bluuebunny/crossref_metadata_2025_split huggingface dataset:
THINKING OUTSIDE THE BOX: THE ROLE OF FUNDING AND COMMUNITY-ENGAGED RESEARCH IN THE FUTURE OF AREA AGENCIES ON AGING
Authors: White Katie 
Published: January 2025

Abstract
As the older adult and disabled populations continue to grow, Area Agencies on Aging (AAAs) must develop new ways to meet the ever-diverse needs and ideas of individuals in their regions through innovative research partnerships. AAAs have served as the federally mandated, local leaders on aging and disability by planning, developing, funding, and implementing local systems of coordinated home and community-based services (HCBS). The Older Americans Act is the cornerstone of non-Medicaid HCBS, providing funding and requirements for nutrition, supportive, caregiver, and evidence-based services. By partnering with the Age-Friendly Innovation Center of The Ohio State University College of Social Work (AFIC), the Central Ohio Area Agency on Aging (COAAA) is supporting community-engaged participatory research with older adults and people with disabilities to inform future policy, program, service, and funding priorities. This presentation will outline how the COAAA prioritized funding community-engaged research, applied research findings to policy initiatives, and infused evidence-informed practice in new and emerging areas of focus. Practical steps for researchers to engage effectively with area agencies on aging will be discussed.
GLYNAC SUPPLEMENTATION IN OLDER ADULTS IMPROVES GLUTATHIONE, MITOCHONDRIA, AGING HALLMARKS, AND FUNCTION
Authors: Sekhar Rajagopal , Kumar Premranjan , Taffet George , Minard Charles , Suliburk James , Jahoor Farook , Liu Chun , Muthupillai Raja 
Published: January 2025

Abstract
Elevated oxidative stress (OxS), mitochondrial dysfunction, and aging hallmarks contribute to aging, but improving/reversing these defects in older adults (OA) has been challenging. We identified that deficiency of the intracellular antioxidant glutathione (GSH) could play a role and reported that supplementing GlyNAC (combination of glycine and N-acetylcysteine [NAC]) in aged mice improved GSH deficiency, OxS, mitochondrial fatty-acid oxidation (MFO), and insulin resistance (IR). To test whether GlyNAC supplementation in OA could improve GSH deficiency, OxS, mitochondrial dysfunction, IR, aging hallmarks and physical function, we conducted a placebo-controlled randomized clinical trial in 24 OA and 12 young adults (YA). The OA was randomized to receive either GlyNAC or placebo for 16-weeks, and the YA received GlyNAC for 2-weeks. Participants were studied before, after 2-weeks, and after 16-weeks of supplementation to assess changes in intracellular GSH concentrations, OxS, MFO, molecular regulators of energy metabolism, inflammation, endothelial function, IR, multiple aging hallmarks, gait speed, muscle strength, 6-minute walk test, body composition, and blood pressure. We found that compared to YA, the OA had GSH deficiency, elevated OxS, mitochondrial dysfunction (with multiple defects in molecular regulation), inflammation, endothelial dysfunction, IR, multiple aging hallmarks, impaired physical function, and increased waist circumference and systolic blood pressure. GlyNAC (and not placebo) supplementation in OA improved/corrected these defects. In conclusion, GlyNAC supplementation in OA for 16-weeks was found to be safe, well-tolerated, and effective in its ability to reverse multiple age-associated declines and age-related abnormalities. GlyNAC supplementation in older humans is an effective nutraceutical to promote healthy aging.
USE OF PATIENT PORTALS FOR MEDICATION-RELATED COMMUNICATION: IMPLICATIONS FOR DEPRESCRIBING INTERVENTIONS
Authors: Green Ariel , Wek Aleksandra , Gleason Kelly , Wu Mingche , Gamper Mary Jo , Wolff Jennifer 
Published: January 2025

Abstract
People living with dementia (PLWD) often use potentially inappropriate medications (PIM), in which the risks of medication use outweigh the benefits. Little is known about how PLWD and their care partners use patient portals in general, and specifically to communicate with healthcare providers about medications. Our objective was to characterize the content of patient portal messages relating to medications among PLWD, care partners, and clinicians in a single health system, to inform the development of a portal-based intervention to reduce the use of PIM. We examined secure message exchanges between 2/18/2017 and 10/2/2022 from patients 65 years and older with dementia or their care partners in an integrated, academic health system. A total of 399 message threads from 159 unique patients were analyzed. Patients were on average 78.4 years old (SD 8.0). The majority (65%) were female, white (76%), and non-Hispanic/Latinx (96%); 15% had at least one registered proxy portal user. The most common topic raised was logistics (42%), such as clarification of medication instructions. This was followed by messages about adverse effects/treatment burden (25%), asking for new medications (23%), and openness to stopping a medication (21%). Findings suggest that the patient portal is frequently used by PLWD and their care partners to discuss medication-related concerns and that it is a promising platform for delivering interventions to reduce the use of PIM in this population.
ANNUAL WELLNESS VISITS AND EARLY DEMENTIA DIAGNOSES AMONG MEDICARE BENEFICIARIES IN TEXAS
Authors: Kuo Yong-Fang , Raji Mukaila , Shan Yong , Cram Peter , Tzeng Huey-Ming 
Published: January 2025

Abstract
Early recognition of cognitive impairment (CI) and timely diagnoses of mild CI (MCI) and Alzheimer’s Disease and Related Dementia (ADRD) are key to optimal dementia care. No previous research has examined the effects of Medicare annual wellness visits (AWVs) on early CI recognition among Medicare beneficiaries. Here, we assessed the association between incident diagnosis at MCI, moderate or severe ADRD stages in 2017-2020, and having a Medicare AWV in the three years prior to diagnosis. This population-based, case-control study used 100% Texas fee-for-service Medicare data from 2014 to 2020; population: Medicare beneficiaries diagnosed with incident MCI or ADRD from 2017 to 2020. The exposure is Medicare AWVs. The primary outcome is MCI, moderate or severe ADRD status by ICD-9-CM and ICD-10-CM codes. We performed a multinomial logistic regression model to examine the association. Medicare beneficiaries (n=197,356) who had an AWV were 23–66% more likely to be diagnosed at the MCI stage and 8–30% more likely to be diagnosed at the moderate ADRD stage compared to diagnoses at the severe ADRD stage relative to those who did not have an AWV. There was a dose-response relationship; as the number of AWV visits in the three years increased, the magnitude of the likelihood of early diagnosis increased. This study suggests that receipt of a Medicare AWV is associated with increased identification of early CI.
PEOPLE LIVING WITH DEMENTIA AND THEIR FAMILY MEMBERS INFORM A PERSON-CENTERED MEASURE OF “HOME TIME”
Authors: Boucher Nathan , McKenna Kevin , Seidenfeld Justine , Vick Judith , Burke James , Plassman Brenda , Shepherd-Banigan Megan , Van Houtven Courtney 
Published: January 2025

Abstract
To build a person-centered “hometime” measure for use for persons living with dementia (PLWD, inclusive of mild cognitive impairment), we conducted in-depth interviews with PLWD and spouses who support PLWD to understand quality-of-life (QOL) at home versus health facility settings. We interviewed 32 PLWD (age 59-93) and 40 spouses with recent experience in these settings: PLWD in inpatient (12 PLWD; 15 spouses), emergency (8 PLWD; 12 spouses), post-acute skilled nursing (4 PLWD; 4 spouses), outpatient surgery (PLWD 8; spouse 6), and assisted living (3 spouses). Applied thematic analysis generated four themes: 1) Emotions: Participants were frustrated by limited control in health settings. Spouses described some relief, but guilt when the PLWD was in health facility settings. PLWD described being a burden to spouses. 2) Care Challenges: Tasks, including activities of daily living, exceeding spouses’ capabilities or worsening physical/cognitive status decreased QOL at home. Spouses had fewer care duties while PLWD were in health settings. 3) Activities: Time spent with spouse, pets, television, reading, and games provided satisfaction across settings. 4) Community Involvement: Spouses had low community involvement; little changed whether PLWD was in health settings or at home. Many spouses continued to check on PLWDs’ eating, bathing, or medication administration when in a facility. These data in concert with claims data provide insights on value/quality of time at home versus health settings. Our findings inform an emerging “hometime” measure and indicate enhanced task support and social support may raise caregivers’ QOL and help avoid visits to health facilities for PLWD.
A CRITICAL REVIEW OF DISCHARGE PLANNING AND DECISION-MAKING EXPERIENCE OF DEMENTIA FAMILY CAREGIVERS
Authors: Oppong Kwaku Duah , Kwak Jung 
Published: January 2025

Abstract
Persons living with dementia (PLWD) are significantly more likely to be hospitalized and experience poorer outcomes than their non-dementia peers. Despite available evidence-based care transition interventions, few are based on the experiences and perspectives of PLWDs and their family caregivers. To inform development of person-and family-centered care transition support for PLWDs and family caregivers, a systematic review focused on their decision-making roles and support received from hospital teams was conducted by retrieving studies published between 2000 and 2024 from PubMed, CINAHL, and Embase. Four papers were included for full review, and the rigor of each paper was assessed using the Mixed-Methods Assessment Tool. All four studies were qualitative, cross-sectional, and atheoretical, with only one study conducted in the United States. The sample size ranged from 15 to 30 and consisted of family caregivers and PLWDs recruited via chart reviews and hospital units. No study reported on the types of decisions that family caregivers were asked to make. Overall themes on information and support received were: lack of care coordination and inclusion in discharge planning, the discharge planning process often rushed, caregivers feeling unsupported by healthcare providers, and health providers’ inability to meet family caregivers’ informational needs and preferences. Surprisingly, few empirical studies are available, with no studies examining shared decision-making between PLWDs, caregivers, and providers. Existing studies suggest lack of information and support by the healthcare team as a major challenge for these families. Further studies that are theory-driven, with methodological rigor and racial/ethnically diverse PLWDs and caregivers are warranted.
MAXWELL A. POLLACK AWARD FOR CONTRIBUTIONS TO HEALTHY AGING PRESENTATION AND LECTURE
Authors: Dobbs Debra 
Published: January 2025

Abstract
The Maxwell A. Pollack Award for Contributions to Healthy Aging Lecture will feature an address by the 2023 Pollack Award recipient Bei Wu, PhD, FGSA, FAGHE of New York University. This session will also include the presentation of the 2024 Maxwell A. Pollack Award to recipient Edward Alan Miller, PhD, MPA, FGSA, of the University of Massachusetts Boston. The Maxwell A. Pollack Award for Contributions to Healthy Aging Award recognizes instances of practice informed by research and analysis, research that has directly improved policy or practice, and distinction in bridging the worlds of research and practice.
RECONSTRUCTING PERSON-CENTEREDNESS: WORKFORCE, SYSTEMIC, AND GLOBAL PERSPECTIVES
Authors: Fazio Sam , Stratton Lauren , Zimmerman Sheryl 
Published: January 2025

Abstract
The concept of person-centeredness centers on knowing the person in a holistic perspective and meeting the individual’s needs and preferences. The term person-centeredness has become ubiquitous in health and supportive care, and with this there are varying definitions and understandings on how to achieve person-centeredness. This symposium focuses on reconstructing person-centeredness, specifically exploring various perspectives that are imperative in reconstructing this term. First, Efird-Green will explore the conceptualization of person-centeredness through the results of a systematic review of current definitions of person-centeredness. Second, Sloane will present on the results of interviews and think tank meetings with diverse stakeholders to better understand how and why person-centeredness varies across health care settings. Third, Stratton will discuss the results of a think tank with Alzheimer’s Association Dementia Care Provider Roundtable members that highlight how person-centeredness is integrated in the long-term care workforce and potential ways to improve and train employees on this concept. Lastly, Fazio will provide a global perspective through survey results from Alzheimer’s Disease International members on their perspectives and experiences with quality of dementia care, definitions of person-centered dementia care, and the challenges and successes of person-centered dementia care in their countries. Overall, this symposium will provide relevant perspectives to consider in the reconstruction of person-centeredness.
RESOURCE CENTERS FOR MINORITY AGING RESEARCH (RCMAR) SUCCESS AND OPPORTUNITY
Authors: Sceppa Carmen 
Published: January 2025

Abstract
The Resource Centers for Minority Aging Research (RCMAR) have been continuously funded by the National Institute on Aging (NIA) since 1997. The RCMAR program offers intellectual leadership, mentorship, training, career development opportunities, and pilot study funding for future leaders in aging research in the behavioral and social sciences who are at an early stage in their careers. The Gerontological Society of America (GSA) – the nation’s largest interdisciplinary organization devoted to the field of aging – was awarded a $3.9M cooperative agreement from the NIA (2023-2028) to run the RCMAR VI National Coordinating Center (NCC) with a multiple PI leadership team including Patricia M. D’Antonio, GSA vice president of policy and professional affairs, executive director of the National Center to Reframe Aging; Tamara A. Baker, professor, Department of Psychiatry, School of Medicine, University of North Carolina at Chapel Hill; Lisa L. Barnes, the Alla V. and Solomon Jesmer Professor of Gerontology and Geriatric Medicine and cognitive neuropsychologist, Rush Alzheimer’s Disease Center; Carmen Sceppa, dean, Bouvé College of Health Sciences, professor of health sciences, Northeastern University; and James C. Appleby, GSA chief executive officer. There are 18 RCMAR Centers in the U.S., 10 focused on Alzheimer’s disease (AD) and AD-related dementias (ADRD) and 8 aging-focused. The RCMAR mission is to bolster mentorship and career development of scientists from diverse backgrounds and foster rigorous behavioral and social science research to advance aging-relevant scientific discoveries, eliminate health disparities, improve the health and well-being of older adults, per NIA’s Health Disparities Research Framework.
A SCOPING REVIEW: INNOVATIVE APPROACHES TO ACHIEVE HEALTH EQUITY FOR OLDER ADULTS
Authors: Otewa Meshack , Carmiol-Rodriguez Priscilla 
Published: January 2025

Abstract
The purpose of this scoping review was to comprehensively examine innovative approaches proposed or implemented to achieve health equity among older adults. Health equity, defined as ensuring optimal health for all, regardless of various determinants, remains elusive among older adults, a population experiencing significant growth and associated health challenges. Following PRISMA-ScR guidelines, the review searched PubMed, CINAHL, and Embase for original research articles from 2013 to 2023, yielding 47 eligible articles. Findings reveal a range of innovative approaches, defined as new care models improving outcomes and value for health equity. Health disparities are escalating, particularly in chronic conditions like cancer, mental health, HIV-AIDS, pain, and nutritional issues among older adults. Approaches identified include leveraging digital health technology, ensuring access to health insurance (e.g., US Medicaid) with a focus on non-discriminatory access for individuals who identify as LGBTQI, fostering age-friendly health systems, conducting health economics research, expanding public health initiatives for older adults, integrating cultural considerations into health practices, and employing a multimodal approach to translating research into policy and practice. The need for standardized categories for these approaches emphasizes the need for systematic effectiveness assessment. The results of this scoping review suggest that while innovative approaches may be novel, incorporating new values into existing systems is crucial. As health disparities persist and expand, the timely innovation of techniques becomes critical to narrowing the gap and achieving health equity among older adults. The identified methods are a valuable foundation for future program development and system reformulation.
SOCIAL FRAILTY AMONG COMMUNITY-DWELLING OLDER ADULTS: A SCOPING REVIEW
Authors: Carmiol-Rodriguez Priscilla , Otewa Meshack 
Published: January 2025

Abstract
The aim of this review is to explore existing evidence concerning social frailty among older adults living in communities, encompassing definitions, protective and risk factors, health outcomes, and interventions. Social frailty, characterized by the lack of social resources and support, intersects with physical and psychological frailty, posing a substantial hazard to successful aging and escalating the likelihood of adverse health consequences. Following PRISMA-ScR guidelines, a systematic search was conducted in MEDLINE, CINAHL, and Web of Science. Inclusion criteria encompassed full-length articles from database journals published in English from October 2016 to July 2023, focusing on community-dwelling adults aged 65 and above, primarily emphasizing social frailty or its interaction with other frailty dimensions. Editorials, gray literature, and white papers were excluded. Thirty-two articles were identified, predominantly from China, Japan, and South Korea. Bunt and Makizako´s definitions (2017; 2018) of social frailty were mainly used in the papers. Social frailty is preceded by conditions such as hearing impairment, metabolic risk factors, and heart disease. It was correlated with depressive symptoms, disability, reduced life satisfaction, and heightened risk of Alzheimer’s disease and physical frailty. Interventions targeting exercise, digital literacy, and technology-assisted screening were proposed to alleviate social frailty’s impact. Addressing social frailty is crucial for enhancing the well-being of older adults in communities, as it predicts a spectrum of adverse health outcomes, impacting both the physical and psychological dimensions of their lives. Nonetheless, further research is vital to refine interventions for preventing and reversing social frailty in this demographic.
INTERVENTIONS DURING MEALTIME FOR PEOPLE LIVING WITH DEMENTIA: A SCOPING REVIEW
Authors: Wang Zih-Ling , Belza Basia 
Published: January 2025

Abstract
Mealtime challenges among residents living with dementia in long-term care settings are a common problem. This study presents findings from a scoping review of mealtime interventions for individuals with dementia in long-term care settings. Using a Person-Environment-Occupation (PEO) Model, we categorize the effectiveness of all interventions to explore the holistic interplay of individual abilities, environmental conditions, and occupational sections in enhancing mealtime experiences for these individuals. From a total of 2,786 references identified through a three-step search strategy, 45 articles met the inclusion criteria, focusing on “eating,” “feeding,” “dementia,” and “mealtime” interventions from 2008 to 2023. The review highlights dementia-related eating challenges, such as using utensils improperly and consuming non-food items stemming from cognitive decline. Interventions span aromatherapy, music, visual and auditory aids, spaced retrieval training, the Montessori method, physical improvement programs, food service modifications, and individual assistance, targeting interpersonal, intrapersonal, and environmental transactions of eating. The PEO model categorizes these findings into person (behavioral interventions), environment (dining room layout and social interactions), and occupation (activities like the Montessori method and physical exercises). However, few interventions comprehensively address all three PEO components. This review provides insights for healthcare professionals, educators, and researchers on improving eating performance and independence in dementia care, emphasizing the need for future research to establish evidence-based protocols and implement them in care settings.
MUSIC-BASED INTERVENTION TERMINOLOGY IN ALZHEIMER’S DISEASE AND RELATED DEMENTIAS STUDIES
Authors: McKiddy Sarah 
Published: January 2025

Abstract
The surge in interest surrounding music-based interventions (MBIs) for cognitive health, particularly in Alzheimer’s disease and Alzheimer’s disease related dementias (AD/ADRD), has catalyzed interdisciplinary research. However, the collaborative nature of these efforts has led to discrepancies in language usage, hindering the design and interpretation of interventions. In a systematic review conducted by Robb et al. (2018) on the quality of reporting MBI research in healthcare, discordant terminology was identified as an overarching, ongoing barrier to MBI research. The primary aims of this scoping review were to: (1) identify and define the terminology employed in empirical studies describing MBIs within the context of Robb et al.’s (2011) Guidelines for MBIs and studies involving AD/ADRD, (2) elucidate how these terms were operationalized, and (3) propose implications for future research and practice. Included studies showcased a diverse array of MBI strategies in AD/ADRD research, ranging from music therapy practices to social prescribing. However, inconsistencies in terminology usage, such as interchangeably employing terms like “music therapy” and “music intervention,” were observed. This review supports the pressing need for unified terminology that translates despite interdisciplinary boundaries and specialties, facilitating collaboration and advancing both research and practice in MBIs for AD/ADRD. To enhance the clarity of the literature and foster rigor in methodologies, researchers are encouraged to consistently establish and apply clear, operationalized definitions for terminology while also referencing established concepts and seeking consensus within the MBI community.