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PMC10737984

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1779 igad104.1779 Abstracts Session 4440 (Symposium) AcademicSubjects/SOC02600 DISCUSSING THE FUTURE FOLLOWING A DIAGNOSIS OF DEMENTIA. FINDINGS FROM THE PREPARED STUDY (ENGLAND) Dixon Josie London School of Economics and Political Science, 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" 542542 (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 PrepareD study (England) adopts a relational autonomy perspective to examine the various conversations that people with dementia and their families have about the future, with each other and with health and care providers, in the year following a dementia diagnosis. We present survey data gathered from a large cohort of 900 people in England who have been recently diagnosed with dementia and their caregivers about informal conversations about the future and advance care planning conversations with health and care providers. We also present findings from in-depth qualitative research with 30 of these respondents, a purposively selected mix of people with dementia and caregivers. Findings from the qualitative research cover how people with dementia and family members interact; the objectives, hopes and expectations they have for their conversations; and how input from professionals and wider social influences shape these interactions. We use findings from the study to reflect on what effective support for informal conversations between people newly diagnosed with dementia and their families about future care could look like and how, and by whom, it could be provided. We also aim to identify theoretical models of relational autonomy that could be useful for developing these approaches further. pmc

PMC10737985

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1842 igad104.1842 Abstracts Session 4505 (Paper) Diet, Frailty, and Disability AcademicSubjects/SOC02600 ASSOCIATION BETWEEN BALANCED DIET AND FRAILTY IN JAPANESE OLDER ADULTS: THE MODERATING ROLE OF SOCIAL PARTICIPATION Li Yaya Osaka University, Suita, Osaka, Japan Akagi Yuya Osaka University, Suita, Osaka, Japan Fujiwara Natsumi Osaka University, Suita, Osaka, Japan Yoshida Hiroko Osaka University, Suita, Osaka, Japan Kido Michiko Osaka University, Suita, Osaka, Japan Kabayama Mai 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" 562562 (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 association between diet and frailty in older adults may be related to social factors. This study aimed to investigate whether there is an interaction effect between balanced diet and social participation on frailty in older Japanese. Balanced diet was defined as the consumption of more than one meal per day that contained carbohydrates, protein, and fiber. Data were collected from 4,832 community-dwelling older adults aged 65-89 years through self-reported questionnaires (response rate 49.0%). Frailty was measured using the Kihon Checklist developed by the Ministry of Health, Labour, and Welfare. We stratified participants by age (65-74 and 75-89 years) and conducted logistic regression models adjusted for economic status, gender, marital status, living alone, disease, and physical activity. The interaction between dietary diversity and social participation in frailty was also assessed. Results showed that in both age groups, consuming balanced diet was associated with a lower risk of frailty (OR=0.56, 95%CI=0.40-0.79). Lack of social participation was found to be a risk factor for frailty (OR=1.51, 95%CI=1.03-2.21). Furthermore, the interaction between balanced diet and social participation revealed that a combination of lack of social participation and balanced diet was also associated with a lower frailty risk in the 75-89 age group (OR=0.63, 95%CI=0.40-0.99). These findings suggest that balanced diet consumed at least once a day may be beneficial for preventing frailty for older adults, however, social participation should also be taken into consideration for those aged 75-89. This study has some limitations as a cross-sectional study. Longitudinal research is needed. pmc

PMC10737986

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0810 igad104.0810 Abstracts Session 3015 (Symposium) AcademicSubjects/SOC02600 INFLUENCES OF CULTURAL VALUES ON THE INDIGENOUS DEMENTIA CAREGIVERS' EXPERIENCE Kim Steffi Chair Lewis Jordan 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" 246246 (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 symposium will outline and discuss the unique circumstances and challenges of American Indian, Alaska Native, and Native Hawaiians and Pacific Islander dementia caregivers. Dementia is one of the top causes of death worldwide, with Alzheimer's disease currently being the ninth leading cause of death among American Indian and Alaska Native people (AI/AN). One in three American Indians and Alaska Natives over 65 will receive a dementia diagnosis in the next 25 years. Yet, we know very little about caregivers' experiences in these communities. Presenters will present on how cultural influences shape caregiver's experiences within American and Alaska Native, Native Hawaiians and Pacific Islanders. The second presenter will discuss the need for culturally safe dementia caregiver resources based on recommendations from Alaska Native caregivers. The third presenter will examine decision-making processes of dementia caregiver involved in the use of governmental and tribal dementia care resources within the ONEIDA Nation to improve utilization of existing services. pmc

PMC10737987

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1001 igad104.1001 Abstracts Session 3220 (Paper) Social Determinants of Health and Aging II AcademicSubjects/SOC02600 ASSOCIATIONS BETWEEN REVERSED CHILDHOOD EXPERIENCE AND LATE-LIFE COGNITIVE IMPAIRMENT: THE CASE IN CHINA Zhang Yalu Stony Brook University School of Social Welfare, Stony Brook, 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" 300300 (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 Exposure to violence, parental incarceration, household substance abuse and some other reversed childhood experience is associated with some negative impacts in one's late life in some countries, such as difficulties in maintaining interpersonal relationships, being more likely to experience depressive symptoms, and performing certain physical functions. However, the impacts of reversed childhood experiences, such as starvation, unmet needs of healthcare services, and loss of parents, are still unknown. Using nationally representative data, China. Longitudinal Aging Social Survey, and the hierarchical cluster-based partial least squares regression, this study found a notably high prevalence of reversed childhood experience regarding childhood hunger and unmet healthcare needs. In China, 65% of the older adults aged 60 and above had experienced falling asleep with hunger, 83.1% think that their healthcare needs were not met in childhood, and 10.26% lost one or both parents before 10 years old. The regression analysis results show that compared to those who did not have experience falling asleep with hunger, those who had such experience were more likely to have a declined cognitive function by 33.8% (p< 0.001). Additionally, the loss of parents also significantly caused poorer cognitive function by 44.2% (p< 0.001). However, such a causality relationship was not detected among those who experienced unmet healthcare needs. These findings suggest that early prevention and interventions are needed among older adults with adverse childhood experience. pmc

PMC10737988

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.2767 igad104.2767 Abstracts Session 7630 (Poster) Biology of Aging and Geroscience AcademicSubjects/SOC02600 EPIGENETIC DIFFERENCE BETWEEN INSOMNIA GROUP AND NONINSOMNIA GROUP IN PARTICIPANTS WITH KNEE PAIN Goicolea Soamy Montesino University of Florida, Gainesville, Florida, United States Meng Lingsong The University of Florida, Gainesville, Florida, United States Huo Zhiguang The University of Florida, Gainesville, Florida, United States Foster Thomas C University of Florida, Gainesville, Florida, United States Goodin Burel R Washington University, St. Louis, Missouri, United States III Joseph L Riley University of Florida, Gainesville, Florida, United States Fillingim Roger The University of Florida, Gainesville, Florida, United States Cruz-Almeida Yenisel The University of Florida, Gainesville, 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" 859859 (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 knee pain is a common condition that often co-occurs with insomnia. Epigenetic modifications, such as DNA methylation, may play a role in the sleep-pain relationship. In this study, we aimed to identify differentially methylated CpGs/regions and enriched genomic pathways associated with insomnia in participants with knee pain (KP). We recruited 140 cognitively healthy middle to older-aged adults with self-reported KP and extracted DNA from peripheral blood. MethylationEPIC arrays were used for methylation data quantification, R package minfi was used for data preprocessing and quality control, and Ingenuity Pathway Analysis (IPA) was used to explore functional implications of differential methylation in pathways related to insomnia. Annotated genes within +-5kb of the putative differentially methylated regions (DMRs, p< 0.05) were subjected to the IPA analysis. There were no significant differences in sex or race between the two groups (p>0.05). We observed an over-representation of younger participants in the insomnia group (p=0.005) and also from the University of Florida (p=0.008). At raw p < 0.05 cutoff, we identified a total of 20,006 CpG probes, including 12,674 hypermethylated, and 7,332 hypomethylated CpG probes. Pathway analysis using IPA identified multiple immune-related pathways enriched with insomnia-related differentially methylated regions (DMRs), including the antigen presentation pathway (p=3.39E-08). Verapamil was identified as the most significant upstream regulator (p=8.8E-07). Our findings suggest the importance of epigenetic regulation of the immune system in the sleep-pain relationship and highlight the need for further research to understand the epigenetic contributions to sleep disorders in individuals with chronic pain. pmc

PMC10737989

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0871 igad104.0871 Abstracts Session 3080 (Paper) Cognition (Bss Papers) I AcademicSubjects/SOC02600 DYADIC LONELINESS, AGE, AND COGNITIVE FUNCTIONING AMONG MID-LIFE AND OLDER BLACK COUPLES Stokes Jeffrey E University of Massachusetts Boston, Boston, Massachusetts, United States Farmer Heather University of Delaware, Newark, Delaware, 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" 262262 (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 Cognitive health is a growing concern for the older Black population, whose risk for dementia is about twice that of White older adults. Moreover, close relationships, such as marriage, are critical for well-being in later life. Within older adults' marriages, loneliness has been linked with individuals' own and their partners' mental, physical, and cognitive health. Yet little research has examined these relationships within the older Black population, and even less work has situated Black older adults within a relational, dyadic context. Lastly, research is needed on the circumstances under which partners' loneliness may be influential for cognition, including potential variation by individuals' age or their own level of cognitive functioning. This study used longitudinal dyadic data from the Health and Retirement Study (2010-2016; n=1,270 participants from 635 couples) from both partners in opposite-sex midlife and older married couples where at least one partner reported being Black or African American. Lagged dependent variable (LDV) structural equation modeling (SEM) addressed our research questions. Results indicated that (1) loneliness was not associated with participants' own cognitive functioning 4-years later, yet (2) husbands' loneliness was associated with worse cognitive functioning 4-years later for wives who had high baseline cognitive functioning themselves, and (3) wives' loneliness was associated with worse cognitive functioning 4-years later only for oldest-old husbands. Findings indicate that loneliness has dyadic consequences for cognitive functioning among older Black couples, but that context is crucial for determining which older partners are at greatest risk of experiencing harmful cognitive repercussions from a partner's loneliness. pmc

PMC10737990

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1986 igad104.1986 Abstracts Session 5105 (Paper) Technology (Papers) AcademicSubjects/SOC02600 USER EXPERIENCES OF OLDER ADULTS NAVIGATING AN ONLINE DATABASE OF COMMUNITY-BASED PHYSICAL ACTIVITY PROGRAMS Connelly Denise Western University, London, Ontario, Canada Lowndes Ashley University of Western Ontario, London, 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" 608608 (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 As cataloguing health care services becomes more internet-based, older adults are increasingly expected to navigate services online. Previous studies have outlined the needs, barriers, and facilitators of older adults using eHealth, however, none included user experiences in navigating websites. Connecting community-living older adults with local, high quality, community-based physical activity programs is a gap in efforts to promote physical activity by older adults. This study aimed to: 1) explore older adult user experiences navigating an online health database of local physical activity programs; 2) compare navigational feedback with age-friendly website design guidelines; and 3) assess online database completeness. Focus groups, including guided navigation tasks and a semi-structured interview script, gathered user experiences of fifteen older adults (>=65). A literature review produced three age-friendly best practice website design guidelines. A website search for local physical activity programs was completed. The design of the online database website was challenging for older adult participants to navigate and was not 'intuitive'. In navigating the online database, the older adults identified multiple discrepancies with established guidelines for designing age-friendly websites. A total of 187 local physical activity programs were missing from the database. Findings provide novel insight into user experiences of older adults navigating online health and physical activity program websites. Redesign following age-friendly website recommendations would empower older adults in use of online databases and promote awareness of local physical activity programs. Health care providers need reliable and age-friendly online resources to link their patients with local physical activity programs to promote healthy aging. pmc

PMC10737991

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0506 igad104.0506 Abstracts Session 2110 (Symposium) AcademicSubjects/SOC02600 SLEEP AND FREQUENT HOSPITALIZATIONS AT THE END OF LIFE FOR INDIVIDUALS WITH DEMENTIA Klingman Karen SUNY Upstate Medical University, Syracuse, New York, United States Sullivan Suzanne SUNY Upstate Medical 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" 154154 (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 near end-of-life (EOL) are at risk for experiencing non-beneficial hospitalizations, negatively impacting their quality of life. Reasons for frequent hospitalizations include poorly managed symptoms of progressing chronic illnesses, many of which are exacerbated by poor sleep, and may differ depending on presence of dementia. This study characterized sleep for groups with and without frequent (two-or-more) hospitalizations in the final year of life using the National Health and Aging Trends Study. A subgroup of persons living with dementia (PLWD) was also explored. Means for difficulty falling asleep, trouble falling back to sleep, and use of sleep medications were compared for groups with and without frequent hospitalizations via one-tailed t-tests. Association between dementia and frequent hospitalizations was explored via Pearson Chi-Square. Individuals at EOL (n=529, 56% female, 68% white non-Hispanic, average age 80-85, 57% PLWD) were included, and 22% had frequent hospitalizations. Among the entire sample, those with frequent hospitalizations had worse sleep (more trouble falling back to sleep, p=.032, Cohens-d=.2). Sleep was also worse for those without dementia, but with frequent hospitalizations (difficulty falling back to sleep, Cohens-d=.3, p=.02) compared to those without frequent hospitalizations. There was no association between frequent hospitalization and presence of dementia (chi-square=.868 p=.352). However, the PLWD subgroup had worse sleep than those without dementia (difficulty falling asleep Cohens-d=.15, p=.04; use of sleep medications Cohens-d=.26, p=.002), yet sleep did not differ depending on frequent hospitalizations. These results indicate that further investigation into the relationship between dementia, sleep, and frequent hospitalizations at EOL is warranted. pmc

PMC10737992

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0625 igad104.0625 Abstracts Session 2235 (Symposium) AcademicSubjects/SOC02600 TRANSITIONING TO HOSPICE DURING THE COVID-19 CRISIS: LESSONS FOR CARE COORDINATION AT THE END OF LIFE Franzosa Emily Icahn School of Medicine at Mount Sinai, New York City, New York, United States Kim Patricia 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 McDonald Margaret Visiting Nurse Service of New York, 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" 189190 (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 caused widespread delays and disruption in end-of-life services. We examined the impact of these disruptions among patients in a large, NYC health system who were referred to hospice and died between March 1, 2020 and March 1, 2021. We linked the electronic health records (EHR) of 124 patients cared for by a geriatric outpatient practice to the hospice EHRs to create longitudinal trajectories of patients' care. We conducted an in-depth qualitative thematic analysis of linked medical and hospice records to examine provider and patient experiences as reflected in the EHR. Our sample (mean age of 91 years) were enrolled in hospice for an average of 173 days, and 81% died at home. We found challenges transitioning from medical to hospice care, including referral and enrollment delays due to infection prevention protocols, communication issues, staffing and equipment shortages (e.g., oxygen, morphine). These disruptions impacted quality of care as patients experienced shortages in personal care services, medical equipment and supplies, and missed home visits due to fear or isolation protocols. Virtual visits helped maintain access to hospice, particularly social work and spiritual care, as did ongoing communication with both the primary care and hospice teams. Our findings demonstrate that while COVID-19 added care transition challenges, new flexibilities and adaptations helped manage disruptions. Retaining these practices, such as reimbursing telehealth social work and spiritual care visits and maintaining ongoing patient contact with trusted primary care providers may help extend emotional support to patients and families during the end of life. pmc

PMC10737993

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.2051 igad104.2051 Abstracts Session 5175 (Paper) Covid-19 and the Aging Population AcademicSubjects/SOC02600 GRIEF SYMPTOM PROFILES OF OLDER SPOUSES BEREAVED BY COVID-19 Stahl Sarah University of Pittsburgh, Pittsburgh, Pennsylvania, United States Kazan Joseph University of Pittsburgh, Pittsburgh, Pennsylvania, United States Krafty Robert Emory University, Atlanta, Georgia, United States Reynolds Charles University of Pittsrbugh, Pittsburgh, Pennsylvania, United States Rollman Bruce University of Pittsrbugh, Pittsburgh, Pennsylvania, United States Smagula Stephen Pitt SOM, Pittsburgh, Pennsylvania, United States Gebara Marie Anne 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" 629630 (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 older adults lost their spouse or life partner to COVID-19. Despite the anticipated rise in the prevalence of prolonged grief disorder, the association between COVID-19 bereavement and symptoms of complicated (or pathological) grief in community-dwelling older adults remains unclear. This study compared six clinically meaningful complicated grief symptom profiles between older spouses who were and were not bereaved by COVID-19. Participants included 80 adults aged 60+ years (20% men, 10% Black/minority status) who lost their spouse or life partner within the previous 12 months (M time since loss=6.6 months [SD=3.4 months]) and were enrolled in a randomized controlled trial for depression prevention. Grief symptom profiles were assessed with the Inventory of Complicated Grief. At the time of enrollment, older spouses bereaved by COVID-19 (n=18) reported more shock and disbelief (M = 7.11 [SD=3.16] versus M=3.83 [SD3.30], F=13.84, p<.001) and more hallucinations (M=1.56 [SD=1.29] versus M=0.45 [SD=0.88], F=17.12, p<.001) compared to older spouses bereaved by other causes of death (n=62). The two groups were similar in terms of yearning, anger and bitterness, estrangement from others, and avoidance behaviors. In addition, older spouses bereaved by COVID-19 had over 3 and a half times the odds of screening positive for probable prolonged grief disorder (OR=3.84 (95% CI = 1.28 -11.53, p = 0.016). These symptom clusters, particularly hallucinations, map to the highest level of prolonged grief disorder severity. These findings suggest that clinical treatment for prolonged grief disorder may be warranted for surviving spouses who lost their loved one to COVID-19. pmc

PMC10737994

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1972 igad104.1972 Abstracts Session 5090 (Symposium) AcademicSubjects/SOC02600 ALL-CAUSE MORTALITY AND CAUSE OF DEATH IN US LONG-LIVED SIBLINGS: DATA FROM THE LONG LIFE FAMILY STUDY Yao Shanshan University of Pittsburgh School of Public Health, Pittsburgh, Pennsylvania, United States Boudreau Robert University of Pittsburgh School of Public Health, Pittsburgh, Pennsylvania, United States Galvin Angeline University of Southern Denmark, Odense, Syddanmark, Denmark Murabito Joanne Boston University Chobanian & Avedisian School of Medicine, Boston, Massachusetts, United States Honig Lawrence Columbia University, New York City, New York, United States Christensen Kaare University of Southern Denmark, Odense, Syddanmark, Denmark Newman Anne University of Pittsburgh School of Public Health, 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" 603604 (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 compared the mortality risk of long-lived siblings with the general population in the US and investigated the leading causes of death and the correspondence in age at death and causes of death between long-lived siblings. In the Long Life Family Study (LLFS), 1,264 siblings (Mean age 90.1, SD 6.4) were recruited from the US and followed over 12 years. Their survival function, based on the Kaplan-Meier estimator, was compared with an age-, race-, and sex-matched sample from US census data. To examine underlying and contributing causes, we examined in detail 338 deaths with complete death adjudication using death certificates, family interview, hospital and nursing home records at the Pittsburgh field center through the year 2018. Concordance between siblings was examined using correlation coefficients, Bland-Altman plots, percent agreement, and Kappa statistics. The LLFS proband siblings had better survival compared with US general population matched on birth cohort and age at enrollment. Age at death ranged from 75-104, mean 91.4 (SD 4.8). The leading causes of death were cardiovascular disease (33.1%), dementia (22.2%), and cancer (10.7%). In addition, we did not find significant correspondence in the age at death, the underlying cause of death, or conditions directly contributing to death between siblings. Our findings demonstrate further exceptional longevity in the LLFS proband generation compared to the general population, but do not show significant correspondence in age at death and causes of death between siblings. pmc

PMC10737995

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.3775 igad104.3775 Late Breaking Abstracts Session 9520 (Paper) Late Breaking: Clinical Practice Innovations II AcademicSubjects/SOC02600 PREDICTORS OF PHYSICAL FUNCTION DECLINE AMONG OLDER ADULTS RECEIVING HOME CARE NURSING: PROSPECTIVE COHORT STUDY Yasaka Taisuke The University of Tokyo, Tokyo, Tokyo, Japan Igarashi Ayumi The University of Tokyo, Tokyo, Tokyo, Japan Fukui Chie YuPia Inc., Nagoya, Aichi, Japan Inagaki Asa The University of Tokyo, Tokyo, Tokyo, Japan Sumikawa Yuka The University of Tokyo, Tokyo, Tokyo, Japan Takaoka Manami The University of Tokyo, Tokyo, Tokyo, Japan Eltaybani Sameh The University of Tokyo, Tokyo, Tokyo, Japan Yamamoto-Mitani Noriko The University of Tokyo, Tokyo, Tokyo, 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" 11781178 (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 receiving home care nursing have certain health conditions and face continuous risk of declining physical functions. Identifying those at risk of functional decline based on these factors is essential for developing appropriate strategies for maintaining their conditions. This prospective cohort study in home care nursing agencies across Japan examined ADL decline incidence and its factors among clients aged >=75. Data were collected from nurses in charge of clients using online questionnaires. Functional status was evaluated using the ADL Hierarchy (ADLH) score, ranging from 0 (independent) to 6 (dependent). A binary logistic regression examined the relationships between clients' characteristics at baseline and ADLH score deterioration after 6 months, controlling for ADLH score at the baseline. Of the 715 clients analyzed, 31% had deteriorated ADLH scores between baseline and 6 months later. Older age (Adjusted odds ratio 1.04 [95% confidence interval 1.01-1.07]), having neurology diseases (2.23 [1.06-4.69]), use of home visiting physicians (1.54 [1.04-2.27]), falls with/without trauma in the previous 6 months (2.77 [1.41-5.44], 1.90 [1.11-3.25]), higher ADLH score at baseline (1.35 [1.18-1.56]), higher severity of dementia (1.23 [1.02-1.47]), occurring dyspnea in the previous 30 days (1.69 [1.05-2.71]), and having BMI lower than 18.5 (between 25 and 30 as a reference) (2.58 [1.12-5.94]) were associated with ADLH score deteriorations. The results suggest that inhibiting functional decline among older adults receiving home care nursing might be possible by optimizing the management of modifiable predictors such as frequent falls, dyspnea, and weight loss. pmc

PMC10737996

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.2479 igad104.2479 Abstracts Session 7370 (Poster) Biology of Aging AcademicSubjects/SOC02600 ALTERED GENE EXPRESSION PROFILE OF AGING BONE MARROW MESENCHYMAL STEM CELLS Su Yun Augusta University, Augusta, Georgia, United States Chen Jie Augusta University, Augusta, Georgia, United States Isales Carlos Augusta University, Augusta, Georgia, United States Shi Xingming Augusta University, Augusta, 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" 767767 (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 is a complex process that affects many physiological systems, including bone metabolism. To gain insight into the molecular mechanisms underlying age-related bone loss, we conducted RNA-seq analysis of mesenchymal stem cells (MSCs) isolated from the bone marrow of 6-month and 24-month-old C57Bl/6 mice. We identified 5857 differentially expressed genes, out of 19,324 genes, with an absolute fold change greater than 1.4 and FDR q-value less than 0.05. These genes are involved in a variety of biological processes, including metabolism, immune response, and signal transduction. KEGG pathway enrichment analysis revealed 28 significantly enriched pathways, suggesting that multiple pathways contribute to age-related bone loss. Our findings provide a foundation for future studies aimed at elucidating the molecular mechanisms underlying age-related bone loss and identifying potential therapeutic targets for the prevention and treatment of osteoporosis. pmc

PMC10737997

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1896 igad104.1896 Abstracts Session 5015 (Paper) Factors Impacting Persons with Dementia AcademicSubjects/SOC02600 GRAVES' DISEASE IS ASSOCIATED WITH INCREASED RISK OF CLINICAL ALZHEIMER'S DISEASE Yashkin Arseniy Duke University, Durham, North Carolina, United States Nikitin Stanislav Kolpakov Duke University, Durham, North Carolina, United States Gorbunova Galina Duke University, Durham, North Carolina, United States Kravchenko Julia Duke University School of Medicine, Durham, North Carolina, United States Yashin Anatoliy Social Science Research Institute, Duke University, Durham, North Carolina, United States Akushevich Igor Duke University, Durham, 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" 579580 (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 Identification of modifiable risk factors for Alzheimer's Disease (AD) onset is an important aspect of controlling the burden imposed by this disease on an increasing number of older U.S. adults. Graves' disease (GD), the most common cause of hyperthyroidism in the U.S., has been hypothesized to be associated with increased AD risk, but there is no consensus. In this study, we explore the link between GD and risk of clinical AD. Cox and Fine-Grey models were applied to a retrospective propensity-score-matched cohort of 15,505 individuals with GD drawn from a nationally representative 5% sample of U.S. Medicare beneficiaries age 65+ over the 1991-2017 period. Results showed that the presence of GD was associated with a higher risk of AD (Hazard Ratio [HR]:1.15; 95% Confidence Interval [CI]:1.07-1.23). Magnitude of associated risk varied across subgroups: Males (HR:1.19; CI:1.01-1.41), Females (HR:1.09; CI:1.02-1.18), Whites (HR:1.13; CI:1.04-1.20), Blacks (HR:1.33; CI:1.04-1.20). Competing risk estimates were consistent with these findings. A potential mechanism connecting GD and AD may involve shared etiological factors between the two diseases. Although replication of our findings is needed, they suggest that GD prevention and treatment may contribute to reducing the burden of AD in U.S. older adults. pmc

PMC10737998

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.3473 igad104.3473 Late Breaking Abstracts Session 9020 (Poster) Late Breaking Poster Session III AcademicSubjects/SOC02600 MIRROR-TCM TRIAL: THE INFLUENCE OF PATIENT-LEVEL FACTORS ON ACUTE CARE RESOURCE USE OF OLDER ADULTS Osokpo Onome University of Pennsylvania, Philadelphia, Pennsylvania, United States Hirschman Karen University of Pennsylvania, Philadelphia, Pennsylvania, United States Ahrens Monica Virginia Tech, Blacksburg, Virginia, United States Ji Wenyan Virginia Tech, Blacksburg, Virginia, United States Hanlon Alexandra Virginia Tech, Blacksburg, Virginia, United States Naylor Mary 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" 10811081 (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 Adverse Social Determinants of Health (SDoH) impact post-hospitalization outcomes (e.g., frequent acute care resource use: emergency department [ED] visits, rehospitalizations). The Transitional Care Model Intervention (TCM), an advanced practice registered nurse-led team-based care-management strategy, has demonstrated improved outcomes among older adults throughout transitions from hospital to home. Yet, little is known about the relationship between specific patient-level factors (i.e., demographic, clinical, SDoH) and acute care resource use (i.e., counts of rehospitalizations and ED visits) among hospitalized older adults with multiple chronic conditions who receive the TCM intervention. A total of 480 patients were randomized to receive the TCM in the MIRROR-TCM trial conducted from September 2020 to March 2023 at three diverse health systems in four states. Using multivariable generalized linear mixed effects regression with backward elimination, we examined the relationship between demographic (e.g., biological sex), clinical (e.g., counts of chronic conditions, etc.), SDoH characteristics (e.g., transportation, etc.), and acute care resource use during the intervention. Compared to those without housing concerns, older adults with housing concerns had 2.4 times higher rates of ED visits (p=0.049) and 2.2 times higher rates of rehospitalizations (p=0.005). Those who lacked transportation for medical appointments had 2.5 times higher ED visit rates (p=0.021) and 1.5 times higher rehospitalization rates (p=0.041). For each additional comorbidity, the rate of rehospitalization increased by a multiple of 1.08 (p=0.008). Understanding the adverse SDoH factors and increasing clinical complexity impacting resource use and tailoring evidence-based transitional care interventions to mitigate these factors to improve posthospitalization outcomes is critical. pmc

PMC10737999

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.3142 igad104.3142 Late Breaking Abstracts Session 9000 (Poster) Late Breaking Poster Session I AcademicSubjects/SOC02600 A META ANALYSIS ON THE ASSOCIATION OF NOVEL PLASMA BIOMARKERS TESTING FOR EARLY DETECTION OF ALZHEIMER'S DISEASE Dunnam Charles Wichita State University, Wichita, Kansas, 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" 978978 (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 latest research confirms the heterogeneity of Alzheimer's Disease Related Dementia (ADRD). This justifies a meta-analysis study on the association of novel plasma biomarkers with screening assessments for early detection of ADRD. The conceptual framework model will be analyzed from the 2020 edition of the GSA KAER Toolkit with updates. The purpose of the current study is two-fold. First, to determine the need of a universal protocol method for early assessment of ADRD by primary care teams. Second, implementation of Food and Drug Administration (FDA) approved novel plasma biomarkers testing as a follow-up protocol to a screening assessment. The two suggested protocols have recently established Medicare coverage. The study will conclude with an extensive review of the known novel plasma biomarkers that are available for testing, at present and a brief overview of available screening assessments for early detection of ADRD. pmc

PMC10738000

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1818 igad104.1818 Abstracts Session 4480 (Symposium) AcademicSubjects/SOC02600 WORKPLACE EMOTIONAL EXPERIENCES, TIME SAVORING, AND HELPING BEHAVIORS IN AN AGE-DIVERSE SAMPLE OF ADULTS Growney Claire Stanford University, Stanford, California, United States Chu Li Stanford University, Stanford, California, United States Carstensen Laura Stanford, Stanford, 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" 554554 (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 Socioemotional selectivity theory suggests that as future time perspective grows limited with age, older adults place greater priority on emotionally meaningful experiences and social relationships. Older adults are also theorized to savor time spent in emotionally meaningful activities and social interactions. A preliminary study found that age was associated with higher experience of positive emotion at work. In addition, we found that age was positively associated with trait-level reports of time-savoring, which in turn predicted higher engagement in helping behaviors. We will present findings from a study utilizing the day reconstruction method (DRM) that examines associations between time-savoring at work and engagement in positive workplace behaviors in full-time workers. For one full workweek, participants (N = 200, aged 25-80) complete a survey at the end of each day asking about their workdays parsed into three segments. They report on their social and emotional experiences, the extent to which they were savoring their time engaged in different workplace activities, and their helping (e.g., providing advice to a co-worker) and learning (e.g., developing new ideas or solutions to problems) behaviors during each segment of their workday. Findings have implications for workplace productivity in increasingly age-diverse workplaces. Time-savoring at work may be conducive to intergenerational transfers of knowledge. pmc

PMC10738001

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1117 igad104.1117 Abstracts Session 3340 (Symposium) AcademicSubjects/SOC02600 EFFECTIVENESS OF THE "SELF-PROGRAM" IN DUTCH NURSING HOME CARE: RESULTS OF A MULTICENTER CLUSTER-RANDOMIZED TRIAL Vluggen Stan Zuyd Hogeschool University of Applied Sciences, Kerkrade, Limburg, Netherlands Metzelthin Silke Maastricht University, Care and Public Health Research Institute, Maastricht, Limburg, Netherlands Zwakhalen Sandra Maastricht University, Maastricht, Limburg, Netherlands Bleijlevens Michel Maastricht University, Maastricht, Limburg, Netherlands de van de van Ginkel Janneke M de Man-van Leiden University Medical Center, Leiden, Zuid-Holland, Netherlands De Waal Getty Huisman - Radboud University Medical Center, Nijmegen, Gelderland, Netherlands 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" 335335 (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 For frail older people it is evident to maintain their functional abilities and independence. Nursing staff are in a key position to encourage older people's independence and stimulate their engagement in functional activity. However, nurses tend to take over tasks frequently thereby depriving older people's remaining abilities. Clearly nurses need support to optimize their activity encouragement behavior. The Function-Focused Care based 'SELF-program' was developed based on lessons learned and implications from previous programs. SELF is an interactive, tailored, holistic and theory-grounded training program consisting of 7 seven sessions spread over a period of 3 months which aims to improve nurses' activity encouragement behavior and in turn client's self-reliance in daily activities. The program was subjected to a cluster-randomized trial in Dutch nursing home care which aimed to evaluate the program's effectiveness. The MAINtAIN and GARS-5 questionnaires were applied to assess the effectiveness on nurses' activity encouragement behavior and clients' self-reliance. 28 wards from three care organizations across the Netherlands were recruited and randomized to the SELF-program or care as usual. 287 nurses and 241 geriatric clients participated. Measurements took place at baseline, directly after implementing the SELF-program (three months) and 9 months after baseline. Mixed linear regression demonstrated that nurses' activity encouragement behavior significantly improved (p=.004; ES=.05). At client level, no effects were found (p=.09; ES=.13). However, a trend towards slower decline in self-reliance was observed for those clients allocated to the SELF-program condition. The SELF-program was effective in improving nurses' behavior, however, effects were not translated to client populations. pmc

PMC10738002

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1892 igad104.1892 Abstracts Session 5015 (Paper) Factors Impacting Persons with Dementia AcademicSubjects/SOC02600 COMPARING SELF-REPORTED MEASURES OF SUBJECTIVE COGNITIVE DECLINE Olivari Benjamin CDC, Atlanta, Georgia, United States Omura John Centers for Disease Control and Prevention, Atlanta, Georgia, United States Shean John Alzheimer's Association, Chicago, Illinois, United States McGuire Lisa CDC, 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" 578578 (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 Symptoms of subjective cognitive decline (SCD) can be early indicators of possible future dementia. Estimates of self-reported SCD prevalence are available from various data sources including the Behavioral Risk Factor Surveillance System's (BRFSS) current Cognitive Decline Optional Module. Recent revisions to the Module were proposed based on input from subject matter experts, including reducing introductory phrasing and refining question and response options. It is unknown how these changes may impact estimates of SCD prevalence. To assess whether prevalence of SCD differs based on Module phrasing and conceptualizations of SCD-related questions, this analysis used data (n=3526) from the 2022 FallStyles survey. Respondents were randomly assigned to one of two groups receiving different sets of Module questions: group A received questions mirroring the former language and group B received the revised phrasing. Estimates were weighted to match the 2021 US Current Population Survey. SCD prevalence among respondents aged >=18 years was 8.9% in group A versus 16.9% in group B. Among adults aged >=45 years, SCD prevalence in group A (9.3%) was similar to the 2019-2020 BRFSS estimate (9.8%), while it was nearly double (17.6%) in group B. Within both groups, SCD prevalence was higher among those earning less than $25,000, with lower educational attainment, and who identified as female than their counterparts. Simplified prompts and refined questions may provide higher estimates of SCD prevalence. Given the subjective interpretation of respondents' own memory changes involved in measuring SCD, understanding the impact of question phrasing and language is critical when interpreting resulting data. pmc

PMC10738003

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.2163 igad104.2163 Abstracts Session 7040 (Poster) Emotions, Employment, and Well-Being AcademicSubjects/SOC02600 WORKPLACE AND PERSONAL ATTRIBUTES AFFECTING WORKPLACE PSYCHOLOGICAL BURDEN OF MATURE AND AGING WORKERS IN HONG KONG Lai Daniel W L Hong Kong Baptist University, Hong Kong, Hong Kong Bai Xue The Hong Kong Polytechnic University, Kowloon, Hong Kong Lee Vincent W P Hong Kong Baptist University, Hong Kong, Hong Kong Cheung Kin The Hong Kong Polytechnic University, Kowloon, Hong Kong Luk Calvin W The Hong Kong Polytechnic University, Kowloon, Hong Kong Lee Chi-Ko The Hong Kong Polytechnic University, Kowloon, 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" 665665 (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 employees are valuable human resources for society. However, changes in cognitive abilities and mental health in older persons may affect their ability to work, as well as their safety and health at work. The purpose of this study is to investigate the effects of older workers' personal attributes such as demographics and lifestyle, physical health status, mental health status, labour intensity of employment, and experience of occupational and health risks on their psychological burden at work. A quantitative telephone survey was conducted with a stratified random sample of 1,225 workers aged 40 or above. The results of multiple linear regression analysis indicated that the men and workers with better sleep quality tended to suffer less from psychological burden at work. Older workers with longer weekly work hours and incidents of work-related injuries tended to have a higher level of psychological burden, whereas a safer work environment perceived by the older workers was associated with a lower psychological burden. To accommodate their needs, employers are recommended to allow the older employees choices of reducing work hours and flexible work arrangements. The application of assistive devices and relevant technologies for minimizing the threats to safety and health for the sake of the employees' long-term psychological well-being is important for institutions and employers to consider. pmc

PMC10738004

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0606 igad104.0606 Abstracts Session 2215 (Symposium) AcademicSubjects/SOC02600 OPTIMIZING GSA STUDENT CHAPTER NETWORKING ACROSS CAMPUS AND THE WORLD Bouchard Lauren Portland State 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" 183184 (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 Portland State University (PSU) Gerontological Society of America Student Chapter was formed as a new student organization in 2022. Due to student interest and enthusiasm, this chapter was eager to invest in connections within PSU departments (e.g., public health, social work, and urban affairs) across Portland area campuses (e.g., Oregon Health and Science University) and between other student chapters internationally. Initially, this chapter focused on relationships between undergraduate and graduate students invested in aging research and education on PSU's campus. Once a core group was formed, the chapter recruited members across campus, created an Aging 101 Service event to reach all students, and developed connections with professionals in the regional area. With guidance from the faculty advisor, this chapter reached out to the chapter at the University of Porto, the University of Aveiro in Porto, Portugal, to create a dual chapter networking event with colleagues in Portugal. This presentation will explain the chapter networking and provide suggestions to create regional, national, and international connections. pmc

PMC10738005

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.2126 igad104.2126 Abstracts Session 7010 (Poster) Abuse and Aggression toward Older Adults AcademicSubjects/SOC02600 A 13-YEAR TREND OF THE ABUSE OF OLDER PEOPLE IN SOUTH KOREA Kwon Jenny 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" 654654 (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 Compared to the growing number of the older population in South Korea, there is a scarcity of literature investigating issues about the abuse of older people, as well as effective prevention programs. To fill this gap, this study aimed to identify annual changes in patterns of the abuse of older people including the number of reported abuse cases; the type of abuse; and the characteristics of the subject. Data were drawn from the Korean Statistical Information Service (KOSIS), the public national statistical database. The present study used 13-year data during the period of 2008-2020. Descriptive analyses were conducted via SPSS. The number of abuse cases has increased every year from 2,369 in 2008 to 6,259 in 2020 and 10% of the reported cases in 2020 were repeated cases. The most common type of abuse reported was psychological abuse followed by physical abuse and neglect over 13 years. Physical abuse increased substantially from 22.4% to 40.0%. The majority of subjects are consistently women, accounting for 68.4% in 2008 and 75.3% in 2020. One in fourth of the subjects are older people living with dementia in 2020. Considering the serious impact of abuse including depression and suicide, abuse of older people is no longer a single individual or family problem. To protect the older population and improve their rights in society, collaborative efforts are critical. Micro-level movements such as increasing social awareness and national-level initiatives such as implementing policies and developing relevant legislation should be necessary. pmc

PMC10738006

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.3091 igad104.3091 Abstracts Session 7970 (Poster) Cognition: Dysfunction, Impairment, and Decline AcademicSubjects/SOC02600 CONSEQUENCES OF PERCEIVED STRESS ON COGNITIVE DECLINE AND BLOOD PRESSURE AS A MODERATOR IN OLDER BLACK AMERICANS Byrd DeAnnah Arizona State University, Phoenix, Arizona, United States Coon David Arizona State University, Phoenix, Arizona, United States Thorpe Roland J Johns Hopkins University, Baltimore, Maryland, United States Whitfield Keith University of Nevada, Las Vegas, Las Vegas, Nevada, 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" 962962 (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 Previous research suggests that perceptions of stress shape cognitive health outcomes. However, few studies have explored this association longitudinally. The aim of this study was to determine whether perceived stress is associated with cognitive changes over time and if blood pressure (BP) acts as a moderator in a sample of older Blacks 48 to 95 years of age, who were enrolled in the Baltimore Study of Black Aging--Patterns of Cognitive Aging and interviewed at two time points, approximately 3 years apart (N = 450). Cognition included 5 domains: working memory, processing speed, verbal memory, vocabulary, and inductive reasoning. Three readings of orthostatic BP were collected and mean systolic (range = 82-230.3 mmHg) and diastolic BP (range = 51-136.7 mmHg) values were calculated for each participant. Results from the linear regression model showed no direct effect of perceived stress on cognitive decline. Systolic (F(3,426)= 4.37, p= 0.0048) and diastolic (F(3,426) = 3.26 p=0.0215) BP modified the relationship between stress and inductive reasoning at follow-up but was not related to any other cognitive domains, adjusting for age, sex, education, depressive symptoms, comorbidities, and baseline cognition. These important findings demonstrate the joint effects of stress and BP on cognition, highlighting the need for more research documenting the underlying processes and risk factors for domain-specific cognitive decline. The potential benefits of this approach provide a basis for developing cognitive interventions for this population of Black Americans. pmc

PMC10738007

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1735 igad104.1735 Abstracts Session 4395 (Paper) Global Health and Minorities Issues AcademicSubjects/SOC02600 COMPARING THE ASSOCIATION BETWEEN DIABETES AND MORTALITY IN TWO INDEPENDENT BIRTH COHORT OF OLDER ADULTS IN MEXICO Downer Brian University of Texas Medical Branch, Galveston, Texas, United States Castro Jose Cabrero University of Texas Medical Branch, Galveston, 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" 529529 (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 prevalence of diabetes among middle-aged and older adults in Mexico has nearly doubled since the year 2000. This increase is primarily due to healthcare reforms that promoted diabetes screening. Insulin use and other treatments have also increased during the same period. Early diagnosis and treatment can reduce diabetes mortality risk. However, it is unclear if the increased diagnosis and treatment of diabetes in Mexico have reduced the mortality risk associated with diabetes in older adults. We used the Mexican Health and Aging Study to compare the association between diabetes and 5-year mortality in two independent cohorts of adults aged 60-69 in 2001 (1932-1941) and 2012 (1943-1952). The final sample included 3,694 participants in 2001 and 4,769 in 2012. Demographic variables included age, gender, education, living in an urban community, and having health insurance coverage. Self-reported health conditions included diabetes, hypertension, stroke, and respiratory disease. We used cox-proportional hazard regression models that included an interaction term for diabetes by cohort and adjusted for demographic and self-reported health characteristics. Overall, diabetes was associated with 2.56 times higher mortality (95% CI=2.18-3.00). The 2012 cohort did not have significantly different mortality risk compared to the 2001 cohort (HR=0.91, 95% CI=0.77-1.07). The association between diabetes and mortality for participants in the 2001 cohort (HR=2.52, 95% CI=1.95-3.26) was not significantly different from the 2012 cohort (HR=2.58, 95% CI=2.09-3.17). Our results indicate that diabetes continues to be a major risk factor for mortality in Mexico despite the increase in screening and treatment. pmc

PMC10738008

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.2401 igad104.2401 Abstracts Session 7300 (Poster) Dementia Care AcademicSubjects/SOC02600 CHALLENGES OF E-INTERVENTION RESEARCH: LESSONS FROM THE ISUPPORT FOR DEMENTIA-PT FEASIBILITY STUDIES Teles Soraia University of Porto, Institute of Biomedical Sciences Abel Salazar, Porto, Porto, Portugal Paul Constanca University of Porto, Institute of Biomedical Sciences Abel Salazar, Porto, Porto, Portugal 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" 742742 (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 E-interventions have become popular in delivering healthcare services, offering benefits such as increased accessibility and scalability. However, they also present ethical, technological, and research-related challenges. This poster aims to identify challenges of e-intervention research by analyzing feasibility studies of "iSupport for Dementia-PT", an online training and support program for informal dementia caregivers (IDC) culturally adapted to Portugal from the original version by the Word Health Organization. A mixed-methods study collected data on user satisfaction and requirements for the program's contents and interface through focus groups and usability test sessions with IDC (N=17) and health/social support professionals (N=13). A subsequent pilot study followed a mixed-methods experimental parallel between-group design with two arms (iSupport, N=21 and e-book, N=21). Ethical challenges unearthed by both studies included data privacy, e-consent reliability, equity in accessing e-health interventions, and e-health literacy. Challenging methodological decisions for an RCT protocol included defining criteria for a per protocol analysis in the context of a self-help e-intervention, timing for post-test or follow-up assessments, managing attrition, and the implications of resorting to online outcome measurements. The feasibility studies suggest that iSupport for Dementia-PT is a promising resource to support informal dementia caregivers. However, innovation is required in e-intervention research as replicating conventional procedures and methods have shown to be inadequate. Guidelines are needed on how to address the ethical, technological, and research-related challenges in e-intervention research. pmc

PMC10738009

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0843 igad104.0843 Abstracts Session 3045 (Symposium) AcademicSubjects/SOC02600 THE AGING NETWORK AND CLIMATE RESILIENCE Dabelko-Schoeny Holly The Ohio State University, Columbus, Ohio, United States Rao Smitha The Ohio State University, Columbus, Ohio, United States Sheldon Marisa Ohio State University, Columbus, Ohio, United States Katie White Central Ohio Area Agency On Aging, Columbus, 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" 254254 (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 Originally established to support planning and services related to community-based supports, Area Agencies on Aging (AAA) are well-positioned to lead cutting edge innovations driven by local community needs and changing socio-environmental contexts. This presentation illustrates a partnership between the Central Ohio Area Agency on Aging (COAAA) and the Age-Friendly Innovation Center at The Ohio State University focused on advancing research-informed practice in response to the realities of aging in a warmer world. This project included three main phases. First, safety and emergency preparedness data were collected from individuals aged 50 and older living in central Ohio through a random sample survey (N=1417), revealing 25% of non-white residents (compared to 21% white) did not have or know they have 3-day emergency supplies, food, and medicine, and 84% of residents in urban areas did not have access to an alternative source of power in event of outages. Second, a community conversation identifying priorities and needs related to the rising number of extreme weather events was held with COAAA leadership, community organizations, and residents. Third, targeting locations of high density of older adults at highest risk, the last phase of this work focused on the development of a tool to reduce harm for older adults living in affordable housing in partnership with COAAA embedded Service Coordinators. This project illustrates how AAAs can partner with applied researchers to innovate and strengthen services within communities and build evidence to address emerging community needs across the aging network. pmc

PMC10738010

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1256 igad104.1256 Abstracts Session 3475 (Symposium) AcademicSubjects/SOC02600 ESTIMATING CARDIORESPIRATORY FITNESS USING A USUAL-PACED 400 M-LONG DISTANCE CORRIDOR WALK IN OLDER ADULTS Moffit Reagan University of Pittsburgh School of Public Health, Pittsburgh, Pennsylvania, United States Cawthon Peggy California Pacific Medical Center, Research Institute, San Francisco, California, United States Goodpaster Bret AdventHealth, Orlando, Florida, United States Toledo Frederico University of Pittsburgh, School of Medicine, Pittsburgh, Pennsylvania, United States Forman Daniel University of Pittsburgh, Pittsburgh, Pennsylvania, United States Nicklas Barb Wake Forest School of Medicine, Winston Salem, North Carolina, United States Newman Anne University, Pittburgh, Pennsylvania, United States Glynn Nancy University of Pittsburgh School of Public Health, 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" 378379 (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 Cardiopulmonary exercise testing (CPET) is the gold standard to measure cardiorespiratory fitness (CRF), assessed as peak oxygen consumption (VO2peak), yet is not always feasible in older adults due to cost, safety, and participant burden. Usual-paced 400-m Long Distance Corridor Walk (LDCW), a measure of mobility, may be an alternative to traditional CPET. We examined whether usual-paced 400-m LDCW was associated with VO2peak among older adults using cross-sectional data in SOMMA. Participants (N=820, age = 76.2+-4.9, 58% women, 86% White) completed a usual-paced 400-m LDCW (seconds) and a treadmill CPET using a modified symptom-limited protocol at baseline. VO2peak (mL/kg/min) was defined as the highest 20-second average O2 consumption achieved during CPET. Mean VO2peak was 20.2+-4.8 mL/kg/min and mean usual-paced 400-m LDCW time was 388.8+-69.7 seconds. Usual-paced 400-m LDCW time was moderately inversely correlated with VO2peak (r=-0.52, p<0.0001). Potential covariates considered for the step-wise linear regression included age, sex, body mass index (BMI), Borg Rating of Perceived Exertion (RPE, range 6-20) at end of usual-paced 400-m LDCW, min/week moderate-vigorous physical activity (MVPA, CHAMPS questionnaire), 4-m gait speed, and Short Physical Performance Battery (range 0-12). The final parsimonious model included usual-paced 400-m LDCW time, age, sex, BMI, RPE, and MVPA. Every 30-second higher usual-paced 400-m LDCW time was associated with a 1.98 mL/kg/min lower VO2peak (p < 0.001), explaining 30.5% of the 55.7% total variance in VO2peak. Usual-paced 400-m LDCW was a strong estimator of CRF (VO2peak) after adjustment, providing an inexpensive and safer alternative among older adults across ranges of physical function and fitness. pmc

PMC10738011

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0957 igad104.0957 Abstracts Session 3170 (Paper) Family Dynamics AcademicSubjects/SOC02600 RECIPROCITY AMONG CARE PARTNER DYADS AND ITS INFLUENCE ON OUTCOMES IN DEMENTIA FAMILY CAREGIVERS Falzarano Francesca Weill Cornell Medicine, New York City, New York, United States Czaja Sara 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" 287287 (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 family caregiving is a heterogenous experience influenced by multidimensional intra-personal factors. The interdependence between the well-being of caregivers and care-recipients, and that feelings of mutuality and shared involvement in care responsibilities by both the caregiver (CG) and care-recipient (CR) influence family caregiver outcomes. This presentation will present findings from an analysis that examined the influence of caregiver/care-recipient demographic characteristics, care intensity (functional status, medical/nursing tasks), degree of cognitive impairment, and CR depression and quality of life on CG outcomes including burden, self-efficacy, depression, and positive aspects of caregiving. Baseline data were drawn from 99 family caregiver-care-recipient dyads who participated in the Care Partners intervention, a non-pharmacological intervention for individuals with Alzheimer's disease and their caregivers. Results showed that CG difficulty in performing medical/nursing tasks, greater distress related to the CR's functional impairment, CR's degree of cognitive impairment, lower levels of mutuality, and lower CR ratings of quality of life and depression were significantly related to higher CG burden, depression, and lower CG self-efficacy. Alternatively, being a male CG and greater CG distress related to performing medical/nursing tasks and assistance with activities of daily living was associated with lower positive aspects of caregiving. Having a female CR and reporting higher levels of mutuality and preparedness was subsequently associated with more positive appraisals of caregiving. These findings underscore the importance of reciprocal interactions and the need to target both members of the dyad in interventions aiming to improve quality of life and well-being in dementia care partners. pmc

PMC10738012

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0822 igad104.0822 Abstracts Session 3025 (Symposium) AcademicSubjects/SOC02600 PREDICTING OLDER ADULTS' CONTINUED COMPUTER USE AFTER INITIAL ADOPTION Zhang Shenghao Florida State University, Tallahassee, Florida, United States Boot Walter 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" 249250 (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 Digital technologies have the potential to help older adults in various aspects of their lives, but older adults need to adopt and keep using the new technologies to reap the benefits. Previous research on digital divide mainly focuses on adoption and acceptance of new technologies, and little is known about what might influence actual use and disuse after this initial stage. The current study modeled changes in constructs related to computer use after initial computer adoption and examined whether these changes predict continued use. We used data from the computer arm (N = 150, MAge = 76.15) of a 12-month field trial examining the potential benefits of computer use in older adults. Individual differences identified in the technology acceptance literature (perceived usefulness, ease of use, computer interest, computer self-efficacy, computer anxiety, quality of life, social isolation, and social support) were measured before (baseline), during (month 6), and after the intervention (posttest). Univariate and bivariate latent change score models examined changes in each predictor and their potential causal relationship with use. Results demonstrated large inter-individual differences in the change patterns of individual difference factors examined. Change in perceived usefulness, perceived ease of use, and computer interest, computer self-efficacy, and computer anxiety were correlated with but not predictive of change in use. Our findings demonstrate the limitation of popular constructs in technology acceptance literature in predicting continued use after initial adoption and point out important gaps in knowledge to be targeted in future investigations. pmc

PMC10738013

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0869 igad104.0869 Abstracts Session 3075 (Paper) Adult Protection and Elder Abuse (Papers) II AcademicSubjects/SOC02600 SAFE AND SENSATIONAL: ASSESSING THE SECURE AND PRIVATE ONLINE DATING WORLD FOR OLDER ADULTS Noah Naheem University of Denver, Denver, Colorado, United States Das Sanchari University of Denver, Denver, Colorado, 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" 261261 (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 Online dating applications have become a popular way for people worldwide to meet potential partners, including older adults aged 65 and above. However, using these applications involves revealing personally identifiable information (PII), which raises privacy and security concerns, particularly for older adults who are often the targets of cyberattacks. To address this issue, this paper conducted a literature review of 38 peer-reviewed publications on online dating security and privacy, with a focus on older adults. The review found that while 10 papers evaluated older adults' cybersecurity issues, and two papers explored mobile security management with adults, no papers explicitly focused on older adults and dating applications. To fill this research gap, this paper conducted an application-level security and privacy analysis of ten popular online dating applications, including Tinder, Grindr, Match, Bumble, OkCupid, SilverSingles, Harmony, EliteSingles, Christian Mingles, and LDS Singles. The study revealed that these applications have concerning data security practices that may affect the privacy and security of users, especially older adults. The paper concludes by providing actionable recommendations for secure and privacy-preserving user experience. For instance, online dating applications should implement secure authentication mechanisms, such as two-factor authentication, and use end-to-end encryption to protect users' data. Additionally, the applications should enable users to control their data and allow them to choose the information they want to share with others. Moreover, the dating apps should provide clear and concise privacy policies that are easy to understand and readily available to users. pmc

PMC10738014

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0503 igad104.0503 Abstracts Session 2110 (Symposium) AcademicSubjects/SOC02600 EXPLORING THE LINK BETWEEN SLEEP AND DEMENTIA: MULTIFACETED APPROACHES Petrovsky Darina Chair Luth Elizabeth 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" 153153 (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 Sleep and sleep quality have been linked to cognitive function over time. The quality of caregiver sleep can also affect their ability to function and provide support to persons living with dementia. This symposium leverages longitudinal survey data from two large US population-based surveys: the National Health and Aging Trends Study (NHATS) and the National Study of Caregiving (NSOC). This symposium aims to explore the relationship between sleep, cognitive function, and care activities for older adults living with and without dementia and their caregivers. First, Dr. Petrovsky will report findings that examined the relationship between caregiver sleep quality and persons living with dementia status using NHATS and NSOC data. Next, Dr. Esiaka will present cross-sectional findings from examining the relationship between older adult sleep quality, neighborhood disorder, and cognitive function using the NHATS data. Drs. Klingman and Sullivan will present the results of an analysis comparing the relationship between sleep and frequent hospitalization in persons living with dementia and those without dementia. Collectively, these papers will report on findings examining how a potentially modifiable factor, sleep, relates to cognitive function and caregiving. pmc

PMC10738015

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1246 igad104.1246 Abstracts Session 3465 (Symposium) AcademicSubjects/SOC02600 GENDER DIFFERENCES IN INFORMANT REPORTS OF COGNITIVE FUNCTIONING IN MEXICO AND THE US Cantu Phillip UTMB, Galveston, 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" 375375 (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 Increasingly, researchers are attempting to measure cognitive functioning in large population-based surveys using both direct measurement and informant reports, but little work examines how gender affects measurements. For example, the role of gender in the division of labor is different in the U.S. and Mexico so questions relating to household chores will overestimate functional impairment in Mexico relative to the U.S. Method: Data from the U.S. Health and Retirement Study (HRS) and the Mexican Health and Aging Study (MHAS) will be used to examine disparities in how informants report cognitive change, measured by the total Community Screening Instrument for Dementia (CSI'D') score, are related to gender of participants and informants. Result: Female participants in Mexico have higher CSID scores than men but not in the U.S. Conversely, female informants report higher CSID scores than male informants in the U.S. but not in Mexico. Conclusion Further analysis is needed to determine if national differences in the association of gender and reports of cognitive impairment are due to differences in how informants report impairment. pmc

PMC10738016

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1501 igad104.1501 Abstracts Session 4145 (Symposium) AcademicSubjects/SOC02600 ESPO AND HEALTH SCIENCES SECTION SYMPOSIUM: BUILDING BRIDGES: LEVERAGING SOCIAL CONNECTIONS AND ENVIRONMENTS TO IMPROVE HEALTH IN LATER LIFE Moored Kyle Chair Britt Katherine Co-Chair Cudjoe Thomas 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" 456456 (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 has renewed focus on social connections as fundamental contributors to health across the lifespan. Social connections have been studied in numerous ways (e.g., social network size, daily social interactions, engagement in social activities) and may facilitate health via multiple, dynamic biopsychosocial mechanisms. In line with this year's theme, we review novel insights from early-career scholars into how "building bridges" with others throughout life may promote mental and cognitive health in later life. Further, we emphasize how bridging disciplines (e.g., social and neurocognitive sciences) is vital to understanding how social environments may "get under the skin" to impact health. Presentations will span multiple social-ecological levels (community, institutional, interpersonal). Beginning at the community/institutional level, Dr. Moored will discuss how the quantity of neighborhood social destinations contributes to GPS measures of community mobility in older adults. Dr. Britt will then describe how religious participation, a specific social institutional activity, is associated with an inflammatory biomarker predictive of cognitive impairments. The remaining talks will then report on daily social experiences. Dr. Ng will highlight links between daily support exchanges and life satisfaction in older adults and how these relationships differ by marital status. Extending to the caregiving context, Dr. Puga will present on how role captivity and daily changes in social isolation contribute to mood symptoms in family caregivers of individuals living with dementia. Our Discussant, Dr. Cudjoe, will provide a critical review in the context of new directions for research on social connections and environments. pmc

PMC10738017

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.3545 igad104.3545 Late Breaking Abstracts Session 9020 (Poster) Late Breaking Poster Session III AcademicSubjects/SOC02600 QUALITY OF LONG-TERM CARE FACILITIES AND COVID-19 OUTCOMES: A SYSTEMATIC REVIEW Wang Xiaochuan University of Central Florida, Orlando, Florida, United States Eyler Gabriella 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" 11041104 (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 U.S. long-term care facilities (LTCFs) have been disproportionally and negatively impacted by the COVID-19 pandemic, reporting high shares of COVID-19 cases and deaths. It is critical to understand whether and how quality of these facilities is related to COVID-19 outcomes, to inform policy and practice to better protect the vulnerable LTCF residents and prepare for future outbreaks. Yet, research on this topic has primarily focused on nursing homes which has yielded inconsistent findings, and less is known in the assisted living care setting. To help address this gap, we systematically reviewed existing literature describing quality indicators and examining their impacts on COVID-19 outcomes in LTCFs. Using PRISMA guidelines, we searched electronic databases (e.g., PubMed) for peer-reviewed articles published in English between 2020 and 2023. The search yielded 1,487 unduplicated publications. After screening articles for relevance based on titles and abstracts, 123 were reviewed in full text. A total of 25 articles were included in this review. The included articles examined a range of quality indicators, such as CMS overall and sub-domain 5-star ratings and previous infection prevention and control deficiencies. Overall, the studies revealed mixed results regarding the association between quality and COVID-19 outcomes in LTCFs. Most studies found that higher quality is generally indicative of better COVID-19 outcomes, and some further suggested that the association varied across pandemic phases. Whereas another 7 studies found no significant relationship. This systematic review highlights the need for future research and evidenced-based policy and practice to better protect the at-risk LTCF resident population. pmc

PMC10738018

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.2158 igad104.2158 Abstracts Session 7040 (Poster) Emotions, Employment, and Well-Being AcademicSubjects/SOC02600 DIGITAL SKILLS, STEM OCCUPATION, AND JOB AUTOMATION RISK AMONG THE OLDER WORKERS IN THE US Yamashita Takashi University of Maryland, Baltimore County, Baltimore, Maryland, United States Narine Donnette University of Maryland Baltimore, Baltimore, Maryland, United States Chidebe Runcie Miami University, Oxford, Ohio, United States Cummins Phyllis Miami University, Oxford, Ohio, United States Kramer Jenna RAND Corporation, Arlington, Virginia, United States Karam Rita RAND Corporation, Santa Monica, 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" 663664 (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 Rapidly advancing technologies are replacing human labor. Particularly, occupations with more routine tasks, such as sales and simple food preparations, are known to be at a higher risk of job automation than those with non-routine tasks, such as STEM occupations (e.g., engineering, health care). Additionally, an aging workforce generally faces higher job automation risks due to skill obsolescence and lower digital skills than younger counterparts. A better understanding of the associations between job automation risk, digital skills, and STEM (vs. non-STEM) occupations can facilitate preparations for continuing job automation and population aging. We analyzed a nationally representative sample of middle-aged and older U.S. workers aged 50 to 74 (n = 1,570) from the 2012/2014/2017 Program for International Assessment of Adult Competencies (PIAAC) restricted-use-file data. The estimated job automation risks (i.e., % of jobs to be automated in the next decades) by occupation were derived from the previous studies. PIAAC digital problem-solving skills proficiency (0-500 points) was assessed based on a series of practical digital tasks (e.g., sorting emails by responses in an application). Results of the survey-weighted linear regression showed that the greater digital skill proficiency (b = -0.04, p < 0.05) and STEM occupations (b = -17.18, p < 0.05) are associated with lower job automation risks, even after adjusting for a series of demographic, socioeconomic and civic engagement characteristics. Education and labor policy interventions to promote digital skills among older workers and non-STEM workers may better prepare the aging workforce for the future labor market in the U.S. pmc

PMC10738019

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.2876 igad104.2876 Abstracts Session 7760 (Poster) Mental Health and Psychosocial Well-Being AcademicSubjects/SOC02600 LONG-TERM EFFECTS OF EDUCATION ON LATE-LIFE DEPRESSION OF RURAL WOMEN IN CHINA Hu Lynn Pardee RAND Graduate School, Santa Monica, 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" 894894 (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 the noted association between educational attainment and mental health, there is considerable debate on whether this relationship is causal. Up to now, there are only a few studies using credible estimation strategies to examine the causal impact of education on mental health, and almost no evidence exists for low and middle-income developing countries from regions like Asia. This is concerning given that mental health problems and late-life depression are growing in the Asian population, especially for women and rural residents. In this paper, I aim to fill the gap by examining the long-term causal effect of additional educational attainment on the depressive symptoms of rural women in China. Using Harmonized CHARLS data, I leveraged the sudden end of the Chinese Cultural Revolution in 1976 as an exogenous shock to education, and employed both event study and regression discontinuity designs to estimate its causal effect on late-life depressive symptoms. Results show a protective effect of education for the rural women who stayed in rural areas, and a negative impact of education on the urbanized rural women. The impacts are likely to be mediated by childhood adversities (being poor and unhealthy), marriage status (being widowed), and disability status (difficulty in performing activities necessary for independent living). The proposed research will be the first study to examine the causal effect of education on the mental health of the Chinese population. It will add to the existing literature by providing evidence from underdeveloped regions in Asian countries and offering insights for future policymaking. pmc

PMC10738020

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0901 igad104.0901 Abstracts Session 3105 (Symposium) AcademicSubjects/SOC02600 LEISURE ACTIVITIES, MARITAL STATUS, AND COGNITIVE FUNCTIONING IN LATER LIFE IN MEXICO Monserud Maria University of Houston, Houston, 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" 271271 (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 Prior research indicates that leisure activities can shape cognition in later life. However, little is known about whether the implications of specific group and individual leisure activities for older adults' cognitive functioning can be contingent on marital status and gender and whether physical and mental health can make a difference in the associations between leisure participation and cognition. Moreover, research on the role of these factors in older adults' cognitive functioning in Mexico has been scarce. Using data from the most recent wave (2018) of the Mexican Health and Aging Study, a nationally representative sample of Mexicans aged 50+, this study examines the implications of group and individual leisure activities for cognition among married and unmarried older men and women in Mexico while considering their physical health (i.e., vision, hearing, chronic conditions, and ADL and IADL limitations) and depressive symptoms. The results suggest that not only group-based but also individual activities can be predictive of cognitive functioning among older Mexicans. The findings also reveal some marital status and gender differences and similarities in the effect of certain leisure activities on cognition. Additionally, the results demonstrate that experiencing physical health challenges and depressive symptoms can prevent older Mexicans from deriving cognitive benefits from some leisure activities. Yet, despite poorer physical and mental health, certain leisure activities can still lead to better cognitive functioning in this population group. The insights from this study can be useful for the development of preventive strategies and intervention programs to improve cognitive health in later life. pmc

PMC10738021

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.2926 igad104.2926 Abstracts Session 7810 (Poster) Health and Social Services Interventions AcademicSubjects/SOC02600 REFRAMING AGING AND VISION LOSS AS A PUBLIC HEALTH IMPERATIVE Rogers Priscilla VisionServe Alliance, Mooresburg, 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" 910910 (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 Severe vision impairment and blindness often have profound effects upon older people and those who care for and about them. Recent translational research reveals in the United States, 7.3% of older people report severe vision impairment or blindness. A recent study estimated that the population of people with vision impairment will increase by 118% by 2050. The greatest increases will be among the most senior, women, African Americans, and Hispanics. People with vision impairment report greater prevalence of chronic conditions, poorer health, and poorer quality of life than older people without vision impairment, and they are much more likely to experience multiple disabilities. These factors point to grave disparities in health equity. While the multiple studies have informed social, health, and economic disparities among older people with vision impairment at the national level, virtually nothing is known about the variability of the prevalence of vision impairment, chronic conditions, health-related quality of life, and disability at the state level. The geographic distribution of vision impairment varies among and within states. Often rural and poorer areas have a higher prevalence of vision impairment -- areas that generally have a paucity of eye care providers, social support systems, and vision rehabilitation services. As aging issues are addressed at state and federal levels, vision loss and vision rehabilitation are frequently omitted from the conversations and plans (e.g., Master Plans on Aging and/or Age-Friendly Plans) and from policy instruments such as the Older Americans Act, which has no mention of vision or vision loss. pmc

PMC10738022

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1141 igad104.1141 Abstracts Session 3360 (Paper) Caregiving as Told by Caregivers AcademicSubjects/SOC02600 THE IMPACT OF GRANDCHILD PROBLEMS ON CORESIDENTIAL GRANDMOTHERS' SITUATIONAL APPRAISALS Jeanblanc Alexandra Case Western Reserve University, Cleveland, Ohio, United States Musil Carol Case Western Reserve University, Cleveland, 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" 342343 (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 lives of coresidential grandmothers and their families are often complicated by grandchild health, behavioral, and educational problems Using data from a nationwide sample of 342 American grandmothers living with and raising grandchildren, we examine the effect of grandchild physical, behavioral, and educational problems on co-residential grandmothers' appraisals of: how positive their living situation is for themselves and for their grandchildren and their self-appraised stress and reward related to living with and caring for grandchildren. Participants lived with 1-7 grandchildren under the age of 18 (mean=1.82, SD 1.04), and grandchild problems were dichotomized on the basis of whether they were reported for any co-residential grandchild. We ran independent t-tests comparing grandchild problems against participants' responses to the 4 situational appraisals (measured on a 10 point visual analog scale). The presence of grandchild health problems did not affect grandmother's appraisal of their own living situation or their caregiving reward, but was significantly associated with a lower mean appraisal of how positive their living situation was for their grandchildren (8.39vs8.80) as well as higher reported caregiving stress. Grandchild behavioral problems were significantly associated with lower appraisals of grandmother's own living situation (6.69vs7.53), grandchild living situation (8.45vs8.91), lower caregiving reward (7.36vs8.31)and higher caregiving stress (8.09vs6.81). Educational problems were significantly associated with lower appraisals of grandmother's own living situation (6.70vs7.34), grandchild living situation (8.18vs8.93), lower caregiving reward (7.41vs8.06)and higher caregiving stress (8.18vs7.06). These analyses show the complex interaction between grandchild problems and grandmother perceptions of their own and their grandchildren's' lives. pmc

PMC10738023

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1712 igad104.1712 Abstracts Session 4370 (Symposium) AcademicSubjects/SOC02600 SEXUAL MOTIVES, MARITAL QUALITY, AND DEPRESSIVE SYMPTOMS OF MID-LIFE DIFFERENT-SEX COUPLES Chai Hye Won University of Texas at Austin, Austin, Texas, United States Joo Susanna BK21. Symbiotic Society and Design, Seoul, Republic of Korea Lee Jihye Yonsei University, Seoul, Republic of Korea Umberson Debra 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" 522522 (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-determined sexual motives, or self-endorsed reasons for having sex, is a significant determinant of psychological health with notable gendered patterns. However, previous studies mostly focused on young adult different-sex couples and fell short of exploring the mechanisms through which self-determined sexual motives are associated with psychological health. Using dyadic data from the Health and Relationships Project (HARP) on 124 gay, 171 lesbian, and 124 straight midlife married couples, this study examined the mediating role of marital quality in the association between self-determined sexual motives and depressive symptoms. Actor-partner interdependence mediation model (APIMeM) was used for analyses. Results showed significant mediating effects of individual's own marital quality for all couple types (i.e., gay, lesbian, straight couples), such that individuals with higher levels of self-determined sexual motives reported better marital quality, which in turn was associated with their lower levels of depressive symptoms. For partner effects, same patterns emerged for lesbian and gay couples wherein individuals' own marital quality mediated the association between their spouse's sexual motives and their own depressive symptoms. However, there were gendered patterns within straight couples. For women, their own marital quality mediated the association between their partner's sexual motives and their own depressive symptoms. For men, their spouse's marital quality mediated the association between their partner's sexual motives and their own depressive symptoms. These findings suggest marital quality as a useful intervention point to enhance the psychological health of midlife couples in same-sex and different-sex marriages and also highlight the salience of gendered dynamics within straight couples. pmc

PMC10738024

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.2068 igad104.2068 Abstracts Session 5190 (Paper) Service AcademicSubjects/SOC02600 IMPLEMENTATION AND RESULTS: THE ZESTFUL LIVING PROGRAM FOR OLDER ADULTS RESIDING IN CNY ASSISTED LIVING FACILITIES Seo Minjung SUNY Oswego, Oswego, New York, United States Pagan Mary Theresa SUNY Oswego, Oswego, 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" 634635 (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 Studies indicate that older adults experiencing more interactions with younger ones through health promotion programs perceive better health and life satisfaction than their counterparts. Positive attitudes toward aging and self-efficacy working with older adults are essential attributes for professionals entering gerontology fields. The aim of this study is two-fold, to examine the changes in attitude toward aging and self-efficacy to work with older adults among young adults and to investigate changes in perceived physical and mental health among older adults participating in the Zestful Living Health Promotion Program in an assisted living facility in Upstate New York. A mixed method design (questionnaire and interview) was used on seventy-five older adults (Male: 15, Female: 49) and eighty-two college students. The five-week program theoretical framework utilized tenets from social learning theory and the behavioral change model. This evidenced-based program included exercises, memory training, stress reduction activities, and interactive games using implementation strategies such as health communication, health information, behavioral modification, and positive reinforcement. Results indicate attitudes toward aging and self-efficacy to working with older adults significantly differed before and after program implementation (P <.004, P <.0001). The potential benefits of this approach include improved perceived mental and physical health among older adults during five weeks with low resource allocation as a university supported. Sustainable programs like the Zestful Living Program provide research and outreach opportunities within assisted living facilities. pmc

PMC10738025

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.3501 igad104.3501 Late Breaking Abstracts Session 9020 (Poster) Late Breaking Poster Session III AcademicSubjects/SOC02600 OBLIGATIONS IN JAPAN: A THREE-YEAR LONGITUDINAL STUDY OF MID-LIFE ADULTS Oh Jeewon Syracuse University, Syracuse, New York, United States Lee Han Na Loyola University Chicago, Chicago, Illinois, 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" 10901090 (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 Obligations embody a sense of responsibility, whether they are directed toward close relationships or the broader public community. Middle-aged adults may find themselves in increased caregiving roles, but research examining the role of their obligation on their well-being and relationships is scarce. Across studies, obligation is linked with both positive (e.g., higher well-being and relationship quality) and negative outcomes (e.g., greater burden). A previous study in the U.S. suggested that these mixed findings may be partially because there are various types of obligations that differ on the level of investment. Given the Japanese collectivistic culture that values intricate social connection, their obligation may take on a different form and play a different role. We used two waves of data from the Midlife in Japan Project (2009-2012). Participants were 371 middle-aged adults (M = 55.47, SD = 14.04, 56.02% women, 43.98% men, 71.73% married) living in Japan. We factor-analyzed the structure of obligation and found a 3-factor solution fit best (e.g., RMSEA = .06, SRMR = .01, CFI = 1.00). Obligation could be characterized by holding light and substantive obligations to close others and obligations to the public community. Results suggest differential links between the types of obligation and well-being outcomes. For instance, light obligation predicted less negative affect (b = -.24, p = .035) after three years, but otherwise, other types of obligation did not predict positive or negative affect. Links with relational outcomes (e.g., support/strain) and implications of midlife obligations will be discussed. pmc

PMC10738026

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.3565 igad104.3565 Late Breaking Abstracts Session 9020 (Poster) Late Breaking Poster Session III AcademicSubjects/SOC02600 RELIGIOSITY AND SENSE OF PURPOSE IN WHITE AND BLACK OLDER ADULTS Toprakkiran Selin Washington University in St. Louis, St. Louis, Missouri, United States Wilson Megan Washington University in St. Louis, St. Louis, Missouri, United States Oltmanns Thomas Washington University in St. Louis, St. Louis, Missouri, United States Bogdan Ryan Washington University in St. Louis, St. Louis, Missouri, United States Hill Patrick Washington University in St. Louis, 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" 11101110 (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 Religiosity is a key factor in the lives of many older Americans, and it may help people develop a sense of purpose. This association is highly nuanced, across groups and measures. For instance, religiosity plays a different role across racial/ethnic groups in the United States, which may influence its association with sense of purpose. To examine whether the relationship between religiosity and sense of purpose differs across White and Black Americans, we used the St. Louis Personality and Aging Network data (N = 732), collected from older adults (M age = 67.96; SD age = 4.31; 76.37% White, 23.63% Black American). We used data from multiple waves to examine religiosity, sense of purpose, and social engagement. To disentangle different aspects of religiosity, we included three items focusing on the meaning of religion to one's life, participation in religious activities, and how much religion influences one's daily life. Black participants scored higher on all religiosity items compared to White participants. Nevertheless, the relationship between religiosity and sense of purpose did not differ based on one's racial/ethnic identity or the aspect of religiosity. Additionally, social support did not moderate relationships between religiosity and sense of purpose, suggesting that these relationships are similar regardless of whether one perceives more or less social support from others. These findings add to our understanding of when and for whom religiosity correlates with purpose among older adults, and future directions include examining the influence of religiosity on changes in purpose over time. pmc

PMC10738027

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0578 igad104.0578 Abstracts Session 2190 (Symposium) AcademicSubjects/SOC02600 GSA JOURNAL EDITORS PANEL: WHAT HAPPENS AFTER I PRESS SUBMIT? UNDERSTANDING THE JOURNEY OF A MANUSCRIPT Kelley Jessica 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" 177177 (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 You have finished your great manuscript. Formatted it. Wrote the cover letter. But what happens after you press the "Submit" button? This moderated panel of Editors-in-Chief of five of the GSA journals will talk about all aspects of the review process that lead to a final decision. We will cover topics such as how reviewers are selected, top reasons a manuscript may be rejected without review, and review timetables. We will discuss how Editors use the reviews to make a decision, including how they deal with reviewers who may disagree with each other, or a case where an Editor may disagree with a reviewer. Following the moderated discussion, we will have plenty of time for audience questions. pmc

PMC10738028

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.3173 igad104.3173 Late Breaking Abstracts Session 9000 (Poster) Late Breaking Poster Session I AcademicSubjects/SOC02600 AGING MODULATION WITH EXERCISE AND MIMETICS Lox Dennis Florida Sports and Regenerative Medicine, Clearwater, 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" 987987 (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 Understanding the molecular and cellular processes of the Longevity Pathway AMPK-SIRT1, and its activation by exercise and mimetics, plays a vital role in a series of molecular and cellular processes which stimulates optimal healthy cellular efficiency and functioning, ending with improved exercise tolerance. Knowledge of the role of exercise induced activation of the AMPK-SIRT1 pathway, and altering it towards dysfunctional processes and drivers of aging and disease propagation is important to understand to also understand. Cellular dysfunction unfortunately is the norm. This leads to molecular increase of P53 in a binding state not of DNA repair, but upregulation of gene transcription of NF-kB, which increases inflammatory cytokines, over activation of MTOR, and cellular senescence with secretion of the SASP. All these dysfunctions create feedback loops, which makes the process self propagating, resulting in progressive aging, and disease states. The most optimal state is regulation of the optimal molecular and cellular environment, via exercise or a mimetic stimulator of AMPK-SIRT1. Knowledge of the optimal body state for health, and enhancing this AMPK-SIRT process, is low body fat releasing beneficial adiponectin, and no inflammatory cytokines or adipokines. Training muscle releases positive myokines. Various mimetics can stimulate AMPK-SIRT1, such as Metformin, the mitochondrial derived peptide MOTS-C, AICAR, and other compounds intended for people with medical issues that prevents exercise. Some display a synergistic effect with exercise. Understanding, the benefits of exercise and modulation of aging, by encouraging healthy processes, and reducing the deleterious patterns is important to understand. pmc

PMC10738029

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1676 igad104.1676 Abstracts Session 4330 (Symposium) AcademicSubjects/SOC02600 CIVIC ENGAGEMENT AMONG OLDER MIGRANTS IN EUROPE: EXAMPLES FROM FOUR EUROPEAN COUNTRIES Torres Sandra Uppsala University, Uppsala, Uppsala Lan, Sweden Agard Pernilla Uppsala University, Dept. of Sociology, Uppsala, Uppsala Lan, Sweden Hakkinen Emilia Abo Academy University, Vasa, Pohjanmaa, Finland Dikmans Bas Vrije Universiteit Brussels, Brussels, Brussels Hoofdstedelijk Gewest, Belgium Peiro-Milian Inma University of Barcelona, Barcelona, Catalonia, Spain Serrat Rodrigo University of Barcelona, Barcelona, Catalonia, Spain 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" 510510 (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 Scholarship on old age social exclusion has identified civic engagement as a research area that deserves empirical attention. Research on older people's civic engagement has in turn pointed out that experiencing life-course deficits in social capital, and/ or having had a life-course that does not resemble the continuity that social gerontology takes for granted, could put people at risk of becoming civically excluded in old age. These are two of the starting points for the European project known as CIVEX, which aims to study the life-course trajectories of civic engagement in groups of older people that have not yet received enough empirical attention. One of these groups is constituted by those who have migrated to the countries in which they are now based as adults, and whose life-course may therefore be more characterized by discontinuity rather than continuity. Departing from 60 life-course qualitative interviews with older migrants that are based in Sweden, Belgium, Spain and Finland, this presentation will draw attention to the ways in which these older people define civic engagement and the manner in which they describe how their migratory life-courses have impacted their civic engagement. The presentation will argue that there is theorizing potential embedded on the migratory life course, and that this could expand the scholarly imagination on old age social exclusion in general, and civic engagement in particular. pmc

PMC10738030

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1230 igad104.1230 Abstracts Session 3445 (Symposium) AcademicSubjects/SOC02600 ACCEPTANCE AND COMMITMENT THERAPY INTERVENTION FOR PARENT CAREGIVERS: A STRENGTH-BASED APPROACH Frederick Miranda Iowa State University, Ames, Iowa, United States Lee Jeong Eun Iowa State University, Ames, Iowa, United States Zarling Amie Iowa State University, Ames, Iowa, 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" 370371 (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 ACT has emerged as a behavioral change approach that has been applied to address a wide range of challenges. Empirical research has shown that ACT can deliver positive long-term effects across various populations, including caregivers. Using six core principles of ACT, we have revised an acceptance and commitment therapy program (ACT) for custodial grandparents and their grandchildren. Our intervention program emphasized the importance of acceptance and promoting resilience among participants. This approach is particularly valuable for this population as the focus of the program is to strengthen their competencies, life skills and emotional resilience. The program consists of a web based ACT program with online coaching meetings across four sessions delivered for each age group. This program is unique in the sense that it utilizes both individual and group session techniques to facilitate the learning process. The main purpose of the program is to promote effective coping strategies, to reduce parenting stress among grandparents and to increase life skills (i.e., decision-making, proactivity) among children. Preliminary findings suggest that participating in ACT programs could help custodial, foster and biological parents improve self-efficacy, emotional well-being, higher self-confidence, social competence, lower depressive symptoms, and parenting distress, thereby leading to positive outcomes such as improved mental health and higher resilience. pmc

PMC10738031

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.2202 igad104.2202 Abstracts Session 7080 (Poster) Technology: Older Adult Interface and Use AcademicSubjects/SOC02600 ASSOCIATION BETWEEN MOTOR ACTIVITY AND TOTAL NEUROPSYCHIATRIC INVENTORY NURSING HOME VERSION SCORES Guseva Elena McGill University, Montreal, Quebec, Canada Iaboni Andrea University of Toronto, Toronto, Ontario, Canada Herrmann Nathan University of Toronto, Toronto, Ontario, Canada Ismail Zahinoor Cumming School of Medicine, University of Calgary, Calgary, Ontario, Canada Lanctot Krista Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada Seitz Dallas University of Calgary, Calgary, Alberta, Canada Burhan Amer Ontario Shores Centre for Mental Health Sciences/Temerty Faculty of Medicine University of Toronto, Whitby, Ontario, Canada Wilchesky Machelle McGill University, Montreal, Quebec, 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" 677677 (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 Accurate neuropsychiatric symptoms (NPS) assessment monitoring is crucial for person-centered dementia care management. Doing so, however, is challenging, since current assessment tools rely on clinical observations, are time consuming, and are somewhat subjective in nature. The Neuropsychiatric Inventory Nursing Home Version (NPI-NH) is an informant-based assessment of 10 sub-domains of behavioral functioning where total NPI-NH score represents an overall behavioral disturbance level. We investigated the evidence pertaining to the diagnostic test accuracy (DTA) of motor activity tracking obtained via wearable sensor technology (WST) using total NPI-NH score as the gold standard in persons living with dementia (PLWD). This was part of a larger systematic review assessing the use of WST for NPS detection and monitoring carried out from inception until September 2022 ). A systematic literature search carried out in 7 library databases produced 12,928 articles from which 84 titles were retained for analysis. In total, 8 articles examined the validity of WST for assessing and monitoring of overall behavioral disturbance in PLWD, among which 5 studies used motor activity trackers. Dementia participants predominantly had Alzheimer's, vascular or mixed dementia (40%, 20%, and 40% respectively), with mild-moderate severity. Three studies reported correlations between motor activity and total NPI score that ranged from 0.35 to 0.38. A random effects model indicated that the pooled correlation across studies was 0.37 (0.22-0.51), with no heterogeneity (I2=0%). While our sample reveals WST test accuracy as being consistently moderate, more research is necessary for confirmation. pmc

PMC10738032

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1553 igad104.1553 Abstracts Session 4200 (Biological Sciences Invited Symposium) AcademicSubjects/SOC02600 SENESCENCE NEW FRONTIERS - SENNET CONSORTIUM Niedernhofer Laura Chair Montes Viviana Perez 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" 472472 (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 Senescence is a cell fate triggered by stress, activating signaling cascades that stably arrest the cell cycle, thereby preventing mutagenesis and cancer. Senescent cells are critical for wound healing and other physiological processes, during which they secrete a host of factors that remodel tissue and attract immune cells, which are responsible for removing the senescent cells. However, with age and immune dysfunction, senescent cells accumulate and are established to play a causal role in aging and most age-related diseases, largely through their secretome that drives chronic sterile inflammation. Senescent cells have proven tractable as drug targets, potentially affording novel geroscience approaches to treat a variety of age-related diseases, including Alzheimer's disease. To optimize this opportunity much more must be learned about senescent cells. This is a challenge as there are no specific biomarkers to detect or isolate senescent cells. Furthermore, senescent cells are anticipated to be highly heterogeneous based on cell lineage, the cause of senescence, their secretome, and tissue context. This challenge sparked the creation of the SenNet Consortium, an NIH Common Fund effort involving hundreds of scientists across the globe charged with creating a 4D atlas of senescent cells in 18 healthy human tissues across human lifespan, using mice and perturbations to inform the mapping. The speakers in this session will define the goals of SenNet, the scientific opportunities and challenges, the novel technologies applied, and the anticipated deliverables including large public datasets and innovative search and visualization tools. pmc

PMC10738033

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0422 igad104.0422 Abstracts Session 2030 (Symposium) AcademicSubjects/SOC02600 PROMOTING ELDER JUSTICE IN THE VETERANS HEALTH ADMINISTRATION VIA EXTRADEPARTMENTAL COLLABORATIONS Makaroun Lena University of Pittsburgh School of Medicine, Division of Geriatric Medicine, Pittsburgh, Pennsylvania, United States Smith Kathrine VA Fargo Health Care System, Fargo, North Dakota, United States Boris Lisa VA Northeast Ohio Healthcare System, Ravenna, Ohio, United States Halaszynski Jaime VA Butler Health Care System, Butler, 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" 129129 (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 Veterans Health Administration (VHA), the largest integrated health system in the country, provides comprehensive, high-quality care to nearly 19 million Veterans, over half of whom are age >=60. Older Veterans receiving care in VHA have a high prevalence of most known elder abuse (EA) risk factors, many stemming from their military service. The VHA is a leader in advancing knowledge and care for complex geriatric syndromes, and now leaders in both VHA research and social work are spearheading interdisciplinary collaborations to do the same for EA. In this symposium, we present practical experiences, empirical data and lessons learned from four VHA led collaborations, including: 1) development of the VHA National Social Work Elder Abuse Tiger Team that has worked with VHA researchers to develop and lead a national strategy around EA response; 2) a partnership with the Veterans Benefits Administration to conduct novel research on financial exploitation among Veterans; 3) an education and training collaboration with the National Adult Protective Services Association to demystify the processes and procedures of each organization that has thus far led to 7 presentations to >2,500 attendees; and 4) a relationship with the National Collaboratory to Address Elder Mistreatment to adapt and pilot an EA screening tool for use in VHA emergency departments. Highlighting how the VHA has built bridges both within and outside its organization and the impact this has had on advancing EA research and response will generate ideas for other healthcare systems and those interested in future collaborations with VHA. pmc

PMC10738034

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1742 igad104.1742 Abstracts Session 4400 (Paper) Intergenerational Relationships across Age, Roles, and Time AcademicSubjects/SOC02600 INTERGENERATIONAL BONDS ACROSS THE EARLY YEARS OF MARRIAGE Joiner Raquael University of Southern California , Los Angeles, California, United States Perez Jacqueline University of California, Los Angeles, Los Angeles, California, United States Bradbury Thomas University of California, Los Angeles, Los Angeles, California, United States Karney Benjamin University of California, Los Angeles, 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" 531531 (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 As adults embark upon marriage, forming their own new nuclear families, they often remain connected to their families of origin. Nevertheless, spouses' relationships with their parents and in-laws are likely to change across the early years of marriage. Given that empirical studies to date are typically limited to only a couple of measurement occasions, however, the stability and impact of such changes are unclear. Using Repeated Measures Latent Class Analyses, the present study addresses this gap by identifying classes of spouses (N=375 dyads) experiencing different types of relationships with their parents and in-laws across the first 9 years of marriage. Further, correlates and consequences of spouses' longitudinal sentiment profiles were also examined. Three sentiment profiles (i.e., Mostly Helpful, Mostly Ambivalent, Mostly Indifferent, Mostly Difficult) emerged when looking at spouse's sentiments toward their own parents and for husbands' sentiments towards their in-laws, whereas 4 profiles (i.e., Mostly Helpful, Mostly Ambivalent, Mostly Indifferent, Mostly Difficult) were found for wives' sentiments towards their in-laws. Mostly Ambivalent sentiment profiles showed the least stability, and spouses showed significantly higher odds of being in the Mostly Ambivalent class if they were living in a multigenerational household and if the wife was a 2nd generation immigrant. Spouses whose marriages dissolved showed significantly higher odds of being in the Mostly Indifferent, Mostly Ambivalent, and Mostly Difficult classes, compared to the Mostly Helpful class. These results provide an important starting point for future research aiming to understand how intergenerational bonds may promote or hinder successful marriages. pmc

PMC10738035

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1170 igad104.1170 Abstracts Session 3390 (Symposium) AcademicSubjects/SOC02600 SHARED AND DISTINCT ASSOCIATIONS OF MANUAL DEXTERITY AND GROSS MOTOR FUNCTION WITH BRAIN ATROPHY Dougherty Ryan Johns Hopkins University, Baltimore, Maryland, United States Wang Hang Johns Hopkins University, Baltimore, Maryland, United States Gross Alden Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, United States Schrack Jennifer Johns Hopkins University, Baltimore, Maryland, United States Agrawal Yuri Johns Hopkins School of Medicine, Baltimore, Maryland, United States Simonsick Eleanor National Institute on Aging, National Institutes of Health, Baltimore, Maryland, United States Resnick Susan National Institute on Aging, National Institutes of Health, Baltimore, Maryland, United States Tian Qu National Institute on Aging, National Institutes of Health, 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" 351352 (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 Poor motor function is associated with brain volume and cognitive impairment. Less is known about the associations among motor domains and brain atrophy and whether associations are affected by cerebrovascular burden and/or physical activity. We analyzed data from 726 Baltimore Longitudinal Study of Aging participants (mean age 70.6+-10.1 years, 56%women, 27%Black), 525 of whom had repeat MRI scans over 5.0+-2.1 years. Two motor domains were operationalized as latent variables. Manual dexterity using the Purdue Pegboard and gross motor function using grip strength and comprehensive physical performance testing. Associations between the latent variables and cortical and subcortical brain volumes of interest were examined using latent growth curve modeling, adjusted for demographics, white matter hyperintensities, and physical activity. Both higher manual dexterity and gross motor function were cross-sectionally associated with smaller ventricular volume and greater white matter volumes in the frontal, parietal, and temporal lobes (all p<.05). Higher manual dexterity was also cross-sectionally associated with greater parietal gray matter ( =0.14;95%CI:0.05,0.23), hippocampal ( =0.10;95%CI:0.01,0.20), postcentral gyrus ( =0.11;95%CI:0.01,0.20), and occipital white matter ( =0.10;95%CI:0.01,0.21) volumes, and better gross motor function with greater temporal gray matter volume ( =0.16;95%CI:0.05,0.26). Longitudinally, higher manual dexterity and gross motor function were associated with lower temporal white matter and occipital gray matter atrophy (all p<0.05). Greater manual dexterity was also associated with a slower rate of ventricular enlargement ( =-0.17;95%CI:-0.29,-0.05) and less atrophy of occipital white matter ( =0.39;95%CI:0.04,0.71). Among cognitively normal older-aged adults, manual dexterity and gross motor function exhibited shared as well as distinct associations with brain atrophy over time. pmc

PMC10738037

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.3389 igad104.3389 Late Breaking Abstracts Session 9010 (Poster) Late Breaking Poster Session II AcademicSubjects/SOC02600 HEMOPEXIN'S RELATIONSHIP WITH MUSCLE QUALITY AND COGNITIVE FUNCTION IN OLDER ADULTS WITH COGNITIVE IMPAIRMENT Zeng Derong Kyoto University, Kyoto, Kyoto, Japan Qi Xiang New York University, New York City, New York, United States Wu Bei New York University, New York City, New York, United States Kawasaki Teruaki Kyoto Clinical and Translational Research Center for Neurocognitive Disorders, Kyoto, Kyoto, Japan Akiguchi Ichiro Kyoto Clinical and Translational Research Center for Neurocognitive Disorders, Kyoto, Kyoto, Japan Kinoshita Ayae Kyoto University, Kyoto, Kyoto, 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" 10541055 (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 imminent increase in Alzheimer's disease (AD) and dementia increases the need for effective prevention strategies. Increasig attention has been paid to exercise as a prevention strateg to promote cognitive health. Recently, the link between hemopexin which is secreted by atrophied skeletal muscle and cognitive function maintenance has been studied, but evidence remains inconclusive.This study examined the relationship between hemopexin, muscle mass, muscle quality (Phase Angle, PhA), and cognitive function (measured by Mini-Mental State Examination) among 377 cognitively impaired older adults (mean age = 83.5 years).TANITA (MC-780A-N) was used to measure body composition. The concentration of hemopexin in human plasma samples was measured using the HPX (Human) ELISA Kit (KA0481). In Pearson correlation analysis, hemopexin showed no significant correlation with muscle mass, quality, or cognitive function. Multivariate regression analysis revealed that lower PhA is significantly associated with poorer cognitive function (t-value=2.012, p< 0.05), but hemopexin and muscle mass were not significant. An interaction analysis indicated that the relationship between hemopexin and muscle quality was modified by sex (t-value=2.052, p< 0.05). In the multivariate analysis for females, hemopexin correlated negatively with muscle quality (t-value=-2.128, p< 0.05). This study shows that hemopexin, though not affecting cognitive function or muscle mass directly, may impact muscle quality, especially considering the link between AD in older women and atrophied muscle with hemopexin secretion. Hence, interventions focused on muscle quality might improve cognitive function in older individuals with cognitive impairment, possibly preventing dementia onset. Further studies are warranted to solidify these connections. pmc

PMC10738038

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.2110 igad104.2110 Abstracts Session 7000 (Poster) Gerontology and Geriatrics Education and Training AcademicSubjects/SOC02600 GERONTOLOGY AND GERIATRICS EDUCATION AND TRAINING Liou Chih-ling Kent State University, Kent, Ohio, United States Kalaw Karel University of Central Oklahoma, Edmond, Oklahoma, 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" 649649 (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 We draw from our personal insights as foreign-born female faculty in the U.S. to explore how our minority status in the U.S. has affected our experiences/identities in the field of aging. We practiced intersectionality by considering how our understandings of "foreignness" in academia and the aging field are intertwined with other markers of difference, including race, national origin, language, and academic programs. We also draw from tenets of collaborative autoethnography to engage two autoethnographies from two countries in Asia to pool their lived experiences and collaboratively analyze and interpret them for commonalities and differences. We begin by sharing stories about graduate study pursuits and becoming faculty in the U.S. We note how our foreignness shapes our lives as aging scholars in the U.S. academy and our personal views on aging. After exchanging our first set of writings, we identified key experiences to focus on in the subsequent writing periods. Our minority backgrounds, teaching aging subjects, and using qualitative methodology are shared identification. Moreover, the themes that deal directly with identity development and the perception of aging of non-white women can be added to promote a deep understanding of aging among the non-native-born population. This study highlights the value of collaborative autoethnography as a method of inquiry and reflection. Findings demonstrate that non-native-born female faculty members in the field of aging faced multi-faceted challenges in both professional and personal realms. Implications for supporting foreign-born female aging scholars are discussed. pmc

PMC10738039

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1483 igad104.1483 Abstracts Session 4125 (Paper) Efforts to Improve Aging Services and Healthcare Provider Training and Delivery AcademicSubjects/SOC02600 BUILDING A STRATEGIC PARTNERSHIP: TURNING CHALLENGES INTO OPPORTUNITIES Elfenbein Pamela University of North Georgia, Oakwood, 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" 451451 (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 University of North Georgia's Institute for Healthy Aging (IHA) and the Georgia Department of Human Services, Division of Aging Services (DAS), have partnered to address critical workforce needs in the program areas of Elder Abuse, Neglect and Exploitation and Public Guardianship. Working together they have aligned requirements a new University System of Georgia degree, the Nexus degree, with the educational and experiential requirements of employment in these DAS program areas. The University System of Georgia's Nexus Degree, a new academic credential and the first new degree program in the United States since the 1890s when the associate's degree was added, was designed to help more Georgians access careers in high demand areas. Creation of this degree is in direct response to talent demand analysis with employers in high demand career areas. The Division of Aging Services faces many challenges that hamper finding and retaining the right workers for the difficult but rewarding roles in Adult Protective Services and Public Guardianship. This presentation will outline the DAS needs and UNG academic program, and how working together to meet the needs of at-risk elders, a direct pipeline to employment has been developed. This paper will discuss and provide insight into this unique collaboration and newly created training approach. pmc

PMC10738040

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.2237 igad104.2237 Abstracts Session 7100 (Poster) Cognition and Alzheimers' Disease AcademicSubjects/SOC02600 PLASMA BDNF/IRISIN RATIO ASSOCIATES WITH COGNITIVE FUNCTION IN OLDER ADULTS 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" 689689 (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 To examine whether plasma biomarkers brain-derived neurotrophic factor (BDNF), irisin, clusterin and BDNF/irisin ratio (BIR) could differentiate people with mild cognitive impairment (MCI) from cognitively normal (CN) individuals, and to explore their relations with cognitive performance. Methods We included 124 participants with MCI and 126 CN participants from a community-based aged and cognitive health cohort. Plasma BDNF, irisin and clusterin were measured, and BIR was calculated. Global cognition was evaluated with Montreal Cognitive Assessment. T-tests, logistic regressions, and linear regressions were used to explore the relations between plasma biomarkers and cognitive function. Results The plasma levels of irisin, but not BDNF, was significantly different between MCI and CN groups. Higher irisin concentration was associated with increased probability for MCI (OR: 1.06, p = 0.004) after adjusting for covariates. By contrast, BDNF, but not irisin, was linearly correlated with cognitive performance (b = 0.14, p = 0.033). BIR values were positively correlated with cognitive performance (b= 0.14, p = 0.036), and significant differences on BIR values existed between MCI and CN groups. The MCI risk decreased by 53% (OR=0.47, p = 0.043) with each unit increase in BIR values after adjusting for covariates. Plasma BDNF and irisin concentrations increased with aging, whereas BIR values remained stable across the ages. No significant results of clusterin were observed in the above analyses. Conclusion Plasma BIR is a potentially reliable indicator which not only reflects the odds of the presence of MCI but also directly associates with cognitive performance in the aged population. pmc

PMC10738041

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1823 igad104.1823 Abstracts Session 4485 (Symposium) AcademicSubjects/SOC02600 IDENTIFYING PREDICTORS OF RESILIENCE IN SINGLE-ARM STUDIES OF PRE-POST CHANGE Varadhan Ravi Johns Hopkins University School of Medicine, Baltimore, Maryland, United States Zhu Jiafeng Northwestern University, Chicago, Illinois, United States Bandeen-Roche Karen 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" 555556 (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 With advancing age, older adults are at a greater risk of experiencing significant stressors. While frailty is the increased vulnerability to stressors, resilience is the ability to respond well to a major stressor. An important goal of geriatric research is to identify factors which influence resilience to stressors. Studies of resilience in older adults are typically conducted using a single-arm design where everyone experiences the stressor. In such designs, resilience is typically quantified as the degree of recovery in physical/cognitive/psychological functions after the stressor. The simplistic approach of regressing change versus baseline yields biased estimates due to mathematical coupling and regression-to-the-mean. Correction is necessary for eliminating the bias and drawing valid inferences regarding the effect of covariates and baseline status on pre-post change. We present a simple method to correct this bias. We extend the method to include covariates. Our approach considers a counterfactual control group and involves sensitivity analyses to evaluate different settings of control group parameters. We illustrate the method using a large, registry of older adults (N=7,239) who underwent total knee replacement (TKR). We demonstrate how external data can be utilized to constrain the sensitivity analysis. Our analysis indicates that baseline (pre-stressor) function was not strongly linked to recovery after TKR. Among the covariates, only age had a consistent effect on post-stressor recovery. A main takeaway of our work is that studies of resilience should consider, either directly or indirectly, the use of an appropriate control group. pmc

PMC10738042

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0453 igad104.0453 Abstracts Session 2060 (Symposium) AcademicSubjects/SOC02600 DEVELOPING A SCALE TO MEASURE NEGLECT SEVERITY: THE HEALTH-RELATED SEVERITY IN ELDER NEGLECT SCALE Rosen Tony Weill Cornell Medicine, New York City, New York, United States Pillemer Karl Cornell University, Ithaca, New York, United States Burnes David University of Toronto, Toronto, Ontario, Canada Fulmer Terry The John A. Hartford Foundation, New York City, New York, United States Teresi Jeanne Columbia University Stroud Center, New York City, New York, United States Safford Monika Weill Cornell Medical College, New York City, New York, United States Czaja Sara Weill Cornell Medicine, New York City, New York, United States Lachs Mark 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" 138139 (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 Caregiver neglect in older persons can vary dramatically in severity, with differential impact on an older adult's health. Assessing severity is critical for research and clinical practice but has received focus until recently. To address this gap, we developed a scale to describe the health-related severity of elder neglect using an expert consensus method. In development, the experts conceptualized severity as: (1) the level of risk that neglectful behaviors would cause morbidity or mortality and (2) related timeframe. Additionally, the experts recommended that the scale identify risk for future neglect. The scale was designed iteratively, and, after finalization, we assessed face and construct validity. The final scale was found to have validity. It has 5 levels: not present, not present / potential risk, present / mild, present / moderate, present / severe. Each level has a description to guide assessment. For example, present / mild is described as: "caregiving behaviors not optimal, with potential to create morbidity, but low concern for immediate danger," present / moderate is: "caregiving behaviors with significant potential to create morbidity within the next 4 weeks," and present / severe is "caregiving behaviors creating immediate danger of morbidity or mortality -- insufficient access to shelter, food, medication - with alternative living situation or ED visit / hospitalization recommended." The description of not present / potential risk is: "though neglect not currently occurring, factors present that raise concern for future neglect risk." Assessing neglect severity using this scale may improve understanding of the phenomenon and inform intervention. pmc

PMC10738043

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0457 igad104.0457 Abstracts Session 2065 (Biological Sciences Invited Symposium) AcademicSubjects/SOC02600 AGE-INDUCED SYSTEMIC REPROGRAMMING DRIVES DRUG RESISTANCE IN LUNG CANCER Gomes Ana Moffitt Cancer Center, 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" 139140 (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 Lung cancer accounts for the largest number of cancer-associated deaths in the United States. While great strides have been made due to the introduction of immunotherapies and targeted therapies against oncogenic drivers, chemotherapies remain the standard of care for the majority of lung cancer patients. However, many patients do not respond to these treatments or relapse following an initial response. We postulate that part of the problem is the lack of consideration in preclinical research and clinical trials of the main driver of lung tumorigenesis, the aging process. Here, we show that the organismal reprogramming that occurs with aging makes lung tumors in an aged host more conducive to withstand chemotherapies and targeted therapies. We traced this to an age-induced chronic accumulation of the stress hormone cortisol in circulation. Mechanistically our data show that chronic accumulation of cortisol drives the upregulation of metallothioneins--small, highly conserved, cysteine-rich metal-binding proteins--through activation of the glucocorticoid receptor in lung cancer cells, which in turn rewire these cells to be refractory to chemotherapies. Together, our work demonstrates a role for age-induced cortisol levels in promoting resistance to standard of care chemotherapies in lung cancer and offers a rationale for using therapeutic agents that block the glucocorticoid receptor to sensitize the average and most vulnerable lung cancer patients, the elderly, to chemotherapy. pmc

PMC10738044

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.3325 igad104.3325 Late Breaking Abstracts Session 9010 (Poster) Late Breaking Poster Session II AcademicSubjects/SOC02600 EXPERIENCES OF RACISM IN HEALTH AND LIFE-COURSE RESEARCH: A MEASUREMENT BOOKLET AND RECOMMENDATIONS Iveniuk James NORC at the University of Chicago, Chicago, Illinois, United States Peek Monica University of Chicago, Chicago, Illinois, 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" 10341035 (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, interconnected fields of research study racism, and health inequities emerging from systemic racism. Researchers who are interested in strengthening this work may, however, find themselves at a loss as to where to begin. They may not have a conceptual framework that informs their choice of measures and approaches. They may also lack awareness of appropriate measures, that they can choose from to create impactful work. To meet this need, we create a research-community asset for the measurement of racial identity, intrapersonal/internalized racism, interpersonal racism, institutional racism, and structural racism, with an emphasis on measuring these experiences and their impact on health across the life course. Where applicable, we provide guidance on scoring. The asset is prescriptive in what measures it offers to readers, and in terms of the multi-level theoretical framework that we use to inform our selection. However it is also agnostic about health outcomes or research designs, and we provide measures that are applicable to self-report and administrative data sources, in order to be applicable to as many different researchers as possible, both in academic and community-engaged settings. We also provide some general guidance for translation into different languages, to be inclusive of respondents from diverse linguistic backgrounds. pmc

PMC10738045

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1016 igad104.1016 Abstracts Session 3235 (Symposium) AcademicSubjects/SOC02600 BUILDING AN ONLINE TRAINING PROGRAM FOR SAVVY FACILITATORS Hepburn Kenneth Emory University, Atlanta, Georgia, United States Sherman Carey Wexler Savvy Systems, LLC, Minneapolis, Minnesota, United States Hobday John Savvy Systems, LLC, Minneapolis, Minnesota, United States Char Adarsh Full Tilt Ahead, LLC, Norcross, Georgia, United States Reed Lai 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" 306306 (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 Scaling evidence-based interventions to implementing organizations not linked to the development source poses difficulties in maintaining program fidelity. Program facilitator training must ensure consistency of training approach and content material across organizations. A training program must be able to certify that trainees can demonstrate a detailed understanding of the basic curriculum intent, learning objectives, core principles, mechanism of action, and operational details of the intervention. This presentation will describe the development of an online program to train interventionists to facilitate the Savvy Caregiver Program (SCP), a multi-session, group-based psychoeducational intervention grounded in Social Cognitive Theory that helps family caregivers develop the knowledge, skills, and sense of competency and confidence (mastery) important for effective caregiving. In collaboration with the educational design team at the Emory School of Nursing, we developed a prototype, fully asynchronous professional continuing educational interventionist training program. In seven components, the program employed embedded video, text, interactive interfaces, and short self-correcting quizzes to teach core principles, essential facilitator skills, and the dynamics of each of the six SCP sessions. At the end of each segment, learners were required to provide reflections on segment content; they were required to attain a score of at least 80% in order to advance to the next segment (retries were allowed). Based on feedback from the 35 interventionists who participated in the prototype training program, we added additional video assets to further illustrate methods for facilitating the program, further developed the internal quizzes and improved course navigation mechanisms. pmc

PMC10738046

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1585 igad104.1585 Abstracts Session 4230 (Symposium) AcademicSubjects/SOC02600 FRIENDSHIP MATTERS: UNDERSTANDING THE LINK BETWEEN FRIENDSHIP AND HEALTH IN LATER LIFE Lim Emily Chair Fiori Katherine 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" 482482 (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 Friendship matters in later life, as friends provide social support to older adults. Yet, current social relationships and health literature focuses primarily on family relationships. This symposium aims to highlight studies that explore the associations among friendship, health, and health behaviors, with a focus on individual differences. First, using the Health and Retirement Study (HRS), Lim and Burr demonstrate a non-linear relationship between the number of friends and loneliness, with a possible threshold effect for men but a more complex relationship for women. In their investigation of the moderating role of friendship on the association between widowhood and cognition using the HRS, Zhang et al. also find interesting gender differences where greater friendship strain is associated with a faster cognitive decline for widowed men, but not women. Ng and Birditt also uncovers important individual differences, this time in the association between friendship and mental health among Black and White dementia caregivers. They find that emotional support from friends is linked to lower levels of anxiety and depression, but primarily for White caregivers. Mimbs et al. extend these studies to focus on health behaviors, addressing links between interactions with family and friends and hurricane preparedness and evacuation likelihood. Using an online survey of older Floridians, they show that more interactions with friends are associated with greater preparedness and evacuation likelihood. Our discussant, Katherine Fiori, will discuss how these findings can extend the literature on friendship and health in later life, with a focus on the roles of individual differences and context. pmc

PMC10738047

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0630 igad104.0630 Abstracts Session 2240 (Symposium) AcademicSubjects/SOC02600 MODIFICATION OF THE ASSOCIATION BETWEEN HEARING LOSS AND DEMENTIA PREVALENCE BY SELF-REPORTED SLEEP DISTURBANCES Jiang Kening Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States Spira Adam Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States Reed Nicholas Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States Huang Alison Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States Lin Frank Johns Hopkins, Baltimore, Maryland, United States Deal 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" 191192 (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 Hearing loss and sleep disturbances are both known risk factors for dementia. High prevalence and modifiability in late life make them potential targets for dementia prevention. However, their combined contribution to dementia is unknown. The National Health and Aging Trends Study (NHATS) is a longitudinal panel survey of a nationally representative sample of Medicare beneficiaries. A validated algorithm based on proxy-reported diagnosis, AD8 dementia screening, and cognitive tests was used to classify participants as having probable/possible vs. no dementia. Pure-tone audiometry was added to the 2021 round of NHATS; participants with better-ear 4-frequency (0.5, 1, 2, 4 kilohertz) pure-tone average above 25 decibels were categorized as having hearing loss. Participants reported their frequencies of taking >30 minutes to fall asleep and having trouble falling back asleep and were defined as having each symptom if it was experienced >=2 nights/week. We used Poisson regression with robust standard errors and included an interaction term between sleep disturbances and hearing loss, adjusting for demographics, smoking, body mass index and comorbidities. Among 2,383 participants aged 71+ years (46% male, 7% Black), hearing loss was cross-sectionally associated with higher dementia prevalence only among participants with sleep disturbances (>30 minutes to fall asleep: prevalence ratio [PR]=1.81, 95% CI:0.99, 3.31; difficulties falling back asleep: PR=1.82, 95% CI:1.02, 3.26). Older adults with both hearing loss and sleep disturbances might represent a high-risk subgroup that needs to be prioritized. With the complex etiology of dementia, a better understanding of the co-occurrence of multiple risk factors is needed. pmc

PMC10738048

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1549 igad104.1549 Abstracts Session 4195 (Paper) Minority and Diverse Populations (Papers) II AcademicSubjects/SOC02600 DISPARITIES IN ELECTION, ACCESS, AND OUTCOMES IN MEDICARE END-OF-LIFE CARE: A NATIONAL STUDY Christian Thomas Abt Associates, Cambridge, Massachusetts, United States Plotzke Michael Abt Associates, St. Louis, Missouri, United States Cancel Mariana Sarango Abt Associates, Cambridge, Massachusetts, United States Hersey Catherine Abt Associates, Cambridge, Massachusetts, United States Harrison Zinnia Abt Associates, Inc., Rockville, 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" 471471 (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 We examined whether end-of-life care racial disparities persist even within groups with similar geographic access and health care options. We reviewed calendar year (CY)2021 fee-for-service Medicare claims to determine if a beneficiary ever: elected hospice, had an end-of-life care conversation with their physician, and/or received advanced care planning services. We obtained beneficiary characteristics from Medicare administrative records and used Consumer Assessment of Health Providers and Systems Hospice star ratings to identify poorer quality hospices ( two-stars out of five). As a measure of the quality-of-care processes beneficiaries received, we calculated Hospice Visits in the Last Days of Life (HVLDL). Using logistic regression, we calculated Adjusted Odds Ratios (AORs) and 95% Confidence Intervals (CIs) to characterize the association between race/ethnicity and end-of-life services utilization. Relative to white decedents, beneficiaries were less likely to elect hospice if they were black [AOR 0.67 95% CI 0.65-0.69], Asian [AOR 0.62 95% CI 0.59-0.66] or Hispanic [AOR 0.76 95% CI 0.72-0.81]. Additionally, non-white beneficiaries more often received care from poorer quality hospices than the white beneficiaries residing in their same zip code (black AOR 1.26 95% CI 1.21-1.31, Asian AOR 1.21 95% CI 1.14-1.29, Hispanic AOR 1.16 95% CI 1.09-1.24). In such poorer quality hospices, non-white beneficiaries have lower HVLDL rates (white 48.5%, black 40.3%, Asian 42.6%, Hispanic 45.8%). We found no substantial racial/ethnic disparities in recorded advance care plans or end-of-life conversations. CMS should continue to monitor trends in hospice utilization and ensure all beneficiaries receive equal and adequate care. pmc

PMC10738049

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1980 igad104.1980 Abstracts Session 5100 (Paper) Physical Activity and Fall Prevention AcademicSubjects/SOC02600 VIGOROUS PHYSICAL ACTIVITY, DEPRESSION, PRO-INFLAMMATORY CYTOKINE AND RACIAL/ETHNIC VARIATIONS IN FALLS Malatyali Ayse University of Central Florida, Orlando, Florida, United States Cidav Tom The Johns Hopkins University School of Medicine, Baltimore, Maryland, United States Xie Rui University of Central Florida, Orlando, Florida, United States Thiamwong Ladda 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" 606606 (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 Physical activity plays a key role in preventing falls among older adults as it supports muscle strength and improves balance and postural control. Recent studies have revealed that physical activity modulates Interleukin-6 (IL-6) levels and reduces the incidence of falls among older adults. This study describes the relationships between vigorous physical activity, IL-6 plasma levels, depression, and falls among older adults. We conducted a cross-sectional study on Health and Retirement Study participants aged 65 and above (n= 9,942) using datasets from the 2016 interviews. Of the sample, 37.7% reported falling in the last 24 months. Mean ages were: 77.4 (8.14) years in participants who had a fall and 75 (7.31) years in participants without a fall. Participants engaging in regular vigorous physical activity were 24% less likely to have a fall than those not engaging in vigorous activity. We quartiled the IL-6 levels and presented quartile-4 as the most elevated IL-6 levels. Compared to quartile-1 (lowest), participants in quartile-3 were 24%, and those in quartile-4 were 45% more likely to fall. The effect of IL-6 was insignificant in quartile-2. Having depression was also significantly associated with falls (OR=2.40). We observed a significant inverse relationship between ethnic/racial minorities and odds of falling: Hispanics were 16%, and African Americans were 36% less likely to fall than non-Hispanic whites. The likelihood of falling among people living in rural was significantly higher than among those living in urban (OR= 1.15). Interleukin-6 may be incorporated to fall prevention interventions as an indicator of fall risk. pmc

PMC10738050

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.2253 igad104.2253 Abstracts Session 7130 (Poster) Clinical Practice and Health AcademicSubjects/SOC02600 A MOBILE HOME HEALTH CARE PHYSICIAN FOR OLDER PERSONS WITH EXTENSIVE HEALTH CARE NEEDS Emmesjo Lina University of Skovde, Skovde, Vastra Gotaland, Sweden Hallgren Jenny University of Skovde, Skovde, Vastra Gotaland, Sweden Aslan Anna Dahl University of Skovde, Skovde, Vastra Gotaland, Sweden Gillsjo (Gillsjo) Catharina University of Skovde, Skovde, Vastra Gotaland, 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" 694694 (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 The rapidly increasing older population with extensive care needs has shifted health care from institutions to the older person's home. A cross-organisational integrated care model was created by health care authorities to meet these challenges, the Mobile integrated care model. The Mobile integrated care model with a home health care physician is a collaboration between regional and municipal health care, working in the patients' home. Methods Semi-structured interviews with patients, next of kin and health care professionals. Results The home was described by all as the best place to provide health care to these patients, creating safety and increasing autonomy for the patients. The health care professionals found trust in working together as a team, but struggled because of the divided organizations. Patients and next of kin found the Mobile integrated care model to be hierarchic, where the structure sometimes improved participation, and at other times prevented it. Conclusion All participant groups emphasized that there was a need for more time for the health care personnel to spend with the patients. Furthermore, the patients and next of kin longed for a personal contact and being able to form a relationship with the health care personnel. The health care professionals found being employed by separate organizations as a challenge, where divided documentation systems and lack of equipment hindered the work. pmc

PMC10738051

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.3365 igad104.3365 Late Breaking Abstracts Session 9010 (Poster) Late Breaking Poster Session II AcademicSubjects/SOC02600 FURTHER EVALUATION OF A MODIFIED VERSION OF THE HOSPICE PHILOSOPHY SCALE: A DIFFERENTIAL ITEM FUNCTIONING ANALYSIS Becker Todd Washington University in St. Louis, St. Louis, Missouri, United States Clem Sarah University of Maryland School of Social Work, Baltimore, Maryland, United States Sacco Paul University of Maryland, Baltimore, Baltimore, Maryland, United States Cagle John University of Maryland, Baltimore, Baltimore, Maryland, United States Davitt Joan University of Maryland, Baltimore, Baltimore, Maryland, United States Kusmaul Nancy University of Maryland Baltimore County, Baltimore, Maryland, United States Cain Cindy 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" 10471047 (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 hospice philosophy of care (HPOC) is a set of values applicable to all interdisciplinary group members that drives organizational and individual approaches to hospice care. As the only established measure of HPOC attitudes, we aimed to extend previous exploratory psychometric evaluation of the eight-item Hospice Philosophy Scale (HPS-8). An interdisciplinary convenience sample of 481 hospice clinicians participated in this cross-sectional study. Participants were recruited through hospice and palliative care membership associations representing the core members of the Medicare Hospice Benefit-designated hospice interdisciplinary group (physicians, nurses, social workers, chaplains). After examining uniformity through confirmatory factor analysis, we tested HPS-8 items for differential item functioning (DIF) by professional discipline using multiple indicators, multiple causes models. We compared models via nested chi-square difference tests. Our final model assessed uniform DIF for the HPS-8 factor, controlling for DIF-indicated items. We also assessed internal consistency reliability. After correlating errors for two similarly worded items, global fit indices met prevailing thresholds, kh2(19)=55.18, p<.001 (RMSEA=.06, SRMR=.03, CFI=.98, TLI=.97). The uniform DIF model indicated two items with DIF. Chaplains endorsed the need for mental and spiritual preparation for death more than physicians (b=0.21, p<.001). Nurses endorsed involving patients and families in deciding treatments and services more than physicians (b=0.21, p=.006). Despite statistically significant DIF on these items, statistically significant differences among professions were not observed at the factor level (p>.50 for all). Composite reliability estimates satisfied internal consistency thresholds (CR=.76). Results support the HPS-8's use as a valid and reliable measure for assessing HPOC in hospice clinicians. pmc

PMC10738052

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1607 igad104.1607 Abstracts Session 4250 (Symposium) AcademicSubjects/SOC02600 COMPASSIONATE RELEASE OF DYING INMATES: A STEP TOWARD SOCIAL JUSTICE IN THE CRIMINAL JUSTICE SYSTEM Lutz Gabriel University of Maryland School of Medicine, Baltimore, Maryland, United States Yang Yulin University of California, San Francisco, San Francsico, California, United States Kheirbek Raya University of Maryland School of Medicine, 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" 488489 (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 Mr. John is a 60-year-old incarcerated male with advanced stage IV lung cancer that had metastasized. He was admitted to the hospital with significant pain and failure to thrive. Several lines of chemotherapy failed him, and he desired to be at home with his family as he approached the end of life. Unfortunately, he was unable to leave the hospital except to be back to prison. He was continually shackled to bed with 2 police officers in his room. The case highlights the need to advocate for compassionate release, that allows for the early release of terminally ill inmates who are not a danger to society, and offers tools and steps to help release hospitalized inmates to the care of their families. To obtain compassionate release, the first step is to identify eligible inmates with a terminal illness and a life expectancy of less than six months, which must be confirmed by a medical evaluation. The second step involves filing a petition for compassionate release with the appropriate authority, including medical records, a statement from the treating physician, and a plan for the inmate's release and care in the community. The third step entails advocating for the inmate's release, which may involve working with advocacy groups, contacting elected officials, and raising public awareness. By granting compassionate release to dying inmates, we can provide them with the opportunity to die with dignity and spend their final moments with their loved ones, which is a fundamental aspect of social justice. pmc

PMC10738053

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0994 igad104.0994 Abstracts Session 3210 (Paper) Minority and Diverse Populations (Papers) I AcademicSubjects/SOC02600 NIMHD INVESTMENTS IN RESEARCH ON OLDER ADULTS EXPERIENCING HEALTH DISPARITIES: 2018-2022 Ogletree Aaron National Institutes of Health, Bethesda, MAryland, United States Doose Michelle National Institutes of Health, Bethesda, Maryland, United States Oladeinde Yewande National Institutes of Health, 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" 298298 (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 National Institute on Minority Health and Health Disparities (NIMHD) is the nation's leading institute on the health of populations experiencing health disparities. These populations include individuals with low socioeconomic status (SES), those living in rural areas, sexual and gender minorities (SGM), and racial and ethnic minorities. Despite the need to advance research on these populations, particularly in old age when health disparities may be most salient, there has been no analysis of NIMHD funding on older adults to date. This portfolio analysis synthesized and described NIMHD's investments in research on older adults using data from fiscal years 2018 through 2022. The Research, Condition, and Disease Categorization system was used to identify funded projects in the area of Aging; manual review confirmed project eligibility. In-depth project characteristics were extracted and topic areas evaluated. Findings demonstrate that NIMHD funded a total of 98 unique research projects focused on older adults. Of these, 47% focused on the etiology of health disparities, 38% on interventions, and 15% on methods and measurement. The most specified population was racial and ethnic minorities (91%), followed by individuals with low SES (21%), rural older adults (11%), and SGM older adults (8%). Projects focused on diagnostic or clinical care (16%), care coordination (6%), caregivers (6%), and shared decision-making (4%) were limited. Findings highlight opportunities for future research to advance health care and reduce health disparities for the growing proportion of older adults from populations experiencing health disparities. pmc

PMC10738054

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1356 igad104.1356 Abstracts Session 3575 (Award Lecture) AcademicSubjects/SOC02600 IRVING S. WRIGHT AWARD, VINCENT CRISTOFALO AWARD, AND TERRIE FOX WETLE AWARD PRESENTATIONS AND LECTURES Austad Steven 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" 410411 (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 Irving S. Wright Award of Distinction Lecture will feature an address by the 2023 recipient Rafael De Cabo, BS, FGSA of National Institute on Aging, National Institutes of Health. The Vincent Cristofalo Rising Star Award in Aging Research lecture will feature an address by the 2023 recipient Ming Xu, PhD of UConn Health. The Terrie Fox Wetle Award lecture will feature an address by the 2023 recipient Claire Ankunda, MD, MPH. MSc of Icahn School of Medicine at Mount Sinai. These awards are given by the American Federation for Aging Research, Inc. pmc

PMC10738055

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1401 igad104.1401 Abstracts Session 4040 (Paper) Health and Social Interventions I AcademicSubjects/SOC02600 PET OWNERSHIP AND LONGITUDINAL CHANGE IN PSYCHOLOGICAL ADAPTATION - EVIDENCE FROM THE BLSA Friedmann Erika University of Maryland, Baltimore, Maryland, United States Gee Nancy Virginia Commonwealth University, Richmond, Virginia, United States Simonsick Eleanor NIA IRP, Baltimore, Maryland, United States Resnick Barbara University of Maryland, Baltimore, Maryland, United States Gurlu Merve University of Maryland, Baltimore, Baltimore, Maryland, United States Adesanya Ikmat University of Maryland Baltimore, Baltimore, Maryland, United States Shim Soyeon 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" 424425 (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 Successful aging depends in part on maintaining psychological adaptation. Research examining the relationship of pet ownership (PO) or human-animal interaction (HAI) to human health supports contributions to psychological status, mostly in populations with diseases or disabilities. We examine the contributions of PO to maintaining psychological adaptation among generally healthy community-dwelling older participants in the Baltimore Longitudinal Study of Aging (BLSA). Participants (N=637, age M=68.3, SD=9.6 years, pet owners N=149) completed assessments of anxiety (Perceived Stress Scale-10), depression (Center for Epidemiological Studies Depression), happiness (1-10 rating) and psychological wellbeing (SF-12 Mental Component Score) every 1-4 years and a 10-year PO history. Linear mixed models with random intercepts were used to examine changes in psychological adaptation outcomes over up to 13 years (M=7.5, SD=3.6) according to time-varying PO. Overall anxiety decreased (b=-0.0360,se=0.0104,p=0.001) and depression increased (b=.099141, se=0.015837, p< 0.001) with aging. Psychological wellbeing (b=0.00055, se=0.00119, p=0.644) and happiness (b=-.00405,se=0.0206,p=0.844) did not change. PO moderated changes in anxiety (b=0.058452,se=0.024376,p=0.017), happiness (b=-0.101373,se=0.04779,p=0.034), and psychological wellbeing (b=-0.005541,se=0.002764,p=0.045), but not depression (b=-0.01134, se=.037065,p=0.769). Anxiety and happiness improved in pet owners and deteriorated in non-owners. Psychological wellbeing deteriorated faster for pet owners than non-owners. This study provides important longitudinal evidence that PO may promote some aspects of psychological adaptation among generally healthy community-dwelling older adults by moderating age-related declines in psychological adaptation later in life. It also highlights differences in psychological responses to animal assisted interventions in residents of care facilities from changes during the life-courses of generally healthy community-residing older adults. pmc

PMC10738056

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1432 igad104.1432 Abstracts Session 4070 (Symposium) AcademicSubjects/SOC02600 LIVING WELL? A MATCHED ANALYSIS OF MINORITY ETHNIC AND WHITE BRITISH PEOPLE WITH DEMENTIA AND THEIR CARERS Victor Christina Brunel University-London, Uxbridge, England, United Kingdom Quinn Catherine Bradford University, Bradford, England, United Kingdom Matthews Fiona Newcastle University, Newcastle upon Tyne, England, United Kingdom Pentecost Claire University of Exeter, Exeter, England, United Kingdom Gamble Laura Newcastle University, Newcastle upon Tyne, 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" 434435 (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 increasing heterogeneity of the older population is reflected in the UK in an increasing number of those with dementia and carers drawn from minority ethnic groups. Data from the IDEAL dementia study is used to compare 'living well' among people with dementia and carers from ethnic minority groups with matched white British peers. We used a cross-sectional case-control design. Outcomes for both groups were quality of life, life satisfaction, wellbeing, loneliness and social isolation and, for carers, measures of stress, relationship quality, role captivity and caring competence. Our sample consisted of 20 people with dementia and 15 carers who self-identified as being of Indian, Pakistan, Bangladeshi, Black African, Black Caribbean or mixed ethnicity who were matched with 60 white British participants with dementia and 45 white British carers. People with dementia from minority ethnic groups had poorer quality of life (-4.74, 95% CI: -7.98 to -1.50) and higher loneliness (1.72, 95% CI: 0.78 to 2.66) scores whilst minority ethnic carers had higher stress (8.17, 95% CI: 1.72 to 14.63) and role captivity (2.00, 95% CI: 0.43 to 3.57) and lower relationship quality (-9.86, 95% CI: -14.24 to -5.48) than their white British peers. People with dementia from minority ethnic groups experience lower quality of life and caregivers higher stress and role captivity and lower relationship quality. Confirmatory research with larger samples is required to facilitate analysis of the experiences of specific minority ethnic groups and examine the factors contributing to these disadvantages. pmc

PMC10738057

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.2649 igad104.2649 Abstracts Session 7540 (Poster) Dementia: Characteristics and Care AcademicSubjects/SOC02600 DEMENTIA FRIENDS AWARENESS BUSINESS TRAINING PROGRAM: MAKING A POSITIVE IMPACT IN SMALL ARKANSAS BUSINESSES Spradley Laura UAMS, Little Rock, Arkansas, United States Thomasson Whitney University of Arkansas for Medical Sciences (UAMS), Little Rock, Arkansas, United States McAtee Robin University of Arkansas for Medical Sciences, Little Rock, Arkansas, 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" 821821 (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 Arkansas Geriatric Education Collaborative, a HRSA-funded Geriatric Workforce Enhancement Program grant, and a Dementia Friends USA sub-licensee, provides a program to businesses called Dementia Friends at Work. This program utilizes the tenants of the "Become a Dementia Friend" program created by Dementia Friendly America(c), a multi-sector movement that aims to foster "dementia friendly communities". A one-hour training was conducted for 222 business employees, focusing on recognizing the signs of dementia, challenging the stigma about dementia, how to best communicate with individuals with dementia and their caregivers, and practical tips to make themselves and their environment more Dementia-Friendly. During the program, management and staff were asked to self-assess the physical business environment for "dementia friendliness" and review possible changes toward improvement. Pre-program and post-program evaluations were completed. The results showed that 100% of participants agreed the training program made an impact on their business or job and 75% claimed to use the knowledge gained from the program. Qualitative data gathered 90-days post training supported these results with themes emerging such as staff using new ways to navigate conversations with those expected to have dementia, being more aware of the signs of dementia, and utilization of skills learned to more effectively interact with these customers. Findings suggest that many employees were unaware of the common signs of dementia or how to recognize behaviors of those with dementia. They had also not considered learning about or using proven techniques to assist with interactions and conversations; therefore, this training was well-received and effective. pmc

PMC10738058

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0691 igad104.0691 Abstracts Session 2295 (Symposium) AcademicSubjects/SOC02600 EXPANDING THE ENGAGEMENT OF OLDER PERSONS IN CLIMATE CHANGE ACTION Pillemer Karl Cornell University, Ithaca, New York, United States Luebke Matthew Cornell University, Ithaca, 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" 209210 (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 Environmental volunteerism and civic engagement have been found to promote physical and mental well-being among older adults as well as helping communities address environmental issues. Despite the growing need for citizen action to address disasters and other climate change effects, however, little is known about how to promote such engagement. At present, few climate change organizations actively recruit or provide specific opportunities for older persons. Academics and policymakers have focused on how older people are particularly susceptible to the impact of climate change. Limited attention has been paid, however, to the ways in which older people can be actively involved on their own behalf in climate change mitigation, including engagement in disaster preparation and response. In this presentation, I review barriers to widespread mobilization of older adults in climate change action, including their lower levels of environmental concern and their systematic lack of access to opportunities for climate change activism. I report on findings from a recent international survey of local and regional organizational efforts to engage older persons in climate change prevention and mitigation. This survey identified successful models for mobilizing older persons to address climate change mitigation, and in particular in middle-resource countries. Recommendations for effective program design to bring older persons more fully into climate change action are presented, as well as ways environmental organizations can expand their focus to include systematically older persons in their activities. pmc

PMC10738059

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.2040 igad104.2040 Abstracts Session 5160 (Symposium) AcademicSubjects/SOC02600 SOCIAL ISOLATION, UNMET NEEDS, AND LONG-TERM SERVICES AND SUPPORTS IN COMMUNITY-DWELLING OLDER ADULTS Pomeroy Mary Louise Johns Hopkins University, Baltimore, Maryland, United States Jopson Andrew Johns Hopkins University, Baltimore, Maryland, United States Reiff Jenni Johns Hopkins University, Baltimore, Maryland, United States Wu M J Johns Hopkins University, Baltimore, Maryland, United States Ornstein Katherine Johns Hopkins University, Baltimore, Maryland, United States Cudjoe Thomas Johns Hopkins University School of Medicine, Baltimore, Maryland, United States Fabius Chanee 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" 626626 (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 is associated with adverse health outcomes among older adults but can be attenuated through increased social contact and support. Long-term services and supports (LTSS) are a potential mechanism to increase social contact and provide socially isolated older adults with the help needed to perform routine activities. Using a nationally representative sample of 6,705 community-dwelling older adults from the 2015 National Health and Aging Trends Study (NHATS), we examined associations between social isolation, functional difficulty, adverse consequences due to unmet needs, and indicators of the LTSS environment (e.g., Meals on Wheels). About 22% of older adults were socially isolated. Socially isolated older adults had greater functional difficulty compared to those who were not socially isolated (45.3% vs 38.3%; p<0.0001). Socially isolated older adults were more likely to be Medicaid enrollees (17.5% vs 8.4%; p<0.0001) and use LTSS including SNAP benefits (12.7% vs 5.5%; p<0.0001), Meals on Wheels (4.1% vs 1.6%; p<0.0001), energy/gas financial assistance (7.5% vs 4.2%; p<0.0001), and transportation services for older adults or people with disabilities (4.6% vs 2.7%; p=0.001). Despite greater LTSS use, socially isolated older adults more often experienced adverse consequences due to unmet needs compared to those who were not socially isolated (12.5% vs 7.7%; p<0.0001). Findings suggest that LTSS in the form of social and senior services are critical in supporting those lacking social connection, but they may not be adequate to support aging in place in the absence of informal support. pmc

PMC10738060

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0939 igad104.0939 Abstracts Session 3150 (Award Lecture) AcademicSubjects/SOC02600 BUILDING BRIDGES TO BETTER INTERGENERATIONAL RELATIONSHIPS Shovali Tamar Eckerd College, St. Petersburg, 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" 282282 (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 relationships are necessary to prepare the workforce for careers in the field of gerontology. Intergenerational interaction and reflection have been shown to result in valuable skills, such as positive attitudes toward older adults, increased knowledge of aging and needs of older adults, genuine relationships with older adults and a greater appreciation for older generations, greater comfort with the idea of themselves aging, and high satisfaction when embedded into course curriculum. Intergenerational contact in the structure of undergraduate courses also has reciprocal benefits, such as recognizing commonalities, building appreciation and trust, and creating a sense of belonging between generations that can be lasting. Building on empirical evidence, an intensive three-week intergenerational relationships course for first year students using intentional integration with general education goals, while also training students in basic understanding of aging is described here. Students collaborated with the college's Academy of Senior Professionals, a unique community of retired older adults engaged in lifelong learning, to develop a college-wide intergenerational event. Considerations, outcomes, and lessons learned will be reviewed. pmc

PMC10738061

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0878 igad104.0878 Abstracts Session 3085 (Paper) Social Status and Retirement across Age and Nations AcademicSubjects/SOC02600 CONSTRUCT VALIDITY OF FRABONI SCALE OF AGEISM IN A CHINESE-MAJORITY SAMPLE FROM SINGAPORE Cao Yuanyuan Nanyang Technological University, Singapore, Singapore Lim Jie Xin Nanyang Technological University, Singapore, Singapore Ho Ringo Nanyang Technological University, Singapore, Singapore Theng Yin-Leng Nanyang Technological University, Singapore, Singapore 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" 264264 (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 29-item Fraboni Scale of Ageism (FSA; Fraboni et al., 1990) was constructed to measure three dimensions of ageism (Antilocution, Discrimination, and Avoidance) using samples from Canada. The factor structure of the FSA has been challenged in recent studies using US samples (Rupp et al., 2000) and Chinese samples (Fan et al., 2020), resulting in alternative factor structures. The current study aimed to test the different factor structures proposed in these past studies with a sample from Singapore, a Chinese-majority multicultural country. Data from 311 individuals, aged between 55-year-old were collected. They completed the 29-item FSA using a six-point agreement scale. Confirmatory factor analysis was used to test the goodness-of-fit of the aforementioned factor structures. The results indicated that none of three models provided a good fit to the data. A follow-up exploratory factor analysis with parallel analysis suggested a 3-factor structure. Thirteen out of the 29 items were found to have at least one salient cross-loading after Geomin rotation. These findings suggest that the samples likely interpreted and responded to the items differently resulting in different item-factor configurations, implying the impact of regional culture on the construct validity of FSA. Researchers aiming to quantify ageism in their population using FSA are advised to examine the FSA factor structure prior to using it. pmc

PMC10738062

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.2700 igad104.2700 Abstracts Session 7590 (Poster) Perceptions of and Attitudes toward Aging AcademicSubjects/SOC02600 DOES INTERNET USE PROMOTE OLDER ADULTS' SELF-PERCEPTION OF AGING: SEPARATING BETWEEN-PERSON EFFECTS Wang Kun Binghamton University, State University of New York, Binghamton, New York, United States Gu Danan The United Nations, 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" 837837 (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 Previous longitudinal studies indicate a positive causal association between older adults' Internet use and self-perception of aging (SPA). However, it is unclear whether this positive effect is truly due to the lagged within-person changes in Internet use or due to some stable, trait-like between-person differences. Thus, with between-person differences controlled, this study aimed to 1) examine reciprocal associations of within-person SPA and Internet use and 2) investigate the potential age, gender, race/ethnicity, and education group differences. Data used in this study were from the Health and Retirement Study (T1: 2008; T2: 2012; T3: 2016). Older adults aged 65 and older with normal cognition were included in the analysis (n = 6,666). Random-intercept cross-lagged panel models (RI-CLPM) were applied to separate the between-person effects regarding the associations between SPA and Internet use. Multiple-group analyses were used for testing group differences. Results showed positive carry-over stability of both Internet use and SPA across time. At the within-person level, only one cross-lagged path, Internet use (T1) SPA (T2), was significant (b = .08, p < .05), indicating that the within-person Internet use change was predictive of within-person SPA change at T2. At the between-person level, SPA and ICT use were positively correlated (r = .16, p < .001). No group differences were identified. This study indicates that the positive effects of Internet use on SPA may be largely due to between-person differences. Internet use may promote SPA to some extent, but effects may plateau after a certain period of time. pmc

PMC10738063

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0634 igad104.0634 Abstracts Session 2245 (Symposium) AcademicSubjects/SOC02600 HOW GERONTOLOGY PROGRAMS ARE MEETING CHALLENGES IN HIGHER EDUCATION Erickson Mary Ann 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" 193193 (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 Population aging means that gerontology education is increasingly relevant for all students, yet trends in higher education create existential challenges for many gerontology programs, who may not attract robust number of applicants or majors. In this symposium, educators from five different gerontology programs will share their programs' particular challenges as well as a wide variety of strategies they have used to meet these challenges. The first presentation will show how recent losses at Ithaca College, including the Aging Studies major and independent department status, also come with opportunities for collaboration with health science and public health programs. The second presentation will describe the University of North Carolina at Wilmington's approach of combining undergraduate and graduate programs to attract and retain students after being placed on a "low-productivity list" in the not-too-distant past. The third presentation will share how a new Occupational Endorsement Certificate at the University of Alaska Anchorage took the place of the deactivated gerontology minor. Colleagues from the University of Massachusetts Boston will describe their efforts to enhance diversity and grow program enrollment across undergraduate and graduate programs. Finally, the fifth presentation will describe how increased demand for general education courses as well as funding dependent on undergraduate major enrollment created challenges at the University of South Florida. This is a Directors of Aging Centers Interest Group Sponsored Symposium. pmc

PMC10738064

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.3657 igad104.3657 Late Breaking Abstracts Session 9030 (Poster) Late Breaking Poster Session IV AcademicSubjects/SOC02600 THE RELATIONSHIP BETWEEN THE CAREGIVING ENVIRONMENT, BURNOUT AND QUALITY OF LIFE AMONG HOME HEALTH AIDES Baek Sehyun Washington University in Saint Louis, St. Louis, Missouri, United States Park Soobin Washington University in Saint Louis, St. Louis, Missouri, United States Shin Oejin Illinois State University, Normal, Illinois, United States Park Sojung Washington University in Saint Louis, St. Louis, Missouri, United States Ko Ahra 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" 11391139 (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 well-being of home health aides (HHAs) is affected by the characteristics of their work environment. As South Korea's population rapidly ages, there is an increasing demand for home aides. However, little is known about how the caregiving environment affects HHAs. Guided by the environment comfort model, we examined the association between care recipients' home environment and HHA's quality of life, focusing on how burnout mediates this relationship. Our data came from a national survey of home health aides in 2020 (N=981). We conducted an exploratory factor analysis to identify six factors related to the care environment in three dimensions: physical (1. space; 2. indoor/outdoor conditions), functional (3. home appliances; 4. heating/air conditioning), and psychological (5. satisfaction with the home environment; 6. relationships with care recipients and their families). We then used a path analysis to examine the relationship between these factors, burnout, and quality of life. Our findings show that safe indoor/outdoor conditions and positive relationships with care recipients and their families are associated with lower levels of burnout, leading to a higher quality of life (p< 0.05, respectively). This highlights the importance of considering both physical and psychological aspects of the caregiving environment to prevent burnout and improve the quality of life for HHAs, ultimately contributing to high-quality services for care recipients. pmc

PMC10738065

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.2920 igad104.2920 Abstracts Session 7810 (Poster) Health and Social Services Interventions AcademicSubjects/SOC02600 IMPACT OF HOME HEALTH VALUE-BASED PURCHASE MODEL ON OWNERSHIP OF HOME HEALTH AGENCY: A LONGITUDINAL ANALYSIS Ma Chenjuan New York University, 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" 908908 (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 Home health care serves over 5 million Americans "aging in place". In January 2016, home health value-based purchasing model (HHVBP) was introduced and piloted in 9 states in the US with a purpose of improving care quality and efficiency, and expanded nationwide in 2023. This study aimed to examine the impact of HHVBP on business operation of home health agencies (HHA), including ownership changes. This is a longitudinal study using 7 years (2013-2019) of data from two national data sources. A dummy variable was used to indicate whether an HHA is in a state with HHVBP or not. Ownership measures included both the type and changes of ownership between 2013-2017. A total of 14,334 HHAs (95,137 agency-years) were included in analysis. Of the 14,334 agencies, about 19% were in HHVBP states, 88% continued business in all study years, 1679 were new agencies and 49 agencies discontinued business. In HHVBP states, 363 out of 2781 (13%) were newly added, compared to 1316 out of 11,553 (11%) in non-HHVBP states. Agencies in HHVBP states were more likely to be public agencies (e.g., 6.08% vs. 4.97% in 2013; 5.62% vs. 4.60% in 2018), though it slightly decreased over time; and experience changes in ownership and particularly the years after the implementation of HHVBP (e.g.,2.44% vs. 2.38% in 2013; 7.03% vs. 4.39% in 2018). The HHVBP can have a significant impact on the operation and ownership type of home health agency, which in turn may impact availability and quality of home health care. pmc

PMC10738066

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.3739 igad104.3739 Late Breaking Abstracts Session 9330 (Paper) Late Breaking: Translational Geroscience AcademicSubjects/SOC02600 DETERMINATION OF OPTIMAL VIBRATION DOSE TO TREAT PARKINSON'S DISEASE GAIT SYMPTOMS: A CLINICAL TRIAL Pretzer-Aboff Ingrid Virginia Commonwealth University, Richmond, Virginia, United States Elswick R K Virginia Commonwealth University, Richmond, Virginia, United States Gouelle Arnaud Universite Reims Champagne Ardenne, Reims, Champagne-Ardenne, France Helm Noah Virginia Commonwealth University, Mechanicsville, Virginia, United States Blackwell GinaMari Virginia Commonwealth University, Glen Allen, Virginia, United States Cloud Leslie VCU School of Medicine, Henrico, Virginia, 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" 11661166 (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 Most people with Parkinson's disease (PD) will experience gait problems. Previous studies demonstrated improved gait and balance after vibration stimulation was applied to the feet of PD patients. However, not all study participants showed improvement, perhaps due to sub-optimal vibration stimulus. Thus far, the optimal frequency and amplitude of vibration for mitigating gait dysfunction in PD have yet to be systematically explored. The PDVibe2TM (Resonate Forward LLC, DE) delivered vibration to the feet of 26 people with PD gait disturbances. We hypothesized that a global frequency, amplitude, and minimum duration of vibration therapy is required to improve gait. This was a phase Ib trial to identify optimal vibration parameters. Thirteen participants were recruited at Hoehn & Yahr (H&Y) stage II and 13 participants at stage III. Each group was randomly assigned to different frequency and amplitude settings prescribed by the central composite design methodology. Each participant received vibration for 18 minutes per walking session, for eight sessions spread over one week. Results showed an optimal dose response to treatment for frequency and amplitude of vibration based on the Functional Ambulation Performance score for stages II and III. In the H&Y stage II group, outcomes were stabilized after the 4th treatment. This stabilization was not seen in stage III participants. Global frequency and vibration amplitudes have been identified for treating PD gait disorders. Patients with more advanced Parkinson's disease may require a longer duration of therapy. pmc

PMC10738067

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0817 igad104.0817 Abstracts Session 3020 (Paper) Dementia Caregiving AcademicSubjects/SOC02600 THE PUBLIC HEALTH IMPLICATIONS OF DEMENTIA CAREGIVING IN THE US: FINDINGS FROM THE 2021 BRFSS Gaugler Joseph University of Minnesota, Minneapolis, Minnesota, United States Lamb Raza Alzheimer's Association, Chicago, Illinois, United States Denno Ben Alzheimer's Association, New York, New York, United States Baumgart Matthew Alzheimer's Association, New York, New York, United States Yam Hawking University of Minnesota, Minneapolis, Minnesota, United States McGuire Lisa CDC, 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" 248248 (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 further elevate dementia caregiving as a public health imperative, representative data that highlights more local variations in dementia caregiving is essential, as such data can better target and tailor services as well as advance policy innovations at the state level. We empirically examined state variations in dementia caregiving in the U.S. by analyzing data from the Behavioral Risk Factor Surveillance System (BRFSS) among the 39 states that used the Caregiver Module in 2021. Prevalence of hypertension among dementia caregivers ranged from a low of 28.7% (CI 16.7-44.8) in South Dakota to a high of 53.6% (CI 43.9-63.1) in Arkansas. The mean hypertension prevalence rate in the 39 states for dementia caregivers was 42.0%, compared with a mean hypertension prevalence rate for non-dementia caregivers of 38.2%. Close to half (44.2%, CI 31.8-56.6) of dementia caregivers in Michigan provide care for 40 or more hours per week. In 35 of the 39 states, at least one-third of dementia caregivers provide care for 20 or more hours per week; in comparison, at least one-third of non-dementia caregivers provide care for 20 or more hours per week in only 7 of the 39 states. The findings illustrate how intensity and the health implications of dementia care vary across states in the U.S. and can help inform more localized programmatic and policy targets to address the public health implications of dementia care. pmc

PMC10738068

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1085 igad104.1085 Abstracts Session 3305 (Symposium) AcademicSubjects/SOC02600 EXAMINING THE PRELIMINARY EFFECTIVENESS OF THE SENIOR COMPANION PROGRAM PLUS FOR AFRICAN AMERICAN CAREGIVERS Xu Ling The University of Texas at Arlington, Arlington, Texas, United States Fields Noelle The University of Texas at Arlington, Arlington, Texas, United States Williams Ishan University of Virginia, Charlottesville, Virginia, United States Gaugler Joseph University of Minnesota, Minneapolis, Minnesota, United States Lomelin Alan Kunz University of Texas at Arlington, Arlington, Texas, United States Cipher Daisha The University of Texas at Arlington, Arlington, Texas, United States Feinhals Gretchen The Senior Source, Dallas, 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" 325326 (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 A culturally informed, peer-led, lay provider model, the Senior Companion Program (SCP) Plus, was implemented to decrease caregiving burden/stress and improve coping skills, and social support for African American ADRD caregivers. This study reported the preliminary effectiveness of this intervention. Methods An explanatory sequential mixed methods design was used in this study and a randomized control trial was conducted for the SCP Plus intervention among participants in three sites (N = 20). A sub-sample of participants (n = 7) consented to a qualitative interview about their experiences with the intervention. The Wilcoxon signed-rank tests, Friedman tests, and one-way repeated measures ANOVA were conducted for quantitative analyses. Thematic analysis was used for the qualitative interviews. Results Results demonstrated that knowledge of AD/dementia (KAD) and preparedness for caregiving were significantly improved for all senior companions in the intervention group. Results also showed that caregivers in the intervention group reported significantly decreased caregiving burden, as well as increased KAD, satisfaction with social support, and positive aspects of caregiving. Themes from the qualitative interviews included: learning new skills about caregiving, gaining knowledge about ADRD, and benefits for the dyad. Discussions: Findings from this study implied that SCP Plus was a promising model for African American family caregivers as it benefits both the SC volunteers and the African American ADRD family caregivers. pmc

PMC10738069

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1080 igad104.1080 Abstracts Session 3300 (Paper) AcademicSubjects/SOC02600 PILOT TESTING OF NEWLY DEVELOPED OPEN EDUCATIONAL RESOURCES FOR AN AGING AND MENTAL HEALTH COURSE McGee Jocelyn Baylor University, Waco, Texas, United States Ambrose Madison Baylor University, Waco, Texas, United States Wood Sinai Baylor University, Waco, Texas, United States Zakrzewski Chris Baylor University, Waco, 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" 324324 (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 cost of secondary-level education is higher than ever in the United States. With the costs of tuition, housing, meal plans, and other necessary expenses, economically vulnerable students have difficulty locating affordable textbook options for their courses. In addition to finding affordable options, it is challenging to locate low-cost and credible up-to-date resources that best prepare students for the fields they wish to pursue after graduation. Furthermore, within these resources, the perspectives of diverse and underrepresented scholars are often overlooked. With an ever-increasing and diversifying United States, these areas need to be addressed within gerontological education to provide the best care for older populations. In this presentation, we detail our process of developing open education resources (OER) for an Aging and Mental Health course from a positive psychology framework integrating diverse perspectives and state of the art research, results from our first pilot test of the materials with a group of 25 students, and how we are going about adapting this course into an interactive Pressbook which will be available in the future at no-cost to the field. pmc

PMC10738070

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.2940 igad104.2940 Abstracts Session 7830 (Poster) Cognition and Cognitive Impairment AcademicSubjects/SOC02600 COGNITIVE FUNCTIONING AMONG GRANDPARENT CAREGIVERS: AN INTERGENERATIONAL PERSPECTIVE Patel Khushbu Virginia Tech, Blacksburg, Virginia, United States Singer Katelyn Virginia Tech Graduate School, Blacksburg, Virginia, United States Katz Benjamin Virginia Tech, Blacksburg, Virginia, 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" 915915 (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 Grandparents have a unique bond with their grandchildren, given their position in the grandchild's life. They may be a historian, mentor, playmate, caregiver, role model, advocate, and friend. These interactions may offer an opportunity for cognitive engagement, but the level of this engagement may in turn be linked to a grandparent's cognitive status. For example, memory issues may challenge one's ability to serve as a historian for a grandchild. To better understand the association of caregiving and engagement in activities with a grandchild on cognition, a secondary analysis was conducted to examine how cognitive functions differ by engagement time. Drawing from approximately 1,200 participants in the Health and Retirement Study who indicated activity engagement with grandchildren and who also completed the Harmonized Cognitive Assessment Protocol (HCAP) regression analyses were conducted examining the link between grandparent engagement with grandchildren and cognitive measures including Constructional Praxis Delayed, Backwards Counting, Raven's Standard Progressive Matrices, Brave Man Delayed, and Digit Symbol Modalities. Results from the analyses revealed that Raven's Matrices (P = 0.007), Backwards Counting (P = 0.041), and Constructional Praxis (P = 0.030), were most closely linked to activity engagement with grandchildren, providing preliminary evidence that working memory is closely linked to caregiving engagement. However, the results also revealed a bimodal distribution, suggesting that too little and too much caregiving were associated with worse cognition. These findings provide preliminary evidence that illustrates how interacting with and caregiving for grandchildren may be both a protective factor and a risk factor for older adults. pmc

PMC10738071

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1630 igad104.1630 Abstracts Session 4280 (Symposium) AcademicSubjects/SOC02600 ASSOCIATION OF ASSISTED LIVING HOMES PREPAREDNESS FOR AND RESPONSES TO THE COVID-19 PANDEMIC WITH RESIDENT PAIN Shrestha Shovana University of Alberta, Edmonton, Alberta, Canada Maxwell Colleen University of Waterloo, Waterloo, Ontario, Canada Dampf Hana University of Alberta, Edmonton, Alberta, Canada Devkota Rashmi University of Alberta, Edmonton, Alberta, Canada Hoben Matthias York University, 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" 496496 (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 severely disrupted care processes in assisted living (AL) and negatively affected resident outcomes associated with resident pain (e.g., mobility problems, depression). Pain has severe consequences, including hopelessness, insomnia, depression, poor quality of life. However, we lack research on how the pandemic affected AL resident pain. To address this gap, we linked surveys from 42 AL homes in Alberta, reflecting pandemic waves 1 (Mar-Jul 2020) and 2 (Nov 2020-Feb 2021), to the Resident Assessment Instrument (RAI) records of 1,828 residents (wave 1: 890, wave 2: 938) who lived in these homes during these periods. Using generalized estimating equation models, we assessed whether resident characteristics, physical and occupational therapy received, home preparedness for and responses to the pandemic were associated with resident pain (measured as at least moderate daily pain or pain of excruciating intensity, based on the RAI pain items). Over 19% of the residents reported pain (wave 1: 19%, wave 2: 19.1%). Resident characteristics associated with pain were cognitive impairment (OR=0.4, 95% CI: 0.3-0.6), loneliness (OR=1.8, 95% CI: 1.3-2.6), arthritis (OR=2.1, 95% CI: 1.6-2.8), fractures (OR=1.97, 95% CI: 1.4-2.9), polypharmacy (OR=1.82, 95% CI: 1.3-2.6) and use of analgesics (OR=1.76, 95% CI: 1.3-2.3). Home preparedness and physical and occupational therapy received were not associated with pain, but more communication with family/friend caregivers (OR=0.41, 95% CI: 0.2-0.8) was. Effective communication of family/friends with residents may promote better management of residents' pain. Further, longitudinal studies examining resident and AL home characteristics and its impact on residents' pain are needed. pmc

PMC10738072

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1464 igad104.1464 Abstracts Session 4105 (Symposium) AcademicSubjects/SOC02600 HARMONIZATION OF SELF-REPORTED RACE/ETHNICITY TO ENHANCE HEALTH EQUITY RESEARCH USING MEDICARE DATA Zafar Anum Rutgers, The State University of New Jersey, New Brunswick, New Jersey, United States Jarrin Olga Rutgers, The State University of New Jersey, New Brunswick, New Jersey, United States Kim Hyosin Oregon State University, Corvallis, Oregon, United States Setoguchi Soko Rutgers, The State University of New Jersey, New Brunswick, New Jersey, United States Harvey Marie Oregon State University, Corvallis, Oregon, United States Wu Bei New York University, New York City, New York, United States Lopez Maria Rutgers, The State University of New Jersey, New Brunswick, New Jersey, United States Lin Haiqun Rutgers, The State University of New Jersey, Newark, New Jersey, 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" 445445 (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 Collection of valid race and ethnicity data is critical to understanding and promoting health equity. However, current administrative data often misclassifies members of the racial/ethnic minority groups. To address this issue, the Research Triangle Institute (RTI) developed an imputed race variable, which improves on administrative race data for Hispanic and Asian beneficiaries, but still has limitations. This study compares the RTI race with our new, harmonized, self-reported race/ethnicity data collected during Medicaid enrollment and post-acute and long-term care assessments. Out of 2,322,071 Medicare beneficiaries aged 18 and older who died in 2019 in the U.S., self-reported race/ethnicity was available for 75.1% (1,745,327) who formed the study population. Compared to the RTI race variable, our new race variable categorized more Medicare beneficiaries as non-Hispanic white (79.5% vs. 77.9%) and Asian American/Pacific Islander (2.5% vs. 2.3%), a similar percentage as American Indians/Alaska Native (0.5% vs. 0.5%), and slightly fewer as Black (11.1% vs. 10.9%) and Hispanic (7.2% vs. 6.5%). Using our new race variable as the gold-standard, RTI race had good validity (k=0.81), however sensitivity was highest for non-Hispanic white (96.5) and Black (95.8) beneficiaries, and lower for Hispanic (87.2), Asian American/Pacific Islander (76.2), and American Indian/Alaska Native (58.7) beneficiaries. These findings are consistent with prior work, comparing RTI race with self-reported race from a single data source. Our study provides empirical evidence to support the U.S. Office of the Inspector General's recommendations to the Centers for Medicare and Medicaid Services to incorporate self-reported race/ethnicity data available to reduce error and bias. pmc

PMC10738073

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0953 igad104.0953 Abstracts Session 3165 (Symposium) AcademicSubjects/SOC02600 PUBLISHING WITH THE INTERNATIONAL JOURNAL OF AGING AND HUMAN DEVELOPMENT Patrick Julie Hicks West Virginia University, Morgantown, West Virginia, 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" 286286 (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 For more than 50 years, under the leadership of four editors and two publishers, The International Journal of Aging and Human Development (IJAHD) has featured multidisciplinary scholarship related to aging processes and older adults. With the publication of eight issues a year and over 1000 pages of scientific content, the IJAHD places emphasis upon psychological and social studies of aging and the aged. However, the Journal also publishes research that integrates observations from other disciplines that illuminate the "human" side of gerontology. A more recent focus includes midlife development, as well. About half (47%) of the publications in the IJAHD are from international colleagues. IJAHD is delighted to support new investigators as they navigate dissemination. This presentation will discuss tips for both international and US-based scholars for ensuring timely reviews and positive decisions for manuscript submissions, including such areas as key words, suggesting unbiased reviewers, formatting, writing mechanics, clearly-articulated methods, and a sound theoretical basis. pmc

PMC10738074

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.2921 igad104.2921 Abstracts Session 7810 (Poster) Health and Social Services Interventions AcademicSubjects/SOC02600 INCLUSION OF FAMILY MEMBERS INTO CONVERSATIONS ABOUT AGING RESEARCH: IMPORTANCE OF INTERGENERATIONAL INFLUENCE Gaillard Trudy Florida International University, Miami, Florida, United States Neff Donna University of Central Florida, Orlando, Florida, United States Morton Cynthia University of Florida, Gainesville, Florida, United States Swagger Phildra University of Central Florida, Orlando, Florida, United States Webb Fern University of Florida, Gainesville, 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" 908908 (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 Identifying effective strategies to increase recruitment and retention of culturally diverse adults (African Americans [AA], Caribbean [CN] and Hispanic/Latino [HL]) into aging research is a public health priority. Intergenerational influence (IGI), defined as the "influence of one generation on another in terms of the transfer of skills, attitudes, preferences, values, and behaviors" (Shah & Mittal, 1997), was used to engage AA, CN and HL adults ages 25+ into conversations about aging research. We recruited AA, CN, and HL adults >= 65 years and a family member/friend between 25-64 years to participate in virtual listening sessions (LS). A semi-structured guide was used to discuss IGI, attitudes, beliefs, and perspectives of research. All LS were recorded and transcribed verbatim. NVivo software was used for data management and analysis. The constant comparative method was used for analysis. A total of 134 LS was conducted with African American [N=131], Caribbean [N= 112] and Hispanic/Latino adults, representing 93 males and 268 females. We found three major themes highlighting the importance of IGI: 1) transfer of cultural knowledge; 2) benefit of future generations and 3) the lived experiences. The importance of IGI and the inclusion of family members and friends into discussions about healthy aging and research participation was a consistent theme among all culturally diverse groups. Findings suggest that discussing research participation with family and friends can enhance research participation of older adults. Researchers should develop IGI strategies that include family and friends (i.e., younger trusted sources) into recruitment design of aging research. pmc

PMC10738075

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1303 igad104.1303 Abstracts Session 3520 (Symposium) AcademicSubjects/SOC02600 PERSONALITY AND WORD RECALL AS INTERACTIVE PREDICTORS OF PERCEIVED MEMORY ABILITY Hill Patrick Washington University in St. Louis, St. Louis, Missouri, United States Pfund Gabrielle Northwestern University, Chicago, Illinois, United States Cruitt Patrick Minneapolis VA Health Care System, Minneapolis, Minnesota, United States Spears Isaiah Washington University in St. Louis, St. Louis, Missouri, United States Norton Sara Washington University in St. Louis, St. Louis, Missouri, United States Bogdan Ryan Washington University in St. Louis, St. Louis, Missouri, United States Oltmanns Thomas Washington University in St. Louis, 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" 394394 (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 Cognitive gerontology research requires consideration of both actual performance and perceptions of performance. While subjective memory perceptions are positively associated with memory performance, these correlations typically are modest in magnitude. Therefore, researchers have noted the need to consider potential moderators of this association, to better understand whether certain people show weaker or stronger linkages between performance and perceptions. The current study leveraged personality (NEO Big Five), memory performance (i.e., word recall), and perceptions of memory ability (i.e., metamemory in adulthood scale and subjective memory complaints) data from the St. Louis Personality and Aging Network (SPAN) study (n = 774, mean age: 71.52 years). Personality traits were more associated with subjective than objective memory, and the most consistent associations were for extraversion (r = -.20 for complaints, r = .26 for metamemory) and conscientiousness (r = -.26 for complaints and r = .33 for metamemory). Moreover, extraversion moderated associations between word recall and both memory capacity and complaints. Results suggested that associations between word recall and the two subjective indicators were weaker for those adults higher in extraversion, relative to adults who scored lower on extraversion. One possible interpretation is that extraverted older adults may construct their cognitive self-perceptions using information from their social interactions more than objective cues. These findings highlight the need to determine how personality traits influence which sources of information older adults employ when thinking about their cognitive ability, which in turn may explain their choices for activity engagement. pmc

PMC10738076

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0790 igad104.0790 Abstracts Session 2390 (Symposium) AcademicSubjects/SOC02600 DIGITAL STORIES FROM AN INTERGENERATIONAL, TELEPHONE-BASED REMINISCENCE PROGRAM Fields Noelle The University of Texas at Arlington, Arlington, Texas, United States Xu Ling The University of Texas at Arlington, Arlington, Texas, United States Troutman Brooke Air Force Academy, Air Force Academy, Colorado, United States Daniel Kathryn University of Texas at Arlington, Arlington, Texas, United States Westmore Megan University of Texas at Arlington School of Social Work, Arlington, Texas, United States Cassidy Jessica University of Texas at Arlington, Arlington, 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" 240241 (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 Reminiscence strategies combined with an intergenerational approach may yield social and mental health benefits for older adults with cognitive impairment. There is also evidence to support the use of digital storytelling (DST) with persons with cognitive impairment combined with intergenerational programs. DST typically involves the production of a two-to-five-minute audio-visual clip combining text, images, music, photographs, voice-over narration, and other audio. However, there are few studies that combine reminiscence, DST, and an intergenerational approach with persons with cognitive impairment. The current study is a thematic analysis of DST products created by university students in collaboration with older adults with cognitive impairment (N = 27) as part of a larger project examining how intergenerational reminiscence using DST may improve the social and emotional well-being of persons with memory loss. After the completion of a structured, six-week, telephone-based reminiscence, the younger and older adults co-created a storyboard and script as well as selected photos and music to accompany the narrative in the DST. An interactive team approach using the phases of thematic analysis of the DST products resulted in six themes: 1) family, 2) religion and purpose in life, 3) loves and hates, 4) career/work, 5) stress and coping, and 6) major life turning points. Sub-themes included childhood and early adulthood, family legacy, faith, volunteering, travel, music, and resilience. Findings from the study extend current research by examining intergenerational connections, reminiscence, and the use of DST with persons with memory impairment. We close with recommendations for practice and research. pmc

PMC10738077

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.2369 igad104.2369 Abstracts Session 7260 (Poster) End of Life AcademicSubjects/SOC02600 SERVICE PROVIDER PERSPECTIVES ON ADVANCE CARE PLANNING USE IN RURAL DEMENTIA PATIENTS AND CAREGIVERS Zhang Peiyuan University of Maryland, Baltimore, Baltimore, Maryland, United States Nketsiah Ebow Saint Louis University, St. Louis, Missouri, United States Noh Hyunjin University of Alabama, 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" 731732 (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 Compared to urban areas, advance care planning (ACP) utilization remains very limited in rural communities. ACP earlier in the disease trajectory is particularly important for people with dementia (PWD) due to its progressive nature affecting their decision-making ability. Considering well-documented benefits of ACP in improving quality of end-of-life (EOL) care, the rural vs. urban disparity may indicate poorer EOL quality for rural PWD. Moreover, research on factors affecting ACP use among PWD has been primarily based in metropolitan/urban areas. To address the knowledge gap, this study aimed to explore barriers and current resources for ACP of PWD from perspectives of health and social service providers in rural Alabama. Using a qualitative approach, semi-structured face-to-face interviews were conducted with 10 health and social service professionals serving older adults and their caregivers in rural communities of Alabama. Thematic analysis was used to find recurrent themes and patterns from transcribed interview data. Our analysis revealed four areas of barriers to rural PWD's ACP: (1) PWD's and caregivers' lack of knowledge about ACP, dementia, EOL care options, and available resources, (2) misconceptions of completing formal documentations, (3) emotional barriers, and (4) limited access to existing resources. Elder law clinic and local Area Agencies on Aging were the most prominent, existing resources for ACP in rural Alabama. Participants also showed a type of misconception that a lawyer and/or a notary is required for ACP. The study highlighted an urgent need for social policy in ACP education for both caregivers and service providers in rural settings. pmc

PMC10738078

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1708 igad104.1708 Abstracts Session 4365 (Symposium) AcademicSubjects/SOC02600 UNMET SERVICE NEEDS AMONG RURAL APPALACHIAN CAREGIVERS OF PEOPLE WITH ALZHEIMER'S AND DEMENTIA Russell David Appalachian State University, Boone, North Carolina, United States Miyawaki Christina University of Houston, Houston, Texas, United States Bouldin Erin University of Utah, Salt Lake City, Utah, 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" 520521 (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 Risk factors for Alzheimer's disease and related dementias (ADRD) are higher in rural areas than urban areas, and community-based services (services) are less accessible. This study sought to identify unmet services needs among people with ADRD and their caregivers living in rural Appalachia, and highlight contextual factors that shape service access and utilization. We interviewed 22 caregivers and persons with ADRD living in Western North Carolina between August 2021 and April 2022 with recruitment assistance from local agencies and organizations. Themes were identified across domains of our conceptual model informed by theories of health services use, family caregiving, and sociocultural contexts. Family caregivers communicated multiple unmet needs, foremost of which included fragile and insufficient support systems or imbalances between family and paid caregiving support, a lack of clarity about their services options, and feeling behind in preparing for the future. In the presence of unmet care needs, family caregivers made decisions (or not) to use services in aiding them with caring for persons with ADRD. These decisions were shaped by illness-level (e.g. ADRD symptoms and progression), predisposing (e.g. work experiences), and enabling factors (e.g. family support). The sociocultural contexts in which family caregivers and the persons they cared for with ADRD were embedded within, including their culture, beliefs and family norms, also shaped perceptions and use of services. These contexts should be better understood and considered when developing and implementing acceptable services for people with ADRD in rural areas. pmc

PMC10738079

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1220 igad104.1220 Abstracts Session 3435 (Symposium) AcademicSubjects/SOC02600 IT'S OVERWHELMING FOR EVERYBODY: EXPERIENCES OF DEMENTIA CAREGIVERS WHO AREN'T CLOSE FAMILY Lowers Jane Emory School of Medicine, Atlanta, Georgia, United States Datcher Ivree Emory University, Atlanta, Georgia, United States Delk Michelle Emory Rol, Atlanta, Georgia, United States Kavalieratos Dio Emory University, Atlanta, Georgia, United States Perkins Molly Emory University, Atlanta, Georgia, United States Hepburn Kenneth 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" 367367 (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 One in three people with Alzheimer's or other dementias lives alone, without a spouse/partner or nearby children (i.e., is aging solo). Friends, neighbors, and extended family often assist with tasks that preserve independence, but most dementia caregiving literature, and theory, to date focuses on spousal or parent/child dyads for whom reciprocity, indebtedness and self-interest are common motivators. This study seeks to address this knowledge gap. Design: Semi-structured interviews with caregivers of adults with cognitive impairment or dementia who were not the caregivers' spouses or parents. Hybrid inductive/deductive thematic analysis incorporating social exchange and stress-coping theories. Results: We interviewed 11 caregivers (100% female; age 54-85, mean 71; 91% white, 9% black; 27% friend; 27% church congregant; 27% sibling or in-law; 18% neighbor). Caregivers described altruism, empathy, and, in cases of extended family, duty as motivators to provide care for acquaintances with dementia. Caregivers who themselves lacked close family identified with their care recipient's vulnerability and the possibility of needing similar care someday. Non-family caregivers described feeling unprepared and unqualified to make legal, financial, and guardianship decisions and looked to care recipients' distant family, health care providers, and religious leaders to guide decisions that require balancing care recipients' safety and autonomy, such as moving to a nursing home. Conclusion: Dementia caregiving outside spouse or parent/child dyads can produce practical and emotional challenges for caregivers who are not immediate family. These caregivers may benefit from guidance about practical and ethical decisions in the absence of immediate family decision makers. pmc

PMC10738080

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0467 igad104.0467 Abstracts Session 2075 (Paper) Enhancing Caregiver Services and Supports AcademicSubjects/SOC02600 SUPPORT FOR FAMILY CAREGIVERS: WORK STRAIN AND THE IMPACTS OF FORMAL AND INFORMAL SUPPORT Svec Joseph Saint Joseph's University, New York City, New York, United States Nemmers Natasha Wayne State University Institute of Gerontology, Detroit, Michigan, United States Lee Jeong Eun Iowa State University, Ames, Iowa, 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" 143143 (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 the US, caregiver burnout has significant mental and physical ramifications for an estimated 40 million unpaid caregivers. In addition to higher risks of depression, fatigue, and anxiety, caregivers are often squeezed in the already tenuous balance between work and life. This study seeks to assess whether and to what extent the mental health consequences of caregiver work strain is ameliorated by the presence of additional (informal) family caregivers and formal service use. This study utilizes data provided by the National Study of Caregiving (NSOC) data which is linked with care-recipient information from Health and Aging Trends Study (NHATS) data. We analyze mental health outcomes for caregivers who were present in years 2015 and 2017 (N = 281) using lagged linear regression techniques. We estimate associations of work-strain with mental health issues as well as the moderating effects of informal support (the number of additional caregivers) and utilization of formal support (such as paid service support, formal training, and Medicare funding). Preliminary analyses indicate that the additional informal support mitigates the effect of work strain on mental health. However, formal support corresponds with positive mental health outcomes in the absence of work strain and poorer mental health outcomes when the caregiver experiences work strain. One possible explanation is that formal support is more likely to be used when caregiver burden and isolation is higher, highlighting the importance of timing in service utilization as well as the importance of social and informal resources for employed caregivers. pmc

PMC10738081

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.0967 igad104.0967 Abstracts Session 3180 (Symposium) AcademicSubjects/SOC02600 RESIDENT EXPERIENCES OF PERSON-CENTRED CARE AT MEALTIMES IN LONG-TERM RESIDENTIAL CARE: A RAPID ETHNOGRAPHY Davies Megan Medical Faculty, University of Basel, Basel, Basel-Stadt, Switzerland Zuniga Franziska University of Basel, Basel, Basel-Stadt, Switzerland Verbeek Hilde Maastricht University, Maastricht, Limburg, Netherlands Staudacher Sandra Universitat Basel, Basel, Basel-Stadt, 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" 290291 (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 Poor nutrition is a common ongoing problem in long-term residential care, often resulting in reduced quality of life. Previous research has concluded that the content of the meal, dining environment, service style and general atmosphere all add to the mealtime experience, suggesting that person-centred mealtimes are optimal. However, knowledge about which elements of person-centred care can be achieved in a mealtime setting in a given context is currently lacking. As part of the TRANS-SENIOR research network, rapid ethnographies were conducted across multiple sites (including interviews, observations and informal conversations), in long-term residential care homes in the UK, Switzerland and the Netherlands between October 2020 and December 2021. During analysis and interpretation of data, different themes were developed where either successfully achieved or missed opportunities for person-centred moments were observed. We observed differences between the long-term care homes in as much as the setting could be considered, resident choice was implemented, residents were enabled, care was individualized in the communal setting and how much the person of the residents was known with their past and present. In the presentation we will discuss the possibility to provide person-centred care during mealtimes in view of differences between staff approaches, the overall environment (size of dining area, seating arrangements etc.), allocation of staff resources and country-specific rules and regulations. We see an interplay of factors in place for mealtimes to be moments of participatory choice, interaction, independence, and dignity. pmc

PMC10738082

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.1074 igad104.1074 Abstracts Session 3290 (Symposium) AcademicSubjects/SOC02600 HARNESSING NETWORKS IN TRANSLATIONAL GEROSCIENCE RESEARCH Justice Jamie Wake Forest University School of Medicine, 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" 322323 (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 Understanding and addressing age-related chronic diseases and disability requires a "root cause" approach: to look beyond the individual diseases to biological aging as the shared driver of multiple conditions. This goal is the foundation of an emerging discipline, geroscience. Geroscience has fostered new research on the basic biology of aging with rapid development of biomarkers of biological age, and therapeutics that target aging biology advancing to clinical trials. This presentation will provide a translational framework for early-career investigators who seek to evaluate biological processes underlying aging, and test promising interventions targeting these processes from animal models to clinical trials. This includes: 1) developing outcomes and biomarker frameworks for aging outcomes trials, and 2) establishing functional consequences of cellular senescence in older adults; and 3) creating opportunities to grow a diverse inter-disciplinary research program in geroscience through professional organizations, scientific networks, and NIA-supported research centers. pmc

PMC10738083

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.2094 igad104.2094 Abstracts Session 5220 (Paper) Research in Chronic Diseases and Conditions AcademicSubjects/SOC02600 THE ROLE OF FRAILTY ON THE IMPACT OF SOCIAL RELATIONSHIPS ON HEALTH OUTCOMES: RESULT FROM THE FRELE LONGITUDINAL STUDY Mehrabi Fereshteh University of Montreal, Montreal, Quebec, Canada Beland Francois University of Montreal, Montreal, Quebec, 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" 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 The link between social relationships and health is well-established as per Berkman and Krishna's theory. However, the biological mechanisms by which social relationships impact health, such as frailty, remain unknown. This study aimed to examine whether the effects of changes in social relationships on changes in physical, mental, and cognitive health outcomes varied among frail older adults compared to robust peers. Data were from three waves of the FReLE study among 1643 Canadian community-dwelling older adults aged 65 years and over. We performed latent growth curve models (LGMs) to test our objectives with the assumption of missing not at random. We measured social isolation through social participation, social networks, and support from different social ties (e.g., children, friends). We assessed frailty using the phenotype of frailty. Health outcomes include disability, chronic diseases, depression, and cognitive decline. The results revealed that increasing changes in social participation, social contact with friends, and social support from different social ties were associated with greater changes in cognitive and mental health, but not physical health, among frailer older adults compared to those who were more robust. This longitudinal study suggests that social support has a protective and compensatory role in enhancing mental health among frail older adults, but not among robust peers. Public health policies and interventions should focus on ameliorating social connectedness among physically frail older adults to enhance mental health outcomes. Future research studies could explore other risk factors that impact the relationships between social connectedness and health among older populations. pmc

PMC10738084

Innov Aging Innov Aging innovateage Innovation in Aging 2399-5300 Oxford University Press US 10.1093/geroni/igad104.3116 igad104.3116 Abstracts Session 7990 (Poster) Biobehavioral Health and Aging AcademicSubjects/SOC02600 THE DYNAMIC AND RECIPROCAL RELATIONSHIP BETWEEN PERCEIVED DISCRIMINATION AND COGNITIVE FUNCTION IN LATER LIFE Amano Takashi Rutgers University, Newark, New Jersey, United States Jia Yuane Rutgers University, Newark, New Jersey, United States Redding-Raines Audrey Rutgers University-Newark, Newark, New Jersey, 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" 970970 (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 Studies have suggested that perceived discrimination is a potentially modifiable risk factor for cognitive health in later life. However, there is a lack of focus in the literature on the changes and directionality of the relationship between these two constructs. This study, based on socioemotional selectivity theory, investigates the dynamic and reciprocal relationship between perceived discrimination and cognitive function in later life. Data were drawn from four waves of the Health and Retirement Study (HRS; 2006, 2010, 2014, and 2018). We utilized a subsample of respondents who completed the psychosocial and lifestyle questionnaire in at least three waves. A total of 4,101 people who were 51 and older were included. Cognitive function was measured by the abbreviated version of the telephone interview for cognitive status (TICS-27). Perceived discrimination was measured using scores of the perceived everyday discrimination scale. Random intercept cross-lagged panel model (RI-CLPM) was utilized. Age was associated with lower perceived discrimination (b=-0.224, p<.0001). While lower cognitive function was cross-sectionally associated with higher perceived discrimination in all racial/ethnic groups, higher everyday discrimination predicted subsequent lower cognitive function only among White respondents. The model fit statistics were favorable: CFI=0.968; SRMR=0.045. Results suggested that a decline in cognitive function may exacerbate perceived discrimination which may result in further reduction of cognitive function in general. Lifetime experience of discrimination was discussed as a possible source of the racial/ethnic variations in the relationship. Further study is needed to examine whether this relationship holds among people with cognitive impairment or dementia. pmc