bluuebunny/crossref_metadata_2025_split huggingface dataset:
HEATHER BERND CLARKE, MBA, LCSW, PA HEALTH & WELLNESS, MECHANICSBURG, PA, UNITED STATES
Authors: Clarke Heather 
Published: January 2025

Abstract
PA Health & Wellness, a managed care organization in Pennsylvania, has collaborated with Johns Hopkins on deploying the academic Maximizing Independence at Home (“MIND at Home”) Program for community-living individuals with cognitive impairment who have Medicaid Long-Term Support Services. This home-based model is aimed at coordinating care and supporting caregivers for individuals who are cognitively complex and at risk for out of home placement. The model consists of a non-clinical Memory Care Coordinator (MCCs) who is supported by a Memory Care Manager RN to provide a holistic approach to assisting the individual remain in the community and decrease caregiver burnout. This is accomplished through a specialized assessment of 13-memory care domains that drive the development of an individualized care plan. Implementation of the care plan by the MCC includes assistance in navigating the managed care system, coordination of provider appointments and benefits, referral to community resources, and disease education and coaching for the family caregiver. This presentation will describe the program implementation within PA Health & Wellness since 2022. We will present key components of program implementation, operations and learned experiences. We will also review preliminary results on program impact showing reductions in inpatient and emergency room visits for individuals enrolled in the program compared to similar, non-enrolled, individuals.
SIBLINGS’ EDUCATIONAL DIFFERENTIALS AND LATER-LIFE COGNITIVE HEALTH
Authors: Qin Yue , Engelman Michal 
Published: January 2025

Abstract
Drawing on data from 3,216 Wisconsin Longitudinal Study participants aged 79-84 years old with at least one sibling, we examined the relationship between siblings’ educational differentials and a unique set of late-life cognitive metrics. Results from OLS and multinomial logit regressions showed that higher educational attainment relative to one’s only sibling is associated with a higher Telephone Screening of Cognitive Status (TICS) score and marginally lower risks of cognitive impairment. For respondents with two or more siblings, however, siblings’ higher educational attainment relative to respondents was associated with a lower risk of cognitive impairment, and particularly a lower risk of Alzheimer’s Disease (AD), compared with individual higher educational attainment than siblings’ average education. Our findings suggest that both individual educational attainment and a better educated set of siblings can act as protective factors for later life cognition. Familial risk may matter more for AD than other types of impairment because of its genetic etiology, but further research should explore additional life-course, family resource, and network mechanisms that shape cognitive risk and resilience among and across siblings.
SLEEP MEASUREMENT TECHNOLOGY IN THE 40 WINKS PRAGMATIC CLINICAL TRIAL: CHALLENGES AND SOLUTIONS
Authors: Richards Kathy , Cox Brian , Aguilar Vanessa , George Regina , Smith Kate , Geisser Sophia , Fry Liam , Morgan Robert 
Published: January 2025

Abstract
This presentation describes examples, challenges, and solutions for using technology as part of a pragmatic trial to both deliver a sleep promotion intervention and measure its outcomes. In this trial, target nursing home residents wear an actigraph on their wrist for one week. Actigraphs are a non-invasive way of monitoring activity and rest cycles. One effective and novel application of this technology is use of the actigraphy clinical report. As part of the intervention, the clinical report of the resident’s nighttime sleep, daytime napping, light exposure, and physical activity is shared with the nursing home staff during frontline staff huddles. The frontline staff then use the report to inform and target their sleep promotion interventions, for example, increasing daytime light exposure or activity, and to monitor effectiveness. Use of this technology is not without challenges. We will thus discuss several challenges and their solutions, including identifying the best wrist bands for securing the actigraphs and addressing manufacturer discontinuation of actigraph production and hardware service. We will also describe the trial’s initial pilot that compared the gold standard research actigraph with a less expensive and more readily available consumer-focused device and why we, ultimately, chose to use only the research device.
PARTNERING FOR SUCCESS: INVOLVING NURSING HOME CORPORATIONS AND SYSTEMS IN PRAGMATIC CLINICAL TRIALS
Authors: Hartmann Christine , Carwile Hope , Sloup Sharon , Taylor Tanya , Curci-Delgaro Kathy , Clark Valerie , Nash Princess , Fry Liam 
Published: January 2025

Abstract
Partnership with nursing home organizations is critical to implement and sustain embedded interventions. We present two successful examples from ongoing nursing home embedded pragmatic clinical trials. One example is from an National Institute on Aging-funded trial of improving sleep for nursing home residents in 3 large nursing home corporations that involved a pilot followed by a trial. During the pilot phase, external consultants trained nursing home staff in the intervention and simultaneously trained a corporate “coach” to be a train-the-trainer in the trial. Engaging corporate partners informed the research team’s understanding of the context and culture and the corporate coaches’ understanding of the intervention. During the 4-year trial, occuring now, corporate coaches serve as trainers for all participating nursing homes’ staff, with limited external support. The other example is from a Department of Veterans Affairs (VA)-funded trial on preventing resident falls in State Veterans Homes. For this study, researchers partnered with an existing VA program focused on delivering a similar intervention. Because the existing VA program recently expanded into State Veterans Homes, and because research team members are expert in the intervention, partnership was a win for both parties. The existing VA program coaches gained an opportunity to work with State Homes that were eager to participate, agumented with additional support afforded by the research team. The research team gained extra help in implementing the intervention from experienced coaches. In both trial examples, partnership is pragmatic and key to the trial’s success.
IMPACT OF THE TEACHING NURSING HOME ON NURSING STUDENT’S PERCEPTIONS OF LONG-TERM CARE
Authors: Degenholtz Howard , Campbell Kenna , Kastner Keri , Treat Anny 
Published: January 2025

Abstract
The Teaching Nursing Home (TNH) is designed to improve the long-term care workforce and improve quality of care in nursing homes. The initiative has multiple components: enhanced clinical rotations for nursing students with partner schools of nursing, implementation of the Institute for Healthcare Improvement Age-Friendly Health System “4M” quality improvement model, and an online learning network. Nursing students at three schools of nursing participated in clinical rotations at four regional nursing homes. The experience was limited to students in one specific course at each school of nursing. At the beginning and end of each semester, students rated their competence in: patient assessment, collaborating with the care team, gathering clinical information, medication review, eliciting resident values, and health promotion. Students also rated their preferences for working in long-term care and with older adults. Data from 514 responses at the start of semester and 280 responses to the end of semester survey were analyzed. Analysis of student responses found that students self-rated competencies improved in all areas. Prior to their clinical experience, students ranked working in long-term care and with older adults lower than other settings or populations. The rankings were unchanged after their clinical experiences. Qualitative analysis found that most student comments (50%) were about skills, while only 1.5% were about potential careers in nursing homes. These findings suggest that the Teaching Nursing Home Program is meeting the pedagogical goals, however attitudinal shifts may require different strategies.
INCORPORATING GEOGRAPHIC INFORMATION SYSTEMS (GIS) MAPPING INTO GERONTOLOGY RESEARCH AND TEACHING
Authors: Jansen Taylor , Lee Chae Man , Silverstein Nina , Dugan Elizabeth 
Published: January 2025

Abstract
In gerontology, research frameworks like the life course perspective and social determinants of health (SDOH) are often used to contextualize aging and health outcomes in later life. Increasingly, an emphasis on data visualization has been put on research to have practical value. Geographic information systems (GIS), a mapping software, is one data visualization tool researchers can utilize in their work to understand what role place, space, and built environment have on health throughout the lifespan and in later life. Incorporating GIS training into gerontology research allows for students to learn data visualization, but also to apply their teachings of the life course perspective and SDOH to further understand the impact on health in later life. In this presentation, the aims are twofold: 1) explain the practical uses of GIS in gerontological research, with examples from recent work by the Healthy Aging Data Reports, and 2) describe the process of engaging undergraduate and graduate students in research, teaching, service, and policy through GIS mapping. Firstly, examples of how GIS mapping has provided communities and states with information on their aging populations will be examined. Examples of how community stakeholders in New England, Mississippi, and Wyoming have used maps to implement interventions and advocate for policy change will be described to demonstrate the practical implications of mapping for policy change. Then, best practices of teaching and training undergraduate and graduate students on using GIS mapping for gerontological research will be offered, alongside anecdotal evaluations from students on the experience.
WHEN THE GOING GETS TOUGH, GERONTOLOGY (AND OTHER HEALTH PROFESSIONS) STUDENTS GET GOING
Authors: Baralt José 
Published: January 2025

Abstract
In September of 2017, two category 5 hurricanes hit Puerto Rico. These hurricanes caused massive destruction and close to 5,000 excess deaths. Thousands of people lost everything, and many communities were isolated for weeks. The whole island was without electric power for several days, and some areas in the mountains did not get power back for 6-8 months. Hopelessness started to take over. The bravery and drive of a community leader who came asking for our help was the spark we needed to stand up and get going. Dozens of our students delivered food, water, medications, and healthcare services to those in need for several months. In January of 2020 these students and faculty went back to work in full force after a series of devastating earthquakes shook the island. And, to this day, our team still visits some of these communities, just to check on them and refer people with significant needs to the appropriate agencies. All this without skipping a beat in our academic work. Where did we find the fortitude to keep going with our community work AND our academic work? We did have three main sources of inspiration: 1) community leaders who rose above every possible challenge; 2) the communities themselves; and 3) our students and colleagues. The key behind this amazing response was that those of us who work in service professions thrive when we are needed. And our students certainly shone in the darkest period our island has lived in for many decades.
RISK FACTORS FOR FINANCIAL FRAUD AND INTERVENTION STRATEGIES IN DIFFERENT CULTURAL SETTINGS
Authors: Mi Hong , Lichtenberg Peter 
Published: January 2025

Abstract
This symposium, comprising five papers, explores financial fraud targeting older adults in mainland China and the U.S.A. Four papers delved into risk factors associated with financial fraud victimization, while one paper examined the efficacy of an intervention effort. The first study, leveraging the 2015 national survey of older Chinese, introduced an algorithm based on machine learning techniques to develop a financial fraud risk prediction model for older adults. This model underscored risk factors like lower education levels, advanced age, and loneliness, alongside protective factors such as awareness of rights protection and quality sleep. Drawing on the 2018 CHARLS data, the second paper investigated both the direct and indirect effects of physical functioning, family dynamics, and individual capital on fraud victimization, revealing psychological vulnerability and material wealth as mediating factors. The third study shifted focus to the U.S.A, profiling victims of postal scams. It identified low education and social isolation risk factors, echoing the patterns observed in the Chinese context in the first paper. The fourth paper examined fraud victimization among a distinct group of older individuals residing in the forest regions of northeastern China, highlighting the roles of financial literacy and internet safety in reducing financial fraud risks. The final paper broadens the research scope by evaluating an intervention designed to aid dementia family caregivers in rural Michigan to mitigate financial exploitation risks. The piloted case management model enhanced caregiver competence in addressing financial exploitation. Together, these studies enrich the understanding of financial fraud affecting older adults in both countries.
STIRRING THE POT OF AGING: DIVERSITY IS THE SECRET INGREDIENT
Authors: Thompson Alisha , Campos Barbara Mendez , Conner Laneshia 
Published: January 2025

Abstract
Aging and our experiences of this process are as unique as the ingredients in our favorite recipes that warm our hearts on chilly days. These components of diversity are crucial factors that influence our health outcomes and well-being across our lifespan, especially as we age. Empirical evidence highlights the importance of understanding how these factors flavor our experiences of aging. Through a series of presentations and discussions, we will explore factors often thought of when considering diversity such as race and ethnicity. Discussed will be how these factors influence end-of-life care preferences when contending with a serious illness and our ethical responsibilities to deliver culturally sensitive care. Next will be a discussion of the often-overlooked issue of intimate partner violence (IPV) among older immigrants. Emphasized will be IPV prevalence and its nuanced presentation among older immigrants. We will then expand our understanding of diversity, beyond race and ethnicity, by looking at additional factors of diversity such as differing cognitive, hearing, and visual abilities. The connections between sensory impairments and pain experiences and disparities in telehealth usage among patients with hearing, visual, or cognitive impairments will be elucidated. This symposium offers a comprehensive perspective on navigating the challenges faced by our diverse aging population. By fostering dialogue on these critical topics, we aim to empower healthcare providers, policymakers, and advocates to create a more flavorful and equitable future for older adults. Join us in stirring the pot of aging as we highlight that diversity is the unique secret ingredient.
IMPROVING ACCESS OR INCREASING DISPARITIES? IMPLEMENTATION OF TELEHEALTH LITERACY SCREENING PROGRAM
Authors: Boudreaux Madison , Lindgren Aleksandra , Bardales Rhonda , Wilks Scott , Carstarphsen Kathy 
Published: January 2025

Abstract
The use of telehealth services is rising in the United States, especially since the pandemic, and continues to be explored as a method in removing barriers to accessing healthcare services. However, those living with vision, hearing, and cognitive impairments may be marginalized in the use of telehealth without an efficient and accurate way of measuring their use and comfortability of engaging with telehealth modalities. The Telehealth Literacy Screening Tool (TLST) was created to measure telehealth literacy, access, use of, and comfortability with technology. This study examined the differences between impairment groups to inform practitioners of potential barriers existing for those living with vision/hearing or cognitive impairments when using telehealth services. The TLST was administered to patients in an outpatient primary care clinic (N=128) over a 5-month period. Text message and email usage varied by group, with those living without visual/hearing or cognitive impairment reporting higher rates of use. Those with both visual/hearing and cognitive impairments had lower comfortability with opening apps than the group with either impairment, and lower comfortability with scrolling than the group with no impairment. The use of the TLST can help identify those patients with limits in telehealth literacy so their specific needs for education or other modalities can be met. This study strengthened the usefulness of the TLST in primary care practice and identified the disparity in telehealth usage among patients with hearing/visual or cognitive impairments.
SEX- AND WORKING-STATUS SPECIFIC WORKING LIFE EXPECTANCY AMONG OLDER ADULTS IN CHILE
Authors: Saito Yasuhiko , Sandoval Moises 
Published: January 2025

Abstract
The mandatory retirement age in Chile, 65 years for males and 60 years for females, was set in the 1980s. However, in view of accelerated population ageing in the country, there may be a need to reconsider these age thresholds. Thus, we estimate working life expectancy, i.e., years of remaining life spent working, at older ages by sex in Chile using (working) status-based multistate life table methods. Nationally representative longitudinal data on 1313 males and 1805 females from the Social Protection Survey, conducted in 2004, 2006, 2009 and 2015, were used to estimate working life expectancy at age 65 years for males and age 60 years for females. Men working at age 65 years, on average, could expect to live 21.6 years, with working life expectancy of 2.7 years (12.5% of life expectancy). Men not working at age 65 years could expect to live 21.2 years, with a much lower working life expectancy (0.2 years; 0.9% of life expectancy). A similar pattern was observed for women – those working at age 60 years could expect to live 25.9 years, with working life expectancy of 3.0 years (11.6% of life expectancy), and those not working at age 60 could expect to live 25.8 years, with only 0.5 years of working life expectancy (1.9% of life expectancy). The findings suggest the strong influence of the mandatory retirement age on working life expectancy in Chile and its role as a policy lever to increase working life expectancy among older adults.
TRENDS OF ORAL HEALTH STATUS OF OLDER ADULTS BY IMMIGRATION STATUS IN THE UNITED STATES: 1999–2018
Authors: Luo Huabin , Wu Bei , Qi Xiang , Moss Mark 
Published: January 2025

Abstract
National data on oral health of immigrants in the United States is limited. This study assessed the oral health trends of this population from 1999 to 2018, using data from the National Health and Nutrition Survey. The outcome variable—self-reported oral health—was categorized as a binary outcome: excellent/very good/good or fair/poor. The sample was 18,853 adults aged 50 years and older, including 14,154 US-born Americans, 2,980 naturalized citizens, and 1,719 noncitizens. Trends in self-reported fair/poor oral health across these groups were identified. The findings revealed a significant decline in the prevalence of fair/poor oral health among all groups between 1999 and 2018 (P for trend &lt;.05). However, noncitizens consistently reported higher rates of fair/poor oral health compared to US-born and naturalized citizens. In the logistic regression model only controlling demographics, noncitizens were more likely (AOR=1.28) and naturalized citizens were less likely (AOR=0.80) to report fair/poor oral health. After further adjustment for education, income, and smoking status, the disparities in fair/poor oral health among the groups were not statistically significant. This study found an overall decrease in self-reported fair/poor oral health among older adults in the US during 1999-2018. However, significant oral health disparities persisted, particularly for noncitizens. Further research is needed to validate these trends and develop targeted interventions to address the oral health disparities among older immigrants in the US.
FAMILY DEMENTIA CAREGIVERS’ ASSISTANCE WITH ORAL HYGIENE CARE IN CHINESE AMERICAN COMMUNITIES IN NYC
Authors: Mao Weiyu , Wu Bei , Pei Yaolin 
Published: January 2025

Abstract
Oral hygiene care is instrumental in maintaining good oral health. As dementia progresses, individuals face challenges performing adequate oral hygiene care and become dependent on their caregivers. The role of family caregivers in assisting with oral hygiene care for persons with dementia in the community becomes increasingly critical. This study explored the association between caregiving characteristics, care recipients’ oral health needs, and assistance in oral hygiene care among caregivers in Chinese American communities. Data came from a pilot study on Chinese dementia caregivers in New York City collected between November 2021 and June 2022. Purposive sampling was used to recruit family caregivers to participate in a survey (online or via telephone). Current caregivers (n = 76) were included in the present study. Caregiver assistance with oral hygiene care was measured by assistance with toothbrushing (yes or no) and assistance with flossing (yes or no). Results from group comparisons suggest that female caregivers tended to assist with toothbrushing, and caregivers with an average of 2.4 years in providing care tended to assist with flossing. Logistic regressions show that care recipients with tooth pain were 5.6 times more likely to receive assistance with toothbrushing. Moreover, care recipients with more natural teeth were 1.1 times more likely to receive assistance with toothbrushing. Care recipients with severe dementia were 98% less likely to receive assistance with flossing. It is important to raise awareness and address challenges among dementia caregivers regarding the importance of maintaining adequate oral hygiene care and, subsequently, promoting optimal oral health.