regular social contact for older adults. This regular contact can increase feelings of safety experienced by meal recipients. The benefits of home-delivered meal services may vary between meal recipients based on sociodemographic characteristics. Variation in home-delivered meal clients’ reports of feeling safer at home because of regular meal delivery visits was examined to support ongoing efforts to increase social engagement and equity through the delivery of OAA services. Using data from the 2019 National Survey of Older Americans Act Participants (NSOAAP) home-delivered meal module, descriptive statistics and logistic regression were conducted to identify the characteristics associated with feeling safer at home because of meal delivery visits. The majority (85%) of meal recipients report feeling safer because of meal delivery visits, and rates were especially high for rural recipients (92%), those with a high school education or less (89%),racial/ethnic minorities (94%), and those with three or more ADL limitations (90%). Logistic regression found that rural residence (OR=3.3), lower educational attainment (OR=2.0), racial/ethnic minority status (OR=4.7), living alone (OR=1.6), and having 3+ ADLs (OR=1.9) were significantly associated with higher odds of feeling safer at home because of meal delivery visits; however, age, gender, and suburban residence were not significant. Findings suggest that benefits of home-delivered meal programs are supporting the needs of traditionally disadvantaged groups and broadly increasing meal recipients’ sense of safety in their homes.
LINKING DISADVANTAGED HEALTHCARE PATIENTS TO HOME- AND COMMUNITY-BASED SERVICES: CAN NEEDS BE MET?
Authors: Ejaz Farida , Rose Miriam , Reynolds Courtney 
Published: December 2022

Abstract
As part of a larger study examining the social determinants of health, the current analysis focuses on 254 older and disabled, Medicare Advantage patients from 19 primary care clinics in Texas. The patients faced challenges such as depression, limitations in activities of daily living (ADL) and dementia. They received a home-based, social work intervention to examine their needs, an individualized care plan was created, they were offered home and community-based services, and followed over a four-month period. The median age of the sample was 69 years, 71% were Hispanic/Latino, 80% had a high school education or less, and 76% had a monthly income of less than $1,361. A total of 823 needs were identified in these patients, and 1,126 service recommendations were made. Some needs required more than one service recommendation or vice versa. The most frequently identified needs involved food assistance (136 patients received 220 nutritional service recommendations), home modifications/housing (118 patients offered 159 services), and ADLs (115 patients, 147 services). During the four-month period, social workers reported that services related to food assistance met patient needs 61% of the time; 52% for home modifications/housing; and 75% for ADLs. Reasons for unmet needs included service applications still in process/waiting lists; services being unavailable (e.g., lack of mental health providers); and refusals by patients, and family/friends. Practice and policy implications include the possibility that four months is not enough time to fully address needs, and some patients may need more intensive assistance and motivation to apply for and access services
DUAL-TASK TRAINING FOR IMPROVING COGNITIVE-MOTOR INTERFERENCE
Authors: Bhatt Tanvi , Kannan Lakshmi 
Published: December 2022

Abstract
Dr. Bhatt will discuss the differences in types of cognitive motor interference patterns experienced for different tasks (gaitand volitional versus reactive balance) in cognitively intact versus people with mild cognitive impairment. She will discuss the effectiveness of dual-task training and exergaming on gait, volitional and reactive balance control in older adults with mild cognitive impairment. After 4 weeks of such training, the results showed beneficial effects on improving volitional based performance when performed with a cognitive task (i.e., spatial memory and executive function) and had significant improvement in NIH toolbox (cognitive- increased working memory, episodic memory and executive function, and motor-increased gait speed). However, its positive effects on dual task reactive balance control were limited. Additionally, the speaker will go on to discuss the associations of balance control deficits in mild cognitive impairment with neural correlates (structural and functional brain integrity) to understand the attributing factors to increased fall risk in people with mild cognitive impairment.
“PEOPLE DON'T LIVE IN A VACUUM”: CO-DEVELOPING A BRAIN HEALTH PILOT PROGRAM IN THE COMMUNITY THROUGH CITIZEN SCIENCE
Authors: Wang Claire , Gan Daniel Rong Yao , O'Dea Eireann ,   Brain Health in the Community (BHIC) Steering Committee
Published: December 2022

Abstract
The Psychosocial Model of Everyday Cognitive Resilience identifies social identity as an important determinant of older adults’ wellbeing as they experience cognitive decline in community settings. We engaged community-dwelling older adults to assess the model and co-develop programs that address existing gaps through twelve focus groups. N=55 older adults were recruited from various community organizations. Two 1-hour sessions discussed (1) variables that were important to older adults, namely neighbourhood friendship and social experiences, and (2) how these mediated the effects of self-expression, time outdoors, and communal provisions on mental wellbeing. Many participants highlighted the importance of strong friendship for deeper needs such as grief support, whereas others pointed out the relevance of meaningful activities or volunteering opportunities for a sense of purpose. Overall, a speed-friending program with an emphasis on listening was desirable for connecting and contributing socioemotionally to develop “happy medium” friendships, while piloting evidence-based interventions for brain health.
THE ASSOCIATION BETWEEN COGNITION AND METABOLIC BIOMARKERS AMONG PARTICIPANTS FROM THE CHARLS LONGITUDINAL COHORT
Authors: Chen Diefei 
Published: December 2022

Abstract
Inflammatory or kidney-related metabolic biomarkers have been correlated with cognition and risk for developing dementia among older adults. Using the China Health And Retirement Longitudinal Study, we investigated the cross-sectional correlations between metabolic biomarkers and cognitive outcomes that were ascertained in the same wave, as well as measures lagged by data collection waves. After excluding participants with diagnoses of dementia, we analyzed the association of each biomarker (e.g., White Blood Cell count, Creatinine, Blood Urea Nitrogen, Uric Acid, Cystatin C, C-Reactive protein) with scores from cognitive tests. We then identified biomarkers that showed consistent associations across waves. Having elevated CRP (1-3 mg/L) was positively associated with cognitive test scores; whereas abnormal levels of Creatinine (Low: &lt;0.74 for male and &lt;0.59 for female; High:&gt;1.35 for male and &gt;1.04 for female) were associated with poorer outcomes. These results provide biomarker evidence of the importance of kidney function and inflammation in dementia research.
THE BLUES AND OLDER MINORITY MUSICIANS: MORE THAN JUST MUSIC XXIX
Authors: Migliaccio John , Marcus Michael 
Published: December 2022

Abstract
The “ ’Bo Diddley’ Track”; GSA, 2022 Indianapolis, INLIndianapolis has been described as “The Crossroads of America,” with a long history of fostering the music and entrepreneurial spirit of Black Americans. Starting in 1915 with Mrs. C.J. Walker, America’s first female millionaire and her cosmetic enterprise, and the Starr Piano Company and its Gennett Records Studio – identified as “The Cradle of Recorded Jazz” in the 1920s and 30s – both were instrumental in national distribution of the works of the earliest blues, jazz, country, and gospel artists including Louis Armstrong, King Oliver, Alberta Hunter, and Charlie Patton among others.Indianapolis continues to host a thriving Blues music community, and will host the 29th consecutive year of GSA’s “Bo Diddley Track” with local older minority musicians, one of GSA’s most popular and fun events. This year will feature a lecture, interview, and mini-performance with leading local blues musicians exploring their life, influences, music and resilience, followed by a typically raucous live blues performance that evening at a local blues hot-spot, with prizes for the first 50 GSA attendees. This has been going on for 29 years for a reason, folks---don’t miss it!
THE BLUES AND OLDER MINORITY MUSICIANS: MORE THAN JUST MUSIC XXIX
Authors: Migliaccio John 
Published: December 2022

Abstract
The Blues and Older Minority Musicians: More Than Just Music XXIXThe “ ’Bo Diddley’ Track”; GSA, 2022 Indianapolis, INLecture/Interview/ Performance: TBAIndianapolis has been described as “The Crossroads of America,” with a long history of fostering the music and entrepreneurial spirit of Black Americans. Starting in 1915 with Mrs. C.J. Walker, America’s first female millionaire and her cosmetic enterprise, and the Starr Piano Company and its Gennett Records studio – identified as “The Cradle of Recorded Jazz” in the 1920s and 30s – both were instrumental in national distribution of the works of the earliest blues, jazz, country, and gospel artists including Louis Armstrong, King Oliver, Alberta Hunter, and Charlie Patton among others.Indianapolis continues to host a thriving Blues music community, and will host the 29th consecutive year of GSA’s “Bo Diddley Track” with local older minority musicians, one of GSA’s most popular and fun events. This year will feature a lecture, interview, and mini-performance with leading local blues musicians, followed by a typically raucous live blues performance that evening at a local blues hotspot, with prizes for the first 50 GSA attendees. This has been going on for 29 years for a reason folks---don’t miss it!
AN EXAMINATION OF MEDICATION UTILIZATION DURING MEDICARE HOSPICE ELECTION: A NATIONAL STUDY
Authors: Christian Thomas , Plotzke Michael 
Published: December 2022

Abstract
In addition to drugs received through the Medicare hospice benefit, each year Medicare hospice beneficiaries receive nearly $700 million in medications through Medicare Part D. Little is known about the nature of these medications. To explore this issue, we identified all beneficiaries who were enrolled in Part D and elected hospice during Calendar Year (CY) 2020. We cross-walked hospice dates of service to Part D medication fill dates. We also collected information on drugs hospices themselves provided and voluntarily reported on hospice claims. Nationally, 1.2 million out of 1.8 million beneficiaries had some drugs provided, through hospice alone (406,423), Part D alone (412,810), and also from both sources (348,659). Medications from Part D tended to be more expensive, upwards of $40 per fill, compared to medications from hospices, which were about $15 per fill or less. Moreover, we found that 98,561 of beneficiaries (8.4%) received the exact same drug from both sources. Across diagnoses, the daily rates of pre-hospice Part D utilization were nearly identical to Part D utilization after electing hospice, and there was no relation to prior Part D use and hospice election duration. Categorically, the greatest amount of Part D expenditures during hospice are for diabetic therapies ($100.2 million), followed by anticoagulants ($97.8 million) and bronchodilators ($57.2 million). CMS should continue to monitor the provision of medications during hospice to maintain the integrity of the benefit and to ensure beneficiaries receive adequate care.
CHALLENGES ASSOCIATED WITH AND LESSONS LEARNED FROM AGGREGATING MEDICAL AID IN DYING DATA IN THE UNITED STATES
Authors: Nowels Molly , Kozlov Elissa 
Published: December 2022

Abstract
Nine U.S. jurisdictions have legal Medical Aid in Dying (MAID) and produce publicly available data on the use of MAID. We performed a retrospective observational cohort study of MAID data from Oregon, Washington, California, Colorado, Washington DC, Vermont, Hawaii, New Jersey, and Maine. We investigated the total number of deaths from self-administered lethal medications, number of prescriptions for MAID written, characteristics of MAID users and requesters, and challenges of aggregating these data. Over the last 22 years of publicly available data from all states or jurisdictions that have legalized MAID, demographics data was collected for 1,949 people who died by MAID. Persons using MAID were more likely to be non-Hispanic white (95.6%), have some college education (72.2% vs. 26.2%) and a cancer diagnosis (74.0% cancer, 10.9% neurological illness, 15.1% other). Patients who died from MAID prescription ingestion were more likely to have insurance (88.9% insured vs 11.1% uninsured or unknown). Aggregating data came with multiple challenges including states collecting data on different populations (deaths vs prescriptions), with different variable categories, and for different time intervals for reports. More research is needed to better understand why MAID is currently being accessed by an overwhelmingly white, educated, and insured population. This research also highlighted the need for a national research agenda on Medical Aid in Dying. As more states plan to adopt MAID legislation, having standardized data collection elements will help to elucidate how these policies are being implemented and accessed.
CARING FOR OLDER ADULTS ACROSS THE CARE CONTINUUM: EXPERIENCES OF OLDER ADULTS AND FORMAL CAREGIVERS
Authors: DiMaria-Ghalili Rose Ann , DiMaria-Ghalili Rose Ann 
Published: December 2022

Abstract
As individuals age, they are at risk of experiencing health challenges that can contribute to poorer health outcomes and increase health care costs. During acute care crises and through the continuum of dealing with chronic diseases, older adults rely on formal caregivers to provide care and support. Formal caregivers’ delivery of care can be challenged during difficult patient cases (e.g., providing wound care to a person exhibiting behavioral and psychological symptoms of dementia) and during high stress times, such as working through a pandemic. However, during difficult times, resilience among formal caregivers can have a positive affect on care delivery. This symposium identifies some of the health challenges experienced by aging adults, challenging experiences of nurses, levels of resilience among formal caregivers, and discusses the implications for nursing care and future research. Ms. Coates examines trends in adverse drug admissions among older adults in the United States using the 2018 Healthcare Cost and Utilization Project’s National Inpatient Sample. Dr. Hwang explores the relationship between nutrition, inflammation, and physical and mental health in aging adults with chronic leg wounds. Dr. Sefcik discusses nurses’ experiences caring for community-dwelling persons living with dementia and chronic wounds. Mr. Hathaway examines factors that contribute to resilience in staff of a continuing care retirement community during the late stage of the COVID-19 pandemic. Dr. DiMaria-Ghalili, discussant, will synthesize these findings and offer insights on designing interventions to address health challenges and recommendations for supporting formal caregivers.
TRENDS IN ADVERSE DRUG EVENT ADMISSIONS AMONG OLDER ADULTS IN THE UNITED STATES
Authors: Coates Martha , Shewokis Patricia , DiMaria-Ghalili Rose Ann 
Published: December 2022

Abstract
Older adults experience adverse drug events (ADEs) putting them at risk for increased morbidity and mortality. Utilizing the 2018 Healthcare Cost and Utilization Project’s National Inpatient Sample, we identified the prevalence of ADE admissions among adults 65 and older and examined the differences in characteristics and discharge outcomes in those with and without a primary diagnosis of an ADE (n=2,647,673). ADEs accounted for 7.4% of discharges and had higher odds of needing post-discharge care including transfer to a skilled nursing facility (OR=1.08, 95% CI [1.07, 1.09]) and home-health care (OR=1.1, 95% CI [1.09,1.1]). In the ADE group, hospital charges were higher ($39,609 vs. $38,649, p&lt; .01) and length of stay (6+ days) longer (OR=1.53, 95% CI [1.52,1.55]). Opiates, diabetic agents, benzodiazepines and narcotics were frequently associated with ADEs. Older adults discharged after an ADE have increased healthcare utilization. Education on medication self-management is needed to prevent ADEs in older adults.
HOSPICE UTILIZATION AMONG MEDICAID-ONLY AND DUALLY ELIGIBLE DECEDENTS IN CONNECTICUT
Authors: Robison Julie , Migneault Deborah , Shugrue Noreen , Charles Doreek , Richards Bradley , Wakefield Dorothy , Dillon Ellis , Lambert Dawn 
Published: December 2022

Abstract
Individuals with Medicaid as their health care payer source may be either “Medicaid-only,” or “dually eligible,” i.e., qualifying for both Medicaid and Medicare. Medicare included hospice as a full Medicare benefit in 1982; Hospice is an optional Medicaid benefit for states; Connecticut added the Medicaid hospice benefit in 2010. This study explores hospice use in Connecticut’s Medicaid program by comparing hospice use and length of hospice enrollment by Medicaid-only vs. dually eligible and by diagnosis for decedents who died between 2017 and 2020 and had a hospice-appropriate diagnosis. This analysis of 2,990 Medicaid-only and 24,881 dually eligible decedents finds that dually eligible decedents had a significantly (p&lt;.001) higher rate of hospice use (48.1%) compared to Medicaid-only decedents (29.9%). Medicaid-only decedents received hospice for a median of 12 days vs. 13 days for the dually eligible (p=.12). Dually eligible decedents consistently received hospice more often than Medicaid-only decedents across all diagnoses (cancer (p&lt;.05) circulatory (p&lt;.001), dementia (p&lt;.001), respiratory (p&lt;.001) and stroke (p&lt;.001)). Dually eligible decedents had significantly more days of hospice than Medicaid-only decedents for subgroups with a circulatory (p&lt;.05) or stroke (p&lt;.05) diagnosis, but Medicaid-only decedents with a dementia diagnosis had more days of hospice than their dually-eligible counterparts. Additional multi-variate analysis will demonstrate how other factors, like age, may account for differences. Recommendations include encouraging physician use of hospice screening tools and developing education interventions with physicians and patients to increase understanding of the availability and benefits of hospice with particular focus on Medicaid-only patients.
NURSES' EXPERIENCES CARING FOR PERSONS LIVING WITH DEMENTIA AND CHRONIC LEG WOUNDS IN THE COMMUNITY
Authors: Sefcik Justine , Hernandez Olivia , Stoll Isabella , Hathaway Zachary , Bass Ellen , DiMaria-Ghalili Rose Ann 
Published: December 2022

Abstract
A gap exists with understanding the care required for community-dwelling persons living with dementia (PLWD) who have chronic wounds. As one step to address this gap we explored the experiences of nurses who care for community-dwelling PLWD that have chronic diabetic foot and venous leg ulcers. A qualitative descriptive approach with a conventional content analysis was undertaken. We conducted 5 focus groups with Home Health Nurses (n = 13) and nurses holding specialty certifications (e.g., wound care) (n = 3); 87.5% female, 69% White, non-Hispanic, mean age = 52 (range 32-67), mean years of experience as a nurse = 23.8. The main themes identified were 1) the challenges with dementia (e.g., confusion, taking dressings off), 2) concerns about the person (e.g., medical issues, financial considerations), and 3) adjusting interventions (for wounds and behavioral symptoms). Study findings can inform the develop of future novel interventions for PLWD and chronic wounds.
COVID-19 PANDEMIC AND RESILIENCE IN STAFF OF A CONTINUING CARE RETIREMENT COMMUNITY
Authors: Hathaway Zachary , Fisher Kathleen , Coates Martha , Hufnal Shelby , Stoll Isabella , Sefcik Justine , DiMaria-Ghalili Rose Ann 
Published: December 2022

Abstract
Residents and staff of continuing care retirement communities (CCRC) experienced many challenges during the COVID-19 pandemic including loss, social isolation, and staff turnover. This study examined factors that contribute to resilience in staff during the late stage of the pandemic using the Connor-Davidson Resilience Scale. Resilience scores ranged from 0 (low) to 100 (high). A total of 96 staff (76% female) were enrolled, and average age was 48.41 years (SD = 16.16). Average resilience in staff was 75.16 (SD = 11.81). Those under 35 years of age reported lower resilience scores (M = 67.38) compared to those 35-49 years of age (M = 76.65), 50-64 (M = 75.83), and 65 years and older (M = 82.71), p &lt;.05. Staff who were married scored higher than those who were not (M = 76.63 vs 69.05), p &lt; .05. Findings can inform professional development programs aimed at increasing coping skills in staff.