bluuebunny/crossref_metadata_2025_split huggingface dataset:
SHORT-TERM COUPLING ASSOCIATIONS BETWEEN STATE LONELINESS AND COGNITIVE PERFORMANCE IN DAILY LIFE
Authors: Kang Jee eun , Graham-Engeland Jennifer , Martire Lynn , Almeida David , Sliwinski Martin 
Published: January 2025

Abstract
Although loneliness and neurocognitive health have been linked, little attention has been given to associations between fluctuations in state loneliness and cognitive performance. This work examines the association between within-person variation in state loneliness and cognitive performance assessed objectively in daily life, focusing on the timing and direction of the relationship. Participants from a wave of the Einstein Aging Study (EAS) were included (N=313, Mage=78 [range=70-90], 68% women, 46% White, 41% Black; average 15 years education). Over a 14-day period, participants engaged in ambulatory ecological momentary assessment burst using mobile phones, completing self-reports (including about feeling lonely at the moment) and mobile cognitive tests up to five times daily. The mobile cognitive tests assessed visual associative memory, processing speed, and spatial memory. Multilevel modeling was employed to examine day-to-day and moment-to-moment changes in loneliness and their relationship with cognitive performance, with a specific focus on concurrent, time-lagged, and reverse-lagged associations. Results revealed that higher daily loneliness negatively correlated with cognitive performance on the same day and predicted worse performance the following day, illustrating a prospective association. Within a single day, momentary loneliness negatively correlated with immediate cognitive performance, but did not predict later decreases; however, lower cognitive performance in a given moment predicted elevated loneliness later in the day. Overall, these findings highlight a complex, reciprocal relationship – loneliness predicting and being predicted by cognitive performance depending on timescale. Deepening our understanding of such temporal dynamics will be important to inform ways to break the cycle between loneliness and cognition.
AGE DIFFERENCES AND CHANGE IN COPING STRATEGIES ACROSS 10 YEARS: FINDINGS FROM THE MIDUS STUDY
Authors: Kurth Maria , Witzel Dakota , Cerino Eric , Almeida David 
Published: January 2025

Abstract
Although age differences in coping strategies across adulthood are well-established (Aldwin et al., 2021), little is known about how coping strategies change, especially into later life. Further, studies focused on changes in coping relied on convenience samples (e.g., Brennan et al., 2012; Martin et al., 2008), which may not generalize to all midlife and older adults. Using data from waves two and three of the Midlife in the United States study, we examined (1) how coping changed over 10 years and (2) age differences therein. Participants (N = 2661, Mage_waveII = 54.56, age range: 30-84, 58% women, 87% White) completed 24 items from the COPE Inventory (Carver et al., 1989) at each wave. Four coping factors emerged from an exploratory factor analysis and confirmed via confirmatory factor analysis (Witzel & Kurth, 2023): instrumental action; denial/disengagement; positive reappraisal; focus/venting of emotions. Invariance was established across time and age. Two-level multilevel models, conducted separately for each coping strategy, revealed a significant decrease across 10 years for all strategies, even after controlling for race, gender, education, and sample type (core, Milwaukee). Older participants, compared to younger participants, decreased in their use of instrumental action and positive reappraisal, while denial/disengagement strategies increased; age did not moderate focus/venting of emotions. Preliminary evidence suggested non-linear changes by age for denial/disengagement and positive reappraisal. Discussion will surround the variability in how different types of coping changes across midlife and into older adulthood, and ways in which the rate and direction of this change depends on age.
INVESTIGATING THE DAILY RELATIONSHIP BETWEEN SUBJECTIVE AGE AND DAILY EVENTS
Authors: Klaiber Patrick , Pauly Theresa 
Published: January 2025

Abstract
Subjective Age, also known as felt age, refers to individuals’ perception of their age compared to their chronological age. Daily fluctuations in subjective age are linked to daily affective experiences; feeling older than usual has been associated with experiencing more same-day stressors and higher negative affect. Feeling older than usual may indicate depleted psychosocial resources, increasing the likelihood of interpreting everyday situations as stressful and reacting more intensely to them. Conversely, feeling younger than usual may indicate greater psychosocial resources, leading to increased engagement in and responsiveness to positive events. Thus, this study investigated fluctuations in subjective age as a predictor of same-day event engagement (stressors and positive events) and affective responses to these events using 14-day diary data from a sample of 108 older Swiss adults (aged 65-92). On average, participants felt approximately 8 years younger than their chronological age, with significant day-to-day variability (ICC =.69). We found that on days when individuals felt older than usual, they reported more stressors and fewer positive events. Older subjective age was also associated with lower same-day positive affect, but also greater increases in positive affect when positive events occurred. Similarly, older subjective age was related to greater same-day negative affect, yet also to more pronounced decreases in negative affect when positive events occurred. However, stress reactivity, as indicated by stressor-related affect, was not associated with subjective age. These findings underscore the importance of subjective age as a dynamic psychological construct potentially shaping individuals’ daily affective experiences.
EMOTION BELIEFS AND DAILY AFFECTIVE EXPERIENCES ACROSS THE ADULT LIFESPAN
Authors: Rutledge Jocelyn 
Published: January 2025

Abstract
Emotion beliefs refer to the extent to which people believe emotions “should” and “can” be controlled. Importantly, past research has linked peoples’ emotion beliefs to the extent to which they utilize effective emotional regulation strategies, and psychological well-being. To our knowledge, research has yet to examine the association between emotional beliefs and affective experiences at the daily-level, and how developmental factors are associated with emotion control beliefs in adults. The present research sought to examine age differences in within-person associations of daily emotion beliefs and daily positive and negative affect. To do so, we used 14-day daily diary data from an adult lifespan community sample [N = 91, age range = 19-92]. Multilevel models revealed that when younger (but not older) people endorsed higher-than-normal beliefs they “should” control their emotions they reported greater negative affect, while higher-than-normal beliefs they “can” control their emotions were associated with higher positive affect. In addition, when older (but not younger) people endorsed higher-than-normal beliefs that they “can” control their emotions they experienced greater declines in negative affect. These findings add to theory and research on emotional aging by highlighting that: 1) emotion beliefs are differentially associated with affective experience on a daily-level, and 2) these associations change across the adult lifespan.
TRANSITIONAL PALLIATIVE CARE FOR RURAL FAMILY CAREGIVERS USING VIDEO TECHNOLOGY: RECRUITMENT, METHODS, AND FINDINGS
Authors: Griffin Joan 
Published: January 2025

Abstract
People with severe, life-limiting illnesses face serious risks for adverse events and symptom escalation when transitioning care from hospital to home. When new approaches to care, such as palliative care, are introduced before discharge, these risks increase further. Family caregivers (FCG) often help manage care during these transitions and ensure care recipient safety and quality of care after discharge. These new or added responsibilities can strain FCG health and well-being, thus compromising FCG and care recipient health. This is especially true for FCGs in rural and underserved areas who typically have fewer resources and limited access to care. This symposium presents lessons learned, methodological challenges, and findings from a FCG study aimed at addressing transitional care and palliative care on FCGs health and well-being. The intervention tested a model of care to address unmet needs of FCGs caring for seriously ill and elderly patients in rural areas through teaching, guidance, and counseling via video visits. Preliminary findings show this intervention improves FCG outcomes and is cost-effective. The first presentation provides an overview of the trial (Griffin). The second presentation describes challenges with recruiting and differences between recruiting FCG participants in-person and remotely (Gustafson). The third presentation includes findings on internet connectivity when conducting a virtual clinical trial with FCGs living in rural and underserved areas (Holland). The fourth presentation describes study findings on FCG and care recipient health and well-being (Griffin). The fifth presentation includes a discussion of the differences in caregiving and utilization costs associated with the intervention (Kaufman).
HEALTH CARE USE AND OUT-OF-POCKET COSTS FOR RURAL FAMILY CAREGIVERS AND CARE RECIPIENTS IN TRANSITIONAL PALLIATIVE CARE
Authors: Kaufman Brystana , Huang Ro , Holland Diane , Vanderboom Catherine , Mandrekar Jay , Gustavson Allison , Griffin Joan 
Published: January 2025

Abstract
Few studies have reliable estimates on costs of informal care following hospitalization, including health care use and out-of-pocket costs for family caregivers (FCGs) and their care recipients (CR). This presentation discusses results from a Transitional Palliative Care (TPC) intervention on healthcare use and out-of-pocket spending for both FCGs and CRs. The study used data from the Technology-Enhanced TPC study, a trial comparing the TPC intervention to support FCGs of seriously ill CRs to an attention control condition. TPC FCGs received teaching, guidance, and counseling via video calls for 8 weeks following CR hospital discharge. After discharge, a research assistant called FCGs once a month for up to 6 months or CR death to collect healthcare utilization (e.g. outpatient, emergency department, and hospital), out-of-pocket healthcare spending (e.g. deductibles and coinsurance), and health-related travel costs (e.g., transportation, lodging, food) for FCGs and CRs. Incidence rate ratios (IRR) were estimated using negative binomial regressions. The study included 282 FCG-CR dyads across 3 US states. TPC reduced nights in the hospital for CR (IRR = 0.75; 95% CI = 0.56 – 0. 99). Total out-of-pocket spending was not significantly different for TPC versus control; however, TPC dyads reported lower lodging costs (IRR = 0.71; 95% CI = 0.56-0.89). Across groups, mean out-of-pocket spending for dyads was $1401.85, with healthcare payments contributing $1048.58 and transportation expenses contributing $136.79. This study contributes to evidence that palliative care interventions reduce unnecessary hospitalization for seriously ill patients, yet the financial costs to caregivers remain high.
CONNECTIVITY ISSUES WHEN CONDUCTING A VIRTUAL CLINICAL TRIAL WITH FAMILY CAREGIVERS IN RURAL OR UNDERSERVED AREAS
Authors: Holland Diane , Vanderboom Catherine , Mandrekar Jay , Gustavson Allison , Kaufman Brystana , Griffin Joan , Wild Ellen , Dose Ann Marie 
Published: January 2025

Abstract
In the research literature and amongst grant reviewers, there are persistent questions about whether internet connectivity challenges, especially in rural populations, will limit the potential for virtual or decentralized clinical trials to improve participation of underrepresented groups. In clinical practice, e-health and telehealth advancements have been touted as potential models of care to address health disparities associated with access to care, but without reliable internet connectivity, these disparities may perpetuate or even widen. In this presentation Dr. Holland examines the prevalence of connectivity problems during the Technology-Enhanced Transitional Palliative Care (TPC) study, a virtual clinical trial across three Midwestern states, and provides guidance on the challenges faced. Data are from structured notes from nurse interventionists who documented any connectivity issues in the study’s electronic health record. Of the 1003 visits reviewed, only 11% of visits (115/1003) contained a documented problem with internet connectivity. None of the participants withdrew from the trial due to problems with their internet connections. The findings support the effective use of virtual visits in research involving participants living in rural locations. Virtual randomized controlled trials provide a strategy that enables participation for rural individuals who may not otherwise have access to clinical trials conducted in-person in urban settings. Utilizing internet access to connect with and support people who live in rural areas is critically needed to advance clinical research.
UNDERSTANDING AND SUPPORTING TECHNOLOGY EQUITY AND ACCESS FOR THE BENEFIT OF AGING ADULTS
Authors: Boot Walter , Lin Xin Yao , Chung Jane 
Published: January 2025

Abstract
Despite advancements, a significant “digital divide” persists, with older adults lagging in technology ownership, use, and proficiency compared to younger individuals. This session examines the digital divide’s causes, impacts, and solutions for aiding older adults. Melissa deCardi Hladek, PhD, CRNP, FNP-BC, proposes a personalized, values-driven intervention to enhance digital literacy among older adults, focusing on overcoming access and connectivity disparities, especially in communities of color, to foster inclusion and better health outcomes. Shannon Mejia, PhD, FGSA, investigates the emotional dynamics of older adults interacting with smart devices, such as voice assistants, and how these interactions are affected by other smart elements like fireplaces. Li Chu, PhD, highlights the importance of aligning technological information with age-relevant motivations, indicating that a focus on emotional meaning could boost older adults’ engagement with new technologies. Ladda Thiamwong, PhD, RN, FAAN, introduces the PEER intervention, a technology-based program aimed at preventing falls in low-income older adults through physio-feedback and peer-led exercises, emphasizing its role in transforming fall risk perceptions. Finally, Shenghao Zhang, PhD, questions the link between cognitive decline and the digital divide, suggesting that the relationship between age, general fluid abilities, and technology proficiency is more complex, offering new perspectives on technology learning and usage among older adults. Jane Chung, PhD, RN, will serve as discussant.
EMOTIONAL RESPONSES TO SUPPORT FROM VOICE ASSISTANTS WITHIN AN ECOLOGY OF SMART DEVICES
Authors: Mejia Shannon , Wen Wan , Desai Smit , Snipe Brandon , Fernandez Otniel , Hong Sungjae , Chin Jessie 
Published: January 2025

Abstract
Smart-environments deploy an ecology of smart devices such as voice-assistants (VA), telehealth portals, and smart-fireplaces to support aging in place by providing assistance, remote-assessment, and restoration. Although asking for support is a foundational task within a smart environment, the socioemotional implications of asking smart devices for assistance is largely undefined. This study (N=51, observations=204, age:50-80, 54%female), conducted within a simulated “home office,” employed a 2x2 (fireplace vs. not × neurologist remote-assessment vs. not) within-subjects experiment to test emotional responses to requests for VA assistance under varying smart ecologies. In each condition, a simulated VA instructed participants to play a game and report affect by endorsing adjectives representing their feelings. Participant-initiated requests for VA assistance were extracted from transcripts. Participants’ beliefs in our simulation were evaluated during post-interviews to determine whether interactions were perceived as genuine with a VA (VA-True; 54%) or with a human through a speaker (VA-Human). Multilevel-models indicated higher negative affect (emotional cost) when participants requested VA assistance, and this cost was less pronounced when the smart-fireplace was activated. Cross-level interactions by beliefs differentiated emotional costs of asking for assistance. In general, compared to the VA-Human group, the emotional cost of asking for assistance was less pronounced for the VA-True group. However, while emotional cost was reduced for the VA-Human group when remote-assessment or fireplace was activated, emotional cost was amplified under these conditions for the VA-True group. Findings are situated within life-span perspectives of control and dependency scripts to inform the development of smart-ecologies to support aging-well.
MOTIVATING INFORMATION-SEEKING BEHAVIORS FOR NEW TECHNOLOGY ACROSS THE LIFE SPAN
Authors: Chu Li , Patterson kayla , Kim Tasha , Srivastava Sanjana , Zhang Ruohan , Wu Jiajun , Fei-Fei Li , Carstensen Laura 
Published: January 2025

Abstract
Rapid technological advancements demand constant adaptation, which may be particularly unappealing for older adults. As people age, goal priorities shift from exploration to emotional meaning, but modern technology often overlooks this aspect, reducing motivation for older adults to learn. This pre-registered study aims to understand how alignment of information with age-relevant motivation may change people’s information-seeking behaviors. We hypothesized a negative association between age and information-seeking behaviors. Moreover, this association is hypothesized to be moderated by emotional meaning, such that the positive relationship is amplified when technology emphasizes emotional meaning, indicating that older adults are as, if not more, interested in technology compared to younger adults when technology aligns with one’s age-related motivation. We will report findings from an online experiment on a life-span sample of approximately 300 participants. On the data collection website, participants will view eight technological products and choose which ones to explore further. By clicking on the product, a new sentence about the product will be displayed, so the number of clicks and the duration of reading each product may be indices of people’s information-seeking tendencies. Products are randomly assigned to emphasize exploration, social networking, entertainment, or deepening connections with loved ones (the emotionally meaningful option).
HEALTH-PROMOTING NEIGHBORHOOD RESOURCES ASSOCIATED WITH REDUCED NEURODEGENERATION AND CEREBROVASCULAR DISEASE
Authors: Besser Lilah , Maillard Pauline , Le Elaine , Mitsova Diana , Galvin James , DeCarli Charles , Meyer Oanh 
Published: January 2025

Abstract
We aimed to determine if health-promoting neighborhood resources are associated with better brain health measured via structural magnetic resonance imaging (MRI) of older adults. We used data on 195 participants with normal cognition or cognitive impairment from the University of California, Davis Alzheimer’s Disease Research Center. Participants addresses were geocoded to derive neighborhood (Census tract) measures of presence of a library, density of churches, percentage of retail space, and percentage park space. MRI measures included total grey matter volume and white matter hyperintensity volume (WMH), markers of future dementia and cerebrovascular disease risk. Multivariable linear regression that accounted for clustering by Census tract tested associations between the neighborhood characteristics and MRI outcomes, controlling for demographics (e.g., age, race/ethnicity), cognitive status (Clinical Dementia Rating), intracranial volume, population density, and neighborhood socioeconomic status (SES). Models were also stratified by high and low neighborhood SES. Participants were on average 74.9±7.2 years old, had 13.7±4.5 years of education, and 24.1% were Black, 28.9% Hispanic, and 47.1% non-Hispanic White. Individuals in neighborhoods with a library or a higher density of churches had lower WMH volumes, while those in neighborhoods with more churches had greater total grey matter volume. Presence of a library was associated with lower WMH volume for those in low SES neighborhoods, while no associations were observed for those in high SES neighborhoods. Neighborhoods with cognitively stimulating and socially engaging destinations (i.e., libraries and churches) may help reduce cerebrovascular disease and dementia risk by protecting against white matter disease and brain atrophy.
LEVERAGING TIME USE DATA TO EXPLORE MIGRANT HEALTH, SOCIALIZING, AND TECHNOLOGY USE
Authors: DeJohn Amber , Widener Michael , Liu Bochu , Ma Xinlin , Liu Zhilin 
Published: January 2025

Abstract
Migrant populations tend to locate near other migrants upon arrival in their receiving country. These residential locations are the result of culturally specific social networks, and they result in differing social networks and cultural contexts relative to the native-born population and other migrant groups. Beyond their physical social networks, migrants also use information and communication technology (ICT) to maintain social connections in their sending country. During the COVID-19 pandemic, public health initiatives to discourage socializing (e.g., closing third places) generated concern about social isolation among older adults, especially due to its association with health. In Toronto, Canada, COVID-era lockdown initiatives were particularly prolonged. During this extended lockdown, we fielded a survey and time-use diary on a convenience sample of older Chinese migrants (n = 77) in the Greater Toronto Area. Using the single-day activity diaries, we grouped respondents using a k-means clustering approach, which resulted in four categories of socializing characteristics. We then used ANOVA tests and multinomial logistic regression to understand the geographic contexts for these socializing behaviors. Findings reveal that this older migrant community was largely socializing online, but a small group reported socializing in person. Regression results reveal that living conditions, physical health, and the location of social networks are associated with how migrants socialize. This study presents a novel method for exploring geographies and activities within the home in tandem.