bluuebunny/crossref_metadata_2025_split huggingface dataset:
BASIC PSYCHOLOGICAL NEED SATISFACTION AND WELL-BEING IN GRANDPARENT–ADULT GRANDCHILD DYADS
Authors: Sun Yue Yang , Liu Xiaoye , Zhang Yukai , Li Tianyuan 
Published: January 2025

Abstract
Past research reveals that basic psychological need satisfaction (BPNS) in relationship is an important contributor to relationship intimacy and individuals’ psychological well-being, but few studies explored the effects in grandparent-adult grandchildren relationship. The current study recruited 294 adult grandchild-closest grandparent dyads from mainland China. The grandchild and the grandparent completed a survey, respectively. We adopted Actor-Partner Interdependence Model to estimate both the actor and partner effects of BPNS on each partner’s relationship intimacy and psychological well-being while controlling relevant demographic variables. Results indicated that both grandparents’ and grandchildren’s BPNS in the relationship was related to their own higher relationship intimacy, bs =.20 and.27, ps &lt;.001, higher life satisfaction, bs =.32 and.17, ps &lt;.03, and fewer depressive symptoms, bs = -.17 and -.12, ps &lt;.001. Further, grandparents’ BPNS was also related to their grandchildren’s higher life satisfaction, b =.21, p =.01, and less depressive symptoms, b = -.07, p =.04, but adult grandchildren’s BPNS was not related to grandparents’ psychological well-being, ps &gt;.13. The findings indicate the significant role that BPNS plays in promoting relationship intimacy in the grandparent-adult grandchild relationship as well as in contributing to both partners’ psychological well-being. More importantly, the support from adult grandchildren to grandparents not only benefits the grandparent’s psychological well-being, but also the grandchild’s. The asymmetric effects suggest that the grandchildren may become the more influential support provider in their relationship with the grandparent when they have grown up.
EFFECT OF A HEARING INTERVENTION COMPARED TO EDUCATION CONTROL ON SELF-REPORTED PHYSICAL ACTIVITY: ACHIEVE STUDY
Authors: Amezcua Pablo Martinez 
Published: January 2025

Abstract
Hearing loss is associated with lower physical activity among older adults. However, whether the treatment of hearing loss influences engagement in physical activity remains unknown. Using data from the Aging Cognitive Health Evaluation in Elders (ACHIEVE) study, a 1:1 randomized control trial of a hearing care intervention (including the provision of hearing aids) compared to a health education control group, we investigated the effect hearing care vs. control on self-reported participation in any moderate-to-vigorous physical activity (MVPA) and frequently walking during leisure time (defined as reporting leisurely walking often or very often) among community-dwelling older adults. Among 977 participants (age 70-84; female: 53.5%; White: 87.8%) with hearing loss recruited from the Atherosclerosis Risk in Communities Study (ARIC) (n=238) and de novo from the community (n=739), over three years there was a 3% reduction in the proportion of participants who engaged in MVPA (57.5% to 54.7%), but a 5% increase in leisurely walking (29.2% to 34.4%). Participants in the hearing intervention had 5% and 7% higher odds of reporting MVPA and leisurely walking over three years than those in the control group (OR MVPA=1.05, 95% CI: 0.96, 1.14; OR walking=1.07, 95%: 0.96, 1.19). These associations were stronger, 9% and 41%, among de novo than ARIC participants (de novo: OR MVPA=1.09, 95% CI: 0.79, 1.53; OR walking=1.41, 95% CI: 0.97, 2.05). Findings suggest addressing hearing loss may increase physical activity, mainly leisurely walking. Further research is warranted to explore additional factors influencing physical activity in older adults with hearing loss.
IMPACT OF A HEARING INTERVENTION VERSUS HEALTH EDUCATION CONTROL ON FATIGUE SYMPTOMS OVER THREE YEARS
Authors: Bessen Sarah 
Published: January 2025

Abstract
Fatigue is a common complaint among older adults with hearing loss. We investigated the effect of hearing intervention versus health education control on fatigue over 3 years in older adults with hearing loss using the Aging and Cognitive Health Evaluation in Elders (ACHIEVE) study. A total of 977 adults (mean age: 76.8 years, range 70-84; female: 53.5%; White: 87.8%) with hearing loss were recruited from the Atherosclerosis Risk in Communities Study (ARIC) (n=238) and de novo from the community (n=739). Fatigue symptoms were measured with the PROMIS fatigue bank and RAND-36 questionnaires at baseline, 1-year, 2-year, and 3-year follow-up visits (for PROMIS-score, higher=more fatigue, whereas for RAND-score, higher=less fatigue). The intervention effect was estimated as the differences in the 3-year change in fatigue scores between groups using linear mixed-effects models. Over 3 years, preliminary results suggest there was potential beneficial effect of the hearing intervention vs. health education control on change in the PROMIS-fatigue score (β=-0.32 [95% CI: -1.17, 0.50]) and the RAND fatigue score (β=0.16 [95% CI: 0.16 0.04, 0.29]). Stratification by recruitment source showed consistent results with a stronger magnitude of the effect among de novo compared to ARIC participants. Overall, our findings suggest a possible beneficial effect of the hearing intervention on fatigue symptoms over 3 years. This research adds to current evidence supporting the wide-ranging benefits of hearing care and informs policy efforts to increase awareness and accessibility.
COGNITIVE VULNERABILITY TO TEMPERATURE BY REGION, HOUSING, AND NEIGHBORHOOD SAFETY IN HEALTH AND RETIREMENT SURVEY
Authors: Gronlund Carina , Cameron Erinn , Lee Jinkook , Ailshire Jennifer , Adar Sara 
Published: January 2025

Abstract
With a changing climate, understanding how temperature affects the cognitive function of older adults is critical. Extreme temperatures might influence cognitive function via multiple physiological processes and may be stronger in certain spaces, including poor-quality housing and unsafe neighborhoods where residents may not open windows. Using biennial surveys from ~40,000 respondents from 1995-2020, we characterized associations between total cognition scores (35-point scale) and temperatures overall and by census region, housing condition (poor-to-excellent), and neighborhood safety (feel safe walking after dark scale 1-7). We operationalized temperatures as monthly regional means of daily minimum temperatures from NOAA monitors 1-12 months prior to the surveys, converted to region-specific percentiles. We regressed cognition on nonlinear temperature lags, controlling for individual (fixed slope), precipitation, season, survey wave, and age. We then interacted home condition and neighborhood safety with temperature, controlling for self-efficacy, functional limitations (ADLs), and comorbidities. Overall, we found lower cognitive performance with colder temperatures 6 months prior (-0.1 points, 95% Confidence Interval: -0.2, 0.0 for the 1st vs. 50th percentile). For hot temperatures, results were regionally heterogeneous. We saw lower cognition with higher temperatures in some regions (e.g., in the East North Central region, 1.5 (95% CI: -2.2, -0.4) and 3 (95% CI: -1.6, -0.5) points lower at 99th vs. 50th percentile 1 and 3 months prior, respectively). Hot temperature associations were worse in unsafe neighborhoods but not by home condition. This suggests that climate adaptation programs, including safe cooling spaces, might benefit cognitive health.
ASSOCIATION OF AGE-FRIENDLY COMMUNITIES WITH INTRINSIC CAPACITY IN COMMUNITY-DWELLING OLDER ADULTS
Authors: Li Chunxiao , Liu Kehan , Peng Wenting , Zheng Yu , Huang Chongmei , Liu Minhui 
Published: January 2025

Abstract
Intrinsic capacity is crucial for older adults to maintain their functional independence and quality of life. Despite previous research have identified some environmental factors that impact intrinsic capacity, the associations between age-friendly communities and intrinsic capacity remained underexplored. To examine the relationship between the level of age-friendly communities and intrinsic capacity, in 2023, we conducted a cross-sectional study among 413 cognitively intact Chinese older adults from six age-friendly communities. Intrinsic capacity was measured with the Barthel Index (locomotion), Cornell Medical Index (vitality), Short-Form Mini-Nutritional Assessment (nutrition), Geriatric Depression Scale-15 (psychological health), and Mini-Mental State Examination (cognition). Community age-friendliness was assessed by the Age-Friendly Community Rating Scale. Covariates included demographics and health-related factors. Linear regression was used for analysis. These participants were aged between 65 and 94 years old, and male (52.06%). The level of age-friendly community was significantly associated with the intrinsic capacity of older adults (Standardized Beta = 0.776). The level of age-friendly community was associated with the intrinsic capacity scores in the unadjusted model (Beta = 0.861, P &lt; 0.001) and the full-adjusted models (Beta = 0.609, P &lt; 0.001). Additionally, the number of chronic diseases (Beta = -20.355, P &lt; 0.001) and body mass index (Beta = -5.044, P &lt; 0.05) were associated with lower scores of intrinsic capacity. Our findings suggest that the level of age-friendly communities is a protective factor for intrinsic capacity in older adults. Future research should focus on interventions to enhance community age-friendliness, thereby improving intrinsic capacity in community-dwelling older adults.
THE EFFECT OF SOCIAL CAPITAL AND ETHNICITY ON THE WELL-BEING OF OLDER ADULTS IN HONG KONG
Authors: Lai Daniel W L , Huang Zideng , Ou Alison Yu-ting 
Published: January 2025

Abstract
Ethnic minority older adults in Chinese societies remain understudied despite the increasing diversity of the aging population. This study investigated the influence of social capital determinants on the quality of life of South Asians and Chinese residents in Hong Kong, highlighting the importance of understanding each ethnic group’s unique social dynamics and cultural contexts for effective interventions. A telephone survey was conducted with a total of 1,015 Chinese (800) and South Asian (215) older adults aged 55 and above, using the World Bank’s tool to measure social capital across six dimensions: social participation, support, connection, trust, cohesion, and reciprocity and the World Health Organization’s Quality of Life questionnaire to assess quality of life. Demographic variables such as gender, age, marital status, education, and ethnicity were also collected. Hierarchical regression analyses showed that social capital factors such as social support, connection, and reciprocity negatively influenced the quality of life for Chinese Hong Kong residents but positively for South Asians. Social trust and belonging showed no significant effect on Hong Kong residents’ quality of life but improved it for South Asians. Ethnic group was a consistent moderator, with South Asians generally reporting lower quality of life than Hong Kong residents. The interaction between social capital and ethnicity has a significant impact on quality of life, with certain aspects of social capital benefiting South Asians more than Hong Kong residents. This suggests that quality of life interventions should be tailored to the specific social capital dynamics and cultural contexts of each ethnic group.
GRANDPARENT–GRANDCHILD ASIAN AMERICAN REMINISCENCE: INTERGENERATIONAL AND CULTURAL REFLECTION
Authors: Xu Ling 
Published: January 2025

Abstract
Intergenerational solidarity between grandparents and grandchildren has been highlighted in Asian Families and it is beneficial for the health of grandparents. An intergenerational reminiscence program was developed to improve the well-being of Asian American older adults as well as generational bonding. This paper qualitatively reported the reflection of participant dyads based on the interviews at the end of program (n = 11). Older grandparents received 6 sessions of life-review with their grandchildren remotely or in person for approximately 1 hour each week for 6 weeks. At the end of the program, individual interviews were conducted with dyad participants. Braun and Clarke’s six-steps of thematic analysis were followed to examine the interview data. Thematic analysis of interview with grandparents revealed four themes: Family life (early childhood, intergenerational connection, family reunition through immigration); career and work (hard work, sacrifice personal life); major life turning points (immigration, baptism); stress and coping (grief/loss, resilience). Thematic analysis of qualitative data from grandchildren also yielded four themes: Unknown/unexpected family history; disagreement (life-work balance, being frugal); cultural respect, lasting legacy (always remembering the good part of life, take one thing at a time). Recommendations offered by the dyad participants included combining some topics to avoid overlapping, adding topics of spousal relationship or parenting, etc. The reflection from grandparent-grandchild dyad participants showed that intergenerational reminiscence program is promising in bonding the grandparent-grandchild connection with family history and cultural revisitation. Lessons learned and recommendations for future research on interventions for Asian American families are offered.
EXPLORING THE RELATIONSHIP BETWEEN RELIGION, SPIRITUALITY, LONELINESS, SOCIAL ISOLATION, AND AGING
Authors: O’Sullivan Roger , Britt Katherine , Lubben Jim 
Published: January 2025

Abstract
The importance of social engagement, connections, and participation as we age and the negative impact of loneliness and social isolation on health are well recognized. Religion and/or spirituality has social, emotional, and existential dimensions and are linked to concepts of belonging, meaning, and purpose. As part of the drive to build meaningful social and emotional connections in contemporary society, religion and/or spirituality are proposed as potential solutions to loneliness/social isolation. The theoretical mechanism proposed is that affiliation, attendance, practice, or belief can offer support, social capital, meaning and a sense of belonging. This interdisciplinary symposium uses data from both the US and Europe to explore the relationship between religion, spirituality, loneliness, and social isolation. Leavey using longitudinal data from Ireland explores depression and anxiety and their relationship with loneliness, social networks, religious practice, and long-term illness. Victor & Seetal, also using longitudinal data set out the relationship between measures of religious affiliation, attendance, and practice with loneliness for older adults in England. Taylor uses the HRS to examine the association between religious service attendance and spirituality on social isolation and loneliness among older adults in the United States. Finally, Hampton Jarmon, using data from the Healthy Aging in Neighborhoods of Diversity Across the Life Span study, explores the relationship between spirituality (connectedness, prayer fulfilment, and universality) and cognition within Black and White adult participants. Lubben, as discussant, will reflect on the key themes and the symposium’s overarching focus - can religion and/or spirituality provide protection from loneliness and social isolation?
SUPPORTING DIABETES MANAGEMENT FOR PERSONS LIVING WITH DEMENTIA: CARE PARTNER EXPERIENCES
Authors: Bristol Alycia , Hagen-Lillevik Synneva , Lee Shinduk , Allen Nancy 
Published: January 2025

Abstract
Care partners (CP) play a vital role in assisting persons living with dementia (PLWD) but often face challenges when supporting type 2 diabetes (T2D) management. We conducted pilot work to explore adapting an existing diabetes self-management education/support intervention called Share plus for CP of PLWD with T2D. Share plus promotes continuous glucose monitoring with CP data sharing and provides dyadic communication, problem-solving, and action planning strategies. Two focus groups (n=5, n=4) were conducted with CP. Focus groups were recorded, transcribed, and analyzed using content analysis. CP also completed surveys, including the Partner Diabetes Distress Scale (PDDS), the Zarit Burden Scale, and one burden question specific to diabetes. Descriptive statistics were used for analysis. As part of the larger pilot work, we found that CP expressed frustration with diabetes management for PLWD and discussed their lack of knowledge of addressing the impact of dementia symptoms on diabetes management. Across three PDDS questions, CP reported varying frustration levels ranging from none (44.4%) to a lot (11.1%). Additionally, CP reported experiencing slight (44.4%) and moderate (22.2%) burden when supporting diabetes management. During focus groups, CP identified frustrations and struggles in managing dementia symptoms’ influence on diabetes management, particularly regarding diet, medications, and communication. Additionally, CP reported uncertainty about how to support PLWD’s need for independence. The next steps are to develop strategies to tailor the Share plus intervention by incorporating the unique challenges faced by PLWD and their CP, such as creating specific diabetes and dementia communication strategies for CP.
CHARACTERISTICS OF BURDEN ASSOCIATED WITH CARING FOR OLDER FAMILY MEMBERS WITH DYSPHAGIA ACROSS TIME
Authors: Shune Samantha , Werbeloff Merle , Namasivayam-MacDonald Ashwini 
Published: January 2025

Abstract
Caregivers often experience increased burden resulting in reduced health and quality of life. Underexplored in its impact on burden is the effect of dysphagia (swallowing difficulties) over time. The purpose of this study was to explore the characteristics of burden associated with caring for an individual with dysphagia across an aging cohort. Using the Round 1, 5, 7, and 11 surveys from the National Health and Aging Trends Study and the National Study of Caregiving, we analyzed data from 4,662 spousal and children caregivers caring for community-dwelling family aged 65+. Outcome variables included caregivers’ emotional, financial, and physical burden and their agreement with statements about their well-being. A design-based conversion of the Pearson chi square statistic and binary logistic regressions were used to explain and predict presence of burden, its extent, and characteristics dependent on presence of dysphagia. At any given time, 16-27% of respondents were caring for family with dysphagia. Caregiver burden was more often reported by those caring for family with dysphagia than those without. For spouses and daughters, the degree of burden was almost always rated higher among those caring for family with dysphagia, with significant differences observed in levels of emotional and physical burden. Further, caregivers of family with dysphagia were significantly more likely to report having little time for themselves and feeling depressed, lonely, and that caregiving was too much to handle. Ultimately, dysphagia’s potential impact on the emotional, financial, and physical well-being of family caregivers must be considered along the care trajectory.
ADDRESSING LANGUAGE BARRIERS: PERSPECTIVES INTO THE ROLE OF FAMILY CAREGIVERS FOR OLDER ASIAN AMERICANS
Authors: Raj Minakshi , Quintero Laura 
Published: January 2025

Abstract
Language barriers influence the healthcare experience. Limited communication due to language differences impacts rapport establishment and decision-making processes, often increasing caregivers’ care burden by making them responsible for language interpretation when such service is not offered in healthcare settings (HCS). This study aimed to describe the challenges that caregivers face regarding navigating language barriers in HCS with or on behalf of their older Asian American relatives. Ninety-six caregivers completed a cross-sectional online survey of questions on a) language-related characteristics (e.g., at-home language, other languages spoken), b) language-related experiences in HCS, c) demographic information (e.g., age, residence, immigration status), and d) caregiving characteristics (proximity to care recipient, hours of caregiving per week, and types of support provided). Most respondents (72%) reported that a language other than English was the primary language spoken at home, while 41% of care recipients understand English “not well” (25%) or “not at all” (16%). In HCS, 54% of care recipients wanted interpretation services, with 30% “always” having it. Among types of interpretation, caregivers and relatives performed this task more frequently (53%). Regarding challenges, caregivers referred care recipients’ aging and cognitive decline, medical and technical vocabulary not translatable to native languages, and lack of training are the issues they experience in navigating language barriers in HCS. Despite significant cultural diversity, the United States continues to experience gaps in providing equitable health services to linguistically diverse individuals. It is necessary to develop support strategies to improve healthcare experiences and reduce the additional burden of language barriers on caregivers.
COMMON FEATURES OF AREA AGENCIES ON AGING AND IMPLICATIONS FOR AGING SERVICE INNOVATIONS
Authors: Wilson Traci 
Published: January 2025

Abstract
Established by the Older Americans Act (OAA) in 1973, Area Agencies on Aging (AAAs) across the country assess local community needs and plan, coordinate, and deliver a range of long-term services and supports that help older adults and people with disabilities to age well at home. There is a commonly heard phrase, “if you’ve seen one AAA, you’ve seen one AAA”, but is this helpful or true? Based on an analysis of organizational-level data from USAging’s 2022 National Survey of AAAs (74 percent response rate), this paper delineates typologies of AAAs based on characteristics such as organizational structure, funding sources, agency size, location and how this relates to the types of services offered by AAAs, populations served, and their involvement in initiatives such as age-friendly communities or housing and homelessness prevention. The findings illustrate that all AAAs deliver a core set of OAA-funded services and supports, and funding sources outside of the OAA, including state and local funding, Medicaid Waiver, and contracts with health care entities provide opportunities to deliver additional services to more older adults. While state regulations largely determine the organizational structure and setting of AAAs, there is evidence that each typology of AAA innovates, collaborates and delivers high-quality aging services and supports. By understanding these commonalities, researchers, practitioners, advocates and policy makers can better support the local organizations that support community-living older adults across the country.