bluuebunny/crossref_metadata_2025_split huggingface dataset:
RESISTANCE TRAINING EXERCISE FOR THE REHABILITATION OF OLDER ADULTS: A FUNCTION PROMOTING THERAPY WITH ROBUST TREATMENT RESPONSE HETEROGENEITY
Authors: Fielding Roger 
Published: January 2025

Abstract
Advancing age is accompanied by well described reductions in muscle strength and power that are associated with deficits in physical functioning and mobility limitations. Both high and slow velocity progressive resistance exercise training have been shown to improve muscle strength and physical functioning in older adults. In combination with aerobic exercise, resistance exercise can also reduce the risk of major mobility disability. However, despite the overall positive effects exerted by exercise on multiple domains of health and physical functioning, a robust response heterogeneity to exercise training in older adults has been consistently observed. Factors influencing exercise response heterogeneity (ERH) include exercise adherence, sex, age, comorbid conditions, baseline levels of strength and function, and unknown biological factors. Future studies need to interrogate the underlying biological mechanisms associated with ERH. As plausible mechanisms emerge, more personalized approaches may be tailored to optimize the beneficial effect of exercise for all older adults.
CLINICIAN PERCEPTIONS OF UNMET SOCIAL NEEDS AMONG OLDER VETERANS: THE ROLE OF RURALITY
Authors: Ream Molly , Polacek Laura , Moye Jennifer , O’Malley Kelly , Baird Lola , Bashian Hannah , Kaiser Anica Pless 
Published: January 2025

Abstract
Some older Veterans experience unmet social needs due to factors such as poor health, restricted mobility, and living in rural settings. We surveyed clinicians treating older adults (age&gt;60) at Veterans Affairs (VA) hospitals to 1) determine differences in unmet social needs by rurality, 2) explore clinicians’ perceptions of social facilitators and challenges, and 3) assess clinician interest in delivering a group-based intervention: Enhancing Social Functioning for Older Veterans with PTSD (ESVP). We surveyed 84 VA clinicians who self-reported the percentage of their caseload that was rural, which we dichotomized as rural (&gt;=50% rural; n=52) or urban (&lt;50% rural; n=32). Likert-type items assessed the frequency clinicians encountered unmet social needs. Linear regression assessed urban versus rural differences in unmet social needs. We explored descriptive statistics of social facilitators and challenges and interest in delivering ESVP among rural clinicians. Rural clinicians reported greater unmet social needs among Veterans compared to urban clinicians (lack of social support (t(73)=3.10, p=.003); low social engagement (t(73)=2.05, p=.044); loneliness (t(73)=2.61, p=.011)). Yet, among rural clinicians, there were high reports of social facilitators, including close-knit communities (62%), value in helping others (60%), and resiliency (69%). Rural clinicians reported social challenges including fewer engagement options (83%), distance between people (67%), and value of stoicism (60%). There was high interest in delivery of ESVP among rural clinicians (80%). Rural clinicians reported significantly greater unmet social needs among older Veterans compared to urban clinicians. There was high interest in ESVP, which may enhance social functioning among this critical population.
INCLUDING COMMUNITY MEMBERS IN QUALITATIVE ANALYSIS: LESSONS FROM AN INDIGENOUS DEMENTIA PROJECT
Authors: Ketcher Dana , Blind Melissa , Warry Wayne , Pitawanakwat Karen , Budreau Josyaah , Dertinger Melinda , Williams Mikaela , Jacklin Kristen 
Published: January 2025

Abstract
When conducting community-based participatory research (CBPR), the community can be left behind when it comes time to analyzing qualitative data. Little has been written on how qualitative research can rigorously and effectively include community perspectives and interpretations during data analysis. When conducting CBPR and/or research with historically marginalized and oppressed communities, incorporating community perspectives during analysis is especially important to assess researcher biases, de-center Western research paradigms/assumptions, and incorporate community values/worldviews. While scholars have written about incorporating Indigenous paradigms and methodologies into the various stages of research, less has been written on the exact steps teams can take to incorporate community members in the qualitative data analysis process. At our academic research center, we seek to create a more inclusive, relational, Indigenized, and decolonized approach to qualitative analysis. We have developed a qualitative analytic framework that intentionally includes community-based researchers and community advisory members, often without qualitative experience, from partner Indigenous communities. For this paper, we will describe our team’s iterative qualitative analysis approach as it relates to a multi-sited, international, ethnographic study of Alzheimer’s disease and related dementias among Indigenous North American communities in the Great Lakes region. By diversifying the perspectives present during qualitative analysis, we work to center the Six Rs of research: respect, relationship, representation, relevance, reciprocity, responsibility (Tsosie et al. 2022). As a result, we seek an ethical space to learn from both academic and community partners to ensure our approach is respectful and reflective of community and cultural values, while also being methodologically rigorous.
AMPLIFYING VOICES: DIGITAL STORYTELLING TO EXPLORE AGING IN THE RIGHT PLACE WITH HOUSING PRECARIOUS OLDER ADULTS
Authors: Mahmood Atiya , Hosseini Sogol Haji , Nanjiba Nushaiba , Fan Jason , Canham Sarah 
Published: January 2025

Abstract
Digital storytelling (DS) offers an innovative qualitative approach to explore the intricate narratives surrounding aging in the right place (AIRP) for older adults with experiences of housing precarity. We engaged three participants as co-researchers to co-create a story of their life-course narratives through participation in a photovoice study followed by the development of a DS video. Study participants live in affordable rental housing with onsite supports in Metro Vancouver, Canada. Central to our DS methods is the co-creation format where our co-researchers actively shape the narrative through qualitative interviews, photographs, and video footage of the socio-spatial context of their housing highlighting the multifaceted dimensions of AIRP. The integration of photovoice photographs within the DS serves as a visual anchor, providing nuanced insights into participants’ lived experiences and aspirations regarding their current and ideal living environments. Their stories demonstrate that a combination of social, environmental, and organizational factors, as well as an interweaving of objective and subjective aspects of their housing and service experiences contribute to their stability, social integration, and well-being as they AIRP. This type of co-creative project not only serves as a means of knowledge mobilization, but also fosters dialogue and reflection between co-researchers, service providers and researchers. DS methods have the transformative potential to amplify the voices of marginalized older adults, highlighting their unique housing experiences and advocating for inclusive policy measures that prioritize their diverse needs.
SOCIAL INVISIBILITY OF ELDER ABUSE IN FAMILIES: A PHENOMENON IN PHILIPPINE SOCIETY
Authors: Oyales Carmelina , Apuan Victoria , Motilla Ronaldo 
Published: January 2025

Abstract
In a country where the prevailing culture puts a premium on respect and care for the elderly, elder abuse is an interesting phenomenon. The study focuses on elder abuse and the different forms of abuse occurring in Filipino communities. A qualitative study composed of individual interviews of 10 victims of elder abuse were undertaken. The aim is to explore the thoughts, feelings, sense of self, family dynamics and coping strategies of the abused. Further, data on the socio-cultural and economic risk and protective factors in the community and local government, the perspectives of 32 members of local government and social welfare institutions were gathered through focus group discussions in 5 localities. Narrative and content analysis yielded the following results: that elder abuse is a multifaceted and complex experience for the victims. Elder abuse victims suffered initial shock, denial, indignation, depression, and for some, learned helplessness. The most frequent type of abuse were emotional and psychological abuse, neglect, abandonment and financial exploitation. Poverty and ageism were an exacerbating factor. Actions to access local support mechanisms and interventions were absent or delayed due to the secrecy of the families regarding the phenomenon, as well as the lack of reporting and monitoring mechanisms on the community level.
Keywords: elder abuse, aging population, ageism, poverty, senior citizens human rights Aging Among Asians Interest Group Sponsored Symposium
CO-CREATING A VIRTUAL REALITY IN HOSPITAL WITH PATIENT AND FAMILY PARTNERS AND STAFF FOR OLDER ADULTS WITH DEMENTIA
Authors: Hung Lillian , Mortenson Ben , Lim Angelica , Boger Jennifer , Mann Jim , Wong Lily , Ren Haopu (Lily) , Soni Albin 
Published: January 2025

Abstract

Growing evidence suggests that Virtual Reality (VR) is promising to improve the wellbeing of older patients in dementia care units in hospitals. However, older patients are often excluded from VR opportunities. Engaging patient partners, family caregivers and staff in co-creating VR program shows potential in addressing unique needs of older patients, supporting staff in implementation, and enhancing understanding complexity in clinical settings. However, literature that describes fulsome partnership with abovementioned joint stakeholders in the co-creation process is absent. The study aims to understand psychosocial needs of older adults with dementia in hospital and how VR could be best implemented in the complex clinical setting. Drawing principles of Collaborative Action Research (CAR) and applying an equity and inclusive lens, we conducted qualitative focus groups, co-design workshops and interviews with 46 stakeholders (7 patient partners, 8 family caregivers, 19 staff members and 12 leaders) in hospital. Consolidated Framework for Implementation Research (CFIR) informed our data collection and analysis. We identified three key themes to co-create a VR program for older adults with dementia in hospital to address their psychosocial needs and facilitate staff’s implementation, acronymized as

aim
1) Approach matters; 2) Interactiveness; and 3) Multi-sensory stimulation. Our results underscore the imperative of engaging joint stakeholders in co-creation for older adults with dementia in hospital to address their psychosocial needs with VR, who deserve digital equity but are traditionally underrepresented in technology program development and implementation. This study contributes valuable insights into the future development and deployment of VR in geriatric care settings.
WILLS, WEALTH, AND RACE
Authors: Aubry J P , Wettstein Gal , Munnell Alicia 
Published: January 2025

Abstract
Inheritances make up a substantial share of national wealth, but are often overlooked in discussions of retirement security. Racial gaps in inheritances are likely to exacerbate racial disparities in wealth. One reason that Black and Hispanic decedents are less likely to pass down meaningful estates is that they are far less likely to have a will than non-Hispanic Whites. This paper documents racial gaps in receiving an inheritance, in the likelihood of having a will, and in the expectation of leaving significant bequests. The analysis then looks at the relationship between bequest expectations and realized bequests to see whether expectations are a good predictor of real outcomes. The results show that Black and Hispanic decedents and those who die without a will are less likely to achieve their bequest expectations. This paper is the first of a three-part series. The second part will be a survey to see if a plausible intervention might increase the adoption of wills, whether writing of a will increases intended bequests, and, in conjunction with the estimates of this paper, whether wills would likely increase realized bequests. The third part of the project will examine the impact of will incentives on racial wealth gaps when compounded across multiple generations.
VOLUNTEERING AND EPIGENETIC AGE AMONG RETIRED AND WORKING OLDER ADULTS: EVIDENCE FROM HEALTH AND RETIREMENT STUDY
Authors: Kim Seoyoun , Halvorsen Cal , Potter Claire 
Published: January 2025

Abstract
Biological aging, distinct from chronological age, shows significant intra-individual variations particularly in later life. Volunteering, a modifiable lifestyle factor, correlated with improved physical health outcomes. Recent studies suggest a potential link between frequent volunteering and slower epigenetic aging, crucial in understanding biological aging mechanisms. However, changes in volunteering, selection biases, and life transitions impact this association. Using the 2014-2016 wave of Health and Retirement Study (HRS), including DNA methylation (DNAm) assays from the Venous Blood Study, we analyzed volunteering frequency (both contemporaneous and cumulative) and five DNAm clocks (Horvath, Hannum, PhenoAge, GrimAge, DunedinPoAm) in working and retired individuals. Each DNAm measure was regressed on chronological age and cell types and was standardized for ease of comparison. We also considered selection into volunteering in 2014 via Inverse Probability Treatment Weighting. Findings show that low to medium level volunteering (1-50 hrs per year) predicted slower aging for Horvath and Hannum clocks, while GrimAge and DunedinPoAm showed deceleration with higher level volunteering (100+ hrs per year). Further, higher cumulative volunteering index was related with slower epigenetic aging acceleration for all clocks. Stratification by retirement status revealed nuanced effects, with higher volunteering hours being more beneficial for workers in GrimAge and DunedinPoAm. These findings indicate volunteering’s net effects on epigenetic age among older adults. However, frequent volunteering might be more protective against epigenetic age acceleration among workers compared to retirees. Understanding these dynamic relationships offers insights for public health interventions to decelerate biological aging and extend healthy life expectancy.
IDENTIFYING AND MAPPING RURAL VETERANS’ GERIATRIC NEEDS AND RESOURCES
Authors: Dadgostar Porooshat , Kelley Lynette , Dryden Eileen , Moo Lauren , Intrator Orna , Hung William 
Published: January 2025

Abstract
Veterans in rural areas often lack access to specialized geriatric care and may struggle to reach distant VA facilities for treatment. To better understand the regional needs of aging rural Veterans, this project aims to identify regional needs and resources for geriatrics services to guide future expansion efforts. We describe efforts to identify and map Veterans’ utilization of geriatrics services in three states with large rural populations (Wisconsin, Montana, and Hawaii) to help the VA improve targeting of these resources. By examining utilization data in these three states, we try to pinpoint local areas where there are gaps in services and where Veterans may have unmet geriatric needs. We utilized data from the Geriatric Extended Care Services Data Analysis Center (GECDAC), VA’s comprehensive population-based dataset for geriatric services. To develop these maps, we collected information on over 130,000 Veterans residing in the three states and obtained their sociodemographic variables and risk measures, including frailty, number of falls, Care Assessment Need (CAN) Score (estimated probability of hospitalization or death within 90 days or 1 year), dementia, long-term institutionalization risk, and use of Beers medications (potentially harmful medications for older adults). We observed the number of Veterans using different geriatric services, including geriatric ambulatory care, geriatric inpatient care, residential care, home and community-based care services, personal care services, facility-based care, and Hospice care. These data will form the basis of the “business case” for local leaders and the VA Office of Rural Health to expand geriatric services where they are most needed.
“THE HARDEST JOB IS A HOSPITAL DIRECTOR”: LEADERSHIP PERSPECTIVES PRIORITIZING RURAL GERIATRICS IN THE VA
Authors: Kelley Lynette , Franzosa Emily , Dryden Eileen , Moo Lauren , Hall Lauren , Hung William 
Published: January 2025

Abstract
The Veterans Health Administration, like other health systems, faces the challenge of meeting older rural Veterans’ needs. VA leaders must balance these complex needs with other local priorities, and, at the same time, a large number of national directives. Little is known about what influences the process of setting priorities and making decisions from the standpoint of healthcare leaders. We aimed to better understand how healthcare leaders weigh priorities of the health system and how their processes in turn impact the prioritization of services. We interviewed 11 recently retired local, regional and national health system leaders about their experience and how priorities in health systems can be aligned to improve the quality and reach of rural geriatric care. All leaders agreed that the highest priority is always Veteran access to high-quality care (national mission) but noted differences in what that might look like within their own settings (e.g., prioritizing the expansion of certain specialty care or clinics depending on the population). Leaders described how they weighed multiple competing priorities to decide what was of highest urgency to serve their local Veteran population while balancing national directives. Local leaders described juggling multiple administrative, clinical and leadership responsibilities daily; regional and national leaders in oversight positions agreed that the complex interplay between national and local needs may leave local leaders feeling overwhelmed. We map our real-world data to standard leadership priority frameworks, highlighting gaps between theory and practice to identify effective and practical leadership strategies.
INTEGRATING EMERITI PROFESSORS INTO AN AGE-INCLUSIVE LEARNING ACTIVITY FOR UNDERGRADUATE STUDENTS
Authors: Gautam Ramraj , Melillo karen Devereaux , Abdallah Lisa 
Published: January 2025

Abstract
Engaging retired faculty is at the forefront of the Age-Friendly University (AFU) principles and the community domain of the Age-Friendly Inventory and Campus Climate Survey (ICCS) (Silverstein, et al., 2022). Engaging Retired/Emeriti Professors (REP) at UMass Lowell (UML) began in 2020 when the ICCS survey identified “involving retired faculty in university activities” (AFU Principle 9) as an area for improvement. In turn, we surveyed the UML REP in 2021. In 2022, a sequential mixed method study overwhelmingly showed REP’s interest in intergenerational learning activities (IGL), supporting the AFU principle 4 (promote IGL between learners of all ages). An IGL activity was designed in the undergraduate Introduction to Gerontology course, where a team of five students conducted two one-hour online interviews with a REP. This presentation reports findings of students’ open-ended responses regarding their experience and the impact this IGL activity had on their attitudes/perceptions of aging. This University IRB-approved study sample included 94 students. Qualitative content analysis coding (Vaismoradi et al., (2016) was performed by three authors, to reach a consensus on individually identified themes. The findings revealed two major themes: Positive attitudes and perceptions towards aging; and a greater understanding of life in retirement. Likewise, the open-ended responses revealed most students (75%) expressed having a positive attitude and perception toward older adults while about 25% expressed either neutral or limited impact. These findings will be discussed in relation to the valuable role REP can play in intergenerational learning activities within the University while fostering a more age-inclusive environment.
SUPPORTING LATE AND POST–CAREER STAGE FACULTY: AGE-INCLUSIVE OPPORTUNITIES FOR PROFESSIONAL ORGANIZATIONS
Authors: Montepare Joann , Gomez Rowena , Sterns Harvey 
Published: January 2025

Abstract
Our populations are aging nationally and locally at dramatic rates as we experience extended longevity, with significant implications on many fronts. With higher education employing a greater proportion of individuals over the age of 65 relative to the general labor force, more faculty will be moving into their late and post career stages at their institutions in the coming years. Thus, campuses are natural environments where long-time faculty members are “aging in the workplace.” For organizations like the American Psychological Association (APA) and GSA, many of its members are affiliated with higher education and are part of this demographic trend. Aiming to inform our professional organizations about how they can better support these (and other) members, this presentation will describe the results of a survey of 391 APA members (age 52+) who responded to questions about how the association could support members’ professional development, retirement experiences, and opportunities for further engagement and support. A variety of recommendations emerged that can be translated easily to opportunities for GSA (e.g., develop dialogue and related programming around members’ career transitions and retirement planning that speak to financial challenges and physical or medical concerns, as well as sustaining professional contributions and maintaining social and emotional connections with colleagues at similar career stages). We as scholars in the aging field know well the value of a lifespan development lens, which we now need to use in a more self-reflective way in connection with our professional organizations.
AGE DIFFERENCES IN THE CORRELATES OF PAIN AND QUALITY OF LIFE AMONG BREAST AND COLORECTAL CANCER SURVIVORS
Authors: Krok-Schoen Jessica , Nikahd Melica , Hyer Madison , Arthur Elizabeth , Stevens Erin , Brasky Theodore , Saligan Leorey , Von Ah Diane 
Published: January 2025

Abstract
Few studies evaluated the differential impact of cancer-related symptoms in older patients compared to younger patients. This national cross-sectional study explored the age differences (21-64 vs. ≥65 years) in the demographic, health, and social correlates of pain and quality of life (QoL) among 621 breast and colorectal cancer survivors. Median pain and QoL scores did not differ between the younger and older groups (p-values = 0.80, 0.16, respectively). Higher pain for the whole sample was associated with more education (β = 5.3, p = 0.02) and higher perceived stress (β = 2.4, p &lt; 0.001). Higher QoL was associated with employment (β = 0.8, p = 0.003), more social support (β = 0.4, p &lt; 0.001, 5-point increase), and advanced cancer stage (β = 0.7, p = 0.04). The association of QoL and marital status differed by age; younger, married participants reported higher QoL, and older, married participants had lower QoL (p = 0.003). Among younger and older cancer survivors, our results indicate more similarities than differences in the symptom burden.