bluuebunny/crossref_metadata_2025_split huggingface dataset:
INDIVIDUAL DIFFERENCES IN TIME OF DAY EFFECTS ON AMBULATORY COGNITIVE FUNCTIONING IN MIDDLE AND OLDER ADULTS
Authors: Beck Emorie , Hawks Zoe , Germine Laura 
Published: January 2025

Abstract
Previous work indicates that (1) changes in diurnal cycles are associated with the onset and progression of dementia and cognitive impairment and (2) that cognitive function itself tends to show diurnal cycles in the laboratory. But no work to date has examined whether cognitive function assessed via ecological momentary assessment can recover such daily cycles and whether individual differences in those cycles are associated with short- and long-term outcomes. In this presentation, we examine whether ambulatory cognitive assessments assessed via ecological momentary assessment (EMA) demonstrate intra-day cycles of cognitive performance. This study specifically aims to test whether such cycles emerge, whether there are individual differences in those cycles, and whether individual differences are associated with cross-sectional measures of cognitive health and psychosocial risk factors. At baseline, 200 (Mean age = 55; 50.1% female) participants responded to five surveys per day for 20 days capturing their cognitive function, contextual factors, and psychological experiences. We will examine nonlinear changes in cognitive function through the day using both multilevel time series decomposition and cosinor models, which also allow us to examine individual differences in these patterns. We will then examine whether these individual differences are concurrently associated with global cognitive functioning, cognitive impairment, personality traits, and other psychosocial factors.
LONELINESS AND MEMORY LAPSES AMONG OLDER ADULTS IN DAILY LIFE
Authors: Van Bogart Karina , Harrington Erin , Mogle Jacqueline , Kang Jee eun , Sliwinski Martin , Graham-Engeland Jennifer 
Published: January 2025

Abstract
Loneliness has been linked to objective cognitive decline and dementia risk; however, less is known about how loneliness relates to subjective cognition. Assessing daily subjective cognition related to prospective memory (i.e., for future events; PM) and retrospective memory (i.e., for past information; RM) may be particularly useful in identifying associations with daily emotional and cognitive health. The current research examined associations between loneliness and self-reported PM and RM lapses among 311 older adults (mean age=77.45 years, 40% Black, 13% Hispanic, 67% women) who completed 14 consecutive days of ecological momentary assessment that included self-reports of momentary loneliness (5x/day) as well as evening self-reports of memory lapses that occurred that day. Separate multilevel models were estimated to assess daily associations between loneliness and number of PM or RM lapses, and the amount of disruption and irritation associated with these lapses. All models controlled for age, gender, years of education, MCI status, and depressive symptoms. Days when loneliness was higher than typical were significantly associated with a higher number of PM lapses (b=0.011, p&lt;.001), and more disruption to daily activities (b=0.113, p &lt;.001) and irritation (b=0.036, p=.002) associated with experiencing PM lapses. Daily loneliness was not associated with the number of RM lapses, but was significantly linked with more disruption to daily activities (b=0.131, p&lt;.001) and irritation associated with RM lapses (b=0.103, p&lt;.001). Findings suggest that loneliness may uniquely impact daily PM and perceived disruption from RM issues, which has important implications for cognitive health and maintaining independence in late life.
RURAL HEALTH AND FAMILY CAREGIVING: IDENTIFYING CHARACTERISTICS AND ADDRESSING NEEDS ACROSS POPULATIONS
Authors: Stephens Caroline , Telonidis Jacqueline , Ornstein Katherine 
Published: January 2025

Abstract
The rural population in the U.S. is growing and aging faster, and they have more comorbidities, than the overall aging population. Despite the greater need for resources and supports, rural residents may experience the most barriers to formal services (e.g., hospital, hospice/palliative care, nursing home care) and may lack available family caregivers. Unfortunately, there is a dearth of population-based research comparing the characteristics and needs of older adults living and dying in rural vs. urban areas, particularly related to availability of family. This symposium includes 4 presentations focused on rural health and family caregiving and identifying the characteristics and addressing needs across populations. The first presentation uses a retrospective population cohort design with cancer registry and state-wide claims data to examine urban/rural differences in palliative care-related service claims among older adult cancer patients diagnosed with metastatic breast, lung, colorectal, head and neck, bladder, and melanoma cancers. The next two presentations use data from the Utah Caregiving Population Study (Utah C-PopS) to examine how family size and characteristics impact EOL care utilization for urban vs. rural NH residents and for persons with dementia. The last presentation describes a program evaluation of an interagency collaboration to support caregivers in rural communities. Together, these presentations shed light on the diverse characteristics, gaps in care, and novel strategies to address the needs of rural populations to better inform rural health practice and policy considerations.
ROLE OF FAMILY CHARACTERISTICS OF RURAL AND URBAN NURSING HOME RESIDENTS AT END-OF-LIFE (EOL)
Authors: Stephens Caroline , Utz Rebecca , Hollingshaus Mike , Tay Djin , Edelman Linda S , Iacob Eli , Smith Ken , Ornstein Katherine 
Published: January 2025

Abstract
Nursing home (NH) EOL disparities are an increasingly important focus for policymakers. Despite the critical role of families in resident EOL care, no studies to date have explored how family size and characteristics impact EOL care utilization for urban vs rural NH residents. This study describes the size and characteristics of first-degree families (FDF) of Utah NH residents who died in rural/frontier (n=10,440) vs. urban (n=32,366) NHs between 1998-2016. Using the Utah Caregiving Population Study (Utah C-PopS), we linked NH decedents to their FDF (urban FDF n=90,829; children=57%; siblings=32%; spouses=11%; rural FDF n=30,512; children=55%; siblings=34%; spouses=11%) and compared characteristics of those with and without FDF by urban and rural status. Rates of ER visits and hospitalizations in the last six months of life by FDF type were estimated. Rural NH decedents were slightly more likely to lack FDF in the state compared to urban NH decedents (23% vs 22%, respectively). Having a spouse was associated with increased rates of hospitalization among both urban [IRR 1.12 (1.06,1.17)] and rural NH decedents [IRR 1.11 (1.03,1.19)], but increased rates of ED visits [IRR 1.10 (1.01,1.20)] were only observed among urban decedents. Having at least one child, or a child and spouse, was associated with increased rates of hospitalization in urban decedents [IRR 1.06 (1.03,1.10), IRR 1.13 (1.08,1.19), respectively], but not among rural NH decedents. A better understanding of family role in EOL care in the NH setting will advance research on disparities in EOL NH care, particularly related to rural and urban differences.
IMPACT OF RURALITY ON PALLIATIVE CARE–RELATED SERVICE USE: FINDINGS FROM A POPULATION DATASET
Authors: Tay Djin , Guo Jia-Wen , Ornstein Katherine , Dubose Kline , Sheng Xiaoming , Ellington Lee 
Published: January 2025

Abstract
Palliative care, including hospice, supports quality of life of individuals living with serious illness. However, residents in rural areas may have limited access to these services. This study examined urban/rural differences in palliative care-related service claims among older adult cancer patients diagnosed with metastatic breast, lung, colorectal, head and neck, bladder, and melanoma cancers. We hypothesized that rural patients would have less palliative care-related service claims. This study used a retrospective population cohort design with cancer registry and state-wide claims data. Data from patients aged 65 and above with a diagnosis of metastatic cancers were analyzed. N=1,798 patients were identified, with n=511 (28%) living in rural or frontier regions. Patients living in rural areas differed from urban patients by cancer types (p&lt;0.006), race (p=0.015), advance care planning (p=0.002), and hospice use (p=0.040). After diagnosis, only 2% of rural patients and 6% of urban patients had advance care planning claims and approximately half had ever received hospice care (54% rural; 49% urban). While insignificant, rural patients had palliative care (35% vs. 31%) and chemotherapy claims (53% vs. 49%) at higher proportions compared with urban patients (p=0.076 and p=0.055 respectively). There were no observed differences in use of life-sustaining and/or cancer treatments. This was one of the few population-based studies examining rural-urban disparities in palliative care-related services. Despite being a clinical guideline and marker of quality of care in advanced cancers, findings imply low uptake of palliative care services overall, suggesting room for improvement for palliative and end-of-life cancer care delivery.
THE ROLE OF SOCIAL RELATIONSHIP PARTNERS FOR WELL-BEING AFTER SOCIAL INTERACTIONS IN DIFFERENT MODALITIES
Authors: Hueluer Gizem , Borgards Kaila , Macdonald Birthe 
Published: January 2025

Abstract
Social relationships and social interactions are essential for psychological well-being. In the present study, we examine the role of social relationship partners (relationship closeness and social network size) for well-being after social interactions in different modalities (face-to-face, telephone, text-based digital). We use 7,861 observations from 113 participants (age: M = 72 years, SD = 5, range = 65 to 94; 40% women), who completed a short questionnaire about their social interactions over 21 days in an event-contingent experience sampling study. With regard to main effects, our findings showed that within persons, participants reported higher levels of well-being after social interactions with closer vs. less close social interaction partners. Social network size was unrelated to well-being after social interactions. Well-being was highest after face-to-face social interactions, followed by telephone and digital text-based social interactions. With regard to moderation effects, the effect of relationship closeness on well-being was not moderated by social interaction modality. The effect of social network size on well-being after social interactions was moderated by social interaction modality, indicating that the difference in well- being experienced after face-to-face and telephone vs. text-based digital social interactions was smaller for participants with smaller social networks. In summary, our findings show that social interactions with more close social partners are associated with higher well-being regardless of modality and that digital text-based communication may play a compensatory role for older adults with smaller social networks. We discuss implications of these findings for future research.
A RETROSPECTIVE COHORT STUDY OF HOSPITAL DISCHARGE INSTRUCTIONS FOLLOWING DELIRIUM EPISODES
Authors: Golden Blair , Sonnentag David , Kaiksow Farah , Gilmore-Bykovskyi Andrea , Shah Manish , Inouye Sharon , Vasilevskis Eduard 
Published: January 2025

Abstract
Delirium impacts an estimated 25% of hospitalized older adults and is associated with adverse outcomes, including increased mortality. Delirium can persist or recur after discharge, and prompt recognition is critical. Caregiver education may improve delirium recognition and management in the post-acute care period, but it is unclear if delirium is routinely incorporated into hospital discharge instructions. We sought to characterize how clinicians communicate about delirium in written discharge instructions. We performed a retrospective chart review of a random sample of 50 hospitalized older adults (age ≥65) with delirium. Trained team members identified delirium diagnoses from discharge summaries and assessed all mentions of delirium within discharge instructions. We also identified new anti-psychotic or benzodiazepine prescriptions and neurology or geriatrics referrals, as these are routinely communicated at discharge and may represent indirect delirium instruction. Almost all (48, 96%) patients had personalized discharge instructions regarding at least one non-delirium hospital diagnosis, but only 2 cases (4%) had delirium included in discharge instructions. A quarter of instructions (13, 26%) had terms that could be considered synonyms for delirium (e.g., “confusion” (5), “altered mental status” (5)). Three cases (6%) had proxies for delirium instruction (new prescriptions or clinic referrals). Documentation trends were similar for populations from whom delirium instructions would be particularly important, including patients discharging home and persons living with dementia. These findings demonstrate a large gap between clinician recognition of delirium and instructions to patients and caregivers during a vulnerable transition period. Future work is critical to understand discharge educational needs surrounding delirium.
HOW ARE FAMILIES INVOLVED IN THE CARE OF HOSPITALIZED OLDER ADULTS? A QUALITATIVE EVIDENCE SYNTHESIS
Authors: Vick Judith , Fogleman Connor , Neiman Joseph , Cantrell Sarah , Selmanoff Mollie , Oyesanya Tolu , Goldstein Karen , Van Houtven Courtney 
Published: January 2025

Abstract
In the outpatient setting, roughly 36 million family members in the US assist with caregiving tasks for older adults including managing medications, coordinating care, communicating with clinicians, and assisting with activities of daily living. The roles and impact of family involvement during hospitalizations of older adults are less well described. To better understand family involvement during hospitalizations of older adults, we designed a systematic review of qualitative research known as a qualitative evidence synthesis. We assembled a multidisciplinary research team including members with expertise in nursing, internal medicine, library science, evidence synthesis, social work, and health services research. We developed a search strategy and executed it in four databases: MEDLINE (via Ovid), Embase (via Elsevier), PsycINFO (via Ovid), and CINAHL Complete (via EBSCO). Our search identified 6,157 articles, and our title/abstract screening yielded 157 articles for full text review. Preliminary analysis suggests that family members participate in many ways in the care of hospitalized older adults including giving information about patients, preventing and managing delirium, providing hands-on care, advocating for patients, aiding in decision-making, and planning for discharge. The quality of existing qualitative research on family involvement during hospitalizations of older adults varies widely. Most existing evidence comes from countries outside of the US. Ultimately, our findings will contribute to the refinement of a conceptual model that will establish a shared language for future multidisciplinary work, inform future intervention development, and support workflow and policy changes.
ORGANIZATIONAL BARRIERS TO INCLUDING CAREGIVERS OF HOSPITALIZED PATIENTS LIVING WITH DEMENTIA
Authors: Hoel Sydney , Still Catherine , Thuemling Teresa , Strayer Andrea , Werner Nicole , Fields Beth 
Published: January 2025

Abstract
Caregivers play a critical role in managing the health and well-being of hospitalized family members or friends living with Alzheimer’s disease and related dementias. Yet, caregivers often report feeling excluded in hospital care. In order to effectively include caregivers in hospital care, the organizational barriers to inclusion faced by clinicians must be addressed by healthcare systems. The objective of this study was to identify organizational barriers to including caregivers of hospitalized patients living with dementia. We conducted semi-structured interviews with clinicians (n=26) who provide care to patients living with dementia in the hospital setting. Participants were nurses (42%), doctors (19%), social workers (12%), and rehab professionals (19%), and had an average of 11 years of experience in their role. Interview data were analyzed using a team-based content analysis directed by the Systems Engineering Initiative for Patient Safety (SEIPS) framework. We identified 6 categories of organizational barriers: culture, staffing, communication, policies, collaboration, and teamwork. Specifically, clinicians noted that organizations tend to emphasize “quantity over quality” culture, de-incentivizing and reducing time for interaction with caregivers. Most clinicians perceived a lack of organization support to include caregivers and could not recall receiving training on how best to include caregivers. These findings indicate multiple opportunities for healthcare systems to better support and prepare clinicians to include caregivers in hospital care. Information gleaned from this study can be utilized to guide the development of a more inclusive hospital organization, consistent with Goal 2 of the 2022 National Strategy to Support Family Caregivers.
OBJECTIVE SLEEP QUALITY ASSOCIATES WITH PLASMA BIOMARKER FOR COGNITIVE IMPAIRMENT
Authors: Kim Jinyoung , Dangler Kevin , Nam Stephanie , Fudolig Miguel , Kinney Jefferson 
Published: January 2025

Abstract

Aim
Emerging evidence suggests that poor sleep (i.e., lack of sleep and low sleep quality) significantly impacts the risk of severe cognitive impairment. However, research on the use of sleep quality metrics as early predictors of cognitive impairment risk remains scarce. In this study, we investigated the association between objective sleep quality measures and plasma levels of Eotaxin-1, an early biomarker for cognitive impairment, among nurses.

Methods
We used data from 35 nurses who underwent multiple home sleep studies with electroencephalograms on workdays and days off were included. Objective sleep quality measurements included percentage of stage-3 non-rapid eye movement sleep in total sleep time (%N3) and wake time after sleep onset (WASO). Blood samples were collected in all participants and plasma levels of multiple cytokines (27Plex Cytokine array), including Eotaxin-1 were measured by Luminex multiplexing.

Results
Sleep quality indicators showed that WASO increased by 8% on days off compared to workdays, while %N3 decreased by 1% (p&lt;.001). After adjusting for age, sex, shift, and BMI, higher WASO (β=1.22, p&lt;.05) and lower %N3 (β=-5.09, p&lt;.05) on workdays were significantly associated with increasing levels of Eotaxin-1. Sleep parameters on days off did not significantly correlate with Eotaxin-1 levels.

Conclusion
Our findings indicate a correlation between objective sleep quality measurements on workdays and an early biomarker of cognitive impairment. Further research is necessary to elucidate the underlying mechanisms linking sleep quality to future cognitive impairment, as well as to explore the potential differential associations of these parameters between workdays and days off.
THE BENEFITS OF CREATIVE ACTIVITIES FOR DIVERSE GROUPS OF OLDER ADULTS
Authors: Adams-Price Carolyn , McGovern Justine 
Published: January 2025

Abstract
Participation in creative activities is said to be beneficial for older adults and is often suggested for healthy cognitively intact and cognitively impaired populations. The purpose of this symposium will be to explore the benefits of different kinds of creative programs and interventions offered to diverse groups of older adults of different ability levels. The first paper in this symposium will discuss theory and the psychosocial context of creativity in older adults. The observed and hypothetical benefits will also be discussed from different frameworks, including life-span developmental psychology and dementia studies. LaVona Traywick will present the physical and emotional benefits of her dance program with older adults with Parkinson’s disease. Jennifer Dorris will discuss her experience incorporating music into her activities with older Down’s syndrome patients. Justine McGovern will be a discussant for this session, tying together the different presentations.
THE BENEFITS OF CREATIVE ARTS INTERVENTIONS FOR OLDER ADULTS: THE SOCIOCULTURAL MODEL AND THE DEMENTIA STUDIES MODEL
Authors: Adams-Price Carolyn 
Published: January 2025

Abstract
Over the past 25 years, there has been a huge increase in the employment of interventions for older adults that incorporate as a primary feature participation in creative activities. Interventions have focused on art domains as distinct as photography, dance, music, traditional handicrafts (such as quilting or pottery), and many others. In addition, programs have been created for older adults with a huge range of ability levels and cognitive efficacy, from highly functioning older adults to older adults with severe cognitive deficits. The purpose of this paper will be to describe the benefits of creative interventions for different types of older adults with different types of capabilities. Two different perspectives will be highlighted; including the sociocultural model of creativity, which is linked to life-span developmental psychology, and the dementia studies model, which derives from holistic and qualitative approaches to aging. The paper will discuss the ways in which these two approaches are fundamentally different, and the ways in which they are similar, and discuss what they have to say about the nature of creativity.
DANCE AS A CREATIVE ARTS PROGRAM FOR SEINOR ADULTS WITH PARKINSON’S DISEASE AND THEIR CAREGIVERS
Authors: Traywick LaVona 
Published: January 2025

Abstract
The Dance with PD (Parkinson’s Disease) program is offered as a free community creative arts outreach program by Arkansas Colleges of Health Education (ACHE), Research Institute Health & Wellness Center for individuals with PD and their care partners. Dance with PD is a therapeutic approach to programming that involves dance and movements as a form of therapy for individuals living with Parkinson’s Disease. The program aims to improve mobility, balance, coordination, and overall quality of life through structured dance exercises and routines. The program is offered by a trained instructor and the sessions are tailored to the specific needs and abilities of the participants. Volunteer assistants are students from ACHE’s medical college. The class is offered once a week for one hour to mimic a traditional dance class. Due to the rolling admission, participants have attended for different lengths of time when they complete their assessments. The Dynamic Gait Index (DGI), Falls Efficacy Scale, and Geriatric Depression Scale—short form are administered each semester and compared to attendance records.
THE BLUES AND OLDER MINORITY MUSICIANS: MORE THAN JUST MUSIC XXXI
Authors: Migliaccio John , Marcus Michael 
Published: January 2025

Abstract
The Blues may have emerged in the Mississippi Delta but its influence and music is mightily represented today in the Puget Sound! Seattle’s Blues Bash, Blues Awards, and the Rhapsody Project make intergenerational cultural connections between the Blues and the community by tuning into cultural heritage exploration and social justice. With a lively array of bars, clubs, and iconic Blues musicians with insights into their lives, influences, resilience and productive aging this popular session draws an enthusiastic crowd of GSA members for a lecture/interview and “mini-performance” with leading older musician. But Wait! Theres more- later that evening, a full performance and party at a local Blues joint guarantees good music, dancing, libations, and Blues swag. This is a “don’t miss” combo with 31 years of GSA history.