bluuebunny/crossref_metadata_2025_split huggingface dataset:
UTILIZING BOOT CAMP TRANSLATION TO ENCOURAGE HISPANIC/LATINX PARTICIPATION IN ALZHEIMER’S RESEARCH
Authors: Moeller Stacey , John Samantha , Medina Luis 
Published: December 2022

Abstract
Hispanic/Latinx (H/L) individuals are 50% more likely to develop Alzheimer’s disease (AD), relative to non-Hispanic whites. Despite higher prevalence rates and earlier age of onset, H/L individuals are underrepresented in aging and AD research. The Engaging Communities of Hispanics for Aging Research (ECHAR) Network is an interdisciplinary, multi-site project that aims to address these disparities. ECHAR uses Boot Camp Translation (BCT), a community-based participatory research (CBPR) approach that partners research faculty and medical experts with community stakeholders to translate medical jargon into action-based, locally-relevant messages. Researchers at University of Nevada, Las Vegas recruited 14 community members to participate in an AD-specific BCT. The process was completed between June 2021 through January 2022 to identify: 1) key messages, 2) target audience(s), and 3) dissemination strategies. BCT members identified three messages to reflect community concerns and highlight values: 1) “Amar es saber” (“To love is to know”), which acknowledges the importance of family and addresses cultural norms that may discourage disease conversations; 2) “The community cares. Let’s talk.”; and 3) "Podemos afrontar el Alzheimer juntos." (”We can face Alzheimer’s disease together.”). Target audiences include younger and middle-age adults who may be or become caregivers and local non-profit and community organizations. Members identified social media, community education events, community influencers, and educational products as dissemination strategies. BCT is an effective tool for engaging local communities and exploring Hispanic/Latinx beliefs and attitudes toward AD. It leverages community member expertise to create meaningful, tailored, and culturally-relevant messages that address health disparities and encourage action.
THE ROAD MAP STRATEGIST INITIATIVE: A NATIONWIDE EFFORT TO BUILD LOCAL PUBLIC HEALTH CAPACITY ON DEMENTIA
Authors: Fadel Meghan , Holtgrave Peter , Roberts Shelby , Jackson Eva , Shean John , Garbarino Lisa , McGuire Lisa 
Published: December 2022

Abstract
The Road Map Strategist Initiative is a nationwide effort to build local health department (LHD) capacity to address cognitive health and dementia. Through a collaboration between the Alzheimer’s Association and the National Association of County and City Health Officials (NACCHO), the initiative aims to make policy, systems, and environmental change, with a focus on health equity. Participating health departments receive funding, training, and technical assistance to establish a part-time Healthy Brain Initiative (HBI) Road Map Strategist, a public health professional serving as a system change agent. With support and education from the program sponsors, Road Map Strategists conduct a community health needs assessment, train LHD staff and leadership, and collaborate with community partners to implement and accelerate public health actions on dementia. Actions taken by the Road Map Strategists are informed by the Healthy Brain Initiative’s State and Local Public Health Partnerships to Address Dementia, The 2018-2023 Road Map. Presenters will share lessons learned from the first cohort of eight (8) LHDs during each stage of the initiative, with a focus on approaches used for Road Map implementation efforts in their communities. This session will share evaluation findings on successes and barriers for changing health department capacity to support local dementia efforts. Data from key indicators related to knowledge gain and capacity change will be shared, including the way LHD characteristics influenced success. The session will also cover effective approaches toward advancing health equity in dementia in local communities and plans for future iterations of the initiative.
ASSOCIATIONS BETWEEN COVID-19 VACCINE HESITANCY AND SOCIOSPATIAL FACTORS IN NYC TRANSIT WORKERS 50 YEARS AND OLDER
Authors: Meltzer Gabriella , Harris Jordan , Heffner Michelle , Lanternier Paula , Gershon Robyn , Merdjanoff Alexis 
Published: December 2022

Abstract
This analysis aimed to investigate how age, race/ethnicity, and geographical location contributed to vaccine hesitancy in a sample of New York City (NYC) Metropolitan Transit Authority (MTA) workers. Transport Workers Union, Local 100 members completed online surveys in August 2020 about their COVID-19 history, workplace protections and policies, fear of COVID-19 exposure, vaccination attitudes, and sociodemographic and health characteristics. We conducted univariate and bivariate analyses, followed by multivariate logistic regression, to determine the association between respondent age (younger than 50 vs. 50+) and vaccine hesitancy (willing vs. unwilling/unsure). We also produced spatial visualizations to examine these factors by participants’ zip codes. Of 645 respondents, 59% were 50 years or older, 53% were non-White, and 71% expressed vaccine hesitancy. MTA workers ages 50+ were 46% less likely to be vaccine hesitant than their younger counterparts (OR 0.64; 95% CI 0.42, 0.97). Compared to Whites, non-Whites (OR 3.95; 95% 2.44, 6.39) and those who did not report their race (OR 3.10; 95% CI 1.87, 5.12) were significantly more likely to be vaccine hesitant. Those who were not concerned about contracting COVID-19 in the community had 1.83 greater odds (95% CI 1.12, 2.98) of being vaccine hesitant than those who were concerned. Spatial visualizations revealed that the oldest respondents tended to reside in Queens. Zip codes with high vaccine hesitancy were clustered in Brooklyn, where non-White respondents tended to reside. The trends observed in COVID-19 vaccine hesitancy based on race and age persist in a population of high risk, non-healthcare essential workers.
RESEARCH, (UN)INTERRUPTED? EFFECTS OF THE PANDEMIC ON A 1 YEAR FOLLOW-UP TO AN ONLINE RCT
Authors: Jeanblanc Alexandra , Musil Carol , Burant Christopher , Zausniewski Jaclene 
Published: December 2022

Abstract
The pandemic profoundly disrupted research, largely due to the interruption of data collection. Our online-only behavioral RCT, evaluating two methods of stress-reduction for grandmothers with co-resident grandchildren, completed the originally planned 4 data collection points prior to the pandemic. When it began, we were in the process of collecting a 5th questionnaire (Q5) from a sample of 152. Our pre-existing work from home policies allowed us to continue data collection uninterrupted.Of 152 potential grandmothers, 51 (58 eligible) grandmothers completed Q5 prior to the pandemic and 62 (94 eligible) completed it after it began, (total N=113, 74.43% response rate. We compared Q5 responses pre/post pandemic, finding no significant differences on resilience, mindfulness/decentering, subjective support, instrumental support, or the friendship scale. Post-pandemic participants had significantly lower scores on the social resourcefulness subscale (t=-1.723, p=.044), but not personal or overall resourcefulness. They reported more depressive symptoms for the CES-D positive affect and depressed affect subscales (t=1.997, p=.048; t=1.673, p=.049). The post-pandemic sample reported worse self-rated health over the last year (t=2.753, p=.003) and worse overall health (t=1.781, t=.039).The higher levels of depressive symptoms, worse self-reported health, and lower social resourcefulness aligns with pandemic-related changes observed by other studies. We did not need to adapt our research procedures for the pandemic and, due to the lower post-pandemic response rate, our subsamples were of relatively equal size. Consequently, it is likely that the differences we observe here are real and reflect the negative effect of the pandemic on individual health and psycho-social well-being.
PROMOTING HEALTHY AGING OF WORLD TRADE CENTER RESPONDERS
Authors: Ornstein Katherine , Ko Fred 
Published: December 2022

Abstract
By 2030 the majority of World Trade Center (WTC) rescue and recovery workers (general responders) will be aged 65 and over and at risk for age-related conditions and consequences. Despite the US government’s commitment to support WTC responders who have exposure-related health conditions (e.g., cancers, PTSD), little research to date has focused on age-related issues in this population. Because WTC responders were exposed to high levels of toxicants and intense psychological trauma in the emergency response and cleanup following the 2001 WTC disaster—hazards that can accelerate the aging process – they are likely at increased risk for premature aging and associated age-related syndromes (e.g., functional decline, falls). An improved understanding of how aging affects the health of WTC responders is critically important to improving their clinical care, health outcomes, and overall quality of life. In this symposium we will present 3 studies that have shed light on the aging of WTC responders. First, we assess frailty among responder using a frailty phenotype. In the next study we examine the extent of polypharmacy among WTC responders and associated factors. Finally, we examine trajectories of frailty in this population over 2 decades of follow up using a validated clinical frailty index. This work represents the first examination of frailty and aging among WTC responders and will be an area of growing research as the population ages.
SENIOR CENTER RESPONSE TO COVID-19: INVOLVEMENT WITH VACCINE DISTRIBUTION
Authors: Somerville Ceara , Coyle Caitlin , Mutchler Jan 
Published: December 2022

Abstract
In early 2021, access to a COVID-19 vaccine was prioritized for older adults and people with multiple co-morbidities. Between high demand, emerging supply, and new systems for booking a vaccine appointment, many people had challenges getting an appointment. Senior centers became a crucial resource for access to the vaccine and additional information about its efficacy and safety. This poster presents survey data collected from 282 senior centers in Massachusetts regarding their involvement with the COVID-19 vaccine distribution in 2021. Nearly all senior centers reported making vaccine appointments on behalf of residents and were responsible for over 166,000 appointments made. Nearly 100,000 hours were spent by senior center staff or volunteers to make appointments. About a third of senior centers participated in hosting nearly 2,000 vaccine clinics, which vaccinated over 175,000 adults. Respondents reported challenges faced during the booking process, including the length of time and the developing technologies to book an appointment. Almost two-thirds of senior centers reported assisting community members under age 60, operating beyond the traditional scope of their services. Other assistance provided by senior centers included providing information about eligibility and guidelines (84%), information about vaccine efficacy and safety (62%), offering transportation to appointments (70%), and providing physical assistance for appointments (31%). Evidence from this poster emphasizes the important role that senior centers play in the community, not just for older adults but also for the community at large.
MEANING IN CHALLENGING TIMES: SENSE OF MEANING SUPPORTS COPING WITH PANDEMIC STRESSES
Authors: Kero Katherine , Podlesek Anja , Kavcic Voyko 
Published: December 2022

Abstract
The COVID-19 pandemic created disruptions in daily life and trauma for many individuals. Traumatic experiences often trigger reflection on meaning in life (MIL), which may result in either resilience or despair. The purpose of this study was to evaluate the role of MIL in mediating the relationship between COVID-related stressors and well-being outcomes. Further, age-related differences in MIL were examined. Web-based surveys were completed by 831 Slovenian participants in April of 2020. Demographic data; perceptions of stressors related to lacking necessities, movement restrictions, and concerns at home; MIL; perceived overall health status; anxiety; emotional state; and perceived stress were measured. Overall, a moderately strong sense of MIL (M = 5.0, SD = 0.74, range 1-7) was reported by participants. Older age was a significant predictor of greater MIL, (B = 0.098, SE = .036, p &lt; .01). Older adults also experienced less perceived stress, negative emotions, and home-related stressors compared to younger adults, but greater stress from lacking necessities (p &lt; .05). MIL partially mediated the relationship between stressors and well-being outcomes, especially stressors related to lacking necessities and concerns at home (13-27% mediation) and outcomes of anxiety, perceived stress, and negative emotions. A strong sense of MIL was associated with improved well-being and a buffering of the effects of pandemic-related stressors. Older adults were less vulnerable to stress and had a greater sense of MIL than younger individuals. Public health initiatives and media may help improve resilience to pandemic trauma by emphasizing the collective meaning in challenging situations.
WHAT IS THIS COVID? COMMUNITY PERCEPTIONS OF COVID-19
Authors: Kopera-Frye Karen , Delgado JoJo 
Published: December 2022

Abstract
The COVID pandemic was complicated by the varied amounts and sources of information available on what exactly COVID was, e.g., CDC website, social media; some fact-based and some not. The purpose of the project was to learn how people defined COVID. The surveyed sample consisted of 155 community dwellers (M age = 45.7 years), with above average education, primarily female (66%), and slightly over one-half identifying as Caucasian and approximately 40% Latinx. The sample were all residents of the Southern Border region, having very high rates of COVID infection in this area, and a statewide mask mandate both inside and outside. The open-ended question inquiring “What is COVID?” was answered by the respondents and thematic analysis focused on two dimensions: 1) was the response factual or not (incorrect in some manner); and 2) the definition of COVID in terms of a virus, flu, etc. Interestingly, despite the median education being around 15 years, 44.5% of the sample gave an incorrect definition of COVID. The three most predominant themes emerging from the definitions were (in descending order): 1) a virus with specific facts noted; 2) a disease/infection; and 3) an affective reaction such as annoying. The results highlight the diverse conceptualizations in a very high-risk area, especially focused on oftentimes an incorrect understanding of COVID.
OLDER ADULT'S SEPSIS CARE: CROSSING THE CONTINUUM: LESSONS LEARNED, OPPORTUNITIES PRESENTED
Authors: Cranston Teresa , Kontra Joseph , Roldan Lanyce 
Published: December 2022

Abstract
Sepsis is the body’s overwhelming response to infection that can lead to tissue damage, organ failure, and death. Delays in identification and treatment are associated with increased morbidity and mortality especially for older adults. It is key that clinicians practice collaboration and communication when diagnosing & treating patients that may have a different presentation. The Continuous Monitoring Unit (CMU) consists of RNs, who monitor the Sepsis Dashboards 24 hours/7 days a week. These nurses evaluate all BPA data points. They dismiss the irrelevant and align the significant while looking for possible notes of infection. They act upon the BPA when the patient meets criteria. They collaborates with the provider to initiate recommended sepsis care. Once the sepsis diagnosis is confirmed, the CMU RN communicate with inpatient nursing via EMR shift reporting and Care planning tools. Nursing utilizes these tools for daily rounds with the health care team communicating patient discharge needs. Identifying the Sepsis survivor on admission allows for early sepsis survivor education, discharge preparation and outpatient follow up referrals. Case Management utilizes an electronic application for outpatient referrals and includes a Sepsis Survivorship alert. Community resources, alert to a sepsis diagnosis will follow up within 24-48 hours of discharge to insure that the patient is having a smooth transition. Referred providers can escalate care to the PCP for early intervention therefore reducing worsening state or readmission. Specifically, our home care agency monitors the patient closely upon discharge due to the sepsis survivor’s tenuous state and reinforces sepsis education.
POLYPHARMACY AND FRAILTY AMONG WORLD TRADE CENTER GENERAL RESPONDERS
Authors: Hung William , Bello Ghalib , Ko Fred , Sabra Ahmad , Thanik Erin , Lucchini Roberto , Ornstein Katherine 
Published: December 2022

Abstract
Polypharmacy in older adults is associated with increased risk of adverse events such as falls, adverse drug reactions and functional decline. WTC responders suffer from conditions related to WTC exposure and are at higher risk of polypharmacy. We examined patterns of medication use among WTC general responders aged 50 and over who had at least one visit from 2017 to 2019 (n=7,679); 56.1% took 5+ medications and 22.5% took 10+ medications. Factors associated with polypharmacy (taking 5+ medications) include age (OR 1.08, p&lt;0.001), female sex (OR 1.33, p&lt;0.001), obesity (1.90, p&lt;0.001), fair/poor self-rated health (OR 1.32, p&lt;0.001) and limitations on performing moderate activity (OR 1.52, p&lt;0.001). Frailty, as measured by the deficit count in the Clinical Frailty Index, is associated with polypharmacy after adjusting for other covariates (OR 1.23, p&lt;0.001). Addressing polypharmacy by improving medication use may yield health benefits for this rapidly aging population at risk for adverse outcomes.
COSTS OF DEMENTIA CARE AND EARLY-STAGE PREVENTIVE NURSING: A COMPARATIVE BIG DATA STUDY IN OSAKA
Authors: Hu Xujing , Kanaya Reiko , Yamamoto Ryohei , Toki Hiroshi , Takeya Yasushi , Yamakawa Miyae 
Published: December 2022

Abstract
Data show a substantial increase in the costs of dementia care nationally and globally. We assessed the factors increasing financial pressure, and found an association between the costs and the severity of dementia. We suggest that early diagnosis and preventive nursing care can reduce the deterioration associated with dementia, and therefore the overall costs of dementia care. The purpose of this study was to determine the relationship between the costs of dementia care and early-stage preventive nursing care in a sample of people with dementia aged 65 to 85 years, using the Medical Care Insurance and Osaka Prefecture Long-Term Care Insurance Database (N = 17973). We found that early care might have a significant effect on formal care costs in the early period of dementia but did not influence the medical care costs of dementia. During the first 5 years, the long-term care costs of people with dementia with an initial care level of Support 1/2 (one type of care level of Japanese long-term care insurance system, and the participants receive preventive services) were $4,389, while people with an initial care level of Care 1/2 (the other type of care level, and the participants receive nursing services) were $12,333. About 20% of people who received preventive care recovered, suggesting that preventive nursing care can restore the ability of people with early-stage dementia. This might be the reason for the reduction in long-term care costs. This research provides a basis for supporting preventive nursing care and extending healthy lifespans.
DEMENTIA AND THE ROLE OF EVIDENCE-BASED GUIDELINES IN PRIMARY CARE: RESULTS OF A CLUSTER RANDOMIZED CONTROLLED TRIAL
Authors: Lech Sonia , O'Sullivan Julie L , Spang Robert P , Voigt-Antons Jan-Niklas , Gellert Paul , Nordheim Johanna 
Published: December 2022

Abstract
General practitioners (GPs) play a key role in the care of people with dementia (PwD). However, the potentials of evidence-based dementia guidelines in primary care remain unclear. The main objective of the present study was to examine the role of guideline-based dementia care in general practices and to evaluate the effectiveness of a tablet-based intervention aiming at improving guideline-based care. A two arm, cluster-randomized controlled trial (cRCT) with an intervention group (tablet-based intervention) and a control group (treatment as usual) was conducted from April 15, 2018, to July 31, 2021, in Berlin and the surrounding area. Primary outcome was defined as adherence to dementia guideline recommendations after 9 months. Secondary outcomes included various health outcomes assessed in PwD (e.g., quality of life). Linear Mixed Models were used to analyse cross sectional baseline data. Primary and secondary outcomes were analysed by intention-to-treat analysis and using Mixed Models. Data of N = 28 GPs and N = 91 PwD was analysed. PwD were on average 80.5 years old (SD = 6.3), 59% were female. Self-reported overall guideline adherence of GPs was on average 71% (SD = 19.4, range: 25–100). Further, lower guideline adherence was found to be significantly associated with higher numbers of patients (γ10 = − 5.58, CI = − 10.97, − 0.19, p = .04). The effectiveness of the cRCT is still under evaluation. Final results will be presented and discussed at the GSA Annual Scientific Meeting. Further, implications and conclusions of the trial will be provided.
FORMAL AND INFORMAL VOLUNTEERING AMONG OLDER ADULTS: ASSOCIATIONS WITH HEALTH OUTCOMES ACROSS SEXUAL ORIENTATIONS
Authors: Frey Joseph , Shen Huei-Wern , Wang Yi 
Published: December 2022

Abstract
Volunteering is associated with positive physical and mental health outcomes among older adults. However, little is known about the impact of volunteering on health among older lesbian, gay, and bisexual (LGB) Americans. Using nationally representative 2016 Health and Retirement Study data, the present study explored associations between volunteering and health outcomes (i.e., self-rated health, current memory rating) across sexual orientations among older Americans. Two types of volunteering were considered in the study—formal volunteering (doing unpaid work for religious, educational, health-related, or other charitable organizations) and informal volunteering (providing unpaid help to friends, neighbors, or relatives who do not co-reside). We included 235 (5.7%) respondents who self-identified as LGB or something else, and 3,894 (94.3%) heterosexual-identified respondents. Controlling for health-related variables (e.g., ADLs/IADLs), SES (e.g., income), contextual features (e.g., urban/rural), and sociodemographics (e.g., age, gender, race), results from eight stratified OLS regression models showed that for heterosexual-identified older adults, both formal and informal volunteering promoted self-rated health (p&lt;.001, respectively) and memory rating (p&lt;.001, respectively). However, for LGB-identified older adults, only informal volunteering was detected to increase memory rating (p&lt;.038). Findings suggest that the well-documented health benefits of formal volunteering may not be supported in the LGB population. The current theoretical model and discourse about productive aging should be modified to be more inclusive with respect to sexual orientation. Further research identifying the pathways (e.g., identity-related stigmatization and discrimination) between various types of volunteering and health outcomes among older LGB adults is urged and possible directions will be discussed.