bluuebunny/crossref_metadata_2025_split huggingface dataset:
PROFILE OF COMMUNITY-DWELLING OLDER ADULTS ONE YEAR INTO COVID-19
Authors: Lach Helen , Stallings Devita , Palmer Janice , Lorenz Rebecca 
Published: December 2022

Abstract
We surveyed community-dwelling older adults in 2020, primarily in the Midwest, to learn about their experiences during the initial months of the COVID-19 pandemic. In summer 2021, we collected quantitative and qualitative one-year follow-up data on 118 participants from the original cohort who agreed to be contacted later (n=246; 48% response rate). Respondents included mostly women (75.2%), White (95%) with a mean age of 76.4 years and 15 mean years of education; half were married (49.5), and 40.7% lived alone. Compared to 2020, participants had a higher mean score on the CESD10 (9.76 vs. 6.97); although self-rated health and quality of life scores were similar (94-95% good-excellent). Mean scores on the Brief Resilient Scale were similar. In this group, 99.3% had been vaccinated, and had a concern score of 3.7 out of 5 that there would be more COVID outbreaks. Themes from their reported adaptations during the pandemic included taking steps for physical and mental self-care, maintaining connections with others, and finding credible sources of information. Connecting with others online was the biggest technological change during this time, and the computer was the most valued technology. These educated, middle class older adults continued to adapt to the COVID-19 pandemic, but those who did not respond to the second survey may have had more health or mental health challenges. These findings suggest a need for health care providers to screen older adults for depression so that early interventions can take place.
FILE OF LIFE: OLDER ADULT PERSPECTIVES AND SUGGESTIONS TO INCREASE FOL USAGE
Authors: Dandrea Kaye , Williams Teresa , Gugliucci Marilyn 
Published: December 2022

Abstract
IntroductionIn a home emergency, an accurate patient medical history is vital for proper medical decision-making. One method to provide medical information in an emergency is through the FILE OF LIFE™ (FOL); a document distributed by local medical centers and public service organizations completed by community adults and placed on their refrigerator in a magnetic folder. To date, there was no known study, until this one, conducted with older adults to check the FOL design suitability for older adults; the goal of this project. MethodsOlder adults were recruited through the UNE COM Geriatrics Education Mentor (GEM) program for this pilot qualitative research. Twenty-one GEMs volunteered to participate in five 90-minute focus groups. Questions were specific for each section - Patient Identifiers, Emergency Contacts, Medical Data, Medical Conditions, Allergies, and Medical Insurance Information, and the usability of the FOL. Qualitative content analysis followed by NVivo 12+ analysis applied inter-rater reliability methods and changes for each FOL section were based on reaching data saturation. ResultsFILE OF LIFE™ comments (N=328) were coded to the following themes: Layout, Font Size, Spacing, and Section Ordering. Sections were edited accordingly with “Identifiers,” Medical Data, Medical Conditions, Allergies, and Emergency Contacts requiring substantive changes. Other minor changes were made throughout the form. ConclusionFurther research will ensure efficient usability by older adults and emergency response personnel. The FILE OF LIFE™, although a trusted resource for older community dwelling residents, has a chance to increase usability by incorporating the suggested changes from this research.
DELIRIUM-LIKE BEHAVIORAL SYMPTOMATOLOGY IN COMMUNITY-DWELLING OLDER ADULTS WITH DEMENTIA
Authors: Vickers Jasmine , Wang Danny , Pickering Carolyn 
Published: December 2022

Abstract
Delirium, a sudden and acute confusional state, is known to be more prevalent and deleterious in older adults with dementia; yet the literature on estimates of delirium in community-dwelling older adults with dementia is scarce. The aim of this study was to determine the patterns and frequency of delirium-like symptoms in community-dwelling older adults with dementia, as reported by their caregivers (n=50) in a 21-day diary study (n=1389 diaries). Caregiver reports of severity scores of care-recipient behaviors that were one standard deviation above the mean were considered outliers, representing a sudden and acute change. Caregivers that reported outlier scores for two consecutive days were considered delirium-like symptoms. Descriptive statistics were used to determine the number of caregivers who reported delirium-like symptoms and the percentage of days with symptoms present. Additionally, chi-square tests and Independent samples T-test were used to determine the associations between delirium-like symptoms and participant characteristics. Caregivers were predominately White/Caucasian (89%), female (94%), and a son/daughter (60%) of the care-recipient. Caregivers had an average age of 52.6 years and were caregiving an average of 3.9 years. The care-recipients had dementia for an average of 4.3 years. Caregivers reported delirium-like symptoms for 12(24%) care-recipients and this rate was consistent with previous research findings. Caregivers reported delirium-like symptoms, on average, for 6.9 days (33%) of the 21-day diary period. More research is needed to understand the occurrence and patterns of delirium in community-dwelling older adults with dementia to improve home care services, outpatient services, and support for caregivers.
QUALITY OF LIFE PREDICTS END-OF-LIFE CARE TRANSITIONS AMONG PERSONS WITH DEMENTIA OVER NINE YEARS
Authors: Sullivan Suzanne , Li Chin-Shang , Chang Yu-Ping 
Published: December 2022

Abstract
Physical, financial, and emotional burdens are profound and affect the quality-of-life of persons with dementia (PWD) and their caregivers, particularly as cognitive decline accelerates and death approaches, which leads to burdensome, non-beneficial transitions in care that can lead to further decline of PWD. Measures of quality-of-life for PWD and their caregivers include important physical, psychological/cognitive, existential, caregiving burden, and socio-demographic factors that may be useful for predicting and preventing these end-of-life transitions. This secondary data analysis of the National Health and Aging and Trends Study (NHATS) linked to the National Study of Caregiving (NSOC) investigates the relationship between quality-of-life factors and end-of-life care transition (overnight hospitalization, hospice use, and place of death) over nine years (2011-2019) among caregiver/PWD dyads using multivariable logistic regression for hospice and place of death and multivariable logistic regression with generalized estimating equations for longitudinal overnight hospitalizations. Overnight hospitalizations are predicted by overall health (p=0.048), pain (p=0.016), and having a regular doctor (p=0.012). Predictors of hospice include health prevents enjoying life (p=0.0002) and receiving food stamps (p=0.008). Place of death is predicted by PWD needing &gt;30 mins to fall asleep (p=0.007), dementia status (p=0.015), health preventing enjoying life (p=0.0005), race (p=0.033), and census division (p=0.012). End-of-life care transitions can be predicted far in advance by quality-of-life and socio-demographic factors of PWD and their caregivers. With this knowledge it may be possible to develop upstream interventions to facilitate appropriate transitions and improve end-of-life quality-of-life far in advance of avoidable care transitions of PWD.
USE OF HIGH COST CARE AMONG VETERANS WITH COMORBID MENTAL ILLNESS AND ALZHEIMER’S DISEASE AND RELATED DEMENTIAS
Authors: Miller Katherine , Shepherd-Banigan Megan 
Published: December 2022

Abstract
As Vietnam-era Veterans age, VA faces a growing need to manage aging-related conditions, such as Alzheimer’s disease and other dementia (ADRD), for this complex patient population. ADRD is of particular concern as military related factors, such as psychiatric illnesses, increase ADRD likelihood and complicate care management. In particular, decreasing use of low value care (e.g., emergency department (ED) care) is one approach to promote appropriate supportive care for Veterans with comorbid ADRD and psychiatric illness, but is understudied. We describe differences in potentially low value health care among older Veterans with ADRD 12 months after a new ADRD diagnosis. We compare Veterans with mental illness (MI) pre-ADRD diagnosis (major depressive disorder, post-traumatic stress disorder, or generalized anxiety disorder) to those without pre-existing MI. Potentially low value care includes ED use, hospitalization, and 30-day readmissions 12 months after a new ADRD diagnosis. Compared to Veterans with no pre-existing MI, Veterans with pre-existing MI are more likely to be younger (79 vs. 82 years old), male, married, White, Hispanic. In the year after new ADRD diagnosis, 16.9%, 21.6% and 2.6% of Veterans with MI had any ED visit, hospitalization, and 30-day readmission, respectively. In contrast, only 7.3%, 9.5%, and 0.9% of Veterans without pre-existing MI had any ED visit, hospitalization, and 30-day readmission, respectively. Our findings suggest that reducing low-value care may be an appropriate intervention target to improve care quality for Veterans with ADRD and mental illness.
SIGMA PHI OMEGA CHAPTERS AND THEIR COLLABORATION WITH THE PILOTED GSA STUDENT CHAPTERS
Authors: Gugliucci Marilyn 
Published: December 2022

Abstract
Networking is the action or process of interacting with others to exchange information and develop professional or social contacts. The newly piloted GSA student chapters are encouraged to build relationships that can lead to networking and collaboration. While it is important to maintain a unique Sigma Phi Omega institutional chapter identity, the GSA student chapters also focus on the field of aging within a Higher Education Institution. Sigma Phi Omega collaborating with GSA Student Chapters is mutually beneficial in expanding learning, exploring new ideas, building professional connections, creating innovative projects, and gaining insights to other opportunities for professional and personal growth. This session will provide guidance on how to foster collaboration and growth for each of these chapters while honoring respective chapter missions, requirements, and educational experiences.
WORKFORCE DEVELOPMENT: AGING NETWORK CARE MANAGERS AS BEHAVIORAL HEALTH PROVIDERS FOR OLDER ADULTS IN COMMUNITIES
Authors: Mbao Mbita , Keefe Bronwyn 
Published: December 2022

Abstract

Background and Objectives
The population of older adults (65 and over) continues to increase with projections of one in five by 2030. Furthermore, one in four older adults have a behavioral health problem, and over 63% are not receiving behavioral health (BH) services. Many older adults living in the community depend on aging networks for home- and community-based services. However, most care managers' current education and training do not cover the skills and competencies to provide adequate care for older adults with BH needs. This study aimed to evaluate the effectiveness of a training intervention on the perceived self-efficacy of care managers working with older adults with BH issues in the aging network.

Research Design and Methods
The study used a quasi-experimental design with a pre-and post-tests approach. The study used convenience sampling (n=90).

Results
We found a significant difference in the mean self-efficacy scores related to working with clients with mental health problems between pre-test (M=62.31, SD=10.11) and post-test (M=65.88, SD=7.40). In addition, results indicated a significant difference in the mean self-efficacy score between the pre-test (M=59.81, SD=10.68) and post-test (M=65.60, SD=9.85) related to working with clients with substance use problems. Discussion and Implications: The study found that self-efficacy was higher at post-test than pre-test. In addition, there was no difference in the self-efficacy scores of those participants who had previously completed a mental health course or certification and those who had not.
ASSOCIATION BETWEEN PERCEIVED CONTROL AND COGNITIVE FUNCTION AMONG STROKE SURVIVORS IN CHINA: A LONGITUDINAL STUDY
Authors: Liu Zhijian , Zhu Huanzhi , Wang Jing , Wu Bei , Wang Qin , Li Juan 
Published: December 2022

Abstract
This study explored the association between perceived control and cognitive function among stroke survivors in China. We conducted a longitudinal study and assessed perceived control (by Perceived Control in Health Care Questionnaire) and cognitive function (by Montreal Cognitive Assessment, MoCA) of 231 stroke survivors at the acute stage, 3, 6 months after onset from two stroke centers in Shanghai and Linyi from June to December 2020. General linear mixed model was used for analysis. Perceived control was at a moderate level, and the average score of MoCA showed cognitive impairment at 3 waves. Both perceived control and cognitive function improved with time. Perceived control was positively associated with cognitive function (β=0.08, p＜0.001). After controlling for stroke severity, risk factors of cognitive impairment, age, gender, and education, the association was still significant (β=0.04, p＜0.001). These findings suggest that perceived control may be a potential target in cognitive interventions for stroke survivors.
SACCADES TO SCREEN AND ASSESS COGNITIVE IMPAIRMENT IN OLDER ADULTS: A SYSTEMATIC REVIEW AND META-ANALYSIS
Authors: Wan Qiaoqin , Zhang Shifang , Huang Xiuxiu , Zhao Xiaoyan 
Published: December 2022

Abstract

Objective
To systematically summarize the evidence of saccade as a screening and assessing for patients with mild cognitive impairment (MCI) and dementia.

Methods
English databases including PubMed, EMBASE, the Cochrane Library, Web of science, and PsycINFO and Chinese databases including CNKI, Wanfang and VIP were searched. Studies that analyzed the metrics of saccade in people with health cognition, MCI, or dementia were included. The quality of the included studies was evaluated with Cross-sectional/ Prevalence Study Quality from Agency for Healthcare Research and Quality (AHRQ). Study characteristics, participants' characteristics, sample size, saccade procedure, and metrics were extracted from the included studies.

Results
Twenty-two studies involving 1595 participants were included. Meta-analysis showed that peak velocity (SMD= -0.27°/s, 95% CI (-0.44, -0.11), latency (SMD=-0.36ms , 95%CI (-0.51,-0.20), and accuracy rate (SMD=0.42%, 95%CI (0.17,0.68) of prosaccade between older adults with and without cognitive impairment had significant difference. The performance in latency (SMD=-0.56ms, 95%CI(-0.72,-0.39), accuracy rate (SMD=1.32%, 95%CI(1.07,1.56), and corrected errors (SMD=1.23%, 95%CI(0.98,1.47) of antisaccade in people with health cognition was better than that in older adults with cognitive impairment. The results of subgroup analysis revealed that the accuracy rate of prosaccade, latency and accuracy rate of antisaccade demonstrated crucial difference between health older adults and people with MCI, while only accuracy rate of antisaccade showed significant difference between people with MCI and dementia.

Conclusions
The metrics of saccade, especially antisaccade, can be a potential screening and assessing tool for MCI and dementia in elderly persons.
STIFLED UTILIZATION OF DEMENTIA-RELATED HEALTHCARE SERVICES DUE TO STIGMA IN RURAL APPALACHIA
Authors: Rhodus Elizabeth , Gibson Allison , Gross David , Sprang Rob , Parsons Kelly , Johnston Julia , Jicha Gregory 
Published: December 2022

Abstract
Residency in rural Appalachia is linked with heightened morbidity and mortality due to a myriad of conditions, many of which are associated with increased risk and prevalence of Alzheimer’s disease and related dementias (ADRD). Despite this, access to and utilization of dementia-specific healthcare services in the region are limited. This study presents community-based stigma associated with enrollment in healthcare clinical research offered in rural Appalachia. Additional data from focus groups with care partners of people with memory impairment in rural Appalachia discuss implications of stigma in their communities. Findings elaborate on recruitment challenges associated with terminology, such as caregiver and dementia, as well as availability of diagnosticians. This study illustrates unique characteristics needed for community-based education programs tailored to the culture and customs of rural regions in order to increase utilization of healthcare for older adults at risk or living with ADRD.
DEVELOPMENT AND VALIDATION OF THE LEISURE EUSTRESS-DISTRESS SCALE
Authors: An Jaesung , Payne Laura , Liechty Toni 
Published: December 2022

Abstract
Encountering stressors is a part of everyday life and can even occur when people engage in leisure activities. This is more prevalent among older adults due to the onset of chronic condition(s), lack of resources, and social isolation. Therefore, leisure related stressors could provoke complex emotions derived by positive and/or negative responses to stressors before, during, and after older adults engage in leisure activities. Different from the concept of leisure constraints, which emphasizes causes of stress that prevents leisure engagement in the first place, the concepts of leisure eustress and distress are associated with the emotional experience of stress in the context of leisure. Despite the presence of leisure-based eustress and/or distress among older adults, there is no measurement scale that assesses this phenomenon. Therefore, the purpose of this study was to develop and validate a leisure eustress-distress scale (LEDS). Phase one of this study included in-depth interviews, expert panelists review, and a pilot study to develop and refine items. In the second phase, a target study was conducted to examine the factor structure using exploratory and confirmatory factor analysis. For validity, LEDS showed partial support for construct and criterion validity. Strategies to strengthen the scale’s validity will be discussed as well as future recommendations and practical implications of the LEDS.
SOURCES OF STIGMA AND THEIR IMPACT ON ALASKA NATIVE ADRD CAREGIVERS' WELLBEING
Authors: Kim Steffi 
Published: December 2022

Abstract
Challenges such as isolation, scarce resources, and limited knowledge of the disease are often the result of stigmatizing experiences from multiple systemic sources. No studies have investigated the impact of sources of stigma on the quality of life in Alaska Native (AN) ADRD caregivers. This exploratory, mixed-method study within a community-based participatory research framework assessed the experience of family stigma among 40 AN caregivers of people with ADRD across Alaska by administering a measure of systemic stigma and describes the impact of stigmatizing experiences on AN caregivers’ quality of life to develop preliminary data-driven stigma-reducing initiatives. AN caregivers completed the Family Stigma – Alzheimer’s Disease Scale (FS-ADS), assessing caregiver stigma, layperson stigma, and structural stigma. Quality of Life was assessed with the Goodness of Life for Every Alaska Native (GLEAN) scale. Preliminary data on structural stigma and its impact on caregiver quality of life will be presented.
GRANDPARENTING AND DEPRESSIVE SYMPTOMS IN URBAN CHINA: LIVING ARRANGEMENTS AND WORK STATUS AS MODERATING EFFECTS
Authors: Ma Luyan , Cheng Zhaowen 
Published: December 2022

Abstract
Scholars worldwide are divided as to whether grandparenting can benefit to older adults’ well-being. Evidence from rural China supports that custodial grandparenting worsens grandparents’ psychological well-being. However, given the great urban-rural gap, the situation in urban China might be different. To clarify this, we use CHARLS 2011-2013 (900 respondents) and examine the association between length and intensity of grandchild care and depressive symptoms among older adults living in urban China. We also explore the moderating effect of grandparents’ living arrangements and work status. Multiple linear regression with interaction analysis is applied in our analysis. We find that moderate levels of grandchild care, without distinguishing between living arrangements and work status, are associated with reduced depressive symptoms (β = -1.146，p &lt; .05). Grandparents are likely to have more depressive symptoms when working full-time and providing care at the same time. Comparing with not living with grandchildren, living with grandchildren is beneficial to grandparents’ mental health. Findings suggest that psychological counseling services and economic support policies should be launched to relieve the work pressure of grandparents in financial difficulties.
AGE DIFFERENCES IN EXPOSURE TO NOVEL SITUATIONS IN DAILY LIFE AND ASSOCIATED EMOTIONAL EXPERIENCE
Authors: Chu Li , Shavit Yochai , Ram Nilam , Carstensen Laura 
Published: December 2022

Abstract
Exposures to novelties are cognitively beneficial in later adulthood, but their impact on emotional well-being is still unknown. Novel situations may bring excitement as well as anxiety, and this may be different across ages According to socioemotional selectivity theory, older adults prioritize familiar and positive experiences that likely contribute to better emotional well-being over novel and negative ones, suggesting that older adults may be motivated to avoid novel situations, especially if these experiences are associated with negative emotions. This study examined age differences in novelty experienced in daily life and the associated emotions. We utilized experience sampling data collected five times a day for one week from 375 participants (age range=18-94). Contrary to the hypothesis, older age exhibited a quadratic association with novel daily experiences such that situation novelty was lowest in middle adulthood. Results from multilevel models suggested that people with higher overall exposure to novel situations had higher overall levels of negative emotions, and that when in more novel situations the prototypical individual experienced more negative emotions in general. However, consistent with SST postulates, one of these associations were moderated by age; older adults experienced lower positive emotions during novel situations than younger individuals. In contrast, the association between situation novelty and negative emotions did not differ with age. Together, these findings suggest that older adults do often find themselves in novel situations but may experience them less positively than younger adults. Implications on learning-related programs and interventions designed to expose older adults to novelties will be discussed.