bluuebunny/crossref_metadata_2025_split huggingface dataset:
CANNABIS USE PERCEPTIONS, PATTERNS AND SYMPTOM MANAGEMENT IN OLDER VS. MIDDLE AGE AFTER A CANCER DIAGNOSIS
Authors: Fahey Margaret , McClure Erin 
Published: December 2022

Abstract
Prevalence of cannabis among U.S. older adults (&gt; 65 years) is increasing and is also common among cancer patients of all ages. Less is known how cannabis beliefs and use differ in older vs. middle-age after cancer diagnosis. This NCI-funded P30 administrative supplement included a cross-sectional survey in a state with illegal access to cannabis. Participants (Nf1,038) had past cancer diagnosis (&lt; 2 years). Comparisons were run between older (&gt; 65 years; n=509) and middle-aged adults (45–64; n=378) relating to cannabis perceptions, patterns of use, and symptom management (among those endorsing use) with chi-square and t-test analyses. There were no age-group differences in prevalence of ever or current use, nor likelihood of discussing cannabis with provider. Use after diagnosis was less likely in older vs. middle-age (21% vs. 33%). Of those using after diagnosis, there were no age-group differences in reasons for use, but older adults reported less neuropathy relief and less digestive improvement from cannabis. When asked about potential benefits of cannabis, older adults were less likely to expect relief from neuropathy and nausea, increased appetite, decreased medication use, cancer cure, and treatment of another condition and more likely to expect improved sleep. When endorsing potential risks, older adults were more likely to report addiction and increased use of other substances and less likely to report legal reasons, job loss, and negative reactions. Findings indicate unique expectations and symptom management in older age, highlighting importance of oncology providers to discuss cannabis with this age group as rates rise.
MEASURING SPECIALTY CARE UTILIZATION AMONG MEDICALLY FRAGILE, LOW-INCOME OLDER OR DISABLED ADULTS
Authors: Goo Kelly , Silberberg Mina , Eisenson Howard , Johnson Fred , Stinnett Sandra 
Published: December 2022

Abstract
The purpose of this research was to quantify the rates of specialty care referral completion and identify variables associated with successful completion among a population of low-income, elderly and/or disabled homebound patients with barriers to accessing office-based care. This was a cross-sectional study using descriptive and multivariate predictive analysis of specialty care referral completion, operationalized as attending an appointment of the same specialty care type within 6 months of being referred. Independent variables include patient age, sex, race, marital status, health insurance, blood pressure, and body mass index. Patient characteristics, referral information, and appointment information from July 1, 2014 to July 1, 2019 were extracted from electronic health record data of patients enrolled in the Just for Us primary care home visiting program in Durham, NC. Specialty care referrals were restricted to those for office-based consultations for chronic disease co-management originating from an outpatient primary care provider. Of 443 total referrals identified from 162 patients, 36% were successfully completed. Being married and female gender were found to be associated with successful referral completion. Of the 217 total patients in the study sample, 25% were identified as not having any referrals. No included patient characteristics were found to be significantly associated with being referred to specialty care. This study demonstrates that the specialty care needs of a medically and socially vulnerable population of homebound patients are not being adequately met.
WOMEN’S HEALTH: PARADOXICAL HEALTH DISPARITIES AMONG ASIAN AMERICAN WOMEN
Authors: Camp Janella , Bernstein Laura , Patrick Julie Hicks 
Published: December 2022

Abstract
Asian Americans are among the fastest growing ethnic minority groups in the U.S (Budiman & Ruiz, 2017), but women’s healthcare is understudied. This may allow potential health disparities to go unnoticed. Our study aims to determine whether Asian American women are utilizing preventative health care services and to examine relations with self-reported health. We used data from a national sample of American women (Nf 58,934; mean age = 47.3 years; range 18 to 80+) from the 2020 Behavioral Risk Factor Surveillance System (BRFSS) data of the Centers for Disease Control and Prevention (CDC). We examined the recency of receiving a PAP smear, a mammogram, and the HPV test, along with subjective assessments of health. Asian American women reported less recent PAP smears, mammograms, and HPV tests, relative to their counterparts. However, Asian American women reported better general and physical health than non-Asian American women. To examine whether Asian American status contributed to health reports above and beyond that accounted for by the preventative tests and age, we conducted a 3-step hierarchical regression. Even after controls, Asian American status accounted for unique variance in health outcomes [F (1, 58,928) = 36.51, p &lt; .001]. Post hoc exploratory analyses further examine the role of race in women’s preventative health care. Our findings indicate that Asian American women report less use of medical services, but better general and physical health. These results suggest that further studies are needed to explore other health behaviors that may account for better health reports among Asian American women.
TRANSITION OF HEALTH PROFILES IN COGNITIVELY INTACT NURSING HOME RESIDENTS WITH SUICIDAL IDEATION
Authors: Yuan Yiyang , Barooah Adrita , Mack Deborah , Lapane Kate , Rothschild Anthony , Ulbricht Christine 
Published: December 2022

Abstract
For older adults entering nursing homes with self-reported suicidal ideation (SI), little is known about how their health profiles change during the first 90 days post admission. Using the 9th Patient Health Questionnaire-9 item on Minimum Data Set 3.0, we identified 5,397 cognitively intact, older adults with SI at admission, 29% of whom continued to report SI at 90 days. Latent transition analysis identified five health profiles at admission: (1) frail, severe pain, all depressive symptoms (prevalence: 25%); (2) frail, moderate pain, depressed mood, insomnia/hypersomnia, fatigue (27%); (3) frail, no pain, depressed mood, fatigue, and worthlessness (18%); (4) pre-frail, no pain, depressed mood (15%); (5) robust, no pain, depressed mood, insomnia/hypersomnia, fatigue (15%). At 90 days, while the profiles remained mostly the same, improvement in depressive symptoms and pain were observed: (1) frail, severe pain, most depressive symptoms (17%); (2) frail, no pain, depressed mood, and fatigue (28%); (3) frail, no pain, depressed mood, fatigue, and worthlessness (15%); (4) pre-frail, no pain, no depressive symptoms (25%); (5) robust, no pain, depressed mood, and fatigue (16%). Most residents remained in the same profile over time. Of those who were in Profile (1) at admission, 20% transitioned into Profile (2), 12% to Profile (4), and 7% to Profile (5). This work highlights the need to now investigate the potential drivers for specific profile transitions among nursing home residents presenting with SI on admission, thereby informing interventions for improved identification and treatment of SI in the nursing home setting.
POSITIVE AFFECT AND SOCIAL SUPPORT SATISFACTION AMONG NEWLY ADMITTED LONG-TERM CARE RESIDENTS
Authors: Simon Darby , Mast Benjamin , Ertle Emilee , Meeks Suzanne 
Published: December 2022

Abstract
Social support serves as a protective factor against depression and other negative outcomes among older adults. Satisfaction with social support among long-term care residents has not received as much attention, and the experience of support among newly admitted long-term care residents has not been investigated. The current study examines what variables influence a long-term care resident’s satisfaction with their social support. This sample consists of 48 individuals newly admitted into long-term nursing home care. This study used the Social Support Questionnaire (SSQ6) to gather information on social support network size and overall satisfaction of perceived social support. Correlations were estimated between social support satisfaction, social support network size, and psychosocial factors including depression (PHQ-9), anxiety (RAID), religious involvement, cognitive status (BIMS), positive and negative affect (PANAS). Satisfaction with support was significantly correlated with social network size (r = .328, n = 48, p &lt; .05) and positive affect (r = .437, n = 24, p &lt; .05). In a regression model with support satisfaction as the dependent variable, both social network size and positive affect contributed significantly to model R2 F(2,21) = 2.441, p = .049 R2 = .250. Satisfaction with support depends upon the number of supporters available, but also on levels of positive affect.
BARRIERS AND FACILITATORS FOR FOREIGN EDUCATED NURSES TO PROVIDE QUALITY LONG-TERM CARE
Authors: Thompson Roy , Corazzini Kirsten , Konrad Thomas , Cary Michael , Silva Susan , McConnell Eleanor 
Published: December 2022

Abstract
Unprecedented registered nursing shortages in long-term care (LTC) threaten the provision of person-centered care for older adults in the United States (US). LTC facilities recruit Foreign Educated Nurses (FENs) to address shortages, which raises concerns about care quality due to cultural, linguistic and communication differences among nurses; yet studies have not thoroughly explored FENs’ perspectives on these issues. The purpose of this study was to advance our understanding of FENs’ professional experiences as they began employment in LTC by exploring factors that inhibit or facilitate their provision of quality care. This qualitative descriptive study used purposive sampling to recruit FENs through professional organizations. Eligible FENs were ≥ 18 years old, worked ≥1 year in LTC, and represented racial and ethnic minority groups from Low and Middle Income Countries. In-depth narrative interviews, ranging from 45–60 minutes, were conducted. Applying content analysis, a priori and inductive coding generated themes. Participants (n=12) interviewed were all married females. Most were 50–59 years old (41.7%), Asian (75.0%), BSN-prepared (58.3%), and reported 31–50 years of nursing experience (50%). Positive facility characteristics, acculturation, effective workplace integration and positive support from colleagues, residents, and their families facilitated the provision of quality care. Conversely, negative facility characteristics, cultural barriers, discrimination and ineffective workplace integration were barriers to providing quality care. FENs highlighted culturally-sensitive strategies such as providing structured mentorship and preceptorship programs that supported them in providing person-centered care. FENs confirmed the need to address racial and anti-immigrant discrimination for achieving more equitable and inclusive workplaces.
EXPLORING DEPRESSION AND ITS CORRELATES AMONG RESETTLED BHUTANESE OLDER ADULTS IN OHIO
Authors: Ghimire Saruna , Chapadia Bunsi , Karmacharya Isha , Shrestha Aman , Subedi Janardan , Applebaum Robert 
Published: December 2022

Abstract
Following the “ethnic cleansing” by the Bhutanese government in the 1990s, Nepali-lingual Bhutanese fled from southern Bhutan and spent about two decades in refugee camps in Nepal before resettlement in the US and other countries. During post-resettlement, this population had a high rate of suicide and mental health problems. However, studies specifically among resettled older Bhutanese are lacking. This study aims to estimate the prevalence of depression and explore its correlates among resettled Bhutanese Older Adults in Ohio. A cross-sectional survey was conducted in Ohio (Columbus, Akron, Cleveland, and Cincinnati). The exploratory study surveyed 275 participants between January-June 2022, using snowball sampling, given the absence of a sampling frame. Study participants include adults 55 years and above, identified with the help of local community-based organizations. Depression was measured using the Geriatric Depression Scale, and life satisfaction, social support and resiliency were measured using validated standard tools. The prevalence of depression was 31.8%. In the adjusted model, factors associated with lower odds of depression were better self-reported health, satisfaction with life (OR=0.08, 95%CI: 0.01–0.46) and high social support (OR=0.23, 95%CI: 0.07–0.78). Resiliency was inversely associated with the odds of depression (low resiliency: OR=4.98, 95%CI: 2.02–12.28; high resiliency: OR=0.21, 95%CI: 0.07–0.64). Given the lack of a basic health profile of this population, this exploratory study is a necessary stepping stone and the first of its kind. This study will help to inform the relevant stakeholders and community leaders and provide baseline evidence for further research and programmatic actions.
EXAMINING THE IMPACT OF FAR-INFRARED TECHNOLOGY ON QUALITY OF LIFE IN OLDER ADULTS
Authors: Balingit Arianna , Guggenheimer Joshua 
Published: December 2022

Abstract
The purpose of this study was to examine the effects of far-infrared heat (FIR) on pain management and quality of life (QOL) in older adults (OA). FIR utilizes a long-wave light that simulates dry sauna-like conditions. Examining the relationship between FIR and pain is important due to the increased prevalence of chronic pain associated with aging and the impact it has on QOL and physical performance. 9 OA completed the study, 8 of whom were women. Our intervention consisted of assigning participants to either a convective (CON) or a convective and far-infrared heat (FIR) group, with convective heat set to 60oC. Participants received 6, 30-minute heat sessions over 3 weeks. Pre- and post-test assessments included physical measures such as range of motion, gait speed, timed up-and-go, and hand grip strength. Additionally, we conducted standardized questionnaires to determine pain severity and interference on daily life, and the impact such has on overall QOL. T-tests were used to compare the groups’ pre- and post-assessment responses. Results indicated that pain severity was significantly reduced (from 3.31 to 2.5, P &lt; 0.05) in the FIR group from pre-to-post, and that pain inference was significantly reduced (from 1.26 to 0.43, P &lt; 0.05) in the CON group from pre-to-post. There were no significant differences from pre-to-post testing for any other measures. These findings suggest that heat therapy was successful in reducing pain over time for OA, but that FIR heat specifically, was not superior to that of convective heat alone.
ADVANCING COMMUNITY-BASED SOCIAL INNOVATIONS FOR AGING THROUGH ENGAGED RESEARCH
Authors: Greenfield Emily , Kunkel Suzanne 
Published: December 2022

Abstract
Community-based social innovations (CBSI) for aging are programs, initiatives, and other structures that support healthy aging and aging in community in ways that complement traditional health and human service systems. This symposium features research on several manifestations of CBSIs in the US. The first paper orients to innovation among aging services agencies, drawing on data from local Councils on Aging in Massachusetts to examine variation in their levels of engagement with age-friendly community (AFC) work. Findings elucidate the importance of community context and organizational capacity for deepening involvement in AFC work over time. Addressing innovation within communities as a whole, the second paper applies social network analytic methods to examine the constellations of connections among AFC core teams and their key partners across nine localities in New Jersey. Focusing on housing, the third paper presents findings from an evaluation of a national demonstration program to enhance the capacity of service coordinators within senior housing communities. This paper implicates the important role of services staff in systems innovation. Finally, with attention to creating age-friendly communities, the fourth paper presents findings from a project in Ohio that equipped older adults with a tablet-based transportation “diary” app. The findings demonstrate ways in which this technology facilitated deeper insight on users’ experiences in terms of their mood, with implications for transit design and programs. Collectively, the studies make evident the importance of leveraging the tools of research alongside engaged partnerships to strengthen the knowledge base for continued innovation in community supports for aging.
PHYSICAL ACTIVITY, BALANCE, AND BICYCLING IN OLDER ADULTS
Authors: Baughn Maya , Arellano Victor , Hawthorne-Crosby Brieanna , Grimes Amanda , Lightner Joey , King Gregory 
Published: December 2022

Abstract
Falls are a critical public health issue among older adults. One notable factor contributing to falls in older adults is a deterioration of the structures supporting balance and overall balance control. Preliminary evidence suggests older adults who ride a bicycle have better balance than those who do not. Cycling may be an effective intervention to prevent falls among older adults. This study aims to objectively measure the relationship between bicycling, physical activity, and balance for older adults. Older adult cyclists (n=19) and non-cyclists (n=27) were recruited to (1) complete a survey that assessed demographics; (2) wear an accelerometer for 3 weeks to objectively assess physical activity; and (3) complete balance-related tasks on force platforms. Mann-Whitney U-tests were performed to understand differences in balance and physical activity between cyclists and non-cyclists. Cyclists are significantly more physically than non-cyclists (U = 102.00, p = .015; U = 81.00, p=.002). Cyclists had less sway velocity in eyes open conditions than non-cyclists (U = 360.00, p=.009), indicating a more tightly regulated postural control strategy that may relate to higher stability in cyclists. Task duration among cyclists in single-leg stand was longer than non-cyclists (left leg: p &lt; .001 and right leg: p &lt; .005) indicating increased postural stability. This study demonstrates the possible implications for cycling on balance and reducing fall risk.
OLDER ADULT ONLINE EXERCISE CLASSES DURING THE COVID-19 PANDEMIC: A SURVEY OF SERVICE PROVIDER PERSPECTIVESS
Authors: Murphy Dallas , Porter Michelle , Barclay Ruth , Cornish Stephen , Ripat Jacquie , Sibley Kathryn , Webber Sandra , Dunn Nicole 
Published: December 2022

Abstract
COVID-19 rendered the availability of exercise facilities sporadic and online exercise programs subsequently became more common. This research explored online exercise classes delivered to older adults during the pandemic from the perspective of service providers. Sixty-seven service providers completed the survey (88% female). The majority (54%) of respondents had worked in the fitness industry for greater than 10 years, and 66% were fitness class instructors, while fewer were managers (9%) and personal trainers (8%). Three participants had experience providing online exercise classes prior to the pandemic, while 43 more had experience providing online exercise classes since the pandemic began. Of these 46 service providers, 87% offered classes live through Zoom. The majority (64%) offered classes through an organization, and 61% charged a fee for participants to take part. The most common type of class was a general fitness class (63%), followed by yoga and flexibility classes (39%), and strength training (17%). Regarding equipment used, weights were most frequently required (69%), followed by resistance bands (49%) and mats (44%). Most classes lasted 40–60 minutes (59%) and were low intensity (74%). Of the 21 respondents who did not provide online exercise classes, 43% indicated this was because of a lack of interest, and 19% cited not knowing how to use technology to deliver classes online, though most (71%) indicated they would consider offering online classes in the future. This research reveals the adaptability of service providers and may serve to inform the continued development of online exercise programs for older adults.
AGE-FRIENDLY TRANSFORMATION: AN EXAMINATION OF COMMUNITY MECHANISMS INFLUENCING INVOLVEMENT
Authors: Coyle Caitlin , Somerville Ceara 
Published: December 2022

Abstract
Age-friendly community initiatives (AFCIs) have become key policy efforts aimed at improving quality of life for older residents, but there is limited evidence about the process. This mixed methods study draws on survey and demographic data from 350 municipalities in Massachusetts to characterize communities by these categories: 1) not interested in AFCIs (n=109); 2) interested in learning more about AFCIs (n=84); 3) planning for age-friendly action (n=71); and 4) maintaining an AFCI (n=86). Interview data from key-informants contextualize the process of developing an AFCI. Thematic analyses suggest that progression through AFCIs is self-defined by the accumulation of momentum. Communities committed to AFCIs have higher proportions of vulnerable residents (e.g., living with disability, living alone, non-English speaking). Municipal resources (e.g., budget, aging services) correlate with more advanced stages of AFCIs. Implications of the variability across AFCIs, including the effort required for moving from concept to execution of AFCIs, will be discussed.
PERCEPTIONS OF ADRD CARE PARTNERS IN A VIRTUAL CO-DESIGN PROCESS
Authors: Werner Nicole , Jolliff Anna , Parks Reid , Linden Anna , Elliott Christian , Zuraw Matthew 
Published: December 2022

Abstract
Participatory design, or co-design, is an effective method for creating useful digital products with older adults. However, little is known about older adults’ perceptions of virtual co-design. The purpose of this study was to explore ADRD care partner perceptions of their participation in virtual co-design, including the degree to which participants felt their participation influenced the design. After participating in a 5-session virtual co-design process, care partners completed individual semi-structured interviews and surveys focused on exploring their perceptions of the co-design process. Surveys used three sliding scale items and open text responses. Interview transcripts and survey data were analyzed using thematic analysis and descriptive statistics, respectively. Co-designers were Nf7 older adults (71% female) with a mean age of 65. On a scale of 1–100, co-designers rated the extent to which their own participation influenced the design process at a mean of 88, their fellow co-designers at 90, and the research team at 82. Thematic analysis identified five design process perceptions: 1) the process built community among co-designers; 2) sessions were well-facilitated and organized; 3) the prototype would be helpful to other care partners like them; 4) co-designers felt ownership over the prototype; and 5) co-designers had long-term goals for the product. Results suggest that care partners perceived themselves as having considerable influence on the final prototype. Those designing interventions for ADRD care partners should be encouraged that involving them in the design process may provide unanticipated benefits to care partners and build an intervention responsive to care partner needs.