bluuebunny/crossref_metadata_2025_split huggingface dataset:
DIVERSE CONTEXTS, UNIQUE EXPERIENCES: IMPACT OF SOCIAL ISOLATION ON PSYCHOSOCIAL FACTORS AND COGNITION
Authors: Francis Jess 
Published: December 2022

Abstract
The aging population is not a monolithic group. Older adults’ experiences of and behaviors within their social networks are as varied as their diverse backgrounds and lifestyles. Although the threat of social isolation is particularly salient among older adults, the psychosocial and cognitive impact can differ along demographic and socioeconomic lines. The objective of this symposium is to highlight how different older adults are effected by their social network characteristics and structure, and how they mobilize their psychosocial resources to protect against loneliness, depression, and threats to cognition. First, Hong & Mejia examine how older men and women compare in their use of information and communication technology (ICT) as each influenced the experience of loneliness during the COVID-19 pandemic. Francis & Brauer also look at ICT use as they assess demographic and socioeconomic differences in social isolation, perceived mattering, and Facebook use among single older adults who are childless and live alone. Oh & Chopik explore uncoupled older adults along demographic lines in a 10-year longitudinal study of single people, their perceptions of change, satisfaction with singlehood, and major life events. Further exploring the theme of well-being during the COVID-19 pandemic, Cooper, Ajrouch, & Antonucci assess cognition, depressive symptoms, and their association with race among a sample of Whites, Blacks, and Arab Americans. Finally, Lee & Colleagues round out this symposium by sharing results of their study in which they examine the coping styles of non-Hispanic Whites and non-Hispanic Blacks and the impact on cognition.
FRIENDSHIP IS IN THE DETAILS: CO-CONSTRUCTION OF RELATIONSHIPS AMONG PERSONS WITH DEMENTIA IN LONG-TERM CARE
Authors: Saunders Pamela 
Published: December 2022

Abstract
Friendships have been linked to psychological and emotional wellbeing and better physical functioning in older adults. Conversely, negative consequences (e.g., depression) are associated with losing friendships and shrinking social networks. While cognitive decline might be a limiting factor for persons with dementia (PWD) to establish friendships, this has not been proven in the literature. This paper reports on 20 interactions between PWD collected during the Friendship Study (de Medeiros et al. 2011), an ethnographic study of friendship in long-term care (LTC). Participants are male and female residents in an LTC community. Diagnoses range from mild to severe Alzheimer’s disease. Conversational interactions were transcribed and coded for linguistic and discursive devices signaling friendly interactions. Findings reveal that friendships are co-constructed by PWD using 4 primary linguistic discursive devices, including topic (meals, religion, medication, furniture, directions, baking), co-constructed narrative, repetition, and alignment. Implications for future research on friendship among PWD are discussed.
TECHNOLOGY TO SUPPORT OLDER ADULTS' HEALTH, SAFETY, AND WELLBEING
Authors: Boot Walter 
Published: December 2022

Abstract
Technology has revolutionized the ability to deliver interventions to support older adults’ health, safety, and wellbeing, and technology-based solutions have become increasingly important in the delivery of remote care during the COVID-19 pandemic. However, these interventions and novel approaches require a careful understanding of older adults’ needs, preferences, and abilities, and need to undergo tests of feasibility, acceptability, and efficacy. This session will present a sampling of research examining the development, testing, and implementation of technology-based solutions to support older adults. R. Azevedo will present on the development of a novel digital therapeutic for the self-management of hypertension medication adherence among older adults. S. Kwon will present on the initial efficacy of an app-based mindfulness-meditation intervention to alleviate stress and depressive symptoms among bereaved older adults. Y. Du will discuss the use of a commercial fitness tracker to facilitate activity self-monitoring among overweight diabetic older adults with and without kidney disease. S. Dimmick will discuss the development of a novel augmented reality (AR) safety checklist to reduce fall risk among older adults. Finally, F. Jain will present on the development of a new mobile application platform to meet the needs of family dementia caregivers informed by focus groups and an inductive and deductive mixed method analytic approach. Themes of the necessity of a user-centered design approach in the development of technology-solutions will be emphasized.
SELF-MONITORING OF LIFESTYLES FOR DISEASE MANAGEMENT IN OVERWEIGHT DIABETIC SENIORS WITH/WITHOUT KIDNEY DISEASE
Authors: Du Yan , Kumar Sharma , Ramirez Valerie , Brittany Dennis , Li Shiyu , Li Chengdong , Wang Jing 
Published: December 2022

Abstract
Overweight/obesity, diabetes, and chronic kidney disease (CKD) are common multiple chronic conditions (MCCs) in seniors. Fitbit fitness trackers were used to track physical activity and food intake over 12-week in 15 overweight/obese diabetic seniors (age=70.5±4.8) with/without CKD. The associations of percentage of days with tracked steps (PDWTS), percentage of days with food logs (PDWFL) and 7-day mean step count with body mass index, fasting glucose, HbA1c and renal function were examined using Pearson Correlation analysis. Qualitative data assessing perceived factors related to self-monitoring and lifestyle behaviors was collected and analyzed using content analysis. At week 12, PDWTS and PDWFL was positively and negatively associated with renal function (P&lt;0.05) and HbA1c (P&lt;0.05), respectively. Motivation and perceived benefits of self-monitoring were frequently cited facilitators for self-monitoring. Self-monitoring might help seniors manage MCCs. Motivating self-monitoring and providing health education on the benefits of self-monitoring in lifestyle interventions to manage MCCs are warranted.
NAVIGATING LIFE UNCOUPLED: CHANGES IN SINGLEHOOD SATISFACTION IN RESPONSE TO MAJOR LIFE EVENTS
Authors: Oh Jeewon , Chopik William 
Published: December 2022

Abstract
Experiencing challenging events without a partner who can be supportive can be hard and change perceptions of the singlehood experience. We conducted growth curve analyses predicting intercepts and slopes of singlehood satisfaction from ten major life events (MLEs). Single people (N = 5,191; Mage= 46.98, 60.1% women) were followed longitudinally over 10 years (2008-2017) and provided information on MLEs and singlehood satisfaction. People were fairly satisfied with singlehood (Mintercept=6.52/10), and satisfaction increased over time (Mquadratic slope=.01). Some difficult events (e.g., becoming ill and losing parents) were associated with declines in singlehood satisfaction. However, responses to MLEs were overall complex—unemployment was related to lower levels of satisfaction but unrelated to changes in satisfaction. Seemingly positive events (e.g., buying a house, getting a job) were also related to lower levels of satisfaction. Results for each MLE will be discussed in line with additional qualitative data on single people’s perceptions of change.
CORRELATES OF PHYSICAL ACTIVITY HISTORY IN PARTICIPANTS OF THE BALTIMORE LONGITUDINAL STUDY OF AGING
Authors: Moore Ann , Simonsick Eleanor , Landman Bennett , Ferrucci Luigi 
Published: December 2022

Abstract
Physical activity across the life course contributes to physical function and health in later life. Here we characterize a measure of physical activity history, newly implemented in participants of the Baltimore Longitudinal Study of Aging (n = 690). Participants selected one of four levels to describe activity during each decade of life from age ten to the present. Recalled levels of physical activity are positively associated with activity assessed in current and prior decade study visits, suggesting that the recalled estimates are consistent with historic activity. A summary measure based on ranking activity patterns was associated with measures of physical performance, muscle and fat areas quantified from computed tomography images as well as some indicators of homeostatic dysregulation (p &lt;.05). The observed associations suggest that an estimate of physical activity across decades provides complementary information to estimates of current activity and reemphasizes the importance of consistently engaging in physical activity.
FIT2DRIVE: DEVELOPMENT AND TESTING OF A PREDICTOR OF DRIVING CAPACITY OF OLDER ADULTS WITH COGNITIVE CONCERNS
Authors: Tappen Ruth , Newman David , Rosselli Monica , Coniff Joshua 
Published: December 2022

Abstract
The decision to stop driving has been reported by caregivers of persons with dementia as one of the most difficult ones they confront. Additionally, primary care providers to whom they often turn for guidance report being unprepared to provide them with evidence-based information. Our aim was to develop and test a predictive model employing 2 or 3 brief, easily administered cognitive tests to predict the individual’s likelihood of passing an on road driving test. Participants were licensed drivers recruited from our Memory Center’s driver evaluation program and the community to obtain a broadly representative sample of older drivers. A total of 357 drivers age 60 to 97 (mean 81) completed an established on-road driving test and battery of short cognitive tests. Two-thirds of the sample were white, non-Hispanic, one third were Black, African American, 59% male and 41% female, mean MMSE score of 24. Employing Receiver Operating curve analysis, the best set of predictors included participant age, MMSE utilizing world spelled backwards (a better predictor than serial 7’s), Trails B time in seconds and participant age yielding 95% AUC (area under the curve). The model was invariant across gender, education and ethnic group. A website with an interactive calculator in which this data is entered and likelihood of passing an on-road driving test prediction is presently under construction and will be available first to providers and later to individuals with a concern about continuing capacity to drive. Funded by Florida Department of Health Ed and Ethel Moore Alzheimer’s Disease Initiative.
IMPACT OF COVID-19 MOVEMENT CONTROL ON OLDER ADULTS’ HEALTHCARE UTILIZATION
Authors: Tan Vanessa , Ang Gregory , Goh Kim Huat , Yeow Adrian , Tan Gamaliel , Chen Cynthia 
Published: December 2022

Abstract
Singapore was one of the first countries affected by COVID-19. Measures to contain the spread of COVID-19 include raising the Disease Outbreak Response System Condition (DORSCON) risk assessment to Orange and instituting a movement control order, termed as the Circuit Breaker. These measures have caused significant disruption in primary care and chronic disease management. As the first point of contact in testing suspected cases, primary care providers shifted their focus from non-COVID-19 services. Using an interrupted time series analysis, we examine the associations of DORSON Orange and Circuit Breaker on acute and chronic primary care visits among older adults aged above 50. We found significant reductions in both acute and chronic primary care visits immediately following DORSCON Orange and Circuit Breaker. DORSCON Orange was associated with a drop of 231 mean acute and chronic daily visits (95% CI -356 to -106). Circuit Breaker was associated with a further drop of 268 mean daily visits (95% CI -426 to -111). These reductions were also observed for acute and chronic visits separately. Routine chronic care appointments were deferred or cancelled to reduce the risk of transmission as patients with underlying medical conditions were at higher risk of developing severe complications. Delayed access to primary care can have profound health implications, especially for older adults. Ensuring accessibility to primary care is a key priority in maintaining population health. Understanding the impact of COVID-19 tightening measures on older adults’ primary care utilisation will be useful for future public health planning.
DUAL FUNCTIONALITY IN LATER LIFE
Authors: Ferraro Kenneth 
Published: December 2022

Abstract
Longevity and quality of life are core interests in gerontology, but debate has ensued as scholars have sought to integrate the two. I propose the concept of dual functionality to examine how humans reach advanced ages while maintaining both physical and cognitive function. Using a large national sample, my colleagues and I operationalize dual functionality and identify life course factors that predict it. Analyses of 33,310 respondents 50 years or older from the Health and Retirement Study show an estimated median age of 74 for loss of dual functionality. Lifetime stress exposure leads to earlier loss of dual functionality, even after adjustment for socioeconomic status and lifestyle factors. Estimates of dual-function life expectancy, moreover, reveal greater racial-ethnic disparities than those for life expectancy per se. Dual functionality may be useful for assessing the quality of longevity across societies and social categories and for identifying exceptional longevity.
SEQUENCING OF PLANNED AND UNPLANNED BIRTHS AND IMPLICATIONS FOR MID- AND LATER-LIFE HEALTH AMONG NLSY79 WOMEN
Authors: Thomeer Mieke , Ross Clifford , Reczek Rin , Bijou Christina 
Published: December 2022

Abstract
Existing studies demonstrate that unplanned births (e.g., unwanted, mistimed) are associated with worse health for mothers in the short-term and—according to some preliminary evidence—in mid- and later-life. Yet as life course and reproductive career frameworks highlight, childbearing experiences often unfold over a number of years, with a considerable amount of diversity in pregnancy and birth experiences even for the same individual. For example, a person may have an unplanned birth in late adolescence followed by only planned births in early adulthood. In order to provide a more holistic understanding of how birthing experiences births are associated with midlife health, we use Sequence Analysis (SA) on the 1979 National Longitudinal Survey of Youth (NLSY79; N=3,992) to examine how patterning of planned and unplanned births is associated with physical and mental health at ages 50 and 60 (SF-12). Preliminary analysis indicates that compared to respondents with only planned births, respondents with unplanned birth(s) followed by planned birth(s) have worse physical and mental health at midlife, but there is no difference in health for respondents with only planned births, only unplanned births, and planned birth(s) followed by unplanned birth(s). Future analysis with SA will consider how more detailed sequences (e.g., timing, number and type, ordering, spacing) are associated with these mid- and later-life health outcomes, taking into account selection factors such as childhood SES and educational attainment. This project demonstrates the need for life course perspectives on the long-term health implications of unplanned births, recognizing diversity within and between individuals.
AGING-DEPENDENT CHANGES IN ADIPOSE PRECURSORS
Authors: Sul Hei Sook , Lin Frances 
Published: December 2022

Abstract
Adipose tissue mass and adiposity change throughout the lifespan. During aging, while visceral adipose tissue (VAT) tends to increase, peripheral subcutaneous adipose tissue (SAT) decreases significantly. Unlike VAT, which is linked to metabolic diseases, including type 2 diabetes, SAT has beneficial effects. However, the molecular details behind the aging-associated loss of SAT remain unclear. Here, by comparing scRNA-seq of total stromal vascular cells of SAT from young and aging mice, we identify an aging-dependent regulatory cell (ARC) population that emerges only in SAT of aged mice and humans. ARCs express adipose progenitor markers but lack adipogenic capacity; they secrete high levels of pro-inflammatory chemokines, including Ccl6, to inhibit proliferation and differentiation of neighboring adipose precursors. We also found Pu.1 to be a driving factor for ARC development. We identify an ARC population and its capacity to inhibit differentiation of neighboring adipose precursors, correlating with aging-associated loss of SAT.
”HOW OLD IS OLD?” ADDRESSING AGEISM AND UNCONSCIOUS BIAS AMONG MEDICAL STUDENTS DURING GERIATRICS CLERKSHIP
Authors: Ramaswamy Ravishankar , Chow Stephanie , Javier Noelle Marie , Leipzig Rosanne , Hinrichsen Gregory , Kelley Amy 
Published: December 2022

Abstract
Ageism (stereotyping, prejudice and discrimination based on age) has deleterious consequences on older adults’ health. Medical students have variable attitudes and biases toward older people. We hypothesized that an embedded ageism curriculum within the Ambulatory Care-Geriatrics clerkship would increase ageism awareness and commitment to reduce ageism in the clinical environment for third year medical students. The 2021 curriculum included assigned pre-reading, videos, short didactics, expert-facilitated small group discussion of clinical vignettes, reflective journaling, and posting of personal commitments on a virtual messaging board. We surveyed students at the start and end of the clerkship to evaluate baseline awareness, change in UCLA Geriatrics Attitudes Scale, and satisfaction with curricular components. Of the 95 students who thusfar participated in the curriculum, we received 92 pre- and 48 post-curriculum survey responses. Pre-curriculum students reported the median age for “old” was 65 years (range 35-90) and 42% of students expressed preference for younger patients (33% neutral). Proportion of students with self-assessed ability to identify ageist remarks/actions increased from 52%(pre) to 92%(post), and ability to minimize own ageist biases increased from 23%(pre) to 83%(post). 86% of students found the curriculum useful; discussion with experts and viewing an ageism TED Talk were the most favorably scored components. Integrating an ageism curriculum with pre-work, didactic, guided discussion and reflection components in the Geriatrics clerkship increased medical student awareness and confidence in addressing ageism-related behaviors. This curriculum complements students’ clinical interactions with older adults and has the potential to reduce the future impact of ageism in medicine.
GEROFIT TO HOME: REDUCING BARRIERS TO GROUP EXERCISE TO RURAL AND NONRURAL OLDER ADULTS IN A SUCCESSFUL FASHION
Authors: Gregor Neil , Christman Eva-Marie , Crivello David , Schukle Jamie 
Published: December 2022

Abstract
Transportation, scheduling and travel distance can present as barriers to participation in facility based exercise programs. Gerofit to Home(GTH) eliminates aforementioned burdens commonly associated with in-person programs. Understanding participant satisfaction and retention in rural(R) and non-rural(NR) groups assists in planning to better serve these populations with group exercise. This study aims to explore GTH participant satisfaction and retention in over 100 participants, through 3 months, for veterans over 65yo in rural and non-rural areas. Current results illustrate “Highly Satisfied” in majority of both R and NR groups. Retention at 3 months, in both groups, and factors associated with 3-month retention will be discussed in this presentation. Further research into the reasoning for participant stoppage prior to 3 months will aide in understanding how to better cater group exercise to these groups. Satisfaction scores in this study endorse further efforts for virtual group exercise in older adults.
ENRICHING OUR DISCOVERY BY TRAINING FOR ENGAGEMENT: METHODS FOR PATIENT/PERSON ENGAGEMENT IN RESEARCH
Authors: Lessem Rachel , Roes Martina , Abbott Katherine 
Published: December 2022

Abstract
There has been a recent movement towards greater involvement of the patient/person voice in aging research. However, many researchers embark on engaged research without adequate training or knowledge and without the skills or experience to train those they hope to engage. We define engaged research as research topics, designs, methods, analyses and/or dissemination strategies that have been informed through collaboration with or input from those who have a direct stake in research. This symposium explores education as a method of engaged research and is premised on the notion that engaged research enriches our discovery and ultimately leads to better outcomes in interventions as well as policy. There is an identified need for training of researchers as well as stakeholders in order to do successful engaged research. This symposium details educational methods for training those who utilize engaged research: student, researcher, and patient/person stakeholder, culminating in an examination of supporting patients in being trainers themselves. The first presentation investigates an overarching educational strategy to change the research paradigm. The second presentation explores a unique method for training researchers to engage older adults as advisory board members. The third presentation details a strategy for training a specific group of older adults to be active in engaged research. The symposium concludes by highlighting a method by which older adults engage in a research intervention as trainers. Attendees will be able to identify and evaluate the outcomes of the different educational methods and translate these methods to new settings.
TRAINING LONG-TERM SURVIVORS OF HIV TO ENGAGE IN RESEARCH TO IDENTIFY PRIORITIES FOR AGING WITH HIV
Authors: Rapoport Andy , Lessem Rachel , Danilovich Margaret 
Published: December 2022

Abstract
With effective antiretroviral therapies, HIV has become a chronic disease. Currently, &gt;50% of people living with HIV are 50+ years old, and they face dual challenges of aging and HIV management. Overall, &lt;15% of published studies in HIV engage stakeholders in research. These rates are even lower for older adults with HIV. Thus, there is a critical need to engage long-term survivors in developing meaningful research questions for aging with HIV. To address this gap, we created the SHARE (Survivors of HIV Advocating for Research Engagement) board. Presenters will discuss the process for building the board’s research capacity and results of a community needs assessment that board members designed and conducted to ascertain priorities for HIV-aging research. Presenters will discuss evidence-based educational strategies utilized to build member research knowledge, and pre-post training changes in knowledge, confidence, and understanding. Presenters will focus on novel training approaches implemented in the remote environment.
FLEXIBILITY MEETS COMPLEXITY: LESSONS FROM EMBEDDING A DEMENTIA CARE COORDINATION MODEL IN PRACTICE
Authors: Samus Quincy 
Published: December 2022

Abstract
People living with dementia (PLWD) are among the highest-need and highest-cost individuals because of the complexity, duration, and range of medical, behavioral, environmental, and social needs. There is a growing evidence base showing that family-centered active management approaches that include activation and empowerment of care partners are well suited to improve care quality and health-related outcomes, and have potential to curb high ADRD-related healthcare costs. This presentation will outline key experiences and lessons learned after a decade of work developing, adapting and embedding a comprehensive family-focused care management model called MIND at Home into practice. The work, supported in part by the IMPACT Collaboratory Health Care System Scholars Award to partner with Centene Corporation, a large managed care organization, illustrates two overriding principles: (1) the necessity of “meeting people and health systems where they are” (literally and figuratively), and (2) the importance of effectively matching intervention to outcome and context.