bluuebunny/crossref_metadata_2025_split huggingface dataset:
PROTEIN CONSUMPTION SINCE COVID-19 PANDEMIC AMONG DIFFERENT RACES
Authors: Monroe-Lord Lillie , Ardakani Azam , Spechler Lily 
Published: December 2022

Abstract
Covid-19 has changed individuals eating behavior. This study examines how protein consumption changed since Covid-19 pandemic. This is a cross-sectional study design with a total of 10,035 adults aged 40-100 years old surveyed through Qualtrics by dietary screening tool. The protein consumption was questioned by “How often do you eat chicken or turkey?” and “How often do you eat not-fried fish or seafood?”. Pre and since pandemic responses were compared by Wilcoxon signed-rank tests. Participants were 57% female, 43% male, 75% White, 14% African American, %7 Asian, and 4% Hispanic. According to the analysis, chicken, or turkey (p &lt;.001) and fish or seafood (p &lt;.001) consumption significantly reduced since Covid-19 pandemic. Chicken or turkey consumption reduced significantly among African American (p &lt; .01), White (p &lt; .01), and Hispanic (p &lt; .05) participants while this reduction was not significant among Asians. Moreover, Fish or seafood consumption also significantly reduced among African American (p &lt; .05) and White participants (p &lt; .01), while did not change among Asians and Hispanics. In conclusion, since Covid-19 pandemic, protein consumption significantly reduced among some races (i.e., African American and White) while changed at a lower grade (i.e., Hispanic), or remained unchanged (i.e., Asian) among other races. It could be justified by considering that foods with high amount of protein and especially fish or seafood is part of the eating culture of some races. Reduction in protein consumption resulted from changes in the daily routine of people and financial instability resulting from the Covid-19 pandemic.
OPTIMAL AGING AND SATISFACTION WITH SOCIAL SUPPORT DURING THE COVID-19 PANDEMIC
Authors: Lee Hye Soo , Choun Soyoung , Kurth Maria , Igarashi Heidi , Lee Dylan , Aldwin Carolyn 
Published: December 2022

Abstract
Social support is important for optimal aging, especially during the COVID-19 pandemic when older adults are at risk of social isolation and its attendant health problems. Providing support may be especially protective of health outcomes. We examined whether actual received, provided, and satisfaction with support were related to optimal aging early in the pandemic (April-May, 2020). Survey participants (N=238) were on average 71.2 years old (SD=7.3), 73% female, 92.6% White, and highly educated (48% with post-graduate degrees). Optimal aging (Aldwin & Igarashi, 2016) was indicated by a latent variable of health outcomes, including depressive symptoms, cognitive lapses, and physical symptoms. Nearly all older adults (90+%) reported receiving or providing actual support from or to at least one family member or friend. We investigated the associations between age, summed social support, satisfaction with support, and health outcomes, controlling for chronic illnesses. Two SEM models were estimated for received support and provided support, respectively. After trimming non-significant paths, both models had acceptable fits (CFI &gt; .90, RMSEA &lt; .08, SRMR &lt; .08). Age and chronic illnesses had negative associations with health outcomes, but neither received nor provided social support was significant. However, satisfaction with both received and provided support were significant and independently associated with optimal aging in both models. Thus, isolation levels in this sample were surprisingly low, as indicated by high levels of social support received and provided. However, only the quality of (or satisfaction with) support was important for optimal aging during this unique and shared stressful experience.
AGE DIFFERENCES IN SELF-CONTINUITY REMAIN ROBUST IN RESPONSE TO THE COVID-19 PANDEMIC
Authors: Lu Yi , Löckenhoff Corinna 
Published: December 2022

Abstract
Self-continuity, the perceived connectedness to one’s past and future selves, predicts well-being and tends to be higher among older adults (Rutt & Löckenhoff, 2016). Self-continuity is also susceptible to major life changes (Sani, 2008). The pandemic brought dramatic changes in multiple life domains, especially for older adults who experienced higher rates of COVID-19 morbidity and mortality and may have been more likely to restrict their behavior as a result. This study examined whether age differences in self-continuity remained robust in response to the pandemic using representative U.S. survey data. Pre-pandemic data (Fall 2016, N = 230, aged 18 – 87, M = 50.85, SD = 16.40, 47.83% female, 67.83% white) and mid-pandemic data (Summer 2020, N = 230, aged 18 – 88, M = 50.20, SD = 19.49, 48.27% female, 64.78% white) were demographically matched using propensity scores. Participants rated their self-continuity one, five, and ten years into the past and future. Multi-level modeling examined the effects of age, temporal distance (in years), temporal direction (past vs. future), and assessment time (pre- vs. mid-pandemic) on self-continuity. Consistent with prior research, self-continuity was lower for more distant intervals, especially for the past. An interaction between temporal direction and assessment time indicated that future self-continuity was lower mid-pandemic than pre-pandemic. Across samples, however, advanced age was associated with higher self-continuity and the size of this effect did not vary by assessment time. Overall, findings suggest that even though future self-continuity decreased during the pandemic, existing age effects remained robust to this disruption.
COPING AND UNCERTAINTY IN THE CONTEXT OF COVID-19: DIFFERENCES BETWEEN PARTNERED AND UNPARTNERED OLDER ADULTS
Authors: Tate Ashley , Marini Christina , Nah Suyoung , Martire Lynn 
Published: December 2022

Abstract
The initial conditions of the COVID-19 pandemic made it such that individuals—especially older adults—experienced uncertainty about their own health/well-being, as well as that of their loved ones and communities. The current study examined how older adults’ social context shaped their well-being (i.e., anxiety, depressive symptoms, and sleep quality) early in the pandemic. Specifically, we tested whether there were differences in uncertainty, communal coping, and well-being among partnered individuals who indicated that their partner was their primary source of emotional support during the pandemic versus un-partnered individuals who indicated another social tie as their primary source of emotional support. Data were collected between May and August 2020 from 101 older adults (Mage = 80.63, SD = 8.96). Correlational analyses showed that uncertainty about one’s own health/well-being was positively associated with anxiety (p &lt; .05) and communal coping (i.e., viewing the pandemic as a stressful period that will be worked through together) was negatively associated with depressive symptoms (p = .001) and anxiety (p &lt; .01). Results from independent samples t-tests showed that, on average, partnered older adults reported fewer depressive symptoms (p &lt; .05), less uncertainty about their own health/well-being (p &lt; .05), and higher communal coping (p &lt; .001) compared to un-partnered older adults. Unexpectedly, no group differences were found for anxiety or sleep quality. Results suggest the unique benefit of having a partner as an emotional support confidant in the context of the pandemic, perhaps because older adults were largely confined to their homes during lockdown.
“ADAPTING TO A NEW REALITY”: OLDER ADULTS’ EXPERIENCES DURING THE COVID-19 PANDEMIC
Authors: Oshana Jodie , Guzzardo Mariana , Todorova Irina 
Published: December 2022

Abstract
Older adults were uniquely affected during the COVID-19 pandemic, given that they were most at risk of serious complications and death if infected. Numerous preventative measures were abruptly mandated, including stay at home orders and social distancing that led to social isolation. Given this context, the aim of this qualitative study is to explore the lived experiences, perceived challenges, and mechanisms for resilience of older adults during the first wave of the pandemic. Our sample (n=50), derived from a larger international study with data from 15 countries, includes individuals 60 or older in Puerto Rico and mainland United States. Following thematic analysis of responses from an online survey, three themes were identified: resilience through reflection and adaptation, resilience through critique of systemic problems and injustices, and resilience through reaffirmation of values. Findings support various recommendations for improving support to older adults in future crises.
ARE OLDER ADULTS ABLE TO DRAW UPON PRIOR EXPERIENCES WHEN COPING WITH THE NOVEL COVID-19 STRESSOR?
Authors: Kurth Maria , Igarashi Heidi , Lee Hye Soo , Choun Soyoung , Aldwin Carolyn 
Published: December 2022

Abstract
Despite higher physiological vulnerability to stress, older adults may accumulate resources through prior experiences that can promote resilience (Aldwin & Igarashi, 2016). During the COVID-19 pandemic, older adults drew on prior experiences and resources to cope (McKinlay et al., 2021; Herron et al., 2021), although these events were typically not specified. Some found vulnerability due to prior trauma (Galica et al., 2021). We examined whether older adults drew upon specific experiences or more general resilience resources in coping with this novel stressor. Data were collected using an online survey from April 28-May 4, 2020 from 235 older adults in Oregon (Mage = 71.35, SD = 7.39; 74% female; 92% White). We examined open-ended responses from a question that asked whether prior experiences influenced how they were dealing with the COVID-19 situation. Nearly 2/3 provided valid responses (n=144). After inductive open coding, preliminary consolidation resulted in three broad categories: past experiences (74%), resources (19%), and both (8%). The most common prior experiences were illness (n = 20) and work (n = 19). Some (n=10) reported specific coping strategies learned during prior stressful experiences. Resources include personal characteristics (e.g., being “introverted” or “resilient”), financial (“financially secure”) and social resources (“loving spouse”). Five reported experiences that made COVID-19 more difficult (“PTSD/anxiety prior to COVID-19 makes this even worse”). Although 1/3 of the sample could not draw upon a prior experience in coping with this novel stressor, many older participants could utilize their lived experience when coping with problems during the COVID-19 pandemic.
CHANGES IN LIFE SATISFACTION DURING THE FIRST YEAR OF THE COVID-19 PANDEMIC: A LONGITUDINAL STUDY OF JAPANESE ADULTS
Authors: Nakagawa Takeshi , Noguchi Taiji , Komatsu Ayane , Okahashi Sayaka , Saito Tami 
Published: December 2022

Abstract
The outbreak of the novel coronavirus (COVID-19) has exerted a major impact on daily life. Despite older adults being at a higher risk of severe illness from COVID-19, research has indicated that older adults experienced the same or even higher levels of well-being during the early phase of the pandemic than younger adults. To investigate adverse long-term effects, we examined how individuals’ well-being changed during the first year of the pandemic. A total of 5,281 Japanese adults aged 15—89 years participated in an online survey in February 2020 (before the first state of emergency) and were followed up in March 2021 (during the second state of emergency; follow-up rate 54.7%). Well-being was assessed as a one-item indicator of life satisfaction, with a range of 0－10. Counterintuitively, results of a latent change score model demonstrated that life satisfaction increased over time (unstandardized coefficient of 1.17, SE = 0.16, standardized coefficient of 0.58). Individuals aged 64 years and below, with low levels of education, living alone, and perceiving worse health and economic status showed less increase in life satisfaction. In an additional analysis, those more concerned about the pandemic at follow-up displayed less increase. The findings suggest that most people did not exhibit a decrease in life satisfaction during the first year of the COVID-19 pandemic. However, certain individuals could be vulnerable to the outbreak due to the lack of resources. Researchers should better understand the factors that drive the resilience of older adults in the face of adversity.
IMPROVING SERVICES TO LGBTQ+ OLDER ADULTS: NEEDS OF MICHIGAN LONG-TERM CARE PROVIDERS
Authors: Hughes Anne , Keilman Linda , Kattari Leo 
Published: December 2022

Abstract
Long term care (LTC) providers need information about providing competent care to LGBTQ+ older adults. Providers who are not educated can inadvertently provide biased care. Our research identified preferences for education among providers of LTC services in Michigan (MI). In this descriptive cross sectional study we used an online survey to collect data from MI facilities (N= 429). Survey items included facility characteristics, diversity training history, perceived need for training on LGBTQ+ older adults, barriers to training, interest in additional training on LGBTQ+ older adults and LTC, and training preferences. Results were obtained from 71 facilities. Thirty-seven percent of responses came from direct care workers, 63% from administrators. There was good support for diversity training, with 24% stating diversity training was “somewhat important” and 74% stating it was “very important”. A majority (63%) had had some diversity training in the past year. Most (72%) endorsed the need and desire for more training on LGBTQ+ aging. More content on transgender older adults and concerns such as room assignments, dementia, and use of pronouns were identified. Barriers to training included: cost, availability of trainers with the appropriate expertise, ability to reach large numbers of employees, staff turnover, bias and ignorance among staff and residents, and need to provide rationale for this type of training. Most endorsed a mixed type of training and a training length between 1 and 3 hours. Diversity training is critical to LTC and needs to be expanded to include needs of the aging LGBTQ+ community.
LONG-TERM POSITIVE AND NEGATIVE CONSEQUENCES OF THE COVID-19 PANDEMIC AMONG OLDER ADULTS
Authors: Aldwin Carolyn , Choun Soyoung , Kurth Maria , Lee Hye Soo , Lee Dylan , Igarashi Heidi 
Published: December 2022

Abstract
Despite their greater physiological vulnerability, community-residing older adults have shown surprising psychological resilience, at least at the beginning of the COVID-19 pandemic. However, a handful of reports suggest that older adults’ well-being has decreased after a few months, although others have suggested a recovery after a year (Schlomann et al., 2021). The purpose of this study was to examine change in change from baseline (April-May, 2020) to a 13- month follow-up (June, 2021). We analyzed data from 162 older adults with complete data at both time points. Mean age at baseline was 72, SD = 7.6, range = 51-96; 71% were female, 13% were minorities; 74% were married, 71% retired, and most (85%) had at least a BA. Linear modelling showed that there were only marginal increases in the number of problems across time (B = .25, p = .08), but their severity did not increase. There were no significant changes in depression, anxiety, loneliness or physical symptoms over this time period. The modest increase in problems may have been offset by an end to being in lockdown and an increase in social contacts which doubled over this time period, B = 1.65, p &lt;.001). More troubling was that self-reported resilience decreased, B = -.92, p &lt; .01), as did the ability to perceive positives in this situation, B = -2.46, p &lt; .01), and self-reported cognitive problems increased, B=.67, p &lt; .01). Thus, the results showed decidedly mixed effects, suggesting individual differences in long-term adaptation to COVID.
HOW CAREGIVERS AND OLDER US VETERANS MANAGED SOCIAL ISOLATION DURING THE COVID-19 PANDEMIC
Authors: Haverhals Leah , Ayele Roman , Lum Hillary 
Published: December 2022

Abstract
To protect themselves from contracting the SARS-CoV-2 virus, many older adults managing multiple medical conditions experienced increased social isolation. The objective of our qualitative research study was to describe how older Veterans receiving care from the United States (US) Department of Veterans Affairs (VA) healthcare system, and their caregivers, managed increased social isolation during the pandemic. We recruited Veterans and their caregivers residing in rural and urban areas who received care from either a tele-palliative care or a tele-geriatrics clinic connected to one VA Medical Center, inviting them to participate in phone interviews. From May-September 2021, we interviewed N=23 participants (n=9 Veterans and n=14) caregivers. We applied a deductive and inductive approach to thematic analysis to analyze interview data. Findings revealed that while caregivers experienced increased anxiety, which they attributed to pandemic-related changes, they also expressed solidarity in that others were experiencing similar stressors. Many caregivers and Veterans shared experiences of increased loneliness, which some found difficult to manage as communication with their social networks was sparse. At the same time, the pandemic made them value relationships with others more than before. Some Veterans noted they kept busy with hobbies and did not feel much loneliness despite increased isolation. Caregivers caring for Veterans with dementia stated they experienced confusion about their narrower social networks because they could not remember reasons why they were not regularly spending time with them. Findings demonstrate the need to identify strategies and policies to better support caregivers and older Veterans during times of crisis.
FLINT INTERGENERATIONAL LIVING EXPERIENCE
Authors: Blackwood Jennifer , Yost Elizabeth 
Published: December 2022

Abstract
Previous studies indicate that students who have a formative experience with an older adult, in a personal or professional setting, are more likely to choose to work in geriatrics. With a growing population of older adults, the need for empathetic health professionals who desire to work in geriatrics is needed. In Fall, 2021 four graduate students (2 physical therapy, 2 occupational therapy) moved into a senior housing community in Flint, Michigan. From that moment, the Flint Intergenerational Living Experience (FILE) began. The purpose of FILE is to mold these students into empathetic future health professionals who choose to work in geriatrics within their careers. These four twenty-something year-olds live, learn, study, eat, and share life with their senior neighbors with the hope of gaining a better understanding of aging issues of older adults who chose to remain in Flint. In exchange for completing service hours, the FILE students live in an apartment complex rent-free. This presentation will describe the activities performed, outcomes achieved, and perceptions of the FILE program after one-year of being in the program. Based on data gathered within the first year of the program, activities that impacted the personal growth of the students to understand the impact of aging in an urban setting will be described. The influence of loss (e.g. death, physical abilities) and the framework of rehabilitation needs of the urban dwelling older adults will be discussed. Lastly, strengths and weaknesses of this lived experience will be presented.
LONGITUDINAL ASSOCIATION BETWEEN HOSPITALIZATION AND TRANSFER TO RESIDENTIAL CARE FACILITIES AMONG OLDER ADULTS
Authors: Amini Reza , Sidhu Amat 
Published: December 2022

Abstract
Dementia increases the risk of post-hospitalization transfer to residential care facilities (RCF), increasing mortality risk. The risk of falling is significantly higher among people with dementia, leading to more hospital admissions (HA). This study examines the association between HA and transferring to RCF controlling for dementia and falling. This secondary data analysis used nine years of data from the National Health and Aging Trends Study (2011-2019) with 2,548 participants (each wave). Transfer to RCF was measured based on the residency status, HA and history of falling by survey questions, and dementia (probable, possible, no dementia) by combining Clock Drawing Test, word recall test, and previous dementia diagnosis. Falling increased the risk of transition to RCF by 31%; however, this association was not statistically significant. Dementia was a significant predictor for transition to RCF (Odds Ratio (OR)=3.889). Transferring to RCF was significantly associated with HA (OR=1.835); after including falling, OR increased to 2.067, showing falling moderates this association. Including dementia into the model dropped HA’s OR to 1.620. The interaction between falling and dementia showed that frequent HA could increase the risk of transition to RCF by 61%. Probable dementia plus a history of falling can increase the risk of transition to RCF by 22 times and 14 times for those cases of probable dementia without a history of falling. These results may reflect the necessity of screening for the risk of falling and dementia among community-dwelling older adults to prevent falling, hence, frequent HA and ultimately transition to RCF.
ADVANCING LATE-LIFE TRAUMA-INFORMED CARE EDUCATION: DEVELOPMENT AND EVALUATION OF AN EDUCATIONAL PODCAST
Authors: Weiskittle Rachel , Baird Lola , Bashian Hannah , Kaiser Anica Pless , O'Malley Kelly , Etchin Anna , Moye Jennifer 
Published: December 2022

Abstract
Posttraumatic stress disorder (PTSD) may emerge or reemerge in the context of life-threatening illness, retirement, and life review, leading to complications in disease management and end-of-life care. Symptoms of PTSD in later life can be misattributed or overlooked by healthcare professionals, caregivers, and the older adults experiencing PTSD themselves. The “Talking Later” podcast was developed as an accessible educational product to improve recognition and trauma-informed responses to late-life PTSD. Each of the ten episodes had distinct goals and content objectives, which were identified through problem identification and needs assessment by a multidisciplinary team of geriatric clinicians. In the first three months of its publication in November 2021, the podcast has been downloaded by 1,473 unique listeners across 19 countries. The podcast was evaluated via feedback survey (N=39). Approximately 97% of respondents reported the episodes as engaging and informational. 87% stated that no more than general knowledge of PTSD was required to enjoy the podcast. Qualitative analysis of open-ended feedback items found that participants were interested in learning about additional comorbidities and diversity issues related to late-life trauma reengagement. The present poster will additionally describe ongoing efforts to address these and other feedback responses with the ongoing development of a second season of the podcast.