bluuebunny/crossref_metadata_2025_split huggingface dataset:
TRAJECTORIES OF REAL-WORLD VERSUS PERCEIVED MOBILITY AND LOCOMOTOR CAPACITY IN OLDER FRACTURE PATIENTS
Authors: Jansen Carl-Philipp , Klenk Jochen , Vereijken Beatrix , Blain Hubert , Helbostad Jorunn , Becker Clemens 
Published: January 2025

Abstract
Hip fracture is the most frequent non-intentional injury of older persons leading to hospital admission in North America and Europe. Hip fracture rehabilitation follows the overall goal to get older persons back on their feet and mobile again, up to the point of functional and mobility-related independence in everyday life. This primary outcome, however, is measured in various forms using different methods and assessments. Oftentimes, a singular view is taken, mainly based on repeated physical and locomotor capacity measures without knowledge of the actual mobility behaviour of patients after hospital care and in real life. Cross-sectional data has shown that the relationship between perceived mobility, locomotor capacity, and real-world mobility is not straightforward, however, it remains unclear how all three aspects evolve over time. For a better understanding of this relationship in hip fracture patients, this talk will address respective data of n=566 participants of the hip fracture cohort in the Mobilise-D project. All three aspects of mobility were assessed at baseline and after 12 months. Based on the results, it will be made clear which aspects should be prioritized in both research and clinical practice to obtain a comprehensive picture and clinically useful understanding of mobility of older hip fracture patients.
ASSESSING REAL-WORLD WALKING IN OLDER ADULTS LIVING WITH COPD
Authors: Delgado-Ortiz Laura , Becker Clemens , Troosters Thierry , Garcia-Aymerich Judith 
Published: January 2025

Abstract
Walking is crucial for active and healthy ageing, but changes with age and in the presence of chronic conditions. In the field of chronic obstructive pulmonary disease (COPD) – a highly prevalent chronic condition at older ages - extensive research has been done on physical activity limitation, but little is known about the patterns of walking during daily life (i.e., real-world). We aimed to assess the levels and distribution of real-world walking in people with COPD compared with healthy adults, and across disease severity; and to identify domains of walking in COPD, using digital technology. We studied cross-sectionally 550 older adults with COPD and 19 healthy older adults from ten cities across eight countries. We derived twenty-five digital mobility outcomes (DMOs) that assess different characteristics of walking activity and gait (e.g., walking duration, number of walking bouts of different durations, walking speed, cadence, stride length variability) from a single device worn at subjects’ lower back for one week. Participants also answered validated questionnaires, and conducted lung function and exercise capacity tests. Most DMOs were reduced in older adults with COPD compared to healthy adults, and according to COPD severity. Differences remained statistically significant after adjusting for age, sex, height and comorbidities in multivariable analyses. Factor analysis identified six distinct walking domains: Amount of walking, Patterns of walking, Pace, Rhythm, Pace variability and Rhythm variability. Real-world walking in older adults with COPD can be characterised in multiple dimensions, is impaired in relation to their healthy peers, and worsens as disease progresses.
MULTISENSOR APPROACHES FOR COMPREHENSIVE MEASUREMENT OF REAL-WORLD MOBILITY IN OLDER ADULTS
Authors: Van Ooteghem Karen 
Published: January 2025

Abstract
Despite the potential for collecting precise and accurate mobility data over extended periods of time, the use of body-worn sensors as an approach to mobility monitoring is at a crossroads. The broad use of consumer smartwatches has led to a focus on single sensor approaches with simple to digest outcomes (e.g., step counts) however, this approach can limit our ability to capture details about how, where and when people are moving which are necessary to guide intervention. In this talk, we will provide evidence for the feasibility and value of a multi-sensor approach to mobility measurement that optimizes a’benefit-to-burden’ ratio for older adult participants. Specifically, we will provide examples to highlight how the use of multiple sensors can improve fidelity, reduce uncertainty, and provide important context to the data in order to maximize our understanding of real-life mobility. We will also share lessons learned from several multisensor-based studies of mobility across a spectrum of older adults (healthy, neurodegeneration, exceptional cognitive aging) that have contributed to successful implementation of a multi-sensor approach. The principles presented will inform future work aimed at developing validated standards for multi-sensor derived digital mobility outcomes that would provide comprehensive information on mobility for risk identification, early intervention, and monitoring of disease progression and treatment efficacy.
DRAG AS PERFORMANCE, THERAPY, ACTIVISM, AND PERSONAL EXPRESSION: WHAT OLDER DRAG ARTISTS TEACH US
Authors: Donorfio Laura , Chapman Brian , Chapman Brian 
Published: January 2025

Abstract
Drag artists (also described as drag performers, drag queens, and drag kings) have contributed to world cultures for centuries. Drag artistry, as tied to sexual and gender minority (SGM) communities and aging, is the focus of this presentation. The 20th and 21st centuries have been a poignant time for drag artists in the United States, as they have emerged as national and community leaders, been subject to political attack and violence, and contributed to mainstream and sexual and gender minority cultures. Older adult drag artists hold rich lived experiences and collectively share in episodic events that can be seen as traumatic, unifying, and celebrative. However, this population of older adults is grossly underrepresented in the literature. This symposium includes four presentations bridging behavioral science (individual development and wellbeing), social policy, and practice (drama therapy) of older drag artists. The first presentation frames current anti-drag policies aimed broadly at SGM communities in the United States. The second presentation provides a feminist, gender, and queer theoretical lens for examining the experiences of older drag artists, particularly the topics of homophobia, and ageism. The third presentation presents findings from a mixed methods study examining the intersection of aging, drag artistry, and individual wellbeing. The final presentation details a study on coping mechanisms of older drag artists through the lens of drama therapy clinical assessment. Collectively these papers highlight theory and qualitative and quantitative analysis illuminating themes of resilience, coping, commitment, and conscientiousness that illustrate fortitude within this population of influential artists.
THE RELATIONSHIP BETWEEN EVACUATION AND HEALTH CARE OUTCOMES AMONG ASSISTED LIVING RESIDENTS AFTER HURRICANE IRMA
Authors: Hua Cassandra , Patel Sweta , Thomas Kali , Jester Dylan , Peterson Lindsay , Dobbs Debra , Andel Ross , Dosa David 
Published: January 2025

Abstract
Evacuation is associated with adverse outcomes among nursing home residents during hurricanes, but the impact on assisted living (AL) residents remains unknown. This retrospective cohort study examined the relationship between evacuation and healthcare outcomes (i.e., emergency department visits, hospitalizations, mortality, and nursing home visits) among Florida AL residents exposed to Hurricane Irma. We identified a cohort of Florida AL residents who were 65+ years old, enrolled in Medicare Fee-For-Service, and resided in 9-digit ZIP codes corresponding to US assisted living communities with ≥25 beds on September 10th, 2017, the day of Hurricane Irma’s landfall. We performed 1:4 propensity score matching. Using the matched sample, we examined the relationship between evacuation status and health outcomes within multilevel logistic regression models with a random intercept. Models adjusted for neighborhood disadvantage and distance to the storm trajectory. Of 25,130 Florida AL residents in our cohort, 3,402 (13.5%) evacuated and 21,728 (86.5%) did not evacuate. When compared to sheltering-in-place, evacuation was associated with a 16% greater odds of emergency department visits (adjusted odds ratio [AOR]=1.16, p=0.037, 95% CI 1.01-1.33) and 51% greater odds of nursing home visits (AOR 1.51, 95% CI: 1.14-2.00) within 30 days of Hurricane Irma’s landfall. Hospitalization and mortality did not vary significantly by evacuation status within 30 or 90 days after the landfall date. Stress caused by evacuation may yield poorer immediate health outcomes after a major storm for AL residents. Potential benefits and harms of evacuating vs sheltering-in-place must be carefully considered when developing emergency planning and response.
ESPO AND HEALTH SCIENCES SECTION SYMPOSIUM: STRONGER TOGETHER: INTEGRATING CARE PARTNERS AND SOCIAL SUPPORT TO IMPROVE HEALTH OUTCOMES
Authors: Britt Katherine , Perepezko Kate , Fields Beth 
Published: January 2025

Abstract
Millions of care partners (relatives, partners, or other support persons) provide support to older adults; however, they are not consistently included in health care and social service delivery. This omission is detrimental as care partner inclusion has been shown to improve older adult outcomes, including symptom management, functioning, and mental health (Weinberg et al., 2007). To highlight how care partners can be involved in services and interventions, this symposium will present innovative approaches to integrate care partners and social support to improve health outcomes for older adults. This session highlights the work of early career scientists whose research examines how care partners can be included in interventions to support the health of the older adult for whom they provide care and for themselves. Dr. Mary Wyman will present her work exploring associations of caregiving characteristics (e.g., amount received, number of caregivers, any formal help on board, and primary caregiver gender & relationship) with the utilization of mental health services among older veterans. Dr. DeAnnah Byrd will present on satisfaction with social support, stress, and cognition in older Black Adults. Dr. Katherine Britt will present a qualitative study with providers on the role of family caregivers in cognitive care planning. Dr. Kate Perepezko will present preliminary findings from the Community Aging in Place Advancing Better Living for Elders (CAPABLE): A Scale-Up Project, characterizing care partners’ involvement in an aging-in-place intervention. This symposium will conclude with a discussion led by Dr. Beth Fields that will connect each of the presentations.
EXPLORING CONTEMPORARY ISSUES IMPACTING OLDER REFUGEES IN THE UNITED STATES
Authors: Fields Noelle , Owino Jonix 
Published: January 2025

Abstract
Older refugees represent a unique group of the immigrant population as they are often at higher risk for negative health and psychosocial outcomes. Many older refugees also face constraints posed by language and cultural barriers that can affect overall well-being and quality of life. This symposium will provide insights from three studies of older refugees in the United States in an effort to shed light on various issues impacting this population that warrant greater attention from researchers and practitioners. The first paper presents findings from a study of older immigrants and refugees’ preparation for weather-related emergencies. Findings suggest the importance of linguistically and culturally tailored communication that fosters trust and improved access to reliable information. The second paper explores the lived experiences of forced displacement and long-term resettlement of Karen refugees from Burma. Study findings point toward the need to re-evaluate the cross-cultural validity of locus of control, an oft used psychological measure applied to refugee populations. The third paper examines how socioeconomic status is differentially associated with cognitive difficulties between older Bhutanese refugees and other refugee groups. Study results suggest that higher income does not serve as a protective factor against cognitive challenges in older refugees from Bhutan. The symposium will conclude with a critical reflection on the empirical and theoretical contributions needed to advance scholarship on older refugees.
RE-EVALUATING LOCUS OF CONTROL AMONG OLDER KAREN REFUGEES IN LONG-TERM RESETTLEMENT
Authors: Fields Noelle , Kitchens Katherine , Mitschke Diane 
Published: January 2025

Abstract
Recent literature has increasingly applied the concept of locus of control (LOC), a psychological measure for understanding individuals’ beliefs about controlling life events, to forcibly displaced populations, including older refugees whose experiences and coping mechanisms may be distinctly influenced by their age and cultural background. The cross-cultural validity of this construct, particularly among collective cultures experiencing long-term resettlement in the Global North, warrants further examination. This study, utilizing interpretative phenomenological analysis within the theoretical framework of homeostatic socio-cognitive systems theory, specifically explored the lived experiences of forced displacement and long-term resettlement among ten older Karen refugees from Burma resettled in the southwestern United States for an average of over 12 years. Aimed at capturing deep narrative insights, the research sought to extend the discourse on LOC’s cross-cultural construct validity, particularly within the context of older refugees adapting to life in a Western context. The findings underscored five emergent themes: Collective Orientation over Individual Agency, Collective Cultural and Communal Living, Interdependence and Communal Support, Shared Control within Social Networks, and the Importance of Relationships. These themes reveal a significant divergence from the individualistic assumptions underlying the LOC construct, highlighting the prominence of communal values, shared decision-making, and the critical role of relational dynamics within the collective cultures of older refugees. This study underscores the need for culturally sensitive research methodologies and intervention strategies that honor the unique lived experiences of older refugees from collective cultures, advocating for a reevaluation of psychological constructs like LOC in cross-cultural contexts.
UNDERSTANDING UNMET NEEDS AND SUPPORT AMONG DIVERSE FAMILY CAREGIVERS ENGAGED IN COMPLEX
Authors: Bell Janice , Whitney Robin , Link Benjamin , Bhurtel Shikha , Tonkikh Orly , Famula Jessica , Kelly Kathleen , Young Heather 
Published: January 2025

Abstract
More than 56 million family caregivers provided unpaid care to a family member in the last year. This group is increasing in number and diversity, while providing more intense and complex care, as more older adults are living longer with chronic and serious illness. We used assessment and service data from a large statewide database (CareNavTM) collected by 11 California Caregiver Resources Centers statewide to describe the caregiving demands, unmet needs and resource gaps of diverse family caregivers seeking help from the centers. Almost half of the caregivers identified as Black non-Hispanic, Hispanic/Latino, Asian American/Pacific Islander, Native American/Alaska Native or multi-racial/other. Older caregivers and those with low income were more likely to provide ≥40 hours of care weekly and to provide high intensity care (measured with the number of personal care activities supported and weekly hours of care). Younger caregivers, those in racial/ethnic groups other than White non-Hispanic, and those with low income were more likely to perform medical/nursing tasks. These groups of caregivers were also the least likely to have paid or unpaid help and the most likely to report adverse outcomes including fair or poor health status, worsening health and moderate or severe depressive symptoms. Taken together, these findings inform the California Department ofn Aging efforts to develop an equity plan for caregivers and are useful to other states seeking to develop policy to assure that all family caregivers have a range of high-quality services and supports that promote their physical, emotional, and financial wellbeing.
FORTITUDE IN DIVERSITY: MINORITY ISSUES AND INTEGRATIVE APPROACHES TO COGNITIVE HEALTH IN OLDER ADULT POPULATIONS
Authors: Saidi Ladan Ghazi , Miyawaki Christina 
Published: January 2025

Abstract
First, Dr. Ghazi Saidi, an associate professor at the University of Nebraska at Kearney and the symposium chair, will discuss cognitive health disparities and interventions aimed at improving the cognitive health of older adults in minority communities. She will also present the results of a scoping review on cognitive health, including demographic and lifestyle factors that impact cognitive health in older adults living in rural areas. Next, Jeein Jang, a PhD candidate at the University of Massachusetts Boston, will present a cross-sectional study exploring the associations between neighborhood characteristics and activity engagement, with a focus on different activity domains and race/ethnicity, using data from the 2018-2020 Health and Retirement Study. Michelle Xue, a PhD student at Duke University, will introduce a dementia prevention program specifically designed for older Chinese Americans at high risk for dementia, aimed at overcoming barriers such as language and transportation. Maki Karakida, another PhD candidate at UMass Boston, will present on the relationship between work/retirement status and sleep health, emphasizing the impact of race/ethnicity and nativity, particularly in African American and Hispanic populations, among 41,924 Americans aged 50+, showing that intersections of race/ethnicity and nativity significantly influence sleep quality. Lastly, Dr. Miyawaki, an associate professor at the University of Houston, will discuss a cognition program conducted in Houston by Vietnamese-American health professionals and university students, which addresses the gap in dementia care using the Cultural Exchange Model (CEM) to enhance dementia literacy.
MODIFIABLE FACTORS IN COGNITIVE HEALTH OF THE RURAL AGING POPULATION: A SCOPING REVIEW
Authors: Saidi Ladan Ghazi , Phatak Vaishali , McKelvey Miechelle 
Published: January 2025

Abstract

Introduction
This presentation highlights modifiable risk factors that impact the cognitive well-being of older adults in rural regions. Studies on rural population are rare due to its challenges. Considering the global distribution of the older adults, with more than 20% of America’s older population residing in rural locales, it is essential to recognize the specific risk factors inherent to these areas to foster healthy aging. We summarize the literature on cognitive health at aging in rural populations.

Method
Articles were sourced from multiple databases and were subjected to rigorous inclusion and exclusion criteria following PRISMA guidelines. The initial pool of 92 articles was refined to 13 for an in-depth analysis.

Findings
The findings from our scoping review reveal three primary elements related to the rural context affecting cognitive health. We conclude that disparities are associated with demographics and healthcare access; facets of quality of life like physical activity, sleep patterns, and social engagement are essential in healthy aging; and overall physical and mental health play a vital role in healthy cognition in aging.

Conclusion
Research on healthy aging and Alzheimer’s Disease and Related Dementias (ADRD) should consider rural residency as a possible risk factor.
GET TO KNOW THE NATIONAL INSTITUTE ON AGING: NIA SESSION FOR EARLY-CAREER RESEARCHERS
Authors: Kelley Amy , Kelley Amy 
Published: January 2025

Abstract
The National Institute on Aging (NIA) at the National Institutes of Health, Department of Health and Human Services, supports biomedical and behavioral research with a lifespan focus. NIA research seeks to understand the basic processes of aging, improve prevention and treatment of diseases in later life, and improve the health of older persons, in addition to an emphasis on Alzheimer’s disease and related dementias. NIA supports a variety of training and career development opportunities for students, junior faculty, early-career investigators, and emerging scholars. In this session, we will provide an overview of NIA-funded research, followed by a presentation on funding mechanisms and strategies to consider when applying for extramural grants, particularly for early-career scientists at multiple career stages. Finally, attendees will be able to join any number of breakout group discussions led by extramural NIA training staff and program officials to discuss programs, initiatives, mechanisms, and/or policies specific to various career paths.
IMPACT OF EARLY-LIFE EXPERIENCES AND CAREGIVING ON COGNITIVE HEALTH
Authors: Graham Karen 
Published: January 2025

Abstract
This symposium comprises four studies investigating the impact of adverse childhood experiences (ACEs) and caregiving on cognitive health. In the first study, researchers investigate the association between ACEs and cognition in older African Americans, exploring the moderating role of active coping. While ACEs were not directly associated with global cognitive functioning, a negative relationship was found between active coping and cognition. This underscores the need for further research to understand the complex interplay between ACEs, coping mechanisms, and cognitive health. In the second study, researchers explore the association between ACEs and dementia, using data from the Health and Retirement Study. They found that individuals reporting ACEs have significantly higher odds of dementia, especially among men. This underscores the importance of trauma-informed interventions to reduce dementia onset. The third study focuses on data from the National Longitudinal Study of Youth. It reveals significant associations between childhood parental love and affection, dysfunctional parental relationships, and self-rated memory in older adults. Mediation analysis emphasizes the role of psychological resources in shaping subjective cognition. The fourth study examines the long-term effects of ACEs on mental health among Black dementia family caregivers. Results highlight the detrimental impact of childhood trauma on depression, depressive symptoms, and suicidal thinking. These findings emphasize the need for targeted interventions to mitigate the mental health consequences of ACEs in caregiving contexts. Together, these studies provide valuable insights into the multifaceted relationships between early-life experiences, caregiving, and cognitive health, highlighting the importance of targeted interventions to support individuals across the lifespan.