bluuebunny/crossref_metadata_2025_split huggingface dataset:
A DETROIT-BASED COALITION TO PROMOTE EQUITY AT THE INTERSECTION OF HEALTH, HOUSING, AND AGING
Authors: Perry Tam , Draughn Melissa , Sanford Claudia , Archambault Dennis , Kilgore Zach , Watkins Michele 
Published: January 2025

Abstract
This presentation focuses on a multi-sector coalition focused on senior housing. Since its founding in 2013, Senior Housing Preservation-Detroit has worked tirelessly to address the displacement of older adults, the loss of senior housing as the city gentrifies; and ways to improve quality of life to those living in senior housing. This presentation will focus on the decade long work achieved respect among Detroit elected officials and housing staff through direct advocacy. Members have also testified at Detroit City Council meetings and participated in numerous local, state, national, and international forums on affordable housing for older adults. To date, coalition members have published four peer-reviewed articles; three invited articles; one white paper; and two book chapters as well as a documentary. The work of the coalition also involves numerous agencies serving older adults in Detroit. The Special Commission to Advance Macro Social Work awarded the coalition the Jack Rothman award for Structural Change in 2023. The presentation will focus on milestones, lessons learned, and the coalition’s COVID-19 outreach in senior buildings. It will offer perspectives on its current initiative on preparing an emergency preparedness plan for Detroit’s older population.
WEB-BASED PRESENCE FOR SOCIAL CONNECTEDNESS IN LONG-TERM CARE
Authors: Garnett Anna , Yurkiv Halyna , Booth Richard , Connelly Denise , Donelle Lorie 
Published: January 2025

Abstract
The COVID-19 pandemic and resultant restrictions on in-person gathering severely disrupted the social networks of older adults living in long-term-care homes (LTCH). Furthermore, the pandemic highlighted the need for embedded interventions such as web-based technology (WBT) to support social connectedness and well-being among older adults and their families. This qualitative study sought to explore how older adults living in LTCH, their family members and staff benefit from and envision WBT to support social connectedness. Semi-structured interviews were conducted with 22 family members, seven older adults and 10 staff across three LTCH. Data were analyzed using directed content analysis informed by Technology Acceptance Model. Participants predominantly used iPads, tablets, and phones to videoconference via Zoom, Teams, Facetime, or Skype. Older adults’ sense of social connectedness benefitted from their ability to visualize faces, observe non-verbal cues, perform lip reading, and follow the lives of their families outside of LTCH using WBT over conventional phone connections. In most cases, staff facilitated WBT use due to the older adults varied digital literacy, high rates of dementia and physical or visual limitations. Some family member participants found greater utility in videoconferencing technology called Portal and Alexa Echo Show which required limited navigation by the older adult. Henceforth, LTCH must adopt and implement technology that reflects the needs of people living in LTCH. In addition, adequate staffing, training, and funding is needed to enhance and sustain WBT use for the purposes of social connection among older adults in LTCH and their families.
THEORIZING FORTITUDE: MINDFULNESS
Authors: Rhoads Kristoffer 
Published: January 2025

Abstract
Normal and pathological aging both require a tremendous amount of resilience and fortitude. Successful aging also requires the ability to fully and accurately appreciate one’s past, rectified in the context of one’s present and future. Defined as the practice of intentionally cultivating non-judgmental awareness of the present moment, without criticism or evaluation, mindfulness practices offer a powerful tool to enhance acceptance of the “here and now” while cultivating compassion for the aging self and others. This presentation will briefly review the tenets and principles of mindfulness meditation as conceptualized implemented by Jon Kabat-Zinn, PhD and colleagues at the Center for Mindfulness in Medicine, Health Care, and Society at the University of Massachusetts Medical School. Specifically, this presentation will explore applications to older adults with and without later life neurological disorders. This will include benefits of accepting one’s current abilities and strengths decoupled from comparisons to earlier life as well as disengaging from a catastrophic narrative of future losses. The presentation will also review the benefits of mindfulness practices for older adults living with memory loss and dementia, including how mindfulness meditation practices may interact with neurobiological underpinnings and risk factor modification of conditions such as Alzheimer’s disease, vascular dementia, depression and anxiety.
WHAT’S NEW IN AGING AND EMOTIONAL EXPERIENCE RESEARCH? NEW QUESTIONS, METHODS, AND SAMPLES
Authors: Stanley Jennifer , Allard Eric 
Published: January 2025

Abstract
Older adults tend to report greater control over their emotions and higher well-being, compared to younger adults (Carstensen et al., 2011). Evidence for this phenomenon is robust, but the mechanisms and boundary conditions of improved emotional experience with age are less well understood. This symposium presents four innovative papers that tackle these questions using new methods, asking new questions, and extending to new samples. First, Hamilton and Allard argue for the utility of estimating emotion networks for understanding age differences and similarities in the co-occurrence of emotions. Next, Kravljaca and Stanley investigated age differences in facial feedback effects when posing angry and happy facial expressions. Contrary to expectations based on the Maturational Dualism hypothesis (Mendes, 2010), both young and older adults exhibited increases in angry ratings following the posing of an anger expression. Then, Amanambu and Allard investigated whether specific facets of mindfulness relate to age-related decreases in negative affect in a lifespan sample in Nigeria. They found that the Describing facet mediated the relationship between age and negative affect. Overall, they report similar findings in the Nigerian sample to what has been shown in Western samples. Finally, Behrend and colleagues report an online study that explored whether young and older adults consider specific emotions useful for accomplishing social goals. Both age groups endorsed the most useful emotion for each type of goal, suggesting that there is age similarity in the knowledge of utilitarian emotions in the social domain. These papers present new frontiers in emotions and aging research.
SMILE, YOU’LL FEEL BETTER: TESTING THE FACIAL FEEDBACK HYPOTHESIS IN YOUNG AND OLDER ADULTS
Authors: Kravljaca Nikolina , Stanley Jennifer 
Published: January 2025

Abstract
We investigated age differences in the effect of facial feedback on the emotional experience on a sample of young and older adults. The Facial Feedback Hypothesis proposes that feedback from facial expressions impacts the emotional experience by enhancing or dampening the emotional experience (James, 1884; Darwin 1897). Embodied cognition, the bidirectional relationship between the mind and the body is central to maturational dualism, which suggests older adults show reductions in proprioception, interoception, and physiological reactivity (Niedenthal et al., 2005; Mendes, 2010). Based on this, we expected older adults to show reduced facial feedback effects. Participants were instructed to pose a happy, angry, and neutral facial expression and rate their happiness and anger on a 7-point scale before and during the facial manipulation. We found that in the Angry Condition, there was a main effect of Time, such that both age groups showed reductions in happiness scores, F(1,119) = 86.243, p&lt;.001, η2=.420 and increases in anger, F(1,119) = 29.798, p&lt;.001, η2=.200, as well as a Time x Age Group interaction, F(1,119) = 4.546, p&lt;.035, η2=.03, showing that older adults had a larger decrease in happiness scores, but no age differences in feelings of anger. In the Happy Condition, we did not find any significant age differences in ratings of happiness or anger from pre to post while posing the happy or angry facial expression. Contrary to our hypotheses, these results suggest that older adults do experience facial feedback effects specifically for anger, but not happiness.
AGING AND UTILITARIAN EMOTIONS FOR SOLVING SOCIAL PROBLEMS
Authors: Behrend Abigail , Allard Eric , Stanley Jennifer 
Published: January 2025

Abstract
Literature suggests a preference for pro-hedonic orientations in older adulthood (Carstensen et al., 2006). Although this is consistent with Socioemotional Selectivity Theory (Carstensen et al., 1999), evidence suggests contra-hedonic motives are viable, particularly in interpersonal scenarios (Allard et al., 2021). We aimed to determine whether young and older adults consider specific emotions useful for accomplishing socially-relevant goals. In an online study, 112 young adults (18-35 years; 29.5% men; 68.8% White) and 72 older adults (64-83 years; 25% men; 93.1% White) viewed 8 interpersonal scenarios with associated social goals. Participants rated how much they would like to engage in emotion-inducing activities on a scale of 1 (not at all) to 7 (extremely) to prepare for each interpersonal interaction. A 4 Goal (Confront, Approach, Avoid, Help-seeking) x 4 Emotion (Happy, Afraid, Angry, Sad) x 2 Age Group (young, old) repeated measures ANOVA revealed a significant Goal x Emotion interaction F (3.82, 695.86) = 210.633 p &lt;.001. Follow-up analyses showed all predicted emotions were endorsed within their intended goal condition (e.g., Approach-Happy, p &lt;.001), with the exception of sadness within the “Help-seeking” condition (p &lt;.001). This partially supports our hypothesis. These results provide additional evidence for age-similarity in utilitarian emotional endorsement. Future research should investigate whether such age similarity remains when experiencing emotions to achieve utilitarian goals.
DISCUSSION AND DOCUMENTATION OF HEARING DIFFICULTY IN THE PRESENCE OF DEMENTIA: STUDY OF THE ANNUAL WELLNESS VISIT
Authors: Powell Danielle , Wu M J , Nothelle Stephanie , Smith Jamie , Oh Esther , Reed Nicholas , Wolff Jennifer 
Published: January 2025

Abstract
How clinicians document and discuss health concerns within a visit shapes patient health perception. This study investigates clinician documentation of hearing concerns and whether this varies for older adults with dementia/cognitive concerns. We use patient-level health and demographic information from the electronic medical record and associated clinician visit notes for Medicare beneficiaries who indicated index hearing concerns at an Annual Wellness Visit (AWV) between 2017-2022. We text analyzed a random sample of AWV clinical notes to evaluate documentation of hearing concerns/loss and placement of hearing-related referrals. Logistic regression models investigate odds of clinician documentation of hearing concerns by diagnosed dementia or cognitive concerns. Among 2,593 beneficiaries who reported hearing concerns at an AWV (mean age 78.8 years, 56.6% female), 6.5% had a concurrent dementia diagnosis, nearly 40% indicated congruent cognitive concerns, and 20% had an existing hearing loss diagnosis. Text analysis of clinician visit notes (n=474) found hearing concerns were documented less frequently for those with (versus without) dementia (44.2% vs 30.2%) and clinicians were half as likely to elaborate on hearing (OR:0.51; 95% CI:0.34,0.76) or acknowledge known hearing loss in the AWV note (OR:0.56; 95% CI:0.38,0.84. Regardless of dementia status, only 50% received a hearing diagnosis following the AWV. Clinicians are less likely to document or incorporate hearing concerns into the AWV for patients with dementia. The complex care needs of dementia may inhibit clinician ability to attend to hearing concerns, suggesting opportunity for embedded educational intervention to support clinicians in addressing patient-collected health risks can improve dementia care.
METHODOLOGY FOR ANALYZING MEDICAID NURSING HOME PAYMENT RATES AND COSTS
Authors: Simpson Elizabeth , Bowblis John , Miller Edward , Karon Sara , Oliveira Iara , Dey Judith , Squillace Marie , Cohen Marc 
Published: January 2025

Abstract
This study required the construction of a unique facility-by-facility national database that links Medicaid nursing home (NH) payment, cost, staffing, and quality information from a variety of sources to enable detailed analysis of key financial and other metrics. Medicaid cost data were obtained from Medicare Cost Reports and Medicaid payment rates were constructed from statutory rates collected from the states. Medicaid costs were adjusted to capture only services provided to Medicaid residents. The final sample consisted of 9,543 NHs, representing 67% of all freestanding NHs in 2019 in the 44 states analyzed. The analysis focused on distributions, means, medians, and payment-to-cost ratios, where a ratio of 1.0 indicates that Medicaid payments matched reported NH costs. The impacts of NH characteristics and state payment methods on Medicaid costs, payments, and payment-to-cost ratios were explored. Regression analyses further investigated the impact of NH and state policy characteristics, accounting for state fixed effects.
MAJOR STUDY FINDINGS ON THE ASSOCIATION BETWEEN MEDICAID PAYMENTS AND COSTS
Authors: Miller Edward , Cohen Marc , Simpson Elizabeth , Karon Sara , Oliveira Iara , Dey Judith , Squillace Marie , Bowblis John 
Published: January 2025

Abstract
In 2019, Medicaid payment rates covered about 82 cents per dollar of estimated nursing home (NH) reported Medicaid costs. Roughly 40% of NHs had Medicaid payments covering 80% or less of their reported costs; 51% of NHs had 80-100% of their reported Medicaid costs covered; 8% of NHs had payments exceeding reported costs. Not-for-profit NHs had the lowest Medicaid payment-to-cost ratio (.76) compared to for-profit (.83) and government-owned (.80) NHs. NHs with the highest Medicaid payer mix (80-100%) had a higher Medicaid payment-to-cost ratio (.86) than NHs with the lowest Medicaid payer-mixes below 50% (.75). NHs with total nursing staff levels below 3.00 hours per resident day had the highest average Medicaid payment-to-cost ratio (0.85); NHs with nursing staff levels above 4.0 hours had the lowest (0.77). NHs with the lowest (1-star) quality ratings had the highest average Medicaid payment-to-cost ratio (0.83); NHs with 5-star ratings had the lowest (0.80).
COLLABORATIVE RESEARCH DEVELOPMENT: ESTABLISHING A RESEARCH-AGENDA AT A UNIVERSITY-BASED RETIREMENT COMMUNITY
Authors: Guest M Aaron , Maxfield Molly , Beagley Lindsey , Schaffer Sigourney , Owens Becky , Coon David 
Published: January 2025

Abstract
University-Based Retirement Communities (UBRCs) represent a novel trend toward creating age-inclusive environments. These emerging housing options for older individuals generally function as continuing care retirement communities but stand out due to their close ties and university integration. They strive to foster intergenerational exchanges and offer older adults the chance to engage in university life and community. At Arizona State University, Mirabella at ASU is uniquely situated at the heart of the Tempe, AZ Campus, and is one of the few UBRCs physically located on a campus. Mirabella’s integration into the university has opened doors for collaborative research projects that add to broadly the nascent literature on UBRCs and aging. Residents expressed interest early in partnering with researchers to understand more about the UBRCs and aging in a university setting. To further these goals, a joint panel of residents and researchers was formed to pinpoint mutual research interests. This initial gathering prompted a series of focus groups to fine-tune topics, eventually leading to an annual resident health survey and the establishing of a Community Research Advisory Board. Transitioning from idea to implementation required navigating complex considerations beyond those typically encouraged in community-based research. In this presentation, we will share our experience in developing a collaborative research partnership while navigating the at-times competing interests of the researchers, university, operators, and residents. Furthermore, with the increasing prevalence of these communities, we offer guidance on sustaining engagement and sharing best practices derived from our experiences.
DUAL PRIORITIES: DIGITAL TWINS AND HEALTH CARE DESIGN THAT SUPPORTS OLDER ADULTS IN THE CONTEXT OF STAFFING SHORTAGES
Authors: Kabo Felix , Morrison Jake , Ritsema Chad 
Published: January 2025

Abstract
Aging populations are associated with a growing need and demand for specialized care, including healthcare environments that accommodate unique needs such as mobility assistance, chronic disease management, post-acute care, and mental health support. Currently, there are more than 46 million Americans aged 65 or over, and this number is projected to double by 2060. This demographic aging calls for an increased focus on design solutions like creating age-friendly spaces and ensuring accessibility. Designing healthcare environments that better support older adults is complicated by the staffing shortages in the American healthcare system. For example, there are significant projected shortages of both essential support staff (over 3 million in the next five years) and physicians (roughly 140,000 by 2033). These staffing shortfalls pose critical challenges to patient care, workplace culture and cohesion, and safety. The design of healthcare environments that better support older adults must mitigate the negative impacts of inadequate staffing levels and facilitate more efficient workflows e.g., enhancing interdisciplinary staff collaboration, promoting novel training opportunities, etc. This presentation examines the use of digital twins, effectively indistinguishable virtual representations of real-world physical objects (e.g., the human body, buildings, etc.), as part of a holistic design process that considers older adult patients, staffing and care delivery, and facility optimization. Digital twins have high fidelity and are linked to real-time data. They hold significant potential for designing age-friendly healthcare environments, optimizing staff and resource allocation, asset tracking, accelerated risk assessment, real-time decision support, and novel training simulations, thus improving care for older adults.
PROMOTING THE PATIENT EXPERIENCE AND WELL-BEING: LESSONS FROM GROUNDBREAKING PROJECTS IN HEALTH CARE DESIGN
Authors: Perreault Elisabeth , Kaminski Margi 
Published: January 2025

Abstract
The speakers will discuss how the built environment can and should support older adults in healthcare, rehabilitation, and long-term care facilities. They will share two case studies that showcase design solutions for older adults informed by the Living-Centered Design approach and focusing on long-term care and memory care for veterans, and recovery and rehabilitation, respectively. They will discuss current best practices in healthcare and long-term care design for older adults, and how the built environment can actively assist patient recovery and well-being. The first case study is the Veterans Home of California-Yountville (VHC-Yountville), which is under construction and nearing completion. This is a new 240-bed and 285,000 square feet (SF) skilled nursing and memory care facility by the California Department of Veterans Affairs (CalVet) and is located on CalVet’s historic campus in Napa Valley. Evidence-based design principles for older adults, including those with dementia and traumatic brain injuries, were applied to create a supportive, long-term care environment that effectively balances medical needs with the need for comfort and community. The second case study located in the state of New York is a new 9-story, 168-bed, and 189,600 SF urban rehabilitation facility for older adults focusing on patient-directed care. The patient services provided include medical care, physical, occupational, and speech therapy, diagnostic/ lab services, palliative care, social work, and mental health services. “Greenhouse” design principles were applied to create a post-acute rehabilitation facility that showcases how the building can be designed to actively catalyze and support patient recovery and rehabilitation.
ENGAGING COMMUNITY HOSPICE PROVIDERS TO SUPPORT VETERANS AND THEIR FAMILIES AT END-OF-LIFE
Authors: Dragan Deanna , Hagemann Lauren , Jarmul Cynthia 
Published: January 2025

Abstract
The VHA’s Empowering Community Hospices Initiative was developed to help strengthen the VHA’s coordination of care practices with non-VA providers. It is imperative that community hospice providers (CHP) be privy to the unique experiences of Veterans as their needs may be significantly different than those of a non-veteran at end-of-life (EOL) like specialized care and benefits for conditions such as PTSD, Moral injury and suicidality. For this project we completed a formal program evaluation study in collaboration with CHPs to explore the potential barriers and facilitators for creating and sustaining partnerships. Data collection included semi-structured interviews with stakeholders (n = 18) across multiple disciplines (e.g., Social Workers, Psychologists, Physicians, etc.) at the National, VISN, and local levels. Also, we conducted outreach efforts to local CHPs (n = 8), completed semi-structured interviews (n = 4), and coordinated face-to-face site visits (n = 4) for the VHA team to meet with the teams at each agency. These interviews revealed themes related to perceived barriers to and facilitators for achieving the goals of the initiative. Themes identified included: point of contact, timeline of hospice care, differences per agency, and need for resources to support Veterans’ families. CHPs collaborated with VHA to develop feasible partnerships with plans for sustainability using a consultation model of care. It is anticipated that the demand for EOL services may soon exceed the supply of care that VA facilities can provide; thus, these efforts may improve the access to services for Veterans in community hospice care settings.
CHALLENGES AND BENEFITS OF HOSTING US STUDY ABROAD STUDENTS AT THE COLLEGE OF HEALTH AND WELFARE
Authors: Bielsten Therése 
Published: January 2025

Abstract
Aging in a Welfare State is a course with the aim of student exchange of knowledge about the Swedish and US healthcare systems. The campus week’s main purpose is to stimulate students’ reflection on their own country’s healthcare system. The week is initiated with a day of perspectives of and study visits on Growing up in Sweden to introduce US students to Sweden’s welfare system. However, most of the week focuses on Aging in a Western Country, Old Age Care and Perspectives of Aging. Prior to the campus week students have prepared for discussions involving a case study of the US system and a paper with reflections on current and future challenges within old age care. Discussions and comparisons of Sweden’s universal high-state regime and US mixed system for older people are a valued feature of campus week. Along with lectures, discussions and study visits related to the welfare system, leisure activities are offered in the form of excursions to Swedish sights. Planning for the campus week requires high coordination. Some of the challenges associated with coordinating campus week involve recruiting Swedish students, getting students from different countries and campuses to interact, logistics of traveling, scheduling lectures and site visits. This presentation contributes challenges and success factors for internationalization in education. Campus week is a valued feature of the course and opens opportunities for students to gain theoretical knowledge at the same time as they have the opportunity for increased understanding through real life experiences of the study visits.