bluuebunny/crossref_metadata_2025_split huggingface dataset:
COMMUNITY DISADVANTAGE AND WORKFORCE PARTICIPATION AMONG LATE MIDDLE-AGED MEDICAID BENEFICIARIES
Authors: Sneed Rodlescia 
Published: December 2022

Abstract
There have been numerous efforts to increase workforce participation among Medicaid beneficiaries in an effort to reduce program costs. We know little, however, about whether Medicaid beneficiaries with low workforce participation live in communities that support employment. The purpose of the current study was to determine if community disadvantage was associated with workforce participation among late middle-aged Medicaid beneficiaries, an age group that commonly faces difficulty entering the workforce. Participants were 1418 Medicaid beneficiaries ages 51-64 who participated in the 2016 wave of the Health and Retirement Study, a population-based study of community-dwelling adults aged &gt;50. Community disadvantage was measured using the Social Vulnerability Index (SVI). We evaluated the association between community social vulnerability and reduced workforce participation (defined as working &lt; 20 hours per week). We performed additional analyses to determine if the association between community disadvantage and reduced workforce participation was driven by any one of four subthemes of the SVI:(1) community socioeconomic status, (2) household composition/disability, (3) minority status & language and (4) housing type & transportation. Community disadvantages was associated with reduced workforce participation (OR: 2.82; 95% CI: 1.05-7.56). Analyses by SVI theme showed that the association between community disadvantage and reduced workforce participation was largely driven by community socioeconomic status (SES). Those living in low SES communities were more likely to report reduced workforce participation than those living in high SES communities: (OR: 5.48; 95% CI: 3.28-8.18). Policy interventions that focus on disadvantaged communities are likely needed to improve employment rates among late middle-aged Medicaid beneficiaries.
THE POWER OF RURAL PARTNERSHIP: MEETING NEEDS AND FOSTERING INNOVATION THROUGH THE WYOMING GWEP
Authors: McKibbin Christine , Carrico Catherine 
Published: December 2022

Abstract
The challenges of supporting the health and social needs of older adults and caregivers in rural and frontier areas are well-documented. It is common for rural older adults to experience barriers in accessing geriatric specialists, care coordination services, and caregiver support and education programs. The Wyoming Geriatric Workforce Enhancement Program (WyGWEP) is an innovative partnership comprising an academic geriatrics program, primary care delivery sites, single-unit on aging representing community-based organizations, and a tribal health program. This partnership, funded by the Health Resources and Services Administration, provides the infrastructure to assess needs, provide education and training, create programs to address gaps in care, implement practice innovation, and advocate for needs of rural older adults. This symposium includes five presentations detailing the unique projects of the WyGWEP partnership and the impact of this collaborative work on a variety of stakeholders. The results of a mixed-methods evaluation of the WyGWEP partnership will describe the benefits to the partners and areas for growth. A collaborative effort to assess the needs of older adults informs recommendations to support rural aging in place. Schenck et al. will describe the adaptation of the widespread ECHO model for use with dementia caregivers in rural and remote locations. Representatives from Wyoming’s only Program for All-Inclusive Care of the Elderly (PACE) will explain the cost of a recent decision to de-fund and close this important program. Finally, the impact of a novel Chronic Care Management implementation program will be discussed, including sustainable billing revenue produced by rural primary care clinics.
EVALUATING THE WYOMING GWEP PARTNERSHIP
Authors: Carrico Catherine , Lujan Irene , Anastasia Trena , McKibbin Christine 
Published: December 2022

Abstract
The goal of the Wyoming Geriatrics Workforce Enhancement Program (WyGWEP) is to utilize partnerships to improve health outcomes for older adults by developing a healthcare workforce trained to address unmet health and social determinant needs of Wyoming’s older residents. The purpose of this presentation is to report results from the novel mixed-methods evaluation of the WyGWEP partnership. Data were gathered from WyGWEP stakeholders through the Partnership’s Self-Assessment Tool (n=17; Center for the Advancement of Collaborative Strategies in Health, 2002), which assesses domains of Synergy, Leadership, Resource Sharing — Non-financial and Financial, Benefits and Drawbacks, Decision Making, and Administration/Management and Satisfaction. Semi-structured interviews (n=12) with partnership participants provided additional information and context. Evaluation results indicate that WyGWEP partners are highly satisfied across all domains of the Partnership’s Self-Assessment Tool. WyGWEP partners from Eastern Shoshone Tribal Health will share what has contributed to a successful collaborative. Additional results related to how this type of partnership has influenced participants’ ability to complete objectives and activities will be reviewed.
COLLABORATIVE NEEDS ASSESSMENT OF RURAL OLDER ADULTS AND PRIORITIES FOR AGING IN PLACE
Authors: Steinman Bernard , Tabler Jennifer , Clark Jeff , Osvold Lisa 
Published: December 2022

Abstract
To assess aging-related needs of state residents, the Wyoming GWEP collaborated with the state’s Department of Health--Aging Division to conduct a state-wide survey as the basis for Wyoming’s 4-year state plan on aging. Survey items addressed concerns related to community living and caregiving, as well as general concerns related to aging in Wyoming’s rural setting. Results suggest older residents are committed to aging at home; and when that is not feasible, wish to remain in their communities when possible. Concerns were identified regarding attributes of the state that place older residents at risk for poorer physical/mental health, dependence, financial jeopardy, social isolation, and negative secondary outcomes that are comparatively more costly to address in institutional settings. We discuss the collaborative needs-assessment process, as well as priorities for future service delivery that promote good social support, transportation options, and home modifications to increase independence and safety.
WELL-BEING DURING THE COVID-19 PANDEMIC: THE ROLES OF DEMOGRAPHICS, PERSONALITY, AND SOCIAL TIES
Authors: Ryan Lindsay , Fuller Heather , Sherman Aurora 
Published: December 2022

Abstract
The COVID-19 pandemic continues to exert widespread impacts on individuals, particularly older adults (Tyrrell & Williams, 2020). This symposium capitalizes on a variety of data sources to advance our understandings of the psychosocial impact of the pandemic on older adults. The first two papers consider the importance of personality characteristics in understanding the effects of social distancing. Fiori et al. highlight the potential for sociability to act as a liability during times of social distancing, finding that sociability exacerbated the effects of social distancing on mental health outcomes in a sample of community-dwelling older adults. Ryan’s paper focuses on the Big Five Personality traits, age, and population density as key characteristics explaining differences in subjective well-being during the pandemic. Next, Van Vleet et al. apply a mixed-methods approach to investigate when older adults expect life to go back to normal, finding that expectations about the future became more positive with the passage of time. The final two papers consider the importance of adults’ home social context during the pandemic. Newton examines relationships between living alone and well-being outcomes among older Canadian women, finding that perceived COVID-19 impact was significant only at T1 and living alone was linked to poorer well-being by T2. Birditt et al. examine how individuals’ and partner’s COVID-19 stress and couples’ racial composition are related to affective experiences measured via ecological momentary assessments, finding that husbands’ stress impacted both partners’ well-being, and that associations differed by race. Sherman will lead a discussion to synthesize these new findings.
OLDER CANADIAN WOMEN'S LIVING ARRANGEMENTS AND WELL-BEING DURING COVID-19
Authors: Newton Nicky 
Published: December 2022

Abstract
Living alone has been associated with lower COVID-related well-being over the course of the pandemic, although the results for women – particularly older Canadian women – depend on myriad factors. This study examines relationships between COVID-19 impact, living arrangement, and two types of well-being – psychological well-being and meaning in life – among Canadian women (N = 106) with Mage = 70.11 in two waves of data (July-September 2020 and March-May 2021). There were no differences in levels of well-being between T1 and T2, although regression analyses showed that correlates differed for type of well-being measured. Surprisingly, COVID-19 impact was only significant for psychological well-being at T1. Additionally, while levels of well-being did not differ by living arrangement at T1, by T2 both were lower for those living alone. Findings suggest adaptation to COVID-19 constraints and highlight changes in factors associated with well-being as well as the necessity of measuring well-being in multiple ways.
PANDEMIC-RELATED STRESS AND DAILY WELL-BEING AMONG MIDDLE-AGED AND OLDER COUPLES: RACE AND GENDER DIFFERENCES
Authors: Birditt Kira , Turkelson Angela , Oya Akari 
Published: December 2022

Abstract
Pandemic-related stress may have important implications for well-being among middle-aged and older couples and these effects may vary by race. Participants included 30 married/cohabiting couples (10 Black, 23 White, 2 Mixed race) ages 44 to 84 who completed baseline interviews and 5 days of ecological momentary assessment (EMAs) 6 times a day. Every three hours individuals reported how stressed they felt about COVID-19 and negative affect. Actor-partner interdependence models revealed that greater pandemic stress among Black husbands was associated with their own and their wives greater negative affect (b = 0.22, SE = 0.08, p &lt; .01; b = 0.16, SE = 0.08, p &lt; .05). Greater pandemic related stress among White husbands was associated with wives’ lower negative affect (b = -0.15, SE = 0.07, p &lt; .05). Findings are consistent with structural racism theory indicating that Black individuals may be more negatively affected by pandemic-related stress than White individuals.
SELF-PERCEPTIONS OF AGING, SUPPORT FROM CLOSE SOCIAL TIES, AND HEALTH GOAL PROGRESS IN EVERYDAY LIFE
Authors: Mejía Shannon , Hooker Karen 
Published: December 2022

Abstract
Subjective aging is interpersonal, it embodies processes of thinking about the self in relationship to others. We utilize data from the 100-day microlongitudinal Personal Understanding of Life and Social Experiences Project (N = 99; observations = 7,049; Mage = 63, range = 52-88) to explore how self-perceptions of aging differentiate the processes by which older adults shape interactions with close social ties to support progress toward a meaningful health goal in everyday life. Those with more positive self-perceptions of aging identified more friends among their closest social ties and reported a higher levels of goal progress and support toward that goal during the study period. Further, multilevel random coefficient models showed that goal progress on a given day was more sensitive to received support on that day among those with more positive self-perceptions of aging. The implications for adult development and shared experiences of aging within friendship networks is discussed.
JOY AND STRESS DURING THE COVID-19 PANDEMIC: FINDINGS FROM THE NATIONAL POLL ON HEALTHY AGING
Authors: Finlay Jessica , Kobayashi Lindsay , Solway Erica , Singer Dianne , Kirch Matthias , Kullgren Jeffrey , Malani Preeti 
Published: December 2022

Abstract
This poll aimed to better understand the complex impacts of the COVID-19 pandemic on the emotional and mental health of older adults. In August 2021, the National Poll on Healthy Aging surveyed a national sample of adults age 50–80 about joys, stresses, and resilience during the pandemic. Most reported feeling a lot (30%) or some (53%) joy these days, while 17% reported feeling very little or no joy. Reports of joy and stress differed substantially by age, sex, physical health, mental health, and household income. For example, people age 50–64 were more likely to report feeling a lot of stress compared with those age 65–80 (25% vs 13%), as were women compared with men (24% vs 15%). The findings may inform public health and policy efforts to support older adults at-risk for poor emotional and mental health, and help cultivate resilience during and after the pandemic.
THE FLYNN EFFECT IN SHORT-TERM COGNITIVE DECLINES OF AMERICANS AGED 65 YEARS AND OLDER: SMARTER AND MAYBE SLOWER
Authors: Zhang Yun , Rodgers Joeseph , O'Keefe Patrick , Terrera Graciela Muniz , Voll Stacey , Mann Frank D , Hofer Scott , Clousten Sean 
Published: December 2022

Abstract
To contribute to our understanding of cohort differences and the Flynn Effect in cognitive declines, this study aims to: 1) describe and compare cognitive decline trends of two nationally representative American older cohorts; 2) investigate significant determinants of cognitive declines and the cohort differences. The analysis used data from the National Health and Aging Trends Study (NHATS, 2011-2019), including one nationally representative cohort of older Americans in 2011 and another from 2015. We used mixed-effect models adjusted for cohort, wave, baseline age, sex, education, race, familiarity, and follow-up years, as well as survey designs, to describe and compare the intercepts and slopes in cognitive functions of the two NHATS cohorts. We included Cohort 1 (N=7,325) respondents (2011-2015), and Cohort 2 (N=7,330) respondents (2015-2019). Compared to Cohort 1, Cohort 2 has a significantly higher intercept and a slower decline for episodic memory, and a significantly higher intercept but a significantly faster decline for global cognition, orientation function, and executive function. Consistently, older age, poorer educational attainment, and minority races/ethnicity are associated with worse cognitive performances. Our results provide a comprehensive image of cohort declines for Americans aged 65 years and older. Our findings are consistent with the Flynn Effect in that the general levels of cognition of later cohorts improved. Furthermore, we found support for the Flynn Effect in a short term. We also found significant effects of older age, poorer educational attainment, and minority race/ethnicity on cognitive function.
DELIVERING PERSON-CENTERED CARE IN TIMES OF CRISIS
Authors: Behrens Liza , Roberts Tonya 
Published: December 2022

Abstract
Preference-based person-centered care (PCC) is the gold standard for delivering high quality care in nursing homes (NH). A public health crisis makes it difficult for NH leaders to make decisions that honor residents’ preferences for care and activities while balancing the safety of others in the NH community. Based on the Operational Framework to Guide Decision-making During the COVID-19 Pandemic, the purpose of this symposium is to discuss several projects that are growing the evidence-base for person-centered risk management during a public health crisis. Data presented can guide NHs in balancing safety and risk during a public health crisis. Our first presentation speaks to the adoption of preferences as an important measure of care quality prior to a crisis, the next two presentations speak to how risk perceptions of NH staff and residents can support PCC delivery during a crisis, and the final presentation provides a potential evidence-based quality improvement strategy for integrating PCC in the pandemic recovery phases. First Dr. Abbott will present on the impact of using the preferences for everyday living inventory as a quality and safety indicator in NHs, then Dr. Carpenter will present on direct-care staff members risk perceptions while during the COVID crisis, followed by Dr. Behrens who will discuss residents’ risk perceptions around having their preferences honored during the COVID crisis, and finally Ms. Heilbrunn will discuss an ongoing clinical trial evaluating the impact of using the ECHO platform to improve infection control and care quality during the COVID crisis.
THE DEVELOPMENT AND IMPLEMENTATION OF PILOT PROGRAM EVALUATION MEASURES
Authors: Kropp Denise 
Published: December 2022

Abstract
This presentation describes measurement tools and techniques for the pilot. Anonymous pre- and post-surveys were based on the Brief Tool for Dementia-Friendly Education and Training Sessions, modified for the ODRC population. The Brief Tool is a 7-item scale measuring the impact of dementia education sessions on knowledge, attitudes/perceptions, and interacting with people living with dementia. Based on ODRC feedback, we added an item on recognizing dementia. The pre-session survey asked about experiences with dementia prior to the session. The post-session survey included items on satisfaction, including the usefulness of the session in their work within the ODRC, whether they learned new information, and whether they would recommend the training. Open-ended items asked about dementia-related topics participants wanted to learn more about. All four online pilot sessions were led by the Ohio Council of Cognitive Health. Recordings of the sessions were made available for people unable to attend a scheduled session.
PUTTING THE 4MS INTO PRACTICE: IMPLICATIONS FOR TRAINING AND TECHNOLOGY
Authors: Crittenden Jennifer , Coleman Rachel , Jain Jennifer , Wihry David , Kaye Lenard , Wehry Susan , Metcalf Judith 
Published: December 2022

Abstract
The AgingME Geriatrics Workforce Enhancement Program (AgingME GWEP), a statewide collaboration led by the University of New England and the University of Maine, is guided by an annual statewide survey of community and professional stakeholders. The aim of this research is to identify training and resource gaps related to age-friendly healthcare and topics of interest. Of the 245 survey respondents, 15% indicated existing knowledge of the 4Ms framework. The top sources of 4M’s framework exposure included trainings or webinars (30%) and web-based resources (19%). Of those with knowledge of the 4M’s, 33% of providers and 29% of older adults/community members reported employing the 4Ms in their professional practices and personal lives, respectively. Respondents also noted the need for more training on how to use technology to locate healthcare information (33%), using technology to reduce isolation and loneliness among older adults (29%), and keeping providers connected with older patients (26%). Additional write-in responses (11%) suggest a need for general technology training and improving access to technology overall. Respondents' (N = 157) top five categories for needed aging-related training topics were community resources for older adults (15%), aging-in-place (14%), exercise and nutrition (11%), improving provider/patient communication (9%), and 4M’s of age-friendly healthcare overview (8%). Responses also identified themes related to improving patient/provider communications, availability of resources, and ageism that could be addressed through upcoming GWEP activities. Results indicate a need to facilitate the translation of 4Ms knowledge into practice and increasing technology training and access.
SUPPORTING RESIDENT ENGAGEMENT VIA WEB-BASED ASSESSMENT: EXPERIENCE OF ACTIVITY PROFESSIONALS IN LONG-TERM CARE
Authors: Li Xiaoli , Yin Cheng 
Published: December 2022

Abstract

Background
Resident engagement and activities have positive relationships with emotional wellbeing and physical health. However, regularly offered activities may not be suitable for all individuals and may be unsustainable when there are changes in residents’ health. Loneliness, depression, and social isolation are observed among residents in long-term care facilities. A web-based assessment system, “Elder Engagement Performance Improvement (EEPI),” has the potential to support resident engagement. Activity professionals are crucial in utilizing EEPI and engaging residents in meaningful activities, especially regarding their role in helping enhance resident engagement and wellbeing. This study aims explores activity professionals’ experiences in implementing the EEPI assessment. Method: Semi-structured interviews with 23 long-term care activity professionals (e.g., certified activities professionals, therapeutic recreation specialists, and activity assistants) were conducted and analyzed using qualitative content analysis.

Results
Activity professionals` experiences showed the EEPI was a means in improving residents’ engagement quality and making engagement a more targeted outcome. Four main themes emerged: (a) Lack of assessment tools, (b) Acceptance of a web-based assessment system, (c) Barriers to using the EEPI (time arrangements, staffing issues, and being on the same page), and (d) Areas for job improvement (person-center care and measurable practices).

Conclusions
The EEPI may serve as a valuable tool in long-term care facilities. The web-based assessment system facilitated activity professionals' daily work and involved the residents' input in their care, which may enhance resident engagement and reduce the risk of social isolation in long-term care facilities.
IMPLEMENTATION OF AN EDUCATION INTERVENTION FOR MULTIPLE MYELOMA PATIENTS RECEIVING STEM CELL TRANSPLANT
Authors: Halpin Sean , Konomos Michael 
Published: December 2022

Abstract
Older adults have an increased risk for multiple myeloma (MM), yet they are often unable to collect sufficient healthy stem cells for autologous stem cell transplant (ASCT). We sought to assess the implementation of educational intervention videos, termed Ready for Transplant (R4T), for MM patients both during the 18-month study and at 12 and 18-months post-study. Guided by the Reach, Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) framework, we observed 152 clinical encounters for 70 patients who received the intervention. Patients who reported viewing the R4T videos (56%) tended to be older and male and were more likely to admit for transplant than those who did not report viewing the videos (risk ratio, 2.3; 95% CI, 0.61, 3.88). At 12- and 18-months-post, nurses reported still using the R4T videos and found them particularly useful during times when patients were unable to attend the hospital for in-person visits due to the pandemic.
THE ASSOCIATION BETWEEN RELIGIOSITY AND COGNITIVE FUNCTIONING AMONG OLDER ADULTS WITH HEMATOLOGICAL CANCERS
Authors: Krok-Schoen Jessica , Rosko Ashley , Huang Ying , Funderburg Allesia , Dvorak Katy , Stevens Erin 
Published: December 2022

Abstract
Religiosity is positively associated physical health outcomes, yet longitudinal research on this association among older adults with cancer is limited. Participants were enrolled in a longitudinal study assessing chemotherapy’s impact on the health of older adults with hematological cancers. Religiosity was assessed by the Duke University Religion Index (DUREL), with higher scores indicating higher religiosity. Cognitive functioning was assessed by the Blessed Dementia Scale, with higher scores indicating more impairment. Participants (n=97) had a median age of 70 years (range:60-88) and were 58% male and 97% white. DUREL scores were unchanged with a mean score of 22 (range:5-27). Cognitive functioning significantly improved with a median score of 4 (range:0-22) at baseline to 0 (range:0-20) at end-of-treatment. Religiosity was not significantly correlated with cognitive functioning over time. Future research should explore the trajectory of cognitive functioning and other sources of coping (social support, palliative/supportive care) among older adults with hematological cancers.