bluuebunny/crossref_metadata_2025_split huggingface dataset:
PAVING THE WAY FOR AGE-FRIENDLY UNIVERSITY DESIGNATION: ACCESS AND SUPPORT FOR OLDER ADULT LEARNING INITIATIVES
Authors: Felsted Katarina Friberg , Eaton Jacqueline 
Published: December 2022

Abstract
Through a GSA/AARP funded grant, the University of Utah implemented an initiative to promote awareness of a state bill which provides reduced tuition for residents 62 and older. The initiative provided tuition waivers to older adult students, which enhanced enrollment and increased engagement with key age-friendly stakeholders. Implemented over four semesters, student use of tuition waivers increased 875%. This initiative was a crucial step in seeking Age Friendly University (AFU) designation, as it led to mentorship from members of the AFU global network and a partnership with our university’s Emeritus Faculty Board. Strategic planning guided the preparation of a four-step plan towards designation: 1) complete a cross-campus AFU inventory and inform campus stakeholders, 2) report progress to the Council of Deans, 3) present to Academic Vice Presidents, and 4) obtain AFU endorsement from the University President. During this presentation we will present lessons learned as we progress towards designation.
FOSTERING SOCIAL CONNECTIVITY AND RESILIENCE IN SEXUAL AND GENDER MINORITY OLDER ADULTS
Authors: Kim Hyun-Jun 
Published: December 2022

Abstract
While social connectedness and engagement are key aspects of well-being over the life course, sexual and gender minority (SGM) older adults are found to experience elevated risks of social isolation and limited social connectivity, which have been linked to loneliness. Social isolation and loneliness have been significant health concerns, increasing risk of premature death, cognitive decline, and poor health and well-being, yet SGM older adults are resilient populations. To address the strengths and challenges found in evidence-based intervention development, it is critical to understand how they have managed to build and maintain their social resources and reduce social isolation and loneliness. To this end, this symposium will analyze and incorporate the results using data from both Aging with Pride: National Health, Aging and Sexuality/Gender Study (NHAS), the first longitudinal study of SGM older adults in the United States and Innovations in Empowerment and Action (IDEA) Café, the first clinical trial pilot study addressing social isolation among SGM older adults living with dementia. Dr. Kim and colleagues with present a factor analysis suggesting a multi-dimensional construct of social resources unique to SGM older adults. Dr. Fredriksen Goldsen and colleagues will identify sexual and gender diverse older adults at heightened risk of loneliness and examine risk and protective factors. Dr. Emlet and colleagues will present findings from a pilot study, IDEA Café, designed to enhance social connectedness, physical functioning, and quality of life among socially isolated SGM older adults with cognitive impairment.
FRIENDSHIP IN APHASIA
Authors: Douglas Natalie 
Published: December 2022

Abstract
People living with aphasia (PLWA) have identified friendship as a key area of need, and any programs or interventions designed to support this priority should have the input of PLWA at the forefront. This portion of the symposium will outline steps that were taken to engage PLWA in the development of evidence-informed interventions and programming to support friendship for PLWA, despite the challenges PLWA face in communication. The process of developing and using a multi-stakeholder advisory board of clinicians, researchers, PLWA, and family members will be described. Data highlighting key themes from interviews of PLWA, their significant others, and their friends will be presented including reciprocity, persistence, and communication strategies. Finally, communication techniques to engage PLWA in research activities as informed by PLWA themselves, clinicians, and researchers will be provided.
UNDERSTANDING THE DIMENSIONS OF SOCIAL RESOURCES AMONG SEXUAL AND GENDER MINORITY OLDER ADULTS
Authors: Kim Hyun-Jun , Goldsen Karen Fredriksen , Romanelli Meghan 
Published: December 2022

Abstract
Despite the growing number of recent studies on the positive role of social resources on health and well-being among SGM older adults, the multi-dimensional construct of social resources has not been examined due to a lack of adequate measures and data. This study describes the rationale behind the measurements of social resources used in the National Health, Aging, and Sexuality/Gender Study (NHAS). We analyze NHAS data collected in 2014 (N = 2,450) to assess the reliability of these social resource measurements. Out of 28 indicators of social resources (α = .82), three distinct factor structures emerged: relational social connectedness (α = .71), collective social connectedness (α = .82), and perceived social connectedness (α = .79). All item-rest correlations for each scale were moderate to strong. The scales could be used to understand various aspects of social resources and its role in enhancing health and well-being in the historically marginalized populations.
MULTISTAKEHOLDER COLLABORATION TO BETTER ADDRESS MEANING IN LIFE: PARTICIPATORY ACTION RESEARCH
Authors: Bakker Franka , van Leeuwen Theo 
Published: December 2022

Abstract
Meaning in life of older adults is related to a good life. Health and social care professionals are expected to address tensions in finding meaning in life among their clients. From 2020 to 2022, we conducted a 24-month participatory action research to discover how professionals in spiritual care, social workers, and volunteers can collaborate to better recognize, address and support questions regarding meaning in life. Four groups of co-researchers were composed, each consisting of a social worker, professionals in spiritual care, older adult, volunteer, students and researcher. They had monthly meetings to discuss actions and findings. In-between, collaboration activities were shaped and qualitative data were gathered about e.g. experiences. Results show that collaboration can be shaped by activities like providing workshops, expert consultation, coaching-on-the-job, jointly shaped interventions for clients, dialogue sessions, and multidisciplinary meetings. Thereby, for realising sustainable collaboration and ongoing mutual learning, structural and person-independent encounters should be realised.
DOES PERTURBATION-BASED BALANCE TRAINING ON COMMERCIAL TREADMILLS IMPROVE BALANCE RECOVERY IN OLDER ADULTS?
Authors: Whitten Justin , Oleary Bryant , Tarabochia Dawn , Graham David 
Published: December 2022

Abstract

Background
Perturbation-based training (PBT) is a balance training method that causes a trip like event requiring a rapid step response to regain balance. There are numerous examples in the literature demonstrating the effectiveness of PBT but the need to use an expensive treadmill in a scientific laboratory limits the general applicability of PBT as a community-based intervention. A possible solution is to rapidly stop the treadmill belt during walking using the e-brake as the perturbation event. Importantly this could be performed on a commercially available, lower cost treadmill. Therefore, the purpose of this study was to evaluate the effectiveness of a commercial treadmill during PBT.

Methods
Seventeen participants completed either 9 weeks of PBT or conventional balance training based on ACSM guidelines. During an initial and final testing session participants balance recovery performance was evaluated. Participants were released from a forward static lean angle and asked to recover with a single step, during this test their movement was recorded and subsequently used to determine the Margin or Stability pre- and post-training. Participants were tracked for 6 months following the intervention and falls were recorded on a weekly basis. Results and Summary: There was no difference in balance recovery performance between groups following the training intervention and there was no difference in fall rate between groups in the 6-month follow-up period. We conclude that overall using the e-brake of a commercial treadmill is ineffective as a PBT strategy as it elicits no greater benefit than conventional exercise training.
AGING BODY AS CONTEXT: THE ROLE OF INTEROCEPTIVE AGING IN MID- AND LATE-LIFE EMOTION
Authors: MacCormack Jennifer 
Published: December 2022

Abstract
Interoceptive sensations (e.g., racing heart, clenched gut) are often closely tied to emotion. Older adults tend to exhibit reduced sensitivity and awareness of their interoceptive sensations relative to younger adults (e.g., Khalsa et al., 2009; Mikkelsen et al., 2019; Murphy et al., 2019), yet the emotional implications of such interoceptive differences remain unclear. Herein, I present two behavioral cross-sectional studies (N=350) documenting age differences in how adults (18-75 yrs) link their interoceptive sensations to emotions (Study 1: cognitive behavioral task; Study 2: experience sampling). Results reveal that from midlife into late life, coherence between interoceptive sensations and emotions increasingly weakens, both behaviorally and in self-reports. Age effects are most prominent for high arousal sensations and states. These findings provide converging evidence with recent neuroimaging results (MacCormack et al., 2020) showing the importance of interoceptive aging and related shifts in physiological arousal as potential pathways by which emotions transform across adulthood.
DISCHARGE LOCATIONS AFTER HOSPITALIZATIONS INVOLVING OPIOID USE DISORDER AMONG MEDICARE ENROLLEES
Authors: Moyo Patience , Goodyear Kimberly , Jutkowitz Eric , Thomas Kali , Zullo Andrew 
Published: December 2022

Abstract
Hospitalizations involving opioid use disorder (OUD) are increasing in the Medicare population. Rising OUD-related acute care use emphasizes the need to understand where post-acute care is provided and opportunities to facilitate OUD treatment in those settings. We conducted a retrospective cohort study using 2016-2018 Medicare Provider Analysis and Review (MedPAR) files linked to enrollment data and the Residential History File (RHF) for 100% of Medicare fee-for-service beneficiaries aged ≥18 years. We used diagnostic codes for opioid dependence or “abuse” to identify OUD from MedPAR data. The RHF identified hospital discharge locations. Our analysis included 459,763 OUD-related hospitalizations. Overall, individuals &lt; 65 years (60.3%), female (53.7%), or Medicare-Medicaid dually enrolled (59.1%) were the majority. The mean (standard deviation) length of stay was 5.5 (6.6) days and 31.3% of OUD-related hospitalizations required intensive care use. Seventy percent of patients with OUD-related hospitalizations were discharged home, 15.8% to skilled nursing facilities (SNFs), 9.6% to non-SNF institutional facilities, 2.5% home with home health services, and 1.8% died in-hospital. Within 30 days of hospital discharge, the range for 30-day all-cause readmissions was 27.7% (home) to 47.5% (non-SNF institutional setting). The 30-day all-cause mortality ranged from 3.1% (home without health) to 6.4% (non-SNF institutional settings). Given that over one-quarter of OUD-related hospitalizations resulted in discharge to locations other than home and that many institutional post-acute care settings cannot obtain OUD medications, modifying Drug Enforcement Administration regulations and expanding access to OUD medications for aging adults in post-acute and long-term care settings must be a near-term policy focus.
MEDICATIONS ASSOCIATED WITH GERIATRIC SYNDROMES AND HOSPITALIZATION RISK IN HOME HEALTHCARE PATIENTS
Authors: Wang Jinjiao , Shen Jenny , Yu Fang , Conwell Yeates , Li Yue , Caprio Thomas , Shah Avantika , Simmons Sandra 
Published: December 2022

Abstract
Polypharmacy is common in the home health care (HHC) setting. This study examined the prevalence, predictors, and impact of medications associated with geriatric syndromes (MAGS) use on subsequent hospitalization in HHC patients. Data from the HHC electronic medical records, the Outcome and Assessment Information Set (OASIS), and Medicare HHC claims of 6,882 adults ≥ 65 years old receiving HHC from a large, non-profit HH agency in New York State in CY 2019 were used. MAGS use was identified from active medications reconciled during HHC visits and defined as total count and in quartiles. Hospitalization during the HHC episode was operationalized as a time-to-event variable. Regression analyses were conducted to identify predictors of MAGS use, and survival analyses were conducted to examine the association between MAGS use and hospitalization. Nearly all (98%) of the HHC patients used at least one MAGS and 41% of all active medications were MAGS. A higher MAGS count was found among HHC patients who were non-white, community-referred, with more comorbidities, depressive symptoms, and functional limitations. A higher MAGS count was also related to increased risk for hospitalization. Moreover, higher quartiles of MAGS use combined with having ≥10 diagnoses predicted a 2.5-fold increase in hospitalization risk, relative to the lowest quartile of MAGS use and having &lt; 10 diagnoses. In conclusion, over 40% of medications taken by HHC patients are MAGS, which, along with multimorbidity, increased hospitalization risk. HHC clinicians should identify MAGS use to inform deprescribing discussion with patients and their prescribers.
A SUCCESSFUL MODEL FOR AMPLIFYING THE VOICES OF OLDER ADULTS IN LONG-TERM CARE AND SERVICES AND SUPPORT RESEARCH
Authors: Lessem Rachel , Berman Rebecca , Eisenstein Amy 
Published: December 2022

Abstract
The experiential voice of older adults receiving long term services and supports (LTSS) is largely absent from health research hampering the development of effective interventions. While many have the capacity to participate in the design, development, and delivery of research, researchers traditionally do not recognize such capacity, may be unsure how to seek input, or may not appreciate the extent to which such input can improve the research enterprise. But the participation of these older adults can ensure that patient-centered research meaningfully addresses their care preferences and desired health outcomes, and can improve the effectiveness of care and patients’ quality of life. Through three PCORI-funded projects, we developed a successful model for addressing barriers to amplify these voices. We outline barriers to the dissemination and implementation of this model, and suggest next steps to test strategies to amplify the voices of older adults in long-term care.
PSYCHOSOCIAL AND BEHAVIORAL PREDICTORS OF HEALTH AND AGING
Authors: Graham Eileen , Turiano Nicholas 
Published: December 2022

Abstract
Crucial to understanding the aging process is to identify modifiable characteristics that can be targeted in hope of optimizing health across adulthood. This symposium brings together a diverse set of talks about the biopsychosocial and behavioral processes that influence aging outcomes. Turiano used a national sample to demonstrate that individuals with higher levels of neuroticism often use food to cope with stressors which ultimately results in a greater central adiposity and elevated glycated hemoglobin. Zavala used an epidemiological sample of long-banked frozen blood samples to successfully extract DNA and methylation biomarkers from 140 adults and found that stress measures are associated with accelerated biological aging. Luo used coordinated analysis to explore how correlations between personality traits and four health outcomes fluctuate over time, and found the associations between personality (level/change) and health increased in strength through middle adulthood and early stage of late adulthood but weakened in very old age. Jackson found that individuals who experienced high and increasing loneliness in older adulthood had worse cognitive function and steeper cognitive decline than expected given their observed post-mortem neuropathology (i.e., worse cognitive resilience). Lastly, Pfund investigated how personality and social support change together and found within and between person associations between personality and social support, and evidence that retirement was associated with an increase in social support. In sum, this symposium presents novel evidence for the associations among personality, stress, social support, and lonliness are associated with physical and cognitive health in old age.
PERSONALITY TRAITS PREDICT DIABETES RISK IN ADULTHOOD: THE MEDIATING EFFECTS OF USING FOOD TO COPE WITH STRESS
Authors: Turiano Nicholas , Alderson Jacob , Willard Meredith , King Sina , Súilleabháin Páraic Ó 
Published: December 2022

Abstract
Identifying the individual characteristics that predict which adults will develop obesity and diabetes is crucial. This study included national data from 902 participants (aged 25-75) in the Midlife Development in the U.S. (MIDUS) study. Participants completed the Big-5 personality trait measure in 1995-1996, and behavior/health variables between 2004-2009. We tested whether levels of certain personality traits would predict an elevated risk of diabetes via hemoglobin A1c (HbA1c) levels through eating behaviors. A structural equation modeling framework demonstrated good fit when testing indirect effects (CFI = 0.95; RMSEA = 0.05). Indirect effects revealed that higher levels of neuroticism predicted greater waist circumference and higher HbA1c levels due to an increased use of food to cope with problems (IE =0.10; p&lt;0.05). Moreover, indirect effects were found for conscientiousness, albeit in a protective direction. Our findings suggest that personality traits may be an early predictor of behavior and thus long-term adverse health outcomes.
ASSESSING THE PSYCHOMETRIC PROPERTIES OF THE GERIATRIC SUICIDE IDEATION SCALE (GSIS) IN MIDDLE-AGED AND OLDER MEN
Authors: Heisel Marnin , Flett Gordon 
Published: December 2022

Abstract
Middle-aged and older men have high rates of suicide, necessitating focused risk detection. We developed the Geriatric Suicide Ideation Scale (GSIS; Heisel & Flett, 2006) as an age-specific, multidimensional suicide risk assessment tool. The GSIS has shown strong psychometric properties in clinical, community, and residential samples (see Heisel & Flett, 2016), yet research has lagged investigating its utility with middle-aged and older men. The purpose of the present study was thus to assess the psychometric properties of the GSIS administered to 82 men, 55 years and older (M=63.3, SD=4.6 years), who participated in a meaning-centered psychological intervention group for those concerned about or struggling with the transition to retirement (Heisel et al., 2020). Psychometric analyses included investigation of participant response characteristics, internal consistency, and construct validity. Findings demonstrated acceptable internal consistency for GSIS totals (α =.88) and for its Suicide Ideation, Death Ideation, Loss of Personal and Social Worth, and Perceived Meaning in Life subscales (α =.62-.81). Positive associations between the GSIS and negative psychological factors (depression, anxiety, hopelessness, loneliness, perceived lack of mattering to others, and history of suicidal behavior; r =.30 to .51) and negative associations with positive factors (life satisfaction, psychological well-being, perceived support, and meaning in life; r = -.21 to -.51) supported its construct validity. These and other findings will be discussed in the broader context of upstream population level approaches to suicide risk detection and prevention.
THE LANDSCAPE OF ALZHEIMER’S DISEASE AND RELATED DEMENTIAS CAREGIVER COMMUNICATION RESEARCH
Authors: Dobbs Debra , Yauk Jessica , Buck Harleah 
Published: December 2022

Abstract
Alzheimer’s Disease and Related Dementias (ADRD) affect one in nine adults aged 65 and over. Past research has demonstrated the need for services that improve quality of care for those with ADRD and their caregivers. Those with ADRD are at a greater risk for negative health outcomes. Therefore, it is crucial that those with ADRD receive care consistent with their preferences. However, more research is needed to shed light on effective tools available and patterns of advance care planning (ACP) when it comes to those with ADRD and their caregivers. This symposium highlights the landscape of ACP communication among those with ADRD and their caregivers. The session begins with a study that explored experiences of apathy and preferences for dyadic-communication via mobile health (mHealth) among adults with mild cognitive impairment and their care-partners. The second presentation demonstrates the feasibility and effectiveness of a palliative care education in assisted living program for nurses and administrators on increasing ACP discussions with family caregivers of residents with dementia. The third presentation investigates ACP among African Americans with ADRD and their caregivers and the critical role the community can play in facilitating communication. The final presentation explores how ACP differs by race, ethnicity and ADRD status using data from the 2018 Wave of the Health and Retirement Study. Future directions for implementation of these innovations for improving ACP communication among caregivers and persons with ADRD will be discussed.
EFFECTIVENESS OF A PC EDUCATION PROGRAM IN ASSISTED LIVING IN IMPROVING DISCUSSIONS WITH DEMENTIA FAMILY CAREGIVERS
Authors: Dobbs Debra , Yauk Jessica , Vogel Carlyn , Fanfan Dany , Buck Harleah , Haley William , Meng Hongdao 
Published: December 2022

Abstract
There is a need for improved communication in assisted living communities (ALCs) for staff and family caregivers of persons with dementia. This study is a cluster randomized trial in 10 ALCs (N=23 nurses and administrators; N= 122 residents with dementia) of a PC education (PCEAL) program for dementia care providers facilitated by hospice nurse educators. Baseline, 3- and 6-month data was collected for documentation of advance care planning (ACP) discussions. The PCEAL program had a moderate effect on ACP discussions at the 3-month follow in the treatment (N=17) compared to the control group (N= 6) (Cohen’s d = 0.72, 95% CI [0.25, 1.19]). The findings indicate that the PCEAL program potentially improves ACP discussions with family members of persons with dementia. We will discuss recommendations for tailoring the PCEAL program to include other direct and administrative staff and to elicit the perspective of families about quality of communication.