bluuebunny/crossref_metadata_2025_split huggingface dataset:
IMPLICATION OF SLEEPING DURATION ON THE OVERALL HEALTH STATE OF FAMILY CAREGIVERS
Authors: Ogunjesa Babatope , Schwingel Andiara , Ozgur Tosun , Oloo Alice 
Published: December 2022

Abstract
Family caregiving is integral to long-term care for older adults. The National Alliance for Caregiving and AARP Public Policy Institute in 2020 estimated there are 53 million Americans providing care for loved ones. Caregiving intensity often impacts the health and well-being of caregivers, including influencing their sleep duration. The Centers for Disease Control and Prevention (CDC) recommended an average of 7 or more sleeping hours for adults. Unfortunately, most caregivers' average hours of sleep per night do not meet this recommendation. Using secondary data from the Long-Term Caregiving study conducted by the AP-NORC Center for Public Affairs Research, the present study establishes the effect of sleep duration on the overall health of family caregivers while adjusting for socio-demographic factors. A binary logistic analysis was conducted to infer the effects of sleep duration, age, gender education, race, employment status, and household income relative to reporting high or low overall health wellbeing. The binary logistic model was statistically significant, χ2(16) = 77.5, p &lt; .0001, Nagelkerke R2=0.111. Family caregivers with a sleeping duration of 7 hours or more were twice as likely to report a high overall health status than those who slept less than 7 hours (OR=2.08, 95%CI [1.52 – 2.84]). Increasing household income and being employed were positively associated with high overall health status. We do not find a statistically significant effect of gender, education level, age group, and race on overall health status. We recommend that policies that support family caregivers at a micro and macro level be implemented.
THE APPLICATION OF TIME BANKING IN ELDERLY CARING: A MIXED-STUDIES SYSTEMATIC REVIEW
Authors: Ding Hui , Li Hui-Ling 
Published: December 2022

Abstract
Aging has become a universal concern of the world, and its process is accelerating, which leads to the shortage of the care resources and increased burden of social development. Based on this problem, The concept of time banking has been gradually applied to geriatric caring, forming a model of mutual support for older people, which has been practiced in different countries. However, there is no consensus about the effect of time banking for older person. Thus, the aim of this review was to integrate research on the application of time banking to summarize the benefits for older people and challenges faced in different countries. Moreover, the review put forward solutions to provide references for the localization of time banking in China. PubMed, Wiley Online Library, Web of Science, SAGE Journals Online, Science Direct, EbscoHost, SpringerLink and CNKI databases were searched to include 22 eligible studies. Qualities of included studies were assessed, evidences about the benefits for older person and challenges regarding time banking was synthesized. Although the overall study quality was medium, consistent evidence was existed to indicate that time banking has beneficial effects which containing social values and personal values on the older people. Furthermore, the comprehensive evidences also showed that time banking would be improved in the following four aspects: diversity of volunteers, improvement of service quality, variety of incentives and scientific management. Additional well-designed and high-quality studies are needed for us to better understand the opportunities and challenges of time banking.
EXAMINATION OF THE HEALTHY CAREGIVER EFFECT AMONG OLDER ADULTS FINDING FROM THE CANADIAN LONGITUDINAL STUDY ON AGING
Authors: Li Lun , Wister Andrew , Mitchell Barbara 
Published: December 2022

Abstract
Objective. The Healthy Caregiver Hypothesis (HCH) suggests that caregiving is associated with beneficial health impacts for family caregivers. However, mixed results have been reported, particularly when different levels of caregiving intensity were examined. This study analyzes the relationship between caregiving intensity and three health indicators (functional health, chronic illness, and self-rated general health) among Canadian older adults over three years. Method. We drew upon a sub-sample of 11,344 participants aged 65 and older from the Baseline and Follow-up 1 data of the Canadian Longitudinal Study on Aging and used linear mixed models to test the hypothesis based on different levels of caregiving intensity. Results. Older adults who provided low-intensity care recently or continuously reported better functional health and self-rated health than non-caregivers. In contrast, older adults with low-intensity caregiving responsibility developed more chronic conditions over time compared to non-caregivers, but this association was not found for high-intensity caregivers. Discussion. This study elucidates the HCH by incorporating caregiving intensity to understand patterns of better functional health and perceived health, but more chronic conditions. The findings yielded from different health indicators suggest the impact of caregiving on health may be domain specific.
COMORBIDITIES AMONG RESIDENTS DIAGNOSED WITH DEMENTIA IN RESIDENTIAL CARE COMMUNITIES
Authors: Caffrey Christine , Lendon Jessica , Manisha Sengupta 
Published: December 2022

Abstract
Residential care communities (RCCs) are an important source of care for older adults, particularly those with dementia. Nationally in 2018, 34% of RCC residents had been diagnosed with dementia. Other common chronic conditions among RCC residents were high blood pressure (55%), depression (27%), arthritis (20%), diabetes (20%), and heart disease (17%). RCC residents with dementia who have comorbidities could present greater challenges when managing their care. This report presents national estimates of comorbidities among RCC residents with dementia and compares these estimates by selected characteristics. Estimates are from the 2018 National Post-acute and Long-term Care Study conducted by the National Center for Health Statistics. Among RCC residents with dementia, 62% had also been diagnosed with high blood pressure, 28% with depression, 23% with arthritis, 16% with diabetes, and 16% with heart disease. Among RCC residents with dementia, 17% were diagnosed with only dementia, 38% were diagnosed with dementia and one other common condition, 31% were diagnosed with dementia and two other conditions, and 14% were diagnosed with dementia and three to five other conditions. A greater percentage of RCC residents with dementia and two or more common conditions compared to only dementia or dementia and one other condition were aged 85 years and older (69% vs 62%), needed help with three or more activities of daily living (82% vs 73%), were hospitalized (34% vs 28%), and were taking more than 10 medications (48% vs 32%). Results may benefit efforts focused on implementing long-term care practices to manage dementia and comorbidities.
REGULATORY COMPLIANCE AND RESIDENT OUTCOMES IN OREGON ASSISTED LIVING COMMUNITIES
Authors: Tunalilar Ozcan , Lin Sunny , Carder Paula 
Published: December 2022

Abstract
The outsized negative impact of the COVID-19 pandemic among residents of assisted living (AL) communities has drawn attention to the existing challenges that licensing agencies face in providing oversight in this setting. While regulatory compliance inspections in AL may be a critical tool for promoting high-quality care, no published research has examined the association between deficiencies and resident outcomes in AL. Using novel data collected from 331 AL communities in Oregon (response rate=62%) merged with deficiency data from inspections, we examined whether the number of deficiencies is associated with the following resident outcomes as measured at the community level: share of residents who fell at least one time (fall rate), who were hospitalized overnight (hospitalization rate), and who were treated in the hospital emergency room (ER rate) in the last 90 days. Negative binomial regression models that controlled for a robust set of community (e.g., size, rurality, profit status, “memory care” units) and resident (e.g., age, Medicaid use, ADL needs) characteristics showed a weak, but statistically significant, association between deficiencies and hospitalization rate (IRR=1.05). However, there was no statistically significant association between deficiencies and falls or ER visits among residents. The time lag between inspections and the resident outcome data did not moderate these observed associations. With more states moving to make available such deficiency data on public-facing websites, these results have policy implications for the role and content of regulatory compliance inspections for ensuring quality in AL communities and informing the public.
LEVERAGING COMMUNITY-BASED KNOWLEDGE TO ADDRESS THE NEEDS OF OLDER ADULTS FROM RACIAL/ETHNIC MINORITY POPULATIONS
Authors: Garcia Catherine , Hou Su-I 
Published: December 2022

Abstract
Racially and ethnically minoritized older adults constitute the fastest-growing demographic in the United States. Yet, they are largely underrepresented in population-based studies of aging despite NIH policies encouraging inclusion since the mid-1980s. The resulting and continued exclusion of racially and ethnically diverse populations in aging research limits efforts to elucidate and better understand the determinants of health and healthy aging to improve the lives of minoritized older adults, their families, and/or communities. To enhance the inclusion of racially and ethnically minoritized older adults in recruitment, survey development, analysis, and dissemination efforts, this symposium focuses on leveraging community-based knowledge that centers the lived experiences of community members that are needed to improve health outcomes and equitable changes, especially with the ongoing COVID-19 pandemic. The first paper in this symposium highlights how Community-Based Participatory Advocacy is used in the Dine community, which includes working with indigenous older adults and decolonizing methodologies to facilitate community healing. The second paper focuses on developing culturally informed instruments to collect data on dementia care needs and resources among African immigrants. A third paper focuses on critical lessons learned in Project RAMA that provided crucial insights for a new initiative focused on Hispanic immigrant families affected by rheumatoid arthritis in Washington, DC, including recruiting through embedded community clinics and integrating community needs into the study design. The final paper discusses the meaningful inclusion of Asian American older adults regarding their demographic diversity and prioritizing engagement of community members and community-based organizations in the survey research process.
THE IMPACT OF DIFFERENT PATTERNS OF HOME- AND COMMUNITY-BASED SERVICES AND FACTORS ON MULTIDIMENSIONAL UNMET NEEDS
Authors: Chen Ya-Mei , Zhong Zi-Ting , Wu Shih-Cyuan 
Published: December 2022

Abstract

Background
Long-Term Care (LTC) in Taiwan has been implemented over the last 15 years, focusing on providing home- and community-based services (HCBS). Previous studies have shown that care recipients’ level of unmet needs is associated with adverse health outcomes. This study aimed to identify HCBS use patterns among LTC care recipients and examine the impact of different patterns of HCBS on unmet needs.

Methods
Surveys of service users were conducted in eight counties. Latent class analysis was used to identify the underlying subgroups of LTC recipients. Multiple regression analysis was used to assess the impact of HCBS patterns and care recipients’ predisposing, enabling, and need factors on the level of unmet needs.

Results
A total of 952 participants from northern, middle, and southern Taiwan completed the surveys. Three subgroups based on HCBS use were identified, including home-based personal care (HB-PC), home-based personal care and medical care (HB-PC/MC), and community care (CC). Care recipients in the HB-PC group (β = −1.922, p = 0.028) and the CC group (β = −2.177, p = 0.019) had lower unmet needs than those in the HB-PC/MC group. A lower disability level, living in a highly urbanized city, and lower levels of quality of life were associated with higher unmet needs (p &lt; 0.05).

Conclusions
Our results demonstrating that care recipients with lower disability levels had higher unmet needs may indicate insufficient funding support from Taiwan’s LTC plans. However, multiple service users had high unmet needs, which warrants further investigation.
ACTUAL AND DESIRED SERVICE USE OF COMMUNITY-DWELLING CONSUMERS OF HOME- AND COMMUNITY-BASED SERVICES
Authors: Bucy Taylor , Mulcahy John , Jutkowitz Eric , Shippee Tetyana 
Published: December 2022

Abstract
Federal and state long-term care policies are focused on helping people age in their community rather than in nursing homes or other institutional settings. Through home- and community-based (HCBS) waiver programs, states have the flexibility to target specific populations, providing supportive services meant to promote residence in the community. Although consumer needs and goals are a key component of HCBS delivery and effectiveness, little is known about how actual service use differs from the services individuals desire to meet their needs. Using the National Core Indicators-Aging and Disability (NCI-AD™) survey responses from 2018-2019 (N=14,202), an effort by state agencies to measure and track performance outcomes using standardized measures, we examined differences in actual versus desired use of HCBS among people living in the community. Services were categorized as delivered in home-based setting, day services, transportation, support/modification services, health and therapeutic services, and respite. Among NCI-AD respondents in the community (n=9,860), 11% used one service area, 49% used two service areas, and 36% used three or more service areas. The most common service area was home-based services (57%). About a third of community-dwelling respondents desired at least one additional service area. Factors significantly associated with wanting more services included being in combined Medicaid-Medicare, managed LTSS, a woman, an adult aged &gt;65, living alone, and having a physical disability. While the majority of community-dwelling HCBS recipients do not list unmet service needs, there is heterogeneity by program category and other key demographic and social characteristics.
MEASURING PERSONALITY IN DAILY LIFE: EVIDENCE FROM AN AGE-HETEROGENEOUS ADULT SAMPLE
Authors: Ferguson Giselle , Pasquini Giancarlo , Sliwinski Martin , Scott Stacey 
Published: December 2022

Abstract
Research on personality has theorized that repeated short-term experiences can lead to changes in personality traits across years or decades. Whereas much research on these short-term experiences relevant to personality has been done in samples of college students, this study intended to measure personality-relevant short-term experiences among an age-heterogeneous sample of adults. As part the Effects of Stress on Cognitive Aging, Physiology, and Emotions study, 260 participants (Mage=46.49 years, range=25-65 years) completed a measure of Big Five personality traits before completing a 14-day ecological momentary assessment (EMA) period during which participants reported their momentary negative and positive thoughts, emotions, and social interactions up to six times per day on study-provided smartphones. We hypothesized that these EMA reports could be used as daily markers of trait extraversion and trait neuroticism such that these daily experiences could be interpreted as manifestations of personality traits in daily life. Results of parallel multilevel confirmatory factor analyses showed good model fit (extraversion: CFI=0.96; TLI=0.95; RMSEA=0.03; neuroticism: CFI=0.95; TLI=0.94; RMSEA=0.04). For both extraversion and neuroticism, the latent trait factor and the latent daily-marker factor were positively correlated (extraversion: r=0.36; SE=0.07; p&lt;.001; neuroticism: r=0.45; SE=0.07; p&lt;.001). Results suggest that among an age-heterogeneous adult sample, momentary thoughts, feelings, and behaviors across a two-week period represented expressions of extraversion and neuroticism in daily life. Measuring these short-term experiences is meaningful for understanding how personality changes across adulthood, and future work can use longitudinal data to test if daily markers of personality are sensitive to fluctuations and changes in personality.
HEALTH LITERACY ACROSS PERSONALITY TRAITS AMONG OLDER ADULTS: CROSS-SECTIONAL EVIDENCE FROM SHARE
Authors: Ryser Valerie-Anne , Meier Clément , Vilpert Sarah , Maurer Jürgen 
Published: December 2022

Abstract

Introduction
Personality traits (PTs) - Neuroticism, Extraversion, Openness to experience, Agreeableness, Conscientiousness - are related to how older adults deal with health-related issues. However, little is known about the relationship between PTs and health literacy (HL). HL measures individuals’ ability to find, understand, appraise, and use health information to deal with health-related outcomes. Objectives: This research tries to understand better differences in HL across PTs in a nationally representative sample of adults aged 58 years and older in Switzerland. Method: Multivariable probit regressions to explore how respondents’ PTs are independently associated with HL after controlling individuals’ social, regional and health characteristics are based on a paper-and-pencil self-completion questionnaire (N= 1’555) administered as part of wave 8 (2019/2020) of SHARE in Switzerland. HL is measured using the short version of the European Health Literacy Survey questionnaire (HLS-EU-Q16), whose scores of dichotomized responses is grouped into two categories: inadequate and adequate HL. PTs are measured with the Big-Five inventory ten (BFI-10).

Results
Results show that two out of five PTs are significantly associated with HL among older adults. Individuals who score higher on neuroticism and thus have a persistent tendency to experience negative emotions are more likely to have inadequate HL. More open individuals who are more prone to engage in self-examination are also more likely to have adequate HL.

Conclusion
These findings call for targeted interventions, such as using adjusted health or eHealth information tools that would consider individuals’ PTs when designing health policies to improve HL in the population.
NEIGHBORHOOD CONDITIONS AND PERSONALITY CHANGE AMONG OLDER ADULTS
Authors: Iveniuk James , Cagney Kathleen 
Published: December 2022

Abstract
Conscientiousness is a key aspect of personality, associated with overall better health and wellbeing across the life course, including among older adults. The past ten years have seen a growing interest in how social-environmental factors impact personality traits, but the impact of neighborhood conditions is rarely investigated. Broken windows theory argues that changes to residents’ character can be brought about through signals of disinvestment in local norms (i.e. visible disorder), pointing to neighborhood disorder as a possible environmental condition that can shape personality. Drawing upon three rounds of data from the National Social Life Health and Aging Project (2005/2006, 2010/2011, 2015/2016; N=1554), we investigate longitudinal associations between traits and changing neighborhood conditions using a Big Five self-assessment, and interviewer ratings of local disorder. Using a combination of mediation and cross-lagged models, we find mixed support for broken windows perspectives – significant mediation processes, but no cross-lagged effects.
FEASIBILITY OF AN EXERGAMING-BASED DANCE TRAINING PARADIGM IN THE HOME SETTING AMONG PEOPLE WITH CHRONIC STROKE
Authors: Subramaniam Savitha , Bhatt Tanvi 
Published: December 2022

Abstract

Background
Dance-based exergaming (DBExG) from laboratory (phase 1 -p1) to a safe and feasible home-based exercise program (HEP- phase 2-p2) could enhance physical activity (PA) behavior, and can be used as a maintenance therapy in PwCS. However, traditionally structured HEP are interfaced with impediments for employing best practice for fall prevention safety approach at home settings in PwCS, thus, making it essential to evaluate training strategies that foster safety. Aim: To evaluate the feasibility, compliance, and safety of a safety harness augmented rehabilitation using DBExG training paradigm (SHARP).

Methods
Community-dwelling PwCS (n=7) participated in the study and received DBExG training using the commercially available Kinect dance gaming “Just Dance 3”. The first 6 weeks training (20 sessions) was provided in the laboratory setting (health coach stand by assistance – SBA). Followed with 4 more weeks (12 sessions) of SHARP in the participant’s house with health coach SBA.

Results
The primary focus was feasibility, addressed by acceptability, and retention. All the seven participants completed the laboratory, and home-based DBExG. All participants reported enjoying the sessions and felt they were beneficial. Study retention and session adherence was 90% and 98%, at p1, and p2 respectively. There were no falls, and adverse safety events reported in either phase of the study. The intervention was safe with no falls, and major adverse events.

Conclusion
SHARP appears feasible and safe, thus promising for home-based PA rehabilitation for PwCS. A larger randomized controlled trial is recommended to further investigate efficacy.
A COMMUNITY-UNIVERSITY PARTNERSHIP TO ASSESS AFRICAN IMMIGRANT FAMILIES' EXPERIENCES WITH DEMENTIA
Authors: Nkimbeng Manka , Rosebush Christina , Akosah Kwame , Yam Hawking , Russel Wynfred , Albers Elizabeth , Shippee Tetyana , Gaugler Joseph 
Published: December 2022

Abstract
African immigrants are a fast-growing segment of the U.S. Black population, but the dementia care needs and resources of this population are not fully understood. We will describe the process of developing culturally informed instruments to collect data on dementia care needs and resources among African immigrants. Working together with a diverse project advisory board, a guide was developed and used to conduct community conversations about experiences with dementia/memory loss. Qualitative findings from these conversations were used to inform the development of a survey for quantitative data collection. Despite the challenges of conducting research during a global pandemic, having trusting relationships with a partnering community organization and project advisory board facilitated the successful development of instruments to conduct preliminary dementia care research in an underserved population. We anticipate that survey results will inform interventions that increase education, outreach, and access to dementia care and caregiving resources for this population.