bluuebunny/crossref_metadata_2025_split huggingface dataset:
PROGRAM ADAPTATIONS FOR DIVERSE COMMUNITIES IN BEST PROGRAMS FOR CAREGIVING
Authors: Huth Megan , Powers Sara , Fete Zoe , Cannon Rachel , Minyo Morgan , Bass David 
Published: January 2025

Abstract
To better understand the role of cultural adaptations among evidence-based dementia caregiving programs included on Best Programs for Caregiving (BPC), online surveys were distributed and collected from organizations delivering BPC programs in the community in 2023. Surveys collected data on: 1) Implementation of a culturally adapted program, 2) Diverse groups the program was adapted for, (e.g., racial and ethnic groups, LGBTQ+ groups), and 3) Types of cultural adaptations made (e.g., marketing materials revised, program delivered in language, consultation with diverse group members). Results indicated that 23.2% of organizations delivering BPC programs made adaptations for diverse groups, most commonly: 1) Hispanic/Latino (61.5%), 2) LGBTQ+ (53.8%), 3) Black/African American (46.2%). Among the programs that made adaptations, 100% consulted with group members or experts on the diverse group, 92.8% adapted content for members of the group, 53.8% provided staff training and began delivering the program in the group’s language, and 46.2% created translations of the materials and adapted marketing and outreach tools for the diverse group. The least common adaptation was conducting research to show that the program benefited the diverse groups (25%). These findings show that while a larger than expected number of BPC have made modifications for diverse groups, the majority of programs (76.8%) were not adapted for any diverse community. The discussion will center on the importance of developing culturally adapted programs that better cater to the needs of diverse family and friend caregivers.
USING BEST PROGRAMS FOR CAREGIVING TO MEET THE DIVERSE NEEDS OF GUIDE MODEL SITES AND BENEFICIARIES
Authors: Minyo Morgan , Maslow Katie , Bass David , Cannon Rachel , Fete Zoe , Huth Megan , Powers Sara 
Published: January 2025

Abstract
In 2023, the Center for Medicare and Medicaid Innovation announced a new alternative payment model for comprehensive dementia care called the Guiding an Improved Dementia Experience (GUIDE) Model. The GUIDE Model is intended to improve quality of life for people living with dementia (GUIDE Beneficiaries) and reduce strain on unpaid caregivers through a package of care coordination and management, caregiver education and services, and respite care. Health systems and other medical or community-based organizations that applied and were selected as GUIDE Model Sites must offer specific program components and care deliver requirements to identify services and supports needed by both Guide Beneficiaries and their caregivers. This requires GUIDE Model Sites to potentially add new supports to their dementia care or be able to link Beneficiaries and their caregivers to services that meet the diverse and changing needs of both individuals. The Best Programs for Caregiving (BPC) online database is a valuable resource that can benefit GUIDE Participating Sites and others, ensuring that family/friend caregivers are appropriately recognized and included within Beneficiary’s dementia care. The dementia support programs in BPC meet GUIDE Model care delivery requirements including one-on-one and group caregiver education, care coaching, and ongoing monitoring and support. Additionally, BPC programs have proven positive outcomes for dementia family/friend caregivers, are actively being delivered by organizations across the US, and describe if/how a program has been adapted or delivered to caregivers from diverse communities. BPC’s extensive database can help provide the necessary information for high-quality dementia care under the Guide Model.
NEW APPROACH METHODOLOGIES (NAMS) TO STUDY AGING
Authors: Cogliati Tiziana , Fox Jennifer 
Published: January 2025

Abstract
New Approach Methodologies (NAMs) include human-relevant cell-based (in vitro), cell-free (in chemico), and computational-based (in silico) models that are complementary, not a replacement, to existing animal models. This workshop focuses on 3-dimentional (3-D) in vitro human models including tissue chips, organoids, explants, known as microphysiological systems (MPS). The adoption of human in vitro NAMs for basic and translational research is expanding, recently promoted by the FDA Modernization Act 2.0 that authorizes their use to investigate drug safety and efficacy. Extending the use of human in vitro NAMs to the study of aging and the development of geroprotective interventions presents challenges recognized by the research community. These challenges can be addressed by leveraging our knowledge of the biology of aging and fostering interdisciplinary collaborations. This interdisciplinary session is designed to educate basic scientists, physician-scientists, clinicians, and a general audience of industry representatives interested in adopting NAMs for aging research. One of the goals is to promote a dialog about the challenges and opportunities posed by human in vitro NAMS and inspire new collaborative research initiatives bringing together basic scientists, bioengineers, physician-scientists and clinicians, and members of other GSA sections. At the conclusion of the session, attendees will be able to: (1) describe the different types of human in vitro NAMs and their applications in basic and translational research; (2) explain the challenges and current solutions to adopting human 3-D in vitro NAMs in research on aging; and (3) discuss how data from 3-D in vitro NAMs and from animal models are complementary.
UNDERSTANDING PRISM ACCEPTANCE THROUGH QUANTITATIVE AND QUALITATIVE MEASURES
Authors: Rogers Wendy , Mitzner Tracy , Czaja Sara , Boot Walter , Charness Neil 
Published: January 2025

Abstract
Long-term adoption of technology is influenced both by the design of the technology itself as well by the users’ attitudes towards the technology. Technology acceptance models have long indicated that individual differences in perceptions of ease of use and perceptions of usefulness are critical predictors of acceptance and use. Additional predictive factors include perceived enjoyment, facilitating conditions (e.g., instructional materials, social support), demographics (e.g., age, sex) and psychographics (e.g., personality, technology readiness). For PRISM 1.0 and PRISM 2.0 we implemented mixed methods to assess technology acceptance factors. We adapted standard survey measures of technology acceptance that were administered at baseline and after extended system use. We developed an interview that was administered at the end of the study to explore usage patterns, preferences, facilitators and barriers. Data from the technology acceptance assessments from PRISM 1.0 informed redesign decisions for the PRISM 2 system. We will present an overview of the quantitative and qualitative data to illustrate the value of the mixed methods approach and to provide insights about acceptance and adoption of novel technology system to older adults.
EARLY ADOPTION AND LONG-TERM USE: ANALYZING OLDER ADULTS’ USAGE PATTERNS AND PREDICTORS OF PRISM GERMANY
Authors: Memmer Nicole , Schlomann Anna , Wahl Hans-Werner , Radeck Leon 
Published: January 2025

Abstract
This study introduces PRISM-Germany, the German version of the PRISM-App originally developed by North American research consortium CREATE (Czaja et al. 2018), aiming to support social participation among older adults. Addressing the challenge of long-term adherence, we explored changes in app usage over 3 months and identified predictors of use, focusing on socio-demographic and technology-related variables. The analytical sample consisted of 171 community-dwelling adults aged 67–93 (mean age=73.7 years; female=55%) with medium digital competencies as part of the ongoing SMART-AGE complex intervention trial. Usage behavior in PRISM-Germany was assessed through a cloud-based data log procedure, providing real-time recording of individual usage behaviors. A baseline data protocol collected data on relevant predictors via the Redcap online software. Usage analyses indicated that on average 11 out of 32 available categories (e.g. email, video-chat, health information) were accessed in PRISM-Germany per week. A significant decline in average usage over time was observed, ranging from 1st month: m = 15.3 to 2nd month: m = 9.7, and finally to 3rd month: m = 7.5. ANCOVA revealed the decline as robust, controlling for socio-demographic and technology-related variables. At the multivariate level, chronological age, health, general technology acceptance, and previous technology competencies did not predict frequency of use, while female gender, not living alone, and being lower educated did (Adjusted R2 = 0.108). Concluding, 50% reduction in app use across three months as well as the sole predictive role of sociodemographic factors seem remarkable.
COLLABORATIVE INTERNATIONAL EXPERIENTIAL LEARNING IN GERONTOLOGY: AGING GLOBALLY INITIATIVE
Authors: Zecevic Aleksandra , Boström Anne-Marie 
Published: January 2025

Abstract
Population aging is greatly impacting future generations of healthcare providers tasked with improving the healthcare systems they are inheriting. In this presentation, we introduce an innovative example of how students, researchers, educators and community partners from Canada and Scandinavia came together to comparatively explore models of health, social care, and welfare to advance global health. Collaborative international experiential learning in gerontology is an approach that broadens the application of academic theory outside classroom in an international context. It includes authentic reflection, develops transferable skills and strengthens employability. Our network supports future generations of healthcare professionals in becoming global-ready graduates. We highlight a collaborative course called Aging Globally: Lessons from Scandinavia, initiated at Western University, Canada in 2018, and delivered in partnership with OsloMet University (Norway), Karolinska Institutet (Sweden) and seven non-academic partners, such as Socialstyrelsen and Silviahemmet (Sweden) and Cycling without Age (Denmark). Over the past seven years, the course involved 425 students and 24 professors from Health Studies, Occupational Therapy, Physiotherapy, Nursing, and Technology, Science and Design programs. Student outcomes include expended knowledge, cultural competencies, and transferable skills. The course was a catalyst for three curriculum development grants totaling CAD $2 million, enrichment of the curriculum with 57 international internships and 13 exchanges, 12 summer courses, and new research partnerships, lifting international education in gerontology to a new level. Presenters will share experiences, evidence of impact on students, and describe joint efforts to inspire social change and sustainability of improved quality of life and well-being for older adults everywhere.
EXPLORING OPPORTUNITIES TO FOSTER GERONTOLOGY EDUCATION AND GLOBAL ENGAGEMENT
Authors: Gautam Ramraj , Hollis Linda , Mendez Jennifer 
Published: January 2025

Abstract
The Academy for Gerontology in Higher Education (AGHE) helps advance gerontology, geriatrics, and age-friendly instruction through the development of curriculum, educational, and training materials. Much of this work is done in the context of the United States. GSA/AGHE being an international organization there remains a further need to bring global gerontology educators and experts together. Using the UN Decade of Healthy Aging framework, the purpose of this study was a) to learn more about international gerontology education programs in order to collaborate and share materials, and b) to explore opportunities in increasing international aging programs. The study protocol was IRB-approved. International gerontology educators were recruited through announcements in aging newsletters, GSA Connect, interest groups, AGHExchange, and through GSA 2023 international presenters’ listserv. Twenty-six participants representing academic institutions from ten different countries responded to the Qualtrics survey. Several strategies were suggested for sharing gerontology education resources: curricula and syllabi sharing through cloud servers, inviting international guest lectures, involving students in international and intergenerational projects, and collaborations with international educators. Among the four World Health Organization decades of healthy aging 2022-23 focus areas, participants ranked Age-Friendly Environments as number one, followed by combating ageism, long-term care, and integrated care. 61.5% of respondents were not a member of AGHE – GSA and 85.7% of participants showed interest in joining. Plans to incorporate the suggested strategies and future collaboration international gerontology educator opportunities will be discussed.
THE ACHIEVE TRIAL: EFFECT OF HEARING LOSS INTERVENTION ON WHITE MATTER INTEGRITY
Authors: Deal Jennifer 
Published: January 2025

Abstract
Hearing treatment delays cognitive decline in at-risk older adults. Pathways linking hearing loss to cognitive decline are unknown but may include central effects on brain structure/function. The ACHIEVE randomized controlled trial tested hearing intervention (amplification and rehabilitation) versus health education control on cognitive decline in 977 adults aged 70-84 years. Here we describe the effect of treatment on the pre-specified outcomes of white matter hyperintensity (WMH) volume and microstructural integrity in 445 participants who underwent 3T brain magnetic resonance imaging scans at baseline and Year 3. Fractional anisotropy (FA) and mean diffusivity (MD) were derived from diffusion tensor imaging. Participants were 76.4±4.0 years, 50% female and 12% self-reported Black race. Control (vs. hearing intervention) participants were older and had lower baseline memory scores, but otherwise treatment groups were balanced on measured characteristics. Among 303 participants who completed both MRI scans (n=141 treatment, n=162 control), using linear mixed effects models in an intention-to-treat analysis adjusted for baseline hearing loss severity, recruitment source, study site, age, sex, education, interaction terms between each covariate and time, and time-varying total intracranial volume, hearing treatment slowed rates of WMH volumetric change in whole brain (difference in 3-year change comparing intervention to control: -0.077 cm3, 95% confidence interval [CI]: -0.152, -0.002), with the strongest lobar effect in the occipital lobe (-0.151, 95% CI: -0.284, -0.017). No consistent associations were observed for FA and MD. Follow-up of ACHIEVE participants is ongoing to determine if intervention effects on white matter integrity require longer follow-up time.
EFFECT OF HEARING INTERVENTION ON OLDER ADULTS AT RISK OF COGNITIVE DECLINE: ACHIEVE RANDOMIZED TRIAL
Authors: Pike James 
Published: January 2025

Abstract
The Aging and Cognitive Health Evaluation in Elders (ACHIEVE, Clinicaltrials.gov Identifier: NCT03243422) randomized trial investigated the effect of a hearing intervention versus a health education control on 3-year cognitive change among dementia-free older adults with untreated hearing loss. Participants were recruited from the Atherosclerosis Risk in Communities (ARIC) study (n=238) or de novo from the community (n=739). The hearing intervention slowed cognitive decline by 48% in ARIC participants, but not in healthy de novo volunteers. A possible explanation for this difference is that the cognitive benefits of the hearing intervention could be observed only for individuals at increased risk for cognitive decline. To evaluate whether risk of cognitive decline moderated the effect of the hearing intervention, we used a sample of dementia-free ARIC participants (N=2,692) who did not participate in ACHIEVE to develop a model that explained 80.7% of the variance in cognitive decline over a 6-year period. The model was applied to baseline measures of ACHIEVE participants (N=977) to calculate their predicted risk of cognitive decline. The covariate-adjusted, intention-to-treat effect of the hearing intervention on 3-year cognitive change was examined in a mixed effects model that included a three-way interaction between time, randomization, and predicted risk of cognitive decline. Among participants in the top quartile of risk, cognitive decline in the hearing intervention group was 58.1% (95% CI 31.4%-90.9%) slower than the control group. The results suggest the effect of a hearing intervention on 3-year cognitive change was greatest among individuals at higher risk of cognitive decline.
ENHANCING SUPPORT SYSTEMS FOR OLDER ADULTS’ HEALTH AND WELL-BEING: A HEALTH EQUITY APPROACH
Authors: Nguyen Ann , Ellis Katrina 
Published: January 2025

Abstract
This symposium examines psychosocial factors that shape the health and well-being of older adults using a health equity lens. The first paper examines the interplay between racial discrimination, social relationships and cellular aging among older African Americans. The findings from latent class analysis demonstrate significant heterogeneity in experiences of discrimination, social relationships, and susceptibility to molecular stress among African Americans. The second paper investigates protective factors and adverse outcomes associated with elder abuse among persons living with dementia (PLWD) using a systematic review methodology. The results identify several caregiver-related factors that protected against elder abuse and adverse outcomes related to medical conditions and medication adherence. The third paper reports the findings for the effect of urbanicity of residence on the health of caregivers of PLWD using data from the 2020-2022 Behavioral Risk Factor Surveillance Systems surveys. This analysis indicates that caregivers who lived in rural areas were more likely to self-report poor physical health than caregivers who lived in urban areas. The fourth paper examines barriers for caregivers to engage in fall risk management from the perspective of health professionals who work with PLWD and their caregivers using semi-structured, qualitative interview data. Thematic analysis identifies the several themes related to barriers. Overall, these papers will provide important insights into modifiable psychosocial factors that influence health and well-being. Modifiable psychosocial factors have broad translational importance in promoting health equity. The findings will be discussed with attention to important socio-cultural and contextual factors and highlight implications for gerontological practice and research.
DISCRIMINATION, SOCIAL RELATIONSHIPS, AND ACCELERATED AGING AMONG MIDDLE-AGED AND OLDER AFRICAN AMERICANS
Authors: Lincoln Karen , Gaines Bryan , Mariko Hawa , Golithadka Kaushik , Cole Steve 
Published: January 2025

Abstract
This study addresses the limited exploration of the interplay between racial discrimination, social relationships and cellular aging among African Americans. Utilizing latent class analysis, distinct risk and protective profiles were defined by perceptions of discrimination, social support, and negative interactions among middle-aged and older African Americans. Findings revealed four distinct profiles, demonstrating significant heterogeneity in experiences of discrimination, social relationships, and susceptibility to molecular stress among African Americans. The largest profile (32.09%) was characterized by high everyday and major discrimination, low family and friend support, and minimal strain. The second profile (25.37%) had wide variation, including moderate everyday discrimination, high major discrimination, very low family support, moderate friend support, moderate family and high friend strain. The smallest profile (19.4%) was characterized by high everyday and major discrimination, high family support, moderate friend support, and high strain from family and friends. Respondents in this profile had significantly elevated molecular stress compared to the reference profile (23.13%), which was characterized by low discrimination, high support, and high strain from family and friends. Regression analysis revealed that African Americans with more health conditions were more likely to belong to the high-risk profile than the reference profile. This study identified a subgroup of African Americans with an elevated risk of accelerated aging, marked by substantial racial discrimination and ambivalent social relationships. Findings provide insights into health disparities by identifying genes activated in response to discrimination and the potential influence of social factors in mitigating or exacerbating the effects of racial discrimination on cellular aging.
GERIATRIC WORKFORCE TRAINING TO ADVANCE AGE-FRIENDLY CARE IN RURAL COMMUNITIES
Authors: Severance Jennifer , Murphy Sara 
Published: January 2025

Abstract
Texas has one of the highest rates of rural hospital closures and a scarcity of healthcare professionals, including primary care physicians and registered nurses, with 82% of Texas counties designated as primary care shortage areas. Critical workforce shortages require innovative training models. To address challenges in rural communities across Texas and the surrounding region, a HRSA-funded Geriatrics Workforce Enhancement Program (GWEP) leveraged partnerships with academic, primary care, long-term care, and community-based organizations and expertise in geriatric clinical care. This symposium explores innovative approaches to geriatrics training by sharing critical resources, responding to community needs, and applying technology to transform clinical training environments for medical students, primary care residents, practicing health care teams, and older adults and caregivers in rural communities; expand organizational capacity to provide quality geriatrics care; and replicate evidence-based practices to impact older adults at the individual, community, and population levels. First, presenters will provide an overview of the overall strategy involving collaborators as key connections and subject matter experts for the unique needs and opportunities in rural communities. This is followed by individual projects engaging medical students, residents, practitioners, and older adults and caregivers as learners and change agents for Age-Friendly care. This symposium presents cross-sector recruitment strategies using technology and partnerships as well as methods of adapting these models to a local context while expanding training opportunities for rural areas and underserved populations.