bluuebunny/crossref_metadata_2025_split huggingface dataset:
MACHINE LEARNING APPROACHES FOR FALL PREDICTION IN KOREAN COMMUNITY-DWELLING OLDER ADULTS
Authors: Cho Jungwon , Yang Minhee , Cho Eunhee 
Published: January 2025

Abstract
Falls cause significant physical, psychological, and financial burdens for older adults. They represent the second leading cause of death worldwide. On average, approximately 27% of older adults fall annually. To prevent fall-related injuries, identifying older adults at risk for falls and engaging them in fall-prevention interventions are important measures. This study aimed to develop and evaluate the fall prediction model for older adults in the community with machine learning approach. A total of 9,884 participants were included in the analysis from the 2020 Korean National Survey of Older Adults. The dataset included 48 predictor variables, including demographics, health status, health behavior, and environmental factors. We employed several prediction models, including logistic regression, decision tree, random forest, and support vector machine. Synthetic minority oversampling technique (SMOTE) approaches were employed to address class imbalance. The area under the receiver operating characteristic curve (AUC) ranged from 0.84 to 0.98 across four algorithms. The random forest model had the highest AUC value of 0.98, followed by logistic regression (0.91), support vector machine (0.91), and decision tree (0.84). Marital status, the presence of visual impairment, economic activity status, sex, and diagnosis of hypertension were the five most important features for predicting falls. Our findings suggest that machine learning methods can accurately identify older adults at a high risk for falls, potentially enabling early interventions and targeted preventive measures. This approach could ultimately lead to reductions in fall-related injuries and healthcare costs and improvements in the overall quality of life of older adults.
SYMPTOM BURDEN AND RECURRENT FALLS IN OLDER CANCER SURVIVORS: A LONGITUDINAL POPULATION-BASED STUDY
Authors: Bae Myeongjin , Patel Kushang , Gell Nancy 
Published: January 2025

Abstract
Older adults with a cancer history may be at greater fall risk as activity-limiting symptoms from cancer and cancer treatment often persist, even after treatment has ended. Therefore, we aimed to prospectively determine the effects of pain, fatigue, and sleep difficulty on fall risk in older adults with a cancer history. Data from the National Health and Aging Trends Study Rounds 1-5 (2011-2015) were analyzed. The study sample (n=1443) was limited to community-dwelling Medicare beneficiaries who self-reported any history of cancer, other than skin cancer only. Symptoms were assessed through questions regarding pain, fatigue, and sleep difficulty. The main outcome measure was the cumulative incidence of recurrent (≥2) falls in at least one year from 2011. All analyses were weighted and accounted for complex sampling design. Incidence of recurrent falls was significantly higher among those with pain, fatigue, and sleep difficulty. In adjusted models, compared with those with no symptoms, the adjusted risk ratios for recurrent falls were 1.80 (95% confidence interval [CI] = 1.31–2.48), 2.10 (95% CI = 1.61–2.75), and 1.66 (95% CI = 1.25–2.20) for older cancer survivors with pain, fatigue, and sleep difficulty, respectively. For those with all three symptoms, the adjusted risk ratio for recurrent falls was 4.58 (95% CI = 2.82–7.42), compared to those with no symptoms. This study revealed the significant impact of aging and cancer-related symptoms on fall risk in older adults with a cancer history. Reducing symptom burden is needed to mitigate fall risk in this population.
THE ASSOCIATION BETWEEN PATIENT-LEVEL PROACTIVITY AND RISK OF CANCER-RELATED FALLS
Authors: Lu Chuan , Zheng Qianyan 
Published: January 2025

Abstract
Cancer-related falls are prevalent among elder patients given physiological and functional compromise undergoing formidable antineoplastic treatment process. However, effective fall prevention can be challenging without a clear risk-navigating system and sufficient patient self-awareness. The purpose of this cross-sectional study was to evaluate fall-related burden and identify potential risk factors among elders undergoing active cancer treatment, based on the public Medicare Health Outcome Survey (MHOS) collecting patient-reported outcomes provided by Medicare health programs in the United States. The study compared the distributions of clinically implemented fall prevention and patient proactive consultation regarding fall management using beneficiaries from 2018 (14937; 6.55%) to 2022 (21683; 7.74%) undergoing active cancer treatment. Multivariable-adjusted logistic regressions were performed using 2022 cohort to explore potential risk factors of falls. Fall occurrence rates sustained around 30%. Patient’s consultation rate revealed a significant growth over the 5-year period (2018: 29.39% vs. 2022: 34.27%; p&lt; 0.001), while prevention implementation rates were without significant change. Lung cancer (OR=1.995, 95%CI=1.803-2.208) and colon cancer (OR=1.648, 95%CI=1.478-1.837) were associated with greater risk of falls compared to non-cancers. Patients who were advised to increase physical activeness (OR=0.719, 95%CI=0.664-0.779) and with active fall consultants (OR=0.171, 95%CI=0.157-0.186) exhibited significantly lower fall occurrences. This study substantiated the potential role of proactive measures, namely promoting patient’s physical activeness and risk awareness, in reducing fall risk among elders under antineoplastic treatment. Colon or lung cancer may be priority risk identifiers for fall prevention. Future prospective trials are warranted to establish clearer clinical guidance to minimize fall risks targeting elder cancer populations.
A BALANCING ACT: QUALITATIVE DESCRIPTIONS OF DAILY STRESS AMONG BLACK AND WHITE DEMENTIA CAREGIVERS
Authors: Eagle Angelica , Weber Emma , Noyer Emily , Turkelson Angela , Birditt Kira 
Published: January 2025

Abstract
ADRD caregiving is often stressful and time consuming, having potentially negative implications on the lives of caregivers. This qualitative study described negative daily experiences among ADRD caregivers, considering variations by relationship type and race. Participants from the SWELCare study included 159 ADRD caregivers (97 White, 62 Black) comprising 52 child caregivers, 91 spouse/partner caregivers, and 16 other family or friend caregivers, aged 21 to 86 (M = 62.72, SD = 12.34). Caregivers completed up to 5 interactive voice response interviews for 5 consecutive evenings, providing open-ended responses regarding their most negative event that occurred that day. The data revealed 7 major themes with the most frequently reported regarding: 1) caregiving responsibilities, followed by 2) other daily problems, 3) interpersonal tension with their care recipient, 4) study participation, 5) interpersonal tension with others, 6) physical health problems, and 7) emotional health problems. Over half of the responses included 2 or more themes, indicating negativity across multiple domains. The majority of the descriptions involved issues outside of caregiving tasks. Additionally, White caregivers were significantly more likely to report tension with care recipients than Black caregivers (30% vs 19%). Further, spousal/partner caregivers were significantly more likely to report tension with care recipients than adult child caregivers (31% vs 19%), which suggests interpersonal tension with care recipients vary by race and relationship type. These data identify areas outside of caregiving responsibilities that caregivers may need assistance with, which provides potential targets for improving caregivers’ daily lives.
ADVANCING RESPITE RESEARCH TO SUPPORT FAMILY CAREGIVERS OF OLDER ADULTS
Authors: Whitmore Kim , Swanson Sarah 
Published: January 2025

Abstract
One of the most frequently expressed needs of family caregivers of older adults is respite – a temporary break from the responsibilities of caregiving. ARCH National Respite Network and Resource Center (ARCH) has advanced efforts to enhance the respite evidence base to assist with sustainability, promote continuous quality improvement, and help translate research into best practices. The Committee for Advancement of Respite Research (CARR) advises ARCH on the execution of its respite research initiative and is comprised of former members of the ARCH Expert Panel on Respite Research, research scholars and evaluators, and foundation representatives. This session will highlight the efforts of the CARR to address the following identified priority areas: • Define and measure the value (cost-effectiveness) of respite; • Recommend common data elements (CDE) for respite-related research; and • Expand culturally appropriate research with historically underrepresented populations This session will also provide an overview and discuss the application of the following products that have developed from the work of the CARR: • Measuring the Value of Respite which includes a proposed framework for research; • Recommended Common Data Elements (CDEs) for Respite-related Research; • Resources for Culturally and Linguistically Competent Respite Research; and • Ensuring Cultural and Linguistic Competence: A Guide for Respite Researchers. Finally, we will highlight how this work aligns with the research recommendations in the 2022 National Strategy to Support Family Caregivers.
LIFE COURSE APPROACH TO CAREGIVING FOR AGING PARENTS: THE ROLE OF ADVERSE CHILDHOOD EXPERIENCES
Authors: Kong Jooyoung , Robert Stephanie , Fletcher Jason 
Published: January 2025

Abstract
The high strain and burden of caring for aging parents have been well-documented. Few but growing studies have found the effects of earlier distal factors, such as childhood maltreatment, on negative mental health for caregivers of aging parents. Taking a life course approach to intergenerational caregiving, this study examined the long-term impact of adverse childhood experiences (ACEs) on adult caregivers of aging parents. Using data from the Midlife in the United States (MIDUS), we analyzed a sample of 412 caregivers of aging mothers. We conducted a series of latent class analyses (LCA) for a holistic assessment of the patterns of ACEs among the caregivers. Respondents’ exposure to ACEs available in MIDUS included parental neglect, emotional abuse, physical abuse, sexual assault (perpetrator not specified), living with a household member with a substance use issue, and parental divorce/separation/death during childhood. Among the caregivers of mothers, we identified a five-latent-class structure: No/low ACEs (60%), Neglect and Household Challenges (12%), Paternal Abuse (5%), Parental Physical Abuse (16%), and Substantial ACEs (7%). The respondent’s education was significantly associated with latent class membership. Caregivers in the Substantial ACEs class showed consistently worse physical and mental health than those in the No/low ACEs class. The current study contributes to raising awareness of adult-child caregivers who experienced childhood trauma, who may deal with accumulated disadvantages from childhood adversities, their potential correlates, and current caregiving. Further investigations will help find ways to reduce ACEs’ impact in order to promote the health of these caregivers and strengthen their well-being.
PERCEIVED EXPERIENCES OF MINORITIZED FAMILY DEMENTIA CAREGIVERS IN MENTALIZING IMAGERY THERAPY
Authors: Zea Miranda , Gutierrez-Ramirez Paulina , Gomez Liliana Ramirez , Dueck Kimberly , Melero-Dominguez Maria , Jain Felipe 
Published: January 2025

Abstract
Family dementia caregivers often experience stress and caregiver burden as a result of their responsibilities. Specifically, family dementia caregivers from racial and same sex minoritized groups face challenges including a lack of access to culturally concordant resources. Mentalizing Imagery Therapy (MIT) is a new mindfulness and guided imagery therapy that is designed to enhance self and other understanding, and alleviate psychological symptoms. We aimed to describe the perceived impact of MIT on three minoritized caregivers: a Black female, an Asian male, and a White gay female partnered to a Black woman. Across virtual and in-person trials of MIT (n=99), the proportion of racial and ethnic minority individuals was ~70%, and at least 4% sexual minorities. MIT comprised four, weekly, two-hour sessions, incorporating mindfulness and imagery exercises. Semi-structured exit interviews were conducted for perceived experiences by two independent raters, and consensus achieved. We purposefully selected three participants who could clearly express their thoughts and who described cultural factors for in-depth examination. Individuals from minoritized groups participating in MIT reported experiencing positive changes in well-being and an increased capacity for mentalization in relation to themselves and others (particularly the person living with dementia). They also reported gaining insights into unique cultural factors that impacted caregiving. These results suggest potential promise of MIT for aiding the distinct challenges confronted by minoritized family dementia caregivers. Participants demonstrated heightened well-being, and an increased capacity for mentalization. Future research should validate these findings with minority populations in larger samples.
THE HEALING POWER OF COMPASSIONATE LOVE: LATER-LIFE CAREGIVING STATUS AND MENTAL HEALTH IN THE UNITED STATES
Authors: Lekhak Nirmala , Bhatta Tirth , Kamanga Foster , Fernandes Cecilia , Kahana Eva 
Published: January 2025

Abstract
The detrimental effects of family caregiving on mental health have been extensively established, with research focusing on emotional support as a mechanism to explain these relationships. However, previous research has not investigated such mechanisms across caregiving statuses especially among older caregivers. Furthermore, the significance of compassionate love in understanding the negative impacts of caregiving on mental health lacks attention. Using nationwide web-based data (n=1,861), we examined the unique role of compassionate love in explaining the differences in depressive symptoms, anxiety, and loneliness across caregiving status. Our ordinary least squares regression (OLS) estimates indicate that not caregivers, former caregivers, and caregivers who were not living with care-recipients (caregivers not in-residence) had significantly lower levels of anxiety, loneliness, and depressive symptoms than caregivers who were living with care-recipients (caregivers in-residence), with the most notable difference observed in loneliness. After controlling for socioeconomic status, health, and emotional support in our models, compassionate love entirely accounted for the remaining differences in depressive symptoms and anxiety between caregivers in-residence and not caregivers. Additionally, it fully explained the remaining differences in loneliness between former caregivers, caregivers not in-residence, and those living with them. Although considerably weaker (changed from b=-0.48, p&lt; 0.001 to b=-0.38, p&lt; 0.01), the loneliness gap between not caregivers and caregivers in-residence remained statistically significant even after accounting for love. Our findings highlight the importance of recognizing differences in caregiving status when designing future interventions to improve family caregivers’ feelings of love and mental health in later life.
THE PARADOX OF PAID CARE: BENEFITS AND CHALLENGES FOR SPOUSAL CAREGIVERS’ EMOTIONAL WELL-BEING
Authors: Fontaine Leslie , Savla Jyoti , Roberto Karen 
Published: January 2025

Abstract
Recent research suggests that social factors may buffer negative outcomes of caregiving, including social isolation. In particular, spouse caregivers of partners living with moderate to severe dementia (PLwD) often find themselves confined to their homes, which reduces their opportunities for social interactions and intensifies feelings of loneliness and caregiver stress and burden. For many spouse caregivers, their primary in-person interactions are with paid caregivers. The aim of this study was to investigate if the use of paid helpers mitigated feelings of loneliness and overload among caregivers. Fifty-one rural spouse caregivers (61% wives, 98% White, 87% residing only with PLwD), answered structured interview questions that assessed their levels of loneliness, role overload, and degree of assistance from paid helpers. Low levels of overload and loneliness was experienced by 16% spouses, with 88% of them not utilizing paid services. In contrast, 65% of spouses reported significant levels of both overload and loneliness. Within this group, 62% of wives used paid helpers, whereas 75% of husbands did not. Multinomial regressions indicated that husbands without paid helpers experienced more pronounced feelings of loneliness and overload, whereas wives with paid helpers reported increased feelings of loneliness and overload, suggesting that paid support does not uniformly alleviate the emotional strain and loneliness of caregiving. Findings underscore the complex gender differences associated with paid support on the emotional well-being of spouse caregivers. Discussion highlights the benefits of paid assistance in addressing multifaceted caregiving outcomes and the need for more tailored and nuanced support strategies for spouse caregivers.
IMPACT OF COMMUNICATION ON INTERACTIONS BETWEEN FAMILY CAREGIVERS AND HEALTH CARE PROFESSIONALS
Authors: Khan Nadia , Benton Donna , Zhu Yujun 
Published: January 2025

Abstract
Family members providing care to older adults with progressive conditions are at an increased risk for caregiver burnout and poorer health. Few studies have examined how healthcare professionals interact with and support the family caregivers of their patients. This study investigated the perceived attitudes of healthcare professionals toward family caregivers and the experiences of family caregivers in healthcare settings where their loved ones receive medical treatment. We used a voluntary, anonymous survey through the software REDCap composed of Likert-scale questions to obtain the opinions of family caregivers to older adults diagnosed with a memory impairment (N=199). We conducted linear regression to examine the relationship between demographic characteristics and the quality of communication between caregivers and healthcare providers. Results showed that 57% of participants strongly disagreed or disagreed that their healthcare team gave them information on how to care for themselves while caring for loved ones. Preliminary linear regression analysis showed that there is a statistically significant positive relationship (p&lt; 0.05) between the discussion of caregiver self-care and the demographic variables of income and education level. Additionally, 48% of participants strongly disagreed or disagreed that their healthcare team asked them about their well-being and quality of life. Our initial findings have implications for how healthcare professionals communicate with family caregivers about their well-being and the emotional burden of family caregiving. Additionally, our results demonstrate the need for new communication strategies between healthcare professionals and family caregivers that will effectively address their diverse needs. Word Count: 244
LONGITUDINAL CARE ARRANGEMENT PATTERNS AND SUBJECTIVE WELL-BEING AMONG COMMUNITY-DWELLING OLDER ADULTS
Authors: Shin Esther , Kim BoRin , Park Sojung 
Published: January 2025

Abstract
Many older adults with health problems receive assistance from caregivers in their communities. The availability and nature of caregiving (e.g., formal or informal) is contingent on varying individual and contextual factors with important consequences in the care recipients’ life quality. Existing research tends to examine single sources of caregiving. Even when examined together, the majority of current investigations focus on older adults with dementia. Using the National Health and Aging Trends Study (2011-2022), this study identified distinct longitudinal trajectories of informal and formal caregiving and their association with subjective well-being among community-dwelling older adults aged over 70. We restricted our sample to those with caregiver support throughout the study period (n=1,200). Using group-based multiple trajectory modeling, we identified four longitudinal care patterns: (1) Consistently limited care (9.3%), (2) Predominantly sole informal caregiver (57.5%), (3) Multiple informal caregivers (17.2%), and (4) Dual caregivers (16%). In the consistently limited care group, older adults were more likely unmarried, educated, non-white, living alone, and with mobility issues. Those with multiple informal caregivers tended to be older, female, in poor health, and living in independent/assisted living. Conversely, older adults in dual caregiving were likely educated, covered by Medicaid, and residing in retirement communities. Findings highlight the role of sociodemographic factors in shaping patterns of caregiving arrangements, and having dual caregiving was associated with increased well-being among care recipients. Creating an affordable care scheme would be essential in supporting healthy aging among older adults who wish to remain at home with adequate caregiving support.
ASSOCIATIONS BETWEEN UNMET NEED AND SELF-REPORTED HEALTH STATUS AND QUALITY OF LIFE IN CHINESE OLDER ADULTS
Authors: Huang Siou-Tang , Chong Weiguo , Chiu Herng-Chia 
Published: January 2025

Abstract

Background
The demand for home-based community health services has become more critical as the population ages. To what extent are associations between unmet need and health status crucial for health planning for older adults. The study aimed to examine the degree of unmet need and self-reported health status and quality of life for an older adult population.

Methods
Population-based data from the China Health and Longevity Longitudinal Survey (CLHLS) was used. Older persons who participated in both the 2014 and 2018 surveys were included. After match and exclusion, 2,271 subjects were analyzed. Community health services include services of home visits, mental and health prevention.

Results
The baseline age is 80.3 years old, 84.17 years old on average four years after. More than 10% of older persons lost their spouses during this period. There are 46.40% and 46.63% reported unmet need in 2014 and 2018, respectively. LMM analysis reveals that compared with the unmet group, those reported needs were fully met and partially met older appeared significantly better in health status (ß = 0.12, ß =0.01) and quality of life (ß =015, ß =0.11).

Implication
Our findings conclude that unmet services are highly negatively associated with health status as well as quality of life. To improve the older population’s health and quality of life, a community services survey is needed to design programs to meet the needs of various older populations.