bluuebunny/crossref_metadata_2025_split huggingface dataset:
DIGITAL TECHNOLOGY USE AND SOCIAL CAPITAL: THE MODERATING EFFECT OF SOCIAL CLASS
Authors: Choi Bomi , Park Hayoung , Joo Susanna , Kim Yoon-Myung , Kim Hyoun K 
Published: December 2022

Abstract
This study aims to elucidate the heterogeneous associations between digital technology use and social capital by social class. The sample comprises 315 Korean older people who are 65 years old or older and participated in an online survey. Digital technology use was measured by the frequency of independent use in four areas of digital technology: primary, cultural, economic, and public areas. Social capital was measured with ten items asking the perceived support availability from both online and offline relationships. Social class was measured with education, household income, and subjective social position to reflect both objective and subjective aspects of social class. Using SPSS 25 PROCESS Macro 3.5, linear regression with moderation analyses was performed. A simple slope and the region of significance were tested for a significant interaction. Results showed that subjective social position significantly moderated the relationship between digital technology use and social capital. The positive association between digital technology use and social capital was strengthened when the level of subjective social position was higher. Education and household income did not moderate the relationship between digital technology use and social capital. The results of this study indicate that the effects of digital technology use vary depending on perceived aspects of social class. This study also demonstrates that people with higher social classes enjoy more benefits from digitalization, supporting digital inequality among the older population.
BOLSTERING SOCIAL CONNECTEDNESS DURING COVID-19: COMMUNICATION BETWEEN ESSENTIAL CONTACTS AND OLDER ADULTS
Authors: George Joanna , Hubner Sarah , Boron Julie Blaskewicz 
Published: December 2022

Abstract
Social isolation may increase morbidity and mortality, particularly for aging adults. Research suggests that COVID-19 has significantly disrupted social networks, exacerbating isolation and risk. However, the extent of disruption and its implications for older adults and their essential contacts (ECs) is unknown. ECs, those who provide support/engagement to older adults, play a significant role in networks and help shape communication patterns. Understanding the effects of COVID-19 on social connectedness between ECs and older adults is vital to promoting their well-being. The purpose of this study was to investigate ECs’ patterns of communication with adults aged 60+ during the COVID-19 pandemic , considering preferences, needs, and barriers. Self-identified ECs (N=546, Aged 19+, MAge=44.3±14.2) completed a Qualtrics survey via Amazon Mechanical Turk. Participants were ECs for community-dwelling (CDECs=57.3%) and institutionalized adults (IECs=42.7%). In addition to likert-style questions, the survey included free-response sections, examining communication quality, frequency, and method. Content analysis was conducted independently by two reviewers, using inductive coding. Qualitative results revealed distanced communication was widely utilized. Audiovisual/video communication was more frequently noted as desirable by IECs (32.8%) than CDECs (11.85%). Further, preference for audiovisual communication negatively correlated to expression of COVID-19-related barriers (IECs=12.5%, CDECs=7.7%, (r(546)= -.128, p=.01). Comparisons suggested that IECs reported absence of in-person contact with older adults more frequently than CDECs (recent contact=Never: 51% and 13.4% respectively). This may support the utility of video-communication to meaningfully supplement connectedness in the absence of in-person contact. The experiences described can reveal avenues for loneliness interventions and may guide future technology innovations.
COMMUNICATION BETWEEN OLDER ADULTS AND ESSENTIAL CONTACTS: ISOLATION AND ASSISTIVE AND INTERACTIVE TECHNOLOGIES
Authors: Karki Dinesh , Hubner Sarah , Boron Julie Blaskewicz 
Published: December 2022

Abstract
Essential contacts (ECs), people providing support/engagement to older adults, are vital to their physical and socio-emotional well-being. Research suggests that COVID-19 has significantly affected the connectedness of aging populations and their ECs, limiting interaction and potentially weakening support networks. Assistive and interactive technologies (AITs) may be useful for mitigating disruptions by facilitating communication. The goal of this study was to explore AIT preferences and needs of ECs for connecting with adults aged 60+. Participants completed a Qualtrics survey via Amazon Mechanical Turk. An initial sample (N=580,MAge=44.3±14.3,White=81%) was collected (December 2020-February 2021). A minority sub-sample (N=79,MAge=38.9±11.6,Non-White=87.3%) was subsequently accrued (September-December 2021). Participants were initial/minority-ECs for community-dwelling (initial-CDECs=57%,minority-CDECs=89%) and institutionalized adults (initial-IECs=43%,minority-IECs=11%). Minority respondents overwhelmingly identified as CDECs. Results revealed that recent ,“daily/often” phone-based, video-based, and in-person communication were all, more-frequently reported in minority-ECs compared to the initial-EC sample. Phone-based communication was most-frequent in minority-IECs (61%,versus initial-IECs=49%), but was relatively ubiquitous among all (minority-CDECs=49%,initial-CDECs=43%). Initial-CDECs had the least video-based contact (17%); the remaining groups were relatively similar (minority-CDECs=36%,minority-IECs=33%,initial-IECs=32%). CDECs reported the most in-person communication (minority-CDECs=70%,versus initial-CDECs=49%); IECs reported the least (minority-IECs=44%, versus initial-IECs=14%,). Results suggest that this minority sub-set may communicate more, respectively. This may be influenced by population and data-collection-time differences. Still, CDECs may have maintained better access to in-person communication and relied less-heavily on distanced networks through the pandemic. Ultimately, individual characteristics (i.e., ethnicity) and experiences (i.e., COVID-19) may drive communication patterns and end-user needs; this could inform innovation. Future investigation into these topics is warranted.
A MOLECULAR LENS FOCUSED ON UNDERSTANDING ALZHEIMER'S DISEASE HEALTH DISPARITIES
Authors: Davis Jamaine 
Published: December 2022

Abstract
Alzheimer’s disease (AD), the most common cause of dementia in older adults, disproportionally affects African Americans (AA) with an incidence rate as much as three times higher, compared to other racial/ethnic groups. Multiple factors contribute to this racial disparity however, an in-depth understanding of the biological or genetic contributions does not exist. Compelling evidence indicate that genetic variants of the lipid transport protein, ABCA7, is more strongly associated with AD in African Americans. To understand how ABCA7 contributes to AD on the molecular level, we used a combination of structural and cell biology techniques. Our results suggest that the ABCA7 variant (T319A) reported to confer risk in AA, may contribute to AD by reducing the levels of phosphoinositol bisphosphate (PIP2), a phospholipid reported to be decreased in the AD brain. These results provide a framework for targeting mechanisms that increase PIP2 levels as an effective strategy mitigating AD disparities.
A COMPARISON OF TRADITIONAL REMOTE MONITORING (RPM) DEVICES VERSUS A NOVEL, TOILET SEAT–BASED MONITORING DEVICE
Authors: VandeWeerd Carla , Sappington Erica , Poon Lydia , Okeahialam-Iheanyi Chidi , Roberts Mitchell 
Published: December 2022

Abstract
As the aging population increases, older adults are disproportionately susceptible to cardiovascular disease(CVD). Routinely monitoring vital signs can alleviate CVD’s burden. Current telemonitoring technologies targeting vital signs can be complex, generating inconsistent outputs and suboptimal adherence. In response, Casana developed the Heart Seat(THS), a passive toilet seat-based remote patient monitoring (RPM) device. This study aimed to compare older adults’ (1) adherence between traditional telemonitoring(TT) devices and THS and (2) satisfaction across devices. A randomized control study (UFIRB202100869) was conducted in an active lifestyle retirement community-The Villages, Florida. Using a crossover design, participants (N=49) with CVD were followed for 12 weeks (8/12/2021-12/21/2021), beginning in TT or THS Arm and crossing over arms at 6 weeks. Adherence was calculated daily as ≥1 use for ≥90 seconds for THS, and ≥1 use of the blood pressure cuff and scale for TT. Descriptive statistics and t-tests were used to evaluate adherence rates and participant’s experience and perception of RPM devices. Participants mean age was 73.4 years (SD=7.1,51% female). The majority (94%) of participants had previous experience using telemonitoring devices (e.g. scale, blood-pressure cuff, smartwatch) and 87.7% strongly agreed to feeling comfortable with at-home health monitoring. Overall, participants demonstrated greater adherence to THS than TT (t(48)=4.86, p&lt;.001). These findings suggest older adults are becoming increasingly experienced and comfortable with at-home monitoring of health parameters. Overall, adherence was greatest in THS, suggesting that passive, easy-to-use telemonitoring devices may increase adherence, promote real-time health monitoring, and support adverse event prevention in older adults.
UNDERSTANDING THE ADOPTION OF A MOBILE APPLICATION TO SUPPORT WORKFLOW OF HEALTHCARE AIDES
Authors: Daum Christine , Miguel-Cruz Antonio , Perez Hector , Rutledge Emily , King Sharla , Liu Lili 
Published: December 2022

Abstract
Healthcare aides are unlicensed support personnel who provide direct care, personal assistance and support to persons living with health conditions. Workflow issues have a negative impact on health care aides’ job satisfaction and quality of care. The implementation of information communication technologies could improve workflow. In collaboration with an industry partner, we developed a mobile application intended to support the workflow of health care aides who provide services to long-term care residents living with dementia. The purpose of this study was to investigate the technology acceptance and usability of a mobile application in a real-world environment when used by health care aides of a care facility. We used a sequential explanatory mixed methods approach. Our study included pre and post paper-based questionnaires with no control group (n=60). This was followed by two focus groups with a subsample of health care aides informed by qualitative description (n=12). We found: (a) acceptance of the mobile application was high; (b) usefulness was the strongest predictor of intention to use the mobile application, and (c) intention to use the mobile application predicted usage behaviour. Focus group findings supported the quantitative findings and highlighted participants’ strong belief that the mobile application was useful, portable, and reliable. An area for improvement was user interface adjustments. Overall, these results support the assertion that our mobile application assisted health care aides in addressing their workflow issues and thus, has potential to improve the quality of care provided.
DOES TRUST IN SOCIAL SECURITY INHIBIT ACCEPTANCE OF ASSISTIVE TECHNOLOGY FOR ADL HELP?
Authors: Wakui Tomoko , Itoh Sakiko , Miwa Hiroyasu , Ikeuchi Tomoko , Watanabe Kentaro 
Published: December 2022

Abstract
In 2000, Japan introduced a mandatory long-term care insurance program to facilitate aging-in-place of older care recipients; there has been a great demand for assistive technologies such as AI (artificial intelligence) and robots in care settings to reduce the burden of caregivers and long-term care costs in society. This study examined the relationship between the trust in social security and acceptance of assistive technology for ADL help and discussed the challenges in introducing technology in a well-developed social security system. An online survey was conducted in August 2020 among community-dwelling individuals aged between 40 and 89 across Japan to find out their acceptance of help provided via AI or robotics technology in five dimensions of ADL. In addition, a 5-point Likert scale was used to assess the trust in social security.A total of 4,047 respondents were analyzed in this study. The respondents’ mean age was 60.6 (SD=11.3), and 53.2% of them were female. Of those, 13.2% preferred help from humans in ADL, while for 86.8%, the use of some assistive technology was acceptable. Logistic regression revealed that the female and younger respondents and those who had better health and had completed higher education were more likely to accept AI or robotics technology in all/some ADL if they needed assistance; those with higher trust in social security, however, were less likely to accept technology (OR=.894; p=.011).The challenges in introducing assistive technology under a well-developed social security system will be discussed.
CAREGIVER DEPRESSION AND PROGRESS TOWARD VALUES: AN AUTOREGRESSIVE CROSS-LAGGED PANEL MODEL
Authors: Gossner Jacob , Fauth Elizabeth Braungart , Novak Joshua , Levin Michael , Bradshaw Spencer 
Published: December 2022

Abstract
Acceptance and Commitment Therapy (ACT) is an established in-person therapy but can be provided self-guided online. Recently, online ACT has been adapted to support dementia family caregivers. A primary goal of ACT is to connect individuals with their self-identified values, with the assumption that increased progress towards values will lead to improved well-being. While there are established negative associations between depression and progress towards values, the lagged influence of progress toward values at one time point on another time point within intervention is less understood. Our sample was 51 dementia caregivers who completed an online self-guided ACT intervention. Participants were 80.3% female, 53% spouse, with a mean age of 65.98 (SD =11.66). We created an auto-regressive cross-lagged panel model to examine longitudinal associations between progress towards values and depressive symptoms at three time points. Controlling for time 1 (pre-intervention) depressive symptoms, progress towards values at time 1 significantly predicted depression at time 2 (β = -.427, p &lt; 0.01) and progress towards values at time 2 (β = .716, p &lt; 0.001). Depression at time 2 significantly predicted progress towards values at time 3 (β = -.515, p &lt; 0.001) and depressive symptoms at time 3 (β = .580, p &lt; 0.001). The R^2 range from .30-.43. Our analyses suggest that participants’ initial progress toward values strongly negatively predicted their subsequent depressive symptoms, which then predicted later progress towards values. These findings demonstrate the potential reciprocal relationship between progress towards values and depressive symptoms within ACT intervention.
ENHANCING TELEHEALTH CLINICAL SERVICES AND CHRONIC DISEASE SELF-MANAGEMENT FOR OLDER ADULTS DURING COVID-19
Authors: Castagna Nicolette , Granville Lisa 
Published: December 2022

Abstract
During the pandemic, providers shifted to telemedicine to ensure patient safety. Under a federally funded cooperative agreement, the Florida State University College of Medicine’s Department of Geriatrics partnered with a Federally Qualified Health Center to assess rural older adults’ perceptions about telehealth and identify potential barriers. The quality improvement study used a convenience sample to survey patients aged ≥ 65 (n=62) at one rural clinic. 54.8% of respondents indicated they would not use telehealth for any care or preferred to receive most or all care in person. Conversely, 32.8% indicated a willingness to receive some care via telehealth. The survey also assessed the need for self-management devices, including blood pressure cuffs. There was not a consistent positive relationship between persons requesting devices and those who were telehealth willing. Devices were distributed to enhance telehealth visits and at-home monitoring. Clinic staff provided patients hands on training for device use and connection to EMR. Informal qualitative reports suggest patients are more empowered to utilize telehealth services and self-manage conditions. COVID-19 also limited access to community blood pressure screenings. The Tallahassee Senior Center and FSU Physician Assistant program distributed devices to community-dwelling older adults. PA students provided hands on training to aid in device familiarity and digital connectivity. Almost all older adult participants aged &gt;60 strongly agreed “after the presentation I feel ready to use the blood pressure cuff at home.” Clinical and community-based activities can help older adults who lack digital fluency feel more confident in using telehealth services and self-management devices.
THE EFFECTIVENESS OF INTERNET-BASED INTERVENTIONS IN REDUCING STRESS EXPERIENCED BY OLDER INFORMAL CAREGIVERS
Authors: Altukhys Abdulmajeed , Beaulaurier Richard 
Published: December 2022

Abstract

Purpose
This systematic review assesses and provides a critical review of the effectiveness of internet-based interventions to decrease informal caregiver stress. Method: A systematic review of the following databases: PsycINFO, Social Service Abstract, Social Work Abstract, PubMed, and Cochrane Library was conducted using terms related to informal caregivers and internet-based interventions from January 2010-February 2022. Only data conducting interventions in the U.S. included. This systematic review reviewed the quality of articles on the methods of randomized and non-randomized trials using the approaches recommended by the Cochrane Handbook for systematic review for intervention. The review was reported using a PRISMA chart.

Results
Eight studies met the review criteria. Most of the studies showed positive benefits in reducing caregiver stress. There were no clear patterns as to the variables such as study duration and complexity of intervention associated with better outcomes, although earlier studies typically had more negative outcomes.

Conclusions
Internet-based interventions can develop solutions to decrease the physical and psychological consequences resulting from caregiving and can help empower older caregivers of people with chronic diseases. Internet-based interventions were mainly effective in reducing aspects of caregiver stress and improving their well-being. Further studies can assess outcomes for older informal caregivers and their recipients’ health, different technology delivery methods, and the cost of such interventions are needed to examine the psychological impacts of COVID-19 on older informal caregivers.
DOES AGE, RACE, AND/OR RURALITY DETERMINE OLDER VETERANS' ABILITY TO ACCESS VA VIDEO CONNECT
Authors: Sawyer Linda , Cigolle Christine , Phillips Kristin , Dunlap Janette , Sullivan Dennis 
Published: December 2022

Abstract
The purpose of this project was to determine whether ability to use VA Video Connect (VVC) by older Veterans (OV) differed by age, race, or rurality. A service to help older Veterans learn to use VVC was developed. As part of an ongoing QI project, demographics, willingness to attempt a VVC test call and outcomes of test calls were collected on all referrals. Descriptive statistics, Chi-square, and Fisher’s exact test were used to examine differences in success rates by group. Of the 66 OV (age 60+) referred by their primary care providers, we were able to contact 63 by phone. Of those, 46 (73%) scheduled a VVC test call, 7 (11%) chose not to participate, and 10 (16%) were already using VVC for appointments. Of the 40 who continued the VVC test call, 31 (77.5%) were successful without issues, 7 (17.5%) were successful with help resolving issues, and 2 (5%) disconnected before finishing the call because it became too difficult. Of the 63 OV contacted, 38 (57.5%) had a successful VVC test call. However, those residing in rural (vs. urban) settings were less likely to have a successful test call (43% vs. 57%, p=0.04). There was no statistically significant difference in success rates for the test calls between whites vs. non-whites (52% vs. 48%, p= 0.2), or those aged 75 years or above vs. 60-74 years (53% vs. 46%, p=0.6). More work is needed to identify barriers to use of VVC, especially among OV living in rural settings.
SOCIAL SUPPORT DYNAMICS FOR SOUTH ASIAN BREAST CANCER PATIENTS: AN ANALYSIS CONDUCTED USING ATLAS CAREMAPS
Authors: Trivedi Ranak , Pukhraj Ambri , Desai Shreya , Shah Rishabh , Risbud Rashmi , Schapira Lidia , Gallagher-Thompson Dolores , Lorenz Karl 
Published: December 2022

Abstract
With a rise in the prevalence and a drop in mortality rates of breast cancer among South Asians (people with heritage from India, Pakistan, Nepal, Bhutan, Sri Lanka, Maldives, and Bangladesh), globally and in the US, there is an increasing number of South Asians managing breast cancer. The South Asian Family Approaches to Disease (SAFAD) study aims to better understand how South Asian breast cancer survivors are supported while managing breast cancer. We conducted semi-structured interviews to complete an adapted version of Atlas CareMaps, a visual representation of survivors' care networks at the time of the interview. Thirteen South Asian breast cancer survivors were enrolled. Survivors were on average 47y (SD=9.1y) and reported being diagnosed with stage 0 (n=1), stage 1 (n=3), stage 2 (n=6), or stage 4 (n=3) breast cancer. Analyses of the Atlas CareMaps suggest 1) South Asian breast cancer survivors received support from 13.7±3.5 individuals, while providing care to 3.3 ± 2.2 individuals; 2) at more advanced stages of breast cancer, patients provide less support to others (Stage 1=3.8±2.2, Stage 4=1.7±1.5); 3) older survivors received more support from abroad (&lt; 40y=2.0±2.2, patients 50+=5.3±3.3). Atlas CareMaps can provide useful insights into the rich care networks of South Asian breast cancer survivors which can be used to develop clinical programs.
INFORMATION SEEKING IN OLDER ADULT RURAL CANCER SURVIVORS: UNMET NEEDS AND SEARCH EXPERIENCES
Authors: LaValley Susan , Crabtree-Ide Christina , Glaser Kathryn , Haring Rodney , Mahoney Martin , Rodriguez Elisa , Widman Christy , Bouchard Elizabeth 
Published: December 2022

Abstract
Cancer survivors over the age of sixty-five have specialized supportive care needs related to maintaining their health and quality of life after treatment. However, cancer survivors living in rural areas may experience barriers like limited digital infrastructure and/or low health literacy when attempting to access necessary informational resources. This project sought to identify older adult rural cancer survivors’ domains of unmet informational support and experiences searching for supportive informational resources. Data from a survey administered to cancer survivors (N=292 with complete age data) in rural areas of Western New York (RUCA codes 7-10) were analyzed using descriptive statistics. Variables of interest included Internet access, information-seeking activities, cancer-related topics of interest, and information search experiences. Fifty-four percent of participants in the sample self-identified as over the age of 65. Among older adult cancer survivors, 62% reported using the Internet. The following topics were identified as unmet cancer survivorship information needs: (1) decreasing the risk of cancer recurrence, (2) new symptoms that warrant contacting one’s doctor, and (3) medical advances in treatment. Most older adult respondents (70%) were confident in their ability to find needed health information but 40% were concerned about the quality of the information they found and 31% found their search experience frustrating. While rural cancer survivors have access to digital resources and report confidence in their ability to find survivorship information, our findings highlight the need for tailored information on cancer survivorship and interventions to support information appraisal and selecting high quality informational sources.