bluuebunny/crossref_metadata_2025_split huggingface dataset:
LONELINESS ACROSS THE LIFE COURSE; LIFE STORY INTERVIEWS WITH MENTAL HEALTH SERVICES USERS
Authors: O'Sullivan Roger , Burns Annette , Leavey Gerry , Golden Jeannette , Reilly Dermot , Lawlor Brian 
Published: December 2022

Abstract

Introduction
The complexity of loneliness and its negative impact on our health and wellbeing is well established. However, the qualitative experience of loneliness over the life course is poorly understood. Method: This presentation, based on 18 life story interviews, with a sample of older adults, who were attending a mental health service and objectively defined as lonely, provides an insight into the personal experiences of loneliness as well as the situations and factors associated with loneliness across the life course.

Results
The analysis identified three distinct typologies of loneliness; those who experienced (1) chronic loneliness across their life (2) those whose loneliness became chronic after a transition e.g. bereavement (3) those whose loneliness remained situational/transitional.

Conclusions
The insights are important to inform both general loneliness services and policy as well as specialist mental health services and training. The presentation demonstrates the importance of a life course approach to addressing and understanding loneliness.
HOW DO LONELY OLDER PEOPLE TALK ABOUT LONELINESS? PRELIMINARY ANALYSIS OF THE BBC LONELINESS EXPERIMENT
Authors: Victor Christina , Barreto Manuela , Qualter Pamela 
Published: December 2022

Abstract
Three types of loneliness, social, emotional and existential, are identified in research, policy and practice. Do these categories reflect the language used by older adults to describe their experiences of loneliness? We use data from the 2018 BBC Loneliness Experiment and focus upon lonely adults aged 60 and older, living in the UK and with a maximum score of 9 on the UCLA loneliness scale. 1619 participants meet these criteria, 1480 provided a response to the question ‘’What does loneliness mean to you?" Participants ages ranged from 60-94; 90% aged 60-74 and 38% male. Free text answers ranged from 1-189 words, included both subjective (feeling alone) or objective (being alone) words and described social (no one to talk to), emotional (lack of closeness) and existential (lack of purpose) loneliness. Lonely older adults ‘talk’ about the three different types of loneliness singly or in combinations when explaining what loneliness means to them. We conclude that:- (a) existential loneliness merits more attention as it is less prominent in research compared with other types of loneliness and (b) lonely older adults describe different types of loneliness in the same answer.
EVALUATING A PHONE-BASED SUPPORT PROGRAM TO ADDRESS LONELINESS: LESSONS LEARNED FROM PARTICIPANTS AND STAFF
Authors: Perissinotto Carla , Kotwal Ashwin , Tha Soe Han , Hough Katrina , Matusovsky Bri 
Published: December 2022

Abstract

Introduction
Phone-based support programs are increasingly being used as a solution for those experiencing loneliness. However, less is known about what aspects of these support programs are most helpful to participants and even less known about the staff and volunteer who work in these programs.

Methods
Mixed methods structured surveys of participants (N=247 baseline, N=147 follow-up), and in-depth qualitative interviews of both participants (N=15, and staff=23).

Results
We present the results from the qualitative interviews with a focus on what barriers and facilitators are to implementing a phone-based support intervention, particularly for older adults experiencing loneliness. Preliminarily, 77% of staff and volunteers felt more connected themselves through their role in the phone-support program. 100% of staff also believe the callers feel less lonely as a result of using the line, and 80% feel they create a meaningful relationship with callers. Themes included and overall sense of need for expansion of these services, while better understanding the optimal length and frequency of calls. Consistent with staff responses, amongst callers, 90% fell more socially connected because they use the telephone support line. Similarly, to staff and volunteers, participants felt their needs were met during calls, but wished the length of calls could be flexible. This demonstrates that the line is beneficial to both participants and staff. There is high satisfaction on the quality of the calls and the connections made, but emerging themes suggest a need to scale services to meet demand at all hours and allow for flexibility in length of calls.
OVERVIEW OF COVID-19 STUDY WITH OLDER ADULTS IN PUERTO RICO
Authors: Buckley Thomas , Burnette Denise 
Published: December 2022

Abstract
This presentation will provide an overview of our study with older adults in Puerto Rico during COVID-19. From January through December, 2021, we conducted telephone and face-to-face interviews with a nonprobability sample of 213 adults aged 60+ in 21 of the island’s 78 municipalities. Average age of participants was 71.9 (SD=8.8), 55.9% were female and 55.4% had annual household incomes under $12,500. About two in five older adults reported feeling lonely (39.4%) and poor/fair health (39.9%). Fully 65.3% were overweight or obese, 59% reported at least one chronic disease (59.4%) and 25.8% had delayed medical care during COVID-19. KAP index scores were reasonably high and 97.2% of participants were either vaccinated or planned to be. We will also discuss the development, translation and adaptation of the data collection instrument and the important social, economic and political backdrops of successful public health measures during the pandemic in Puerto Rico.
CARING FOR CAREGIVERS: HEALTH AND HEALTHCARE EXPERIENCES OF DIRECT CARE WORKERS
Authors: McCall Stephen 
Published: December 2022

Abstract
Direct care workers play a significant role in supporting the health of older adults and people with disabilities across long-term care settings—but as a primarily low-income, women of color workforce, they likely face significant health risks themselves. To build understanding on the health of this essential workforce, this paper examines direct care workers’ health status, health insurance coverage, and experiences utilizing, accessing, and paying for healthcare services using pooled 2014 to 2018 data from the National Health Interview Survey. We find direct care workers have worse health, lower rates of insurance coverage, poorer access and utilization, and greater cost barriers compared to other healthcare workers. We also observe disparities within the direct care workforce according to industry, gender, and race/ethnicity. This study helps inform efforts to support the health of direct care workers and stabilize the critical services they provide.
IMPACT OF COVID-19 ON OCCUPATIONAL INJURY AMONG LONG-TERM CARE WORKERS IN CALIFORNIA
Authors: Lee Soo-Jeong 
Published: December 2022

Abstract
Long-term care is the industry with the highest occupational injury and illness rate in the United States. During the Coronavirus Disease 2019 (COVID-19) Pandemic, healthcare workers have been affected physically and psychologically by increased workload and stress. Such increased physical and psychological demands may increase the risk of injury among long-term care workers. The aim of this study is to assess the impact of COVID-19 on occupational injury or illness incidence among long-term care workers. Analyzing California Workers’ Compensation (WC) data reported in 2019 and 2020, the study will report the number and rate of WC claims among California long-term care workers by month and examine changes over time during 2019-2020. The study will also characterize WC claims during 2019-2020 by demographic (age, gender), occupational (occupation, job tenure), and injury or illness characteristics (cause of injury, nature of injury, affected body part) and identify characteristics with greater changes during COVID-19.
BARRIERS AND FACILITATORS OF DISASTER PREPAREDNESS FOR CAREGIVERS OF PERSONS WITH DEMENTIA
Authors: Peterson Lindsay , Dobbs Debra , Hackett Sara , Haley William 
Published: December 2022

Abstract
Emergency preparedness for disasters such as hurricanes is critical. A common feature of disasters is their disruption of daily life, which is magnified for persons living with Alzheimer’s disease and related dementias (ADRD). It is critically important to understand more about disaster preparedness for those with ADRD and the informal caregivers responsible for their safety. We conducted individual interviews between April and September, 2021. The sample included 50 family caregivers of persons with dementia (11 Hispanic, 12 Black, 27 White), who were asked about their disaster experiences, concerns about future disasters and level of preparedness. Interviews were transcribed and coded using a team coding approach. Initial analysis identified three main themes, 1) caregivers attitudes about the importance of disaster preparedness, 2) what makes it difficult to prepare, and 3) facilitators of preparedness. Results have the potential to guide program development to improve preparedness among diverse caregivers of persons with ADRD.
CONDUCTING DIVERSITY, EQUITY, AND INCLUSION-INFORMED RESEARCH WITH OLDER ADULTS
Authors: Taeckens-Seabaugh Ashley 
Published: December 2022

Abstract
Researchers are encouraged to think broadly and holistically about how they conceptualize diversity, equity, and inclusion (DEI) efforts in their work. Each element of a research project must be rigorously devised to identify or address existing gaps in the literature, which will continue to be increasingly important as the US population of older adults continues to expand and diversify. Intentionality throughout every stage of a project is bound to result in a better understanding of the focus populations’ needs, and how to best address those needs through their perspective. Moreover, consider weighing the pros and cons of working to implement culturally competent versus multiculturally competent research and whether either approach is as culturally appropriate and responsive as possible. This work summarizes guidance to increase DEI efforts by meticulous research question development and thoughtful determinations regarding literature review terminology, recruitment efforts, data collection, and reporting and dissemination techniques.
LGBTQ+ OLDER ADULTS AND COMMUNITY NEEDS IN METRO DETROIT: ADAPTING METHODS TO EVOLVING CONDITIONS
Authors: Perone Angela 
Published: December 2022

Abstract
Gerontological researchers have long called for more research on diverse older adults, including diverse communities of lesbian/gay/bisexual/trans*/queer+ (LGBTQ+) older adults (e.g., race/ethnicity, economic status, religion). This paper identifies lessons learned from a community-based participatory action research (CBPR) project with LGBTQ+ older adults across four counties. Initiated by LGBTQ+ older adults of color and transgender older adults concerned about access to affordable and culturally responsive housing as they age, researchers worked with a coalition of 8 LGBTQ+ focused organizations to design, implement, and analyze a mostly online survey (n=270). Topics include: Capturing diverse perspectives in survey design (8 focus groups, N=35); addressing external threats to data integrity; implementing multiple types of outreach in phases to expand participant diversity; and working with the coalition and other partners through different stages of survey design, recruitment, data analysis, and identification/enactment of goals for change informed by data, while also navigating a pandemic.
CBPR: AN EFFECTIVE APPROACH TO RECRUIT AND RETAIN MINORITY OLDER REFUGEE ADULTS IN COMMUNITY-BASED RESEARCH
Authors: Shreeniwas Sudha 
Published: December 2022

Abstract
Community based participatory research (CBPR) builds mutually beneficial partnerships between diverse communities and researchers, yielding improved communication among stakeholders, more interest in research participation among community older adults, and improved insights on health disparities. CBPR approaches have great utility for culturally appropriate research design, data collection and analyses, and dissemination with minority underserved communities. We describe outreach, research methods, and community capacity-building from three projects with refugee communities in Greensboro, NC: the Montagnard Hypertension Research Project; The Refugee Older Adults Needs Assessment Project; and the Elder Abuse and Neglect exploratory study. These projects were initiated by community leaders, with technical partnership provided by university researchers and students. We used community-centric methods, and collected a range of data including interviews, photographs, oral histories, surveys, and biological specimens. These efforts have advanced social justice and health equity agendas for both academic and community partners, working to advance health of older adults.
INTERDISCIPLINARY PUBLIC POLICY DISCUSSION SESSION
Authors: Taffet George , Lindberg Brian 
Published: December 2022

Abstract
This interactive session is an interdisciplinary look at policy issues in aging with the speakers representing the four sections of GSA, ESPO, and AGHE. This session, organized by the GSA Public Policy Advisory Panel, will provide both GSA section leadership and attendees an opportunity to have an open dialogue on important public policy issues of significance in the field of aging.
HOW OLD DO YOU FEEL? CONSIDERING THE CONTEXTS, DYNAMICS, AND ASSESSMENT OF SUBJECTIVE AGE
Authors: Kornadt Anna , Bellingtier Jennifer 
Published: December 2022

Abstract
How old people feel is a highly effective predictor of later life health and well-being. Despite a wealth of research, the developmental dynamics of the construct as well as its antecedents and consequences are not well understood. Our symposium brings together research that models dynamic trajectories in subjective age over long- and short periods of time and links it to psychological constructs and objective indicators of health and functioning. First, Weiss and colleagues present longitudinal findings of subjective age trajectories in a lifespan sample that highlight the reciprocal dynamics between subjective age and social contexts. Bellingtier and colleagues link the age people feel on a daily basis to the age people want to feel and find that when people felt closer to the age they desired, their affect was more positive. Rupprecht and colleagues measured subjective age as well as affect, stress and physical activity on 21 consecutive days. Data attest to the relevance of daily experiences for subjective age. In a similar approach, Tingvold and colleagues show the relationship of momentary subjective age with subjective and physiological stress in late-midlife adults’ daily lifes. Finally, Touron and Hughes found that momentary fluctuations in subjective age are associated with current task engagement and enjoyment. Together, the findings show that innovative perspectives and research designs are needed to understand how people respond to the question “How old do you feel” and why it predicts how well they actually age.
I WISH I MAY, I WISH I MIGHT FEEL THE AGE I WISH TONIGHT
Authors: Bellingtier Jennifer , Rupprecht Fiona , Neupert Shevaun , Lang Frieder 
Published: December 2022

Abstract
Subjective age has traditionally been considered by comparing felt age to chronological age, with those who feel younger reporting more adaptive developmental outcomes. Here we consider a new approach: subjective age discordance, which compares felt ages to the ideal ages of participants. Across eight study days, 116 older and 107 younger adults reported their daily felt and ideal ages. On the majority of days, both older and younger adults idealized ages younger than they felt. The opposite pattern, idealized ages older than felt ages, was rare and primarily seen in younger adults. Days when felt ages were less discordant from ideal ages were characterized by higher levels of positive affect than days with greater subjective age discordance. These findings suggest that positive developmental outcomes can occur not only from feeling younger, but through a greater alignment of ideal and felt ages.
THE DYNAMIC NATURE OF SUBJECTIVE AGE ACROSS THE LIFE SPAN
Authors: Weiss David 
Published: December 2022

Abstract
A large body of research has confirmed that from childhood to old age most individuals feel significantly younger or older than their chronological age. Up to now, however, there is no clear theoretical understanding as to why younger adults tend to feel on average older and older adults tend to feel on average younger. We adopt a motivated social-cognition perspective on subjective age and examine age-differential antecedents and correlates of subjective age across the adult life span. Results from a cross-sectional study (N = 1652, 18-84 years) and a 9-month longitudinal study (N = 814; 18-84 years) highlight the dynamic link between subjective age bias and individual (motivation and emotion) as well as social factors (social comparison, meta stereotypes). We discuss the role of reciprocal dynamics between individuals and social contexts in explaining why individuals adopt a younger or older subjective age.
OPIOID USE DISORDER AMONG OLDER ADULTS: ADDRESSING MULTIMORBIDITY AND GERIATRIC CONDITIONS
Authors: Han Benjamin 
Published: December 2022

Abstract
Dr. Han will present multidisciplinary research focused on understanding the healthcare needs of older adults with opioid use disorder. Nationally, there is a sharp increase in older adults with opioid use disorder (OUD) and the number of older adults dying of opioid-related overdoses. This lecture will first describe the prevalence of geriatric conditions and comorbidities among older adults who receive care in opioid treatment programs. Then, Dr. Han will present patterns of acute healthcare utilization among older adults with opioid use disorder. Qualitative data from patient experiences of aging with opioid use disorder and the challenges of managing chronic diseases will then be presented. The lecture will conclude with a discussion about opportunities for developing multidisciplinary models of care to best deliver geriatric-based interventions for this population.
PERCEIVED AND OBJECTIVE EXECUTIVE DYSFUNCTION JOINTLY PREDICT BRAKING REACTION TIME IN OLDER DRIVERS
Authors: Pope Caitlin , Bell Tyler , McManus Benjamin , Stavrinos Despina 
Published: December 2022

Abstract
Motor vehicle crashes are a leading cause of injury and death for older adults in the United States. Braking reaction time (BRT), how quickly a driver responds to the situational demands of driving, is a known predictor of driver fitness and hypothesized as sensitive to difficulties with executive functioning. Unclear is how BRT may vary across different levels of executive functioning, including objective test performance and perceived executive dysfunction, and if awareness of executive dysfunction in the presence of objective difficulties jointly predicts BRT. Using data from a simulated driving study, 50 adults aged 65-94 years old (49.1% female) completed computerized EF tests (inhibition [Stroop], working memory [Automated Operation Span]), the Behavior Rating Inventory of Executive Function, the Big Five Inventory, and a simulated drive. Multilevel modeling analyses controlling for covariates of empirical and design relevance (simulated road segment, age, gender, and neuroticism) were performed. Our results show a significant interaction between perceived executive dysfunction and objective test performance on BRT. Specifically, associations with BRT were stronger for individuals who perceived more executive dysfunction in the presence of worse inhibition (b = 0.79, 95%CI = 0.27, 1.30) and worse working memory (b = 0.94, 95%CI = 0.26, 1.62). Findings provide further justification for the role of executive functioning in monitoring driver fitness in older age. Future directions and implications are discussed.
QUALITY OF LIFE IN ADULTS LIVING WITH COGNITIVE IMPAIRMENT: DEVELOPMENT OF A UNIVERSAL MEASURE
Authors: Anderson Keith , Peters-Beumer Lisa , Westmore Megan , Logsdon Rebecca 
Published: December 2022

Abstract
Quality of life is one of the most important and holistic measures of perceived overall well-being across the lifespan. For older adults living with cognitive impairment, quality of life has been conceptualized as consisting of an array of intertwined domains, such as relationship quality, physical health and ability, and opportunities for roles and activities. A subset of measures have been developed to gauge quality of life in older adults living with cognitive impairment, yet no “gold standard” in measurement has emerged. Quality of Life – Alzheimer’s Disease (QOL-AD) is one of the most commonly used and long-standing measures, yet it was developed in 2002 and has yet to be updated to reflect the evolution of our understanding of quality of life in adults living with cognitive impairment. Drawing from the literature on adults living with intellectual and developmental disabilities (IDD), the researchers identified several domains and items to update and expand the applicability of the QOL-AD measure. The proposed revised measure, Quality of Life – Alzheimer’s Disease/Intellectual and Developmental Disabilities (QOL-AD/IDD), is intended for adults living with cognitive impairment regardless of age or cause of impairment (e.g., dementia, IDD). The QOL-AD/IDD retains the format of the original measure, most notably the useful prompts that accompany each item and the supplemental proxy measure for caregivers. In this presentation, the researchers will discuss the development of the QOL-AD/IDD and ongoing (e.g., Delphi review) and planned steps to evaluate the reliability and validity of this promising measure.
X CHROMOSOME-DERIVED MECHANISMS OF SEX DIFFERENCES IN LIFESPAN AND BRAIN AGING
Authors: Dubal Dena 
Published: December 2022

Abstract
Women live longer than men worldwide – and also show cognitive resilience in many aging populations. One major source of biologic difference between the sexes is that females have two X chromosomes and males have one. This difference in sex chromosome complement causes unique X-derived mechanisms that are sex-specific. In mammalian development, one X randomly inactivates in XX cells. One X-derived sex difference is that females are mosaics with the active X chromosome in each cell being either maternally-derived (Xm) or paternally-derived (Xp), whereas males harbor only a maternally-derived X (Xm) in all cells. Interestingly, some females show considerable or complete skew toward Xm or Xp. We utilized several genetic models of sex biology to understand mechanisms of sex difference in aging. We found that the X chromosome contributes to longevity and better cognition in male and female mice. In aging, a genetic manipulation in females to express only the maternally-derived X (Xm), like males, accelerated cognitive decline and epigenetic brain aging. This suggests that Xm is harmful and that female mosaicism (Xm+Xp) provides a buffer to deleterious processes in aging. To assess if Xm alters transcription, we used mice with nuclear localized genetic reporters and sorted Xm from Xp neurons from young and aging XX hippocampi. We found that Xm imprinted several genes within aging hippocampal neurons, suggesting silenced cognitive loci. Our data suggests that Xm – the maternal X – accelerates brain aging and causes cognitive deficits. Understanding how Xm impairs brain function could increase understanding of female heterogeneity and of sex differences in cognitive heath – and unlock new X-derived pathways against cognitive deficits and brain aging of males, females, or both.