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PMC10738085 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0886 igad104.0886 Abstracts Session 3095 (Symposium) AcademicSubjects/SOC02600 PRECARITY AND WORK IN LATER LIFE: EXPERIENCES OF OLDER WORKERS IN UNCERTAIN TIMES Halvorsen Cal Chair Matz Christina Co-Chair Miller Julie Discussant 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 266266 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Employees later in their careers often earn the highest income of their lives, enabling them save for retirement while living in relative comfort. Yet many workers do not experience this late-career economic boost and instead face age bias and discrimination, difficulty finding and keeping work, and social and economic inequalities. Using an intersectionality lens, these difficulties often lead to disparities by race, ethnicity, gender, and immigration status, highlighting the varied socioeconomic experiences of older adults. The economic and social effects of the COVID-19 pandemic have often exacerbated these disparities. This symposium will highlight the varied experiences of late-career workers since the advent of the pandemic, with an emphasis on lower income workers and disparities by race and ethnicity. Dr. Choi-Allum will describe the results from a nationally representative survey of 2,000 workers ages 40 and older by AARP, highlighting how perceived age discrimination and the sense of a weak economy is driving uncertainty in finding and keeping paid work. Dr. Carr will identify racial and ethnic disparities in pandemic-related job disruption and its associated financial setbacks using Health and Retirement Study data. Dr. Halvorsen will describe the experiences of older, lower-income, and often immigrant job seekers within the federally funded Senior Community Service Employment Program in Massachusetts. And Dr. Matz will outline research with older adults who live in public housing on how social resources obtained partly through work may buffer financial strain's impact on health. To conclude, Dr. Miller will place the four studies into the broader socioeconomic context. This is an Aging Workforce Interest Group Sponsored Symposium. pmc |
PMC10738086 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.3074 igad104.3074 Abstracts Session 7960 (Poster) Examining Inequities and Inequalities in Aging AcademicSubjects/SOC02600 ARE INEQUALITIES IN HEART DISEASE CHARACTERIZED BY INTERGENERATIONAL EDUCATIONAL ATTAINMENT? Kemp Blakelee University of Nebraska, Lincoln, Nebraska, United States Rush Carli University of Nebraska, Lincoln, Nebraska, United States Morton Patricia Wayne State, Detroit, Michigan, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 956957 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Intergenerational patterns in educational attainment are associated with later-life heart health. Yet, whether the association between intergenerational education patterns and adult heart disease varies by cohort and gender is unclear despite the increasing importance of education for health, especially among women. Informed by a life-course perspective, this study aims to further contextualize the link between education and heart disease in time and across groups. Using data from the Health and Retirement Study, a nationally representative panel survey of adults over the age of 50, we examine how patterns in intergenerational education are associated with heart disease prevalence (n=31,141) and incidence from 1998 to 2018 (person-year observations=253,521) and whether these patterns vary by gender and cohort. Overall, individuals characterized by stable-high education (i.e., parent and respondent have at least some college education) consistently had the lowest prevalence and incidence of heart conditions, whereas those with low adult education, regardless of parent's education, had the highest risk of heart conditions. Findings also indicate that the effects of intergenerational education patterns on adult heart disease were most pronounced for women and the younger cohorts compared to men and older cohorts, respectively. For example, women and the youngest cohort (born 1954-1967) with upward and stably high intergenerational education had the most favorable heart disease outcomes, whereas the same groups with downward intergenerational education experienced the highest heart disease prevalence. Our findings demonstrate the importance of contextualizing how intergenerational educational attainment influences later-life heart conditions by considering variations by gender and cohort. pmc |
PMC10738087 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0521 igad104.0521 Abstracts Session 2130 (Symposium) AcademicSubjects/SOC02600 EMBEDDING EVIDENCE-BASED CAREGIVER SUPPORT IN COMMUNITY-BASED PROGRAMS: THE ADS PLUS PROGRAM Gitlin Laura Chair Gaugler Joseph Co-Chair Hepburn Kenneth Discussant 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 159159 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Adult Day Services (ADS) are a community-based option in long-term care, providing a safe, interactive, and managed environment for people with dementia (PWD). ADS also serve racially/ethnically diverse communities, provide respite for family caregivers and help people age-in-place. Nevertheless, research reveals inconsistent benefits of ADS for caregivers of clients and ADS do not typically offer evidence-based caregiver programs as part of routine care. This symposium reports on the results of a novel NIA funded multi-site Hybrid Type I trial with pragmatic elements which evaluated the effectiveness of embedding a caregiver support program, ADS Plus, in ADS and delivered by staff. ADS Plus, provides caregivers with dementia education, stress reduction techniques, validation/support, referrals and linkages, and strategies to address caregiver-identified challenges over 12-months. Reported are the quantitative and cost outcomes, implementation processes, and challenges and lessons learned. Dr. Gitlin will present the main quantitative study outcomes of this multi-site trial involving 34 sites nationally and 234 caregivers, which demonstrated benefits for caregivers and ADS. Next, Dr. Marx will examine implementation findings including session completion and content. Dr. Gaugler will present findings from the qualitative arm examining perceived benefits of ADS Plus by staff and participants. Ms. Prioli will then examine cost savings associated with ADS Plus whereas Dr. Parker will address barriers when partnering with home and community-based services including developing and maintaining partnerships, institutional review board hurdles and staff readiness. To conclude, our discussant, Dr. Kenneth Hepburn, will offer perspectives on moving evidence-based programs into community-based settings such as ADS. This is a Behavioral Interventions for Older Adults Interest Group Sponsored Symposium. pmc |
PMC10738088 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0183 igad104.0183 Abstracts Session 1180 (Paper) Sleep, Social Connections, and Discrimination AcademicSubjects/SOC02600 FUNCTIONAL LIMITATION: DIFFERENCES BY EPIGENETIC AGING, ETHNICITY, AND EXPERIENCES OF DISCRIMINATION Brown Maria Syracuse University, Syracuse, New York, United States Mutambudzi Miriam Syracuse University, Syracuse, New York, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 5758 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Epigenetic aging provides an opportunity to rethink processes of aging and policy and health interventions to address health disparities across the life course. Previous research has shown that social factors can result in accelerated epigenetic aging, with subsequent unfavorable health outcomes. This cross-sectional study aimed to evaluate the relationship between epigenetic aging and functional and instrumental limitations in White and Hispanic older adults and to explore how recent experiences of perceived discrimination may differentially impact this association. We used 2014 and 2016 Health and Retirement Study (HRS) data for White (n=1072) and Hispanic (n=139) adults aged 50 and older and epigenetic clock data from the 2016 HRS Venous Blood Study. We hypothesized that accelerated epigenetic aging (PhenoAge epigenetic clock regressed on chronological age) would be associated with greater limitations in activities of daily living (ADLs) and instrumental activities of daily living (iADLs), and this impact would differ by ethnicity and perceived discrimination. On average, Hispanics reported significantly more limitations in ADLs (1.10 vs .47, p<.0001) and iADLs (1.22 vs .72, p<.0001), and more experiences of being treated differently in service situations (44.6% vs 33.3%, p=.0084) and of people acting as if they were afraid of them (28.78% vs 22.01%, p=.0738). Epigenetic age was associated with discrimination (b=-1.98, p=.0078), with ADLs in Hispanics (b=-0.04, p=.0812), and with iADLs in Whites (b=.0069, p=.0443). Further studies of the impact of epigenetic aging on functional and instrumental limitations should be longitudinal, utilize larger samples of older adults, and oversample racial and ethnic minorities. pmc |
PMC10738089 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0795 igad104.0795 Abstracts Session 2395 (Symposium) AcademicSubjects/SOC02600 PROMISING POLICY AND PRACTICE SUPPORTING FAMILY CAREGIVERS AND RECOMMENDATIONS FOR THE FUTURE Reinhard Susan AARP, Washington, District of Columbia, United States Caldera Selena AARP, Washington, District of Columbia, United States Houser Ari AARP Public Policy Institute, Washington, District of Columbia, United States Choula Rita AARP, Washington, District of Columbia, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 241242 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract There have been significant federal and state policy developments since the 2019 update of Valuing the Invaluable. Many inroads have been made in recognizing and supporting family caregivers, but additional steps can be taken at the federal and state levels, and even in the private sector. The National Strategy to Support Family Caregivers, released in September 2022, lays out a unified approach in five organizing goals to achieving this improvement in support for family caregivers. The policy and practice recommendations highlighted in the Valuing the Invaluable: 2023 Update reflect the National Strategy goals. In this presentation, recent policy changes will be summarized that support caregivers and their care recipients in the health care and LTSS systems, which provide financial relief for caregiving, and help working caregivers stay in the workforce. Then the increasing visibility of the family caregiving experience in media and the arts will be explored. This visibility is essential for bringing broader attention to all aspects of caregiving, normalizing the care experience, and eliminating stigma around disability and dementia. Lastly, policy recommendations for building on the National Strategy and bolstering support for family caregivers and care recipients will be detailed for discussion. pmc |
PMC10738090 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0698 igad104.0698 Abstracts Session 2300 (Paper) Alzheimer's Disease and Related Dementias and Health Care AcademicSubjects/SOC02600 SOCIAL ISOLATION AND DELAYED DEMENTIA DIAGNOSIS AMONG US OLDER ADULTS Kim Min Hee University of California San Francisco, San Francisco, California, United States Chen Ruijia University of California San Francisco, San Francisco, California, United States Diaz-Ramirez Grisell University of California San Francisco, San Francisco, California, United States Boscardin John University of California San Francisco, San Francisco, California, United States Glymour M Maria University of California San Francisco, San Francisco, California, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 211212 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Delayed dementia diagnosis may exacerbate dementia symptoms and reduce opportunities for care arrangements, further harming older adults' health and well-being. Social isolation may increase the risk of delayed dementia diagnosis via a lack of support that prevents seeking help and accessing primary and specialty care for diagnosis. We investigated the association between social isolation and missed/delayed dementia diagnosis using the Health and Retirement Study (2004-2018) linked with the Medicare Claims record. We defined social isolation as having 3 or more affirmative responses to 6 questions about living arrangements, family/friend contact, and social participation. We defined missed/delayed diagnosis as having no clinical diagnosis documented in Medicare in the presence of an algorithm-defined dementia diagnosis in the survey; or having dementia diagnosed more than 3 years after meeting the survey-based algorithmic criterion for dementia. We fitted logistic regression models, adjusting for sociodemographic and health characteristics. Among 2,417 people in our sample (mean age 82.4(SD 5.85); 60% women), 54.7% of older adults experienced social isolation at the time of survey-based dementia onset, 41.5% had missed/delayed diagnosis, and 22.1% died with no dementia diagnosis in their Medicare record. Preliminary results indicate that social isolation was not associated with increased odds of missed/delayed diagnosis (OR 1.09 95% CI 0.90, 1.32). Our findings suggest that social isolation may not be a major driver of healthcare access and system factors pertinent to clinical documentation of dementia. To corroborate findings, we plan to refine our models (e.g., accounting for attrition and selection). pmc |
PMC10738091 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1124 igad104.1124 Abstracts Session 3345 (Symposium) AcademicSubjects/SOC02600 CO-DESIGNING A STAGE 1B FEASIBILITY STUDY OF INPATIENT PALLIATIVE COMMUNITY HEALTH WORKER SUPPORT Kwak Jung University of Texas at Austin, Austin, Texas, United States Kvale Elizabeth Baylor College of Medicine, Houston, Texas, United States Mills Sarah UT Austin Dell Medical School, Austin, Texas, United States Patel Snehal UT Austin Dell Medical School, Austin, Texas, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 337338 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Persons living with dementia (PLWD) are 2-3 times more likely than their non-dementia peers to be hospitalized annually and experience burdensome care transitions and treatments at the late stage of dementia. Minoritized PLWDs are significantly more likely to be hospitalized and experience frequent transitions between care settings, and also less likely to access palliative care. There is a pressing need to develop better models of care transition support for PLWDs and their family caregivers. Proactive palliative care can reduce unnecessary hospitalization and improve outcomes for PLWDs and family caregivers. Community health workers (CHW) can effectively bridge cultural gaps between vulnerable patients/families and formal care systems, and provide care navigation and coaching support. We are currently conducting a single-site randomized controlled pilot trial study to co-design with key stakeholders (Stage 1a), implement and assess (Stage 1b) the acceptability and feasibility of a palliative CHW support for hospitalized PLWDs and caregivers. To date, we have conducted a needs assessment with 34 PLWD/caregiver dyads, key informant interviews with 4 palliative care providers and 2 CHW and social care experts, and multiple stakeholder meetings with hospital frontline providers and CHW groups to develop intervention components and research implementation plans that address language and cultural barriers and healthcare provider and system level barriers experienced by PLWD and caregivers from minoritized and financially vulnerable backgrounds. In this presentation, we will describe stakeholder engagement and co-design process outcomes and preliminary findings on intervention fidelity, participant recruitment and retention, and PLWD/caregiver outcomes. pmc |
PMC10738092 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0978 igad104.0978 Abstracts Session 3190 (Symposium) AcademicSubjects/SOC02600 STRATEGIES USED BY OHIO'S NURSING HOMES TO RETAIN CERTIFIED NURSING ASSISTANTS: DO THEY WORK? Dikhtyar Oksana Scripps Gerontology Center, Miami University, Oxford, Ohio, United States Nelson Ian Matt Miami University, Oxford, Ohio, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 293293 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract A low retention rate of certified nursing assistants (CNA) in nursing homes (NHs) is a known problem; it drives up facilities' operating costs and negatively impacts the quality of care provided. The COVID-19 pandemic exacerbated this problem and left facilities scrambling to retain workers. Using data from the 2021 Ohio Biennial Survey of Long-Term Care Facilities, this study examines strategies implemented by facilities to improve retention of their CNAs. Facilities have tried to implement a variety of workplace environment changes such as allowing staff teams to manage schedule and financial benefit strategies such as longevity wage increase to improve their CNA retention. The statewide average NH retention rate was 64% for CNAs ranging between 0 and 100%. Three groups were constructed from the retention data: high or rate of 75% or higher (N = 220), medium or between 50% and 75% (N = 254), and low or under 50% (N = 145). We found that a higher proportion of low-retention facilities implemented most of these strategies compared to facilities with high and medium CNA retention rates. At the same time, we found that a higher proportion of administrators in the high retention group knew all their CNAs by name compared to the low-retention group (50.0% vs 41.7%). These findings suggest that environmental and financial strategies may not have much of an impact on retention rates, but making people feel respected and appreciated could. pmc |
PMC10738093 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.2184 igad104.2184 Abstracts Session 7060 (Poster) New Directions in Gerontological Theory, Methodology, and Translational Research AcademicSubjects/SOC02600 VIRGINIA BELL: AN ORAL HISTORY OF A GERONTOLOGICAL SOCIAL WORKER AND PIONEER IN DEMENTIA CARE Pope Natalie University of Kentucky, Lexington, Kentucky, United States Hossain Mohammad University of Kentucky, Lexington, Kentucky, United States Gibson Allison Saint Louis University, St. Louis, Missouri, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 671672 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract This presentation highlights the contributions of a gerontological social worker and dementia expert who developed an innovative model of dementia care known as the Best FriendsTM model. Virginia's story is one of a second-chapter career. She spent most of her adult life raising her five children and supporting her husband, who worked in ministry. At age 62, she graduated with her Master of Social Work and completed her practicum at a newly established center on dementia research (the Sanders-Brown Center on Aging at the University of Kentucky). While this practice experience contributed to her professional trajectory as a gerontological social worker, Virginia draws most heavily on lessons learned from her relationships. Her intersecting identities as a daughter, wife, mother, and grandmother informed her pioneering work in dementia care by teaching her the value of mutuality, hard work, and community. Through several in-depth interviews, this oral history project creates a space for conversation across generations -dialogues between two women, both social workers and gerontologists. The narrator, age 98, reflects on the people and experiences that shaped her approach to caring for people with dementia from a relational-centered approach. The interviewer (age 42) assumes a co-interpreter role with Virginia, documenting what shaped her thinking about dementia. This presentation highlights 1) how oral history can be used to document the experiences and knowledge of social service innovators and 2) Virginia Bell's unique contribution via the Best Friends model. pmc |
PMC10738094 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.2136 igad104.2136 Abstracts Session 7020 (Poster) Cognition (Bss Posters) AcademicSubjects/SOC02600 THE ASSOCIATION BETWEEN COGNITION AND UPPER EXTREMITY MOTOR REACTION TIME IN OLDER ADULTS: A NARRATIVE REVIEW Jones Alexandria Creighton University, Omaha, Nebraska, United States Weaver Natalie Creighton University, Omaha, Nebraska, United States So Mardon Creighton University, Omaha, Nebraska, United States Jaffri Abbis Creighton University, Omaha, Nebraska, United States Heckman Rosalind Creighton University, Omaha, Nebraska, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 657657 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Response timing is essential to optimal sensorimotor control across the lifespan. While it is broadly assumed that reaction time increases as cognition declines with age, it is unclear if this assumption is supported by the literature. The purpose of this narrative review was to determine the association between cognition and upper extremity reaction time in older adults. Cognitive domains of sensation and perception, motor construction, perceptual motor function, executive function, attention, learning and memory, and language were considered. We conducted a systematic search using Scopus database. The search strategy was designed to meet four inclusion criteria: 1) community-dwelling adults >60 years, 2) upper extremity motor task, 3) at least one cognitive assessment, 4) simple reaction time measure. 1154 articles were screened. Two articles met the full inclusion criteria, but the studies did not associate the cognitive assessment and simple reaction time measures. Nine articles that met three inclusion criteria were reviewed. We found that executive function and learning and memory have been associated with complex and choice reaction time measures. Language, perceptual motor function, and attention have been studied with mixed evidence for an association with reaction time; whereas, sensation and perception and motor construction have not been assessed. Overall, limited research has compared cognitive domain function and simple reaction time to determine if age-related changes are associated. While the complex interplay between cognition and motor function is of substantial interest, these measures are often interdependent and additional knowledge is needed to understand their influence on sensorimotor control with age. pmc |
PMC10738095 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.3211 igad104.3211 Late Breaking Abstracts Session 9000 (Poster) Late Breaking Poster Session I AcademicSubjects/SOC02600 CAREGIVERS & COLONOSCOPIES: A QUANTITATIVE COMPARATIVE STUDY OF CAREGIVERS' PREVENTATIVE HEALTH BEHAVIORS Quinlan Claire Harvard Medical School, Boston, Massachusetts, United States Brady Samantha Massachusetts Institute of Technology, Cambridge, Massachusetts, United States Ashebir Sophia Massachusetts Institute of Technology, Cambridge, Massachusetts, United States Balmuth Alexa Massachusetts Institute of Technology, Cambridge, Massachusetts, United States D'Ambrosio Lisa Massachusetts Institute of Technology, Cambridge, Massachusetts, United States Coughlin Joseph Massachusetts Institute of Technology, Cambridge, Massachusetts, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 999999 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract That many caregivers experience some degree of burden is well-established, but little research has investigated the association of burden on caregiver preventative health behaviors. A lack of adherence to these behaviors, including to recommended colonoscopy and mammography screenings, routine vaccinations, annual clinic visits, and HIV testing, may portend worsening health outcomes for family caregivers if diseases are left undetected or untreated; such outcomes could also be caused by and contribute to the crisis of lack of care to meet demand. Survey questionnaires (N=326) were completed by 214 current caregivers and 112 former caregivers from the national MIT AgeLab Caregiver Panel. Respondents predominately identified as white (88%) and female (83%), with a median age of 40-49 years old. Questions assessed caregiving intensity, health status, reported caregiving burden, and adherence to preventative health screenings and vaccinations (per USPTF gender-based recommendations). Among all caregivers, just 17% reported that they were up-to-date with appropriate preventative health screenings. Current caregivers were less likely than previous caregivers to be up-to-date. Controlling for age, income level, and health status, caregiving intensity (as measured by hours per week) was an independent predictor of adherence to preventative health screenings. These findings suggest that current caregivers who are providing high-intensity care are less likely to be engaging in preventative health behaviors for themselves. This finding is concerning for the future health of these caregivers as well as their care recipients and highlights the need for primary care preventative health initiatives specifically targeting family caregivers. pmc |
PMC10738096 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0935 igad104.0935 Abstracts Session 3145 (Award Lecture) AcademicSubjects/SOC02600 TRANSCRANIAL ELECTRICAL STIMULATION AS A TOOL TO UNDERSTAND AND ENHANCE MOBILITY IN OLDER ADULTS Manor Brad Hebrew SeniorLife/Harvard Medical School, Amherst, Massachusetts, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 281281 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Standing and walking are complex cognitive-motor tasks that rely on the function of numerous brain networks. This reliance upon supraspinal elements of the motor control system increases with age and many age-related diseases, especially when an individual must navigate unfamiliar environments and/or simultaneously perform cognitive tasks like talking, reading signs, or making decisions. Noninvasive transcranial electrical stimulation (tES) can safely and selectively induce both acute and longer-term changes in brain network function. It thus enables cause-and-effect study of the motor control system and moreover, holds promise as a therapeutic strategy to counteract disease-related alterations in standing, walking, and mobility. The purpose of this talk is to introduce the fundamentals of tES, describe the effects of tES on the neural control of mobility in older adults, and finally, discuss current limitations and related avenues for future research and development within this rapidly-growing field of study. pmc |
PMC10738097 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1936 igad104.1936 Abstracts Session 5055 (Paper) Chronic Disease AcademicSubjects/SOC02600 USING A SOCIOCULTURAL LENS TO EVALUATE CANCER SURVIVORSHIP IN BLACKS AND LATINX IN THE US Nwakasi Candidus University of Connecticut, Storrs, Connecticut, United States Esiaka Darlingtina University of Kentucky, Lexington, Kentucky, United States Pierre-Louis Saamantha Providence College, Providence, Rhode Island, United States Ekwebene Onyeka East Tennessee State University, Johnson City, Tennessee, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 591592 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Background A sociocultural lens such as the PEN-3 Cultural Model offers an opportunity to better understand the extreme psychosocial, physical, emotional, and financial challenges of Black and Latinx cancer survivors in the community experience. By focusing on cultural identity, relationships and expectations, and cultural empowerment, the PEN-3 Cultural Model applied in this study aims to offer a unique insight into cancer survivorship in the Black and Latinx communities in the U.S. Method. A qualitative descriptive approach was used on a purposive sample of 46 Black and Latinx participants recruited. Each of the 19 participants who are cancer survivors including 7 Blacks and 13 Latinx (Mage = 62 years), was interviewed using a semi-structured interviewing style. We also conducted 5 focus group discussions with 27 participants, 2 Latinx groups and 3 Black groups (Mage = 61 years). The focus group participants identified as caregivers of cancer survivors. Results Thematic analysis resulted in the following themes: culture and dealing with cancer, conflict and control, health care access barriers, and rethinking survivorship in the community. The themes offer insight into sociocultural factors that influence the quality of life of cancer survivors and those in their communities. Conclusion To better understand and address issues of cancer health inequity in the country, the findings of this study will offer an opportunity to advance knowledge on sociocultural factors influencing cancer survivorship in Black and Latinx communities. pmc |
PMC10738098 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0733 igad104.0733 Abstracts Session 2335 (Biological Sciences Invited Symposium) AcademicSubjects/SOC02600 NEURAL STATES ASSOCIATED WITH MOTIVATION AND REWARD MODULATE AGING IN DROSOPHILA Pletcher Scott University of Michigan Medical School, Ann Arbor, Michigan, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 222222 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Humans, scientists especially, like to believe that we are in control of our behaviors and that logical, rational thought is the driving force behind them. Even for the most conscious of actions, however, there are serious questions about whether this is true. Economists, for example, are well-versed in the notion that consumer behavior is irrational. Why? Psychologists attribute it to the complex evaluation of internal and external cues, which is often need-based but can be strongly influenced by perceived costs and benefits. Molecular neuroscience has gone a step further in recent years, often using simple model organisms, to provide a well-defined framework for dissecting the causes and consequences of motivated behaviors. Homeostatic needs are as influential in this process as are rewarding experiences, and I will discuss evidence that the neurons, neural circuits, and conserved signaling molecules that influence neural states associated with feeding, mating, danger in flies are also important modulators of healthy aging. pmc |
PMC10738099 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1013 igad104.1013 Abstracts Session 3230 (Paper) Stress, Racial and Economic Disparities, and Health AcademicSubjects/SOC02600 RACIAL-ETHNIC DISPARITIES IN STRESS EXPOSURE AND THE ONSET OF LATER-LIFE LIMITATIONS IN ACTIVITIES OF DAILY LIVING Sauerteig-Rolston Madison Purdue University, West Lafayette, Indiana, United States Ferraro Kenneth Purdue University, West Lafayette, Indiana, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 305305 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract This study investigates the relationship between stress exposure - including cumulative stress burden and domain-specific stressors - and the onset of activities of daily living (ADL) limitations in later life and examines whether there are racial-ethnic and nativity differences in this relationship. Examining data from the Health and Retirement study (HRS), we apply logistic regression and Weibull accelerated failure-time models to examine associations between stress and baseline ADL limitations as well as stress exposure and age of onset of ADL limitations over a decade. Interaction tests between stress and race-ethnicity and nativity were employed to understand how stress exposure uniquely influences ADL limitations among White, Black, US-born Hispanic, and foreign-born Hispanic older adults. Black, US-born Hispanic, and foreign-born Hispanic adults were more likely to develop an ADL limitation at a younger age compared to White adults (b = -0.06; b = -0.07; b = -0.09; respectively). Cumulative stress burden, childhood traumatic events, adult financial strain, everyday discrimination, and major lifetime discrimination were associated with an earlier onset of ADL limitation among White, Black, US-born Hispanic and foreign-born Hispanic adults. Further, US-born Hispanic adults that experienced the same amount of childhood traumatic events as White adults experienced an earlier transition to ADL limitation by a factor of 0.65 or in about 35% of the time. Reducing racial-ethnic and nativity disparities in ADL limitations in later-life will require efforts to adjudicate the long lasting historical and structural disadvantages that contribute to differential stress exposure across the life course. pmc |
PMC10738100 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.3390 igad104.3390 Late Breaking Abstracts Session 9010 (Poster) Late Breaking Poster Session II AcademicSubjects/SOC02600 HISTORICAL CHANGES IN COLLEGE EDUCATION AND EMPLOYMENT: GENDER EFFECTS ON LATE-LIFE COGNITIVE STATUS Larkina Marina University of Michigan, Ann Arbor, Michigan, United States Smith Jacqui University of Michigan, Ann Arbor, Michigan, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 10551055 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Early-life education and gender are well-known predictors of cognitive status in old age but multiple mechanisms underlie these associations. Recent US research on late-life cognition and dementia prevalence has highlighted the roles of age-cohort and racial/ethnic differences K-12 education. Less attention has been given to historical increases since the 1970s in the completion of college degrees by women and their subsequent employment histories. We examined new data for two cohorts (N = 9926; 50% born before 1948 vs. Baby Boomers, born 1948-1959) in the Health and Retirement Study (HRS) about the quantity (years, degree types) and content (field of study) of their college degrees. College information and employment histories were collected in a Life History Mail Survey (2015-2017). Cognitive status based on the Langa-Weir algorithm was defined as normal, cognitive impairment not dementia or dementia (CIND/D). Compared to men, women were less likely to have post-high school education (p < .002) or to have worked after their education. Cognitive status was predicted by degree type and work history. Gender by degree and gender by work interactions (for Baby Boomers only) revealed that having a BA/BS degree provided more protection against cognitive impairment for women than for men with the same degree, and women who worked had lower odds ratio of having CIND/D (0.36 [CI 0.17-0.77], p < .01). College majors were gendered and significantly accounted for variance in late-life cognitive status among the college educated. These findings provide new insight into the gendered life histories related to late-life cognition. pmc |
PMC10738101 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1178 igad104.1178 Abstracts Session 3395 (Symposium) AcademicSubjects/SOC02600 INCENTIVES + SOCIAL MEDIA RECRUITMENT + MINIMAL SUBJECT INTERACTION = POTENTIAL FOR FRAUD! Carpenter Joan University of Maryland School of Nursing, Baltimore, Maryland, United States Jackson Casey University of Maryland, Baltimore, Maryland, United States Behrens Liza Pennsylvania State University, State College, Pennsylvania, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 354354 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Social networking technologies create opportunities to recruit a more diverse and representative research sample. However, social media recruitment strategies with low researcher interaction for screening brings threats to data integrity, especially when incentives are involved. During a recent study designed to ascertain direct care nursing home staffs' perceptions of risk during the COVID-19 pandemic, we experienced fraudulent research participants. We aimed to recruit, enroll, and collect survey and semi-structured interview data from N=30 participants between June 2021 through March 2022. Participants were compensated $25. Initial recruitment efforts targeted Facebook listservs for licensed and unlicensed nurses, social workers, and activity directors. Research staff provided participants who screened eligible for the study via email a link to initiate consent and complete the survey electronically. Four months into study recruitment, study staff discovered during an interview that one participant was unable to answer questions in the correct context as a direct care worker and responses were nonsensical. Additional quality control measures confirmed that "bots" had completed surveys (N=8). The fraudulent data were removed from the study database and corrective actions implemented into screening to rule out ineligible participants/bots including screening for repetitive language and grammatical errors in email conversations, verifying eligibility through phone communications, and adding a Captcha verification prior to electronic survey consent. Our experiences highlight the importance of creating study protocols that include social media recruitment with safeguards to fraudulent participants. This is especially important for investigators attempting to recruit hard to reach populations and participants who wish to remain anonymous. pmc |
PMC10738102 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0919 igad104.0919 Abstracts Session 3130 (Symposium) AcademicSubjects/SOC02600 DEPRESSIVE SYMPTOMS IN CENTENARIANS DURING THE COVID-19 PANDEMIC: FINDINGS FROM THE SWISS100 STUDY da Rocha Carla Gomes HES-SO Valais-Wallis, Lausanne, Vaud, Switzerland von Gunten Armin Lausanne University Hospital, Prilly, Vaud, Switzerland Falciola Justine Geneva University Hospital, Thonex, Geneve, Switzerland Uittenhove Kim University of Lausanne, Lausanne, Vaud, Switzerland Cavalli Stefano University of Applied Sciences and Arts of Southern Switzerland, Manno, Ticino, Switzerland Herrmann Francois Geneva University Hospitals, Thonex, Geneve, Switzerland Martin Mike University of Zurich, Zurich, Zurich, Switzerland Jopp Daniela University of Lausanne, Lausanne, Vaud, Switzerland 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 276277 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Depressive symptoms (DS) are prevalent among older adults (WHO, 2021). However, data on DS appear to be scarce in centenarians. In addition, DS may have been aggravated by the COVID-19 pandemic, especially in centenarians who may have been more susceptible to the negative consequences of pandemic restrictions. Thus, as part of the SWISS100 study (Jopp et al., 2023), we measured DS in centenarians living in Switzerland during the COVID-19 pandemic. Randomly selected centenarians from across the country and their proxies were invited to participate in a telephone interview between December 2020 and June 2022. The study sample was composed of 171 centenarians, with a mean age of 101.8 (SD=1.7) years; 128 (74.9%) participants were female and 63 (36.8%) lived at home. DS were assessed via five selected items of the Geriatric Depression Scale (Sheikh and Yesavage, 1986). The mean DS score was 1.6 (SD=1.6). Considering a cut-off >=2 (Branez-Condorena et al., 2021), 75 (43.9%) centenarians were screened positive for possible depression. Further analysis indicated that women had a higher level of DS, and that nursing home residents were more depressed than community-dwelling centenarians. Thus, our study suggests that almost half of the centenarians may have presented with relevant DS during the pandemic in Switzerland, which is notably higher than in other studies. DS in centenarians should be screened systematically, not less so in the context of a health crisis. Depressive symptomatology in the very old is highly relevant for successful professional care and needs further investigation to develop best practice. pmc |
PMC10738103 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1968 igad104.1968 Abstracts Session 5090 (Symposium) AcademicSubjects/SOC02600 TRANSCRIPTOMIC SIGNATURES OF AGING, GENETICS, AND MORTALITY RISK: FINDINGS FROM THE LONG LIFE FAMILY STUDY Wojczynski Mary Chair Glynn Nancy Co-Chair Raghavachari Nalini Discussant 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 602602 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract The Long Life Family Study (LLFS), funded by the National Institute on Aging, is an international collaborative study of the genetics and familial components of exceptional longevity and healthy aging. We phenotyped 4,953 individuals from 539 two-generational families (1,727 proband; 3,226 offspring) at baseline (2006-2009). A second visit (2014-2017) was conducted for 2,904 (478 proband; 2,426 offspring) participants, with a third visit ongoing. The longitudinal, comprehensive in-person visits measured domains of healthy aging, including physical performance, cognition, and blood markers. Extensive genetic analyses were performed using the baseline blood draw, including genotyping with the Illumina 2.5M Human Omni array, linkage analyses with the families, whole genome sequencing using the TopMED protocol, metabolomic assays, and trascriptomics (RNA-seq). Collectively, this symposium will present novel findings that examined differences in gene expression between those of extreme old age compared to younger participants, elucidate potential new genomic regions and variants associated with ankle brachial index, examine rare variants under linkage peaks for perceived physical fatigability, and compare mortality and cause of death between LLFS and the US population. Specifically, Ms. Li will share results on gene expression profiles in aging. Then, Ms. Ressler will share findings on the genetics of ankle brachial index with linkage and association results. Next, Ms. Gay will discuss associations under the linkage peak for perceived physical fatigability. Lastly, Ms. Yao will present mortality and patterns of death in the LLFS. As Discussant, Dr. Nalini Raghavachari from the NIA will provide insights and propose future directions for LLFS. pmc |
PMC10738104 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1546 igad104.1546 Abstracts Session 4190 (Paper) Long-Term Care (Srpp Papers) II AcademicSubjects/SOC02600 THE EFFECT OF PATIENT-DRIVEN PAYMENT MODEL REIMBURSEMENT POLICY CHANGE ON NURSING HOMES Orewa Gregory University of Texas, San Antonio, San Antonio, Texas, United States Weech-Maldonado Robert University of Alabama at Birmingham, Birmingham, Alabama, United States Davlyatov Ganisher University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, United States Feldman Sue University of Alabama at Birmingham, Birmingham, Alabama, United States Becker David University of Alabama at Birmingham, Birmingham, Alabama, United States Lord Justin Louisiana State University at Shreveport, Shreveport, Louisiana, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 470470 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract To promote more value in skilled nursing facility spending in the US, CMS modified the way it pays for nursing homes (NH) services on October 1, 2019. The new Medicare reimbursement methodology, the Patient Driven Payment Model (PDPM), moves away from the traditional system focused on therapist minutes to a value-based focused on resident clinical characteristics. Using contingency theory, this study explores NH responses to PDPM by: 1) examining whether NH's therapist and nursing staffing patterns are aligning with the policy incentives; and 2) whether the adjustments are resulting in improved financial performance. Seven different datasets were merged for : Medicare cost reports, Payroll Based Journal, NH Compare, Area Health Resource File, HHS Provider Relief Fund, CDC NH COVID-19 public file, and CDC COVID-19 Data Tracker. The data was modelled using random-effects regression, and we tested for potential moderation effect of staffing on the relationship between PDPM and financial performance. Dependent variables were nursing and therapy staffing intensity, while the independent variable was PDPM for model 1. Dependent variable was operating margin, moderator variable was staffing intensity, and independent variable was PDPM for model 2. Organizational, community level, and COVID-19 related variables were used as controls. Results suggest that PDPM was associated with an increase in RN and LPN staffing intensity, but a decrease in Physical Therapist, Physical Therapist Assistant, and Occupational Therapist Assistant staffing intensity (p< 0.05). PDPM had a positive impact on financial performance moderated by RN and PT staffing intensity (p< 0.05). Policy and managerial implications are discussed. pmc |
PMC10738105 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.2093 igad104.2093 Abstracts Session 5220 (Paper) Research in Chronic Diseases and Conditions AcademicSubjects/SOC02600 PREVALENCE OF SINGLE AND MULTIPLE CHRONIC CONDITIONS AMONG RESETTLED BHUTANESE OLDER ADULTS IN OHIO Karmacharya Isha Miami University, Oxford, Ohio, United States Shrestha Aman Miami University, Oxford, Ohio, United States Subedi Janardan Miami University, Oxford, Ohio, United States Ghimire Saruna Miami University, Oxford, Ohio, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 643643 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Background Migrants and refugees are more prone to chronic health conditions, which can worsen with age and accumulated stressors. Bhutanese older adults with refugee backgrounds in the US have not been well-studied. This study aimed to assess the prevalence of chronic diseases (single and multiple conditions) and to identify factors associated with multimorbidity among resettled Bhutanese older adults in Ohio. Additionally, the study compared the prevalence of chronic diseases with state-level data for other racial/ethnic groups. Methods Structured interview was conducted among 276 resettled Bhutanese, aged 55 years and above, in four major Ohio cities (Columbus, Akron, Cleveland, and Cincinnati), selected through snowball sampling with local Bhutanese organizations. State-level data of people, aged 55 years and above in Ohio, from the 2021 Behavioral Risk Factor Surveillance System for Non-Hispanic White, Non-Hispanic Black, Hispanic, and Asian populations were used for comparison. Binary logistic regression was used to identify factors associated with multimorbidity. Results Only 14.1% of participants were free of chronic diseases, while 62.3% had multimorbidity. Depression (31.8%), diabetes (42.8%), and respiratory diseases (26.4%) in older Bhutanese were considerably higher than in other racial/ethnic groups. Hypertension prevalence (63.0%) was higher than all other race/ethnic groups, except Non-Hispanic Black individuals (72.3%). Poor self-reported health and the presence of depressive symptoms had higher odds of having multimorbidity. Study Implications: This study underscores valuable insight into the disease burden among resettled Bhutanese older adults and can inform stakeholders to develop targeted public health programs and practices to meet the needs of minority populations. pmc |
PMC10738106 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1326 igad104.1326 Abstracts Session 3545 (Symposium) AcademicSubjects/SOC02600 USING INTENSIVE REPEATED MEASUREMENT TO EXAMINE THE AFFECTIVE CONSEQUENCES OF NEGATIVE RELATIONSHIP EXPERIENCES Witzel Dakota Chair Cichy Kelly Discussant 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 401401 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Across midlife and older adulthood, daily relational contexts provide a lens through which daily experiences shape health and well-being. How daily relational contexts inform health and well-being is complex, with buffering and exacerbating effects of the relationship context on well-being reported in past work. One mechanism through which daily relational experiences influence health and well-being is through changes in emotions. The current series of talks examine how daily relational experiences (interpersonal stress, marriage and loneliness, perceived social isolation, caregiving stress) influence emotional well-being using innovative intensive repeated measurement designs. First, using eight days of daily diary data from the National Study of Daily Experiences, Dakota Witzel will consider the protective effects of perceived control on affective reactions to interpersonal daily stressors on the same day and the following day. Second, using a pre-registered, 14-day ecological momentary assessment design, Jin Wen will discuss the potential implications of affective reactions to interpersonal daily stressors on subsequent sleep quality. Third, using 14 days of ecological momentary assessments from the Einstein Aging Study, Karina Van Bogart will explore the moderative influences of marriage and cognitive impairment on the effects of daily emotional loneliness on intrusive thoughts. Finally, using a 14-day daily diary design, Frank Puga will present on the implications of daily caregiver stress and perceived social isolation on perceived emotional control. Kelly Cichy will serve as discussant and summarize the theoretical and methodological contributions of these studies for enhanced understanding of the dynamic interplay between relational experiences and emotional well-being in daily life. pmc |
PMC10738107 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1198 igad104.1198 Abstracts Session 3415 (Symposium) AcademicSubjects/SOC02600 "CAREGIVING IS TEAMWORK..." INFORMATION SHARING IN HOME CARE FOR OLDER ADULTS WITH DISABILITIES IN THE COMMUNITY Fabius Chanee Johns Hopkins University, Baltimore, Maryland, United States Wec Aleksandra Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States Saylor Martha Abshire Johns Hopkins University School of Nursing, Baltimore, Maryland, United States Smith Jamie Johns Hopkins University, Baltimore, Maryland, United States Gallo Joseph Johns Hopkins University, Baltimore, Maryland, United States Wolff Jennifer Johns Hopkins University, Baltimore, Maryland, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 360361 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Direct care workers provide assistance with daily activities to persons with disabilities. Direct care workers are well positioned to recognize and share information about care gaps and changes in function and behaviors but are often viewed as unskilled and excluded from interdisciplinary care team interactions. We conducted 11 semi-structured interviews with administrators (n=5), nurses (n=3), and direct care workers (n=3) from home care agencies ("residential service agencies" in Maryland) to understand information sharing between direct care workers, family caregivers, and clinicians in home care delivery for older adults with disabilities, including those living with dementia. Thematic analysis was completed by the research team. Leveraging Systems Engineering Initiative for Patient Safety (SEIPS) 2.0 model, a human factors framework, respondents highlighted aspects of information sharing across (1) work systems, (2) processes, and (3) dementia-related adaptations. Work system characteristics relevant to information sharing included the utilization of electronic management systems and patient portals to communicate within agencies and with clinicians and using multiple methods to gather information about client goals and preferences (e.g., assessments, client profiles). Process characteristics include collaborations between families and residential service agency staff to deliver optimal care. Direct care workers did not report differences in coordinating care for persons living with dementia, however they reported dementia-related adaptations like an increased need to establishing and sustaining strong relationships with family members and communicating with clinicians during medical visits. Findings highlight the care demands experienced by direct care workers and support calls to better coordinate information sharing between interdisciplinary care teams. pmc |
PMC10738108 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1375 igad104.1375 Abstracts Session 4015 (Symposium) AcademicSubjects/SOC02600 HOW ARE OLDER PEOPLE FARING POST-PANDEMIC? EVIDENCE FROM THE ENGLISH LONGITUDINAL STUDY OF AGING Gessa Giorgio Di Chair Zaninotto Paola Co-Chair Zaninotto Paola Discussant 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 416416 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract This session provides insights into the experiences of older people in England post-COVID-19 pandemic. Evidence suggests that stay-at-home and lockdown measures during the pandemic impacted several aspects of people's lives with detrimental consequences for their wellbeing and mental health, particularly among older people. Little is known, however, on whether and to what extent there has been a return to 'normal life' since COVID-19 restrictions were lifted. Using data from the English Longitudinal Study of Ageing (ELSA) this symposium aims to provide new evidence on the experiences of older English people since the successful and rapid COVID-19 vaccination rollout and the easing of restrictions in England through the second half of 2021. ELSA is an ongoing longitudinal biennial survey representative of individuals aged 50 and over in private households that has collected data before the pandemic (with the most recent pre-COVID-19 data collected in 2018/19), during the pandemic (on two separate occasions in June/July and November/December 2020), and post-COVID-19 pandemic (with interviews taking place between October 2021 and March 2023). Exploiting the richness of this dataset, this symposium will present the most up-to-date picture of how older people are faring post-pandemic. Results will focus on mental health and wellbeing, social isolation and loneliness, employment and financial status, as well as social participation (including volunteering, caring, and grandparental childcare). pmc |
PMC10738109 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0648 igad104.0648 Abstracts Session 2255 (Symposium) AcademicSubjects/SOC02600 PREDICTIONS FOR DEMENTIA PREVALENCE IN CHINA BY 2050: A MARKOV MODELING STUDY 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 197197 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Dementia brings a heavy burden on older adults, their family and the society at large. Accurate prediction of dementia prevlance is important for preventive strategy for China. The purpose of this study is to predict dementia prevalence in China by 2050, taking into account variations in dementia incidence rates and mortality rates in future. Based on two nationally representative Chinese ageing cohorts (i.e. CLHLS, CHARLS), a ten-state Markov model (IMPACT-CAM), including prevalence, transition probability and mortality rate of dementia and its associated cardiovaiscualr diseases and disability, was constructed to predict dementia prevalence in people aged above 60 years by 2050, with different assumptions on the furture trends of dementia incidence and mortality rates. IMPACT-CAM projected there were approximately 57.9 million (95% uncententiy interval 56.3-59.6 m) people with dementia by 2050, assuming constant incidence rate of dementia and declining mortality rates over coming years. In comparison with this assumption, if the incidence rate of dementia decreasing by 1.0% annually coupled with declining mortality rates, the projected number of dementia cases would be 9.8 million less; if dementia incidence and mortality rates both remained constant since 2022, the projection would be 18.5 million less. The estimated dementia prevlance for people aged 60 years in 2050 were 12.0%, 9.9% and 9.5%, respectively. Alongside the irreversible population ageing trend, the number of people with dementia in China is likely to increase rapidly in the near furture. Nevertheless, effective preventing measures of dementia would restrain the surge substantially. pmc |
PMC10738110 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.2089 igad104.2089 Abstracts Session 5215 (Paper) Social Services: Policy, Financing, and Delivery Systems (Papers) AcademicSubjects/SOC02600 LOWERING THE AGE FOR MEDICARE ELIGIBILITY: WHO BENEFITS? Sneed Rodlescia Wayne State University, Detroit, Michigan, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 641642 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Advocacy groups and government officials have recommended lowering the Medicare eligibility age to increase health equity and promote utilization of preventive services. Consequently, policy analysts have begun to evaluate the impact of such a policy change. The purpose of this study was to determine who would benefit most from reducing the Medicare eligibility age. Using data from the 2018 Health and Retirement Study, we calculated the number of individuals who would become insured if the Medicare eligibility age was reduced to 60, 55, or 51. We also examined health profiles for such individuals, comparing them to their insured counterparts. Complex survey procedures were used to generate population estimates. We estimate that 1.43 million Americans would become insured if the Medicare eligibility age were reduced to 60. Lowering the age to 55 or 51 would insure 3.45 million and 4.59 million people, respectively. Evaluating data for those ages 51-64, those currently uninsured reported less preventive health screening than their insured counterparts, including lower screening for high cholesterol, cervical cancer, and prostate cancer. They also had lower vaccination rates for influenza and shingles. Of those currently uninsured, 36.5% reported having no usual place where they received care. Hypertension prevalence was similar among insured and uninsured individuals, but the uninsured were less likely to be on antihypertensive medications. Taken together, our findings suggest that lowering the Medicare eligibility age would result in new healthcare coverage for individuals who underutilize the healthcare system, which could have important implications for health. pmc |
PMC10738111 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1946 igad104.1946 Abstracts Session 5065 (Paper) Engaging Strategies in Classes, Communities, and Research AcademicSubjects/SOC02600 THE THINGS WE KEEP: AN EXAMINATION INTO THE USE OF MATERIAL POSSESSIONS IN QUALITATIVE GERONTOLOGICAL INTERVIEWS Van Vleet Samuel Miami University, Oxford, Ohio, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 594595 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Qualitative interviews are a useful research method because they allow researchers to gather in-depth data beyond the use of traditional survey methods. In this way, qualitative research is an effective method to understand complex and intricate aging-related concepts because there is room for developing new methodological ways for gathering data. A possible way to expand data collections is through the incorporation of material possessions as research aids. Older adults likely accumulate a series of material objects throughout their life course. These objects can take on a supportive role for older adults by conveying important aspects of meaning and are often attached to their identity. Some items have direct associations with later life changes (canes, glasses, etc) while other items (photographs and mementos) are linked with an individual's identity and accrue a sense of meaning. While previous researchers have documented the importance of objects in later life through material convoys, little has been done to incorporate these meaningful objects into qualitative interview methodology. This paper assesses how incorporations of material possessions into qualitative interviews can assist researchers in gathering rich data. Through a structured literature review, this paper highlights the key findings, past incorporations, and benefits for qualitative interview methodology. Findings suggest that positive outcomes and enriched data result from incorporating material possessions as aides to qualitative interviews. Future researchers should consider how their studies can benefit from the incorporation of meaningful objects in later life. pmc |
PMC10738112 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0568 igad104.0568 Abstracts Session 2180 (Paper) Social Determinants, Disparities, and Health Equity in Dementia AcademicSubjects/SOC02600 ASSOCIATIONS BETWEEN CLINICAL FUNCTIONING AND AD BIOMARKERS AMONG HISPANIC AND WHITE NON-HISPANIC OLDER ADULTS Rodriguez Miriam Indiana University Bloomington, Bloomington, Indiana, United States Mendoza Lisandra Bay Pines VA Health System, Bay Pines, Florida, United States Garcia Patricia Indiana University School of Medicine, Indianapolis, Indiana, United States Duarte Andres Albizu University, Doral, Florida, United States Padron Dilianna Central Virginia VA Healthcare System, Richmond, Virginia, United States Marsiske Michael University of Florida, Gainesville, Florida, United States Fiala Jacob University of Florida, Gainesville, Florida, United States Duara Ranjan Mount Sinai Medical Center, Miami Beach, Miami Beach, Florida, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 173174 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Objectives Hispanics are 1.5x more likely to develop Alzheimer's disease (AD) when compared to White non-Hispanics (WNHs). There is also evidence to support that cognitive performance disproportionately reflects neuropathology among Hispanics and that functional decline is concurrent with the accumulation of AD biomarkers. The current study aimed to examine relationships between AD biomarkers and a functional measure among Hispanic and WNH older adults. It was hypothesized that the functional measure would be strongly related to AD biomarkers among Hispanics. Methods The modified clinical dementia rating scale (mCDR) was administered in the participants primary language (English or Spanish) to WNH (n=203) and Hispanic (n=258) older adults who were cognitive normal or diagnosed with Mild Cognitive Impairment (MCI) or dementia. Invariance SEM models were used to compare the pattern of relationships between the mCDR and neurocognitive test performance, MRI volumes, and amyloid load adjusting for age, education, ApoE4 status, and intracranial volume. Results Model fit was good and not significantly worsened by imposing strict structural invariance. Nested model comparisons indicated that regression weights and correlations among measures differed by group, suggestive of moderation by Hispanic status. Among Hispanic participants, sex (=-0.17, p<.05) and Amyloid load (=0.25, p<.001) significantly predicted mCDR scores. MRI volumes significantly predicted MCDR scores among both Hispanic (=-0.51, p<.001) and WNH participants (= -0.42, p<.001). Conclusions Functional measures like the mCDR may better correlate with Amyloid load among Hispanic older adults than among WNHs, while the correlation with MRI volumes may be comparable in both groups. pmc |
PMC10738113 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.3519 igad104.3519 Late Breaking Abstracts Session 9020 (Poster) Late Breaking Poster Session III AcademicSubjects/SOC02600 PERCEPTIONS OF THE ROLE PLAYED BY LIVING ALONE IN PROVIDING SERVICES TO PATIENTS WITH COGNITIVE IMPAIRMENT IN THE US Portacolone Elena University of California, Berkeley, California, United States Johnson Julene University of California, San Francisco, San Francisco, California, United States Kotwal Ashwin University of California, San Francisco, San Francisco, California, United States Stone Robyn LeadingAge, Washington, District of Columbia, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 10961096 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Given the estimated 4.3 million older adults from diverse racial/ethnic backgrounds who are living alone with cognitive impairment in the US, the objective of this study was to identify the potential moderating role of living alone in the use of healthcare and social services for patients with cognitive impairment by eliciting providers' perceptions of caring for diverse patients with cognitive impairment living alone, in comparison to counterparts living with others. This study used semi-structured interviews conducted between March 2021 and June 2022 with purposively sampled providers of services to patients with cognitive impairment in MI, CA, and TX. An inductive content analysis was used to analyze the data. The majority of the 76 interviewed providers cared for racially/ethnically diverse patientt. Providers represented 20 professions. Providers elucidated specific factors that made serving people living alone with cognitive impairment (PLACI) more challenging, as well as specific factors that increased their concerns when serving PLACI. Providers also elucidated reasons for systematic unmet needs of PLACI for essential healthcare and social services. The vast majority of providers underscored the critical, yet understudied, role of living alone in moderating access to essential healthcare and social services among patients with cognitive impairment. Findings suggest that living arrangement are a social determinant to health among patients with cognitive impairment because PLACI are more likely to experience gaps in services because they are more challenging to serve than counterparts living with others and the healthcare system is not equipped to address these challenges. pmc |
PMC10738114 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1664 igad104.1664 Abstracts Session 4320 (Symposium) AcademicSubjects/SOC02600 AGE DIFFERENCES IN EVERYDAY DISCRIMINATION AND CORTISOL DYNAMIC RANGE IN DAILY LIFE Ong Lydia University of British Columbia, Vancouver, British Columbia, Canada Klaiber Patrick Tilburg University, Tilburg, Noord-Brabant, Netherlands Wen Jin University of British Columbia, Vancouver, British Columbia, Canada Stuart Nicole University of British Columbia, Vancouver, British Columbia, Canada Sin Nancy University of British Columbia, Vancouver, British Columbia, Canada 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 506507 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Extensive work has linked everyday discrimination with poorer health. However, research testing age differences in this relationship is limited. The current study examined everyday discrimination and cortisol dynamic range, and whether the association differed by age. Cortisol dynamic range is believed to reflect physiological responsiveness to external demands such as stressors, with a compressed range indicating less responsiveness. Participants were 250 community-based adults living in British Columbia (ages 25-88, mean=46 years, 64% White, 68% women). At baseline, participants completed the Everyday Discrimination Scale, followed by four days of at-home saliva collection 3x per day: upon waking, 30 minutes post-waking, and before bed. Cortisol dynamic range was calculated as the log-cortisol peak minus log-cortisol nadir across the four days. Multiple regression controlled for race/ethnicity, education, gender, medications, average length of waking day, and depressive symptoms. Results showed a negative association between age and cortisol dynamic range, such that older age was associated with a smaller range (b=-0.01, SE=0.003, p<0.001). There was no main effect of everyday discrimination on cortisol dynamic range. However, there was a significant interaction between age and everyday discrimination. Among younger adults, more frequent everyday discrimination was associated with a smaller cortisol dynamic range. In contrast, among middle-aged adults, more frequent everyday discrimination was associated with a larger range (b=0.37, SE=0.08, p<0.001). There was no significant association between discrimination and cortisol dynamic range among older adults. Findings indicate differing patterns in discrimination and cortisol dynamic range between younger, middle-aged, and older adults. pmc |
PMC10738115 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1527 igad104.1527 Abstracts Session 4170 (Symposium) AcademicSubjects/SOC02600 USING SIMULATION TO ASSESS THE FIDELITY OF ADVANCE CARE PLANNING IN THE CONTEXT OF A PRAGMATIC TRIAL Cotter Valerie Johns Hopkins University, Baltimore, Maryland, United States Sloan Danetta Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States Scerpella Daniel Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States Wolff Jennifer Johns Hopkins University, Baltimore, Maryland, United States Smith Kelly University of Toronto, Toronto, Ontario, Canada 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 464464 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract There is growing recognition of the importance of and challenges to maintaining fidelity in pragmatic randomized clinical trials. Simulations using standardized patients are a high-fidelity, low-stake, non-threatening opportunity to evaluate knowledge, skills, and competencies associated with high-quality healthcare delivery. We created standardized patient scenarios grounded in the Respecting Choices First StepsTM Advance Care Planning (ACP) curriculum to assess embedded trial ACP facilitators. Scenarios included simulations representing one-on-one encounters with a patient, and with a patient-family dyad. A standardized encounter observation checklist was used to assess and score relevant skills and behaviors including encounter set-up, ACP topics, and general communication. Each item was scored on a scale from not-done (0) to effective (2) with lower scores indicating lower fidelity. Six facilitators with varied backgrounds (social work, nursing, lay persons) each completed the two simulation scenarios. Group average domain scores across all six facilitators were moderately high. ACP Setup scoring averaged 75.5%; ACP Topics were 72.0%; and Communication were 77.4%. The lowest group scoring was observed in the coverage of ACP Topics (72%). The highest group average was observed in Communication skills at 84.9%. Lower individual scores were observed across all domains for staff who were newly hired at the time of the simulation exercise. Simulation using standardized patients and caregivers allowed investigators to monitor the fidelity of ACP communication to the trial design and provided targeted opportunities for improvement that were not readily available through usual care. pmc |
PMC10738116 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1903 igad104.1903 Abstracts Session 5025 (Symposium) AcademicSubjects/SOC02600 BRIDGING THE PRACTICE-RESEARCH DIVIDE: BUILDING SUCCESSFUL PARTNERSHIPS WITH STATE GOVERNMENT Moone Rajean University of Minnesota, Minneapolis, Minnesota, United States Hakanson Megan UMN School of Public Health, Woodbury, Minnesota, United States Shippee Tetyana University of Minnesota, Minneapolis, Minnesota, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 581582 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract In 2021 Minnesota implemented systemwide regulatory reform to transform loosely regulated housing with services establishments into licensed assisted living facilities. The new framework aligns assisted living facilities more closely with nursing homes. Today over 2,000 assisted living facilities are licensed in Minnesota ranging in size from two to 377 residents. While considered consensus legislation by consumer and provider groups, small, culturally specific providers were largely absent from negotiations. This absence has resulted in disparities in conforming to new regulatory requirements. The University of Minnesota has partnered with the Minnesota Department of Health to conduct analyses of regulatory inspection surveys. The analysis includes comparisons between small (under 15 residents) and large (over 15 residents) facilities as well as qualitative interviews of licensed directors of assisted living facilities that serve culturally specific communities. This paper focuses on the nature of the partnership between the University and state to organize and obtain survey inspection results and the subsequent development of recommendations to enhance regulatory policy. pmc |
PMC10738117 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1992 igad104.1992 Abstracts Session 5110 (Paper) Policy AcademicSubjects/SOC02600 THE SPILLOVER EFFECTS OF COMPREHENSIVE CARE FOR JOINT REPLACEMENT (CJR) MODEL: A STUDY FROM CALIFORNIA Kim Narae University of Southern California, Los Angeles, California, United States Jacobson Mireille University of Southern California, Los Angeles, California, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 610610 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract In 2016, Medicare implemented the Comprehensive Care for Joint Replacement (CJR) program to test whether paying hospitals a bundled payment for 90 days of an episode of care for lower extremity joint replacement (LEJR), the most common surgery for Medicare beneficiaries, can improve care coordination and quality in traditional Medicare (TM). Unlike most Medicare alternative payment models, CJR participation was randomly assigned across Metropolitan Statistical Areas (MSAs). Hospitals in selected MSAs were required to participate in the program, while hospitals in other MSAs were paid in the usual fee-for-service manner. Taking advantage of this random assignment, we examined CJR's direct effects on TM patients and spillover effects on Medicare Advantage (MA) and non-Medicare patients in California. Using California's Patient Discharge Data (PDD) from 2014 to 2017and event study and difference-in-differences models, we studied changes in adjusted length of stay and home discharge rates before and after program implementation in hospitals in treated versus control MSAs. We found that the CJR program affected not only TM patients, but also untargeted MA and non-Medicare patients. Both TM and non-Medicare patients in treated hospitals experienced shortened length of stay (-3.9% & -1.3%, p<0.05) and increased likelihood of discharge home (3.4%, 2.3%, p< 0.001) relative to those in untreated hospitals after program implementation. MA patients experienced an increase in not only home discharge rates (4.7%, p< 0.001) but also length of stay (2.5%, p< 0.01). Programs designed to affect Medicare costs have the potential to affect the care of patients not covered by the program. pmc |
PMC10738118 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.3094 igad104.3094 Abstracts Session 7970 (Poster) Cognition: Dysfunction, Impairment, and Decline AcademicSubjects/SOC02600 RACIAL/ETHNIC DIFFERENCES IN NEUROCOGNITIVE PROFILES OF OLDER ADULTS WITH 6-YEAR INCIDENT DEMENTIA Jacobs Moyosoreoluwa Wayne State University, Detroit, Michigan, United States Chek Carmen Wayne State University, Detroit, Michigan, United States Tarraf Wassim Wayne State University, Detroit, Michigan, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 963963 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Hispanic and non-Hispanic Black (NHB) older adults have higher dementia rates than non-Hispanic Whites (NHWs). Estimates of dementia prevalence and incidence in community-based cohorts are mostly based on threshold value performance on cognitive assessment batteries. We used longitudinal data from the HRS Harmonized Cognitive Assessment Protocol (HCAP) to (1) generate and compare, across race/ethnicity, neurocognitive profiles for older adults (>65 years) not meeting research criteria for dementia in 2010 and developing dementia by 2016 (using Langa-Weir's dementia classification), (2) assess racial/ethnic differences in these profiles, and (3) test socio-demographic effects on dementia-specific differences in neurocognitive performance. Performance on all HCAP measures was highly sensitive to 6-year incident dementia classification. However, we found notable domain-specific differences in test sensitivity, whereby performance on general screeners (e.g., MMSE) and memory-based tests (e.g., CERAD word list recognition) were significantly lower (<=2 SDs from normed population means). Hispanics and NHBs generally performed lower than NHWs, with more pronounced group differences in general screeners and executive function tests. Sociodemographic characteristics significantly attenuated Hispanic differences, but less so for NHBs, relative to NHWs. Despite these group differences, NHWs with incident dementia had worse neurocognitive profiles than their NHB and Hispanic counterparts. Dementia classification algorithms (e.g., Langa-Weir) sensitively detect cognitive impairment. However, these algorithms more accurately identify higher severity cognitive impairment in NHWs compared to NHBs and Hispanics. Such methods can yield dementia estimates biased by sociocultural factors. Further research is needed to identify culturally appropriate neurocognitive tests that enhance precise dementia diagnosis, using population-level epidemiological data. pmc |
PMC10738119 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1377 igad104.1377 Abstracts Session 4015 (Symposium) AcademicSubjects/SOC02600 MENTAL HEALTH AND WELLBEING ACROSS THE COVID-19 PANDEMIC AMONG OLDER PEOPLE IN ENGLAND Beach Brian University College London, London, England, United Kingdom Zaninotto Paola University College London, London, England, United Kingdom 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 417417 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Numerous studies have identified declines in mental health and psychosocial wellbeing over the course of the COVID-19 pandemic across the world and in different age groups, including older people. A key question for researchers, health practitioners, and policymakers alike is whether the influence of the pandemic on these outcomes is temporary or more long-lasting. The lived experience of the pandemic, such as lockdowns, likely played a role in shaping mental health and wellbeing, but recovery is not always immediate following the removal of such negative stimuli. Our recent work using the English Longitudinal Study of Ageing (ELSA) identified that depression, anxiety, and quality of life demonstrated statistically significant worsening trajectories between ELSA Wave 9 (2018/19) and through two assessments during the pandemic, i.e. June/July and Nov/Dec 2020. Because depression and anxiety are also common neuropsychiatric symptoms among people with dementia or mild cognitive impairment, we also examined differences according to cognitive function, finding a convergence among cognitive function groups in the risk for poor mental health through the pandemic. This paper expands on this work to incorporate ELSA Wave 10, the first survey assessment after the easing of key pandemic-related restrictions and health crisis measures, to assess how older people are faring since the acute phase of the pandemic in terms of mental health and wellbeing. It highlights key subgroup dynamics, including cognitive function group, that are associated with patterns of recovery in mental health and wellbeing to pre-pandemic levels and those linked to more long-lasting adverse experiences. pmc |
PMC10738120 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1855 igad104.1855 Abstracts Session 4520 (Paper) Intergenerational Relationships, Care Values, and Outcomes AcademicSubjects/SOC02600 EARLY PANDEMIC INTERGENERATIONAL RELATIONSHIP TYPOLOGIES AND WELL-BEING AMONG OLDER ADULTS Chan Athena Chung Yin Texas Tech University, Lubbock, Texas, United States Sneed Rodlescia Wayne State University, Detroit, Michigan, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 566566 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract The COVID-19 pandemic necessitated numerous changes in older adults' social interactions; however, there has been limited inquiry into the structure and function of early pandemic intergenerational relationships and consequent implications for well-being. Informed by intergenerational solidarity theory, we explored typologies of older adults' intergenerational relationships early in the pandemic, examining factors associated with each typology and associations between typologies and well-being. Participants were 7,840 adults aged >= 50 from the 2020 and 2021 waves of the Health and Retirement Study. We conducted latent class analysis using 12 indicators: associational (time with pets, frequency of in-person and virtual contact), structural (pet ownership and living arrangement), functional (receiving/providing support), and affectual (better relations). We used analysis of variance and post hoc analyses to determine whether individual differences (i.e., demographics, health status, and pandemic-related stressors), and well-being differed across typologies. Five latent classes were identified: low intergenerational relations (48%), pet owner with low intergenerational relations (15%), high contact and good relationship quality (tightknit, 11%), support provider (15%) and support recipient (12%). Older adults' age, gender, marital status, and health status were related to their relation typologies. Low intergenerational relations and tightknit typologies reported greater well-being. Support recipients reported the most distress, while support providers reported higher growth and resilience. Pet owners with low intergenerational relations reported the lowest positive emotions. Overall, results encourage careful attention to the multifaceted nature of intergenerational relationships when understanding coping of older adults in the pandemic. pmc |
PMC10738121 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0668 igad104.0668 Abstracts Session 2275 (Symposium) AcademicSubjects/SOC02600 PSYCHOSOCIAL FACTORS AND EARLY MID-LIFE BLACK WOMEN'S SLEEP QUALITY: A CONSIDERATION OF INTERSECTIONAL MEASURES Erving Christy University of Texas at Austin, Austin, Texas, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 202202 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Beyond an individual behavior, scholars are progressively conceptualizing sleep as embedded in social factors. Extant research establishes that sleep is influenced by experiences based on status characteristics such as gender or race along with psychosocial stressors such as discrimination. Moreover, sleep is important in the context of gender and racial disparities, as Black women experience relatively poorer sleep quality compared to their Black male and White counterparts. Given their relatively poor sleep quality, this presentation will center Black women by examining how psychosocial factors influence their subjective sleep quality in early mid-life, an important life course stage characterized by significant role obligations in personal and professional life domains. This presentation also takes an intersectional approach, examining the sleep implications of two recently developed measures that capture the unique intersectional oppression of Black women: Superwoman Schema and gendered racial microaggressions. To assess the association between these intersectional psychosocial factors and subjective sleep quality, data are drawn from Mechanisms Underlying Stress and Emotions (MUSE) in African-American Women's Health Study, a cohort of 422 Black women (ages 30-46) in Atlanta, GA, USA. Preliminary findings suggest that both Superwoman Schema endorsement (e.g., feeling obligated to help others) and reports of gendered racial microaggressions (e.g., feeling marginalized and silenced in professional settings) are related to poor subjective sleep quality. Moreover, these associations remain even after adjusting for various factors including, but not limited to, depressive symptoms, anxiety symptoms, and social support. Study implications and future research directions will be discussed. pmc |
PMC10738122 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0973 igad104.0973 Abstracts Session 3185 (Symposium) AcademicSubjects/SOC02600 HOW TO GET AN NIA GRANT Santora Kenneth NIA, NIH, Bethesda, Maryland, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 292292 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Dr. Santora will provide an overview of the NIA application process, funding opportunities, and relevant policy changes for early-career researchers. pmc |
PMC10738123 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0447 igad104.0447 Abstracts Session 2055 (Symposium) AcademicSubjects/SOC02600 INFORMAL SUPPORT NETWORKS AND LONELINESS IN OLDER WOMEN LIVING WITH HIV Manalel Jasmine Hunter College - CUNY, New York City, New York, United States Brennan-Ing Mark Hunter College - CUNY, New York City, New York, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 136137 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Older adults with HIV are at increased risk for social isolation and poor well-being. Although older women living with HIV (WLWH) are more likely to be embedded in supportive networks than men, they often report inadequate support in meeting their needs. The function of older WLWH's informal networks, their effectiveness in meeting care needs, and links to well-being are major gaps in the literature. Using a subsample of heterosexual WLWH from The Research on Older Adults with HIV 2.0 Study aged 50 to 77 (Mage = 59; n = 210), we assessed sources of social support, interpersonal strain, and support adequacy, in relation to loneliness. About half the sample reported having ever (i.e., currently or in the past) needed regular assistance due to HIV or other illness, disability, or frailty whereas the rest reported never needed regular assistance. Preliminary regression analyses controlled for age, race, ADLs, partnership, and formal care status. Findings revealed that neither support from family or from friends was associated with loneliness. However, strain from both sources was significantly associated with greater loneliness. In terms of support adequacy, having someone to count on for emotional support was associated with lower loneliness, and needing more emotional support was associated with greater loneliness. Instrumental support (i.e., help with tasks was not significantly associated with loneliness. These findings highlight the importance of considering positive and negative social relations, as well as different dimensions and sources of support. Interventions to improve emotional support resources could help mitigate loneliness among older WLWH. pmc |
PMC10738124 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1169 igad104.1169 Abstracts Session 3390 (Symposium) AcademicSubjects/SOC02600 FREE-LIVING HEART RATE VARIABILITY/PHYSICAL ACTIVITY AND COGNITIVE FUNCTION AND DEMENTIA IN ARIC Marino Francesca Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States Wu Hau-Tieng Duke University, Durham, North Carolina, United States Rooney Mary Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, United States Soliman Elsayed Wake Forest University School of medicine, Winston-Salem, North Carolina, United States Deal Jennifer Johns Hopkins University, Baltimore, Maryland, United States Wanigatunga Amal Johns Hopkins School of Public Health, Baltimore, Maryland, United States Schrack Jennifer Johns Hopkins University, Baltimore, Maryland, United States Chen Lin Yee University of Minnesota School of Medicine, Minneapolis, Minnesota, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 351351 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Low heart rate variability (HRV) and physical activity (PA) are associated with cognitive dysfunction in clinical settings. Yet, associations with these measures among older adults in the free-living environment remain unexplored. We hypothesize higher free-living HRV and PA are associated with higher cognitive test scores and less likelihood of mild cognitive impairment (MCI)/dementia. This study includes 1,590 ARIC participants aged 72-94 years who wore the Zio XT Patch for 14-days to simultaneously capture ECG and accelerometry, from which we derived HRV as the standard deviation (SDNN) or root mean squared successive difference (rMSSD) of normal RR intervals and PA as total mean amplitude deviation (TMAD; higher values represent more movement). Linear or ordinal regression models were fitted to estimate cross-sectional associations between log transformed HRV or PA with latent-variable derived global and domain-specific cognitive factor scores or adjudicated MCI/dementia, respectively. Participants were on average 79 years, 57% female, and 32% Black. There were no significant associations between either HRV measure and cognition. After adjusting for demographic and medical covariates, 1-unit higher in log TMAD was associated with a 0.30-point higher global factor score (95% CI: 0.16-0.44), 0.38-point higher executive function factor score (95% CI: 0.22-0.53), 62% lower odds of MCI (95% CI: 0.22-0.67) and 75% lower odds of dementia compared to normal cognition (95% CI: 0.08-0.74). In summary, free-living PA, but not HRV of RR intervals, is associated with cognitive and dementia status. Further investigation of other objective HRV measures and directionality of associations between PA and cognition is needed. pmc |
PMC10738125 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1155 igad104.1155 Abstracts Session 3375 (Symposium) AcademicSubjects/SOC02600 A QUALITATIVE EVALUATION OF RISE FROM THE PERSPECTIVE OF ADULT PROTECTIVE SERVICES CASEWORKERS Rogers Geoff City University of New York, New York City, New York, United States MacNeil Andie University of Toronto, Toronto, Ontario, Canada Connolly M T University of Southern California, Los Angeles, California, United States Salvo Erin Department of Health and Human Services, Augusta, Maine, United States Kimball Patricia Elder Abuse Institute of Maine, Brunswick, Maine, United States Lewis Stuart Dartmouth College, Lebanon, New Hampshire, United States Burnes David University of Toronto, Toronto, Ontario, Canada 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 347347 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Our understanding of effective elder abuse and self-neglect (EASN) response interventions is limited. Adult Protective Services (APS), the primary agency responsible for responding to EASN, lacks a coherent, conceptually driven, prolonged intervention phase. Informed by ecological-systems, client-centered, and relational perspectives and adapting evidence-based modalities from other fields, the RISE intervention addresses this systems gap and compliments and augments APS services. Based on a three-year pilot project involving a partnership between RISE and Maine APS, the current study conducted a qualitative evaluation of RISE, from the perspective of APS caseworkers (n=14) who worked with RISE. The purpose of this evaluation was to understand RISE strengths, areas for improvement, and qualities of the RISE/APS partnership. Findings suggest APS workers perceive that RISE benefits clients, complements the scope and nature of APS, enhances APS caseworker well-being, and reduces repeat APS cases. Further APS/RISE collaboration and clarification on RISE role responsibilities and referral eligibilities represent areas of growth. This study provides preliminary evidence for RISE as a community-based EASN intervention in partnership with APS pmc |
PMC10738126 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.2423 igad104.2423 Abstracts Session 7310 (Poster) Education and Training AcademicSubjects/SOC02600 MAP GERIATRICS CLERKSHIP LEARNING OBJECTIVES WITH GERIATRICS 5MS Cheng Huai University of Pittsburgh, Pittsburgh, Pennsylvania, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 749749 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Background Minimum Geriatrics Competencies (MGC) are used to guide teaching geriatrics for medical students in a required geriatrics clerkship since 2011. These learning objectives can be mapped to Entrustable Professional Activities (EPA). Since 2017, Geriatrics 5Ms (mind, mobility, medication, multi-complexities, and what matters most) was developed to guide teaching geriatrics for medical students and to promote a Geriatrics 4Ms Age-friendly health care system as well. The aim of this study is to examine whether an MGC-based geriatrics clerkship is consistent with geriatrics 5Ms by mapping its learning objectives with geriatrics 5Ms. Methods This geriatrics clerkship is a two-weeks required rotation for all fourth-year medical students. It includes didactic classroom teaching and clinical rotation in different geriatrics practice, palliative care, and physical medicine rehabilitation. This clerkship has a total of 50 learning objectives with corresponding MGC teaching methods/strategies, assessment, and evaluation. The author will map each learning objective with Geriatrics 5Ms. Results 13 learning objectives are mapped to "Mind". 9 learning objectives are mapped to "Mobility". 10 learning objectives are mapped to "Medications". 14 learning objectives are mapped to "multi-complexity". 6 learning objectives are mapped to "Matters most". 12 learning objectives are not mapped to any of geriatric 5Ms. Conclusion and discussion The majority of 50 learning objectives in a required geriatrics clerkship can be mapped to geriatrics 5Ms. This MGC-based learning objective can be adopted to teach medical students geriatric 5Ms and geriatric 4M Age-friendly health care system. Take-home message MGC-based learning objectives are aligned with geriatrics 5Ms. pmc |
PMC10738127 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0671 igad104.0671 Abstracts Session 2280 (Paper) Mental Health, Social Determinants, and Psychosocial Well-Being AcademicSubjects/SOC02600 OPTIMISM MITIGATED THE DETRIMENTAL ROLE OF DEPRESSION AND ANXIETY IN SUBJECTIVE WELL-BEING AFTER CARDIAC SURGERY Ai Amy Florida State University, Tallahassee, Florida, United States Nash Veronika Florida State University, Tallahassee, Florida, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 203203 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Cardiac diseases, the primary cause of death among older adults of any races, is comorbid with mental health problems such as depression and anxeity. A recent review article found that cardiovascular health was more consistently associated with optimism and hedonic/subjective well-being than with meaning-laden eudaimonic/psychological well-being. Extensive research has shown the health benefit of dispositional optimism, a personality trait. Few studies, however, have explored the protective effect of optimism the on subjective wellbeing (SWB) one months after cardiac surgery, a life altering procedure in late life. This study estimated the mediating effect of dispositional optimism between preoperative mental health and postoperative SWB. Using a prospective design, we followed 300 patients undergoing cardiac surgery. Mental health was indicated by anxiety and depression, while SWB was indicated by low symptom levels of general distress, based on its definition, one month postoperavely. A confirmatory factor analyses were performed to validate SWB with three subscales. The final solution of a structural equation model (SEM) indicated good fit (Chi-square = 47.55, df = 18, p = 0.000; CFI = 0.95; TLI = 0.92, RMSEA = 0.07, with 90 percent CI from 0.05 to 0.10). Both the CFI (0.96) and TLI (0.93) exceeded the benchmark criterion of .90. The lower CI of RMSEA is under 0.05. Optimism, indicted by two subscales, mediated preoperative mental health and postoperative symptom levels. The finding supports its mitigating role against the damage of depression and anxiety in the SWB of cardiac patients during the critical recovery time - postoperative month. pmc |
PMC10738128 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.2406 igad104.2406 Abstracts Session 7300 (Poster) Dementia Care AcademicSubjects/SOC02600 EARLY DETECTION OF DEMENTIA AND MILD COGNITIVE IMPAIRMENT WITH BRAINCHECK Huang Bin BrainCheck, Austin, Texas, United States Huynh Duong BrainCheck, Austin, Texas, United States Ghomi Reza Hosseini BrainCheck, Austin, Texas, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 743744 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Dementia is projected to affect 14 million people in the United States and 152 million people globally in the coming decades. Early detection of dementia, which involves diagnosis of mild cognitive impairment (MCI), a possible prestage of dementia, is critical for intervention and care planning but remains a challenge with current clinical protocols. While brief screening tools are narrow in scope, comprehensive neuropsychological tests are time-consuming and require specialized training and expertise to conduct and interpret results. BrainCheck, a computerized cognitive assessment tool, provides an accessible and promising solution to address these current challenges. The aim of this study was to evaluate BrainCheck for its diagnostic accuracy and ability to distinguish the severity of cognitive impairment. A total of 99 participants clinically diagnosed with dementia (DEM; n=42), MCI (n=22), or normal cognition (NC; n=35) completed the BrainCheck battery. Statistical analyses compared participant performances on BrainCheck based on their diagnostic group. BrainCheck battery performance showed significant differences between the three groups, achieving 88% or higher sensitivity and specificity for separating DEM from NC, and 77% or higher sensitivity and specificity in separating the MCI group from the NC and DEM groups. Three-group classification found true positive rates of 80% or higher for the NC and dementia groups and true positive rates of 64% or higher for the MCI group. These results show that BrainCheck was able to distinguish between diagnoses of DEM, MCI, and NC, providing a potentially reliable tool for early detection of cognitive impairment. pmc |
PMC10738129 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0380 igad104.0380 Abstracts Session 1375 (Symposium) AcademicSubjects/SOC02600 BARRIERS AND FACILITATORS TO INTEGRATED SUBSTANCE USE AND HIV CARE: ADMINISTRATOR AND PROVIDER PERSPECTIVES Bender Alexis Emory University, Atlanta, Georgia, United States Chan Kiera Emory University, Atlanta, Georgia, United States Hunt Riley Emory University, Atlanta, Georgia, United States Perkins Molly Emory University, Atlanta, Georgia, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 117117 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Since the beginning of the HIV epidemic, HIV and substance use have been intricately connected. Substance use may cause additional damage to the brain, higher viral loads, low medication adherence, and higher AIDS-related deaths. A potential area to improve access to care and treatment for people aging with HIV and substance use is through integrated care. Yet little is known about the barriers and facilitators to integrated care, especially in practices serving vulnerable populations, such as older adults or PLWH in rural areas. We conducted in-depth interviews with 21 providers (e.g., Physicians, APPs, RNs) and 15 administrators (e.g., clinic managers, care coordinators) across Georgia between January 2021 and November 2022. Interviews explored perceptions about clinic integration and desire, or lack of desire, to increase integration. Data were analyzed using inductive and deductive thematic analysis guided by the Consolidated Framework for Implementation Research. Both groups perceived important benefits to integrated care, especially for older or more vulnerable populations, but the definitions varied across respondents. Providers and administrators agreed that integrated care provided greater access to care with less interruption to patients' lives. Barriers to increasing integration included, but were not limited to, physical space, staffing and budgetary constraints, and limited opportunities for collaboration. Most providers, except those in practices with the highest levels of integration, experienced barriers to getting patients into adequate substance use treatment when needed. Integrated care is vital to treating older adults and vulnerable individuals living with HIV, especially those with co-occurring substance use disorders. pmc |
PMC10738130 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1545 igad104.1545 Abstracts Session 4190 (Paper) Long-Term Care (Srpp Papers) II AcademicSubjects/SOC02600 REVISITING THE TEACHING NURSING HOME: PRAGMATIC EVALUATION IN A REAL-WORLD SETTING Degenholtz Howard University of Pittsburgh, Pittsburgh, Pennsylvania, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 469470 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Revisiting the Teaching Nursing Home (RTNH) is a renewal of the Teaching Nursing Home model pioneered in the 1980s, which found that creating partnerships between schools of nursing (SONs) and nursing homes (NHs) improved clinical outcomes. In its first two years, the RTNH initiative has fostered partnerships between three SONs and four NHs in Pennsylvania, and is planning to expand. The program is implementing the Institute for HealthCare Improvement Age-Friendly Health System "4Ms" quality improvement framework through an online learning network. The 4M quality improvement framework focuses on four evidence-based elements: Mobility, Mentation, Medication, and What Matters. In addition, the participating SONs are incorporating the 4Ms into curricula and clinical rotations. The evaluation will examine both implementation and outcomes for SONs and NHs. Measures include student competency, staff satisfaction and burnout, clinical process of care and resident outcomes. While some resident level measures can be extracted from the Minimum Data Set (MDS), others (deprescribing, rehabilitation goals, preference sensitive care) require access to the electronic medical record (EMR). The goal of this presentation is to describe the methodology for measuring the wide range of outcomes and to examine the performance of a synthetic comparison group to study overall quality using CASPAR data. We selected 1,764 similarly sized, non-profit NHs and conducted bivariate, and propensity score analysis to determine if the participating NHs were different on any observable characteristics. The findings suggest that the participating NHs were not statistically significantly different in terms of overall quality rating, staffing, or inspections. pmc |
PMC10738131 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0627 igad104.0627 Abstracts Session 2235 (Symposium) AcademicSubjects/SOC02600 THE PROMINENT ROLE OF HOME CARE AIDES IN END-OF-LIFE CARE DURING A PUBLIC HEALTH EMERGENCY AND BEYOND Kim Patricia Icahn School of Medicine at Mount Sinai, New York City, New York, United States Franzosa Emily Icahn School of Medicine at Mount Sinai, New York City, New York, United States Moreines Laura New York University, New York City, New York, United States Boafo Jonelle Rory Meyers College of Nursing, New York City, New York, United States David Daniel NYU Rory Meyers College of Nursing, New York City, New York, United States Brody Abraham NYU Rory Meyers College of Nursing, New York City, New York, United States Aldridge Melissa Icahn School of Medicine at Mount Sinai, New York City, New York, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 190191 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Many patients and families rely on paid aides to provide personal care services at the end of life, but the COVID-19 pandemic caused widespread delays and disruption in this care. Our study examined COVID-related care disruptions among patients in a large, New York City health system who died between March 1, 2020 and March 1, 2021. We linked the electronic health records of 124 patients cared for by a geriatric outpatient practice and referred to hospice to the hospice's electronic health records, and conducted an in-depth qualitative thematic analysis. We found many home health aides continued caring for existing patients after hospice enrollment, often in tandem with hospice aides. But, patients and families experienced disruption in both usual and hospice aide services due to patient or aide illness, COVID isolation policies, and the exacerbation of ongoing workforce shortages. Aides experienced emotional strain and escalation of care responsibilities including the provision of more clinically-focused end-of-life tasks (e.g., wound care, oxygen administration) usually performed by hospice nurses. When the hospice team was unable to provide home visits, the aide became the primary source of patient information. Hospice staff supported aides in care tasks and provided emotional and spiritual care, often virtually, to aides and patients' families. Findings highlight the critical role of aides within the care team and its intensification in a crisis, suggesting opportunities to better integrate aides into hospice care teams while providing formal training and support to help aides manage end of life care tasks and emotional demands. pmc |
PMC10738132 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.2221 igad104.2221 Abstracts Session 7090 (Poster) The Mental Health Tax of Family Caregiving AcademicSubjects/SOC02600 GENDER DIFFERENCES IN PSYCHOLOGICAL OUTCOMES OF DEMENTIA CAREGIVERS Roden Elena Fordham University, New York City, New York, United States Falzarano Francesca Weill Cornell Medicine, New York City, New York, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 683684 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Substantial research has been conducted on the high prevalence of anxiety and depression among dementia family caregivers. Stressors, such as financial hardships related to costs of care and feelings of role captivity, can exacerbate adverse mental health outcomes. However, there is limited literature focused specifically on gender differences in the caregiving stress process. Using data from a mixed-methods study of 46 dementia family caregivers between the ages of 23-96, the purpose of this study was to examine gender differences in self-reported caregiving stressors (e.g., cost of care, care intensity) and psychosocial outcomes including depression and anxiety. Results showed that compared to females, male caregivers reported greater costs of care, greater feelings of role captivity, higher frequency of assistance with medical/nursing tasks (p=.01) and activities of daily living (ps range from .01-.04). Male caregivers also reported significantly greater distress related to care tasks (p=.04), as well as higher levels of depression (p=.02) and anxiety (p=.05). These findings provide insight into how the informal caregiving experience can vary by caregiver gender and potential factors contributing to these differential outcomes. The data establishes the importance of considering demographic characteristics in providing needed resources to dementia family caregivers. pmc |
PMC10738133 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1209 igad104.1209 Abstracts Session 3425 (Paper) Ageism and Perceptions of Aging AcademicSubjects/SOC02600 DYADIC PROFILES OF COUPLES' SELF-PERCEPTIONS OF AGING: IMPLICATIONS FOR MENTAL HEALTH Huo Meng University of California, Davis, Davis, California, United States Kim Kyungmin Seoul National University, Seoul, Republic of Korea 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 364364 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract The way older adults perceive their own aging processes influences their mental health, but we know little about how this occurs in a dyadic context, where spouses' perceptions and health are often intertwined. The current study aims to identify dyadic profiles of self-perceptions of aging (SPA) in couples and examine how certain dyadic profiles are associated with each partner's mental health over time. A pooled sample of 3,850 heterosexual couples aged 50+ in the Health and Retirement Study (2012/2014-2016/2018) rated positive and negative SPA and provided data on demographic characteristics, couple relationships, and health. Latent profile analysis revealed four profiles of couples' SPA: similarly positive (32%), similarly negative (10%), wife positive-husband negative (38%), and wife negative-husband positive (20%). Physical health and marital quality differentiated couples and predicted profile membership. Couples with similarly positive SPA reported fewer depressive symptoms over time than did couples in other profiles; couples with similarly negative SPA fared worse mental health. We observed a gender difference when comparing the two opposite profiles, such that wives in the wife positive-husband negative profile reported increasingly fewer depressive symptoms than wives in the wife negative-husband positive profile. Husbands in those two profiles did not differ in mental health. This study adds to the emerging literature that advocates for an interpersonal approach to SPA. Findings revealed risk and resilience in couples as they experience and perceive aging and inform dyadic interventions that aim to protect older adults' mental health in the long run. pmc |
PMC10738134 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1142 igad104.1142 Abstracts Session 3365 (Paper) Long-Term Care (Srpp Papers) I AcademicSubjects/SOC02600 A SPOTLIGHT ON ADAPTATION: PREIMPLEMENTATION OF MONTESSORI-BASED APPROACHES IN VA LONG-TERM CARE Madrigal Caroline VA Boston Healthcare System, Boston, Rhode Island, United States Mills Whitney VA Providence Healthcare System, Providence, Rhode Island, United States Pimentel Camilla VA Bedford Healthcare System, Bedford, Massachusetts, United States Hartmann Christine VA Bedford Healthcare System, Bedford, Massachusetts, United States Snow A Lynn Tuscaloosa VA Medical Center, Tuscaloosa, Alabama, United States Camp Cameron Center for Applied Research in Dementia, Solon, Ohio, United States Hilgeman Michelle Tuscaloosa VA Medical Center, Tuscaloosa, Alabama, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 343343 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Effectively adapting evidence-based interventions for nursing home (NH) implementation is a critical, yet under-examined, component of improving care quality. Montessori-based activity programming (MAP) is an evidence-based intervention that promotes person-centered care, engages persons living with dementia, and mitigates distress behaviors. Currently, there is sparse examination of MAP in Department of Veterans Affairs NHs (i.e., Community Living Centers, CLCs). We report on the use of the Framework for Reporting Adaptations and Modifications-Enhanced (FRAME) to track adaptations made to MAP - providing a pre-implementation exemplar for NH clinicians and implementation scientists. Qualitative and quantitative data were collected across two phases (i.e., pre-implementation and pilot implementation) at eight VA CLCs between 2017-2019. We used an iterative, rapid content analytic approach to triangulate findings across data sources (e.g., advisory panel, staff interviews, training evaluations, field notes, fidelity assessments) and identify needed adaptations for the CLC setting and population. More than 300 frontline VA CLC staff participated in qualitative interviews and/or provided feedback on quantitative staff training. Thirty-six adaptations were made. Most adaptions occurred during the pre-implementation phase, were reactive, focused on training/evaluation, and involved researchers, intervention developers, and practitioners. All were fidelity-consistent with MAP. The most common goal across adaptations was increased reach/engagement of the intervention. CLCs and community NHs can use findings to support intervention adaptation, and adapt and implement MAP to improve meaningful engagement for persons living with dementia and other residents. Future research should further evaluate and standardize FRAME for diverse users of complex interventions. pmc |
PMC10738135 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0607 igad104.0607 Abstracts Session 2220 (Paper) Adult Protection and Elder Abuse (Papers) I AcademicSubjects/SOC02600 FACTORS ASSOCIATED WITH ELDER MISTREATMENT AMONG PERSONS LIVING WITH DEMENTIA Gassoumis Zach University of Southern California, Los Angeles, California, United States Yonashiro-Cho Jeanine University of Southern California, Los Angeles, California, United States Avent Elizabeth University of Southern California, Los Angeles, California, United States Mosqueda Laura Keck School of Medicine of the University of Southern California, Los Angeles, California, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 184184 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Persons living with dementia (PLWD) are at increased risk of experiencing elder mistreatment (EM), including emotional, physical, or sexual abuse, neglect, or financial exploitation. Because PLWD rely on Care Partners (CP) for varying degrees of support with ADLs/IADLs, factors contributing to EM occurrence may be present in the characteristics of the PLWD, CP, and the environment in which they interact. The present study sought to identify associated risk and protective factors of EM in PLWD-CP care groups. As part of a longitudinal study, survey administration interviews were conducted with 163 care groups consisting of a PLWD and their CP(s) (n=184) to gather data on participant characteristics, current and past relationship quality, current caregiving interactions, and EM occurrence. This analysis used baseline data with responses weighted to control for participation of multiple CPs. Bivariate logistic regression was used to model the likelihood of the PLWD experiencing EM. Nearly a quarter of PLWDs (23.9%; n=39) experienced EM, with emotional abuse (19.0%), neglect (7.4%), and financial exploitation (4.3%) occurring most frequently. Preliminary analyses reveal significant bivariate associations between EM and PLWD alcohol/substance abuse (OR=3.244;CI=1.020-10.320) and educational attainment (OR=1.495;CI=1.077-2.075), and CP symptoms of depression (OR=1.170;CI=1.046-1.308) or anxiety (OR=1.194;CI=1.085-1.315), high caregiving burden (OR=1.099;CI=1.042-1.159), expectations of themselves (OR=1.747;CI=1.064-2.867) and the PLWD (OR=1.730;CI=1.113-2.688), and alcohol/substance abuse (OR=2.163;CI=1.080-4.333). These associations provide a foundation for further evaluation of these characteristics as potential longitudinal risk factors for EM, and provide potential targets for the development of prevention and intervention strategies that are tailored to care groups' characteristics and needs. pmc |
PMC10738136 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.2155 igad104.2155 Abstracts Session 7030 (Poster) Depression and Anxiety AcademicSubjects/SOC02600 THE ROLE OF SOCIAL MEDIA COMMUNICATION IN THE ASSOCIATION BETWEEN WIDOWHOOD AND DEPRESSIVE SYMPTOMS Kim Nahyun Seoul National University, Seoul, Republic of Korea Kim Youjin Seoul National University, Seoul, Republic of Korea Cho Hyeonji Seoul National University, Seoul, Republic of Korea Kim Kyungmin Seoul National University, Seoul, Republic of Korea 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 662663 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Losing a spouse is one of most painful experiences in adulthood; widowed adults often suffer from psychological difficulties. Scholars have examined how social support from close relationships such as family members and friends plays a protective role in the context of spousal loss. Given that the use of mobile technologies and internet became an important way to engage with social relationships, it is crucial to investigate the role of social media communication in the bereavement process. This study examined the moderating effects of social media communication in the association between widowhood and depressive symptoms, comparing different types of social media communication--chatting/messaging (e.g., iMessage), social media (e.g., Facebook), video-sharing (e.g., YouTube), and online community platforms (e.g., forums). From the 2021 Korea Social Integration Survey, we analyzed a sample of 5,238 respondents (aged 40+) who were ever-married. Our regression models showed that widowed respondents (9.79%) were likely to have more depressive symptoms (B = 0.19, p < .001) than non-widow(er)s; all types of social media communication were associated with fewer depressive symptoms, regardless of widowhood. We also found that two types of social media communication moderated the association between widowhood and depressive symptoms; such that widowed respondents who used social media (B = -0.08. p =.002) and online community platforms (B = -0.05. p = .038) more frequently had fewer depressive symptoms, compared to their counterparts. Our findings highlight the importance of examining social engagement via information and communication technologies and the potential mechanism contributing to widowed adults' well-being. pmc |
PMC10738137 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.2254 igad104.2254 Abstracts Session 7130 (Poster) Clinical Practice and Health AcademicSubjects/SOC02600 "IT CAN BE A CHAMELEON": LEWY BODY DEMENTIA PRESENTATION WITH AN ELUSIVE CLINICAL PROFILE--CASE REPORT AND DISCUSSION Barney Javier Malcolm DHR Health, Edinburg, Texas, United States Moya Mario DHR Health, Edinburg, Texas, United States Martin Jessica Rio Grande Valley Graduate Medical Education Consortium, Edinburg, Texas, United States Dentino Andrew Rio Grande Valley Graduate Medical Education Consortium, Edinburg, Texas, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 694695 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Lewy body dementia is a progressive neurodegenerative disease and is considered to be the second most common cause of dementia in the population above 65 years of age. It remains a challenging and complicated disease process to profile clinically with an elusive diagnosis that shares similarities with Alzheimer's, leading to patients being misdiagnosed. The decline is compounded by inappropriate coordinated care efforts, and therefore ill preparing the patient and negatively affecting their relatives and support groups. We describe the case of an 83-year-old Hispanic male who over the course of 32 months sustained multiple injuries due to falls landing him in the emergency department; receiving numerous consultations from hospitalists, surgeons, infectious disease specialists, neurologists, psychiatrists, and radiologists. A combined blend of inpatient and outpatient visits was not enough to circumvent the recurrent theme that plagues similar cases worldwide with non-reliable criteria that can identify Lewy Body Dementia early in the presentation of the disease. The first mention of DLB was almost at the 32 months mark into the patient's journey at this particular Hospital System. A multidisciplinary approach with enhanced communications and round table discussions should be a quality of care improvement initiative to help better serve this population of patients. DLB's rapid progression and sensitive drug therapy parameters should place this as equally scalable as other multi-specialty collaborations such as tumor board, limb salvage committee, ethics, and Trauma review. pmc |
PMC10738138 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1416 igad104.1416 Abstracts Session 4055 (Symposium) AcademicSubjects/SOC02600 IS LONELINESS CONTAGIOUS? AN ECOLOGICAL MOMENTARY ASSESSMENT WITHIN ROMANTIC COUPLES Luchetti Martina Florida State University, College of Medicine, Tallahassee, Florida, United States Rupprecht Fiona University of Vienna, Vienna, Wien, Austria Nikitin Jana University of Vienna, Vienna, Wien, Austria Gamaldo Alyssa Clemson University, Clemson, South Carolina, United States Mogle Jacqueline Clemson University, Clemson, South Carolina, United States Ledermann Thomas Florida State University, Tallahassee, Florida, United States Sliwinski Martin Pennsylvania State University, State College, Pennsylvania, United States Sutin Angelina Pennsylvania State University, State College, Pennsylvania, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 430430 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Although marriage has been found to be protective against feeling lonely, loneliness might also be 'contagious' and spread from one individual to another, particularly within close relationships. Feelings of loneliness tend to correlate within spouses and are associated with relationship strain and lower perceived support from the partner. Despite interest in loneliness among married couples, little is known about how loneliness might affect romantic partners, especially in everyday life. In this study, we examined momentary states of loneliness within middle-aged and older couples, and how these states affect each partner over the course of days. Data were from 137 opposite-sex couples (274 participants), between 40 and 70 years old, who completed phone-based assessments of loneliness on a scale from 0to 100, three times a day, for eight consecutive days. Data were modeled using a combination of dynamic structural equation modeling and actor partner interdependence modeling. For both couple members, auto-regressive associations indicated that loneliness states carried over from moment to moment for both partners. In addition, loneliness of the female partner at time t was associated with loneliness of the male partner at the previous assessment (time t - 1), but not vice versa. Partner effects were in part moderated by relationship quality (strain, perceived support). The results provide insight into how loneliness functions within couples in everyday life contexts and suggest that loneliness might have dyadic implications for the health and well-being of aging couples. pmc |
PMC10738139 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1517 igad104.1517 Abstracts Session 4155 (Symposium) AcademicSubjects/SOC02600 THE IMPACT OF HOME-BASED CARE SERVICES ON ADULT CHILDREN AS CAREGIVERS OF OLDER ADULTS IN CHINA 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 461461 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract The family has always been the primary resource for elder care support in China, and adult children are the main caregivers of older parents. In the background of rapid development of home-based care services for older adults, this study aims to explore the impacts of the home-based care services on the adult children as caregivers for their older parents. Based on a national representative sample of aged 60 years or older (N=8674) from the China Longitudinal Aging Social Survey (CLASS) in 2018 and 2020, this study used propensity score matching difference-in-differences method to analyze the data. Firstly, we found that home-based care services for older adults could reduce the care burden of family caregivers by sharing part of the instrumental support effectively for the elderly. Secondly, this substitution effect is more significant among the families with more dependable and vulnerable older adults. Finally, the use of home-based care services appeared not to affect the intergenerational relationships between older parents and their adult children caregivers. Home-based care services may relieve the burden of family caregivers by providing instrumental care support for older adults. Therefore, it is very necessary to accelerate the implementation of an elder care programs in community to benefit the older and younger generations in Chinese family. pmc |
PMC10738140 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1696 igad104.1696 Abstracts Session 4350 (Symposium) AcademicSubjects/SOC02600 IMPACT OF THE WALK ON! COMMUNITY WALKING PROGRAM ON PSYCHOSOCIAL ATTRIBUTES OF OLDER AFRICAN-AMERICAN WOMEN Coco-Ripp Jo Ann Winston-Salem State University, Winston-Salem, North Carolina, United States Heinrich Allison WFSM, Winston Salem, North Carolina, United States Maxwell-Crudup Kasual WSSU, Winston Salem, North Carolina, United States Hill Kaliya WSSU, Winston Salem, North Carolina, United States Foxworth Judy Winston-Salem State University, Winston-Salem, North Carolina, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 516517 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Walking in a structured community setting can improve function for older adults with functional limitations. In collaboration with others, recreation therapy (RT) and physical therapy (PT) students and faculty implemented the Walk On! program at a community church. Twenty-four African American females initially started the 11-week program and agreed to engage in the research aspect by completing pre/post-tests focused on physical function and quality of life, loneliness, and a geriatric depression scale. The hour-long biweekly intervention included warm up/cool down stretching, music, group motivation, walking around the large multipurpose room, and various balance activity stations interspersed. PT and RT students as well as faculty and community partners provided leadership and encouragement. Results were analyzed for 14 participants who completed all tests, as well as 75% of sessions. Data for the Geriatric Depression Scale and UCLA Loneliness Scale were analyzed using the Wilcoxon Signed Rank test. No statistical differences between pre/post-test scores were found. Visual inspection of GDS scores showed four participant scores increased slightly, meaning reporting more elements of depression, and one score decreased by 50%, indicating a drop from depression to not an issue. No changes were found in the other nine scores. The Loneliness Scale had slight changes for five participants with two increasing and three decreasing slightly. On the SF-36 Health Survey, Vitality increased or fatigue decreased (p=0.009) and Mental health or wellbeing increased (p=0.041). Further research on the psychosocial aspects of the Walk On! program in other populations will be conducted. pmc |
PMC10738141 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.3441 igad104.3441 Late Breaking Abstracts Session 9020 (Poster) Late Breaking Poster Session III AcademicSubjects/SOC02600 INVESTIGATING DREAMING IN COGNITIVELY DIVERSE OLDER ADULTS Britton Warren University of Prince Edward Island, Charlottetown, Prince Edward Island, Canada Strong Jessica University of Prince Edward Island, Charlottetown, Prince Edward Island, Canada 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 10711071 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Dreaming changes across the lifespan. While our understanding of how dreaming relates to aging and well-being has developed with respect to early and middle phases of the lifespan, the dreams of older adults remain under-studied. Reviews of the literature suggest decreases in dream recall and the emotionality of dream content that often precede age-related changes in sleep architecture, with few changes in dreaming occurring between ages 45-75, after which dream recall declines steeply. However, these findings are based on relatively few studies. This point is underscored when considering the effects of secondary aging on dreaming, where virtually no literature exists on the dreams of older adults experiencing mild cognitive impairment. Studying the dreams of older adults experiencing cognitive impairment may seem trivial when compared to other processes implicated in secondary aging, but recent studies examining the relationship between frequency of negative dream content and the increased risk of onset and acceleration of cognitive decline beg a closer examination of how dreaming contributes to a broader understanding of health and functioning across the lifespan. The scoping review of sleep, dreams, well-being and cognition across the lifespan, and the subsequent proposed study design seeks to employ the Hall and Van de Castle Coding System of content analysis to contribute to the literature on the dream frequency and content of cognitively typical older adults while also exploring the feasibility and methodological considerations of studying the dream content of older adults with mild cognitive impairment. pmc |
PMC10738142 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.3379 igad104.3379 Late Breaking Abstracts Session 9010 (Poster) Late Breaking Poster Session II AcademicSubjects/SOC02600 HEALTH AND SOCIAL CARE TRAINEES' ATTITUDES ABOUT AGING AND OLDER ADULTS Park Min-Kyoung University of Maryland Baltimore and Baltimore County, Baltimore, Maryland, United States Martin Diane University of Maryland, Baltimore, Baltimore, Maryland, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 10511052 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Ageism is pervasive in healthcare. It costs billions of healthcare dollars and results in earlier patient mortality and decreased quality of life. Existing research highlights the prevalence of ageist attitudes among health and social care practitioners, but there is a dearth of research regarding attitudes of trainees toward older adults. The present study utilized the Fraboni Scale of Ageism to examine attitudes of health and social care trainees participating in geriatric interprofessional training programs. Participants completed an electronic survey prior to the didactic portion of the program. Seventy-seven surveys were completed between November 2022 and June 2023. Results revealed a nuanced understanding of older adults' contributions, particularly regarding creativity, social and political engagement, and the richness of their accumulated life experiences. Positive sentiments were evident regarding interactions and participants acknowledged the self-management capacities of older adults, encompassing personal hygiene and other aspects of independent living. Notably, findings underscore substantial support for creation of inclusive spaces. Overall, a person-centric understanding of older adulthood was evident in the results; less than 20% of trainees expressed a negative perception of older adults/later life to any given question. Recognizing the significance of bridging intergenerational perception disparities to counter ageism, this research contributes to a foundational understanding of younger generations' awareness of aging. Given the contrast to existing research regarding attitudes of practitioners toward older adults, these results emphasize the importance of fostering opportunities for intergenerational dialogue and activities to maintain an attitude of inclusivity and empathy that underscores a person-centered approach to healthcare. pmc |
PMC10738143 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0685 igad104.0685 Abstracts Session 2290 (Symposium) AcademicSubjects/SOC02600 PARTICIPANT ACCEPTABILITY OF THE DEPRESSION AND PAIN PERSEVERANCE THROUGH EMPOWERED RECOVERY PROGRAM Clair Catherine Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States Taylor Janiece Johns Hopkins University, Baltimore, Maryland, United States Bhansali Rebekah Johns Hopkins School of Nursing, Baltimore, Maryland, United States Harrison Tracie The University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States Beeber Anna Johns Hopkins University, Baltimore, Maryland, United States Szanton Sarah L Johns Hopkins University, Baltimore, Maryland, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 207208 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Between 2019-2023, the Depression and Pain Perseverance through Empowered Recovery (DAPPER) program was implemented with older African American women living with pain and low mood (N=34) in Baltimore, MD. Of the 21 who completed the intervention, we interviewed 9 women to understand their experiences in the program, their successes, challenges, and areas to improve the program. The average age of the participants was 64.8 (SD: 10.5). Using a qualitative descriptive design, we analyzed the interviews using content analysis. Overall, the main themes related to 1) Changes in Pain Experiences; 2) Influence of Research Study Team; and 3) Value in Resources and Being Listened To. The women described their experience in the DAPPER program positively and the impact that it had on their pain experience. Additionally, participants mentioned how the qualities, knowledge, and perspectives of the study team impacted them: "Respectful," "A good listener," and "Caring." Finally, several of the women mentioned the value of strategies learned, resources provided, and the impact that communicating with the nurses had on them. These findings demonstrate the acceptability of the DAPPER program and highlight the importance of innovative components of intervention and study development (e.g., qualities of team members, budget for purchasing items) that are often not intentionally considered during the research process. Suggestions include adding a group component to the intervention to increase social interactions. pmc |
PMC10738144 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0556 igad104.0556 Abstracts Session 2160 (Paper) Workforce (Srpp Papers) AcademicSubjects/SOC02600 PATTERNS OF SELF-EMPLOYMENT AND HEALTH TRAJECTORIES IN LATER LIFE: EVIDENCE FROM CHINA Chen Yu-Chih The University of Hong Kong, Hong Kong, Hong Kong 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 170170 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Self-employment is a major form of work among older adults, yet most research has focused on its antecedents, with a focus on developed countries. Additionally, the impact of self-employment on health and well-being remains understudied. This study extends the current literature by investigating self-employment in China, a country with a unique self-employment landscape encompassing both agricultural and non-agricultural types. Using data from the 2011-2018 China Health and Retirement Longitudinal Study, this study investigated the impacts of self-employment on physical, mental, and cognitive health among 5,492 older adults. Latent class analysis was used to identify self-employment patterns. Multilevel models were employed to assess the associations between self-employment patterns and health outcomes, adjusting for baseline health conditions. Results showed that three patterns of self-employment were identified: consistently self-employed, wage worker, and switchers who transitioned between self-employment and wage work. Compared to wage workers, self-employed individuals and switchers have lower self-rated health and life satisfaction. No significant differences were found in depressive symptoms and cognitive scores. Notably, such effects were stronger for agriculture self-employment than the non-agriculture self-employment. The study highlights that most older Chinese are pushed into self-employment, which can adversely affect their health outcomes. Structural efforts to support older adults to stay engaged at work, such as age-friendly job redesign, anti-ageism measures in the workplace, or pension reform, would promote health and economic well-being among older adults in China. pmc |
PMC10738145 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1175 igad104.1175 Abstracts Session 3395 (Symposium) AcademicSubjects/SOC02600 WHEN SNOWBALL SAMPLING LEADS TO AN AVALANCHE OF FRAUDULENT PARTICIPANTS Sefcik Justine Drexel University College of Nursing and Health Professions, Philadelphia, Pennsylvania, United States Hathaway Zachary Drexel University, Philadelphia, Pennsylvania, United States DiMaria-Ghalili Rose Ann College of Nursing and Health Professions, Drexel University, Philadelphia, Pennsylvania, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 353353 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract The scientific literature has examples of how fraudulent respondents who gainfully access studies for financial incentives negatively affect the integrity of research results. However, there have been less examples shared of participant misrepresentation in qualitative research, the implications, and how to prevent deception. This session entails the presentation of a qualitative study where we believe participants misrepresented themselves during an interview for the financial incentive. For the study, we sought caregivers for individuals with a diagnosis of Alzheimer's disease or Alzheimer's disease related dementia with a history of chronic leg wounds. One of our recruitment efforts was through ResearchMatch. After one ResearchMatch interviewee completed the interview, he reached out to the project manager and asked if the study flyer could be shared with others that were "dealing with similar issues". This resulted in an uptick of people being interested in study participation. Several of these participants were scheduled to complete individual interviews on one day with an experienced qualitative researcher. Clues indicating potentially fraudulent participants were vague and illogical responses to questions, and similar nonsensical responses shared across interviews. Once potential fraud was detected, interviews were paused for the following interview day so the study team could regroup and none of the interviews were used for data analysis. The lessons learned and steps for researchers to take to help reduce the number of fraudulent individuals participating in interviews will be shared. This includes two-step screening where the study staff interacts with the potential participants through methods other than over email. pmc |
PMC10738146 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1244 igad104.1244 Abstracts Session 3465 (Symposium) AcademicSubjects/SOC02600 HEALTH AND AGING AMONG LATIN AMERICAN OLDER ADULTS: FINDINGS FROM STUDIES IN BRAZIL, CHILE, COLOMBIA, AND MEXICO Osuna Margarita Maria Chair Ailshire Jennifer Discussant 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 374375 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Aging in Latin America is occurring rapidly, in a context of high levels of poverty, low education and limited knowledge on the health conditions of older adults. This symposium is focused on heath-disparities found in some of Latin America's largest middle-income countries, Mexico, Brazil, Chile, and Colombia. The symposium explores various health-related topics associated with aging, that may have significant implications for longevity, overall health, and disease risk. The papers in this symposium examine a variety of health-related dimensions and disparities among older Latinos that include major chronic health conditions, such as diabetes, hypertension, cardiovascular diseases and cognition. Using data from the Brazilian Longitudinal Study of Aging, Farina examines the relationship between childhood conditions and older adult health. Using the Mexican Health and Aging Study (MHAS) and the Health and Retirement study (HRS), Cantu compares cognitive measures and their association with gender in Mexico and the US. Using mortality data, Sandoval studies how healthy life expectancy varies among the largest indigenous group in Chile compared to non-indigenous populations. Lastly, Osuna uses data from the Colombian Survey of Health, Well-Being, and Aging to examine how diseased life expectancy varies from self-reported data compared to measured data among older Colombians. Results underline what populations in Latin American have increased risk of experiencing poorer health outcomes and disparities that may exist. The findings highlight the importance of understanding the conditions under which Latin American older adults are aging and the implications this can have in the future. pmc |
PMC10738147 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104 igad104 Full GSA 2023 Abstract Book Pdf AcademicSubjects/SOC02600 Full GSA 2023 Abstract Book PDF 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" NPNP (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. pmc |
PMC10738148 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.2578 igad104.2578 Abstracts Session 7460 (Poster) Risk and Protective Factors of Health/Health Service Use I AcademicSubjects/SOC02600 CHILDHOOD TRAUMA AMONG US VETERANS AND THEIR NEGATIVE HEALTH AND RISKY BEHAVIORS IN LATER LIFE Dayrit Jessika Department of Veterans Affairs, Menlo Park, California, United States Salom-Bail Shirley Department of Veterans Affairs, Menlo Park, California, United States Islaya Cesz Department of Veterans Affairs, Menlo Park, California, United States Castro Eunice Department of Veterans Affairs, Agana Heights, Guam, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 798799 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Background Behavioral and health outcomes of childhood traumas are public health issues. Research on adverse childhood experiences (ACEs) have been explored among the general population; however, ACEs among persons with history of military service remains unknown. Methods Current study used secondary dataset obtained from CDC Behavioral Risk Factor Surveillance System (BRFSS) 2011. Study's total sample size was 7,112. Data was weighted to account for the complex sampling design and nonresponse. Logistic regression was used to explore ACEs among US Veterans, and how early trauma correlates to long-term health problems, while controlling for their socioeconomic status. Results Our analyses suggested that compared to participants with 0 ACEs, those who reported 1 ACE (OR=1.38; CI=1.10-1.73), 2 ACEs (OR=2.30; CI=1.80-2.95), 3 ACEs (OR=2.81; CI=2.11-3.73), and 4+ ACEs (OR=4.04; CI=3.20-5.09) were more likely to report depression. Participants who reported for having 4+ ACEs were 4.16 times more likely to report in risky sexual behaviors (OR=4.16; CI= 1.83-9.46). Individuals with 4+ ACEs scores were 30% more likely to report binge drinking (OR=1.30; CI=1.02-1.67), 94% at risk for being a smoker (OR=1.94; CI=1.54-2.45) and had higher odds of developing poor health status (OR=1.67; CI=1.32-2.10). Conclusion Our research suggests that more ACEs score associates to a higher risk of developing health issues in later life. Research on ACEs has traditionally focused on health outcomes using secondary datasets among the general population. More research should be explored in longitudinal studies on ACEs, particularly with persons who have served in the military. pmc |
PMC10738149 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.2206 igad104.2206 Abstracts Session 7080 (Poster) Technology: Older Adult Interface and Use AcademicSubjects/SOC02600 HEALTH CONDITIONS, CONTROL BELIEFS, AND ATTITUDINAL BELIEFS OF USING TECHNOLOGY IN LOW-INCOME OLDER ADULTS Ojo Eunice Oladepe University of Central Florida, Orlando, Florida, United States Thiamwong Ladda University of Central Florida, Orlando, Florida, United States Xie Rui University of Central Florida, Orlando, Florida, United States Lighthall Nichole University of Central Florida, Orlando, Florida, United States Park Joon-Hyuk University of Central Florida, Orlando, Florida, United States Loerzel Victoria University of Central Florida, Orlando, Florida, United States Stout Jeffrey University of Central Florida, Orlando, Florida, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 678679 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Integrating assistive technologies into fall prevention interventions could improve health outcomes, but older adults in low-income settings face greater challenges with technology use due to factors such as cost, access, and location. We examined the acceptance of technology in low-income older adults and the factors associated with their acceptance. In this cross-sectional study, 126 adults aged 60 years and older agreed to participate in the study. Three technologies, including a BTrack balance system (BBS), bioimpedance measurement device (InBody), and activity monitoring device (Actigraphs) were used to assess fall risk. The Senior Technology Acceptance (STA) was used to assess the acceptance of technology. STA consists of four domains with 14 items (1-10 rating scale). The Pearson correlation test was used to determine the correlation between STA scores, fall risk, and demographic factors. We found a significant correlation between STA and the CDC's STEADI fall risk score (r = 0.3, p = 0.00075); between STA and education (r = 0.26, p = 0.0042); and between STA and age (r = -0.32, p = 0.00031). Participants had the highest mean STA scores to the lowest mean scores as follows: health conditions (41.9 +- 5.8), control beliefs (30.1 +- 8.1), attitudinal beliefs (20.9 +- 8.2), and gerontological anxiety (8.3 +- 5.7). The use of technology is acceptable to low-income older adults but fall risk, education, and age were associated with acceptance. They may benefit from technologically based fall prevention intervention since they have the potential to use technology with low fear expressed toward it. pmc |
PMC10738150 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1348 igad104.1348 Abstracts Session 3565 (Symposium) AcademicSubjects/SOC02600 LATENT HEALTH PROFILES ASSOCIATED WITH INSTITUTIONAL ADMISSION AFTER SNF STAY AMONG MEDICARE PLWH Olivieri-Mui Brianne Northeastern University, Boston, Massachusetts, United States Shi Sandra Hebrew Senior Life, Roslindale, Massachusetts, United States McCarthy Ellen Hebrew Senior Life, Roslindale, Massachusetts, United States Oh Gahee Hebrew Senior Life, Roslindale, Massachusetts, United States Kim Dae Hyun Hebrew SeniorLife, Roslindale, Massachusetts, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 408408 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Background Health profiles may help identify PLWH at risk for institutional admission after a short-term skilled nursing facility (SNF) stay. Methods We estimated rates of institutional admission in one-year follow-up after discharge from a SNF stay (<100 days) among Medicare FFS beneficiaries with HIV (2014-2019). Latent profile analysis identified subgroups based on prevalent conditions one year prior to discharge including 8 indices: mental health (MH range 0-6), substance use (SU 0-4), cardiovascular conditions (CV 0-9), sensory (SE 0-4), musculoskeletal (MU 0-10), pulmonary (PU 0-2), learning disabilities (LD 0-9), and other chronic conditions (OCC 0-11). Cox models estimated the association between latent profiles and time to institution admission (hospital, nursing home), adjusting for demographics, dual eligibility, HIV treatment; censoring included death and study end. Results The 618 PLWH studied were male (73%), with mean age 60 (standard deviation [sd] 11). Two latent health profiles were: CV+OCC+MH (n=77), median values CV=3, OCC=2, MH=1; healthy (n=541), median 0 for all. Compared to the healthy group, the CV+OCC+MH group had similar days spent in an institute (60 days vs 66 days ), and similar hazards for institutional admission in adjusted models (HR:1.09, 95% CI [0.81-1.46]) in one-year after SNF discharge. HIV treatment for >=80% of the time prior to discharge had lower hazards (HR:0.76 [0.59-0.98]) and dual eligibility had higher hazards (HR:1.32 [1.09, 1.61]) of returning to an institutional setting. Conclusions Latent profiles had similar risk for institutional admission in one-year after discharge from a SNF stay, despite having significantly different contributing factors. pmc |
PMC10738151 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1253 igad104.1253 Abstracts Session 3475 (Symposium) AcademicSubjects/SOC02600 FATIGABILITY, FITNESS, AND CHRONO-NUTRITION: RESULTS FROM THE STUDY OF MUSCLE, MOBILITY AND AGING (SOMMA) Glynn Nancy Chair Kritchevsky Stephen Co-Chair Schrack Jennifer Discussant 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 377378 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract The Study of Muscle, Mobility and Aging (SOMMA) is a new longitudinal cohort study conducted at the University of Pittsburgh and Wake Forest University School of Medicine, coordinated by the San Francisco Coordinating Center, with management of biological specimens by the Translational Research Institute at AdventHealth. SOMMA aims to provide the foundation for discoveries in the biology of human aging, mobility and other age-related phenotypes. SOMMA enrolled 879 older women and men; mean age 76.3+-5.0 years (range 70-94); mean walking speed 1.04+-0.20 m/s; 59.2% women, and 15.8% identify as other than Non-Hispanic White. Our symposium will introduce novel baseline SOMMA findings on key measures related to fatigability, fitness, and chrono-nutrition. First, Dr. Schumacher will share results on the association between perceived physical and mental fatigability and cognitive function. Next, to begin to decipher how skeletal muscle energetics impact aging phenotypes, Ms. Gay will examine the relation between skeletal muscle energetics (ATPmax and maximal complex I&II supported oxidative phosphorylation [maxOXPHOS]) and age-related physical fatigability. Our next two presentations will focus on cardiorespiratory fitness (VO2peak) measured by gold standard treadmill cardiopulmonary exercise testing (CPET), which declines with age. Ms. Moffit will explore whether a usual-paced 400m walk can predict VO2peak, and Dr. Erickson will examine the association between CPET measured VO2peak and circadian functions derived from rest-activity-rhythms extracted from wrist-worn accelerometers. Lastly, Dr. Farsijani will explore chrono-nutrition behaviors and their association with muscle health (i.e., D3-creatine, leg power). Discussant, Dr. Jennifer Schrack will provide insight to SOMMA's novel work. pmc |
PMC10738152 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.2804 igad104.2804 Abstracts Session 7670 (Poster) Pain Management and Palliative Care AcademicSubjects/SOC02600 THE INTERSECTION OF INSOMNIA AND CENTRALIZED PAIN IN OLDER ADULTS Smith Michael University of Michigan, Ann Arbor, Michigan, United States Dean Meagan University of Michigan Health, Ann Arbor, Michigan, United States Irwin Madison University of Michigan, Ann Arbor, Michigan, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 871871 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract The intersection of insomnia and pain with age has been broadly studied but has not been evaluated specifically in centralized pain. The objective of this study was to estimate the effect of age on rates of centralized pain and insomnia in older adults. This was a single center, retrospective, observational cohort study consisting of older adults (>=55 years old) with a diagnosis of centralized pain, insomnia, or both seen at University of Michigan Health from January 1, 2016 - January 1, 2022. The primary outcome was the proportion of older adults with both insomnia and centralized pain, defined as least one centralized pain diagnosis coded in the subject's electronic health record within one year of insomnia diagnosis. A total of 26,804 patients were included in the analysis. Mean age was 66.84 years (SD 8.79); 66% of patients (n=17,687) were female. Overall, 92.1% of patients (n=24,683) carried >=1 centralized pain diagnosis, 5.6% of patients (n=1,505) carried a diagnosis of insomnia, and 2.3% (n=616) had both [95% CI 2.1,2.5]. Of older adults with insomnia, 29% (95% CI 27, 31) also carried a centralized pain diagnosis. Of older adults with centralized pain, 2.4% (95% CI 2.3, 2.6) also carried an insomnia diagnosis. Compared to older adults with insomnia alone, those with both insomnia and centralized pain were more likely to be female (p=< 0.001) and older (p=0.014). Insomnia and centralized pain are highly prevalent in older adults and co-occur frequently in those with insomnia. Older adults with insomnia should be screened for centralized pain. pmc |
PMC10738153 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1029 igad104.1029 Abstracts Session 3250 (Symposium) AcademicSubjects/SOC02600 PREPARING TO MEET THE NEEDS OF OLDER ADULTS: WORKFORCE, TRAINING, AND EDUCATION ISSUES Caskie Grace Chair 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 309310 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Due to projected growth in the older adult population in the United States, those working in healthcare and education will encounter increasing numbers of older adults. This population shift presents challenges and opportunities for individuals working in these settings to be ready to meet the needs of older adults. In this symposium, we highlight research on several issues critical to preparing the workforce in healthcare and education for older adults' specific needs. Poon's paper addresses geriatric behavioral health workforce needs identified by a survey of licensed behavioral health providers. Several barriers to providing care to older adults are identified by these providers. Rodriguez et al. investigated the clinical practice experiences and challenges from ten years' worth of alumni of the VA Geriatric Scholars program. This training program provides a model for improving clinical practice with older adults. Hollis-Sawyer examines older students' first experiences taking a course in an online teaching setting and provides specific suggestions to maximize their learning environment. Patterson et al. present an extensive scoping review of end-of-life training for medical students that identified several themes that can direct efforts to improve end-of-life care for older adults. Finally, Caskie et al. address health biases and age biases in doctoral psychology trainees' anticipated clinical work with depressed older adult clients of varying health statuses and provide guidance to psychology programs for improving training. This symposium aims to provide those working in healthcare and educational settings with ways to address workforce preparedness to meet the needs of older adults. pmc |
PMC10738154 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0960 igad104.0960 Abstracts Session 3175 (Symposium) AcademicSubjects/SOC02600 POLICY SERIES: THE MOVING FORWARD NURSING HOME COALITION: NURSING HOME REFORM AND THE RESIDENTS' GOALS, PREFERENCES, AND PRIORITIES McMullen Tara Chair Shippee Tetyana Co-Chair Degenholtz Howard Discussant 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 288288 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract The 2022 National Academies of Sciences, Engineering, and Medicine (NASEM) report called for nursing facilities to provide "care aligned to the individual's goals and preferences." Missing has been an efficient process to uncover the individual's detailed goals, preferences, and priorities (GPPs). GPPs are a care planning process that translates into actionable interventions, supported by quality measurement to determine whether the care provided aligns with those GPPs, and health information technology to collect GPPs efficiently and to determine if the care provided is concordant with the individual's GPPs. A diverse set of experts representing the Moving Forward Nursing Home Quality Coalition are collaborating to develop an integrated approach to these shortcomings and will discuss these issues in detail including new approaches to the identification and documentation of GPPs for use in a modified care planning process, the status of health information technologies (HIT) processes being developed to support these changes and the development of new quality measures. While the Moving Forward Coalition is focused on nursing facilities, the approaches being developed here to improve care and to standardize the vocabulary for GPPs are applicable to all care settings. Three committees from the Moving Forward Nursing Home Coalition will present work focused on the development of a standardized GPP care planning process to enhance the identification, documentation, communication, and implementation of resident GPPs, the measurement of the care planning process to support process improvement, and the creation of a HIT-enabled process to measure the concordance of care provided with an individual's GPPs. This is a collaborative symposium between the Aging Workforce, Hospital Elder Life Program, Measurement, Statistics, and Research Design, Systems Research in Long Term-Care, and Technology and Aging Interest Groups. pmc |
PMC10738155 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1633 igad104.1633 Abstracts Session 4285 (Symposium) AcademicSubjects/SOC02600 ETHNICITY IN RESEARCH ON OLDER MIGRANTS: HOW THE SCHOLARSHIP CONCEPTUALIZES IT AND WHERE WE NEED TO HEAD Torres Sandra Uppsala University, Uppsala, Uppsala Lan, Sweden 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 497497 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract A recently completed scoping review of peer-reviewed articles on older ethno-racialized minorities has shown that although conceptual and theoretical advancements have been made in the field of ethnicity and race, the social gerontological literature on these minorities continues to regard ethnicity in essentialist ways, conflates ethnicity with race and seldom operationalizes what these social positions mean to aging and old age. The impact of ethnicity is, in other words, almost always inferred in this research, which is why the field has been deemed to be characterized by data-richness and theory-poorness. Over the past three years, researchers working on the nexus of aging and migration have surveyed the current state of knowledge on older migrants (focusing on migrancy, rather than ethnicity and/ or race). One of these inventories is a meta-analysis of how research on older migrants conceptualizes ethnicity, and the manner in which this social position is presumed to impact on migrants' old aging-related experiences. At stake has also been the assessment of whether this literature differs from the scholarship on older ethno-racialized minorities, and the ways in which that scholarship conceptualizes ethnicity. This presentation offers insight into what this inventory has found out. In focus are the current state of affairs about how ethnicity is approached in research on older migrants, and the launching of a theoretically-informed and empirically-astute research agenda for the study of ethnicity in gerontology. pmc |
PMC10738156 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1490 igad104.1490 Abstracts Session 4130 (Paper) Factors Impacting Health in Older Adults AcademicSubjects/SOC02600 RACE AND SEX DIFFERENCES IN RELATIONS OF DIABETES BIOMARKERS WITH PHYSICAL FUNCTIONING BEFORE DIABETES ONSET Khambaty Tasneem University of Maryland, Baltimore County, Baltimore, Maryland, United States Splain Ashley University of Maryland, Baltimore County, Baltimore, Maryland, United States Katzel Leslie I Baltimore VA Medical Center, Baltimore, Maryland, United States Evans Michele K National Institute on Aging, National Institutes of Health, Baltimore Zonderman Alan B National Institute on Aging, National Institutes of Health, Baltimore Waldestein Shari R University of Maryland, Baltimore County, Baltimore, Maryland, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 453453 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract It remains unclear if declines in physical functioning linked to Type 2 diabetes (T2DM) occur even before T2DM onset. We examined the longitudinal associations of T2DM biomarkers with upper and lower extremity strength among adults without T2DM at baseline. Participants were 1,572 African American (AA) and White adults (M(SD) age at baseline = 47.3 (9.7) years, 55% female, 53% AA) from the Healthy Aging in Neighborhoods of Diversity across the Life Span (HANDLS) study, assessed on up to 3 time points between 2004-2017. Participants provided blood samples for measurement of fasting glucose and glycosylated hemoglobin (HbA1c), and completed dominant and nondominant handgrip strength assessment, and a chair stands task to assess upper and lower extremity strength, respectively. Linear mixed effects regression models estimating relations of HbA1c on age-related change and adjusting for race, sex, literacy, and poverty status revealed significant four-way interactions of HbA1c, race, sex, and age (B = -.2.59, t(2853) = -2.0 p = 0.04), and to a lesser extent of fasting glucose, race, sex, and age (B = -.07, t(2863) = -1.84 p = 0.06) on change in the chair stands task, but not on handgrip strength (ps > 0.29). Among younger AA and White men, and younger White women, increasing HbA1c was related to worse lower extremity strength. However, among AA women, and older White women, increasing HBA1c was related to better lower extremity strength. Our findings suggest differential relations of worse glucose regulation on physical functioning amongst African American and White men and women. pmc |
PMC10738157 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1149 igad104.1149 Abstracts Session 3370 (Symposium) AcademicSubjects/SOC02600 POSTPENSIONABLE AGE AS A DISTINCT CAREER STAGE Platts Loretta Stockholm University, Stockholm, Sweden Cahill Kevin Boston College, Boston, Massachusetts, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 345345 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract This paper presents a new, two-phase model of the late career. Drawing on life course theory, we assert the importance of age-norms for ordering the timing of people's lives in countries with universal old-age pension systems. Three age boundaries may govern the transition to retirement: social security rules, employment rules and social norms. Upon reaching these boundaries: (1) old-age pension receipt provides a reliable income easing breadwinner pressures, (2) compulsory retirement may push older people out of the workforce, and (3) social expectations encourage participation in leisure rather than paid work. Once old-age pensions ease or eliminate bread-winning pressures, financial necessity no longer drives most of these oldest workers. Further, these working pensioners are defying social conventions calling on them to retire from paid work. Post-pensionable-age or "phase II" jobs tend to be more flexible and rewarding, and less stressful than those held by younger workers. Intriguingly, not only do these workers have quite distinctive motivations to work, they have unique ways of subduing the potential burdens of working. However, most research lumps together workers over pensionable age (in phase II) with workers still in their fifties (in phase I) who are fully exposed to labor market risks. This paper presents theoretical arguments and empirical evidence to support the idea that post-pensionable-age work is a discrete career phase economically, subjectively, and in terms of leverage with employers. It explores likely geographical and socio-economic limits to this two-phase model of the life course. pmc |
PMC10738158 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1236 igad104.1236 Abstracts Session 3455 (Symposium) AcademicSubjects/SOC02600 INSIDE PAHPA: A GSA POLICY INTERN'S JOURNEY TO THE INTERSECTION OF POLICY AND PREPAREDNESS Thompson Alisha LSU, Baton Rouge, Louisiana, United States Brekke Bailee Miami University, Oxford, Ohio, United States Mu Christina University of South Florida, Tampa, Florida, United States D'Antonio Patricia The Gerontological Society of America, Washington, District of Columbia, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 372372 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Public health and safety are facing increasingly severe threats from natural disasters, infectious diseases, and emergencies caused by human actions, both intentional and unintentional. These incidents now impact a larger number of people and cover broader geographical areas compared to the past. Chief among those most affected are older people, as highlighted during the COVID-19 pandemic and other crises. Addressing these disparities is crucial, and the federal government plays a pivotal role in tackling this issue. Much of my research up to this point has focused on preparedness among older people for emergencies that threaten public health. My experience as a GSA Summer Policy Intern has significantly influenced my understanding of the relationship between public health emergencies and aging policy. Through witnessing the legislative process at the national level, monitoring resource allocation in the federal budget, and attending Congressional hearings, I gained valuable insights into the complexities of this field. My perspective was further shaped by closely monitoring, synthesizing, and disseminating information about the 2023 Reauthorization of the Pandemic and All-Hazards Preparedness Act (PAHPA). Additionally, I provided valuable feedback on the relevance of this bill to the interests of GSA and contributed to comments on a bipartisan discussion draft related to this legislation. Equipped with this newfound insight and understanding, I am confident that I will be a more effective advocate and scholar in the field of aging policy. pmc |
PMC10738159 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1338 igad104.1338 Abstracts Session 3555 (Symposium) AcademicSubjects/SOC02600 IMPROVING COGNITIVE FUNCTION IN THE NEW COHORT--BUT ONLY FOR MEN. FINDINGS FROM THE KYOTANGO CENTENARIAN STUDY Gondo Yasuyuki Osaka University, Suita, Osaka, Japan Zhang Xinyu Osaka University, Suita, Osaka, Japan 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 405405 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract The Kyotango Centenarian Cohort Study was established with the aim of tracing long-term changes in the overall functioning of centenarians. This study started in 2014 in Kyotango City. Since then, new centenarians and those who were expected to be 100 years old the following April were invited to the study every year in September. Eligible centenarians were invited by the city, and centenarians and their families agreed to participate to answer questions either by mail or face-to-face interviews, according to their preference. For the non-participants, anonymized living conditions and care need levels were provided by the city. The number of centenarian candidates varied by year (24-55). However, the number of woman centenarians had increased through the 8-year surveyed period (31 and 42 for women, 10 and 9 for men in 2014 and 2021). On average, every year 40 new centenarians were invited and 80% of them participated in the survey. Among the functional variables, cognitive function was estimated by proxies, which had a high correlation with MMSE. No clear improving trend for nursing care level in Japanese long-term care insurance, as measured by activities of daily living and cognitive function rating, was observed. Meanwhile, an improving trend for cognitive function was observed among men but not among women. This might be caused by the gender difference in the survival ratio that frail women were more likely to survive. Future research should investigate possible reasons for a cohort improvement in Japanese centenarian men, and cognitive intervention programs should particularly target women. pmc |
PMC10738160 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.2299 igad104.2299 Abstracts Session 7160 (Poster) Long-Term Care (Hs) AcademicSubjects/SOC02600 THE PREVALENCE AND PREDICTORS OF APATHY AMONG CANADIAN LONG-TERM CARE RESIDENTS: A SECONDARY DATA ANALYSIS Agboji Aderonke University of Northern British Columbia, Prince George, British Columbia, Canada Freeman Shannon University of Northern British Columbia, Prince George, British Columbia, Canada 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 709709 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Apathy, defined as a reduction in interest or motivation to engage in goal directed activities, is a frequent and persistent health concern among persons residing in long term care facilities. Research showed that apathy is associated with rapid cognitive decline, impaired functional ability, and increased mortality risk. To prevent or mitigate the negative impacts of apathy on persons living in long term care facilities, there is need for better understanding of the risk factors associated with it. Therefore, the aim of this study was to determine the prevalence of apathy and its risk factors in a large sample of Canadian long-term care residents (N=332,454). We performed cross-sectional analysis of data from MDS 2.0 assessments completed between 2015 and 2019 fiscal year. Results from descriptive and inferential analyses showed that apathy was more prevalent among persons aged 65 or younger and speak English. The strongest predictors of apathy were province of residence (OR 4.09 (CI 2.99-5.59) followed by resistance to care (OR 2.43 CI 2.38-2.49), conflict with family (OR 2.30 CI 2.2-2.4), and insomnia (OR 2.16 CI 2.11-2.2). These findings highlight the important role of environmental contextual factors including the physical and social environment as well as personal factors in the development of or recovery from apathy. Strategies for combating apathy in long term care facilities should take into account the individual, institutional and provincial variances. pmc |
PMC10738161 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.2776 igad104.2776 Abstracts Session 7640 (Poster) Community-Based Research AcademicSubjects/SOC02600 AGING-RELATED IMMUNE CELLS PHENOTYPES AND ALL-CAUSE MORTALITY IN THE FRAMINGHAM HEART STUDY Ragab Ahmed A Y Boston University School of Public Health, Boston, Massachusetts, United States Doyle Margaret University of Vermont, Burlington, Vermont, United States Chen Jiachen Boston University School of Public Health, Boston, Massachusetts, United States Fang Yuan Binghamton University, Binghamton, New York, United States Lunetta Kathryn Boston University School of Public Health, Boston, Massachusetts, United States Murabito Joanne Boston University Chobanian & Avedisian School of Medicine, Boston, Massachusetts, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 862862 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Almost 2 billion people will likely be above the age of 60 by 2050. Aging is a process that is intrinsically complicated. One of the measures for immune system senescence is aging related immune cells phenotypes (ARIP)s. Besides CD8/CD4 ratio, new immunosenescence phenotypes have been proposed. The associations between ARIPs and all-cause mortality during long-term follow up is understudied. We profiled immune cells using flow cytometry and prospectively investigated ten different ARIPs, namely, CD4+CD27-, CD4+CD28-CD27-, CD8+CD27-, CD8+CD28-CD27-, CD4+/CD8+ ratio, CD4+(Tnaive/(T Central Memory (Tcm)+T Effector Memory (Tem)+T Effector (Teff)), CD8+ (Tnaive/(Tcm+Tem+Teff)), Granzyme B+CD8/Granzyme B+CD4 ratio, CD8+ Tc17/Treg ratio and CD4+ Th17/Treg ratio in relation to survival outcome among 990 dementia-free Framingham Heart Study (FHS) Offspring cohort participants who attended the seventh exam (1998-2001, mean age 62 years, range 40-88, 52% female). Cox proportional hazards regression models adjusting for age and sex with robust variance to account for family correlation were used to test for association between the ARIPs and hazard of death. During up to 20 years of follow up, the survival rate was 66%. Higher CD8+ Tc17/Treg ratio was significantly associated with better survival (HR:0.82 [0.7-0.94], p< 0.001). Higher CD4+ Th17/Treg ratio and CD4/CD8 ratio were also nominally associated with lower risk of death (HR:0.87, [0.75-0.97], p=0.01 and HR 0.9, [0.79-0.99], p=0.04, respectively). Other ARIPs were unassociated with all-cause mortality. We conclude that further investigation of the CD8+Tc17/Treg and CD4+ Th17/Treg ratios as ARIP biomarkers for risk of all-cause mortality is justified. pmc |
PMC10738162 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.2742 igad104.2742 Abstracts Session 7620 (Poster) Alzheimer's Disease and Dementia (Hs) AcademicSubjects/SOC02600 ANALYSIS OF CONVERSATIONAL ENTRAINMENT AMONG OLDER PERSONS WITH ADRD AND UNIMPAIRED ADULTS Williams Christine Florida Atlantic University, Boca Raton, Florida, United States McKinley Joseph Florida Atlantic University, Boca Raton, Florida, United States Cooper Charles Florida Atlantic University, Boca Raton, Florida, United States Erdol Nurgun Florida Atlantic University, Boca Raton, Florida, United States Beetle Christopher Florida Atlantic university, Boca Raton, Florida, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 850851 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Social isolation threatens the health of older adults, particularly those with Alzheimer's disease and related dementias (ADRD). Our research uses measures of behavioral coordination to quantify the entrainment of an individual's behavior to the collective dynamics of a group to which they belong, aiming to identify useful strategies to reduce social isolation for persons with ADRD in therapeutic group contexts. The present study is based on data collected during 27, 30-minute group therapy sessions conducted biweekly via WebEx by staff facilitators at a university-affiliated Memory and Wellness Center (MWC) in 2021, when CoViD-19 restrictions limited patients' access to existing, in-person day programs. We study conversational entrainment among facilitators and participants in the recorded sessions using previously identified measures such as speech duration; voiced and voiceless interval durations; variations in pitch, intensity, and syllabic rate; and turn breaks. We present preliminary results identifying dynamical characteristics of sessions showing greater and lesser degrees of group social engagement before discussing possible strategies facilitators could use to enhance social coordination within therapy groups. The mental health benefits of professionally facilitated supportive group discussions for older adults with ADRD are well-accepted. Measuring conversational entrainment has the potential to provide quantitative evidence of cognitive benefits for persons with ADRD, and to help shape a therapeutic environment tailored to the needs of this vulnerable population. pmc |
PMC10738163 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.3613 igad104.3613 Late Breaking Abstracts Session 9030 (Poster) Late Breaking Poster Session IV AcademicSubjects/SOC02600 SYMPTOM BURDEN, POSITIVE AFFECT AND RESILIENCY IN OLDER ADULTS EXPERIENCING NORMAL AGING Anctil Reid Massachusetts General Hospital, Boston, Massachusetts, United States Chang Angela Suffolk University, Boston, Massachusetts, United States Mitchell Calli Massachusetts General Hospital, Boston, Massachusetts, United States Traeger Lara Massachusetts General Hospital, Boston, Massachusetts, United States Park Elyse Massachusetts General Hospital, Boston, Massachusetts, United States Ahmad Zeba Massachusetts General Hospital, Boston, Massachusetts, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 11251126 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Older adults (age>=65) with multimorbid disease burden may be at chronic risk for bothersome symptoms, which can consequently reduce positive affect (e.g., feelings of excitement and enthusiasm). However, we hypothesized that individuals with more resiliency (the ability to "bounce back" from distress) may experience positive affect despite symptom burden. We conducted secondary analysis of baseline self-report survey data (collected between 8/2023-10/2023) from a prospective study of resiliency in older adults residing in nine continuing care retirement communities (CCRCs) across the U.S. Eligible participants lived independently in CCRCs and scored >11/15 on the five-minute Montreal Cognitive Assessment. Surveys assessed symptom burden (Condensed Memorial Symptom Assessment Scale), resiliency (Current Experience Scale), and positive affect (Positive and Negative Affect Schedule-Positive Affect). Bivariate correlations and multiple linear regression evaluated associations of symptom burden and resiliency with positive affect. Participants (M age =81, SD=5.6) were predominantly White (96%) and female (75%). Greater symptom burden correlated with lower positive affect (r=-.295, p<.001) and lower resiliency (r=-2.56, p<.001). In a multiple regression model, lower symptom burden (b = -.136, p=.003) and more resiliency (b=.626, p<.001) were independently associated with greater positive affect. The overall model accounted for 45.4% of variance in positive affect (F(2, 284) =117.198, p<.001). Lower symptom burden and more resiliency contributed to more positive affect among older adults in senior living communities. Because resiliency and positive affect are both potentially modifiable targets for intervention, longitudinal study and psychosocial interventions should explore the effects of increased resiliency on positive affect and general well-being over time. pmc |
PMC10738164 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1061 igad104.1061 Abstracts Session 3280 (Symposium) AcademicSubjects/SOC02600 ACTIVE ENGAGEMENT AFTER RETIREMENT Yeung Dannii Chair Chung Edwin Co-Chair 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 319319 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Retirement has been shown to accelerate the declines in physical and mental health (Dave et al., 2008) and cognitive functioning (Celidoni et al., 2017; Xue et al., 2018) due to the identity disruption and removal of a cognitively simulating environment after leaving the workforce. This necessitates a need to systematically uncover factors that could potentially buffer the negative impacts brought by retirement. This symposium aims to identify the types of self-initiated activities that can maintain post-retirement well-being through research conducted in Hong Kong and Japan. Specifically, the first paper from Chung reveals that retirees engaging in postretirement work exhibit lower life satisfaction but higher cognitive functioning than those without work. Similarly, the second paper from Katagiri also shows that work has negative impacts on life satisfaction, but such effect is buffered by civic participation. The third paper from Ho suggests that the beneficial effects of ICT use on personal mastery is more prevalent in retirees than in non-retirees. The fourth paper from Lin discloses that participation in cognitively demanding volunteering activities is associated with better cognitive and psychological functioning. These four presentations unveil various types of post-retirement activities that are beneficial to retirees, including re-engagement in the workforce, the use of technology for leisure and financial purposes, and participation in cognitively stimulating volunteering. Given that most of the pre-retirees do not have much planning on social life arrangement, findings of this symposium provide practical implications to improve psychological adjustment to this critical life event. pmc |
PMC10738165 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1205 igad104.1205 Abstracts Session 3420 (Symposium) AcademicSubjects/SOC02600 COGNITIVE BEHAVIORAL AND VIRTUAL REALITY TREATMENTS FOR INSOMNIA (CBTI AND IVR): OFF-LABEL IMPACT ON COGNITION McCrae Christina University of South Florida, Tampa, Florida, United States Stearns Melanie University of South Florida, Tampa, Florida, United States Curtis Ashley University of South Florida, Tampa, Florida, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 363363 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Chronic insomnia (CI) is common in mid-to-late life and associated with hyperarousal and impaired cognition and mood. CBTi improves sleep and may also improve cognition, arousal and mood but evidence for these latter outcomes is limited. We examined these outcomes across 3 studies with different delivery platforms (telehealth, digital, VR), dosages (2 sessions, 4 sessions), and (primarily) mid-to-older CI populations (fibromyalgia, dementia caregivers). Study 1 compared 8-week CBTi vs sleep hygiene in women with fibromyalgia (n=43, Mage=44.45). Study 2 piloted 4-session web-based CBTi in caregivers (n=5, Mage=62.40). Study 3 piloted 4-session iVR (n=18, Mage=36.45). Participants completed 2-week daily diaries pre/post treatment (sleep onset latency-SOL; wake after sleep onset-WASO; total sleep time-TST) and Insomnia Severity Index-ISI. Other measures included: study 1(arousal/heart rate variability-RMSDNN), studies 1 and 3(Wisconsin Card Sort Test-WCST, Stroop), study 2(Cognitive Failures Questionnaire-CFQ, Beck Depression Inventory-BDI-II, Perceived Stress Scale). Group x time interactions (study 1) and within-group pre/post differences were examined. CBTi improved sleep across studies (ps<.05). Study 1 found and study 3 trended toward improved cognitive flexibility (WCST %perseverative errors-t(14)=2.65, p=.019 and t(10)=1.76, p=.055, respectively). Study 1 found improved attention and processing speed [Stroop reaction time(RT)-congruent trials-t(14)=2.59, p=.023], inhibition (Stroop RT-incongruent trials-t(14)=2.43, p=.031), and arousal [increased RMSDNN; F(1,41)=4.87, p=.03]. Study 2 found improved subjective cognition-CFQ (t(4)=2.44, p=.04), arousal-RMSDNN (t(4)=2.09, p=.05), and depression-BDI-II (t(4)=2.89, p=.02). CBTi improved sleep, cognition, arousal and mood in mid-to-older CI populations. Research using randomization, active controls, and follow-ups is needed to delineate temporality and explore sleep's mechanistic contribution to cognition and other "off-label" outcomes. pmc |
PMC10738166 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0982 igad104.0982 Abstracts Session 3195 (Symposium) AcademicSubjects/SOC02600 ASSOCIATIONS BETWEEN COGNITIVE RESOURCES AND EMOTION REGULATION TACTICS IN AN ADULT LIFESPAN SAMPLE Wolfe Hannah Northeastern University, Boston, Massachusetts, United States DiGirolamo Marissa Northeastern University, Boston, Massachusetts, United States Isaacowitz Derek Northeastern University, Boston, Massachusetts, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 294295 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract The current study investigated how trait-level cognitive capacity relates to emotion regulation tactic preferences in everyday life in adulthood and old age. 51 younger adults (ages 18-39), 53 middle-aged adults (ages 40-59), and 55 older adults (ages 60+) completed measures of working memory and verbal fluency, as well as 21 days of experience sampling. On each survey, participants indicated if they had regulated since the last survey and if so, what emotion regulation strategies they used and how they implemented that strategy through specific emotion regulation tactics. Each strategy laid out by the process model (situation selection, situation modification, attentional deployment, reappraisal, response modulation) could be implemented in three specific ways (called "tactics"): positivity-upregulating, negativity-downregulating, or negativity-upregulating. For example, a person may indicate they used situation selection and then would be asked whether they chose to (a) seek out a positive situation, (b) leave a negative situation, and/or (c) enter a negative situation. Acceptance was also included as a fourth tactic type but was not categorized under any strategy. Proportions of tactics used in each instance was calculated. Acceptance use was significantly negatively correlated with working memory performance; however, this association appeared to be driven primarily by middle-aged adults. Negativity-downregulation was positively correlated with numerous cognitive capacity measures in middle-aged adults. In sum, individual differences in cognitive resources appear to play the strongest role in tactic preferences in midlife rather than old age. pmc |
PMC10738167 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.2006 igad104.2006 Abstracts Session 5125 (Paper) Health and Social Interventions II AcademicSubjects/SOC02600 RURAL OLDER ADULTS' VIEWS OF DEPRESCRIBING AND NONPHARMACOLOGICAL METHODS IN PAIN TREATMENT Noh Hyunjin University of Alabama, Tuscaloosa, Alabama, United States Jeong Haelim The University of Alabama, Tuscaloosa, Alabama, United States Kan Denise University of Alabama, Tuscaloosa, Alabama, United States Lee Lewis School of Social Work, The University of Alabama, Tuscalossa, Alabama, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 615615 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Proper pain management is essential to quality of life. Due to the risks of harmful drug interactions, there has been an increasing effort to reduce medication that may be harmful or ineffective (i.e., deprescribing) and to promote non-medication based (i.e., non-pharmacological) strategies in pain management. The purpose of this qualitative study is to understand the views of deprescribing and non-pharmacological methods in pain management among community-dwelling older adults with multiple chronic health conditions. Eligibility criteria included: 65+, Alabama resident living outside of nursing homes, cognitively intact, have two or more chronic health conditions and chronic pain, and take medications for their health conditions including pain medications. Participants were recruited through the Area Agency on Aging across the state of Alabama as well as other community venues serving older adults. Individual, open-ended interviews were conducted by phone to explore their concerns about medications, their views of deprescribing and using non-pharmacological pain management as well as their needs in doing so. Thematic analysis of the interview data revealed various barriers and needs: concerns about various side effects while also worrying about missing out benefits from the medications if reduced or stopped, uncertainty or skepticism toward non-pharmacological pain treatment, lacking financial and logistical access to non-pharmacological options, and lack of knowledge about available non-pharmacological options and their benefits. These findings have implications for future education and advocacy efforts to promote older adults' knowledge and self-efficacy so that they can consider deprescribing and non-pharmacological methods in managing their pain. pmc |
PMC10738168 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0702 igad104.0702 Abstracts Session 2305 (Symposium) AcademicSubjects/SOC02600 TREATMENT OF PAIN DURING THE ACUTE CARE STAY FOR PATIENTS LIVING WITH DEMENTIA Boltz Marie Pennsylvania State University, State College, Pennsylvania, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 212213 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract The purpose of this study was to describe pain among hospitalized patients living with dementia, the use of pharmacologic and nonpharmacologic treatment, and to compare treatments among those with and without pain. Data from the first 365 participants in the FFC-AC-EIT study was used. The mean age of participants was 83 (SD=5), the majority was female (65%) and White (67%). Controlling for treatment, between admission to discharge there was a significant decrease in pain from 36% having pain on admission to 31% at discharge (F=5.30, p=.02). At discharge 125 (30%) had pain and 8 (6%) of individuals with pain received no nonpharmacological or pharmacological treatments during the hospital stay. The most frequently used pharmacological intervention was acetaminophen (52%), then tramadol (8%). Comfort measures (49%), physical activity (46%), and communication (38%) were the most common nonpharmacologic approaches. Between those with and without pain there was no difference in use of pharmacologic interventions (F = .38, p =.54) and there was less use of nonpharmacological treatments for those with pain (F=10.24, p=.002). The majority of patients living with dementia were treated for pain, but an ongoing focus is needed to assure optimal pain management for all patients. More attention to use of and evaluation of effectiveness of pharmacologic and nonpharmacologic treatments alone or together are needed for hospitalized patients living with dementia. pmc |
PMC10738169 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1756 igad104.1756 Abstracts Session 4415 (Symposium) AcademicSubjects/SOC02600 DEVELOPING A TOUCHSCREEN COMMUNICATION DEVICE TO EMPOWER PEOPLE WITH DEMENTIA AND THEIR CAREGIVERS Brown Ellen Nicole Wertheim College of Nursing and Health Sciences, Florida International University, Miami, Florida, United States Ruggiano Nicole University of Alabama, Hoover, Alabama, United States Allala Sai Florida International University, Miami, Florida, United States Puche Gabriel Florida International University, Miami, Florida, United States Roberts Lisa Florida International University, Miami, Florida, United States Framil C Florida International University, Miami, Florida, United States Munoz Mariateresa Florida International University, Miami, Florida, United States Hough Monica Florida International University, Miami, Florida, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 535535 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract People living with dementia (PLWD) often experience communication deficits that create frustration and challenges to caregiving and clinical care for this population. It also constrains person-centered care. To address communication challenges, an interdisciplinary team developed a mobile communication app that promotes communication by PLWDs about their daily care preferences and experiences. This app, My Person Assisted Touchscreen Interface (My PATI), empowers PLWDs and their caregivers by supporting communication with a fully-customizable platform. This platform allows the PLWD to express preferences for daily activities, such as preferred foods and clothing options. It also enables the PLWD to express their experiences relevant to symptoms of pain, depression, and sleep quality. This presentation will describe a multi-phase Quality Implementation Framework that the research team has applied in developing My PATI to maximize its potential for being adopted into the home and residential care settings and used by multiple caregivers. The presentation will include the My PATI implementation video and foundational research: qualitative interviews with PLWDs, caregivers of PLWD, alpha and beta testing with dyads of caregivers and PLWDs, and extensive assessment and development planning with clinicians, geriatric researchers, computer scientists, and a graphic artist to inform My PATI functions and design. The presentation will also describe the designs of future pilot testing and randomized control trial studies that are planned for 2024. pmc |
PMC10738170 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.3265 igad104.3265 Late Breaking Abstracts Session 9010 (Poster) Late Breaking Poster Session II AcademicSubjects/SOC02600 ADAPTING TELEHEALTH EVIDENCED BASED PROTOCOLS FOR VETERANS WITH MOOD AND NEUROCOGNITIVE DISORDERS: A CASE STUDY Hosseini Charissa Veterans Health Administration, Alameda, California, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 10161016 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Aging Veterans with mood and neurocognitive disorders typically have a complex medical and psychiatric presentations leading many providers to exclude them from treatment, expressing that psychotherapy is not appropriate. This form of exclusionary care may decrease help seeking behavior and amplify existing psychological symptoms to an already stigmatized and isolated population. The following case study, outlines a 24-session approach to integrating evidenced based protocols such as Cognitive Behavioral Therapy (CBT) and Narrative Life Review Therapy via telehealth. The presentation will discuss cultural considerations to take when working with Aging Veterans that have co-occurring mood and cognitive difficulties as well as reflect upon the successes and challenges of providing telehealth with this population. pmc |
PMC10738171 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.2792 igad104.2792 Abstracts Session 7660 (Poster) Frailty in Aging AcademicSubjects/SOC02600 EVALUATING A TRANSITIONAL CARE PROGRAM FOR OLDER ADULTS WITH FRAILTY BETWEEN HOSPITAL AND HOME Lee Ji Yeon Yonsei University, Seoul, Republic of Korea Cho Eunhee Yonsei University College of Nursing, Seoul, Republic of Korea Kim Sue Yonsei University, Seoul, Republic of Korea Kim Gwang Suk Yonsei University College of Nursing, Seoul, Republic of Korea Lee Kyung Hee Yonsei University, Seoul, Republic of Korea Kim Chang Oh Yonsei University, Seoul, Republic of Korea 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 867867 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Older adults with frailty experience numerous health problems even after hospital discharge, highlighting the necessity of continued intervention until their recovery and return to daily routines. This mixed methods research (i.e., quantitative and qualitative studies) aimed to evaluate the effectiveness of a transitional care program developed for older adults with frailty during the transition from hospital to home and how it was helpful. From June to December 2021, 32 older adults with frailty were enrolled in a randomized controlled trial at a university-affiliated hospital in Korea. They were allocated to either an intervention group (n=16) or a control group (n=16) according to a random number sequence. The intervention group received a 12-week transitional care program that included inpatient care, structured discharge, and follow-up interventions (e.g., home visits and phone follow-ups); the control group received usual care only. At 12 weeks, program participants (eight frail older adults and eight family caregivers) had interviews for the qualitative research. The results showed that the intervention group had a higher score in knowledge readiness (p=.046) at discharge, empowerment (p=.032), and connectedness at four weeks (p=.037); community resource utilization (p <.001) and emergency room visit rate (p=.049) at 12 weeks; and improvement in depression (p <.001), family interaction (p=.045), and subjective health status (p=.002) over time. Participants described the program as a supportive, connected, timely, and personalized intervention. Overall, the study demonstrated that the transitional care program effectively improved the health outcomes of older adults with frailty and facilitated a safe transition between hospital and home. pmc |
PMC10738172 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0695 igad104.0695 Abstracts Session 2300 (Paper) Alzheimer's Disease and Related Dementias and Health Care AcademicSubjects/SOC02600 DISPARITIES IN CONTINUITY OF CARE AND USE OF ANNUAL WELLNESS VISITS AMONG OLDER AMERICANS WITH DEMENTIA Mahmoudi Elham University of Michigan Medical School, Ann Arbor, Michigan, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 210211 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Working on a risk-adjusted, prospective, capitated payment system, Medicare Advantage (MA) plans are incentivized to offer more efficient and coordinated care than traditional Medicare (TM). This study has two aims: (1) compare the continuity of care and use of annual wellness visits between MA and TM enrollees with Alzheimer's disease and related dementia (ADRD), and (2) examine Hispanic-White and Black-White disparities in the continuity of care and annual wellness visits by comparing MA with TM enrollees with ADRD. We used a 20% random sample of TM and MA insurance claims (2018-2019). Participants included individuals 65+, with a diagnosis of ADRD, and two years of continuous enrollment in TM (n=129,177) or MA (n=119,130). We used the Bice-Boxerman Continuity of Care Index to measure continuity of care. Generalized linear models were applied. TM lowered the odds of Black and Hispanic individuals having an annual wellness visit [OR=.80 (95% CI:.79-.82)]. Black and Hispanic TM enrollees had lower odds of annual wellness visits as compared to their Black and Hispanic MA counterparts [OR=.83 (95% CI:78-.88) and OR=.88 (95% CI:.83-.94)], respectively. White, Black, and Hispanic MA enrollees had higher continuity of care than their counterparts in TM (27.4 vs. 24.9; 28.9 vs. 28.1; 32.1 vs. 30.1, respectively). MA enrollees with ADRD had higher care continuity than their TM counterparts. Compared to TM, MA increased the odds of annual wellness visits and reduced Hispanic-White disparity in annual wellness visits. Findings from this study can inform policies promoting preventive and equitable care for patients with ADRD. pmc |
PMC10738173 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1680 igad104.1680 Abstracts Session 4335 (Biological Sciences Invited Symposium) AcademicSubjects/SOC02600 DIETARY RESTRICTION AND THE TRANSCRIPTION FACTOR CLOCK DELAY EYE AGING TO EXTEND LIFESPAN IN DROSOPHILA MELANOGASTER Kapahi Pankaj Buck Institute for Research on Aging, Novato, California, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 511512 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Many vital processes in the eye are under circadian regulation, and circadian dysfunction has emerged as a potential driver of eye aging. Dietary restriction (DR) is one of the most robust lifespan-extending therapies and amplifies circadian rhythms with age. We have previously shown that lifespan extension upon DR requires the presence of circadian clocks for maximal benefits. Herein, we demonstrate that dietary restriction extends lifespan in Drosophila melanogaster by promoting circadian homeostatic processes that protect the visual system from light-associated damage. Altering the positive limb core molecular clock transcription factor, CLOCK, or CLOCK-output genes, accelerates visual senescence, induces a systemic immune response, and shortens lifespan. Flies subjected to dietary restriction are protected from the lifespan-shortening effects of photoreceptor activation. Inversely, photoreceptor inactivation, achieved via mutating rhodopsin or housing flies in constant darkness, primarily extends the lifespan of flies reared on a high-nutrient diet. Our findings establish the eye as a diet-sensitive modulator of lifespan and indicates that vision is an antagonistically pleiotropic process that contributes to organismal aging. pmc |
PMC10738174 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.2058 igad104.2058 Abstracts Session 5180 (Biological Sciences Invited Symposium) AcademicSubjects/SOC02600 BIOLOGICAL AGING AND APOE STATUS REWIRE INTER-OMIC ASSOCIATIONS RELATED TO BIOENERGETICS IN HUMANS Rappaport Noa Institute for Systems Biology, Seattle, Washington, United States Ellis Dylan Institute for Systems Biology, Seattle, Washington, United States Watanabe Kengo Institute for Systems Biology, Seattle, Washington, United States Wilmanski Tomasz Institute for Systems Biology, Seattle, Washington, United States Hood Leroy Institute for Systems Biology, Seattle, Washington, United States Price Nathan Thorne HealthTech, New York City, New York, United States Funk Cory Institute for Systems Biology, Seattle, Washington, United States Baloni Priyanka Purdue University, West Lafayette, Indiana, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 631632 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Apolipoprotein E (APOE) modifies human aging, with the e2 and e4 alleles being among the strongest genetic predictors of longevity and Alzheimer's disease, respectively. However, the mechanisms of APOE's impact on aging and cognition remain largely uncharacterized. In this study, we analyzed inter-omic context-dependent association patterns across APOE genotype, sex, and health in an undiagnosed cohort of 1950 individuals. We hypothesized that APOE genotypes would show variation in energy metabolites tied to previously-validated metrics of 'biological aging', a modifiable health metric based on blood biomarkers. Our analysis identified top APOE-associated metabolites as diacylglycerols, including linoleoyl-arachidonoyl-glycerols, similarly increased in APOE compared to e3-homozygotes. Male e2-carriers and biologically-older males displayed a similar increase in associations between insulin resistance and bioenergetic metabolites including pyruvate, glucose, gluconate, and lactate, a trend which was validated in an independent cohort of TwinsUK females. These results provide an atlas of APOE allele-rewired associations and support the involvement of bioenergetic pathways in mediating APOE impact on longevity and AD risk, suggesting targets for enhancing healthspan via lifestyle-modifications or drug-repurposing. pmc |
PMC10738175 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0726 igad104.0726 Abstracts Session 2330 (Symposium) AcademicSubjects/SOC02600 PERCEIVED BARRIERS AND SOCIOCULTURAL FACTORS OF ADVANCE CARE PLANNING AMONG CHINESE AMERICAN OLDER ADULTS Zhang Peiyuan University of Maryland, Baltimore, Baltimore, Maryland, United States Sun Fei Michigan State University, East Lansing, Michigan, United States Hirsch Jen Michigan State University, East Lansing, Michigan, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 220220 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Despite documented benefits of advance care planning (ACP), persistent racial and ethnic disparities exist in ACP engagement. This study, guided by a social ecological model, examined perceived barriers and sociocultural factors associated with informal ACP conversations among Chinese American older adults. A purposive sample of 281 community-dwelling older Chinese Americans aged 55 years or older in Arizona and Maryland completed a survey in 2018. The average age of participants was 77.8 (SD = 9.4) and the average number of years living in the U.S. was 24.9 years (SD = 13.4). Most participants were first-generation immigrants (94.7%) and reported Chinese as their primary language (91.8%). About 26.5% of participants had ACP conversations with family. Hierarchical logistic regression results suggest that more perceived barriers were associated with lower odds of ACP conversations (OR = 0.87, p < 0.01). Sociocultural factors were associated with greater odds of ACP conversations, including more years in the U.S. (OR = 1.04, p = 0.02) and English language proficiency (OR = 11.85, p = 0.02). Social support had a significant moderation effect (b = -.01, p < 0.01), indicating a larger effect of perceived barriers on ACP conversations among those with lower social support. Findings highlighted the importance of language services, translated informational materials, and social support in facilitating ACP discussions among Chinese American older adults. Community-based ACP facilitators who have both language skills and cultural competence may be particularly beneficial in engaging this population. Effective ways to reduce barriers to ACP at various levels are needed. pmc |
PMC10738176 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0470 igad104.0470 Abstracts Session 2080 (Symposium) AcademicSubjects/SOC02600 BUILDING STUDENTS' CAREER SKILLS THROUGH AGE-FRIENDLY INTERGENERATIONAL CLASSROOM ACTIVITIES Farah Kimberly Lasell University, Newton, Massachusetts, United States Montepare Joann Lasell University, Newton, Massachusetts, United States Frazier Charlotte Lasell University, Auburndale, Massachusetts, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 144144 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Changing age demographics are reshaping societies and challenging institutions of higher education to consider how they can respond to age-diverse populations through new approaches to teaching, research, and community engagement. As well, institutions are facing a range of challenges as they look to respond to the contemporary needs of students who will be entering an age-diverse workforce. The pioneering Age-Friendly University (AFU) initiative, endorsed by GSA's Academy for Gerontology in Higher Education (AGHE), offers a framework within which institutions can begin to address these issues through more age-friendly programs, practices, and partnerships. Drawing on the AFU principle that advocates for promoting intergenerational learning, this presentation will describe several intergenerational classroom activities that have been developed to support students' success in the workplace - including mock interview sessions, career roundtable discussions, research mentoring efforts, and Careers in Age Week activities. In addition to showing the value of intergenerational exchange to enhance students' career readiness, these efforts demonstrate how older adults can serve as teaching allies and support the educational mission of higher education. pmc |
PMC10738177 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.3650 igad104.3650 Late Breaking Abstracts Session 9030 (Poster) Late Breaking Poster Session IV AcademicSubjects/SOC02600 THE MEDIATION EFFECT OF SOCIAL SUPPORT BETWEEN DEPRESSIVE SYMPTOMS AND LONELINESS IN OLDER ADULTS WITH DIABETES Cho Emma University of Pennsylvania, Philadelphia, Pennsylvania, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 11371137 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract The purpose of this study was to examine the relationship between depressive symptoms and loneliness in older adults with diabetes, and to explore the mediating role of social support in this association. This study was developed as a secondary data analysis using data from the National Social Life, Health, and Aging Project in the USA. The sample consisted of 407 older adults aged 50 to 93 years (mean = 64.76, SD=9.03; 50.9% male; 60% married and white). A multi-item survey questionnaire was used to assess loneliness, social support, and depressive symptoms. Spearman correlation analysis was used to examine the relationship between depressive symptoms, social support, and loneliness; the macro PROCESS on SPSS was used to examine the mediating effects of social support on the association between depressive symptoms and loneliness. Despite the significant correlation between depressive symptoms and social support, social support and loneliness, and depressive symptoms and loneliness, social support did not mediate the influence of depressive symptoms on loneliness. The results of this study support the need for increased awareness of depressive symptoms in older adults with diabetes. Depressive symptoms should be treated to alleviate loneliness, and more research is needed to explore how other social factors influence the relationship between depressive symptoms and loneliness, thereby preventing a synergistic effect of depressive symptoms and loneliness. pmc |
PMC10738178 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1458 igad104.1458 Abstracts Session 4100 (Symposium) AcademicSubjects/SOC02600 RESPONSE AND RETENTION OF AN ONLINE RESEARCH REGISTRY: ADAPTATIONS MADE FOR RECRUITING ASIAN AMERICANS Yu Kexin Oregon Health & Science University, Portland, Oregon, United States Gothard Sarah Oregon Health & Science University, Portland, Oregon, United States Tupper Emily Oregon Health & Science University, Portland, Oregon, United States Golonka Ona Oregon Health & Science University, Portland, Oregon, United States Lindauer Allison Oregon Health & Science University, Portland, Oregon, United States Pierce Aimee Oregon Health & Science University, Portland, Oregon, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 443443 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Challenges in recruiting research volunteers, especially racial/ethnic minority older adults, have been documented as one of the most significant obstacles to developing effective treatments for Alzheimer's Disease and Related Dementia (ADRD). To address the need for recruitment and raise awareness about ADRD research, the Layton Aging and Alzheimer's Disease Research Center built the online dementia research registry, Alzheimer's Comprehensive Treatment Network of Oregon and Washington (ACTNOW). Individuals aged 18 and above are eligible to join, and prospective participants self-initiated enrollment into the registry. As of March 2023, there are 497 participants (mean age 63.9, 71.6% female, 74% had bachelor's or above degree, 12% residing in a rural area) registered in ACTNOW, with an average follow-up period of 1.8 years (SD=1.2, Max=5). To date, 20 research projects have used ACTNOW for their recruitment, and 93% of registry volunteers have been referred to at least one requesting study. The current ACTNOW participants are predominantly non-Hispanic White (92.4%). We will describe ACTNOW's infrastructure expansion to improve the registry's capacity for engaging and recruiting older Asian American adults with limited English proficiency. We tested the feasibility of using translated informed consent forms and questionnaires, reconciling data collected in different languages with existing data structures, and the effectiveness of community outreach sessions. Developing the capacity to recruit underrepresented populations for future ADRD research projects can be critical to addressing health disparities in dementia awareness, prevention, diagnosis, and care. Standardizing communications with all registry stakeholders, both researchers and volunteers, helps engagement and accurate recruitment efforts. pmc |
PMC10738179 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1136 igad104.1136 Abstracts Session 3355 (Biological Sciences Invited Symposium) AcademicSubjects/SOC02600 INTERDEPENDENCE OF CYTOSOLIC PROTEOSTASIS, LYSOSOMAL ACIDIFICATION, AND MITOCHONDRIAL FUNCTION Zhou Chuankai (Kai) Buck Institute for Research on Aging, Novato, California, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 341341 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Loss of proteostasis, mitochondrial dysfunction, and lysosome defects are conserved hallmarks of aging. One common consequence of cytosolic proteostasis stress is the formation of protein aggregates that are attached to the mitochondrial outer membrane. It remains unknown why cytosolic protein aggregates are attached to the mitochondria. Here we show that Tom70, a conserved receptor for mitochondrial import, moonlights to nucleate the aggregation of cytosolic proteins through some of the newly synthesized mitochondrial proteins. As the cytosolic accumulation of these aggregate-nucleating mitochondrial proteins causes proteostasis stresses, cells balance their import and synthesis through a TOM70-FKH1/2 pathway to regulate the biogenesis of mitochondrial proteins. The reduction of Tom70 during aging causes age-dependent mitochondrial defects in the biogenesis of mitochondrial proteins and attachment of cytosolic protein aggregates, both of which can be rescued by overexpressing TOM70. Additionally, we observed an unexpected rescue of vacuole/lysosome dysfunction in the cells with mitochondrial function preserved during aging. Further investigation revealed a novel conserved mitochondria-to-vacuole/lysosome axis of organelle crosstalk. Our results estabslih novel connections among different cellular compartments related to three hallmarks of aging. pmc |
PMC10738180 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1862 igad104.1862 Abstracts Session 4525 (Paper) Age-Friendly Settings of Care for Older Adults AcademicSubjects/SOC02600 REDUCING FINANCIAL TOXICITY IN THE HEALTH CARE SYSTEM USING COST ESTIMATION TOOLS FOR OLDER ADULTS Gelburd Robin FAIR Health, New York City, New York, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 568568 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Financial toxicity-- the financial, emotional and mental burden patients experience with medical costs that can lead to diminished access to care and reduced quality of life--is a growing issue among older adults, family caregivers and care partners. Research suggests that financial health literacy tools may reduce financial toxicity. With support from The John A. Hartford Foundation, FAIR Health undertook an 18-month initiative to advance shared decision making (SDM) among older adults (aged 65 and older) with serious health conditions, and their family caregivers/care partners, through the development and dissemination of decision aids that combine clinical and cost information with resources and educational content; these tools are offered for free to consumers on fairhealthconsumer.org and to healthcare providers on fairhealthprovider.org. This presentation will discuss salient findings from the initiative, as detailed in the brief, Advancing Shared Decision Making among Older Adults with Serious Health Conditions: Lessons from FAIR Health's Grant-Funded Initiative. Feedback from older patients, caregivers/care partners and providers revealed the demand and need for financial health literacy tools that provide cost information and underscored key insights that included: (1) Healthcare costs, billing and lack of transparency in the healthcare system are sources of frustration; (2) Barriers to SDM include low health literacy and poor access to devices; and (3) SDM is viewed by many as a vehicle for patient empowerment. The session will offer a unique insight into how these findings can be used to usher in a new paradigm of healthcare and retool clinical practice and medical education. pmc |
PMC10738181 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0730 igad104.0730 Abstracts Session 2335 (Biological Sciences Invited Symposium) AcademicSubjects/SOC02600 BLUEPRINT TO TARGET THE SPINAL CORD MOTOR CIRCUITRY TO PRESERVE AND RESTORE MOBILITY IN OLD AGE Valdez Gregorio Brown University, Providence, Rhode Island, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 221222 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Spinal motor neurons are central for the initiation and modulation of all voluntary movements. Within the spinal cord, motor neurons form tens of thousands of excitatory (glutamatergic and cholinergic) and inhibitory (GABAergic and glycinergic) synapses along their dendritic arbor and soma. These synapses contain the information required to execute fine and complex motor commands and are together referred to as the motor circuitry. Once activated, motor neurons drive muscle contraction by releasing neurotransmitters from their axon terminals at neuromuscular junctions (NMJs). Thus, either the death of motor neurons or their disconnection from other neurons are skeletal muscles during aging would undoubtedly compromise motor function. We will show that motor neurons do not die in old female and male mice, rhesus monkeys, and humans. Instead, these neurons selectively and progressively shed excitatory synaptic inputs throughout the soma and dendritic arbor during aging. Thus, aged motor neurons contain a motor circuitry with a reduced ratio of excitatory to inhibitory synapses that may be responsible for the diminished ability to activate motor neurons to commence movements. Additionally, we will show that aged motor neurons present with aberrant changes in genes and molecular pathways with roles in glia-mediated synaptic pruning, inflammation, axonal regeneration, and oxidative stress. I will bring these findings together to suggest that motor neurons at a minimum contribute to the loss of their own synapses with advancing age and discuss possible avenues for therapeutic intervention. pmc |
PMC10738182 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1647 igad104.1647 Abstracts Session 4300 (Paper) Health Disparities II AcademicSubjects/SOC02600 PREMATURE MORTALITY IN LGBT VERSUS NON-LGBT VETERANS: THE ROLE OF HEALTH RISK FACTORS AND SOCIAL DETERMINANTS OF HEALTH Beaudreau Sherry VA Palo Alto/ Stanford University School of Medicine, Palo Alto, California, United States Lutz Julie VA Palo Alto Health Care System, Palo Alto, California, United States Otero Marcela Max-Plank Institute for Social Law and Social Policy, Munich, Bayern, Germany Warren Allison Yale School of Medicine, New Haven, Connecticut, United States Goulet Joseph Yale School of Medicine, New Haven, Connecticut, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 501501 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Lesbian, Gay, Bisexual, and Transgender (LGBT) adults experience substantially higher rates of mental health conditions and other health risk factors than non-LGBT adults, but there is limited reseach on how these conditions increase risk for premature mortality. The current study examined this issue among middle-aged and older Veterans ages 40-99 who used Veterans Administration healthcare services from 01OCT2009 to 30SEP2019 (N = 845,122). Earlier age of death by suicide, overdose, or all-causes was hypothesized for LGBT (n = 675,639 ) vs. non-LGBT (n = 675,639) Veterans, and health factors and social determinants of health were predicted as key risk factors of earlier age of mortality. As hypothesized, LGBT Veterans had significantly higher rates of death by suicide, overdose, and all-causes among younger age groups than non-LGBT Veterans. Adjusted risk ratios indicate a significant contribution of mental health conditions (e.g., anxiety/depression), medical comorbidity, pain, smoking history, and military sexual trauma accounting for differential mortality rates by age in LGBT and non-LGBT participants. Social determinants of health, such racial/ethnic minority status and housing instability, were also significant contributors. Findings suggest the need for Whole Health interventions for LGBT Veterans to manage multiple health risk factors contributing to increased mortality risk. Suicide prevention is critical for the many middle-aged and older adults who die from suicide each year, and for LGBT Veterans especially, beginning targeted suicide prevention efforts earlier in middle age may prevent suicide deaths in later life. Lastly, findings implicate subgroups of Veterans who may particularly benefit from outreach and services. pmc |
PMC10738183 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.2674 igad104.2674 Abstracts Session 7550 (Poster) Disasters, Emergencies, and Covid-19 AcademicSubjects/SOC02600 THE IMPACTS OF AGE AND PREPARATION INFORMATION ON PREPAREDNESS FOR PANDEMIC: A LATENT CLASS ANALYSIS Chen Zhirui The University of Alabama at Birmingham, Birmingham, Alabama, United States Cong Zhen The University of Alabama at Birmingham, Birmingham, Alabama, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 829829 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract This study examined the age differences in perceived and actual preparedness for a pandemic, as well as the moderating effect of preparation information. Data used was from 2021 FEMA National Household Survey (N = 6,305). Latent class analysis was first conducted to explore the typologies of the information respondents received about how to prepare for a pandemic based on eight indicators (e.g., basic survival, planning/preparation, testing, vaccines). With the adjustment of sample weights, four latent classes were identified: class 1 "insufficient information", class 2 "information emphasizing disaster preparedness", class 3 "information emphasizing disease preparedness", and class 4 "comprehensive information". Subsequently, the results of logistic regression and Poisson regression using sample weights showed that compared to those aged 60 and older, people aged 18-39 and aged 40-59 tended to perceive a lower level of preparedness but were more likely to engage in actual preparedness activities for a pandemic. Relative to those in "insufficient information" class, people in "information emphasizing disease preparedness" class and "comprehensive information" class were more likely to perceive a higher level of preparedness and take actual preparations for a pandemic. In terms of the interactions between age and preparation information, the gap narrowed between people aged over 60 and their younger counterparts in taking actual preparations if they were in "comprehensive information" class. These findings highlighted the age patterns in pandemic preparedness and the impacts of different preparation information strategies, which provided imperative implications for disaster preparedness education and communication campaigns. pmc |
PMC10738184 | Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.2210 igad104.2210 Abstracts Session 7080 (Poster) Technology: Older Adult Interface and Use AcademicSubjects/SOC02600 VESTA: A SMARTPHONE-BASED ASSESSMENT OF MODERN FINANCIAL CAPACITY FOR OLDER ADULTS Van Vleet Samuel Miami University, Oxford, Ohio, United States Griffin Rebekah University of Texas at Tyler, Tyler, Texas, United States Mallender William University of Texas at Tyler, Tyler, Texas, United States Fontanese Matthew University of Texas at Tyler, Tyler, Texas, United States Sakai Haru The University of Texas at Tyler, Tyler, Texas, United States Savage Blake University of Texas at Tyler, Tyler, Texas, United States Coldiron Allyson University of Texas at Tyler, Tyler, Texas, United States Barnett Michael University of Texas at Tyler, Tyler, Texas, United States 12 2023 21 12 2023 21 12 2023 7 Suppl 1 Program Abstracts from The GSA 2023 Annual Scientific Meeting, "Building Bridges > Catalyzing Research > Empowering All Ages" 680680 (c) The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America. 2023 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Older adults are often targeted by financial scammers who exploit people unfamiliar with financial technologies and who may struggle to identifying fraudulent activity. Financial technologies have undergone significant changes in recent decades, yet financial capacity measures often do not reflect this shift. There is a clear need for innovating the measurement of financial capacity, particularly among older adults. VESTA (Virtual Economic Simulation and Trust Assessment) is a novel smartphone application that measures older adults' susceptibility to different forms of financial exploitation. VESTA plays out like a smartphone game in which the user furnishes a virtual household. As the user conducts these virtual transactions, they are tasked with spending within a budget, monitoring bank charges, disclosing personal information securely, and determining whether incoming messages (i.e., texts, emails, and voicemail messages) are fraudulent or legitimate. The fraudulent charges and messages include contextual clues that mirror real-life scams. VESTA was designed to assess the user's ability to manage money, identify incorrect information, and judge who to trust independent of memory ability. VESTA therefore purposefully targets severely overlooked pitfalls that impact older adults' ability to identify fraudulent activity. Furthermore, VESTA utilizes a user-friendly, accessible design with large font and complete navigation with the simple press of a finger. As the migration of financial management and communication continues towards predominantly digital landscapes, this research and diagnostic tool represents an evolution of existing measures of financial capacity for an at-risk aging population. pmc |
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