bluuebunny/crossref_metadata_2025_split huggingface dataset:
“IBASHO” AND THE OBJECTIVE WELL-BEING OF OLDER ADULTS IN A MARGINALIZED COMMUNITY
Authors: Watanabe Yuichi 
Published: December 2022

Abstract
“IBASHO” in Japan means a place where people can feel safe, have roles, and recognize their lives as meaningful. If IBASHO helps older adults to see their lives as meaningful, implementing “IBASHO” in the community would possibly contribute to community members’ objective well-being. This research examines the relationship between the activities that make up “IBASHO” and the objective well-being of older adults. Data were gathered by surveying a marginalized community every two years from 2009 to 2019 (Nf882). Multiple regression analysis was conducted. A six-point scale derived from a survey question measured the objective well-being of older adults as the dependent variable. For measuring “IBASHO,” five items asked about engagement in activities such as “hosting a tea meeting” or “holding a hobby workshop,” with the extent of engagement measured using a five-point scale. The total of these five items’ points (Cronbach’s alpha=.860) was analyzed as an independent variable. Gender, age, economic status, health status, and living alone were also included in the analysis. Results show “IBASHO” activity is a significant predictor of the objective well-being of older adults (p &lt; .000) in the full model. Age, economic status, and health status are also significantly associated with well-being. Findings suggest that implementing “IBASHO” within community settings is associated with higher levels of well-being among older adults in the community. “IBASHO” is crucial to realizing the “no one left behind” policy in Japan.
PREDICTORS OF 400M WALKING TIME: THE STUDY OF MUSCLE MOBILITY AND AGING (SOMMA)
Authors: Cummings Steve , Patel Sheena , Cawthon Peggy , Coen Paul , Hepple Russell T , Mau Theresa , Newman Anne 
Published: December 2022

Abstract
Longer 400m walking time has been strongly associated with overall mortality and many other aging-related outcomes in prior studies. Inability to walk 400m defines ‘mobility disability’. We assessed characteristics that might contribute to 400m walking time in SOMMA, a cohort of 879 men and women over age 70. We excluded people with a gait speed &lt; 0.6 m/s. The analysis included 49 factors representing several domains: muscle mass and strength, body composition, oxygen delivery, muscle mitochondrial ATP generation, fitness by cardiopulmonary exercise testing (VO2 peak), fatigability by questionnaire, usual physical activity, depressed mood, cognitive performance, lower extremity pain, lower extremity sensation, smoking, wealth and income, and general health. We used both elastic net and forward step-wise regression to generate multivariate models. Factors associated with longer (worse) walking time in both elastic net and forward step-wise regression models were: *weaker leg power, *fatigue during treadmill testing, *higher BMI, *greater self-reported fatigability, *worse performance on the timed DSST test, *fewer hours spent walking, *taking more medications, *older age, *poorer fitness (VO2peak), *more joint stiffness, *smoking, and *reduced peripheral sensation. These results indicate that 400m walk time is influenced by numerous factors. Some are also associated with overall mortality and aging outcomes and therefore they might underlie the prognostic value of the 400m walk. Additionally, some of the predictors could be improved, such as leg strength, cardiopulmonary fitness, more time walking, quitting smoking, and treatment of joint stiffness, perhaps reducing the risk of mobility disability.
SELF-TAILORED SUCCESSFUL AGING: OLDER ADULTS’ POINTS OF VIEW
Authors: Cohen Michal Tsadok , Rosenblum Sara , Meyer Sonya 
Published: December 2022

Abstract
The study aimed to map out the main constructs involved in aging successfully, as perceived by older adults, and highlight the importance of self-management. This qualitative study was comprised of eighteen interviewees and sixty participants across nine focus groups, including: Independent older adults aged 65 to 84 years living at home, health professionals working with older adults, and family members of older adults. Participants shared experiences concerning their everyday occupations and routines. Focus groups were recorded, transcribed verbatim, and qualitatively analyzed, using the constructivist grounded theory principles.
Results: Three successful aging theoretical categories emerged: self-management abilities, daily lifestyle, and individual differences. An example for self-management abilities can be described by a 67-year-old man’s son, who said: “He is a very busy man, he doesn’t have any commitments, but he always creates things for himself to do”. Results revealed diversity in how older adults perceive successful aging. For example, a 68-year-old woman said: “Retirement is like heaven, I enjoy every moment, there’s a lot to do”, whereas a 69-year-old man claimed: “Nobody needs you anymore… I retired a year ago and I still haven’t succeeded in organizing a daily schedule”. Additional results and quotes reflecting the categories will be represented.
Conclusion: Older adults who succeed in managing their daily life, and experience control of their own life, delineate successful aging. The diversity accentuates that each older adult needs to tailor their own self fitted “suit” to wear as they stride successfully into their aging years.
COMMUNITY CENTERED APPROACHES TO INCREASE PARTICIPATION OF AFRICAN AMERICANS IN BRAIN HEALTH AND ADRD RESEARCH
Authors: Barnes Priscilla , Cureton Bianca , Jessup Nenette , Sutton Natalie , Hill Carl , Shih Patrick , Hendrie Hugh , Lu Yvonne 
Published: December 2022

Abstract
African Americans/Blacks continue to be underrepresented as participants in Alzheimer’s Disease and related dementia (ADRD) and brain research. Numerous challenges such as lack of information about the Alzheimer’s Disease and related dementia (ADRD), socioeconomic barriers, historical and systemic racism, and distrust of research goals and processes persist in research participation. Research approaches tend to be more recruitment oriented rather than partnership driven that do not address these challenges. As a result, community engagement approaches are increasingly being recognized as a means of building trust and creating new pathways for participation in ADRD studies. This poster focuses on the preliminary work of the Collaborative on Aging Research and Engagement (CARE) --- a community academic partnership comprising the CARE Advisory Team (a community action team of 10 African American leaders), Alzheimer’s Association, the Alzheimer’s Association Greater Indiana Chapter, IU Schools of Nursing, Public Health, and Informatics, Computer Science, and Engineering, and the Indiana Alzheimer’s Disease Research Center. The goal of the partnership is to facilitate active engagement of African Americans aged 45 years and older in research opportunities taking place in in Central and Northwest Indiana. Experiences and perspectives shared at the CARE Advisory Team meetings as well as memos from the researcher staff generated five lessons learned in building relationship oriented, as opposed to recruitment driven, processes. These lessons will be used to develop a community engagement framework focused on the integration of culturally relevant outreach practices in promoting ADRD research opportunities in African American/Black communities.
EXAMINING HUMAN-ANIMAL INTERACTIONS AND THEIR EFFECT ON FRAILTY IN LATER LIFE: A SCOPING REVIEW
Authors: Taeckens-Seabaugh Ashley , Corcoran Mary , Morris Kevin 
Published: December 2022

Abstract
Research suggests that human-animal interactions (HAIs) can improve the health and well-being of humans throughout their lifespan. While HAIs may facilitate healthy aging broadly, scant research has focused on HAIs as an intervention for adults aged 50 and older as it pertains to a comprehensive perspective of frailty. Moreover, scholarly literature lacks a consistent frailty definition, resulting in a lack of cohesion when evaluating the effectiveness of frailty interventions. This scoping review research proposes a comprehensive frailty definition and explores what is known about HAI interventions available to older adults as they relate to frailty statuses. Despite broad inclusion criteria, only four articles were relevant to this literature review, confirming the scarcity of relevant completed research thus far. Thematic analysis of reported results includes dog ownership as a protective factor regarding frailty statuses, the interconnected health effects of pet ownership, and meaning and purpose implications. Future interdisciplinary research should consider HAIs outside of pet ownership as frailty interventions for older adults, be mindful of population differences as they relate to intervention effectiveness, and work towards a universal, comprehensive definition of frailty that will aid in evaluating the frailty intervention effectiveness.
THE IMPACTS OF DEPRESSION AND SUICIDE ATTEMPTS AMONG OLDER MEN WHO HAVE SEX WITH MEN
Authors: Siu Alex , Chan Wing , Yan Elsie 
Published: December 2022

Abstract
Suicidality among older adults has attracted much attention due to their vulnerability. Older men who have sex with men (OMSM) have rarely been studied psychologically. Study examines factors that affect the mental health of OMSM, including depression, suicidal tendency, and suicide likelihood. OMSM in the United States are analyzed using descriptive statistics for correlations between depression and suicidal tendency. A literature review helped us select scales based on the regression model we constructed. Control variables were assessed for validity and relevance. A dependent variable was depression, and a dependent variable was suicidal tendencies. Depression and suicidal tendency scores significantly differed between men who have sex with men and the general population (t = 67.084,58.193, P &lt; 0.01). Suicidal tendencies and depression are significantly higher among homosexuals than among general groups. The regression analysis shows older men who have sex with men are more likely to suffer from depression and suicide (P &lt; 0.01). Depression and suicide rates in OMSM are higher than those in the general population. The level of depression, in the intermediary test, mediates both the effect of OMSM on individual suicidal tendency and individual suicidal behavior (P &lt; 0.01). Suicidal tendencies in OMSM can be reduced through depression intervention.
ASSOCIATION BETWEEN STATE AND TRAIT ANXIETY AND CARDIOVASCULAR DISEASE
Authors: Cui Ruifeng , Owsiany Montgomery , Shalaby Alaa 
Published: December 2022

Abstract
Cardiovascular disease (CVD) consistently ranks among the top ten leading causes of death, with prevalence rates being the highest among middle aged and older adults. Research has found that CVD has a negative bidirectional association with anxiety. However, the literature is limited regarding what specific aspects of anxiety, i.e., state and/or trait, are associated with CVD. The present study investigated the association between state and trait anxiety and CVD in a national sample of 640 middle aged and older adults. Participants (M age = 56.2, SD = 11.8) were from the Midlife in the United States (MIDUS) Biomarker sub-project. State anxiety was assessed with the Mood and Anxiety Symptom Questionnaire-anxiety subscale and trait anxiety was assessed with the Spielberger Trait Anxiety Inventory. In a binary logistic regression model including both state and trait anxiety, only trait anxiety significantly predicted presence of CVD (p = .05). In particular, trait anxiety was significantly associated with circulatory disease (p = .05), heart murmurs (p = .03), and blood clots (p = .03). Among middle-aged and older adults, trait anxiety is associated with having several different CVDs. These findings support assessing and addressing trait anxiety among middle aged and older adults with CVD.
THE JOURNAL OF APPLIED GERONTOLOGY: AN INTERNATIONAL PERSPECTIVE
Authors: Robison Julie 
Published: December 2022

Abstract
The mission of applied gerontology is to bridge science and practice to benefit the health and well-being of older people, their families, their communities, and other contexts. The Journal of Applied Gerontology features original investigations or meta-analyses/systematic reviews with significant clinical, policy, and/or practice implications. This presentation will provide insights from the Journal of Applied Gerontology and its commitment to publish and disseminate scholarship with international application. Following an overview of the growing internationalization of peer-reviewed submissions to the Journal of Applied Gerontology on a variety of topics and from a range of perspectives, the presentation will highlight opportunities to apply gerontological scholarship to aging contexts worldwide. Concluding comments will examine how outlets for dissemination and authors themselves can better position their work to enhance their influence on aging in an international context.
FINANCIAL HARDSHIP AND INCOME SECURITY AND MENTAL HEALTH AMONG OLDER WORKERS: MULTI-CHANNEL SEQUENCE APPROACH
Authors: Shin Oejin , Park Sojung , Kwon Eunsun , Ryu Byeongju 
Published: December 2022

Abstract
Drawing on the life course perspective and multi-channel sequence approach, this research identifies long-term financial hardship and income security patterns among older adults and examines their relationship with depressive symptoms. Data were from the 2010 to 2018 HRS with 3,077 older workers aged 62–71 in 2010. Four clusters of key sequences were identified: 1) High food and low medical insecurities with private pension plans (43%); 2) Moderate food and low medical insecurities with gradually acquired private pension plans (13%); 3) High food and low medical insecurities with both private and employment-based pension plans (40%); 4) High food insecurity with employment-based pension plans(3%). Regarding the association with depressive symptoms, a group of people who experienced high food and low medical insecurities with private pension plans (b= 0.14, p &lt; 0.1) and those who experienced moderate food and low medical insecurities with gradually acquired private pension plans (b= 0.32, p &lt; 0.01) were more likely to have depressive symptoms compared to those high food and low medical insecurities with both private and employment-based pension plans. These findings highlight the heterogeneity of long-term patterns of financial hardships and patterns of income security, including the limited accessibility for a pension plan through their occupation and that an individual pension plan may not be sufficient to ensure mental health in later life. The results imply the importance of dual security of private and employment-based pensions on their mental health and provide important insights for future tailored income support programs for older adults.
END-OF-LIFE HOSPITALIZATION SPENDING IN THE LAST SIX MONTHS OF LIFE AMONG CANCER PATIENTS
Authors: Akksilp Katika , Tan Vanessa , Lim Julian , Lim Keith , Chen Cynthia 
Published: December 2022

Abstract
End-of-life care may constitute a vast proportion of health care expenditure globally. In the US, one-quarter of all medicare spending goes towards healthcare for people near the end of life. This is especially true for cancer patients. Our study aimed to estimate hospital spending in cancer patients in the last six months of life. Patients with cancer who died between June 2015 to December 2016 (n=653) were extracted from Singapore’s electronic medical records. A two-part model was used to estimate hospitalization spending. In the last month of life, we found that 85% of the patients did not have chemotherapy, 43% had good quality care, and 31% had palliative care. The average total hospitalization spending in the last six months of life was S$59,180. Further analysis by month from death revealed that spending increased sharply by 62%, from $7,591 in the sixth month of life to $12,315 in the last month of life. Decedents who received chemotherapy in the last month of life spent $6,925 more on hospitalization expenditure than those who did not ($17,915 vs $10,990). Among decedents seen by a palliative doctor, hospital expenditures in the last month were $8,745 higher compared to those who did not ($16,119 vs $7,374). The study depicted the huge hospitalization spending during the end-of-life for cancer patients in Singapore. Expenditure on end-of-life care can be further reduced with investment in community-based services and integrated care across the community and acute sectors, where hospital-to-home services and earlier palliative care can provide potential cost-effective solutions.
RELAXATION ELEMENTS WITHIN A HOME ENVIRONMENT AND OLDER ADULTS’ SOCIOEMOTIONAL EXPERIENCES OF CHALLENGING TASKS
Authors: Mejía Shannon , Chin Jessie , Washington Faith-Christina , Desai Smit , Ramesh Durga , Deshpande Falguni , Hong Sungjae 
Published: December 2022

Abstract
Older adults protect their well-being under stressful experiences by carefully selecting their environments, social interactions, and tasks. This bias toward positive over negative experiences may reduce engagement in novel, intellectually challenging, or social complex activities that promote healthy aging over the long term. Environments that foster socioemotional well-being could provide older adults with the psychological resources to engage in novel and challenging tasks that support healthy aging. This study examined how relaxation elements within the environment, such as a fireplace, can support socioemotional experiences while engaging in complex cognitive tasks. The study employed a 2x2 (relaxation vs. not X stress vs. not) within-subject design and took place within the home office of a home simulation environment. Under each condition, 61 participants (age 50–82, 57% female) played a cognitive game on a tablet, reflected for 30 seconds, and described feelings while playing the game by telling a story and rating positive and negative adjectives. Relaxation and stress were manipulated via an electric fireplace and a modified Trier paradigm where game performance was observed remotely by a neurologist. The relaxation condition significantly differentiated the coupling of positive and negative sentiment and positive and negative affect. The negative correlation between positive and negative affect increased, whereas stories became more emotionally complex, with both positive and negative sentiment, when the fireplace was on. Our findings suggest that simple modifications to the environment can differentiate the socioemotional experiences of engaging in novel and challenging experiences. The implications for enrichment seeking in older adulthood are discussed.
VALIDATION OF THE ENVIRONMENTAL AUDIT SCORING EVALUATION (EASE) TOOL FOR LTC HOUSEHOLDS
Authors: Kaup Migette , Calkins Margaret , Davey Adam , Wrublowsky Robert , Zachgo Ashlyn , Gibson Samantha , Parker Madison 
Published: December 2022

Abstract
This poster will share the results from a research initiative funded by the National Institutes of Health to assess the validity of the Environmental Audit Scoring Evaluation (EASE) tool in its ability to distinguish between different types of skilled care models based on the environmental and operational practices that can be observed and documented. The EASE tool was compared against three existing tools; PEAP, TESS-NH, and EAT-HC. Twenty-eight living areas in nursing homes across the state of Kansas identified as a traditional, household, or hybrid model were observed. The scores of the EASE were compared against the scores of three existing tools in order to evaluate its construct validity. The EAT-HC was most closely related to the EASE, with an R-value of 0.8817. The PEAP and the TESS-NH were less correlated to the EASE, with R-values of 0.8175 and 0.7097, respectively. Results found that the EASE was able to distinguish between traditional and homelike settings, though it could not identify hybrid models with a high degree of certainty. The analysis of variance between homelike and traditional homes was significant at 0.016, while the variance between homelike and hybrid and between hybrid and traditional were not significant. Inter-rater reliability of the EASE was consistently high (.96 and above). The outcomes demonstrated the EASE tool was able to assess the homelike characteristics of the environment of nursing homes better than or equally as well as previously validated tools.
GREENSPACE AND COGNITION: EXPLORING SPECIFIC GREENSPACE MEASURES
Authors: Ajith Aniruddh , Godina Sara , Zhu Xiaonan , Harding Alyson , Rosso Andrea 
Published: December 2022

Abstract
Increased exposure to greenspace is potentially associated with lower risk of Alzheimer’s disease and related disorders (ADRD) through increased physical activity, decreased stress, cleaner air, and social cohesion. Previous studies have primarily used global measures of greenspace, thus specific aspects of different types of greenspaces are overlooked. We assess how different measures of greenspaces associate with global cognitive functioning. We examined data from year 10 of the Pittsburgh site of Health, Aging, and Body Composition Study, a longitudinal cohort study of community-dwelling, Black and White adults aged 70–79 years at baseline. Measures derived from the National Land Cover Database (NLCD) use satellite imaging and include total greenspace, forests, and an index of greenspace diversity. Measures from Google Street View virtual neighborhood audits include dedicated greenspace that promotes physical activity, abandoned buildings, and undeveloped land. We measured global cognitive functioning using the Modified Mini-Mental State Examination (3MS). We conducted cross-sectional linear regression models. Covariates included race, education, and neighborhood socioeconomic status. Age was not included as a covariate because the range was narrow, and results did not vary by age. The sample (n=584) was 82.2 years old on average, 57% female, and 35% Black. Total greenspace (F=0.46, p=0.49), forests, and greenspace diversity, dedicated greenspace for physical activity (F=0.87, p=0.35), undeveloped land (F=1.49, p=0.22), and abandoned buildings (F=3.6, p=0.058) were not associated with 3MS, although the relation with abandoned buildings approached significance. We found no association between greenspaces and ADRD, although specific measures, such as abandoned buildings, may need further investigation.