bluuebunny/crossref_metadata_2025_split huggingface dataset:
SOCIAL INTERACTIONS REDUCE ASSOCIATION BETWEEN LIFE-SPACE AND DAILY HAPPINESS IN OLDER ADULTS WITH AND WITHOUT HIV
Authors: Kamalyan Lily , Yang Jiue-An , Pope Caitlin , Paolillo Emily , Campbell Laura , Tang Bin , Depp Colin , Moore Raeanne 
Published: December 2022

Abstract

Objective
We used global positioning system (GPS) derived indicators and ecological momentary assessment (EMA) to assess real-time relationships between life-space, mood, and social interactions among older adults with and without HIV.

Methods
Participants (People with HIV [PWH] n=54, HIV- n=34) completed smartphone-based EMA surveys assessing mood and social interactions four times/day for 14-days. Participants’ smartphones were GPS enabled. Mixed-effects models analyzed concurrent and lagged associations among life-space and mood.

Results
PWH spent more time at home (79% vs 70%, z=-2.08; p=.04) and reported lower mean happiness (3.2 vs 3.7; z=2.63; p=.007). More daily social interactions were associated with higher ratings of real-time happiness (b=0.12; t=5.61; p&lt; 0.001). Prior day social interactions (b=0.15; t=7.3; p&lt;.0001) and HIV status (b=-0.48; t=-2.56; df= 1026.8; p=0.01) diminished the effect of prior day time spent at home on happiness.

Conclusions
Interventions targeting social interaction may help increase positive mood in isolated older adults.
BENEFICIAL EFFECTS OF CONTACT WITH OLDER ADULTS FOR AGE STEREOTYPES AND SELF-VIEWS OF AGING
Authors: Hess Thomas , Graf Sylvie , Liou Shyhnan , de Couto Clara Paulo , Fung Helene , Nikitin Jana , Rothermund Klaus , Cohn-Schwartz Ella 
Published: December 2022

Abstract
Intergenerational contact is beneficial for improving attitudes toward older people, including age stereotypes (AS). To date, however, research on the topic has focused on younger adults (intergenerational contact), overlooking the possible perks for older adults themselves (contact with same-age peers). The current study investigated the association between contact with older adults and views of the self in old age (VSOA) among younger and older adults in a domain-specific way. The sample comprised younger (39-55 years, n = 1,012) and older (65-90 years, n = 1,344) adults from the Ageing as Future international study. Findings indicated that contact with older adults was related to more positive VSOA and this was partly mediated by AS. These relations were stronger for older adults, indicating that interactions with other older adults may help favorably shape how older adults view their ingroup and aging. Beneficial effects emerged mostly in the friends and leisure domains.
BUILDING OUR LARGEST DEMENTIA (BOLD) INFRASTRUCTURE FOR RISK REDUCTION
Authors: Holt Heidi , Whalen Laura , Garbarino Lisa 
Published: December 2022

Abstract
The Building Our Largest Dementia (BOLD) Infrastructure for Alzheimer's Act (PL115-406) supports public health agencies to develop a uniform dementia infrastructure across the US. Applying a robust public health approach to ADRD that emphasizes data driven decision-making and action along with primary, secondary, and tertiary prevention strategies (e.g., risk reduction, early diagnosis, linkages to treatment and care, and the prevention and management of comorbidities leading to preventable hospitalizations and poor health outcomes) for persons living with dementia and their caregivers. Recipients of the BOLD Public Health Programs funds are expanding jurisdiction Dementia coalitions, updating, or creating Dementia Strategic Plans, and implementing strategies from those plans that address a wide variety of life-course strategies for brain health and dementia, including risk reduction. This presentation will explain how risk reduction is integrated and provide examples of several activities being planned and implemented by recipients.
SKELETAL MUSCLE MITOCHONDRIAL PHYSIOLOGY IN CHILDREN WITH CEREBRAL PALSY: CONSIDERATIONS FOR HEALTHY AGING
Authors: Dayanidhi Sudarshan 
Published: December 2022

Abstract
During healthy aging, there is an overall decline in mitochondrial activity and abundance, increase in mitochondrial DNA mutations, increase in oxidative stress, and reduction in overall muscular capacity. Individuals with cerebral palsy (CP) have significantly increased energetics of movement, reduced endurance capacity, and increased perceived effort. We will cover the results of recent work in muscles in ambulatory children with CP that show a marked reduction in mitochondrial function. Muscles show that mitochondrial protein content and DNA copy number are lower, suggesting a reduction in mitochondrial abundance, along with a reduction in markers for mitochondrial biogenesis. Gene expression networks are reduced for glycolytic and mitochondrial pathways and share similarities with gene networks with aging and chronic inactivity. Given the importance of mitochondria for energy production and changes with aging, ongoing efforts are needed to assess changes in mitochondria across the lifespan in people with CP.
THE FORMULA FOR CARDIOVASCULAR HEALTH AND WELL-BEING IN ADULTS WITH CEREBRAL PALSY
Authors: McPhee Patrick 
Published: December 2022

Abstract
Persons with cerebral palsy (CP) have mobility limitations, heightened sedentary behavior, and are at increased risk for cardiovascular disease (CVD). Dr. McPhee will cover his innovative work to develop a core outcome set for cardiometabolic disease risk assessment in adults with CP, and will further discuss recent findings from ongoing work pertaining to novel CVD risk indicators showing accelerating cardiovascular aging in CP. Dr. McPhee will also present recent work on the role of exercise, sleep, and healthy nutrition in the context of healthy aging for individuals with CP across the lifespan.
COHORT DIFFERENCES IN SOCIAL TIES TO FAMILY AND FRIENDS
Authors: Choi Won , Waite Linda 
Published: December 2022

Abstract
Dramatic changes in family life may have altered the structure and quality of social ties to family and friends. However, little is known about whether and how social relationships vary between older adults from different cohorts. Using data from the National Social Life, Health, and Aging Project, we compared social network composition and social support between older adults at ages 57 to 67 from the Silent Generation cohort (N=2,316) and the Baby Boom cohort (N=1,500). Compared with the Silent Generation cohort, the Baby Boom cohort had significantly higher odds of not listing any kin in their core discussion network. There were no cohort differences in proportion of friends in the network. The Baby Boom cohort also reported lower levels of family and friend support than their counterparts. Results suggest that the Baby Boom cohort is more socially disconnected from friends and particularly family compared with the Silent Generation cohort.
INCREASING TECHNOLOGY ACCESS TO FOR UNDERSERVED COMMUNITIES: CATCH-ON CONNECT
Authors: Emery-Tiburcio Erin , Wang Siqi , Reaves Steven , Castaneda Salvador 
Published: December 2022

Abstract
Many older adults from underserved communities do not have access to technology or a reliable internet connection. Even when access is not an issue, older adults often find technology challenging. CATCH-ON Connect provides community-dwelling adults age 65+ with cellular-enabled tablets with pre-installed apps to enable them to reduce social isolation and engage in telehealth visits. This program also provides personalized technical assistance and education about accessing electronic health records and the 4Ms. For example, participants are encouraged to address the 4Ms during telehealth visits. Among 139 participants enrolled, 51% were non-Hispanic Black, 30% non-Hispanic white, 13% Hispanic, and 7% other. Willingness to engage in telehealth appointments increased 9% (p&lt;.05), discussions with primary care providers about mobility increased by 13% (p&lt;.001), and loneliness scores decreased by 0.6 (p&lt;.05) in the first three months of participation. Implementation and policy implications for ongoing technology device and training services will be discussed.
COST OF US EMERGENCY DEPARTMENT AND INPATIENT VISITS FOR FALL INJURIES IN OLDER ADULTS: 2016–2018
Authors: Reider Lisa , Falvey Jason , Okoye Safiyyah , Levy Joseph 
Published: December 2022

Abstract
Falls are a leading cause of injury among older adults. While numerous studies have estimated the economic burden of falls, how health care spending varies by sociodemographic and injury factors is not well understood. The purpose of this study was to describe the average annual frequency of emergency department and inpatient visits and associated costs for fall injuries among older adults in the United States and identify factors associated with higher cost using data from the 2016-2018 National Inpatient Sample and National Emergency Department Sample. The study cohort included encounters with an ICD-10 external cause of injury code for fall (W00-W19). Number of visits was computed using survey weights. Direct visit cost was estimated from charges, applying cost-to-charge and professional fee ratios. On average, an estimated 2.7 million (95%CI: 2.5-2.9) fall-related ED visits and 1.1 million (95%CI: 1.1-1.2) inpatient visits occurred annually. The annual average cost was $1,105 (95%CI: $1,083-$1,127) per ED visit and $18,047 (95%CI: $17,905-$18,189) per inpatient visit totaling $22.9 billion annually. Higher inpatient cost was associated with age (65-74: $20,258 vs 85+: $16,183), gender (men: $19,541 vs. women: $17,181), and race (White: $17,570 vs. Black/Hispanic: $19,602); higher ED cost was associated with age (65-74: $1,009 vs. 85+: $1,198) and dementia diagnosis ($1,369 vs. $1,073). Fifty five percent of inpatient and 25% of ED visits were for fracture which had higher cost compared to sprains, dislocations, and superficial injuries. Results indicate growing number of fall-related admissions and costs underscoring need for targeted prevention and intervention strategies.
HOW ARE MULTIPLE CHRONIC CONDITION COMBINATIONS DIFFERENTIALLY ASSOCIATED WITH HEALTH SERVICE USE?
Authors: Ogletree Aaron , Katz Benjamin 
Published: December 2022

Abstract
A growing body of literature describes important advances in the study of chronic conditions, most notably a paradigm shift from the study of individual chronic conditions to the study of multiple chronic conditions (MCCs). Despite these advances, little research has explored MCC combinations, and almost no published research has explored how MCC combinations are related to health service utilization. Using data from the 2018 wave of the Health and Retirement Study, we categorized 16,447 older adults into one of 32 groups using self-reports of five prevalent chronic conditions: arthritis, diabetes, heart problems, hypertension, and respiratory problems. ANOVAs assessed associations between MCC combinations and two self-report measures of health service use: (1)number of medical visits, including emergency room visits, clinic visits, and house calls; and (2)total out-of-pocket costs for major medical expenses. Results show that older adults with more conditions had a greater number of medical visits (p&lt; 0.0001). The pattern between total number of conditions and out-of-pocket costs is less clear, though still varied significantly (p&lt; 0.01). Findings demonstrate variability in outcomes among MCC combinations with the same total number of conditions. Those in the Heart-Hypertension-Respiratory group averaged 9 medical visits while those in the Arthritis-Diabetes-Heart group averaged 16. Adults in the Diabetes-Heart group averaged $2,546 in out-of-pocket costs, which is nearly double the costs reported by the Diabetes-Hypertension group ($1,254). Findings highlight complex associations of MCC combinations with health service use, and can inform resource allocation, policy priorities, and care planning among providers serving older adults with MCCs.
POPULATION TRENDS IN HEALTHCARE USE BY MEXICAN ADULTS AGED 60 AND OLDER WITH AND WITHOUT COGNITIVE IMPAIRMENT
Authors: Downer Brian , Castro Jose Eduardo Cabrero , Wong Rebeca 
Published: December 2022

Abstract
Government policies that have greatly expanded health insurance coverage in Mexico have taken place in the context of rapid population aging and an increasing number of older adults living with cognitive impairment. We used data from the Mexican Health and Aging Study to investigate population-level trends in self-reported healthcare use by cognitive status in 2001, 2012, 2015, and 2018. Healthcare measures included having an outpatient procedure, any doctor visits, staying &gt;1 nights in the hospital, and screenings for high cholesterol, diabetes, and hypertension. All outcomes were dichotomized as yes/no. The sample sizes included 6179 (2001), 8924 (2012), 9429 (2015), and 8916 (2018) participants aged 60 and older who completed a direct interview (total N=33,448). Participants with cognitive impairment were identified using five cognitive assessments (2001 n=1000; 2012 n=1273; 2015 n=1467; 2018 n=1372). Generalized estimating equations that adjusted for demographic characteristics and self-reported health conditions were used. The adjusted odds of having spent &gt;1 night in the hospital, outpatient procedures, any doctor visits, and preventive screenings were significantly higher in 2012, 2015, and 2018 than in 2001 regardless of cognitive status. Overall, participants with cognitive impairment had significantly higher adjusted odds for &gt;1 nights in the hospital (OR=1.31, 95% CI=1.20-1.42), but significantly lower odds for any doctor visits (OR=0.81, 95% CI=0.75-0.88), outpatient procedures (OR=0.70, 95% CI=0.57-0.85), and preventive screenings for high cholesterol (OR=0.75, 95% CI=-.70-0.81), diabetes (OR=0.78, 95% CI=0.72-0.85), and hypertension (OR=0.76, 95% CI=0.70-0.82). These results are important to understanding the healthcare needs of Mexico’s growing older adult population.
A KNOWLEDGE USERS' PERSPECTIVE; CONSTRUCTING MEANINGFUL PARTNERSHIPS AT THE IMPLEMENTATION SCIENCE PROJECT
Authors: Lalji Kahir 
Published: December 2022

Abstract

Objective
United Way of British Columbia (UWBC) mission is to strengthen community capacity to address social issues for British Columbians. We use the Community-based Seniors’ Services (CBSS) sector framework to promote healthy aging within the community. Our mission in Population Health is to keep older adults active, connected, and engaged. Assistive technology is very relevant to connect and support older adults. Over the past few years, the development of innovative assistive technologies (ATs) has gained significant momentum and is viewed as an important potential contributor to enhancing healthy ageing and living in place.

Methods
This project uses a Community-Based Participatory Action Research approach focusing on broader stakeholder engagement to enlist with a large array of knowledge users in participatory, collaborative action research processes. As a knowledge-user for this project, we have participated in monthly advisory committee and expert panel meetings and have participated on key team discussions.

Results
We have actively facilitated the development of effective and meaningful partnerships between the academic research community and UWBC and its partner organizations. This partnership has strengthened the capacity for implementation research and the potential for improved outcomes vis-à-vis our healthy ageing mandate in BC.

Conclusions
The UWBC will benefit from the outcomes from this study. We aim to disseminate the research results across our vast network of community organizations through the Collaborative Online Resources Education (CORE) initiative. Additionally, through our work with policymakers, we will support the equitable deployment of ATs to older adults and their caregivers in BC.
AN AGE-FRIENDLY UNIVERSITY INITIATIVE: EMERITI PROFESSORS' INTEREST IN INTERGENERATIONAL ACTIVITIES
Authors: Gautam Ramraj , Melillo Karen Devereaux , Sritan Sarawut , Khumrungsee Montri 
Published: December 2022

Abstract
The Age-Friendly University (AFU) Climate Survey (in collaboration with UMass Boston) in 2019 identified the need to engage the University’s own emeriti professors; this need reflects the AFU Principle 9. The objective of this study was to explore emeriti professor’s perspectives and areas of interest in intergenerational activities. After IRB approval, an online Qualtrics survey was sent to 315 emeriti professors. Eighty-six (27.3%) participants responded to the survey. About 60% reported interest in guest lecturing either online or face-to-face, and 48% reported interest in sharing retirement experiences with students. In addition to descriptive statistics this paper will present the analysis of open-ended questions relating to intergenerational education, research, service activities and their interest in establishing an emeriti association as a venue to connect with the University. The AFU principles will be discussed in the context of engaging emeriti professors in intergenerational relationships benefiting both students and the University.
THE AGE-FRIENDLY DREXEL PILOT GRANT PROGRAM: A GRASSROOTS APPROACH TO THE AGE-FRIENDLY UNIVERSITY MOVEMENT
Authors: Clark Katherine , Gitlin Laura , DiMaria-Ghalili Rose Ann 
Published: December 2022

Abstract
In January 2022, Drexel University’s AgeWell Collaboratory launched the Age-friendly Drexel Pilot Grant Program to catalyze university-wide knowledge about and projects that will establish our campus as a lifelong community. This suite of funded initiatives includes faculty, staff and students from seven different colleges, each focusing on different components of the 10 AFU principles. We sought out projects that: create learning environments that disrupt ageism; highlight the intersectionality of aging, race, ethnicity and health disparities; foster intergenerational connectivity; and innovate through research. Awarded projects are now increasing access to campus buildings through a design charrette; inventorying university wellness and recreational services to be offered to older community members, alumni, and retirees; developing novel intergenerational courses and experiences abroad through virtual reality, memoir writing and product design; adding older adults to existing community engagement programming; and addressing the technology divide. This presentation will cover the design, implementation, and challenges of this program.
DIFFERENCES IN HEALTH TRAJECTORIES BETWEEN CANCER SURVIVORS AND NONCANCER OLDER ADULTS
Authors: Ye Minzhi , Kahana Eva , Deimling Gary , Perzynski Adam , Stange Kurt 
Published: December 2022

Abstract
The current study addresses how cancer and aging influence older adults' health trajectories differently. The unique cross-sequential design allowed the study to compare the health changes between long-term (5 years +) older cancer survivors (breast, prostate, and colorectal cancer) and demographic-matched older adults without a history of cancer in the same geographic area within the same period by merging two longitudinal studies. The study also captured comprehensive information on health disparities over time. General linear models were employed. The findings showed that neither previous cancer experience nor aging affects health trajectories in later life. Conversely, comorbidities, being African American, female, having less than a college degree, and living alone significantly decreased the health trajectory in later life for all older adults. Moreover, when compared to other groups, older African American cancer survivors reported low scores in self-reported health after controlling for other conditions.
USING NATURALLY OCCURRING QUALITATIVE DATA IN GERONTOLOGICAL CANCER RESEARCH
Authors: Halpin Sean , Konomos Michael 
Published: December 2022

Abstract
Cancer therapies for older adults have accelerated at breakneck speed in the last few decades, necessitating evaluation of their delivery and uptake to ensure patients receive their maximum benefit. Among the vast array of evaluation tools available, those utilizing naturally occurring data—data produced without intervention from a researcher—are a powerful but underused tool. In this presentation, we will review two methods for examining naturally occurring data, participant observation and conversation analysis (CA), in an educational intervention study of multiple myeloma patients receiving autologous stem cell transplant. First, we will review how participant observation of nurse-led education visits (n=70) was incorporated to iteratively improve video-based education. Next, we will review use of CA in reviewing audio recordings containing reference to the education videos of 12 nurse-led education visits (1011 minutes of audio). Ultimately, understanding the purposes of and ways of using naturally occurring data have potential for improving the evaluation of patient education.
DISCUSSING AND DELIVERING THE COVID-19 VACCINE: EXPERIENCES IN VA'S HOME BASED PRIMARY CARE PROGRAM
Authors: Wyte-Lake Tamar , Gillespie Suzanne , Manheim Chelsea , Dobalian Aram , Haverhals Leah 
Published: December 2022

Abstract
COVID-19 vaccines represented a new type of vaccination with specific logistical challenges for distribution and administration. As the Department of Veterans Affairs (VA) embarked on a campaign to vaccinate its Veterans, homebound Veterans presented unique challenges. Therefore, we studied how VA’s Home Based Primary Care (HBPC) teams vaccinated Veterans to inform best practices for future vaccination efforts for similar vulnerable populations. From March-May 2021, we fielded a survey to HBPC staff at 145 VA programs nationally, gathering insights from 73 teams. Findings highlighted the importance of vaccine communication and education; the need to prioritize HBPC Veterans receiving vaccines; ironing out vaccine distribution and administration logistics; and that internal and external structures were required to safely vaccinate Veterans in-home.
DOES LOSS OF A LOVED ONE TO COVID-19 MODERATE THE ASSOCIATION OF LONELINESS AND MENTAL HEALTH AMONG OLDER PUERTO RICANS?
Authors: Morgan Matthew , Kim Seon , Becker Todd , Buckley Thomas 
Published: December 2022

Abstract
Loneliness is a well-established risk factor for poor mental health. During COVID-19, loneliness and mental health have been exacerbated by widespread disease-related mortality, suggesting that loss of a loved one may influence this relationship. Using data from 187 older adults in Puerto Rico, we assessed the association between loneliness and mental health and the potential moderating role of loss. Moderated multivariable linear regression results indicated that loneliness was significantly, positively associated with mental health (B = 1.58, p &lt; .001). Although loss due to COVID-19 was not significantly associated with mental health (p = .473), it did moderate the relationship between mental health and loneliness (B = −1.00, p = .048). The lack of significant association of loss and mental health contrasts with previous research on COVID-19 and warrants further investigation. Nevertheless, the statistically significant interaction suggests that grief should be considered when assessing individual and community support during the pandemic.