bluuebunny/crossref_metadata_2025_split huggingface dataset:
HOSPICE NURSES’ PERSPECTIVES AND CHALLENGES ON HOLISTIC CARE IN MULTIPLE INSTITUTIONS
Authors: Li Ying-Chun , Shiu Chian-Huei , Juang Wang-Chuan , Cheng Yu-Qi 
Published: January 2025

Abstract
Holistic care is a comprehensive care model, including the body, mind, spirit, and society. Palliative care is part of holistic care to improve patient’s quality of life and reduce medical care overuse. Nurses are the primary group providing holistic care. With the increasing care burden of older adults and non-communicable diseases, the demand for palliative care has grown significantly. Taiwan has a growing emphasis on palliative care, and international studies have shown that nurses’ understanding and implementation of holistic care are relatively deficient. Therefore, this study aims to understand hospice nurses’ perceptions and behaviors of holistic care and the challenges or difficulties encountered in its implementation. The study was divided into questionnaires and qualitative interviews based on the knowledge, attitude, and behavior theory. The study samples were from a southern medical center and its collaborative multi-institutions. The questionnaire results indicated that knowledge, attitude, and behavior mutually influence each other, with attitude acting as a complete mediator. Additionally, receiving educational training has a significantly positive impact on both attitude and behavior (p&lt; 0.01). Interview results showed the respondents’ perspectives and behaviors were quite similar to each other. Furthermore, the foremost challenge identified was related to dealing with the patient’s family members. In conclusion, through research to understand hospice nurses’ perceptions and behaviors on holistic care, find out the difficulties and challenges encountered in implementation, and establish appropriate education training and management systems accordingly, which will encourage nurses to provide better holistic care and improve the quality of care.
RELATIONSHIP BETWEEN PERSONALITY TRAITS AND PREFERENCE FOR COPING STYLES IN OLDER ADULTS
Authors: Kakuta Momoho , Gondo Yasuyuki , Nakagawa Takeshi , Masui Yukie , Kamide Kei , Ikebe Kazunori , Ishizaki Tatsuro , Arai Yasumichi 
Published: January 2025

Abstract
Coping styles comprise various coping strategies roughly divided between primary and secondary control by active and passive attitudes. Personality traits are known to influence coping strategies. However, little is known about whether differential patterns of associations with personality traits emerge between primary and secondary control. This study aimed to clarify the relationship between personality traits and preference for coping styles in the octogenarian when the influence of personality would be maximized due to functional declines. Data were collected from 913 community-dwelling people (47.2% male) aged 78 to 82 years who participated in the Japanese longitudinal cohort study of Septuagenarians, Octogenarians, and Nonagenarians Investigation with Centenarians (SONIC). We analyzed the big five personality traits, SOC as the primary control, and positivity effect as the secondary control. We examined the correlation between personality traits and the two coping strategies and compared their independent correlation coefficients of the coping strategies for each personality trait. Only neuroticism was negatively correlated, and the others were positively correlated with both controls. There was no difference in the correlation coefficients of coping strategies on neuroticism and openness (n.s.), whereas extraversion (p =.000) and agreeableness (p =.048) had a significantly stronger correlation with the secondary control, and consciousness (p =.003) had a significantly stronger correlation with the primary control. The analysis indicated that the preference for coping styles differs by personality traits. We emphasized that higher neuroticism avoids using coping strategies, and higher consciousness and extraversion accelerate primary and secondary control, respectively.
ADVERSE CHILDHOOD EXPERIENCES AND SLEEP DEPRIVATION IN OLDER ADULTS: THE MEDIATING ROLE OF SOCIAL ISOLATION
Authors: Jesmin Syeda , Amin Iftekhar 
Published: January 2025

Abstract

Background
Between 40% and 70% of older adults have chronic sleep issues that can negatively affect their physical and mental health. While research shows that exposure to adverse childhood Experiences (ACEs) can be related to later life sleep quality, it is not clear how social isolation in later life can mediate this relationship. Method: We used the Behavioral Risk Factor Surveillance System (BRFSS) 2022 data. The dependent variable sleep deprivation was measured as sleep less than seven hours per night. Multiple logistic regression models were used to examine the associations between the ACE scores and individual reports of sleep deprivation after controlling for potential confounders. A mediation analysis was estimated for the eight ACE variables, social isolation, and sleep deprivation.

Results
After controlling for gender, race/ethnicity, education, marital status, and self-reported health status, the odds of experiencing sleep deprivation were significantly higher among those who reported four or more ACEs compared to their counterpart who reported three or fewer ACEs (OR = 1.76, 95% CI: 0.171–1.82). Among non-Hispanic Blacks, ACEs were associated with significantly greater odds of reporting sleep deprivation. Social isolation acted as a mediator in the ACE and sleep relationship. An inverse dose-response (P &lt; 0.05) was observed between the sleep duration and experience of ACE.

Conclusion
This study identifies subgroups of older adults who are at greater risk of experiencing sleep deprivation as a result of social isolation and ACEs. Screening for ACEs and improving social participation could help address sleep deprivation in older adults.
DIVERSE VOICES OF MENOPAUSE: STUDY RESULTS OF US WOMEN AGES 35 AND OLDER
Authors: Sauer Jennifer , Cozad Aisha 
Published: January 2025

Abstract
AARP conducted a bimodal study gauging the impact of menopause symptoms on women and their treatment preferences. The focus groups included 36 women ages 40 and older from a mix of race/ethnicity, education level, and income. The survey of 1,510 U.S. women ages 35 and older included racial/ethnic oversamples of Black/African American (B/AA), Hispanic/Latino (H/L), and Asian American, Native Hawaiian, Pacific Islander women (AANHPI). Three unique multicultural perspectives emerged: 1) symptoms varied by race/ethnicity. For instance, more Black/African American women than other racial/ethnic groups, experience hot flashes (B/AA: 71%; White: 63%; AANHPI: 61%; H/L: 60%); more Hispanic/Latino women than Black/African American or Asian American, Native Hawaiian, Pacific Islander women report mood/emotional swings (H/L: 55%; B/AA: 44%; AANHPI: 36%; White: 49%;); 2) half (49%) all women say symptoms have a negative impact on day-to-day life with more Hispanic/Latino women feeling this way than White or Black/African American women (negative: 63%, 54%, 51%, respectively); 3) more White women than other racial/ethnic groups take psychotropic medications (White: 30%; B/AA: 24%; H/L: 21%; AANHPI: 14%) and more Black/African American, Hispanic/Latino, and Asian American, Native Hawaiian, Pacific Islander women than White women, take vitamins and supplements (B/AA: 57%; H/L: 57%; AANHPI: 57%; White: 47%). HRT use is consistent across racial/ethnic groups. Focus group verbatims, aligned with survey results, provide meaningful insights of the impact of menopause on women.
MULTISECTOR COLLABORATION TO PROMOTE HEALTHY AGING: A PRACTICAL GUIDE FOR PUBLIC HEALTH
Authors: O’Leary Meghan , Fromknecht Catharine , Lin Yen , Costello Kathryn 
Published: January 2025

Abstract
In collaboration with the HHS Office of Disease Prevention and Health Promotion, NORC at the University of Chicago developed a Quick Start Guide designed for public health officials to start or enhance partnerships with state officials who work with the older adult population. As the proportion of Americans over the age of 65 continues to increase, multisector partnerships will be critical to address the needs of this population and ensure that older adults live healthy, happy lives. The Quick Start Guide includes a set of recommendations for public health departments to use as a starting place for engaging with their counterparts in state and local agencies that are focused on healthy aging. The Quick Start Guide was developed based on interviews with state health department staff and is designed to be used by public health departments at any stage in the process of collaboration, either just beginning or building on existing collaboration. This session will summarize the recommendations in the Quick Start Guide and share examples of how state health departments have successfully partnered with their counterparts at state aging agencies.
A SYSTEMATIC REVIEW OF THE LITERATURE ON ACADEMIC RETIREMENT
Authors: Silver Michelle 
Published: January 2025

Abstract

Objectives
The number of academics reaching traditional retirement age has been increasing thus motivating the need to better understand retirement experiences among higher education faculty. This review paper aims to: (i) identify the types of studies and traits being measured in studies of academic retirement, (ii) understand the determinants of retirement, including pathways and obstacles, among academics being measured in the literature, (iii) map the most prevalent types of studies and findings regarding academic retirement, and (iv) appraise the current state of the literature.

Methods
We conducted a systematic review of the literature to address our research objectives. Studies were identified from multiple database using search terms regarding retirement among academic faculty. Included studies examined determinants of academic retirement, perspectives, and/or retirement experiences among academics. Four reviewers screened the studies for inclusion and completed the data extraction.

Results
A total of 102 papers met the inclusion criteria. Most studies were based on cross-sectional survey data, followed by qualitative interviews; quantitative, qualitative, and mixed-methods research were included. Commonly measured determinants included age and spousal retirement timing. A mapping of the literature indicates a focus on geographical and/or subfield areas. Conclusions: Insights regarding academic’s retirement experiences provide insights about varying retirement pathways and can help elucidate retirement pathways that enhance transitions particularly for those in professions with generally high autonomy. Future research ought to focus on supports to help retain mature workers within academia and overall determinants of satisfaction with retirement among academics.
COUPLE COMMUNICATION AFTER RETIREMENT AND WELL-BEING IN ARAB SOCIETY: AN APIM ANALYSIS
Authors: Nashef-Hamuda Reem 
Published: January 2025

Abstract
This study examined the influence of perceived marital responsiveness on life satisfaction and depression among 106 retired married couples from the Arab society in Israel (mean male age = 70.3, female age = 65.1) with an average of 43.3 years of marriage and 3-5 children. Utilizing the Actor-Partner Interdependence Model (APIM), findings highlighted a positive impact of individual (actor) responsiveness on Satisfaction with Life Scale (SWLS) scores and a negative impact on depression levels. Furthermore, partner responsiveness significantly affected both life satisfaction and depression, underscoring the importance of mutual perceptiveness in marital dynamics. The analysis revealed no significant relationship between marital control and either SWLS or depression, nor were there significant gender differences in the effects, indicating that the benefits of perceived responsiveness are consistent across genders. These results emphasize that life satisfaction and depression in retirement are influenced by both one’s own and one’s partner’s responsiveness, reinforcing the value of mutual support in marital relationships.
AN INNOVATIVE APPROACH TO EXPANDING AGING SERVICES ACCESS IN RURAL COMMUNITIES: RURAL AGING ACTION NETWORK
Authors: Wylie Molly , Washington Ashley , Cimarolli Verena , Stone Robyn 
Published: January 2025

Abstract
A significant share of older adults live in rural areas and wish to remain in their homes and communities. Aging in rural communities poses unique challenges that can limit access to healthcare, transportation, and other services that promote independence. To address these challenges, Lutheran Services in America (LSA) developed Rural Aging Action Network (RAAN), an innovative collaborative that leverages existing community-based services and supports for older adults who are underserved in rural communities of Minnesota, Montana, North Dakota, and South Dakota. A mixed-method evaluation of RAAN was conducted over a three-year period to assess the extent of community need, the network’s effectiveness in addressing care gaps, and lessons learned in implementing RAAN. Descriptive analyses of client-level data showed that 483 older adults have been in contact with the network, and over half (55%) were referred to services. Chi-square tests indicated that older adults with restricted incomes were significantly more likely to be referred to any service than older adults whose incomes meet their needs (69% versus 31% respectively, X2 (1, N = 258) = 9.8, p =.002)), suggesting RAAN’s effectiveness in reaching low-income populations. Focus groups and interviews with 12 older adults and 9 caregivers found that transportation, technology training, and English translation remain service gaps in the community. Respondents expressed the value of RAAN in raising awareness about available services and providing a one-stop-shop for aging resources. This evaluation can help inform the implementation of similar networks in rural communities nationwide.
BARRIERS AND FACILITATORS TO TECHNOLOGY USE AMONG RURAL CAREGIVERS OF PEOPLE LIVING WITH DEMENTIA
Authors: Boucher Sarah , Jolliff Anna , Zuraw Matthew , Elliot Christian , Werner Nicole 
Published: January 2025

Abstract
Caregivers of people living with Alzheimer’s disease or related dementias (ADRD) who live in rural areas experience more difficulty in accessing resources to support caregiving. Technology may be a promising tool to connect rural caregivers to support. However, little is known about rural ADRD caregivers’ technology use. The objective of this study was to assess the barriers and facilitators to technology use among ADRD caregivers living in rural communities. In this qualitative study, rural caregivers of people living with ADRD were recruited through community partners to complete virtual semi-structured interviews. Interview questions focused on formal and informal supports used by caregivers and the role of technology in accessing those supports. Two coders completed an inductive, iterative thematic analysis. Caregivers (N=19) were 73.7% female and had a mean age of 66.4(SD=10.1). Within the sample, 57.9% of caregivers were caring for a partner, while 31.6% cared for a parent or parent-in-law. Analyses resulted in fourteen codes, which were combined into three themes. Barriers and facilitators to technology use included 1) systemic influences, such as access to technology and support with using it; 2) alignment between technologies available and caregivers’ informational needs; and 3) a preference for technological versus in-person support, including features of technology that influence this preference. The results of this study demonstrate systemic barriers that must be addressed when introducing technology-based interventions to rural caregivers. Further, results point to enhancements that can be made to technology-based interventions to improve their usefulness to rural caregivers.
FOUR-YEAR LONELINESS TRAJECTORY AND ITS PREDICTORS IN OLDER ADULTS
Authors: Huang Yan , Martire Lynn , Jones Damon 
Published: January 2025

Abstract
Loneliness is a modifiable risk factor for health decline in older adults and its level may change over time. This study aimed to explore how loneliness changes on average across 4 years in older adults and investigate potential predictors accounting for the formation of this trajectory. Data were collected annually between 2017 to 2020 from 128 older adults (Mage = 77.91) in independent-living or retirement communities in the U.S. Growth curve modeling showed a quadratic model best fit the loneliness trajectory with significant fixed effects of the intercept (b = 2.497, p &lt; 0.001); the linear slope of time (b = -0.036, p = 0.009); and the quadratic term of time (b = 0.002, p &lt; 0.001) as well as three significant random effects (ps &lt; 0.05). The quadratic trajectory showed the level of loneliness decreased first and then increased with individual differences in the intercept and rate of change. We further found being married, having more family and friends, and receiving greater social support at baseline were negatively linked to the overall levels of loneliness. By contrast, living alone, having social strain, depressive symptoms, and difficulty with social participation were positively linked. When including all significant individual variables, only depressive symptoms were still significant (b = 1.850, p &lt; 0.001). Findings suggest the loneliness trajectory follows a nonlinear trend. Baseline relationship and health factors, especially depressive symptoms, are linked to the average level of loneliness at baseline. The COVID-19 pandemic may have influenced the uptick in loneliness in 2020.
FACTORS AFFECTING IMPLEMENTATION OF SOCIALLY ASSISTIVE ROBOTS IN LONG-TERM CARE FACILITIES
Authors: Tate Judith , Maxwell Cathy , Migovich Miroslava , Khan Nibraas , Ghosh Ritam , Colopietro Kelley , Kilpatrick Abigail , Sarkar Nilanjan 
Published: January 2025

Abstract
Older adult residents in long term care (LTC) often experience apathy. Technology can provide support for addressing the older adults’ psychosocial needs. However, introducing new technology into LTCs can be challenging. As part of a randomized clinical trial on socially assistive robots (SAR) in LTCs to engage older adult dyads in activities, we examined determinants to implementation. Seventeen LTCs participated in the study, ranging in size from 24 to 132 participants; 53% were not-for-profit. All robot sessions were conducted by trained research staff. Each participant attended 16 sessions averaging 30 minutes over 8 weeks; half with an animal SAR and half with a humanoid SAR. Research assistants noted observations of the SAR, participant, staff, and facility environment and conducted interviews at the conclusion of the experiment. Sixty older adults participated (62% women, ages 60 to 98). Common SAR barriers included internet connections, equipment breakage, and speaker volume. Participant barriers included paranoia, dislike of partner, hearing and vision, level of cognitive impairment, and acute illness. Staff issues consisted of workflow issues and knowledge of the research. Facility issues included competing demands that interrupted scheduling and rollout, physical area for conduct of experiments, noise and lighting, and communication among key staff. Successful implementation and sustainability of new technology, including SAR, will depend upon addressing multiple barriers at the resident, staff, and facility levels.
BLOOD PRESSURE MONITORING BY CAREGIVERS: EXAMINING THE INTERSECTION OF ALZHEIMER’S DISEASE AND HYPERTENSION
Authors: Regos-Stewart Dalia , Barragan Noel , Fraser Renee , Kuo Tony 
Published: January 2025

Abstract
Older adults (OA) experience a high prevalence of comorbid chronic conditions, for which they oftentimes rely on the aid of unpaid caregivers. OA with Alzheimer’s disease (Alzheimer’s) are particularly reliant on these caregivers to monitor their health. For example, hypertension can be highly prevalent in this group, predisposing them to a variety of heart-brain complications. Yet, in spite of emerging evidence of home blood pressure monitoring’s (HBPM’s) effectiveness, caregivers do not always perform nor view this duty as essential. To date, little is known about their experiences with monitoring/managing hypertension. To address this gap in practice, an online panel survey of U.S. caregivers was conducted July-August, 2023. Overall, 600 caregivers (18+ years) of adults (45+ years) participated in the survey; 29% (n=175) provided care to a person with Alzheimer’s. A majority reported monitoring chronic conditions, administering medications, managing medical appointments, and measuring BP. Among those who measure BP, 90% reported feeling confident in their ability to do so accurately; 70% measure it daily/few times a week. A higher proportion of caregivers who work with OA with Alzheimer’s (versus without) reported receiving proper training for measuring BP (50% vs. 45%). The former group reported cultural, language, and transportation barriers to receiving BP monitoring information from health professionals, compared to the latter group (28% vs. 20%). Rich insights about caregivers’ experiences with hypertension management were gleaned from this survey. They suggest opportunities where medicine and public health can further assist caregivers, especially caregivers who are helping OA with Alzheimer’s.
CARE PRIORITIES AND PREFERENCES OF PEOPLE LIVING WITH DEMENTIA DURING EMERGENCY DEPARTMENT VISITS
Authors: Benson Clark , Merss Kristin , Vergenz Laura , Dillon Kayla , Block Laura , Gilmore-Bykovskyi Andrea 
Published: January 2025

Abstract
Over half of the 6 million persons living with dementia (PLWD) in the United States visit an Emergency Department (ED) annually. Dementia is often under-recognized in the ED, and visits are associated with significant adverse outcomes for PLWD. Yet, little is known about the perspective and priorities of PLWD and their caregivers regarding ED care. In this descriptive qualitative study, we examined the priorities of PLWD and caregivers during ED visits. We recruited patients living with dementia from a large academic ED with options to participate in a semi-structured interview during or after their ED visit and individually or dyadically with a caregiver. All PLWD completed capacity assessments prior to the interview. Capacity assessments were completed for all PLWD participants. We iteratively analyzed interviews using thematic analysis. We conducted interviews with 33 participants (N=10 PLWD, 15 caregivers, 4 dyads). PLWD and caregivers largely evaluated the ED experience positively. Findings highlight aspects of ED care uniformly shared among participants, including being informed at every step. Our findings also describe individually specific values and preferences such as approach to decision-making; as well as conditions that shape priorities across the experience such as degree of uncertainty. Both PLWD and caregivers value feeling informed in the ED and cite the importance of awareness of the impact of cognition on care. Our findings will support the development of patient-centered assessment tools to evaluate PLWD ED care experiences, enabling proximal and sensitive evaluation of within ED care practices for this vulnerable population.