bluuebunny/crossref_metadata_2025_split huggingface dataset:
EARLY DETECTION OF COGNITIVE IMPAIRMENT IN PRIMARY CARE: IMPLEMENTATION CHALLENGES AND OPPORTUNITIES
Authors: Deckert Amy , Chavira Laura , Selzler Katherine , Weyrauch Karen , Murray James , Kurzman Alissa , MacLeod Tim 
Published: January 2025

Abstract
Healthcare systems worldwide are not prepared to adequately address the needs of the 55 million individuals affected by Alzheimer’s and related dementias. A substantial 17 to 20-year lag exists between development of innovations and their widespread adoption, with less than 50% being used in clinical practice (Bauer et al. 2020). In the early stages of Alzheimer’s disease, cognitive impairment often goes unrecognized until later in the disease course, and it can take months or years to reach a diagnosis. Early detection in primary care is a pivotal factor in improving patient outcomes and ensuring timely access to appropriate care and interventions. The Davos Alzheimer’s Collaborative Healthcare System Preparedness (DAC-SP) Early Detection flagship program implemented digital cognitive assessments (DCA) and a blood-based biomarker (BBM) test in diverse primary care or other non-specialty settings across 7 healthcare systems in 6 countries (Brazil, Jamaica, Japan, Mexico, Scotland, US). We conducted a mixed methods evaluation of the process and outcomes of the DAC-SP flagship study guided by the Consolidated Framework for Implementation Research (CFIR; Damschroder et al., 2009) and report here the qualitative findings from the pre-implementation phase. We employed a directive content analysis of transcribed in-depth interviews with clinicians (n=51) and implementation team leads (n=7) across flagship sites. Our findings underscore the critical importance of addressing system-level factors in the design and implementation of DCA and BBM tests in primary and non-specialty care, suggesting that sustainable practice change requires a need to shift the focus from individual to systemic interventions.
PRIMARY CARE PHYSICIAN PERSPECTIVES ON THE INVOLVEMENT OF FAMILY MEMBERS IN THE CARE OF PEOPLE WITH DEMENTIA
Authors: de Jesús Alma Hernández , Brooks-Smith-Lowe Sharifa , Filippi Melissa , Wood Julie , Karliner Leah , Borson Soo , Sideman Alissa Bernstein 
Published: January 2025

Abstract
Involving family is integral to the care of people with dementia. Family medicine’s comprehensive “whole person” approach is ideally suited to this care. We interviewed 18 family physicians across the US to identify ways they involved and communicated with family members throughout dementia diagnosis and care. Interviews were thematically coded using ATLAS.ti. Participants identified several areas in which strong, open, and continuous communication with family made a difference in the care they provided to their patients with dementia: (1) Facilitating early diagnosis. Physicians in our study described the importance of family members in identifying the presence of cognitive impairment, communicating their observations to the physician, and providing information helpful in diagnostic evaluation. They also emphasized the importance of thoughtful communication with the family around disclosure once a dementia diagnosis is made; (2) Goal setting and care planning. Family physicians placed high value on supporting the patient’s quality of life, including prolonging life at home, and supporting patient autonomy. This included discussions about goals of care and intervening in challenging family dynamics; (3) Providing relevant disease education, facilitating access to resources, and acting as an interlocutor with specialists; and (4) Helping the patient avoid preventable hospitalizations by sharing safety measures and teaching family about managing medications and comorbidities. Although family physicians are uniquely suited to care for people with dementia, they also identified challenges to optimal communication: family members can be reluctant to address dementia care problems, and insufficient time, resources, and compensation challenge clinicians to sustain that communication over time.
INTEGRATING THE GERIATRIC 5MS INTO MOVEMENT ANALYSIS AND COLLABORATIVE GERIATRIC PHYSICAL THERAPY
Authors: Hartley Gregory , Miller Kenneth , Quiben Myla , Larkin Marni , Lusardi Michelle , Leach Susan , Gras Laura 
Published: January 2025

Abstract
The Geriatric 5Ms (Matters Most, Medications, Mind, Mobility, Multicomplexity) address complexity of health care for aging adults. The 5Ms are important for physical therapists (PT); members of the health care team concerned with musculoskeletal pain, mobility, and functional capacity. The Academy of Geriatric Physical Therapy, a component of the American Physical Therapy Association, was charged with incorporating emerging movement system science and geriatric care models into a comprehensive PT assessment framework for primary care and initial PT patient encounters. The product, a geriatric movement system assessment framework, incorporates principles of multiple models including the International Classification of Functioning Disability and Health, and other movement-based patient/client management models. Observational movement analysis of key tasks required for safe independent function using the 5M model helps detect needed resources and constraints. Results of movement analysis from the patient examination informed by the 5Ms, impact selection of tests and measures for further analysis of baseline functions. Results allow clinicians to set priorities for targeted interventions addressing body structure/function, activity, and/or participation, and assess outcomes of care. The theoretical basis for this novel approach to movement assessment in aging adults is discussed. Case studies illustrate application of the framework with attention to understanding patient resources as part of intervention strategies. Adoption of the 5Ms into geriatric physical therapy highlights essential geriatric principles and bridges practice across interprofessional teams.
RCT: SPECIALIST NURSE-LED EXERCISE REHABILITATION IN AECOPD- IMPACT ON ENDURANCE AND QUALITY OF LIFE
Authors: Ma Jiahui , Lin Hongjing , Qin Zeyu , Chen Zijing 
Published: January 2025

Abstract
This prospective randomized controlled trial (RCT) evaluates the efficacy of a specialist nurse-led exercise rehabilitation program, grounded in the Patient Health Engagement (PHE) model, for patients with acute exacerbations of COPD (AECOPD). 84 patients with AECOPD were recruited from a Changchun, China, hospital and randomly assigned to intervention or control groups (42 in each). The 12-week intervention featured conventional exercise rehabilitation for the control group and a novel program for the intervention group, incorporating personalized exercise prescriptions led by specialist nurses. Baseline and 3-month post-discharge assessments included 6-minute walk distance (6-MWD) for exercise endurance and SF-36 for quality of life. Participants, with a mean age of 65.70 ± 6.13 years, exhibited severe airflow obstruction (FEV1: 39.48 ± 10.50%) and impaired motor ability (6-MWD: 282.10 ± 92.34m). After 12 weeks of intervention, the 6-MWD in the intervention group was 371.69 ± 65.09m, while the control group was 324.95 ± 74.96m. Both groups demonstrated improved exercise endurance (t1=37.899,95%CI,84.12-97,45,P1 &lt; 0.001;t2=7.766,95%CI,31,60-66.79,P2 &lt; 0.001), yet the intervention group displayed significantly greater enhancement in 6-MWD (90.80 ± 5.36, vs 49.20±14.16, t=-9.537,P &lt; 0.001), indicating clinical significance. Furthermore, the intervention group exhibited higher quality of life scores than the control group, with statistical significance (t=2.988,P&lt;0.05). This RCT underscores the specialist nurse-led exercise rehabilitation program’s effectiveness in enhancing exercise tolerance, improving compliance, and elevating the quality of life in patients with COPD, contributing valuable insights to rehabilitation nursing for patients with COPD.
THE RELATIONSHIP BETWEEN DAY SERVICE UTILIZATION AND THE CARE LEVEL DETERIORATION FOR PEOPLE WITH DEMENTIA
Authors: Yang Liu , Miyae Yamakawa , Aki Sugiura , Reiko Kanaya , Yunfan Wu , Takeya Yasushi 
Published: January 2025

Abstract
In Japan, people diagnosed with dementia are often recommended to use day services (DS). This study aims to evaluate whether DS has a positive impact on preserving the independence of people with dementia in their daily lives.We analyzed 774 individuals aged 65-74, initially certified as care level 2 or below, between 2012 and 2019 from Osaka Prefecture National Health Insurance Database. The baseline was set three years after their initial certification, and the outcome measure was reaching level 3 or higher care levels. This retrospective cohort study categorized subjects into three groups: Group 1 (non-DS users during the exposure period), Group 2 (DS users for over one but less than two years continuously), and Group 3 (DS users for two years or more). Median survival time was not observed for Groups 1 and 2, while Group 3 had a median survival time of 921 days (95% CI 668-1174 days), showing a statistically significant difference among the three groups (Log Rank P&lt; 0.000). In Cox analysis, the presence of fractures (HR = 2.33; 95% CI = 1.07–5.05, P = 0.032) and baseline care level (HR = 2.54; 95% CI = 1.98–3.28, P &lt; 0.000) demonstrated positive correlations with the outcome measure. The results indicate that the use of DS does not effectively slow down the deterioration of care levels in people with dementia. The independence in daily life for people with dementia does not show a positive impact after using DS.
CONNECTIONS: INTERGENERATIONAL DIGITAL STORYTELLING FOR CULTIVATING RESILIENCE ACROSS LIFESPAN
Authors: Ansie Vera , Mbamba Crispin 
Published: January 2025

Abstract
This innovative study used intergenerational digital storytelling to explore resilience and fortitude across cultures. It aimed to develop and evaluate a culturally grounded intervention for synergistically cultivating resilience among older adults and youth through shared narratives and strengthened intergenerational ties. The participatory methods engaged older adult-youth dyads in one U.S. state (n=40) and Ghana (n=38) in a structured process of co-creating multimedia digital stories chronicling personal journeys of perseverance and overcoming hardship, with guided activities fostering reflection, reciprocal empathy, and intergenerational dialogue around resilience themes. Qualitative data from participant narratives, interviews, and observations were analyzed using constructivist grounded theory. Key findings highlighted storytelling’s transformative capacity for transmitting vital coping strategies, life lessons, and cultural wisdom between generations. For U.S. participants, salient themes included reframing challenges through optimism and self-reliance, while Ghanaian narratives emphasized fortitude rooted in spirituality, collectivism, and reverence for older adults’ resilience. Cross-cultural comparisons illuminated how social-ecological context distinctively shapes resilience processes. This study offers a novel, culturally responsive framework for designing intergenerational interventions that synergize resilience by providing hope through shared stories, modeling perseverance across ages, and honoring the fortitude of the human spirit, with implications for adaptation across diverse contexts, resilience theory, lifespan approaches, and culturally-grounded practice promoting well-being across generations.
EVALUATING THE VALIDITY AND QUALITY OF SELF-REPORTED IMPORTANT LIFE ACCOMPLISHMENTS BY ADULTS OVER AGE 50
Authors: Yu Wenshan , Smith Jacqui 
Published: January 2025

Abstract
Bluck (2003) proposed that autobiographical memories function to maintain a sense of fulfillment and well-being. In support of this, studies find that older adults prioritize reporting positive early-life content in life narratives. Questions remain however, about the validity of life narratives and whether content prioritization is observed in non-narrative contexts. We utilized data obtained in the Health and Retirement Study (HRS) Life History Mail Survey (LHMS: N = 10496, M age = 69.5) to ask if the content of participants’ narrative reports about personal life accomplishments was associated with the quality (item of missing rates; IMR) of responses to non-narrative retrospective questions about residential, education, job, marriage, caregiving, and health histories. Content analyses of the life accomplishment narratives revealed 16 topics relevant to autobiographical life history content (interrater reliability=0.921). Compared to HRS participants who did not provide narrative life accomplishments, those who did had higher cognitive status and more years of education (cognitive status OR=1.04, p&lt; 0.001; education OR=1.02, p&lt; 0.001). Multinomial regressions indicated gender-related narrative content differences: whereas men reported career-related accomplishments, women prioritized accomplishments such as children, marriage, and pride in self (OR=6.17 p&lt; 0.001). Linear regressions revealed that when participants mentioned corresponding accomplishments (i.e., about education, career, care for others, health, and marriage), their IMRs significantly decreased in that section, even after controlling for demographic, socioeconomic, and health variables (p &lt; 0.01). This suggests that the validity and quality of life history data is influenced by participants’ attitudes and beliefs about life in addition to their sociodemographic characteristics.
IMPACT OF A TELEPHONE REMINISCENCE PROGRAM ON THE MENTAL HEALTH OF OLDER ADULTS: A RANDOMIZED WAIT-LIST CONTROL TRIAL
Authors: Shellman Juliette , Yang Yuxuan , Graham Cameron 
Published: January 2025

Abstract
There is increasing evidence that social isolation and loneliness have negative effects on the mental health of older adults. Reminiscence is one example of a cost-effective intervention shown to improve mental health and wellness. A double-blinded randomized controlled trial was employed to test the effectiveness of a telephone reminiscence intervention on mental health outcomes in community-dwelling older adults. The telephone-based program (STORII) is designed to provide a service that automatically calls older adults three times a week asking them meaningful questions about their lives. Responses are recorded over the phone and automatically transcribed. Participants in the intervention group received 3 phone calls per week for 6 weeks. The primary outcome, mental health, was measured by the Mental Health Continuum Scale (MHC). After baseline assessment, eligible participants (N=90) were randomized to either the telephone simple reminiscence intervention (n=41) or 6-week wait-list group (n=39). All participants in the wait-list control subsequently received the telephone reminiscence intervention. An ANCOVA model was run to measure the treatment effect of the intervention, controlling for differences in baseline demographic variables between the groups. Results showed a significant improvement in the psychological well-being dimension of the MHC. Findings support of the use of a telephone reminiscence program for improving the psychological well-being dimension of mental health in older adults. Non-significant findings in the social and emotional well-being dimensions may be due to the length of the intervention. No adverse reactions were reported by any of the participants. Clinical trial registry number NCT05977608.
VIEWS ABOUT LIFE AFTER LIFE REVIEW: FROM LIFE REVIEW LEADERS’ PERSPECTIVES IN TAIWAN
Authors: Lin Yi-Hsiu , Kuo Tsuann 
Published: January 2025

Abstract
Guided Autobiography by Birren and Deutchman (1991) was developed and implemented as an evidence-based Life Review Program in Taiwan for over ten years. Using life course perspective, older adults were exposed to weekly topic and guided to reflect their life events. The purpose of this paper was to evaluate the impact on views about life between older adults and their program leaders after a ten-week session. This study used a mixed-method methodology to evaluate the effects of life review program on the leaders’ themselves and the older adults they served. A survey was conducted to ask leaders about the changes in older adults’ well-being, followed by qualitative interviews. Over 80 Life Review Leaders participated in this study with 87.32% were female and over 84.51% with at least a college degree. This program helped older adults communicate with family members and strengthen family bonding as well as having the courage to overcome negative events in life. The participants shared many episodes and observations that they saw older adults used each session to reflect the up and down sides of life. Older adults were able to integrate their past and forsee positive to the future life. In condusion, the structured Life Review Program helps older adults reduced depression and isolation, increased confidence and better views about self. Both clinical and policy implications can be generated to help older adults live life and face the future more positively.
BEYOND FALLS: HOW DO FALL PREVENTION PROGRAMS BENEFIT THE COMMUNITY?
Authors: VanderWerf Jess 
Published: January 2025

Abstract
This mixed methods research investigates the Co-Responder Program in Marion County and the CARES program in Pinellas County, Florida. It assesses their effectiveness in reducing fall-related injuries and mortality among older adults by analyzing community surveys administered to frequent 911 callers who subsequently participated in these programs and data from the counties and the state. The study explores the broader benefits of these programs beyond fall prevention, including their impact on reducing 911 calls and alleviating strain on community resources. In Pinellas County, about 65.22% of participants in the CARES program didn’t make any 911 calls post-enrollment, showcasing its effectiveness. Among those who still made calls, there was a 25.43% reduction in total calls. In Marion County, a sub-sample of 12 individuals used 1,330 hours of the sheriff’s office time for non-emergencies in 2021. Through the Co-Responders Program, there was an impressive 54% decrease in calls from these individuals. Further research is needed to understand the long-term impacts of these programs for the aging population while also standardizing what is and isn’t needed in one of these programs for effectiveness. The implications of this research show a growing need to expand training for first responders as it relates to aging issues as it relates to the potential for education in this research. These programs hold the potential to be implemented nationwide, thus freeing up community resources. However, to realize this future policy direction, a deeper understanding of these programs is imperative.
INDUSTRY–ACADEMIA COLLABORATION PROJECT FOR CREATION OF A LEARNING HEALTH SYSTEM FOR OLDER CARE: A CASE STUDY
Authors: Ishii Keiko , Noguchi-Watanabe Maiko , Fukui Sakiko 
Published: January 2025

Abstract
The study aimed to establish a learning health system wherein artificial intelligence, the Internet of Things, and healthcare professionals collaborate to promote the well-being of older adults, families, and the healthcare professionals involved in older care. This case study seeks to elucidate the roles and challenges encountered by researchers within this industry- academia collaborative project. By employing the Project Management Body of Knowledge’s (PMBOK’s) 12 management principles (stewardship, team, stakeholders, value, system thinking, leadership, tailoring, quality, complexity, risk, adaptability and resiliency, change) as the analytical framework. As a preliminary step toward the main project, a joint research agreement with the relevant company in January 2022 was concluded, a comprehensive cooperation agreement in October of the same year, and commenced the project in April 2023. The project team comprised three researchers (home care nursing), four staff members (open innovation center and Industry-Academia Collaboration Division) from the university, and two employees from the company. The researchers participated in monthly meetings and proposed a research plan and strategies to utilize the research outcomes of the new company. To determine the number of visiting nurse users, we calculated the expected number of users at our university hospital. We also discussed the variables to be utilized in the algorithm development. An analysis based on the 12 principles reveals that although researchers tended to implement values and systems thinking, they had difficulties with other members regarding team and leadership. This research provides insights for project implementation for researchers promoting collaborative industry-academia research.
ASSESSMENT OF SUBJECTIVE SEXUAL EXPERIENCES OF OLDER ADULTS
Authors: Steckenrider Janie 
Published: January 2025

Abstract
There is extensive research focusing on sexual dysfunction, decreased frequency, and sexual effects of aging, however few studies explore older adults’ subjective sexual experiences. Consequently, ageist myths prevail that older adults are neither sexually active nor desirous and the quality of their sexual activity must be extremely poor due to dysfunction and older bodies. The aim of this study was to determine how older adults assess their sexual experiences, what aspects are important, and their sexual outlook through survey research with a sample of individuals age 60+ (N=556). The results found older adults are overwhelmingly positive about their sexual experiences along with a realistic recognition of aging effects. Almost all, 85%, are sexually active, partnered and/or solo sex. Satisfaction is high indicated by 45% extremely/very satisfied with both quality and frequency and by a majority rating recent sexual experiences above average on a 1 to 10 scale and a third ranking it as “great sex” (8+). Their positivity is further evidenced as 80% describe their recent sexual experiences as fun and 67% answered exciting, despite 60% also recognizing it is predictable and more challenging, and 72% admitting it’s not their best sex ever. Sexual desire remains high as the majority look forward to their next sexual experience and 70% anticipate an unlimited number of orgasms in their future. Consistent trends were found across all 4 age groups. This study’s findings are significant for reframing the myths and demonstrating that older adults are sexually interested and having overwhelmingly positive sexual experiences.