bluuebunny/crossref_metadata_2025_split huggingface dataset:
TO CARE OR NOT TO CARE: CONTENT ANALYSIS OF MEDIA COVERAGE ABOUT ADULT CHILDREN CARING FOR PARENTAL PERPETRATORS
Authors: Goldberg Jaime , Kong Jooyoung 
Published: December 2022

Abstract
Though research about adult child survivors of childhood parental maltreatment who serve as caregivers for their perpetrating parent remains in its infancy, this topic has received some media attention in recent years. These publications, mainly focused on what, if any, duty an adult child survivor of parental childhood maltreatment has to care for their aging/ill parent, have garnered hundreds of online responses from readers that reveal vastly different beliefs, attitudes, and opinions about such caregivers. Content analysis was conducted on 513 comments across 5 online publications including the New York Times New Old Age blog, AgingCare blog, Slate Magazine, and Quora discussion forum. Several themes emerged from the data: (1) feelings of obligation; (2) setting boundaries; (3) validation of experience; (4) judgment of choices. It is evident from this analysis that the shame and stigma of being harmed by a parent in childhood persists into adulthood and the isolation of caregiving is palpable; participants posted to this online forum seeking connection in shared experience. The decision to participate in caregiving is particularly fraught when there is a history of maltreatment in the family system. For those who decide to become caregivers, they are at higher risk for experiencing ongoing challenges to their health, mental health, and overall wellbeing; for those who do not, they may still experience emotional turmoil. Gerontological researchers and clinicians’ heightened awareness of and knowledge about such caregivers’ experiences and needs are crucial to provide effective, trauma-informed support.
UNDERSTANDING CHALLENGES AND STRENGTHS EXPERIENCED BY CHINESE AMERICAN FAMILY CAREGIVERS OF PERSONS WITH DEMENTIA
Authors: Cassidy Jessica , Lee Kathy 
Published: December 2022

Abstract
Chinese American family caregivers of persons with dementia are often challenged by barriers to utilize caregiving support services due to language barriers, minimal understanding of dementia, limited numbers of culturally competent health care providers, as well as conflicting cultural norms, such as the disease related stigma. Subsequently, a delayed diagnosis and a hesitance to seek social support services and formal resources are prevalent among Chinese American families caring for persons with dementia. However, the resilience of these caregivers is often noted as a strength of this sub-population. We aimed to identify the challenges and strengths expressed by Chinese American family caregivers caring for persons with dementia by exploring their caregiving experiences. Using a qualitative study design, we conducted semi-structured, in-depth interviews with 26 Chinese American family caregivers of persons with dementia during the midst of COVID-19 pandemic. The data were analyzed using thematic analysis. Two themes emerged as challenges: lack of knowledge regarding early signs of dementia and family caregivers’ social isolation and loneliness. Two additional themes emerged as demonstrated strengths: utilizing technology throughout the caregiving trajectory and family caregivers’ helping behaviors. Our findings indicate potential to promote disease-related education and reduce feelings of social isolation and loneliness among Chinese family caregivers caring for persons with dementia by using technology and peer-led approaches. The examined coping strategies of Chinese American caregivers may be leveraged across disciplines to increase disease related knowledge, rates of early diagnosis, as well as the utilization of formal supports and resources.
TRANSFERS, DIFFICULTIES, AND CARE STRESS AMONG FAMILY CAREGIVERS OF OLDER ADULTS LIVING WITH DISABILITIES IN CHINA
Authors: Yue Lirong , Wang Shuangshuang , Yao Nengliang 
Published: December 2022

Abstract
Family caregivers are critical sources of support to older adults living with disabilities, but they also need to cope with caregiving stress and difficulties brought by the caregiving process. This study aimed to explore the associations between family transfers (i.e., time transfer and financial transfer), perceived difficulties of caregiving, and caregiving stress among family caregivers of older adults living with disabilities. Respondents were randomly selected from 6 urban districts and 6 rural towns in Shandong province, China. Data from 220 older adults living with disabilities and their family caregivers were analyzed. Caregiving stress were divided into three categories (mild stress, moderate stress and high stress). Difficulties were divided into four categories (insufficient care abilities, economic hardship, time conflicts, and inadequate nursing equipment). Family caregivers reported moderate to high levels of caregiving stress. Results from multivariate ordinal logistic regression shows that family caregivers providing nine or more hours of care per day reported higher levels of caregiving stress than those who provided 8 or less hours of care per day (9 to 12 hours: OR=2.92, p&lt;.05; 13 to 16 hours: OR=2.66, p&lt;.05). Caregivers who perceived insufficient care abilities, economic hardship, and time conflicts were more likely to report caregiving stress. Respites in the forms of caregiver support group and day care attendance for older adults living with disabilities may reduce caregiver stress. Educational program and professional knowledge training courses may be helpful in reducing caregiving stress. The long-term care insurance system should be promoted to provide social support for family caregivers.
THE DEVELOPMENT OF AN UNMET NEEDS APPRAISAL SCALE FOR LONG-TERM CARE SERVICE USERS
Authors: Chen Ya-Mei , Wu Shih-Cyuan , Zhong Zi-Ting , Chang Yu-Chien 
Published: December 2022

Abstract

Background
Taiwan’s Long-Term Care (LTC) Plans 1.0 and 2.0 aimed to provide accessible LTC services since 2007. Currently, &gt;40% of the people needing LTC are covered by these plans. Past studies have indicated that high unmet needs among LTC users may lead to adverse outcomes. Thus, whether the LTC services meet the needs of both the care recipients and their family caregivers merits further study. The purpose of this study was to develop a suitable “unmet needs appraisal scale (UNAS) for long-term care service users” and pilot test this tool on older Taiwanese adults.

Methods
The tool was developed through a systematic literature review. The tool underwent two rounds of the Delphi method with 26 experts, and the tool reached a high consensus among the experts. The UNAS includes 11 items assessing activities that need more assistance, including daily activities, psychological health, and spiritual health. We pilot tested the tool in older Taiwanese adults and examined the tool properties, including reliability and validity. We included short-form 8 as a concurrent validity measure. Result: The survey was conducted in 6 counties, and 255 service user questionnaires were collected. The overall Cronbach's α value was 0.91, indicating good internal consistency. Our confirmatory factor analysis also showed good construct validity [χ2 = 146.514, p &lt; 0.001, CFI = 0.98, RMSEA = 0.06, SRMR = 0.02]. The UNAS scores showed a moderate negative correlation with quality of life scores (r = –0.452, p &lt; 0.001), demonstrating good concurrent validity of the unmet needs scale.
COMPLAINT PATTERNS IN US NURSING HOMES: 2013–2017
Authors: Bhattacharyya Kallol Kumar , Molinari Victor 
Published: December 2022

Abstract
Nursing home (NH) quality of care is often short of meeting residents' and family expectations to maintain optimum quality of life. Using complaints as a facility-level outcome (i.e., complaints per NH), this study updates earlier published findings by replicating prior analyses with more recent data, and by analyzing the number of complaints, complaint allegations, and deficiency citations separately. This will allow us to determine whether any major change has taken place in the consumer complaint pattern in recent years. The result reveals, in the entire study period (2013-2017), overall, 458,101 complaints (5.9/NH/year) were identified that contain 949,466 allegations (12.2/NH/year), which resulted in the issuance of 156,135 deficiency citations (2.0/NH/year) in about 15,600 NHs across the country. Regarding the number of complaints, substantiated complaints, and deficiency citations, the results show a steady increase compared to previous years. Furthermore, there are marked differences among the ten CMS survey regions on the prevalence of overall complaints, substantiated complaints, and deficiency citations. The current study found a lower number of NHs with zero complaints and a higher number of NHs with five/more complaints in later years suggesting a steady increase in the number of complaints over the years. However, the average rate of substantiation of complaint allegations is showing a decreasing trend in recent years. This may be because people are now complaining more due to higher care expectations. Alternatively, it may be simply be because of the easier complaint lodging process developed in recent years. Other policy and practice implications will be discussed.
PERSONALITY FUNCTIONING FEATURES OF CLINICAL ANXIETY AND COVID-19 ANXIETY AMONG OLDER ADULTS
Authors: Stone Lisa , Mock Colleen , Segal Daniel 
Published: December 2022

Abstract

Introduction
Anxiety is a significant mental health problem among older adults and is commonly comorbid with personality disorders (PD). However, specific relationships between personality functioning (a proposed feature of PDs) and late-life anxiety remain unclear. This study examined relationships between two models of personality functioning with late life clinical anxiety and COVID-19 anxiety. Method: Older adults (n = 222) completed the Geriatric Anxiety Scale (GAS), Coronavirus Anxiety Scale (CAS), Levels of Personality Functioning Scale-Self-Report (LPFS-SR), and Severity Indices of Personality Problems-Short Form (SIPP-SF).

Results
The GAS and CAS were significantly correlated to all LPFS-SR and SIPP-SF domains with large effect sizes (&gt; .78); higher clinical and COVID-19 anxiety was associated with increased personality dysfunction. In regressions, the LPFS-SR domains significantly accounted for 65% of variance in the GAS and 59% of variance in the CAS. Identity and Self-Direction were the strongest predictors of each anxiety scale, with Empathy also significantly related to coronavirus anxiety. The SIPP-SF domains significantly accounted for 65% of variance in the GAS and 58% of variance in the CAS. Responsibility and Social Concordance were the strongest predictors of each anxiety scale, with Self-Control also significantly related to clinical anxiety. Discussion: Results indicate theoretically-supported and meaningful overlap between clinical and COVID-19 anxiety with personality dysfunction according to two different models. This extensive overlap questions the extent to which personality functioning differentiates from affective distress. The two personality dysfunction models also differed somewhat in their relationships to anxiety, suggesting the need for further research especially among older adults.
LEARNING FROM ELDERS: WORKING WITH INDIGENOUS INTERGENERATIONAL MENTORS TO ADDRESS COMMUNITY NEEDS
Authors: Kopera-Frye Karen , John Karen , Frank Robynn 
Published: December 2022

Abstract
Tribal Critical Race Theory (Brayboy, 2005) supports the use of decolonizing methodologies such as Community-Based Participatory Research when collaborating with Indigenous communities. This paper highlights the underlying processes in working with a Dine community on an intergenerational health project. COVID had culturally disruptive effects, e.g., social isolation, on New Mexico’s Dine community. This project describes what can be best thought of as Community-Based Participatory Advocacy (Kopera-Frye, John, & Frank, 2021). Navajo students interviewed 13 area chapter elders on how COVID has impacted the community, particularly with Indigenous Ways of Knowing (IWOK). Thematic analysis indicated themes of loss, stress and social isolation, and health worker effects. Resilience was indicated in response to positive outcomes from COVID including a collaboration and coming together of community. Open dialogue workshops are ongoing to facilitate community healing from COVID. The results highlight the critical necessity of starting with the community elders and using decolonizing methodologies.
DISTRICT NURSES’ ATTITUDES TOWARD INVOLUNTARY TREATMENT IN DEMENTIA CARE: A CROSS-SECTIONAL STUDY
Authors: Moermans Vincent , Bleijlevens Michel , Verbeek Hilde , Passos Valeria Lima , Milisen Koen , Hamers Jan 
Published: December 2022

Abstract
Persons Living with Dementia (PLWD) prefer to live in their home environment, making their own choices and living a self-determined life for as long as possible. However, recent studies have shown that one in two PLWD receives involuntary treatment. Involuntary treatment is care provided that they resist to and/or have not given consent to, such as physical restraints, psychotropic medications. Although district nurses play a key role in the care of PLWD, it is unknown how their attitudes and opinions influence the use of involuntary treatment. This study aims to investigate the attitudes of district nurses towards the use of involuntary treatment in dementia care at home, determinants, and their opinion about its restrictiveness and discomfort. In a cross-sectional study, data were collected in a convenient sample of 296 Belgian district nurses using an online version of the Maastricht Attitude Questionnaire - Home Care. Results show that district nurses perceive involuntary treatment as a regular part of nursing care, having neither positive nor negative attitudes towards its appropriateness. They consider involuntary treatment usage as moderately restrictive to PLWD and feel moderately uncomfortable when using it. Nursing staff with more years of experience in dementia care, perceiving care for PLWD as burdensome, and having a lower educational background were more accepting towards involuntary treatment, rating it as a regular measure in the nursing care repertoire. These findings underscore the need to increase the awareness of district nurses regarding the negative consequences of involuntary treatment use to PLWD.
PHYSICAL FITNESS MODERATES THE AGE-RELATED ASSOCIATION BETWEEN EXECUTIVE FUNCTIONING AND MOBILITY
Authors: Dupuy Emma , Besnier Florent , Gagnon Christine , Breton Juliana , Lecchino Catia , Gayda Mathieu , Bherer Louis 
Published: December 2022

Abstract
In older adults, executive functions are important for daily-life function and mobility. Evidence suggests that the relationship between cognition and mobility is dynamic and could vary according to individual factors, but whether cardiorespiratory fitness reduces the age-related increase of interdependence between mobility and cognition remains unexplored. One hundred eighty-nine participants (aged 50-87) were divided into three groups according to their age: middle-aged (MA; &lt; 65), young older adults (YOA; 65-74), and old older adults (OOA; ≥75). Participants performed Timed Up and Go and executive functioning assessments (Oral Trail Making Test and Phonologic verbal fluency) remotely by videoconference. Participants completed the Matthews questionnaire to estimate their cardiorespiratory fitness (VO2 max in ml/min/kg). A three-way moderation was used to address whether cardiorespiratory fitness interacts with age to moderate the relationship between cognition and mobility. Results showed that the cardiorespiratory fitness x age interaction moderated the association between executive functioning and mobility (β = -.05, p = .047) (R2 = .18, p &lt;.0001). At lower levels of physical fitness (&lt; 19.16 ml/min/kg), executive functioning significantly influenced YOA’s mobility (β = -.48, p = .004) and to a greater extent OOA’s mobility (β = -.96, p = .002). Our results support the idea of a dynamic relationship between mobility and executive functioning during aging and suggest that physical fitness could play a significant role in reducing their interdependency.
PHYSICAL ACTIVITY MEDIATES LATIN DANCE PARTICIPATION AND FITNESS OUTCOMES IN OLDER LATINOS
Authors: Kaushal Navin , Balbim Guilherme , Jaldin Michelle , Marquez David 
Published: December 2022

Abstract

Background
The benefits of engaging in physical activity (PA) for older adults (OA) are well documented; however, participation rates remain low, especially among OA Latinos. Latin dance expresses and promotes culture among Latinos, and can be an effective approach to promote PA. However, the physical function and cardiorespiratory fitness (CRF) benefits of OA engaging in Latin dance have not been investigated. The purpose of this study was to test if PA from an 8-month dance trial yielded and explained improvements in physical function and CRF.

Methods
The study analyzed physical function and CRF outcomes from the BAILA trial. Participants (n= 333) were Latinos (age 55+) who were randomized to a dance or control condition for an 8-month study. PA was assessed using the Community Healthy Activities Model Program for Seniors (CHAMPS), physical function was assessed with the short physical performance battery protocol (SPPB) and estimated CRF was assessed using the Jurca non–exercise test model. Results. ANCOVA models found significant change in SPPB total scores(F1, 331= 4.01, p=0.046) and estimated CRF (F1, 331= 7.66, p= 0.006) over eight months in favor of the dance group. Follow-up mediation models found MVPA to mediate between group and SBBP scores, (β= 0.05, 95% CI [0.0128, 0.1147]). MVPA also mediated between group and CRF, (β= 0.06, 95% CI [0.0164, 0.1197]). Conclusion. The study supports organized Latin dance programs to be effective for improving physical and cardiorespiratory benefits among older adults. The findings also encourage future investigations to promote PA in culturally relevant forms.
COMMUNITY-ENGAGED STRATEGIES FOR RECRUITMENT OF ASIAN AMERICAN OLDER ADULTS
Authors: Ðoàn Lan , Kwon Simona , Trinh-Shevrin Chau , Yi Stella 
Published: December 2022

Abstract
Asian Americans one of the fastest growing older adult populations in the U.S., and are emerging as a high-need, lower-income population. Inclusion of Asian Americans in research is critical given anti-Asian rhetoric and hate crimes targeting Asian American older adults and because Asian Americans are the fastest growing racial/ethnic group in the U.S. We focus on recruitment strategies used during the implementation of 11 primary collection data efforts, including national and regional community health resources and needs assessment surveys, launched during the COVID-19 pandemic (starting May 2020). Unique recruitment challenges included the heterogeneity of language, culture, and sociodemographic characteristics of participants, digital literacy, and survey fatigue. Effective recruitment facilitators included: prioritizing community engagement at all research stages; aligning the research purpose with community priorities; recruitment through community-based organizations and bilingual community health workers; translating survey instruments; and regularly scheduled meetings with community-based organizations to discuss the survey progress.
HAIR CORTISOL FEASIBILITY AND DEMOGRAPHIC CORRELATES IN A SAMPLE OF OLDER ADULTS FROM PUERTO RICO
Authors: Ballard Erin , Turan Bulent , Crowe Michael 
Published: December 2022

Abstract
Hair cortisol is increasingly being used as a biomarker of chronic HPA-axis activation. Studies using older adults often exclude a substantial portion of participants due to insufficient hair or non-detectable cortisol levels, but do not provide details on correlates of these factors. We examined feasibility of hair measurement and cortisol detectability in an ongoing study of older adults in Puerto Rico. Among the first 537 participants in the current follow-up of the Puerto Rican Elder Health Conditions (PREHCO) study (now age 78-106 years old), approximately 11% of participants refused to give a hair sample and 20% did not have enough hair to sample. Women (13%) were significantly more likely than men (4%) to refuse hair collection. However, men (47.7%) were significantly more likely than women (4.8%) to not have enough hair. Of participants with enough hair to take a sample (n=372), 23% had non-detectable levels of cortisol. Black participants were the most likely to have non-detectable hair cortisol (43%), followed by multiracial mestizo (32%). The two most common racial categories in our sample, multiracial trigueño (23%), and white (17%) were the least likely to have non-detectable cortisol. In terms of hair products (including frequency of hair washing and use of conditioner, dye, or perm), only the use of chemical hair straighteners was associated with higher likelihood of non-detectable cortisol (38%). Findings underscore the importance of measuring hair products when examining hair cortisol in older adults and suggest that older black participants may be disproportionately excluded due to non-detectable cortisol levels.
LONGITUDINAL ASSOCIATIONS BETWEEN SPOUSAL LOSS, RELIGIOUS INVOLVEMENT, AND COGNITIVE HEALTH IN LATER LIFE
Authors: Yu Xinfang , Lee Hyo Jung 
Published: December 2022

Abstract
Death of a spouse is one of the major stressors which is more frequently observed in one’s late life. Previous literature showed a link between the death of a spouse and late-life cognitive health and suggested a benefit of having more religious involvements. Applying Stress Process Model, this study examines multiple dimensions of religious involvements and whether they buffer a negative impact of spousal loss on cognitive health in old age. Using data from the Health and Retirement Study (2006 – 2016 waves), we selected older adults who were married at baseline (N = 6658). We conducted a) regression analyses to examine the main effect of spousal loss on cognitive health as well as buffering effect of religious involvement and b) growth curve modeling to analyze the trajectories of cognitive functions. Preliminary analyses showed that spousal loss in late life was associated with poorer cognitive function among older adults at baseline and follow-ups. More frequent attendance at religious services and prayer in private setting were associated with better cognitive function, yet, no buffering effect was found. We observed a gradual decline in cognitive function over time among the widowed respondents. Findings confirm that widowed individuals are more likely to experience cognitive decline over time, compared to married counterparts. While religious involvement might not mitigate the negative impact of spousal loss on cognition, the study supports that each dimension of religious involvement may exert different outcomes in terms of older individual’s cognitive health during widowhood.