bluuebunny/crossref_metadata_2025_split huggingface dataset:
BRAIN ACTIVITY DURING DUAL-TASK STANDING IN OLDER ADULTS WITH MILD COGNITIVE IMPAIRMENT
Authors: Kahya Melike , Gouskova Natalia , Lo On-Yee , Zhou Junhong , Cappon Davide , Pascual-Leone Alvaro , Lipsitz Lewis , Manor Brad 
Published: December 2022

Abstract
Performance of a cognitive task while standing disrupts balance in older adults. This disruption is exaggerated in those with mild cognitive impairment (MCI). Moreover, older adults with MCI who exhibit greater dual-task ‘cost’ are more likely to develop falls and dementia. EEG studies suggest that cognitive-motor dual-tasking is associated with brain activity fluctuations originating from central brain regions at specific frequencies, particularly in the alpha-band (8–13 Hz). We hypothesized that older adults with MCI would demonstrate decreased EEG alpha power during dual-task standing compared to healthy controls, and that decreased alpha power would be associated with elevated dual-task cost. We recorded postural sway and EEG in 14 participants with MCI [Montreal Cognitive Assessment (MoCA) &lt; 25] and 16 healthy older adults [MoCA&gt;25] as they completed trials of standing with and without serial subtractions. Postural sway metrics were derived, and from EEG we calculated absolute alpha-, theta-, and beta-band powers within a-priori defined regions-of-interest: the left and right anterior, central, and posterior regions. Repeated Measures ANOVA demonstrated that participants with MCI exhibited decreased alpha power in the central regions during dual-task standing compared to healthy controls (p= 0.01). No significant difference was observed for theta and beta-band powers between participants with MCI and healthy controls. In those with MCI, lower alpha power during dual-task standing correlated with increased dual-task cost to postural sway path (worse balance) (r=-0.4, p=0.03). These results provide preliminary evidence that specific patterns of brain activity during dual-tasking are disrupted in MCI and this is associated with elevated dual-task costs.
UNMET TRANSITIONAL CARE NEEDS OF OLDER ADULTS DISCHARGED FROM HOME HEALTH CARE: A QUALITATIVE NEEDS ASSESSMENT
Authors: Bankole Ayomide , Girdwood Tyra , Leeman Jennifer , Womack Jennifer , Toles Mark 
Published: December 2022

Abstract
Transitional care is widely recognized as a set of time-limited services to support older adults during transfers between settings and providers of care; however, little is known about services that prepare older adults and their caregivers for transitions from Home Health Care (HHC) to independent self-care at home. The objective of this study was to describe HHC patients and clinician perceptions of unmet needs after HHC discharge and recommendations to address them in future research. A multiple case-study design was used in a single large HHC organization in North Carolina. Data were collected using chart reviews of HHC records and semi-structured interviews with paired patients (or caregivers as proxy) and HHC clinicians (Nf17 pairs). A transitional care intervention model was used as a conceptual framework to guide framework analysis of interview transcripts. Most patients were White (65%) and female (53%) with mean age of 83 years. Clinicians were Registered nurses and Physical therapists. Across cases, 17 patient and clinicians pairs described three unmet needs: (1)skills for symptom management; (2)community-based support for transportation, food, social engagement, and health services; (3)in-home support to assist with safety, and activities of daily living. HHC patients recommended new services while clinicians emphasized the need for resources to improve their capacity to prepare patients for discharge. These findings will inform an innovative adaptation of transitional care and other supports to prepare older adults and caregivers for transitions from HHC to independent self-care at home. Future research should explore adding transitional care services to address these needs.
CAN MONITORING OLDER ADULTS’ TECHNOLOGY USE PATTERNS HELP DETECT COGNITIVE DECLINE?
Authors: Cotten Shelia , Anarsky Reza Ghaiumy , Schuster Amy 
Published: December 2022

Abstract
Approximately six million U.S. older adults are diagnosed with Alzheimer’s Disease (AD), and this number is expected to more than double by mid-century. Monitoring older adults’ cognitive functioning is essential for the early detection of cognitive diseases, such as AD, which can increase treatment efficacy and slow AD’s progression. Cognitive functioning tests, however, have limitations as administrating them can be costly and time-consuming. This study aimed to determine whether technology use patterns could be used as an indicator of cognitive functioning. We utilized six waves (from 2015 to 2020) of data from the National Health and Aging Trends Study to assess whether stopping the use of different types of technology (using the Internet, computers or tablets, or sending texts and emails) are associated with cognitive functioning (memory, orientation, and executive functioning). We controlled for age, gender, marital status, race, education, activities of daily living, and overall health. Our analyses showed that stopping the use of going online, computers, tablets, and sending texts and emails were related to cognitive decline. These results suggest that practitioners should incorporate assessments of their patient’s online activity and use as it may be an innovative approach that is economical and efficient to identify individuals at risk of cognitive decline.
UNDERSTANDING MOTIVATIONS FOR PARTICIPATING IN EVIDENCE-BASED FALL PREVENTION PROGRAMS ON ZOOM
Authors: Rapoport Andy , Danilovich Margaret 
Published: December 2022

Abstract
The pivot to remote delivery of NCOA evidence-based programs has increased participant reach due to eliminating geographic or transportation barriers. Despite the convenience of participation in one’s own home, challenges for helping patients adhere to behavior change remain. This paper will present data from one community-based organization’s NCOA evidence-based falls prevention program implementation of Bingocize, Tai Chi, Otago, and SAIL on Zoom. Across all programs, only 36% of people who registered for workshops attended the first session. Participants, on average, only attended 27% of the sessions in a given workshop. To explore the barriers and facilitators to attendance in order to encourage patients to change health behavior, we used a mixed-methods approach to evaluate reasons for suboptimal adherence among n=735 participants across the 4 programs. We performed sub-group analysis to examine barriers and facilitators by the self-reported attendance rate. We conducted semi-structured interviews with n=14 participants, focusing on those who had less than 50% attendance for the workshop they registered for, and also received n=234 survey responses. For participants who attended &gt;50% of workshop sessions, class enjoyment was the most cited facilitator of attendance. However, for those who attended &lt; 50% of workshop sessions, email reminders were the most cited attendance facilitator. Results from this project provide critical information about specific barriers that different sub-groups of older adults face regarding participation in NCOA evidence-based programs to develop strategies to help motivate patients for health behavior change.
THE IMPACTS OF LIFESTYLE ON DEPRESSION AND LIFE SATISFACTION AMONG CHINESE OLDER ADULTS: A 7-YEAR FOLLOW-UP STUDY
Authors: Peng Man-Man 
Published: December 2022

Abstract
This study aims to explore the long-term effects of lifestyle-related factors and physical health on life satisfaction among older adults by transitions in mental health conditions. Using data derived from the China Health and Retirement Longitudinal Study (CHARLS), the analytic sample included 643 older adults. Linear regression analyses were used to examine the cross-sectional and longitudinal associations of lifestyle-related factors and physical health with depression risk and life satisfaction in older adults. In this study, sleep duration and multimorbidity was found to be significantly related to baseline and follow-up depressive symptoms in older adults. Compared to non-drinkers, current drinkers reported more severe depressive symptoms. More depressive symptoms were associated with worse impairment in physical function or Activities of Daily Living (IADLs). Among older adults remaining no depressive symptoms at baseline and follow-up, current drinkers tended to have lower life satisfaction than non-drinker. Shorter sleep duration showed a longitudinal correlation with lower life satisfaction. In the subgroups of emerging depression, past drinkers tended to have lower life satisfaction than non-drinkers, and baseline multimorbidity significantly predicted lower subsequent life satisfaction. In conclusion, our findings identified drinking and shorter sleep duration as the lifestyle-related detrimental factors of late-life depression and life satisfaction in Chinese community-dwelling older adults. Other physical-health-related risk factors of depression included worse impairment in physical function or IADLs, and multimorbidity. Our findings have implications for future psychosocial interventions targeted at alleviating depressive symptoms and promoting life satisfaction of the older adults based on their long-term mental and physical health conditions.
A THEORETICAL EXAMINATION INTO THE CONNECTIONS BETWEEN LINKED LIVES AND LATER LIFE DISABILITIES
Authors: Gyimah Akwasi Adjei , Van Vleet Samuel 
Published: December 2022

Abstract
As people age, they find themselves living similar lives to those around them. This concept is often referred to as linked lives. Linked lives explains that individual lives are often interdependent. This is due to various elements such as social and historical influences. These influences can imprint networks of shared relationships. Researchers have found that the first point of socialization as humans are social relationships with family and friends. However, while the connections of linked lives are often attributed to early life course trajectories, little research has evaluated the interdependency that is created with disabilities in later life. Life course disability research is a key factor of gerontology because a majority of older adults encounter disabilities within later life. This attributed disability can often forge bound and interdependence within people and their own social networks. This paper theoretically examines different perspectives of disabilities research and how it relates to the fundamental principles of linked lives. This paper highlights the gap in the current gerontological understanding of the later life links among older adults with disabilities. This theory paper provides the needed information for gerontologist focusing on older people with disabilities to be able to evaluate allocations needed for providing adequate social support and services tailored towards the needs of these interdependent lives.
COMPARING SUCCESSFUL AGING OF NEAR-CENTENARIANS AND CENTENARIANS: FINDINGS FROM 2011 AND 2021/22
Authors: Shum Eric Ngai Yin , Lau Bobo Hi Po , Cheung Karen Siu Lan , Chan Grace Man Yee , Kwan Joseph Shiu Kwong , Luk James Ka Hay , Martin Peter , Chan Cecilia Lai Wan 
Published: December 2022

Abstract
Successful aging (SA) was proposed by Robert J Havighurst in 1961 to capture how older adults add “lives onto (their) years.” While there is a consensus regarding the multidimensionality of the concept, the set of criteria that should be applied to older adults of advanced age remain controversial. Notwithstanding their inevitable decline in physical health, adults of advanced age may still enjoy good psychosocial well-being. In this light, we compared the proportion of “successful agers” in two cohorts of adults aged 95 or above who lived with their families in 2011 (Nf77) and 2021/22 (Nf120) in Hong Kong using two models – Model A: i: Good subjective health, ii: more well-off than average, iii: as happy as young (Cho et al., 2012) and Model B: i: Weekly social activities, ii: absence of dementia, iii: intact sight and hearing ability, iv: intact mobility (Nosraty et al, 2012). Both models have been applied in adults aged 90 or above. In the 2011 cohort, 13.0% and 16.9% of our sample fulfilled the SA criteria of Model A & B respectively. The percentages fell to 1.7% and 13.7% respectively in the 2021/22 cohort. The decrease is due to less participants fulfilling the financial criterion of Model A, as well as the criteria on intact sight and hearing ability and the absence of dementia of Model B. COVID presents multidimensional challenges for adults of advanced age. Examining the dimensions that are most impacted will help orient recovery works along the direction of SA.
A CLINICAL TRIAL USING METHYLATION AGE TO EVALUATE CURRENT ANTIAGING PRACTICES
Authors: Mitteldorf Josh 
Published: December 2022

Abstract
Recent advances in the technology of ‘‘aging clocks’’ based on DNA methylation suggest that it may be possible to measure changes in the rate of human aging over periods as short as a year or two. To the extent that methylation (and other biomarkers) are valid surrogates for biological age, the testing of antiaging interventions has thus become radically cheaper, faster, and more practical. Together with colleagues at McGill University, I have initiated a clinical trial to evaluate some of the most popular antiaging strategies currently deployed by ‘‘early adopters’’ in the lay community of personal health activists. We are recruiting 5000 subjects, age 45–65, and interviewing them in detail about their diet, drugs and supplements, exercise, social, and other practices that plausibly contribute to modulate the rate of aging. They agree to submit saliva samples for analysis of methylation age at the beginning and end of a 2-year test period. Primary endpoint is the difference in methylation age over the course of 2 years. Results will be viewed as an exploratory study to identify synergistic combinations of age-retarding treatments. All data (redacted for privacy) will be open sourced, available to the scientific community and to the public.
PLASMA HIGH DENSITY LIPOPROTEIN CHOLESTEROL AND RISK OF FRACTURES IN OLDER ADULTS
Authors: Hussain Sultana Monira , Ebeling Peter , Barker Anna , Beilin Lawrence , Tonkin Andrew , McNeil John 
Published: December 2022

Abstract
The ASPirin in Reducing Events in the Elderly trial participants (ASPREE, aged &gt;70-years Australians), for whom high-density lipoprotein cholesterol (HDL-C) levels were measured were included. Fractures included were confirmed by medical imaging and included both traumatic and pathological fractures. Fractures were confirmed by an expert review panel. Cox proportional hazards regression was used to calculate hazard ratio (HR) and 95% confidence interval (CI) for associations with fractures. Of the 16262 participants who had a plasma HDL-C measurement at baseline 1,659 experienced at least one episode of fracture over a median of 3.98 years (interquartile range, 0.02, 7.0 years). In the fully adjusted model, each mmol/L increment in HDL-C was associated with a 34% (HR 1.34, 95% CI 1.20–1.50) higher risk of fractures. The results remained similar when these analyses were stratified by sex. Sensitivity analyses demonstrated that these associations persisted when the analyses were repeated including only: 1) nontraumatic fractures, 2) participants not on osteoporotic medications, 3) participants who were never-smokers and reported that they did not drink alcohol, and 4) participants who walked outside less than 30 minutes and reported no participation in moderate/vigorous physical activity. No association was observed between non-HDL-C and fractures. This prospective observational study suggests that higher levels of HDL-C are associated with higher fracture risk. This association was independent of the common risk factors of fractures.
THE RELATION OF AGE TO OUTCOMES IN THE DIABETES LIFESTYLE CHANGE PROGRAM CONDUCTED BY VIRGINIA COOPERATIVE EXTENSION
Authors: Pourkhalili Azin , Rafie Carlin , Sarshar Arash , Margheim Lynn 
Published: December 2022

Abstract
The National Diabetes Prevention Program established by the Centers for Disease Control and Prevention promotes the implementation of an evidence-based lifestyle change program (LCP) to prevent or delay the onset of diabetes. The LCP is a 12-month program with 26 lessons covering topics on healthy diets, increasing physical activity, managing stress, and coping with triggers, among others. It includes weekly goal setting, food, and physical activity tracking, and group support. The goals of the program are 5–7% sustained weight loss and 150 minutes of physical activity weekly. Little is known about the real-world effectiveness of the LCP in different age groups, particularly in older adults. The aim of this study was to evaluate the effects of age on LCP outcomes (weight loss, average physical activity, program attendance) conducted by Virginia Cooperative Extension from 2017 - 2022. Among 191 participants enrolled in the LCP, 141 (73%) completed eight or more sessions and 56% were above 60 years of age. Results show there was a significant direct relationship (coefficient=0.05, p=0.001) between age and weight loss percentage. Participants older than 60 had significantly (p=0.03) higher average physical activity (215 min per week) compared to those under 60 years old (161 min per week). In addition, participants above 60 had significantly (p=0.03) higher attendance (22 sessions) compared to those under 60 years of age (19 sessions). These findings suggest that targeting different age groups and intervention delivery methods can improve program outcomes.
BUILDING OUR LARGEST DEMENTIA (BOLD) INFRASTRUCTURE FOR ALZHEIMER'S ACT: CENTERS OF EXCELLENCE
Authors: McGuire Lisa 
Published: December 2022

Abstract
While public health experts cannot yet say how to prevent Alzheimer’s disease and related dementias (ADRD), emerging science indicates that ADRD may be slowed through the implementation of risk reduction strategies, early diagnosis, and better education and training of front-line health care professionals. The Building Our Largest Dementia (BOLD) Infrastructure for Alzheimer's Act was introduced into the Senate (S. 2076) on November 6, 2017 and signed into law on December 31, 2018 (P.L. 115-406) amending the Public Health Service Act (Section 398A; 42 U.S.C. 280c-3-4). CDC's Alzheimer's Disease and Healthy Aging Program (AD+HAP) was authorized to implement the activities outlined in BOLD which were designed to create a uniform national public health infrastructure. This presentation will provide an overview of BOLD and the demonstrate how BOLD Program and Public Health Centers of Excellence recipients are working together to build a uniform national public health infrastructure.
AN AGE-FRIENDLY COURSE ADOPTING THE 4M GERIATRIC MODEL IN A PRIMARY CARE NURSE PRACTITIONER PROGRAM
Authors: Empleo-Frazier Ophelia , Marshall Ami , Doyle Margaret , Rink Andrea , Gallant Noelle , Wu Barry , Marottoli Richard 
Published: December 2022

Abstract
Training nurse practitioners to assume an expanded role in management of geriatric patients is key to addressing the care needs of a growing older adult population. To that end, the Yale School of Nursing revised geriatric coursework required of family nurse practitioner (FNP) and adult geriatric nurse practitioners (AGNP) to ensure the curriculum was sufficiently in-depth, engaging, and inclusive. Revisions included a new course, “Advanced Primary Care of the Older Adult” which focuses on the role of the nurse practitioner in the assessment, diagnosis, and management of primary geriatric syndromes. The 4M model (Medications, Mentation, Mobility, and what Matters most) provided the framework. Additionally, faculty added expert speakers, interactive dementia animated videos, book and movie discussions and a geriatric telehealth simulation component. Content was guided by training needs data collected from prior nurse practitioner students. At the end of each course, students were surveyed to assess attitudes towards geriatric care and satisfaction with the course. We compared survey responses pre (academic year 2019–2020, Nf18, response rate=53%) and post (academic years 2020–2021 and 2021–2022, Nf28, response rate=44%) rollout. In multivariate regression analyses adjusted for differences in age, gender, race, program (AGNP and FNP) and previous geriatric experience, we found significant improvement in measures of both confidence in providing geriatric care and satisfaction with course content. Analysis of qualitative data confirmed student satisfaction with the new course. Future work will include expansion and more rigorous evaluation of the program, including measures of student knowledge of best practices and increasing survey participation rates.
YES, AND...ENHANCING DEMENTIA CARE COMPETENCY THROUGH IMPROVISATIONAL THEATRE TECHNIQUES
Authors: Kemp Candace , Morgan Jennifer Craft , Hill Andrea , Pullon Emerald , Burgess Elisabeth , Perkins Molly , Bender Alexis 
Published: December 2022

Abstract
As the number of persons living with dementia escalates globally, innovations in clinical practice are needed to promote care interactions that lead to positive outcomes for care recipients and their care partners, including family, friends, direct care workers, and other care providers. Our ongoing NIH-funded study, focused on meaningful engagement and quality of life, points to the potential benefits of training care partners to use improvisational (improv) theatre skills in the context of dementia care. We present analysis of data derived from two one-year-long waves of qualitative data collection involving persons with dementia (n=59), their formal and informal care partners (n=165), and participant observation (over 12,000 hours) in six diverse assisted living communities. We identified a minority of care partners who, relative to others, had greater success engaging residents and eliciting positive responses. They also experienced less frustration during care encounters. In interactions with persons with dementia, these individuals routinely extended and accepted invitations to communicate and demonstrated an ability to be in the moment and meet people where they were. They accepted uncertainty about interactions and recognized the need to be flexible. These approaches parallel key improv tenets, which are teachable. We argue that improv training for care partners would enhance care competency and led to positive outcomes for care recipients and providers. Findings contribute to a small, but growing innovative body of literature from a variety of disciplines, including health care, that demonstrates the benefits of improv training in a myriad scenarios and settings, including in dementia care.