bluuebunny/crossref_metadata_2025_split huggingface dataset:
THE ARCH NETWORK: LOOKING AHEAD
Authors: Murillo Fernando 
Published: January 2025

Abstract
It is clear that the commitment to addressing the pressing public health problem of mass incarceration and aging is growing. With every ARCH Network meeting, there are more of us who care. We even started a GSA Incarceration and Aging Interest Group! This presentation provides the perspective of an individual with lived experience as a pastoral care services worker for terminally ill incarcerated persons. Perspectives such as these are an essential to the mission of the ARCH Network. Looking ahead, we will continue to build new collaborations and partnerships and strengthen those that already exist. We will continue to refine our research agenda. We will continue to disseminate our work to make a difference in the lives of those impacted by the intersection of incarceration and aging. The ARCH Network has much to be proud of, yet we know that there is still even more that we can do.
THE CUTTING EDGE OF GERONTOLOGICAL SCHOLARSHIP: THE GERONTOLOGIST’S EDITOR’S CHOICE SYMPOSIUM
Authors: Gaugler Joseph , Allemann Alexandrea 
Published: January 2025

Abstract
The mission of The Gerontologist is to publish and disseminate “applied, multidisciplinary research and analysis on social issues related to human aging. It informs the broad community of disciplines and professions involved in understanding the aging process and providing care to older people.” In addition, the journal encourages “cutting-edge, conceptually-oriented work that addresses inequities in health, mental health, social status, and justice in late life as well as intersections among these areas with applicability to real-world-settings.” This symposium will highlight some of the recent and best examples of gerontological scholarship in The Gerontologist by highlighting select Editor’s Choice articles. Andrea Gilmore-Bykovskyi, Ph.D., RN, and colleagues consider the perspectives of family caregivers and hospice clinicians related to episodes of paradoxical lucidity among people living with dementia and how observational approaches may be leveraged to understand this fascinating phenomenon further. Kelly O’Malley, Ph.D., and her co-authors offer a timely and important framework to advance and implement trauma-informed care in long-term care contexts. Ittay Mannheim, Ph.D., and colleagues conducted a fascinating scoping review using critical discourse analysis to determine how and the extent to which ageism is reflected in the design process of digital technologies. Together, these Editor’s Choice selections from The Gerontologist “push the envelope” of the science and scholarship of gerontology.
NEW PERSPECTIVES ON EXPLICIT AND IMPLICIT AGEIST DISCOURSES IN DESIGNING DIGITAL TECHNOLOGIES FOR OLDER PERSONS
Authors: Mannheim Ittay , Wouters Eveline , Köttl Hanna , Van Boekel Leonieke , Brankaert Rens , van Zaalen Yvonne 
Published: January 2025

Abstract
Involving older persons throughout the design process of digital technology (DT) is considered a best practice for designing beneficial and acceptable DTs. Nevertheless, negative discourses on aging and ageism are potential underlying factors that could influence which and how DTs are designed and how older persons are involved in the design process. This presentation reflects on previous findings from a scoping review on the explicit and implicit manifestations of ageism in the design process of DT and demonstrates their relevance in new findings. Seven databases were screened for studies reporting on the design of DT with older persons. Sixty articles met the inclusion criteria. Information regarding the study and the discourse about older persons and their involvement in the design process of DT was coded and analyzed using critical discourse analysis. Various explicit and implicit manifestations of ageism, forms of exclusion, errors, and biases in designing DT with older persons were identified. The critical discourse analysis revealed the use of outdated language, stereotypical categorizations, and design decisions based on ageism. Generally, a discrepancy was found between an ‘ideal’ discourse regarding the involvement of older persons throughout the design process and actual practice. Notably, while the findings of the scoping review focused on publications until January 2020, recent research regarding the design process of DT is reflected upon using these previous findings. Lessons learned for mitigating ageism and promoting meaningful inclusion of older persons in the design process of DT are discussed.
TRANSLATING DATA INTO ACTION ON BRAIN HEALTH
Authors: Shean John , Bouldin Erin , Shean John 
Published: January 2025

Abstract
The Healthy Brain Initiative (HBI) is a collaborative effort to advance brain health as central to public health in the US. Fundamental to the HBI effort is the HBI Road Map Series, frameworks that help state and local public health departments prioritize actions to address brain health across the life course and support caregivers. Data analysis and utilization are key tenets of the Road Maps Series and are essential to educate the public and to inform policy and planning. In 2023, the Alzheimer’s Association piloted Data for Action — a new HBI project to support states in utilizing their existing datasets on brain health and caregiving. This symposium highlights the process, successes and lessons learned from the Data for Action pilot. The first presentation will provide an overview of data available from the Behavioral Risk Factor Surveillance System Cognitive Decline and Caregiving modules. The second presentation will describe the development and structure of the Data for Action pilot project, including the HBI and Road Map Series. In the third presentation, Arkansas, one of the pilot states, will present their process and products from Data for Action. The fourth presentation will summarize the products and impacts from the other states involved in the pilot and will discuss best practices and lessons learned from the project. A discussant will help participants understand how, through collaborative action, brain health and caregiving data can be harnessed to drive decisions, policies, and action at the state level.
ORIGINATION, DEVELOPMENT, AND VALIDATION OF THE SURGICAL PAUSE
Authors: Johanning Jason 
Published: January 2025

Abstract
Frailty is a validated concept established in the geriatric literature identifying patients (regardless of age) at increased risk of dying within 6 months. Half of veterans older than 65 years seeking colorectal or cardiac surgery are frail or prefrail, markedly increasing the cost of care as well as the risks for postoperative mortality and complications. In this setting the Omaha VA implemented a quality improvement program adopting a 6 month mortality tool for surgical use given the controversy about how best to measure frailty. The results in Omaha were sufficiently impactful that work then focused on replicating and validating the use of the Risk Analysis Index in surgical populations. The survival advantage observed in Omaha was replicated in longitudinal data from 5 University of Pittsburgh Medical Center (UPMC) hospitals in an interrupted time series analysis demonstrating reduction in 1-year postoperative mortality from 20% to 16%, an absolute reduction of 4.2%. And exercise training for as little as 3 weeks before surgery achieved clinically significant improvements in endurance, gait speed and respiratory pressures—changes that are likely to speed recovery and improve outcomes. The model has now been replicated and deployed at over 50 VA Medical Centers as the Surgical Pause initiative as well as multiple academic and private settings. The Surgical Pause and RAI have recently been recognized by the John Eisenberg Patient Safety and Quality Awards as the National Level Innovation winner for 2023.
IMPLEMENTATION OF A RISK ANALYSIS INDEX-BASED PREOPERATIVE FRAILTY SCREENING AND MANAGEMENT PROGRAM
Authors: Khalighi Mehraneh , Thomas Amy , Brown Karl , Ritchey Katherine 
Published: January 2025

Abstract
Frailty reduces recovery from stressors like surgery and increases postoperative morbidity and mortality. Risk Analysis Index (RAI-C) is a validated pre-surgical frailty assessment tool, however the agreement between provider-completed and patient-completed RAI is unknown. We explored the consistency and accuracy of provider-based screening and the agreement between provider-completed and patient-completed RAI-C scores. Orthopedic providers completed the RAI-C on Veterans ≥65 years of age awaiting elective total joint arthroplasty and referred patients to rehabilitative, nutritional, or geriatric specialty services based on RAI-C score. Patients were mailed the same RAI-C form to complete independently. Process measures reviewed the screening frequency and accuracy of using the referral pathway. Agreement between provider-completed and patient-completed total RAI-C score and differences within individual domains were compared. Overall, RAI screening occurred in 48% of eligible patients. Providers were less accurate in their referral of frail (RAI-C 30-36) patients than those who were robust or very frail. Screening frequency improved with dedicated nursing champions reminding providers to screen. The correlation between patient-completed and provider-completed RAI-C was moderate (r=0.634; p&lt;0.001). Patient-completed RAI-C re-classified 29% of patients to a higher frailty category. Agreement was lowest in the domains of memory and weight loss. Preoperative frailty screening is possible with RAI-C but requires dedicated champions to improve consistency and may not yield the same result if completed by patients. Future implementation efforts should explore best practices to improve screening accuracy with the RAI-C tool by providers and patients and how referrals to preoperative services impact surgical outcomes for frail patients.
VARIATIONS IN FAMILY AND COMMUNITY RESOURCES AMONG DIVERSE AGING IMMIGRANT POPULATIONS
Authors: Tang Fengyan , Jiang Yanping , Li Lydia 
Published: January 2025

Abstract
Older immigrants rely significantly on family and community resources to address social isolation and related health issues. Yet, the formation and characteristics of these resources may vary within and across diverse aging contexts. Five studies in this symposium provide findings among Older Korean, Mexican, and Chinese Americans. Two studies present findings from the Study of Older Korean Americans (SOKA). Jang and colleagues examined the heterogeneity of family typology and its associations with psychological distress. Five family types were identified: close-knit, intimate but distant, detached, connected but dysfunctional, and dysfunctional. Park and colleagues identified five types of community: safe/integrated, safe/distant, moderate integration, marginal, and vulnerable. Findings showed that living in disadvantaged families and communities was associated with loneliness and mental distress. Using data from the Hispanic Established Epidemiologic Study of the Elderly Caregiver Supplement (H-EPESE CG), Rote examined the role of caregiver background, family and neighborhood support for depressive symptoms among Mexican American caregivers. Findings illustrated that Spanish-speaking caregivers showed a greater increase in mental distress, which was partially explained by lower caregiver resources. Two studies present findings from the Population Study of Chinese Elderly in Chicago (PINE). The objective and subjective aspects of social isolation had differential effects on mental and cognitive health, underscoring the importance of neighborhood resources and support system in buffering the negative health effects of social isolation. Collaboratively, these studies enhance our understanding of the variations in family and community roles across diverse aging contexts and suggest the needs for building resources to promote healthy aging.
A PERCEIVED COMMUNITY TYPOLOGY IN OLDER KOREAN AMERICANS: IMPLICATIONS FOR MENTAL HEALTH
Authors: Park Nan Sook , Jang Yuri , Kim Jeongsuk , Ko Jung Eun , Chung Soondool , Chiriboga David 
Published: January 2025

Abstract
The health and well-being of older immigrants can be profoundly influenced by the neighborhoods in which they live. Considering that the physical and social characteristics of neighborhoods have the potential to either alleviate or exacerbate individuals’ mental health, the aims of this study were: (1) to identify perceived community typologies in older Korean Americans; and (2) to examine how these typologies are associated with feelings of loneliness and mental distress. We hypothesized that distinct community groups would be identified and that they would be differentially associated with mental health indicators as well as with background characteristics. Data were drawn from a survey with older Korean Americans aged 60 and older, collected during 2017−2018 in diverse locations (N = 2,138). To identify community typologies, a series of latent profile analysis (LPA) were conducted using 15 community-related variables in the three domains (neighborhood characteristics, social cohesion, ethnic attachment). After examining characteristics of the identified groups in relation to the study variables, hierarchical multiple regression models of loneliness and mental distress were estimated. Based on model evaluation criteria, an LPA model with five community groups was identified as the best fit. The five groups were identified as “safe/integrated” (10%), “safe/distant” (10%), “moderate integration” (38%), “marginal” (31%), and “vulnerable” (11%). Using the safe/integrated group as reference, the marginal and vulnerable groups were consistently associated with elevated feelings of loneliness and mental distress. The results suggest the need to understand profiles of community characteristics and their relationships with health/well-being among older immigrants.
A LONGITUDINAL STUDY OF MEXICAN AMERICAN CAREGIVER DEPRESSIVE SYMPTOMS OVER FIVE YEARS
Authors: Rote Sunshine 
Published: January 2025

Abstract
The use of different domains of informal support (e.g., neighborhood and family support) as a protective factor for Latino caregiver mental health has received little attention. The purpose of this study is to examine the role of caregiver background (that is, caregiver and care recipient relationship type, language usage), living arrangements, and family and neighborhood support for depressive symptoms among Mexican American caregivers over five years of data. Using two waves of the Hispanic Established Epidemiologic Study of the Elderly Caregiver Supplement (H-EPESE CG, 2010/2011-2016, N=333) and informed by the sociocultural caregiver stress process model, logistic and OLS regression analyses of caregiver depressive symptoms were specified. While depressive symptoms were relatively low at both waves, there was a greater increase in depressive symptoms among caregivers who completed the interview in Spanish (n= 229, 69%) compared to those completing it in English (n= 104, 31%). This increase was partially explained by lower caregiver resources (e.g., support from others). The findings demonstrate the need for dementia care supports for Mexican American caregivers, improving support systems for Spanish-speaking caregivers.
A LOOK AT STUDENT CAREGIVING EXPERIENCES: OPPORTUNITIES FOR CAMPUSES AND COMMUNITIES
Authors: Graf Allyson , Nikzad-Terhune Katherina , Gaugler Joseph 
Published: January 2025

Abstract
Caregiving in the United States continues to be a significant and growing phenomenon that warrants ongoing exploration of ways to support caregivers. Further examining the impact that intergenerational connections and age-inclusive practices have on the caregiving experience can help inform ways for both campuses and communities to be more responsive to caregiver needs. This symposium features participants representing universities that have capitalized on the Age-Inclusivity in Higher Education (AIHE) model to generate new and creative forms of caregiver support and intergenerational connections. These research endeavors represent the distinct ways that the AIHE model can be utilized to recognize and respond to the diverse needs of caregivers on campus and in the community. Terhune/Graf/Manning (Northern Kentucky University) will discuss mixed-methods data on student caregivers and how this knowledge has informed new student caregiving initiatives both on campus and with community partners. Hawes (University of Wisconsin-Eau Claire) will present a synthesis of intergenerational programs conducted in nursing homes between 2020 and 2024. Drawing from 25 student applied projects in select facilities, the research aims to identify best practices and challenges with implementing intergenerational efforts in nursing homes. Elfenbein (University of North Georgia) will present information about ACAPcommunity and ACAP Hall County, bringing students and community caregivers together to learn about caregiving issues and resources, and support one another on the caregiving journey. Graf/Baker/Bartlett (Northern Kentucky University) will elaborate on different ways that caregiving experience may associate with outlooks on caregiving, personal aging and health by comparing current, former, and indirect caregivers.
OVERCOMING TECHNOLOGY BARRIERS: A US ENTERPRISE’S JOURNEY IN COVID VACCINE ACCESS FOR OLDER ADULTS IN SOUTHWEST OHIO
Authors: Kum Cleopatra , Kum Flavius , Kum Crescentia , Kum Mirabelle 
Published: January 2025

Abstract
It is no hidden fact, that mobility and transportation, especially among seniors and people with disabilities can play a significant role in social isolation and access to basic healthcare and other needs. The importance of safe and effective transportation options was highlighted during the COVID 19 pandemic, when government agencies and community partners worked in collaboration to propose innovative solutions, to ease access to vaccines for seniors through reliable transportation. Family Support Care LLC (DBA KumZ Transport), a Medicare certified home healthcare agency in Ohio, answered the call when one of the Area Councils on Aging reached out to its network of providers to seek agencies willing to transport seniors to receive their COVID 19 vaccines. The purpose of this presentation is to discuss the lived experience of Family Support Care LLC with the use of technology while transporting older adults to get their COVID 19 vaccines. Decisions on technology use was a very important part of the planning phase. Because transportation and logistics management were new to the agency, we faced several barriers as we implemented technology in aging transportation. As a family-owned small business, access to resources and manpower were a major challenge. As a result, we relied heavily on transportation technology for improved productivity and reliability. Despite these challenges, we learned and implemented valuable lessons as we collaborated with more transportation brokers. Technology played a vital role for our agency in planning rides for seniors during the COVID 19 pandemic.
ADVANCING GERONTOLOGICAL HEALTH EQUITY: INNOVATIONS AND INSIGHTS FROM HISPANIC SERVING INSTITUTIONS
Authors: Vasquez Elizabeth , Heyn Patricia 
Published: January 2025

Abstract
In response to the Biden-Harris administration’s significant investment in Hispanic Serving Institutions (HSIs), this symposium showcases groundbreaking research and projects that address critical public health and gerontological issues within these communities. This symposium highlights four innovative, multidisciplinary approaches that demonstrate the effectiveness of community-engagement research, clinical studies, and health promotion in addressing the needs of older adults. Firstly, Dr. Jung-Ah Lee’s presentation delves into community engagement projects led by Latino nursing students and faculty at the University of California, Irvine. These projects emphasize compassionate, hands-on initiatives aimed at improving the health and well-being of Latino older adults in Southern California, including in-home caregiving education and support for caregivers of people living with dementia. Next, ERASE Falls project, spearheaded by Dr. Pappa at Marymount University, exemplifies the expansion and scalability of evidence-based fall prevention programs. This initiative has significantly impacted Northern Virginia’s diverse older adult population, demonstrating the power of community partnerships and innovative training models to enhance fall prevention efforts. Next, Dr. Suriaga’s research provides critical insights into the association between drug intoxication and the co-use of opioids, cannabis, and alcohol among Hispanics in Florida. This work highlights the urgent need for targeted research to understand and address substance use and its effects within Latino communities. Lastly, Alcantar work underscore the essential role of HSIs in fostering gerontological health equity through research, education, and community engagement. Attendees will gain a comprehensive understanding of challenges and opportunities in gerontological research conducted by HSIs researchers and the importance of culturally sensitive approaches. Hispanic Serving Institutions Interest Group Sponsored Symposium
LATINO COMMUNITY ENGAGEMENT PROJECTS FOR OLDER ADULTS LED BY LATINO NURSING STUDENTS AND FACULTY
Authors: Lee Jung-Ah 
Published: January 2025

Abstract
The Latino population in California has experienced a continual increase in recent decades. As of 2022, the United States Census Bureau estimated that 15.73 million Latinos resided in California, constituting 39.4% of the state’s total population. This presentation aims to introduce ongoing community engagement projects conducted by bilingual Spanish/English speaking nursing students and faculty, and their impact on the health of Latino older adults and their families in Southern California. The school of nursing is situated in major cities housing the state’s largest Latino communities, with compassionate community engagement as one of its core missions. The nursing faculty has consistently developed community-based projects through the curriculum and research, providing extensive one-on-one mentoring to groups of Latino students for several years. Key initiatives targeting the Latino older adult population include: (1) Nursing Skill Education Sessions for In-Home Supportive Service (IHSS) Caregivers, offering essential care to Medicaid older adults with chronic conditions, (2) In-home caregiving education for Latino family caregivers of people living with dementia (PWD), and (3) Telephone support projects for isolated Latino caregivers of PWD during the pandemic crisis. Under the close supervision of faculty with geriatric expertise, Spanish-speaking nursing students actively engaged with Latino older adults and their families through the projects. Spanish-speaking IHSS caregivers appreciated the hands-on learning opportunities in nursing skills with Spanish educational materials. Participating students expressed their compassion to serve and support the community. Continued emphasis on Latino community-centered education and research projects is essential to meet the evolving needs of the community.