bluuebunny/crossref_metadata_2025_split huggingface dataset:
THE POTENTIAL CLINICAL AND ECONOMIC IMPACTS OF OVER-THE-COUNTER HEARING AIDS IN THE UNITED STATES
Authors: Borre Ethan , Johri Mohini , Dubno Judy , Pavon Juliessa , Myers Evan , Francis Howard , Ogbuoji Osondu , Schmidler Gillian Sanders 
Published: December 2022

Abstract
Food and Drug Administration regulations (released 8/16/22) for over-the-counter (OTC) hearing aids (HAs) allow the purchase of OTC HAs for adults with perceived mild-to-moderate hearing loss. Given this new development, the quality-of-life benefits and costs of OTC devices are now relevant but also unknown. We sought to project the population-level costs and effectiveness of US OTC HA provision. We used a microsimulation of hearing loss (DeciBHAL-US) to simulate: 1) traditional HA provision validated to published estimates of HA uptake (10-year delay), and 2) OTC HA provision for persons with perceived mild-to-moderate hearing loss at increased uptake rates (5-year delay) across quality-of-life and cost combinations. Simulated adults experienced probabilities of hearing loss (0.1–10%/year), subsequent age- and severity-dependent HA uptake (traditional HAs: 0.5–8%/year; OTC HAs: 1–16%/year) and discontinuation (4–13%/year). Utility benefit for traditional HAs was +0.11, and was +0.05–0.11 for OTC HAs. Costs included traditional HA uptake ($3,690; maintenance=$1,000/year) and OTC HA uptake ($600-$2,000; maintenance=$220–500/year). Our model projected lifetime discounted quality-adjusted-life-years (QALYs) for traditional HAs of 18.140/person, and 18.139–18.174/person for OTC HAs varying with utility benefit (+0.05–0.11). As long as OTC HA utility benefit was &gt;+0.05, increased access resulted in higher QALYs and was cost-effective ($4,000/QALY-$92,500/QALY, varying with HA cost and utility benefit). Our results were sensitive to variations in OTC HA uptake rates. In conclusion, OTC HAs may increase population health and access to hearing healthcare in a cost-effective manner, and our model may continue to explore the costs and benefits of OTC HAs as pricing and evidence evolves.
JOB CHARACTERISTICS ASSOCIATED WITH INTENT TO QUIT AMONG NURSING HOME EMPLOYEES AND MANAGERS
Authors: Kennedy Katherine , Mohr David 
Published: December 2022

Abstract
High turnover and recruitment challenges of nursing home employees and managers is an ongoing concern. This study’s objective was to examine intent to quit among all staff and assess the roles of job characteristics and job satisfaction. Employees and managers within one nursing home chain working in direct patient care or nursing were compared. Data came from the Work, Family, Health Network 18-month follow-up survey in 2012 (Total = 1,000, Managers = 101, Employees = 899). A cumulative logit model controlling for demographics was estimated for lower intent to quit. Herzberg’s Two-Factor Theory of Work Motivation guided the study. Employees scored significantly lower on family-supportive supervisor behaviors (FSSBs), schedule control (SC), and decision authority (DA) than managers. Employees and managers did not differ on job satisfaction, intent to quit, or job demands. Satisfied workers had 5.88 times greater odds of lower intent to quit compared to workers who were neutral or disagreed (p &lt; .0001). DA (OR=0.29) and SC (OR=0.19) were related to higher intent to quit. In contrast, FSSBs (OR = 1.45), safety compliance (OR=1.41), and the combination of high DA with high SC (OR = 1.4) were related to lower intent to quit. Among nursing home staff, lower intent to quit may be achieved through improving job satisfaction, safety culture, the quality of supervision, and job enrichment through more schedule control and decision-making power. It is also imperative to develop strategies to retain those with more education through further research.
ROLE OVERLOAD AND SLEEP DISTURBANCE AMONG CAREGIVERS OF PERSONS WITH DEMENTIA: THE MODERATING EFFECT OF RESILIENCE
Authors: Irani Elliane , Wang Fei , Griggs Stephanie , Hickman Ronald 
Published: December 2022

Abstract
Sleep disturbance is a significant sleep health problem among caregivers of persons with dementia and could exacerbate numerous adverse health outcomes. Resilience is one’s ability to recover from challenges and is a protective factor that is posited to blunt the effect of caregiving stress on sleep disturbance. Therefore, the purpose of this study was to examine if resilience moderates the association between perceived role overload and sleep disturbance using data from the 2017 wave of the National Study of Caregiving. The sample consisted of 480 informal caregivers (mean age = 61.77 years, SD = 13.69 years) of persons with dementia in the U.S. Participants completed self-report questionnaires about their sociodemographic and health characteristics, perceived role overload, resilience (i.e., adjusting to change and recovering from hardship), and sleep disturbance (i.e., frequency of trouble maintaining sleep). Data were analyzed using multiple regression with interaction terms to evaluate the moderation effect of resilience. Higher perceived role overload was associated with higher sleep disturbance, while controlling for caregivers’ age, race, gender, education, and self-rated health. The association of perceived role overload with sleep disturbance was attenuated among caregivers with higher levels of resilience (b = -.029, 95% CI: -.058, -.001). This study highlights the stress-buffering and sleep health benefits of resilience in the context of dementia caregiving. Among caregivers of persons with dementia, approaches to improve their ability to recover, resist, and rebound during caregiving challenges may mitigate stress and optimize their sleep health.
RURAL SYSTEM-BASED COPING STRATEGIES FOR ADVANCING RESEARCH AND HEALTHCARE WHILE TRANSITIONING TO THE NEW NORMAL
Authors: Ilardo Joan , Zell Angela 
Published: December 2022

Abstract
The pandemic brought about many changes at a system level that were necessary to facilitate continuity of research and the practice of healthcare. Rural and underserved populations were and continue to be the hardest to reach both before and during the COVID-19 pandemic. Therefore, the innovative coping strategies that were implemented during the pandemic are essential to continue as we transition into the endemic stage and realize our new normal as researchers and practitioners. This symposium will highlight adaptations made to research and practice during the COVID-19 pandemic that will apply to future system-level strategies. Drs. Wiese and Park will present results from an online exercise intervention for rural older adults that are at risk of cognitive decline. Drs. Ilardo and Zell will present a roadmap inspired by the pandemic to promote food equity. Drs. Zell and Haque will address rural solutions to polypharmacy issues using an interdisciplinary team approach. Dr. Monaghan-Geernaert will discuss important implications that international caregivers have in fulfilling caregiving gaps in the US, followed by Dr. Freeman et al.’s discussion of rural, long-term care facilities (LTCF) experiences during the pandemic. These system-based coping strategies have policy implications for rural healthcare as we transition to the new normal.
MAXWELL A. POLLACK AWARD FOR CONTRIBUTIONS TO HEALTH AGING PRESENTATION AND LECTURE
Authors: Rozario Philip 
Published: December 2022

Abstract
The Maxwell A. Pollack Award for Contributions to Health Aging Lecture will feature an address by the 2021 Pollack Award recipient Namkee G. Choi, PhD, FGSA, of the University of Texas at Austin. This session will also include the presentation of the 2022 Maxwell A. Pollack Award to recipient Nancy Morrow-Howell, MSW, PhD, FGSA, of Washington University in St. Louis. The Maxwell A. Pollack Award for Contributions to Healthy Aging Award recognizes instances of practice informed by research and analysis, research that has directly improved policy or practice, and distinction in bridging the worlds of research and practice.
COVID CHALLENGES TO FULFILLING GENERATIVITY: PITFALLS AND BRIDGES FOR OLDER VOLUNTEERS TO RE-ENGAGE COMMUNITY
Authors: Shay Kimberly 
Published: December 2022

Abstract
The ongoing COVID pandemic undermines the social resources known to preserve health and well-being among older adults. This deeply affects developmental tasks, as traditional paths to fulfilling generativity are impaired. Generativity, a later life stage of seeking to nurture and contribute to the next generation, is accessible through volunteering. This pandemic has revealed gaps in our knowledge of the challenges and adaptations to generativity and meaningful social engagements for older adults. To address this, the author conducted an ethnographic study at four key sites of volunteer engagement by older adults from 2021 to 2022, utilizing a community-based study of older volunteers. Methods included participant-observation at public events and in-depth interviews with 14 key informants. This was a novel study period, post-vaccine, when hopes were raised, but not always achieved for return to generative activities. Analyses revealed three key themes: threats to the foci and spheres of generative expression (Rubinstein, et al, 2015) enacted through volunteering; difficulties and successes creatively crafting new modes to reestablish prior social ties; and threats to full-adult personhood. These themes were linked to altered capacities, experienced during quarantine, to participate with and contribute to the community. Fulfilling later life generativity is intrinsically linked to the ability to participate in community social life, but the pandemic limited opportunities and prompted new challenges and solutions. This paper highlights the need for research to prepare for threats from future disasters and pandemics that challenge meaningful participation and generativity for older adults.
TRANSPARENCY, DOCUMENTATION, AND OPEN SCIENCE
Authors: Isaacowitz Derek 
Published: December 2022

Abstract
Some GSA journals are especially interested in promoting transparency and open science practices, reflecting how some subdisciplines in aging are moving toward open science practices faster than others. In this talk, I will consider the transparency and open science practices that seem most relevant to aging researchers, such as preregistration, open data, open materials and code, sample size justification and analytic tools for considering null effects. I will also discuss potential challenges to implementing these practices as well as reasons why it is important to do so despite these challenges. The focus will be on pragmatic suggestions for researchers planning and conducting studies now that they hope to publish later.
RECRUITING AND ENGAGING TRANSGENDER, NON-BINARY, AND INTERSEX OLDER ADULTS IN AGING RESEARCH
Authors: Lampe Nik 
Published: December 2022

Abstract
Aging research often erases sex and gender variation, thus ignoring the experiences of older transgender, non-binary, and intersex (TNBI) populations. At the same time, researchers have faced unique methodological challenges with recruiting and engaging with TNBI older patient populations in sexual and gender minority (SGM) aging research. Using data from 51 semi-structured individual interviews with TNBI older Americans, I explore methodological approaches for effectively recruiting and engaging TNBI older respondents. I describe the importance of disclosing researcher positionality and understanding community discourse (e.g., intersex status as a sex identity vs. a medical condition) when recruiting and engaging with TNBI older adults. Finally, I share why some traditional recruitment approaches in SGM aging research (e.g., purposive/snowball sampling techniques) may not be as effective towards TNBI older adults while offering some alternative techniques for meaningful recruitment and engagement opportunities.
ASSESSING NONSAMPLING BIAS ERROR AMONG SEXUAL MINORITY OLDER ADULTS IN THE CENSUS' HOUSEHOLD PULSE SURVEY
Authors: Ortiz Kasim 
Published: December 2022

Abstract
Previous research shows data quality and nonsampling bias error reduce accuracy of COVID-19 vaccination coverage in the Census' Household Pulse Survey. However, it is unclear how these issues relate to older sexual minority populations. Moreover, previous research has shown that sexual minority older adults survey nonparticipation rates are similar to their heterosexual older adult peers. Yet, it is less clear whether racial/ethnic variability in nonparticipation rates and patterns of missingness among sexual minority older adults exist. The current investigation utilizes repeated pooled data from the Census' Household Pulse Survey (N=329,078) to fill these gaps. Findings reveal nonsampling bias error contributing to inflated racial/ethnic inequities in vaccination coverage among older sexual minorities, with distinct racial/ethnic variability in missingness patterns among sexual minority older adults. The paper concludes with recommendations for improving survey-based research and details suggestions to improve recruitment strategies that minimize nonsampling bias.
DE-RISKING THE EMPLOYER-EMPLOYEE RELATIONSHIP WHEN WORKERS HAVE MILD COGNITIVE IMPAIRMENT OR YOUNG ONSET DEMENTIA
Authors: McMurray Josephine , Astell Arlene , Levy AnneMarie , Boger Jennifer , Burns Catherine 
Published: December 2022

Abstract
The employee-employer relationship is one that is well established in law and involves a contract between a worker who performs the work, and an employer who determines when, how and where the work is done. Many countries have introduced legislation that helps guide employee-employer behavior when workers’ performance of their duties is disrupted by illness or disability, such as mild cognitive impairment or young onset dementia (MCI|YOD). At any one time, about 8-12% of the workforce is off due to occupational or non-occupational work injury or illness with direct disability and absence costs projected about 7% of payroll in 2000. Drawing from data gathered in a systematic literature review and case study, this paper determined that uncertainty and risk influence employer-employee relationships when workers are identified with MCI|YOD. Employers’ industry context, size and corporate values influence their “integrated risk management” approach to workers with MCI|YOD, and early intervention is considered key to managing financial and liability risk. In contrast, progressive onset, delayed diagnosis, stigma, privacy concerns, workplace uncertainty, and lack of information may delay employee disclosure, a common employee risk mitigation strategy. We conclude by considering strategies to de-risk relationships between workers with MCI|YOD and employers using dual process theory to understand intuitive and rational decisions in the context of the disability management process.
SELECTIVE ENGAGEMENT IN PREPARATIONS FOR OLD AGE: DETERMINANTS OF MOTIVATION
Authors: Park Jeongsoo 
Published: December 2022

Abstract
Preparations for old age in general are beneficial for one’s adjustment in later life. Using Selective Engagement Theory (SET) as a conceptual framework, we examined how the importance attached to functioning, as well as perceived control over functioning in different domains (e.g., family, social relations, finances, health, etc.) predicted engagement in preparing for old age five years later. Two-wave data was obtained from Ageing as Future Study. The sample consisted of N = 1,255 aged from 30-85 in the US (n=315), Hong Kong (n=317), and Germany (n=623). Consistent with SET, ratings of importance were strongly predictive of subsequent preparations and more predictive than perceived control, with evidence in several domains of functioning that this was particularly true for older adults. These findings highlight the interaction between personal goals and resources in determining older adults' willingness to prepare for old age.
PREPARING FOR A GOLDEN AGE? APPROACH AND AVOIDANCE MOTIVATION IN THE CONTEXT OF OLD-AGE PREPARATION
Authors: Rupprecht Fiona , Nikitin Jana 
Published: December 2022

Abstract
When it comes to old-age preparation, individuals may be motivated by positive outcomes they wish to approach (e.g., social connectedness) or by negative outcomes they wish to avoid (e.g., loneliness). We expected approach motivation to be adaptive in younger ages, when resources and possibilities for old-age preparation should be plentiful. For older adults, whose resources and time for (continued) old-age preparation are limited, the maintenance- and loss-oriented perspective of avoidance motivation may however be the more adaptive one. Using data from 2054 individuals aged 18 to 96 years and representing five cultures, we adopted a domain-specific, cross-cultural, and age-differential perspective on our research question. Results indicate that individuals tend to be both approach- and avoidance-motivated when it comes to old-age preparation and confirm the age-differential adaptivity of approach and avoidance motivation in terms of both, actual preparatory behavior and psychological well-being.
A FAT-PROMOTING BOTANICAL EXTRACT ARTEMISIA SCOPARIA EXERTS GEROPROTECTION IN C. ELEGANS
Authors: Ghosh Bhaswati , Guidry Hayden , Johnston Maxwell , Bohnert Adam 
Published: December 2022

Abstract
Like other biological processes, aging is not random but subject to molecular control. Natural products that modify core metabolic parameters, including fat content, may provide entry points to extend animal lifespan and promote healthy aging. Here, we show that a botanical extract from Artemisia scoparia (SCO), which promotes fat storage and metabolic resiliency in mice, extends the lifespan of the nematode Caenorhabditis elegans by up to 40%. Notably, this lifespan extension depends significantly on SCO’s effects on fat; SCO-treated worms exhibit heightened levels of unsaturated fat, and inhibiting Δ9 desaturases, which oversee biosynthesis of monounsaturated fatty acids, prevents SCO-dependent fat accumulation and lifespan extension. At an upstream signaling level, SCO prompts changes to C. elegans fat regulation by stimulating nuclear translocation of transcription factor DAF-16/FOXO, an event that requires AMP-activated protein kinase under this condition. Importantly, animals treated with SCO are not only long lived but also show improved stress resistance in late adulthood, suggesting that this fat-promoting intervention may enhance some aspects of physiological health in older age. These findings identify SCO as a natural product that can modify fat regulation for longevity benefit and add to growing evidence indicating that elevated fat can be pro-longevity in some circumstances.
DIVERSITY OF EXPERIENCES OF AGING AMONG BIRTH COHORTS AND RACIAL/ETHNIC GROUPS IN NSHAP
Authors: Waite Linda , Karraker Amelia 
Published: December 2022

Abstract
Aging, the process of getting older, takes many forms. This symposium uses data from the National Social Life, Health, and Aging Project to study changes and differences between groups in the experience of older adults. Dale and coauthors look at the implications for future mortality of failing to respond to a follow-up interview in an ongoing survey. Those who drop out of NSHAP are more similar to those who died than to those who are reinterviewed, suggesting that survey dropout carries important information about health that has been ignored to this point. Choi and Waite compare social networks and social support for the Silent Generation cohort, born 1920-1947, to the Baby Boom cohort, born 1947-1965, and finds that the BB cohort has fewer kin in their networks and receive less support from family and friends than the older cohort, suggesting that they are more disconnected. Piedra and Iveniuk compare social networks of White, Black and Hispanic older adults. They find that Hispanics are initially more likely to have restricted networks, showing low social connectivity but increase in network diversity over time, suggesting resilience, whereas White and Black move toward lower connectivity as they get old. Iveniuk and Gupta compare marital histories of older adults in different racial and ethnic subgroups, with Blacks least and Whites most likely to be married at older ages, and Hispanics more likely to be recently widowed. These presentations point to the diversity of pathways through aging, and their consequences.
A JOURNEY INTO HOW PLACE MATTERS
Authors: Lewinson Terri 
Published: December 2022

Abstract
It is now well known that housing is a significant determinant of health and that systematic inequities shape the influence of home for many people. In this paper, I will present my research program designed to incrementally understand housing-health experiences of low-income residents in hotels, assisted living facilities, and senior housing apartments using qualitative, community-based, and biomedical approaches in Metropolitan Atlanta. Focused through an ecological lens, I will share insights from pedagogical and policy experiences that contributed to (and detracted from) the promotion of environmental justice for marginalized communities using inclusive strategies that were respectful of population identity. In this talk, I will discuss how institutional influences shaped opportunities for me to advance work on healthy housing as a social justice issue and detail my current project exploring air quality in a nontraditional home setting.
SENSORY LOSS AND BRAIN HEALTH: SPOTLIGHTING JUNIOR INVESTIGATORS IN THE SENSORY HEALTH INTEREST GROUP
Authors: Deal Jennifer , Whitson Heather 
Published: December 2022

Abstract
Sensory loss (hearing, vision, touch, smell, taste) is common in older adults, with over 2/3 of adults over age 55 experiencing loss in multiple senses. Sensory loss has been consistently linked to dementia and cognitive decline in epidemiologic studies. However, research gaps exist, with some senses having been studied more widely than others. Given differing underlying anatomy and physiology of the senses, the nature of the pathways linking sensory loss to dementia may vary and some have yet to be elucidated. For some, it may be that they are both caused by a common underlying biology (e.g., neurodegeneration). Alternatively, potential causal mechanisms include increased cognitive load, changes brain structure/function, social isolation and/or reduced activity. Additionally, gaps exist in how sensory loss may impact the lived experience of people with dementia. This session will address these research gaps by highlighting the work of outstanding junior investigators in the GSA Sensory Health Interest Group. The association between touch and dementia will be reported, a relationship which hitherto has not been well described. We will present on the relationship between olfaction and white matter integrity in the brain and describe how sensory function predicts levels of Alzheimer’s disease biomarkers over 10 years. We will present evidence for associations between audiometric hearing, structural brain volumes, white matter integrity, and cognitive test performance on speech-in-noise processing and will conclude by describing how hearing loss may impact patient-provider communication among older adults with dementia.