bluuebunny/crossref_metadata_2025_split huggingface dataset:
ASSETS, GAPS, AND OPPORTUNITIES FOR AGE INCLUSIVITY: THE AIDHE MODEL, THE ICCS MEASURE, AND FURTHER APPLICATIONS
Authors: Bowen Lauren , Silverstein Nina , Montepare Joann , Whitbourne Susan 
Published: January 2025

Abstract
The Age Inclusivity Domains of Higher Education (AIDHE) model was developed to encourage attention to age inclusivity across seven key domains of institutional function —Teaching and Learning, Student Affairs, Outreach and Engagement, Personnel, Physical Environment, Research, and Services and Resources—and across the experiences of age-diverse students, faculty, and staff. To assess age inclusivity across the seven domains, we (Silverstein et. al. 2022; 2024) developed and tested the Age-Friendly Inventory and Campus Climate Survey (ICCS), which documents the presence of age-friendly campus practices; perceptions of those practices by faculty, staff, and students; and match between practices and perceptions; further, the degree of match along with agreement in the value of age inclusivity predicts perceptions of age inclusivity by campus constituents. The AIDHE model and data collected using the ICCS have supported further research to expand age inclusivity efforts. In a multimethod study (Bowen et al., 2024), we identified key challenges and transformative, actionable strategies to advance age inclusivity in Teaching and Learning, Personnel, and Student Affairs domains. Data were collected from 2,273 ICCS open-ended question, as well as from 16 faculty, staff, and student focus groups, to identify both challenges and potential strategies. These challenges and strategies were reviewed over two rounds by Delphi expert panelists, representing higher education administrators and leaders. Final analysis balanced each strategy’s transformative potential (through impact and priority) with its actionable potential (through feasibility and likelihood of implementation), which ultimately yielded 23 recommended strategies intended to address key challenges of age inclusivity in higher education.
DISSEMINATION AND IMPLEMENTATION OF AGE-INCLUSIVE MANAGEMENT STRATEGIES WITHIN INSTITUTIONS OF HIGHER EDUCATION
Authors: Kaskie Brian 
Published: January 2025

Abstract
Institutions of higher education employ a greater proportion of persons over 65 relative to the general labor force. Age-Inclusive Management Strategies (AIMS) seeks to change the narrative about aging academics by shifting focus away from individuals and toward organizational efforts to adopt strategies designed to recruit, retain, and support the financial security and well-being of the growing population of aging faculty and staff. Using the University of Iowa as a case study, I recount efforts to analyze data concerning the productivity and retirement of aging employees, engage and activate institutional leadership to support implementation of policies and programs for aging faculty and staff, and the adoption of three management strategies. These strategies include: offering information and education about retirement and age-related issues such as estate planning and end of life care, increasing access to caregiver support programs, and modifying policies to facilitate access to varied retirement pathway option for faculty and staff alike. Such efforts have been used to validate why Iowa City and the state of Iowa are consistently recognized among the best places in America to grow older.
“LET’S TALK TECH” IN THE ALGORITHMIC AGE: ENGAGING PEOPLE LIVING WITH DEMENTIA IN TECHNOLOGY USE DECISIONS
Authors: Berridge Clara , Turner Natalie 
Published: January 2025

Abstract
The availability of technologies to support dementia care is outpacing our understanding of how to help families navigate use decisions and align with the values and preferences of the person living with dementia. This is an ethical problem made urgent by efforts to incorporate data from the home into AI healthcare applications where transparent disclosures are still aspirational. The misperception that people living with mild-to-moderate dementia cannot or do not want to be involved in decision making about their care is widespread, yet failure to enable decision making participation where possible reflects ageism and ableism. An added barrier to involvement in decision making about digital technologies is communication about the technologies themselves. Findings will be presented from a mixed-methods study of the first of its kind tool to facilitate empowered, shared decision making by people living with dementia and care partners about technologies that use a range of data (e.g., audio, visual, location) and include companion robots. Together with primary care partners, twenty-nine participants living with mild Alzheimer’s disease (AD) learned about, discussed, and documented their preferences for each of four categories of technologies through the Let’s Talk Tech intervention. Individual preferences were not consistent across technologies and varied considerably, supporting the need for personalized decision making. Most participants living with mild AD reported that they wanted (vs. unsure or do not want) each of five control-enhancing options, including being informed if a technology is used to monitor them and to have the ability to pause monitoring for privacy.
INVESTIGATING ETHICAL DIMENSIONS AND TENSIONS WITH RESPECT TO THE USE OF RTLS IN DEMENTIA CARE
Authors: Grigorovich Alisa , Harvey Kelsey , Smilovsky Kyle , McMurray Josephine 
Published: January 2025

Abstract
Real-time location systems (RTLS) are increasingly being developed to track older adults with dementia across settings. Specifically, it is believed that such technologies can support automation of care tasks (e.g. locating) and the development of clinical algorithms to predict changes in health and wellbeing. The limited available research suggests that these technologies can have significant ethical implications, including increasing control over older adults, and undermining their rights. In this study, we explored the experiences and perceptions of RTLS by older residents, care partners, and organizational decision-makers in one care home in Ontario, Canada. Findings demonstrate that participants (N=47) had a limited understanding of RTLS (e.g., how it could be used, data storage, ethical issues) and this in turn influenced their perceptions of its value. Residents were generally unaware of its purpose and more concerned with its aesthetics. Care partners and organizational decision-makers valued the RTLS for enhancing their efforts to control risk to the physical safety of residents and believed this was central to enhancing quality of care. Most had limited awareness of residents’ preferences and believed that their cognitive impairment and/or frailty disqualified their current or prior values and wishes, including their desire for privacy and autonomy, and thus could be legitimately overridden in the interest of protecting their safety. We discuss these findings in relation to digital ageism and offer suggestions to guide future policy and educational interventions to better align development and use of RTLS and similar surveillance technologies with the wishes and preferences of older adults.
DEPRESSIVE SYMPTOMS, NOT FUNCTIONAL STATUS, PREDICT MORBIDITY AND MORTALITY IN OLDER ADULTS WITH HEART FAILURE
Authors: Latimer Abigail , Wu Jia-Rong , Knoepke Christopher , Kang JungHee , Moser Debra 
Published: January 2025

Abstract

Background
Older adults (≥ 65 years) (OAs) with heart failure (HF) are at high risk of functional impairment and co-morbid depression. The impact on morbidity and mortality of these comorbidities in OAs with HF has not been well-studied. OBJECTIVE: To determine the extent to which functional status and depression predicted event-free survival (i.e., hospitalization or death) in OAs with HF.

Methods
We performed a secondary analysis from the Research Interventions in Cardiovascular Health HF Database of OAs with data on depressive symptoms using the Patient Health Questionnaire- 9 (PHQ-9) and functional status using the Duke Activity Status Index (DASI). Patients were followed for 2- years. Event-free survival was determined using Cox proportional hazards models.

Results
We included 157 OAs (mean age= 73 ± 6, 68.2% men, 87.9% White, 63.1% NYHA III or IV). Participants had an average DASI score of 11.49 ± 9.26 and 58% had at least mild depressive symptoms. At time of follow- up, 63 hospitalizations and 25 deaths occurred. The risk of hospitalization or death was 2.16 times greater for OAs who had depressive symptoms (95% Confidence Interval=1.27- 3.67, p &lt;.01) compared to those without, regardless of functional status. The overall model showed a significant improvement in fit relative to the null [x2 (3)= 11.21, p &lt;.05].

Conclusion
Caring for OAs with HF requires attending to depressive symptoms, given the independent risk of hospitalization and mortality, even in the company of varying functional status. Future research should evaluate effectiveness of depression treatments for these patients.
FRAILTY STATUS AND CATHETER ABLATION THERAPY FOR ATRIAL FIBRILLATION IN REAL-AF: A MULTICENTER CLINICAL REGISTRY
Authors: Chaves Paulo , Varley Allyson , Rajendra Anil , Sharma Dinesh , Thorne Christopher , Zei Paul , Osorio Jose 
Published: January 2025

Abstract
There has been increasing interest in understanding if frailty assessment could improve clinical decision-making related to catheter ablation therapy (CAT) for atrial fibrillation (AF) patients. This prospective study assessed acute hospital complications, AF recurrence and AF-related hospitalization within 12 months after CAT according to frailty status pre-CAT. Study subjects (n=3,406) were patients in Real-AF, a multicenter clinical registry in the US, who underwent CAT with 12-month outcome data (2018-2022). Frailty scores were derived using the cumulative health deficit approach (deficits count divided by the total number of health indicators), and categorized: Fit (≤.12), Intermediate (.12–.24), and Frail (≥0.25). Cross-tabulations, trend tests, and logistic regression were performed. Mean age± SD of study subjects was 65.2± 11.0; males were 59.0%. Among patients who underwent CAT, 24.5% met criteria for Frail (score≥0.25). Frailty scores were correlated weakly with age (r=0.09; p&lt;.01). Fit (1.2%) and Frail (1.3%) had similar acute in-hospital complication rates. Increasingly higher probability of AF recurrence (18.2% vs. 19.8% vs. 22.6%; p=.02), and AF-related hospital admission (2.1% vs. 3.4% vs. 4.6% vs. 5.4%, p=.02) within 12 months after CAT were observed across increasing frailty severity categories. Frailty remained associated with AF recurrence and hospitalization in age- and sex-adjusted models; e.g., odds of hospitalization post-CAT were 2.3 (95%CI: 1.0-5.0, p=.039) times higher in Frail than in Fit. Despite adverse trends with frailty, absolute 12-month risks after CAT, even among Frail, was low. Implementation research is warranted to establish the clinical value of frailty assessment for CAT-related decision-making in AF patients.
IMPACTS OF INTRATRIBAL DIVERSITY ON SERVICES FOR URBAN AMERICAN INDIAN ELDERS
Authors: Holley Lyn , Polk Donna 
Published: January 2025

Abstract
This paper presents a report of analysis of interviews with members of the leadership team that serves Native American Indian elders in a mid-size American city. The city studied is home to members of more than a dozen different tribes; it has only one ethno-specific services center for older persons. While these older persons share a heritage of genocidal colonization, they are from different tribes and cultures. Native Americans residing in rural circumstances (e.g., reservations) are more likely to share and treasure similar beliefs and practices than are urban Indians. Diversity of beliefs and practices almost ineluctably brings occasional conflict - e.g., different beliefs about the place of women at the Drum or in singing, decorating for holidays, education of children, and suitability of different foods or ways of cooking. While literature on services for Native Americans is slowly growing, little notice has been taken of the challenges of serving this population in an urban setting. This paper begins to fill the gaps in the literature by describing the challenges and identifying methods that are useful for observation, description and analysis of cultural beliefs and practices of persons in the group, and for identifying which of these beliefs and practices support development of trust and cooperation, and which inhibit relationship building among Native American Indian Elders thus gaining and, importantly, applying knowledge of relevant cultures to inform design of activities and services for these Native Elders.
SENOTHERAPEUTICS, AGING, AND AGE-RELATED DISEASES
Authors: Kellogg Dean 
Published: January 2025

Abstract
Increased translational clinical trials are addressing the utility of senotherapeutic agents as interventions for aging in general and for age-related diseases. Numerous pre-clinical trials have provided a good rationale for human clinical trials which are being increasingly proposed. At present a number of senolytic and senomorphic drugs appear to be safe and tolerable by older persons, hence new human clinical trials directed at efficacy in ameliorating age-related diseases and aging in general are now coming to the fore. This talk will review:1) what are these agents? 2) what are their mechanism(s) of action? and 3) what efficacy have they demonstrated?
EMOTION AND AGING: CUTTING-EDGE DIRECTIONS
Authors: Mikels Joseph , Carstensen Laura 
Published: January 2025

Abstract
Over the past few decades, the field has garnered a deep and broad understanding of age differences in emotional experience; healthy older adults generally experience a balance of more positive to negative emotions relative to their younger counterparts. But many questions remain, and novel understandings of this general pattern are emerging. This symposium will highlight the latest cutting-edge directions in the examination of emotional functioning in later life. Mikels will present data demonstrating that older adults experience more “love” (i.e., positivity resonance) relative to younger adults. Haase and colleagues will explain how emotional acceptance is an important way by which older adults achieve greater well-being relative to other emotion regulation strategies. English and Springstein will further consider how the flexible use of different emotion regulation strategies contribute to higher well-being across the adult lifespan. In yet another approach to understanding high levels of well-being in older adults, Stephens will show that savoring is a critical component of increased positive affect in later life. Underscoring the social underpinnings of well-being, Brown and colleagues will explain the critical role of understanding other people’s emotions accurately in building and maintaining social connections, especially for older women. This series of presentations will illuminate the myriad current directions that are under investigation in the study of emotion and aging, providing attendees with a rich understanding of the latest findings.
A PERSON-SPECIFIC APPROACH TO EMOTION REGULATION FLEXIBILITY ACROSS ADULTHOOD
Authors: English Tammy , Springstein Tabea 
Published: January 2025

Abstract
Early work on emotion regulation typically focused on how often or how much individuals use “adaptive” strategies (e.g., cognitive reappraisal) or “maladaptive” strategies (e.g., expressive suppression”), largely finding little evidence of age differences in strategy use. However, there is growing attention to the importance of flexibly adjusting regulation efforts based on constraints and affordances of the situation, a skill that may increase with life experience. In the present research, we build on these recent theoretical innovations by considering both the “frequency perspective” and “flexibility perspective” in an adult lifespan sample. To do so, we utilize a novel statistical approach that models emotion regulation strategy use and person-specific strategy-situation fit associations with well-being. In an experience sampling study, 290 adults aged 25 to 85 years were prompted 6x/day for 10 days to report on their emotion regulation strategy use and various aspects of their current situation. Bayesian mixed-effect location scale modeling was used to simultaneously assess the relationships of flexibility and frequency of emotion regulation strategy use. Results suggest that individuals with higher well-being used some strategies flexibly and more frequently, some strategies flexibly but not more or less frequently, and some strategies more frequently but not flexibly. This work highlights the value of considering person-specific approaches to emotion and the need for attention to both flexibility and overall adaptiveness of regulation strategies. Work on adult development in emotion could benefit from incorporating idiographic perspectives that take individual differences seriously, rather than operating from more of a one-size-fits-all view of aging.
INDIVIDUALISTIC VALUES AND SUPPORT PROVIDED TO GRANDCHILDREN
Authors: Zhou Tianqi , Lakomý Martin , Silverstein Merril 
Published: January 2025

Abstract
The significance of individual values in family dynamics is widely acknowledged, but the role of individualism in shaping grandparental support remains insufficiently understood. In this study, we investigate the relationship between individualistic/collectivistic value orientation and two types of grandparental support (instrumental and emotional) provided by older individuals. We use data from waves 4-10 of the multigenerational Longitudinal Study of Generations to examine this link between values and support. Multilevel random-intercept models use all available respondents with the youngest grandchild aged 0-16, which makes a sample of 1309 older people nested in 307 families. Controlling for grandparents’ sex, ethnicity, marital status, health, and retirement, we found that individualistic value orientation influences instrumental support, while its impact on emotional support was not evident. Additionally, instrumental grandparental support tends to manifest more prominently within families featuring younger grandparents and younger grandchildren. In contrast, emotional support is more prevalent in families with highly educated grandparents, as well as those with more and older grandchildren. Our study complements previous studies on the relationship between values and intergenerational support by showing that individualism exerts an influence on specified forms of support such as transportation or shopping, help when sick, and childcare. These findings demonstrate the enduring presence of caregiving provided to grandchildren motivated by grandparental norms or religiosity within American families and – at the same time – reveal that the value changes can reshape the content and forms of grandparental care.
MIDLIFE NEIGHBORHOOD SOCIOECONOMIC STATUS AND COGNITIVE FUNCTION IN LATE LIFE: DIFFERENCES BY RACE
Authors: Cheng Greta Jianjia , Buchanich Jeanine , Gary-Webb Tiffany , Mair Christina , Shaaban C , Rosso Andrea 
Published: January 2025

Abstract
Evidence regarding the role of neighborhood socioeconomic status (NSES) as an upstream determinant of cognitive outcomes has lacked a life-course perspective and has relied on time-invariant NSES estimates. Compared to late-life, midlife NSES may be more relevant to cognitive outcomes, and associations with cognition may vary by race, reflecting the potential impact of structural racism. We examined racial differences in associations between midlife NSES and changes in cognitive function among older adults aged 70+. We included 341 (37% Black and 63% White) participants from the Pittsburgh site of Health, Aging, and Body Composition Study. Cognitive function was assessed repeatedly by Modified Mini-Mental State Examination (range: 80-100) throughout a 13-year follow-up. LexisNexis addresses from 1976-1985 were geocoded and linked to 1980 Census estimates (education, occupation, employment rate, household income, and home value). Midlife NSES (aged 49 to 58 years) for census tracts was calculated as the sum of z-scores of five estimates (range: -10.4 to 9.1, SD: 4.3). In linear mixed-effects models adjusted for census-tract and individual-level characteristics, midlife NSES was associated with baseline cognitive function among Black (β: 0.56, 95% CI: 0.14, 0.98), but not among White participants (β: -0.05, 95% CI: -0.31, 0.21) (p-value for interaction: 0.02). There were no observed associations between midlife NSES and the rate of cognitive change and no association between late-life NSES and cognitive function. Our findings suggest that midlife NSES are relevant to late-life cognitive function, particularly for Black individuals. Incorporating a life-course perspective is crucial to understanding racial disparities in cognitive outcomes.
NEIGHBORHOOD DISADVANTAGE AND THE ASSOCIATION OF PLASMA BIOMARKERS WITH COGNITION IN A COHORT OF DIVERSE ADULTS
Authors: Fan Erica , Royse Sarah , Reese Alexandria , Karikari Thomas , Pascoal Tharick , Shaaban C , Villemagne Victor , Cohen Ann 
Published: January 2025

Abstract
Studies of Alzheimer’s disease pathology have reported associations of plasma Aβ, tau, neurofilament light chain (NfL), and glial fibrillary acidic protein (GFAP) with cognition. However, it remains unclear how these biomarkers are associated with cognition in non-White populations affected by structural racism. Discriminatory policies have long shaped US neighborhood resources. Thus, our aim was to investigate whether neighborhood disadvantage modifies associations of plasma biomarkers with cognition in a diverse cohort of 136 adults ≥50 years. Predictors were plasma biomarkers (Aβ40, Aβ42, pTau217, pTau231, NfL, GFAP) measured using single molecule array or mass spectrometry. Outcomes included cognitive impairment and neuropsychological test scores. Our modifier, neighborhood disadvantage, was measured using area deprivation index (ADI), a composite of socioeconomic condition measures by census tract: higher ADI corresponds with worse conditions. In adjusted linear models, higher ADI, pTau217, pTau231, NfL, and GFAP, and lower Aβ40 and Aβ42 were separately associated with worse cognition. We found ADI*pTau217 interactions on immediate and delayed word recall. In those with low ADI, higher pTau217 was associated with worse immediate (β=-1.82, p=0.005) and delayed recall (β=-22.82, p&lt;0.001); there were no such associations among high ADI participants. We also found an ADI*Aβ40 interaction on Rey figure immediate memory recall such that in low ADI participants, higher Aβ40 was associated with better recall scores (β=0.06, p=0.006), but this association was not significant in high ADI participants. Taken together, relationships between plasma biomarkers and cognition differ by neighborhood conditions, motivating further study of how neighborhood-level factors affect diagnosis and prognostication of cognition.
NAVIGATING THE PATH FROM PHD TO PI: INSIGHTS AND STRATEGIES FOR RESEARCH INDEPENDENCE
Authors: Schafer Marissa 
Published: January 2025

Abstract
The path from PhD to PI can be a challenging uphill climb, and yet, there a are a multitude of steps one can take to increase the likelihood of securing an independent faculty research position. In this presentation, I will share insights from my path from PhD to PI. I will discuss key activities leading to research independence, including developing a research portfolio, engaging in skill-diversifying career development activities, and building supportive mentor-mentee relationships and networks. I will share my experience preparing for and participating in faculty job interviews, which include finding opportunities, giving job talks, and negotiating. As with research, there are many unknowns and many questions while looking forward to a career as an independent researcher. My goal is to share strategic opportunities and demystify processes to ultimately help others successfully navigate their path to research independence.