bluuebunny/crossref_metadata_2025_split huggingface dataset:
THE EVOLUTION OF THE GERONTOLOGY PROGRAM AT ALFRED UNIVERSITY
Authors: Maiden Robert , Gagne Danielle 
Published: January 2025

Abstract
Alfred University instituted its major and minor in gerontology in 1980. At that time, it was one of two bachelor’s degrees in gerontology offered in the State of New York. It was established to meet the burgeoning need of competent service providers for older Americans. The need is clear. It is projected that there will be 89 million older Americans by 2050, which will increase twice as fast as the underage 50 population. Although there is growing need for competent service providers and myriad potential career opportunities for undergraduates, there has been a declining interest in the gerontology program. The gerontology program at Alfred University has not had any majors or minors for the past two years. Many reasons have been proffered for this decline, including that many students do not understand the word “gerontology” or have misconceptions and negative stereotypes regarding aging. To increase enrollment in gerontology, we propose two changes: 1) adding aging as a concentration to our psychology major with an interdisciplinary component; and 2) changing the name to “Aging Studies” or “Adult Development & Aging.” Moreover, students in this concentration can minor in business administration and become eligible for our 4 + 1 program, in which they can earn an MBA at Alfred University in one year post baccalaureate instead of the usual two.
ADVANCE CARE PLANNING (ACP) CONCORDANCE ASSOCIATED WITH RELATIONSHIP QUALITY AND GRIEF AMONG DEMENTIA DYADS
Authors: Bybee Sara , Clayton Jordana , Aruscavage Nancy , Utz Rebecca , Iacob Eli , Dassel Kara 
Published: January 2025

Abstract
Advance care planning (ACP) is linked to enhanced physical and mental well-being, fewer unwanted hospitalizations, and improved quality of life for individuals and their care partners. We investigated the impact of the Life-Planning in Early Alzheimer’s and Other Dementias (LEAD) Guide on ACP concordance—the mutual understanding and agreement on ACP values and preferences—among persons living with dementia (PLWD) and their care partners, and its impact on relationship quality and grief. Dyads (N=48) participated in a discussion of each partner’s answers to the LEAD Guide, addressing any discrepant responses. Participants completed open-ended survey questions (n=43) regarding their: discussion, confidence in their partner’s understanding of their end-of-life wishes, confidence in their partner’s ability to make decisions aligning with their end-of-life wishes, and any additional comments. An interpretive descriptive approach to qualitative analysis revealed four themes: 1) Relationship quality between partners (high versus strained relationship quality, 2) Advance care planning process and discussion (ACP concordance versus discordance), 3) Engagement in ACP, and 4) The grief process associated with dementia disease trajectory. Dyads with more ACP concordance codes demonstrated more codes related to high relationship quality (versus strained relationship quality) and fewer grief codes. Conversely, dyads with more ACP discordance codes had more strained relationship quality and grief codes. Our findings suggest that the LEAD guide may enhance ACP concordance, contributing to improved relationship quality and reduced grief. Clinicians may consider additional support for dyads demonstrating greater ACP discordance given its co-occurrence with strained relationship quality and grief.
USING CO-DESIGN TO DEVELOP A SCHOOL-BASED ORAL HYGIENE INTERVENTION LINKING YOUTH AND OLDER ADULTS
Authors: Shen Lingyi , Jin Liangyi , Xu Hanzhang 
Published: January 2025

Abstract
The prevalence of oral health problems is high among Chinese older adults, which was attributed to limited oral health knowledge and poor oral hygiene behaviors. One key strategy to achieve optimal oral health is through health education. School settings are ideal to disseminate and implement public health interventions to a large group at a relatively low cost. As more than half of the Chinese older adults provide care to at least one grandchild, mobilizing these strong, existing intergenerational ties that Chinese older adults share has great potential to enhance the effect of school-based oral health promotion programs across generations. This study aimed to describe an older adult-grandchild co-design process that will lead to the development of a school-based oral health education intervention to improve oral hygiene behavior for both youth and older adults. A mixed-methods two-step sequential design was used. Step 1: focus groups among older adults (n=12), their grandchildren (n=12), and elementary school teachers (n=8) were conducted and analyzed to describe their knowledge and attitude towards oral hygiene behaviors. Step 2: vignettes were designed based on focus group results and presented to older adults, their grandchildren (5 dyads) and 2 elementary school teachers to co-design interventions to address needs. Three key themes were identified: perceived importance, power dynamic in the family, and limited time and resources. A few potential intervention strategies were produced, including leveraging school assignments to promote oral hygiene behaviors, building a rewarding mechanism, enhancing teacher-grandparents communications, and building oral health awareness in the community.
ORAL SYMPTOMS, TYPE OF MEDICAL INSURANCE, AND DENTAL CARE UTILIZATION AMONG OLDER ADULTS IN SHANGHAI
Authors: Qu Xiaomin , Zhen Zhihong , Qi Xiang , Wu Bei 
Published: January 2025

Abstract
This study assessed the prevalence of dental care utilization among older adults in Shanghai, China. It examined the relationship between oral symptoms, the type of medical insurance, and the frequency of dental visits. Using data from the 2022 Lifelong Education for Aging Productively Survey, we analyzed responses from 1,482 participants aged 60–84. Our analysis, adjusted for complex sampling weights, reveals that only 28.93% of participants had visited a dentist in the past year. Findings from multivariable logit regression models showed that participants with oral symptoms, including toothache (OR = 2.156, 95% CI: 1.698–2.737, p &lt; 0.01), tooth sensitivity (OR = 1.745, 95% CI: 1.375– 2.216, p &lt; 0.01) and gum bleeding (OR = 1.275, 95% CI: 0.994–1.636, p &lt; 0.1) were more likely to have a dental visit within the last year. The presence of multiple oral symptoms further increased this likelihood. Margins post-estimation model results demonstrated disparities in the predicted probability of visiting a dentist by the types of medical insurance. Specifically, older adults with medical insurance of less coverage were significantly less likely to seek dental care unless they exhibited multiple oral symptoms. The study concludes dental care utilization among Shanghai’s older adults is notably low and predominantly treatment-focused. Our findings underscore the urgent need for expanded dental care programs and services and broader medical insurance coverage that includes dental care to address the socioeconomic disparities in dental care access.
MARKET DAYS: INTERGENERATIONAL PROGRAMMING TO SUPPORT HEALTHY AGING AMONG LOW-INCOME OLDER ADULTS
Authors: Brothers Allyson , Luxton India , Noble Cheryl , Timmerman Christa 
Published: January 2025

Abstract
The Market Days for Older Adults program provides fresh produce to food-insecure older adults at the downtown farmers’ Market. As part of an ongoing university-community service partnership, undergraduate internships and service-learning projects enhance older adults’ social connections while training gerontology students about health disparities and aging. The program addresses two Age-Friendly University (AFU) principles: #4: to promote intergenerational learning; and #6: to ensure the research agenda is shaped by needs of older adults. A 2023 program evaluation of Market Days (MD) in 2023 employed a pre-post mixed methods design (N=59) to examine process and outcome variables. We found evidence for high satisfaction and usage of the program, plus multiple perceived benefits to participants, including improved sense of health (61%), new ways for preparing fresh produce (31%), and higher connection to the community. We did not find evidence of significant improvements in food insecurity or social isolation. Students reported an increased understanding of the role of community programs in promoting healthy aging, and appreciation of food insecurity as a risk factor for aging. Results indicated that this subpopulation of older adults is particularly vulnerable with regard to chronic illness, low preparations for aging, low community resource awareness, mental health symptoms, and negative views on aging. The results will inform future steps of our community-engaged research program. Viewing social isolation as a pressing social determinant of health in low-income older adults, we will develop a formal intergenerational programming component to further strengthen social connections, while also enhancing undergraduate gerontology student training opportunities.
WHAT’S AGE, SEX, AND FRAILTY GOT TO DO WITH IT? USING DESIGN AND ANALYSIS TO PROVIDE POWERFUL ANSWERS
Authors: Allore Heather 
Published: January 2025

Abstract
Designs of animal experiments to disentangle the heterogeneity associated with age, sex and frailty will be shared. These range from cross-sectional to longitudinal and cross-over designs (where treatment may be started and stopped). Matching the analytic models to the design should be determined a prior at the design stage. Considerations in longitudinal designs including within animal correlation across repeated measures. Hypotheses need to be written a priori clearly identifying the main effect and whether interactions between effects are potentially important, such as sex by frailty status. Batch effects of birth cohorts or caging may also need to be models as sources of variation to have the most accurate and precise effect estimates. Examples of such designs and analyses will be presented, as well as sample size considerations. Properly designed animal experiments area key element in translational gerontology and geroscience. Planning for the factors in animal experiments that are known or suspected risk factors for geriatric outcomes in humans allows for testing whether the animal model may appropriately model the human conditions under study.
INCREASING THE VISIBILITY OF OLDER ADULTS IN RESEARCH: THE IMPORTANCE OF AGE, SEX, AND FRAILTY CONSIDERATIONS
Authors: Rochon Paula , Li Joyce 
Published: January 2025

Abstract
Older adults are often considered as a single group with differences between women and men across age groups overlooked. Taking account of sex, age, and their intersection throughout the research process is crucial in minimizing inequities, and to improve the health and wellbeing of the aging population. Age and sex disaggregated data are data separated and analyzed by female, male and age categories, revealing important differences between the sexes and across the life course. This is often missing in research and can result in the oversimplification of study results. As men and women age, they can experience different health conditions, and levels of frailty, leading to the need for tailored treatments. One illustration of this is exploring the burden of disease in Canada, where disaggregating data by sex and age makes key differences in many diseases impacting older adults visible, that may otherwise be missed (for example, heart disease and dementia). Age, sex, and frailty considerations are important throughout the entire continuum of the research process, from question development to dissemination of results to ensure they are accounted for. This presentation will explore why incorporating sex, age, frailty and their intersection are important in health research, how this consideration adds value, and applications of this approach in practice to increase the visibility of older women and men in research, contributing to the ‘fortitude factor’.
LESSONS FROM THE PAST, VISIONS FOR TOMORROW: GERONTOLOGY AND GSA IN RETROSPECT
Authors: Lee Soomi , Lee Soomi 
Published: January 2025

Abstract
GSA is approaching its 80th anniversary, prompting us to reflect on the origins and rich history of gerontology. Gerontology’s roots trace back to the early 1900s, an era where older age was often perceived solely as a period of physical and mental decline. However, over time, our understanding of aging has significantly evolved. Despite this progress, a noticeable gap persists in inter-generational knowledge exchange, hindering the opportunity to build upon previous theories and extend seminal work. This year’s theme, “fortitude,” underscores the importance of sustaining good science of aging across generations and disciplines. In response, our symposium provides an educational and scholarly exchange platform rooted in historical perspectives. Three esteemed panelists who have played pivotal roles in shaping GSA’s trajectory will share their insights and experiences, with each presentation followed by comments by other panelists. Dr. Steven H. Zarit, recipient of the 2019 Robert W. Kleemeier Award, will discuss how the field of gerontology has evolved. Dr. David Chiriboga, recipient of the 2010 Hiram J. Friedsam Outstanding Mentorship Award, will share his memorable mentorship stories. Dr. Kathleen Wilber, recipient of the 2023 Donald P. Kent Award, will address key values and challenges of the field. The moderator, Dr. Soomi Lee, will facilitate discussions with the panelists and audience. This session offers an opportunity for the Academy for Gerontology in Higher Education (AGHE) and the wider GSA community to reflect on the lasting impact of gerontology and discuss collective visions for tomorrow as we navigate the evolving landscape of the field. Generativity and Aging Interest Group Sponsored Symposium
FOSTERING GENERATIVITY: MENTORSHIP AND KNOWLEDGE EXCHANGE IN GERONTOLOGY
Authors: Chiriboga David 
Published: January 2025

Abstract
In this presentation, Dr. David Chiriboga will lead a panel discussion sharing his invaluable experiences and insights on mentorship within the field of gerontology. Dr. Chiriboga’s impactful work spans diverse research areas, including studies on health disparities, family-centered interventions for Alzheimer’s disease, and barriers to healthcare among older Korean immigrants. Renowned for his role as a mentor, Dr. Chiriboga has nurtured numerous researchers, shaping the landscape of aging studies. His dedication to fostering talent extends beyond academia, evidenced by his mentorship in initiatives like the American Society on Aging’s New Ventures in Leadership program. Acknowledged for his exceptional mentorship, Dr. Chiriboga has received prestigious awards such as the Hiram J. Friedsam Mentorship Award from the Academy for Gerontology in Higher Education and the Minority Mentorship Award from the Gerontological Society of America (GSA). In his presentation, Dr. Chiriboga will illuminate the significance of mentorship and the culture surrounding it, drawing from his wealth of experience. The panel discussion will further explore mentorship and generativity development in gerontology. Following the moderated discussion, the audience will engage in an interactive question-and-answer session. By emphasizing the importance of mentorship and inter-generational knowledge exchange, this presentation aims to illuminate strategies for retaining the legacy of successful mentoring within the GSA and advancing the field through collaborative learning and development.
EMBRACING CONNECTIVITY: TANGIBLE, CUSTOMIZED CHECK-INS FOR OLDER ADULTS TO COMBAT SOCIAL ISOLATION
Authors: Bhowmick Pallabi , Huber Lesa 
Published: January 2025

Abstract
Increasing social isolation among older adults poses significant concerns for health and well-being. While older adults consider families as their strongest bonds, friends and neighbors often play a pivotal role as the primary support network. This study investigates the efficacy of leveraging peer support through a tangible, customized daily check-in to prolong independent living. The study engaged 15 older adults aged 70-90 in a 3-hour, recorded co-design session with the objective of ensuring their needs were considered early in the design process. Transcripts were coded and thematically analyzed to reveal three key findings. Firstly, 80% of participants lived alone and strongly acknowledged the need for a daily check-in. They noted, neighbors and peers in close proximity often serve as the first line of support. Secondly, 87% emphasized the importance of a customized interface aligned with their personal routine, (e.g. checking-in by making tea), affirming it would enhance usability. Additionally, tangible user interfaces integrate digital information into everyday objects, providing familiar, intuitive user interfaces. Participants concurred this could address sensory-motor challenges and mitigate the learning curve associated with digital interfaces. Thirdly, all participants strongly opposed one-way passive monitoring, advocating for a peer-to-peer check-in system that allows older adults to take care of each other instead of always being on the receiving end of care. This promotes reciprocity, inclusivity, and reduces stigma. Tangible, customized, peer-based check-in systems have the potential to improve social connection, address ageism in technology design, and encourage technology acceptance and adoption among the older adult population.
VARIATION IN STATE APPROACHES TO DEMENTIA CARE TRAINING IN ASSISTED LIVING
Authors: Carder Paula , Smith Lindsey , Dys Sarah , Jutkowitz Eric , Thomas Kali 
Published: January 2025

Abstract
Assisted living (AL) communities increasingly serve individuals with Alzheimer’s disease and related disorders (ADRD); an estimated 50% of AL residents have ADRD, and more AL have designated memory care than do nursing homes. State AL regulations vary on almost every provision that affects resident safety and quality, including staffing levels, building design, safety features, admission and discharge criteria, and social-recreational programming. Nearly every state requires that direct care workers receive training in dementia care. Our prior research described the presence of within-state variation in memory care regulations, with the majority of states requiring such training only in designated “memory care” settings rather than all AL licenses (Smith et al., 2022). This paper extends that research by examining staff dementia care training requirements in detail, including the number of training hours, specificity of dementia care topics, and the presence of social aspects of care (e.g., family involvement, person-centered care). The 43 states that require direct care workers to receive training in dementia care have a total of 93 license types, with some applied to settings that are designated as “memory care.” Of the 43 states and 93 licenses, 23 states and 34 licenses specify the number of training hours that direct care workers must receive in the first year, ranging from 2 to 75 hours (average 15.7). Examples of highly specific staff training requirements are provided as a resource for states and AL professionals, and to inform consumers who might expect that all memory care settings have similar requirements.
END-OF-LIFE CARE PROCESSES IN ASSISTED LIVING COMMUNITIES SPECIALIZING IN MEMORY CARE
Authors: Belanger Emmanuelle , Rosendaal Nicole , Wang Xiao (Joyce) , Thomas Kali , Teno Joan , Clark Melissa 
Published: January 2025

Abstract
Assisted living (AL) is a common site of death. Many AL communities offer specialized memory care (MC), yet we know little about how their end-of-life (EoL) care practices might differ. We conducted a nationally representative survey of 2,084 AL administrators (43% response rate) about EoL care between 2021-2023. Over half offered MC, with 41.7% of AL communities offering both general AL and MC (combined AL), and 9.3% MC only. Combined ALs were larger (44.7% had 100+ beds, compared to 2.3% in MC only and 14.1% in general AL). ALs offering MC were more likely to report having residents who died in the prior 12 months (88.4% combined AL, 90.0% MC only, 68.9% general AL), which is consistent with a majority reporting a policy of retaining residents in need of EoL care (82.9% combined ALs, 84.6% MC only, and 58.1% general AL only). AL communities offering MC were more likely to have staff available 24/7 to administer subcutaneous injections (67.3% combined AL, 71.1% MC only, 55.8% general AL). Similar opportunities to improve hospice care were reported, with only 32.0% of administrators answering “all of the time” when asked if residents referred to hospice were assessed within 24 hours. Important differences in key processes of care exist between AL offering MC and those providing general AL. Future research is needed to examine how these impact the quality of end-of-life care.
MENTAL AND PHYSICAL HEALTH OF OLDER ADULTS: INSIGHTS FROM CROSS-NATIONAL CONTEXTS
Authors: Ailshire Jennifer , Choi Eunyoung , Nichols Emma 
Published: January 2025

Abstract
Comparing the aging experience across country contexts offers a unique opportunity to determine whether observed differences in mental and physical health of older adults reflect a universal aging process or if they depend on the unique social and economic contexts in which older adults live. The HRS-family of surveys consists of nationally-representative, longitudinal studies of aging conducted in many countries around the world that have data and measures that have been harmonized within the Gateway to Global Aging data platform. This resource provides remarkable opportunities for cross-national comparative analyses of social and economic determinants of health and well-being among older adults. The papers in this session use these harmonized data to compare the aging experience across different social and economic exposures in multiple countries from around the world, including examinations of: 1) the role of exposure to recession and workplace security on psychological stress of older adults in the US and Korea; 2) the importance of resources and social status in mental health among widowed older adults in the US and India; 3) how caregiving relates to depression among informal family caregivers across 19 countries; and 4) the importance of migration status and country of residence for multimorbidity among Mexican Older adults in the US and Mexico. This symposium provides a comprehensive examination of how workplace, family, caregiving, and migration experiences contribute to health and well-being among older adults around the world.