bluuebunny/crossref_metadata_2025_split huggingface dataset:
FEASIBILITY AND ACCURACY OF A POINT-OF-CARE COMMUNICATION FEEDBACK APP FOR NURSING HOME STAFF
Authors: Williams Kristine , Coleman Carissa , Hu Jinxiang , Chen Xi 
Published: January 2025

Abstract
Educating the long-term-care workforce in dementia care skills is critical. Research has established that reinforcing learned skills in practice is important for successful adoption. However, on-site, expert feedback is costly and not always feasible. The 3-hour Changing Talk (CHAT) educational intervention decreases staff elderspeak (communication that sounds like babytalk) which in turn, reduces negative behavioral responses of care recipients with dementia. We developed an automated feedback IOS application that records staff and uses natural language processing to analyze their speech, providing just-in-time feedback on their use of elderspeak diminutives (terms of endearment). This study evaluated feasibility and accuracy of the SPEEKO for Elderspeak app for point-of-care feedback on staff elderspeak communication. Long-term-care staff (n=17) self-recorded their communication during resident care. Amazon Translate language processing and a customized elderspeak algorithm were used to identify staff use of diminutives, a common part of elderspeak, in the recordings. Trained coders also completed manual transcription and psycholinguistic coding of diminutives in the recordings that were compared to the app results with chi-squared tests. The relationship of total diminutives comparing human and app identification was significant χ2=12.21, p&lt;.001. Associations were significant for elderspeak diminutive word roots (“dear” χ2 =0.01, p=.004); “sweet” (χ2=20.20, p&lt;.001); and “girl” (χ2=5.08, p=.02). Other terms were not significantly correlated (“honey” χ2=2.70, p=.10) and “baby” (χ2=0.85, p=.36). With improvements to overcome issues in accuracy of recording, transcription, and analyses, the SPEEKO for Elderspeak app has potential to provide self-monitoring feedback promoting implementation of communication skills in dementia care.
A QUALITATIVE ANALYSIS OF PERCEIVED BEREAVEMENT NEEDS OF COMMUNITY-DWELLING OLDER ADULTS
Authors: Praska Nicole , Chur Marcus , Collins-Pisano Caroline , Weiskittle Rachel 
Published: January 2025

Abstract
This paper presentation will discuss the qualitative findings of a city-wide community needs assessment on available grief support with particular emphasis on service needs for older adults. The purposive sampling of this survey targeted local professionals who frequently interact with bereaved individuals in their work, such as mental health providers, funeral directors, faith leaders, and healthcare providers. Survey items asked participants to identify local grief support demand, engagement, barriers, and interests. Of the 141 participants who completed the survey, 80 (57%) provided free response answers eligible for qualitative analysis. Themes were extracted using manifest coding across three raters. Major themes on older adult bereavement include: perceived gaps in available services, service format suggestions (e.g., virtual vs. in-person, faith-based vs. secular), and suggestions for the creation of older adult grief support based on type of loss (e.g., pet loss, kinshiplessness), and perceived educational interest, such as substance use and emotions in grief. In this presentation, qualitative methodology of the study, as well as its resulting themes and subthemes, will be further described to offer insight into participant perspectives on service needs for older adult bereavement.
ENHANCING DEMENTIA-FRIENDLY COMMUNITIES IN TOKYO, JAPAN THROUGH COMMUNITY-BASED PARTICIPATORY RESEARCH
Authors: Sugiyama Mika , Inagaki Hiroki , Ito Kae , Awata Shuichi 
Published: January 2025

Abstract
In Japan, grappling with the challenges of an increasingly aging population, the Basic Law on Dementia was enacted in June 2023 to foster the development of dementia-friendly communities (DFCs) nationwide. Over the past decade, starting from 2013, a community-based participatory research (CBPR) initiative has been underway in Chiyoda Ward, Tokyo, aimed at establishing a comprehensive dementia support system. Monthly team meetings have served as forums for discussing institutional progress and addressing challenges, with efforts toward DFCs guided by the PDCA cycle. In partnership with Chiyoda Ward, a longitudinal mail survey was conducted to assess the needs of approximately 10,000 older adults. For non-respondents, visiting nurses conducted home visits to provide early-stage dementia support. Additionally, a novel system was implemented to extend “early support” and “watchful waiting support by visiting nurses” to individuals at high risk of dementia who did not engage with public consultation services. Chiyoda Ward has actively organized “dementia cafes” and support meetings for affected individuals, along with training “dementia supporters” for community volunteering. Additionally, the introduction of the “Chiyoda Dementia Support Company/University Certification System” in 2022 has acknowledged outstanding efforts, resulting in the certification of six entities. Notably, there has been a positive trend in the proportion of elders feeling confident about living safely within their community despite dementia, as indicated by the mail survey increasing from 28% in 2016 to 35% in 2021. As a result of CBPR efforts, significant progress has been made in the social implementation of DFC in Chiyoda Ward.
FORTY YEARS OF CARING: THE STATE OF THE VOLUNTEER CAREGIVING MOVEMENT
Authors: Berkowsky Ronald 
Published: January 2025

Abstract
With the expansion of the older adult population and its impacts on demands and costs of healthcare in the US, there has been a shift from relying on paid care work towards supporting informal unpaid caregiving. While there is an abundance of research that examines the impacts and value of informal caregiving provided by close family and friends, there is little that examines the impacts and value of volunteer caregiving (i.e., unpaid caregiving services provided by community members who do not have a close relationship with the care recipient). Services provided by community volunteers can provide needed assistance to community-dwelling older adults who encounter significant barriers to other care sources (e.g., cannot afford paid caregiving, lack access to family/friends, etc.). This community-based model of caregiving was first piloted in 1984 through support from the Robert Wood Johnson Foundation’s Faith in Action program and, in addition to promoting services that support older adults aging in place, is seen as an avenue to promote intergenerational collaboration, civic engagement, and well-being among community members. In this presentation, I present data collected in collaboration with the National Volunteer Caregiving Network (NVCN) from member sites to assess the current state of volunteer caregiving in the US. More specifically, I present data which elucidates the reach of volunteer caregiving, the characteristics of care recipients and volunteers, the services utilized, and the economic value of these services. I conclude with a discussion on the impacts of the volunteer caregiving movement as it enters its 40th year.
HEALTH CARE UTILIZATION BEFORE AND AFTER ENROLLMENT IN HOME-BASED PRIMARY CARE
Authors: Rizzo Samantha , Wahl Anne , Chameli Thomas , Ayers Lindsay , Mahmoudi Parsa , Kim Yijung , Bangerter Lauren , De Jonge Karl 
Published: January 2025

Abstract
Homebound older adults typically exhibit higher rates of emergency department (ED) visits and hospital admissions compared to non-homebound individuals. This study evaluated health care utilization rates before and after patients enrolled in the MedStar Washington Hospital Center House Call Program, a home-based primary care (HBPC) model. Data were drawn from the electronic medical record for 12-months before and 12-months after enrollment in the HBPC program. A total of 530 patients enrolled in HBPC between June 30, 2018, and July 1, 2023. Most patients were female (76.4%) and African American (80.8%), with an average age of 84.3 at enrollment. Over 40% of the patients were living with dementia, 23% had experienced a stroke, and 81% had hypertension. Using paired t-tests, we found a decrease in the average annual rate of ED visits (1.58 vs. 0.92, p &lt; 0.001) and hospital admissions (0.91 vs. 0.53, p &lt; 0.001) from the pre-12-month enrollment period to the post-12-month period. Linear regression revealed important predictors of post-enrollment ED visits, including greater pre-enrollment ED use, history of chronic obstructive pulmonary lung disease (COPD), and coronary artery disease (CAD). Post-enrollment hospital admissions were predicted by the frequency of pre-enrollment admissions, presence of chronic kidney disease (CKD), and CAD. Patients with CAD, CKD, or COPD are more likely to present to the ED or hospital during enrollment in HBPC than those without these comorbidities The overall utilization results suggest that enrollment in a HBPC model lessens the rate of ED visits and hospital admissions in a homebound population.
URINARY INCONTINENCE AS A RISK TO PHYSICAL, MENTAL, AND SOCIAL HEALTH AMONG OLDER KOREAN AMERICANS IN SENIOR HOUSING
Authors: Park Juyoung , Jang Yuri 
Published: January 2025

Abstract
Urinary incontinence (UI) or involuntary leakage of urine, is a common geriatric condition. Despite its harmful effect on health and well-being, UI has often been neglected in geriatric care. In the present study, we examined the risks posed by UI to the physical, mental, and social health of older Korean Americans living in subsidized senior housing. Survey data were collected from 313 older Korean-American residents in subsidized senior housing in the Los Angeles area. UI was assessed with a question on the frequency of experiencing involuntary leakage of urine. Physical, mental, and social health risks were indicated by a single item self-rated health (fair/poor rating), the Patient Health Questionnaire−9 (probable depression), and the Lubben Social Network Scale−6, (isolation from family and isolation from friends). More than half of the sample reported UI, with the experience being infrequent (i.e., seldom) for 46.3% and frequent (i.e., sometimes or often) for 10.3%. Regardless of the frequency, UI posed a significant risk to physical and mental health. The odds of reporting fair/poor health and having probable depression were 1.82 to 6.81 times higher among those with infrequent/frequent UI than among those without. Family isolation was not associated with UI; however, the odds of being isolated from friends were 2.95 times higher among those with frequent UI compared with the reference group. Our findings underscore the importance of addressing UI in the health promotion effort in senior housing, calling for interdisciplinary approaches for resident care.
CO-DESIGNING AN MHEALTH-BASED CAREGIVING MASTERY PROGRAM FOR DELIRIUM PREVENTION IN PERSONS LIVING WITH DEMENTIA
Authors: Choi Yong Kyung , Lin Shih-Yin , Santoso Kate , Pruskowski Jennifer , Fick Donna , Brody Abraham 
Published: January 2025

Abstract
Caregivers play an essential role in the prevention and early detection of Delirium Superimposed on Dementia (DSD) in community settings. To support caregivers, our study utilized a co-design methodology to adapt an existing evidence-based comprehensive dementia symptom management program originally designed for clinicians (Aliviado Dementia Care) for use by caregivers with a specific focus on DSD (Aliviado DSD Caregiving Mastery). We enrolled 10 caregivers of persons living with dementia (70% female; mean age=57.2; 5 caregivers having previously cared for their care recipient when experiencing delirium) to participate in a 5-week co-design workshop via Zoom. Over the 5 weeks, participants co-designed a series of family education videos, care plans, and communication guides; and refined the existing caregiver education articles and Aliviado mobile app. Session transcripts were analyzed immediately post-session using Instant Data Analysis to generate key themes for improvements. The main themes included caregiver-friendly language across program elements (e.g. changing “non-pharmacological” to “non-medication-based”), clear next steps (e.g. whether to go to the ER, timing to start a new care plan, etc.), and fine-tuning the app’s user interface (e.g. improved navigation between caregiver-administered delirium assessment questions). The co-design approach not only increased person- and family-centeredness of this program but also produced more actionable program components that empower caregivers to deliver DSD care and be better advocates for their loved ones. This collaborative process underscores the importance of engaging caregivers as co-designers, yielding a more accessible and user-friendly set of tools to support caregivers and their care recipients.
FACTORS RELATED TO DELIRIUM AMONG OLDER ADULTS IN NEUROLOGICAL INTENSIVE CARE UNITS
Authors: Cho Aeyoung , Lee Kyung Hee , Choi JiYeon , Kim Jung Yeon 
Published: January 2025

Abstract
Delirium, an acute confusion states, significantly increases in intensive care unit (ICU) patients and older adults due to COVID-19 pandemic. However, patients with neurological disorders face a challenge due to the difficulty in distinguishing symptoms caused by encephalopathy; there is particularly a lack of research about older adults in ICU. We investigated the incidence of delirium and related factors among older adults in a neurological ICU during the COVID-19 pandemic. A retrospective study was conducted using electronic medical record data from 945 older adults aged 65 to 93 years admitted to the neurological ICU at a tertiary hospital in Seoul, South Korea from January 2020 to July 2023. Delirium was evaluated using the Intensive Care Delirium Screening Checklist score. Logistic regression was performed using the SPSS/WIN 26.0 program. The incidence rate of delirium was 16.9%, and 49.8% of patients were categorized as subsyndromal delirium during ICU stay. Logistic regression revealed significant factors affecting delirium among older adults in the neurological ICU, including dexmedetomidine use (OR=8.13), length of ICU stay (OR=2.89, OR=3.61 and OR=6.05 for 3-5days, 6-10days and &gt;10days, respectively), blood urea nitrogen (BUN) levels (OR=4.55), visual impairment (OR=2.13), APACHE II score (OR=1.07) and age (OR=1.05). Accurate awareness of delirium symptoms by health professionals and identification of delirium-related factors are crucial for effective patient management. Pre-classification of delirium high-risk groups among older adults admitted to neurological ICUs is essential for providing high-quality delirium care.
IS DELIRIUM EDUCATION IMPORTANT: MEDICAL STUDENTS’ ATTITUDES FOLLOWING A DELIRIUM WORKSHOP
Authors: Rosenstein Benjamin 
Published: January 2025

Abstract
Delirium is an all too frequent syndrome for which older adults, particularly those with dementia, are at an increased risk. As the population ages, medical students will encounter adults affected by delirium increasingly frequently during their rotations. Unfortunately, education related to delirium is inconsistent within US medical schools. Prior studies have shown students gain knowledge and skills following specific delirium education courses. However, medical students’ attitudes related to delirium as an educational topic have not previously been explored. This study used a thematic analysis to review 4th-year medical students’ reflections of a workshop focused on delirium evaluation, management, treatment, and outcomes. The review revealed 8 primary themes including aspects such as: students frequently encountered older adults experiencing delirium but were unaware of associated poor outcomes, they have limited to any education on delirium during their rotations, they feel this is an often overlooked yet important topic, and they found the workshop provided valuable skills applicable to their current and future practices. Most surprising was medical students’ recognition and reflection of ageist practices they had encountered, though it was not a specific topic within the workshop. This study demonstrates that delirium should be a standard topic in medical education. It provides significant clinical value and may improve medical students’ knowledge, practices, and attitudes, including counteracting ageism, thus promoting age-friendly care of older adults.
EMPOWERING AN AGE-FRIENDLY HEALTH CARE WORKFORCE: AN INTERPROFESSIONAL PROGRAM APPROACH
Authors: Tobey-Moore Leah , Beehler Melanie , Neill Kathryn , Dickinson Karen , Spradley Laura , McAtee Robin 
Published: January 2025

Abstract
Growing interest in caring for the geriatric population is a challenge in healthcare education. In Arkansas (AR), 18% of the population is over 65. The Arkansas Geriatric Education Collaborative (AGEC) is a HRSA-funded Geriatric Workforce Enhancement grant recipient with a main goal to encourage health professions students toward careers in geriatrics. AGEC’s Geriatric Student Scholar Program exists to expand exposure and foster interest regarding older adults (OA) through experiential learning and interprofessional training. Each year, 4-5 students are chosen to further their knowledge and interest in the field of geriatrics. This year’s team of 5 students (pharmacy, physician assistant, medical doctor, audiology, and physical therapy) completed two geriatric-focused didactic events, two experiential community events, and an interprofessional education (IPE) team project. Their 2024 IPE project focused on Mobility from the 4Ms Framework of Age-Friendly Healthcare and was delivered via an active learning “escape room.” Reflection essays were submitted following each attended activity. AGEC activities supported students’ understanding and application of interprofessional, collaborative skills needed to care for OAs and allowed students to take on the role of educator by creating, designing, and evaluating a learning activity called “Falls and Fall Prevention in the OA.” Programmatic surveys at the conclusion of the 7-month experience demonstrated 1) positive overall experience, 2) enhanced interprofessional collaboration skills, 3) strong teamwork dynamics and 4) deepened interest in geriatrics.
EVALUATION OF A SOCIAL WORK AND NURSING INTERPROFESSIONAL TRAINING ON DEMENTIA-FRIENDLY CARE
Authors: Hasche Leslie , Ingle Pilar , Talamantes Michael 
Published: January 2025

Abstract
While social work and nursing education offer generalist professional degrees, several initiatives over the last 20 years have infused geriatric education and specialty training to counter the long-standing geriatric workforce shortages. However, these training programs are frequently separated within distinct disciplinary silos with limited opportunities for interprofessional training. Interprofessional education involves a critical pedagogy that increases knowledge about principles, ethics, and values of other professions, while also developing critical thinking skills to promote collaborative working relationships that improve care. The purpose of this study is to evaluate an annual interprofessional cohort training specific to Alzheimer’s Disease and Related Dementias for social work and advanced practice nursing students. From 2019 to 2024, five cohorts (total n= 43, with 24 social work students and 19 advanced practice nursing students) have completed this training. Approximately 30 hours of learning activities supplemented their existing professional degree program education over a 6-month period. These activities included: (1) an immersive training with experiential Second Wind Dreams’ Virtual Dementia Tour, (2) webinar didactic content on dementia-friendly and interprofessional care and interprofessional dyad case consultations, and (3) individual, personalized coaching. Using a pre/post survey adapted from measures of interprofessional collaborative practice and geriatric social work competencies, results demonstrated consistent improvement across each of the domains: values and ethics, roles/responsibilities and communication, assessment and treatment, and teamwork. The positive evaluation findings for increasing interprofessional competencies in dementia-friendly care offer support for expansion to other disciplines, geographical regions, and over sustained time and for strengthening the geriatric workforce.
ADAPTING STEADI TOOLKIT FOR LONG-TERM CARE: A DELPHI STUDY
Authors: Thompson Hilaire , Phelan Elizabeth , McGough Ellen , Patel Kushang 
Published: January 2025

Abstract
The prevalence of falls for older adults in long-term care facilities (LTCF) is estimated to be 50-60%. However, fall prevention programs, such as the CDC’s STEADI, have not been validated for use in LTCF. Lacking are screening, assessment, and decision-support toolkits to be used with older adults residing in LTCF. This project seeks to address this gap by developing a refined toolkit for use in LTCF. As a first step, an initial list of adaptations to the STEADI toolkit were identified following four separate scoping reviews. Interventions were categorized in six areas: Assessment, Education/Training, Facility, Medication Management, Resident Lifestyle, and Referral. Subject matter experts from medicine, nursing, physical therapy, and long-term care administration from across the US were invited to provide feedback on the initial draft of toolkit interventions. Interviews (n=9) were transcribed and recommendations for changes to assessment and management strategies were identified. Following these revisions, we recruited individuals working in LTCFs to participate in two rounds of surveys using a modified Delphi technique. Respondents (n=51) were asked to rate 69 interventions as either not at all helpful, possibly helpful, helpful or extremely helpful. We established consensus as =/&gt;60% of individuals agreeing that the intervention was “extremely helpful.” In round one, 37 interventions reached consensus for inclusion (Assess: 16; Education/Training: 4; Facility: 8; Medication Management: 2; Resident Lifestyle: 4; Referral: 3). In round two, three additional items reached consensus for inclusion. The toolkit is now being tested for feasibility, acceptability and impact on falls and fall-related injuries.
INFLUENCE OF SATISFACTION WITH INTERVENTIONS ON THE OCCURRENCE OF FALLS IN OLDER PEOPLE: RANDOMIZED CLINICAL TRIAL
Authors: Ansai Juliana , Maciel Leticia Teodoro , Sossai Mariana Ignácio , de Melo Mariana Luiz , Pereira Graziele Norberto , Silva de sá Mel , Pereira Ana Beatriz Simões , Gramani-Say Karina 
Published: January 2025

Abstract
Falls are recurrent among older people, and there is a need of more personalized interventions to be adopted to prevent falls. The purpose of this study was to analyze the influence of satisfaction with the interventions on occurrence of falls in older people with a history of falls. This is a randomized clinical trial, with older people with at least 2 falls in the past year. Participants were allocated into Control Group (CG) (with monthly monitoring about falls and general health) and Intervention Group (IG). The IG was submitted to a case management intervention over 16 weeks, including a multidimensional assessment, intervention proposal and individualized care plan. The assessment consisted of falls data (falls calendar and monthly phone calls) over 16 weeks and satisfaction with interventions (Short Assessment of Patient Satisfaction SAPS 0-28, and overall satisfaction with care 0-10) after 16 weeks. The final sample consisted of 56 older people. The median SAPS score in the GC was 22.00 and in the IG 25.00 (p=0.046). The median overall satisfaction score was 10.00 in both groups (p=0.782). After 16 weeks, 34.5% of the IG and 48.1% of the CG fell (p&gt;0.05), and 6.9% of the IG and 14.8% presented harmful falls (p&gt;0.05). There was no influence of satisfaction with intervention on falls data over the short follow-up. Future studies that identify other factors related to improvements in falls data among brazilian faller older people are needed.