bluuebunny/crossref_metadata_2025_split huggingface dataset:
HOW DOES SOCIAL INTEGRATION SHAPE HEALTHCARE USE AMONG OLDER ADULTS IMMIGRANTS?
Authors: Patel Aditi , Hong Sungjae , Mejia Shannon 
Published: January 2025

Abstract
Immigrant populations often face significant health challenges due to language or financial barriers, creating unique vulnerabilities that impact community health. This study focuses on social integration among immigrant older adults, which indicates how a relationship between an individual and their community is built and maintained. The aim is to understand how social integration, which has shown varying support for healthcare access, affects immigrant older adults and their use of novel healthcare measures like telehealth. We interviewed 22 Korean immigrant older adults living in the Chicago Metropolitan Area. The interviews covered respondents’ life experiences, focusing on affiliated communities and healthcare experiences. We conducted a content analysis to explore approaches to developing social integration and its implications for the healthcare experience. Our analysis compared the healthcare and telehealth experiences by the types of communities they belonged to and to what extent they felt affiliated with it. The analysis revealed three findings. First, strong affiliations in Korean communities, such as the Korean church, led to access to healthcare information, like available healthcare resources. Second, telehealth services were not associated with the social integration of immigrant older adults because they adopted telehealth during the COVID-19 pandemic based on healthcare providers’ recommendations. Third, strong affiliations with adult children supported the continued utilization of telehealth services in the years that followed the COVID-19 pandemic. These findings highlight the critical role of social networks and social integration in shaping healthcare decisions, offering valuable insights for developing strategies to improve telehealth accessibility and support services for immigrant populations.
I FOLLOW THROUGH: CONSCIENTIOUSNESS IS ASSOCIATED WITH ADHERENCE
Authors: Lakshmanan Sarada , Flynn Sheryl , Reyes Joel , Rubinstein Stephanie , Zelinski Elizabeth 
Published: January 2025

Abstract
Conscientiousness has been linked to positive health benefits, as conscientious individuals have high self-control and are determined to follow a plan (Roberts et al., 2009). Therefore, we tested a sample of 44 older adults aged 57-95, to see whether conscientious individuals were more likely to adhere to a time-intensive, self-guided, digital, home-based fall prevention program. The fall efficacy program contained 11 lessons with 60 5-10-minute-long classes and an avatar-guided program based on the Otago Exercise Program consisting of lower extremity strengthening and balance exercises. Participants completed up to three lessons and exercised up to three days per week. Conscientiousness was assessed using the Big 5 Personality Test. Lesson adherence reflects the number of lessons completed and exercise adherence was measured from baseline to 3 months and from 3 months to 6 months, creating a 3-month and 6-month adherence statistic. We then used Pearson’s r-correlation coefficients to assess the relationships between personality traits and exercise and lesson adherence. None of the traits were significantly related to lesson adherence. Intellect/imagination and extraversion were significant for 3-month exercise adherence (p&lt;.05) while emotional stability was significant for 6-month exercise adherence (p&lt;.05). Conscientiousness was significant for both 3-month (p&lt;.05) and 6-month exercise adherence (p&lt;.05). Conscientious individuals appear to have a stronger tendency to adhere to exercise programs over both 3 and 6 months, suggesting a potential link between conscientiousness and sustained habits. Further analysis is needed to make more definitive and directional conclusions regarding this relationship.
ILLNESS INTRUSIVENESS AND PERCEIVED CONTROL ON QUALITY OF LIFE IN OLDER ADULTS WITH ARTHRITIS AND MULTIMORBIDITY
Authors: Joshi Sama , Reid M Carrington , Mindlis Irina 
Published: January 2025

Abstract
Arthritis is independently associated with diminished quality of life (QOL) among older adults; and QOL is even worse among those with arthritis and multimorbidity (MM). Illness intrusiveness—i.e., the perception that diseases and their treatments interfere with valued roles and activities—leads to poor QOL among those with chronic illnesses. Further, the perceived control individuals have over their illnesses has been proposed as a mechanism underlying the relationship between illness intrusiveness and QOL. While illness intrusiveness and perceived control are amenable to change, they are understudied among older adults with arthritis and MM. We investigated the role of perceived control as a potential mediator or moderator in the relationship between illness intrusiveness and QOL among older adults with arthritis and MM. We conducted a secondary analysis on a cross-sectional sample of older adults with MM (N=228) using PROCESS macro for SPSS. Participants were on average 72.0 years (SD=5.5), largely women (66.1%), with 2.8 chronic illnesses (SD=0.4), and high levels of pain intensity (M =7.92, SD=2.29) and illness intrusiveness (M=38.86, SD=16.55). Perceived control was a significant mediator in the relationship between illness intrusiveness and QOL, even after adjustment for pain intensity [β = -0.16, 95% CI (-0.13, -0.06)]. Perceived control did not moderate the relationship. In this sample of older adults with arthritis and MM, with high levels of illness intrusiveness and pain intensity, perceived control mediated the relationship between illness intrusiveness and QOL. Perceived control may be a target for future behavioral interventions to improve QOL in this population.
IMPACT OF COGNITION AND DEPRESSION ON PHYSICAL ACTIVITY IN OLDER ADULTS WITH CVD: NHANES 2011-2014
Authors: Kim Hyun Jung , Gore Shweta 
Published: January 2025

Abstract
Cardiovascular disease (CVD) is a major cause of morbidity and mortality. Physical activity (PA) is crucial for its prevention and management. Cognitive impairment and depression, common in older adults with CVD, impact PA and sedentary behaviors (SB). This study explores the associations between cognitive function, depression, PA, and SB in 632 older adults with CVD, using data from the NHANES 2011-2014. PA was assessed using the Global Physical Activity Questionnaire – meeting PA guideline as ≥ 500 MET-min/wk and SB as spending ≥ 7 hr/day in sedentary time. Cognitive function was measured as a composite z-score from four standardized tests (CERAD Word List Learning and Recall, Animal Fluency Test, and Digit Symbol Substitution Test). Depression was measured using the Patient Health Questionnaire (PHQ-9) and categorized into none (score: 0), minimal (1-9), moderate (10-14), and severe depression (15-27). Survey design methods were used to adjust for the complex sample design. Significant predictors from preliminary bivariate analyses were included in logistic regression models. When adjusting for covariates, higher cognitive function increased the odds of meeting PA guidelines by 79% (OR = 1.79, 95% CI = 1.01-3.17, p =.047) and moderate depression by 79% (OR = 0.21, 95% CI = 0.08-0.56, p =.003). Self-perceived general health was also a significant predictor of PA. On the contrary, cognitive function and depression were not significantly associated with SB. These results highlight the importance of considering cognitive and mental health to promote adherence of PA in this population.
IMPACT OF PROJECT ECHO ON SELF-ASSESSED KNOWLEDGE IN LONG-TERM CARE AND PRIMARY CARE WORKFORCES
Authors: Telonidis Jacqueline , Brunker Cherie , Hernandez Christopher , Dassel Kara , Edelman Linda S 
Published: January 2025

Abstract

Project ECHO is a widely accepted method for transforming care through education. The Utah Geriatric Education Consortium (UGEC), a Health Resources and Services Administration funded Geriatric Workforce Enhancement Program, developed a monthly Age-Friendly ECHO series to educated clinicians about the Institute for Healthcare Improvement Age-Friendly Health Systems Initiative 4M’s Framework. The purpose of this program evaluation was to measure knowledge gained over the 12-month series ending in June 2024.

Methods
We used retrospective pre-post testing via Zoom polling to measure knowledge gained for each ECHO topic. This approach measures participants’ learning after the session by asking them to assess their knowledge from two viewpoints – BEFORE and AFTER participating.

Results
The UGEC hosted 11 ECHOs with a total of 461 participants: Allied Health (3.04%), Behavioral Health (20.61%), Medicine (10.63%), Nursing (20.17%), Paraprofessionals (6.07%), and other professions including facility administrators, informal caregivers, etc. (39.48%); students made up 3.08% across all disciplines. Overall, results revealed significant improvements in knowledge gained (t = -12.5273, df = 208, p &lt; 0.001). The greatest changes were observed for presentations about Advanced Treatment Options for Parkinson’s Disease (t = -5.9847, df = 18, p &lt; 0.001), Helping Patients Age Well (t = -5.4349, df = 20, p &lt; 0.001), and Keys to Addressing Ageism (t = -4.8190, df = 18, p &lt; 0.001). Conclusions: Retrospective pre-post is a valid method to measure learning compared to a traditional pre-post approach. Project ECHO is an effective learning model for best-practice dissemination to increase knowledge about the 4Ms Framework.
INDIVIDUAL AND SOCIAL FACILITATORS OF PHYSICAL ACTIVITY IN STROKE SURVIVORS: EVIDENCE FROM DAILY LIFE ASSESSMENTS
Authors: Garza Elizabeth Zambrano , Pauly Theresa , Murphy Rachel , Ashe Maureen , Madden Kenneth , Linden Wolfgang , Gerstorf Denis , Hoppmann Christiane 
Published: January 2025

Abstract
Physical activity is a means through which stroke survivors can reduce their future stroke risk. Individual intentions (purposeful aims to engage in a behavior) and self-efficacy (beliefs about their capacity to successfully perform the behavior) have been associated with more physical activity. Spouses are underrecognized resources that may facilitate physical activity engagement. We specifically examined dyadic intentions (shared aims to engage in a behavior) and dyadic self-efficacy (beliefs about the capacity to engage in a behavior with a partner) to explore the important role of spouses in facilitating physical activity. 88 Canadian stroke survivors (Mage = 67.84, SD = 10.79; 73% male; 35% with college degrees; 82% White) wore physical activity monitors for up to 14 consecutive days and completed morning and evening questionnaires including daily individual and dyadic intentions and self-efficacy. Results reveal positive associations between individual morning intentions and physical activity (self-report and accelerometer based) but not for individual self-efficacy. Dyadic variables (intentions and self-efficacy) were positively associated with self-reported physical activity but not with accelerometer assessed physical activity. Notably, associations differed by analytical level: within-person effects were significant for individual intentions and dyadic self-efficacy, whereas between-person effects were significant for both individual and dyadic intentions. This project highlights and discusses the importance of considering within and between person effect to provide more granular insights on the complexity of the targeted phenomenon as well as issues of physical activity measurement (self-report, device-derived) to light on avenues for increasing physical activity engagement in stroke survivors.
INTERGENERATIONAL SILENT DISCO PARTIES FOR OLDER ADULTS LIVING IN LONG-TERM CARE
Authors: Meghelli Ilan , Son Rynnie Cin Ee , Banco Julia , Yu Oliver Hang Kin , Arora Shambhavi , Mondol Swastika , Hung Lillian 
Published: January 2025

Abstract
Silent disco headphone parties in long-term care (LTC) settings offer a unique way to bring residents together to dance and share musical experiences through wireless, multichannel headphones. Unlike traditional group activities, these parties allow residents to choose their music, creating a personalized yet communal experience. Older adults living in LTC often experience loneliness and social isolation. Silent disco parties can offer a unique opportunity for socialization and enjoyment. This study explored the experiences of 22 older adults in silent disco parties with an intergenerational group of volunteers on the dance floor. Over six weeks, data were collected through video ethnography, including video recordings, conversational interviews, observations, and focus groups with 40 staff members. Thematic analysis identified three themes: intergenerational togetherness, social capacity, and inclusivity. Findings suggest that intergenerational silent disco parties hold promising potential to address loneliness and social isolation in LTC settings. Future research should investigate how these parties can influence residents’ social health and quality of life.
INTERIM ANALYSIS: VALIDATION OF THE AGITATION IN ALZHEIMER’S SCREENER FOR CAREGIVERS (AASC®)
Authors: Jackson W Clay , Stroud Jared , Brubaker Malaak , Patel Mehul , Fehnel Sheri , Peschin Sue , Grossberg George , Clevenger Carolyn 
Published: January 2025

Abstract
Agitation in Alzheimer’s dementia often goes unrecognized or underreported, contributing to delayed diagnosis and treatment. The International Psychogeriatric Association (IPA) set a standard for defining agitation in cognitive disorders. The Agitation in Alzheimer’s Screener for Caregivers (AASC®), the first clinical tool based on IPA criteria, was developed to support caregiver-healthcare professional (HCP) discussion and timely recognition of agitation in Alzheimer’s dementia. It has 2 questions assessing presence and impact of agitation behaviors. This ongoing, prospective, multisite, single-visit observational study will calculate predictive metrics for recognizing agitation by the AASC® versus IPA criteria. Interim (n=50 caregiver-HCP dyads) and final (n=150 dyads) analyses will determine agreement rates (yes/no) and sensitivity/specificity. This ongoing interim analysis included 44 dyads (caregivers completed AASC®; HCPs completed IPA criteria). Most patients/caregivers were female (70%/50%) and 74 (±7.3)/58 (±18.9) years old. Most caregivers were White (57%), a spouse/partner (43%) or child (23%), and spent a mean (SD) of 40.8 (44.3) hours/week providing care. Percentage agreement between AASC® and IPA was 70.45%; Cohen’s kappa coefficient (level of agreement) was 0.35 (95% CI: 0.08, 0.62). The number of false positives/negatives using AASC® was 3/10; positive/negative predictive values (95% CI) were 0.727 (0.464, 0.991)/0.697 (0.540, 0.854). The strongest contributor to false negatives on the AASC® was caregivers’ minimization of the impact of agitation behaviors on patient functioning, underscoring a key educational gap. These results suggest that the AASC® can improve caregiver-HCP communication and awareness of agitation behaviors and their impact, thereby advancing early recognition of agitation in Alzheimer’s dementia.
LGBTQIA+ AD/ADRD CAREGIVERS’ PERCEPTIONS OF THE ACCEPTABILITY OF A LEGAL AND FINANCIAL PLANNING TRAINING TOOL
Authors: Caldwell Clover , Chunga Richard , Hoel Sydney , Schwartz Heather , Slowey A J , Werner Nicole , Pickett Andrew 
Published: January 2025

Abstract
LGBTQIA+ identifying informal caregivers for people living with Alzheimer’s Disease (AD) and AD-related dementias (AD/ADRD) face multiple, overlapping stressors related to identity stigmatization and role-based burden. This includes legal/financial planning, as the legal landscape surrounding LGBTQIA+ identity is inconsistent and ever-changing. Part of a larger project, this study examined LGBTQIA+ identifying caregivers’ perceptions of the acceptability of CareVirtue Planner, a web-based legal and financial planning support tool for AD/ADRD caregivers. Semi-structured interviews with LGBTQIA+ caregivers (n=9) were conducted after three months of use. We conducted an inductive content analysis using the following process: open coding, collaborative generation of the initial codebook, dual coding with the codebook, consensus discussion on refinements to finalize codebook. Our analysis resulted in four overarching themes among users: sense of commonality and personal validation related to legal and financial challenges of caregiving, Planner features promoting caregiver preparedness, inclusive language and need for LGBTQIA+ specific tailoring, and individual characteristics and personal histories impacting relative usefulness of the Planner. Participants broadly found Planner material to be well organized and its features useful (e.g., document storage ‘vault’), with content best suited for those early in the caregiving journey. Users provided specific recommendations to increase LGBTQIA+ appropriateness, including creation of additional content to specifically address unique legal challenges facing LGBTQIA+ caregivers, inclusion of diverse families in materials (e.g., vignettes), and vetting of externally linked resources for LGBTQIA+ inclusiveness. Further research is needed to support LGBTQIA+ AD/ADRD caregivers navigating complex legal and financial situations.
LONG-TERM EFFECTS OF LOCAL AREA NEW DEAL WORK RELIEF IN CHILDHOOD ON LATE LIFE DEPRESSION
Authors: Modrek Sepideh , Rehkopf David 
Published: January 2025

Abstract
Objective To investigate whether childhood exposure to local area New Deal emergency employment work relief activity was associated with lower depressive symptoms in late life. Methods This study utilized individual-level data from the Wisconsin Longitudinal Study (WLS) linked to the full count 1940 census. New Deal emergency employment programs were the largest non-wartime expansion in government led infrastructure, services, and employment policy in U.S. history. We used within county variation in WLS participants’ exposure to emergency employment work relief activity during childhood (ages 0-3) to examine its association with depressive symptoms in late life. We examined depressive symptoms at three ages, 53-55, 65-67, and 72-74 but with a focus on depressive symptoms at ages 72-74 as a marker for late-life depression. Results Children who lived in neighborhoods with moderate or high levels of emergency employment work relief activity exhibited 14-18% lower depressive symptom scores at ages 72-74 compared to those from neighborhoods with low activity. These findings were consistent across various measures of late-life depressive symptoms, different model specifications, and after accounting for prior depressive symptoms. Discussion The study highlights the long-term mental health benefits of economic policies aimed at mitigating concentrated economic downturns among the most impacted individuals. Childhood exposure to New Deal work relief reduced depressive symptoms in older age, particularly new onsets of depressive symptoms at ages 72-74. These results suggest social policies aimed at maintaining economic activity in downturns can have long-term positive impacts on population mental health.
OLDER ADULTS WHO PLAY VIDEO GAMES: WHO ARE THEY AND HOW DO THEY FARE?
Authors: Sonnega Amanda , Sonnega John 
Published: January 2025

Abstract
Video games for leisure are often considered the purview of younger adults. When older adults are the focus of video game use it is often for rehabilitation or prevention. Growing literature explores the potential of video games to improve cognition and health in older adults but very little that is population-based. Available literature shows that fewer older adults engage in gaming when compared to younger adults but that the older adults play with a similar frequency to younger populations. Internet use provides psychosocial benefits to older adults, and we propose that gaming for leisure does so as well. We use data from the Health and Retirement Study (HRS), a biennial survey of a nationally representative sample of adults over age 50 in the United States begun in 1992. HRS, in an add-on module, asked respondents if they played video games such as X-box or PlayStation (n=1,734). We describe the socio-demographics and other individual differences of respondents who report playing video games. We find that those who report using video games are more likely to be male (64%) and younger than those who do not report using these games (mean age of gamers compared to nongamers is 62 year v. 74 years; p&lt;.01). The gender gap shrinks as adults age. We subsequently examine the relationships between gaming and psychosocial outcomes, and find no difference between gamers and nongamers in depressive symptoms (p=.12). Interestingly, gamers have slightly higher cognitive scores (p&lt;.02) longitudinally. We discuss the potential role of gaming in retirement.
ORAL HEALTH, PERCEIVED STRESS, AND SUBJECTIVE MEMORY COMPLAINTS ACCORDING TO DIABETES STATUS
Authors: Kim Min Jung 
Published: January 2025

Abstract
Oral health status has been linked to cognitive impairment. People with diabetes often experience more oral health issues and higher emotional stress than those without, that may increase the risk of cognitive impairment. This study explored the relationship between oral health, perceived stress, and subjective memory complaints (SMC), and whether these relationships differed by diabetes status, using data from the 2021 Korean National Health and Nutrition Examination Survey. Perceived oral health, stress levels, and SMC were assessed via questionnaires, and the number of natural teeth was counted during exams. Tobit regression models were used, with subgroup analyses by diabetes status. Among 1,444 adults, after controlling for demographic factors, perceived oral health (r = 0.16, p &lt;.05) and stress levels (r = 0.16, p &lt;.05) significantly increased SMC in healthy adults (n = 504). However, only stress levels increased SMC in those with prediabetes (n = 602, r = 0.29, p &lt;.001) and diabetes (n = 260, r = 0.19, p &lt;.05). The number of natural teeth did not affect SMC in any group. These findings suggest perceived oral health may indicate early cognitive decline in healthy adults, while psychological status is a more critical factor in those with prediabetes or diabetes. These results suggest that perceived oral health may be an early indicator of cognitive decline in healthy adults, while psychological health plays a more dominant role in cognitive decline in adults with prediabetes or diabetes. Tailored interventions to prevent cognitive decline should consider diabetes status.