bluuebunny/crossref_metadata_2025_split huggingface dataset:
TAILORED INTERNET-BASED SEXUAL EDUCATION FOR OLDER ADULTS: NEEDS ASSESSMENT AND ALGORITHM DEVELOPMENT
Authors: Berdychevsky Liza , Nimrod Galit , Rogers Wendy 
Published: December 2022

Abstract
Many older adults are sexually active, but ageism fuels the neglect of older adults' sexuality in research and sexual education. The purpose of this study was to (1) assess older adults’ willingness to adopt technology tools to receive innovative, tailored sexual health education via the internet, (2) investigate their sexual health needs, and (3) contribute to development of an assessment tool and tailoring algorithm. Tailoring is a precision approach that matches educational content to users’ needs instead of offering the same suboptimal one-size-fits-all content to everyone. We conducted an online survey using Qualtrics research panels of older adults (N = 836, with equal representation by gender and balanced representation in each 5-year cohort from age 60 to 80+). We found that 30% reported they were likely to try tailored internet-based education for older adults; an additional 34% were unsure. The results establish priority areas in sexual health needs, including behavioral patterns, knowledge gaps, health-related constraints, and attitudinal and communicational issues. These components provide the basis for the tailoring assessment questionnaire. Respondents also rated the personal relevance of 28 educational modules covering sex in later life (e.g., sexual ageism, sex as quality-of-life issue, sex-related communication, body image, health conditions, gender-specific issues, sexual attitudes, broadening sexual definitions and repertoires, sexual adaptations, inhibitions, sex aids/toys/robotics, medications/treatments, orgasm, self-stimulation/masturbation, dating, risk-taking, celibacy, LGBTQIA+, sexual rights, abuse). Statistical relationships between sexual health needs and personally relevant modules contribute to the development of a tailoring algorithm for creating educational bundles matched to older adults’ unique needs.
INTERNET LITERACY FROM GRANDCHILDREN OR YOUNGER GENERATION: A NEW DIRECTION FOR GERONTECHNOLOGY
Authors: Sarker Ananya , Kahana Jeffrey , Kahana Eva 
Published: December 2022

Abstract
Internet literacy offers a modern set of tools that can help older adults achieve the three pillars of successful aging, especially in the post-pandemic world. In the United States, older adults have shown significant growth in the usage of the internet and online services. However, information and social connectivity for older adults with lower incomes and education levels still lag. The current pandemic raises the public question of whether internet access and education should be deemed as a basic human right. Internet access is even more critical for older adults who need additional technology access and training, tailored to fit their varying experience, disability, and cognitive ability levels. The pandemic has demanded numerous technological skills for daily life: videoconferencing to carry on work, ordering groceries, taking exercise classes online, talking to family members and healthcare providers, and now registering for vaccination. Thus older adults need help with technology use more than ever. We need awareness of the “digital divide” and collaboration from designers, developers, services, products, and programs or interventions from various public and private sources. Identifying social and logistical barriers to technology literacy, we propose a conceptual model of using intergenerational training strategies to ameliorate the digital divide experienced by older adults. In this paper, we will review successful intergenerational programs like Students to Seniors, and Zoomers to Boomers, and introduce a similar model for internet literacy. The intergenerational mentoring model is advocated due to its wide-ranging potential benefits for both the older generation and the younger generation.
THE EXPLORATION OF CORRELATES OF LONELINESS AMONG COMMUNITY-DWELLING OLDER PEOPLE’S TECHNOLOGY LITERACY
Authors: Kang Suk-Young , Kim Jeungkun , Poplawski Antonina 
Published: December 2022

Abstract
Social isolation is a major public health risk among older adults, even considered to be as harmful as smoking. The aim of this study was to explore the benefits of digital literacy and the correlates related to levels of loneliness on older people.Mail-survey data were collected from community-dwelling adults over the age of 65. There were 192 total participants, with information from 180 people being included in the analysis.The six-item De Jong Loneliness Scale was used to measure levels of loneliness. Among the 180 participants, the mean was 2.02 (SD = 1.68).Regression analysis revealed that the equation explained 48.2% of variance (adjusted R-squared = .446) in levels of loneliness (F (11,162) = 13.682, p &lt;.000). Variance inflation factor (VIF) values were smaller than 10, indicating that multicollinearity among the correlates was not an issue. Correlates of levels of loneliness included aging anxiety, depression, social network, and self-evaluated technology literacy with computer software programs compared to peers. Results confirmed the correlates related to loneliness among older people identified in previous studies. This shows quality of life related to mental health may be improved by a positive attitude towards technology use.This study further found that digital literacy affects loneliness when controlling for income, depression, level of network, and physical health.Participants who could increase their digital literacy are interested in more opportunities on how to use new technology. Policy changes that allow for lifelong learning options could support this, while also decreasing levels of social isolation and loneliness.
GIVING AND GETTING ACROSS THE GENERATIONS: NEW INSIGHTS INTO INTERGENERATIONAL TIES
Authors: Carr Deborah , Carr Deborah 
Published: December 2022

Abstract
Population aging raises debates about who will care and provide for older adults, while shifting economic and family patterns suggest that young adults may require ongoing support from their (grand)parents. These five papers use diverse methods and data to shed new light on upward and downward intergenerational exchanges. Fingerman and colleagues use data from a small racially diverse sample of young adults (ages 18 to 29) providing care to grandparents. They document psychological benefits yet potentially harmful life course disruptions (e.g., education). Wiemers and co-authors use the Health and Retirement Study Core and COVID-19 Module to document how adult children’s transfers of time, money, and coresidence changed in response to the COVID-19 pandemic. Minoritized and lower SES older adults were less likely to receive help from family members, due to children’s constraints. Whitworth documents disparities in the types of support college students receive from midlife parents, using the Panel Study of Income Dynamics Transition to Adulthood Supplement. Higher SES parents tend to provide financial support, whereas lower SES parents provide coresidence. Silverstein et al. use multigenerational data from Longitudinal Study of Generations. They find religiosity of parents during the offspring’s adolescence affects their cognitive and behavioral religiosity in later life. Avni uses cross-national attitudinal data from the International Social Survey Programme (ISSP) and finds that Americans believe family should be responsible elder care, whereas Israelis and Germans believe the government should provide care. The discussant highlights implications of the study results for research and policies regarding intergenerational relations.
UNDERSTANDING THE PREDICTIVE FACTORS THAT INFLUENCE THE PERCEIVED BURDEN OF DEMENTIA CAREGIVERS
Authors: Lucas Kaitlyn , Judge Katherine 
Published: December 2022

Abstract
Burden is a significant negative outcome for caregivers of individuals with dementia. Guided by the Stress Process Model, the following study examined the impact of several novel constructs on burden including: compassion for others, family functioning, coping styles, and positive and negative affect. Data were gathered through Amazon Mechanical Turk from 102 dementia caregivers. Participants were 62% female, 72% Caucasian with a mean age of 39.5 years old. Burden was significantly related to positive affect (r =-.31, p =.01), negative affect (r =.56, p =&lt;.01), family functioning (r =.43, p &lt;.01), and dysfunctional coping (r =.37, p &lt;.01). Compassion for others was not correlated with burden. Multiple regression analysis results found the set of predictors accounted for 65.0% of the total variance in burden (F(5,96) = 14.17, p &lt; .01, R2= .65), with positive affect (β = -.26, p = .01), negative affect (β = .19, p= .05), and dysfunctional coping (β = .31, p= .01) predicting significant and unique variance. Results from mediation analyses indicated dysfunctional coping mediated the relationship between positive affect and burden (effect= -.14 95% bootstrap CI= -.26, -.04) as well as the relationship between negative affect and burden (effect= .24, 95% bootstrap CI= .07, .48). A mediating relationship between dysfunctional coping and family functioning and burden was not supported. Discussion will highlight the implications of the study findings in developing innovative caregiver programs aimed at reducing dysfunctional coping and the broader theoretical implications of the role of affect in family caregivers of individuals with dementia.
LOCI RESPONSIBLE FOR RACIAL DISPARITY BETWEEN WHITE AND BLACK AMERICANS IN ALZHEIMER’S DISEASE
Authors: Nikitin Stanislav Kolpakov , Akushevich Igor 
Published: December 2022

Abstract
We tested the following genotype-related mechanisms generating race-dependent disparity in Alzheimer’s Disease (AD) risk: i) the frequencies of SNPs with genotypes associated with AD are higher in the Black subpopulation; ii) the effects on AD risk of genotypes associated with increased AD risk is higher in the Black subpopulation; iii) there is a small group of SNPs with a large difference in the effects on AD race-dependent risk generating disparities; alternatively, the disparities are generated by a collective effect of multiple SNPs with minor or moderate effects. We modified the GWAS algorithm to use it with the Cox regression multivariable model and the outcome accounting for race-related differences in AD risk. Using the modified GWAS we have identified loci in charge for the disparity between Whites and Blacks and used the results along with SNPs of a special interest which were identified from the literature in the Cox multivariable regression model and generalized Oaxaca-Blinder approach. The following genes had the strongest effects on racial disparities: i) NYAP1 neuronal tyrosine-phosphorylated phosphoinositide-3-kinase adaptor; ii) RPA3-UMAD1 loci RPA3 replicates protein A, interacting with gastric tumor and hepatocellular carcinoma; iii) TOMM40 associated with an increased risk of developing late-onset AD; iv) ACE - responsible for making the enzyme which converts angiotensin which regulates blood pressure; v) PSME3IP1 - proteasome activator subunit 3 interacting protein 1; vi) MARCHF1 regulator of glucose-tolerance and lipid storage and vii) LINC01146 which belongs to coagulation cascade pathway and linked to hepatocellular carcinoma.
IMPACT OF EHR IMPLEMENTATION IN NURSING HOMES ON FINANCIAL PERFORMANCE
Authors: Dayama Neeraj , Felix Holly , Pradhan Rohit , Morris Michael , Karim Saleema 
Published: December 2022

Abstract
Nursing homes (NHs) are a critical part of the US healthcare system providing care to the sick and fragile elderly, and research suggests that they can benefit from the implementation of health information technology (HIT). However, for multiple reasons—exclusion from HITECH incentives; limited financial wherewithal; hazy return on investments (ROI), they have lagged in HIT implementation compared to other significant components of the US healthcare system. Utilizing the resource-based view (RBV) of the firm, the purpose of this study was to examine the longitudinal impact of HIT on NH financial performance potentially building a sustainable economic argument for its implementation. To examine this relationship, we merged data from five different sources between the years 2009-2013-: Health Information and Management Systems Society, LTCFocus, Online Survey Certification and Reporting/Certification and Survey Provider Enhanced Reporting, Area Health Resource Files, and Medicare Cost Reports. The outcome variable was financial performance which was measured in four ways: operating cost and revenue, operating margin, and total margin. The independent variable of interest was HIT implementation and was measured using a novel HIT Adoption Score (HAS) reflecting NH implementation of five different HIT applications. Four separate multivariate linear regression models were estimated, and we included a series of organizational and market characteristics in the analyses. We report a positive association between NH implementation and improved profitability (operating margin) (p≤0.01), and lower operating cost (p≤0.05). Our results, suggesting a potential business case for EHR implementation within NHs, have important policy and managerial implications that are discussed.
INTERGENERATIONAL VIRTUAL YOGA INTERVENTION INVOLVING OLDER ADULTS AND COLLEGE STUDENTS: A PILOT STUDY
Authors: Martens, PhD Nancy , Schutte Debra , Templin Thomas , Cinader-Galvan Morgan 
Published: December 2022

Abstract
Social isolation is common in older adults and students and is associated with poor health outcomes. While evidence suggests active and yoga interventions improve health, interventions encouraging intergenerational social interaction are limited. The objective was to implement and evaluate a twice-weekly, 6-week, intergenerational yoga intervention delivered virtually. Specific aims included evaluation of feasibility and acceptability, examination of estimates of efficacy on health outcomes, and examination of age cohort effects on acceptability, feasibility, and efficacy. Older adults were recruited through a community activity center and randomized to the control group (N=10) (Mage= 70.05, SD 5.83) or intergenerational older adult treatment group (N=11) (Mage= 72.32, SD= 5.81) with students (N= 12) (Mage= 25.98, SD= 5.64). Older adult outcome measures included Center for Epidemiological Studies Depression Scale (CES-D), PROMIS Social Isolation Scale (SI), Meaning-in-Life Questionnaire, and Tilburg Frailty Index; outcomes for the students included the CES-D, SI, and Image of Aging Scale. Outcomes were assessed at week 0, 3, 6, and 12 (6-weeks post-intervention). Attrition was minimal; 81% of older adults and 80% of students received the full intervention. Using the Acceptability of Intervention Measure, 77.8% of older adults and 100% of college-age adults indicated their willingness to participate again. There were no significant intergenerational effects; however, the effects of yoga were in the expected direction with significant values in CES-D, P &lt; .01 and Meaning-in Life, P &lt; .01. While the acceptability and feasibility of the intervention were supported; additional research is needed to strengthen the intergenerational component of the intervention.
SMART HOME DATA VISUALIZATION FOR PROACTIVE HEALTH MONITORING OF COMMUNITY DWELLING OLDER ADULTS
Authors: Wuestney Katherine , Ramirez Javier , Cook Diane , Fritz Roschelle 
Published: December 2022

Abstract
The role of Ambient Assistive Living and smart home technologies, which utilize unobtrusive sensors to detect changes in health, is becoming increasingly important in the delivery of healthcare services to older adults. However, these technologies must be designed to meaningfully incorporate into clinicians’ decision making. Research has shown when clinicians are engaged in the design process of smart home systems, the accuracy and efficacy of the systems are improved. We present the process undertaken by a team of nurse researchers and computer science engineers to design clinically meaningful behavior markers derived from smart home sensor data that can be used by nurses to proactively identify changes in patient status. During the first phase of design, nurse researchers qualitatively analyzed time series from smart home sensors installed in the homes of community dwelling older adults and identified patterns in these data related to significant health changes. From this analysis, we assembled a candidate list of 15 sensor-based behavior metrics, such as percent time spent in each room or frequency of bathroom use. During the second phase of design, we will build on lessons we learned from participatory design to create behavior markers and visualizations that are inspired by clinical experience. These include visualizing behavior change over time, highlighting behavioral anomalies at multiple time scales, and calculating markers that are not directly observable such as time spent out of home. Lessons learned from clinicians using the data visualizations to proactively screen for health changes in near real time will also be discussed.
IMPROVING VIDEO DEVICE USAGE AMONG OLDER RURAL VETERANS WITH USER-CENTERED DESIGN
Authors: Lum Hillary , Kelley Lynette , Nearing Kathryn , Walker Leah , Johnson Gerhardt , Barczi Steven 
Published: December 2022

Abstract
The Veterans Administration (VA) established pathways to provide VA-issued tablets and increased access to internet for Veterans without these resources. Veterans aged above 65, experience barriers with telemedicine such as access and usability. We sought to improve the usability and experience of telemedicine for rural, older Veterans receiving a VA-issued tablet by modifying materials and qualitatively evaluating their experience with set-up and preparing for their first appointment, guided by user-centered design. We conducted a rapid exploratory evaluation, to understand Veteran and care partner experiences setting up VA-issued tablets and logging into their first appointment using standard 9-page instructions. We interviewed telehealth technicians, and providers to better understand patient barriers from their perspective. Using insights from interviews and evidence-informed guidelines on educational materials for older adults, we created a two-page guidance. A group of Veterans and care partners reviewed the materials and provided feedback. Received feedback provided 17 suggestions, 8 of which were utilized, including enlarging graphics, clarifying abbreviations (or wording), consolidating the instructions further and emphasizing pertinent information further. Modified materials reduced standard written instructions from nine pages to two. Feedback suggests that updated materials are helpful, aesthetically pleasing and preferred over current materials. Utilizing user-centered design methods, addressed barriers experienced by older, rural Veterans with initial telemedicine device and appointment set-up. Veterans, care partners, providers, and telehealth technicians perceived materials adapted for older adults as supportive of video device usability, helping to alleviate barriers that prevent Veterans from initiating telemedicine.
REMOTE TELEASSESSMENT AND TELEREHABILITATION OF A COMPREHENSIVE EXERCISE TRAINING PROTOCOL FOR OLDER ADULTS
Authors: Subramaniam Savitha , Wilson Edwina , Bhatt Tanvi 
Published: December 2022

Abstract

Background
With the increased implementation of interactive technologies for assessment and rehabilitation, it would be optimal to exhibit the reliability of physical assessment measures via tele-assessment. Aim: To determine the test-retest and intra-rater reliability of physical function outcome measures routinely used in the balance and gait rehabilitation using real-time online tele-assessment.

Methods
Community-dwelling healthy older adults (N=30) participated in three experimental tele-assessment sessions. During each session, a real-time online tele-assessment was performed on five major domains that evaluate balance and gait function: lower limb strength and endurance (30-second chair stand test), aerobic endurance (2-minute step test), static balance (One-legged stand test), dynamic balance (4-step square test), and gait (Tinetti).

Results
Coefficient of determination (R2) was used to determine the test-retest (TRT) and intra-rater (IR) reliability for all outcome variables. Excellent reliability was shown by Tinetti (TRT-1.0; IR-1.0) and one-legged stand test (non-dominant leg TRT-0.92; IR-0.97 and dominant leg TRT-0.89; IR-0.92). Excellent to good reliability was shown by 4-step square test (TRT-0.89; IR-0.74), 2-min step in place test (TRT-0.85; IR-0.78), and 30-second chair stand test (TRT-0.86; IR-0.80).

Conclusion
The reliability of individual outcome measures ranged from good to excellent, suggesting that these outcomes have sufficient sensitivity for detecting change with telerehabilitation.
UNDERSTANDING THE CARE NETWORKS OF INFORMAL CAREGIVERS OF SOUTH ASIANS WITH BREAST CANCER USING ATLAS CAREMAPS
Authors: Trivedi Ranak , Pukhraj Ambri , Desai Shreya , Jain Akanksha , Risbud Rashmi , Schapira Lidia , Gallagher-Thompson Dolores , Lorenz Karl 
Published: December 2022

Abstract
Breast cancer rates are increasing among individuals with a South Asian heritage, i.e., from India, Pakistan, Nepal, Bhutan, Sri Lanka, Maldives, and Bangladesh. Informal caregiving is vastly understudied among this population, despite being influenced by cultural mores such as collectivism, cancer-related stigma, and gender roles. The South Asian Family Approaches to Disease (SAFAD) study took a mixed-methods, observational approach to describe the care networks of informal caregivers via an adapted version of Atlas CareMaps. Thirteen caregivers (43.9+/-14.8y, 30.8% female) were interviewed and included 6 husbands, 1 wife, 2 daughters, 1 son, 1 brother, and 1 friend of the breast cancer survivors. Semi-structured interviews were designed to develop an adapted Atlas CareMap, a visual representation of the caregivers’ care network at the time of the interview. Atlas CareMaps depicted the number of people supported by caregivers, and who provide support; their relationship; the frequency, intensity, and type of care; and modes of communication used. Immediate or extended family members were the most common people included. Results indicated that: 1) caregivers reported 8.8□3.5 individuals in their care network, provided care to 3.5+/-1.8 individuals and received care from 7.3+/-3.5 individuals; 2) caregivers primarily received emotional support from others; 3) their survivors’ care teams were often included as a source of support and medical knowledge for survivors, but only three noted that the care teams supported them directly. Describing these networks is a key step to developing culturally-concordant programs that can support South Asian caregivers, even as they care for breast cancer survivors.