bluuebunny/crossref_metadata_2025_split huggingface dataset:
KNOWLEDGE MOBILIZATION TO DEVELOP DEMENTIA-INCLUSIVE COMMUNITIES IN THE DEMSCAPE PROJECT
Authors: Chaudhury Habib , Randa-Beaulieu Cari , Seetharaman Kishore 
Published: January 2025

Abstract
Creating a supportive neighborhood built environment that facilitates outdoor mobility, wayfinding, and access to community destinations is a key component in making communities more dementia-inclusive. To help municipalities achieve their vision of dementia-friendly and inclusive streets and outdoor spaces, this Knowledge Mobilization (KM) extension of the Dementia-inclusive Spaces for Community Access, Participation, and Engagement (DemSCAPE) project developed three evidence-based education and training resources for municipal planners, community-based organizations, people with lived experience and care partners. These resources or tools are: 1) “Dementia-Inclusive Planning and Design Guidelines” to inform municipal planners and decision-makers on effective physical planning and design to support people living with dementia; 2) “Neighbourhood Environmental Audit Tool” for community-based dementia advocacy organizations and people with lived experience to conduct audit of the neighbourhood environment and identify intervention projects; and 3) eight-minute documentary video illustrating the lived-experiences of three people living with dementia in urban, suburban and northern areas of British Columbia, Canada. In partnership with the City of Burnaby and the City of Richmond in Metro Vancouver, Canada, three KM activities are being conducted: 1) World Café discussions following screening the short video and an accompanying photo exhibit, 2) focus group discussions with municipal planners to help them apply knowledge of dementia-friendly streets and outdoor spaces to planning and design, and 3) conduct environmental audits of targeted streets in Metro Vancouver engaging people living with dementia and identify actionable built environmental interventions to make their communities more dementia-inclusive.
ADAPTING THE MEANING OF HOME QUESTIONNAIRE FOR PEOPLE WITH DEMENTIA
Authors: Florack Janina , Penger Susanne , Haberstroh Julia , Oswald Frank 
Published: January 2025

Abstract
Most people with dementia prefer to remain in their homes for as long as possible, despite facing various challenges in daily life due to cognitive decline. They generally decide against relocating to a nursing home, underscoring the significant value they attribute to their own residence. So far, the subjective meaning of home in people with dementia has primarily been explored through qualitative approaches. Thus, the objective of the current study was the adaption of an existing questionnaire for assessing the meaning of home (MoH) in people with dementia. In a pilot study, the MoH was revised by simplifying existing items and instructions and adding new items. Testing of the modified version (MoH-D) in a small sample of cognitively impaired individuals (N = 30) necessitated further adjustments, such as simplification of the response scale. In a second study, the factorial structure of the MoH-D was explored in a cognitively unimpaired sample (N = 574), resulting in a preliminary 21-item version with a five-factor structure that demonstrated psychometrically satisfactory characteristics. These factors were labeled comfort, everydayness, sociability, overwhelm, and autonomy based on their content. To further validate and refine the questionnaire, a sizable sample of cognitively impaired people (N = 282) was recruited. Currently, analyses are in progress to determine the final factorial structure of the MoH-D, evaluate its psychometric properties, and investigate its relations with external validation criteria (e.g., housing satisfaction, duration of residence). Initial findings will be presented and discussed.
THE INTRINSIC CAPACITY PROFILE OF THE CHINESE OLDER ADULTS IN HONG KONG
Authors: Jiang Xiao-han , Chen Feng , Tang Yiting , Chen Shuangzhou , Yu Doris Sau Fung 
Published: January 2025

Abstract
Intrinsic capacity (IC) refers to the composite of physical and mental capacity. To promote healthy ageing, the identification of IC will provide a clear picture of older adults. The IC assessment in “Pathway to Healthy Ageing Project” in Hong Kong was then conducted under the Integrated Care of Older People (ICOPE) framework. The 6 IC domains (cognition, locomotion, vitality, psychology, vision, and hearing) were assessed among the 4418 older adults recruited over Hong Kong (mean age: 74.4 years). Cognitive function was tested by Montreal cognitive assessment 5-min protocol. 16.6% of the participants had cognitive impairment. For locomotion, Short physical performance battery and Timed-Up and Go Test (TUG) were used to measure physical function and mobility. 35.0% were found to have impaired physical function, and 16.9% faced a fall risk. TUG revealed 6.5% of our participants had problem in mobility. Vitality was measured by Mini nutritional assessment and handgrip strength. Our results indicated that 27% of the participants had a malnutrition risk, and 0.4% were malnutrition. Handgrip strength indicated 59.4% had low muscle strength. Psychology was measured by Geriatric Depression Scale-15 item for depression. 10.8% of the participants were found with depression. Sensory was measured by self-reported. 22% reported they had visual loss, and 17.4% reported they had hearing loss. Our study provided a profile of IC of the community-dwelling older adults in Hong Kong. The IC impairment of Hong Kong older adults was identified, thus more targeted intervention can be provided to improve the overall health condition.
SUBJECTIVE VIEWS OF AGING ARE ALL AROUND: A SOCIAL PERSPECTIVE
Authors: Hoffman Yaakov , Shrira Amit , Neupert Shevaun 
Published: January 2025

Abstract
Subjective Views of Aging (VoA) of the individual older adult are important predictors of many health and wellbeing outcomes. Nevertheless, VoA often develop within a relational context, suggesting that VoA have an inherent interpersonal component. However, few works have considered VoA within the greater social perspective. In this session we address VoA in two different social contexts; namely medical situations, and marital context. We address how these wider social VoA impact older adults’ health and wellbeing. The first talk (Shrira & Shafir) addresses how ageist attitudes of spousal caregivers impact rehabilitation outcomes in patients following osteoporosis fractures. In the second talk (Hoffman et al.), we address how ageist attitudes of medical staff impact older adult patients in internal wards, leading to negative VoA, and to deteriorated physical health months later. The third talk (Mukherjee & Neupert) addresses increased daily memory failures of older adults with arthritis following exposure to interpersonal stressors, when awareness of age-related losses is low. The fourth talk (Bodner, Segel-Karpas & Estlein) explores how couples experience their joint aging, introduces a new questionnaire, and shows how this measure correlates with marital satisfaction and other variables. Together, the findings highlight how VoA operate within social contexts and offer valuable information for both researchers and clinicians regarding VoA and their effects on health and wellbeing.
HOSPITAL STAFF AGEISM AND OLDER PATIENT’S SUBJECTIVE VIEWS OF AGING JOINTLY PREDICT FUTURE HEALTH
Authors: Hoffman Yaakov , Bodner Ehud , Cohen Susanna , Shrira Amit 
Published: January 2025

Abstract
Over 66% of those hospitalized in internal wards are adults over 65. While older adults’ subjective views on aging (VoA) have been linked with their own health, less is known in the context of hospitalization. Moreover, to the best of our knowledge, previous studies neither extensively examined effects of departmental ageism on patients’ health indices, nor did they examine interactions between medical staff’s ageist attitudes and patient’s own VoA, in predicting subsequent health. Following, the current study addressed these issues. Hospitalized older adults (N=54, average age 76.24±8.19, range 65-101; 50% female) were assessed in 4 waves. Their experience of hospital ageism during hospitalization (Wave 1) predicted several outcomes two weeks later at Wave 2 (e.g., hospitalization satisfaction, b=-.30, re-hospitalization b=-.24) as well as one’s self-rated health four months later, b=-.36 (Wave 4). This latter link was mediated by the change in attitude towards one’s own aging (at Wave 2, a × b=-4.47, 95% CI [-9.7, -.29]). Findings suggest that reducing medical staff ageist attitudes (e.g., by including courses/workshops on ageism in medical staff training) may both enhance long-term health of older internal ward hospitalized patients and reduce care costs to health systems.
VIEWS OF AGING OF PATIENTS AND SPOUSAL CAREGIVERS PREDICT HOME-BASED REHABILITATION OUTCOMES
Authors: Shrira Amit , Shafir Irit 
Published: January 2025

Abstract
Home-based hospitalization programs providing health services in patients’ home become increasingly widespread in view of population aging and insufficiencies of inpatient services. Home care has a potential to improve health outcomes and patient satisfaction as well as reduce costs. An impressive body of evidence shows that favorable subjective views of aging (VoA) predict better health outcomes among older adults. Much less is known about the role of VoA in the unique context of home-based hospitalization where care recipients and caregivers are jointly involved in intensive recovery efforts. Therefore, the current study assessed functional outcomes as predicted by VoA of 86 patients (mean age=71.5) and spousal caregivers (mean age=70.5). Patients and spouses receiving post-fracture home-based rehabilitation via one of the largest health maintenance organizations in Israel rated their VoA at the beginning of rehabilitation. Patients’ functional independence was assessed by healthcare personnel at the beginning and end of rehabilitation (approximately two weeks later). The main outcome was rehabilitation effectiveness reflecting the ratio between the absolute functional gain and the patient’s specific potential for functional improvement. Results showed that patients who felt younger or who were less aware of age-related losses had higher rehabilitation effectiveness. Moreover, patients whose spousal caregivers reported less ageist attitudes had higher rehabilitation effectiveness. The study found unique effects of patients’ and spousal caregivers’ VoA on rehabilitation outcomes. Findings suggest that reduction of negative VoA among patients as well as informal caregivers should be considered when tailoring orthopedic rehabilitation frameworks.
OLDER ADULTS AS RESOURCES IN EARLY CHILDHOOD EDUCATION
Authors: Growney Claire , Jordan Claire , Larson Carol , Carstensen Laura 
Published: January 2025

Abstract
As California rolls out universal transitional kindergarten for 4-year-olds, the public school system faces a shortage of teachers and paraeducators to meet minimum adult–child ratios. Given age-related strengths in the social-emotional domain, older adults may be especially well-suited to support young children’s developmental needs. We are currently forming and researching programs that bring older adults into early childhood education classrooms to support children in various capacities. Many schools have used volunteers, but our focus is paid hourly and salaried positions. To inform program development, we collected qualitative and quantitative data from 8 early childhood center directors and 10 adults aged 55–73 who indicated interest in working with young children. Directors’ top-rated goals were to recruit people who would contribute to a calm, inviting classroom environment, support children’s social-emotional needs, and lower adult-child ratios. Directors also reported concerns, including older adults being unable to meet the physical demands of the job. Older adults’ top-rated reasons for being interested were wanting to have an emotionally meaningful experience and make a difference for young children. Information learned from these data was used to inform the creation of pilot programs at sites in Los Angeles, Fresno, and Santa Cruz, California. At baseline and the end of the programs, we are collecting assessments from classroom teachers, directors, and older adult participants to examine effects of the program on classroom environment, attitudes toward older adults, and older adults’ well-being. We will discuss barriers to program implementation and methods for successfully recruiting and retaining participants.
ADVANCING DATA COLLECTION AND SHARING FOR PERSON-CENTERED DEMENTIA CARE IN LOW-RESOURCE LONG-TERM CARE SETTINGS
Authors: Rataj Alison , McConnell Eleanor 
Published: January 2025

Abstract
Person-centered care (PCC) is essential to support people living with dementia and is a guiding principle in care services. Inequities in PCC and dementia care access persist in long-term care (LTC) settings, including poorer urban and rural communities, which have fewer healthcare resources. While growing evidence has demonstrated the consequences of LTC inequities, research is limited in understanding strategies to improve dementia care in low-resource settings. This symposium features four presentations from the Advancing Person-Centered Dementia Care in Low-Resource Contexts Project emphasizing unique challenges and opportunities for providing PCC in low-resource LTC settings from the perspectives of administrators, direct care staff, residents with dementia and their families. The first presentation reports results from a community-based, participatory research study in four LTC settings in federally designated medically underserved areas highlighting what matters when providing quality dementia care from the perspectives of LTC leaders, staff, residents and their families. The second presentation shares PCC strategies used by direct care workers stratified by length of tenure in the workforce. The third presentation examines factors related to measuring PCC quality with a specific focus on measurement in low-resource settings. The fourth presentation summarizes results from a series of design thinking workshops with family members, staff, and leaders in low-resource LTC settings to co-create processes for supporting high-quality PCC. This symposium reveals innovative strategies to provide dementia care and generates future directions for addressing inequities in low-resource LTC settings. Common Data Elements for International Research in Residential Long-term Care Interest Group Sponsored Symposium
STRATEGIES USED BY STAFF TO PROVIDE PERSON-CENTERED DEMENTIA CARE: A COMPARISON BY LENGTH OF TENURE
Authors: Kim Yoon Chung , Lepore Michael , Kusmaul Nancy , Holmes Sarah 
Published: January 2025

Abstract
Approximately half of nursing home residents and 42% of assisted living residents have a diagnosis of dementia. The quality of care that staff provide to long-term care (LTC) residents living with dementia (RLWD) is vital for their well-being. However, questions remain about what strategies staff use to support person-centered dementia care and whether differences exist by length of tenure. This descriptive, qualitative study sought to identify strategies used by direct care workers to provide person-centered dementia care and compare strategies by length of tenure. The study included in-depth semi-structured interviews with a purposive sample of 20 direct care workers in four low-resource LTC settings in two states. Interviews were audio recorded, transcribed, and thematically analyzed in NVivo14. Staff reported a mean length of tenure in LTC of 8.97 years (SD= 5.92, range= 1.5-21 years). Common strategies recommended by direct care workers for providing person-centered dementia care included validating and recognizing residents’ emotional needs, building trust and rapport, involving families, honoring preferences and life histories, knowing triggers or past traumas, and engaging residents in individualized activities. Participants emphasized the importance of dementia training for providing care to RLWD. There were no differences in strategies observed between longer and shorter tenured direct care workers, but those with longer tenure expressed more emotional detachment regarding resident care, whereas shorter tenured staff expressed more emotional attachment in resident care. Findings highlight how staff with shorter and longer tenure experience care differently and inform future work to promote high-quality care for RLWD in LTC settings.
EXPLORING ABUSE ACROSS THE LIFE COURSE IN DEMENTIA CAREGIVING RELATIONSHIPS
Authors: Avent Elizabeth , Yonashiro-Cho Jeanine , Mosqueda Laura , Gassoumis Zachary 
Published: January 2025

Abstract
Based on the web of violence framework, described as different patterns of co-occurring abuse and trauma across the lifespan, caregivers who have lifespan patterns of abuse may be at greater risk for experiencing or perpetrating abuse once caregiving obligations begin. Conflict and abuse are concerns when the care receiver has ADRD, as behavioral problems associated with dementia may arise during caregiving. Spousal and intimate partner (S/IP) caregiving dyads are most likely to live together, so it is probable that aggression and abusive behaviors can be present in these dyads. Bivariate analyses (chi-square and t-tests) from surveys (N=207) and semi-structured interviews (N=12) with caregivers were conducted to identify characteristics that are conceptually related to abusive behavior throughout their relationships and life courses. There were no significant differences between S/IP caregivers and other types of caregiving relationships in mean adverse childhood experiences (ACE) scores, anxiety and depression scores, relationship quality, and caregiver burden. Roughly 22% of S/IP caregivers experienced at least 1 ACE. S/IP caregivers reported a history of IPV (10.9%) and abuse in the past year (12.2%). Among dyads in which recent abuse occurred, abuse was present throughout the relationship, even before onset of dementia. Semi-structured interviews showed that the caregiver experienced IPV in a previous relationship and/or at least one partner in the dyad experienced some form of family violence during childhood. Clarifying older victims’ experiences can help to identify risk factors, develop age-inclusive resources and services, and encourage collaboration between aging and domestic violence service providers.
CAPABLE ADAPTATIONS: MEETING THE NEEDS OF OLDER ADULTS ACROSS DIVERSE CONTEXTS TO SUPPORT FUNCTION
Authors: Cudjoe Thomas , Steinman Lesley 
Published: January 2025

Abstract
CAPABLE is a time-limited, person-directed, home-based program that addresses and seeks to improve the function of individuals living with disability. This effective program integrates the services of an occupational therapist, a registered nurse, and a handy worker who, in collaboration with an older adult, sets goals and creates action plans. In multiple trials nationwide, it has improved daily function and reduced disability for participants while saving health care costs. It is now being implemented in 23 States at 45 sites nationwide. Building upon the success of the original CAPABLE program, our symposium will present descriptions and findings from innovative adaptions of CAPABLE to 1) improve the health, independence, and safety of care partners, 2) promote social connection in individuals who have constrained life space or are homebound, 3) address the needs of older adults awaiting kidney transplants, and 4) improve the quality of life for older adults experiencing cognitive impairments. Presenters will provide insight into lessons learned from each CAPABLE adaptation, including perspectives on leveraging opportunities and utilizing synergy to address socio-behavioral and functional needs across these diverse contexts and populations.
ADAPTING THE CAPABLE PROGRAM TO ADDRESS FUNCTION AND SOCIAL CONNECTION NEEDS AMONG HOMEBOUND OLDER ADULTS
Authors: Riser Tiffany , Jung Wonkyung , Curriero Samantha , McDaniel Kennedy , Cudjoe Thomas 
Published: January 2025

Abstract
CAPABLE Care + Connect is a high-fidelity prototype based on the CAPABLE program that is currently being developed and implemented using a two-phase approach. The purpose of CAPABLE Care + Connect is to leverage human-centered design to adapt an evidence-based intervention (Phase 1) and to test the feasibility of implementing the tailored intervention in a home-based primary care setting (Phase 2). The overarching goal of CAPABLE Care + Connect is to better address the needs of homebound older adults experiencing limited life space and limited social connection. During the symposium presentation, we will share the methodological activities involved in developing this intervention using human-centered design. Additionally, we will present early insights gained from older adults, care partners, clinicians, and thought leaders regarding opportunities and challenges of integrating the CAPABLE and Johns Hopkins Home-Based Medicine programs. These insights will highlight the program’s role in facilitating aging in place while also supporting social connection in older adults with disabilities who are experiencing or at risk for social isolation. After attending this symposium session, participants will demonstrate an understanding of how human-centered design approaches can be applied to adapt an evidence-based intervention in a home-care setting. Additionally, participants will be able to summarize perspectives on social isolation, loneliness, and unmet needs for social connection in homebound older adults with disabilities.
COHORT DYNAMICS OF SOCIAL SUPPORT EXCHANGE: INSIGHTS FROM DIVERSE AGING IN THE US
Authors: Suanet Bianca , Huxhold Oliver , Smith Jacqui 
Published: January 2025

Abstract

Background
Studies from Europe indicate an increase in social support exchanges among older adults, but whether this trend also applies to the US and the perception of these exchanges as positive or negative remains unclear. Furthermore, it’s uncertain if these changes also benefit those that face disadvantage, such as low income and racial minority groups, especially when considering intersecting factors.

Methods
This study employs cohort-sequential analysis of Health and Retirement Study (HRS) data collected from 2008 to 2022 in 8 waves to investigate cohort differences in positive and negative social support exchanges among older adults in the United States. It focuses on the influences of cohort, race, and income on social support dynamics, employing data from the psycho-social questionnaire.

Results
Despite a general increase in positive support exchanges, disparities in social support exchange persist based on race and socioeconomic status. Individuals with lower incomes and from ethnic minority backgrounds experience disproportionately more negative social support exchanges, indicating persistent inequalities.

Discussion
Recognizing the complexities of social support exchanges, particularly in relation to cohort, race, and socioeconomic status, is crucial for policymakers and healthcare professionals. Tailored interventions are essential to address disparities and promote equitable aging outcomes and overall well-being among older adults in the US.