bluuebunny/crossref_metadata_2025_split huggingface dataset:
ENGAGING AFRICAN AMERICAN FAMILY CAREGIVERS THROUGH ART AND CREATIVE ACTIVITIES: A CASE STUDY
Authors: Hazzan Afeez , Sheppard Luvon , Hazzan Joyce 
Published: December 2022

Abstract
Studies have shown that engaging family caregivers of people with dementia in creative activities can provide therapeutic benefits by relieving stress and promoting well-being. However, there is a dearth of studies focusing on the involvement of racial minority family caregivers of people with dementia in research involving art and creative activities. The purpose of this study is to present the results of a case study interview with an artist-educator-community collaborator who acted as a key facilitator for the ACTION ARTS study. The purpose of the ACTION ARTS study was to utilize mobile technology applications for facilitating creative activities to enhance health and well-being of African-American family caregivers and their loved ones in the middle-to-late stages of dementia. The study included activities such as memory stimulation, art viewing, art making, and other forms of creative expressions. The research question for the current case study was: What are the best practices for engaging African-American family caregivers of older adults in the middle-to-late stages of dementia in research involving art and creative activities? Thematic analysis of the qualitative data from the case study interview yielded the following recommendations/results (1) Design the program of art and/or creative activities in an easy way to facilitate interaction among participants; (2) Make the program as accessible and relevant as possible so everyone is able to relate to it; (3) Emphasize areas of commonality that could help in giving both the facilitators and participants food for thought.
IMPACTS OF SOCIAL RELATIONSHIPS ON CO-OCCURRING SYMPTOMS AND FUNCTIONING IN OLDER ADULTS WITH COGNITIVE IMPAIRMENT
Authors: Kang Bada , Wei Sijia , McConnell Eleanor , Corazzini Kirsten 
Published: December 2022

Abstract
Social relationships are crucial for well-being of older adults with cognitive impairment (CI), however, evidence is lacking on how social relationships may influence symptom experience and functioning among those living with CI. This study aimed to identify subgroups of older adults with CI with distinct symptom and functioning profiles and to examine the association between latent class membership and social relationships. The sample included 927 older adults who were screened as having moderate or severe CI from wave 2 of the National Social Life, Health and Aging Project. Symptom (i.e., pain, fatigue, sleep disturbance, depression, anxiety, and stress) and functioning (i.e., instrumental activities of daily living, activities of daily living, and urinary incontinence) variables were used to identify subgroups. Latent profile analyses identified five distinct groups: most (51.7%) belonged to the low-symptom-high-functioning; few (7%) belonged to the high-symptom-low-functioning; while two groups had average symptom burden, one group (25%) had frequent urinary incontinence and normal daily functioning (poor-urinary-functioning), and the other group (5%) had normal urinary functioning and the worst daily functioning (worst-daily-functioning); interestingly, 13% belonged to high-symptom-normal-functioning group. Multinomial logistic regression modeling showed that, among social networks, support, strain, and engagement, members in groups with worse symptom burden and daily functioning were significantly more likely to have social strain, after adjusting for covariates (p-values &lt; 0.01). Only severe CI was associated with worst-daily-functioning (OR = 3.24, p-value = 0.002). Interventions that ameliorate social strain may benefit symptom management and promote independent daily living among older adults with CI.
CROSS-DISCIPLINE COLLABORATIVE INTERNSHIPS TO REDUCE FEAR OF FALLING CONTRIBUTE TO AGE-FRIENDLY INITIATIVES
Authors: June Andrea , Seifert Allison 
Published: December 2022

Abstract
The Age Friendly University (AFU) initiative provides a vision to inspire institutions of higher education to respond to the interests and needs of an aging population to promote well-being and quality of life. At Central Connecticut State University (CCSU), we have utilized multiple strategies to engage collaborators within our university and our community to further age-inclusive efforts. The purpose of this presentation is to describe the ongoing collaboration, through the Matter of Balance program, with the Connecticut Healthy Living Collective, an emerging hub of state, regional and local agencies and organizations dedicated to healthy aging in communities throughout our state. The Matter of Balance program is an empirically supported community-based treatment to reduce fear of falling among older adults. We will first discuss the pilot internship program offered within the Department of Psychological Science that trained students as program facilitators which was cut short in Spring 2020 due to COVID 19. We will then describe “Version 2.0” of the collaboration which was offered in the Spring 2022 semester. This time, it was grounded in a gerontology internship course that expanded to include research, faculty, and student collaboration with the Department of Physical Education and Human Performance. In addition to providing these overall descriptions, the presenters will review the strengths and challenges of each approach, share results about the students’ experiences, and highlight the multidimensional value this intentional effort offers.
ASSOCIATIONS BETWEEN NEIGHBORHOOD CHARACTERISTICS AND COGNITIVE FUNCTIONING TRAJECTORIES BY RACE/ETHNICITY
Authors: Thierry Amy , Farmer Heather 
Published: December 2022

Abstract
Older adults living in neighborhoods with high physical disorder and low social cohesion may be especially vulnerable to experiencing declining health. However, less is known about how neighborhoods may influence age-related patterns of cognitive functioning for different racial/ethnic groups. Therefore, we examine whether perceived neighborhood characteristics (safety, cleanliness, and social cohesion) are associated with trajectories of cognitive functioning across race/ethnicity. Using data from the 2006-2016 waves of the Health and Retirement Study, our study includes 11,870 non-Hispanic White, non-Hispanic Black, and Mexican adults 65 and older. We conducted linear mixed models stratified by race/ethnicity using an age-accelerated design to understand how neighborhood characteristics are related to trajectories of cognitive functioning (measured by the Telephone Interview for Cognitive Status; range: 0-35). We also explore if sociodemographic, behavioral, and health characteristics account for this association. Analyses revealed that cognitive functioning showed a quadratic change with age. Negative neighborhood perceptions were associated with declines in cognitive functioning with increasing age for each racial/ethnic group. Among White adults, all neighborhood characteristics were negatively associated with cognitive functioning in fully adjusted models. For Black adults, perceived uncleanliness was significantly associated with trajectories of cognitive functioning. In Mexican adults, perceptions of uncleanliness and lower cohesion were significantly associated with worse cognitive functioning, but not in fully adjusted models. These findings suggest that the perceived neighborhood context is an important social determinant of cognitive health for older adults, and distinct aspects of the neighborhood may be more correlated with cognitive functioning for certain racial/ethnic groups than others.
THE INTERACTIVE EFFECTS OF EDUCATION AND SOCIAL SUPPORT ON COGNITION IN AFRICAN AMERICANS
Authors: Byrd DeAnnah , Jiang Yanping , Zilioli Samuele , Lichtenberg Peter , Thorpe, Jr. Roland J , Whitfield Keith 
Published: December 2022

Abstract
This study examines whether the effects of receiving or providing social support on cognition differ by education. Data from 602 African American adults (48-95 years) enrolled in the Baltimore Study of Black Aging—Patterns of Cognitive Aging were analyzed using multiple linear regression. We found no main effects of receiving or providing social support on global cognition. However, a significant moderation effect was observed for memory, such that received social support was more strongly associated with higher working memory among less-educated individuals than those with high levels of education, adjusting for age, sex, marital status, chronic health conditions, and depressive symptoms. Study findings demonstrate that social support and education have joint effects on memory outcomes, highlighting the importance of considering psychosocial protective factors that might alleviate, reduce, or even eliminate cognitive health disparities in African Americans.
DEMENTIA CAREGIVER PERCEPTIONS OF TELE-DEMENTIA CARE FOR VETERANS DURING THE COVID-19 PANDEMIC
Authors: Iyer Sowmya , Ngo Victoria , Humber Marika , Brodrick Marisa , Gould Christine , Trivedi Ranak 
Published: December 2022

Abstract
The estimated 5 million persons living with dementia in the United States have been greatly impacted by the medical and psychosocial impacts of the COVID-19 pandemic, respite program closures, social isolation, and Veterans seen within the Veterans Health Administration system are particularly vulnerable. Telemedicine provides needed specialty dementia care to these patients with complex needs in their homes, and its uptake has increased during the pandemic. This qualitative, observational study explored informal caregivers’ perceptions of tele-dementia care for Veterans seen at 2 sites, Palo Alto and Cleveland, via semi-structured interviews. Twenty-five caregivers (Mean age = 67y, SD=12y, 88% women) were interviewed over telephone following a tele-dementia visit. Themes that emerged from the interviews were that tele-dementia visits: (1) saved caregivers 2.6h±1.5h (Range: 0.5 to 6h) of travel time, (2) required limited preparation compared to in-person visits, (3) mitigated COVID-19 risk and avoided needs for masking and social distancing, (4) avoided behavioral challenges during appointments, and (5) allowed participation from home with minimal disruption of routine. Caregivers described significant physical challenges that made leaving the home for appointments difficult including balance issues, incontinence, and difficulties getting into vehicle. Caregivers plan to continue using tele-dementia services beyond the pandemic due to the convenience. Taken together, these findings indicate that caregivers find tele-dementia care convenient, comfortable, helpful, and timesaving and highly satisfactory. A combination of both in-person and virtual visits would be an ideal future state. This study illustrates how caregivers experience virtual visits for dementia care and will shape future intervention design.
RESOURCES AND EXPERIENCES AMONG DIVERSE DEMENTIA CAREGIVERS BY GEOGRAPHIC CONTEXT
Authors: Yoshikawa Aya , Bouldin Erin , López-Anuarbe Mónika , Kindratt Tiffany , Sylvers Dominique , Webster Noah 
Published: December 2022

Abstract
Rural caregivers are often underserved by caregiving services, yet little is known about how the intersectionality of geographic context and race/ethnicity relates to caregiving resources among dementia caregivers. We examined whether 1) caregiving resources and experiences differ across metro and non-metro areas; and 2) the use of caregiving resources is associated with geographic context by race/ethnicity, controlling for age, gender, and education. We analyzed a sample of caregivers of care recipients aged 65 years or older with ‘probable’ dementia (n= 808) in the 2017 National Health and Aging Trends Study (NHATS) and the associated National Study of Caregiving (NSOC). We defined geographic context by the recipient’s residence in metro (urban) or non-metro (rural) counties and grouped formal (respite care, support groups, caregiving training) and informal (family or friend help) resources. Among minority caregivers, 47% of those living in metro and 36% in non-metro areas used a formal service, and 83% and 72%, respectively, used informal resources. Among White caregivers, estimates were 44%, 48%, 76%, and 66%, respectively. Multivariate regression analyses revealed that non-metro White dementia caregivers had 2.04 times higher odds (95% CI=1.10-3.78) of using formal resources than metro White dementia caregivers. This pattern was not observed among minority dementia caregivers. The use of informal resources did not differ across geographic contexts by race/ethnicity. Findings suggest the influence of geographic context on the use of formal caregiving resources varies by race/ethnicity. With higher rates of dementia in non-metro areas, formal caregiving resources among non-metro minority dementia caregivers need more attention.
DEVELOPING A RESOURCE FOR LEVERAGING POPULATION DATA SETS TO ADVANCE CAREGIVING SCIENCE
Authors: Goodwin Rebecca , Ornstein Katherine , Elmore Catherine , Utz Rebecca , Tay Djin , Ellington Lee , Smith Ken , Stephens Caroline 
Published: December 2022

Abstract
Older adults often rely on other people to help care for them as they age. Caregiving has predominantly been studied through a primary caregiver lens with few studies focusing on the wider caregiving network. However, it is challenging to collect new data about family caregivers, particularly in contexts of serious illness and end of life. Selection and attrition effects, underrepresentation of marginalized or minoritized racial and ethnic groups, and low response rates can bias findings in prospective clinical research. Analyzing existing datasets, particularly population-based data (e.g., registries with linked administrative, health, and vital records) may hold promise to advance our understanding of the role families play throughout the caregiving and bereavement continuum to optimize the health and well-being of older adults. Little is known, however, about existing population-based datasets available for research on family caregiving. We conducted a scoping review of published literature and data repositories to identify datasets relevant for family caregiving research, explore the research reuse of these datasets, and describe potential validity and reliability concerns. Synthesized findings reveal: 1) methodological approaches for identifying the presence and type of caregivers and their level of engagement; 2) inclusion and measurement of key outcome variables; and 3) sampling and study design issues. We describe and compare a selection of high-value existing datasets relevant to family caregiving research. This new research information resource will advance research use of population datasets to improve care for older adults and their family caregivers across the lifespan.
A PHENOMENOLOGICAL STUDY ON THE PERCEPTION OF FRAIL ELDERLY IN SUBJECTIVE HEALTH AWARENESS AND SUCCESSFUL AGING
Authors: Seo Jisu , Song Rhayun , Park Moonkyoung , Ryu Ahyun 
Published: December 2022

Abstract
BackgroundFrailty is a multi-dimensional concept including physical, functional, and psychological aspects. The frail elderly have been assessed by various instruments, yet the classification of being frail is not often consistent with the perception of individuals. PurposeThis study aimed to explore the perception of frail older adults in subjective health awareness and successful aging. Methods9 participants who met the following inclusion criteria: older than 70 years, defined as frail status screened by frailty index, and signed the consent form. Data was collected through in-depth interview with recording, and evaluated by phenomenological approach of Colazzi. Results The content analysis on the perception of 9 participants on subjective health awareness yielded 7 theme-clusters and 3 categories: (a)Recognize frailty, (b)Vague and endless emotions, (c)Reflecting on the past and thinking about death. The participants described ‘recognizing frailty through senility’ as a subjective health awareness. The perception of participants on successful aging was structured 6 theme-clusters and 4 categories: (a)Sustainable health, (b)The goal of successful goodbye, (c)Responsibility for parenting, (d) The best wisdom that aging gives life. The participants described ‘living in the present and successfully parting with it’ as a successful aging. ConclusionThe participants who were categorized as frail status did not perceive themselves as frail. Many participants perceive being frail as natural process of aging, and their successful aging as sustainable health and successful goodbye. It is pertinent to understand the meaning of successful aging and subjective health awareness of frail older adults to provide effective intervention to help them.
ASSOCIATION OF LOWER URINARY TRACT SYMPTOMS WITH INCIDENT FRAILTY AND MORTALITY AMONG OLDER COMMUNITY-DWELLING MEN
Authors: Cawthon Peggy , Bauer Scott , McCulloch Charles E , Ensrud Kristine , Lu Kaiwei , Scherzer Rebecca , Covinsky Kenneth , Marshall Lynn M 
Published: December 2022

Abstract
Lower urinary tract symptoms (LUTS) are associated with increased risk of new mobility and functional limitations among older men. Our objective was to evaluate the longitudinal relationship between baseline LUTS severity and incident frailty or all-cause mortality among 3667 community-dwelling non-frail men age &gt;70 years from the Osteoporotic Fractures in Men (MrOS) study. LUTS severity at analytic baseline was defined using the American Urologic Association Symptom Index (AUASI). Phenotypic frailty was defined at baseline and 2-year follow-up visits using modified Fried criteria and classified as robust (0), intermediate stage (1-2), or frail (3-5); men classified as frail at analytic baseline were excluded. Vital status was assessed every 4 months. Since the proportional odds assumption was not met, we used multivariable multinomial logistic regression to estimate odds ratios (OR) for the association between baseline LUTS severity and incident frailty or death at follow-up compared to robust. OR were adjusted for demographics, health-behaviors, comorbidities, and cognition. After a mean follow-up of 2.3 years, 37% of men were categorized as robust, 46% were intermediate stage, 9.2% developed incident frailty, and 7.9% had died. Per 4 point higher AUASI, the adjusted odds incident frailty versus robust was 1.23 (95% CI 1.12, 1.34). Odds of death versus robust was not statistically significant (OR=1.05, 95% CI 0.94, 1.18). In conclusion, non-frail men with greater LUTS severity at baseline have slightly greater odds of incident frailty within 2 years. Clinicians should be aware that LUTS severity is a prognostic marker for developing frailty in older men.
INTERVENTIONS TO PREVENT THE FRAILTY IN OLDER WOMEN WITH FRAILTY: A SYSTEMATIC REVIEW AND META-ANALYSIS
Authors: Jeong Ha Na , Chang Sun Ju , Kim Joo Ri , Choi Gi Won 
Published: December 2022

Abstract

Background
Frailty is a health challenge related to adverse health outcomes in older adults. Older women are more likely to be frail than older men. However, few studies have reviewed the effectiveness of interventions for older women with frailty is scant. Objective: This systematic review aimed to explore the properties of interventions and to investigate their effectiveness in preventing the progression of frailty in older women with pre-frailty or frailty.

Methods
Narrative synthesis was conducted to identify the contents, outcome variables, and findings of the interventions. Then, a meta-analysis was performed to evaluate the effectiveness of exercise interventions on grip strength, sit-and-reach, sit-to-stand, and timed up and go tests.

Results
Twenty-six studies were selected, including 14 randomized controlled trials and 12 quasi-experimental studies. These studies implemented exercise (96.2%), nutrition (15.4%), hormone replacement (7.7%), toileting strategies (3.8%), and laughter interventions (3.8%). The selected studies assessed physical, psychological (11.5%), and cognitive health (11.5%), as well as quality of life (19.2%). The meta-analysis found significant effects of aerobic and resistance exercise interventions on the sit-to-stand (SMD = 1.30, 95% CI [0.70, 1.90], p &lt; 0.001) and timed up and go scores (SMD = -0.56, 95% CI [-0.93, -0.19], p = 0.003).

Conclusion
Exercise interventions are essential to improve physical health, in particular mobility, in older women with pre-frailty or frailty. Future studies should consider theoretical frameworks and evaluate psychological and cognitive health as well as quality of life to develop and provide effective interventions to prevent the progression of frailty in older women.
VULNERABILITY TO ANTICHOLINERGIC MEDICATION ASSOCIATED FRAILTY IN LOW-INCOME MINORITY OLDER ADULTS
Authors: Sargent Lana , Barrett Matthew , Nawaz Huma , Mackiewicz Marissa , Roman Youssef , Slattum Patricia , Hobgood Sarah , Price Elvin 
Published: December 2022

Abstract
Low-income minority older adults are highly susceptible to drug adverse effects of medications due to aging, comorbidities, and polypharmacy. Several studies have demonstrated anticholinergic medication is associated with frailty, supporting the hypothesis for mechanistic peripheral nervous system effects. The goal of this cohort study is to determine peripheral nervous system effects of anticholinergic medication exposure with frailty by conducting a sensitivity analysis using multiple anticholinergic tools. Spearman correlation matrix and intraclass correlation coefficients (ICC) are used to determine the function of five clinical Anticholinergic Burden Scales (ACBS): Anticholinergic Burden Scale (ACB), Anticholinergic Drug Scale (ADS), total standardized daily doses (TSDD), and Cumulative Anticholinergic Burden scale (CAB). Ordinal logistic regression and area under the curve (AUC) are used to evaluate anticholinergic burden-associated frailty models. The cohort included 80 individuals (mean age = 69 years; 55.7% female, 71% African American). Among individuals prescribed anticholinergics, 33% are robust, 44% pre-frail, and 23% frail. All scales are highly correlated with each other (p &lt; 0.001), ICC3 = 0.66 (p &lt; 0.001, CI 95% 0.53-0.73). All five of the scales predicted pre-frail and frail status (p &lt; 0.05) with low misclassification rates for frail individuals (AUC = 0.70 – 0.80). Considering ACBS are highly correlated and all predict frailty; all of the scales can be used in future frailty research; however, the CAB and TSDD consider both potency and dose. Additional research is necessary to understand the peripheral nervous system effects of anticholinergic drug exposure and if deprescribing can improve frailty status.