bluuebunny/crossref_metadata_2025_split huggingface dataset:
“WE’RE THE TARGET”: THE IMPACT OF CYBERCRIME AMONG OLDER ADULTS IN GHANA
Authors: Gyimah Akwasi Adjei , Frimpong Eric , Adjei Mathias 
Published: January 2025

Abstract
Among Older adults, the impact of experiencing cybercrime affects greatly on their quality of lives. Whilst maximum attention is directed towards issues relating to aging and experiences of cybercrime in the Western world, there is insufficient attention in the academic literature in Africa. This study explores the emotional and personal constraints endured by older adults in Ghana who have been victims of cybercrime. This study will serve to fill an important gap in knowledge and aid in the development of effective strategies to address the issue. Using a purposive criterion sampling and a semi-structured interview, 16 older adults aged 60 years and older who had reported cases of cybercrimes to the Asokwa Police Service Division, Kumasi-Ghana were recruited. An interpretative phenomenological analysis (IPA) was used. Older adults who are cyber-crime victims experience feelings of anger, frustration, violation and sometimes lead to them being depressed. Additionally, financial losses resulting from cybercrime significantly causes distress and financial difficulties to continue to age successfully. Especially, older adults who worked in the informal sector, have no social security returns to benefit from but only depends on their savings. Generally, respondents held divergent views on the effectiveness of civil and criminal justice systems in combating this phenomenon in Ghana. Interventions to curb cybercrimes are fundamentally significant. Especially, when most older people are at increased risk. There is the need for education and effective training on cyber security for older people and their caregivers.
CAREGIVER NEGLECT IN OLDER ADULTS WITH COGNITIVE IMPAIRMENT: THEMES FROM EXAMINATION OF CASES
Authors: Shaw Amy , Elman Alyssa , Rosen Tony 
Published: January 2025

Abstract
Cognitively impaired older adults are at higher risk for caregiver neglect than other older adults. Characteristics of these neglected older adults and the common themes and surrounding circumstances have not been well described. We used case records from a hospital-based elder mistreatment response team to describe themes in caregiver neglect among older adults with cognitive impairment. We quantitatively and qualitatively examined records from 146 older adults with cognitive impairment for whom the response team found moderate or high suspicion for caregiver neglect. The median age was 82 (IQR 75–90) years; 53.4% were white, 19.2% were Black/African American, and 8.2% were Asian/Asian American; 21.9% had Hispanic ethnicity. Most patients (113, 77.4%) were women. Suspicion of at least one other form of elder mistreatment (verbal/emotional, physical, financial, or sexual abuse) was present for 48.67% of patients. The neglecting caregiver was most often the patient’s child (42.5%), partner/spouse (19.9%), or aide (15.1%). We identified seven key themes about neglect: 1) delays in seeking medical care, 2) inadequate supervision, 3) attempts to honor patient preferences, 4) conflict between caregivers, 5) caregiver impairment (various types), 6) interference with medical or social care, and 7) “mystery friend” or relative moving into patient’s home. Our work suggests that neglected older adults with cognitive impairment are commonly also victims of other forms of elder mistreatment. Themes in elder neglect may be identified that offer insight into the phenomenon. Multiple types of intervention may be needed to address the wide range of situations that may lead to neglect.
COLLABORATION FACTORS IN ADDRESSING ELDER IPV: COMMUNITY CENTERS AND DV SUPPORT AGENCIES IN JAPAN
Authors: Katsumata Asako , Fukushima Kiyoko , Tsukada Noriko 
Published: January 2025

Abstract
This study explores the determinants influencing collaboration between Community Comprehensive Support Centers (CCSCs) and Domestic Violence (DV) support agencies in addressing cases of older Intimate Partner Violence (IPV) in Japan. Utilizing data from a national survey conducted in November 2022, responses from 1,472 Community Social Workers (CSWs) out of 3,563 randomly selected CCSCs were analyzed. The study found that 5.8% of respondents frequently consulted with DV support organizations, 25.9% occasionally, 24.3% almost never, and 44.0% never at all. Logistic regression analysis, using gender, years of support experience, existence of a DV manual, number of husband-to-wife violence cases, and participation in training as independent variables, revealed that the presence of a domestic violence manual was the most significant factor influencing collaboration. CCSCs with a domestic violence manual were significantly more likely to consult DV support organizations (odds ratio = 2.158, 95% confidence interval: 1.425-3.266). These findings emphasize the importance of developing manuals on responding to domestic violence within CCSCs to facilitate collaboration with DV support agencies. This collaborative approach presents a viable option to enhance support mechanisms for older victims of intimate partner violence, indicating the potential impact of strategic interventions in addressing this critical societal issue.
ELDER MISTREATMENT RISK FACTORS AMONG HOME HEALTH CARE SERVICE RECIPIENTS
Authors: Schlag Karen , Pappadis Monique , Westra Jordan , Kuo Yong-Fang , Wood Leila , Czyz Rebecca , Raji Mukaila , Mouton Charles 
Published: January 2025

Abstract
Elder mistreatment (EM) research has often focused on EM risk factors among older adults in nursing homes and less on those homebound in Medicare-based home health care (HHC). We aimed to apply and improve a Medicare claims-based EM risk assessment model previously developed for primary care settings using the Outcomes and Assessments Information Set (OASIS) data in addition to Medicare claims. Drawing from the 20% national Medicare data, beneficiaries aged 66 and older receiving HHC in 2016, without an EM diagnosis in 2015 or 2016, and Medicare Part A/B/D eligible with no HMO through 2018 were included (N=159,278). Logistic regression models predicting 2-year EM diagnosis were evaluated. The cohort was split into training (50%), testing (25%), and validation (25%) samples. Risk factors from claims (e.g., demographics, health conditions, frailty scores (0-1), medical screening/procedure codes, and social determinants of health) and the OASIS (e.g., cognition, self-care, mobility, behavioral problems, living situation, and readmission risk score) were included. EM diagnosis prevalence was 0.4%. Our models’ discriminatory power, c-statistic, of the claims-based model and the claims-based model with HHC assessments was 71.2 and 76.2, respectively. Medicare dual eligibility, disability entitlement, certain medical conditions (e.g., hepatitis, learning disabilities, post-traumatic stress disorder, COPD), and housing and income problems were associated with increased risk of EM in both models. OASIS data showed that patients living alone and with greater disruptive behaviors were at increased EM risk. Including assessment data can improve the claims-based algorithm to predict EM among HHC recipients.
EMPOWERING OLDER ADULTS AND REDUCING HARM THROUGH PERSON-CENTERED ENDEAR PROGRAM
Authors: Kim Julie , Rousseau Julie , Sole Jorge , Raye-Brown Sharnette , Dodd Elvira , Sanchez David , Gibbs Lisa 
Published: January 2025

Abstract
In Orange County, California, the Office of Public Guardian (OPG) investigates whether persons referred to OPG have resources and support to manage their financial and personal affairs. In the 2021-2022 fiscal year, OPG investigated 613 referrals. The UC Irvine Center for Excellence on Elder Abuse and Neglect and OPG partnered in a quality improvement project providing a person-centered case management program, ENding and Disrupting Elder Abuse Recidivism (ENDEAR), supported by the Administration for Community Living. A case manager and referred participants collaborated to identify health and safety improvement areas that could obviate a court petition to establish conservatorship where a conservator is appointed to manage the older adult’s financial affairs, personal affairs, or both. Participants (n=20, 70% female, mean age=78) receiving case management had a mean ADL score of 1.8 (0 independence to 6 total dependence), IADL score of 6.5 (0 independence to 8 total dependence), and financial capacity score of 4.9 (0 independence to 7 total dependence). All were at risk of experiencing self-neglect. Most had access to social support (n=15), including family, friends, and neighbors but lived alone (n=16). The case manager coordinated services based on home visits, needs assessments, and participants’ communicated goals. On average, the case manager made 4.6 home visits over a mean of 123.9 days (range 18-386). Paired t-tests showed improvement in clients’ safety (t(19)=4.88, p&lt; 0.001) and lowered risk of self-neglect (t(19)=-4.41, p&lt; 001). Findings suggest case management services support OPG goals by protecting older adults through improved safety and reduction in self-neglect.
UNDERSTANDING THE ROLE OF TASK BURDEN IN CAREGIVER NEGLECT OF PERSONS LIVING WITH DEMENTIA
Authors: Hancock David , Chang E-Shien , Czaja Sara 
Published: January 2025

Abstract
Understanding factors influencing caregivers’ perceptions of how bothersome a caregiving task is, hereafter called task burden, is vital for improving support, reducing strain, and potentially decreasing risk of caregiving neglect in persons living with dementia (PLWD). This study examines the cross-sectional associations between caregiver characteristics and perceived task burden. Data were drawn from a 6-month multicomponent, randomized controlled trial of psychosocial intervention including 244 caregivers (CG) and PLWD. Baseline data included CGs’ self-perceived task burden of 6 activities of daily living and 8 activities of instrumental activities of daily living (i.e, how much does helping PLWD with this task bother or upset you), and psycho-social assessments including depression, caregiving burden, compassion, mutualism, caregiver preparedness, spirituality, and social support. We used correlation and multivariable regression analyses to identify risk factors for task burden. Significant correlations were observed between task burden and all variables of interest. When entered simultaneously into a multivariable regression analysis, only higher depression and greater caregiving burden were independently associated with task burden (p&lt;.05). Taken together, addressing depression and caregiving burden is crucial for reducing perceived task burden. Policy and caregiving research should prioritize interventions targeting psychological and emotional aspects of caregiving, such as mental health counseling, stress management, and caregiver support groups. Additional research should explore downstream consequences of task burden with respect to other adverse caregiving outcomes.
UNVEILING PSYCHOLOGICAL INTIMATE PARTNER VIOLENCE RISK FACTORS AMONG OLDER WOMEN
Authors: Machinga-Asaolu Rujeko , Showalter Kathryn 
Published: January 2025

Abstract
This conference poster presentation delves into the critical yet often overlooked issue of intimate partner violence (IPV) among older women. Despite its historical presence, IPV against older women aged 50 and above remains understudied, with less than 10% of IPV global data addressing this target population. Psychological IPV (IPVPA) emerges as the predominant form of IPV, significantly impacting the physical and mental well-being of older women. Through an integrated literature review, synthesizing recent IPV literature, this study aimed to illuminate the unique risk factors associated with IPVPA among older women worldwide. Utilizing the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework, our research identified seven pertinent articles out of an initial pool of 355 from PubMed, CINAHL, PsycINFO, and Ageline databases. These articles met strict inclusion criteria focusing on women aged 50 and older, employing quantitative, qualitative, or mixed methods to explore IPVA. After synthesizing the included articles, we organized the descriptive risk factors into three distinct categories: vulnerabilities, stressors, and maladaptive outcomes, providing a comprehensive understanding of the multifaceted unique nature of IPVPA risk factors among older women. By meticulously evaluating existing recent research, we aim to shed light on the complexities of IPVPA and identify gaps in the literature, ultimately contributing to a more nuanced understanding of this pervasive issue. Through this presentation, we seek to raise awareness of the urgent need to address IPVPA among older women and advocate for targeted interventions and further research initiatives to better prevent IPVPA among older women.
CARE NEEDS AND LIFE SATISFACTION IN FRAIL OLDER ADULTS: THE MODERATING EFFECT OF AGE-FRIENDLY ENVIRONMENTS
Authors: Jung Inhye , Kang Miseon , Lee Seolah , Lee Hyo Jung 
Published: January 2025

Abstract
Frail older adults often face challenges in performing Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL), leading to diminished quality of life. Age-friendly environments, designed to facilitate aging in place, aim to enhance the well-being of older adults and their family members of all ages by modifying their surroundings and promoting adaptation. This study investigates how age-friendly environments moderate the association between care needs and life satisfaction among frail older adults, elaborating on their role in the process. Using data from the 2020 National Survey of Older Koreans, we identified 1,435 frail respondents. Being frail was defined according to the scores summed with three questionaries asking respondents’ physical abilities, which were based on the Study of Osteoporotic Fracture criteria. Age-friendly environments were categorized into Physical, Service, and Sociocultural domains following WHO principles. Multi-regression analysis, employing the Process Macro Model 4, revealed that age-friendly service and sociocultural environments mitigate the negative impact of care needs on life satisfaction among frail older adults. These findings underscore the potential of age-friendly environments to improve the quality of life and support aging in place for frail older adults. Creating supportive environments for older adults with frailty is essential for promoting the overall well-being of these older adults and their care providers.
CHARACTERISTICS AND INFLUENTIAL FACTORS OF ANXIETY AND BURNOUT AMONG CAREGIVERS AND OLDER ADULTS
Authors: Zhang Wenyu , Ji Meihua 
Published: January 2025

Abstract
With rapid aging of the society worldwide, emerging research has suggested that mental disorders and high turnover among caregivers and older adults are substantial, however evidence in this area is limited. This study aimed to assess the characteristics and influential factors of burnout and anxiety among caregivers and older adults. A total of 184 caregivers, and 200 older adults from nursing homes as well as family settings were enrolled in this cross-sectional study. Participants’ job burnout and anxiety were assessed using the Maslach Burnout Inventory, and the Self-Rating Depression Scale, respectively, along with their sociodemographic information. Multiple linear regression was used to analyze the influential factors of job burnout in caregivers, and anxiety in both caregivers and older adults. As a result, there were 33.7%, 47.3% and 22.3% of participating caregivers reported high emotional exhaustion, depersonalization and low personal accomplishment, respectively. In terms of anxiety, 61.4% of caregivers reported their anxiety as moderate, 95% and 57% of older adults from nursing homes and family settings, respectively, were with moderate anxiety. Among caregivers, age, working hours, occupational stress and professional training significantly affected their level of burnout, while education and working experience prominently affected the level of anxiety. Meanwhile, the satisfaction to caregivers and self-care ability markedly affected the anxiety of older adults. In conclusion, there were high prevalence of job burnout and anxiety existed in both caregivers and older adults, more effective strategies should be taken into account to minimize this issue in the future.
PHYSICIANS’ PERCEPTIONS OF AGE-FRIENDLY CARE IMPLEMENTATION FOR OLDER ADULTS LIVING WITH CANCER
Authors: Sloan Kylie 
Published: January 2025

Abstract
This qualitative pilot study investigates physicians’ perceptions about the implementation of age-friendly care (e.g., 4Ms framework) within an Age-Friendly Health System (AFHS), with a specific focus on care for older adults living with cancer. The pilot uses a critical grounded theory approach to conduct and analyze virtual, semi-structured, one-on-one interviews with 6 physicians, recruited using purposive snowball sampling between October 2023-March 2024. Participants currently provide care to older adults with diagnosed cancer and work in an AFHS. Half the participants are geriatricians and the remaining have no geriatric training. All are between ages 30 and 60, 4 identify as White, 1 as Asian, 1 as biracial (Asian and White), 5 as female, 1 as male, and all worked at their organization for between 6 and 15 years. Three preliminary findings emerged: 1) Participants offer differing definitions for the “age” in “age-friendly” and look beyond a number for who to consider an “older” adult; 2) Participants (without geriatric training) express limited knowledge about AFHS and suggest making the health system’s physical and digital spaces more accessible for older patients with cancer; 3) Participants indicate implementation of some “M’s” (e.g., What Matters, Medication) more than other “M’s” (e.g., Mentation, Mobility) within cancer care. Money, time, and staffing are key barriers to age-friendly care implementation in cancer care according to participants. Findings inform potential gaps in age-friendly care implementation (e.g., depression screening/referral process) to address within cancer care and future research exploring perceptions of older patients with cancer about age-friendly care.
CO-CREATING: THE VALUE OF INTERGENERATIONAL ART-BASED EXPERIENCES
Authors: Montepare Joann , Baldizar Deborah 
Published: January 2025

Abstract
Intergenerational classroom activities are common in the traditional aging curriculum. However, contemporary higher education initiatives (Age-Friendly University/AFU, Age Inclusivity Domains of Higher Education/AIDHE) advocate for the value of reciprocal intergenerational exchange across the curriculum to enhance the teaching and learning experience. Moreover, as ageism persists there is a need to extend intergenerational contact (a tool for disrupting ageism) for the benefit of all students. This poster will present an art-based classroom case study to show how incorporating intergenerational exchange in classes without a specific aging focus is not only possible, but also an effective educational strategy. In this case, younger students and older adults (residing in a local university-based retirement community) co-enrolled in a Ceramics class over the course of several semesters. Following the classes, a group of younger and older learners were invited to complete a survey about their experience. The survey included open-ended response questions (e.g., about benefits, challenges, how to enhance future classes, etc.) and scaled-response questions (e.g., about how the experience impact age attitudes, the value of intergenerational classes, interest in other intergenerational classes). Younger students’ responses were very positive, reinforcing the positive educational and social values of intergenerational interaction and indicating they would welcome more such class opportunities. Older adults’ responses were likewise positive, noting how the experience nurtured mutual respect and the sharing of different perspectives. Both groups offered useful recommendations for future classes, to be described.
OLDER AND YOUNGER AS OTHER: OBSTACLES TO AGE-FRIENDLINESS ON CAMPUS
Authors: Roberts Summer , Lahar Cindy 
Published: January 2025

Abstract
The University of South Carolina Beaufort (USCB) drafted an endorsement of the Age-Friendly University Principles in 2020; however, this effort has yet to advance beyond the working group. USCB, whose main campus is situated intentionally between two retirement communities, and with a large and active Osher Lifelong Learning Institute (OLLI) offering courses across three campuses, clearly reflected the principles on paper. Over the next three years, students in a sociology research seminar studied, at the request of the county, the needs of the region’s growing and diverse older adult population. Yet, these data collection efforts reflected limited exposure to people of older ages, resulted in primarily white and high SES samples, and separated USCB from community efforts to support older adults. Additionally, anecdotal accounts of staff and students commonly note that visitors to campus disparage traditional college-aged students. As a result, focus has shifted to more fully integrating students in shaping age-inclusive campus culture beyond coexisting age-segregated environments. This presentation explores efforts through three courses to develop an action plan. Qualitative analysis of papers from gerontology classes identifies the attitudes of students surrounding their relationship with older adults in the community and on campus, particularly highlighting the consistent use of othering and ageism in talking about those of different chronological ages. Students’ on-going research of fellow students’ and community members’ perceptions of age-friendliness provides the basis for promoting intergenerational solidarity at USCB.
“THIS IS NOT MY WAR”: MORAL CHALLENGES FACED BY MIGRANT HOME CARE WORKERS IN ISRAEL AT TIMES OF WAR
Authors: Ayalon Liat , Ulitsa Natalie 
Published: January 2025

Abstract
The October 7 massacre had a tremendous impact on all persons residing in Israel, including the migrant workers community, which was specifically targeted by the Hamas terrorists. Subsequently, migrant workers have left the country in unprecedented numbers. This paper is based on interviews with 25 migrant home care workers who stayed in Israel during the Israel-Hamas war. Thematic analysis of in-depth interviews was conducted. Analysis revealed three main themes concerning moral dilemmas in the context of the war. The first moral dilemma concerned views of the war. Whereas migrant home care workers of Muslim background, attempted to distance themselves from the war, others expressed a strong identification with Israel. A second moral issue concerned the need to seek shelter within a short period of time, which often prevented older persons from reaching a safe room on time. This resulted in some workers leaving their care recipient during a missile attack to ensure their own safety. Workers attributed this behavior to specific instructions provided by the children of the care recipient. A third dilemma concerned the decision not to leave the country. Although many workers reported a wish to leave Israel following the war, this dilemma was largely resolved through the understanding that they have a financial debt that prevents them from returning to their home country. The findings highlight the challenges faced by migrant home care workers, who transitioned for financial reasons, but find themselves in a war situation with financial, emotional, and social commitments that challenge their loyalties.