bluuebunny/crossref_metadata_2025_split huggingface dataset:
FACTORS ASSOCIATED WITH LIFE SATISFACTION IN VETERANS IN THE HEALTHY AGING PROJECT: BRAIN PSYCHOEDUCATIONAL CLASS
Authors: Kohli Maulika , Verstaen Alice , Trittschuh Emily 
Published: January 2025

Abstract
The Healthy Aging Project-Brain (HAP-B) was developed to encourage engagement in activities associated with successful aging. Across 6 sessions, HAP-B targets sleep, socialization, physical, and cognitive activity through myth-busting, developing SMART goals, and tracking behavioral change. This study aims to examine associations between physical and mental health factors with life satisfaction. Veteran participants (n=50, mean age = 70.6 years) were predominantly male-identity (88%) and White (76%). Linear regressions examined associations between physical and emotional functioning factors and life satisfaction at baseline, covarying for age. Results indicate that higher life satisfaction is significantly associated with lower depressive symptoms, higher emotional well-being, and higher self-efficacy in our sample. HAP-B is effective in facilitating behavioral change that has downstream positive effects on emotional functioning. It is feasible, accessible, and scalable, supporting a model of care among older adult Veterans that combines psychoeducational and skill-based approaches. Future groups may emphasize emotional well-being as a direct intervention target. There is a significant need to prioritize engagement with, and accessibility of, mental healthcare services to improve both emotional well-being and overall satisfaction with life. Healthcare providers are well-positioned to encourage engagement with activities that are protective against adverse cognitive aging.
PATIENT PORTALS PROMOTE SHARED DECISION-MAKING AND ADOPTION OF HEALTHY HABITS RELATED TO MENOPAUSE
Authors: Singh Roshni , Tang Fei , Ruiz Diana , Dang Stuti 
Published: January 2025

Abstract
Perimenopausal women would benefit from a better understanding of menopause, and associated conditions and therapies. We implemented a menopause educational intervention called “MyHealtheVet to Enable And Negotiate for Shared decision-making” (MEANS) using the Veterans Affairs (VA) patient portal MyHealtheVet (MHV), in the Miami VA Healthcare System (MVAHS). Intervention participants received weekly secure messages with information on menopause. Here, we examine the effect of the MEANS intervention on SDM and adoption of healthy behaviors. We enrolled 269 women at MVAHS in MEANS. Participants’ average age was 53.2 years; 42.4% white, 43.1% black, and 24.2% Hispanic; 63.2% had a college education, and 95.9% already used MHV; 160 completed the six-month intervention and evaluation. Post-intervention, 57.5% reported that MEANS allowed them to get information that would otherwise be difficult to obtain, 79% said it increased their understanding of menopause, 80% felt more confident to discuss menopause treatments with their provider. Many reported discussing menopause-related conditions and treatments with their providers: 39% reported having discussed hormone therapy, 46% discussed osteoporosis, 33% discussed urinary incontinence. Many had adopted positive health behaviors: 8.1% had started taking hormones, 48% started calcium, 78% started Vitamin D; 38% started doing Kegel’s exercise; 69% began exercising, and 70% improved their diet. This pilot patient portal intervention shows that patient portals may offer a scalable tool to enhance SDM between patients and providers regarding menopause-related topics and to promote healthy behaviors among racially and ethnically diverse menopausal women. This strategy may be extrapolated to other non-urgent conditions.
PERCEIVED AND ACTUAL BMI IN AGING ADULTS: A SCOPING REVIEW
Authors: Hubner Sarah , Boron Julie Blaskewicz 
Published: January 2025

Abstract
Sustaining a healthy weight across the lifespan is an important aspect of disease prevention and quality of life in aging. Still, approximately 77% of US adults deviate from ideal weight recommendations, contributing to disease and disability. Improving lifestyles is critical to reducing this chronic disease burden. Self-perception of weight status (perceived-BMI) and its accuracy (versus actual-BMI) may influence behavior through goal setting and motivation; however, this relationship remains understudied in aging adults. Examining BMI dissonance and its broader context within the aging population may contribute to better understanding how self-perception shapes behavior and wellness. The current study contributes to this goal by assessing the field via scoping review. Electronic database searches were carried out in: PubMed, APA PsycInfo, Sports Medicine & Education Index. Peer reviewed white literature published in English from database inception to May 2024 were included in the search. Eligible research was related to aging adults’ body form and included primary measures for perceived- and actual-BMI. Populations were community-dwelling adults, aged 45+. The search revealed 4160 titles. After title, abstract, and full text screen, 13 articles were selected for inclusion. Evaluation of the selected studies showed that diverse aspects of perceived-BMI were described, including diagnostic accuracy and alignment with actual-BMI, association with health literacy, behavioral impacts, and correlations to lifestyle change strategies. These synthesized results may contribute to understanding how self-perception shapes behavior and wellness; discussion will include how this review can inform interventions to promote healthier lifestyles and reduce chronic disease burden across the adult lifespan.
A PILOT TEST OF A NOVEL MEDICAL EDUCATION DEVICE FOR LVAD PATIENTS
Authors: Crittenden Jennifer , Longley Hannah , Lanba Asheesh , Kohli Amarpreet , Kumthekar Nihar , Inger Jacob , Hadsell Killian 
Published: January 2025

Abstract
Medical assist devices, like the Left Ventricle Assist Device (LVAD), are increasingly used by individuals 65 and older. This project entails a pre-clinical trial feasibility study of a novel, non-invasive, mock LVAD device (the XVAD). Phase I testing consisted of adults under the age of 65 (N = 8, M = 28.5 years) and Phase II expanded study enrollment into the 65-90 age group (N = 4, M = 71 years). All participants wore the device for three to five days and experienced random device alarms similar to those provided by an LVAD device. Each alarm and participant response time was recorded by the XVAD device. Real time response data was supplemented with survey data, qualitative diary data, and feedback gathered via a debrief interview. Qualitative findings underscore the following: Importance of accessible device design for older adults, the influence of participant activity on alarm response times, the need for clarity related to alarm responses, and the impact of XVAD usage on daily activities. Findings indicate that feedback across phases, though they engaged different age groups, yielded convergence around accessibility concerns. Examination of response time device data indicates that while older and younger participants demonstrated different reaction times at the start of the trial, the groups demonstrated equivalent reaction times to device alarms at the end of each trial indicating the potential for effective patient training over time. Findings will be used to inform device development and can inform similar mock device trials that use a multi-generational phased testing approach.
DEVELOPMENT AND ASSESSMENT OF AN INTERVENTION PROGRAM USING PAIR GO: RESULTS OF AN EXPLORATORY STUDY
Authors: Iizuka Ai , Mulhorn Kristine , Ito Koki , Kitago Moe , Ura Chiaki , Okamura Tsuyoshi , Toba Kenji , Suzuki Hiroyuki 
Published: January 2025

Abstract
The board game Go, a traditional board game that originated in Asia, is associated with positive effects on cognitive function in older adults. However, as a one-on-one game, Go usually requires a single winner and a single loser. Pair Go creates a team-based game where winning and losing is a shared experience. Pair Go enhances social interaction because it is played by pairs of players. Social interaction has a positive impact on the mental health of older adults. This study aimed to develop a new intervention program using Pair Go and to explore the impact on mental health and social interaction. This single-arm intervention study was conducted from October 2023 to January 2024 in Tokyo, Japan. Twenty-eight community-dwelling older adults (71-86 years) attended Pair Go classes once a week for 90 minutes, for 12 sessions. Each session involved attending lectures, solving exercises, and playing Pair Go. Mental health, and social interaction were assessed before and after the intervention. Comparison of pre- and post-test scores using paired t-tests revealed that scores on the University of California, Los Angeles Loneliness Scale were statistically significant lower in the post-test (mean [SD] score, 38.5 [6.6]) than the pre-test (36.6 [5.9]) (p&lt;.05). In addition, 50% of the participants made new social connections in the Pair Go class, such as having tea or making phone calls after the program. These results indicate that the Pair Go program may affect mental health and enhance social interaction not seen with the original Go.
ECOLOGICAL MOMENTARY ASSESSMENT TO MEASURE SOCIAL CONNECTEDNESS IN OLDER ADULTS: AN INTEGRATIVE REVIEW
Authors: Choi JiYeon , Choi Seongmi , Kang Hun , Shin Jiyoung 
Published: January 2025

Abstract
While the importance of social connectedness in the lives of older adults is well-established, more comprehensive evidence is needed regarding its real-world operation. This study utilizes Ecological Momentary Assessment (EMA), increasingly employed in social and health sciences, to capture real-time social interactions in everyday environments, aiming to conduct an integrative review to understand multifactorial components of social connectedness and identify implementation strategies for older adults. Five databases (PubMed, Embase, Web of Science, CINAHL, and PsycINFO) were searched to retrieve studies published up to the year 2023. Of the 2,208 studies identified, 21 were selected for final analysis. Our analysis focused on identifying the multifactorial components of social connectedness (structural, functional, and quality) and assessment of EMA methods and participant adherence to the EMA. The components of social connectedness using EMA included the following: structural components such as social contacts or interactions (n=18), loneliness (n=9) as a functional component, and quality components, such as quality of social interactions (n=3). Additionally, as a context for understanding social connectedness, location at the time of assessment, and physical (e.g., pain, fatigue) and psychological states (e.g., anxiety, depression) were evaluated. Data were mostly collected using an app on digital devices (e.g., smartphone), with assessments conducted 5-6 times per day for 5 to 21 days, achieving an adherence rate of over 70%. Findings of this review highlight the current state of science in measuring social connectedness in older adults through EMA, focusing on its structural, functional, and quality components, and indicating its feasibility in real-world contexts.
HEALTH PROMOTION BEHAVIORS AMONG SPOUSAL CAREGIVERS WITH HIGH DAILY MANAGEMENT CHRONIC CONDITIONS
Authors: Cho Jinmyoung , Horstman Molly , Stevens Alan , Sands Laura , Allore Heather 
Published: January 2025

Abstract
As the disease trajectory of dementia increases caregiving intensity, family caregivers are less likely to take care of their own health. Although the potential health threats from chronic caregiving distress are known, far less is known about health behaviors among caregivers with chronic conditions while caring for a person with dementia (PWD). This study aims to identify caregivers diagnosed with chronic conditions requiring high daily self-management and examine their health promotion behaviors associated with the intensity of caregiving among spousal caregivers for PWD. Using ICD-10 codes from medical records of 152 spousal caregivers aged 65 and older, six chronic conditions requiring high daily self-management (CCHDSM) were asthma, chronic kidney disease, chronic obstructive pulmonary disease, diabetes, heart failure, and ischemic heart disease. The intensity of caregiving was identified by cluster analysis (high vs. low). Self-rated health promotion behaviors were assessed as: health responsibility, physical activity, nutrition, interpersonal relations, and stress management. Ninety-nine caregivers (61.5%) were diagnosed with at least one CCHDSM. No significant difference in the intensity of caregiving was observed between CCHDSM and non-CCHDSM caregivers. A significant interaction between the intensity of caregiving and CCHDSM in performing physical activities (F=5.03, p&lt;.01) indicates that caregivers with CCHDSM and providing high intensity of caregiving were the least engaged in physical activities compared to others. Findings highlight caregiving role hinders physical activities for spousal caregivers in the most needs of physical activities. Future studies, interventions, and support systems are urgently needed to reduce burden of caregiving for spousal caregivers struggling with chronic conditions.
PREVALENCE AND ASSOCIATED FACTORS FOR POSSIBLE SARCOPENIA IN KOREAN OLDER ADULT FALLERS
Authors: Lee Jae Jun , Kim Gwang Suk , Park Min Kyung , Kim Layoung , Kim Namhee , Lee Ji Yeon 
Published: January 2025

Abstract
Sarcopenia causes adverse health outcomes in older adults, especially in those who have fall experience. Asian Working Group for Sarcopenia (AWGS) introduced possible saropenia for screening sarcopenia in 2019. Identifying the prevalence and associated factors of possible sarcopenia is essential to prevent and manage sarcopenia, however research on possible sarcopenia is still lacking. Therefore, the purpose of this study is to identify the prevalence and associated factors for possible sarcopenia in Korean older adult fallers. This is a cross–sectional study with 184 community-dwelling older adults who aged 65 or over and have at least one fall experience within the last two years. Possible sarcopenia was evaluated based on the AWGS 2019 using calf circumference, five times sit-to-stand test, and handgrip strength. Age, gender, number of fall, depression, cognitive impairment, nutritional status, physical inactivity, and fear of falling were collected and assessed as covariates, and logistic regression analysis was conducted. The mean age of the participants was 74.3±6.5 and 79.3% was female. Among the 184 participants, 47 (25.5%) were possible sarcopenia. Using logistic regression analysis, physical inactivity (odds ratio = 2.55, 95% confidence level = 1.15–5.67) and fear of falling (odds ratio = 1.71, 95% confidence level = 1.01–2.92) were significantly associated with possible sarcopenia, whereas other covariates were not significant. Possible sarcopenia is prevalent in Korean older adult fallers. Our results indicated that encouraging physical activity and making efforts to reduce the fear of falling can be effective strategies for preventing possible sarcopenia in older adult fallers.
IMPLEMENTATION OF ENGAGE IN A GERIATRIC MENTAL HEALTH SERVICE LINE WITH NONSPECIALIST PROVIDERS
Authors: Schurr Matthew , Post Emily , Walker Teresa , Renn Brenna 
Published: January 2025

Abstract
Despite development of efficacious psychosocial treatments for depression in older adults, implementation in real-world settings is limited, particularly in the context of patient comorbidities and across interprofessional teams. Engage is an empirically-supported psychotherapy for late-life depression but has yet to translate from randomized controlled trials to widespread implementation. Engage’s utility as a brief, structured behavioral protocol holds potential for feasible dissemination across multiple provider disciplines. This study evaluated a real-world training and pilot implementation of Engage psychotherapy across a geriatric mental health care hospital team. Care managers (N = 22) across interprofessional healthcare backgrounds (occupational therapy, social work, nursing) participated in training, consultation, and implementation of Engage with older adult patients with depression. Upon completion of the implementation trial, providers participated in a 1-hour focus group to provide feedback about their experience. Focus group interviews were double-coded using thematic analysis to extract implementation themes informed by the Consolidated Framework for Implementation Research (CFIR). Thirteen themes emerged related to CFIR constructs of innovation adaptability, innovation design, critical incidents, compatibility, access to knowledge and information, need, and capability. Overall findings suggest that Engage is a feasible treatment method that fits the needs of providers, patients, and larger health care systems. Barriers to implementation included depressive symptom burden, patient complexity, and provider concerns related to self-efficacy and previous related experiences. Implementation trials and elicitation of provider feedback to inform commensurate modifications should be a staple procedure to ensure optimal implementation of newly adopted mental health treatment services.
OPTIMIZING FUNCTION AND INDEPENDENCE: NATIONAL IMPLEMENTATION OF THREE CLINICAL PROGRAMS WITHIN VA
Authors: Hughes Jaime , Kappler Caitlin , Drake Connor , Zullig Leah , Decosimo Kasey , Webb Sara , Hastings Susan 
Published: January 2025

Abstract
Older Veterans aged 65+ account for roughly one-half of Veterans Affairs (VA) Healthcare users. Comprised of more than 170 medical facilities, VA promotes programs to support function and independence for both Veterans and their caregivers. The VA Optimizing Function and Independence Quality Enhancement Research Initiative (Function QUERI) focuses on the national scale-up of three evidence-based programs (EBPs) for older Veterans and their caregivers: STRIDE (hospital-based mobility), Caregivers FIRST (caregiver education and training), and Group PT (group-based rehabilitation for knee osteoarthritis). As part of the Function QUERI program, three individual Type III hybrid effectiveness-implementation trials were conducted to, first, identify baseline organizational characteristics (organizational readiness, implementation climate, and implementation experience) associated with successful program adoption of each EBP; and, second, to evaluate strategies to adopt and sustain each EBP. To date, 142 VA facilities have participated in the implementation of one or more EBPs (STRIDE=67, Caregivers FIRST=142, Group PT N=19). The trials tested a similar implementation approach where all sites received foundational support tools (e.g. program toolkits, documentation templates, technical assistance); and, sites that did not adopt their respective EBP by pre-specified benchmarks received enhanced implementation support via virtual external facilitation (STRIDE= 13, Caregivers FIRST=13, Group PT =9). Barriers to program adoption were similar across EBPs (e.g., competing demands, staffing challenges, coordination between disciplines, poor leadership support). Offered as part of both foundational tools and enhanced support activities, implementation strategies (e.g., adaptation, engage and train stakeholders, monitor and evaluate feedback) were used to address adoption barriers across all EBPs.
QUALITATIVE DATA INTEGRATION IN DISASTER PREPAREDNESS CAREGIVER INTERVENTION
Authors: Anderson Brittany , Adeagbo Morolake , Donohoe Maria , Wunderlich Tiffany , Ashida Sato , Seaman Aaron 
Published: January 2025

Abstract
Disaster PrepWise Caregiving (DPW-C) is an online disaster preparedness program for caregivers of persons with dementia (PWD). DPW-C works with collegiate AmeriCorps volunteers to develop and build caregivers’ household disaster plan in a location of their choosing, whether at home, in public, or through online platforms. The program utilizes an all-hazards approach, which highlights all-encompassing disaster preparedness, while accommodating the specific needs of caregivers and the importance of maintaining their caregiving tasks during and after a disaster. Within the hybrid type one trial, an evaluation of the program’s potential determinants of implementation is being conducted. Guided by the PRISM (Practical, Robust Implementation, and Sustainability Model) framework, the team is utilizing the triangulation of qualitative methods to assess the implementation process and fidelity through observational evaluation of the social interactions between the AmeriCorps program interventionists and the caregiver participants. This entails examining interventionists’ communication and engagement with caregivers regarding their disaster plans. Observation data elucidate traits and themes in approach and engagement that were more successful in leading to positive social interactions that facilitated in-depth discussion and careful development of the household disaster plan. In response to the project’s needs, the research team is using observation data to adapt the program and intervention processes to improve the overall success of interventions. As the project progresses, the qualitative team will expand the project evaluation by including examinations of the program’s effectiveness and long-term sustainability. This poster will discuss how the qualitative team helped integrate gained knowledge to improve the program implementation.
STRENGTHENING FAMILY CAREGIVER SUPPORTS: QUALITATIVE FINDINGS FROM THE ADULT DAY SERVICES PLUS PROGRAM TRIAL
Authors: Bailey Dionne , Cotton Quinton , Marx Katherine , Gitlin Laura , Gaugler Joseph 
Published: January 2025

Abstract
Home and community-based services, such as adult day services (ADS), that support people with dementia (PLWD) and their family caregivers frequently fail to meet the full range of dementia care and management needs. There is insufficient data on implementation mechanisms that achieve desirable results among existing interventions targeting dementia family caregivers. In a pragmatic trial, we evaluated the feasibility and acceptability of integrating a caregiver-specific intervention [ADS Plus] delivered through adult day services. Post-intervention, we conducted a directed content analysis using the Consolidated Framework for Implementation Research, drawing from semi-structured interviews with dementia family caregivers (n=15) and ADS site staff (n=14). Our findings demonstrate that key aspects of ADS Plus supported delivery and uptake: intervention adaptability, personalization, and structure (innovation); responsive to external changes and intervention marketability (outer domain); aligned goals and familiarity (inner setting); involvement of research staff, connections among practitioners, and meeting caregiver needs (individual domain), and; understanding caregivers needs and addressing staff capacity to take action (implementation process). ADS Plus offers a viable community-based solution for supporting dementia family caregivers. Future studies can assess fidelity across diverse implementation contexts to ensure greater transferability of findings.