bluuebunny/crossref_metadata_2025_split huggingface dataset:
ORGANIZATIONAL CONTEXT AND QUALITY INDICATORS IN NURSING HOMES: A MICROSYSTEM LOOK
Authors: Duan Yinfei , Iaconi Alba , Song Yuting , Hoben Matthias , Hayduk Leslie , Norton Peter , Estabrooks Carole 
Published: December 2022

Abstract
This cross-sectional quantitative sub-project assessed the association of organizational context (modifiable elements of work environments) with quality indicators (QIs) at the clinical microsystem (care unit) level. We used TREC data collected 09/2019-03/2020. The sample included 285 care units within 91 Western Canadian nursing homes. Outcomes included thirteen practice-sensitive QIs derived from the Minimum Data Set 2.0. Results from random-intercept logistic regression for each dichotomized QI showed that higher unit-aggregated scores on contextual elements as identified by the Alberta Context Tool, specifically care aide participation in decision-making (OR=3.7-8.4, p&lt;.05), care aide perceived staffing (OR=2.6, p&lt;.05) and time for completing tasks (OR=5.1-7.0, p&lt;.05), and care aide rated unit-level leadership (OR=20.1, p&lt;.05), were associated with a better unit-level performance on delirium symptoms, indwelling catheter use, behavioral symptoms, pain, and late-loss physical function. The findings suggest that targeting modifiable contextual elements is an important avenue for quality improvement interventions in nursing homes.
DONALD P. KENT AND ROBERT W. KLEEMEIER AWARD LECTURES
Authors: Lichtenberg Peter 
Published: December 2022

Abstract
The Donald P. Kent Award lecture will feature an address by the 2021 Kent Award recipient Luigi Ferrucci, MD, PhD, FGSA, of the National Institute on Aging. The Kent Award is given annually to a member of The Gerontological Society of America who best exemplifies the highest standards of professional leadership in gerontology through teaching, service, and interpretation of gerontology to the larger society. The Robert W. Kleemeier Award lecture will feature an address by the 2021 Kleemeier Award recipient Kenneth F. Ferraro, PhD, FGSA, of Purdue University. The Kleemeier Award is given annually to a member of The Gerontological Society of America in recognition for outstanding research in the field of gerontology.
SOCIAL RESOURCES AND STRATIFIED EXPERIENCES OF ICT USE AND LONELINESS DURING THE COVID-19 PANDEMIC
Authors: Hong Sungjae , Mejía Shannon 
Published: December 2022

Abstract
Limits to in-person social interaction increased the risk of loneliness during the Covid-19 pandemic. This study examines how gender and previous information communication technologies (ICT) experience could stratify how ICT-mediated social interactions related to loneliness during the COVID-19 pandemic. We employed National Health & Aging Trends Study data collected in 2018 and 2020-2021 (N=2,962; 27% age 85+; 57% women; 77% white) to examine how the email and video call use before and during the COVID-19 pandemic was associated with loneliness and how the degree of impact differed by gender and previous ICT experience. In total, 35% reported feeling lonely some days or more frequently during the COVID-19 pandemic. Preliminary analysis showed older adults using video calls during the COVID-19 pandemic were 1.24 times more likely to report loneliness. This association was stronger among men than women and those who did not use ICT preceding the pandemic than those who used.
REOPENING UNDER COVID-19: THE IMPACT OF REOPENING SOCIETY ON OLDER ASIAN AMERICAN’S DEPRESSIVE SYMPTOMS
Authors: Lou Yifan , Cheung Ethan Siu Leung , Liu Jinyu , Wu Bei 
Published: December 2022

Abstract

Background
The lockdown due to COVID-19 has influenced individuals’ lives in many aspects. Yet, the impact of reopening under an ongoing pandemic is understudied. This study aims to investigate the impact of reopening policy on older Asian Americans’ depressive symptoms and whether the impact varies by their sociodemographic characteristics.Method: We used interview data collected from 519 Chinese and Korean aged 60 and older in New York City between 5/23/2021 to 7/30/2021. Interrupted time series model was used to test whether there are significant level and slope changes in depressive symptoms (PHQ-9 scale) before and after the reopening on 7/1/2021 in NYC. We then ran the models in stratified sample by gender, education, income, self-reported health, and social connectedness through living arrangements, use of technology, and social interactions.

Results
Older Asians’ depression increased immediately following the reopening (ß=1.52, p&lt; 0.05), and then slowly decreased then after (ß=-0.12, p&lt; 0.001). A decrease in depression following reopening was significantly associated with the male gender, good health, higher income, living alone, having received or provided social support, daily texting, and no engagement in the discussions related to COVID-19 in social media. Discussions: While reopening may have long-term benefits on mental health, older Asians were anxious about their safety at the beginning of reopening under an ongoing pandemic. Older adults with worse health, lower SES, and limited social connectedness struggled to adjust to “back-to-normal” life. We discussed research, policy, and practice implications to support these disadvantaged older adults after reopening.
GEROFIT TELEHEALTH-DELIVERED GROUP EXERCISE IMPACTS SOCIAL SUPPORT AND HEALTH AMONG OLDER VETERANS
Authors: Abbate Lauren , Harris Rebekah , Jordan Sarah , Nearing Kathryn , Bettger Janet Prvu , Pearson Megan , Morey Miriam , Hall Katherine 
Published: December 2022

Abstract
Group exercise provides social support, which is especially important among older adults. Gerofit conducted a telephone survey with participants (n=258) from 15 sites to learn about Veterans’ experiences with transition to Gerofit-specific telehealth-delivered group exercise to guide continuous improvement of the program. One, open-ended question was asked at the end, inviting respondents to reflect on any other thoughts they had about the telehealth-delivered exercise sessions. This yielded robust qualitative responses which constitute the data analyzed in this qualitative descriptive study. Key themes that emerged from participant responses included: 1) telehealth-delivered group exercise provides structure, motivation, and accountability; and 2) transitioning from in-person to telehealth-delivered exercise has many beneficial impacts on health such as retaining strength and ability to recover from injury, weight management, and positive impacts on mental health and quality of life. Telehealth-delivered group exercise sessions provide social support and are associated with positive health impacts.
TRAINING RESEARCHERS TO CREATE RESEARCH ADVISORY BOARDS WITH OLDER ADULTS
Authors: Lessem Rachel , Berman Rebecca 
Published: December 2022

Abstract
The Sage Resource Project’s goal was to prepare researchers to use the Sage Resources to create Sage Model boards in order to continue to expand and amplify the voice of older adults in aging PCOR/CER research. Training researchers is essential to amplify the voice of older adults in research. This project culminated in the creation of a training manual as well as critical lessons learned for the advancement of engaged research with older adults receiving Long Term Services and Supports (LTSS). After developing a series of webinars for national dissemination, 5 research centers were identified as potential sites for intensive and tailored training on The Sage Model and, ultimately, two research centers completed the training with quite different approaches and results. This session will review the training that was developed as well as the lessons learned from training researchers on creating research advisory boards with older adults.
INNOVATIVE CARE ENVIRONMENTS FOR PEOPLE WITH DEMENTIA
Authors: Verbeek Hilde , de Boer Bram , Boltz Marie 
Published: December 2022

Abstract
As part of the ongoing culture movement within long-term care several innovative care concepts for people with dementia are developing. These concepts radically change their physical, social and/or organizational environment in order to align care services with needs and demands of people with dementia, and providing meaningful activities. The current symposium will discuss the effects and possible working mechanisms of innovative caring environments for people with dementia across three European countries and the US. The symposium will start with a presentation describing the Homestead care model in the Netherlands, which is a care model that was developed following a co-creation study focused on translating scientific knowledge on nursing home care environments into practice. This is followed by three presentations about the effects of three types of innovative care environments for people with dementia: (1) farm based day care in Norway, (2) shared housing arrangements in Germany, (3) green care farms providing 24-hour nursing care in the Netherlands. The three studies on the effects of innovative care environments present a variety of designs (case study, cluster randomized controlled multi-center intervention study, and a qualitative study with semi-structured interviews) to study the effects on various outcomes (activities, physical effort, social interaction, mood, the number of hospital admissions for people with dementia, quality of life, challenging behavior, risk of falls, stabilization of cognitive abilities, daily life). The symposium will conclude with a reflection on these innovative care concepts from a US perspective.
TRANSLATING SCIENCE INTO PRACTICE TO DEVELOP AN INNOVATIVE DEMENTIA CARE MODEL: THE HOMESTEAD CARE MODEL
Authors: de Boer Bram 
Published: December 2022

Abstract
This study reports on a participatory research approach to translate a scientific conceptual framework on innovative dementia care into practice. This led to the development of the Homestead care model. Results indicate that achieving positive outcomes for people with dementia, (in)formal caregivers, and the community is dependent on how well the physical, social and organizational environment are congruently designed. Physical aspects are related to interior design, outdoor areas, architecture and sensory elements. Social aspects include interactions with others in the environment, such as residents, staff, family, and the wider community (local entrepreneurs, societies, schools). Organizational aspects are related to the organizational culture and leadership of a care facility. These theoretical underpinnings of the conceptual model have been translated into three main pillars of the Homestead care model: activation, freedom, and relationships. The Homestead care model has a unique physical, social and organizational environment, which can affect daily life of residents.
LESSONS FROM CAPABLE: DRIVERS, IMPLEMENTATION EXPERIENCE, AND MARKET READINESS CONSIDERATIONS
Authors: Paone Deborah , Szanton Sarah 
Published: December 2022

Abstract
External, organizational, and individual factors which drive or restrain adoption, implementation, and scaling of CAPABLE provide lessons for other programs to move from research to practice and promote sustainability. Lessons are offered for policymakers, payers, consumers, and communities to support evidence-based programs that improve function and reduce disability for older adults. This symposium presents results from a 3-year study of implementation of CAPABLE by 40 organizations, an analysis of the drivers and restrainers of CAPABLE dissemination, and a 1-year pilot study on engaging unpaid care partners in CAPABLE. We will explore the lessons from each--finding synergy and unique insights. CAPABLE is a case example to guide efforts at the organizational, system, and societal levels.
MOVING, THINKING, AND SLEEPING: NOVEL INSIGHTS INTO PHYSICAL AND COGNITIVE HEALTH FROM ACCELEROMETRY DATA
Authors: Schrack Jennifer , Wanigatunga Amal 
Published: December 2022

Abstract
Physical activity and sleep are well-established predictors of health and longevity with aging. Wrist accelerometers, that produce high-frequency time series data, capture multiple aspects of daily physical activity and sleep 24-hours/day. Historically, the majority of accelerometry-based activity research has employed summary metrics to understand the associations of total daily physical activity and sleep with physical and cognitive health. Although these measures are important for understanding conformity with physical activity and sleep recommendations, they underutilize the potential of these data. Further, the summary metrics may differ by accelerometer type/brand, making it difficult to translate results across device types and studies. This symposium will examine the associations between accelerometry-derived physical activity and various aging-related health outcomes, and compare the measurement properties of two commonly used accelerometers for measuring sleep. Ms. Marino will discuss the association of physical activity volume and fragmentation with the presence of the Apolipoprotein-ε4 genotype in the Baltimore Longitudinal Study of Aging (BLSA), overall and by time of day. Dr. Wanigatunga will present evidence on the association of physical activity patterns with beta amyloid plaques in the BLSA. Dr. Schrack will present the association of physical activity fragmentation and diurnal patterns with peripheral artery disease in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). Finally, Ms. Liu will compare measurement of sleep variables derived from two commonly used accelerometers. Collectively, these presentations highlight ways to utilize the richness of accelerometry data to illuminate more sensitive associations between movement and health outcomes to advance prevention science and promote health aging.
DIFFERENCES IN PHYSICAL ACTIVITY AMOUNT AND FRAGMENTATION OVER 24 HOURS BY B-AMYLOID STATUS AND AGE
Authors: Marino Francesca , Liu Fangyu , Simonsick Eleanor , Tian Qu , Deal Jennifer , Wanigatunga Amal , Resnick Susan , Schrack Jennifer 
Published: December 2022

Abstract
β-amyloid is a hallmark of Alzheimer’s disease and can be measured in vivo by PET imaging. Whether PiB+ (elevated β-amyloid) individuals exhibit distinct physical activity patterns throughout the day (i.e., activity amount or fragmentation) is unknown. Using data from 125 BLSA participants (56-95 years) with PET imaging and ≥3 days of wrist accelerometry, we examined associations between PiB status and activity patterns daily and during 6-hour time blocks using multivariable linear regression models. Modification by age was also examined. Daily total activity counts and activity fragmentation did not differ by PiB status (p=0.34 and p=0.70, respectively). Yet, per each additional year of age, PiB+ individuals were more active during early morning (p=0.04) and evening (p=0.029) but trended towards less active in mid-morning (p=0.069) than PiB- individuals. Though replication of findings is needed, older PiB+ participants appeared more active in the late evening/early morning, possibly reflecting altered sleep-time, agitation, or restlessness.
FACTORS ASSOCIATED WITH HIGH-RISK DISCHARGES FROM NURSING FACILITIES
Authors: Hughes Kelly , Feng Zhanlian , Oliveira Iara 
Published: December 2022

Abstract
Although some nursing facility discharges are appropriate or an individual’s choice, others may be facility-initiated discharges (FIDs) that are potentially inappropriate. Since FIDs cannot be observed directly in available data, this study focused on live discharges of residents with risk factors for FIDs from 2011-2017. We defined risk factors as characteristics identified in prior literature that were more prevalent among residents discharged live than residents not discharged in our analysis. We found the following risk factors: severe behavioral symptoms; impairments requiring more staff time; and transition to Medicaid eligibility. Psychiatric and mood disorders were not identified in prior literature but also associated with live discharge. Risk factors were consistent across years but varied by state and facility type. For-profit, chain, and government facilities were most likely to discharge residents with risk factors. Furthermore, the rates of post-discharge acute care use were highest among residents with risk factors.
PROGRAMS TO IMPROVE QUALITY OF LIFE AND HEALTH: WHAT DO OLDER ADULTS AND PRACTITIONERS THINK?
Authors: Ritter Ashley , Glicksman Allen , Stone Robyn 
Published: December 2022

Abstract
Numerous programs and services are designed to help older adults improve their health and quality of life. Impact evaluations typically focus on health outcomes. Often, less attention is paid to the opinions of professionals tasked with administering these efforts or the older persons and caregivers about the need for the program or the way the program is administered. This panel addresses the question with four presentations, each of which uses data collected from practitioners and/or older adults to gain their perspectives on programs to help maintain quality of life and health. Sweeny examines the experience of older LTBTQ adults as they navigate the care and social service systems. Dictus and colleagues will describe a community level effort to develop a master plan for aging in one county. The method for including the views of the older adults in the process can be a model for other communities. Corpora and colleagues report on efforts to ensure that staff are aware of important preferences of nursing home residents, with a focus on the predictors of successful implementation. Glicksman and colleagues examine the impact of migration on the attitudes and perceptions of older Spanish speaking migrants toward the formal long-term care system. Finally, Stone will address the question of how these types of data can be used to help shape policy and practice, using research to help older adults and professionals at all levels to support older persons in community and facility care.
ENGAGING OLDER ADULTS AND STAKEHOLDERS TO DEVELOP A COMMUNITY MASTER AGING PLAN: A CASE EXAMPLE
Authors: Dictus Cassandra , Allgood Sallie , Lavalley Ryan , Tyler Janice , Rosemond Cherie 
Published: December 2022

Abstract
As our population ages, communities are creating policies and programs to support older adults. Yet, there is a lack of input from older adults about which policies and programs meet their needs. This case example describes how one community in North Carolina (NC) engaged community stakeholders (older adults and organizational leaders) in all phases of their Master Aging Plan (MAP). Community stakeholders participated in a community assessment through surveys (n=860), focus groups (n=13, 63 participants), key stakeholder interviews (n=34), and two community-wide listening sessions. Organized by the WHO’s age-friendly framework domains, community stakeholders formed workgroups to create, implement, and track the MAP. An evaluation was completed using the tracking documents, ripple effect mapping, and workgroup leader interviews. Orange County, NC’s experience with collaborative community engagement can serve as a guide for other communities seeking to involve community stakeholders in the development and evaluation of their own MA
DIFFERENCES IN HEALTH AMONG LOW-INCOME OLDER IMMIGRANTS: DOES ETHNICALLY HOMOGENEOUS ENVIRONMENT MATTER?
Authors: Kim BoRin , Ryu ByeongJu , Baek Jihye , Park Sojung , Jeong Chung Hyeon , Park Jina 
Published: December 2022

Abstract
Older immigrants comprised 14% of the US older population, which is predicted to continue to rise. Despite the importance of ethnic attachment in older immigrants’ well-being, little is known how ethnically homogeneous housing environment affect older adults’ health. This study aims to fill the gaps in knowledge on low-income older immigrants living in subsidized senior housing and to explore the associations between immigrant status, senior housing environments, and self-rated health among this population. Our survey data was collected from 18 subsidized senior housing communities in IL, MO, and NH (N=459). Bilingual surveyors fluent in Chinese, Russian, and Korean were also available for the participants with limited English proficiency as the sampled housings were the multi-ethnicity properties. Hierarchical Linear Modeling was employed for our analysis to address our participants were clustered within senior housing.More than a half (56%) of our sample lived in ethnically homogeneous senior housing (either all immigrants or all non-immigrants). Immigrants consist of 53% of our sample, and 48% of them lived in ethnically homogeneous housing. Our finding showed that immigrants were more likely to report low level of self-rated health (OR=0.885, p&lt; 0.01). However, ethnically homogeneous senior housing environments positively influence the association between immigrant status and self-rated health (OR=1.219, p&lt;.05).This study highlights the importance of ethnically homogeneous living environment for low-income older immigrants in senior housing. Although ethnic diversity may be beneficial in broader society, concentration of ethnic minority older immigrants could play an important role in terms of social support and service delivery.
NEIGHBORHOOD CHARACTERISTICS AND QUALITY PERFORMANCE OF HOME HEALTH AGENCIES: A COHORT STUDY
Authors: Ma Chenjuan 
Published: December 2022

Abstract
Home health care (HHC) is a core source of home- and community-based services to older adults “aging in place’. This study examined variation in HHC quality by neighborhood characteristics in the US by using 5 years (2014-2019) of national Home Health Compare data linked to Providers of Services (POS) files and Area Health Resources Files (AHRF). HHC quality was measured by agency rates of timely initiation of care, hospitalization, and ED visits. We examined 7,487 HHC agencies (37,435 agency-years) in 1,760 counties. At baseline, the mean rates of timely initiation of care, hospitalization, and ED visit were 91.5%, 15.8%, and 12.5%. On average, county percentage of Blacks, Hispanic, individuals with college degree, unemployment, and being in poverty were 12.9% (range: 0.1% – 76.0%), 20.6% (0.4% - 95.8%), 30.4% (7.3% - 77.6%), 5.4% (2.1% - 24.0%), and 14.4% (3.1% - 38.0%) respectively in 2015. Estimates from multivariate regressions showed that neighborhoods with higher proportion of Blacks (β= -0.04, p=0.000) and Hispanics (β= -0.02, p=0.000), higher rate of unemployment (β= -0.07, p=0.035) were less likely to have HHC agencies providing timely initiated care; neighborhoods with higher proportions of Blacks (β= 0.01, p=0.000) and higher poverty rates (β= 0.02, p=0.027) were more likely to have HHC agencies with higher hospitalization rates; and neighborhoods with higher poverty rates (β= 0.04, p=0.000) were more likely to have HHC agencies with higher ED visit rates. Our findings indicate that racial/ethnic minorities in neighborhoods with low socioeconomic status were less highly to access high quality HHC.
ANIMAL MODELS AND THE EMERGENCE OF GEROSCIENCE
Authors: Austad Steven 
Published: December 2022

Abstract
Aging, meaning the generalized deterioration in physical and mental function with time, influences nearly all living species. Moreover, many underlying biological mechanisms of aging appear to be conserved. At the same time, there appear to be great differences in the rate at which different species age. Research using both traditional and nontraditional animal species, employing both laboratory and field studies has offered important insights into the discovery of underlying causes of aging. Also, a variety of studies using well-established animal models of aging have now identified both repurposed medications and new compounds and other approaches that appear to slow biological aging with potential improvements in lifespan and healthspan. It is these findings, when framed in the context of the emergence of multiple chronic diseases with aging, that have led to the Geroscience Hypothesis.