bluuebunny/crossref_metadata_2025_split huggingface dataset:
DESIGNING INTERGENERATIONAL LEARNING PLACES: STRATEGIES AND OUTCOMES AT AN AGE-FRIENDLY UNIVERSITY
Authors: Shovali Tamar 
Published: January 2025

Abstract
The idea that universities play a vital role in promoting intergenerational learning and reciprocal sharing of knowledge among learners of all ages is a key principle of the Age Friendly University model. Although there is abundant research on the benefits of intergenerational relationships and learning in the classroom there is less information about details of how to transform a classroom space into a place where these relationships can occur. This suggests a need for reports of practical approaches in this area. I will describe an intergenerational team-based strategy employed with first year undergraduates in an intensive 3-week course. Students collaborated in teams across the semester to design an intergenerational activity tied to Age Friendly University principles to execute at the end of the semester. To assess the quality of intergenerational learning I surveyed students and older participants about the impact of the project on themselves, the College, and the local community. Prior to engaging in the projects the majority of students (66.7%) and older adults (66.7%) reported occasionally interacting with the other. Both reported an increase in the quality of their intergenerational interactions, students by 50% and older adults by 22.3%. Older and younger learners agreed that intergenerational projects benefit the College and the wider community beyond the College. Qualitative results about outcomes of this programming highlighted friendships and intergenerational communication and learning from younger learners and enjoyment and hope from older learners. Necessary to success in developing effective course-based programming are intentional design and ongoing evaluation.
EFFECTIVENESS OF FRIENDLY CALLING TO IMPROVE SOCIAL ENGAGEMENT AMONG MEALS ON WHEELS CLIENTS
Authors: Smith Matthew , Belazis Laura , Florence L Carter 
Published: January 2025

Abstract
Socially vulnerable older adults are at increased risk for social disconnectedness. Friendly calling, defined as regularly scheduled check-in calls by a trained staff member or volunteer, is believed to provide companionship to older adult clients and ensure they are safe. However, less is known about the elements of success for coordinated friendly calling initiatives across multiple sites. The purpose of this pilot was to assess the effectiveness of friendly calling among Meals on Wheels (MOW) clients at seven sites across the country. To collect and manage data, a technology platform designed to coordinate meal delivery to MOW clients was integrated with a friendly calling scheduling solution and a risk assessment for social disconnectedness. All friendly callers underwent extensive training about meaningful engagement and the data platform before contacting clients. The 13-item Upstream Social Interaction Risk Scale (U-SIRS-13) was used to assess the effectiveness of the 7-site pilot between January to November 2023. A total of 10,400 calls were placed to MOW clients, totaling over 114,300 minutes of talk time. Of the 316 clients receiving friendly calls, 80.4% were at risk for social disconnectedness at baseline. On average, from baseline to 3-month follow-up, MOW clients significantly reduced their social disconnectedness risk (t=-3.15, P=0.002), with 52% of participants reporting reduced social disconnectedness risk (z=-2.92, P=0.003). Findings suggest that coordinated friendly calling initiatives can reduce social disconnectedness risk among MOW clients within short durations (i.e., 3 months), which highlights the feasibility of telephone-based intervention strategies for socially vulnerable older adults.
DEVELOPING COMMUNITY-BASED AGING SERVICES IN NORWAY: LESSONS FROM THE US
Authors: Scharlach Andrew , Tingvold Laila 
Published: January 2025

Abstract
Ongoing transformations in the Norwegian welfare state reflect decreasing reliance on government and an increasing role for civil society. Norway’s current “Live Safely at Home” policy, for example, aims to expand community-based supports to enable older adults to live at home for as long as possible, while simultaneously promoting community engagement and social participation. In an effort to learn from the US’ well-established mix of governmental and non-governmental aging support services, we began a study of the experiences of community-based aging service providers in the US. In the first phase, we conducted six weeks of ethnographic fieldwork and 31 in-depth interviews with staff and participants at aging service provider organizations in Northern California. Data were analyzed following thematic analysis procedures proposed by Braun and Clarke (2006, 2019). An overarching theme emerging from the data was tension between the goals of personal support and social inclusion. Organizations focused primarily on community engagement (e.g., senior centers, Villages) appeared to have limited ability to serve individuals as their physical or cognitive functioning declined, while organizations focused primarily on personal care typically provided little attention to fostering community engagement or social participation. These findings reflect a tension between the goals of “aging-in-place” and “aging-in-community.” As Norway develops a more comprehensive community-based aging services system, it will be important to ground services in existing social institutions and informal social networks, enabling older Norwegians with functional disabilities to live safely at home while maintaining meaningful social and community engagement.
LEARNING ABOUT THE PROCESS OF REVISION OF POLICIES AROUND INNOVATIVE CARE MODELS AT THE VHA
Authors: Syed Quratulain 
Published: January 2025

Abstract
Having practiced as a geriatrician in underserved neighborhoods and post-acute care in the United States, I have witnessed older adults and individuals with multimorbidity facing the brunt of health policies that favor the healthy and the well-resourced. These observations have formulated my vision for age friendly health policies, and the need for front line clinicians to get a seat at the health policy table and influence the policies. The VA track of the Health and Aging Policy Fellows’ Program is an opportunity for professionals involved in healthcare and research focused on older Veterans to nurture skill necessary for development and implementation of health policies that impact older Veterans. During the session, I will discuss my placement at the Veterans Health Administration Central Office with the Home & Community Based Programs. This opportunity has allowed me to learn about the process of updating and revision of policies and directives around innovative care models with demonstrated clinical outcomes.
DANCE AND EMOTION: THE IMPACT OF OLDER PERFORMERS ON AUDIENCE ENGAGEMENT
Authors: Miyazaki Atsuko 
Published: January 2025

Abstract
This study explores the emotional connections between dancers of advanced age and their audience, investigating the role of dance in promoting happiness and social engagement among older adults. The Federation International of Dancers Association Japan (FIDA JAPAN), a general incorporated association supporting dance activities for those aged 65 and above, has been actively launching hip-hop dance teams for older adults across Japan since 2021. In September 2023, the FIDA GOLD CUP 2023 dance competition was held, featuring 13 teams from various regions in Japan. Among the dancers who participated in the competition and responded to the post-performance survey (n=148, mean age=70.99 years, SD=5.46), 62.8% started dancing at the age of 65 or older. Audience members (n=81, mean age=51.69 years, SD=15.85) were also surveyed. Both surveys assessed various aspects of emotional experiences using a 5-point scale. Analysis revealed that dancers reported significantly higher levels of emotional resonance (M=5.24, SD=0.82) compared to the audience (M=4.68, SD=0.62), t(227)=5.58, p&lt; 0.001, Cohen’s d=0.77, indicating a large effect size. Additionally, a statistically significant positive correlation was found between dancers’ feelings of exhilaration on stage and the audience’s applause (ρ=0.31, p&lt; 0.01), suggesting that the emotional experiences of dancers and their audience are interconnected. The results highlight the emotional interplay between dancers of advanced age and their audience, emphasizing the potential for dance to foster a shared emotional experience. The findings contribute to understanding how dance can enhance emotional well-being and social engagement, particularly for those who take up dancing in later life.
CHARACTERIZATION OF DYNAMIC ADAPTATION TO STRESSORS USING MULTISYSTEM STIMULUS–RESPONSE DATA
Authors: Bandeen-Roche Karen , Zhu Jiafeng , Xue Qian-Li , Buta Brian , Laskow Thomas , Walston Jeremy , Varadhan Ravi 
Published: January 2025

Abstract
Resilience has emerged as a major gerontological concept aiming to promote more consistently positive outcomes following stressors. Achieving this aim relies on determining mechanisms underlying capacity to respond resiliently. This paper addresses the hypothesis that physical aspects of said capacity arise considerably from the fitness of one’s physiology governing stress response, conceptualized as a dynamical system. We leverage the Study of Physical Resilience and Aging (“SPRING”) pilot and Phase II studies, which implemented stimulus-response experiments to characterize physiological fitness in older adults scheduled for major stressors of either total knee replacement, incident hemodialysis, or bone marrow transplant for hematological cancers. We develop physiologic resilience capacity measures using time series from Holter monitor assessment, cortisol response to adrenocorticotropic hormone stimulation, and repeated diurnal salivary cortisol assessment. Principal components (PCs) of the multivariable summaries from these tests were derived using SPRING pilot data. The first two components represented “steady state” and “adaptation” mechanisms. Steady state and adaptation PC scores were separately regressed on major stressor type, hypothesized static physiologic indicators (physical frailty phenotype, self-report of health), and personal characteristics. Substantial association was manifest by stressor type and the static physiologic indicators: for both PCs, average scores were 0.6 SD higher for persons deemed robust versus prefrail/frail after stressor type adjustment (p&lt; 0.05). Cross-validation analyses using Phase II data, as well as analyses to discriminate resilience phenotypes and outcomes post-stressor with these data, will be reported. Our study lays groundwork to better forecast and foster resilience of older adults to clinical stressors.
THE OPIOID USE IN OLDER ADULTS COMPENDIUM OF RESOURCES: A USER-FRIENDLY TOOL FOR PRIMARY CARE
Authors: Vinson Latrice , Dotson Vonetta , Bierman Arlene 
Published: January 2025

Abstract
Older adults are at greater risk of harm from opioid use, yet there is limited understanding of how to manage opioid use, misuse, and opioid use disorder among older adults, particularly in primary care practices (PCPs). AHRQ launched an initiative to synthesize the literature and create resources and tools to support PCPs in improving opioid management for older adults. This presentation describes the development of the initiative’s final product, the “2024 Opioid Use in Older Adults Compendium of Resources” and recommendations for using the tool in practice and future research. The Compendium was created though an iterative, three-stage process: environmental scan; technical expert panel feedback; and testing and refining the tool by two learning collaboratives (LCs) across 14 PCPs implementing quality improvement (QI) projects. Resources from the scan and data derived from the LCs were packaged into a driver diagram, which was iteratively revised by the panel and LCs. The resulting Compendium identified seven high-leverage changes (e.g., risk assessment, patient engagement), each associated with a change strategy, key activities, and existing and newly developed tools/resources to bring about the desired change practices can use to improve opioid management and prevent misuse in older adults. PCPs can access the user-friendly Compendium on AHRQ’s website to plan and implement QI activities related to opioid management. The Compendium identifies innovative screening measures, interventions, and patient-facing tools that present promising targets for future research.
DETERMINANTS OF SETTLEMENT INTENTIONS AMONG OLDER CHINESE INTERNAL MIGRANTS: AN INTEGRATED PERSPECTIVE
Authors: Kang Rui , Zhou Jia-jia 
Published: January 2025

Abstract
Understanding factors driving settlement intention of older migrants is important for policies to promote successful integration. This research examined to what extent the adaption, attachment to hometown, and environmental factors affect the settlement intentions among older internal migrants in China. A cross-sectional survey was conducted among 598 older migrants aged 50 and above in Shenzhen and Guangzhou, two large cities in China. Data on settlement intention, Hukou transfer intention, multidimensional adaption, environmental factors and attachment to hometown were collected using questionnaire survey. Multinomial logistic regression modelling was employed to identify the determinants of settlement intention. The findings revealed that better psychological adaptation and frequent participation in community activities increased the likelihood of settling in the host city and transferring Hukou registration. Regular involvement in voluntary activities and increased access to welfare services decreased the probability of expressing reluctance to settle and transfer their Hukou status. Conversely, maintaining connections with friends from their hometown reduced the likelihood of settlement in host city. Older migrants with living parents in their hometown are more likely to resist settle in the host city. However, a higher perceived quality of physical environments in the neighborhood elevated their likelihood of not deciding to settle and transfer their Hukou status. It is crucial for policy and service interventions to focus on enhancing the welfare and service environments in neighborhoods. Such improvements can facilitate the successful integration of older migrants into their new communities, thereby promoting their well-being and contributing to the overall social cohesion.
IT’S BEYOND PERSONAL: MULTILEVEL FACTORS AFFECTING THE WILLINGNESS FOR PALLIATIVE CARE UTILIZATION
Authors: Tong Juncheng , Cao Jiawei 
Published: January 2025

Abstract
With so much effort devoted to the development of palliative care, significant progress has been achieved in the past few years in China. One of the foci is the patient education and public advocacy. However, evaluation research on this aspect is scarce, and little is known regarding people’s willingness to engage in conversations about palliative care and potentially use such services if needed. Thus, this survey study aims to examine the public’s willingness of palliative care utilization and associated factors from micro, meso, and macro levels. Ordinal regression analyses were performed to achieve this goal. Among 2,645 adult participants (aged 18-95), approximately 78% either ‘agree’ or ‘strongly agree’ with the statement that they are willing to use palliative care services if they are terminally ill. Regression results showed that at the micro-level (individual), willing to pay out-of-pocket and believing palliative care can improve end-of-life quality were associated with higher odds of willing to use palliative care. Meso-level measurement of family support and macro-level measurement of filial piety were also significant factors. Specifically, more family support was associated with an increase in the odds of willing to use palliative care (OR = 1.040, p = 0.034); and the odds of willing to use palliative care for people who considered palliative care not to be in line with filial piety was 0.014 (p &lt; 0.001) times that of those who did. Married people were also more likely to be willing to use palliative care. Implications for research, policy, and practice are discussed.
NO ONE REMEMBERS MY NAME: (RE)NEGOTIATING IDENTITY, AGENCY, AND RESILIENCE IN LATE-LIFE IMMIGRANT SOUTH ASIAN WOMEN
Authors: Khan Mushira 
Published: January 2025

Abstract
Despite a growing South Asian (SA) population in the US, little is known about the lived experiences of late-life SA immigrant women who may face unique challenges as they navigate their later years in a new cultural and social space. This qualitative study explored how late-life SA immigrant women negotiate issues around identity, faith, and the continuity/rupture of norms and familial bonds in the context of migration and multigenerational living. Using an intersectional lifecourse perspective, in-depth interviews were conducted with twelve SA women who immigrated to the US at age 65 or older and co-resided with their adult children and/or grandchildren in a large cosmopolitan US city. Thematic analysis of the interview data uncovered the resilience and strength of the study participants as they navigated settlement challenges, including culture shock, language barriers, health and social care access issues, and the intricate dynamics of multigenerational living. Drawing from their cultural heritage, they navigated these transitions while also (re)interpreting cultural traditions to find meaning and cope with a perceived loss of status in the family. Furthermore, despite migration challenges, study participants found solace in embracing their grandmother role and through support from their religious and cultural enclaves. These findings highlight the salience of faith, family, and community in the lives of late-life immigrant SA women–a group that often remains invisible in policy and practice–and can help policymakers and stakeholders, including community service providers, faith leaders, researchers, and family members, to provide culturally appropriate support and promote their health and well-being.
LIFE SATISFACTION IN CENTENARIANS: FINDINGS FROM THE SWISS100 MAIN STUDY
Authors: Jopp Daniela , Hoffman Adar , von Gunten Armin , Herrmann Francois , Roecke Christina , Martin Mike , Cavalli Stefano 
Published: January 2025

Abstract
With increasing numbers of centenarians world-wide, quality of life in these very old individuals has become a topic of high interest, expanding prior biomedical research. Switzerland is not only among the countries with very high life expectancy but is also among the leading countries in terms life satisfaction. In the present study, we investigated the levels and predictors of life satisfaction in Swiss centenarians. The present analysis included a total of 148 centenarians of the SWISS100 Main Study (Mage = 101.8; range: 100-106; 74.3% female). After identification through the national address registry, centenarians were visited for in-person interviews. Centenarians’ health was quite limited: they had an average of six health issues and over half of them lived in care facilities (57.4%). Their cognitive level was moderate to high. Most were widowed, 84% had children, and they reported a substantial number of social contacts. The majority of centenarians (82.4 %) were satisfied with their lives. Correlations indicated that sociodemographic and health variables had only few associations with life satisfaction, but that psychological aspects including optimistic outlook and meaning in life showed notable links. A regression analysis combining significant variables from domain-specific regressions revealed that optimistic outlook was the strongest predictor of interindividual differences in life satisfaction, followed by meaning in life. In sum, findings highlight that Swiss centenarians present poor levels of health yet manage to maintain high life satisfaction through psychological mechanisms, suggesting high resilience in these very old individuals, which replicates and extends results from prior centenarian studies.
DECODING CENTENARIAN DAILY ACTIVITIES: A REAL-LIFE SENSOR APPROACH
Authors: Stahlmann Melanie , Buehrer Tabea , Roecke Christina , Jopp Daniela , Cavalli Stefano , von Gunten Armin , Herrmann Francois , Martin Mike 
Published: January 2025

Abstract
In response to the decade of healthy aging, understanding daily activities in older adults has become increasingly important in aging research. While ambulatory assessment is now quite common, it often misses the oldest age groups. The SWISS100 study is the first to fill this gap by employing real-life sensors to explore Swiss centenarians’ lives, blending questionnaire data with actigraphs for physical activity assessment, and smartphones equipped with the Electronically Activated Recorder (EAR) to capture everyday sounds and conversations. Out of N = 44 German-speaking centenarians who consented to the EAR study, technical issues and other challenges led to a final dataset from 35 participants. Over a time period of four days, more than 10,000 audio clips were collected, equating to roughly 2.7 hours of recordings per participant, which is about 4% of their waking hours. These recordings were then transcribed and analyzed to identify activities and social interactions. The analyses revealed that centenarians primarily spend their time alone (85%), with TV watching and resting as their main activities. When interacting, centenarians mostly engage with one familiar person, with a significant portion of conversations being “substantive talk” (44%), followed by “practical talk” (34%), though notable variations exist among individuals. These findings offer a deeper understanding of Centenarians’ social and leisure patterns, enriching our knowledge of their daily lives. This study also demonstrates the feasibility and value of mobile sensing in researching very advanced ages, encouraging future studies to integrate such innovative methods for a more comprehensive view of participants’ real-life experiences.
PROVIDERS, FUNCTIONS, AND ADEQUACY OF CARE AMONG CENTENARIANS: INSIGHTS FROM SWISS100
Authors: Masotti Barbara , Zaccaria Daniele , Herrmann Francois , Jopp Daniela , von Gunten Armin , Cavalli Stefano 
Published: January 2025

Abstract
At age 100 and beyond, individuals deal with increasing support needs, especially when their social network is at risk due to the death of spouses, siblings, and friends, while children may face own age-related health issues. However, little is known about the specific aids received by centenarians. Drawing from the care convoy framework, this study explored the diversity of care among Swiss centenarians. We investigated the composition and the functions of their care convoys and analysed the impact of individual and contextual characteristics. Additionally, we examined participants’ perception of the adequacy of the aids received. The analyses are based on centenarian and/or proxy reports from the study SWISS100 (N = 275; Mage = 101.789) using descriptive statistics and logistic regression models. Subjective adequacy is examined through qualitative content analysis. Findings indicate that centenarians are part of intricate convoys of care. The diversity of types of care and providers was high among community-dwelling, where informal and formal caregivers both provide help with a wide range of tasks (e.g., personal care, monitoring). In institutional settings there was a more defined division of roles, with family and friends providing administrative and socioemotional support. The impact of individual and contextual factors varied depending on the type of care and/or the care provider. Participant satisfaction did not always align with the quantity of care received. Considering, in conclusion, the diversity of care observed, understanding centenarians’ needs and resources is essential for developing tailored policies and services for them and their families.