bluuebunny/crossref_metadata_2025_split huggingface dataset:
STAFF PERSPECTIVE ON VIRTUAL TEAM-BASED CARE IN THE PROCESS OF TRANSITION TO LONG-TERM CARE
Authors: Hung Lillian , Chan Chin Pang Ian , Yous Marie-Lee , Connelly Denise , Wong Karen , Sakamoto Mariko , Santaella-Tafolla Paulina , Ge Huini 
Published: January 2025

Abstract
Transitioning from hospital to long-term care (LTC) is a vulnerable time for older patients and families. Successful care transitions require interdisciplinary team and cross-sectoral coordination, as well as engagement of patients and families in care planning. This study aimed to identify enablers and barriers to delivering virtual team-based care to support older adult care transitions from hospital to LTC. Patton’s utilization-focused approach informed the study design. Our research methods included semi-structured interviews, focus groups, and organizational policy reviews. The study involved 52 multidisciplinary team members, including nurses, physicians, rehabilitation practitioners, healthcare leaders, and older patients and family members. Thematic analysis identified key enablers (team engagement, training and support, and access to digital equipment) and barriers (technology infrastructure, resources, privacy and security). Our findings suggest that virtual team-based care is perceived by healthcare staff as acceptable, efficient, and cost-saving. Older persons and their families have complex care needs, and prioritizing their involvement in virtual team-based care planning is key to addressing barriers in the process of care transition success. Clear policies and guidelines are needed to support the integration of virtual team-based care into practice to optimize support to families and patient health outcomes. Future research should investigate effective strategies to include older persons and families through virtual team-based care planning technology.
TRAJECTORY OF DECLINING PHYSICAL FUNCTION AMONG NURSING HOME RESIDENTS IN JAPAN
Authors: Ikuta Kasumi , Noguchi-Watanabe Maiko , Aishima Miya , Fukui Sakiko 
Published: January 2025

Abstract
The timing and speed of physical function decline among nursing home residents vary, and the decline trajectory remains unclear. Therefore, this multicenter retrospective study was aimed at identifying the trajectory of declining physical function among Japanese nursing home residents. We included new nursing home residents who were admitted between July 2021 and March 2023, who had a high physical function score (Barthel Index [BI]: &gt;60), and whose physical function declined during the period from admission to 6 months after. We evaluated the BI monthly as an indicator of the residents’ physical function status. We conducted a group-based trajectory model analysis to find the physical functional decline. Four types of models were identified. Furthermore, we compared the trajectory model to other trajectory models using the Akaike Information Criterion. Based on the results, we included 163 new residents, including 106 women (65.0%), with a mean age of 86.16 years (SD = 5.84). We selected the five groups trajectory model: slight decline, slightly larger decline, maintenance after decline, decline after maintenance, and large decline. The characteristics of the large-decline group were a diagnosis of dementia and low motivation and those of the maintenance-after-decline group were female sex and low body mass index and oral function. We identified the trajectory group based on the timing and speed of physical function decline. We believe that nursing home staff assess the trajectories of physical function decline and individualize residents’ interventions accordingly.
INTERGENERATIONAL EQUITY: AN URGENT CALL FOR AGING POLICIES IN SUB-SAHARAN AFRICA
Authors: Teshome Abraham , Adeniji Dolapo , Ashirifi Gifty , Adamek Margaret 
Published: January 2025

Abstract
Contrary to popular belief, family-based care and support for older people in Sub-Saharan Africa is gradually eroding due to various factors, including urbanization, migration, and modernization. As the issues of older people and aging are not mainstreamed into national economic and development agenda and policies, most older people in the region live in abject poverty, which has undermined their healthy aging and quality of life. Although many Sub-Saharan African countries are signatories to the 2002 Madrid International Plan of Action on Ageing (MIPAA), only a few have developed national aging policies to meet the needs of their older population. Against this backdrop, we conducted cross-sectional qualitative study to learn why public policy in Sub-Saharan Africa is sluggish in responding to the needs of the region’s growing older population. We conducted an online survey (n=78) and three FGDs (n=13) with African scholars and practitioners from 12 nations. Based on descriptive and thematic analyses, our study revealed five themes: a) lack of political will, b) disconnect between researchers and policymakers, c) lack of research and comprehensive data related to older people, d) inappropriate aging policy, and e) budget constraints. Our study’s findings call for more research and comprehensive data regarding the needs and challenges of the region’s older population, policy advocacy, and awareness-raising about older adults’ issues among policymakers, involvement of all stakeholders in aging policy development, and regular dialogues between policymakers, researchers, older adults, and other stakeholders.
CO-DESIGNING RESEARCH IN COLLABORATION WITH PEOPLE WHO ARE RESIDENTS AND STAFF IN LONG-TERM CARE FOR OLDER ADULTS
Authors: Shannon Kay , Jones David , Featherstone Katie 
Published: January 2025

Abstract
One New Zealand provider of long-term care for older adults has shown fortitude in overcoming obstacles to developing a homelike facility where 81 residents live in small houses and continue with activities that connect them with lifelong identities. The CARE Village, Te Manaaki a Tura is the host organization for the sequential mixed methods study, which aims to compare resident experiences and outcomes in homelike and traditional facilities. Phase one determined the impact of the homelike model of care on International Resident Assessment Instrument (interRAI) quality indicators. The phase two qualitative study to understand the operationalization of nursing care at both types of facilities was co-designed with residents and staff of The CARE Village, Te Manaaki a Tura, including the staff-led Māori Cultural Awareness Team. The presentation reports on the co-design process. This presentation will discuss the co-design process and the meaningful contributions and insights to designing the qualitative research including developing questions for research participants and developing the strategy for analysing the data. Co-designers who are residents demonstrated their fortitude in continuing to provide service to the community. Co-design is becoming increasingly important as researchers and practitioners must include the perspectives of clients and other stakeholders in their work. Therefore, this presentation offers advice for those wanting to learn about the practical elements of the process.
DESIGN ELEMENTS OF EDUCATIONAL TOYS FOR PATIENTS WITH MILD ALZHEIMER’S DISEASE: A QUALITATIVE STUDY
Authors: Jia HongFei , Ding YaPing , Zhu Ling 
Published: January 2025

Abstract

Background
Alzheimer’s disease (AD) is a fatal chronic neurodegenerative disease, and its incidence and mortality rate are closely related to age. Once diagnosed, patients need to take long-term medication, which seriously affects the quality of life of those who are ill. Research has demonstrated that the educational toy is an effective intervention to improve cognitive function among patients with mild Alzheimer’s disease. Despite the rapid growth in developing educational toys, incorporation of stakeholders’ views has been limited. Objective: This project aimed to identify the design elements that should be considered during development of educational toys for patients, from the perspectives of patients with mild Alzheimer’s disease and their caregivers. Materials and

methods
A total of 10 patients with mild Alzheimer’s disease and 12 caregivers were selected. Participants were recruited using purposive sampling. Semi-structured interviews were conducted between August and November 2023. The content analysis method was used to summarize the interview data and refine the themes.

Results
Main themes that emerged from the data analysis included the following: (1) materials; (2) structure; (3) function; (4) color; (5) shape.

Conclusion
Collecting patients’ and caregivers’ perspectives through qualitative interviews, the developed puzzle toy can serve as a user-friendly and engaging tool to potentially complement traditional interventions in slowing cognitive deterioration in patients with mild Alzheimer’s disease. These design elements can also be considered by developers and researchers when developing and evaluating educational toys for people with mild Alzheimer’s disease.
WEARABLES IN LONG-TERM DEMENTIA RESEARCH: A MIXED METHOD STUDY OF USER EXPERIENCES AND SUPPORT NEEDS
Authors: Peterson Colleen 
Published: January 2025

Abstract
Passive wearables data collection may be specifically beneficial to aging research featuring dementia populations, who have caregiving and cognitive burdens that can make study participation and reliable data collection more difficult, especially as dementia progresses. This three-phase project aims to inform best practice recommendations to enhance recruitment and adherence in long-term wearables research featuring this population. Based on our systematic review and preliminary in-house data testing, we selected three wearables offering different capabilities and form (from Garmin, Pulse HR, and AngelSense) to test real world usability, data quality, and support needs. This is the first study to recruit persons living with dementia and their caregivers to evaluate multiple devices outside of a laboratory or focus group setting (N=12 dyads). The person living with dementia assented to wearing each wearable for two weeks. Their caregiver rated many facets of each device following its use with the Quebec User Evaluation of Satisfaction with Assistive Technology measure. Open-ended questions and a cumulative semi-structured interview provided context and in-depth comparative perspectives of their experiences in the study. Wearable durability, simplicity, and data availability/monitoring capacity were important to participant favorability and adherence. Technical help and check-ins were also deemed highly valuable. Data indicate how the devices suited the dyads’ needs or caused issues, as well as how study staff could better support ongoing use. Collectively, our findings suggest ideal criteria to guide wearable selection and key protocol factors that can enhance participant recruitment and adherence in long-term dementia research.
USING DRIED BLOOD SPOT ANALYSIS IN OLDER ADULTS WITH MILD COGNITIVE IMPAIRMENT: A FEASIBILITY STUDY
Authors: McPhillips Miranda , Li Junxin , Gooneratne Nalaka , Hodgson Nancy 
Published: January 2025

Abstract
Dried blood spots (DBS) are whole blood collected on filter paper and dried. We sought to determine the feasibility of using DBS for a virtually delivered intervention, 4 week, Multicomponent Behavioral Sleep Intervention (MBSI) for insomnia in older adults with mild cognitive impairment, during Covid-19. We explored the mechanisms by which MBSI affected sleep via inflammatory biomarkers (IL-6, IL-1ß, TNF-α, and C-reactive protein). Twenty-seven participants were enrolled; 3 dropped out. Participants were mailed supplies and instructions for collecting DBS at 3 study time points (baseline, immediately post-intervention, and 3-month follow-up). Participants were instructed to keep the ﬁlter paper lying ﬂat at room temperature for 24 hours to dry before putting in a biohazard bag with a desiccant and mailing back in a pre-stamped envelope. All samples were labeled, transported, and stored in a -70°C freezer until ready to be analyzed. We used published methods to extract the blood spots in conjunction with Meso Scale Discovery (MSD) multiplex immunoassay for analysis. 20/27 (74%) of participants mailed the DBS cards back at baseline; 14 of those 20 (70%) mailed back DBS cards at timepoint 2 and timepoint 3. Only 10 participants completed all 3 timepoints (10/27; 37%). For all (n=48) samples, CRP and IL-1β values were all within normal limits. For IL-6, 22/48 (46%) values were below the lower limit of detection (LLOD) and 12/48 (25%) were too low to calculate. For TNF-α, 26/48 (54%) values were below LLOD. We will discuss barriers and facilitators to this type of collection and analysis.
USING SIMULATION IN DEMENTIA CAREGIVER RESEARCH: LESSONS LEARNED
Authors: Lee Cheryl , Jablonski Rita 
Published: January 2025

Abstract
The purpose of this methods presentation is to describe how simulation-based training was used to impart critical skills for two members of a dementia caregiver research team: the interventionist and the person monitoring treatment fidelity. To have sufficient rigor and reproducibility in a randomized clinical trial, highly detailed protocols and training procedures must be developed and consistently followed. Inadequate training of interventionists may result in delivery variations of the same intervention, negatively affecting outcomes and the study’s generalizability. Simulations followed the Healthcare Simulation Standards of Best Practice’s general criteria for prebriefing and debriefing. Four pre-licensure nursing students role-played as simulated family caregivers who faced care-resistant behaviors by persons living with dementia. They co-created their simulated identities with the principal investigator. A treatment fidelity checklist was created to ensure the interventionist adhered to the key components of the intervention protocol. Inter-rater reliability for the treatment fidelity checklist was 100%. Treatment fidelity scores for the interventionist ranged from 23.1% to 52.9%, indicating poor adherence to the intervention protocol. Debriefings with the interventionist revealed that the simulated caregivers were passive during the simulations and that she had difficulty suspending disbelief during the simulations, which contributed to poor adherence. Students shared during their debriefing that their simulated identities should have had more details. Simulation training was continued using two family caregivers with better treatment fidelity results (90%-95%). Simulation is a viable method for training research personnel, but care is needed to select actors with experiences that mirror the research conditions.
A CAGED DEATH: EFFORTS TO IMPROVE QUALITY OF LIFE AND DEATH FOR AGING INCARCERATED WOMEN
Authors: Eagle Tosha Big , Shatswell L , O’Sullivan Kelly , Weaver Raven , Bolkan Cory 
Published: January 2025

Abstract
Older incarcerated women are overlooked in research despite facing significant challenges; many remain incarcerated until death, even though prisons are not designed to provide sufficient geriatric or end-of-life care. This scoping review investigated the intersectionality between aging, incarceration, and health outcomes, focusing on older women, particularly those from historically marginalized social identities. With limited research on the effects of incarceration, especially for older, minoritized populations, we adopted a comprehensive approach, spanning between 1990 - 2023 and utilizing Academic Search Complete, APA PsycINFO, CINAHL, and PubMed databases. The search employed tiered keywords related to incarceration, jail/prison; aging, older adults; support, services, health; and women, race/ethnicity, culture. Two independent reviewers screened and identified 85 relevant articles for detailed analyses. Findings suggest that health outcomes, including disruption to physical, cognitive, and psychosocial development, are exacerbated among older women. Further, women ‘s prisons lack peer caregiving programs available in some men’s prisons, highlighting gender inequities. Results underscore the critical role of adequate healthcare access to improve quality of life and death during incarceration, and successful re-entry into society, when applicable. There is also a dire need for gender-specific care, preventative healthcare, and early intervention strategies to address the unique health needs of incarcerated women as they age and die in prison. Few examples of programs/policies providing equitable access to comprehensive healthcare services are available. Future research contextualizing the intersectionality of aging, incarceration, and health outcomes, can contribute to this underexplored field, urging an inclusive and holistic approach to the well-being of incarcerated older women.
INCREASING DIGITAL EQUITY IN RURAL EASTERN NORTH CAROLINA
Authors: Schwartz Abby , Richman Alice , Cofie Leslie , Mizell Nate , Osorio Leslie 
Published: January 2025

Abstract
Rural eastern North Carolina is largely an economically distressed region with limited access to broadband internet. In most places in the US, access to internet and technology is integral to daily life and is critical to accessing healthcare and social services, however in the 18 counties included in the present study, fewer than 25% of the households have broadband access. Residents in these counties experience a dire digital divide. We aim to bridge this divide by delivering an educational intervention and through the development of a technology (iPads, hotspots) library lending program in each of the counties. This poster presents results from the formative evaluation that was completed to identify the internet connectivity, technology, and resource needs in the study counties. Twenty-five interviews were completed with key informants including trusted leaders, heads of libraries/staff, and residents. The mean age of resident respondents was 51 years old, and most were female (70%) with all identifying as African American. Interviews were completed by telephone or virtually and lasted ~45 minutes each. Thematic analysis was used to analyze the interview transcripts, and key themes that emerged across the interviews highlighted the critical need and interest in a digital lending program, desired topics for educational trainings (e.g., online job searches, support in completing social service forms online), and ways to engage residents in the programs. The poster concludes with a discussion of how the themes informed the development of lending library and educational programming, and considerations when implementing these programs in rural settings.
CHILDHOOD DIFFICULTIES AND LATE-LIFE DEPRESSIVE SYMPTOMS: THE ROLE OF EDUCATION AND FAMILY COPING
Authors: Lee Seolah , Seong Minju , Kang Miseon , Jung Inhye , Lee Hyo Jung 
Published: January 2025

Abstract
This study aims to examine how childhood difficulties are associated with late-life psychological well-being. Both adverse experience in origin family, such as family dysfunction and economic hardship, and adulthood economic hardship are known to impede healthy coping and family satisfaction. Thus, using the Cumulative Advantage/Disadvantage Theory, current study further explores how individual’s socio-economic status and family relational aspects in late life mediates the associations between childhood difficulties and depressive symptoms among older Koreans.We use the nationally representative Korean Welfare Panel Study (KoWePS), and select respondents aged 60-79 years old (n = 3,234). A serial mediation model was performed using the Hayes’s PROCESS Macro, bootstrapped 5,000 resamples. The indirect and total effects of childhood difficulties on depressive symptoms in late life were significant. Level of education and coping strategies of family conflict in late life had mediating effects on the relationship between childhood difficulties and older adults’ depressive symptoms. Income in late life, however, hadn’t a mediating effect on the relationship. Family satisfaction in late life had a mediating effect only thorough level of education and coping strategies of family conflict in late life sequentially. Findings suggest that experience of childhood difficulties has an adverse impact on older adults’ psychological well-being through deprivation of education opportunities in childhood and non-constructive coping strategies of family conflict in late life. Tackling inequality in education over one’s life course, as well as helping individuals develop healthy coping strategies, may be considered to mitigate the negative impacts of childhood difficulties on late-life psychological well-being.
CLINICIANS’ PERSPECTIVES REGARDING THE INFLUENCE OF ADVERSE SOCIAL DETERMINANTS ON ACUTE CARE RESOURCE USE
Authors: Osokpo Onome , Hirschman Karen , Shaid Elizabeth , McCauley Kathleen , Naylor Mary 
Published: January 2025

Abstract
Adverse Social Determinants of Health (SDoH) factors place older adults living with multiple chronic conditions at risk for poor outcomes during transitions from hospital to home. The Transitional Care Model (TCM) intervention, an advanced practice registered nurse (APRN)–led, team-based care-management strategy, improves outcomes throughout these transitions. However, little is known about the SDoH factors identified by APRNs delivering the TCM that may influence acute-care resource use. Guided by the Healthy People 2030 SDoH framework, we present the results of a descriptive qualitative analysis of 36 quality improvement and support meetings with clinical team members (i.e., APRNs, clinical coordinators) at three healthcare systems (7 hospitals/4 states) responsible for the delivery of the TCM to older adults hospitalized with heart failure, COPD, or pneumonia as part of the MIRROR-TCM trial. A review of clinical team meetings from January-June 2022, where teams met and reviewed and completed root cause analyses related to TCM care delivery challenges and acute-care resource use, revealed that most of the SDoH factors occurred within the Healthcare Access and Quality and Social and Community Context domains of Healthy People 2030 SDoH framework. These challenges include barriers to scheduling appointments, communication lapses amongst providers, reluctance or refusal by patients and/or families for home visits, and language barriers with non-English speakers. Strategies to address these challenges include, advocating for and coordinating follow-up appointments, use of telehealth, and healthcare-community partnerships to address patients’ concerns and unmet health-related social needs. Engaging these transitional care strategies may result in improved posthospitalization outcomes.