bluuebunny/crossref_metadata_2025_split huggingface dataset:
THE EFFICACY OF MUSIC AND DEMENTIA EDUCATION PROJECT ON HEALTH CARE PROFESSIONAL STUDENTS: PRELIMINARY OUTCOMES
Authors: Shi Jiaming , Sun Fei , Hirsch Jen , Cohen Dan , Kim Ha-Neul 
Published: December 2022

Abstract
This study aims to improve dementia literacy and competence to use music in practice with people with dementia among students in health professional fields. The eight-week curriculum was developed by a gerontology social worker and a subject matter expert on personalized music use for people with dementia. Two focus groups were completed in Spring of 2022 with people living with dementia and care partners to refine the curriculum and include information that those with lived experience felt was important for future health care professionals to know. The study used 2 single group designed cohorts of students who received the 8-week educational intervention over Zoom. Each cohort included 2 persons living with dementia (PWD) as co-trainers. Pre- and post- surveys included a modified Alzheimer’s Disease Knowledge Scale and Dementia Attitude Scale. Participants (n=17) included Social Work = 8, Nursing = 2, Psychology =3, and Others =4. Total of 11 student participants completed both pre-test and post-test surveys. Paired t-tests were used to compare pre-post differences. At post-test, participants reported increased dementia knowledge (M=2.45, p=.0027); increased dementia attitudes (M=13.18, p=.0057); and improved competency on using music with PWD (M=.97, p=.0045)compared to the baseline scores. The 8-week intervention showed a statistically positive impact on dementia attitudes and competency of music use. The findings of this study laid the groundwork for future studies on training current service professionals and comparing their practice after the training to non-trained professionals to measure the impact of the training in intervention.
ROBOTS IN SENIOR-LIVING FACILITIES: A SYSTEMATIC LITERATURE REVIEW
Authors: Trainum Katie , Hauser Elliott , Xie Bo 
Published: December 2022

Abstract
Robots are promising technologies for improving both the care of older adults living in facilities and the job satisfaction of caregivers, but concerns about their efficacy, ethics, and best practices remain. To inform this ongoing debate, we examined the literature on robots utilized in senior-living facilities. Three rounds of searching and screening were conducted in February 2022, following PRISMA guidelines. Keyword searches produced 666 non-duplicate articles from 5 relevant databases. We screened titles and abstracts against inclusion/exclusion criteria, resulting in 127 articles. Full-text screening resulted in 78 articles for analysis, published between 2002-2022 and represent 17 countries. Most studies demonstrated promising effects of robots, however there was a lack of high-quality studies, overrepresentation of female participants, and focus on companion robots over service robots. Few studies addressed the effects of robots on caregivers or controlled for novelty effects. Research addressing these gaps should combine robotic and gerontological expertise.
PRIMARY CARE PROVIDER PERSPECTIVES ON LANGUAGE AND COMMUNICATION BARRIERS IN DEMENTIA DIAGNOSIS AND CARE
Authors: de Jesus Alma Hernandez , Ma Melissa , Dohan Daniel , Alagappan Cecilia , Rankin Katherine , Sideman Alissa 
Published: December 2022

Abstract
Dementia diagnosis and care relies on extensive communication between a doctor, patient, and oftentimes a family caregiver. Communication is important for recognizing when there is a cognitive concern, gaining an understanding of the patient’s history of cognitive decline, engaging in cognitive testing, and providing quality care post-diagnosis. We conducted a qualitative study of 35 primary care clinicians and primary care nurse practitioners working in safety net settings in California to understand facilitators and barriers to dementia diagnosis and care. Using thematic analysis, we identified similar themes to those that have been explored extensively related to language and communication in doctor-patient relationship. Topics ranging from challenges that emerge when there is language discordance, difficulties finding and using interpreters, and challenges related to communicating medical topics in a patient’s native language. Specifically related to dementia, we found that language challenges emerge due to inadequate translation or availability of cognitive testing and post-diagnostic resources in multiple languages. However, we also identified unique challenges related to communication, including hearing loss, communicating about trauma during the diagnostic history interview, navigating the logistics of care, including communicating with specialists, building trust and rapport when there is language discordance, and cultural miscommunication even when the spoken language is the same. These issues affect historically marginalized individuals and communities, especially when dementia and cognitive impairment are present. We suggest new approaches and policies to enhance communication and better ways of working with patients who are hard of hearing.
INCORPORATING SPIRITUALITY INTO COGNITIVE STIMULATION THERAPY GROUPS FOR PERSONS WITH DEMENTIA
Authors: Nketsiah Ebow , Zubatsky Max , Berg-Weger Marla 
Published: December 2022

Abstract
With the rise in Dementia-Related Disorders globally, few non-pharmacological approaches have been developed to effectively target cognitive impairment and memory loss. Cognitive Stimulation Therapy (CST) has shown effectiveness in improving cognition and quality of life of older adults with dementia. To date, no studies have incorporated spirituality into CST for improving the cognition and quality of life of older adults with dementia. This study’s aim is to evaluate the effectiveness of CST with a spirituality component compared to the traditional CST group intervention. Our team grouped participants (Nf34) into either spiritual or traditional groups based on their location of residence and level of cognition. Preliminary results showed that spiritual-themed groups improved in mental health status, mobility, and depression. The spiritual groups had a mean difference of 1.85-points improvement on mental status exam as compared to 0.2-point reduction for the traditional groups. In addition, the spiritual groups had a mean difference of 4.80-points improvement in mobility and 0.6-point improvement on depression as compared to a 5.25-points reduction in mobility and a 2.13-points reduction on depression of the traditional groups respectively. Compared to the traditional CST group, there were no significant differences noted regarding cognition and memory recall. Incorporating spirtiuality and other faith-based themes in groups may provide additional benefit for individuals with memory loss. Both healthcare and long-term care facilities may benefit from incorporating group interventions such as CST into their routine care with older adults.
CROSS-CULTURAL COMPARISON OF A LATENT DEMENTIA INDEX IN MEXICO AND THE UNITED STATES
Authors: Saenz Joseph , Beam Christopher 
Published: December 2022

Abstract
Latent variable models have recently been used to extract latent dementia index scores using cognitive and functional ability data. Yet, no cross-cultural comparisons have been conducted. This analysis tests metric measurement invariance of a latent dementia indicator (LDI) among older adults in Mexico and the US using different statistical criteria. We then test whether demographic risk factors relate with the LDI similarly depending on criteria used to test measurement invariance. Data included the MexCog (Mexico, n=2,265) and Harmonized Cognitive Assessment Protocol (US HCAP, n=3,347). The LDI is a latent variable measured using 13 cognitive and 10 functional common items. Measurement invariance was tested in multiple group confirmatory factor analyses using both nested chi-square difference tests and comparisons of comparative fit indices (CFI). Covariances between demographic risk factors (age and education) and the LDI were compared across models achieved using different measurement invariance criteria. Full metric invariance of the LDI was achieved using CFI comparisons but not with chi-square comparisons, which required nine loadings to be freely estimated across studies to achieve partial metric invariance. Regardless of criteria used to test measurement invariance, age and education correlated with the LDI in both studies in expected directions with similar parameter estimates regardless of approach used to test measurement invariance. The LDI may be a valid tool to compare associations between risk factors and dementia in the HCAP and MexCog. The LDI related with demographic factors in expected ways and findings were robust to statistical approach used for measurement invariance testing.
EXAMINING THE IMPACT OF HEART DISEASE AND DIABETES ON THE MENTAL HEALTH OF OLDER MINORITY ADULTS
Authors: Saroj Sree , Panchagnula Sainath 
Published: December 2022

Abstract
As the world’s population ages and healthcare costs associated with the care of the elderly rise, it is pertinent to address these concerns. This study examines how older adults’ mental health is affected by chronic medical illnesses. It is hypothesized that minority older adults, on average, have worse mental and physical health outcomes than their majority counterparts. A secondary data analysis of the National Health and Aging Trends Study, revealed that older minority adults experience higher rates of depression than non-minority older adults, as measured by the Patient Health Questionnaire – 2 (PHQ-2). European-Americans significantly differ from African Americans (AA) and Hispanics regarding their level of anxiety, as measured by the Generalized Anxiety Disorder – 2 (GAD-2) measure. AA and Hispanics are significantly more likely to exhibit anxiety than their European-American counterparts. Minority older adults with a higher rate of surgeries are not substantially more likely to be depressed, according to the PHQ-2. Minority older adults who reported having a difficult time falling asleep are considerably more depressed than older minority adults who did not endorse depressive symptomatology on the PHQ-2. Minority older adults who had two or more social supports in their lives have lower levels of anxiety compared to older minority adults who have less than two social supports in their lives. The findings from this study serves as groundwork to promote equity between majority and minority older adults, which will improve their abilities to perform independent activities of daily living successfully.
SOCIAL DETERMINANTS OF ORAL HEALTH AMONG OLDER ADULTS: RURALITY MATTERS
Authors: Ballard Aimee , Wetherbee Maya , Bernstein Laura , Patrick Julie Hicks 
Published: December 2022

Abstract
Oral health is often viewed as a predictor of emotional well-being. Older age and any tobacco use are among the strongest predictors of poor oral health. We sought to examine the roles of age, tobacco use, and dental health in relation to emotional well-being. Moreover, we identified unique predictors of oral health. Data were provided by 197,786 adults completing the 2020 BRFSS (mean age = 54.3 yrs; 46% men; 80% white; 15% rural; 41% had ever regularly used tobacco). Although 53.6% reported no loss of natural teeth, 29.5% reported losing between 1 and 5 teeth and 17% reported having lost 6 or more natural teeth. Hierarchical linear regression analyses revealed that younger adults, smokers, urban-dwellers, and those with more tooth loss experienced more poor mental health days, F (4, 359016) = 4307.6, p &lt; .001, R^2= .05. Tooth loss uniquely contributed to the variance explained, above and beyond the other predictors (Step 2: F (1, 359016) = 3722.01, p, .001). We also conducted a multinomial logistic regression to test whether age, tobacco use, and rurality could differentiate among levels of tooth loss. These equations were significant, with odds ratios showing that rurality was the strongest predictor of tooth loss. Our results suggest that rurality is a strong predictor of oral health, even beyond the influence of age and tobacco use. Future interventions used to improve the oral health of people, including older adults, must consider the greater needs present to rural-dwelling Americans
USING MDS TO MEASURE TRANSFER TRAUMA IN NURSING HOME RESIDENTS
Authors: Montoya Ana , Park Pil , Chang Chiang-Hua , Bynum Julie 
Published: December 2022

Abstract
Transferring long-term nursing home residents between facilities has been shown to compromise their quality of life. The negative consequences associated with transfers have been termed transfer trauma and its spectrum spans from functional, cognitive, and emotional decline to hospitalizations, and even death. The objective of this study was to develop a composite measure of transfer trauma after a nursing home-to-nursing home transfer using clinically relevant events and sub-measures covering functional, cognitive, behavioral, and emotional domains based on validated scales available in the Minimum Data Set (MDS) assessments. MDS Data were used to identify long-stay nursing home residents and obtain information on transfers, clinical assessments, and facilities. This study is a cross-sectional cohort analysis of long-stay nursing home residents in the state of Michigan who had a nursing home-to-nursing home transfer during our study period (March 1, 2018-October 31, 2018). We developed a measure of transfer trauma as a composite from 5 previously validated measures: 1) Activity of Daily Living (ADL) Self-Performance Scale; 2) Cognitive Function Scale (CFS); 3) Patient Health Questionnaire-9 (PHQ-9/PHQ-9-OV); 4) Agitated Reactive Behavior Scale (ARBS); 5) falls. The distribution and frequency of each sub-measure were analyzed to assess scaling of the composite measure. Of a total of 817 residents who transferred in our study period, 549 had complete composite measures, and from those 242 (44%) met criteria for transfer trauma. These findings demonstrate the need for further research to identify underlying transfer trauma and develop interventions to ameliorate the negative effects of transfers on this vulnerable population.
STAFFING DIFFERENCES IN NURSING HOME SPECIAL FOCUS FACILITIES AND SPECIAL FOCUS FACILITY CANDIDATES
Authors: Rhodes Annie , Zanjani Faika , Caprio Thomas , Gendron Tracey , Waters Leland 
Published: December 2022

Abstract

Introduction
Centers for Medicare and Medicaid Services designates “Special Focus Facilities” (SFF), which are nursing homes receiving special oversight for persistent quality problems. “Special Focus Facility Candidates” (SFFc) are nursing homes with quality problems that are designated as candidates to be future SFFs. Recent academic literature has not examined if SFF and SFFc have significant differences in staffing hours per resident day (HPRD).

Methods
Nursing homes that were SFF or SFFc in 2020 were matched to 5-star nursing homes. Monthly staffing averages were aggregated, and two-way ANOVAs with Tukey Post Hoc were conducted to detect level differences in HPRD across the three facility groups. Gross and Case-Mix staffing HPRD were analyzed, along with daily resident census.

Results
The final sample was n=197 SFFc, and n= 50 SFF, which were matched with n=247 5-star nursing homes for a total sample of Nf494. Over 2020, daily census for 5-star nursing homes was lower (M=72.36, SD=52.5) than SFFc (M=93.77, SD=68.34) or SFFs (M=97.88, SD=44.06). There was a significant difference between SFF and SFFc HPRD in Case-Mix Aide F(2, 5748)=187.6, p= &lt; .005, and Registered Nurse (RN), F(2,5748)=323,p=.003 care. There were no significant differences between SFF and SFFc in HPRD Aide F(2,5748)=380,p=.63, Practical Nurse F(2,5748)=1.1, p=.211, Case-Mix Practical Nurse F(2,5748)=19.57,p=.39, Case-Mix RN F(2,5748)=9.51,p=.91 or Total HPRD F(2,5748)=472.6,p=.16, care. Discussion: There is only a significant difference in staffing levels observed between SFF and SFFc for Aide staffing and RN staffing. This information supports researchers and policymakers in delineating the differences and similarities between SFF and SFFcs.
INFORMATION TO BE COLLECTED IN THE ASSESSMENT FOR PARENTS AND CHILDREN WITH “8050 PROBLEMS” IN JAPAN
Authors: Ayabe Takako , Takemoto Yoshito , Okada Shinichi , Fukui Sadaaki 
Published: December 2022

Abstract
In Japan, the “8050 problems” have become a social issue, where parents and children are parents in their 80s and children in their 50s and live together. In the case of parents and children with “8050 problems,” the parents are older, but the children are often dependent, withdrawn, and have financial problems. Recently, the number of such cases has increased in care management. The previous studies indicated that it was important to know what information was gathered in the assessment in such cases. The research was conducted from February to March of 2022 by self-administered questionnaires. The survey was mailed to all 1,410 care management centers in Osaka City. The response rate was 11.8%. The statistical analysis was an exploratory factor analysis. Six factors in the significant information in the assessment were extracted by the factor analysis: Physical, mental and living conditions of children; Parents’ physical and mental conditions; Parents’ perspectives on their lives; Parents and children’s financial situations; Living environment; and Relationships between the informal and formal supports and the parents and children. The Cronbach’s alpha for internal consistency was greater than 0.8 for each factor. In addition, the four factors were strongly associated among the six factors. In conclusions, the present study found that information about the physical and mental status, living conditions, community relations, and financial situations of the parents and children with “8050 problems” was important in the assessment of the parents and children, and that the information is closely related to each other.
LEVERAGING TECHNOLOGY TO OPTIMIZE THE ENGAGEMENT OF VIRTUAL PARTICIPANTS IN A NATIONAL CONSENSUS CONFERENCE
Authors: Falzarano Francesca , Brody Lilla 
Published: December 2022

Abstract
The COVID-19 pandemic has accelerated the uptake and use of technology in hosting virtual and hybrid (combining virtual and in-person) meetings and events. In this presentation, Dr. Falzarano will describe the ways in which the 2021 Conference on Engaging Family and Other Unpaid Caregivers of Persons with Dementia in Healthcare Delivery leveraged videoconferencing systems (e.g., Zoom) and other web-based platforms (e.g., Qualtrics) to enact a hybrid event. Specifically, she will discuss the various components involved in the event’s planning and execution, including the appointment of a virtual liaison and audiovisual technicians to enable seamless integration and participation of both in-person and virtual attendees. She will also discuss how videoconferencing technology was used to facilitate the delivery of virtual panel presentations; strategies for immersing virtual attendees in both large group discussions and small group breakout sessions; and the process by which virtual attendees participated in the priority vote.
OLDER VETERANS’ PREFERENCES FOR FORMAT AND DESIGN OF EDUCATIONAL MENTAL HEALTH BROCHURES
Authors: Cui Ruifeng , Rotondi Armando , Shalaby Alaa , Callan Judith 
Published: December 2022

Abstract
Older Veterans may have lower mental health literacy and education than younger Veterans. The Veterans Affairs Healthcare System (VA) has created many educational brochures on mental health to facilitate service utilization by Veterans, however few studies have solicited Veteran stakeholder feedback pertaining to their design and effectiveness. The present qualitative pilot study aimed to develop a brief general mental health educational brochure for older Veterans seen in VA medical settings. The brochure aims to provide information on mental health symptoms and VA mental health resources. Participants (Nf5, mean age=67.2) were older adult White male Veterans. An iterative design process was used to develop and refine the educational brochure which consisted of qualitative interviews with Veteran stakeholders on their mental health needs and their feedback on the brochure. The brochure was then modified based on prior Veteran feedback before being tested with subsequent Veteran participants. The brochure received high ratings on clarity (8.8/10), conciseness (8.6/10), and importance (8.6/10). Qualitative interviews revealed that Veterans appreciated the simplistic presentation of the content (“It’s very informative for being so simple, it caught my attention”), the generality of the content (“it is encouraging because it is a broad approach to a spectrum of mental health concerns”), and contact number content (“Direct lines, that’s really nice”). These findings support the use of user-centered design methods to develop educational materials. The findings indicated that a brief educational mental health print brochure was an acceptable method to promote mental health literacy and use of VA mental health services.
DIGITAL DIVIDE AND DIFFICULTIES IN ACQUIRING HEALTH RESOURCES IN DISABLED OLDER ADULTS DURING THE PANDEMIC
Authors: Yang Eunjin , Kim Min Jung , Lee Kyung Hee 
Published: December 2022

Abstract
The digital divide refers to the gap between those who are connected and those who are not connected to the internet and technologies. Although COVID-19 worsens the digital divide and health inequality, few studies have focused on the relationship between digital divide and difficulties in acquiring of health resources during the pandemic. This study aimed to identify the relationship between internet use and difficulties in acquiring health resources among older adults with disabilities during the COVID-19 pandemic. This secondary analysis study included 4,871 older adults aged 55 and older among 7,025 total responders of the 2020 survey of people with disabilities in South Korea. As the results, only 23.7% of older adults with disabilities used the internet. Non-internet users are more likely to have difficulties in acquiring COVID-19-related information (aOR 1.59) and buying and using personal protective equipment (aOR 1.36). However, difficulties in using medical services (aOR 1.21) was not statistically significant. Considering that older adults with disabilities have triple burdens from old age, disabilities, and the digital divide amid COVID-19, healthcare providers need to pay more attention to mitigate gaps between internet users and non-non users among this population. By narrowing the digital divide, decreasing health gaps and increasing well-being among older adults with disabilities will be guaranteed.