bluuebunny/crossref_metadata_2025_split huggingface dataset:
NJGWEP RESUSCITATING THE VA COGNITIVE CLINIC: REBUILDING COMMUNITY PARTNERSHIPS DURING A PANDEMIC
Authors: Bodenheimer Lisa , Overbeck Kevin , Perweiler Elyse , DeGennaro Jennifer , Chopra Anita , Toplyn Lavona , Cetkowski Richard , Berna Renee 
Published: December 2022

Abstract
The New Jersey Geriatrics Workforce Enhancement Program (NJGWEP), in collaboration with the Wilmington Veteran’s Administration Community-Based Outpatient Clinic (VA-CBOC) in Vineland, NJ, implemented a multi-disciplinary comprehensive, evidence-based geriatric care program to assess cognitive health and geriatric syndromes as well as offer caregiver support, dementia disease education and referrals to VA and community resources. The “Cognitive Clinic” evaluated 15 veterans during a 3-month pilot phase before suspension due to COVID-19 in March 2020. To maintain momentum established prior to COVID-19, NJGWEP/VA clinical providers routinely met virtually to update each other on their organizations’ status, policies, and progress providing clinical care during the pandemic. These meetings offered opportunities to retain rapport and brainstorm strategies to modify the cognitive clinic.NJGWEP/VA providers successfully pivoted to include a telehealth model of care when appropriate and feasible; also helping to reduce barriers that limited the number of in-person contacts allowed on any given day. Implementation of telehealth proved successful at capturing caregivers who otherwise cannot attend appointments. The VA suggested de-coupling the back-to-back social work/physician appointments to ease scheduling concerns for VA providers. The Cognitive Clinic resumed employing a hybrid model of in-person physician assessments with referrals to social work for caregiver support offered via telehealth. From 1/19/22-3/2/22, 10 veterans were evaluated by a physician; 5 were diagnosed with dementia, all of whom identified a caregiver and received education, resources and referrals. In the upcoming year, the plan is to evaluate 4 veterans per month and train a VA geriatric APN to support program sustainability.
ASSOCIATION BETWEEN QUALITY OF LIFE AND DEPRESSION IN DYADS OF OLDER PRIMARY CARE PATIENTS AND FAMILY MEMBERS
Authors: Fowler Nicole , Perkins Anthony , Park Seho , Schroeder Matthew , Boustani Malaz 
Published: December 2022

Abstract
Familial dyads experience illness as an interdependent unit. We evaluate the association of quality of life (QOL), as measured by physical (PCS) and mental health component (MCS) scores, with depression in dyads of older primary care patients and a family member. This is a cross sectional, descriptive study where QOL and depression were measured concurrently in the dyad using baseline data from 1809 dyads enrolled in a trial testing the benefits and harms of Alzheimer’s disease and related dementias (ADRD) screening. QOL was measured with the SF-36, depression was measured with the PHQ-9, and the association of depression with QOL was examined using an actor-partner interdependence model with distinguishable dyads. Patient mean (SD) age was 73.7 (5.7) years; 53.1% women; 85.1% white; 13.4% black. Family member mean (SD) age was 64.2 (13) years; 67.7% women; 13.4% black. A patient’s spouse/partner were 64.8% of family members. After controlling for dyadic relationship and gender, significant actor effects of depression on PCS for patient (β= -1.39; p&lt; 0.001) and family member (β =-0.954; p&lt; 0.001), and significant partner effects of depression on PCS for patient (β=-0.15, p&lt; 0.05) and family member (β =-0.18; p&lt; 0.01). There were significant actor effects of depression on MCS for patient (β =-1.2; p&lt; 0.001) and family member (β=-1.2; p&lt; 0.001), but depression had a significant partner effect on MCS only for patient (β = -0.08; p&lt; 0.05). Among dyads participating in an ADRD screening trial, dyads with higher depression had lower QOL. Family member depression was associated with decreased family member and patient QOL.
OPPORTUNITIES, FEASIBILITY, AND CHALLENGES OF USING IMMERSIVE VIRTUAL REALITY IN AGING RESEARCH
Authors: Wrzus Cornelia 
Published: December 2022

Abstract
Immersive virtual reality (iVR), that is, 3D-scenarios presented in head-mounted displays, is rarely used in aging research, although it gained much popularity recently in medical, educational, consumer, and gaming contexts and offers advantages such as real-life scenarios under experimental control. Still, iVR might be less suited for older adults, if they do not experience realism (i.e., presence) or feel strong cyber-sickness (e.g., nausea, headaches). The current preregistered project (osf.io/ryz2c) examined the opportunities, feasibility, and challenges of immersive Virtual Reality for studying age differences in socio-emotional processes. Up to now, 50 younger (age M = 23.5) and 50 older adults (age M = 67.9) saw different socio-emotional situations in iVR using a HTCvive headset, which included eye tracking, and then rated experiences of presence and cyber-sickness. Results showed that feelings of being present in the virtual reality were moderate to high, while cyber-sickness was generally low, and did not differ significantly between younger and older adults. Further analyses explore associations with technology acceptance, health, and personality. The findings suggest that using iVR with older adults is feasible, and creates similar levels of realism and low cyber-sickness as among young adults. The discussion highlights the opportunities and challenges of using iVR for studying age differences in cognitive, emotional, or social processes in experimentally controlled, real-life scenarios.
LIFE AFTER LOSS: EMERGING INSIGHTS ON GRIEF ADJUSTMENT AND HEALTH IN LATE LIFE
Authors: Mroz Emily , Hackett Sara , Carr Deborah 
Published: December 2022

Abstract
Recent scholarship recognizes that grief adjustment is not a staged, linear process. In late life, the loss of close others is common and dynamic. However, little is known about the ‘ripple effects’ from loss experiences. As people are living longer, it is important to gain insight regarding how loss is processed, carried, and used for self-direction. This symposium responds to GSA’s 2022 meeting theme of “Reimagining Aging” by presenting emerging research which reimagines grief adjustment across diverse populations. To begin, Sara Hackett, PhD will share her work on the continuing bonds of older conjugally bereaved women and how they shape perceptions about repartnering. Following, Emily Mroz, PhD will present on affective sequences in final memories from past spousal loss and demonstrate how sequences predict future caregiving confidence in these widowed older adults. Danielle McDuffie, MA will add to this rich discussion by shedding light on predictors of bereavement and grief outcomes specific to Black adults. Last, Holly Prigerson, PhD will outline unmet psychological needs of family caregivers of patients who die in ICU settings and present her work on EMPOWER, an intervention aimed to reduce psychological distress and foster caregiver adjustment across the loss experience in this setting. Stephanie Wladkowski, PhD, our discussant, will tie these perspectives together, facilitating an important dialogue regarding classic and newly-considered impacts of grief in late life. Further, she will discuss how through more closely examining peoples’ experiences during and after loss, we can recognize late-life bereavement as shaping self-perceptions, relationships, and mental health.
OBJECTIVE AND SUBJECTIVE POVERTY AMONG OLDER PEOPLE AND ITS ASSOCIATION WITH HEALTH, FUNCTION, AND MORTALITY
Authors: Jacobs Jeremy , Stessman Jochanan 
Published: December 2022

Abstract
We examined objective and subjective poverty between ages 70-95, comparing and contrasting frequency, associated subsequent medical, functional, psychosocial impairment, and mortality. Data collection by the Jerusalem Longitudinal Study, following a representative community dwelling sample (born 1920-1921), assessed at ages 70, 78, 85, 90, and 95. We defined "objective poverty" as sole income from "national old-age pension" necessitating "supplemental income benefit" from the National Institute for Social Security; "subjective poverty" as "financial difficulty getting through each month". Subjective and objective poverty differed: frequency of objective poverty remained 13% throughout follow-up period, while subjective poverty was more frequent at younger age, decreasing from 24% at ages 70-85, to 14% at ages 90-95. Subjective poverty was significantly associated with depression at all ages (from HR=3.2, CI 95%:1.73-5.93 at age 70, to HR=2.45, CI 95%:1.32-4.54 at age 95), and poor self-rated health (from HR=2.69, CI 95%:1.63-4.46 at age 70, to HR=1.96, CI 95%:1.11-3.43 at age 95), however no consistent associations with objective poverty was observed. Both objective and subjective poverty were associated with low levels of physical activity, impaired functional and cognitive status. Mortality was significantly increased among subjects with subjective poverty at ages 70, 85, and 90 (ranging from HR=1.33, CI 95%: 1.02-1.74 to HR=1.50, CI 95%:1.11-2.03), while objective poverty was significantly associated with increased mortality at ages 78 and 85 (HR=1.43, CI 95%:1.01-2.03, and HR=1.55, CI 95%:1.16-2.07 respectively). In conclusion, subjective and objective poverty differ in their association with health, functional and psychosocial status, and mortality between ages 70-95.
THE RELATIONSHIP BETWEEN RELIGIOSITY AND NURSING HOME SERVICE UTILIZATION: A LONGITUDINAL ANALYSIS
Authors: Ronneberg Corina , Miller Edward 
Published: December 2022

Abstract
On any given day 3.9% to 4.2% of the US population receives nursing home (NH) care. Given the critical role NHs play in caring for older adults, research has identified various demographic, biological, psychological, and social factors associated with NH utilization. Few studies, however, have explored religiosity as a predictor; none, longitudinally. This study thus aims to examine how one’s religiosity (organizational, non-organizational, intrinsic) affects NH use. A total of n=7,564 respondents (&gt;51 years) from the 2006 wave of the Health and Retirement Study, with no prior NH use, were assessed every two years, until 2014. Hierarchical modeling techniques (i.e., Generalized Estimating Equations Multinomial Logistic Regression) were used to model the relationship between religiosity and subsequent NH use, while controlling for other factors. Results indicate that high levels of organizational religiosity (i.e., service attendance) is associated with higher rates of NH utilization (B= 0.13, p &lt; 0.001). Conversely, they indicate that higher non-organizational religiosity (i.e., private prayer) is associated with a lower likelihood of NH care use (B= -0.03, p &lt; 0.05). Sex and race served as moderators in these relationships. The association between higher levels of service attendance and higher rates of NH utilization may reflect the sharing of information about available resources such as long-term care through one’s social support networks, including congregations. In contrast, individuals who were more likely to pray on their own, may lack the social support provided by congregations, and as a result, experienced more limited knowledge transfer about available resources such as NHs.
TESTING A PORTION OF THE OKLAHOMA AGING INMATE FORGIVENESS MODEL
Authors: Randall George , Bishop Alex , Bellah Sydney 
Published: December 2022

Abstract
The study assessed the viability of the published Oklahoma Aging Forgiveness Model on women in custody using cross-sectional data collected from females, violent and non-violent, in custody in Oklahoma. The theoretical model led to a hierarchical regression of a measure of positive mental health (Positive Evaluation of Life) on a block of control variables (age, education, and crime type), a block consisting of items from the Duke Religiosity measure, and a final block utilizing forgiveness of self, others, and situation (Heartland Forgiveness Scale). Results from the complete sample, N=447, explained 36% of the variance in the outcome. Significant individual predictors included in the final model were crime type, religiosity, and forgiveness of self and situations. We split the sample on crime type and found that for the violent offenders (N=228), 39% of the variance in the outcome was explained; in addition to religiosity, all three assessments of forgiveness were significant predictors. For the non-violent offenders (N=209), 35% of the outcome’s variability was explained. Religiosity, forgiveness of self and situation were significant predictors for this sub-sample. Discussion will focus on the Oklahoma Aging Forgiveness Model and how it works similarly for men in custody (published) and for women in custody. Further, the discussion will focus on the significant role played both by religiosity and forgiveness for those in custody. Findings from this study and that of studies with men clearly demonstrate that religiosity and forgiveness are important aspects of a prisoner’s life.
FAITH, HOPE, AND LOVE: UNDERSTANDING RELIGIOSITY AND HOPE AMONG OLDER AFRICAN AMERICAN COUPLES
Authors: Skipper Antonius , Rose Andrew 
Published: December 2022

Abstract
Older African Americans frequently turn to their religion or spiritual faith as a source of coping and resilience. Disproportionately burdened by numerous disparities and stressors, many African American utilize religion as a source hope for the future. Existing studies suggest that higher levels of positive religious coping are associated with higher levels of hope, and more frequent experiences with negative religious coping are associated with lower levels of hope. However, the relationship between religious coping and hope is underexamined among one of the most religious dyads in the U.S., older African American couples. This study utilizes data from 194 older African American couples (146 married and 48 cohabiting), with each partner between the age of 50 and 86 years, to examine the dyadic relationship between religious coping and hope. Actor Partner Interdependence Models revealed that men’s religious coping was associated with their own hope, and women’s religious coping was associated with their own hope. One unexpected partner effect was identified and found that women’s positive religious coping was negatively associated with men’s hope. Given the dearth of research on older African American couples, along with the need to better understand religious significance in psychosocial dyadic outcomes, this study offers several implications for engaging African American couples in relational counseling and therapy across the life course.
FAMILY SUPPORT AS A MEDIATOR OF COGNITIVE FUNCTIONING AMONG HISPANIC OLDER ADULTS WITH SENSORY IMPAIRMENTS
Authors: Tanner Corinna Trujillo , Yorgason Jeremy , White Avalon , Ehrlich Joshua , Cash Antonia 
Published: December 2022

Abstract

Background
Understanding the intersection of age, ethnicity, and disability will become increasingly important as the U.S. population ages and becomes more diverse. By 2060, Hispanics, the largest ethnic minority, will comprise 28% of the population. Although a heterogeneous group, originating from a variety of countries, Hispanics may share common cultural values. These familistic values may act as a buffer against social isolation and cognitive decline, commonly associated with sensory disabilities including vision, hearing, and dual sensory disabilities.

Methods
Our sample consisted of 557 Hispanic older adults that participated in the National Health and Aging Trends Study. Longitudinal mediation models across a three-year span were estimated using Mplus with vision, hearing, and dual sensory disabilities predicting cognitive decline directly and indirectly through social isolation. Bootstrapping with 5,000 draws adjusted the standard errors of indirect effects. Results and Discussion: Results suggest that vision disability and dual sensory disability were associated with declines in various cognitive functioning scores. Social isolation was linked with declines in some concurrent and some longitudinal cognitive measures. Although dual sensory disability (i.e., both vision and hearing disability) were linked with social isolation, individual vision or individual hearing disability were not associated with social isolation in this sample. Historically, vision and hearing disabilities have been associated with social isolation, yet in Hispanic cultures, social connections between generations may provide a buffer to this common result of sensory disabilities. Findings from this research suggest that Hispanic older adults experiencing dual sensory disabilities may benefit from interventions that foster social support.
IMMIGRATION EXPERIENCES AND COGNITIVE TRAJECTORIES AMONG OLDER CHINESE IMMIGRANTS
Authors: Tang Fengyan , Li Ke , Rauktis Mary , Chi Iris 
Published: December 2022

Abstract
Some studies have documented cognitive health among older immigrants in the United States; however, little is known about how the life-course immigration experiences were associated with cognitive trajectories among older Chinese immigrants. This study filled the research gap by identifying the patterns of cognitive change trajectory among older Chinese immigrants and examining the associations of immigration experiences (that is, age at migration, reasons for migration, acculturation, perceived discrimination, and preferred dialects) with cognitive trajectories. The sample comprised 2,075 participants from the Population Study of Chinese Elderly (PINE), who completed a battery of cognitive tests at four time points (2011-2019). Latent class growth analysis and multinomial logistic regression were utilized. Three latent classes of cognitive trajectories were identified: the low functioning with the fastest decline (LCF, 12%), the moderate functioning with a medium decline rate (MCF, 39%), and the high functioning with the slowest decline (HCF, 48%). Perceiving more discrimination reduced, while speaking Taishanese increased the odds of being in the LCF and MCF. High acculturation only distinguished MCF from HCF after controlling for the known factors of cognition such as age, education, and social engagement. This study identifies a group of older Chinese immigrants who are especially vulnerable to cognitive impairment, and indicates that the immigration-related risks for cognitive decline, such as late-life migration and lower acculturation, could be buffered by education in early life and social engagement post immigration. Practice and policy efforts are needed to increase socioeconomic and cultural opportunities for social integration among older immigrants.
SOCIAL NETWORK AND MENTAL HEALTH OF OLDER CHINESE IMMIGRANTS IN AFFORDABLE SENIOR HOUSING DURING THE COVID-19 PANDEMIC
Authors: Yu Kexin , Liang Jiaming , Tung Yi-Hsuan , Zhang Mutian , Yang Luyan , Wu Shinyi , Chi Iris 
Published: December 2022

Abstract
Chinese older immigrants who live in senior housing communities are at high risks of experiencing discrimination and social isolation during the COVID-19 pandemic. This study examines how and to what extent the pandemic has affected this population’s social network and mental health. Participants reported a decrease in social contact with their family and friends. Before the pandemic, many paid regular visits back to the home country and could not do so in the past two years. The loss of connection left some feeling despaired and expressed uncertainty on whether they could ever go back “home” before death. Participants also reported being in a low mood and feeling bored constantly. Participants reported resilience generated from their religious beliefs, having neighbors as role models, and wisdom learned from past life experiences. Knowledge produced in this project can inform the planning for responding to future crises in affordable senior housing.
LONGITUDINAL INVESTIGATION OF FACTORS PREDICTING RETIREMENT ADJUSTMENT AMONG RETIREES IN TAIWAN
Authors: Chao Shiau-Fang , Ye Wei , Liu Wei-Cheng 
Published: December 2022

Abstract
BackgroundRetirement can substantially affect one's lifestyle and self-identity. However, little research has focused on how pre-retirement conditions are associated with retirement adjustment.MethodThis study utilized data from 1989 to 2015 Taiwan Longitudinal Study on Aging. A total of 1,471 cases who experienced retirement between waves and completed the subsequent four year and eight year follow-up surveys after retirement were included for analyses. High life satisfaction and low depressive symptoms represented good retirement adjustment. Multiple regression analysis was applied to test the hypothesized relationships. ResultsThe findings were as follows: 1. Retirees experienced increased depressive symptoms and worsened family relationships when transiting from pre-retirement to post-retirement.2. High cognition functioning, ideal family relationships and sufficient financial resources before retirement were consistently associated with few depressive symptoms and high life satisfaction, both at four and eight year follow-ups. 3. Of the 10 different leisure activities investigated, physically active leisure activities such as walking and participating group exercise before retirement predicted few depressive symptoms and high life satisfaction four years after retirement, but not eight year follow-up. DiscussionCognitive functioning, financial status, and family relationship before retirement can significantly affect both short-term (four years) and long-term (eight years) retirement adjustment, whereas physically active leisure activities only link to short-term retirement adjustment. At policy level, pre-retirement financial security should be addressed and well-prepared. At practitioner level, maintaining ideal cognition level, positive family relationship, and engaging physically active leisure activities should be the central intervention target when serving employees who are approaching retirement.
JOB SEPARATION OF LONG-TERM CARE FRONTLINE STAFF IN ENGLAND
Authors: Vadean Florin , Saloniki Eirini-Christina 
Published: December 2022

Abstract
Staff turnover in the long-term care (LTC) sector in England is perceived to be relatively high. Most job leavers do not leave the sector, but rather move to other LTC employers. Nevertheless, there are concerns that the high ‘churn’ has a negative impact on continuity and quality of care, care providers’ recruitment and training costs, and the remaining staff workload and motivation. This study aimed to provide missing quantitative evidence on the drivers of LTC staff retention in England, with a focus on job quality. We used yearly data (2016 to 2019) from a large, employer-employee dataset covering about half of England’s LTC market: the Adult Social Care Workforce Dataset. After controlling for observed individual, organisational, and local market characteristics as well as unobserved worker and employer heterogeneity, we found that, everything else being equal, wages and employment conditions (i.e. full time contracts and contracts with guaranteed working hours) significantly reduce job separation. For example, a 10 per cent wage increase from the sample mean would have reduced the job separation rate by about 3 ppt. Our results also show that the wage effect was substantially downward biased (i.e. closer to zero) when not accounting for unobserved effects: the estimated reduction in job separation rate of a 10 per cent wage increase was only 1 to 1.5 ppt. Our findings show that improving pay and employment conditions for LTC staff can improve staff retention in LTC and stress the importance of accounting for unobserved variable bias.