bluuebunny/crossref_metadata_2025_split huggingface dataset:
RELATIONSHIP OF MULTISENSORY IMPAIRMENT WITH PHYSICAL PERFORMANCE IN OLDER ADULTS IN SOMMA
Authors: Thompson Atalie , Mansfield Tyler , Johnson Eileen , Cawthon Peggy , Strotmeyer Elsa , Williamson Jeff , Cummings Steve , Kritchevsky Stephen 
Published: January 2025

Abstract
There is growing evidence that various sensory and cognitive functions can impact physical performance but the relationship of multisensory impairment (MSI) and cognition with mobility in older adults is not well understood. We hypothesized that MSI would be associated with worse performance on timed physical mobility assessments, but that the association would be attenuated by controlling for tests of cognitive processing speed. Participants (N=799) were older adults (mean age 76.25+/-4.95 years; 59.82% female; 84.46% Non-Hispanic White) who completed tests of physical performance, cognitive function, and multiple sensory domains (vision, olfaction, peripheral sensation, self-reported hearing). An 8-point MSI scale was created: 1 point for moderate and 2 points for severe impairment in each sense. Separate linear regression models examined the association of MSI with 400-m gait speed, extended short physical performance battery (eSPPB), 4-square step test (FSST) and stair climb test, adjusting for demographic and clinical covariates. Each additional point on the MSI scale was associated with 0.009 m/s slower walking speed (p=0.049), 0.05 lower eSPPB score (p=0.0001), and 0.2 s longer FSST time (p=0.008), but there was no association with stair climb time(p=0.59). After adjusting for DSST and Trails B, the association of MSI with 400-m gait speed and FSST were no longer significant (p&gt;0.05) and the association with eSPPB was partially attenuated (-0.03 units/MSI point, p=0.0037). Older adults with MSI had worse mobility function which may be partially related to cognitive processing speed. Future studies should investigate if older adults with MSI would benefit from interventions to improve mobility.
RELATIONSHIP OF VISUAL IMPAIRMENT AND POOR MOBILITY TO MORTALITY IN OLDER ADULTS
Authors: Thompson Atalie , Rigdon Joseph , Miller Michael , Neiberg Rebecca , Williamson Jeff , Kritchevsky Stephen 
Published: January 2025

Abstract
Older adults with visual impairment (VI) have greater risk of mortality but the reasons are poorly understood. We have shown that older adults with VI are more likely to have poor mobility performance on the short physical performance battery (SPPB). In this analysis we examined whether VI predicted mortality over 10 years and if this was related to poor baseline mobility (SPPB&lt; 9). We included 2457 older adults who completed three vision tests at the year 3 visit in the Health, Aging and Body Composition study. VI was defined by visual acuity &lt; 20/40, log contrast sensitivity &lt; 1.55 or stereoacuity &gt;85. Cox proportional hazard models for mortality were adjusted for age, sex, black race, education, body mass index, smoking, depression, hypertension, heart disease, stroke, and diabetes. In separate models, VI (Hazard ratio (HR) 1.475, 95% CI (1.313-1.658), p&lt; 0.0001) and SPPB&lt; 9 (HR 1.469, 95% CI (1.233-1.75), p&lt; 0.0001) each predicted mortality. When adding poor mobility (as a main effect and interaction with VI) and using unimpaired vision and mobility as the reference, those with only VI (HR 1.451, 95% CI(1.28-1.645), p&lt; 0.0001) or only poor mobility (HR 1.495, 95% CI(1.117-2.0), p=0.0068) had similar HRs while those with both VI and poor mobility had an increased mortality risk (HR 1.943, 95% CI(1.562-2.418), p&lt; 0.001), but the interaction was not significant (p=0.55). After accounting for major comorbidities, older adults with VI and poor mobility are at a greater risk of mortality. Future studies should consider if interventions to improve visual function and mobility improve survival in older adults.
RACIAL AND ETHNIC DIFFERENCES IN AGEISM AND HEALTH: EVIDENCE FROM THE EXPERIENCES OF AGING IN SOCIETY PROJECT
Authors: Allen Julie Ober 
Published: January 2025

Abstract
Age-based stereotypes, prejudices, and discrimination (ageism) are implicated in a variety of poor health outcomes, yet it is unclear if all segments of the older adult population are affected similarly. This study examined racial and ethnic differences in ageism and health using data from the Experiences of Aging in Society project (2021-2023) with a sample equally divided between NonHispanic Black, White, and Asian American and Hispanic US adults age 50+ (N=236; Mage 65; 72% female). We identified variations in amount and types of routine ageism (Everyday Ageism Scale and subscales) and associations with health using ANCOVA and z-tests of differences in race/ethnicity-stratified regression parameters. While all racial/ethnic groups reported comparable amounts of routine ageism overall, differences were detected in types: exposure to ageist messages, White=most, Black=least; age discrimination, Black=most, White=least; and internalized ageism, Hispanic=most, Black=least. In the full sample, ageism was associated with more chronic physical health conditions and greater odds of a mental health disorder (p-values&lt;.02); of the three types, age discrimination was most closely associated with physical health outcomes and internalized ageism with mental. Relationships differed by race/ethnicity: ageism was only associated with physical health among Black (association driven by age discrimination) and White adults (driven by internalized ageism) and with mental health among White adults (driven by internalized ageism) (p-values&lt;.05). Exposure to routine ageism may be universal; yet, healthy aging initiatives should attend to nuances at the intersection of age, race, and ethnicity that contribute to divergent experiences of ageism and consequences for mental and physical health.
RESILIENCE AND SOCIAL CONNECTION AMONG MARGINALIZED OLDER ADULTS: CHALLENGES AND OPPORTUNITIES
Authors: Levasseur Melanie , Wister Andrew 
Published: January 2025

Abstract
Resilience, i.e., the ability to cope and thrive in the face of adversity, and social connection are recognized factors of older adults’ health, well-being and community integration. Improving resilience and social connection is especially challenging in marginalized older adults, who face multiple barriers to social participation. This symposium will present first theoretical contribution followed by empirical evidence where resilience and social connection were enhanced in marginalized older adults. The presentations will provide a forum to discuss the challenges and opportunities for better supporting resilience and social connection among marginalized older adults from Canada. Levasseur and colleagues examined the associations between vulnerability and life satisfaction, and the moderating effect of social support. Wister and colleagues discuss a resilience model designed to support recovery from social isolation and loneliness, which relies on internal and external resources across a socio-ecological spectrum. Majón-Valpuesta and colleagues considered the determinants regarding social participation opportunities for older transgender baby boomers in Canada. Meynet and colleagues identified and described studies assessing the efficacy of home-based and collective interventions on older adults’ social participation, isolation, loneliness, and social connectivity. Li and colleagues verified the association of loneliness in long-term spousal caregivers with social participation and social support. Together, these presentations provide insights to understand how resilience and social connection can alleviate the risk of marginalization and promote health.
SOCIAL PARTICIPATION OF OLDER ADULTS AT RISK OF MARGINALIZATION: RESULTS FROM A SCOPING REVIEW OF INTERVENTIONS
Authors: Meynet Stéphanie , Nguyen Trang , Alaux Alexia , Levasseur Melanie 
Published: January 2025

Abstract
Considering demographic aging, it is essential to better consider the heterogeneity of older adults in promoting the health of all, especially by fostering social participation of the population at risk of marginalization and social exclusion. Despite vulnerability to isolation and loneliness this population, knowledge about social participation interventions lack integration, and this group is under-represented in studies. This study thus aimed to identify, describe, and integrate knowledge about interventions that foster the social participation of older adults at risk of marginalization and social exclusion. Using 61 keywords in 6 databases, a scoping review identified 24 studies that assessed the influence of interventions on older adults’ social participation, isolation, loneliness, social interactions, and social connectivity. While almost half of the interventions were individualized home-based, the others involved collective activities in the community. Most studies focused on older adults having low income, and only two studies documented interventions with older adults from minority groups of different gender identity or sexual orientation. Interpersonal relationships with peers, and free group activities based on older adults’ interests and life experience were identified as favoring social participation. Perceived isolation, lack of access to transportation and the diversity of older participants represented challenges to successful interventions. While some initiatives were promising, further studies are needed to better develop and evaluate these interventions including assess their efficacy for this population. Providing integrated knowledge on the current initiatives, this exploratory study is the first step towards better crafted interventions that support healthy aging and more inclusive societies.
TESTING A RECRUITMENT STRATEGY FOR A NATIONAL SAMPLE OF OLDER LGBT ADULTS
Authors: Schumm Phil , O’Muircheartaigh Colm 
Published: January 2025

Abstract
This presentation describes a recently completed feasibility study (SAMLAP) of procedures to screen and recruit a nationally-representative, probability sample of older LGBT adults, intended to serve as the basis for a large-scale, longitudinal study of their health trajectories as they age. SAMLAP used push-to-web with an ABS sample of 70,000 addresses in order (i) to identify LGBT household members aged 40 or more, and (ii) to follow up in-person with a sample of about 300 identified individuals. The sample was stratified by region, urbanicity, and legislative environment. We conducted several randomized experiments to test the effectiveness of different recruitment strategies, including: 1) varying incentive amounts and timings, 2) including an SAQ with the first web-push mailing, and 3) implementing a last-ditch contact via FedEx. We also varied invitation wording to test the effectiveness of different approaches to increase participation by sexual and gender minorities (SGM). We discuss the effectiveness of these strategies and suggest best practices to recruit a high-quality sample of older LGBT adults. The overall response rate to the screener was 15%. 13% of screened individuals who were over 40 years of age identified as LGBT; TK3% of households containing an age-eligible LBGT individual contained 2 or more eligible people. Of these eligible individuals, 47% were successfully interviewed either in person or by phone on a range of health and related social factors. We conclude that it is possible to identify a high-quality, U.S. national probability sample of older LGBT adults and to recruit them for follow-up interviews.
SEXUAL ORIENTATION AND AGING: A US–ENGLAND COMPARATIVE STUDY OF SAME-SEX AND DIFFERENT-SEX HOUSEHOLDS
Authors: Azar Ariel , Becares Laia , Kneale Dylan 
Published: January 2025

Abstract
This study compares the health, income, and housing situation of same-sex and opposite-sex households in the United States and England. The research uses data from the English Longitudinal Study of Ageing (ELSA) and the U.S. Health and Retirement Study (HRS) to examine how these inequalities change over time. The study shows that individuals in same-sex households in both countries face distinct challenges in chronic health conditions, mental health status, and economic well-being. We argue that these challenges are due to the interaction between life transitions and varying policy, legislative, and societal attitudes toward same-sex relationships. For example, disparities in housing tenure and retirement income, which are more pronounced in the U.S. than in England, reflect these dynamic, divergent social and policy landscapes. The study takes into account relationship quality and satisfaction, gender, age, urban and rural living environments, and employment status. The findings highlight the cumulative impact of national contexts on the experiences of aging individuals in same-sex relationships. The study acknowledges data limitations due to the underrepresentation of sexual minorities in large nationally representative studies. However, the insights gained are essential for understanding how different policy contexts across the life course can shape the specific challenges and inequalities faced by this demographic group. The study emphasizes the need for informed policies and interventions.
WHY IS PSYCHOLOGICAL WELL-BEING ASSOCIATED WITH THE COMPOSITION OF OLDER ADULT’S CARE NETWORK?
Authors: Swinkels Joukje , Abbing Jens , Van Groenou Marjolein Broese 
Published: January 2025

Abstract
Objectives Older care recipients differ in types of care used: some receive mostly partner or other types of informal care, whereas others use mostly formal or privately paid care. This is mainly due to variation in health impairment, but it may also add to differences in psychological wellbeing. Applying Self-Determination Theory (SDT) to the care context, we hypothesize that care network types differ to the extent that they foster feelings of relatedness, autonomy and competence, resulting in different levels of psychological well-being. Methods Data are from ten three-yearly waves of the Longitudinal Aging Study Amsterdam (N= 18,434 observations from 4,837 older Dutch adults, from 1992 until 2022). Five care network types are created a priori composed of no care, (mainly) partner, informal, formal or privately paid care. Mixed-model regression analysis of depressive symptoms as measure of well-being is applied on care network type and loneliness (indicator of relatedness), mastery (autonomy) and care sufficiency (competence). Hybrid models disentangle between and within subjects effects. Results Receiving no care or care from a partner care network contributes the most to psychological wellbeing. Those with a formal care network type are worse off. Loneliness and care sufficiency partly explain these differences. Results of between and within effects are comparable. Discussion The findings support that applying SDT concepts of basic needs helps to understand how care impact psychological wellbeing. Results imply that decreasing loneliness by supporting informal care and increasing care sufficiency by improving the quality of formal care facilitates the functioning of care networks.
CARING FOR FAMILY MEMBERS WITH ADVANCED DEMENTIA: MEN’S EXPERIENCES
Authors: Mooney Aimee , Boardman Charles , Gothard Sarah , Tupper Emily , Zonker Christina , Lindauer Allison 
Published: January 2025

Abstract
About one-third of dementia family caregivers are men, and this number is increasing due to societal changes, shifting family patterns, and financial drivers. Caregiving men are an understudied group, representing about 30% of participants in caregiving research. A better understanding of men in caregiving can facilitate personalization of interventions, increase research participation, and sustain retention. Here we describe a subgroup of men who participated in the intervention study, Tele-STELLA (Support via Technology: Living and Learning with Advancing dementia, R01AG067546). Tele-STELLA is a multi-component, psychoeducational intervention designed to facilitate effective management of behavioral symptoms in those with advanced dementia. Of the 150 Tele-STELLA caregivers in the sample, 37 (25%) were men. Burden was measured using the Revised Memory and Behavior Problems Checklist reactivity subscale. Using a two-tailed t test at 0.1 α, we found that there was significant improvement in reactivity scores (burden) for the men that completed the intervention (n=27). Depression did not change over the 8-week intervention period despite disease progression in their family members with dementia. Ten Tele-STELLA men participated in focus groups post-intervention. Employing thematic analysis, three important themes emerged. First, the men signed up for the study because it was recommended by their health care professionals. Second, men found the solution-focused curriculum increased their sense of “capability” as caregivers, and third, Tele-STELLA provided a sense of camaraderie with their caregiving men peers. Future studies may focus recruitment strategies on informing health care providers, tailor interventions to be solution-focused, and foster communication between men to build solidarity.
PHYSICAL ACTIVITY, HEART RATE VARIABILITY, FRAILTY, AND COMPLICATIONS IN GYNECOLOGIC ONCOLOGY
Authors: Barber Emma , Foley Olivia , Wang Connor , Grubbs Allison , Bilimoria Karl 
Published: January 2025

Abstract
Gynecologic oncology patients undergo complex operations with high rates of postoperative complication. Frailty is consistently associated with complication but is not routinely measured in clinical practice. This study aimed to examine the association of physiologic and activity data with frailty and postoperative complications in presurgical gynecologic oncology patients. We performed a prospective cohort study of gynecologic oncology surgery patients who wore wearable actigraphy rings before and after surgery from 03/2021-11/2023. Exposures were physiologic data (heart and respiratory rates, heart rate variability), preoperative activity intensity and level. Primary outcomes included frailty (Pajewski frailty score) and 30-day complications. Multivariable models were adjusted for age, cancer and surgery type. We enrolled 96 patients and 87 met inclusion criteria. 41.3% were not frail, 44% were pre-frail and 14.7% were frail. Average heart rate and respiratory rate differed between frail and non-frail patients (HR 78.6 vs 68.3bpm, aOR=1.10,95%CI1.01-1.20; RR 18.6 vs 16.7b/m,aOR=2.1,95%CI1.20–3.55). Heart rate variability (RMSSD) also differed (24 vs 30.9ms,aOR=0.81,95%CI0.68-0.97). Preoperative physical activity was also associated with postoperative complications. Overall, 29.9% experienced a complication and higher activity was associated with fewer complications: 500-1000 MET-mins (OR=0.26,95%CI=0.07-0.92) and &gt;1000 MET-mins (OR=0.25,95%CI=0.07-0.94) vs &lt;500 MET-mins; ≥8000 steps (OR=0.25,95%CI=0.08-0.73) vs &lt;8000 steps. In conclusion, physiologic data and activity levels differ in frail compared to not frail patients independent of age. Wearable devices may be useful in the preoperative assessment of frailty. Furthermore, higher preoperative activity levels are associated with fewer postoperative complications. Physical activity may be a modifiable risk factor for adverse postoperative outcomes.
OPTIMIZATION OF WEB-BASED COGNITIVE BEHAVIORAL THERAPY FOR INSOMNIA NITECAPP IN RURAL DEMENTIA CAREGIVERS
Authors: McCrae Christina 
Published: January 2025

Abstract
Informal dementia caregivers (CGs) often experience chronic insomnia that contributes to stress and poor health. Rural CGs are particularly vulnerable but have limited access to CBT for insomnia (CBT-I), a recommended treatment for chronic insomnia. Web delivery holds promise for improving outcomes and access to this frontline treatment. Here we describe the iterative development of web CBT-I for rural dementia CGs. Qualitative and quantitative evaluations were conducted to explore user needs and adapt/validate content using a stepwise approach: 1- advisory panel of rural CGs (n=5) and primary care providers (PCPs; n=5) gave feedback used to adapt NiteCAPP, 2-focus groups of CGs (n=5) and PCPs (n=7) reviewed the newly adapted intervention and gave additional feedback, 3-NiteCAPP CARES was piloted in CGs (n=5) to test feasibility and establish preliminary effects. Fourteen daily electronic sleep diaries and questionnaires assessing arousal, health, mood, burden, subjective cognition, and interpersonal processes were collected pre/post treatment. Feedback recommended streamlining content, eliminating jargon, and including CG focused content. Multiple features were evaluated positively (comprehensive and engaging information, CG focus, layout, easy-to-access material, easy-to-understand sleep graphs). Suggestions for improvement included giving day/night viewing options, collapsible text, font size options, tabbed video access, and a glossary. Preliminary effects on CG sleep, arousal, health, mood, burden, cognition, and interpersonal processes (ps&lt;.05) were promising. Targeted web CBT-I may increase access and improve CG outcomes. NiteCAPP CARES is now being evaluated in NIA-funded RCT.
MINDFULNESS-BASED COGNITIVE THERAPY STUDY FOR DEPRESSION AMONG KOREAN SPEAKING OLDER ADULTS
Authors: Kim Jenny , Lee Eun Jeong , Shallcross Amanda , Ahn Seon Ah , Visvanathan Pallavi , Park Bohye , Chae Hwa Young , Ko Linda 
Published: January 2025

Abstract
Korean American (KA) older adults experience higher risk for depression compared to Non-Hispanic whites. Healthy Mind Healthy Living (HMHL) is a single arm, pre/post pilot intervention study to test and evaluate the effect of an abbreviated telephone-based mindfulness-based cognitive therapy (MBCT-brief) protocol to reduce depression and improve sleep quality and stress. MBCT-brief was adapted culturally and linguistically for older KA adults; participants attended one of three MBCT-brief groups (8-10 participants, N=24), delivered virtually over the span of 8 weeks by a licensed bilingual/bicultural (English/Korean) clinical therapist. Survey data were collected at baseline and 9 weeks post intervention and measured depressive symptoms (QIDS-SR16), sleep quality (PROMIS Sleep Disturbance 4a), and stress (Perceived Stress Scale). The differences in the three outcome measures from pre and post were calculated using paired T-tests. We observed significant differences for changes in mean±SD for depressive symptoms and sleep quality. Post MBCT-brief, participants had a significant reduction in depressive symptoms (8.04±4.70) compared to baseline (10.29±4.22, t(23)=2.87, p=0.004). Similarly, participants had a significant improvement in sleep quality post MBCT-brief (51.03±2.82) compared to baseline (53.23±4.14, t(23)=2.53, p=0.009). Participants also had reduction in stress (17.54±4.56) compared to the baseline (17.21±3.99, t(23)=0.28, p=0.39), but it was not statistically significant. These findings indicate that culturally and linguistically adapted MBCT-brief has potential to improve symptoms of depression, sleep quality, and stress among older KA adults with limited English proficiency. Future larger trials may want to explore the efficacy and effectiveness of MBCT-brief on depression, sleep quality, and stress with a control group.