bluuebunny/crossref_metadata_2025_split huggingface dataset:
BRIDGING THE DIGITAL DIVIDE: EXPLORING DETERMINANTS OF TELEHEALTH UTILIZATION AMONG US OLDER ADULTS
Authors: Hwang Misun , Veliz Philip , Jiang Yun 
Published: January 2025

Abstract
The growing older population emphasizes the need for effective integration into the digital health ecosystem. Multiple factors can affect technology adoption among older adults; however, few studies have comprehensively examined their use of telehealth. This study aimed to explore determinants of telehealth utilization among older adults based on the Senior Technology Acceptance Model. Logistic regression was conducted to analyze a nationally representative survey of 6,327 community-dwelling older adults (≥65 years) from the 2022 National Health and Aging Trend Study (NHATS). Telehealth utilization was defined as communicating with health professionals online to manage health. Findings indicated that 46.1% of respondents reported telehealth utilization last year. Respondents who were older, non-white, living in non-metropolitan areas, had lower levels of education and income, or lacked access to technologies were less likely to utilize telehealth. Additionally, poor cognitive function and a lack of social networks or social participation were associated with the non-use of telehealth. However, poorer health status and multiple comorbidities, including cancer (OR=1.47, 95% CI=1.12-1.92) and anxiety (OR=1.56, 95% CI=1.10-2.26), were associated with greater odds of telehealth utilization. Gender, marital status, sensory impairment, limitation of strength or movement, instrumental activities of daily living, and depression were not associated with telehealth utilization. This study confirms the digital divide among vulnerable older adults in the US. Although they have an increased need for telehealth services with their health conditions, they might not fully benefit from telehealth. There is an urgent need to improve digital inclusion and advance health equity in this population.
EFFECTIVENESS OF USING TECHNOLOGIES FOR COMMUNITY DWELLING OLDER ADULTS: A PILOT STUDY
Authors: Chang Pei-Fen , Thomas Lisa , Feng Jeff , Tsai Kai-Li 
Published: January 2025

Abstract
Many challenges arise with an aging population, particularly the increase of isolation and lack of social relationships. A strong sense of social connections is considered as a protective factor that is associated with general well-being. One novel approach that has been shown to increase social connection in older adults is the utilization of technology. During this post-pandemic period, we lack an understanding of whether or not older adults use technologies for daily living, especially for social connections. The aim of the study was to examine the effectiveness of an information and communication technology (ICT) program for community dwelling older adults for social connection by decreasing loneliness and increasing quality of life. A one-group pre and post-tests design was used including the inclusion criteria: older adults aged 70 and older, living alone in the community, and able to speak and understand English. Outcome measures included the SF-12 for physical and mental health, UCLA 3-item loneliness Scale for loneliness, and Technology Acceptance Model questionnaire for the self-perceived acceptance and ease of use of the technology. After receiving a 6-week intervention by using iPads, all participants demonstrated significant increase in quality of life and decreased loneliness scores. However, results of the self-perceived acceptance and ease of use of the technology were mixed. Results from this pilot study demonstrated that community dwelling older adults who live alone could benefit from using technology for communication to decrease loneliness and increase quality of life. Future study with larger sample size is needed.
GENDERED PATHWAY TO LIFE SATISFACTION VIA HELPING SPOUSES WITH DIGITAL TECHNOLOGY USE
Authors: Park Hayoung , Joo Susanna , Lee Sun Ah 
Published: January 2025

Abstract
Digital capabilities are closely related to the quality of life, and due to rapid digitalization, the exchange of help regarding digital technology use frequently occurs within close relationships in later life. As digital technology penetrates deeply into daily life, exploring the role of exchange of help regarding digital technology use within couple relationships could help specify daily interaction strategies improving the quality of life of individuals. This study explored how the husband and wife’s digital capabilities affect life satisfaction via helping their spouses with digital technology use within dyadic associations. For this, we used the Digital Aging in Dyads (DAID) data collected through an online survey in May 2023, targeting 257 older Korean straight couples aged 45 to 74. According to the modified Actor-Partner Interdependence Mediation Model analysis with bootstrapping, two mediating paths were found to be significant; the higher the digital capabilities of husbands, the more help with digital technology use provided by husbands to wives, which increases the life satisfaction of both husbands and wives. However, for wives, only the direct association between helping their husbands with digital technology use and wives’ life satisfaction was significant. These findings indicate gender asymmetric associations as the husband’s digital capabilities serve as greater power within later-life couple relationships whereas the wife’s digital capabilities nor helping their husbands with digital technology use do not play significant roles. This study is meaningful in presenting a new model for improving life satisfaction in the context of couple relationships in the digital era.
EXPLORING GENDER DISCORDANCE AND RISK OF CAREGIVING NEGLECT IN DEMENTIA CAREGIVING: A DYADIC PERSPECTIVE
Authors: Hancock David , Chang E-Shien , Czaja Sara 
Published: January 2025

Abstract
Neglect in caregiving relationships, defined as unmet Activities of Daily Living (ADL) or Instrumental Activities of Daily Living (IADL) needs, remains a critical impediment undermining the safety of persons living with dementia (PLWD). This study explores the occurrence of neglect in gender-concordant and discordant caregiving dyads, where the caregiver and care recipient are of same or different genders. Data were drawn from 244 dyads of racially/ethnically diverse caregivers (CR) and PLWD. We operationalized neglect as CG’s failure to meet any of the 6 ADL or 8 IADL for PLWD. Chi-squared tests were employed to compare neglect occurrences across three groups: female-male, male- female, and same-gender dyads. Overall, female-male caregiving dyads were most common in our study sample (n=103), followed by same gender dyads (n=102), and male-female dyads (n=39). The chi-square test indicated significant differences in neglect occurrences across the three groups (p&lt;.05). Specifically, male caregivers caring for female care recipients exhibited more instances of one-week prevalence of neglect. ADL/IADL item-level analyses did not reach statistical significance due to small sample sizes; they generally supported the overall pattern. The findings suggest that gender concordance and discordance between CG and PLWD may be an important area for dementia caregiving intervention research. Future studies should focus on vulnerabilities and strengths of male CG caring for female PLWD to better support and mitigate risks of neglect in this population. These results have implications for policy and caregiving research, emphasizing the need to consider gender dynamics in caregiver support and training programs.
HETEROSEXUAL AND SEXUALLY DIVERSE OLDER ADULTS’ LIFETIME EXPERIENCE OF IPV: FINDINGS FROM THE CLSA
Authors: Gutman Gloria , Karbakhsh Mojgan , Stewart Heather 
Published: January 2025

Abstract
This study addresses knowledge gaps concerning prevalence and risk factors for intimate partner violence (IPV) among lesbian, gay and bisexual (LGB) compared to heterosexual Canadians aged 50+. Data derive from the Canadian Longitudinal Study on Aging (CLSA), a national cohort study with follow-up every 3 years for 20 years or until death. Participants who reported having ever been in an intimate partner relationship (n=11,727) who answered ‘yes’ to at least one item on the Composite Abuse Scale (Revised) – Short Form (CASR-SF) which was used to assess the prevalence of lifetime and past-year exposure to IPV and IPV types were included in this analysis. Main explanatory variables are sexual orientation and gender identity. Overall prevalence (exposure to any type) of IPV was 23.1% (16.6% among males; 29.1% among females) (p&lt; 0.001). The lifetime prevalence rate was highest among LB women (35.8%), followed by GB men (29.3%), heterosexual women (29.0%) and heterosexual men (16.2%) (P&lt; 0.001). The most common type of IPV was psychological (18%), with highest prevalence among LB women (27.5%) followed by heterosexual women (23.2%), GB men (20.4%) and heterosexual men (12.8%) (P &lt; 0.001). The pattern of higher rates among sexually diverse woman and men then among their heterosexual age mates was also seen in lifetime experience of physical and sexual IPV. Recognition and prevention of IPV among sexually diverse older adults has been largely overlooked despite the fact that the IPV rates among same sex couples are reported to be similar or higher in comparison to opposite sex couples.
TRACING THE FOOTSTEPS OF THE SCHOLARS FROM DE TORNYAY CENTER FOR HEALTHY AGING AT UNIVERSITY OF WASHINGTON
Authors: Liang Yanjing , Carmiol-Rodriguez Priscilla , McKiddy Sarah , Bartlett Paige , Sanchez Heather Wicklein , Belza Basia 
Published: January 2025

Abstract
The de Tornyay Center for Healthy Aging has been pivotal in advancing research, education, and practice since 1998. The center faculty has mentored over 165 students, connected them to community partners, awarded them over $757,000 in research funding, and supported the dissemination of their work through travel scholarships. This paper presents the evolution of the scholar community by showcasing scholars’ contributions over time. An online survey was distributed to 87 former de Tornyay Center scholars, resulting in 32 responses. Results indicate that after graduating scholars pursued careers in practice (n=21, 65.6%), teaching (n=18, 56.2%), and research (n=13, 40.6%). Contributions include publishing in high-impact journals, securing research funding from institutions like the National Institutes of Health, and pioneering innovative practice models. Scholars demonstrated leadership in the COVID-19 response and made impactful changes in clinical settings. Scholars have engaged in shaping the next generation of nursing professionals through teaching, developing educational models, and contributing to professional service globally. Scholars credited the de Tornyay Center with boosting their research skills (n=24, 75%) and providing crucial career guidance and mentorship (n=24, 75%). Early involvement in scientific research at the center influenced students’ academic paths, fostering a commitment to gerontological nursing. These findings contribute to understanding scholars’ journeys and form a foundation for shaping the center’s strategic plan. The results underscore the center’s role in nurturing scholars who significantly contribute to healthcare, cultivating a talented workforce, and influencing scholars’ career paths. The de Tornyay scholar program is instrumental in fostering professionalism in scholars’ careers.
UNDERSTANDING AND ENDING AGEISM: AN INNOVATIVE COLLEGE COURSE
Authors: Sasser Jennifer 
Published: January 2025

Abstract
Understanding and Ending Ageism is an online community college course developed as part of a grant-funded project that aimed to raise awareness about aging and ageism, as well as to make the case for integrating these dimensions of human experience into college-wide diversity, equity, and inclusion initiatives. Designed and first offered in 2016, the course continues to be offered two terms per year and has been periodically refreshed to incorporate new perspectives and resources (including the Reframing Aging Initiative and updated AGHE Competencies). Course content includes a comprehensive overview of the characteristics, mechanisms and effects of ageism (and how ageism is experienced across the life course and at different ages and stages); examination of how ageism intersects with other “isms” in forming a system of oppression and yet is not often enough considered in discussions about diversity, equity, and inclusion; identification and planning of interventions and projects connected to increasing age-appreciation and challenging ageism; themes of aging-awareness, social justice and intergenerational solidarity; and an emphasis on reflection, critical thinking, and praxis. Unique features of the course include its collaborative learning design and its focus on “practices” that we can engage in at every level at which ageism operates and at which we can intervene: the individual; interpersonal; social/organizational; societal/political; and cultural. In addition to weekly assigned readings and roundtable discussions, students create an Ending Ageism Synthesis & Action Project as their capstone assignment.
COMMUNICATION OF LONG-TERM-CARE PLANS AMONG OLDER ADULTS
Authors: Olvera Charlie , Miller-Winder Amber , Murawski Alaine , Ramirez-Zohfeld Vanessa , Lindquist Lee 
Published: January 2025

Abstract
Older Adults (OAs) making long-term care (LTC) plans for post-hospitalization or Alzheimer’s Disease (AD) care must communicate their plans to ensure their wishes are honored. What factors increase the likelihood of this communication? The PlanYourLifespan (PYL) study examines OA LTC decision-making, employing a tool proven effective in helping OAs make LTC decisions. Subjects were administered PYL after baseline assessment, with follow-up assessments every 6 months thereafter. Subjects indicating they made LTC plans were asked if they communicated these plans. We employed GLMM to identify significant (p&lt; 0.05) factors increasing the likelihood of plan communication. 293 subjects enrolled, mean age 73.5, 72.7% female, 40.4% URM. Subjects were more likely to communicate AD LTC plans if they were married (OR2.131), had advanced directives (OR2.004) or living wills (OR1.562), or had higher health literacy (OR2.174). Subjects were more likely to communicate AD in-home care plans if they were married (OR1.871), displayed higher health activation (OR2.425) or health literacy (OR1.883), had advanced directives (OR1.651) or living wills (OR1.596). Subjects who perceived adequate social support (OR2.163), or had advanced directives (OR1.828), living wills (OR1.565), or power of attorney (OR1.529) were more likely to communicate post-hospitalization LTC plans. Married subjects (OR2.034) and those with high health activation (OR1.96) or health literacy (OR1.929) were more likely to communicate post-hospitalization in-home care plans. OAs with higher health literacy and activation, stronger social support, and pre-existing legal directives in place are more likely to communicate LTC plans. These results can help future interventions optimize communication of LTC plans among OAs.
HOME AND COMMUNITY-BASED SERVICE USE AMONG VETERANS WITH DEMENTIA VARIES BY COMORBIDITY LEVEL AND HEALTH CARE TEAM
Authors: Quach Emma , Moo Lauren , Franzosa Emily , Ni Pengsheng , Zhao Shibei , Hartmann Christine 
Published: January 2025

Abstract
Home and community-based services (HCBS) such as home care and adult day centers (adult day) are vital to supporting adults with dementia in community settings. Using 2019 data of 143,281 patients with dementia from the Veterans Health Administration, we investigated HCBS use (use of both home care and adult day, use of only one service, and use of neither service) in older adults with dementia. These adults may receive care from one of three types of case-managed health care teams (Home Based Primary Care, geriatrics-based outpatient primary care, and dementia-focused outpatient specialty care). They had various comorbidity levels, measured as the number of (adapted) Elixhauser comorbidities index and dichotomized as &lt; 4 or ≥ 4 comorbidities. We compared HCBS use (use of neither service as referent) by patients’ type of case-managed team (patients in no team as referent), stratified by patients’ non-dementia comorbidity levels (&lt; 4 or ≥ 4). Use of both home care and adult day was associated with each type of health care team at each comorbidity level. Home Based Primary Care and dementia-focused specialty care were more consistently associated with HCBS use--only adult day and of only home care--than geriatrics-based primary care for patients with ≥ 4 non-dementia comorbidities. Our findings suggest that, in patients who have both dementia and other comorbidities, case-managed health care teams in primary and specialty care settings contribute to use of critical community supports. Among these, implementation of case management faced more challenges within outpatient primary care teams.
MODERATING ROLE OF NEIGHBORHOOD ENVIRONMENT IN ASSOCIATIONS BETWEEN HEARING LOSS AND COGNITION AMONG OLDER ADULTS
Authors: Cheung Ethan Siu Leung , Zhang Zhe 
Published: January 2025

Abstract
The relationships between hearing loss and late-life cognitive challenges have been documented. However, little is known about how the relationships may be moderated by the built and social neighborhood environments. This study examined the associations between hearing loss and cognitive challenges among community-dwelling older adults and whether neighborhood characteristics (physical disorder and low social cohesion) moderated the associations. Cross-sectional national data from Round 11 of the National Health and Aging Trends Study were adopted (N = 2,515). Multinomial logistic regressions were used to examine associations among variables and interactive analyses were conducted to examine moderating effects. Results indicated significant relationships between the experience of hearing loss and possible dementia and between severe or profound hearing loss and probable dementia. Interactive models suggested that residing in neighborhoods with physical disorder and low social cohesion were negatively associated with possible dementia among older adults with moderate and severe or profound hearing loss, respectively, compared to those without hearing loss. Findings underscore the necessity of environmental and social interventions to enhance cognitive health among older adults with varying degrees of hearing challenges.
PROBLEMS AND ISSUES FOR HOSTS OF SOCIAL PARTICIPATION ACTIVITIES: A CASE STUDY FROM JAPAN
Authors: Takase Mai , Goto Jun 
Published: January 2025

Abstract
Social participation is important for maintaining the health of older adults. In Japan, many recreational activities and hobbies are available for community-dwelling older adults for social participation. Meanwhile, little is known about the problems and issues that hosts face when conducting these activities. In this study, we aimed to clarify the problems related to hosting activities and possible measures that could be taken to alleviate these problems. Activity hosts providing activities for older adults in a community space in Chiba Prefecture (Japan) were approached. The activity content included musical events, movie, crafts, exercise, and cafés. This community space is operated by city’s Social Welfare Council and all of the activities are hosted voluntarily by citizens. Semi-structured interviews were conducted with ten hosts. All hosts were ≥ 65 years old and the average years of operation was 9 ± 2.7 (mean ± SD) years. As a result, nine out of ten hosts reported that the decline of members who supported the activity owing to aging and death was the major problem. Directly asking friends for help in the operation, receiving help from attendees, and decreasing the frequency of activities were measures that was taken to continue with the activities. The hosts also found it difficult to recruit younger generations who could become the next leaders of the activity group because of their lack of personal connections with the younger generation. Social Welfare Council mediating the connection between activity hosts and the younger generation who are interested in voluntary activities were anticipated.
PROSPECTIVE ASSOCIATIONS BETWEEN MULTIDIMENSIONAL NEIGHBORHOOD CONTEXTS AND PSYCHOSOCIAL OUTCOMES IN LATER LIFE
Authors: Cheung Ethan Siu Leung , Wen Ming , Curtis David , Grineski Sara , Wei Yehua Dennis 
Published: January 2025

Abstract
Despite extensive literature having reported on contextual place effects on older adults’ individual health and well-being outcomes, the longitudinal relationships between multidimensional neighborhood environments and diverse psychosocial outcomes remain less known. This study addresses two questions: 1) What are the prospective associations between multidimensional neighborhood environments and psychosocial outcomes (i.e., purpose in life, depression, generalized anxiety disorder, life satisfaction) among older adults? 2) Do these relationships differ based on age groups (Youngest-old 65-74, Middle-old 75-84, Oldest-old 85 or over) and biological sex? This investigation adopts individual data from waves 2 (2004-2006) and 3 (2013-2014) of the core sample in Midlife Development in the United States, supplemented with an oversample of African Americans in Milwaukee. Tract-level neighborhood data come from multiple public sources and are measured in 2010. The analytic sample includes 1,249 individuals aged 65 and above at wave 3. Time-random-effect linear and logistic regressions are used to examine the main place effects, and interaction analyses by age and sex are conducted for each psychosocial outcome. Results suggested that area-level economic disadvantage is associated with a lower level of purpose in life. Social disorganization is a significant risk factor for generalized anxiety disorder. Some of these effects significantly vary by female. The findings highlight the importance of neighborhood social, built, and natural environments for various psychosocial outcomes and underscore the need for age-sensitive environmental interventions and programs to enhance psychosocial well-being in later life.
SUPPORTING AGING IN PLACE THROUGH IWISH: LESSONS FROM THE SUPPORTIVE SERVICES DEMONSTRATION
Authors: Vandawalker Melissa , Giardino Elizabeth , Hendricksen Meghan , Breunig Ian 
Published: January 2025

Abstract
Most Americans prefer to live independently in their homes as long as possible. The U.S. Congress sponsored the Supportive Services Demonstration to learn whether the Integrated Wellness in Supportive Housing (IWISH) model can help adults aged 62 and older remain in HUD-assisted housing developments longer and delay transitions to long-term care. After three years of the demonstration, we found little evidence that IWISH affected residents’ tenure or healthcare utilization as intended, but there are reasons for optimism about IWISH’s long-term impact and lessons learned from 40 properties that implemented IWISH between 2017–2020. Based on enrollment and services data for 2,927 IWISH participants, 21 focus groups with 180 residents, and interviews with property management and onsite wellness staff, we conducted an implementation analysis of IWISH properties’ fidelity to the model and identified IWISH’s strengths and weaknesses. We observed substantial variation in resident participation and how properties implemented the model. We identified challenges with hiring and retaining onsite wellness staff for a diverse multilingual resident population, developing partnerships with local healthcare organizations, and addressing residents’ privacy concerns over their health information. Residents and staff reported numerous benefits from IWISH suggesting a promising strategy for helping residents age in place, including examples of preventative actions by IWISH staff that helped residents avoid unnecessary emergency care, transitional care after returning from the hospital, and feeling safe and secure with a dedicated, onsite medical professional.