bluuebunny/crossref_metadata_2025_split huggingface dataset:
CLINIC-BASED RECRUITMENT STRATEGIES WITHIN AN INTEGRATED HEALTH CARE SYSTEM FOR THE DEMENTIA CARE STUDY (D-CARE)
Authors: Stevens Alan , Green Aval-Na’Ree , Abraham Sitara , Reese Jordan 
Published: December 2022

Abstract
At Baylor Scott and White Health (BSWH), 4,564 patients with a diagnosis of dementia were identified via search in the EHR, direct referrals from BSWH Providers and self-referrals. Of 2,296 potential participants (dyads of person with Dementia [PWD] and their family caregivers) screened, 2,034 were deemed eligible, and 626 dyads were enrolled. The BSWH D-CARE leadership team provided a 20-minute presentation to Medical Directors and Providers of 32 BSWH primary care clinics followed by a request to review Provider-specific patient lists. After Provider review, research team members sent letters and/or made phone calls to dyads. Providers were also invited to make direct referrals using an EHR referral link and the research team pinned appointment notes to upcoming PWD clinic appointments to remind Providers of the project. Recruitment strategies shared during monthly meetings of the Recruitment & Retention Committee also proved helpful in the identification of successful outreach and recruitment activities.
ASSESSING THE POTENTIAL OF DIGITAL HOME ASSISTANTS TO SUPPORT OLDER ADULTS WITH MOBILITY DISABILITY
Authors: Blocker Kenneth , Lim Ki , Hussaini Husna , Williams Kyreon , Sreenivas Ramavarapu S , Rogers Wendy 
Published: December 2022

Abstract
Digital home assistants (e.g., Amazon Echo devices) hold great potential for supporting older adults in completing a wide range of daily living activities and improving their overall quality of life. As these devices can wirelessly connect with other smart technologies to increase their capabilities (e.g., environmental control), digital assistance technologies may benefit older adults who need support within their home such as those living with mobility disabilities. However, research is needed to better understand the facilitators and barriers of using these technologies by these individuals, as well as the resources that best support their onboarding and continued use. To assess the potential efficacy of integrating smart and connected technologies into the homes of older adults with mobility disability, we are conducting a field trial to understand how best to introduce these devices and support their use. Design considerations and initial findings are discussed.
OLDER INDONESIAN WOMEN’S EXPERIENCE TO MAINTAIN INDEPENDENCE IN FOOD-RELATED ACTIVITIES
Authors: Ramadhani Widya , Dearborn Lynne 
Published: December 2022

Abstract
The ability to conduct food-related activities such as cooking, eating, and cleaning are central to older adults’ health. Such ability is especially critical for older women who are more likely to live alone or become caregivers for their spouses and other family members. We investigated the experience of older Indonesian women, an understudied population in aging research, when engaging in food-related activities. Using the grounded theory approach, we examined the challenges and adaptive behavior of twelve community-dwelling older women in Indonesia (60+) when conducting food-related activities at home. We employed two data collection strategies: photo and video elicitation, followed by an interview. Through photo and video elicitation, participants took photos and videos of the space where they conducted food-related activities to provide physical environmental data. In the interview, participants explained their routine, activity challenges, and adaptation strategies in food-related activities. We discovered that participants’ view of their role in cooking food for the family is central to their sense of identity. When faced with age-related challenges, participants accepted assistance from others for activities less connected to food production, such as sweeping, mopping, or cleaning the kitchen. However, they are less likely to accept assistance for cooking activities. Instead, they adapted by modifying the physical environment, simplifying the tasks, and adjusting the method to remain engaged in cooking. Older Indonesian women’s cultural identity influenced their strategy to face age-related challenges and maintain independence. This finding highlights the importance of a culturally sensitive approach when planning support for older adults.
TRANSITIONS IN SOCIAL SUPPORT EXCHANGE PROFILES OVER TIME AMONG OLDER ADULTS
Authors: Sung Pildoo , Malhotra Rahul , Cheng Grand , Chan Angelique 
Published: December 2022

Abstract
Despite increasing interest in social support exchanges among older adults, little is known about the interplay between giving and receiving social support, how social support exchanges change over time, and factors associated with such change. Using data on 1,305 older Singaporeans participating in two waves of a national, longitudinal survey conducted in 2016-2017 and 2019, we investigated (1) distinct social support exchange profiles that comprise different types of giving and receiving social support, (2) transitions in social support exchange profiles over time, and (3) association of sociodemographic characteristics and health status with such transitions. Gender-stratified random intercept latent transition analysis (RI-LTA) produced three main findings. First, we identified four social support exchange profiles—multi-exchange, provider, receiver, and low exchange—for both males and females at both waves, although the distribution of profiles varied by gender and waves. Second, males were more likely to transition from the multi-exchange profile to other types, whereas females were relatively more likely to transition into the multi-exchange profile over time. Third, among males, those older, of ethnic minority, unmarried, employed, and with depressive symptoms were more likely to transition into the receiver profile from other types. Females who were younger, of ethnic majority, married, and less educated were more likely to transition into the multi-exchange type from low or receiver profiles. The findings capture the temporal dynamics in social support exchange profiles and their gendered characteristics. Policy interventions should focus on older adults who lack social support exchanges and those who lose social support exchanges over time.
SOCIAL ISOLATION, LONELINESS, AND MATTERING AMONG OLDER ADULT FACEBOOK USERS FROM DIVERSE BACKGROUNDS
Authors: Francis Jess , Brauer Simon 
Published: December 2022

Abstract
Older adults who are childless and live alone are at risk for social isolation and loneliness. Studies show Facebook communication to be associated with feelings of mattering – the feeling that we are significant to others - a protective psychosocial resource. Despite being at similar stages in life, older adults, their technology use, and their experience of social isolation can vary greatly. This study explores how older adults from different demographic and socioeconomic backgrounds use Facebook and how that use is associated with perceptions of mattering, loneliness, and social isolation. This study employed online survey methodology among a sample of older adult Facebook users (n = 517; Mage=70; 50% Female; 92% White). Preliminary results show significant differences among income level, age, and gender regarding Facebook communication and mattering among older adults who are childless and live alone. We discuss our full results in tandem with qualitative data from our sample.
STORIES FROM THE INSIDE OF DEMENTIA: CONSTRUCTING IDENTITIES AND RELATIONSHIPS THROUGH THE DISCOURSE OF EXPERIENCE
Authors: de Medeiros Kate , Saunders Pamela 
Published: December 2022

Abstract
Dementia is often characterized as a time of decline and loss. The grand narrative (i.e., the biomedical narrative) of dementia describes it as a time of meaninglessness given the inevitable loss of memory and language, fraught with difficulties recognizing familiar faces, recalling autobiographical events, and orienting to time and place. This unfortunate depiction negatively positions people living with dementia as living a ‘social death’ and overlooks the potential of forming meaningful relationships and experiencing a sense of community. Elements often overlooked can be found in the careful reading and analysis of individual interactions that make up constructions of identity, relationships, and community. In this symposium, we draw data from the “Friendship Study,” a 6-month ethnographic study on the social environments of people living with dementia in long-term care to consider meaning-making in dementia through three perspectives: phenomenological, gerontological, and discursive. The first paper considers the phenomenology of friendship, moving away from linear narratives to look at micro-constructions of identity. The second considers the co-construction of friendship through discursive elements found in conversational interactions. The third challenges staff’s construction of residents, highlighting how negative assumptions about resident capabilities can affect personal relationships and the social environment.
EXPERIENCE BEYOND NARRATIVE: A PHENOMENOLOGICAL ACCOUNT OF MEANING-MAKING WHILE LIVING IN THE WORLD WITH DEMENTIA
Authors: Gaurke MaryKatherine 
Published: December 2022

Abstract
Narrative-based approaches in dementia care emphasize the importance of understanding humans as beings who make sense of themselves and others through constructing life narratives, taking this process to be morally significant for constituting or characterizing identities (and for holding others into their identities) (Kitwood, 1997). Yet, placing too much emphasis on the formation of a cohesive life narrative risks dismissing or otherwise failing to acknowledge the activities of meaning-making and narrative-sharing/constructing that those with dementia engage outside of, or even counter to, a unified narrative. This paper offers a Heideggerian-inspired phenomenological analysis of interactions detailed in the Friendship Study (de Medeiros et al. 2011) and from supporting published accounts and personal observation in clinical settings. This account reveals significant meaning-making possibilities engaged and shared among those living with dementia in long-term care settings that may be left unexamined in traditional narrative-based approaches suggesting that micro-narrative construction needs further attention.
A TRANSDISCIPLINARY TEAM APPROACH TO TECHNOLOGY DEVELOPMENT TO SUPPORT HEALTH AND WELL-BEING
Authors: Azevedo Renato Ferreira Leitao , Nicholas Jennifer , Lee Jeannie , Insel Kathleen , Rogers Wendy 
Published: December 2022

Abstract
Diverse disciplinary and experiential knowledge is required to understand the challenges and develop workable solutions to support the health and wellbeing of a rapidly aging population. We are developing a theory-based, digital therapeutic for self-management of hypertension medication adherence for older adults; namely, the Medication Education, Decision Support, Reminding, and Monitoring (MEDSReM) system. This development process has necessitated a transdisciplinary approach with members co-learning and working collaboratively to advance the MEDSReM system. Our group includes complementary expertise in pharmacy, nursing, human factors, cognitive aging, gerontology, and technology development. We describe the challenges of transdisciplinary teamwork, our collaborative processes, and strategies that led to successful integration of expertise in advancing MEDSReM. Lastly, we discuss useful approaches to technology conceptualization, and digital therapeutic development and implementation, as well as lessons learned in effective communication and coordination among the diverse team members to ensure that the MEDSReM goals are achieved.
METABOLOMIC SIGNATURES OF BRAIN ATROPHY PATTERNS IN AGING AND ALZHEIMER'S DISEASE
Authors: Tian Qu , Mitchell Brendan , Erus Guray , Davatzikos Christos , Resnick Susan , Ferrucci Luigi 
Published: December 2022

Abstract
Can plasma metabolomics reveal mechanisms of brain aging? We investigated metabolomic signatures of brain atrophy patterns related to cognitive decline and Alzheimer’s disease(AD) risk. Relationships between metabolomics(Biocrates-p500) and annual rates of change in two neuroimaging-based brain atrophy patterns(SPARE-BA indexing brain aging, SPARE-AD indexing AD-related atrophy) were examined using multivariable linear regression in 477 Baltimore Longitudinal Study of Aging participants aged 60+, adjusted for demographic variables and BMI. Higher concentrations of sarcosine, triglycerides, diglycerides, and ceramides and lower concentrations from phosphatidylcholines and cholesteryl ester were associated with faster rates of SPARE-BA increase longitudinally. Higher concentrations of diglyceride and alpha-amino-butyric acid and lower concentrations of tryptophan, hippuric acid, cholesteryl ester, phosphatidylcholine and sphingomyelin were associated with faster rates of SPARE-AD. Metabolites have differential associations with age-related and AD-related brain atrophy patterns, which may provide new insights into preventive and therapeutic interventions. Future studies should examine whether metabolite changes precede brain atrophy patterns.
METABOLOMIC PROFILE OF DIFFERENT DIETARY PATTERNS AND THEIR ASSOCIATION WITH FRAILTY
Authors: Tanaka Toshiko , Talegawkar Sameera , Jin Yichen , Tian Qu , Simonsick Eleanor , Ferrucci Luigi 
Published: December 2022

Abstract
Diet quality is an important behavioral determinant of healthy aging, however the mechanisms underlying the protective effect of diet are not fully understood. To address this question, we explored whether plasma metabolites mediate the relationship between diet and frailty index (FI) in the Baltimore Longitudinal Study of Aging. Adherence to different dietary patterns was evaluated using the Mediterranean diet score (MDS), Mediterranean-DASH Diet Intervention for Neurodegenerative Delay (MIND), and Alternate Healthy Eating Index 2010 (AHEI). Higher adherence to the dietary patterns was associated with lower FI. There were 127 plasma metabolites that were associated with all three dietary patterns including lipids, fatty acids, ceramides, amino acids, and bile acids. Metabolomic signatures of diet mediated 42%, 70%, and 61% of the association between MDS, MIND, and AHEI with FI, respectively. Overall, we found common metabolomic biomarkers of dietary patterns that explain part of the relationship between diet and frailty.
THE INFLUENCE OF NURSING HOME CONTEXT ON IMPLEMENTATION: EARLY FINDINGS
Authors: Estabrooks Carole , Beeber Anna , Vogelsmeier Amy 
Published: December 2022

Abstract
Evidence suggests that organizational context, including context of care in nursing homes (NHs) is associated with implementation and improvement success and that optimized context contributes to improved resident and staff outcomes. However, evidence on mechanisms of these influences is scarce. The longitudinal Translating Research in Elder Care program (2007 to present) is our data source. This symposium reports findings of a secondary analysis of longitudinal organizational structural and contextual, staff worklife, and resident care quality data collected in nursing homes from 2007-2021, in a cohort of 94 Canadian nursing homes. Our data include continuously collected administrative data (RAI-MDS 2.0), 5 waves of primary surveys from multiple care providers in NHs (15,000 cases to date), extensive qualitative case study data, and data from two large scale pragmatic trials. The TREC program was framed originally and continues to be, using the Promoting Action on Research Implementation in Health Services (PARiHS) framework. Each of our 5 papers will report on a critical aspect of the findings. The symposium will conclude with a discussion of implications of these findings of phase one and a description of phase two and how it is shaped by our interactions with expert panels (context and implementation experts, policymakers, NH managers, paid care providers, and residents and families). Early implications of this work for future research in nursing homes and for practice and policy will be mentioned.
COPING STYLES AND COGNITIVE FUNCTION IN OLDER NON-HISPANIC BLACK AND WHITE ADULTS
Authors: Lee Ji Hyun , Sol Ketlyne , Zaheed Afsara , Morris Emily , Meister Lindsey , Palms Jordan , Martino Alexa , Zahodne Laura 
Published: December 2022

Abstract
Coping styles refer to cognitive and behavioral patterns used to manage the demands of stressors. This study aimed to characterize associations between coping styles and cognitive functioning across non-Hispanic Black and non-Hispanic White older adults. Cross-sectional data comes from the Michigan Cognitive Aging Project (N=457; 53% non-Hispanic Black). Coping styles are measured with COPE inventory. Global cognition was a composite of five cognitive domain factor scores derived from a comprehensive battery. Results show that Black older adults reported more emotion-focused coping than Whites, but there were no differences in problem-focused coping. Less emotion-focused and greater problem-focused coping were each more strongly associated with better global cognition among Black older adults, who showed disproportionately worse cognitive performance in the context of less adaptive coping. Coping style may be a particularly important psychosocial resource for cognitive health among Black older adults who may have less access to compensatory resources than Whites.
COHORT DIFFERENCES IN EARLY-LIFE SOCIOECONOMIC STATUS AND LATE-LIFE COGNITIVE IMPAIRMENT IN MEXICO
Authors: Downer Brian , Gutierrez Mariela , Arango Silvia Mejia , Wong Rebeca 
Published: December 2022

Abstract
Socioeconomic characteristics over the life course are associated with late-life cognitive impairment. However, evidence is lacking from countries like Mexico where population aging is occurring in the context of rapidly changing socioeconomic conditions. We used the Mexican Health and Aging Study to investigate differences between participants aged 60-76 in 2001 (n=5085) and 2018 (n=5947) in childhood (home with indoor toilet, parents’ education) and midlife (education, longest held occupation) socioeconomic characteristics and late life cognitive impairment. Cognitive impairment was defined as a low score on &gt;2 out of five assessments. Most participants in the 2018 cohort lived in a home with an indoor toilet as a child (58.1%) and 36.9% had parents who both completed at least some education compared to 41.9% and 28.7% of participants in the 2001 cohort, respectively. Men and women in 2018 had on average 2.34 and 1.83 more years of education than men and women in 2001, respectively. The percentage of women with no main job and men who worked in agriculture were lower in 2018 than 2001 (women: 27.0% vs. 34.6%; men: 23.3% vs. 30.4%). The 2018 cohort had lower odds for cognitive impairment when adjusting for age, sex, marital status, and living in a rural/urban community (OR=0.67 95% CI=0.56-0.81). This difference was reduced after adjusting for childhood socioeconomic measures (OR=0.76 95% CI=0.67-0.86) and was no longer statistically significant after adding midlife socioeconomic measures (OR=0.98 95% CI=0.86-1.12). These findings suggest that improved early-life socioeconomic conditions in Mexico contribute to birth-cohort differences in late-life cognitive impairment.
PANDEMIC CAREGIVING: A LONGITUDINAL ASSESSMENT OF THE TRAJECTORIES AND CORRELATES OF STRESS
Authors: Litzelman Kristin , Kim Christina , Kerr Margaret 
Published: December 2022

Abstract
In public health emergencies, caregivers are a crucial but often overlooked human resource. The purpose of this longitudinal study was to assess the well-being of caregivers and non-caregivers over the first 18 months of the COVID-19 pandemic. We used three waves of data from the Survey of the Health of Wisconsin’s COVID-19 Community Impact Survey (Wave 1: May-June 2020; Wave 2: January-February 2021; Wave 3: June 2021; n=2,434 observations of 1,653 unique respondents). Caregivers were identified as those providing care for an adult with an illness or disability. Perceived stress (Global Stress Scale; mean=5.08, SD=4.81) was regressed on caregiver status and covariates in mixed models accounting for repeated measures. On average, caregivers had higher stress than non-caregivers (beta=2.10, p&lt; 0.0001). Across the sample, stress increased between summer 2020 and winter 2021 (mean of 4.8 versus 5.8, p&lt;.01), and lowered somewhat by summer 2021 (mean=5.0, p&lt;.05); this trajectory was similar on average for caregivers and non-caregivers. Respondents who transitioned into a caregiving role during the pandemic had the highest stress (beta=2.55, p&lt; 0.01 compared to non-caregivers). Other factors associated with higher stress (p&lt;.01) include marginalized racial/ethnic identity (beta=1.74), being employed (beta=1.47) or female (beta=0.66), or caregiver having more health conditions (beta=0.22 per condition). Public benefits use and higher self-efficacy were associated with lower stress (betas=-1.18 and -0.30, respectively, p&lt;.01). The findings emphasize the adverse outcomes experienced by caregivers and non-caregivers over the course of the pandemic and highlight potential factors that can inform risk stratification and interventions to support well-being in future crises.
THE COMBINED EFFECTS OF SOCIAL ISOLATION AND LONELINESS ON PSYCHOLOGICAL WELL-BEING DURING THE COVID-19 PANDEMIC
Authors: Li Ke , Tang Fengyan 
Published: December 2022

Abstract
Social isolation and loneliness are related but distinct constructs. A number of studies have examined these two constructs separately; however, the combined and interactive effects of social isolation and loneliness on health outcomes have rarely been studied. Using the most recent data of the Health and Retirement Study (HRS 2020) collected during the pandemic, this study aimed to explore the latent classes of social isolation and loneliness among adults aged 60 and older (N=3,486) and to examine the associated psychological well-being. Social isolation was measured by five indicators, including living alone, no membership in any organizations, and less than once a month contact with children, relatives, and friends. Loneliness was measured by the 3-item UCLA scale. Four classes were identified by the Latent Class Analysis (LCA): neither isolated nor lonely (class 1, 35%), living alone and lonely (class 2, 25%), no social participation and lonely (class 3, 18%), and highly isolated and lonely (class 4, 23%). The results of multivariate regression indicated that compared to respondents who were neither isolated nor lonely, those who were in the class of living alone and lonely and the class of highly isolated and lonely had more depressive symptoms, stress, anxiety, worry, loneliness during the pandemic. The latent class of no social participation and lonely was associated with more depressive symptoms and covid-related stress. This study emphasizes the importance of specialized intervention strategies targeting the unique needs of older adults with different experiences of social isolation and loneliness.