bluuebunny/crossref_metadata_2025_split huggingface dataset:
THE ROLE OF TECHNOLOGY IN SUPPORTING ENGAGEMENT IN OLDER ADULTS: FINDINGS FROM THE PRISM 2.0 TRIAL
Authors: Czaja Sara , Boot Walter , Charness Neil , Rogers Wendy 
Published: January 2025

Abstract
Technology applications can play a key role in enhancing social and cognitive engagement, decreasing loneliness, and facilitating access to resources among older adults. This presentation will focus on data from the cross-site randomized field trial that evaluated the PRISM 2.0 system, an integrated software system (developed by the Center for Research and Education on Aging and Technology Enhancement), designed using a user-centered design approach, that fostered social and cognitive engagement and access to information and resources. PRISM 2.0 was compared to a Standard Tablet Control condition, where participants received a computer tablet without the PRISM 2.0 software and the same amount of training and contact as those in the PRISM 2.0 condition. The trial was conducted in diverse living contexts including rural locations, senior housing, and assisted living communities (ALC). The sample included 245 adults aged 64-99 yrs. that were randomized within living context to either the PRISM 2.0 or the Standard Tablet Control condition. Data were collected at baseline, and 6-and 9-months post randomization. Findings will be presented on the impact of access to the PRISM 2.0 software system on social isolation, loneliness, social support, quality of life, and technology proficiency. Information will also be presented regarding the unique challenges of implementing PRISM 2.0 in the various contexts. Overall, the findings provide strong evidence that access to technology is beneficial to aging adults and underscore the importance of adapting technology to the needs and preferences of the user and providing adequate instructional support.
THE EVOLUTION OF THE PERSONAL REMINDER INFORMATION AND SOCIAL MANAGEMENT (PRISM) SYSTEM
Authors: Boot Walter , Charness Neil , Czaja Sara , Rogers Wendy 
Published: January 2025

Abstract
The development of the Personal Reminder Information and Social Management (PRISM) System began fifteen years ago with a user-centered design process that resulted in PRISM 1.0, a desktop application that ran on a personal computer and included a keyboard, mouse, and printer. However, as the technological landscape changed, so did PRISM. Following the successful implementation of PRISM 1.0, PRISM 2.0 adapted the platform to be mobile and run on a tablet. Features such as videoconferencing and multiplayer games were added based on feedback from PRISM 1.0 trial participants and the availability of new applications. To broaden the reach of PRISM 2.0, it was also translated into Spanish. Building off the successful implementation of PRISM 2.0, versions of PRISM have been adapted to serve older adults experiencing cognitive impairment. Adapted versions of PRISM, with new features, are also currently being deployed in Germany to examine their impact in two different cities. This talk will focus on how PRISM has evolved over time and has been adapted to serve different, diverse populations of older people. Throughout this talk, we will emphasize how a user-centered design process, involving older adults in diverse contexts, has served the design and deployment of PRISM, and how what has been learned from each iteration of PRISM has informed the next to maximize the usefulness and usability of the system. How advances in virtual and augmented reality, artificial intelligence, and wearables might shape future iterations of PRISM will be discussed.
ADRD IN CONTEXT: SOCIAL, NEIGHBORHOOD, AND NATIONAL INFLUENCES
Authors: Antonucci Toni , Zahodne Laura , Harrell Erin 
Published: January 2025

Abstract
This symposium showcases innovative work from scholars in the National Institute on Aging (NIA)-funded Alzheimer’s Disease Resource Center for Minority Aging Research, the Michigan Center for Contextual Factors in Alzheimer’s Disease. Each paper examines ecological contexts (e.g., interpersonal relationships, neighborhoods, countries) that influence the experiences of dementia in diverse populations. Dr. Sol and colleagues examine how social resources differentially relate to cognitive health among Black and White older adults living in different types of neighborhoods. Dr. Roche-Dean et al. consider social factors that influence dementia diagnosis awareness across race/ethnicity in a national sample. Although a number of factors did not influence dementia diagnosis awareness in the aggregate sample, analyses stratified by race indicate that married Black participants had greater dementia diagnosis awareness. Dr. Alhasan and colleagues examine community livability and dementia in different South Carolinian counties. Dementia prevalence was higher in less livable counties among women but lower among men. Finally, Dr. Lopez-Anuarbe and colleagues explore differences in health care costs and dementia status among Mexicans and Mexican Americans. They find opposing patterns of association between dementia status and health care costs, as well as contrasting urban-rural differences, among Mexicans in Mexico versus Mexican Americans in the U.S. In sum, each of these papers addresses the critical role of social, neighborhood and national contexts across the dementia continuum and additionally considers variation across sociodemographic groups. Finally, Dr. Erin Harrell from the NIA will offer perspectives on how examining contextual factors can advance NIA’s goal of understanding and eliminating ADRD inequalities.
FACTORS INFLUENCING DEMENTIA DIAGNOSIS AWARENESS AMONG RACIALLY/ETHNICALLY DIVERSE OLDER ADULTS
Authors: Roche-Dean Maria , Baik Sol , Webster Noah , Moon Heehyul , Zahodne Laura 
Published: January 2025

Abstract
Black and Hispanic adults arrive in later life with a greater risk for Alzheimer’s Disease and Related Dementias (ADRD). Untimely dementia diagnoses continue to be a challenge in non-Hispanic Black and Hispanic-identified older individuals, delaying symptom management and access to health services. In this study, we examine whether social factors are associated with awareness of dementia diagnosis among older adults with probable dementia. Data were from the National Health and Aging Trends Study round 1, a nationally representative sample of Medicare beneficiaries aged 65 and older assessed in 2011. Those selected for analysis met algorithmic criteria for probable dementia (N=561). Logistic regression was performed to assess the influence of marital status, social network size, and number of helpers on the odds of reporting a dementia diagnosis, controlling for demographics. In the whole sample, younger individuals and women had greater odds of dementia diagnosis awareness. Race/ethnicity, marital status, the number of helpers, and social network size were not associated with dementia diagnosis awareness. Analyses stratified by race/ethnicity indicated that being married was only associated with greater odds of dementia diagnosis awareness among Black participants. The lack of association between social network, number of helpers, and dementia awareness could reflect limitations on how probable dementia and dementia awareness were operationalized in this dataset. Furthermore, marital support may be important for timely diagnosis for Black individuals with dementia.
IMPACT OF A KINESIOLOGY COURSE ON EXPECTATIONS REGARDING AGING AND AGEIST BEHAVIORS
Authors: Hamel Kate 
Published: January 2025

Abstract
Students majoring in Kinesiology often aspire to work in healthcare or fitness professions where they will frequently work with older adults. Many students don’t recognize this opportunity however, and are often initially drawn to Kinesiology through their own experience with exercise or as athletes and generally assume that they will work with a young, active population in their future careers. Younger adults have also been shown to have negative perceptions and attitudes toward aging and this may shape the way they interact with older adults and could impact their career choice. The purpose of this study was to examine the expectations regarding aging (ERA) and the prevalence of ageist behaviors in students taking a Kinesiology elective course on aging, prior to and after the completion of the course. Students taking the course in two different semesters completed the ERA-12, the Relating to Older People Evaluation and open-ended questions to assess their perceptions, attitudes and behaviors toward aging and older adults. No differences were found between the two cohorts of students in any of the baseline or end of semester measures. Following the completion of the course, students had significantly higher ERA-12 scores and expectations regarding physical health, cognitive functioning and mental health in older adults all improved. There was no difference in positive ageist behaviors, but there was a reduction in negative ageist behaviors. These findings suggest that course-based interventions such as this one, may significantly improve attitudes toward aging and increase student’s interest in working with older adults.
IPE CASE STUDY ON COMMUNICATION AND ASSESSMENT OF OLDER ADULTS: A COMPARISON OF THREE ONLINE MODALITIES
Authors: Sharpp Tara , Gaeta Laura 
Published: January 2025

Abstract
Interprofessional education (IPE) is critical for health profession students to learn teamwork, shared experiences, and communication. In this mixed-method study, we compared an IPE activity for Nursing, Audiology, Communication Sciences, Gerontology, and Health Science students using three online modalities: (1) Synchronous online, (2) Asynchronous online, and (3) Bichronous online (combination of asynchronous and synchronous). In IPE groups, the students examined the same unfolding case study about an older adult with hearing loss, depression, and dementia. Over three terms, 168 students completed pretest and posttest measures, including a standardized IPE scale (IPAS subscale), a knowledge quiz, and an evaluation. Knowledge quiz scores significantly improved in all three groups (synchronous: t = -2.586, 2-sided p = 0.013; asynchronous: t = -4.129, 2-sided p &lt; 0.001; bichronous: t = -3.748, 2-sided p &lt; 0.001). Students also demonstrated significantly increased attitudes toward working in teams in the IPAS subscale in the posttest in all three groups. ANOVA and Kruskal Wallis tests demonstrated no statistically significant differences in the IPAS scale and evaluation scores between groups, indicating that students in all three modalities had similar levels of learning regarding their IPE. In the open-ended responses of the evaluation, students reported they learned practical examples of how to work with team members from their group and that they valued the online experience. The results indicate that health professions students can effectively learn from a case study activity how to communicate with older adults and work in interprofessional teams in various forms of online modalities.
EFFECTS OF HEARING INTERVENTION ON BRAIN HEALTH: FINDINGS OF THE ACHIEVE TRIAL AND AND ACHIEVE-MRI SUBSTUDY
Authors: Huang Alison , Lin Frank , Rosano Caterina 
Published: January 2025

Abstract
This session will present the primary findings of the ACHIEVE-MRI (Aging and Cognitive Health Evaluation in Elders Magnetic Resonance Imaging) study, a substudy of the ACHIEVE randomized controlled trial (Clinicaltrials.gov Identifier: NCT03243422). Prior observational studies have linked hearing loss with changes in brain structure and function. Hearing loss may directly modify brain morphology and exacerbate mechanistic pathways such as greater cognitive load (diversion of cognitive resources to effortful listening to the detriment of other cognitive functions) and reduced social connection. Whether treatment of hearing loss can effectively reduce age-related brain atrophy is unknown and has yet to be tested in randomized trials. The ACHIEVE trial (2018-2022) tested the effect of a best-practices hearing intervention versus health education control on three-year change in cognition (primary outcome) among 977 adults aged 70-84 years with untreated hearing loss and without substantial cognitive impairment. MRI imaging data was gathered on a subset of participants (n=445) in the ACHIEVE-MRI substudy. This session will first describe the overall study design of the ACHIEVE study and ACHIEVE-MRI substudy and then present the primary findings of the ACHIEVE- MRI substudy – the effect of the hearing intervention vs. health education control on 3-year change in brain structure and function. This session will also examine the effect of hearing intervention on speech understanding in the presence of noise. The session will close with an investigation of for whom hearing intervention may be most effective for, examining moderation by baseline levels of dementia risk in the ACHIEVE study.
COMPARING PHYSICAL HEALTH CHALLENGES OF RURAL AND URBAN CAREGIVERS OF PEOPLE WITH DEMENTIA IN THE UNITED STATES
Authors: Wang Fei , Chang E-Shien , Tran Phoebe 
Published: January 2025

Abstract
Increased dependence on informal caregiving and limited access to healthcare services in rural U.S. communities may contribute to worse physical health in rural informal caregivers of persons with dementia (PWD) relative to urban counterparts. We used nationally representative 2020-2022 Behavioral Risk Factor Surveillance Systems surveys to examine the association between rural/urban residence and poor physical health days in caregivers of PWD (N=17405). Self-reported physical health within previous month was categorized as follows: 0 poor physical health days (PPHD), 1-13 PPHD, 14+ PPHD. Information on rural/urban county of residence, sociodemographic characteristics, and caregiving factors were obtained from the surveys. Our results showed that 1 in 4 rural caregivers (25%) reported 14+ PPHD in the previous month as compared to 1 in 10 urban caregivers (10%). Findings from multinomial logistic models indicated that rural caregivers had 2.16 times the odds (OR: 2.16, 95% CI:1.03-4.53) of having 14+ vs 0 PPHD compared to urban caregivers after adjusting for sociodemographic characteristics and caregiving factors. These findings suggested prolonged physical health challenges for rural caregivers. In contrast, the odds of having 1-13 vs 0 PPHD were not significantly different between rural and urban caregivers (OR: 0.92, 95% CI: 0.53-1.62). Efforts to enhance long-term physical health for rural caregivers are warranted. Given that geographical isolation and limited resources in rural settings may impede physical health, community-based activities promoting physical activity and social connections should be prioritized. Policy advocacy is crucial to raise awareness of urban-rural health disparities and support targeted interventions for rural caregivers of PWD.
ELDER ABUSE IN OLDER ADULTS WITH DEMENTIA: PROTECTIVE FACTORS AND ADVERSE EFFECTS
Authors: Wei Wenxing , Balser sarah , Nguyen Ann , Qin Weidi 
Published: January 2025

Abstract
With the rapid increase in the aging population, more attention has been paid to studying older adults with dementia. Despite the fact that older adults with dementia are more likely to be abused compared to their cognitively intact counterparts, little attention has been paid to abuse within this population. It is important to recognize the unique characteristics and vulnerabilities of this specific group. This systematic review, conducted using the PRISMA model, aims to critically examine, evaluate, and synthesize literature on protective factors and adverse effects of elder abuse among individuals with dementia. A search was undertaken using the Ageline, Medline, CINAHL, and PsycINFO databases for peer-reviewed articles published in English up to June 2023. A total of 291 articles were identified by the systematic search, and eight articles were included in the review. The results showed that protective factors related to elder abuse are mainly examined at a perpetrator level, including caregiver-related factors (e.g., caregiver coping strategies), relational factors (e.g., premorbid relationship rewards), and contextual factors (e.g., informal support from family and friends during the COVID-19 pandemic). Adverse effects, specifically an increased risk of various medical conditions and poor medication adherence, were identified but less frequently discussed. This review highlights the need for better support and training for caregivers of older adults with dementia, as well as comprehensive policies to prevent elder abuse. It also calls for future research to find ways to protect these older adults and mitigate the adverse effects of elder abuse.
WORKFORCE ENHANCEMENTS FOR HEALTHY AGING AND INDEPENDENT LIVING: COLLABORATION TO IMPROVE HEALTH CARE
Authors: Knebl Janice , Severance Jennifer , Murphy Sara 
Published: January 2025

Abstract
There are 48 Geriatric Workforce Enhancement Programs (GWEP) funded by the Health Resources and Services Administration in 2019 to integrate geriatrics education into primary care training, increase patient and family engagement, and improve health outcomes. The University of North Texas Health Science Center (UNTHSC) GWEP collaborates with a county hospital, a private university, an Area Agency on Aging, and other community-based organizations to align education and training enhancements and activities with community needs. Using a multipronged strategy focused on engaging local primary care and long-term care teams to identify community needs and learner preferences, a GWEP team of interprofessional faculty and community and health care partners combined critical resources to develop and enhance curricula in geriatric best practices using the Age-Friendly Health Systems 4Ms framework. Partners also developed an infrastructure to reach rural and underserved communities using learning technologies, social media platforms, and community health educators. This presentation will address the impact on medical professions students and professionals, the community partnerships that were built, and the advancement of interprofessional geriatric education.
PERSON-CENTERED CARE PRACTICES PREDICT STAFF BURNOUT AND ENGAGEMENT IN LONG-TERM CARE STAFF
Authors: Geisser Sophia , Smith Kate , Snow A Lynn , Collins Amber , Curyto Kimberly , Hartmann Christine , Camp Cameron , Hilgeman Michelle 
Published: January 2025

Abstract
Long-term care (LTC) staff experience above-average rates of burnout, which have personal and professional consequences. Little is known about the effects on staff of implementing person-centered care practices to improve LTC residents’ quality of life. We examined the relationship between staff perceptions of person-centered care and staff burnout and engagement in Veterans Affairs Community Living Centers (CLCs). We used baseline staff survey data (N=205) from a randomized Montessori implementation-effectiveness clinical trial in eight CLCs across five states. Data were collected anonymously online across all shifts (day/evening/night) from RNs (37.6%), nursing assistants (31.2%), and a variety of staff job types (31.3%). GLM models were used to examine the association between Person-Centered Practices in Assisted Living subscales (PC-PAL; Workplace Practices, Social Connectedness, Individualized Care and Services) and burnout and engagement measures from existing VA administrative data. Omnibus tests significantly predicted indicators of employee burnout and engagement (p=.05-p&lt;.001). Individualized Care and Services predicted all three burnout indicators: 1) feeling burned out (F=4.289, p=.04); 2), considering leaving the job this year (F=5.477, p=.02), and 3) the job is emotionally hardening (F=4.026, p=.046); and one of the three engagement indicators (F=4.793, p=.03). Workplace Practices predicted all three measures of positive engagement: 1) seeing job as more than a paycheck (F=5.167, p=.02); job-related accomplishments (F=5.772, p=.017); and “doing more than is actually required” (F=8.888, p=.003). Social Connectedness was not a predictor in any model. Results demonstrated positive outcomes of person-centered care practices include impacts on LTC staff burnout and engagement.
THE ROLE OF PERCEIVED CARING AND PARTNERSHIP IN PATIENT–PHYSICIAN RELATIONSHIPS
Authors: Kim Yulri , Lee JeongEun , Svec Joseph , Kahana Eva 
Published: January 2025

Abstract
The rise of health care consumerism, facilitated by the internet use, empowers patients to seek information beyond their physicians (Martijn et al., 2020). Extant studies have shown that this shift toward healthcare consumerism, characterized by self-care movements such as proactive attitude and seeking health information (Haug, 1979), could challenge the patient-physician relationship (Haluza et al., 2017). On the other hand, the patient-physician relationship could be strengthened when patients feel a connection with their physician who show caring attitudes (Takeshita et al., 2020). Drawing data from 232 older adults (M= 76.16 years, SD= 8.27) in Miami, we examined the association between healthcare consumerism and patient-physician relationships using multiple linear regression. Respondents were randomly sampled from a probability-based research panel of community-dwelling older residents of Miami, Florida. The data showed that higher healthcare consumerism was linked with lower levels of patient-physician relationships. A moderation analysis revealed that greater perceived care from physicians and partnership attenuated the association between health consumerism (e.g., proactive attitude, health information seeking) and the patient-physician relationship. The findings highlight the significance of perceived caring and partnership in fostering strong patient-physician relationships. Findings suggest that healthcare consumerism, a growing trend, does not have to come at the expense of patient-physician relationships. By cultivating a sense of caring and patient-physician partnerships, healthcare providers can help build trust and collaboration, culminating into a more positive healthcare experience for patients.
OLDER ADULTS’ EXPERIENCES WITH INNOVATIONS IN HEALTH CARE DELIVERY: FINDINGS FROM THE NPHA AND AARP SURVEYS
Authors: Solway Erica , Keenan Teresa , Keenan Teresa 
Published: January 2025

Abstract
Innovations in health care delivery have resulted in dramatic shifts in the experience of seeking and receiving health care services. Many of these innovations, like telehealth and patient portals, predated the COVID-19 pandemic, but the pandemic quickly spurred rapid changes in availability and use. It is important to understand how older adults view and experience these innovations and the opportunities and challenges these innovations present. Since its launch in 2017, the National Poll on Healthy Aging (NPHA) has surveyed a nationally representative sample of adults ages 50-80 to gauge their perspectives on health care and health policy-related topics, including health care innovations, and assess trends and changes in views and experiences over time. In addition, AARP regularly conducts surveys to offer additional timely insights on important related topics. This symposium will focus on lessons learned from the NPHA related to telehealth, patient portals, direct-to-consumer health care services, and use of alternative sites for health care, like urgent care and retail clinics. In addition, it will highlight key findings from recent AARP surveys related to views on innovations in health care delivery among adults and older adults and will share how these insights can inform policy and practice.