bluuebunny/crossref_metadata_2025_split huggingface dataset:
REVISITING ELECTRONIC FRAILTY INDEX BY ADDING A LAB-BASED MARKER OF NUTRITION: A HEART FAILURE COHORT
Authors: Kim Seulgi , Orkaby Ariela , Park Catherine , Horstman Molly , Virani Salim , Intrator Orna , Naik Aanand , Razjouyan Javad 
Published: December 2022

Abstract
Malnutrition is associated with worse prognosis and increased risk for adverse outcomes in patients hospitalized with heart failure (HF). The objective is to assess the utility of adding the Prognostic Nutritional Index (PNI), a validated measure of nutritional status, to the Veterans Health Administration frailty index (VA-FI) in predicting time to death in patients hospitalized with HF. We conducted a retrospective cohort study of veterans age ≥50 years hospitalized with HF as their primary diagnosis. PNI was calculated using lab values in the year prior to hospitalization with the following equation: 10 x serum albumin (g/dL)+0.005 x total lymphocyte count (mm3). VA-FI identified five groups: robust (≤0.1), prefrail (0.1–0.2), frail (0.2–0.3), moderately frail (0.3–0.4), and severely frail (&gt;0.4). PNI was added to VA-FI (VA-FI-Nutrition) using the same cutoffs. We identified changes in frailty status using VA-FI versus VA-FI-Nutrition by summarizing the count by each class and reported the hazard ratio (HR) for all-cause mortality in each VA-FI category based on the new VA-FI-Nutrition groups. VA-FI-Nutrition identified patients within each VA-FI class that belong to the next frailty strata: robust (20.2%), prefrail (18.3%), frail (16.7%) and moderately frail (16.7%). We observed higher mortality rates among those whose frailty class changed based on VA-FI-Nutrition compared to VA-FI: robust (HR, 1.65, 95%CI:1.38, 1.97), prefrail (HR, 1.52, 95%CI: 1.41, 1.65), frail (HR, 1.42, 95%CI: 1.33, 1.52), and moderately frail (HR, 1.33, 95%CI: 1.24, 1.43). Adding PNI to VA-FI provides a more accurate mortality assessment and may be utilized to triage high-risk patients.
THE QUALITY IN QUALITATIVE: AN EXAMINATION OF RETIREMENT INTERVIEWS
Authors: Silver Michelle 
Published: December 2022

Abstract
Qualitative interviews are a dynamic and complex way to understand life experiences. Retirement is an ever-evolving, dynamic, and complex social construct we associate with the end of one’s career. Exploring what retirement means to different people in the context of critical gerontological theories of successful aging can contribute to a better understanding of the implications of this important transition at the individual and societal level. However, sifting through participants stories is not always a straightforward endeavor, particularly in the case when participants have complex and dynamic stories. This paper examines the value of qualitative research methods in unpacking complex personal narratives. As the landscape surrounding mature workers’ experiences continues to change, this paper extends policy debates about retirement, as well as scholarly conversations about the richness and complexity of qualitative research.
PROFILE OF OKLAHOMA CLIENTS REFERRED TO ADULT PROTECTIVE SERVICES FOR ALLEGED SELF-NEGLECT
Authors: Tuft Samantha , Ejaz Farida , Rose Miriam , Reynolds Courtney 
Published: December 2022

Abstract
Self-neglect is the most commonly reported allegation of abuse to Adult Protective Service (APS) agencies nationwide. Researchers collaborated with Oklahoma APS to understand characteristics of allegedly self-neglecting clients who were reported to APS (focus of this paper), and to subsequently refer a random sub-sample to home-and community-based services and track outcomes. Clients (n = 188) were interviewed by phone; data were collected on demographic and background characteristics, physical and mental health, social support, social isolation, and the impact of COVID-19 on them. Most clients were white, 18% were American Indian, and 14% were African American. Their ages ranged from 18–92 years, 63% were women, most were low-income ($12,000-$15,000 annually), and 60% lived alone. Many used public benefits such as Medicare (75%), Social Security, and Medicaid. Based on PHQ scores, about a third had moderate to severe symptoms of depression; and 27% scored similarly on anxiety. More than a third saw family and friends less often during the pandemic. APS administrative data was also obtained on these clients and preliminary analyses indicated that the 188 study participants had a total of 205 allegations of self-neglect prior to the study, with 76% of the allegations needing a referral for community services. During the intervention phase, however, only 31 clients had any type of abuse allegations with 24 being for self-neglect. About half needed community services. It is possible that services they were referred to prior and during the study was related to the decline in self-neglect allegations during the study period.
POTENTIALLY INAPPROPRIATE MEDICATION USE INCREASES RISK OF INCIDENT DISABILITY IN HEALTHY OLDER ADULTS
Authors: Lockery Jessica , Collyer Taya , Woods Robyn , Orchard Suzanne , Murray Anne , Ernst Michael 
Published: December 2022

Abstract

Background
Efforts to minimize medication risks among older adults include avoidance of potentially inappropriate medications (PIMs). However, most PIMs research has focussed on aged or inpatient care, creating an evidence gap for community-dwelling older adults. To address this, we investigated the impact of PIMs use in the ASPREE clinical trial.

Methods
ASPREE enrolled 19,114 community-dwelling participants aged 70+ years (65+ if US minorities) without a history of major cardiovascular disease, cognitive impairment, and significant physical disability. PIMs was defined according to a modified 2019 AGS Beers Criteria. Cox proportional-hazards regression models were used to estimate the association between baseline PIMs exposure, and disability-free survival, death, disability, and hospitalization, with adjustment for comorbidities including frailty.

Results
At baseline, 7396 (39% of total) participants were prescribed at least one PIM. Compared with those unexposed, participants on a PIM at baseline were at an increased risk of persistent physical disability (Adjusted HR 1.47, 95%CI 1.21, 1.80) and hospitalization (Adjusted HR 1.26, 95%CI 1.20, 1.32), but had similar rates of disability free survival and death. These effects did not vary by polypharmacy status. PIMs exposure was associated with higher risk of disability followed by hospitalization (Adjusted HR 1.92, 95%CI 1.25, 2.96) as well as vice versa (Adjusted HR 1.54, 95%CI 1.15, 2.05). Conclusions: PIMs exposure is associated with increased risk of incident disability and hospitalization. Increased risk of disability prior to hospitalization suggests that PIMs use may start the disability cascade, emphasizing the importance of caution when prescribing PIMs for community-dwelling older adults.
THE POSSIBILITY OF PREVENTION: THE PUBLIC HEALTH CENTER OF EXCELLENCE ON DEMENTIA RISK REDUCTION
Authors: Baumgart Matthew 
Published: December 2022

Abstract
While we may not be able to predict with certainty whether any particular individual can prevent dementia, we are now able to talk about dementia risk reduction at the population level. The Public Health Center of Excellence on Dementia Risk Reduction reviews and synthesizes the state of the science on modifiable risk factors for cognitive decline and dementia. The Center translates that science into public health action – identifying interventions and best practices to address those risk factors – and develops tools and resources for public health agencies. The Center disseminates this information and works with public health to undertake community-level actions to address risk factors. The Center also works with public health agencies to: (a) address the social determinants of health with respect to dementia risk; (b) build capacity to enable smaller agencies to engage in risk reduction activities; and (c) partner with health systems to advance risk reduction.
APPLYING REFRAMING AGING GUIDELINES WHEN REVIEWING FOR NON-AGING JOURNALS
Authors: Suntai Zainab 
Published: December 2022

Abstract
The Reframing Aging initiative began in 2012 with the aim of changing the way in which the public views aging, and one of the key tenets of the initiative centers around language that perpetuates negative views of aging. Despite widespread knowledge about the initiative, recent publications in high-tier journals point to a gap in adopting the Reframing Aging initiatives outside of aging journals. Terms that project a negative view of older adults are still used in manuscript titles and within abstracts and bodies of research publications in non-aging journals. As researchers who publish aging-related work, members of organizations such as the Gerontological Society of America are often solicited as reviewers for their expertise in the field of aging. While many researchers in aging may review for aging-related journals, such expertise is often needed in non-aging journals. As such, it is critical for aging researchers to continue to advance the Reframing Aging initiative when conducting reviews of manuscripts that do not adhere to the guidelines. This presentation will provide explicit examples of such publications and review specific steps that reviewers can take in addressing the Reframing Aging initiative in future reviews.
AN AGE-FRIENDLY NURSING HOME PROJECT ECHO IN RURAL COMMUNITIES
Authors: Jennings Lee , Round Teri , Sturdevant Diana , Kleszynski Keith 
Published: December 2022

Abstract
We launched an Age-Friendly Nursing Home Project ECHO in October 2021 focused on the 4Ms (mobility, medications, mentation, what matters most) with emphasis on dementia and QI in long-term care. One-hour virtual sessions included a short expert presentation and case discussion, were offered twice weekly, and recordings were posted online. Topics included person-centered care, advance care planning, LGBTQIA+ care, fall prevention, medication reduction, dementia resident activities, oral health, skin integrity, staff retention, COVID-19, PDSA cycles, root cause analysis, team huddles, among others. 235 individuals from 80 nursing homes, 19 ALFs, 6 continuing care communities, and 10 VA-affiliated sites in 5 states (OK, AR, KS, MO, CO) participated in the first four 6-week ECHO series; 27% attended ≥2 series. Most attendees were nursing home administrators (46%), directors of nursing (20%), nursing assistants (12%), or activity directors (11%). Most were female (91%) and worked in rural settings (77%). 237 attended an additional COVID-19 update session. 152 participants (65%) completed an evaluation. 91% rated the program as valuable (score≥8/10); 99% would recommend to others; 57% discussed topics with colleagues; 59% reviewed materials after sessions; 25% implemented new QI processes; and 25% made a change to resident care. Suggestions for future sessions included: active shooter training, antibiotic stewardship, team building, staff-resident communication, dementia training for non-clinical staff, weight loss, capacity determination, and family caregiver support. An age-friendly nursing home Project ECHO was well-received by health professionals in long-term care. ECHO can successfully expand the reach of training in long-term care, especially in rural areas.
INITIAL EXPERIENCE OF THE FIRST HELPLINE DEVOTED TO SUPPORTING CONCERNED PERSONS IN THE LIVES OF ELDER ABUSE VICTIMS
Authors: Chang E-Shien , Rachmuth Lisa , Seki Yuichi , Regenbogen-Weiss Sandy , Ross Serena , Irias Lina , Lachs Mark , Rosen Tony 
Published: December 2022

Abstract
Elder abuse is common and can deeply impact older adults who experience it. Little is known, however, about another group that may be profoundly affected: non-abusing family members, friends, and neighbors, referred to as “concerned persons”. We describe the initial experience of the first telephone helpline in the U.S. devoted to supporting these concerned persons. The New York City Elder Abuse Center developed a Concerned Persons Helpline to assist concerned persons and alleged victims in New York State. Using this frontline call data, we examined characteristics of concerned persons, circumstances surrounding alleged abuse, and interventions offered. Overall, the helpline received 864 total calls (16.6 calls per week) over a one-year period between 10/1/20 to 9/31/21. An initial subset of 149 logged calls were used for this exploratory analysis. Concerned persons most commonly reported that an older adult in their life was suffering from financial exploitation (28.9% of all callers), followed by caregiver neglect (26.2%), with 42.2% reporting poly-victimization. Relationship of callers to alleged victims was most commonly non-abusing adult child (37.6%), followed by other relatives (13.4%), friends (12.8%), and neighbors (10.0%). An adult child was also the most commonly reported perpetrator (36.9%). A large proportion of alleged victims suffered from cognitive impairment and/or physical disabilities (55.7%). Intervention provided included referrals to social services, civil and legal services, victim assistance programs, and caregiver counseling programs. Developing resources to support concerned persons should continue to be a research and practice priority in elder abuse.
EARLY OUTCOMES OF A NATIONAL CONSORTIUM TO ADVANCE FAMILY CAREGIVERS IN NURSING EDUCATION
Authors: Zhao Hui , Mullins Lindsay , Davis Andra , Sexson Kathryn , Hart Sara 
Published: December 2022

Abstract
Family caregivers (FCGs) hold primary responsibility in caring for people with chronic illness often with little training and insufficient resources Standardized guidance for supporting FCGs currently does not exist. Given this fact, it is an urgent call to healthcare professionals, particularly nurses as the key members of the healthcare team, to promote education for FCGs. In April 2022, experts in the field of family caregiving from UC Davis and University of Utah schools of nursing, convened educators and champions of FCGs from across the country and formed the Family Caregiving Nursing Education Consortium to advance the inclusion of FCGs in nursing education in order to address the lack of standardized nursing competencies for family caregiving. The consortium consists of members from nine diverse universities representing member expertise in pediatrics, geriatrics, palliative care, disabilities, mental health, and underserved communities in order to address a broader range of health issues through the lifespan. Preliminary data were reviewed and identified as a framework, including Family Caregiver Competencies for Interprofessional Education (4 domains) developed by the school of nursing at UC Davis and the AACN Essentials (10 competency categories). Members mapped the family caregiving competencies to the AACN Essentials (2021) during monthly meetings. Though current work presented an early-stage outcome, it marched through crucial steps, including institutional environmental scans, needs assessments, and toolkit development, as building blocks that not only advanced the inclusion of family caregiving education in nursing curricula but also provided foundation to guide the next stage of work.
AGEISM: AGING KNOWLEDGE AND PERSPECTIVES OF THE AGING NUTRITION NETWORK
Authors: Schultz Savannah , Francis Sarah , Bauman Alexandra 
Published: December 2022

Abstract
Addressing ageism is essential to support older adult well-being. The Nutrition and Aging Resource Center (NRCNA) (1) examined the general characteristics, aging perceptions, and preferred training modalities of national aging nutrition network providers and (2) measured the impact an ageism webinar had on topic familiarity, knowledge, and behavioral intent. Frequencies were run to analyze the characteristics, aging perceptions, and behavioral intent while Wilcoxon signed rank tests measured outcome changes. Ageism was assessed via the W.H.O. Ageism Quiz (AQ) while aging perceptions were measured with the Facts on Aging Quiz (FAQ) and Expectations Regarding Aging (ERA). Respondents (n=1910) were primarily female (63%), non-Hispanic (90%), and white (87%) with an average age of 50 years. At least one-half had moderate ageism and aging perspective scores [Mean scores: AQ = 4.9±1.9 (max 8); FAQ =5.9±1.8 (max 10); ERA = 54.4±18.7 (max 100)]. The most preferred continuing education format was live webinars (44.3%). In response, a one-hour webinar about unconscious aging bias was offered in June 2022. A retrospective evaluation was used to assess the webinar impact (n=130 responses). A significant increase in subject matter familiarity (Z= -8.8, p &lt; 0.0001) and knowledge (Z= -8.5, p &lt; 0.0001) was noted. Further, analyses revealed positive attitudes (beneficial, good idea), perceived behavior control, indirect social norms (client support), and intent to reflect on past interactions with an older adult(s) to see how age-related biases might have influenced those interactions. These results illustrate the need for and the impact of ageism awareness training among those who work with the aging population.
AGE-INCLUSIVE PRINCIPLES ON CAMPUS: EMBRACING DIVERSITY ACROSS THE LIFESPAN
Authors: Munly Kelly , Jacobson Lauren 
Published: December 2022

Abstract
In this poster, researchers based at a Mid-Atlantic university campus provide an understanding of their evaluative steps informing an adaptation of the Diversity Circles program to include a multigenerational component, supporting diversity across the lifespan. Project methods and analysis have been informed by critical theoretical frameworks, including feminist gerontology, that illuminate the invisibility of age, even in the context of intersectional work. Pilot feedback from five participants from a condensed program in an Adult Development and Aging course informed the interview approach. Post-program semi-structured interviews, with program participants, including students and older adults (n=7), and community stakeholders (n=18), provided feedback on diversity needs at the campus and in the surrounding community, as well as on program content and experience and opportunity for further curriculum integration of concepts of age-friendliness, ageism, and age-awareness. Stakeholders interviewed included community practicum liaisons, university advising and student affairs staff, faculty and staff previously engaging in diversity-related activities, university administrators, university personnel attending to enrollment matters, and staff and faculty interested in student-centered curriculum design. Semi-structured interviews were chosen for data collection because of their capacity to provide saturated data from a small, purposeful sample. Focused codes emergent from the interviews included both a) suggestions for curriculum adaptation and modification as well as the value of existing content and b) issues of age-friendliness and ageism more generally. The research team looks toward incorporating suggestions within their findings in an expansion of the program on their campus, and disseminating findings for the benefit of other campuses’ programs.
PROMOTING EFFECTIVE DIAGNOSIS: THE PUBLIC HEALTH CENTER OF EXCELLENCE ON EARLY DETECTION OF DEMENTIA
Authors: Chodosh Joshua 
Published: December 2022

Abstract
The Public Health Center of Excellence on Early Detection of Dementia brings together a broad coalition of stakeholders to assure widespread awareness of why early detection of dementia matters. The Center assesses and disseminates the best evidence supporting early detection and how to accomplish it – the first step on the pathway to high quality, effective diagnosis and health care for people living with dementia. The Center’s advisory group represents key state and county Departments of Health, healthcare systems and primary care providers, community organizations, and professional societies. The Center identifies effective materials and marketing strategies for increasing awareness about cognitive impairment, the value of earlier detection, and how best to conduct detection strategies. The Center works closely with state, county, and tribal public health agencies in dissemination, and seeks to establish collaborative linkages with healthcare systems and their primary care providers to build strategies for post-detection diagnosis and care.
A PILOT STUDY OF AN INTERGENERATIONAL BOOK CLUB: LESSONS LEARNED FOR IMPROVING FEASIBILITY
Authors: Frey Katelyn , Sublett Jennifer , Stanley Jennifer , Stearns Harvey 
Published: December 2022

Abstract
Intergenerational book clubs have been successful in reducing ageist attitudes of younger adults (YA) while increasing feelings of social connectedness among older adults (OA; Lohman et al., 2003). We implemented both in-person (Nf11: YA=4, OA=7) and virtual (Nf8: YA=5, OA=3) modalities for an intergenerational book club to increase intergenerational interactions on campus, considering aging researchers’ claim of heightened ageism and exacerbated loneliness following the beginning of the COVID-19 pandemic (Ayalon et al., 2020; Brooke & Jackson, 2020). Both groups met thrice over twelve weeks and completed measures on ageist attitudes (α=.83), engagement with the group (α=.91), and social connectedness (α=.91) each time. There was attrition in both groups (final meeting: Nf9 (in-person) and Nf3 (virtual)). To better understand overall motivations to participate and what factors may have contributed to attrition, we utilized content analysis with participants’ feedback to examine their motivation for joining, what they enjoyed most after participating, and what they would improve. Participants were motivated to join because they enjoyed reading; comparatively, they enjoyed group discussions and hearing different perspectives. Future recommendations include meeting more often, increasing the number and size of groups, and scheduling meetings closer together. The majority wished to continue participating. The data suggest future expansion of intergenerational book clubs on campus are desired to support age-friendly interactions and needed to further examine if these interactions can curb ageism and increase social connectedness among diverse age groups. Discussion will include recommendations regarding measures, lessons learned for an optimal protocol, and next steps.
COMMUNITY-DWELLING OLDER ADULTS’ PERCEPTIONS OF SMART HOME SURVEILLANCE: AN INTEGRATIVE REVIEW
Authors: Khan Shehroz , Campbell Jessica , Buchan Jacob , Bianchi Andria , Hoey Jesse , Chu Charlene 
Published: December 2022

Abstract

Background
Many older adults wish to use smart homes for aging in place, health monitoring, and enhanced safety. However, concerns over privacy and security remain pressing. User perception studies can help to inform policy and design solutions. Aim: To explore community-dwelling older adults’ (50+) perceptions of smart home surveillance.

Methods
As part of a larger scoping review of smart home user perception based on four non-mutually exclusive categories: privacy, safety, purpose of data collection, and risk, we found 68 results. 15 studies focused on older adults exclusively and were included in this review.

Results
The included studies mainly focused on smart speakers, motion sensors, or home monitoring systems. 13 studies (87%) discussed user privacy concerns in terms of data collection and access. Nine studies (60%) reported that users were enthusiastic about the potential for home safety, improved health outcomes and independent living with smart homes. Seven risk awareness studies (47%) featured a range of perspectives on sharing sensitive information due to the possibility of data breaches and third-party misuse, with some reporting a willingness to trade privacy for enhanced safety. Finally, four studies (27%) explored user knowledge of data collection purposes. While many were uncertain of the details, users were generally more comfortable sharing smart home data with healthcare professionals than others.

Conclusion
This review has helped us in creating a user perception survey that is currently in the fielding stage. Given Canada’s increasing aging population and technological advances, privacy regulators and designers should focus on older adults’ concerns.