bluuebunny/crossref_metadata_2025_split huggingface dataset:
GRIEF LITERACY: COMMUNITY-BASED STRATEGIES TO REFRAME GRIEF IN OLDER ADULTS
Authors: Supiano Katherine , Laura Bradbury 
Published: January 2025

Abstract
Grief Literacy is the ability to be compassionately present with a person who is suffering. Older adults realize more grief experiences than the population in general, and have the highest likelihood of poor bereavement outcomes, including risk for Prolonged Grief Disorder. Recognizing that our society is fragmented, and the varying norms and traditions to support one another in times of suffering are unclear, increasing grief knowledge would equip both the public and professionals to identify grief and suffering more readily and to activate appropriate supports to be proactive in avoiding complications from the grief and suffering such as isolation and suicide-risk. In addition to formal care offered by palliative and hospice care professionals, grief counselors, and mental health clinicians, the Grief Literacy Movement equips all citizens to support one another in times of loss, suffering and bereavement. We developed and implemented a year-long State-funded program to promote grief literacy across the State of Utah, targeting persons most impacted by the pandemic; older adults, indigenous persons, Veterans, rural communities—and their overlapping constituencies. Rather than confining this effort to provision of support, we developed grassroots strategies for mutual empowerment of community members to reframe and address individual and collective loss. We present applications including education of mental health providers/health providers, first responders, religious communities, and the engagement of citizen groups. We will provide outcomes of our framework applied across multiple social and community settings that enhance supportive care and contribute to mitigating risk of interpersonal harms that can affect bereaved older persons.
RECIPROCALITY OF COGNITIVE IMPAIRMENT, PAIN, AND DEPRESSION: MODELING WITHIN-PERSON EFFECTS
Authors: Nakanishi Miharu , Perry Marieke , Bejjani Rachele , Yamaguchi Satoshi , Usami Satoshi , van der Steen Jenny 
Published: January 2025

Abstract
Cognitive impairment, pain, and depressive symptoms are common and interrelated factors in older adults. However, the directionality and specificity of their association remains unclarified. This study explored whether these factors prospectively increase reciprocal risk and examined the longitudinal association between these factors and quality of life (QoL). We used longitudinal data from The Older Persons and Informal Caregivers Survey Minimal Data Set (TOPICS-MDS; the Netherlands). The data of 11,582 home-dwelling older adults with or without cognitive impairment were analyzed. Older adults self-reported cognitive impairment, pain, depressive symptoms, and QoL at baseline and after 6 and 12 months of follow-up. A Random Intercept Cross-Lagged Panel Model was used to assess the prospective association between the three factors, while a multilevel linear regression analysis in a two-level random intercept model was used to examine the longitudinal associations between the three factors and QoL at the within-person level. At the within-person level, pain at 6 months was associated with subsequent depressive symptoms (β=.04, P=.024). The reverse association from depression to pain, and longitudinal associations between pain and cognitive impairment and between depressive symptoms and cognitive impairment were non-significant. Pain, depressive symptoms, and cognitive impairment showed a significant association with poor QoL 6 months later. A directional relationship was observed from pain to depressive symptoms. Pain reduction may be important in the prevention of depressive symptoms, ultimately optimizing the QoL of older adults.
FROM KNOWLEDGE TO PRACTICE: TRAINING FAITH LEADERS IN AGING AND MENTAL HEALTH
Authors: Wilson Annalee , Keefe Bronwyn , Emery-Tiburcio Erin 
Published: January 2025

Abstract
Faith leaders can play a leading role in recognizing and supporting the mental health of their older congregants. Older adults attend faith services more frequently than members of other age groups and often turn to faith leaders for mental health support. To increase faith leaders’ knowledge and skills pertaining to mental health and aging, the Center for Aging and Disability Education and Research (CADER) developed an online course, Mental Health and Aging for Faith Leaders. In this course, participants learn to identify mental health conditions, to describe barriers to treatment, to identify services and resources available for treating mental health conditions in older adults, and to explain the role that faith leaders can play in supporting older adult mental health. CADER piloted the course with 44 faith leaders from Massachusetts (n=7) and Chicago, Illinois (n=37). Of the Chicago-based faith leaders, all except one indicated that they serve a congregation that is majority Black. Faith leaders showed significant improvements (p&lt; 0.05) in all learning competencies from the pre-course competency self-assessment to the post-course competency self-assessment. When asked what changes they anticipate making after taking the course, faith leaders reported that they intended to make changes on the individual level (e.g., by continuing to learn more about aging and mental health); the interpersonal level (e.g., by identifying the signs of mental health concerns in their older congregants); the organizational level (e.g., by implementing mental health programming at their faith organizations); and at the societal level (e.g., by promoting awareness about mental health).
A GRAPHICAL MODEL APPROACH TO UNVEILING FALL TRIGGERS IN COMMUNITY-DWELLING OLDER ADULTS
Authors: Nguyen Tho , Liu Chang , Liu Yi , Thiamwong Ladda , Lou Qian , Xie Rui 
Published: January 2025

Abstract
We aim to enhance understanding of fall risk factors and examine their interrelationships in community-dwelling older adults from various domains: sociodemographics, mental well-being, body composition, self-assessed and performance-based fall risk assessments, and physical activity patterns. Our study included 120 subjects aged 60 to 96 years old from Central Florida (average age of 74.8, SD 7.38), 77.5% female, and 29.2% with a history of falling. We used a novel machine learning technique known as the Graphical Model (GM) to analyze the association among 37 fall risk factors. GM reveals the higher-order dependence structure and graphical relationships among variables, including continuous and categorical types. This approach goes beyond traditional correlation analysis, providing innovative insights into sophisticated interactions within a high-dimensional dataset. Among the identified features, 34 exhibited pairwise relationships, while COVID-19-related factors and housing composition remained conditionally independent. Prominent relationships include sedentary behavior having strong negative links to both light physical activity and moderate-to-vigorous physical activity. Participant age was positively correlated with balance score but negatively correlated with body composition factors and Senior Technology Acceptance. The CDC’s Stopping Elderly Accidents, Deaths, and Injuries score had moderate positive relationships with the Rapid Assessment of Physical Activity (strength and flexibility) and Mindful Attention Awareness Scale, while it had moderate negative relationships with the Short Falls Efficacy Scale-International score and history of falls. The findings of this study serve as an initial exploration, laying the foundation for future research, including the longitudinal dynamics of these features that contribute to fall prevention in older adults.
ASSESSING MOBILITY AND FALL RISKS IN TAIWAN’S OLDER ADULT POPULATION: A LONGITUDINAL STUDY
Authors: Kuo Fang-Lin , Liao Zih-Yong 
Published: January 2025

Abstract
Mobility difficulties impact older adults’ health significantly, leading to adverse outcomes and loss of independence. In Taiwan, 21% of community-dwelling older adults report falls, and over half have a fear of falling, highlighting the importance of identifying individuals at risk. This study aimed to explore mobility changes and repeated falls in Taiwan’s rural areas, where the older population exceeds 24%. A longitudinal study was conducted annually from 2022 to 2023, focusing on physical ability and gait assessments in community-dwelling older adults (65+) who were able to walk (n=250). We used linear mixed-effects regression models and logit models to examine whether personal characteristics are associated with changes in mobility and falls. The findings showed no significant differences in falls and walking performance at the 1-year follow-up after confounder adjustments. However, individuals living in buildings without elevators, using walking devices with cognitive impairment and exhibiting poorer gait performance such as slower gait speed, peak angle velocity at swing phase and toe clearance were more likely to experience repeated falls. Furthermore, about 14.78% of participants who were independently walking at baseline began using a walking device by 2023, indicating a transition to new walking dependence (NWD). The NWD group tended to have a higher number of chronic illnesses, repeated falls and slower walking speed. This study highlights the need to consider environmental and gait characteristics in addressing the mobility dependence and fall risks. Interventions to prevent falls and facilitate the adaptation to walking assistive devices could help manage mobility decline among older adults.
CLINIMETRIC PROPERTIES OF THE ABC-6, ABC-16, AND MODIFIED FALLS EFFICACY SCALE WHEN DELIVERED ELECTRONICALLY
Authors: Blackwood Jennifer , Carpenter Matthew 
Published: January 2025

Abstract
The Activities Specific Balance Confidence Scales (ABC, ABC-6) and the Modified Falls Efficacy Scale (M-FES) are outcome measures used to assess self-efficacy in maintaining balance in older adults. All three measures have established reliability and validity when delivered in a clinician-driven paper assessment. However, it is unknown what the clinimetric properties of these measures are when delivered electronically without verbal direction. Therefore, the purpose of this study is to establish the reliability, validity, standard error of measurement, and the minimal detectable change (95% confidence interval) of these measures when delivered electronically in community-dwelling older adults. 67 participants were recruited electronically through the University of Michigan’s Health Research platform. Older adult participants were English-speaking; aged 65+ years; had access to a computer or electronic device with reliable internet; and were diagnosed with various health conditions. A Qualtrics survey was distributed to participants that consisted of the ABC-16 and M-FES with written directions. Results from the 67 participants demonstrated excellent test-retest reliability (ICC2,1 = ≥0.94) and excellent internal consistency (α = ≥0.94) for all measures. The ABC-16 had a smaller SEM (3.85) and MDC95 (10.67) compared to the ABC-6 (SEM = 4.99, MDC95 = 13.83). For the MFES, the SEM was 0.27 and MDC95 was 0.75. All measures had significant Pearson correlations (p &lt; 0.01) with the falls history indicating construct validity. These results indicate the ABC-16/6 and M-FES can be utilized in an electronic format when assessing older adults’ self-efficacy in balance.
ENHANCING DEMENTIA CARE PARTNER ENGAGEMENT IN FALL PREVENTION PROGRAMS: A SYSTEMATIC REVIEW
Authors: Zeng Xiaoyi , Zhou Yuanjin , Choi Namkee 
Published: January 2025

Abstract
Community-dwelling older people with cognitive impairment/dementia (CI/D) experience a higher risk of falls than age-matched peers without CI/D. Fall prevention programs for this population often engage their family/friend care partners. Care partner engagement (CPE) has five components: care partners’ recruitment, retention, attendance, active participation, and maintenance of changes. Little is known about the facilitators and barriers that impact CPE in those programs and strategies used to enhance CPE. We conducted a mixed-methods systematic review following PRISMA guidelines (PROSPERO: CRD42023422200). Twenty-nine unique fall prevention programs from 32 studies were included. Most studies described retention (n=19, 60%), attendance (n=12, 38%), and active participation (n=32, 100%) aspects of CPE. Fewer studies illustrated factors related to care partner recruitment (n=6, 19%) and maintenance of change (n=6, 19%). Commonly reported CPE facilitators were older people with CI/D and care partners’ perceived benefits and suitableness of the fall prevention programs and positive relationships between the dyads. The main barriers to CPE are the dyads’ poor health and the burden related to the study logistics of participating in the programs. Program characteristics (e.g., structured/group format, social engagement opportunities, delivery mechanisms, timing) and providers’ characteristics are commonly reported organizational-level factors impacting CPE. Twenty-seven studies mentioned the use of educational (e.g., training, consultation, booklet), relational (e.g., strengthening care relationships, engaging paid caregivers), and behavioral strategies (e.g., action plans, visual reminders, cognitive approach, tracking logs) to promote CPE. Findings proposed a theoretical framework and identified potential strategies to enhance CPE in fall prevention programs for older people with CI/D.
FALL RISK FACTORS IN COMMUNITY-DWELLING OLDER ADULTS: AN UMBRELLA REVIEW OF SYSTEMATIC REVIEWS
Authors: Saunders Stephanie , D’Amore Cassandra , Hao Qiukui , Kuspinar Ayse , Richardson Julie , Beauchamp Marla 
Published: January 2025

Abstract
Falls are an imperative public health concern, resulting in disability, mental health challenges, and increased mortality risk. An extensive body of literature has examined falls risk factors; however, it has become challenging to navigate. We summarized systematic reviews examining risk factors for falls among community dwelling older adults. We searched seven databases (Medline, Embase, CINAHL, Cochrane Library, PsychINFO, Ageline) for systematic or scoping reviews including community-dwelling older adults (≥60 years) and reporting risk factors for falls in prospective studies. Three independent reviewers screened 8,173 records and included 57 reviews. Thirty-three reviews conducted meta-analyses and 24 reported relationships from primary studies. Reviews were published between 2004-2023 and examined patients with stroke (n=2), diabetes (n=2), frailty (n=3), and cognitive impairments (n=3). Types of falls examined included recurrent falls (n=45) and injurious falls (n=18). Reviews reported risk factors across every construct of the WHO’s ICF model; health conditions (n=20 reviews), body structure and function (n=26), activity (n=23), participation (n=11), environmental factors (n=10), and personal factors (n=11). Most commonly conducted meta-analyses included: mobility impairments (demonstrating increased risk across gait, strength, and clinical performance tests, n=12/20), balance impairments (increased risk n=15/16), BMI (null risk n=12/12), frailty (increased risk n=9/10). Heterogeneity of reported effect sizes prohibited the calculation of pooled magnitudes for risk factors. Narrative synthesis results are summarized separately. Physical risk factors for falls are well established and can be addressed through interventions. Findings highlight narrow examination of psychosocial and environmental risk factors for falls in community dwelling older adults, indicating areas for future research.
FALLS IN ADULTS: STEADI AND DURABLE MEDICAL EQUIPMENT PREDICTIVE ANALYSIS
Authors: Probst Karen , Unger Kathryn 
Published: January 2025

Abstract
Falls are the leading cause of death with fall rates continuing to rise. The Center for Disease Control, (CDC, 2020) predicted that by the year 2030 there will be 53 million falls among older adults. This alarming rate of falls resulted in a comparative study of the Stopping Elderly Accidents, Deaths & Injuries (STEADI) assessments as well as the sensitivity and specificity of the tools. Research was conducted (n=116) to determine if a condensed 3-question questionnaire could provide a brief comprehensive evaluation of fall risk. The data was then analyzed to determine if the provision of specific durable medical equipment (DME) impacted the results of either STEADI assessment. The study involved distributing both versions of the STEADI electronically to participants at Chosen Mission Incorporated, a non-profit that distributes DME at no cost to their local community. The condensed STEADI was found to have a strong correlation to the comprehensive STEADI as well as the acquisition of DME. The assessment demonstrated a high sensitivity and low specificity indicating a connection between fall risk and actual falls within six months. The findings from this research may benefit healthcare professionals to better and more quickly identify individuals with increased fall risk and potential for falls within six months.
CAREGIVERS’ POOR SLEEP AND PLASMA BIOMARKERS FOR NEURODEGENERATION
Authors: Song Yeonsu , Choi Sarah , Moore Raeanne , Erickson Alexander , Camacho Karen , Cappelletti Monica , Alessi Cathy , Martin Jennifer 
Published: January 2025

Abstract
Family caregivers of people living with dementia (PLWD) have an increased risk of dementia. Poor sleep is common among caregivers, but the relationship between sleep and biomarkers of neurodegeneration in this population is unknown. In a secondary analysis of data from a behavioral sleep intervention trial among caregivers of PLWD, we tested the relationship between subjective and objective sleep and plasma biomarkers of neurodegeneration and explored the preliminary effects of the intervention on these biomarkers. Participants included 18 caregivers of PLWD who received a sleep education program (active treatment versus control). Sleep measures included the Pittsburgh Sleep Quality Index, total nights of good sleep (sleep diary), and wrist- actigraphy-measured sleep duration, sleep efficiency (SE), and total wake time (TWT). Plasma biomarkers included amyloid beta-40 (Aβ40), amyloid beta-42 (Aβ42), Glial Fibrillary Acidic Protein (GFAP), Neurofilament light (NfL), and Aβ42/40 ratio. All measures were collected at baseline (n=18), post-intervention (n=11), and three months (n=7). Pearson correlations and t-tests were performed. At baseline, greater (worse) TWT was associated with higher Aβ40 (r=0.60, p=0.009) and Aβ42 (r=0.62, p=0.006) levels. Lower (worse) SE was associated with higher Aβ40 (r= -0.52, p=0.026), Aβ42 (r= -0.61, p=0.008), and NfL (r= -0.48, p=0.043). Less nights of good sleep were associated with a lower Aβ42/40 ratio (r=0.51, p=0.032). Biomarker levels were not significantly different between treatment and control at follow-ups. In conclusion, poor sleep is associated with increased biomarkers of neurodegeneration among caregivers of PLWD. Larger studies are needed to test whether sleep interventions reduce this population’s neurodegeneration risk.
DAILY AFFECT AND SLEEP AMONG FAMILY CARE PARTNERS OF PEOPLE LIVING WITH DEMENTIA
Authors: Song Yeonsu , Kuehn Kevin , Lewis Nicole , Erickson Alexander , Mausbach Brent , Martin Jennifer , Moore Raeanne 
Published: January 2025

Abstract
Caregiving can be a positive and negative experience simultaneously. However, many of the family care partners of people living with dementia (PLWD) often experience poor sleep, leading to heightened levels of depression and caregiving strain. This study examined daily variations in positive and negative affect and the bidirectional role of sleep and daily affective states. A total of 35 care partners (mean age 63 years, 39% non-White, 81% women) completed ecological momentary assessment surveys of their positive and negative affect and subjective sleep three times a day for seven days. Variables included positive (currently feeling energetic, happy, motivated, rested, relaxed) and negative affect (currently feeling anxious, depressed, helpless, hopeless, nervous, tense, worried, worthless; range 1-5), and ‘good sleep’ (i.e., no trouble with falling asleep and staying asleep) on previous nights. Descriptive and mixed-effect logistic regressions were performed. Mean levels of positive affect were significantly lower in the evening compared to the morning/afternoon (F (df= 1, 491) = 54.24, p&lt; 0.001); no time-of-day differences were found for negative affect (F (df= 1,492) = 1.33, p=0.25). Higher levels of mean positive affect were associated with a higher probability of good sleep (OR=2.23, 95%CI=1.26-3.94, p&lt; 0.01). No significant relationships were found between negative affect and good sleep. This study demonstrates a within-day variation in positive affect among family care partners, which is related to the quality of sleep the night before. Understanding these dynamics is crucial for developing targeted interventions to improve the sleep and emotional well-being of care partners of PLWD.
DEMENTIA CAREGIVING STYLES: USING EXPERT FEEDBACK TO ADAPT THE PARENTING STYLES MODEL
Authors: Simon Darby , Ertle Emilee , Mast Benjamin 
Published: January 2025

Abstract
Identifying how family caregivers provide care to people living with dementia has important implications for the quality of life for both parties. This project adapted the well-researched parenting styles framework to create a new measure reflecting Dementia Caregiving Styles. Although there are important differences between people with dementia and children, there are similarities between parents and family caregivers in how they approach these caring relationships. This creates comparable experiences such as balancing autonomy versus safety, making decisions on behalf of their care-recipient, and changing family roles. The current framework measures caregivers’ levels of responsiveness, demandingness, and autonomy-granting during interactions with their care-recipients. This poster reviews the process of adapting the Parenting Styles Inventory-II into the proposed Dementia Caregiving Styles Inventory by collecting feedback from dementia caregiving experts on this topic. For each item, experts rated the relevance to dementia caregiving and provided qualitative feedback. Experts could also provide their overall thoughts about adapting the parenting styles framework for dementia caregivers. Lynn’s (1986) standards were used to establish each item’s content validity via expert agreement. Several themes emerged from the experts’ feedback. Most notably, the demandingness subscale’s items required major revisions to apply to dementia caregiving. Conversely, the subscales regarding responsiveness to the care-recipient’s needs and balancing autonomy versus safety were applicable to dementia caregivers. At the end of the revision process, the experts were overwhelmingly in support of the items suggesting that adapting parenting styles to dementia caregiving could provide a framework that helps family caregivers provide better dementia care.