bluuebunny/crossref_metadata_2025_split huggingface dataset:
OLDER PRIMARY CARE PATIENTS’ ENGAGEMENT WITH STEADI FALL PREVENTION RECOMMENDATIONS
Authors: Kiyoshi-Teo Hiroko , De Lima Bryanna , Cohen Debbie , Winters-Stone Kerri , Eckstrom Elizabeth 
Published: December 2022

Abstract
The Stopping Elderly Accidents, Deaths, and Injuries (STEADI) initiative is a CDC-disseminated strategy to provide fall prevention recommendations to high risk patients. However, whether older patients engage with fall prevention recommendations is less clear. The aims of this study were to: 1) describe STEADI fall prevention recommendations provided to eligible older patients; and 2) understand patients’ attitudes, confidence and adherence to recommendations. Fall prevention recommendations were identified by chart review (age ≥65 years old; STEADI score ≥4 (high risk); free of severe cognitive impairment). For those who consented to the study, questionnaires measured recollection (Yes/No), feelings (Positive/Negative), overall confidence to reduce fall risks through the recommendations (0–10 scale; 10 = most confident), and adherence to the specific recommendations (Yes/No). Results showed that 30% (n = 458) of eligible older adults received fall prevention recommendations. Among study participants (n = 182; 69% female, age 80.2 ± 7.7 years, STEADI score 7.0 ± 2.6), 73% reported positive reactions to recommendations. Overall confidence to reduce gait/balance-related fall risks through recommendations was 7.52 (n = 137) with adherence to physical therapy at 70% and tai chi at 38%. Overall confidence to reduce blood pressure-related fall risks through recommendations was 7.45 (n = 55) with adherence to adjusting medications at 89% compared to 69% for compression socks. Participants reported varying levels of adherence despite positive reactions and moderate confidence to reduce their fall risks. Additional research is needed to identify barriers and facilitators to improve adherence.
FEASIBILITY OF FALLS PREVENTION PROGRAMS IMPLEMENTATION BASED ON ACADEMIC-COMMUNITY PARTNERSHIPS
Authors: Kelekar Uma , Elrod Cathy , Heyn Patricia , Wong Rita 
Published: December 2022

Abstract
The Northern Virginia (NoVa) region is diverse in age, race, ethnicity, economic status, health status, culture, and language. Based on state data, it is estimated that 28.7% of the 75,000 older adults in NoVa will experience at least one fall annually. Since 2014, the Administration for Community Living (ACL) has sponsored implementation of evidence-based fall prevention programs (EBFPPs). The aims of this study are to 1) describe the EBFPP participants and delivery sites and 2) report initial effectiveness. Marymount University (MU) received two cooperative agreement grants (2016, 2018) from the ACL to implement in NoVa three EBFPPs: 1) Stay Active and Independent for Life (SAIL), 2) A Matter of Balance (MOB), and 3) Otago Exercise Program (OEP). The Northern Virginia Falls Prevention Alliance was formed and a Regional Training Office was built. The data source is the ACL national falls database. From 2016–2022, over 5,000 older adults were reached, over 400 EBFPP leaders were trained, and programs were delivered at 60 sites. Data analysis indicates that falls decreased from 20% to 15%. Those participating in MOB showed the greatest decline in falls (from 34% to 14%). Fall injuries declined from 11% to 7% and ED visits decreased from 3% to 1%. Preliminary analysis indicates beneficial impact: this academic-community partnership has reached people at low risk of falling (SAIL), and had an impactful decline in falls for individuals at moderate to high risk (MOB). Future research will investigate program outcome differences based on other demographics and delivery models.
FACTORS ASSOCIATED WITH FRID USE IN OLDER BLACK AND WHITE MEN AND WOMEN: THE HEALTH ABC STUDY
Authors: Roberts Jimmie , Boudreau Obert M , Xue Lingshu , Cauley Jane A , Strotmeyer Elsa 
Published: December 2022

Abstract
Medications that increase falls, fall-risk increasing drugs (FRIDs), are common in older adults. Two FRID definitions, the CDC Steadi-Rx and Swedish National Board of Health and Welfare, are widely accepted. We hypothesized that FRID use risk factors vary by definition in 1,352 community-dwelling older adults in the Health, Aging, and Body Composition Study (Health ABC; 2007–2008 clinic visit; 83.4±2.8 years; 54.1% women; 34.9% Black). FRID use by either definition was associated with chronic health conditions, medical care including non-FRID use, higher BMI and depression scores, and less walking exercise (all p &lt; 0.05). Steadi-Rx FRID use was also associated with more falls, ADL difficulty, and better cognitive scores. Using stepwise multivariate Poisson regression adjusting for demographics, lifestyle/behavior factors, and comorbidity, a 1-unit increase in BMI and depression score was associated with an approximately 2% mean FRID count increase for both definitions and 7% mean FRID count increase per 1-unit increase in non-FRID count. Both definitions had a 40% and 15% lower mean FRID count, respectively, with hypertension and cardiovascular disease (CVD) history. Better cognitive scores were associated with 1% mean increase in Steadi-Rx FRID count and a mean decrease of 13% and 33% FRID count, respectively, with cancer history and having primary healthcare. In identically adjusted logistic regression, FRID use (yes/no) was associated in a consistent direction with BMI, depression score, non-FRID count, hypertension, CVD, having primary healthcare, and also less likely with low-vs-high income (OR=0.18[0.06–0.50]). Risk factors differ by FRID definition, with Steadi-Rx identifying more predictors than the Swedish definition.
FRAGMENTED FAMILIES OF OLDER FORCED UKRAINIAN MIGRANTS: PRELIMINARY DATA FROM A HELP CENTER IN NORTHERN ISRAEL
Authors: Shulyaev Ksenya , Macarenko Yulia , Band-Winterstein Tova 
Published: December 2022

Abstract
Since the beginning of the Russia-Ukrainian war, more than 50,000 people have come to Israel from Ukraine as “repatriates” (able to acquire citizenship) or “tourists” (with a right to live in Israel during the war, without citizenship), about 30% are older adults, for whom forced migration poses serious challenges. The aim of this presentation is to describe the socio-demographic characteristics of older migrants’ fragmented families, who turn to one of the Volunteer Help Center in Northern Israel. Descriptive statistics on older adults from the database of about 900 families who received support during April-June 2022 were performed. Data revealed: 189 migrants aged 55+ (M(SD)=69.7(8.2); range 55–89); 148 (78.3%) were female; 106 (56%) had Israeli citizenship or were in the process of receiving it; 75 (40 %) were “tourists”. Among “tourists”, about half (Nf30) came to visit their adult children. “Repatriates” and “tourists” did not differ in age (F(159)=1.574, p=ns). As a rule, older adults came with family members (Nf136(72.7%)). However among “tourists” 41.9% came alone and only 17.1% among “repatriates” (X=13.374, p &lt; 0.001). Older adults were mostly accompanied by daughters (Nf80(58.8%)), usually without husbands, in 127 fragmented families (78.2%) were children under 18. Only 15% came with a spouse (half of the men, 5.5% of women), and five came with mothers. This preliminary data draws attention to the unique family fragmented structure of older displaced people, as this should be considered when developing an assistance program.
INFORMAL CAREGIVING BURNOUT AMONG THE SANDWICH GENERATION
Authors: Fenstermacher Erika , Owsiany Montgomery , Edelstein Barry 
Published: December 2022

Abstract
Twenty-nine percent of U.S. adults care for children. Of those adults, 12% are multigenerational caregivers who also provide unpaid care for one or more adults. Many multigenerational caregivers are considered members of the “sandwich generation,” which is a term for multigenerational caregivers who provide care, financial support, and emotional support for both their children and parents. Approximately 71% of this generation is between the ages of 40 and 59, and approximately 10% are 60 or older. The sandwich generation is largely understudied and presents challenges including informal caregiving burnout and depression. Informal caregiving burnout is a syndrome that results from the stress of providing care. Researchers have not yet investigated burnout in the sandwich generation. The present study examined how sandwich generation caregivers differed from caregivers of children and caregivers of parents regarding depression and burnout. Two measures of burnout were used (non-caregiving burnout = degree of physical and psychological fatigue and exhaustion; informal caregiving burnout = degree of physical and psychological fatigue and exhaustion related to caregiving). We found that sandwich generation caregivers and caregivers of parents scored significantly higher than caregivers of children on informal caregiving burnout. Caregiving burnout and non-caregiving burnout were significantly correlated with depression (r = .496, p &lt; .001 and r = .773, p &lt; .001, respectively). Burnout is higher in sandwich generation caregivers and those who care for parents than burnout among those who care only for children. This study is unique in its investigation of informal caregiving burnout among the sandwich generation.
USING THE COLLECTIVE IMPACT FRAMEWORK TO REFRAME AGING IN MISSISSIPPI
Authors: White Kina , Bender Kaye , Buys David 
Published: December 2022

Abstract
Trust for America’s Health (TFAH), the Mississippi State Department of Health (MSDH), and the Mississippi Public Health Association (MPHA) partnered to organize the Mississippi Age-Friendly Public Health System (AFPHS) Work Plan. Built on the foundation of Reframing Aging training offered by the Gerontological Society of America in May 2021, the Work Plan aims to reframe how Mississippi’s public health system addresses aging using the AFPHS 6Cs. Developed by the MS AFPHS Advisory Committee using a collective impact framework, the Work Plan has now been opened for public comment prior to being finalized for adoption across partner agencies. An AFPHS focuses on promoting health; preventing injury; managing chronic conditions; optimizing physical, cognitive, and mental health; and facilitating social engagement for older adults. The Work Plan’s purpose is to guide MSDH and partner agencies in implementing an AFPHS for Mississippi. This is Phase One of a comprehensive age-friendly movement for Mississippi, with the next phase being an age-friendly state. Much of the work that MSDH will accomplish under this plan lays the foundation for the state to then have many age and dementia friendly communities. This presentation will discuss how Mississippi is reframing aging through collective impact and AFPHS 6Cs frameworks; the results of the public vetting of the Work Plan; and the final Work Plan components based on the public vetting. The process and its results can be replicated in other rural states where resources for aging populations are limited and historical perspectives on healthy aging are open to change.
FRAILTY AND DEPRESSIVE SYMPTOMS MEDIATE THE IMPACTS OF FOOD INSECURITY ON SLEEP DEFICIENCY AMONG OLDER FILIPINOS
Authors: Chen Tuo-Yu , Cruz Grace , Saito Yasuhiko 
Published: December 2022

Abstract
Although research has shown that food insecurity may lead to sleep problems due to mental illness, it remains unclear whether physical health also mediates this relationship in addition to poor mental health. We investigated whether frailty and depressive symptoms mediated the association of food insecurity with sleep deficiency (i.e., inadequate and poor sleep) among community-dwelling older adults. We analyzed the baseline data of the Longitudinal Study of Ageing and Health in the Philippines, a study with national representative sample of adults aged 60 years or older (Nf5,187). Sleep deficiency was conceptualized as self-reported sleeping less than 6 hours, complaining about trouble with falling asleep and staying asleep, and/or having non-restorative sleep. Food insecurity was defined as being hungry and not having enough food in the past three months in the household. Frailty was operationalized using modified definitions under Fried’s criteria. Depressive symptoms were assessed using the Center for Epidemiological Studies-Depression Scale. Covariates included socio-demographics (age,sex,education,wealth,insurance,living arrangement,urbanity), health (pain,chronic diseases), and lifestyles (smoking,drinking). Mediation analysis was performed using PROCESS macro. The results from bootstrapping showed that the indirect effects from food insecurity through frailty (b=.024,SE=.009,95%CI=.009-.043) and depressive symptoms (b =.118,SE=.022,95% CI=.078-.166) onto sleep deficiency were significant, but the direct effect from food insecurity to sleep deficiency was not (b=.243,SE=.134,95% CI=-.018-.505). The results suggested that the effects of food insecurity on sleep deficiency were fully mediated through frailty and depressive symptoms among community-dwelling older Filipinos. Preventing frailty and depression may help improve sleep health among individuals being food insecure.
CONCEPTUALIZING SUCCESSFUL AGING IN THE PRESENCE OF DISABILITY
Authors: Khamzina Madina , Rogers Wendy 
Published: December 2022

Abstract
With the rapid demographic changes, it is predicted that every fifth person in the U.S. will be age 65 or older in the next decade. The quality of life and successful aging of older adults, who now live longer, is an important research area from societal and public health perspectives. Rowe and Kahn (1997) defined successful aging as having a low probability of disease and disability, high cognitive and physical functioning, and active engagement with life. A prominent limitation of this model is that it initially neglects essential components of aging and factors that are beyond an individual’s choice and control, such as health declines and disabilities. We used the National Health & Aging Trends Study data to understand successful aging from the perspectives of those who experience disability integrating subjective components of self-rated health and well-being. These data provide insights on subjective perceptions on successful aging among older adults with disabilities.
TRAINING TO SERVE: INTERDISCIPLINARY EDUCATION ON LESBIAN, GAY, BISEXUAL, TRANSGENDER, AND/OR QUEER AGING
Authors: Moone Rajean 
Published: December 2022

Abstract
Contemporary research details the significant health, economic, and social disparities experienced by lesbian, gay, bisexual, transgender, and/or queer (LGBTQ) older adults in comparison to their peers. Fundamental to overcoming these disparities is service provider understanding of the unique needs and challenges faced by LGBTQ older adults. This presentation will focus on the development and implementation of the research-based, interdisciplinary curriculum Training to Serve (TTS). TTS is designed to provide LGBTQ age-sensitivity training to service providers and since its inception over 15,000 providers have been trained. Evaluation data from participants will be presented. The framework for the development of the curriculum, based on interprofessional education, adult learning, and minority stress theories, will be shared. Implications for future training development and translation to electronic modules will be discussed.
VIRTUAL TELEHEALTH CLINICAL EXPERIENCE TO PREPARE STUDENT PHYSICAL THERAPISTS FOR PRACTICE IN A SNF
Authors: Manella Kathleen , Williams Kai , Anderson Jon 
Published: December 2022

Abstract
Student training was suspended in most post-acute settings in the United States due to the COVID-19 pandemic. Through a collaborative partnership between a university and a healthcare organization we offered a virtual telehealth clinical experience to prepare student physical therapists for practice in a skilled nursing facility (SNF) setting. 35 students engaged virtually for 80 hours with two clinical instructors. The curriculum included eight virtual learning modules along with four telehealth patient encounters that exposed students to interdisciplinary teams in the SNF context. Students completed a retrospective pre/post Self-Perception of Learning Survey. Results demonstrated students’ self-perception of learning was significantly increased implying an improved ability to practice in the SNF setting. This approach advanced student learning in patient care management, interprofessional practice, and telehealth practice in the SNF setting. Future work is planned to expand the program to include 20 physical therapy, occupational therapy, and speech and language pathology students.
ESPO AND BEHAVIORAL AND SOCIAL SCIENCES SECTION SYMPOSIUM: TAILORING INTERVENTIONS TO REACH AND MEET THE DIVERSE NEEDS OF DIVERSE CAREGIVERS
Authors: Meyer Kylie , Hackett Sara 
Published: December 2022

Abstract
Family caregiving cuts across populations, making caregivers a highly diverse population in terms of culture, family organization, care situations, and more. A 2021 report from the National Academies of Sciences Engineering and Medicine reinforces the need to develop and test tailored interventions in order to successfully reach and support family caregivers. Yet, there is limited practical guidance to help researchers to develop intervention programs tailored to the diverse needs of family caregivers. This symposium endeavors to address this gap by sharing accounts from researchers who have effectively tailored existing interventions to meet the diverse needs of diverse caregivers, as well as those who collaboratively worked alongside family caregivers in order to build a tailored program from the ground up. To begin, Kristin Cloyes, PhD MN RN will describe a study where she examines alignment between LGTBQ+ hospice family caregivers and other members of the hospice care teams, as it relates to support and communication needs. Next, Jung-Ah Lee, PhD, RN, FGSA, FAAN, will describe the experiences of racially and ethnically diverse caregivers who received a community health worker intervention to access resources tailored to their language needs. Jaime Perales-Puchalt, PhD, MPH, will describe the results of CuidaTEXT intervention study, which used tailored Short Messaging Service-based text message to deliver support to Latin family caregivers. Lastly, Ishan Williams, PhD, FGSA, will present on findings from research on how community engagement as well as culturally informed intervention can improve the representation of family caregivers, especially African American caregivers, in caregiving research studies
DEVELOPING AND TESTING THE FEASIBILITY OF A TEXT MESSAGE DEMENTIA CAREGIVER SUPPORT INTERVENTION FOR LATINOS
Authors: Puchalt Jaime Perales 
Published: December 2022

Abstract
Latinos experience several disparities in dementia including poor caregiver mental health and caregiving support access. Latinos’ ubiquitous cell phone ownership and use of text messaging may offset those disparities. During this session, we will describe the development and feasibility testing findings of CuidaTEXT. CuidaTEXT is a tailored Short Messaging Service-based text message intervention to support Latino dementia family caregivers. This intervention was developed using mixed-methods research. This research resulted in a bilingual six-month intervention with automatic daily messages for all participants that address dementia education, self-care, social support, end-of-life, care of the person with dementia, behavioral symptoms, and problem-solving strategies. Participants who need more in-depth support, can use two functions: 1) every time they send a keyword-driven message (e.g., STRESS), they will receive an automatic message to support them with that topic, 2) for any other message they send (live chat), a coach will respond to their specific needs.
AGE AT CARDIO-METABOLIC DISEASE ONSET IN A COHORT OF MIDLIFE WOMEN: SYSTEMATIC EXCLUSION MISESTIMATES THE MAGNITUDE OF RACIAL DISPARITIES
Authors: Reeves Alexis , Elliott Michael , Lewis Tene , Karvonen-Gutierriez Carrie , Herman William , Harlow Sioban 
Published: December 2022

Abstract
Cohort studies of aging recruit participants at an age before most of the population experiences the study outcome, to document its natural history. The age of study commencement is usually based on “normative” aging among Whites. However, “weathering” can cause accelerated health declines in minoritized populations compared to Whites due to cumulative experience of multiple forms of marginalization. Thus, considering if weathering among minoritized individuals could affect selection into cohort studies is necessary to effectively estimate and understand racial/ethnic disparities in aging and disease. Using the Study of Women’s Health Across the Nation (SWAN), a multi-ethnic longitudinal cohort, and its cross-sectional screening survey, we examine the effects of selection on the racial/ethnic differences in the age of onset of 4 cardio-metabolic outcomes (hypertension, isolated systolic hypertension, insulin resistance and diabetes). Selection at study commencement (left truncation and left censoring) had greater effects on outcomes with earlier age at onset (hypertension) and right censoring had greater effects on outcomes with later onsets (metabolic). Full adjustment led to an average 20-year decrease in predicted median age of onset for all groups across the 4 outcomes and tended to decrease the predicted disparity in age at onset. However, significantly earlier onset of each outcome for Black and Hispanic women compared to Whites remained. Not considering the full extent of selection bias in cohort studies can misinform our understanding of aging and disease, especially for minoritized populations who have higher prevalence of these leading causes of morbidity and mortality earlier in life.
DRINKING WATER QUALITY, DYSLIPIDEMIA, AND COGNITIVE FUNCTION FOR OLDER ADULTS IN CHINA
Authors: Pan Xi , Luo Ye , Zhao Dandan , Zhang Lingling 
Published: December 2022

Abstract
The current study aimed to examine the associations between drinking water quality and cognitive function and to identify the direct and indirect effects of drinking water quality and dyslipidemia on cognitive function among older adults in China. Data for the study were selected from China Health and Retirement Longitudinal Study (CHARLS, 2015) and 4,951 respondents aged 60 and above were included. Dyslipidemia was measured by self-reported dyslipidemia diagnosis and lipid panel. Three composite measures of cognitive function included mental status, episodic memory, and global cognition. Mixed effects models were conducted to assess the associations between drinking water quality or dyslipidemia and cognitive function. The mediation effects of dyslipidemia were examined by path analyses. Results showed that exposure to high quality drinking water was significantly associated with higher scores in mental status, episodic memory, and global cognition (B = 0.31, p&lt; 0.001 for mental status; B= 0.22, p&lt; 0.05 for episodic memory; B = 0.53, p &lt; 0.01 for global cognition). Elevated blood triglycerides was associated with higher scores in mental status and global cognition (B = 0.21, p&lt; 0.05 for mental status; B = 0.32, p&lt; 0.05 for global cognition). Self-reported dyslipidemia diagnosis was a suppressor, which increased the magnitude of the direct effect of drinking water quality on mental status and global cognition. Findings of the study suggest that improving drinking water quality could be a potential public health effort to delay the onset of cognitive impairment and prevent the dementia pandemic in older people.