bluuebunny/crossref_metadata_2025_split huggingface dataset:
PLACE OF DEATH AMONG MEDICARE BENEFICIARIES: VARIATIONS BY DEMENTIA DIAGNOSIS AND RACE/ETHNICITY
Authors: Jarrín Olga , Lin Haiqun , Wu Bei , Zafar Anum , Lopez Maria , Duberstein Paul 
Published: December 2022

Abstract
Death at home is preferred by most people and has become a key indicator of the end-of-life care quality; however cultural attitudes about death and dying may vary by race and ethnicity. This study describes racial and ethnic variation in place of death among Medicare beneficiaries aged 50 years and older who died in 2018 with a dementia diagnosis (n=902,208) and without a dementia diagnosis (n=1,096,074). Among those with dementia, 60% died at home, with the highest percentage for non-Hispanic white (62%) beneficiaries, followed by Black/African American (55%), Hispanic (61%), Asian American/Pacific Islander (58%), and American Indian/Alaska Native (58%) beneficiaries. Among those without dementia 61% died at home, with the highest percentage for non-Hispanic white (60%) beneficiaries, followed by Black (57%), Hispanic (65%), Asian American (65%), and American Indian (60%) beneficiaries. Among those who died at home, about half without dementia received hospice care compared to the majority with dementia.
EVOLVING AGE-FRIENDLY UNIVERSITIES: ENHANCING STUDENT SUPPORT SERVICES AND PROMOTING SKILL DEVELOPMENT
Authors: Graf Allyson , Terhune Katherina , Ewen Heidi 
Published: December 2022

Abstract
Students in higher education face numerous challenges, many of which have been exacerbated by the pandemic. Globally, universities have capitalized on age-friendly programs and practices to respond to rapid changes in age demographics, build more age-inclusive and intergenerational programming, and create new forms of support campus-wide. This symposium features campus leaders representing universities that have drawn on the Age-Friendly University (AFU) principles to generate new and creative forms of support and skill-building for students of all ages. These initiatives represent the diverse ways that AFU-based programs and practices can be utilized to respond to opportunities and challenges in higher education. Graf et al. will discuss how age and age-related bias impact adult learners’ experiences in the classroom, and ways to inform training programs for students, faculty, and staff. Felsted and Eaton will describe a GSA/AARP-funded grant initiative aimed at increasing access, inclusion, and support for older adult learning at the university, resulting in a partnership with Emeritus faculty to pursue the AFU designation. Hancock and Kutcher will describe how service-learning and intergenerational learning opportunities provide a meaningful space for students to develop realistic notions of their own aging experiences. Newsham et al. will discuss a virtual intergenerational mentoring project designed to improve social connectedness and well-being, to improve expectations regarding aging, and to decrease ageism. Terhune et al. will discuss campus-wide data used to assess the prevalence and impact of unpaid caregiving on students and will explore community and campus connections to better support students in caregiving roles.
IMPLEMENTING A VIRTUAL, AGE-FRIENDLY INTERGENERATIONAL PROGRAM
Authors: Newsham Tina , Fugate-Whitlock Elizabeth , Quinn Natalie , Bergman Sky 
Published: December 2022

Abstract
As the University of North Carolina Wilmington (UNCW) seeks to become more age-friendly and stakeholders pursue endorsement of the Age-Friendly University principles, a virtual intergenerational mentoring project was implemented. The aim was to connect the community’s older adults, including retired faculty, with current students. Older adults and students were paired and asked to engage in a series of conversations, watch a documentary, and attend a Q&A with the filmmaker. The goals were to improve social connectedness and well-being, improve expectations regarding aging for members of both groups, and to decrease ageism. Impacts of the project were assessed through the Expectations Regarding Aging scale prior to any interactions between partners and again at the end of the project along with an open-ended questionnaire about their experiences. Expectations regarding aging improved on 75% of the items, and participants indicated qualitatively that their experiences with the intergenerational interactions were positive.
LINKING LIVES: DISRUPTING THE CYCLE OF SOCIAL ISOLATION
Authors: Goldsen Karen Fredriksen , Kim Hyun-Jun , Hoy-Ellis Charles , Nelson Christi 
Published: December 2022

Abstract
Loneliness has been found to be associated with increased risk for early mortality and dementia, with sexual and gender diverse older adults at elevated risk of both social isolation and loneliness. Based on the Health Equity Promotion Model and Iridescent Life Course, we examine factors associated with increased risk of loneliness over time, utilizing 2014 to 2016 data from the Aging with Pride: National Health, Aging, Sexuality/Gender Study, a longitudinal national study of LGBTQ+ midlife and older adults. The findings illustrate that sexual and gender diverse older adults had nearly double rates of loneliness compared to the general population, with those living alone and having cognitive decline at increased risk. We found that higher mastery, LGBTQ+ community engagement, larger network size, and being partnered/married were associated with less loneliness over time. Loneliness is ripe for the development of interventions; additional longitudinal data is needed to further assess trajectories in loneliness.
FAMILIAR CONTEXTS, FAMILIAR EMOTIONS? A NEW PERSPECTIVE ON CONTEXT-SPECIFIC EMOTION PROCESSES IN OLDER ADULTHOOD
Authors: Springstein Tabea , English Tammy 
Published: December 2022

Abstract
As people age, their emotional well-being tends to be maintained or improves. Theories of adult development suggest that features of the context (e.g., more familiar environments) and successful management of emotions contribute to this effect. This talk focuses on how familiarity may promote emotional differentiation (e.g., knowing whether one feels angry or sad) in daily life, an important predecessor to emotion regulation success. A sample (N=290) of community participants between the ages of 25 and 85 years old completed an experience sampling study (6x/10days). When people were more familiar with their current situation, they differentiated more between emotions. The relationship between familiarity and differentiation was stronger for older adults than younger adults. These results support the perspective that emotional well-being benefits from wisdom accrued over the lifespan, such that older adults are at more of an advantage when their daily contexts afford for them to draw on their prior experiences.
CHARACTERISTICS OF OLDER ADULTS WHO DIED FROM OPIOIDS AS A CAUSE OF DEATH DURING THE COVID-19 PANDEMIC
Authors: Suriaga Armiel , Tappen Ruth 
Published: December 2022

Abstract
There was a 1,886% increase in opioid overdose deaths among people 55 years and above, from 518 in 1999 to 10,292 in 2019 in the U.S. The National Institute on Drug Abuse reported a 30% increase in drug overdose deaths in 2020, where it claimed nearly 100000 American lives. However, few studies focused on the individual opioids that caused more deaths in the aging population and their death circumstances. This retrospective study aims to describe the sociodemographic characteristics of older adults who died from opioids as a cause of death (COD) in Florida during the COVID-19 pandemic in 2020, using descriptive statistics in SPSS 28. De-identified data from the Florida Department of Law Enforcement in 2020 were used in this study. A total of 1656 cases of decedents (ages &gt; 65 years) were analyzed; 348 out of 1656 cases had opioids as a COD. Age ranged from 65 to 103, mean age of 73.31 (SD= 7.690). Majority of decedents were males (67.3%), non-Hispanic whites (86.5%). Nearly 80% died from accidents, suicide at 18.1%; 99.1% of cases happened in urban counties. Fentanyl caused more deaths (n=135), then morphine (n=48), oxycodone (n=42), and hydrocodone (n=29).The study results have direct clinical practice implications to patient safety, particularly the opioid deaths that resulted from accidents. Opioid harm reduction interventions should be tailored to older adults’ specific needs, specifically in urban counties. Healthcare providers should pay extra attention to opioids that cause more deaths, i.e., fentanyl, morphine, oxycodone, and hydrocodone to safeguard public safety.
MULTISTAGE SAMPLING FOR TRANSLATIONAL COMMUNITY RESEARCH: ZOOMING OUT TO HONE IN ON PLACE-BASED HEALTH DISPARITIES
Authors: Gan Daniel Rong Yao 
Published: December 2022

Abstract
​​Whereas researchers strive for generalizability, community-engaged research (CEnR) typically involves only a few specific communities. Drawing on Weberian ideal type, I outline the use of an innovative blended-methods approach to sample the communities in which CEnR practitioners would collect in-depth data. To complement typical practices of entering a community without preconceived ideas, understanding how communities in the sampling frame relate to one another is important for equigenic (place-based health equity) implementations. The selection of neighborhood communities from quadrants in 2x2 matrices allows pertinent concepts to emerge and relevant solutions to be drawn from thriving communities to aid program co-creation and implementation in other communities. For example, this has led to the identification of communities in British Columbia with differing socioeconomic status, social capital, and coping during COVID-19. This methodological innovation is congruent with asset-based community development (ABCD) to minimize arbitrariness in sampling decisions and advance health equity in our cities.
THE ART, WELLNESS, AND VITAL INVOLVEMENT IN AGING PROGRAM: MY WORK WITH HELEN KIVNICK
Authors: Davis Linda 
Published: December 2022

Abstract
Linda Davis will discuss her partnership with Helen Kivnick on The Art, Wellness and Vital Involvement in Aging (AWVIA) Program. AWVIA began in 2009 as an innovative approach to health programming in HUD Affordable Senior Housing, employing engaging creative activities to attempt to address the despair and loneliness often found in older adults who have low social engagement, due to health, mobility, or economic circumstances. In 2013, Davis teamed up with Helen Kivnick to develop the Vital Involvement Model, which employs creative activities to increase meaningful engagement with the world. Over 6 years, AWVIA was employed by 84 HUD Senior Housing communities across the U.S. Kivnick and Davis received funding from NEA for a quasi-experimental study on the participants. Information from more than 2,000 qualitative narratives suggests the program decreased isolation, increased self-reliance, generativity, and a sense of mastery in participants. Examples of the narratives will be shared.
CAPTURING OLDER ADULT PEER MENTORS' EXPERIENCE WITH COMMUNITY-DELIVERED HEARING CARE THROUGH PHOTOVOICE
Authors: Nieman Carrie , Mossman Audrey , Yi Julie , Suen Jonathan , Lin Frank , Szanton Sarah , Han Hae-Ra 
Published: December 2022

Abstract
While age-related hearing loss is common, disparities in care exist by race, ethnicity, and socioeconomic position. HEARS is a hearing care intervention that incorporates over-the-counter hearing technology, partnering older adults with peer mentors via a community health worker (CHW) model to address disparities. Through a randomized controlled trial, 8 older adult peer mentors delivered the HEARS intervention. We aimed to understand the CHWs’ perspectives on their role through photovoice. Participants took photos illustrating the intervention, their role, and hearing health. Semi-structured interviews (n=4) and a focus group were conducted. CHWs responded positively to the intervention and were satisfied with their role. A notable theme was the value of serving as a peer mentor. Participants valued the opportunity for generativity, learning as older adults, and associated social benefits. Our findings demonstrate an opportunity to engage older adults in the evaluation process, expanding access to hearing care, and in peer mentorship.
AGING IN CROSS-NATIONAL CONTEXTS
Authors: Ailshire Jennifer , Choi Eunyoung 
Published: December 2022

Abstract
Cross-national comparative research is a useful tool for identifying common aspects of, and risk factors for, healthy and unhealthy aging across populations and sociocultural contexts. The papers in this symposium use harmonized data from the Gateway to Global Aging to examine a range of topics in aging and provide new insights into long-standing and emerging questions in aging research. Using data on 31 countries, Ehrlich estimates the population attributable fraction of dementia due to vision impairment, a treatable and thus potentially viable target for interventions to slow progression to dementia. Seligman et al., use a frailty index validated in multiple countries to provide new evidence for which aspects of socioeconomic status (SES) – education, income, rural residence – are most strongly linked to frailty in Brazil, China, and India, three highly populated and rapidly aging countries. Using recent harmonized data on stress, Chen et al. examine the association between cumulative social stressors and cognitive function trajectories in the US and UK, finding interesting patterns in the relationship with status and change over time. Finally, several harmonized aging studies collected data throughout the COVID-19 pandemic, and Mair et al., take advantage of this to gain insights into how family structure impacted experiences of loneliness among older adults during the pandemic in the U.S. and across Europe. The papers in this symposium demonstrate the tremendous potential for using cross-national comparisons to deepen our understanding of health and well-being among older adults.
EXAMINING EXCLUSION FOR GUIDANCE TO INCLUSION: A GOOD IDEA?
Authors: Holley Lyn 
Published: December 2022

Abstract
This paper is based on a literature review that informed writing of a chapter for a new edited book, Moving beyond the rhetoric - research with older service users – why ethics and integrity matter. (Emerald, in review). This literature review was undertaken to ground guidance for the chapter in the book that addresses ethics in research with American Indians of all tribes on lands currently part of the USA. A theme that emerged uninvited was the many ways in which inquiry that was unintentionally or deliberately unethical also operated to reduce inclusion of American Indians in research – often the very research needed to discern or demonstrate value of various clinical, social, or other types of interventions needed to improve policies or practices. This paper explores that theme and its implications for research with American Indians.
ELEMENTS OF AN INTERPROFESSIONAL LEARNING CULTURE IN NURSING HOMES
Authors: Meijers Judith , Van Lierop Merel (E A ) , Verbeek Frank , Laurant Miranda , van Rossum Erik , Zwakhalen Sandra , Van Vught Anneke 
Published: December 2022

Abstract
Healthcare professionals in nursing homes need to be able to keep up with changes at work, deal with a growing complexity in healthcare demands and have to keep developing themselves within a team to be able to plan and deliver high quality of care. To keep up with these changes and demands, an interprofessional learning culture must be stimulated. Insight about developing such a culture in nursing homes is lacking. A scoping review was performed. Articles were examined on actions that positively influence the development of an interprofessional learning culture. 51 Actions were identified. The influencing factors were divided in eight main themes i.e. (1) communication, (2) shared goals, (3) tasks and responsibilities, (4) learning and knowledge, (5) work approaches, (6) attitude, (7) leadership, and (8) safety, respect and transparency. These actions form a basis for an interprofessional learning culture but should be operationalized and tailored to practice use.
DEATH AND GRIEF IN INTERGENERATIONAL SERVICE LEARNING: EXPLORATIONS FROM THE FIELD
Authors: Bartlett Sara , Solomon Phyllis 
Published: December 2022

Abstract
Intergenerational service-learning has been established as an effective pedagogical strategy for undergraduate gerontology education but can challenge students and instructors alike if an older adult participant dies during such a program. Currently, there is a lack of literature to provide guidance to instructors about how to address such an event. Examination of a case study of such an occurrence during the Lives Well Lived intergenerational service-learning program seeks to advance the field by describing an example of such an event and how an instructor might seek to address it. Grief literature, including theories such as Kübler-Ross’ stage model, Worden’s TEAR model, and Wortman and Silver’s approach, as well as Doka’s concept of disenfranchised grief are examined and applied to this challenging situation. Applying these theories as a framework, recommendations are given for addressing death and grief in service-learning including: (1) assessment of the course, instructor, student, and situation; (2) creating opportunities for grief processing and (3) resources for on and off campus grief and instructor support. Providing education on death, grief and grieving as integral course content and allowing student choice in how to proceed with the project should a death occur are key recommendations to consider. Implications call for more research related to this topic.
RACIAL DISPARITY IN THE START OF HOME HEALTHCARE IN HIGH-RISK ADRD PATIENTS BY THE QUALITY OF HOME HEALTH
Authors: Roy Indrakshi 
Published: December 2022

Abstract
Improving the quality and timely access of home health care is a new quality measure and particularly crucial in high-risk ADRD adults following hospitalization. However, a significant portion of older patients waits longer than 2 days to receive home healthcare. In this study, we examine how the quality of home health agency and race are associated with the delay in care among ADRD patients receiving home healthcare and how this delay mitigates the risk of rehospitalization. We find that Black patients in low rated home health agencies have 28% higher odds of delay in care compared to White patients in high rated home health agencies (Odds ratio (95% CI) =1.28 (1.21 - 1.36)). Timely initiation of home health care also reduces the risk of rehospitalization in minority older adults with ADRD.
THE READYR PROGRAM'S INTERIM FEASIBILITY, ACCEPTABILITY, AND EFFECTS ON VALUES-BASED CARE AND RELATIONSHIP QUALITY
Authors: Hiatt Shirin , Steele Joel , Wu Chao-Yi , Miller Lyndsey 
Published: December 2022

Abstract
This study evaluated preliminary feasibility, acceptability and efficacy of the READyR program, a remote intervention for early stage dementia dyads designed to assess and address values-based care and relationship quality. Measures of program acceptability, preparation for future care, and relationship quality were examined pre- and post-intervention. Feasibility was high among the first 10 enrolled dyads who completed phase 1: 39 out of 40 sessions were completed with 100% retention. Acceptability was also high with nearly 95% reporting that participation was easy and that they would recommend it to others. Insufficient time was the only critique reported by 17%. Medium/large effects were found in improvements to positive interactions (d=-0.71 95%CI [-1.34-.00]), relationship strain (d=0.53 95%CI [.-.15-1.18]), and awareness (d=-0.91 95%CI [-1.64- -0.15]) and avoidance (d=-0.53 95%CI [-1.18-.15]) of preparation for future care needs. The READyR program shows preliminary feasibility, acceptability, and efficacy in improving values-based care and relationship quality remotely.
WHAT DO 'BEHAVIORS" COST? UNDERSTANDING COSTS IN DEMENTIA CARE PARTNER-BASED RESEARCH
Authors: Dawson Walter , Gothard Sarah , Mattek Nora , Kaye Jeffrey , Lindauer Allison 
Published: December 2022

Abstract
The out-of-pocket costs to care for individuals living with dementia are high, and is exacerbated by the expense of managing behavioral and psychological symptoms of dementia (BPSD) (e.g., depression, irritability). STELLA (Support via TEchnology: Living and Learning with Advancing AD) is a telehealth-based intervention that provides a personalized approach to teach care partners (CPs) strategies to manage BPSD. To understand the relationship between BPSDs and costs, weekly surveys were administered to CPs (n=12). Surveys asked about out-of-pocket costs incurred from: hospitalizations and emergency department (ED) utilization, primary care visits, use of paid in-home care, prescription drugs, and over-the-counter medications. The most frequent cost reported by CPs was prescription drug related (11 CPs), while costs associated with hospitalizations and ED were the least frequently reported (4 CPs). A longitudinal weekly survey-based approach to quantify CP costs is a novel approach examine an intervention outcome (cost) that matters to families and policymakers.
END-OF-LIFE EVENTS AND CAUSES OF DEATH IN DANISH LONG-LIVED FEMALE SIBLINGS
Authors: Galvin Angeline , Ukraintseva Svetlana , Arbeev Konstantin , Feitosa Mary , Newman Anne , Christensen Kaare 
Published: December 2022

Abstract
Long-lived siblings have better health and survival compared to “sporadic” long-lived individuals, but it is unknown whether they also differ in end-of-life events and causes of death. Deceased Danish long-lived female siblings (n=833, mean age at death=95.6) were identified through national health registers compared to controls matched on sex, year-of-birth, and year-of-death. End-of-life events (hospitalizations, emergency room visits, medication within the five years before death) and causes of death were analyzed using linear models with fixed effects and multinomial logistic models, respectively. End-of-life events and causes of death were not statistically significantly different between long-lived female siblings and “sporadic” long-lived individuals. However, long-lived female siblings presented non-significant higher risk of ischemic heart disease and cancer – and lower risk of mental diseases and accidents. The analyses will be extended to include men, a longer follow-up, and focus on dementia in the last years of life.
GENOME-WIDE ASSOCIATION STUDY OF EXTREME LONGEVITY USING WHOLE-GENOME SEQUENCING DATA
Authors: Gurinovich Anastasia , Bae Harold , Song Zeyuan , Leshchyk Anastasia , Li Mengze , Andersen Stacy , Perls Thomas , Sebastiani Paola 
Published: December 2022

Abstract
Extreme longevity (EL) runs in families which supports the hypothesis that this is a genetically regulated trait. However, with the exception of APOE, genome-wide association studies (GWAS) of EL have not identified many genetic variants that replicate in independent studies. The majority of GWAS of EL have used imputed genotype data. Recently, the Long Life Family Study has generated the largest whole-genome sequencing data of centenarians and matched controls. We perform single-variant and gene-based tests of EL in these data using the nf-gwas-pipeline with the saddle point approximation adjustment of the p-values. These analyses suggest that, in addition to the APOE/TOMM40 region, some uncommon variants of GRM7 (chr3), AUTS2 (chr7), KIF13B (chr8), SLC2A14 (chr12), and ADCY9 (chr16) genes, and other intergenic SNPs in chromosomes 5, 10, and 20 may be implicated with EL.