bluuebunny/crossref_metadata_2025_split huggingface dataset:
INTIMATE PARTNER VIOLENCE AMONG US OLDER IMMIGRANTS: WHAT ARE THE ODDS?
Authors: Machinga-Asaolu Rujeko , Park Yanghyun , Showalter Kathryn 
Published: January 2025

Abstract

Background
Intimate partner violence (IPV), a subtype of domestic violence, is a pervasive global problem with life-long impacts. Among U.S. older adults, the prevalence of psychological IPV (PAIPV) is 2.1%, and physical IPV (PVIPV) is 0.8%. Sadly, underrepresented individuals, including immigrants, have less access to resources that can serve as IPV protective factors. Due to the growing immigrant and older population in the U.S., it is essential to identify their unique IPV characteristics. Objective and Method: This study used and analyzed the latest publicly available cross-sectional data from the National Intimate Partner and Sexual Violence Survey 2016/17 (n=10,957) of a selected national sample of English and Spanish-speaking immigrants (n=1,121) to identify their odds of experiencing PAIPV or PVIPV-based on identified demographic characteristics, including age. Additionally, of interest and identified was the prevalence of PAIPV and PVIPV among older immigrants 65+ years (n=124).

Results
Contrary to the literature, among older immigrants aged 65+ years, PVIPV (10.7%) was more prevalent than PAIPV (9.1%). In an adjusted regression model for PAIPV at 95% CI, Spanish and/or English-speaking immigrants aged 65+ years were 3.147 [1.065, 9.299] significantly more likely to experience PAIPV than younger immigrants. However, age was not significantly associated with PVIPV. To conclude, IPV presents itself in unique etiologies among older immigrants. This study is an initial step toward using national data to understand IPV better for a combined male and female sample of older immigrants in the U.S. Further discussed will be the distinct differences in the study findings.
SHARING INSIGHTS: INTRODUCING BRAIN HEALTH RESEARCH TO LA COMUNIDAD LATINA IN NORTH CAROLINA
Authors: Chanti-Ketterl Marianne , Welsh-Bohmer Kathleen , Royo Sofia , Plassman Brenda 
Published: January 2025

Abstract
Alzheimer’s disease disproportionally impacts the Hispanic/Latino(a)x (hereafter Latino) community. Ensuring Latino representation in brain health research is essential for understanding how brain disorders affect this diverse population. However, recruiting Latinos into research studies presents multifaceted challenges, including structural inequities, cultural beliefs, values (i.e. faith and family beliefs), and immigration status. Within the North Carolina Registry for Brain Health (NC Registry), we have achieved a twofold increase in Latino enrollment within a year by effectively utilizing existing resources and targeting upstream factors, such as diversifying staffing and collaborators. Increasing the diversity of the NC Registry offers research opportunities to a broader group and supports researchers’ efforts to enroll a diverse sample. During this symposium, we will present strategies employed to effectively involve Latinos in the NC Registry, educational initiatives focusing on brain health, and various forms of community engagement. Additionally, we will delineate the pathway from NC Registry participation to enrollment in research studies and elucidate the participant tracking methodology employed. This methodology is key to ensuring that individuals are contacted for the appropriate studies and are not overburdened with multiple requests in a short period of time. Furthermore, we will discuss how this foundational work contributes to fostering community trust and increasing interest in engaging in research studies supported by the Duke-UNC Alzheimer’s Disease Research Center. We will conclude by offering recommendations for recruiting and retaining Latinos in brain health research.
SELF-MONITORING VIA WEARABLE SENSOR AND DAILY STEPS AMONG PEOPLE WITH MCI AND CARE PARTNER DYADS
Authors: Hoffman Rashelle , Murphy Blake , Phatak Vaishali , Ehlers Diane , Monin Joan 
Published: January 2025

Abstract
Physical inactivity is a modifiable risk factor for Alzheimer’s Disease and Related Dementias (ADRD) that can be remediated using remotely delivered interventions. The 12-week telerehabilitation physical activity behavioral (TPAB) intervention includes receipt of a wearable sensor and weekly discussions about physical activity self-monitoring, goal setting, facilitators, and barriers. TPAB has been shown to be feasible and efficacious in increasing daily steps in older adults. However, evidence is lacking for TPAB’s use for people with MCI and using a dyadic approach (i.e., with their care partners). Results from the first phase of our study include descriptive information from two dyads about (1) dyad member interaction with the wearable sensor (i.e., how knowing the current daily step count impacted activity), (2) how dyad members helped each other overcome individual or shared barriers to daily stepping and (3) how dyad members planned activities together to achieve high daily average stepping. This project quantitatively identified (1) the highest stepping day each week was the same for both dyad members 46% of the time (2) the frequency of both dyad members meeting individual weekly stepping goals was 81% compared to just one dyad member or no dyad member reaching the weekly step goal. This project revealed barriers using wearable sensor technology (i.e., not looking at or wearing the wearable sensor). Our discussion will focus on how to enhance meaningful interaction with technology in dyads to track daily stepping that can be applied to improve behavioral change in people with MCI and care partners.
EVALUATING IN-HOME ASSISTIVE TECHNOLOGY FOR DEMENTIA CAREGIVERS: CHALLENGES AND OPPORTUNITIES
Authors: Chen Kuan-Hua , Scheffer Julian , Yee Claire , Merrilees Jennifer , Moss David , Hinderberger Brian , Wang Gene , Levenson Robert 
Published: January 2025

Abstract
Dementia caregivers are at heightened risk for developing mental and physical health problems. Interventions designed to protect caregiver health often create additional demands on time and energy (e.g., exercise programs). Technology-based interventions (e.g., remote monitoring) can be effective, scalable, and do not add greatly to caregiver burden. Through a collaboration with a local technology company, Care Daily, we conducted two randomized controlled trials to evaluate People Power Caregiver (PPCg), a system of sensors in the home connected to cloud-based AI that alerts caregivers about worrisome deviations from normal patterns (e.g., care-recipient’s falls, wandering). Across two studies (study 1: 9-month duration with professional installation of PPCg; study 2: 6-month duration with caregiver self-installing the PPCg using remote tech support), 284 caregivers were recruited; 261 completed initial study deployment (e.g., system installation); and 235 completed the entire study protocol. Use of PPCg was associated with (a) reduced caregiver anxiety in study 1; (b) greater protection from declines in sleep efficiency in studies 1 and 2. These findings underscore the promise of technology-based intervention to mitigate health problems in dementia caregivers. However, challenges and complexities in recruitment (e.g., remote consenting both caregivers and care recipients), retention (e.g., due to changes in home environment or caregiving status), system installation (e.g., working with caregivers with less experience using technology), data quality assurance (e.g., invalid sensor data) as well as our efforts to overcome these challenges have been instructive. Lessons learned from these studies can provide useful guidance for future large-scale, technology-based interventions for dementia caregivers.
WORKING LIFE EXPECTANCY OF OLDER ADULTS: FINDINGS FROM ASIA AND THE AMERICAS
Authors: Malhotra Rahul , Visaria Abhijit 
Published: January 2025

Abstract
With a growing focus on productive ageing, including engagement in work, it is important to assess its extent across key demographic sub-groups within a country, and if feasible, across countries. This will help identify disadvantaged sub-groups in the context of productive ageing. Working life expectancy (WLE; years of remaining life one can expect to work at a given age), a population-level indicator of productive ageing, allows one to capture variation in the duration of working life due to societal, legislative, and economic considerations. The four presentations in this symposium provide empirical findings on WLE from nationally representative longitudinal studies of middle-aged and/or older adults from countries in Asia or the Americas. The first, from Japan, projects WLE till 2050 and highlights the role of policy interventions in increasing it. The second, from Mexico, observes strong sex disparity in WLE, underscoring the need for policies to promote women’s work participation. The third from Chile, where mandatory retirement age is lower for women, finds disparity in WLE at retirement age not by sex but by working status, highlighting mandatory retirement age’s influence on WLE. The fourth from Singapore, using data from two longitudinal cohorts, observes maintenance of sex disparity (disfavoring women) but reversal of education disparity (disfavoring those with lower education) in WLE over time. Collectively, they highlight variability in WLE at older ages within and across countries, in terms of absolute or relative (to life expectancy) WLE, disparities in in WLE, and potential options for policy focus for increasing WLE.
PROJECTING WORKING LIFE EXPECTANCY TO 2050 AMONG OLDER ADULTS IN JAPAN
Authors: Visaria Abhijit , Saito Yasuhiko 
Published: January 2025

Abstract
With sustained low fertility rate and continued population ageing, the prospect of a shrinking labor force is a key challenge facing Japan. It is of interest to compare two possible scenarios which may result in an increase in the expected years of life spent working (working life expectancy, “WLE”) at older ages: a natural impact of further reductions in mortality, or the impact of extending the mandatory retirement age from 65 to 70 years, as currently being considered by the government. We first estimated WLE among older adults aged 65 years and older using data from five waves of a representative longitudinal survey (1999-2009), applying multistate life table methods. Then, we projected WLE to 2050 by assuming a constant transition schedule between working states (working/not working) but improving age-specific mortality rates (as projected by the UN Population Division). We then simulated the impact of an increase in the mandatory retirement age to 70 years. WLE at age 65 years, based on the longitudinal data, was 4.6 years for men and 3.5 years for women. Improvements in mortality yielded an estimated WLE at the age of 65 in year 2050 of 4.9 years for men and 3.7 years for women. Increasing the retirement age to 70 years increased WLE at age 65 by about 1.5 years for men and 1.6 years for women, by 2050. Our results indicate the value of increasing mandatory retirement age to 70 years as a policy intervention to increase WLE among older adults in Japan.
INCORPORATING SDOH INTO TRANSITIONAL CARE OF OLDER ADULTS: A THEORETICAL PERSPECTIVE
Authors: Osokpo Onome , Hirschman Karen , Shaid Elizabeth , McCauley Kathleen , Naylor Mary 
Published: January 2025

Abstract
There is solid evidence that Social Determinants of Health (SDoH) contribute to poor patient health outcomes after hospitalization and that transitional care can prevent these adverse outcomes. However, using a standardized strategy for transitional care intervention will result in missed opportunities to enhance positive outcomes for older individuals with chronic illnesses, particularly minority older adults who are greatly affected by adverse SDoH (e.g., food insecurity). Hence, for any transitional care intervention to be effective, it must be adaptable to identify and tackle SDoH issues. In this paper, using the lens of the five domains of the Health People 2023 SDoH framework (Economic Stability, Education Access and Quality, Health Care Access and Quality, Neighborhood and Built Environment, and Social and Community Context), we demonstrate how SDoH can be integrated into an evidence-based transitional care intervention to prevent adverse events such as avoidable emergency room visits and rehospitalization and enhance positive outcomes for patients as they transition from hospital to home or other health care settings. Specifically, we highlight opportunities for the transitional care intervention teams and the health care systems to identify and mitigate SDoH factors using the Transitional Care Model intervention (TCM), a practical and adaptable transitional care intervention, to reduce adverse events and reduce health disparities and health inequities.
ADAPTING A CAREGIVER TRAINING PROGRAM TO SUPPORT EQUITABLE IMPLEMENTATION DURING CARE TRANSITIONS
Authors: Nguyen An , Roberts Pamela , Davidson Leslie 
Published: January 2025

Abstract
Transitions in care (TOC) interventions can improve transitional care processes and reduce hospital readmissions in the general older adult population. People living with dementia (PLWD) are often excluded from TOC intervention studies due to the potential for cognitive impairments to interfere with the intervention’s theorized mechanisms of change. Given that PLWD experience worse health outcomes following hospitalization and more frequent, costly transitions in care, there is an urgent need to develop targeted TOC interventions specifically tailored to meet the needs of this population. To address this gap, we propose to adapt, implement, and evaluate the Home Environmental Skill-Building Program (ESP) to address the needs of PLWD and their care partners during hospital-to-home transitions. Developed and tested in prior NIH-funded randomized controlled clinical trials (grant numbers: R01AG10947 and U01AG013265), ESP is a caregiver skills training program delivered by an occupational therapist for at-home management of self-care deficits and behavioral problems due to dementia. A health equity-centered approach will be used to adapt the ESP intervention protocol to address the needs of care partners whose primary language is not English, a group at greater risk of receiving poorer quality transitional care. Strategies will be shared through which intervention adaptations may address language and cultural barriers, as social determinants of health, towards ameliorating health disparities during care transitions experienced by PLWD and care partners for whom English is not their primary language.
OPTIMIZING CARE TRANSITIONS FOR OLDER ADULTS: A COLLABORATIVE APPROACH THROUGH INTERPROFESSIONAL EDUCATION
Authors: Dews Denise 
Published: January 2025

Abstract
Optimizing care transitions for older adults is a critical aspect of healthcare delivery, particularly given the complex needs and potential social vulnerabilities of this population. Transitioning between different healthcare settings, such as hospitals, rehabilitation facilities, and home care, can be challenging and increase the risk of adverse events for older adults. Interprofessional Education (IPE) offers a collaborative approach to addressing these challenges and improving care transitions for older adults. IPE involves bringing together students and professionals from multiple healthcare disciplines to learn with, from, and about each other to improve collaboration and the quality of patient care. By fostering teamwork, communication, and mutual respect among healthcare providers, IPE can enhance the coordination and continuity of care for older adults during transitions between different care settings. Key strategies for optimizing care transitions for older adults through a collaborative approach with IPE include a team-based approach, comprehensive assessment, care coordination, communication and information sharing, patient and caregiver education, and follow-up and support. By adopting a collaborative approach through IPE, healthcare providers can enhance the quality, safety, and effectiveness of care transitions for older adults, ultimately improving health outcomes and quality of life for this vulnerable population. This presentation will offer strategies for adopting a collaborative approach through Interprofessional Education, thus promoting quality, safety, and effectiveness of care transitions for older adults, ultimately improving health outcomes and quality of life for this vulnerable population.
RESILIENCE AND PERCEIVED ORAL HEALTH AMONG OLDER CHINESE AMERICAN IMMIGRANTS: THE ROLE OF SOCIAL SUPPORT
Authors: Jiang Nan , Zhang Wei , Wu Bei 
Published: January 2025

Abstract
Improving the oral health of older immigrants is a critical public health priority in the United States. However, the role of children’s support in this context has received limited attention. This study aims to investigate the relationship between support from adult children and perceived oral health among both foreign-born and U.S.-born Chinese Americans. Additionally, we explore the mediating role of resilience. We analyzed data from a sample of 377 Chinese American older adults aged 55 or older in Honolulu, Hawai’i. Utilizing structural equation models, we compared self-rated oral health and oral health problems between foreign-born and U.S.-born Chinese Americans. For foreign-born participants, greater emotional support from children was directly associated with better perceived oral health. Furthermore, this emotional support was indirectly linked to perceived oral health through resilience. In contrast, for U.S.–born Chinese Americans, financial support from children was directly related to worse perceived oral health. This study provides evidence for resilience pathways that connect social support from children to older immigrants’ oral health. Encouraging adult children in Chinese immigrant families to educate their older relatives about oral diseases and dental care can enhance the oral health-related quality of life for older Chinese immigrants.
MEASURING ORAL HEALTH-RELATED QUALITY-OF-LIFE MEASURES IN ADULTS: DIRECTIONS FOR FUTURE APPLICATIONS
Authors: Zhu Zheng , Wang Jing , Wu Bei 
Published: January 2025

Abstract

Background
To identify the construct of oral health-related quality of life (OHRQoL) in published measures for adults and assess the psychometric properties of these measures.

Methods
Nine databases were searched from inception of each database up to July 1st, 2023. Methodological quality was assessed by using the Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN) Risk of Bias Checklist. Thematic analysis was used to summarize all detected instruments, items domains and questions with regard to their wording, scales and the domains of OHRQoL. We used the COSMIN criteria to summarize and assess the psychometric properties of each PROM.

Results
A total of 50 PROMs were identified. Six relevant domains that represent construct of OHRQoL: (1) pain/discomfort; (2) oral diseases and disorders; (3) functional limitation; (4) oral hygiene; (5) oral hygiene behavior; and (6) psychosocial impact. All studies were considered to have adequate methodological quality in terms of content validity, construct validity, and internal consistency. Limited information was retrieved on cross-cultural validity, criterion validity, reliability, hypothesis testing, and responsiveness. High-quality evidence on psychometric properties was provided for the oral health impact profile (OHIP), Geriatric Oral Health Assessment Index (GOHAI), and Oral Impacts on Daily Performances (OIDP).

Discussion
We encourage the use of the identified six domains to enhance the development and adaptation of instruments for different health systems. OHIP, GOHAI, and OIDP are recommended for evaluating OHRQoL in adults, both in research and clinical practice, based on the specific aims of assessments and the response burden for participants.
CREATING OPPORTUNITIES TO IMPROVE AGE INCLUSIVITY IN HIGHER EDUCATION: AN INNOVATIVE EDUCATION PROGRAM EXAMPLE
Authors: Porter Michelle 
Published: January 2025

Abstract
The Centre on Aging at the University of Manitoba (UM) leads the UM Age-friendly University (AFU) Committee and has taken on many initiatives to enhance the age inclusivity of the University, since 2016. In 2021, the Centre held a competition called the Age-friendly University Initiative Fund, which was open to all academic and non-academic units at UM. Funded projects related to campus wayfinding (Architectural & Engineering Services and the Office of Sustainability), inter-generational arts presentations/workshops (School of Art Gallery), technology training (Alumni Relations), and the development of a micro-certificate on Facilitating Older Adult Learning (FOAL; Faculty of Extended Education). This presentation will provide an overview of the Age-friendly University Initiative Fund and its collaborative process of working with funded projects, as well as provide specific details on the development and implementation of the micro-certificate. The FOAL micro-certificate provides a professional development opportunity to take three modules online: older adult development, universal design for learning, and using technology for teaching and learning with older adults. In total there are 36 contact hours for this credential that can be completed in a flexible fashion. The goal of the micro-certificate is to enable individuals to work more effectively with older adults to support their learning, across a broad range of learning environments (e.g., lifelong learning programs, senior centers, health care and therapy settings). Cross-unit collaboration is critical for the effective development and implementation of initiatives to improve age inclusivity across multiple domains such as those described in this presentation.
STUDENT SERVICES ON CAMPUS: SUPPORTING OLDER STUDENTS
Authors: Galucia Natalie 
Published: January 2025

Abstract
Universities are experiencing shifts in age distributions of students and have an increasing need to embrace age-diversity on their campuses. Two recent studies explore this shift in demographics as they focused on staff members in student services and collected data on their perspectives regarding age-diversity and inclusion on campus. The first study involved focus groups with staff in admissions and career services to explore the challenges, opportunities and strategies related to serving an age-diverse student body. Themes regarded both the benefits of age-diversity but also the challenges they face in attracting and supporting older students. A second study involved staff from Diversity, Equity and Inclusion offices at universities across the country. These DEI officers acknowledged age as an identity relevant to the student experience but they did not elevate age bias or discrimination as a priority for their work. In both studies, affinity groups for non-traditionally aged students were suggested as a strategy. Discussion will be included around the experiences with starting a student group, called Next Move, focused on providing resources and support for older students at the Brown School at WashU. Opportunities and challenges for creating support groups for these students will be discussed.