bluuebunny/crossref_metadata_2025_split huggingface dataset:
REFRAMING AGING: THROUGH THE LENS OF ETHICAL ARTIFICIAL INTELLIGENCE
Authors: McNellis Cynthia 
Published: January 2025

Abstract
Artificial Intelligence (AI) technology is advancing at a rapid pace. In addition, our older adult cohort is growing at an unprecedented rate. The purpose of my research is to address the ethical concerns when AI intersects with this population, offering policy recommendations to bridge this ethical digital divide. To address this AI ethical dilemma, my research did not reach back prior to 2019 in order to provide a concise policy analysis that includes existing AI ethical policies/recommendations from the European Union, United States, and U.S. States, key differences, and how ethical AI policies are central to Area Agencies on Aging’s development of aging services. My findings indicated gaps in ethical AI design with developed policy recommendations. These gaps include inclusive data collection, user-centric design, algorithmic biases and understanding, digital literacy, New Jersey AI Task Force membership, and a need for a New Jersey AI Ethical Framework. With my five policy recommendations, New Jersey will be better positioned in assuring AI systems will be equitable, ethical, and effective in addressing the present and future needs of older adults. With this ethical AI framework, New Jersey will help to better older adults’ quality of life, as well as save valuable time and resources through the new industrial revolution that is Artificial Intelligence. Keywords: Artificial Intelligence, ethics, older adults, algorithmic bias, AI ageism
ROLE OF MACHINE LEARNING (ML) IN AGING IN PLACE RESEARCH: A SCOPING REVIEW
Authors: Park Sojung , Ahn Eunhye , Ahn Tae-Hyuk , Ahn SangNam , Park Soobin , Kwon Eunsun , Ahn Seoyeon , Yang Yuanyuan 
Published: January 2025

Abstract
As global aging accelerates, Aging in Place (AIP) is increasingly central to improving older adults’ quality of life. Machine Learning (ML) is widely used in aging research, particularly in health monitoring and personalized care. However, most studies focus on clinical settings, leaving a gap in understanding ML’s application in non-clinical AIP contexts. This review addresses this gap by exploring the themes, policy implications, and ethical concerns of AIP-ML studies, including AI bias and fairness. The review examined 32 peer-reviewed studies sourced from databases like PsycINFO, MEDLINE, and PubMed. Through thematic analysis, three main themes emerged: successful aging, managing depressive symptoms, and fostering social connectedness. The studies employed various ML techniques, including classification algorithms, random forest, SVM, and LASSO, to predict health outcomes such as depression, cognitive decline, and functional disabilities in older adults. They also identified key risk factors and examined disparities in healthcare access and digital inclusion.However, the studies often lacked validation across diverse populations, which limits their policy impact. Most research focused on healthy, community-dwelling older adults, excluding those with dementia or disabilities, thereby introducing biases that could disproportionately affect marginalized groups The review highlights that while ML models are useful for prediction, they may overlook the needs of less healthy older adults, reducing their accuracy and fairness. These findings emphasize the need for transparency and participant involvement in data usage, suggesting that despite its limitations, the current literature offers valuable insights for advancing AIP research and guiding the development of more inclusive AIP policies.
TECHNOLOGY THAT SUPPORTS EXTENDING DEMENTIA-FRIENDLY COMMUNITY BASED CARE: A SCOPING REVIEW
Authors: Buckley Nina , Hewitt Elizabeth , Chen Limei , Choi Sang 
Published: January 2025

Abstract
With global aging on the rise, there is increasing interest in technological interventions that support persons living with dementia (PLwD) to age in place. This scoping review identifies and examines technologies specifically designed for dementia care, explores their usage contexts, and assesses their potential for implementation in community settings. A systematic search was conducted across nine electronic databases—APA PsycInfo, AgeLine, MEDLINE, SocINDEX, Global Health, Web of Science, Google Scholar, and CINAHL—following the WHO (2023) framework for the classification of digital health interventions. The review included peer-reviewed articles published between 2014 and 2024, using search terms related to “dementia,” “digital technology,” “quality of life,” and “community.” Articles were screened for eligibility based on predefined criteria, such as being peer-reviewed and written in English. Out of 1,009 articles originally identified, 54 met the inclusion criteria and were included in the review. The findings reveal a range of technologies aimed at keeping PLwD safe and supported at home. However, the majority of studies highlighted a significant reluctance among PLwD to adopt these technologies, often due to a lack of familiarity and comfort with digital tools. This hesitancy, particularly among family caregivers, emerged as a major barrier to the successful implementation of technological interventions in community settings. To enhance the effectiveness of technology in dementia care, there is a need for strategies that address caregiver concerns and improve digital literacy. Future research should focus on developing user-centered interventions that are adaptable to the diverse needs and preferences of both PLwD and their caregivers.
THE ROLE OF HOUSING IN LONG-TERM NURSING HOME UTILIZATION IN THE UNITED STATES: AN INTEGRATIVE REVIEW
Authors: Bergh Marissa , Travers Jasmine 
Published: January 2025

Abstract
Given the growing housing crisis, researchers increasingly point to housing as a possible risk factor for nursing home (NH) utilization, yet the exact pathways from housing to NH utilization are unclear. The purpose of this integrative review was to develop an understanding of how housing acts as a mechanism that impacts NH utilization in the United States. Five databases were searched in April 2024 and 16 total articles were included. This review highlights four pathways for this relationship: 1) Financial Asset vs. Burden, represents how some leverage home equity to help finance necessary NH placements, while for others the cost-burden of housing may lead to early nursing home placements; 2) Access to Affordable Housing, represents how the supply of affordable housing impacts the ability of NH residents to return to community living; 3) (Mis)match Between Needs and Housing, represents how functional needs rapidly evolve, leading to housing transitions and NH placements; and 4) Compounding Systemic Inequities, represents how systemic inequities in access to affordable, quality housing lead to disparities in NH placement for socio-economically marginalized older adults. The results from this review provide evidence of the relationship between housing and NH utilization across these four pathways; however, due to weak quality of evidence, and limited methodological diversity, more research is needed to strengthen this evidence. Clinicians, researchers, and policymakers should still recognize the importance of housing in NH utilization and seek to target policies and interventions towards improving housing conditions for those at risk for NH placement.
THE SENIOR COMPANION JOURNEYS PROJECT: A TRAINING TO ENHANCE VOLUNTEERS’ KNOWLEDGE OF AD/ADRD
Authors: Fields Noelle , Xu Ling , Li Pingnan , Stringfellow Mary , Gomez Melissa 
Published: January 2025

Abstract
Research suggests that trained volunteers may be equipped to serve as interventionists for family care partners (CPs) of persons living with dementia (PLWD). The Senior Companion Journeys Project (SCP-J) was developed to help bridge gaps in knowledge of AD/ADRD and CP support. The purpose of this study was to evaluate the SCP-J training (n = 49) as part of a volunteer-led intervention for CPs of PLWD. The Alzheimer’s Disease Knowledge Scale (ADKS) and open-ended questions were used to examine the SCs’ knowledge before and after the SCP-J training. Non-parametric McNemar tests were conducted for each item and the overall correct response rate of the ADKS scale, respectively. Qualitative interview data were analyzed using RaDAR analysis. The results of the quantitative data indicated overall significant improvements in the overall correct response rate of ADKS after the SCP-J training (p &lt;.001). Some specific ADKS items showed a significant increase after the training including items related to early responses to AD/ADRD behaviors (p &lt;.001), high cholesterol and risk for developing AD/ADRD (p &lt;.01), and high blood pressure and risk for developing AD/ADRD (p &lt;.01). Qualitative findings revealed three themes: improved knowledge or reinforced knowledge of AD/ADRD, improved coping skills for problematic behaviors associated with AD/ADRD, and improved confidence in providing CP support. Overall findings suggest that the SCP-J Training is a promising intervention for enhancing knowledge about AD/ADRD for SC volunteers. Recommendations for future research and strategies for other volunteer-led AD/ADRD interventions in community-based settings are offered.
THE WHO INTEGRATED CARE FOR OLDER PEOPLE (ICOPE) FRAMEWORK AND THE ASSOCIATION WITH FRAILTY IN OLDER ADULTS
Authors: Chou Wan Yun , Hou Su-I 
Published: January 2025

Abstract
The World Health Organization (WHO) introduced the Integrated Care for Older People (ICOPE) framework, designed to enhance the intrinsic capacity (IC) of older adults, focusing on their physical and mental health. This shift in care approach, from disease-centered to person-centered, reflects the rapid increase in the global aging population. The objective of the current study was to explore how IC relates to frailty in older adults. In a medical center in Taiwan in 2021, this cross-sectional study involved patients aged 65 and older admitted to the geriatric ward. Participants completed a questionnaire that included an IC assessment based on the six domains of ICOPE (cognition, mobility, nutrition, visual, hearing, and depressive symptoms), Fried’s frailty scale, and demographic information. Fried’s frailty scale categorized participants into robust (score=0), prefrail (score=1-2), or frail (score ≥3) groups. Logistic regression analysis was employed to examine the association between individual ICOPE domains and frailty, adjusting for age, gender, and number of comorbidities. Of the 210 participants, 39.0% were categorized as prefrail and 28.6% as frail. Notably, mobility loss and depressive symptoms were strongly linked to prefrail and frail conditions, with significant adjusted odds ratios (aOR) indicating higher risks. Additionally, malnutrition and hearing loss were significantly associated with frailty. These findings underscore the critical need for attention to IC and frailty in older adults and advocate for regular implementation of the WHO ICOPE screening pathway. While the convenience sampling method may limit generalizability, further research is necessary better to understand the utility of ICOPE in frailty identification.
TOWARDS AN AGE-FRIENDLY UNIVERSITY: INSIGHTS FROM CULTURALLY DIVERSE COMMUNITY-DWELLING OLDER ADULTS
Authors: Wong Joey , Gregorio Mario , Santaella Paulina , Soni Albin , Fu Jason , Meghelli Ilan , Hung Lillian 
Published: January 2025

Abstract
Lifelong learning is essential for enhancing older adults’ self-esteem and social connections and expanding their capabilities. Including older adults on university campuses fosters intergenerational learning, where younger students benefit from their experiences and mentorship. This project addresses the growing emphasis on creating age-friendly universities by improving inclusiveness, diversity and equity at the University of British Columbia (UBC) Vancouver campus. The study, conducted in June and July 2024, engaged 25 community-dwelling older adults from diverse backgrounds—including Indigenous groups, multi-ethnic groups and people of color, LGBTQIA2+, and individuals with various physical and mental capacities—in audit walks with younger students across the campus. These walks assessed features related to “age-friendliness.” Group conversations before and after the walks provided valuable insights into participants’ perceptions of age-friendliness and feedback on current age-friendly university principles. Findings revealed a strong interest among older adults in continued learning, research collaboration, and mentorship opportunities. However, significant barriers were also identified regarding campus navigation, course registration, affordability, and communication. Additional concerns included safety issues, more accessible features, and improved transportation infrastructure. Participants also highlighted the importance of cultural inclusivity, such as multilingual resources and diverse art representations. This study not only reaffirms established age-friendly principles but also underscores the need to address environmental safety and accessibility from the perspectives of older adults. It advocates for a collaborative approach to developing an age-friendly university campus that effectively meets the needs of all its members, ensuring an inclusive environment for learners of all ages.
TRANSCENDING ‘INTERDISCIPLINARY PARADOX’: TOWARDS AN AUTONOMOUS BODY OF KNOWLEDGE THROUGH TRANSDISCIPLINARITY
Authors: Chen Shiyu , Zhou Shandong 
Published: January 2025

Abstract
Autonomous body of knowledge (BoK) in gerontology is not only an extrinsic requirement to address the challenges of an aging society, but also an intrinsic need for the discipline to achieve its independency. The establishment of such a BoK requires an introspective reflection. This poster presents a review of the progress on the establishment of gerontology’s autonomous BoK, and explores the evolvement of the discipline following the “multidisciplinary-interdisciplinary-transdisciplinary” continuum. The study finds a ‘interdisciplinary paradox’ in current gerontological BoK, which manifests as: programmatic discourse on interdisciplinarity in gerontology continues to proliferate and disseminate, yet disciplinary and sub-disciplinary differentiation and specialization are ever-increasing. Moreover, there remains structural barriers in academia supporting interdisciplinary research in gerontology. To resolve this paradox and reinforce the establishment of gerontological autonomous BoK, a transdisciplinary research model (ISOE model) consisting of 3 phases could be adopted. The 3 phases in the model are as following: a. Breaking down barriers between organizations, interacting with diverse stakeholders and framing the real-world problem collectedly b. Integrating research methodologies and perspectives, and collaborating on producing solution-orientated knowledge and transferable results; c. Translating and applying research results to real world practice. In conclusion, transdisciplinary method offers a promising pathway to establish an autonomous BoK in gerontology.
TRENDS IN CHRONIC DISEASE SPENDING AND HEALTH OUTCOMES AMONG MEDICARE FFS BENEFICIARIES IN PUERTO RICO
Authors: Campos Matthew , Rivera-Hernandez Maricruz 
Published: January 2025

Abstract
There is growing recognition of disparities in chronic disease outcomes between Puerto Ricans on the island and those on the US mainland, yet comparative data are limited. We assessed the prevalence of key chronic conditions—Alzheimer’s disease and related dementias (ADRD), diabetes, and chronic kidney disease (CKD)—and total care costs for Medicare fee-for-service (FFS) beneficiaries in Puerto Rico (PR) compared to states with high older adult (65+) Puerto Rican populations [Florida (FL), New York (NY), Georgia (GA), New Jersey (NJ), California (CA)] from 2015 – 2020. We used data from the Mapping Medicare Disparities Tool from the Center for Medicare and Medicaid Services. Outcomes of interest included age-adjusted prevalence and risk-adjusted total costs per beneficiary. From 2015 – 2020, age-adjusted prevalence trends in PR showed decreases in ADRD by three percentage points (13% to 10%) and diabetes by six percentage points (46% to 40%). Conversely, CKD prevalence increased by 12 percentage points from 21% to 33%. Despite ADRD trends aligning with national averages, diabetes (PR: 40%, Nation: 26%, FL: 28%, NY: 27%, GA: 29%, NJ: 29%, CA: 24%) and CKD (PR: 33%, Nation: 25%, FL: 29%, NY: 24%, GA: 30%, NJ: 25%, CA: 23%) rates in Puerto Rico remain notably higher. Additionally, PR risk-adjusted average total spending per beneficiary in 2020 was below national averages for all assessed chronic conditions (ADRD: $13,037 vs. $20,678; diabetes: $11,363 vs. $15,525; CKD: $13,181 vs. $18,376). These disparities suggest potential impacts on access and quality of care and highlight the need for policy interventions.
UNDERSTANDING OLDER ADULTS’ INTEREST IN USING VIRTUAL REALITY TO SUPPORT SOCIAL ENGAGEMENT ACTIVITIES
Authors: Mois George , Eraslan Emre , Cheng Qiyuan , Sun Tongxin , Louis-Charles Willencia , Gupta Avinash , Rogers Wendy 
Published: January 2025

Abstract
The experience of loneliness affects one in four adults over age 65. These experiences can have significant impacts on wellbeing and quality of life. Changes associated with aging such as retirement, relocation, loss of friends and family can impact access to social engagement opportunities. Moreover, communities often lack resources required to meet individuals’ social needs. Leveraging immersive information communication technologies such as virtual reality (VR) presents a unique opportunity in bridging the resource gap, enabling individuals to connect with others, meet new people, and engage in diverse virtual activities. However, due to a limited body of research, there is little understanding of the types of VR activities older adults are interested in partaking in with in-network (e.g., family, friends) and out-of-network (e.g., strangers, new acquaintance) individuals. We explored older adults’ interests in using VR to engage with others and the types of activities they might be interested in engaging in. Participants were 21 older adults, aged 61-80 (M=69, SD=5.45). Our mixed methods approached included questionnaires, passive virtual reality demonstrations, and a semi structured interview. The older adults had positive attitudes about the VR and were interested in using it with family and friends. They could also see the potential of using VR to interact with other people with shared interests (e.g., hobbies, traveling). Participants reported interest in a diverse set of VR based activities to engage with others. These findings illustrate the potential of VR for social engagement activities for older adults, accessible from their homes, to reduce loneliness.
UNIVERSITY-CITY PARTNERSHIP TO RECRUIT DIVERSE, LOW-INCOME SENIORS TO ALLEVIATE HEALTH DISPARITIES
Authors: Leinbach Carla , Tice Abigail , Lopez Janet 
Published: January 2025

Abstract
Recruitment challenges are the top cited reason that research studies miss their goals. Recruiting under-represented groups including people of color, those with cognitive or physical challenges, socio-economically marginalized persons, and older persons exacerbates recruitment challenges. We aimed to explore strategies to recruit diverse, low-income, older participants for our NIH-funded clinical trial study and compared recruitment numbers between pre-post recruitment implementations. We collected data from May to August 2024 from Orlando, Florida. Pre-implementation, locations had fewer than 10 participants per site and required 8 to 12 weeks to organize. Our findings indicated four recruitment strategies 1) creating university-city partnerships resulted in 17 new senior programs to recruit from; 2) recruiting untapped places resulted in an uptick in new participants; 3) Multi-lingual marketing increased enrollment inquiries, and 4) Efficiently captured inquiries increased enrollment. Pre-implementation, the study struggled to identify locations with sufficient senior population density, identified limited physical spaces to conduct assessments, struggled to obtain permission to recruit on-site, and faced market rental rates for use of space. Enrollment rates were low due to the facilities’ leadership and potential participants viewed researchers as “vendors”, not trusted partners. Post-implementation, cohorts ranged from 25 – 40+ seniors and required approximately 2 weeks to organize. This partnership expanded the reach of recruitment into historically difficult to access populations and contributed to a net regain of committed completion timelines. Strategic utilization of local city and county government for participant recruitment and facility access can aid research projects in reaching their goals and diversifying the participant pool.
UNMET NEEDS AND HEALTHCARE SERVICE UTILIZATION AMONG OLDER ADULTS: A SYSTEMATIC REVIEW
Authors: Khan Maham , Sands Laura , Comer Cozette , Hoch Jackson 
Published: January 2025

Abstract
Unmet needs refer to the absence of necessary assistance for completing Activities of Daily Living (ADLs), and they are associated with severe health consequences, such as hospitalizations, emergency room visits, nursing home placement, and mortality among older adults. The high cost of unmet needs pose challenges at both individual and systemic levels. While the prior literature has focused on immediate consequences of unmet needs (such as going without bathing or toileting), this systematic review consolidates evidence to assess the impact of unmet needs on healthcare utilization and emphasizes the importance of improving community-based care to mitigate (costly) consequences. A comprehensive search of multiple databases, including Scopus, Web of Science, PubMed, and CINAHL, using appropriate keywords (unmet needs, acute healthcare utilization) identified 6,475 studies. After a rigorous screening process, eight studies met the inclusion criteria for analysis, focusing on non-institutionalized older adults in the U.S. with at least one ADL difficulty. Results show that individuals with unmet needs experience double the hospitalization rates compared to those with met needs. Emergency room visits are also 31% higher, especially among those with unmet self-care needs. From the hospital deaths, 74 % report to have experienced unmet needs at end-of-life. Sociodemographic factors, such as older age, being minority race, living alone, and cognitive impairment further exacerbate the risks acute healthcare utilization. Addressing unmet needs is crucial not only for improving quality of life among older adults but also for alleviating the strain on healthcare resources through targeted policy interventions.