bluuebunny/crossref_metadata_2025_split huggingface dataset:
SOCIAL INTERACTION WITH FRIENDS AND COGNITIVE FUNCTION: BENEFITS OF SPENDING TIME TOGETHER AND GIVING A HELPING HAND
Authors: Han Sae Hwang , Ng Yee To , Tucker Julia 
Published: December 2022

Abstract
Despite the burgeoning literature linking social integration and cognitive function, studies that focus on the potential cognitive benefits associated with friendships are limited. Using eight waves of nationally representative data from the Health and Retirement Study (1998-2012), we investigated whether two distinct forms of social interaction with friends—(1) getting together for a chat/social visit and (2) providing informal helping to friends—were associated with cognitive function (assessed with a modified version of the Telephone Interview for Cognition Status) among individuals aged 50 and older (person N = 29,951) over a 14-year observation period. Multilevel models revealed robust evidence for within-person linkages between both forms of social interaction with friends and better cognitive function. The study findings are discussed in the context of declining social interaction with one’s friends reported over the past several decades in the United States, which are partly driven by increasing leisure trends characterized by in-home entertainment.
IMPACT OF TOTAL KNEE ARTHROPLASTY ON PHYSICAL ACTIVITY
Authors: Na Annalisa , Rosenstein Olivia , Chao Tony , Davenport Chad , Chapman Karen , Lindsey Ronald , Gugala Zbigniew 
Published: December 2022

Abstract
Knee osteoarthritis (OA) pain often challenges the physical activity necessary for managing life-threatening chronic diseases. Standard severe knee OA treatment of total knee arthroplasty (TKA) and physical therapy (PT) is effective at improving pain and function but whether such benefits translate to physical activity is unclear. We enrolled 22 participants with severe knee OA scheduled for a TKA (Age,mean±SD=69.0±5.8y, female=63.6%) and assessed pain (i.e.,Numeric Pain Rating), physical function (i.e.,Knee Osteoarthritis Outcome Score), and physical activity (i.e.,activity monitors and journals for 7-days) before and 1-month, 3-month, and 6-month after TKA. Using paired-wise ANOVA, pre-to-postTKA pain and function improved but not physical activity. Using regression analyses, outpatient PT sessions during first two months post-TKA were positively related to 3- and 6-month physical activity (r=0.51-070, P=0.003-0.029). Standard TKA and PT for severe OA improved pain and function but not physical activity. However, early post-TKA PT and physical activity relationships are promising, warranting exploration.
THE TRAJECTORY OF FAMILY FUNCTION OF STROKE SURVIVORS AND ITS IMPACT ON COGNITIVE IMPAIRMENT: A LONGITUDINAL STUDY
Authors: Li Juan , Liu Zhijian , Li Fanfan , Wang Jing , Wu Bei 
Published: December 2022

Abstract
This study examined the trajectory of family function of Chinese stroke survivors and its impact on cognitive impairment.We conducted a prospective longitudinal study and assessed family function of 170 stroke survivors and their family caregivers by Family Assessment Device(FAD) during acute stage and at 3, 6 months after onset via face-to-face follow-ups interview in Nanjing, China from January to October, 2020.Group-based Trajectory Model was applied to analyze trajectories of family function. Family function deteriorated with time. Four patterns of FAD trajectory (A: dysfunction-deterioration-improvement; B: severe dysfunction-stable; C: healthy function-rapid deterioration; D: approximate healthy function-stable) were identified. Healthy and stable family function was associated with better cognition and quality of life (β=-0.216,p&lt;0.05, β=-0.159, p&lt;0.05, respectively). Future studies are needed to further explore the reason why family function deteriorated and the linkage between family function and stroke survivors’ outcomes.
SYSTEMS BIOLOGY OF AGING
Authors: Rhoads Timothy 
Published: December 2022

Abstract
Program Overview: Aging is a complex process; numerous aspects of cell and animal physiology change with age and pinpointing a single causal mechanism has proven difficult. A systems-level approach, which attempts to integrate multiple perspectives of aging into a more cohesive understanding, addresses this challenge by leveraging the explosion in recent years of molecular and biological “big data.” In this session, speakers will describe their efforts using systems biology approaches to achieve a multivariate assessment of the mechanisms of aging. Dr. Gladyshev will speak on recent work to understand the systemic mechanisms that underpin lifespan control. Dr. Levine moves the focus to epigenetic measures of aging, an emerging biomarker. Dr. Kane will describe efforts to examine frailty phenotypes and their biological underpinnings, as well as sexual dimorphism during aging in mice. Dr. Rhoads will describe the broad landscape of RNA processing, a mechanism with a recently described association with aging and delayed aging by caloric restriction, in multiple organisms and tissue contexts, as well as engagement of this mechanism during different aging interventions. Together our speakers advance our understanding of the multifactorial nature of aging biology and set the stage for the development of interventions that target all aspects of the aging process.
UNDERSTANDING SPENDDOWN TO MEDICAID IN ASSISTED LIVING: SURVEY RESULTS FROM PARTICIPANTS/REPRESENTATIVES IN MINNESOTA
Authors: Baggett Sharon , Burton Ellen , Blackburn Justin 
Published: December 2022

Abstract
The state of Minnesota has seen substantial growth in the use of Medicaid in Assisted Living and wanted to better understand how applicants spend down to Medicaid in order to identify potential upstream interventions to prolong the spend down period. As part of a mixed methods research effort, 231 new Medicaid participants or their proxies, 167 in AL and 64 at home, completed a telephone survey on their services use prior to Medicaid application, prior planning or thinking of how to pay for services once personal resources were exhausted, and experience of spenddown once in AL. Reaching these eligible participants required a unique, multi-step outreach process; given the abilities of participants to respond, the majority of surveys were completed by proxies. Among those in AL, 40% reported planning in advance about how to pay for services once needed; 58% knew of government programs to assist and 80% reported their plan included applying to the programs at some time. Thirteen percent (13%) of those in AL reported getting help from the Medicaid waiver at the time of move in; another 25% said they paid for themselves for less than one year before getting state support. More than one-third (34%) who paid for their services for some period of time after move in said the period was shorter than expected; another 41% said about as expected, and for 25% the period was longer than expected. Open-ended comments indicate a move to memory care was a key factor in spend down to Medicaid.
UNDERSTANDING THE UNIQUE NEEDS OF VULNERABLE OLDER ADULTS IN A COMMUNITY-BASED TELEHEALTH PROGRAM
Authors: Schiaffino Melody , Zhang Zhan , Chaudhari Pratik , Huh-Yoo Jina 
Published: December 2022

Abstract
Vulnerable older adults benefit from community-based telehealth programs (CTP) that facilitate remote health monitoring with support from trained personnel. This study assessed acceptability with such technology as a self-reported measure of comfort among participants in an on-going CTP, the Telehealth Intervention Program for Seniors (TIPS). We analyzed data from participants across 20 sites (N=2279), 38% responded to their comfort with technology (n=866). We modeled self-reported factors to explore the association with technology acceptability. There was more comfort with technology than not (53.5% vs 46.5%). Participants under age 65, those reporting better vs poorer health (p&lt;0.0001) and a happier mood state (p&lt;0.0001) were more likely to be comfortable. Older adults and much older adults reported greater odds of comfort compared with those under 65. Better health status was associated with 84.5% greater odds of acceptability compared to those with poor (AOR 1.85; 95CI 1.28-2.65). Happier participants reported 56% greater odds of comfort compared with those reporting unhappiness. Though only marginally significant, non-English speaking participants reported greater odds of comfort compared to English proficient. While ethnicity was not associated, our marginal significance for language suggests a need to continue exploring. Our work demonstrates the need to address the unique needs of older adults.
THE GEROPSYCHIATRIC NURSING COLLABORATIVE: ADDRESSING BEHAVIORAL NEEDS OF PERSONS WITH DEMENTIA
Authors: Massimo Lauren , Hunt Lauren , Buckwalter Kathleen 
Published: December 2022

Abstract
Over the last decade, the Geropsychiatric Nursing Collaborative (GPNC) has sought to improve care of older adults with mental health needs such as those with dementia. Geropsychiatric nurses are well-poised to deliver person-centered care to address the psychosocial needs of persons with dementia, which may include behavioral expressions. In this interdisciplinary symposium, we will highlight approaches members of the GPNC are taking to address mood and behavior in persons with dementia. The first session will describe how persons with mild-cognitive impairment draw upon their inner strength after they receive a diagnosis. The second session will discuss how common behavioral expressions such as anxiety, depression and apathy contribute to difficulty with everyday functional activities in persons with Alzheimer’s disease. The third session will describe an interprofessional communication tool to improve communication of behavioral expression in the nursing home setting. The last session will share findings from a nurse practitioner-led team care management model to address cognitive vulnerability in older adults with dementia, depression, and/or delirium. Together, these presentations describe how geropsychiatric nurses are investigating mood and behavioral symptoms in persons with dementia and addressing their mental health needs with innovative person-centered interventions.
WHAT PANDEMIC RECOVERY WILL LOOK LIKE FOR OLDER, MULTICULTURAL WORKERS
Authors: Burton Cassandra , Cozad Aisha , Bridges Katherine 
Published: December 2022

Abstract
AARP has a long history of being an advocate for marginalized and vulnerable adults. AARP staff will discuss policy needs and what the post pandemic workplaces needs to ensure that older LGBTQ people can thrive in the workplace with dignity and respect. The 2021 AARP’s Vital Voices research will be used to showcase the economic impact the pandemic has had on older adults, African American communities, Hispanic/Latino communities, Asian Pacific Islander communities and LGBTQ communities. AARP staff will discuss strategies and tactics needed to ensure that opportunities for economic recovery for older adults. The survey gathers information to gauge opinions on a range of topics as well as breaking and current issues. Among other issues, it explores concerns about racism and experience with age discrimination and employment experience among older adults.
DISTINGUISHED FACULTY AWARD AND RISING STAR EARLY CAREER FACULTY AWARD PRESENTATIONS AND LECTURES
Authors: Dassel Kara 
Published: December 2022

Abstract
The Distinguished Faculty Award Lecture will feature an address by the 2022 recipient Christine A. Fruhauf, PhD, FGSA, FAGHE, of Colorado State University. The Distinguished Faculty Award recognizes persons whose teaching stands out as exemplary, innovative, of impact, or any combination thereof. The Rising Star Early-Career Faculty Award Lecture will feature an address by 2022 recipient M. Aaron Guest, PhD, MPH, MSW, of Arizona State University. The Rising Star Early-Career Faculty Award acknowledges new faculty whose teaching and leadership stand out as influential and innovative.
ASSOCIATION OF SOCIAL SUPPORT AND LONELINESS WITH FRAILTY AND FUNCTIONAL STATUS
Authors: Kyaw Kay Thwe , Flagiello Thomas , Levine Alec , Salinas Joel 
Published: December 2022

Abstract
Observational studies suggest psychosocial factors such as social support and loneliness are associated with vulnerability for frailty in older adults, but less is known about the generalizability of these putative psychosocial mechanisms in underrepresented groups. Thus, we evaluated whether better telecommunication social support and lower levels of loneliness were associated with decreased frailty and increased functional ability using a unique longitudinal cohort of rural South African older adults. We conducted generalized estimating equation and robust regression analyses using cross-sectional data from 347 participants in the HAALSI (Health and Aging in Africa: A Longitudinal Study of an INDEPTH Community in South Africa) Dementia Cohort. Social support via telecommunication and self-reported loneliness were measured using standard assessments and modeled as exposure variables. Outcomes were frailty (measured using Fried’s frailty phenotype) and functional status (measured by instrumental activities of daily living, IADLs). Lower level of telecommunication social support was associated with higher impairment in ability to perform IADLs. This association persisted after additional adjustments for depression (beta -0.007, 95 % CI -0.016, 0.001) and vascular risk factors (beta -0.012, 95 % CI -0.020, 0.003). No associations were observed in relating telecommunication social support and loneliness with frailty. Among rural South African Black older adults, lower telecommunication-based social support was associated with greater risk of impairment in functional ability. Although further validation is required for possible reverse causality, our findings suggest that future intervention studies focused on promoting telecommunication-based social support to preserve independent functioning may be merited.
MODELING REACTIVATED HETEROCHROMATIN USING AN AGING 3D CELL MODEL
Authors: Sidoli Simone , Stransky Stephanie , Cutler Ronald , Graff Sarah , Aguilan Jennifer 
Published: December 2022

Abstract
Chromatin state and dynamics is modulated by chromatin interacting proteins, in particular histones and their post-translational modifications. We investigate the chromatin-bound proteome in aging to understand how DNA readout is misregulated in senescent cells. We focus on domains of reactivated heterochromatin, i.e. chromatin domains undergoing anomalous decondensation and decorated by histones co-modified with markers of condensed heterochromatin and active transcription. We optimize our mass spectrometry methods 3D cell models, and then apply them on B-cells retrieved from Ashkenazi Jews donors. In this cohort, we particularly focus on offsprings of exceptional longevity, i.e. individuals in their 70s with projected longer lifespan due to their centenarians ancestors. Preliminary data on 60 individuals revealed the enrichment of unusual histone modifications in the OPEL group, the group we utilize as indicator of projected longer lifespan. We have then applied biochemistry techniques to identify the role of these unusual modifications on chromatin readout.
A SOCIAL CONNECTION HEALTH INTERVENTION FOR ISOLATED LATINX OLDER ADULTS AT RISK OF DEMENTIA
Authors: Díaz-Santos Mirella , Alcantar Sandy , Magana Maribel , Martinez Sujey , Varteresian Taya 
Published: December 2022

Abstract
COVID-19 exacerbated the “epidemic of loneliness.” Although loneliness and social isolation are social determinants of health and Alzheimer’s dementia (AD), culturally and linguistically responsive social connection interventions tailored to Spanish-Speaking community-dwelling immigrant older adults at higher risk of AD are lacking. UCLA’s Hispanic Neuropsychiatric Center of Excellence (HNCE) collaborated with Los Angeles County Department of Mental Health (LACDMH) to develop and implement a community-partnered social connection group intervention via Telehealth. All clients are homebound due to physical, psychiatric, and/or medical conditions. The main objective was to reduce feelings of loneliness by combining brain health education with skill-based exercises promoting self-efficacy, trust, belonging, and resilience by effectively communicating their needs in a psychologically safe group space. The effectiveness of the pilot intervention, however, required multiple refinements accounting for structural-social barriers, culture, language, and histories of trauma in country of origin and post-immigration to the United States.
FACTORS THAT IMPACT SUCCESSFUL AGING AMONG OLDER ADULTS LIVING WITH HIV/AIDS
Authors: Robinson Erin , Perkins Molly , Bender Alexis 
Published: December 2022

Abstract
The past two decades have brought significant medical advances in antiretroviral therapies (ART) for people living with HIV/AIDS (PLWHA). This has enabled PLWHA to live longer and healthier lives than ever before. In fact, nearly half of all PLWHA in the United States are age 50+ and HIV is treated as a chronic disease, instead of a terminal illness. Despite these advancements older adults living with HIV/AIDS (OALWHA) are still a highly stigmatized population who faces challenges with their health and overall well-being. This symposium will highlight recent research on factors that play a role in successful aging among OALWHA. Our first presentation leverages a quantitative dataset of OALWHA and examines the relationship between childhood sexual abuse and ART adherence, with a particular focus on substance abuse as a potential mediator. Our second presentation features a qualitative study with OALWHA that explores their conceptions of successful aging. Our third presentation includes a sample of medical case managers who serve OALWHA and examines the feasibility of using a cognitive screening tool with this population. Cognitive screening with OALWHA can help provide early indicators of cognitive decline and initiate early intervention. Finally, our fourth presentation includes a sample of older women living with HIV/AIDS and examines their support needs and resources, particularly to help understand their complex caregiving needs. Findings from these four studies advance our understanding of OALWHA and their needs to ensure continued successful aging. This symposium informs further research and direct practice with this population.
FOOD INSECURITY AMONG OLDER ADULTS WITH A HISTORY OF INCARCERATION: A MIXED METHODS STUDY
Authors: Sneed Rodlescia , Jordan Tamara 
Published: December 2022

Abstract
The purpose of this study was to use a mixed methods approach to describe the association between history of incarceration (HOI) and food insecurity (FI) among older adults. Quantitative data were obtained from the Health and Retirement Study, a population-based study of community-dwelling adults (n=12,702) aged &gt;50. Qualitative data were obtained via key informant interviews with formerly incarcerated older adults and the human service providers serving them (n=15). Multiple logistic regression was used to estimate the association between HOI and FI, adjusting for demographic variables. HOI was associated with increased odds of FI (OR 1.83; 95% CI 1.52-2.21). Race/ethnicity moderated the association between history of incarceration and food insecurity, with effects observed among Non-Hispanic Blacks (OR 1.78; 95% CI 1.29-2.46) and Whites (OR 2.27; 95% CI 1.74-2.97), but not Hispanics (OR 1.11; 95% CI 0.69-1.77) or those of other racial/ethnic groups (OR 1.79; 95% CI 0.71-4.52). Explanations for the association between HOI and FI obtained from qualitative interviews included ineligibility for food assistance programs due to felony conviction, lack of safe places to store healthy food, and difficulty using technologies needed to enroll in food assistance programs. The most common barrier associated with inaccessibility to healthful foods for this population, according to interviewees, is ineligibility for food assistance programs. FI is an important issue among older adults with a HOI. Re-examination of policies and procedures for accessing food assistance programs may be needed to reduce FI in this population.
THE IMPLEMENTATION PROCESS OF AN INTERGENERATIONAL COMMUNITY RESEARCH PROJECT: A NARRATIVE REVIEW
Authors: Scrivano Rachel , Juris Jill , Jarrott Shannon 
Published: December 2022

Abstract
Food for a Long Life (FFLL) was a five-year USDA Children, Youth and Families at Risk intergenerational community research project that sought to increase healthy food consumption, knowledge, and access among preschoolers and older adults living in food insecure communities of Ohio and Virginia. Using the community-based participatory action research approach, community stakeholders jointly participated in all stages of the project to co-create context-specific programming to address needs within their communities with the goal of promoting program sustainability beyond the grant funding period. This presentation will provide a narrative review to explore the implementation process of FFLL by comparing initial project expectations to reality using the community-based participatory research conceptual model (Wallerstein et al., 2008; Wallerstein et al., 2018). By exploring project barriers such as COVID-19, facilitators such as flexible partner relationships, and strategies including promoting early buy-in, we provide an in-depth discussion of project successes and lessons learned.
ALASKA NATIVE SUCCESSFUL AGING IN NORTHWEST ALASKA: AGING IN A GOOD WAY STARTS WITH YOUR FAMILY
Authors: Asquith-Heinz Zayla , Lewis Jordan , Kim Steffi 
Published: December 2022

Abstract
Alaska Natives (AN) view aging from a holistic perspective. One of the challenges of researching with cultural groups is the lack of data, or research, on culture and aging. This research explored successful aging from an AN perspective. A community-based participatory research (CBPR) model was used to engage participants at every stage of the research process. Semi-structured interviews were conducted with 16 AN men and 25 women. Kleinman’s Explanatory Model of Illness was adapted to gain a sense of the beliefs about aging and to guide the data analysis to establish an AN understanding of successful aging or attaining “Eldership” in Northwest Alaska. The foundation of the Norton Sound southern sub-region Model of Successful Aging is family, which contributed to Elders’ feelings of emotional well-being, ability to engage in their Native Way of life, maintain their physical health, and continue spiritual practices.
AN EXPLORATION OF CULTURAL INFLUENCES ON SUBJECTIVE SUCCESSFUL AGING
Authors: Kim Steffi 
Published: December 2022

Abstract
Indigenous peoples worldwide face unique challenges growing old. Many of these challenges are remnants of previous colonization practices and current oppressive systems often leading to out-migration from rural to urban environments. Despite Anchorage having the highest population of Alaska Native Elders little is known about the experience of relocation. This study investigated the impact of culture on the experience of successful aging within the Alaska Native context. Twenty-five semi-structured qualitative interviews with rural (N=13) and urban Elders (N=12; ages 48-84) were conducted. The use of Gee’s discourse analysis tools provided the framework for analyzing the discourse of Elders based on location and traditional or western influences on subjective successful aging. We explored the use of language within two identified discursive patterns: cultural discourse and Elder identity discourse. Social and contextual determinants of successful aging involve aspects of minority and majority culture and self-appraisal of successful aging based on cultural assumptions.