bluuebunny/crossref_metadata_2025_split huggingface dataset:
MODERATING ROLE OF NEIGHBORHOOD CHARACTERISTICS ON INTRINSIC CAPACITY AND FUNCTIONAL LIMITATIONS
Authors: Liu Minhui , Wang Shuomin , Zhang Ruiqi , Li Qianyuan , Peng Wenting , He Haiyan , Chen Zijing , Huang Chongmei 
Published: January 2025

Abstract
The construct of intrinsic capacity (IC) provides a new approach to health aging. According to the ecological theory of aging, neighborhood characteristics might have important implications for functional ability. However, the potential moderating effect of perceived neighborhood characteristics on IC and functional limitations remained unknown. Using data from Round 5 of the National Health and Aging Trend Study, our sample included 7,494 community-dwelling older adults. The IC score was generated with a 2-parameter logistic Item response theory (IRT) model, using 14 dichotomous indicators covering 5 domains of capacity: cognition, locomotion, sensory function, vitality, and psychological well-being. Functional limitations were assessed by mobility, self-care, and household activities using three four-category hierarchal scales. We used negative binomial regression models to examine the association between IC and functional limitations and the moderating role of perceived neighborhood characteristics (physical disorder and social cohesion). IRT model converged successfully with a good fit (RMSEA =0.052, TLI = 0.927, CFI = 0.939), and higher IC scores were associated with less functional limitations (Mobility: Prevalence risk ratio [PRR] = 0.91, 95% CI: 0.91-0.92; Self-care: PRR = 0.93, 95% CI: 0.93-0.94; Household: PRR = 0.91, 95% CI: 0.91-0.92). Neighborhood characteristics play a moderating role between IC and functional limitations. Specifically, self-care limitations were associated with IC × physical disorder (Coef.= -0.011, p= 0.021), and household limitations were associated with IC × social cohesion (Coef.= -0.013, p= 0.037). Future research is needed to incorporate neighborhood factors into targeted interventions on the IC to maintain independent living among older adults.
THE ASSOCIATION OF AN ONLINE NATURE-BASED ASSISTED LIVING GROUP ACTIVITY PROGRAM AND RESIDENTS’ SOCIAL NETWORKS
Authors: Mauldin Rebecca , Baek Jihye , Anderson Keith , Westmore Megan , Tulloh Anna 
Published: January 2025

Abstract
Assisted living (AL) residents may face a risk for social isolation related to high rates of disability, compromised social networks due to relocation, and segregation from their broader communities. Many AL communities offer opportunities for residents to connect with one another through shared meals, common areas, and group activities. Since COVID-19, online content is increasingly used in AL for economical and quarantine-resistant group activity content. We present findings from a mixed method study investigating changes in residents’ social networks associated with RASCALS: Reinforcing and Advancing Social Connectedness in Assisted Living. RASCALs is a group activity program that delivers and engages with content from online nature-focused livestreaming platforms. We presented Days at Dunrovin (livestreams, broadcasts, and videos from a ranch in Montana) twice a week for three months. Using a roster of resident names (N = 58), social networks (i.e., socializing partners and confidants) were assessed pre- and post-test. The number of socializing partners in the social networks in the assisted living buildings that received RASCALs programming increased during the quasi-experiment, while those in the comparison groups remained the same. There were no increases in the confidant networks of either group. In qualitative interviews, residents reported that RASCALs provided conversation topics and allowed residents to engage in increased small talk but did not foster close relationships with other residents. Findings indicate online nature-based group activities such as RASCALs may facilitate weak ties and socializing partners, relationships which have been associated with increased well-being, among assisted living residents.
IMPACT OF SOCIAL SUPPORT AND LIVING ARRANGEMENT ON CAREGIVERS: ADDRESSING LONELINESS THROUGH A SUPPORTIVE NETWORK
Authors: Garrison Brianna 
Published: January 2025

Abstract
This presentation aims to examine the relationship between caregiver of persons living with dementia’s loneliness, living arrangement, and social support. Chronic progressive diseases like dementia can be risk factors for loneliness and social isolation (National Academy of Sciences, Engineering, & Medicine, 2020). Caregivers of persons living with dementia are at greater risk of loneliness throughout the trajectory of their caregiving role (Adams, 2008; Moyle et al., 2011). Living arrangement is a social environment factor shown to impact loneliness in those living with dementia (Cohen-Mansfield et al., 2015; Shiells et al., 2019), but a dearth of literature exists exploring the effects on the caregiver. Lack of quality social support can influence the experience of loneliness of both caregivers and persons living with dementia (Chatters et al., 2018; Cohen-Mansfield et al., 2016; Pinquart & Sorenson, 2001). This mixed methods study of caregivers of persons living with dementia (N = 158) explored the impact of living arrangement on the loneliness of the caregiver and how social support may impact the relationship between these two variables. This study found social support is a significant predictor of reducing loneliness among caregivers for persons living with dementia in all living arrangements. In the qualitative interviews (N = 22), caregivers reported social support impacted their loneliness throughout their care recipients’ disease trajectory. This study highlights the importance of understanding the unique physical and social environmental factors that may influence caregivers of persons living with dementia’s experience of loneliness and how quality social support may decrease the impact.
A SCOPING REVIEW OF THE ARTIFICIAL INTELLIGENCE–BASED CONVERSATIONAL AGENTS ON MENTAL HEALTH CARE FOR OLDER ADULTS
Authors: Chen Xiayu , Wen Wan 
Published: January 2025

Abstract
Conversational Agents (CAs) are increasingly applied in the mental health sector, offering scalable and diverse applications from psychoeducation, symptom assessment, to self-management of mental wellness. The recent advancements in Artificial Intelligence (AI), such as the Large Language Model, have further transformed CAs into more sophisticated systems that allow personalized and intelligent interactions. However, most mental health CAs were not originally designed with the unique needs and preferences of older adults in mind. This oversight highlights the necessity for tailored features that better accommodate older adults’ user experience. Current scholarly research and interventions that focus on AI-based CAs for older adults are scarce. To address this gap, this scoping review aims to offer a comprehensive overview of existing mental health AI-based CA for older adults. We conducted an extensive systematic literature search across thirteen databases, including PubMed, Scopus, IEEE Explore, ACM Digital Library, Web of Science and others. After a thorough selection process, nine peer-reviewed articles were identified for review. Our preliminary findings underscore the usability and effectiveness of AI-based CAs in enhancing the mental well-being of older adults, showing an overall positive user satisfaction and a capability for therapeutic intervention. Nevertheless, challenges such as the need for increased technological literacy and accessible designs specifically tailored for older adults persist. These findings provide critical insights for researchers and practitioners into how AI-based CAs, as promising and accessible applications and interventions, can be optimized to meet the unique mental health needs of older adults.
REPRESENTATION OF RURAL OLDER ADULTS IN AI HEALTH RESEARCH: A SYSTEMATIC REVIEW
Authors: Shiroma Kristina , Miller Jacqueline 
Published: January 2025

Abstract
The demographic shift towards an aging population is particularly pronounced in rural areas, where access to healthcare and social services can be limited. Artificial intelligence (AI) has emerged as a promising avenue for transforming healthcare, particularly for older adults. However, concerns exist regarding equitable access and representation, particularly for geographically isolated, marginalized populations in rural areas. This systematic review investigates the existing research on AI interventions designed to support older adults and their healthcare needs. We searched key health and information science databases for peer-reviewed studies published between 2013 and 2023 that explored AI research with and for older adults. Our systematic analysis identified a robust body of research on AI for older adults. However, a critical gap emerged: a dearth of studies explicitly focusing on older adults in rural communities. While some studies included geographically diverse samples, data disaggregation to examine the specific experiences of rural older adults was challenging to identify. This lack of representation raises concerns about the generalizability of findings and the potential for exacerbating existing healthcare disparities in rural areas. The review underscores the need for research that specifically addresses the unique needs and challenges faced by older adults living outside of urban centers. Future scholarship should prioritize targeted recruitment strategies for rural participants; develop culturally-sensitive AI policies, practices, and products; and explore solutions that address limited representation in these communities. By working to bridge the digital divide through the future of AI research, we can achieve inclusive technology for older adults.
WE FOUND DIGITAL, WHERE IS INCLUSION?: TOPIC MODELING OF DIGITAL INCLUSION STUDIES
Authors: Kim Ha Neul , Kim Manjun 
Published: January 2025

Abstract
An increasing number of scholars agree that digital inclusion is to mitigate the digital divide and enhance social inclusion. However, since there is no consensus on the definition of digital inclusion, as of now, it is important to explore key concepts of digital inclusion studies to better understand what constitutes digital inclusion. The study employed a topic modeling methodology to analyze extensive collections of abstract data. Topic modeling methodology was applied to analyze vast amounts of abstract data. In total, 1,741 abstracts from book chapters, journal articles, and conference papers published by 2023 were analyzed. Data pre-processing included deleting stopwords, determining synonyms and compound words, extracting nouns, and identifying keywords based on word frequency and co-occurrences. A co-occurrence matrix was used to generate semantic networks, and community detection was applied based on modularity, the measurement of closeness within and distance across keyword groups. This study showed that there are six themes under digital inclusion studies: Policy and systematic intervention for digital inclusion (29.5% of keywords), Technology experience for older adults (27.87%), Digital divide in accessibility (16.05%), Online education and training resources (10.85%), Delivery of healthcare and equity (10.85%), and Digital inclusion in business and market (4.88%). The biggest cluster showed how digital inclusion is not only a matter of having access online or learning digital literacy but a systematic concern that involves policy intervention. However, unlike the name referring to certain ‘inclusion’, the topics that were studied so far, yet built social domain.
THE PROMISE AND PERIL OF RUNNING A CENTER/PROGRAM ON AGING
Authors: Teaster Pamela , Saunders Pamela , Saunders Pamela 
Published: January 2025

Abstract
Gerontology centers abound across the country in various forms. Despite an unprecedented rise in the worldwide population of older adults, some programs flourish while others struggle. This symposium examines the promise of running gerontology programs as well as the perils of doing so. Offering examples and insights, Dr. Pamela Teaster (Virginia Tech) will discuss how a nearly 50 year old gerontology center has morphed since its beginnings to planning for its 50th anniversary celebration. Dr. David Burdick (Stockton University) will present the long view of leading a gerontology program for 25 years and a center for 15 years, and along with Dr. Christine Ferri will discuss the experience of succession planning for both program and center. Dr. Christopher Kelley (University of Nebraska at Omaha) describes the importance of partnerships with public and private stakeholders at the national, state, and local levels. Dr. Pamela Saunders (Georgetown University) will make observations about differences and common themes among the presentations.
GERIATRIC SCHOLARS: INNOVATIVE SUPPORT FOR CAREGIVERS OF VETERANS WITH DEMENTIA
Authors: Koufacos Nicholas , Howe Judith 
Published: January 2025

Abstract
As the general population ages, the number of Veterans living with dementia continues to grow. Veterans often rely on informal caregivers to manage their daily needs and ensure their health and safety. Caregivers may experience high levels of chronic stress, overwhelm, and fatigue as a result of their caregiving. Chronic stress may negatively affect the mental, physical, and emotional health of the caregiver, and consequently, the care recipient may also experience poor health outcomes. As such, it may be vitally important to promote self-care and stress-reduction among caregivers. Programs designed to support caregivers such as respite care may be difficult to access due to nationwide staffing shortages, and this is especially true in rural areas. In order to test whether an intervention designed specifically to assist caregivers with reducing stress would be effective, in June 2020, a Geriatric Scholars Program called the Rural Interdisciplinary Team Training (RITT) created an innovative expansion to their team trainings in rural areas. A palliative care certified social worker was appointed by RITT to function as the Dementia Care Coordinator (DCC) and offer virtual supportive counseling sessions and a virtual monthly support group for caregivers of Veterans with dementia. The DCC utilized the VHA’s Whole Health Approach which emphasizes mindful awareness of various domains of self-care. Responses from a survey completed by 24 participating caregivers suggested that caregivers appreciated the focus on stress-reduction and self-care, valued both the individual and group support, and that participation led to reduction in stress among participants.
MULTIDIMENSIONAL SLEEP HEALTH METHODS: FROM THE SIMPLE TO THE SUBLIME
Authors: Wallace Meredith 
Published: January 2025

Abstract
The multidimensional sleep health framework presents a promising framework for improving sleep – and its health consequences – at a population level. However, there are several methodological challenges to sleep health research. including operationalizing sleep health, incorporating multiple sleep features, domains, and modalities into analytic strategies, organizing differential findings across multiple populations and health outcomes, and clarifying heterogeneity in multidimensional sleep health patterns across individuals. In this presentation, Dr. Wallace will outline several of these important methodological challenges and delineate the advantages and disadvantages of various approaches that can be used to address them. Specifically, she will discuss a range of methods, including methods for sleep data harmonization, weighted and unweighted sleep health composite scores, factor analysis to define sleep dimensionality, clustering to clarify heterogeneity in sleep health patterns, and supervised machine learning to evaluate the extent to which sleep health predicts health outcomes. Finally, Dr. Wallace will demonstrate these methods using an international multi-cohort sample of older adults, including data from the Osteoporotic Fractures in Men Study, the Study of Osteoporotic Fractures, the Multi-Ethnic Study of Atherosclerosis, the Rush Memory and Aging Project, and Minority Aging Research Study, and the Rotterdam Study. With these data and methods, she will discuss the role of sleep health in relation to longitudinal trajectories of depression and cognitive outcomes.
SLEEP HEALTH: IMPLICATIONS FOR CARDIOVASCULAR AND COGNITIVE FUNCTION
Authors: Knutson Kristen 
Published: January 2025

Abstract
Healthy sleep is characterized by more than just adequate sleep duration or the absence of a sleep disorder. Indeed, there are numerous dimensions of sleep that are important for overall health, including sleep quality, sleep regularity and sleep timing. Sleep architecture is also an important dimension of sleep health. Prior research has demonstrated that sleep health is linked to numerous health domains, including cardiovascular and cognitive function. Further, sleep health varies by sociodemographic characteristics, such as age, gender and race, which has implications for disparities in both sleep health and in the consequences of poor sleep health, such as hypertension, cardiometabolic disease and cognitive impairment. This presentation will show data from two recent population-based studies that collected data on certain dimensions of sleep health. One study is from Brazil that collected polysomnography in people’s homes to assess sleep architecture and measured cardiovascular risk factors and cognitive function. The second study was conducted in Chicago, USA among adults 55 years of age and older and collected subjective and objective estimates of sleep and measured cardiovascular and cognitive function. This presentation will describe gender differences in the associations between sleep architecture and aging and in the associations between sleep architecture and CVD risk factors in Brazil. The racial differences in sleep health characteristics among older adults will be presented. Finally, associations between these various dimensions of sleep health and cognitive function from both studies will be described. Sleep health is multidimensional and is associated with health outcomes particularly important for older adults.
TRANSLATION AND CULTURAL ADAPTATION OF A DEMENTIA EVIDENCE-BASED PROGRAM FOR FAMILY CAREGIVERS
Authors: Delgado Roxana , White Carole , Neidre Daria , Peacock Kimberly , Luy Luis 
Published: January 2025

Abstract
Culture influences how family caregivers provide care. The role of culture is especially critical when assisting care recipients with complex conditions like Alzheimer’s Disease and other related dementias. The “Aprendiendo Juntos/Learning Together” intervention is a cultural adaptation of “Learning Skills Together”, an evidence-based intervention to support Latino family caregivers in providing care for a family member with dementia. Adapting an evidence-based intervention should focus on language translation as well as integrating cultural values and practices. The adaptation of the 6-week virtual intervention “Aprendiendo Juntos/Learning Together” used a community participatory approach to inform the intervention’s structure, content, and design. Guided by an Advisory Council of Latino family caregivers, we used a mixed methods design consisting of surveys and individual interviews with Latino family caregivers (n=13) to inform the intervention adaptation. Three main recommendations for adaptation based on our partnership with the advisory council and the results of the individual interviews related to 1) tailoring of the content around dementia, 2) greater focus on caregiver self-care, and 3) care planning. The adapted intervention was tested using a randomized wait-list control design. We enrolled 46 Latino family caregivers, n=32 English-speaking participants, and n=14 Spanish-speaking participants. Recruiting Latino caregivers through community partners and using snowball sampling amplified the reach to the community. Testing of the adapted intervention has been completed. Given the cultural sensitivity of a group’s unique challenges, barriers, and needs, rigor in the methods is critically important in the adaptation process.
ENGAGING STAKEHOLDERS TO ADDRESS ANXIETY IN LATINO/A CAREGIVERS OF OLDER ADULTS WITH CANCER
Authors: McConnell Kelly , Gilliland Jaime , Salner Andrew 
Published: January 2025

Abstract
Approximately two-thirds of the 2.8 million U.S. cancer caregivers care for an older adult and spend an average of 32.9 hours per week providing care. In this difficult context, over one-third of cancer caregivers report clinically significant anxiety that is often more severe than patient anxiety. Cognitive behavior therapy (CBT) is efficacious and considered a first-line anxiety treatment. However, CBT was developed and tested primarily in white populations. In 2019, Latino/a individuals made up 18% of the U.S. population with 60.6 million individuals. Approximately 149,000 Latino/a individuals are diagnosed with cancer each year, making cancer the leading cause of death in this population. Latino/a cancer caregivers report significant distress and reduced quality of life following the patient’s diagnosis. Yet, few psychosocial interventions have been developed for Latino/a caregivers. The purpose of this project was to develop a culturally competent CBT intervention for anxiety in Latino/a caregivers of older adults with cancer. Latino/a older adults with cancer (n=7) participated in focus groups to provide feedback on an initial version of the intervention. Qualitative analyses identified multiple themes including the role of faith in coping with cancer, the importance of social support in managing anxiety, and the benefits of connecting with others who are experiencing cancer. These themes provide insight into the mental health needs of Latino/a caregivers of older adults with cancer and informed modifications to the intervention. The feasibility, acceptability, and efficacy of the intervention will be examined in future clinical trials.
NATURE EXPOSURE IS ASSOCIATED WITH POSITIVE VIEWS ON AGING
Authors: Nikitin Jana , Rupprecht Fiona , Ristl Christina , Korlat Selma 
Published: January 2025

Abstract
Could nature help us perceive the aging process more positively? We hypothesized that time spent in nature is associated with more positive views on aging (i.e., perceiving aging as more of a gain and less of a loss) because nature improves health and well-being and gives meaning in life. Study 1 (N = 289, age = 40-91 years) and Study 2 (N = 521, age = 40-88 years) were correlational studies examining self-reported frequency of spending time in nature in middle-aged and older adults. Both studies showed that spending more time in nature is associated with more positive views on aging. This relationship was mediated by subjective health, subjective well-being (Study 1) and meaning in life (Study 2), even after controlling for socioeconomic status. In Study 3, a field study (N = 338, age = 18-87 years), we surveyed people who were currently in a more or less natural environment (green spaces outside the city vs. city parks). We found that older (but not younger) participants in the more natural environment reported more positive attitudes on aging. This relationship was partially mediated by high levels of current subjective well-being and persisted after controlling for current physical activity and social context. In summary, contact with nature is of great benefit to us all, but particularly to older people when it comes to their attitudes to aging. Therefore, ensuring access to green spaces for older people is crucial and could serve as an intervention to promote positive experiences in old age.